Relationship between Service Quality, Customer Retention and the role of Social Media- Case study Premier Inn Hotel (UK)

The aim of this research is to critically evaluate the relationship between service quality and customer retention in Premier Inn Croydon. The objectives studies the concept of service quality in relevance with its characteristics, the objectives also evaluates the significance of customer retention for an organization. The researchers have also analysed and estimated the relationship between the two determinants which are service quality and customer retention of the company Premier Inn Croydon. Researchers have used positivism philosophy, survey strategy, explanatory design and deductive approach for the assessment and evaluation of the relationship between service quality and customer retention. The researchers have employed qualitative and quantitative both type of data obtained through circulating questionnaires and conducting interviews. Through non-probability sampling method and convenience based sampling technique; the sample was of 50 customers, 50 employees and 4 managers of Premier Inn Corydon. The successful completion of this very study has uncovered some area for the future studies especially the role of social media. Along with this, a set of recommendations are also highlighted by the study for the selected company and for the future investigators

Investigating the association between strategic and pathological gambling behaviors and substance use in youth: Could religious faith play a differential role?

Objectives: This study investigated the link between gambling behaviors and the use of alcohol, drugs, and nonprescribed prescription medications, while exploring the moderating role of distinct religious faiths. Methods:: In 2010, 570 students from the American University of Beirut completed a self-reported, anonymous English questionnaire, which included lifetime gambling and past-year substance use measures. Results: Half (55%) were lifetime gamblers, of whom, 12% were probable pathological gamblers. About 60% were strategic gamblers. Lifetime gamblers were more than twice as likely as nongamblers to report past-year illegal drug use and alcohol abuse. Probable pathological gamblers were also more than four times as likely as nongamblers to report nonmedical prescription drug use, illegal drug use, and alcohol abuse. Compared to nonstrategic gamblers, strategic gamblers had more than three times the odds of illegal drug and cigarette use. The link between alcohol abuse and gambling was stronger among Christians than Muslims. Conversely, Muslims were more likely to report the co-occurrence of various gambling behaviors (lifetime, probable pathological, and strategic gambling) with both illegal drug use and cigarette use. Conclusions: Gambling and substance use behaviors were strongly linked in this sample of youth from Lebanon, corroborating the evidence from North America. Particularly novel are the co-occurrence of pathological gambling and nonmedical prescription drug use and the potential differential role of religion

DOUBLE-TROUBLE: TAKOTSUBO AND ACUTE CORONARY SYNDROME IN A YOUNG WOMAN

Background: The original case series of patients with Takotsubo Syndrome (TTS) reported no significant epicardial coronary artery disease during angiography. However, recent evidence suggests an increasing overlap between the two diseases. We report a case of a 48-year old woman who had untreated generalized anxiety disorder and presented with angina. Case: A 48-year old woman with untreated general anxiety disorder presented with a 5 hour history of angina. An electrocardiogram demonstrated a prolonged QTc, no ST segment changes and new T-wave inversions in the anterolateral leads. High-sensitivity troponin was 4,336 ng/L and her InterTAK score was 91 with a 99.6% probability of TTS. Decision-making: Due to her persistent chest pain and EKG changes the patient underwent emergent left heart catheterization which showed critical occlusion of the 1st diagonal and 71% stenosis of the distal left circumflex. She underwent a primary PCI of both lesions. Her chest pain resolved after 6 hours of a nitrolgycerin infusion postoperatively and a transthoracic echocardiogram showed hypokinesis of the mid-distal apical, periapical, septal, lateral, inferior and anterior wall with an ejection fraction of 30-35%. The distribution of hypokinesia was out of proportion to the territory supplied by the culprit artery, suggesting a possibility of the apical type of Takotsubo syndrome. She was started on guideline-directed medical therapy for heart failure with reduced ejection fraction and dual antiplatelet therapy Conclusion: Patients with TTS may have coexistent significant epicardial CAD. Prolonged QTc and lack of ST-segment elevation in patients with CAD may help identify an additional diagnosis of TTS

Acute ST-segment elevation myocardial infarction in a young patient with essential thrombocythemia: a case with long-term follow-up report

Essential thrombocythemia (ET) is a neoplastic proliferation of mature myeloid cells - in particular, megakaryocytes - leading to persistently elevated platelet count. Usual clinical presentation is related to an increase in the risk of hemorrhage and/or thrombosis. Management of ET consists of antiplatelet therapies - mainly aspirin and cytoreductive therapies. Coronary involvement in patients with ET is rare. The optimal treatment strategies for ET patients presenting with acute myocardial infarction remains unclear. Acute interventions like intracoronary thrombolytic therapy, angioplasty, and coronary-artery bypass grafting have been reported in such patients. However, several questions remain unanswered about the acute and long-term management of these patients. Herein, we report the case of a 47-year-old female who presented with acute myocardial infarction as the first clinical sign of ET, and also present the long-term follow-up of this patient

Promoting healthy eating and physical activity among school children: findings from Health-E-PALS, the first pilot intervention from Lebanon

