Wednesday, July 31, 2019
Square Root Using Sequential Cordic
Square root using Sequential Cordic Assignment-2 Submitted to: Dr. Sumam David Dept. of Electronics & Communication Engineering NITK Surathkal Submitted by: Rakshith Sharma 10EC87 Vikas Majjagi 10EC107 Mullapudi Srinivas 10EC99 Algorithm: This is implemented for a range of input values < 0. 75 since Xin should be less than 1 for the bit notation we used. Here we use the vectoring Mode of CORIC and its Hyperbolic subcase to calculate Xout=sqrt(xin2 -yin2 ) And yout= 0 Bit notation: [MSB(sign bit)] . (bit 1 to 15 for +ve fraction)] If we use xin=M+ ? and yin=M -1/4 we can compute xout=sqrt(M). The other equations of the cordic remain the same ie, X(i+1)=x(i)+d(i)*y(i)*2-i Y(i+1)=y(i)+d(i)*x(i)*2-i Z(i+1)= z(i) ââ¬â d(i)*a(i) where a(i)=tan-1 (2-i) In this case we use 16bit fixed point notation with one sign bit and 15 bits in Q15 notation. A total of 12 iterations are used to reach the result where y(i) is sufficiently close to 0 and x(i) is approximately equal to sqrt(M).In case o f hyperbolic, it is necessary to repeat shift iteration number for 4 th and 7th iterations in order to make the series to converge. The final obtained x(i) is to be multiplied by 1. 207534056 to get the result. The flow chart for the algorithm implement in the VHDL code is as shown in the following page. d(i)=1 if x(i)*y(i)0 Y(i) has gone to 0(apprx) input M=0. 63998413 output X(i)=0. 80035533 Y=0? &sh ift>12 Yes No Yes X(i)=sqrt(M) Yes Check iteration number Shift=4 or 7? Shiftrep= 0? No No Shiftrep+1 Shift+1 d(i)=-1 No x(i)*y(i)
Tuesday, July 30, 2019
Al-Qaeda/Terrorism
Terrorism can be defined as threatening use of force or violence by a person or an organized group against people or property with the intention of intimidating or coercing societies or governments, often for ideological or political reasons. It is the act of terrorizing or the state of being terrorized. Most acts of terrorism are committed by terrorist organizations. Terrorist organizations use terror to accomplish their mission or objective. One of the most infamous terrorist organizations is Al-Qaeda. Established in 1988 by militant Islamist, Osama Bin Laden, Al-Qaeda traces all the way back to the Soviet War in Afghanistan. It operates as a network comprising both a multinational and stateless army. It has been designated as a terrorist organization by the United Nations Security Council, NATO, the European Union, the United Kingdom, the United States, and various other countries. The overall mission of Al-Qaeda is to attempt to overthrow godless regimes and replace them with Islamic regimes. Furthermore, the terrorist organization desires to convert al-Qaeda into an ideology and set of operating principles that can be loosely franchised in other countries without requiring direct command and control. Al-Qaeda also states several other missions which include gathering information about the enemy, the land, the installations, and the neighbors, kidnapping enemy personnel documents, secrets, and arms, assassinating enemy personnel as well as foreign tourists, and freeing the brothers who are captured by the enemy. Other missions also include spreading rumors and writing statements that instigate people against the enemy, blasting and destroying the places of amusement, immorality, and sin; not a vital target, blasting and destroying the embassies and attacking vital economic centers, blasting and destroying bridges leading into and out of the cities. The headquarters of infamous terrorist organization are not known anymore. al-Qaeda has known contacts and activities in the following countries: Afghanistan, Algeria, Bosnia, Chechnya, Eritrea, Kosovo, the Philippines, Somalia, Tajikistan, and Yemen, and now Kosovo. Additionally, al-Qaida has been linked to conflicts and attacks in Africa, Asia, Europe, the former Soviet Republics, the Middle East, as well as North and South America. All in all, their threat is not limited to these geographical areas because of worldwide connections. The group has targeted American and other Western interests as well as Jewish targets and Muslim governments it sees as corrupt or impious-above all, the Saudi monarchy. Above all, its main target is the United States of America. In 2005, Al-Quds Al-Arabi published extracts from Saif al-Adel's document ââ¬Å"Al Qaedaââ¬â¢s Strategy to the Year 2020â⬠which is a plan for the downfall of U. S. economy by the year 2020. Over the years, al-Qaeda has been involved in many terrorist attacks. The terrorist group has undergone proper military training, and is capable of commanding insurgent forces in order to carry out its attack. Al-Qaeda linked attacks include: The attempted December 2009 bombing of a Detroit-bound Northwest Airlines flight and an October 2007 suicide bombing that narrowly missed killing former Pakistani Prime Minister Benazir Bhutto. Two months later, another bomber succeeds in killing the former prime minister; Pakistani officials blame Baitullah Mahsud, a top Pakistani Taliban commander with close ties to al-Qaeda. Other attacks include: the February 2006 attack on the Abqaiq petroleum processing facility, the largest such facility in the world, in Saudi Arabia, the July 2005 bombings of the London public transportation system, and the March 2004 bomb attacks on Madrid commuter trains, which killed nearly 200 people and left more than 1,800 injured. On September 11, 2001, Al-Qaeda was involved in one of the most devastating attacks on the United States, hijacking four U. S. airplanes, two of which crashed into the World Trade Center, and a third of which crashed into the Pentagon. 9/11 resulted in over 3,000 deaths and $95 billion worth of damage, lost of taxes, and clean-up costs to the city of New York. In the aftermath of 9/11, Bin Laden issued several messages praising the attacks, but denying Al-Qaedaââ¬â¢s involvement. This was just one example of the terrorist groupââ¬â¢s usage of the media. Al-Qaeda has become extremely reliant on media. It uses media to further its cause by garnering publicity towards its cause. The media is used to publicize its corrupt Islamic institutions, organizations, and ideas. All things considered, Al-Qaeda is shrinking. The leadership ranks of the main al-Qaeda terrorist network have been reduced to just two figures whose demise would mean the groupââ¬â¢s defeat. Although the terrorist group is shrinking, it is important that the American people stay on alert. There will probably always be a fear of the terrorist groupââ¬â¢s reemergence, but as long as we stay a step ahead and do not underestimate the group, the American people will be a-okay.
Monday, July 29, 2019
Income Tax Coursework Example | Topics and Well Written Essays - 2000 words
Income Tax - Coursework Example 2. Wages and salaries was composed of: â⬠¨Salary taken by Ronni, à £25,000 â⬠¨Wages paid to Bryn (Ronniââ¬â¢s father) for work done to repair bicycles, at a rate of à £20 per hour (30 hrs x 48 weeks) = à £28,800 â⬠¨Wages paid to assistant bicycle repairer at a rate of à £15 per hour (30 hrs x 48 weeks) = à £21,600 â⬠¨Casual help in shop, à £5,400 â⬠¨Ã¢â¬ ¨ 4. Repairs and renewals was composed of: â⬠¨Repairs to warehouse floor à £850 â⬠¨Repairs to flat above shop à £750 â⬠¨Cleaning materials à £300 â⬠¨Cleaning contract for shop and workshop â⬠¨Ã £500 â⬠¨Sundry small items à £250 â⬠¨Ã¢â¬ ¨Ã¢â¬ ¨Ã¢â¬ ¨ 5. Motor Expenses mainly for the cost of running Ronniââ¬â¢s estate car used for collecting/delivering broken/mended bicycles and for transporting items for the shop from the cash and carry outlet. Private use of the car had been agreed at 30%. â⬠¨Diesel fuel, car à £8500 â⬠¨Insurance for car à £1200 â⬠¨Repairs, car à £350 â⬠¨Road fund tax, car à £375 â⬠¨Rental of van à £600 â⬠¨Ã¢â¬ ¨ 7. Sundry expenses of were composed of: â⬠¨Subscription to magazine, ââ¬ËCycling Todayââ¬â¢ â⬠¨Ã £100 â⬠¨Subscription to Green party à £50 â⬠¨Subscription to ââ¬ËNew Transport Systemsââ¬â¢ â⬠¨Ã £24 â⬠¨Sponsorship of local junior school cycling proficiency awards à £50 â⬠¨Donation to Green party à £25 â⬠¨Donation to local hospital A&E department (Ronni had an accident and broke her arm) à £100 â⬠¨Ã¢â¬ ¨Postage, stationery and telephone expenses à £100 â⬠¨Ã¢â¬ ¨Accountancy charges à £80 â⬠¨Sundry other items à £100â⬠¨Ã¢â¬ ¨ Calculate the taxable trading profit for Ronniââ¬â¢s business for the year ended 30 September 2011. â⬠¨You should provide your own data where none is given, ensuring that you retain a taxable trading profit (i.e. not a trading loss) and should ensure that you choose data that will fully demonstrate your knowledge of taxation. Calculate the Income tax payable by Ronni for the tax year 2011/12, providing your own data where none is given, to fully demonstrate your knowledge
Sunday, July 28, 2019
Financial Report- Halliburton Company Essay Example | Topics and Well Written Essays - 1250 words
Financial Report- Halliburton Company - Essay Example that participated in auditing Halliburton Company were KPMG LLP, Auditors included through there auditing conveyed that the company had to fully disclosure its financial statements. The public companies must be audited because most of them engage in corruption and misuse of public fund. Therefore they must be audited to give out assurance. 5. Halliburton Company used cash basis accounting. From its Consolidated Statements of Cash Flows it has shown clearly that operating activities amount $ 3654, investment activities shown that , $ (3,688) and the financial activities amounted $( 9172). These activities show that the transaction was in cash basis. 6. The following were items that accompanied Halliburton company financial statement: accounting policies description of the company which helps to the investors to evaluate their financial stability through calculation of assets and liabilities. The people who invested in Halliburton Company are assured of high profit either in long term and short term periods. Also they are assured of proper record keeping (Risdon, & Alvarez2011). 7. Halliburton annual report differs from one another in a way that they need reconciliation statement. In compressive income statement if differs with cash flows statement. In order for them to balance, they articulate the following transaction was required. 9. Working capital can be defined as a financial analysis which characterizes operation available to a company, organization or other entities such as public and government entities or private (Broody, 2004). Liquidity ratio establishes a relationship between cash and other current asset to n current obligation. In Halliburton company , it has his current ratio which it may leads to idle assets that earn nothing and also may lead to theft in small quantities (Pinto, 2010). 10. For the two recent years (2012 and 2011), are Halliburton companyââ¬â¢s assets where financed by debtors or the ownerââ¬â¢s equity? Explain and
Iron Jawed Angeles- Movie analysis Essay Example | Topics and Well Written Essays - 750 words
Iron Jawed Angeles- Movie analysis - Essay Example They were not given the rights to vote because the society on the whole though they cannot choose candidates rationally. They simply lacked the understanding necessary to comprehend the complexities of politics. Alice Paul approaches Ben purely to further her agenda. Ben fancies her the moment they have their first conversation. It would have been compromising for Alice to get political and PR favors from him and secretly harbor a romance story. She was only interested in business and not pleasure even if she wanted to. Had she gotten romantically involved with Ben it would have hindered her efforts promoting the full voting rights for women. The way how the movie progresses showing Ban asking for dinner/lunch frequently shows that it is Ben who initiates the romance fling. Alice agrees to eat with him only after he had given her something in return. The other reason is Alice thinks if she would get romantically involved with Ben it will prevent her from reaching her goals. Somehow she will get distracted from her mission. During the scene when Ben is teaching her how to dance, he tries to kiss her. Even though she wanted to kiss him but somehow she turns her head away. Despite the fact that she fantasizes about him while taking a bath. The movie immediately shows a police officer listening to this threat. However, he does not react at all to such threatening insults. Even after one person throws a bottle at women, there is no reaction from the police authority. Thomas Leighton, the senator for the democrats sees the paper one morning and reads to his wife that her name is among the notable contributors to the National Womenââ¬â¢s Party (NWP). Upon learning that the NWP is urging women voters not to vote for the Democrats, he takes away the monthly funds from his wifeââ¬â¢s account. During the confrontational debate between Inez Milholland and Woodrow Wilson, the president is clearly preventing the
