Pellagra is defined by the systemic disease resulting from niacin deficiency, and it is characterized by diarrhea, dermatitis, dementia, and death, which usually appear in this order. GI tract symptoms always precede dermatitis, or, according to Rille, Pellagra begins in the stomach.ackground. Pellagra is clinically manifested by the 4 D' s: photosensitive dermatitis, diarrhea, dementia, and death. The full tetrad of symptoms is usually not well developed in infants and children. This vitamin deficiency responds to treatment with nicotinic acid.
Business Environment Defined. Business environment is the sum total of all external and internal factors that influence a business. You should keep in mind that external factors and internal factors can influence each other and work together to affect a business.
Internal & External Strategic Plan Development. A strategic plan is a set of strategies developed by top-level managers to achieve specific strategic objectives. A business's internal environment consists of such controllable variables as management structures, workforce development and the layout of operational processes. A company's external environment consists of uncontrollable variables originating outside of a company, such as the legal environment, consumer preferences and competitors' actions. Comprehensive strategic plans address both the internal and external environment to craft innovative strategies to leverage internal strengths and take advantage of external opportunities.