5,059 research outputs found
Service quality gap analysis in private sector bank - a customer perspective
The present study evaluates the customer perceptions of service quality in selected private sector banks. Data was collected from 200 customers of ICICI and CUB using structured questionnaire. Gap analysis and Multi regression were used fro analysis of data. The result shows that the dimension of service quality such as Empathy and Accessibility has more gap, as the customer expectations are high to their perceived service. The result also indicates that Empathy-Reliability-Assurance positively influences the service quality. The study implies that bank should reduce the service gap to deliver superior quality of service to retain existing customers as well as to attract new customers.Service quality, Service Gap, Multi Regression
Probing the role of single defects on the thermodynamics of electric-field induced phase transitions
The kinetics and thermodynamics of first order transitions is universally
controlled by defects that act as nucleation sites and pinning centers. Here we
demonstrate that defect-domain interactions during polarization reversal
processes in ferroelectric materials result in a pronounced fine structure in
electromechanical hysteresis loops. Spatially-resolved imaging of a single
defect center in multiferroic BiFeO3 thin film is achieved, and the defect size
and built-in field are determined self-consistently from the single-point
spectroscopic measurements and spatially-resolved images. This methodology is
universal and can be applied to other reversible bias-induced transitions
including electrochemical reactions.Comment: 34 pages,4 figures, high quality figures are available upon request,
submitted to Phys. Rev. Let
Evidence for a Hard Ionizing Spectrum from a z=6.11 Stellar Population
We present the Magellan/FIRE detection of highly-ionized CIV 1550 and OIII]
1666 in a deep infrared spectrum of the z=6.11 gravitationally lensed low-mass
galaxy RXC J2248.7-4431-ID3, which has previously-known Lyman-alpha. No
corresponding emission is detected at the expected location of HeII 1640. The
upper limit on HeII paired with detection of OIII] and CIV constrains possible
ionization scenarios. Production of CIV and OIII] requires ionizing photons of
2.5-3.5 Ryd, but once in that state their multiplet emission is powered by
collisional excitation at lower energies (~0.5 Ryd). As a pure recombination
line, HeII emission is powered by 4 Ryd ionizing photons. The data therefore
require a spectrum with significant power at 3.5 Ryd but a rapid drop toward
4.0 Ryd. This hard spectrum with a steep drop is characteristic of
low-metallicity stellar populations, and less consistent with soft AGN
excitation, which features more 4 Ryd photons and hence higher HeII flux. The
conclusions based on ratios of metal line detections to Helium non-detection
are strengthened if the gas metallicity is low. RXJ2248-ID3 adds to the growing
handful of reionization-era galaxies with UV emission line ratios distinct from
the general z=2-3 population, in a way that suggests hard ionizing spectra that
do not necessarily originate in AGN.Comment: 7 pages, 4 figures, 1 table. Accepted for publication to ApJ
Turbulent Mixing in Clusters of Galaxies
We present a spherically-symmetric, steady-state model of galaxy clusters in
which radiative cooling from the hot gas is balanced by heat transport through
turbulent mixing. We assume that the gas is in hydrostatic equilibrium, and
describe the turbulent heat diffusion by means of a mixing length prescription
with a dimensionless parameter alpha_mix. Models with alpha_mix ~ 0.01-0.03
yield reasonably good fits to the observed density and temperature profiles of
cooling core clusters. Making the strong simplification that alpha_mix is
time-independent and that it is roughly the same in all clusters, the model
reproduces remarkably well the observed scalings of X-ray luminosity, gas mass
fraction and entropy with temperature. The break in the scaling relations at kT
\~ 1-2 keV is explained by the break in the cooling function at around this
temperature, and the entropy floor observed in galaxy groups is reproduced
naturally.Comment: Accepted for publication in ApJ
Peri-operative corticosteroid supplementation for patients on therapeutic glucocorticoids:a national survey
An Accretion-Jet Model for Black Hole Binaries: Interpreting the Spectral and Timing Features of XTE J1118+480
Multi-wavelength observations of the black hole X-ray binary XTE J1118+480
have offered abundant spectral and timing information about the source, and
have thus provided serious challenges to theoretical models. We propose a
coupled accretion-jet model to interpret the observations. We model the
accretion flow as an outer standard thin accretion disk truncated at a
transition radius by an inner hot accretion flow. The accretion flow accounts
for the observed UV and X-ray emission, but it substantially under-predicts the
radio and infrared fluxes, even after we allow for nonthermal electrons in the
hot flow. We attribute the latter components to a jet. We model the jet
emission by means of the internal shock scenario which is widely employed for
gamma-ray bursts. In our accretion-jet model of XTE J1118+480, the jet
dominates the radio and infrared emission, the thin disk dominates the UV
emission, and the hot flow produces most of the X-ray emission. The optical
emission has contributions from all three components: jet, thin disk, and hot
flow. The model qualitatively accounts for timing features, such as the
intriguing positive and negative time lags between the optical and X-ray
emission, and the wavelength-dependent variability amplitude.Comment: 27 pages, 4 figures (one in color); to appear in ApJ in Feb. 200
Study of Neurovascular Island Flap or Resurfacing Thumb Defects
INTRODUCTION:
Sensibility is essential to the normal function of the hand; in the thumb it is
particularly important because each hand has only one thumb. If sensibility is lost, it
can be said that the function of the hand is so impaired that it is as though the hand is
âblindâ. Since the original work by Moberg (1964) on the sensory function of the
fingers, many studies have reported on the treatment of nerve injuries and the
evaluation of the sensory function. Dellon (1981) and Wynn Parry and Salter (1976)
have aroused the attention of surgeons by reporting that special techniques of
sensory re-education can result in improved sensation. However, it remains very
difficult to measure sensation in a way which is quantitative, reasonably quick and
easy to do, and which is related to function of the hand in real life.