Saturday, July 27, 2019
Abudhabi Financial Market Essay Example | Topics and Well Written Essays - 1250 words
Abudhabi Financial Market - Essay Example The laws and regulation of the financial market are favorable for investment. The financial market of Abu Dhabi is on the verge of expansion with the proposed establishment of the world financial market in Abu Dhabi by the end of 2013. Executive Summary The operations of the financial markets of Abu Dhabi have been explained in this work. The various sectors, financial institution and companies comprising the financial markets of Abu Dhabi have been identified. The places of the trading in the financial markets, operational performance of the market and the risk associated with the operations of the financial market in Abu Dhabi have been explained. The rational behind the investorsââ¬â¢ preference towards Abu Dhabi financial market has been analyzed by the estimation of risk-return trade off. The proposed plans of expansion of the Abu Dhabi financial market have been indicated through this work. The policies of the Abu Dhabi financial market in order to encourage foreign investme nts have been analyzed. Operations The financial market of Abu Dhabi is comprised of companies in the financial industry that includes the banking sector and the insurance sector. There are as many as seventeen banks that operate in the financial market of Abu Dhabi. There are no less than twelve insurance companies in the financial market of Abu Dhabi. ... Abu Dhabi Securities Exchange is the stock exchange of United Arab Emirates that conducts trading of shares and securities of the markets of Abu Dhabi that also includes the financial market of Abu Dhabi. The securities and shares of sixty seven companies in Abu Dhabi are traded in Abu Dhabi Securities Exchange. Apart from the financial sector, the companies listed in Abu Dhabi Securities Exchange also represent the services industry, industrial and hospitality sector, real estate, telecommunication, energy, etc. The various sectors whose stocks are listed in the Abu Dhabi financial market are given below with values in local currency (Abu Dhabi Securities Exchange, 2013). The Abu Dhabi Securities Exchange was established in the year 2000 for the purpose of trading of shares of the companies in United Arab Emirates. The trading locations of the Abu Dhabi Securities Exchange are at Abu Dhabi, Sharjah, Ras Al Khaimah, Fujeirah, Al Ain. The Dubai Stock Exchange is a different sock excha nge in United Arab Emirates that trades shares of other public limited companies of UAE. However, some of the stocks listed in the Abu Dhabi Securities Exchange could also be traded through brokers in the Dubai Stock Exchange. The performance of the stocks of the Abu Dhabi Financial Market for the last one year is represented in the graph given below (BLOOMBERG, 2013). The above graphical representation of the performance of financial market of Abu Dhabi shows that the financial markets have undergone steady growth pattern in the last one year with less fluctuations of the performance of stocks listed in the financial market. The fluctuations or the volatility of the stocks in the financial market has
Friday, July 26, 2019
Questions to be answered Essay Example | Topics and Well Written Essays - 1000 words
Questions to be answered - Essay Example If this freezer breaks down due to poor maintenance it will cost them money to repair or replace the broken freezer. Either way, the restaurant needs to have the freezer fixed or replaced in order to keep the products from spoilage and to let the restaurant fully operate. That is why it will cause the restaurant expense if proper maintenance isnââ¬â¢t observed. Second is wastage of resources, for example, ice creams in the restaurant needs to be stored in the freezer to prevent it from melting, if the freezer is broken due to damage or improper maintenance, it will cause the ice cream to melt, and once the ice cream has melted it cannot be served to the guest during the restaurantââ¬â¢s operation, thus causing the restaurant wastage of resources. Third is disruption and inconvenience, for example, if the guest in the restaurant orders an ice cream and the freezer is broken due to damage and improper maintenance as stated above, it will cause disruption and inconvenience to both the guest and restaurant because the order of the guest will be delayed and the restaurant might need to order the ice cream from another outlet causing disruption and inconvenience because of poor maintenance of the equipment. Fourth is erosion of image and reputation, for example, if the restaurant has poor maintenance in their building causing water leaks from the roof and cracks from the wall and allowing termites to crawl out of it, it will give the guest a very bad dining experience and they could also share their unpleasant experience with their friends who are potential customers, thus causing the restaurantââ¬â¢s erosion of image and reputation. Therefore, proper maintenance should always be observed to prevent these consequences from happening. Life cycle costing determines the present value of an asset during its operating life and its end life from initial capital cost, occupation costs and operating costs. It is beneficial to take this approach when managing maintenance because
Thursday, July 25, 2019
Sustainability In Emerging Economies Essay Example | Topics and Well Written Essays - 500 words
Sustainability In Emerging Economies - Essay Example Most have reduced poverty levels to greater lengths, but at a cost to the environment. They have contributed to global warming by engaging in unsustainable efforts which is a threat to global environmental sustainability (Hansen and Wethal 2014: p 3). In this case study, the researcher focused on a firm, Bunge Limited, to show how they adopted the zero deforestation policies in a bid to ensure food security for a growing population in a sustainable manner. Bunge Limited is one of the largest agribusiness firms in the world. The company is one of the largest suppliers of global commodities. However, in its efforts to feed the world the firm severely impacts the environment through deforestation on agricultural development (McIntyre). The concerns about the effects on the environment prompted the firm to adopt a raft of measures that were sustainable to the firm and the environment (LOUCHE and HEBB 2014: p48). The selected state is Kenya found in Africa. Bunge Limited will partner with the Kenya Forestry Services (KFS). Bunge will source seedlings from the KFS and plant in the tropical zones of the Mount Kenya forest. The area receives adequate rainfall that is appropriate for various species such as the Cupressus lusitanica and Grevillea robusta. The area is inhabited by the Ameru to the south and some western parts of the mountain, the Agikuyu to the east and north (Johannson and Project, 1995). The project is estimated to take three months. However, sustaining a project in an emerging economy faces challenges due to social-economic and even political differences. In this case, the six principle of project sustainability will be used to ensure the project is beneficial to the members of the society and it lasts. The first principle is to maintain and to enhance the quality of life of the resident. Bunge Limited is concerned with tree planting, and the benefits accrued with trees are
Wednesday, July 24, 2019
Strategic Management Coursework Example | Topics and Well Written Essays - 3000 words
Strategic Management - Coursework Example The rising consumer needs in the developing as well as the developed markets is generating a uniform business opportunity. Companies of local as well as international origin are actively focusing on entering newer markets as well as expanding their presence in existing markets so as to capitalize the newly emerging business opportunities. The business firms of the 21st century are actively focusing on radical as well as disruptive innovation so as to effectively fulfill the needs of the masses. It is important to highlight that the because of the presence of multiple firms offering homogenous products and services, the competition in the market is extremely high. The availability of similar kinds of product and service offerings are resulting in the increase in power for the buyers. It has to be said that to deal with the intense market competition as well as to retain their competitive edge, the organizations needs to design as well as execute successful strategies. This particular assignment focuses on the aspects of strategy development, cutting edge technology as well as the sustainable competitive advantage which are necessary for present day organizations. Traditionally, organizations around the world follow a well designed hierarchy, the top of which is often tasked with the responsibility of strategy planning as well as implementation. For the implementation as well as execution of strategies, companies in various corners of the world often follow the usual one way top down implementation approach. Over the course of execution of business, there have often been doubts about whether it is possible to design effective strategies without following the traditional top down route. In order to find a satisfying answer to this particular focus, it is important to highlight that there is a high level of persistence that is associated with the hierarchical concept of an organization. Organizations which
Tuesday, July 23, 2019
Film, Fashion and Food in India Essay Example | Topics and Well Written Essays - 3250 words
Film, Fashion and Food in India - Essay Example The paper "Film, Fashion and Food in India" discovers the Indian fashion, food and film. The Indian film industry encompasses other language film industries because of the high number of languages spoken by most Indians hence most portions of the Indian film industry are fragmented. Although Bollywood leads India in the production of the film, its specialty is mainly Hindu movies other regions such as Chennai that was formally known as Madras produces films in Tamil and Kolkata is the Bengali movie capital. English, Hindu, and Urdu are among the popular languages in most Bollywood movies where you find an amalgamation of these languages in a single film be it a dialog, soundtracks or subtitles. Of significance however in these Indian films is the art of music that makes the films typically musicals that have catchy music interwoven in the script. Typically the plot of the Indian films is always melodramatic with features like unlucky lovers, love triangles, sacrifice, family attachme nts, devious villains, crooked politicians, and kidnappers, courtesans with golden hearts, theatrical rehearsals of destiny, opportune coincidences and siblings estranged by fate. However, the pattern is changing with the industry advancing to the production of technically advanced films with hilarious stunts in line with global changes in the movie industry. The major part of the creative isolation of early Indian cinema and development of their rules largely differ from the rest of worldly film.
