Taking a More Balanced Approach to B2B Services Branding: A Case Study of Concise Demolition

The service sector in the developed world has experienced considerable growth over the past two decades. The UK has been no exception. However, many academics have argued this development has not been accompanied by a proportionate growth in services branding literature. This paper looks to add to B2B services branding literature via the case study organisation Concise Demolition (CD). (Please note this name is purely hypothetical so as to respect the commercial privacy of the case organisation.) The paper develops an understanding of how CD can take a more balanced approach to brand positioning which gives explicit consideration to both internal and external audiences views. In the case of this paper, this relates to incorporating target customers requirements (external audience) and its managers perception of customers requirements (internal audience) into its brand positioning. The goal is to identify requirements that are perceived as important by both customers and managers. Aggregated requirements are then articulated as brand values which in their turn shape organisational behaviour to support the overall positioning. The logic being that positioning which incorporates customer requirements should increase the chances of the brand resonating with these customers and; by involving managers in the brand process, commitment to delivering brand promises should be greater. The engagement of employees in the services branding process is critical given the pivotal role employees play at service brands. Key findings indicate that requirements do not always lend themselves to being neatly articulated as values. This results in the need for the researcher to iteratively create umbrella categories as values which requirements fall under. Positioning based around people gained both internal and external support. Several unexpected findings materialised. These relate to mixed support for the relationship metaphor in its source domain of B2B markets, the strong emotional connection CD managers had to the organisations logo and the variable meaning of specific words such as 'innovation' and 'sustainability'. Concluding remarks highlight how this paper enriches both academics and practitioners understanding of the services branding process. The fact this paper has not developed a theory per se is outlined as a limitation of this paper and a call for more B2B services branding research is made so as to add to this areas body of knowledge

clinical status and evolution in moyamoya which angiographic findings correlate

Abstract Moyamoya is a progressive steno-occlusive cerebrovascular pathology of unknown aetiology that usually involves the terminal portions of the internal carotid arteries and/or the proximal portions of the anterior and middle cerebral arteries bilaterally. The pre-operative Suzuki staging system and post-operative Matsushima grade are nearly universally used markers of natural history and surgical revascularization results, respectively, but their correlation with clinical and radiographic manifestations of moyamoya has not been systematically evaluated in a large cohort. This study evaluated the strength of correlations between pre- and post-operative angiographic parameters and clinical status among paediatric patients with moyamoya. The participants included 58 patients of mean age 11 years at the time of surgery who underwent bilateral indirect revascularization in the same procedure at Boston Children's Hospital, between January 2010 and December 2015. All included patients had available pre-operative and 1-year post-operative digital subtraction angiography. Clinical data included presenting symptoms, degree of functional incapacity, and peri-operative and long-term complications. Radiographic data included pre-operative Suzuki stage, degree of arterial stenosis, a novel collateral score, the presence of hypovascular territories on digital subtraction angiography, and post-operative Matsushima grade and evolution of stenosis. Chi-squared test and Pearson coefficient were used for correlation studies for categorical variables and Spearman's rho was used for correlation studies for continuous variables. Results showed that Suzuki stage, collateral score and degree of stenosis were insufficient to predict clinical presentation, pre-operative incapacity and radiographic presentation, whereas the presence of hypovascular territories was correlated with all of these. At 1-year follow-up, Matsushima grade was insufficient for predicting peri-operative or long-term complications, nor did it correlate with post-operative incapacity. The presence of hypovascular territories at 1-year follow-up was correlated with the incidence of post-operative ischaemic symptoms

A Review of Pollutant Concentrations in Urban Stormwater Across Eastern Australia, After 20 Years