AIM OF STUDY:
To identify outcome of Neurovascular island flap in our series with reference to:
⢠Etiology,
⢠Age distribution,
⢠Sex distribution,
⢠Anatomical variation,
⢠Procedure and modification to improve the result,
⢠Sensory reorientation in our population and method of improvement,
⢠Two point discrimination in our population and method of improvement,
⢠Donor site disability,
⢠Return of work.
MATERIALS AND METHODS:
Forty two patients were operated. Two patients were females and the rest
were males. The age of the patients ranged from nine to fifty-five years. Except for
the three young patients aged less than 18 years all were industrial injuries. Of these
three patients two had accidental electrical injury to thumb terminal phalanx and the
other sustained accidental injury with knife. All patients were right handed. Sixteen
patients were operated on nondominant hand (i.e. Left hand). Eight patients
underwent osteoplastic reconstruction and the rest of the cases were operated for soft
tissue loss on thumb. The follow-up period was for every 6 months for all patient for 2 years.
RESULTS:
Functional improvement was obtained in all 42 patients. The flap transfers
provided a blood supply, durable skin cover and protective sensibility. This was
reflected in all patients by the colour and texture of their thumbs, and confirmed by
the fact that all 42 patients returned to pre injury work. From a clinical point of view
the results presented are encouraging, as two-point discrimination was less than
15mm and consistently same in follow up. Experience has shown that useful tactile
gnosis is correlated to the finding of 2 PD < 15 millimeters (Moberg 1966), a fact
that was reflected in the performance of the pick-up test. The two point
discrimination improved to near normal when dorsal branch of digital nerve was
transected and sutured to thumb digital nerve(Lee PRS Oct 2006). Increase in 2 PD
could be due to factors such as fibrosis from the scar tissue or repetitive minor
trauma to the palm with subsequent pedicle compression must have played a part.
Sensory reorientation is better after one year of surgery and dominant hands have
complete sensory reorientation. Experience has shown that sensibility can be
improved by prolonged exercises, such as with the blind learning Braille, and after
nerve injury (Dellon, Curtis and Edgerton 1971). Most of the patients in this study
returned to work in two months time and actively used their thumb which could be
the reason for early sensory reorientation. The dominant hand had good sensory
reorientation as this being the hand more frequently used (Krag.C 1975).
Differences in sensory reorientation between flap taken from mid and ring finger
could not be tested in this study as ring finger flaps were done only in last 6 months.
CONCLUSION:
⢠Most common cause is industrial accident
⢠Most commonly involved in the age group between 20 to 40 yrs.
⢠Males most commonly injured.(M:F=40:2)
⢠Right thumb was commonly injured.(R:L=26:16)
⢠Donor finger contracture was avoided by proper post operative splinting.
⢠Preservation of dorsal branch of digital nerve retains sensation at finger tip in
the ipsilateral side of donor finger.
⢠Cold intolerance was not seen in any of our patients because of warm
climate.
⢠Two point discrimination over the transferred flap is less than 15mm which
is necessary for manual work. (Moberg, 1966).
⢠Two point discrimination improved if flap was taken as distally as possible.
⢠Good sensory reorientation was achieved one year after surgery.
⢠Dominant hand regains good sensory reorientation.
⢠If dorsal branch of digital nerve was transected and repaired to thumb digital
nerve, sensory reorientation was better and two point discrimination was
improved. This is useful when the patient is skilled professional like software
engineer, musician.
⢠Appearance of donor finger is acceptable for our patients
- âŚ