Monday, July 22, 2019
Customer Loyalty in a Business To Business Context Essay Example for Free
Customer Loyalty in a Business To Business Context Essay Customer loyalty is considered to be a powerful tool for most organizations in ensuring that they gain a competitive advantage in their respective industries ( Lam, Shankar, Erramilli, Bvsan, 2004, p. 294). Customer loyalty is necessary for ensuring that organizations remain profitable while also achieving growth through reaching out to new market grounds. The importance of customer loyalty in the world of economics has developed gradually as an area of study especially business to business (B2B) environments. This is due to the need to study and identify factors that ensure customer loyalty is maintained and even increased, according to Haghkhah et al. , (2013, p. 156). Haghkhah, et al., (2013, p. 156) further noted that increased competition for customers in the market signifies that business ought to react even faster and more specific to the demands and wants of clients in order to win their loyalty. For this reason, marketers in most organizations tend to focus on customer retention techniques and also to lay an emphasis on increasing their loyalty levels. In order to achieve this, B2B has offered vast opportunities to ensure that most organizations achieve their objectives of customer retention and loyalty. Thus, the latter shows the importance of understanding customer retention and loyalty as an important area of the research study. Customer loyalty is viewed as a behavior of repetitive buying and further developed moving forward with factors such as antecedents, consequences, and factors. This has led the researcher to gain an interest in conducting further research on customer retention and loyalty, therefore, this research paper will be on the various ways and techniques that organizations can implement in order to increase customer loyalty in a B2B context Customer loyalty According to Haghkhah, et al., (2013, p. 157) a high rate of loyalty in a B2B environment is a competitive advantage to the seller due to the clients willingness to pay a higher price for goods and sensitive since they start becoming less price sensitive as a result of trust that has been gained. This means that the income generated is likely to increase and remain stable to move forward Customer loyalty is viewed as a strategy that aims at ensuring customers gain behaviour of repetitive purchasing from the same company. Customer loyalty in a B2B environment achieves a mutual reward that benefits both the customer and the organization. It is usually considered as ways of gaining competitive advantage by an organization over its competitors. Various companies have applied the strategy of maintaining customer loyalty since it is considered cheaper in regard trying to gain new customers in order to increase their revenue base. ÃÅ'ater.T ÃÅ'ater.B (2010, p. 1322) view customer loyalty based on activities such as contract renewal, making recommendations to clients and increasing patronage in a business to business environments. They further note that these factors will likely influence the level of loyalty to clients of an organization. In other research, customer loyalty in a B2B environment is based on the experiences of the client, the future expectations that a client may have about the organization and the frequency at which a customer buys goods and services from the organization( haghkhah, Abdul Hamid, Ebrahimpour, Roghanian, Gheysari, 2013, p. 158). Further, (ÃÅ'ater ÃÅ'ater, 2010) notes that in order to influence the loyalty of clients in a B2B context, and then the organization has to understand the behaviour of the client and the attitude of the client. Literature review 2.1 Limitations and Gap in Literature The field of customer loyalty is one that has much information, but very little attention has been given to business-to-business scenarios. Most previous research has mainly focused on the customerââ¬â¢s point of view (Mascareigne, 2009). This could be because most view customer retentions as a behavioral factor. (Ranaweera Prabhu, 2003) In any economy, businesses have to transact to perform their daily operations. Some businesses, such as audit firms, exist to serve other businesses. Extensive research on this area could aid other businesses to learn the dynamics of customer loyalty amongst themselves. A major limitation that was also experienced in the research was the over generalization of the research based on a B2B context. Since different businesses have different operations and strategies, some aspects may works for a certain sector that may not necessarily work for another. For example, concepts that may be used to increase customer loyalty in the banking sector, may not work in the manufacturing sector. According to Buttle (2008, p. 267) commitment is defined as the relationship that exist between the two firms and is likely to be terminated at a reasonable future date. In a B2B environment, the commitment shared by the two firms is usually on a mutual agreement. Doma (2013, p. 72) notes that commitment between two firms is usually bonded by trust among the two firms. The level of trust that is usually shared by the two or more firms that conduct business affects their commitment framework. The more a firm is committed to another increases the level of loyalty shared by the two firms. Moorman Rust (1999, p. 183) in their research notes that commitment is usually the level of effort that is put by firms in ensuring a valuable relationship enjoyed by the two firms is maintained in the long term. The relationship usually has economic benefits for the two firms in their bid to ensure they remain profitable in their operations. For this reason, there exists a belief among organizations that the relationship has economic benefits; thus efforts are put in maintaining it. However, according to Hennig-Thurau (2004, p. 463) states that many scholars tend to argue that there is no major difference between loyalty and commitment. That school of thought has been dismissed by Morgan Hunt (1999, p. 24) who argued there is a difference between loyalty and commitment. They, however, noted that the two are related, with a commitment being an antecedent of loyalty. This means that commitment is a factor in B2B environment that will increase the level of loyalty. This also meant th at the existence of commitment had a strong positive impact on the level of commitment. Shabbir et al. (2007, p. 280) in their research demonstrated that commitment is an antecedent of loyalty. They argued that commitment in the B2B environment, it played a central role in ensuring that loyalty is always maintained and even increased to higher levels. Sharma, et al. (2006, p. 77) in their study note that commitment is the situation whereby there is a desire to make a relationship stronger with another person or even group due to familiarity or even friendship has that has been developed over time due to the personal interaction that has occurred between the two over a period of time(Eakuru Mat, 2008, p. 125). Therefore, commitment should be as a result of identifying the values that are shared commonly between two organizations. It is crucial to note that the customer will retain a relationship with another party due to the positive effect they have with the supplier. At times, a client may be forced to continue staying in a relationship with another party due to lack of valuable options that may be available to them (Fullerton, 2005, p. 1388). However, most relationships are maintained with a commitment as a result of the benefits that both parties will benefit from (Brandi, 2001, p. 67). When commitment is the guiding principle of B2B environment, and one organization performs poorly in comparison to the incumbent organization, then due to the level of commitment shared the partners are unlikely to switch to other options (Stephan , 2002, p. 20). This makes a commitment an underlying factor that will help in influencing the level of loyalty in a B2B environment (Stephan , 2002, p. 33). Akin (2012) gives an example, in comparing the loyal between customers with low loyalty and customers with high loyalty and explains that customers with high loyalty will be not be swayed by discounted prices from other suppliers. Therfore, the higher the level of commitment that will be shared between organizations an increase in loyalty levels between the organizations will be experienced. If the level of commitment is increased through activities such as contract renewal and making of recommendations to the other organization, it will in turn increase the level of loyalty enjoyed by the two firms. Therefore, if organizations want to increase the rate of exit by their clients, then they have to build a relationship that will be founded on a commitment. Commitment will in turn increase the level of loyalty in a B2B environment. This will ensure that the future of the organization is maintained as it will continue making profit. In a study conducted by CITATION Gus05 l 1033 (Gustavsson Lundgren, 2005) they give an example whereby airline companies use their frequent flyer programs as a means to enhance repeated purchase through provision of economic incentives to ensure that they increase and also maintain loyal among their clients. 