Diabetes And Drug Treatment Of Diabetes - 799 Words

Diabetes and Drug Treatments Diabetes represents one of the most challenging disorders facing the United States population. Diabetes can be classified as Diabetes Mellitus type I, Diabetes Mellitus type II, Gestational Diabetes, and secondary diabetes from other conditions. At least 90% of diabetes is type 2, and the complications could be avoided by carefully managing hyperglycemia, hypertension and dyslipidemia (Wilbur, 2013). Therefore, the healthcare industry is spending vast amounts of time and money treating a disease which is largely preventable. The purpose of this paper is to discuss the pathophysiology of the different classifications, drug treatment, and dietary considerations of Diabetes Mellitus. The impact and drug treatment of Diabetes Mellitus type I is explained, along with a description of a technique useful in educating patients on the standards of medical care in diabetic patients. Pathophysiology of Diabetes Type I diabetes is due to a lack of pancreatic beta cells leading to absolute insulin deficiency. An autoimmune attack occurs and antibodies develop in the blood, insulin slowly decreases, and blood glucose levels rise. Juvenile diabetes was always thought to be type I diabetes until recently. Due to childhood obesity levels rising, there has been an increase in type II diabetes in children age 10 to 19. Type II diabetes can be due to insulin resistance, impaired insulin secretion, elevated glucose production by the liver, or all of the mechanisms.Show MoreRelatedDiabetes Is The Most Common Form Of Diabetes849 Words   |  4 PagesType 2 Diabetes is the most common form of diabetes in adults. It accounts for approximately 90%-95% of diagnosed diabetes in adults in the United States (cdc.gov, n.d.). Newly diagnose cases of diabetes tripled from 1980-2011 in the United States. It is a costly and deadly disease. Because there are many comorbidities and complications associated wit h uncontrolled diabetes, it is essential to treat diabetes effectively. Clinicians deal with this ongoing problem on a daily basis. Therefore,Read MoreDiabetes Type 2 Meta Analysis1011 Words   |  5 PagesDiabetes Type 2 meta-analysis Abstract Objective To compare treatment options of type2 diabetes. In reference to this a systematic review and meta-analysis of controlled trials, observation-based studies and published information was carried out in an attempt to investigate the difference of efficacy between pharmacologic treatment in Diabetes type 2, specifically the newer oral class known as the SGLT-2 Inhibitors. Research designs and methods A literature search was conducting using the keywordsRead MoreAnalysis Of Drug Metformin : A Disorder Of The Endocrine System1053 Words   |  5 PagesAnalysis of drug Metformin Diabetes Mellitus (DM) is a disorder of the endocrine system(Ciccone, 2016), which caused an increase in blood glucose. In the United States, there are approximately 24 million people diagnosed with DM. (Ciccone, 2016). Diabetes is also considered as a global health problem that seems to increase every day. It is estimated that people diagnosed with DM will increase up to 366 million in the year 2030 (Ali et al., 2015). DM causes a serious problem and is known to be theRead MoreRace And Ethnicity : The Primary Care Provider792 Words   |  4 Pagesprimary care provider needs to consider the patient s race and ethnic group when treating diabetes and discussing health issues such as obesity. Literature reveals that certain ethnic groups respond better to selected medications, like the drug Metformin, in the treatment of diabetes (Woo Wynne, 2013 p. 1096-97). Thus, the caregiver must be knowledgeable about all medications used in the treatment of diabetes. Asking the patient both dir ect and open-end questions during the assessment helps the providerRead MoreDiabetes : The Common Form Of Diabetes1637 Words   |  7 PagesIntroduction Type 2 diabetes is the most common form of diabetes which affects 90% to 95% of the population. In the United States, approximately 1.7 million new cases of diabetes were identified in 2012 and the disease affects 29 million Americans or 9.3 percent of the population. In 2012 the total financial burden of diabetes was estimated to be $245 billion which included $176 billion in direct medical costs and $69 billion in reduced