Wednesday, January 7, 2009

PRIMUM NON NOCERE

When still a medical student first, easy way to do smth outstanding flat compared to a doctor, say, the engineers of civil engineering. This is taken flat in extreme cases when each 'failed' in their work. Civil engineering engineers who are responsible be caught in the rain to build bridges with cemoohan and bear the burden of suffering that bridge collapse not long after the project finished. At the other is a doctor who can not save the life of patients not long after he signed. Unlike the engineers who endure hardship before, the doctors still get thanks from the family and the companion taulan patients who have died. But, again, this is just a flat course.

Illustration above does not mean the absence of the charges against safety in the medical world. Even among medical professionals, always buzzed diktum of Hippocrates (about 460-377 BCE), which became the world's first medical principle, primum non nocere. The slogan of this latin can more or less defined as "What is important is not harmful" in every aspect, both socially and economically. In this case, the medical professionals are required to put the interests of patients above the interests of others. This principle is often disandingkan with the motto "Suprema Lex Aegroti Salus" which means the patient safety is the highest law. Interaction with medical professionals demanding customers trust and loyalty that can not be ditawar again. So it appears one slogan that relevant in this case the form of "Uberrima fides", which means loyalty above everything.

In diktum "Primum non nocere" are three implications of the one with the other into a mutual one chain that is not separated. First, that medical professionals must recognize the fact that they are able to do all sesuatunya better. That is, there is always a continuous space to do the repairs. The second level is to find ways, how improvements can be made. The latter, of course, accept responsibility for the task. Keyword in this case is quality control.

In the context of hospital services, for example, quality control processes are required to be involved customers. Model closed meeting that the process of putting customers in the dark do not know what time it is not anymore. Customers now no longer a patient is the Javanese "pasrah bongkokan" or "pejah gesang monggo kemawon," passively accept any course of treatment providers. The kritisnya customer orientation in view of them in the search for 'value'.

Value here is intended as a 'function' and the results of the examination or medical treatment along with supporting (medical output) and the service they received compared with the cost of which must be certified. All are subjective, based on the perception of each person. Can be expensive for someone cheaper means for the other.
Aspects of self-service refers to a complex process. Francis W. Body in the Journal of the American Medical Association stated that the relationship between medical professionals and their clients should form a personal aspect of the correct time, sympathy, and mutual understanding. Essential quality that should not be behind the concern is that humane. Concern that make customers feel be humane. Value is the parameters in selecting service providers, which dipersepsikan as providers of quality and in accordance with the customer's ability to pay for them.

Perceptions of quality is obtained based on information and experience they have. Information about how easy it is spread in the current climate of openness, such as this. Moreover, not in this era have a role that customers no longer single? Patients such as not only a role as the victim told conditions faced when meeting with a doctor. Patients have the right to get clear information related to what the significance. Customers must have clear information about the procedures that must be diikutinya so they can decide their own actions to be taken, according asasinya rights. When necessary, the customer is entitled to take another opinion as an alternative (second opinion).

Clarity is important information for customers in considering the ratio between the benefits and risks that will dihadapainya. Not infrequently, there is an error, infection, and risk terpaparnya occur because of medical professionals and customers there are problems with communication. Differences in language into one of the kendalanya, as part of the reluctance to proactive customer trends and some professionals who pursue the target. In fact, the patient is a fool because of illegal activities have become a medical professional duty to educate its customers are slowly but surely.

Customers are less and less involved to get enough information that tends to get less effective treatment. As a result of fewer customers to know what should be done to prevent the occurrence of problems such as the risk of occurrence of allergy, infection, injury or even death. So that if problems occur during this praktisinya who answerable. But often sistemlah that often make all this happen, including the culture of the organization. For that, pengkambinghitaman certainly not a wise action and does not complete the problems. More is needed redesigned the old system into the new system that better cultural organization with a more conducive.

Thus, the actual share of each party have a responsibility in supporting the safety of patients. Medical professionals will not be able to bear alone, and they are not in a position as holder of the single authority. No wonder now if this voice subscribers also have distinctive strengths in relation to the regulation, either through business associations and representatives in the legislative institutions as they are quite related to his interests. In addition to roles that have been mentioned above, customers also have a role as an agent in the dissemination of information from mouth to mouth (words of mouth) is effective. This last role becomes more strategic if it is associated with the strict regulation in the medical industry ad commercial.

To improve patient safety and in particular the quality of services in general, modernization of equipment is important, but that is not less important is to provide first-rate. The withdrawal of services provided to people who we love such as our own mothers. Among experts bioetika principles such as the service is known as the Papworth Principle. In this case, the authors have acronym MOTHER that this author has not been long noted in the National Seminar VII Hospital Perhimpunan Indonesia. MOTHER acronym made up of medical services (Medical services), dedication (Outstanding Dedication), taking the time (Time awareness), the humane treatment and full respect (Humanity treatment and respect), empathy, sympaty and understanding, and a reasonable price (Reasonable cost).

