Strategic Management Analysis - Based on case study Essay

Strategic Management Analysis - Based on case study - Essay Example Better Place opened its first car demonstration center in Israel back in February 2010. The opening of the demonstration center helped the company in showcasing its ambitious plan in challenging the status quo in the rigid and complex industry. The performance of the company has since been outstanding with the formation of partnerships and increased capital funding. Strategic purpose: Mission, Values and mission The mission of the company was to reduce and eventually eliminate oil dependence of the automobile industry. The company aims at reducing the associated health, political and environmental issues that arise from the dominance and ubiquity of internal combustion engine (ICE). The increasing number of vehicles around the globe that have high emission of carbon monoxide and hydrocarbons from the use of oil is responsible for the greenhouse gas emissions. With the growing ratio in the world populations as well as the demand for personal transportation, the environment and economi c sustainability of an ICE dominated transportation sector is highly likely to increase The company aims at attaining a widespread adoption of electric vehicles (EVs) by the creation of links between battery companies, car companies, utilities and consumers. The strategic objective of the company is to take over the market on product performance and delivery of quality and emission free cars to the consumers. This involves having a broader and deeper use of technological capabilities and they believe that the solution to electric cars does not lie in re-engineering the battery but in the re-engineering of the car. Stakeholder analysis Shareholders all those groups of individuals or individuals who depend on a given organization in order to fulfill their goals where the organization ends up benefiting. The main stakeholders of Better Place are the consumers, political groups, suppliers and competitors (Johnson, Whittington & Scholes 2011). Stakeholder management is very high in Bette r Place as they have been factored into the development of Electric Vehicles. For example, Shai Agassi the founder of Better Place believes that overcoming the problem of limited mobility is the only way that consumers would be enabled to adopt the Electric Vehicles (EVs) on a massive scale. The different stakeholders for Better Place influence each other in a positive way. The electric vehicle solution has made provisions and considerations of all the stakeholders. The political stakeholders include the state. For example, the State of Hawaii has launched a Clean Energy Initiative that is aimed at the development of clean energy alternatives by 2030. Adoption of EVs in the State would be the best clean energy alternative for people. This has had positive impacts on the consumers, suppliers and competitors. For the consumers, the move by the state will lead to the reduction of risks which results from carbon monoxide emissions and to enhance adaptability and flexibility. Maintenance costs of electric vehicles are much lower than the ICE vehicles for consumers. It is a social, economic and ethical responsibility for companies to produce and manufacture those cars that will not cause any environmental harm. Better Place owes this to its stakeholders hence the reason for the EVs. External environment analysis The macro-environment (Porter’s 5 forces analysis) Supplier power- There is few suppliers in the supply of electric vehicles around the globe. Better Place is a powerful supplier due to the

Oracle Database Concepts Assignment Example | Topics and Well Written Essays - 750 words

Oracle Database Concepts - Assignment Example In invoice table (2NF), item price and item description are dependent on item alone and is independent of the invoice information. Thus invoice table is further reduced to 3NF by moving the independent fields to another table named ITEM as shown below: Thus the final design has 3 tables: CUSTOMER, ITEM, and INVOICE. Customer and Item are related to INVOICE using customer id and item id respectively as foreign keys. The new tables (reduced to 3NF) are shown below: The initial design for storing invoice information had a single table. All the information was stored on the single table. This created a lot of redundancy in the database. For example, if a customer purchases three quantity of 5 items, then the information for the customer has to be repeated for all 15 (3 * 5) rows. This not only creates redundant data but also increases the database size. Further, if the customer information changes, then all the rows have to be updated. This might create a lot of update anomalies. Though this sort of anomalies can be avoided by updating all rows by using customer id in the WHERE clause, there are chances for the presence of huge records for each customer in the invoice table. This may result in heavy updates and lowers the overall efficiency and throughput. After reduction to 2NF, though the data redundancy and update anomaly is eliminated to some extent, it still exists for item information. The information for items like item description and item price is purely dependent on ITEM id and not on invoice. This may again create redundancy and update anomalies. Hence the item information is moved to a new table thereby storing each business entity in separate tables. Thus, the new design that is reduced to 3NF eliminates redundancy and update anomalies and increases the overall efficiency.