Concerns about pollutants in urban stormwater were initially raised in the early 1970s. Australian investigations decades later, also found urban stormwater runoff contained elevated levels of sediment and nutrients, as well as heavy metals, that brought stormwater management to the forefront for regulators. Planning policies were implemented to integrate stormwater management into development in the form of water sensitive urban design (WSUD), also known internationally as low-impact design (LID) and Sustainable Urban Design solutions (SUDs). Since their introduction, comprehensive broad scale field research to verify their success in achieving load reduction targets (LRTs), has been limited. Paucity of field data on the performance of WSUD has prompted organisations to initiate their own locally-specific studies. Limited regulatory guidance on design of monitoring programs has resulted in various methodologies and meta-data recording. This research review collates urban stormwater data from 77 Australian studies, from geographic regions of east coast Australia. The raw dataset in this review included 2,836 events and 4,536 individual results, collected between 1993 and 2021 from local councils, research organisations and water authorities. The review examined total suspended solids (TSS), total phosphorus (TP) and total nitrogen (TN) concentrations, prior to any form of treatment measures as they are the focus of current guidelines and standards for stormwater management. Seminal research, used to inform stormwater guidelines and water quality modelling across Australia, is significantly different (p < 0.001), in this case approximately double the reviewed concentrations. International data is also >20% higher, on average. Geographic location of catchments had the greatest influence on pollutant concentrations, after accounting for the effects of land use and catchment urbanisation date (p < 0.001). Based on the findings of this review, generic load reduction targets (expressed as a percentage of annual inputs, e.g. 80% TSS reduction, 45% TN, 45% TP) typical in current Australian planning regulations, may be sub-optimal in achieving receiving water quality goals, particularly given the difficulty of removing pollutants when present in low concentrations. Alternately, place-based discharge targets which meet, or exceed, background water quality, or ecological and hydrological benchmarks may be a more appropriate tool to achieve environmental objectives

Reaching Inward Not Outward: Marketing via the Internet at the UK 2010 General Election

The Internet has been to date used as a space for simple promotion by political parties; websites present an opportunity for the delivery of non-mediated communication directly to the online audience and nothing more. However, new patterns in usage during campaigns, particularly that of Barack Obama, aided by the technological innovations that fall under the umbrella of Web 2.0, offer new models of online political communication. Through an analysis of the websites and linked online presences of six parties that stood across the UK at the 2010 General Election, we find a dual strategy for Internet campaigning emerging. The persuasive traditions of electioneering remain a feature; however, the key emergent function is one of internal marketing to party supporters and activists. Large sections of party websites are being dedicated to harnessing supporters and converting them to being donators, promoters, and campaigners both online and offline. This suggests that the Internet is increasingly embedded within election communication and online communication strategies are becoming a feature of most of the parties' marketing communication mix. © 2013 Copyright Taylor and Francis Group, LLC

The effects of creatine supplementation combined with resistance training on regional measures of muscle hypertrophy: a systematic review with meta-analysis.

The purpose of this paper was to carry out a systematic review with meta-analysis of randomized controlled trials that examined the combined effects of resistance training (RT) and creatine supplementation on regional changes in muscle mass with direct imaging measures of hypertrophy. Moreover, we performed regression analyses to determine the potential influence of covariates. We included trials of at least 6 weeks in duration that examined the combined effects of creatine supplementation and RT on site-specific direct measures of hypertrophy (magnetic resonance imaging [MRI], computed tomography [CT] or ultrasound) in healthy adults. A total of 44 outcomes were analyzed across 10 studies that met inclusion criteria. Univariate analysis of all standardized outcomes showed a pooled mean estimate of 0.11 (95% Credible Interval [CrI]: -0.02 to 0.25) providing evidence of a very small effect favoring creatine supplementation when combined with RT, compared to RT and placebo. Multivariate analyses found similar small benefits for the combination of creatine supplementation and RT on changes in upper and lower body muscle thickness (0.10-0.16 cm). Analyses of moderating effects indicated a small superior benefit for creatine supplementation on younger compared to older adults (0.17 [95% CrI: -0.09 to 0.45]). In conclusion, results suggest that creatine supplementation combined with RT promotes a small increase in direct measures of skeletal muscle hypertrophy in both the upper and lower body

Exploring the Relationship Between Online Social Network Site Usage and the Impact on Quality of Life for Older and Younger Users: An Interaction Analysis

This is an Open Access journal. ©Darren Quinn, Liming Chen, Maurice D Mulvenna, Raymond Bond. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 29.09.2016. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited

A Failure to Communicate: A Qualitative Exploration of Care Coordination Between Hospitalists and Primary Care Providers Around Patient Hospitalizations