Value Retailing

As one of the speakers in the 2005 Annual Retail Indonesian Networking Conference at the Grand Hyatt Hotel Ballroom recently to catch my aura of optimism retailers faces this country. Truly amazing. How do I not, this aura radiated exactly when the condition of the dollar does not benefit the national retail industry. Not if you consider the price of fuel melangitnya which, of course, beat-socket joints retail industry, especially the declining consumer purchasing power.

The decreasing purchasing power is the need to make retailers more clever read-berpandai desire and behavior of consumers in addition to other retailers anticipate the move. We know, of late more and more retailers implement a low cost strategy with the main form of a bid to provide the cheap price to consumers, retailers category that is often referred to as value retailers. With the strength of the assets, this category is the retailers compete challenging cheaper price.

Options faced in this war is serving a price or make a sharp diversification. Price war that ultimately benefit consumers, but does not want other retailers in general. Serve value retailers in the price war is not a simple matter. Without a fundamental change in the infrastructure that ensures excellence in supply chain and distribution, the plunge in the price war like kamikaze. A more flexible is the value proposition to consumers and provide a better experience in consumer spending as a justification why the price more expensive.

In the retail, entry point for the delivery of value to the customer include the identity of which is determined by the ability of retailers to provide a competitive differential advantage. Thus, the identity must be supported by the aesthetics, both visual and environmental conditions. Aesthetics does not leave a tip for the emotional experience of shopping is impressive.
The functional value is felt through the quality of customer service, support, technology, and interest rates. This is related to the fact that the retail world can not be separated from the lifestyle.

Customer Value
Speaking in a broader context, not only limited in the field of retail, customer value can be described as the preference of customers who felt the product characteristics, performance, and which meet what customers want.
In connection with the customer value, made in the implementation Value Chain Analysis to help companies identify potential sources and the competitive capability. Like running the race start is its customer needs, and the finish line is customer delight. To change the orientation of the product-focused to be customer-focused companies must meet the following three stages: the customer; deliver significant value and competitive; and create a culture of customer-centric.
To be able to provide competitive advantages, is not enough value in the functional but also emotional. So, what makes customers satisfied? To be first reviewed what the company expected to customers, the responsibility, quality, value and innovation of products and services, the overall quality of service / support, and serving the appropriate time.

What role in the life of customer loyalty? Most customers have a strong desire to build loyalty. They will return again and again if treated well and feel comfortable. Loyalty with customers want to reduce this risk by returning to the company because they believe they know what they will get.

To maintain and enhance customer value the key lies in the communication. Marketing campaign it is important to maintain the customer (customer Retention) and push up sales. Options are made based on customer perception of them. The stronger the customer, will be easier to influence their perception effectively.

Cantilever main achievement of value delivery is the prime man in the organization. Main principles in the delivery is to provide value added value at each stage in the flow of value in accordance with the promised value proposition and collect information and data for continuous improvement (continuous improvement) of the process. Expectations of the value delivery was reflected in the financial profit, profit growth, financial ratio, cash flow, and the ability meraup capital. In the future will be reflected in market position, potential growth, continuous improvement, and knowledge management.

Learning from Mark Zuckerberg

Mark Elliot Zuckerberg is a young entrepreneur's first ranking of the world under the age of 30 years and is the latest technology golden child, who was born on 14 May 1984 in White Plains, New York's Jewish-American descent and grew up in Dobbs Ferry, New York.

Now living in Palo Alto, California. Ia adalah anak seorang dokter gigi dan sekolah di Ardsley High School dan kemudian di Philips Exeter Academy serta menjelang selesai direkrut oleh Microsoft dan AOL untuk meng-hacking- suatu proyek. In 2006, he received at Harvard University. At Harvard, as a computer programmers, they continue to create projects that the first "Coursmatch" which allows students to see a list of students in a class the same. Next project, which is the site Facemash.com rating Harvard specific image similar to Hot or Not. The site is online for four hours before Zuckerberg Internet access revoked by the administration office. Computer services department to bring before the Administrative Board of Harvard University, he was allegedly in violation of security rules and violate privacy rights and intellectual.

Zuckerberg launched Facebook's space asramanya Harvard on 15 February 2004 and assisted Harvardnya Andrew McCollum success at Harvard and 2 / 3 of the students become members in the first two sunday. Zuckerberg then decided to expand to other universities and assisted friend sekamarnya Dustin Moskovitz and Hughes Crish expand to Stanford University, Columbia University and Yale University, and other Ivy League colleges and universities in Boston. In early summer, diluncurka on Facebook has 55 universities.

At the end of October 2007, Microsoft purchased a 1.6% share price of $ 240 million, the estimated wealth Facebook reached $ 1.5 billion. Some analysts and investors, a small Facebook estimates that the value of the company is much lower than that diperkirakan.Pada 6 November 2007, Zuckerberg announced that social advertising system in a new event in New York Beacon and given a name that allows people to share information with friends based on Facebook browsing activity on other sites. EBay seller and join Fundango to sell their products through Facebook. They let friends know what they sell through the Facebook news feed as a list of products that dijualnya. On 1 December 2007, the credibility of the Facebook Beacon program tested more when made by The New York Times "basic allegations" against the lie to Mark Zuckerberg newspaper pullout and Coca-Cola with the same impression. On 5 December 2007, Zuckerberg wrote a blog news on Facebook Beacon to apologize and provide facilities for users to determine out of service ..