Relationship between height and weight of mother birth weight Essay

Relationship between height and weight of mother birth weight - Essay Example The study of these two quantities among mothers just after giving birth is very important as these are the quantities that is used to calculate the body mass index used for health check (Taylor, 2010, p. 258). The data provided in the spreadsheet gives information about mothers within one hour of giving birth to infants at the oxford street hospital. The information in the data includes the weight of the baby, the age of the mother, their height, weight, gestation period, and whether they smoke or not. In order to analyze the relationship between the height and weight of the mothers, I will plot the scatter graphs, cumulative frequency curve and box plot together with statistical values such as mean, mode, range and median (Cleveland, 1994). Since the population is too large, I will use random sampling method to draw 50 samples from the population to ensure that the investigation represented the population fairly (Mann, 2010). In this case a scientific calculator will be used with function â€Å"Ran#† to generate the random numbers and then multiplied by 1148 to obtain the numbers in the range of 1 to 1148. This will be done keeping in mind that no single random number will be repe ated. The sample will then be used for the study. The hypothesis of this study is that taller mothers weigh more than shorter mothers. This is the expected outcome of this study since when mothers grow tall, they add more mass to their body hence increasing their weight (Nolan & Speed, 2000). As was mentioned above, random sampling was used to obtain 50 samples from the population. The samples is shown in the table 1 below. The data is then analyzed by scatter graph for possible relationship. Frequency curve is used to obtain the lower quartile, median upper quartile (Jan, 1962). The quartile range is then calculated. Box plot is used to analyze the spread of the data. As is evident from the scatter plot above, there is a significant

The background to mobile payment technology and its implementation in Essay

The background to mobile payment technology and its implementation in HMV - Essay Example This gave the company a competitive edge for better customer satisfaction and attraction. HMV has also aimed to transform there way of payment and decided to provide there customer a better and more easy way for the online payment. This also adds to companies list of payments options. Shuffling through your pockets at the shop depart, you understand you’ve missing your wallet at house and all you have by method of payment are a small number of coppers and an previous bus ticket. You’re concerning to create your red-faced justification when you consider you as well have your mobile cell phone. All you require do is swipe it crossways a reader by the yet and right away your obtained will be accused to your credit card. Not pleased with restoring our MP3 player, landline, alarm clock, camera and mobile phone producers have at the present place their sights on replacing our wallet. Their latest creation of cell phones will connect to us to credit or debit bank account as fraction of a combined plan with mobile phone operators, credit card companies and banks. They forecasted this one-swipe disbursement technology will possibly put back cards and cash and formulate it probable to go shopping armed simply by a mobile phone. This way of paying is called the â€Å"pay-by-mobile† system previously functioning in Japan, where it is named as â€Å"o-saifu keitai† or can say the mobile wallet, and tests are underneath way in the US, Sweden and France. Business insiders forecast the latest technology could reach in the United Kingdome after one year. Pay-by-mobile established a boost up last few months, when the Groupe Speciale Mobile Association (GSMA), on behalf of mobile phone handlers, declared a structure for a worldwide standard for mobile cell phone purchase payments. This would permit users of networks like that the Orange to utilize their phones to build buys in the sameO2, Vodafone, in a method in the region of the

Reflective Journal Literature review Example | Topics and Well Written Essays - 250 words

Reflective Journal - Literature review Example The major source that I have used for collecting information was ‘Emerald’. It is a large size database of research papers and journal articles. It provides journals and research papers on almost all the topics of business and information technology. One of the major things that I could not do in this research is some kind of original research. I mean, if I would have been given with additional timeline then I would have visited some hotels and hospitality firms to learn how they work and how they make use of information technology to gain benefits. I would have conducted interviews and filled questionnaires. I would have used that data to derive conclusions and on the basis of those conclusions I would have suggested new ideas to improve these trends. However, I will surely perform these steps in next assignments. As the topic is very common so I found a lot of data on this topic. On the other hand, there are numerous research papers which provide the same information s o the selection of papers was a difficult task.

