Secundum Atrial Septal Defect: Surgical Closure

Secundum Atrial Septal Defect: Surgical Closure Careful conclusion of secundum atrial septal imperfection in a patient with atrial situs solitus and intruded on sub-par vena cava: report of 2 cases Catchphrases: Interrupted second rate vena cava, Situs solitus, Atrium septal imperfections, constrained skin entry point Conceptual The event of an intruded on second rate vena cava (IVC) in setting of atrial situs solitus is generally uncommon. Here, we revealed two instances of the careful conclusion of secundum chamber septal deformities (ASDs) in patients with atrial situs solitus and an intruded on IVC. The main case was a 7-year-old kid with a secundum ASD without the back edge whose intruded on IVC and azygos continuation had been preoperatively analyzed by the echocardiography and cardiovascular catheterization. The activity was securely performed utilizing an enormous estimated venous waste cannula from the unrivaled vena cava (SVC). The subsequent case was a 2-year-old kid with a secundum ASD without the prevalent edge whose intruded on IVC was not analyzed at the preoperative assessment. The activity was performed through a middle incomplete sternotomy by means of a 5.0cm restricted skin entry point, so immediate assessment of the SVC was not plainly acquired. A cardiopulmonary detour was built up util izing the suggested size of venous seepage cannulae; in any case, the SVC couldn't be evacuated without raising the SVC pressure. Thus, the ASD was shut straightforwardly under sucking the venous come back from the SVC without catching it. Post-employable registered tomography recognized an intruded on IVC with azygos continuation and a determination of both supracardinal veins, known as a twofold IVC. Presentation Though an interfered with substandard vena cava (IVC) as a result of the nonattendance of its hepatic fragment is principally noted in patients with heterotaxy condition, the event of an intruded on IVC inside the atrial situs solitus is accounted for as running from 0.08 to 0.1% [1,2,3]. In these patients, cardiovascular contortions are as often as possible related, and the principle kinds of irregularities incorporate atrial septal imperfections (ASDs, 10.5 %) and ventricular septal deformities (7.5 %) [1]. In spite of the fact that this fundamental venous oddity gives no indications without anyone else, it is by all accounts pertinent in heart medical procedure, particularly in systems that require approaches through the correct chamber. Here, we detailed two instances of the careful conclusion of secundum ASD in patients with atrial situs solitus and intruded on IVC, concentrating on perioperative discoveries and related issues. Case Case 1 A clinically asymptomatic 7-year-old kid (body weight, 22 kg; tallness, 125 cm) with an ASD secundum, which was recognized at 10 years old months, was conceded for careful conclusion of the injury. Gadget ASD conclusion by catheter intercession was contraindicated as a result of the nonattendance of the back edge. Preoperative echocardiography uncovered an atrial sinus solitus with a 18 by 21-mm ASD secundum without the back edge and relative valvular aspiratory stenosis. Likewise, intruded on IVC was associated in light of the fact that waste with the IVC into the correct chamber was not distinguished. Cardiovascular catheterization to evaluate the sign for careful aspiratory valvotomy indicated a fundamental and pneumonic blood stream proportion of 3.14 and pull-buck pressure angle of 10 mmHg from the correct ventricle to the primary aspiratory supply route. Moreover, no hepatic portion of the IVC was recognized; in this manner, an intruded on IVC with azygos continuation was affir med (Fig. 1). Through the middle full sternotomy, a cardiopulmonary detour was built up utilizing blood vessel cannulation through rising aorta perfusion with a 16-Fr cannula and venous seepage from the prevalent vena cava (SVC) and the hepatic vein utilizing 28 and 20 Fr cannulae, though suggested cannulae sizes were 20 and 24 Fr, individually. The ASD secundum was shut straightforwardly through the privilege atriotomy under moderate hypothermia and cardioplegic capture. The activity was finished with no issues. Case 2 A clinically asymptomatic 2-year-old kid (body weight, 10 kg; tallness, 81 