productivity. Those who have type 2 diabetes are unable to controlRead MoreType Ii Diabetes Mellitus. â€Å"In 2010, An Estimated 25.81470 Words   |  6 PagesType II Diabetes Mellitus â€Å"In 2010, an estimated 25.8 million people in the United States had diabetes mellitus, of which approximately 1 million have type 1 diabetes and most of the rest have type 2 diabetes † (Papadakis et al., 2014) That means that in 2010 about 24.8 million people suffered from type 2 diabetes. Diabetes mellitus is impaired insulin secretion and variable degrees or peripheral insulin resistance leading to hyperglycemia (Porter, Kaplan, 2011). Type II diabetes has become moreRead MoreDrugs For The Patient That Has Diabetes Mellitus919 Words   |  4 Pagesdiscussed about a case report and evidence in choosing among available drugs for the patient that has diabetes mellitus. In December 2012, it was reported that there are merely 26.9 % of people aged 65 and above living in the United States has been diagnosed with diabetes. Also, it is stated that there are about 13.7 % of American ages 45-64 and 2 million people ages 20 and older have the disease. There are two types of diabetes; Type 1 depends on controlling the blood glucose and an insulin dosesRead MoreEssay on Liraglutide: Novel Treatment of Type 2 Diabetes Mellitus1006 Words   |  5 Pagespharmacological treatment of type 2 diabetes. The most recent developments have been around the incretin hormones. Glucagon-like peptide 1-receptor agonists (GLP-1) have demonstrated efficacy and safety in the treatment of type 2 diabetes. Liraglutide (Victoza) is a GLP-1 receptor agonist that has demonstrated advantages in lower hemoglobin A1c in this class of medications and assisting patients in reducing weight. Liraglutide: Novel treatment of Type 2 Diabetes Mellitus Type 2 Diabetes is rapidlyRead MoreDrug Product Review Of Canagliflozin1116 Words   |  5 PagesDrug Product Review of Canagliflozin On March 29, 2013, Canagliflozin (InvokanaTM) was approved by the FDA for the improvement of glycemic control for adults with type 2 diabetes. In 2013, Elkinson and Scott estimated that there were approximately 220 million people worldwide affected by type 2 diabetes. Despite having multiply classifications of drugs and typically multiple drugs to each classification, more than have of patient being treated do not have adequate control of their diabetes (ElkinsonRead MoreThe Treatment Of Diabetes Mellitus1088 Words   |  5 Pages The treatment of diabetes is dependent on its type and its severity, insulin, exercise, and a diabetic diet is used to treat type 1 diabetes, whiles type 2 diabetes is initially controlled with weight loss, type 2 diabetic diet and physical activity; when these initiatives fail to balance elevated blood sugars, oral medications are prescribed and if that proves few futile then insulin and multiple injectable medications are introduced (Medicinenet2). On e cannot prevent type 1 diabetes; however

Homosexuality in the Middle East - 2296 Words

Homosexuality in Modern Day Middle East Abstract Homosexual marriage is a public concept that should be acknowledged in the Middle East. Yet the idea can’t be acknowledged without a few key phases. The government is one of the main reasons why gay marriage is not permitted in the Middle East. Most Arab people abide by the law, and religion, and hence do not approve of homosexuality. If the rules and regulations were to change, there may be a change in how people view homosexuals. Moreover, the regime is greatly influenced by religion. Religion can’t be altered, but marriage can. If all marriages were to become civil, out of religious jurisdiction, there may be a possibility for gay marriage to occur. All these steps can slowly†¦show more content†¦However, attraction of men to â€Å"beautiful male youths† has been a part of the culture of some Islamic societies and the attraction is not usually looked down upon in itself. When it comes to lesbian homosexuality, some have argued that since penetration is not involved, female homosexual acts should be less severely punished. Islamic law is most concerned with openly gay public behavior, so there is no strong disapproval of homosexuality if it is not displayed in public (Homosexuality, Oxford Concise Dictionary of World Religions.) ‘Struggle for Gay Rights in the Middle East’ is an article