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Denise and Carla both place a high value on good health. Denise is an internal and Carla is an external. We would predict that
Innovation
The process of translating an idea or invention into a good or service that creates value or for which customers will pay.
Invention
The creation of a product or introduction of a process for the first time.
Diffusion
The process by which an innovation or idea spreads within a society or from one society to another over time.
Technological Advance
The process of developing new and better ways of doing things, particularly in areas like science, engineering, and manufacturing.
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