cm) had as of late been determined to have an enormous ASD secundum without the unrivaled edge. Further assessment uncovered an atrial sinus solitus, a 18 by 18-mm ASD secundum without the predominant edge, and a bicuspid aortic valve. Notwithstanding, an interfered with IVC was not analyzed. Through a middle incomplete sternotomy by means of a constrained skin entry point (50mm long), a cardiopulmonary detour was set up utilizing blood vessel cannulation through climbing aorta perfusion with a 12-Fr cannula and venous waste from the SVC and hepatic vein, despite the fact that it was believed to be an IVC around then, utilizing the suggested sizes of 16 and 18 Fr cannulae. During the medical procedure, the SVC was endeavored to be trapped, yet it couldn't be a direct result of the raising SVC pressure. The profundity of cannula and the area of trapping were more than once changed without settling this issue; along these lines, the SVC was left without being trapped. The ASD secundum was shut legitimately under moderate hypothermia and cardioplegic capture with sucking the venous come back from the SVC. Weaning off from cardiopulmonary detour was uneventful, and the activity was finished with no issues. Post-usable processed tomography demonstrated an intruded on IVC with azygos continuation and a constancy of both supracardinal veins, known as twofold IVC (Fig. 2). On clinical registration at the outpatient center one year after release, propelled debilitated sinus disorder was identified by electrocardiography. 24-Hour Holter electrocardiography checking demonstrated that the complete number of pulses was 142,036 every day, 8 beats of disconnected untimely atrial withdrawals, and had no proof of untimely ventricular constrictions or more than 2.5 seconds of sinus present. Conversation Like the first introduced case, an intruded on IVC with azygos continuation can as a rule be analyzed by preoperative echocardiography [1], which can be effortlessly rewarded at the foundation of a cardiopulmonary detour by choosing enough measured venous cannulae. In the event that it isn't preoperatively analyzed, direct intra-employable examination for the most part makes the analysis conceivable. Be that as it may, the restorative result must be mulled over during careful ASD fix just as secure deformity conclusion after the promotion of percutaneous gadget conclusion, as in the subsequent case. Along these lines, a restricted skin cut with fractional sternotomy was chosen for this patient, which sadly interfered with away from of the SVC. Determination of huge measured SVC waste cannula ought to have been viewed as first during lacking venous seepage, notwithstanding, which was conceded in light of the fact that the all out cardiopulmonary detour was effectively settled as long as the SVC was not trapped. Similar to our strategy, the IVC isn't trapped during the end of the ASD secundum so as to get a specific distinguishing proof of the back edge. In this manner, the tip of the IVC seepage cannula was situated at the IVC around the privilege atrial intersection for adequate waste of both the IVC and hepatic venous blood stream. Thus, such a move empowered the foundation of an all out cardiopulmonary detour with little measured SVC waste cannula and in the long run enormous â€Å"hepatic vein† cannula. As appeared in Case 2, an odd IVC is known to go with different cadence issue, however just a couple of cases have been accounted for [4,5]. One of the reasons for mood issue is the degeneration of the atrial muscle around the sinus hub, which may happen because of a nearby volume over-burden on the sinus hub by the nearness of azygos continuation. In spite of the fact that the complete number of heart pulsates was all around kept up and more than 2.5 seconds of a sinus present was not seen up to this point, a planned follow-up was compulsory for early identification of further headway of the sinus hub brokenness. In outline, two careful encounters of secundum ASD related with an interfered with IVC with azygos continuation were accounted for. Under incomplete sternotomy through restricted skin entry point, safety measures ought to be taken to distinguish the nearness of this venous abnormality if venous waste from the SVC isn't satisfactorily acquired utilizing cannula of the suggested size.