that was written by Hala Gorani for CNN. One of the situations mentioned in the article is how the Egyptian police invaded a homosexual hangout on the river Nile called the Queen Boat. Some of the people who were involved in the hangout were arrested and imprisoned for sin. The article also notes that when governments raid homosexual gatherings, they do it for political instead of ethical reasons. Brian Whitaker, in his paper ‘Unspeakable Love: Gay and Lesbian Life in the Middle East’, argues that homophobia in Arab Muslim countries â€Å"is not a religious or a cultural issue, but is foremost a political problem of which culture and religion are reliant factors†, arguing that Homophobia in the Muslim world can be attributed to the attitude this world has to its counterpart, the modern secular European and WesternShow MoreRelatedCultural Anthropology: Views on Lgbt Across Cultures Essay1110 Words   |  5 PagesEssay # 4: Homosexuality/Transexuality/Intersexuality   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Different cultures across the world have developed various views on homosexuality. Most cultural perspectives developed from religious or humanitarian sources. Living in 21st Century America, I have personally witnessed some of the strides and struggles of GLBT (gay-lesbian-bisexual-transgender) youth. In the United States there exist laws that both promote sexual diversity and laws that restrict the complete rights of suchRead MoreHomosexuality Deserves Respect1294 Words   |  5 Pagesbig steps towards a progressive world but discrimination of homosexuality is still prevalent in many countries. Homosexuality rights have always been a controversy topic around the world. According to the basic law of Hong Kong, all citizens shall have equal rights (Chan, 2012). In the beginning of this article, brief background information of homosexuality is provided. Then, the following paragraphs will show reasons why homosexuality should have human rights by analyzing this issue in three perspec tivesRead More The Essential Role Of Stereotype In Propaganda Essay1313 Words   |  6 Pagessuccussfully implemented if the dogma is deliberate and targeted to a group with an intention or purpose on mind. Ethnic stereotypes are portrayed differently by society because it consists of negative and positive connotations. An individual with a Middle East ethnicity is stereotyped as an Arab, regardless of the different countries within the region, which contains diverse cultures, beliefs and extensive religions. Some of the generalizations of this ethnic group comprise of Arabs inheriting wealthRead MoreIslam : A Western Culture And Many Authors Have Failed2279 Words   |  10 PagesSaudi Arabians consider homosexuality to be a Western culture and many authors have failed to agree on the argument that it found its way from the western countries into the Middle East after and during the offensive in Iraq (Ilkkaracan 58). Considering the strict cultural values of the Muslim lifestyle, homosexuality has no place in the region. Islam is the predominant religion of the region and the way of life is firmly rooted on the teachings of the Quran. The practice goes against the decreeRead MoreThe Ro ad towards Democratic Consolidation in the Middle East706 Words   |  3 Pagespeople in the Middle East with other regions, particularly the West, about the importance of democracy and having a democratic system, free elections, and civil rights. Desire to have a democratic system has been consistently high in the Middle East compared to other regions, while no significant move toward democratization or political mobilization has occurred for a long time prior to the Arab Spring. Also, change over time in the desire to have a democratic political system among Middle EasternersRead MoreThe Gods Of Greek And Roman Mythology1006 Words   |  5 Pagesincluded setting newborn babies to be burned alive onto the preheated outstretched hands of the idol of Marduk. We see the same level of brutality with ISIS in the same area of the world. In fact, Islam is fanatical in its zero tolerance for both homosexuality and idolatry. This is not coincidence. Many state that the animosity between Israel and her surrounding Arab countries can be traced all the way back 4000 years ago to Isaac and Ishmael as well as Jacob and Esau. Very true. But this evil stemsRead MoreThe Middle East, Glitter Bombs !1568 Words   |  7 Pages4Bombs in the Middle East; Glitter bombs! It is hard to discuss gay rights in Arabic. The taboo nature of the subject in the Middle-East is hard to swallow, no pun intended. â€Å"I would have liked to keep you near me/ introduce you to my parents, have you crown my heart/ Cook your food, sweep your home / Spoil your kids, be your housewife.