Dubai outbound tourism: An exploratory study of Emiratis and expatriates

This research investigates the perceptions of residents of Dubai, United Arab Emirates (UAE) towards the state of Victoria, Australia as a destination and assesses their knowledge of Victoria’s tourism attributes. Focus groups were undertaken with UAE nationals (referred to as Emiratis), expatriate residents and travel agents. In the case of the former group it was found that the previous travel experiences of most respondents involved travelling in family groups with the wife and mother making the key travel-related decisions. The responses appeared to be broadly representative of attitudes prevalent more widely within their relevant families. Of the expatriate respondents, all were experienced travellers who had previously visited Australia. Their tourism interests, in such things as outdoor activities and music, differed from those of the Emiratis. All but one of the respondents in the focus group of travel agents had previously visited Australia. The study fills a gap in researching immature markets. The use of the focus group method illustrates how investigating the perceptions of emerging target markets can provide a useful input to shape future industry development

The influence of mutation on population dynamics in multiobjective genetic programming

Using multiobjective genetic programming with a complexity objective to overcome tree bloat is usually very successful but can sometimes lead to undesirable collapse of the population to all single-node trees. In this paper we report a detailed examination of why and when collapse occurs. We have used different types of crossover and mutation operators (depth-fair and sub-tree), different evolutionary approaches (generational and steady-state), and different datasets (6-parity Boolean and a range of benchmark machine learning problems) to strengthen our conclusion. We conclude that mutation has a vital role in preventing population collapse by counterbalancing parsimony pressure and preserving population diversity. Also, mutation controls the size of the generated individuals which tends to dominate the time needed for fitness evaluation and therefore the whole evolutionary process. Further, the average size of the individuals in a GP population depends on the evolutionary approach employed. We also demonstrate that mutation has a wider role than merely culling single-node individuals from the population; even within a diversity-preserving algorithm such as SPEA2 mutation has a role in preserving diversity

Medical students' comfort levels with performing the basic head and neck examination in practice: follow-up during the core clerkship year.

ObjectiveFollowing our preliminary study on junior medical students' comfort levels in performing the head and neck physical examination (H&NPE) before and after a department-led teaching session, we assessed the longitudinal effect of this session on students during the core clinical clerkship year, in which these skills were performed on real patients.DesignAnonymous cross-sectional survey study as a follow-up to previous intervention.MethodsOverall, 101 and 90 second-year medical students participated in an H&NPE teaching session 1 year before the current survey administration in 2 consecutive years. The same cohorts of students, as third years, were asked to rate their comfort levels (0-5-point Likert scale) in performing the H&NPE and the importance of otolaryngology rotations in medical school and primary care residency training.ResultsOf the 101 and 90 students, 53 and 46 medical students completed the follow-up survey in each respective year. For both classes, compared with before the teaching session, students reported an average comfort level of 2.8 (somewhat to moderately comfortable) in performing the complete H&NPE (p < 0.0001) during the core clinical clerkship year. Similar changes were observed for the individual ear, nose, mouth, and neck components of the examination (all p's < 0.0002). Students at follow-up reported statistically similar comfort levels when compared with immediately after the teaching session for the ear, oral cavity, and neck examinations.ConclusionThe initial teaching session persistently improved medical students' comfort levels in performing the H&NPE, with some attrition in comfort levels with performing the nasal examination and complete H&NPE. An otolaryngologist-directed, practical educational intervention may permanently reinforce the acquisition of complex skills such as the H&NPE

Changes in left atrial deformation in hypertrophic cardiomyopathy: Evaluation by vector velocity imaging.

OBJECTIVES: Hypertrophic cardiomyopathy (HCM) represents a generalized myopathic process affecting both ventricular and atrial myocardium. We assessed the global and regional left atrial (LA) function and its relation to left ventricular (LV) mechanics and clinical status in patients with HCM using Vector Velocity Imaging (VVI). METHODS: VVI of the LA and LV was acquired from apical four- and two-chamber views of 108 HCM patients (age 40 ± 19years, 56.5% men) and 33 healthy subjects, all had normal LV systolic function. The LA subendocardium was traced to obtain atrial volumes, ejection fraction, velocities, and strain (ϵ)/strain rate (SR) measurements. RESULTS: Left atrial reservoir (ϵsys,SRsys) and conduit (early diastolic SRe) function were significantly reduced in HCM compared to controls (P  - 1.8s(- 1) was 81% sensitive and 30% specific, SRa> - 1.5s(- 1) was 73% sensitive and 40% specific. By multivariate analysis global LVϵsys and LV septal thickness are independent predictors for LAϵsys, while end systolic diameter is the only independent predictor for SRsys, P < .001. CONCLUSION: Left atrial reservoir and conduit function as measured by VVI were significantly impaired while contractile function was preserved among HCM patients. Left atrial deformation was greatly influenced by LV mechanics and correlated to severity of phenotype

MUS-Based Partitioning for Inconsistency Measures

National audienceMesurer le degré d'incohérence des bases de connaissances permet aux agents une meilleur compréhension de leur environnement. Différentes approches sémantiques et syntaxiques ont été proposées pour quantifier l'incohérence. Dans ce papier, nous proposons d'analyser les limites des approches existantes. Tout d'abord, nous explorons la propriété logique d'additivité en considérant les composantes connexes du graphe représentant les bases de connaissances. Ensuite, nous montrons comment la structure de ce graphe peut être prise en compte pour identifier d'une manière plus fine la responsabilité de chaque formule dans l'incohérence. Finalement, nous étendons notre approche pour fournir une mesure d'incohérence de la base entière en satisfaisant des propriétés définies