Economics Make the World Go Round Essay Example

Financial matters Make the World Go Round Essay Example Financial matters Make the World Go Round Essay Financial matters Make the World Go Round Essay [pic] Money Makes the World Go Round By, Chris Jarrett 4-11-11 Period 3 Money drives everything and everyone. In the event that you realize how to manage cash, you’re likely happier than somebody who doesn’t. There are three essentially persuasive financial analysts that helped change the manner in which we look and consider cash and the economy; Adam Smith, John Keynes, and David Ricardo. These men all thought of efficient hypotheses that we despite everything concentrate today, including the Invisible Hand, Government Intervention, Theory of Rent, and different others. Adam Smith who lived in Scotland during the 1700s idea of a wide range of prudent speculations. One of them was the Invisible Hand. The Invisible Hand hypothesis comes down to stating that the economy will change in accordance with the necessities of purchasers and dealers after some time. â€Å"The hypothesis of the Invisible Hand expresses that if every customer is permitted to pick openly what to purchase and every maker is permitted to pick unreservedly what to sell and how to create it, the market will choose an item appropriation and costs that are useful to all the individual individuals from a network, and henceforth to the network all in all. (Wikipedia). Adam Smith didn’t concur with government mediation. He felt that the administration ought not be associated with the economy framework and that individuals ought to battle for themselves, sort of as they do today in Hong Kong. Adam Smith’s thought of personal circumstance expresses that â€Å"in the demonstr ation of watching others makes individuals mindful of themselves and the profound quality of their own conduct. † (Wikipedia). At the end of the day, that implies that when individuals study and take a gander at different people’s decisions and activities, they can turn out to be increasingly mindful of themselves and settle on better decisions. With everything taken into account, Adam Smith was a financial expert that had good thoughts that are as yet being discussed today. Another recognisible financial analyst is John Keynes. While Adam Smith was against government mediation. Keynes was for it. He clarifies that without government intercession, the economy would remain caught with low emloyment. As it were, Keynes is right in light of the fact that the administration gives numerous things that are genuinely necessary. The administration utilizes the entirety of the city laborers, for example, educators, fire fighters, police officers, anad government officials. The legislature additionally causes some huge organizations from failing by giving cash to them to continue working. Keynes additionally clarifies that the legislature can help decrease joblessness levels by making more occupations. To sum up, John Keynes was an econimist who principally figured the administration ought to interven when required. A last inportant financial analyst is David Ricardo. Ricardo had a ton of thoughts regarding exchange and universal exchange. He accepted that exchange couldn't hurt an economy, yet just advantage it. He says that there ought to be no limitations on exchange, that individuals should simply leave it to compitition. Ricardo likewise thought of a thought regarding rent. He expresses that lease is the distinction between the produce acquired by the work of two equivalent amounts of capital and work. (Wikipedia). This essentially implies when there are different properties, lease will be charge on the more costly ones, as opposed to the less expensive ones. In a word, Ricardo was a special case financial specialist that had numerous thoughts regarding exchange and lease. Out of every one of these financial specialists, the one that I would concur with the most would need to be John Keynes. His thoughts regarding government intercession are sensible and practible. I accept that the governmen t is here to support us, particularly in muddled zones, for example, the ecomony. The legislature should help organizations that are going to fail on the grounds that they’re helping the organization, yet theyt are helping the laborers. I believe that all schools ought to be instructed pretty much every one of the three of these financial analysts, however for the most part about John Keynes. Cash is all over the place. All that you use, eat, or contact was purchased with someone’s hard earned cash. In today’s extreme economy, it is critical to learn and concentrate how cash and financial matters work. That is actually what Adam Smith, John Keynes, and David Ricardo did many years prior when they thought of their hypotheses, and that is actually what economisists are doing today. Book reference Wikipedia. Web. 10 Apr. 2011. .