2.2 Theories and Methodologies A common principle that has emerged from the total quality management (TQM) movement is that the decisive path, to retaining customers, is to satisfy their needs (Colby, 2013). The theory holds that if by identifying what customers expect and by meeting these requirements and expectations, these customers are less likely to opt for the services given by a competitor. Past research conducted by Colby (2013) has shown a positive relationship between satisfaction and loyalty. In other words, if a client is satisfied with the services offered by a business, the client is bound to be loyal to the business. Other studies have also identified a positive relationship between service quality and customer loyalty (Van Es, 2012). However, a certain level of satisfaction does not always guarantee the desired loyalty. In a certain survey, Colby suggested four indicators of customer loyalty and this include; demographics, past behavior, perception of gain or loss of switching to a different brand and attitudes towards openness to new brands. Studying these four indicators can give a better understanding of customer loyalty. For instance, if a business expects to save on costs by transacting with another business, then they are most likely to be loyal to that particular partnership. The attitudinal approach takes a view of purchase behavior and tends to explain in terms of values, beliefs and attitudes. Deterministic theory entails the logical relationship between variables and researchers in this field are responsible for identifying which variables affect customer loyalty. It appears to be acceptable to most cognitive researchers that attitude comes before behavior in a scenario that involves repurchasing a product and is very important because attitude comes before a choice. The behavioral approach holds that internal processes cannot be measured and, therefore, have no place in research (Bennet Bove, 2002). Understanding customer loyalty in a B2B scenario is a long term relationship regardless of the importance of the transactions. Both methods may differ in views but can be both used to understand the concept. Although customer loyalty research has evolved over the years, most of this research uses a logical empiricist paradigm(Paavola, 2006). Information about customer loyalty has been derived mainly from cognitive psychology, with theories about attitude forming most of the work. Current theoretical framework could, therefore, bring a new perspective into the loyalty research. Paavola (2006) uses the social constructionism paradigm to examine the notion of customer loyalty critically. The study gives a detailed description of customer loyalty that is based on the social reality of customers. The results imply that different types of loyalty should be taken into considerations when making managerial implementations. Categorization can also be very beneficial when it comes to future loyalty research. Most theories, which are associated with loyalty studies, deal with issues such as loyalty programs, customer satisfaction, customer value, service quality and social bonds (Jacobsen, Olsson, Sjovall, 2004). A model constructed by Jacobsen, Olsson and Sjovall (2004) shows that social bonds have the most significant effect on customer loyalty with companies in the banking sector. The study shows that the most important factors, in maintaining customer loyalty in the banking sector, were social bonds and personnel. This is because, banking services are very similar and to survive in such as market, strong competitive personnel are required to make the right connections. The same study revealed that monetary benefits are not a significant factor in that area of business. According to Kuusik (2007), the factors, trustworthiness, satisfaction, importance of relationship and image are important factors that play a role in the different levels of customer loyalty. Traditionally, most research has focussed on either the influence of individual factors on loyalty or the nature of different levels of loyalty. It is important to not only view loyalty through behavioural criteria, but also attitudinal criteria as well. Behavioural clients could be divided into; forced to be loyal, functionally loyal and loyal due to inertia (Kuusik, 2007). For instance, in a B2B context, when a certain company is a monopoly, getting supplies from them is the only logical answer, and this forces a company to be loyal by force. Businesses can be loyal by inertia due to the importance of a certain process. If the process is of low importance, then there is practically no need to get another partner. This can happen in situations where the transaction is routine such as trash- pickup. Functionality loyalty is gained from when organizations have to partner with other organizations because they have an objective reason to be. Research has shown that inertia is a situation opposite to loyalty CITATION Aki12 l 4105 (Akin, 2012). For example, a business may select another business since they require minimal effort to reach them. Dahlgren (2005) used multivariate data analysis techniques to build a link between dimensions of brand loyalty and to capture the different levels of customer loyalty. The result showed several differences in the loyalty dimensions. In a similar study, Kuusik (2007) uses a LOGIT regression model to determine the significant factors that affect customer loyalty. The model comprises of various factors that affect customer loyalty. The study reveals that image, satisfaction, importance of relationship and trustworthiness are the most significant factors in loyalty research. According to East et al. (2005) the definition of loyalty is useful if they can be used to predict phenomena such as search, retention, and recommendation. The authors establish that combination measures of customer loyalty often act as poor indicators of consumer loyalty as compared to other singular indicators such as recommendations. Apart from viewing these combinations to be of limited value, the research also establishes that there is no form of loyalty that always predicts different loyalty outcomes and a general concept of loyalty should be abandoned (East, Gendall, Hammond, Lomax, 2005). For instance, instead of using indicators such as loyalty programs and money rewards, researchers should either look for retention of customers and any recommendation given by them. 2.3 Identifying relationships between ideas and practice to increase loyalty in a B2B context Various ideas have been drafted in order to increase customer loyalty in a B2B context. For example, from the above review, it is noted that identification of the companys prospects and acting on them will help in increasing the loyalty. However a company can deliver on all the needs of their clients, but the delivery of their services will influence the level of loyalty moving forward. If when delivering all the needs of their client, and they produce a poor delivery service, then this will likely lead to a decrease in loyalty level. For example according to Akin (2012) factors that help increasing the loyalty of customers is high-level service quality delivered by firms that will lead to a high level of customer satisfaction. In another scenario, companies tend to try and find ways in which they can influence the frequency at which their clients access their websites for information. However, research indicates that half of the customers get information from their website. The lack of companies to invest and provide websites that are easy to access and provide the necessary information to their clients will lead to a decline in the level of loyalty. For this reason, there is a clear distinction between the ideas developed to increase loyalty and the practices a company will adopt. Conclusion From this literature review, it can be shown that various researches have tried to establish the existence of a positive relationship between loyalty and aspects such as service quality and customer satisfaction. Some studies have employed the use of correlation analysis to investigate this relationship. Correlation research allows a researcher to determine whether a relationship between variables exists, it allows one to define the extent of the relationship between the variables (Gall, Gall, Bord, 2005). Qualitative and quantitative research methods both have their benefits and drawbacks. For instance, when the correlation between two variables has been established, it still does not tell the researcher what should be done, but rather what can be done. Qualitative methods, as used by Paavola (2006), can also bring out knowledge that is not familiar with other researchers. The results can also be influenced by the researcherââ¬â¢s personal biases. However, some of these studies tend to cover wide areas that may take long periods of research. The benefits of customer retention have been recognized by many researchers (Feihua, 2011). In the business to business scenario, certain aspects of retaining a customer bring out themselves than conducting business with the ordinary customers. For instance, paying attention to the ordinary, like attending meetings on time is not a necessary, but a crucial habit to consider. In a B2B relationship, the parties are more defined, and this is based on the assumption that both parties are seeking common benefits in the relationship (Oy, 2010). In a normal business to customer relationship, the dissolution of the relationship ends up in the consumer leaving the services of the provider. In the B2B setup, the end of the relationship is thought in terms of a process while in switching is thought as just as a change in the relationship. In customer loyalty research, perhaps it would be of vital importance to consider the industry in which the research is being conducted on. In industries wher e the businesses provide similar services, social bonds could be the prevalent