The document summarizes a presentation about global sales and marketing challenges and opportunities for Elsevier. It discusses stagnating growth in core markets and increasing competition. It highlights the importance of expanding into global markets, with growth opportunities in Asia, Latin America, and other regions. The presentation outlines strategies for market penetration like licensing, joint ventures, and developing local publishing expertise and infrastructure. It also discusses the transition from print to electronic platforms and the implications for rethinking marketing approaches.