Blog Archive August 2017 Event Roundup

Blog Archive August 2017 Event Roundup Are you applying to business school this fall? If so, you can enroll in one of our free business school workshops, which are offered both online and in person in major cities across the country! This month, we invite you to join us in Boston; NYC; and online! The event lineup includes the following sessions: AUGUST 2: Essay Writing Workshop (Boston) How can you write essays that grab the attention of MBA admissions committees? In this session, we will use this simple but often perplexing question as the starting point to a workshop for prospective business school applicants. Attendees will walk through a series of exercises that challenge them to uncover their personal and nuanced stories, craft compelling opening statements, develop meaningful goal statements, connect their goals to their target schools resources, and more. AUGUST 9 Essay Writing Workshop (NYC) How can you write essays that grab the attention of MBA admissions committees? In this session, we will use this simple but often perplexing question as the starting point to a workshop for prospective business school applicants. Attendees will walk through a series of exercises that challenge them to uncover their personal and nuanced stories, craft compelling opening statements, develop meaningful goal statements, connect their goals to their target schools resources, and more. AUGUST 9: Writing a Standout HBS Essay (Online) In our presentation, “Writing a Standout HBS Application Essay,” we will help you conceptualize your essay ideas and understand how to execute them so that your experiences truly stand out. AUGUST 22 The Last Minute MBA Application (Online) In this session, we will review practical ways of making the most of the time you still have and provides concrete strategies for completing your applications on timeâ€"and with the quality you want. To enroll in one of our free seminars, click the event title in the list above. We look forward to having you join us! Share ThisTweet Events mbaMission Events

Cultural Comparison - Russia and US Education - 6674 Words

A Cultural Comparison of Higher Education in Russia and the United States of America Intercultural Communications August 19th, 2014 â€Å"Inculcation is the gradual coming to know something through mundane processes of training and learning† (Chetro-Szivos, J. Lecture 1). Through inculcation we acquire a set of dispositions that mold the body and eventually become second nature to the actor. Paralleling this concept with education systems in place around the world, many similarities can be drawn. In this paper, we compare universities, or four-year institutions, in Russia and the United States. To begin, a description of a typical Russian university will be given.†¦show more content†¦Kandidat nauk can be achieved within university environment (when the university is engaged in active research in the chosen field), specialized research facilities or within research and development units in industry. Typical kandidat nauk path from admission to diploma takes 2–4 years. The dissertation paper should contain a solution of an existing scientific problem, or a practical proposal with significant economical or military potential. The title is often perceived as equivalent to Western Ph.D., although this may vary depending on the field of study, and may not be seen as such outside of Russia. Doktor nauk, the next stage, implies achieving significant scientific results. The dissertation paper should summarize the author s research resulting in theoretical statements that are qualified as a new discovery, or solution of an existing problem, or a practical proposal with significant economical or military potential. The road from kandidat to doktor typically takes 10 years of dedicated research activity; one in four candidates reach this stage. The system implies that the applicants must work in their research field full-time; however, the degrees in social sciences are routinely awarded to active politicians. Academic titles of dotsent and professor are issued to active university staff that has already achieved degrees of kandidat or doktor; the rules prescribe minimum residency term, authoring established study textbooks in theirShow MoreRelatedGenghis Khan and Mongolia1565 Words   |  7 PagesIntroduction and Overview Even though Mongolia is one of the biggest country by area, it has a very small population. It is slightly over 3 million people. Mongolia is in Northern Asia, between China and Russia. Mongolia contains vast semi desert and desert plains, grassy steppe, mountains in west and southwest; Gobi Desert in south-central. Mongolia has sensational weather temperature, it has 4 season that it could get real serious if disaster happens. Mongolia is close to the equator, which meansRead MoreThe Turkish Culture Is Like No Other Essay723 Words   |  3 Pagesto the languages of its bordering nations. The language has a total of 29 letters, 8 of which are vowels. 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She was the seventh child in the Mabovitch family, and had two sisters: the younger sister Clara, or Zipke as her family called her, and Shana, or Sheyna as her family often referred t o her as. She is the older sister whom Golda admired and would help form Golda’s life. The other five siblings had died in early childhood (Prymachyk). Life was hard in Russia in those times food was scarce, and money scarcerRead MoreThe Astana Economic Forum1520 Words   |  6 Pagesconsideration to the G-20 Summit held in September 2013 as well as the G-8 Summit, the International Monetary Fund, the World Bank and the United Nations. At the conclusion of the sixth AEF, agreements of global business cooperation totaling over $2.7 billion US dollars were signed and a collaborative WAC led to a World Anti-Crisis plan to help avoid and alleviate the effects of a future financial crisis2. 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Chaos And Sorrow In The Great Gatsby - Free Essay Example