Library Science Essay Example for Free

Library Science Essay An integrated library system (ILS), also known as a library management system (LMS),[1][2] is an enterprise resource planning system for a library, used to track items owned, orders made, bills paid, and patrons who have borrowed. An ILS usually comprises a relational database, software to interact with that database, and two graphical user interfaces (one for patrons, one for staff). Most ILSes separate software functions into discrete programs called modules, each of them integrated with a unified interface. Examples of modules might include: acquisitions (ordering, receiving, and invoicing materials) cataloging (classifying and indexing materials) circulation (lending materials to patrons and receiving them back) serials (tracking magazine and newspaper holdings) the OPAC (public interface for users) Each patron and item has a unique ID in the database that allows the ILS to track its activity. Larger libraries use an ILS to order and acquire, receive and invoice, catalog, circulate, track and shelve materials. Smaller libraries, such as those in private homes or non-profit organizations (like churches or synagogues, for instance), often forgo the expense and maintenance required to run an ILS, and instead use a library computer system. [citation needed] Contents [hide] 1 History 1. 1 Pre-computerization 1. 2 1960s: the influence of computer technologies 1. 3 1970s-1980s: the early integrated library system 1. 4 1990s-2000s: the growth of the Internet 1. 5 Mid 2000s-Present: increasing costs and customer dissatisfaction 2 Examples 3 See also 4 References 5 Further reading 6 External links [edit]History [edit]Pre-computerization Prior to computerization, library tasks were performed manually and independently from one another. Selectors ordered materials with ordering slips, cataloguers manually catalogued items and indexed them with the card catalog system (in which all bibliographic data was kept on a single index card), and users signed books out manually, indicating their name on cue cards which were then kept at the circulation desk. Early mechanization came in 1936, when the University of Texas began using a punch card system to manage library circulation. [3] While the punch card system allowed for more efficient tracking of loans, library services were far from being integrated, and no other library task was affected by this change. [edit]1960s: the influence of computer technologies Following this, the next big innovation came with the advent of MARC standards in the 1960s which coincided with the growth of computer technologies – library automation was born. [3] From this point onwards, libraries began experimenting with computers, and, starting in the late 1960s and continuing into the 1970s, bibliographic services utilizing new online technology and the shared MARC vocabulary entered the market; these included OCLC (1967), Research Libraries Group (which has since merged with OCLC), and Washington Library Network (which became Western Library Network and is also now part of OCLC). [4] [edit]1970s-1980s: the early integrated library system Screenshot of a Dynix menu. The 1970s can be characterized by improvements in computer storage as well as in telecommunications. [4] As a result of these advances, ‘turnkey systems on microcomputers,’[4] known more commonly as integrated library systems (ILS) finally appeared. These systems included necessary hardware and software which allowed the connection of major circulation tasks, including circulation control and overdue notices. [5] As the technology developed, other library tasks could be accomplished through ILS as well, including acquisition, cataloguing, reservation of titles, and monitoring of serials. [6] [edit]1990s-2000s: the growth of the Internet With the evolution of the Internet throughout the 1990s and into the 2000s, ILSs began allowing users to more actively engage with their libraries through OPACs and online web-based portals. Users could log into their library accounts to reserve or renew books, as well as authenticate themselves for access to library-subscribed online databases. Inevitably, during this time, the ILS market grew exponentially. By 2002, the ILS industry averaged sales of approximately US$500 million annually, compared to just US$50 million in 1982. [5] [edit]Mid 2000s-Present: increasing costs and customer dissatisfaction By the mid to late 2000s, ILS vendors had increased not only the number of services offered but also their prices, leading to some dissatisfaction among many smaller libraries. At the same time, open source ILS was in its early stages of testing. Some libraries began turning to