† Imagine if these lyrics were sung in a place where Hezbollah is widely popular, and the singer so happens to be a young man wrenching his guts out about his ex-loverRead MoreHomosexuality in Islam3723 Words   |  15 PagesMacalester Islam Journal Volume 2 Macalester Islam Journal Issue 3 Article 8 3-28-2007 Homosexuality in Islam: A Difficult Paradox Nicole Kligerman Macalester College Follow this and additional works at: http://digitalcommons.macalester.edu/islam Recommended Citation Kligerman, Nicole (2007) Homosexuality in Islam: A Difficult Paradox, Macalester Islam Journal: Vol. 2: Iss. 3, Article 8. Available at: http://digitalcommons.macalester.edu/islam/vol2/iss3/8 This Article is brought to you forRead MoreDescribe Ways in Which Concept of Family Has Changed Across Cultures and over Time (Sociology)1442 Words   |  6 Pagestimes. We can find a lot of examples of it in ancient art and literature. But it is just a small part in the world where same sex marriage now is absolutely legal. In the other parts of the world homosexuality is legal, but unions are not recognised. Watching at the map, the countries tolerates homosexuality are just developed countries, like USA, Canada or Northern Europe, in less developed countries they are not tolerated, and in countries with a more backward, you can get a penalty, prison for lifeRead MoreA Religious Point Of View1294 Words   |  6 PagesFrom a religious point of view, if God had thought homosexuality is a sin, he would not have created gay people by Howard Dean. Homosexuals have had a hard time coming out and making that first step to accept themselves. The other part is actually coming out to their peers, family, and friends and for them to accept him as well. There are many obstacles when it comes to coming out and when it relates to Judaism. â€Å"According to information published by The Jewish People Policy Planning Institute, there

Supply Chain Management of Grocery Gateway-myassignmenthelp.Com

Questions: 1.Is the Grocery Gateway business model sustainable? How does it compare to the approaches used by other Companies in this Industry, such as Tesco? 2.How much money is at Stake? How about when sales reach 5,000 deliveries per day? 3.What is the capacity of Grocery Gateways delivery operations? How many trucks will it need to handle 5,000 orders per day? 4.What information might be useful to collect over the next few days as part of your analysis? Answers: 1.Grocery Gateway history Grocery Gateway was founded in 1997 and Longo Brothers Fruit Market Inc. operates it. This company is the pioneer in this online shopping of grocery business and a market leader. It offers 7500 grocery items as of now in its website including dry goods health and beauty products, frozen foods and wine and beer, fresh meats produce and organic products (Grocerygateway.com, 2017). Grocery Gateways fleet of delivery vehicles has 15000 active customers and 125,000 registered customer. It takes 90 minutes delivery windows ordering in the time, from 6:30 am to 10:30 pm. Their strong point of sale is the website GroceryGateway.com. Orders can be changed at 14 hours prior to delivery. The business process The products are priced competitively and customers are expected to order at least 60$ and pay eight$ as a delivery fee. On a peak season, the company would get 1500 orders and there average value would be $135(Grocerygateway.com, 2017) The main objective of the company is aimed at providing low cost and high service based on excellent execution of service. It has secured an investment of 103 million dollars form venturing and private sector financing (Bowersox, Closs and Cooper 2012). Information system and GGI business processes Grocery Gateway was built on efficient online presence of their business such as demo of online shopping, getting started tutorials and email customer support, which attracted the customers to experience at least once of their product (Osterwalder 2012). Grocery