Sample details Pages: 3 Words: 753 Downloads: 2 Date added: 2019/03/26 Category Literature Essay Level High school Tags: The Great Gatsby Essay Did you like this example? In the first six chapters of the book, The Great Gatsby, written by F. Scott Fitzgerald, we learn about the characters. For instance, Jay Gatsby is known as a wealthy man who throws whopping parties to attract a person named Daisy. Gatsby and Daisy were close 5 years prior before she married Tom Buchanan. She married Tom because he had money. So Gatsby wants to prove to Daisy that he has money too. Gatsbys next door neighbor, Nick Carraway, who is the narrator of this story, becomes included in the lives of these characters. As the story continues in chapter seven, there are serious conflicts that reveal turning points in the story. For example, Nick glimpses through Gatsby for who he really is. Also, as Daisy and Gatsby continue to cover their relationship, Tom has his suspicions and eventually figures it out. Don’t waste time! Our writers will create an original "Chaos And Sorrow In The Great Gatsby" essay for you Create order Finally, theres an unfortunate event that will change everyones life. As chapter seven begins, Nick starts to perceive Gatsby as who he really is, rather than the one hes portraying to everyone else. He fires all of his servants so they wont gossip: I wanted somebody who wouldnt gossip. Daisy comes over quite often in the afternoons. So the whole caravansary had fallen in like a card house at the disapproval in her eyes. (Fitzgerald, pg. 114). Gatsby also doesnt throw parties anymore. that the lights in his house failed to go on one Saturday night (Fitzgerald, pg. 113). Gatsby got what he wanted with those parties, which was Daisys attention and love. Although many parties took place and many people came, none of the people were as important to him as Daisy, who lived across the lake. Knowing this, Nick sees through Gatsbys back story. As conflict goes on, many relationships are floating in the air; some known and some unrevealed. Daisy and Gatsby are a couple in the shadows until Daisys husband, Tom, shines a light on their relationship. Tom was beyond himself when he learned about this: She had told him that she loved him, and Tom Buchanan saw. He was astounded. (Fitzgerald, pg. 119). Now that Tom knows about their relationship, he starts digging out Gatsbys past, finding rocks of information to break apart and make Gatsby crack. Tom says Ive made a small investigation of this fellow. (Fitzgerald, pg. 122). The Great Gatsby Nick Mullen Tom forces Gatsby to admit he wasnt an Oxford man by saying that he only went there for five months. Tom eventually gets to his breaking point and confronts Gatsby about his relationship with Daisy. At this point, Daisy defends Gatsby by turning on Tom and tells him to have some self-control (Fitzgerald, pg. 129). As relationships are finally being discovered, everyone is dealing with who did what to whom. This is a turning point where their lives will never be the same. In everyones life theres always an unfortunate event or turning point. For the characters in the story, tragedy hit them as they didnt see it coming. In Nicks eyes, he gazes to the future when he says So we drove on toward death through the cooling twilight. (Fitzgerald, pg. 136). In fact, there was a car accident and someone died. Myrtle assumes Tom is driving Gatsbys car as its coming back from New York. Not realizing whos behind the wheel, she runs into the street to get what she thinks is his attention. Unknowing that its Daisy behind the wheel, Myrtle gets hit by Gatsbys car and she dies. Daisy fails to realize not only has she killed someone, but her husbands girlfriend. Dont always take things for granted because youll never know what could happen in the future. For Myrtle, it was letting her feet take action before her brain causing every characters life to never be the same. Through the book, The Great Gatsby, Fitzgerald creates chaos and sorrow. Gatsby is revealed as who he really is, a liar making false claims to get someone he wants. Daisy is revealed as a murderer, even if its unintentional. Tom is demanding and rude, and may have just lost both women in his life. And finally, theres Nick, a man thrown into everyones lives, basically as a bystander, who isnt too thrilled for his future outcome when he says I was thirty. Before me stretched the portentous menacing road of a new decade. (Fitzgerald, pg. 135). Uhh, lets not forget Myrtle, who dies and thus has no story to tell. Through all the great times and sad times in life, ones story can never be perfect.