factor that promotes consumer loyalty between businesses. In other industries, where the services offered are different, probably loyalty programs and monetary rewards could be the way to win customer loyalty. References Akin, E. (2012). Literature Review and Discussion on Customer Loyalty and Consciousness. European Journal of Economics, Finance and Administrative Sciences, 158-170. Brandi, J. (2001). Building Customer Loyalty: The 21 Essential Elements in Action. Texas: The Walk The Talk Company. Buttle, F. (2008). Customer Relationship Management (2nd ed.). New York: Routledge. Doma, S. A. (2013). Relationship Quality as Predictor of B2B Customer Loyalty. SYSTEMICS, CYBERNETICS AND INFORMATICS, 111(1), 72-78. Gustavsson, S., Lundgren, E. (2005). Customer Loyalty. Lulea University of Technology. Haghkhah, A., Abdul Hamid, A. B., Ebrahimpour, A., Roghanian, P., Gheysari, H. (2013). Commitment and Customer Loyalty in Business-To-Business Context. European Journal of Business and Management, 15(19), 156-164. Lam, S. Y., Shankar, V., Erramilli, M. K., B. M. (2004). Customer Value, Satisfaction, Loyalty, and Switching Costs: An Illustration From a Business-to-Business Service Context. Journal of the Academy of Marketing Science, 32(293), 294-311. Bennet, R., Bove, L. (2002). Identifying the Key Issues for Measuring Loyalty. QUT Digital Repository, 1-29. ÃÅ'ater, T., ÃÅ'ater, B. (2010). Product and relationship quality influence on customer commitment and loyalty in B2B manufacturing relationships. Industrial marketing management, 39(8), 1321-1333.Colby, C. (2013, December 9). A New Paradigm for Understanding Customer Retention. Retrieved from Rockbridge: http://rockresearch.com/a-new-paradigm-for-understanding-customer-retention/ Eakuru, N., Mat, N. (2008). The application of structural equation modeling (SEM) in determining the antecedents of customer loyalty in banks in South Thailand. The Business Review, Cambridge, 10(2), 129-139. East, R., Gendall, P., Hammond, K., Lomax, W. (2005). Consumer Loyalty: Singular, Additive or Interactive? Australian arketing Joural, 10-17.Feihua, Q. (2011). Customer Retention in E-commerce business. Haaha-Helia University press, 1-56. Fullerton, G. (2005). How commitment both enables and undermines marketing relationships. European Journal of marketing, 39(11), 1372-1388.Gall, J., Gall, M., Bord, W. (2005). Applying educational research: A practical guide (1st ed.). Boston: Pearzon. Hennig-Thurau, T. (2004). Customer orientation of service employees: Its impact on customer satisfaction, commitment, and retention. International Journal of Service Industry Management, 15(5), 460-478. Jacobsen, D., Olsson, M., Sjovall, A. (2004). The Creation of Customer Loyalty. Kristianstad University, 1-71. Kuusik, A. (2007). AFFECTING CUSTOMER LOYALTY: DO DIFFERENT FACTORS HAVE VARIOUS INFLUENCES IN DIFFERENT LOYALTY LEVELS? Tartu University Press, 1-29. Mascareigne, J. (2009). Customer Retention. Lulea University Press, 1-88. Moorman, C., Rust, R. T. (1999). The role of marketing. The Journal of Marketing, 180-197, 63.Morgan, R. M., Hunt, S. D. (1999). The commitment-trust theory of relationship marketing. The Journal of marketing, 20-38.Oy, O. (2010). IMPROVING CUSTOMER LOYALTY THROUGH A REGULAR CUSTOMER PROGRAM. TAMPEREEN AMMATTIKORKEAKOULU University Publications, 1-45. Paalova, H. (2006). Categories of Loyalty. Toward Meaning-based Theory of Customer Loyalty. European Advances in Consumer Research, 420-428. Ranaweera, C., Prabhu, J. (2003). The influence of satisfaction, trust and switching barriers on customer retention in a continuous purchasing setting. international journal of service industry management, 374-395. Shabbir, H., Palihawadana, D., Thwaites, D. (2007). Determining the antecedents and consequences of donor â⬠perceived relationship qualityââ¬âA dimensional qualitative research approach. Psychology Marketing, 24(3), 271-293. Sharma, N., Young, L., Wilkinson, I. (2006). The commitment mix: Dimensions of commitment in international trading relationships in India. Journal of International Marketing, 64-91. Stephan, B. (2002). Customer Loyalty Programs and Clubs (2nd ed.). London: Gower Publishing, Ltd. Van Es, R. (2012). The Relationship between Service Quality and Customer Loyalty, and its Influence on Business Model Design. Universiteit Twente, 1-85. Source document
Construction Project and Procurement Essay Example for Free
Construction Project and Procurement Essay A historic overview on the development of building procurement systems in the UK from post war period (1945) present day. The points in evolution a split into 4 phases; 1. 1)Phase 1 1945 ââ¬â 1972: The period before the World War 2 selective tendering methods were being used more prolifically, the Simon report 1944 (ministry of works 1944) strongly recommends the use of selective tendering. After the end of the 2nd World War there was an increase in the building industry, this resulted in using procurement methods such as open competitive tendering despite the report in 1944. In the 1950ââ¬â¢s the Phillipââ¬â¢s report reiterated the recommendation in the use of selective tendering and explained the need for co-operation from all parties in the construction process (HMSO 1950). However by this time new procurement systems such as negotiated tenders and design and build had come about. Through the 1960ââ¬â¢s to the 1970ââ¬â¢s the need for co-operation between the industry and its professions was further expressed in the Emmerson report 1962 and Banwell 1964, they also reiterated in this period the recommendations of the Simon report 1944 and the use for selective tendering. Over all from the end of the war to the 1970ââ¬â¢s this was a time of uninterrupted economic growth in which construction procurement in terms of conventional methods prevailed, only where few unconventional methods where being used on smaller projects, Despite a number of reports in the period recommending the adoption of more co-operative approaches from members of the project team. 1. 2)Phase 2 1973 ââ¬â 1980: Phase 2 was a period of recession and instability, which was a result due to large price increase of crude oil from other countries, Post the 2nd World War after the economic boom this was lead due to high inflation rates. A number of case studies during the 1970 had brought to attention the use of non-conventional procurement methods. The wood report 1975 examined purchasing policies and procurement, although the report was restricted to the public sector it stated that public authorities used inappropriate procurement methods due to circumstances and found that 40% of the projects that were examined still used non-conventional procurement. Reports that followed this stated the need for improvement and urged a state of recovery as clients did not want to commit themselves to building projects during a time economic uncertainty. . 3)Phase 3 1980 ââ¬â 1990: This phase was a time of post-recession the period of adjustment and recovery, big changes were made in the economy and the construction industry it introduced labour-only subcontracting and changed attitudes of major clients. Major clients and organisations had decide that old existing procurement methods were inefficient and caused delays there fore leading to extra cost at the end of projects, So bigger organisations such as the British property federation (BPF) started to use ideas from the US to improve their own management and procurement systems. In this period conventional methods were popular and were still widely being used, there was also a substantial increase in the design n build and management contracting, however management contracting proved in early years to take longer and dissatisfy clients if poor management was involved due to projects being overrun so there was a suggestion to reduce this method. 1. 4)Phase 4 1990 ââ¬â 2008: The period from around 1990 up to the credit crunch (recession 2008) contained around equal phase of recession and recovery as it did from the post war period. In past decade the advent of partnering and the increase in various private finance initiatives had come about, there were also efforts by the governments to improve the performance in the construction industry. Two main reports were the means of vastly improving the industry, these reports were made by ââ¬ËSir Michael Lathamââ¬â¢ (Constructing the Team) and by ââ¬ËSir John Eganââ¬â¢ (Rethinking Construction), these two reports changed the industry by improving the inefficiencies towards procurement and contractual agreements within the construction industry. The reports brought about a number of initiatives such as; â⬠¢M4I ââ¬â the Movement for Innovation was formed in 1998 I was to co-ordinate the report ââ¬ËRethinking Constructionââ¬â¢ through the use of demonstration projects, working groups and knowledge exchange, â⬠¢KPIââ¬â¢s ââ¬â are a product from ââ¬ËM4Iââ¬â¢ and the ââ¬ËEgan Reportââ¬â¢ they were set to create targets in which had to be met in order to achieve improvement, a number of ââ¬ËKPIââ¬â¢sââ¬â¢ were created but were refined in the year 2000 to around elven different aspects of the process of construction, PFIââ¬â¢s ââ¬â private finance initiates were brought about by the government to enable public projects to be funded without the need for the capital from the government, â⬠¢Partnering and framework agreements ââ¬â had already come about before 1994 but were given great impact by the ââ¬ËLatham Reportââ¬â¢. Partnering is where contractorââ¬â¢s works with client to reduce and share costs, the partnering framework agreements are the contractual agreements between both parties.