Gateways website is fully loaded with electronic commerce functionality (Osterwalder and Pigneur 2012). The consumers are allowed to find grocery items and see picture and description of products and their prices, select cart (known as shopping basket) and check out the items for delivery (Bowersox, Closs and Cooper 2012). Website and applications are tightly integrated with the functions (Fleet 2012). The Descartess system software has taken the whole Enterprise resource Planning software to a new level of functionality (McDermott and Payvision 2015). Logistics software as a service This supply chain business is all about the flexibility and ease of use programs. The interface must be usable to all party handling the software. Descartess provide combination of high valued routing, planning, tracking and dispatching functionality (Brock 2012). The outsourced routing service is also provided to the company by the routing consulting section. The static and dynamic route programs are updated each day and taken into account the favourable geographic zones, time windows and physical constraints they gives the sufficient output. The interface is user friendly and the drivers do not have to be trained by customer response teams. Descartess visibility routing solution is with real time visibility and delivery activities, which are adjusted accordingly achieves the bottom line for the company (Johnson, Christensen and Kagermann 2012). With GPS enables mobile phones the drivers are tracked and automatically updated of planned routes. GPS pings are also sent from the phone and make them aware of their next location, speed and direction. With statistics from Descartes reports, Grocery Gateway is also able to provide feedback during regular driver meetings, including highlighting high-performing individuals. Business models sustainability The structure template of the firm that includes certain points like key resources, key activities, Partners that includes suppliers and intermediaries (Osterwalder and Pigneur 2012)., customer relationship, channels, customer segments, cost and revenue structure, value proposition are the components of business model of a logistic company. The key resources of Grocery Gateway is the products they sources from grocery market and their capital invested, website and digital platforms, Information Technology infrastructure, Warehouses and human capital as employees and supporting stuff (Bowersox, Closs and Cooper 2012). The suppliers are local vendors that are associated with the company is key bargains of the company(Johnson, Christensen and Kagermann 2012).. The key activities include the everyday activities like getting online orders and carry through the orders collecting payment from buyers (Osterwalder 2012). Most of the activity is carried through the OPS and interface of the software developed by Descartes. The customer feedback suggests that the consumers are satisfied with service of Grocery Gateway (Osterwalder and Pigneur 2012).. In addition, the recent investments and expansion have caught eyes of many new customers as well as new investors (Jonsson 2 012). The value proposition model of Grocery Gateway has two basic components (Schaltegger, Ldeke-Freund and Hansen 2012). Those are competitive pricing of their products offered and time as well as direct delivery efficiency through smooth execution of their process. This business model analysis of Grocery Gateway suggests the internal operations are more than satisfactory and can sustain through the modern application oriented era (Thach Olsen and Lease 2014). Although building route density along with companys existing business routes with cost effectiveness is the key to success for Grocery Gateway and maintaining long-term sustainability (Schneid and Spieth 2013). The smart move service from Canada postal also praised their outreach program by polybagged ousterts and promotional strategy (Christopher 2016). All the three economic factors can be overcame by the mentioned company, the consumer economy, survival economy and the emerging economy (Bates et al. 2016). The pillars of sustainability of business models are redefining and reporting purpose environmental, financial and social outcome of business, stakeholders view of the firm and nature of sustainability, reinvesting and retaining the capitals (Hgevold