Organ Donation For Organ Transplants - 2418 Words

INTRODUCTION Organ donation is one of the most pressing health policy issues for our government to deal with and organ donation rates in England must increase in order to meet the demand for organs on waiting lists. Furthermore, the demand for surgical procedures such as organ transplantation has rapidly increased after scientific breakthroughs in transplant technologies as well as the advent of new medicines to reduce many problems associated with transplants, thereby increasing the life expectancy of people receiving the transplant. With more than 7000 to 8000 people on the waiting list in England alone, on the waiting list for an organ transplant and only an estimated 2,800 organs that are transplanted each year (NHSBT 2016), there is a significant shortage of organs available for transplant. There is an increasing concern that the current system for organ donation in England, is failing to meet the demand in organs needed for transplantation. The number of people needing transplants is going up steadily by about 8 percent each year.(b) The number of premature deaths has also increased to approximately 1000 (Rieu. 2010) every year and this is conceivably the most tragic reminder that the current system is failing us. To combat this problem, many health researchers have suggested changes to change the organ donation laws, from informed consent to presumed consent. THE CURRENT AND PROPOSED SYSTEMS/ DIFFERENT TYPES OF SYSTEMS The difference Since the Human Tissue ActShow MoreRelatedOrgan Transplants : An Organ Donation2555 Words   |  11 PagesUrrea J. Forsythe English 1 A January 20, 2015 Donating Organs Did you know that over one hundred thousand people in the U.S. are waiting for an organ donation? Do you know what an organ transplant is? An organ transplant is when an organ is replaced, a failing organ with a healthy organ from another person. The reason behind an organ transplant is to help people who have organs failing, and those people that have some sort of disease in their organs. When you become a donor, you help improve researchRead MoreOrgan Donation For An Organ Transplant1811 Words   |  8 Pageswaiting for an organ transplant. They also state that one organ donor can save up to eight lives. Those are significant numbers that should make us very much aware of the monumental impact organ donation can have on the lives of so many critically ill patients and their families. Although the tragedy of an accident or horrifying event is sometimes unbearable for the patient and the patient’s family, it may result in what some may call a â€Å"new hope† for those who are awaiting organ transplantationRead MoreOrgan Donation : A Transplant1141 Words   |  5 Pages â€Å"Organ donation is the surgical process of providing one or more organs to be used for transplantation into another person. Organ donors can be deceased or living† (U.S. Department of Health and Human Services, 2016, p. 1). The very first successful organ transplant was a kidney transplant performed in 1954. By the late 1960’s they were successfully transplanting livers, hearts and pancreases. Lung and intestinal transplants came shortly after in the 1980’s. At this very second 121,574 people areRead MoreShould Organ Donation Be An Organ Transplant?947 Words   |  4 Pagesbut hardly anyone is doing it, organ donation is decreasing while the need is increasing Everyone should become an organ donor. It doesn’t cost a thing and can improve or save someone’s life after the death of another. This sound like simple facts, then why is it that 19 people die each day waiting for an organ transplant?(Mayoclinic.org) Body How to become a donor There are a few easy ways to become a donor. One, every state allows for registration for organ donation. In Illinois this can be doneRead MoreOrgan Donation Is The Surgical Removal Of Organs Or A Tissue Transplant?1430 Words   |  6 PagesOrgan donation is the surgical removal of organs or a tissue transplanted to another for the purpose of exchanging a failed organ injured by disease or injury. Organs and tissues that can be transferred are liver, kidneys, pancreas, heart, lungs, intestines, cornea, middle ear, skin, bone, bone marrow, heart valves, and connective tissues. Each person regardless of age can consider themselves a prospective donors. Before one dies, he/she is assessed to see if they might be appropriate for organ donationRead MoreInformative Speech Organ Donation and Transplant Essay1042 Words   |  5 Pagestwo hours someone dies waiting for an organ transplant. 