Sunday, July 21, 2019
Management of Amlodipine Influenced Gingival Overgrowth
Management of Amlodipine Influenced Gingival Overgrowth Surgical Management of Amlodipine influenced gingival overgrowth in Hypertensive patient. Abstract: Drug-influenced gingival overgrowth (DIGO) is a serious concern both for the patient and the clinician. A number of local and systemic factors such as plaque, hormonal changes, drug ingestion, heredity can cause or influence gingival overgrowth. Certain anticonvulsants, immuno-suppressive drugs and a number of calcium channel blockers have been shown to produce similar gingival overgrowths in certain susceptible patients. Amlodipine is a comparatively new calcium channel blocker may induce gingival overgrowth in case of underlying inflammatory component. A 38-year-old hypertensive female patient on amlodipine (10 mg/day, single dose orally) since eight months, sought dental attention because of the resultant gingival overgrowth. Clinical examination, Medical history and histological assessment further helped to formulate a diagnosis of DIGO. Six weeks after phase-I therapy and drug substitution, undisplaced flap surgery was performed. The patientââ¬â¢s gingiva seemed to be normal at six month follow-up visit, with no signs of recurrence. Key words: Gingival overgrowth, Hypertension, Amlodipine, Undisplaced flap surgery. Drug influenced gingival overgrowth. Introduction: There are many factors (causal or modifying) involved in gingival overgrowth. Plaque accumulation on teeth causes gingival inflammation and may lead to inflammatory enlargement. Gingival overgrowth can be seen in patients with familial hereditary gingival fibromatosis, pregnancy, and leukemia. DIGO is a well-documented side effect of some pharmacologic agents, including, but not limited to, calcium channel blockers (CCBs), phenytoin, and cyclosporine[1,2 ]. It can be a serious concern for patients due to the concomitant unesthetic appearance and the formation of new niches for the periopathogenic bacteria [3]. Despite the relatively high prevalence of nifedipine-influenced gingival overgrowth, [4 ] amlodipine has less frequently been reported as the potential etiologic cause of gingival overgrowth[5] .Amlodipine is a comparatively new long acting dihydropyridine calcium channel blocker that is used in the management of both hypertension and angina. Unwanted effects associated with ch ronic usage of amlodipine are few and are mainly related to vasodilation. The pharmacological effects of these drugs are specific but the clinical and histological features of the enlargement caused by the different drugs are similar. The clinical appearance of DIGO is usually characteristic, although variants are seen depending on the location of lesions, the irritants involved and the extent of inflammation. As the condition progresses, the marginal and papillary gingival overgrowth and may interfere with speech, mastication and aesthetics. In the patients with preexisting periodontitis and DIGO the deepening of periodontal pockets and associated subgingival microbiota may increase periodontal attachment and bone loss. The surgical treatment is a definitive therapy for DIGO, in absence of spontaneous regression following drug substitution and phase-I Therapy. The common surgical technique is the simple excision of the excessive gingival tissue withââ¬â external bevel gingivectomy (EBG) or internal (reverse) bevel gingivectomy (IBG). The surgical approach of undisplaced full thickness flap, in this context, is more suitable to eliminate periodontal pockets (Pocket wall) in presence of adequate attached gingiva and to improve the alveolar bone morphology. In the present report, a case of amlodipine-influenced gingival overgrowth (AIGO) has been presented wherein the AIGO was treated in the following phases: (1) substitution of the drug , (2) thorough Phase-1 therapy, (3) surgical excision of the residual gingival overgrowth and (4) maintenance and supportive therapy. Case Description: A 38-year-old female patient was referred to us with complaint of swollen and bleeding gums in the upper and lower jaw. Past medical history revealed hypertension for which the patient received amlodipine (10 mg/day, single dose orally) for the last eight months. The patient had noted a gradual and painless enlargement of the gingiva for first 4 months and then she noticed bleeding gums. A generalized fibrous gingival enlargement with edematous marginal gingiva, owing to superimposed inflammatory component, was found throughout the maxillary and mandibular gingiva (Fig. 1A,B,C,D). Presence of generalized periodontal pockets (âⰠ¥7-8mm) and clinical attachment loss (âⰠ¥5-6mm) was a prominent feature of gingival overgrowth indicating a vertical enlargement of gingiva. Purulent discharge and bleeding on probing were detected which were in accordance with the inflammation. Treatment: On request, patientââ¬â¢s physician substituted amlodipine with Beta Adrenergic blocker (Atenolol), after which, patient was recalled for through scaling and root planing. Oral hygiene instructions, chlorhexidine mouthwash 0.2% of 10ml twice a day was prescribed. At follow-up after six weeks, residual inflammatory component of the enlargement resolved(Fig-2) but the gingival overgrowth needed definitive surgical treatment. Under adequate local anesthesia (xylocaine 2%), the pocket depth was marked, (Fig-3) an internal bevel incision was taken up to the alveolar crest. (Fig-4) Crevicular and interdental incision along the base of the pocket wall was released and full thickness mucoperiosteal flap was reflected. (Fig-5) The excised mass was stored in formalin for further histopathologic investigation. Scaling, root planning and curettage were completed. Osseous resective surgery, using carbide burs, along with copious saline irrigation was done to recontour thickened bony plates, le dges and deep interdental craters. (Fig-6) Flaps were trimmed and approximated using interrupted silk sutures. Routine post surgical instructions, a course of antibiotics and analgesics (Cap. Amoxycillin 500mg three times a day for five days and Ibufrofen 400 mg three times a day for three days) and 0.2% chlorhexidine was prescribed twice a day for fifteen days. Microscopic inspection of the gingival biopsy specimens demonstrated a connective tissue hyperplasia, acanthosis of overlying epithelium and elongated rete ridges together with inflammatory cells. Sutures were removed after 1 week. Healing was uneventful and the patientââ¬â¢s appearance and overall function improved considerably at six month follow up. (Fig-7) Oral hygiene instructions were given from first visit and reinforced in all subsequent visits. Discussion: Amlodipine is a second-generation dihydropyridine CCB that can cause gingival overgrowth. The prevalence of amlodipine-influenced gingival overgrowth has been shown to be between 1.7% and 3.3%[6,7]. Lafziet al.(2006) had reported rapidly developing gingival hyperplasia in patient receiving 10 mg/day of amlodipine within 2 month of onset. [8] The incidence of gingival overgrowth with nifedipine therapy has been reported to be as high as 20%, [9] and a study by Prisant (2002) [10] reported that the prevalence with the use of CCBs might be as high as 38%.Gingival overgrowth considered to be 3.3 times more common in men than in women [10] .The most common form is bacterial plaqueââ¬âinfluenced gingival disease, which presents as gingivitis. Use of phenytoin, cyclosporine, and CCBs, as well as vitamin C deficiency, can also predispose to development of gingival overgrowth, as can hormonal shifts during pregnancy. The reason for these adverse events is not absolutely known, but mechani sms involving inflammatory and non inflammatory pathways have been suggested [11]. For example, individual sensitivity to a drugââ¬â¢s metabolic pathway might be a trigger [11]. Untreated gingival overgrowth might lead to bleeding, infection, abscess, ulceration, cosmetic deficiency and/or functional difficulty (eg, chewing, talking) [10]. Treatment of drug-influenced gingival overgrowth includes cessation/replacement of the drug and decreasing other risk factors with meticulous mechanical and chemical plaque control. Replacing the affecting drug with another agent is also recommended when possible[12]. In present case of DIGO patient was under treatment for hypertension since last 8 months and was prescribed tablet Amlodipin 10mg/day by her physician. Thorough SRP and replacing the Amlodipin with Atenolol was done. Drug substitution and thorough SRP did not result into regression of the enlargement. The surgical treatment is a definitive therapy for DIGO, in absence of spontaneous regression following drug substitution and phase-I Therapy. Classic gingival surgery primarily deals with the treatment of pockets ââ¬â i.e., gingival sulci that are deepened due to a proliferation or an increase in bulk of gingival tissue in a coronal direction, with or without apical migration of the epithelial attachment. External bevel gingivectomy (EBG) and internal bevel gingivectomy (IBG) should be reserved for cases not responding to non surgical methods or severe cases that affect oral hygiene or functionality, or can be performed for cosmetic reasons. IBG approach has the benefit of limiting the large denuded connective tissue wound that results from the external gingivectomy, thereby minimizing postoperative pain and bleeding. It is accepted that gingival surgery (both EBG and IBG) is essentially limited to the treatment of pseudopockets. But if true pockets associated with bone defects are present then undisplaced flap surgery can be the treatment modality for the massive enlargement. The advantages of this technique are removal of pocket wall and osseous contouring simultaneously eliminating the gingival overgrowth and pocket in presence of adequate attached gingiva. In this case report undispalced flap surgery was performed for eliminating pocket and osseous contouring in presence of adequate attached gingiva. However regardless of the treatment option employed, regular maintenance and recall follow up are mandatory to achieve the long term success. Conclusion Gingival overgrowth is an overlooked but potentially harmful side effect of treatment with amlodipine and other calcium channel blockers and every physician should be aware of this, particularly if adverse oral symptoms arise during drug use. The amlodipine influenced gingival overgrowth in this case completely resolved when the patient was switched to Beta Adrenergic blocker (Atenolol) followed by surgical excision of the overgrowth. Another factor contributing to the excellent response to the therapy is the patient compliance in maintaining the oral hygiene. Lastly the patientsââ¬â¢ documented data should be shared with the physician to gain his confidence and respect for the dental community. In addition, he will be motivated to refer patients with complains of gum swelling at a much earlier stage or in fact, advice dental consultation for improvement of oral hygiene before prescribing the list of drugs that may influence gingival overgrowth in presence of preexisting gingival inflammation. References 1
Saturday, July 20, 2019
R.C. Sherriffs Journeys End :: R. C. Sherriff Journeys End Essays
R.C. Sherriff's Journey's End Set on the Western Front, ââ¬ËJourneyââ¬â¢s Endââ¬â¢ is based on R C Sherriffââ¬â¢s experiences as an Officer in the trenches of the First World War. It was the first war play to look at the reality of the day to day life of soldiers. Prior to ââ¬ËJourneyââ¬â¢s Endââ¬â¢, plays either demonised the enemy, and focused on deeds of heroism, or preached the futility of war. This play was one of a number of literary works, produced about 10 years after the end of the war, which showed the horror of war by looking at the mensââ¬â¢ day to day lives. These included ââ¬ËUndertones of Warââ¬â¢ by Edmund Blunden, ââ¬ËGoodbye to All Thatââ¬â¢ by Robert Graves, ââ¬ËAll Quiet on The Western Frontââ¬â¢ by Remarque, ââ¬ËHer Privates Weââ¬â¢ by Frederic Manning and ââ¬ËMemoirs of an Infantry Officer by Siegfried Sassoon. In a ââ¬ËJourneyââ¬â¢s Endââ¬â¢, the horror of war is often shown in the subtext, of the soldiers conversations, not by the direct actions of the men. Although in the first instance it was rejected by theatre managers, the play went on to strike a chord with the public and had a two year run in London. They responded to the play because it showed them, for the first time, the fear and squalor that the men faced continually and how they dealt with it. Extract 1 (Pages 1-4) gives the audience the opportunity to understand the terrible conditions in which the characters lived. The characters engage in sarcastic banter as they can not afford to give into their true feelings towards the situation. Everyone does what they can to keep each others spirits up. The Director would need to enhance the horror of the mensââ¬â¢ situation in the way that he sets the stage. The setting is a dug out in a trench during World War I. A depressing mood and claustrophobic atmosphere needs to be created by this set and the lighting. The beds, table and stalls need to be on top of each other, rotten wood, the occasional sound of dripping water and a muddy floor are essential. Bottles, glasses and papers need to be piled high on the small table. The dugout should be poorly lit, by a candle or oil lamp. The sky, visible through the door, needs to be bright. The contrast between light and dark represents the soldiersââ¬â¢ confinement versus the world that they knew before the war. If the characters had the choice they would not talk about death and squalor, however it is the stuff of their daily lives. They get around talking about the subject but using light hearted banter.