and Svensson 2012). Business model of Grocery gateway has four main points Broken case picking Direct delivery Low cost position Time efficient The Industry of online grocery shopping Online grocery shopping scenario in Canada is to grow to sales of $3.6 billion per year by 2019, according to estimates from Forrester Research. Poologasingham, the market, currently is estimated at less than $2 billion. Canadian shoppers who say they buy groceries online spend just 4 per cent of their food budgets online, with the rest spent on goods bought in grocery stores (Islam et al. 2013). Toronto-based Grocery Gateway has been delivering to peoples homes since 1999 rather than having online orders ready for pickup at grocery stores, but it remains a niche business(Cooper and Ellram 2015).. That could be changing as Amazon increases its market share of packaged groceries in Canada, which it introduced in 2013. Online grocery shopping is not as fully developed in Canada as in other markets such as the U.K., where as many as half (48%) of consumers are online grocery shoppers and 11% do all of their grocery shopping online. According to a November 2015 report from Mintel, only 9% of 1,728 Canadian internet users said they had shopped online for groceries in the previous six months well behind categories such as clothing or footwear (43%), electronics or appliances (39%) or books/e-books (37%) (Boyer, Tomas and Frohlich 2012). The Grocery Gateway was born when the online boom started and when others where developing their business in the rise of this industry, Longo Brother have not only some years of experience but also the capital investments needed for that. The main competitors of Grocery Gateway are AMAZON Fresh, Sky-rise, Target and Wal-Mart the retailers (Langston, Clarke and Clarke 2015). This entire retailer is not directly in competition with Grocery Gateway as Wal-Mart is not active on online grocery shopping and Amazon is not making profit in the area, sky-rise presence is in Vancouver. Target does not stock vegetables. Difference with Tesco While comparing with the business model of Tesco one can see that Tesco is focused on the high valued brand and the company therefore develops its own brands like Tesco Fines and F F Clothings (Schaltegger, Ldeke-Freund and Hansen 2012). Thus it can be seen that the company focuses on quality products and wants its customer base to be from the premium sectors. Moreover, Tesco is more focused on international level market where as Grocery Gateway is focused on the business traffic of greater Toronto and mainly Canada. Tesco has opened their franchise in foreign markets like Middle East and Saudi Arabia. This foreign market of Tesco is on their high valued brand of F S. Tescos employee number are big than Grocery Gateway. Tescos employee base reaches 20,000 in the last two years. This number is certainly higher than the Grocery Gateways employee base. Tesco is mainly customer focused and aims to enrich their shopping experience (Wrigley 2015). Grocery Gateways focus is logistics execution and providing its customer valued product on competitive pricing(Thach Olsen and Lease 2014). The value proposition of Tesco is their wide variety of products and 7/24 shopping and on the go product delivery (Boyer, Tomas and Frohlich 2012). Personal shopping experience for cardholders. Both of the presence of physical store and online stores are also a value addition to Tescos as compared to its competitors (Langston, Clarke and Clarke 2015). Whereas, Grocery Gateway can only be accessed through their website and applications on android and Apple (Lee, Lee and Larsen 2012). Tesco have a mixed business model as their retail stores and online presence is equally active whereas Grocery Gateway is strictly in online business (Cooper and Ellram 2015). 2.Approximately 125,000 registered customers of Grocery Gateway ordered about 7818 orders per day having 135$ of value according to exhibit 2 in case study. Therefore average of 7818/7 = 1116.85 orders are taken per day. Then the revenue comes to 135*1116.85 = 150,775.714 dollars a days. If the orders numbers are to be escalated to 5000 orders per day it must gain 135*5000 = $ 675,000 revenue per day. One stop gains about 135$ therefore, as per company schedule the driver makes 2.7 stops per hour comes to 2.7*135 = 364.5 $ an hour, which is planned to escalate to four stops per hour. Then per hour revenue becomes 4*135 = 540$ an hour. The cost of drivers and vehicles comes to 30$ per hour. The driver gets 6.5 hours for per day shift. This comes to 6.5*2.7 = 17.55 orders per day. For delivering 1116 (approx) orders per day the number of shift is 1116/17 = 65 shifts per day. Therefore, the total variable cost of delivery comes to 8*65*30 = 15600 $.