18 people will die each day waiting for an organ. One organ donor can save up to 8 lives. . THE NEE D IS REAL In Jan 2006 I began to lose my eyesight. A year later I became a candidate for cornea tissue transplant. I am a cornea tissue transplant recipient. As a result I felt is necessary to inform you about the history and facts on organ donation and transplantation. C. Audience Adaptation – Organ transplantation represents a unique partnershipRead MoreThe Importance of Promoting Organ Donations Essay1182 Words   |  5 Pageswaiting list to receive an organ transplant, for some people the waiting process can be very long, and for others it can be short. To many people having someone give a gift of an organ donation is known has a second chance, a fresh start, and a new beginning at living a normal life again. Every year people on the wait list increase in numbers due to lack of organ donation shortages therefore, finding a donor becomes difficult because in order to receive a transplant the recipient must be compatibleRead MoreThe Organ Trafficking Epidemic Essay1111 Words   |  5 Pagesindividuals partake in organ trafficking which shows that organ trafficking is a valid issue that must be handled. As of now, U.S. citizens are not prohibited to buy organs outside of the United States by NOTA (National Organ Transplant Act of 1984). In â€Å"Can The Government Ban Organ Sale? Recent Court Challenges And The Future Of US Law On Selling Human Organs And Other Tissue†, Glenn I. Cohen states that â€Å". . . if a US citizen travels abroad to buy a kidney or other organ his act is not prohibitedRead MoreA Regulated Organ Market1559 Words   |  7 PagesTrujillo is a 29-year-old man who was born with renal dysplasia, which caused his kidneys to be too small to work correctly. He has needed four kidney transplants in his life, receiving the first when he was four years old. One kidney came from his father, his aunt, his uncle, and his brother. All four transplants have been successful, and without the transplants Trujillo would have to receive dialysis three times a week for four hours a day (Knoll, 2012). Trujillo’s family has been remarkably generous inRead MoreOrgan Donation Should Be Compulsory1702 Words   |  7 Pagesfor an organ transplant. Of the over 100,000 people on this list it is estimated that 18 people die each day due to the lack of available organs (American Transplant Foundation, 2014) What if these lives could be saved and the number of available organs for transplant could be increased exponentially? Does it make moral, financial, or ethical sense to bury or incinerate perfectly viable organs that could be used to save the lives others? The purpose of this paper is to argue that organ donation

Sales and Service Management Acknowledge and Approach

Question: Discuss about the Sales and Service Management for Acknowledge and Approach. Answer: Introduction This study discusses on the subject of Sales and Service Management. This assignment includes mainly two models of sales and service management. During this assignment, the sales and service management at Harvey Norman are analyzed with the help of ABCs (Acknowledge and Approach; Body language; Communication) and the Servqual Gap Model. At the end of the assignment, the conclusion is obtained by considering the overall findings of the study. The ABCs of service provision Harvey Norman is one of the leading retailers in Australia. The business of the company is not only limited in Australia, but also it has expanded its business in New Zealand and Ireland. This huge success in the business world clearly indicates that the employees of the organization are quite efficient in handling their customers. If the sales and service management of Harvey Norman are analyzed as per their ABC (Acknowledge and Approach; Body language; Communication), then it can be stated that the sales people of the company treat every customers with equal priority. Each customer is valuable to the employees at Harvey Norman and they believe that all the people, who come to the store, are customers (Harveynorman.com.au, 2016). The management at Harvey Norman claims that they provide the products of leading brands at best the best price. The sales people of the company always try to interact with the customers with a positive body language. It helps the employees to motivate the customers towards purchase (Clarke Eales-Reynolds, 2015). The employees at sales department try to provide each service properly. In order to provide more comfort and satisfaction to the customers, the company has arranged for the sitting places in and outside store. However, currently, the company is facing the employee shortage problem while handling the customers. As the company provides home services, it requires more employees, so that customers always get service on time (Harveynorman.com.au, 2016). In order to communicate with the customers in better way, the company mainly focused on the online communication system. The company uses the social media like Gmail and Facebook to communicate with its employees. For