such open source ILSs as Koha and Evergreen. Common reasons noted were to avoid vendor lock in, avoid license fees, and participate in software development. Freedom from vendors also allowed libraries to prioritize needs according to urgency, as opposed to what their vendor can offer. [7] Libraries which have moved to open source ILS have found that vendors are now more likely to provide quality service in order to continue a partnership since they no longer have the power of owning the ILS software and tying down libraries to strict contracts. [7] This has been the case with the SCLENDS consortium. Following the success of Evergreen for the Georgia PINES library consortium, the South Carolina State Library along with some local public libraries formed the SCLENDS consortium in order to share resources and to take advantage of the open source nature of the Evergreen ILS to meet their specific needs. [7] By October 2011, just 2 years after SCLENDS began operations, 13 public library systems across 15 counties had already joined the consortium, in addition to the South Carolina State Library. Librarytechnology. org does an annual survey of over 2,400 libraries and noted in 2008 2%[8] of those surveyed used open source ILS, in 2009 the number increased to 8%,[9] in 2010 12%,[10] and in 2011 11% [11] of the libraries polled had adopted open source ILSs. [edit]Examples Open-source Evergreen Greenstone Invenio Koha Kuali OLE NewGenLib PhpMyBibli OpenBiblioÃ'Ž VuFind Proprietary Aleph from Ex Libris Innovative Interfaces Library†¢Solution, Library†¢Solution for Schools, and CARL†¢X from The Library Corporation LibraryWorld NOSA Qulto System SirsiDynix, Symphony—current version and Unicorn—a legacy system. SydneyPLUS International Capita Alto formerly Talis Alto (UK and Ireland) Virtua, former VTLS, from VTLS Inc. Voyager from former company Endeavor Information Systems, later acquired by Ex Libris (Polish) MOL, Patron and MOLIK interface created for children (Polish) SOWA, SOWA2, SOWA2/MARC21, SOWA2/MARC21/SQLÃ'Ž Legacy NOTIS Dynix [edit]See also Library and information science portal Library computer system OPAC List of next-generation catalogs History of Library Automation [edit]References ^ Adamson, Veronica, et al. (2008). JISC SCONUL Library Management Systems Study PDF (1 MB). Sheffield, UK: Sero Consulting. p. 51. Retrieved on 21 January 2009. a Library Management System (LMS or ILS Integrated Library System in US parlance). Some useful library automation software are: KOHA ,Grennstone . LIBsis, and granthlaya. Tennant, Roy (16 April 2008). Picking When to Jump, Part 2. Library Journal. Reed Business Information. Retrieved 20 January 2009. Across the pond they use the term library management systems (LMS) for what we call the integrated library system (ILS). ^ a b Wallace, Patricia M. (1991). Gary M. Pitkin. ed. Library Systems Migration: An Introduction. Westport, CT: Meckler. p. 3. ISBN 0-88736-738-0. ^ a b c Wallace, Patricia M. (1991). Gary M. Pitkin. ed. Library Systems Migration: An Introduction. Westport, CT: Meckler. p. 4. ISBN 0-88736-738-0. ^ a b Kochtanek, Thomas R. (2002). 1 The Evolution of LIS and Enabling Technologies. Library Information Systems: From Library Automation to Distributed Information Access Solutions. Westport, CT: Libraries Unlimited. p. 4. ISBN 1-59158-018-8. ^ Kochtanek, Thomas R. (2002). 1 The Evolution of LIS and Enabling Technologies. Library Information Systems: From Library Automation to Distributed Information Access Solutions. Westport, CT: Libraries Unlimited. p. 5. ISBN 1-59158-018-8. ^ a b c Hamby, R. ; McBride, R. , Lundberg, M. (2011, Oct. ). South Carolina’s SCLENDS optimizing libraries, transforming lending. Computers in Libraries. 8 31: 6–10. ^ http://www. librarytechnology. org/perceptions2008. pl ^ http://www. librarytechnology. org/perceptions2009. pl ^ http://www. librarytechnology. org/perceptions2010. pl ^ http://www. librarytechnology. org/perceptions2011. pl [edit]Further reading Olson, N. (2010). Taken for Granted The Construction of Order in the Process of Library Management System Decision Making (Vol. 45). Goteborg / Boras: Valfrid publishing. [1] Rubin, Richard E. Foundations of Library and Information Science. New York: Neal-Schuman Publishers, Inc. , 2004. [edit]External links MARC Records, Systems and Tools : Network Development and MARC Standards Office, Library of Congress Higher Education Library Technology,(HELibTech) a wiki supported by SCONUL (Society of College National and University Libraries) that covers many aspects of library technology and lists technologies in use in UK Higher Education Key resources in the field of Library Automation Categories: Library automationÃ'Ž