(drivers works for 8 hours a day, 6.5 hours for delivery and 90 minutes for delivery related work) In addition, the new approach includes 4 stops an hour. That is 6.5*4 = 26 orders could be delivered on 4 SPHOA program. Therefore, the variable cost of delivering 1116 orders per day is 1116/26 = 43 shifts per day, 8*43*30 = 10,320 $ This concludes that if the number of stops is increased the variable cost becomes low. The variable cost saving for 4 SPHOA is $(15600-10320) = $5280 For delivering 5000 orders per day, the number of shifts needed 5000/26 = 192 shifts (approximately). 192 shifts in 4 SPHOA program variable cost around 8*192*30 = 46,080 $. 100 drivers carry 1116 orders (approximately, if all are available at the same time). 1116/100 = 11.16 orders are carried by per drivers per day in 43 shifts (if they makes 4 stops an hour). Therefore, 5000/11 = 454 drivers are needed (to fulfil a week orders). The variable cost per hour is $30. The number of drivers needed have escalated from 100 to 454 and the truck number needs to be escalated at the same ratio. (Given the 4 SPHOA program) 3.Grocery Gateway is relocated on 2001 in Mississauga, a facility in towns view and there they have a 6225 square metre customer fulfilment centre. Their business model is divided in two main category. One is broken case picking and the other is direct delivery. They have optimize their facility of broken case for pick per stock keeping unit (sku) profile and the ratio is 1:1.It is the profile of ecommerce orders. Moreover, to addition to the capacity they are investing 15 million dollars in 26000 square metres. This will increase their throughput, cost position and capability. The three by three axis of A, B, C movers on one axis and three temperature zones (ambient , cooler and freezer) are designed at the best and used in greater technology of integration (Langston, Clarke and Clarke 2015). Grocery Gateway delivers 1500 orders on average and does this by 100 drivers and 55 trucks. Therefore, 1500:55 is the ratio, which equals 5000:183 trucks. Then the number of drivers comes to 1500 orders are taken by 100 drivers and 5000 orders will be taken by 333 drivers (approximately). For the peak season as the exhibit suggests for all area coverage a weeks number of orders are 7818 therefore the number of trucks needed is 283 (calculated in the ratio above-mentioned 1500:55). Therefore, from the above statements and calculations it can conclude that the capacity of the grocery gateway needs to be increased in the ratio given (Thach Olsen and Lease 2014). For 4 SPHOA program the efficiency of the capacity is optimized. The said plan needs to be executed with appointing at least 333 drivers in han 4.The order processing system of Grocery Gateway is known to operate by Descartes software and the web orders are downloaded from Resources in motion system (RIMMS) (Burt 2014). Moreover, Warehouse Management System (WMS) is also utilised (Chesbrough and Rosenbloom 2015). It has dynamic route optimizers and the algorithms provide delivery schedules. He information that they must focus on are the Time per customer Time to park in different area, based on more frequent delivery area Time to unload and get to the door Time for unloading for customer Time to get payment Time to return to vehicle Speed in residential area including starting and stopping Delivery windows total time Drive time Time of the day Road type Other factors like speed of driving of the delivery boy The customized software controlled the movement of the totes and skus are prepared accordingly. For the new plan to be effective it should be kept in mind that 4 SPHOA program is totally dependent upon the routes of the delivery plan. The 30 minutes reduction in delivery windows are known to be the focus point of Dominique, the vice president of Industrial engineering and operation system of Grocery Gateway. The two major points to consider are The main point is to