Friday, July 19, 2019
Lord of the Flies :: Lord of the Flies Essays
William Golding, in his fictional novel Lord of the Flies, has created one of the most stunningly elaborate, captivating works of American literature. It is a straightforward story of a few shipwrecked schoolboys that dramatically turns into a multifaceted tale of endless deceit, trickery and all out jealousy. It is in this story that three boys, Ralph, Piggy, and Jack, come to play the pivotal parts of leaders to a group of children who are fighting for the right of survival. Ã Ã Ã Ã Ã The first boy is Ralph, a fine example of morals, compassion and friendship. He is the first person on the island to take charge and the one who hold the group together. Ralph was elected the leader as soon as the group first came together. He was recognized as one person who courage to lead them home. On the vote for chief, Ralph said, “ ‘Who wants me?’ Every hand outside the choir except Piggy’s was raised immediately. Then Piggy, too, raised his hand grudgingly into the air. Ralph counted ‘I’m chief then’ '; (Golding 23). Ralph is chosen as leader because in the story Lord of the Flies, he symbolizes every good quality necessary to return home. The qualities are leadership, kindness, benevolence, and most of all, friendship. The second youth is known to the other boys as Piggy. Piggy is not like the other boys, in the fact that his sense of fun and adventure was replaced with that of worrisome and caution. He is a portly child, which brought on the name “Piggy.'; He also suffers from various ailments, such as bad eyesight and asthma. “He was shorter than the fair boy and very fat. He came forward, searching out safe lodgments for his feet, and then looked up through thick spectacles'; (Golding 7). Piggy symbolically represents every problem, every mistake that could be made, that might leave many young boys stranded on an island far out at sea. The final young man goes by the name of Jack Merridew. Jack is a hotheaded youth with a flair for leadership, and a temper to go along with it. Jack was the boy who wanted the position of chief from the start. In response to Ralph’s election as chief, “Even the choir applauded; and the freckles on Jacks face disappeared under a blush of mortification'; (Golding 23). Jack Merridew, from then on, was different. He detested Ralph and from then on was consumed by hate and jealousy toward everyone that followed the new chief.
AE response to Alcoholism :: essays research papers
à à à à à This weekââ¬â¢s selections of articles from the AE reader were both interesting and thought provoking. The first article ââ¬Å"Drinking to get Drunk,â⬠details the growing concern of binge drinking on college campuses across the country. I thought it was very interesting that 23% of students are ââ¬Å"frequent binge drinkersâ⬠whereby frequent binge drinking is operationally defined as those who consumed at least five drinks in a row at one point during any two week period. This is startling number when thinking of my own drinking habits or even the social norms of drinking on this campus. I would be confident in claiming that at Providence College, the percentage of frequent binge drinkers is likely higher than the national percentage. With the social culture of this campus being focused on gatherings that include alcohol, it is hard to remove oneself from a drinking climate. As a student leader on this campus, we are required to program so many a lcohol free activities to promote a ââ¬Å"dryâ⬠campus. These efforts go unnoticed and very often are unattended by students because of the competition of the off campus bar scene. Perhaps if the surrounding community (ie: local bar establishments/package stores, law enforcement officials, attorney generals office) becomes more stringent in enforcing underage drinking regulations, it will become more difficult for underage students on this campus to drink. Or on the flipside, the result could be just as devastating with a shift in drinking off campus to on campus, causing more on campus disciplinary actions. This could be worth it however if it means that students will be drinking in their dorms and in a fairly safe environment unlike our neighboring community. Further examination on this campus is necessary and continues through student congress and Fr. McPhailââ¬â¢s office. Personally, I donââ¬â¢t think the drinking climate will change until the allure of drinking and being drunk is discouraged and students develop a mature sense of what is ââ¬Å"cool.â⬠à à à à à The second article ââ¬Å"The Drug that Pretends it Isnââ¬â¢tâ⬠is also an article related to alcohol and the nasty consequences of drinking on our society. The article opens with the giggle of Jamaica, the trendy spring break hot spot that many college students flock to. A policy research group called Drug Strategies produced a report that calls alcohol ââ¬Å"Americaââ¬â¢s most pervasive drug problem,â⬠which is sadly true. What shocked me was the claim that alcohol-related deaths outnumber deaths related to drugs four to one; alcohol is a factor in more than half of all domestic-violence and sexual assault cases.
Thursday, July 18, 2019
A Brief Overview of World War I
The World War 1 conflict began in 1914 to 1918. It started as a nearby European war between Austria-Hungary and Serbia on July 28th 1914. It transformed into a general European struggle by declaration of the following nations known as the ââ¬ËAllies' and the ââ¬ËAssociated Powers'; Great britain, France, Russia, Italy and the United states. These nations defied the coalition(central powers). The assassination at Sarajevo in bosnia immediately caused the war between Austria-Hungary and Serbia on June 28th 1914. The Triple Entente was involved in the first world war along with the Triple Alliance. The Triple alliance was formed by Germany, Austria-Hungary and Italy in 1882. These Countries agreed to assist each other if attacked by either France or Russia. In WW1, Germany attacked France which caused the Triple alliance to support them in there war. Russia, who feared the growth in the German army, joined up with Britain and France which eventually formed the Triple Entente. The Russian Government was also very cautious and concerned about the possibility of Austria-Hungary increasing the size of their army's population. One of the causes of World War was that they made all the aforementioned items join in the war (alliances, imperialism, militarism, nationalism) and then was the assassination of Archduke Franz Ferdinand of Austria-Hungary. In June 1914, him and his wife were assassinated by a Serbian Nationalist while they were in Sarajevo, Bosnia which was part of Austria-Hungary. Austria-Hungary was in protest of having control of this region. Serbia wanted Herzegovina and Bosnia to belong to them. This assassination led to Serbia being declared of war by Austria-Hungary. When Russia began to mobilize because of its alliance with Serbia, Germany quickly declared war on Russia. This expanded the war including all those involved in the mutual defense alliances. Another cause was Nationalism. Bosnia and Herzegovina no longer wanted to be part of Austria-Hungary but instead be part of Serbia because most of the origin of the war was based on the desire of the Slavic peoples. nationalism led directly to the War in this way. The nationalism of countries throughout Europe contributed to the extension of the war and the beginning- in a general way. Each country tried to prove their dominance and power through this. The Battle of Gallipoli was one of the major events that occurred in WW1. This battle began in 1915. By the spring, it sunk stalemate as there was combat on the Western Front. Trenches that stretched from the English channel to the swiss border, there were Enemy troops basically staring at each other. Neither opponent could outflank its enemy resulting in costly direct attacks on well-fortified defenses. Movement of each sides were predicted at the beginning of the conflict had devolved into deadly war(or stagnation). The Battle of Verdun is another major event caused it WW1. it is considered the greatest and lengthiest battle in world history. There has never been a more lengthy battle such as this one, involving so many men, situated on such a tiny piece of land. The battle of Verdun lasted from 21 February 1916 until 19 December 1916 caused over an estimated 700,000 casualties (dead, wounded and missing). The battlefield wasn't even ten square kilometres. There can be no justification for these losses from a strategic point of view. The battle transformed into a matter of prestige of two nations literally for the sake of fighting! Economic change: Technology and weapons experienced a great boost after the war, as the production of automobiles, airplanes, radios, guns, weapons of mass destruction(WMA), and even certain chemicals, boosted wildly. The advantages of mass production and the use of machinery to perform former human labor tasks and encounters, proved to stimulate the economy, the United States' in for example. Much of Europe suffered eye opening losses of property and landscape as well as finances. Europe had the respect of the world as a very reliable money-lender by 1914. Yet just four years later, Europe was in danger for their greatly in debt to her allies for their financial contributions towards the war effort, owing them round about $10 billion. For them to pay back their allies, Many of the European governments began to rapidly print a lot of money, only to subject their countries to a period of inflation. The middle class members who had been living rather comfortably on investments started to experience a bumpy financial period. Germany was hit the hardest in struggling terms with the war reparations, and the German mark drastically lowered the inflation value. In 1923,No more than three months into that year, the German mark boosted from 4. 6 million marks to the dollar to 4. 2 trillion marks to the German dollar. It occurred that the inflation knew it had no bounds.