example, the company sends email to its customers if they launch any new service, offer or discounts. Sometimes, the company arranges for survey in order to know the customers perceptions about the products and services. At the same time, Harvey Norman also provides the SMS service to the customers. The company always believes in communicating with the customers in short and simple language. Therefore, as per the overall analysis, it can be said that the company that is Harvey Norman follows a better way to enhance its business by proper handling of customers. SERVQUAL Gap Model The quality of services provided by Harvey and Norman can also be analyzed with the help of SERVQUAL model. As per this particular model, the customers at any company always have the expectation, which is higher than the perception that they have regarding the service that they receive (Al-Momani, 2015). This model of service quality analysis, talks about five different gaps that are existing between the customers expectations and the actual service quality. Below, the service quality at Harvey Norman is analyzed by analyzing the five gaps as per the SERVQUAL model: GAP 1 - Customers expectations vs. companys belief regarding the expectations of the customers Harvey Norman believes that the customers always expect best quality of products at best possible price. Due to this, the company includes the top branded products in its product ranges. However, there are some customers, who look for the products at lower price level. This type of customers does not want top branded products but price is the main factor for them. Therefore, for these customers, the value of the products at Harvey Norman sometimes does not fulfill their expectations (Harveynorman.com.au, 2016). Gap 2 Companys belief regarding customers expectations vs. service resources Harvey Norman provides not only the in-store service, but it also provides the home service. The company believes that the customers always expect comfort at the time of purchase and after the purchase. At the same time, the company also believes that the service like installation helps to satisfy the customers largely. However, sometimes customers do not get satisfied with the service provided by Harvey Norman. Expectation of each customer is not same and due to this company cannot satisfy each customer at each time, which create inadequate perceptions. Gap 3 Performance and service delivery vs. service resource Harvey Norman has few employees, who are not that much technologically efficient and few employees are also there, who cannot handle the customers in better way. Due to these employees, conflicts arise and the control system of the company is affected. The team performance of the company also affected due to this employee inefficiency (Harveynorman.com.au, 2016). Gap 4 External communication vs. delivery of service The management at Harvey Norman always tries to communicate with the customers in a better manner. However, sometimes, the communication strategy of the company does not perform as per the expectations of the company. Due to the improper communication, customers sometimes have wrong perception. For example, the company highlights that it provides the home services; however, it does not communicate the conditions for home delivery service. This creates gap between the external communication and delivery of service (Harveynorman.com.au, 2016). Gap 5 Gap between the customers perceptions and expectations of delivered service This gap is mainly created by the advertisements of the company. In the advertisements, the company does not disclose all terms and conditions of their offers. At the same time, in advertisement, the company always tries to prove itself best. However, when the customers come in the stores, many of them do not find the actual quality of products and service that they have expected. This creates the gap between expectations and perceptions of customers Conclusion In this study, it has been identified that at Harvey Norman the employees consider each customer with similar priority. They provide each necessary service to make the customers happy. They always have positive body language while handling the customers. However, as per the SERVQRAL model, there are some gaps between the service provided by the company and expectations of the customers. Reference list: Al-Momani, M. M. (2015). Gap Analysis between Perceptions and Expectations of Medical-Surgical Patients in a Public Hospital in Saudi Arabia.Medical Principles and Practice,25(1), 79-84. Clarke, C., Eales-Reynolds, L. J. (2015). Human factors paradigm and customer care perceptions.International journal of health care quality assurance,28(3), 288-299. Harveynorman.com.au. (2016). Harveynorman.com.au. Retrieved 1 August 2016, from https://www.harveynorman.com.au/