keep the trucks on the road for longer hours (Chesbrough and Rosenbloom 2015). This would need extending driving shifts and replenish the truck with high level of service and keeping in mind the Grocery Gateways customer satisfaction (Fergusson 2012). Upgrading the software by approaching Descartes solutions technology. This provides RIMMS route optimisation service. Route profitability is must for this logistics business with the new plan in motion. References Bates, D.J., Hauenstein, J.D., Niemerg, M.E. and Sottile, F., 2016. Software for the Gale transform of fewnomial systems and a Descartes rule for fewnomials.Numerical Algorithms,73(1), pp.281-304. Bowersox, D.J., Closs, D.J. and Cooper, M.B., 2012.Supply chain logistics management(Vol. 2). New York, NY: McGraw-Hill. Boyer, K.K., Tomas Hult, G. and Frohlich, M., 2012. An exploratory analysis of extended grocery supply chain operations and home delivery.Integrated Manufacturing Systems,14(8), pp.652-663. Brock, K., 2012. A Strategic Analysis of Canada Post's Parcel Ecommerce Growth Strategy. Burt, S.,2014.Retailer brands in British grocery retailing: A review. University of Stirling, Institute for Retail Studies. Chesbrough, H. and Rosenbloom, R.S., 2015. The role of the business model in capturing value from innovation: evidence from Xerox Corporation's technology spin?off companies.Industrial and corporate change,11(3), pp.529-555. Christopher, M., 2016.Logistics supply chain management. Pearson UK. Cooper, M.C. and Ellram, L.M.,2015. Characteristics of supply chain management and the implications for purchasing and logistics strategy.The international journal of logistics management,4(2), pp.13-24. Cooper, M.C., Lambert, D.M. and Pagh, J.D.,2015. Supply chain management: more than a new name for logistics.The international journal of logistics management,8(1), pp.1-14. Fergusson, O., 2012. Online Groceries Beginn to Ripen as Market Blossoms.Computer Dealer News,7(2000), pp.32-33. Fleet, G.J., 2012. EVIDENCE FOR STALLED ICT ADOPTION AND THE FACILITATOR ECOMMERCE ADOPTION MODEL IN SMEs.International Journal of the Academic Business World,6(2). Grocerygateway.com. (2017).Online Shopping Delivery in Toronto - Grocery Gateway. [online] Available at: https://www.grocerygateway.com/store/ [Accessed 30 Jul. 2017]. Hgevold, N.M. and Svensson, G., 2012. A business sustainability model: a European case study.Journal of Business Industrial Marketing,27(2), pp.142-151. Islam, D.M.Z., Meier, J.F., Aditjandra, P.T., Zunder, T.H. and Pace, G., 2013. Logistics and supply chain management.Research in Transportation Economics,41(1), pp.3-16. Johnson, M.W., Christensen, C.M. and Kagermann, H., 2012. Reinventing your business model.Harvard business review,86(12), pp.57-68. Jonsson, P., 2012. Logistics and supply chain management.New York. Langston, P., Clarke, G.P. and Clarke, D.B., 2015. Retail saturation, retail location, and retail competition: an analysis of British grocery retailing.Environment and Planning A,29(1), pp.77-104. Lee, Y., Lee, Z. and Larsen, K.R., 2012. Coping with Internet channel conflict.Communications of the ACM,46(7), pp.137-142. McDermott, K. and Payvision, B.V., 2015. Key Business Drivers and Opportunities in Cross-Border Ecommerce.Payvision BV. Osterwalder, A. and Pigneur, Y., 2012.Business model generation: a handbook for visionaries, game changers, and challengers. John Wiley Sons. Osterwalder, A., 2012. The business model ontology: A proposition in a design science approach. Schaltegger, S., Ldeke-Freund, F. and Hansen, E.G., 2012. Business cases for sustainability: the role of business model innovation for corporate sustainability.International Journal of Innovation and Sustainable Development,6(2), pp.95-119. Schneider, S. and Spieth, P., 2013. Business model innovation: Towards an integrated future research agenda.International Journal of Innovation Management,17(01), p.1340001. Thach, L., Olsen, J. and Lease, T., 2014. Selling Wine Online: Which Winery Ecommerce Practices Promote Highest Sales?. Week, B., 2012. Knowledge management and new organization forms: A framework for business model innovation.Knowledge management and virtual organizations,2(1), pp.13-27. Wrigley, N., 2015. The lure of the USA: further reflections on the internationalisation of British grocery retailing capital.Environment and Planning A,21(3), pp.283-288.