Spectrum of Benign Breast Disease and Its Management

Spectrum of Benign Breast Disease and Its Management AUTHORS: Dr.( Mrs) Archana shukla (Assistant Professor )dept of surgery Gandhi medical college, Bhopal M.P. Dr. S. S. Pal (Associated professor) dept of surgery Gandhi medical college Bhopal M.P. ABSRACT: Breast disease in females causes great deal of anxiety and fear of carcinoma and thus losing it. Not all breast diseases and lumps are carcinoma. To study this enigma of females, patients with breast symptoms were studied for 12 months of time Jan 2013 to Dec 2013 in unit iii, dept of surgery, Hamidia hospital, Gandhi medical college Bhopal. Study was conducted to determine the incidence, role of histopathology and imaging in diagnosis and management. The disease is complex group of symptoms and sign such as lump, mastalgia, nipple discharge and combination of these. This was done so as to differentiate and identify the benign group which was much larger in number. They require more counseling, assurance and education regarding benign nature and it being a developmental disorder. Such disorders if untreated may convert into disease which is more persistent. The mean age was 32 as the youngest was age of 14 yrs and the oldest was of 50 yrs of age. The commonest diagnosis was fibroadenoma followed by fibroadenosis . Tuberculosis was the most concerning disease we came across. KEYWORDS: Benign Breast Diseases, young female, fibroadenoma. INTRODUCTION: Majority of patients having sign and symptoms of breast disease fall under benign group rather than carcinoma yet carcinoma takes the precedence over it due to its fearsome nature.1,2,3,4 The benign breast disease group patients have variable symptoms including lump, lump with pain, nodularity, nipple discharge due to relative heterogeneous underlying pathology.5Breast development is governed by growth hormone and cortisol. Breast function is governed by oestrogen progesterone prolactine and oxytocin. Breast undergoes dynamic cyclic changes governed by these hormones and growth factors. 15 These hormones have profound trophic effect. These changes are seen in epithelium and stroma from onset of puberty to menopause. Estrogen have effect on ducts where as progesterone have effect on epithelium. With the onset of puberty there is decrease in sensitivity of the hypothalamus and pituitary axis to negative feedback and increased sensitivity to positive feedback of estrogens. This initiates GnRH, FSH, LH causing increase in estrogens and progesterone which is the cause for menstrual cycle. This increase is responsible for proliferation of epithelium, duct and stroma. These changes may lead to Aberration in normal development of breast and involution of breast, causing majority of benign breast disorder. These disorders may convert into disease if untreated. Exaggerated response to hormones oestrogen causes development of single or multiple proliferatory breast diseases such as fibroadnenoma which is benign solid mobile mass which has both fibrous and glandular part.11 Fibroadenoma of more than 10 cm are termed as phylloids tumor owing to shape it attains due to large size. Sometimes the changes have proliferation of ducts, lobules, interlobular and inter lobular stroma leading to fibrous changes with cystic changes commonly termed fibrocystic disease. 13 Such proliferation may have atypical hyperplasia including ductal and lobular hyperplasia, which has increased risk for development of carcinoma in future. Apart from this, multifocal lesions with calcification increase many fold risk.6,7.8 Then there are symptoms of nipple. As a developmental defect there may be nipple inversion which may present as subareolar abscess in later age. During involution phase there is ductal involution causing ductal ectasia if not treated can lead to periductal mastitis or may sometimes have atypical hyperplasia.6 During lactation the breast undergoes many dynamic changes and if there is problem in expression of milk there may be occurrence of breast abscess. If not treated adequately may lead to chronic breast abscess, antibioma and milk sinus. To certain the diagnosis of usually neglected and underestimated disease there is a huge role of histopathology and imaging technologies. With the help of histopathology proliferatory , non proliferatory disorders and diseases, breast cyst and other pathologies such as tuberculosis and lipoma can be detected. 20 There is a role of microbial culture in diagnosis of infectious disease. Similarly ultrasonography is helpful in diagnosis and in management also.13,22 Triple assessment test, which include clinical examination imaging and histopathology examination is the gold standard approach to the diagnosis though elderly females may require mammography.20,21,22 We have conducted study to determine the frequency of the disease, to analyze the role of triple assessment and to know implication in management. 