Wednesday, July 17, 2019
Philippine Rice Farmers Socioeconomic Status Essay
Rice upgradeers sociostinting stipulation better when they venture into other businesses. The economic and social status of Filipino rice farmers and their families has steadily meliorated during the last decade, non because they depended on rice, but because they ventured into other activities that supplemented their income from rice. This was arguen by a get hold of conducted by the Socioeconomics sectionalization of the Philippine Rice Research bestow (PhilRice). The say group, led by Divina Gracia Vergara, focussed on trends transpiring in rice-based farm kinfolks and rice overthrows, and among farmer operators in 33 provinces for the last 10 years. This intensive study captures the farmers image from 1996 to 2007, Vergara said. The study shows that the rice-based farm household income is increasing, as gross household income went up from P68,974.85 in 1996-97 to P127,799.95 in 2006-07. The finding is besides consistent with the result showing that around 60 per c entum of the households ar in a higher place poverty level (57 percent) in the 2006-07 period. Further more(prenominal), the parting of non gardening activities as a source of income had steadily been increasing, as the study found that rice and rice-based farmers atomic number 18 now engaged in other businesses, such as guard production, wood craft, welding and work overseas. This finding implies an important question. The question in the ample run pass on be close the presence of household members who atomic number 18 ordain to pursue rice kingdom in the future or dependence of rice-farm households on hired labor for the management of their farms, Vergara said. away from improving the status of rice-based households and increasing their income, Vergara likewise learned that the physical body of farmers owning rice land had been increasing by 10 percent for the last 10 years. Moreover, there is similarly an increase in farmers yields regardless of while from 3.30 to n per hectare (t/ha) to 3.72 t/ha during the ludicrous season, and 3.37 t/ha to 3.94 t/ha during the dry season. Across three adopt rounds, most villages are located in irrigated areas, and results show that irrigation is expanding from 60 percent to 66 percent.The current trend revealed by the study besides suggests that highly educated persons are venturing into rice farming, although the majority is modestly educated or with elementary learning only. in that respect is a 2-percent increase in the number of farmers with at least a college education venturing into rice farming. In terms of organizing farmers, however, results show that more than 50 percent of the respondents are not affiliated with rice or rice-based organizations. Most of them have not too undergone instruct since 2004. Noting that half of the farmer-respondents have been farming for 20 years, Vergara also said farmers households are benefiting from the technologies and services that are being provided by the presidency. Despite the interventions, however, average yields gained during the dry and impish seasons are still below the experimental and on-farm trial yields of 7-9 t/ha. Gaining insight from the study, Vergara and her coauthors recommended that training should be sustained to continuously modify farmers skills and companionship. She also stressed the need for the government to encourage farmers to form or occasion organizations as through organization, farmers can consortium resources and have easier access to government incentives. She also suggested the expansion of irrigation areas, as this creates a more favorable environment for rice farming in particular and agriculture in general. To attract more people to be involved in rice production, Vergara proposed that technologies lessen the drudgery of rice farming should continually be developed. It is important that the government detain to monitor the rice-based farm household to charm or approximate the impact of their interventions. This will also give them enough knowledge on the direction of the policies that they would formulate to improve the countryside, Vergara said.
Thursday, July 11, 2019
Post World War II Essay Example | Topics and Well Written Essays - 1250 words
come in human being liberal state of fight II - act eccentricThe violent death zone (Grunt Space, 2004). From this propensity emerged new(prenominal) ample sway of Vietnam- enliven state of state of strugglef ar paintings and tv series. And then, theres We Were Soldiers at once and recent. This hold back divine the delineation say by Rand alone W eitherace and feature Mel Gibson. The deem and the word-painting subject sheer expand active war, not from the pinnacle of mickle of historians, politicians, and wide-viewed bestselling authors and from the individuals who were there.Ferguson (2003) presended a critical armed forces and subject field place setting about the events that surrounded the la Drang archives of Moore. The war in Vietnam was considered a furuncle during the Statess frigorific war with the causation USSR and China. era Vietnam was freshly from its independency from colonial France, a rotation erupted as the commies con trolled blue Vietnam. The 1956 geneva con variationance surface for a field election which was impair by communist rebels called the Viet Cong. America per se was under turbulence at that fourth dimension as professorship ass F. Kennedy was assassinated, with a non-interventionist tender chair Lyndon Johnson. Nevertheless, Johnson sent troops, apply airmobile warfare initiated with the eleventh line of merchandise entrancement plane section renamed as the first sawbuck Division, seventh the great unwashed with the legation to envision and cut down the enemy. paroleWe Were Soldiers at one time ... and Young is a reserve create verbally by retired Lt. Gen. Harold G. Moore, battalion commanding officer of the 1/7 gymnastic horse during the la Drang campaign, unitedly with UPI war newsperson Joseph L. Galloway. It was produced with intensive interviews among Vietnam war soldiers (survivors) and their families, love ones, and all those who were directly mi red and change by the war. Moore wrote that all Hollywood movie had shown it the improper way, which inspired him to deliver the defend, to practise it dear this time. objet dart it is needed to omen semipolitical and conception-wide trends in presenting a deviate of account such as the coupled States war with Vietnam, gibibyte (2004) adjudge that lighting of some other kind laughingstock be build in the examinations of the wars in Viet Nam provided by mankind publications and the world cinema, (p 14). This is common mood of the bearing and warmheartedness of other lucubrate which are all causative to historic facts that cannot be snub altogether. gibibyte (2004) competently displace it when he wrote Viet Nam has greatly contributed to the human nature of the strife-torn and oppressed. From the Western-influenced individual title that emphasized the madness of the ego to the satisfaction of kindly reality that determine death on the orbit as t he highest form of self-realization, Vietnamese prose and poem reflects the convert from a tralatitious to a colonial to a groundbreaking lodge that some(prenominal) slew return make in the sophisticated era. eyepatch the book
Wednesday, July 10, 2019
International Human Resources Term Paper Example | Topics and Well Written Essays - 750 words
multinational adult male Resources - status newspaper fount early(a) planetary tender election rows entangle globose recruitment, expediencys and remuneration when an employee locomote nauseated gives comport or is face with tragedy much(prenominal)(prenominal) whitethorn embarrass m oppositehood conduct and protracted vacations. multinational pitying imaginativeness trends argon activities interpreted by a alliance or an cheek to mend it expend homosexual race imaging to a greater extent efficaciously (Parry, 2013). These activities ar pitch towards change over forgiving imagery carrying out by dumbfound in minds of preparation and gentility. For all sustainable and free-enterprise(a) patronage in the innovation(prenominal) argonna, there is wish for a war-ridden educated and hot men. With the worldwideisticization of profession, many companies are conducting their byplay in early(a) countries and this is referable to the uprising request of safe(p)s in separate move of the populace (Parry, 2013). A winning tune need the big product lineman to market place products abroad and this has entreats the attach tos manpower to stand the slump skills ask for the prosperity of the fundamental law. such formulation may require the long-familiarity to circularise their hands to that their business and adept foul skills in a exotic kingdom, which has cave in pedagogy facilities (Maclean and Wilson, 2009). however bringing up and bringing up of employees in a remote rude as a global human imagery trend has twain commanding and proscribe cause to the evidence and approaching manpower homogeneous (Vaidya, 2006). forgiving mental imagery preparedness in a conflicting solid ground pull up stakes mean iodine has to theme not whole the technical foul skills precisely overly the kitchen-gardening of the contrasted estate. The take in of different peo ples c drop away leave behind set ahead well-disposed skills, which is eventful in the orbit of business (Unesco and the international mixer attainment council, 2010). pass judgment different peoples kitchen-gardening allow embolden good traffic in the midst of the arenas different stopping points and races because fostering sight and growth of the worlds market. However, kick upstairs training of employees in remote countries with amend technical skills has progressively pass(a) the employees to racial inconsistency and heathenish grogginess (Parry, 2013). This has do the workforce upshot to their inhabitancy countries with low-self gaze and ethnocentrism in other countries has make them dampen or tag their culture as uncivilized. This has greatly minify their procedure in the validation. grooming an presidential terms employees in a abroad realm encourages the command strange quarrels (Maclean and Wilson, 2009). This willing be of b enefit to the various(prenominal) and the brass since run-in is an crucial agent in sales and marketing. With globalization, the acquaintance of the language of a overseas coarse in which the brass section intends to open its emergence promotes brain between the contradictory country and the orthogonal investor, which is the attach to in this moorage (Vaidya, 2006). The possess besides makes 1 familiar with the environment in which the organization may have unfastened its branches. In any(prenominal) instances, throw out training of an organizations workforce in a outside country has uncovered the employees to critical change in climatical conditions (Unesco and the international social council, 2010). The rasping mood has make more or less of workforce who had traveled to a abroad country for advertize studies take health complications such as pneumonia and malaria which has apostrophize the lives of near employees wherefore making the gild lo se two the employees and
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