Background: In Lebanon, childhood obesity doubled during the past decade. Preventive measures should start early in life and Schools are considered an important environment to promote energy balance health behaviours. School-based programmes promoting healthy lifestyles are lacking. The purpose of this study was to evaluate the feasibility and effectiveness of a multicomponent school-based intervention to promote healthy eating and physical activity (and prevent obesity) with school children aged 9–11 years in Lebanon. Methods: The intervention was developed based on the constructs of the Social Cognitive Theory and adapted to the culture of Lebanese and Arab populations. It consisted of three components: class curriculum, family involvement and food service. Eight schools were purposively selected from two communities of different socioeconomic status (SES) in Beirut and, within each school type, were matched on SES, religious sect profile, and then randomly assigned to either the intervention or control group. Anthropometric measurements and questionnaires on determinants of behavioural change, eating and physical activity habits were completed by the students in both groups at baseline and post intervention. Focus group interviews were conducted in intervention schools at the end of the study. Challenges encountered during the programme implementation were also identified, since Lebanon is considered a country with political unrest and no similar research projects were conducted in the area. Results: Students in the intervention group reported purchasing and consuming less chips and sweetened drinks post-intervention compared with controls (86% & 88% less respectively p < 0.001). Knowledge and self-efficacy scores increased for the intervention (+2.8 & +1.7 points respectively p < 0.001) but not for the control group. There was no difference in physical activity and screen time habits and no changes in BMI between groups at post intervention. Interview data from focus groups showed that the programme was generally well accepted. Limitations for better outcomes include the length of the programme and the school environment. Conclusion: “Health-E-PALS” intervention is a promising innovative, theory-based, culturally sensitive intervention to promote healthy eating habits and physical activity in Lebanese school children with a potential to be scaled up, replicated and sustained

Implications of invariance of the Hamiltonian under canonical transformations in phase space

We observe that, within the effective generating function formalism for the implementation of canonical transformations within wave mechanics, non-trivial canonical transformations which leave invariant the form of the Hamilton function of the classical analogue of a quantum system manifest themselves in an integral equation for its stationary state eigenfunctions. We restrict ourselves to that subclass of these dynamical symmetries for which the corresponding effective generating functions are necessaarily free of quantum corrections. We demonstrate that infinite families of such transformations exist for a variety of familiar conservative systems of one degree of freedom. We show how the geometry of the canonical transformations and the symmetry of the effective generating function can be exploited to pin down the precise form of the integral equations for stationary state eigenfunctions. We recover several integral equations found in the literature on standard special functions of mathematical physics. We end with a brief discussion (relevant to string theory) of the generalization to scalar field theories in 1+1 dimensions.Comment: REVTeX v3.1, 13 page

NEW INSIGHT INTO THE MIDDLE EOCENE CALCAREOUS NANNOPLANKTON BIOSTRATIGRAPHY AND PALEOENVIRONMENT FROM FAYOUM AND BENI SUEF AREAS, EGYPT

The present study deals with calcareous nannoplankton paleoenvironmental and biostratigraphic implications as well as the genesis and the stratigraphic significance of an event bed recognized from the middle Eocene Beni Suef Formation in the sections of Gebel Na’alun (Fayoum area) and Gebel Homret Shaibun (Beni Suef area), Egypt. Calcareous nannoplankton biostratigraphy indicates that the Beni Suef Formation in the two areas is synchronous, covering an interval that may be correlated with the calcareous nannoplankton Zone NP17. Paleoenvironmental implications from calcareous nannoplankton suggests deposition of sediments in the Beni Suef Formation under relatively stable, temperate and mesotrophic conditions, with a short interval of eutrophication in the basal part of the Homret Shaibun section

A cost effectiveness analysis of salt reduction policies to reduce coronary heart disease in four Eastern Mediterranean countries.

BACKGROUND: Coronary Heart Disease (CHD) is rising in middle income countries. Population based strategies to reduce specific CHD risk factors have an important role to play in reducing overall CHD mortality. Reducing dietary salt consumption is a potentially cost-effective way to reduce CHD events. This paper presents an economic evaluation of population based salt reduction policies in Tunisia, Syria, Palestine and Turkey. METHODS AND FINDINGS: Three policies to reduce dietary salt intake were evaluated: a health promotion campaign, labelling of food packaging and mandatory reformulation of salt content in processed food. These were evaluated separately and in combination. Estimates of the effectiveness of salt reduction on blood pressure were based on a literature review. The reduction in mortality was estimated using the IMPACT CHD model specific to that country. Cumulative population health effects were quantified as life years gained (LYG) over a 10 year time frame. The costs of each policy were estimated using evidence from comparable policies and expert opinion including public sector costs and costs to the food industry. Health care costs associated with CHDs were estimated using standardized unit costs. The total cost of implementing each policy was compared against the current baseline (no policy). All costs were calculated using 2010 PPP exchange rates. In all four countries most policies were cost saving compared with the baseline. The combination of all three policies (reducing salt consumption by 30%) resulted in estimated cost savings of $235,000,000 and 6455 LYG in Tunisia;$39,000,000 and 31674 LYG in Syria; $6,000,000 and 2682 LYG in Palestine and$1,3000,000,000 and 378439 LYG in Turkey. CONCLUSION: Decreasing dietary salt intake will reduce coronary heart disease deaths in the four countries. A comprehensive strategy of health education and food industry actions to label and reduce salt content would save both money and lives

The influence of religion and religiosity on food waste generation among restaurant clienteles

Introduction: Food waste is a global issue of primary concern due to its repercussions on the environment, food security, and the economy. Our study aimed to explore the impact of religion and religiosity on food waste generation among restaurant clienteles in Lebanon, a religiously diverse country. Methods: A convenient sample of 927 restaurant patrons dining out in Greater Beirut was interviewed face-to-face, and leftovers at each table were collected and weighed. Results: Christian diners were found to waste significantly less (p < 0.05) than Druze and Muslim patrons in restaurants serving Lebanese and non-Lebanese food. Individuals (19.1% of respondents) from both religions who reported that their relationship with God is the priority in life waste similarly compared to those who claimed to have other priorities. The higher the religiosity score among both Christians and Muslims/Druze groups was, the lower the food waste quantity got, highlighting the reduced wasteful behavior among highly religious people. Discussion: Based on these findings, including religious cues in consumer-based interventions to reduce food waste can be more effective. This can be achieved through marketing campaigns that communicate religious-based messages to trigger religious beliefs that reduce food waste, using physical spaces and rituals of mosques and churches