13,15 16 METHOD Our study was conducted for one year in Jan 2013 to Dec 2013, under unit 3 Dept. of Surgery, Hamidia Hospital, Gandhi Medical College. We included all the patients coming to surgery OPD with breast complaints.14 Informed consent was obtained from all the patients. Patients were recorded under following points: History, Clinical examination FNAC of all palpable lumps, nodularities was done. In patients where there was dilemma trucut biopsy was done. Microbial examination and abscess wall biopsy was done in all case of breast abscess and antibiomas. USG, mammography Imaging was done. In our setup, USG was the most accessible radiographic investigation available. All the patients were subjected to USG to locate and know the lesion but in doubtful cases mammosonography was done. Age varied from 12-50 years hence 4 groups were made: 12-20 years 20-30 years 30 -40 years 40 and above RESULT: In first age group the most common complaint was lump in one of the breast or both. Most of these patients did not have complaints of pain. It was followed by lump with pain. We did not have any patients with complaint of nipple discharge in this group.15,16,17 In second group most common complaint was lump in breast with pain and bilateral generalized breast pain without lump and nodularity which were grouped under mastalgia. The third group was lesser in number. They were mainly having complaints of lump, fever and pain. There were very few patients in fourth group and complaints were that of pain and nipple discharge. In total there were 148 patients with lump and out of which 62 were that of fibroadenoma, 4 patients of fibroadenoma were of size more than 10 cm hence labelled as phylloid. Most of the fibroadenoma were unilateral and only 7 patients had bilateral adenomas. 5,12 There were 40 patients who were diagnosed as fibroadenosis. All patients underwent FNAC one patient showed atypical hyperplasia. 6,7,8 After this, the next common diagnosis was that of breast abscess which was common in lactating females. The diagnosis which worried us the most was that of tuberculosis of breast. We found 10 cases of this disease presenting as chronic and recurrent breast abscess, showed mycobacterium tuberculi in culture.1 8 We also found 6 patients of antibioma and 2 patients of galactocoele. There were patients of ductal ectasia and one patient of lipoma and one of breast cyst. Patients having significant symptoms of pain but not found with any lesion on radiographic investigation were labeled as mastalgia. Out of 7 only 3 were cyclical and rest were not related to cycle. 15,16,17 MANAGEMENT- Out of 62 patients of fibroadenoma, there were 18 patients with lesion less than 2 cm as detected clinically and confirmed by ultrasonography .these patients were treated conservatively.22 Surgery was proposed to all other 44 patients 40 patients consented for surgery and were operated, in all these excision was done under anesthesia.12 We registered 40 patients of fibroadenosis, in 6 patients excision of the most painful and noduler area was done rest of the patients were treated conservatively by oral medication of evening prime rose oil and vitamin E. In patients not getting relieved by above, Danazol which is an anti gonadotrophin was found useful. As it is having androgenic effects non compliance was observed in most of the patients. In one patient with FNAC showing atypical hyperplasia excision of affect quadrant with subsequent follow-up was done by series of mammography. As patient with atypical hyperplasia, multi focal lesion with calcifications have many fold increased risk for developing carcinoma 6,7,8 Patient was subjected risk reduction strategies like yearly mammography, stopping oral contraceptive pills and hormone replacement therapy if any.6,7 In patients with mastalgia cyclic or non cyclic patients are treated with conservative manner by life style modification, eating low fat diet and avoiding caffeine. After ruling out infection pt responds well to NSAID and Danazol. Simple breast cyst was treated with aspiration.22 All 12 the patients of breast abscess were treated by surgical ID. microbial examinations were done all the cases.21,23 10 patients came history of presence of lump and pain and low grade fever and malaise, on ultrasonography showed hypo echoic lesion suggestive of abscess showed presence of mycobacterium tuberculi in abscess wall biopsy and were treated by anti tubercular treatment.18 Patient with antibioma were treated in conservative manner in lactating women where as in non lactating open drainage and curettage was done. There were two patients of galactocoele and one of breast cyst in which aspiration was done. One patient of breast lump after excision biopsy was diagnosed as lipoma. All the patients with complaints of nipple discharge underwent cytological examination of discharged fluid. There was one patient of ductal ectasia which on ultra sonogrphy showed ductal pappiloma for which microdochectomy was done. Patients with bilateral breast pain with cyclic nodularity were diagnosed as mastalgia. These patients underwent series of ultrasonography but no focal lesion was found. In patients with mastalgia cyclic or non cyclic patients are treated with conservative manner by life style modification, eating low fat diet and avoiding