Measuring and improving service quality in Automobile dealership center: SERVQUAL

SERVQUAL which is a service quality measurement scale is now been extensively used in research in order to measure the quality of various services being provided to the customers. The objective of the paper is to measure and improve the service quality in the Automobile Dealership Centres using the SERVQUAL tool and verify the significance using SPSS (Statistical Package for Social Science). The identified factors under the SERVQUAL exhibit managerial implications. The paper involves the assessment of customers perception and expectation of service quality for the Automobile dealership industry and the study of SPSS software for verifying the significance of the result and thus finding the quality shortfall areas and suggesting corrective measures in order to win competitive advantage

Detection of right atrial thrombus in a woman with pulmonary embolism and right heart compromise by bedside echocardiography

A 59-year-old female with a history of stage IV lung adenocarcinoma presented with worsening shortness of breath and cough over several weeks. She was tachycardic, hypotensive, and tachypneic. Portable chest x-ray suggested bilateral pleural effusions and computed tomography angiography (CTA) revealed bilateral pulmonary emboli (PE) with suspected right heart strain. Upon admission to the medical intensive care unit for treatment of PE, bedside echocardiography was performed to direct management. Indicators of cor pulmonale and right heart strain were apparent including right ventricle dilation, reduced tricuspid systolic excursion, and a deformed left ventricle with “D sign”. Most notably, a right atrial thrombus was detected, a finding not initially seen on CTA. Ultimately, prompt detection of the effects on the right ventricle by bedside echocardiography directed the next step in this patient's clinical course without delay