Currently, Facebook users have active more than 66 million and estimated sales pertahunnya reached $ 150 million. Zuckerberg is the origin of the United States who became rich in the relatively young age as successfully establish and develop a social network site Facebook with the help of friends Harvardnya Andrew McCollum and this time he served as founder and CEO of Facebook. Forbes billionaire termuda record as, on one's own and not because of inheritance, which was recorded in history. Kekayaannya ditaksir about one and a half billion U.S. dollars

Learning from the newspaper seller

Motorcycle devotion of hard work always accompany the newspaper seller, and stopped in front of my home. "Klek" sound of standard bicycle motornya while Pak newspaper seller in the newspaper and then take our message as the newspaper added bonus. My family is always given to the newspaper, a message can be two, as many ads in stores that are berpromosi or companies that advertise on television. That surprises the first newspaper seller to my family. This is done, because my wife gave more than twice the price of a subscription so that it remains vibrant sell newspapers. He always delivers the newspaper to my home by placing a table in the front seat or in the future, the seller does not like other newspapers, and usually thrown korannya sometimes jump on the floor. It surprises me sometimes menyongsongnya to menghargainya, because he has been sacrificing a little time to submit to the newspaper.

Extraordinary service that is one strategy to create a newspaper seller seller newspapers be to provide customers with more time to its customers, about half a minute each customer, the time from when a motorcycle menstandarkan, then take the newspaper to run the customer's house to put on the table seats or customers. Customers are loyal newspaper seller was about 200 customers, so that adds time to provide about 1.5 hours per day than other newspaper seller. He was willing to work longer than competitors. This shows that the performance exceeded the tolerance zone customers and add value to the customers. Newspaper vendors are not only satisfy customers, but sometimes acted beyond customer satisfaction with surprising and fun customers. Surprise the newspaper seller to me is when a public holiday, suddenly came to my home simply provide the only newspaper that day, when I do not have newspaper subscriptions. With the sweet smile he greets and said "This korannya Pak." Salamnya my responsibility and I accept korannya while I say "Thank you Sir." Although this is small, but this is to make a large difference. We have learned from the newspaper seller in serving customers that change the customer simply be satisfied customers who have total satisfaction. Diriwayatkan from Abu Dzarr ra, he said: Saw the Prophet had said: Do not underestimate the good bit, although sikapmu with the sweet face of your brother.

Dr Dobb’s Journal

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The study's Entrepreneur Magan

Magan is an ancient region that is mentioned in any posts ancient Sumerian people around 2300 BC as a source of copper and diorite for Mesopotamia. Sumerian people living in southern Mesopotamia, known as the early civilization in the world. Magan's location is not known exactly, but most of the events in arkelogi and Magan geology that is part of that is now Oman.

While some archeologists said that the place is an area known as Yemen Ma'in. Loss of business with the Indus, the copper from Magan and replaced copper from Cyprus. Business in general Magan done with before the king Ur Gutian of Ur. Once their business is stopped, Ur (Urnamu) rebuilding roads and business between the two nations at the 2100 BC. Ur is inhabited by The Kaldan and is the birth place of Prophet Abraham

The city ruins of Ur in Iraq
In the Sumerian texts that describe the cargo ship with 20 tons sailed Arabia and the Gulf to stop the Dilmun (Bahrain time) to capture fresh water before proceeding. In the text also said that the Magan is located in the south and Sumerian Dilmun, which is often visited by traders from the Indus Valley. Magan land has a high mountain range that contains the diorite and made mine. Diorite is a very hard rock that's hard to be chiselled, the Diorite in Mesit Ancient used to empower granite, ranging from refine, make up until the job is finished completely, so that diorite into something that is very important at that time.

Diorite

Diorite by the Sumerian, Babilonia and Assyiria used in the field of art, ranging used untukmembuat sculpture, flower vase and so forth.
Besides, also used to make the inscription, for example, the famous inscription is Hamurrabi law written on the pillars of the high level of 2 meters from the black diorite. Diorite has a high value in the early Empire Mesopotamia, Akkad's sargon, noted that the deorit is a goal of ekpedisi military. Although many found art with diorite, but better known as Diorite berstruktur stones used for the floor with a high resistance. The Inca and Mayan diorite to use the wall and beteng weapons. Meanwhile, during the mid-Islam diorite used in the building.

Statue of King Chephren Diorite

Flower vase from Ancient Egypt Diorite

Research conducted since 1970, has found a copper mine and more than 150 places copper smelting. Digging the Museum Tambang Germany has identified a number of seeds in the copper Magan period (2500-2000 BC) and the former mining and smelting copper in the third millennium which is located in the village Maysar in east-central Oman.

The Magan Bus Route

A heap batangan copper flake found in a small fireplace shows a form of copper sold. Oman business located on the route which is very important, because there is a port of Sohar and Muttrah, known by traders spices, textiles and oil. Around 300 BC, Oman is one of the richest countries in the world from the incense abundant at that time that the value is more expensive than gold. Currently, oil and incense replace tempaga as the main source of wealth Oman