caffeine. Patient responds well to NSAID and Danazol. DISCUSSION: When a female notices breast lesion she undergoes great degree of anxiety due to apprehension of gruesome carcinoma which causes breast lose and most fearful disfigurement.1.3.4 Benign breast diseases are much more common than malignant lesions but the aggressive nature of carcinoma takes the precedence of the worry.9 Thus it the most important priority of surgeon to reach up to a definite diagnosis and once the carcinoma is excluded the patient should be reassured and educated for further follow up.10,23 It is also there for prolonged period of time and requires counseling and reassurance apart from definitive treatment. Triple assessment test is essential for the patients with complaints of breast diseases.19 Any clinical or suspicious lesion requires pathological diagnosis. Patients with proliferatory disease without atypia have very little risk of breast cancer but patients with atypia have substantial great risk of breast cancer.6 The common age group for BBD is younger age group, who have less say in the family. The symptoms are considered trivial and discomfort converts in pain. FNAC had high predictive value. In our study there was high sensitivity to fibroadenoma. 12,19The poor sensitivity to fibroadenosis is due to poor cellular aspirate. Frequent FNAC were required some times as the disadvantage of scaring of excision biopsy and damage to ductal system architecture was not acceptable.21,22,23 In studies done by Abhijit M. G. in rural area of karnatak, India in year 2009- 2011 there is high incidence of fibroadenoma, total pt were 110, 68 underwent exicision( 61.8%)of which 60 (88.2%) were fibroadenoma. In Pakistan study done by Batool et al at Lahore, out of 63 patients of BBD there were 38 patients of fibroadenoma. In our study there were 41.9% of fibroadenoma out of that 29.03 % of cases were less than 2 cm and were treated conservatively were as in 70.9 % of cases were proposed surgery but only 64.6 % of patient got operated. There were 25.9% cases of fibroadenosis. In above studies there less incidence of tuberculosis which is 6.2% in our study. This the matter of concern and required more follow ups. In developing country especially in rural area the treatment of breast disease poses lots of problem care system due to social stigma, illiteracy poverty and lack of availability of authentic health care system. CONCLUSION The disease of breast which is concluded to be benign may be trivial for family members but it imposes substantial anxiety and affected day to day life of sufferers.9,23 The mean age affected was 32. The common benign breast disorder which we came across is fibroadenoma which is more common in young age.12,19,23 They are best treated surgically though small sized can be managed conservatively with good follow up. The disease variant of this disorder phylloids tumor needs more diagnostic confirmations to rule out malignancy, excision and follow-ups. Fibroadenosis and mastalgia patients suffer more as there is no surgical cure and the conservative management is not very affective. Anti gonadotrophins due to androgenic side effects are not tolerated well. Anti oestrogen drugs also do not have good compliance due to systemic side effects like flushing and nausea and vomiting as they are to be consumed for prolonged period of time. Periodic NSAID and lifestyle management was more accepted. Infectious disease were found commonly in lactating females Main concern were patients of tuberculosis which are 6.28 % of all patients and much higher in no. than other studies we came across. 18This was more common in age group of 20-30 yrs. Though all mentioned patient were treated completely to our satisfaction. With senescence, there was complaint of nipple discharge in elderly patients due to ductal ectasia and periductal mastits. It required more detailed and dedicated approach so as to rule out the carcinoma which is higher in this age group. Thus benign breast disease has good prognosis but requires thorough investigations and management for desired results.9 References 18 Mehta G, Mittal A, Verma S. Breast Tuberculosis Clinical Spectrum and Management. Indian J Surg 2010;72:433- 19 Lopez-Ferrer P, Jimenez-Heffernan JA, Vicandi B, Ortega L, Viguer JM. Fine needle aspiration cytology of breast fibroadenoma: a cytohistologic correlation study of 405 cases. Acta Cytologica 1999;43:579- 20 . Park IA, Ham EK. Fine needle aspiration cytology of palpable breast lesions. Acta Cytologica 1997;41:1131- 21. Iglehart JK, Smith BL. Diseases of the breast. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery, 18th ed. India: Elsevier; 2008:858-61. 22 Thomas JM, Fitzharris BM, Redding WH, Williams JE, Trott PA, Powles TJ, et al. Clinical examination, xeromammography, and fine-needle aspiration cytology in diagnosis of breast tumours. Br Med J 1978;21:1139-412 23 Srivatsava A, Dhar A. Benign Breast Disease: A neglected entity. Recent Advances in Surgery 2006;10:175-2011. TABLE NO 1 ETIOLOGICAL DISTRIBUTIONS CHART 1 OPERATIVE AND CONSERVATIVE TABLE NO 2 AGE DISTRIBUTION CHART 2 SPECTRUM OF DISEASE