BACKGROUND: Care coordination between adult hospitalists and primary care providers (PCPs) is a critical component of successful transitions of care from hospital to home, yet one that is not well understood. OBJECTIVE: The purpose of this study was to understand the challenges in coordination of care, as well as potential solutions, from the perspective of hospitalists and PCPs in North Carolina. DESIGN AND PARTICIPANTS: We conducted an exploratory qualitative study with 58 clinicians in four hospitalist focus groups (n = 32), three PCP focus groups (n = 19), and one hybrid group with both hospitalists and PCPs (n = 7). APPROACH: Interview guides included questions about care coordination, information exchange, follow-up care, accountability, and medication management. Focus group sessions were recorded, transcribed verbatim, and analyzed in ATLAS.ti. The constant comparative method was used to evaluate differences between hospitalists and PCPs. KEY RESULTS: Hospitalists and PCPs were found to encounter similar care coordination challenges, including (1) lack of time, (2) difficulty reaching other clinicians, (3) lack of personal relationships with other clinicians, (4) lack of information feedback loops, (5) medication list discrepancies, and (6) lack of clarity regarding accountability for pending tests and home health. Hospitalists additionally noted difficulty obtaining timely follow-up appointments for after-hours or weekend discharges. PCPs additionally noted (1) not knowing when patients were hospitalized, (2) not having hospital records for post-hospitalization appointments, (3) difficulty locating important information in discharge summaries, and (4) feeling undervalued when hospitalists made medication changes without involving PCPs. Hospitalists and PCPs identified common themes of successful care coordination as (1) greater efforts to coordinate care for "high-risk" patients, (2) improved direct telephone access to each other, (3) improved information exchange through shared electronic medical records, (4) enhanced interpersonal relationships, and (5) clearly defined accountability. CONCLUSIONS: Hospitalists and PCPs encounter similar challenges in care coordination, yet have important experiential differences related to sending and receiving roles for hospital discharges. Efforts to improve coordination of care between hospitalists and PCPs should aim to understand perspectives of clinicians in each setting

The WiggleZ Dark Energy Survey: the transition to large-scale cosmic homogeneity

We have made the largest-volume measurement to date of the transition to large-scale homogeneity in the distribution of galaxies. We use the WiggleZ survey, a spectroscopic survey of over 200,000 blue galaxies in a cosmic volume of ~1 (Gpc/h)^3. A new method of defining the 'homogeneity scale' is presented, which is more robust than methods previously used in the literature, and which can be easily compared between different surveys. Due to the large cosmic depth of WiggleZ (up to z=1) we are able to make the first measurement of the transition to homogeneity over a range of cosmic epochs. The mean number of galaxies N(<r) in spheres of comoving radius r is proportional to r^3 within 1%, or equivalently the fractal dimension of the sample is within 1% of D_2=3, at radii larger than 71 \pm 8 Mpc/h at z~0.2, 70 \pm 5 Mpc/h at z~0.4, 81 \pm 5 Mpc/h at z~0.6, and 75 \pm 4 Mpc/h at z~0.8. We demonstrate the robustness of our results against selection function effects, using a LCDM N-body simulation and a suite of inhomogeneous fractal distributions. The results are in excellent agreement with both the LCDM N-body simulation and an analytical LCDM prediction. We can exclude a fractal distribution with fractal dimension below D_2=2.97 on scales from ~80 Mpc/h up to the largest scales probed by our measurement, ~300 Mpc/h, at 99.99% confidence.Comment: 21 pages, 16 figures, accepted for publication in MNRA

Comparison of a Daily Smartphone App and Retrospective Questionnaire Measures of Adherence to Nicotine Replacement Therapy Among Pregnant Women: Observational Study

Background:Few studies have investigated how to best measure adherence to smoking cessation medications, but continuous usage measures are recommended. Objective:In this first study of its kind, we compared methods for measuring adherence to nicotine replacement therapy (NRT) among pregnant women, investigating the completeness and validity of data collected from daily assessments using a smartphone app versus data collected from retrospective questionnaires. Methods:Women aged ≥16 years who were daily smokers and <25 weeks pregnant were offered smoking-cessation counseling and encouraged to use NRT. For 28 days after setting a quit date (QD), women were asked to report NRT use daily to a smartphone app and to questionnaires administered in person or remotely at 7 and 28 days. For both data collection methods, we provided up to £25 (~US $30) as compensation for the time taken providing research data. Data completeness and NRT use reported to the app and in questionnaires were compared. For each method, we also correlated mean daily nicotine doses reported within 7 days of the QD with Day 7 saliva cotinine concentrations. Results:Of the 438 women assessed for eligibility, 40 participated and 35 accepted NRT. More participants (31/35) submitted NRT usage data to the app by Day 28 (median 25, IQR 11 days) than completed the Day 28 questionnaire (24/35) or either of the two questionnaires (27/35). Data submitted to the app showed a lower reported duration of NRT use compared to that indicated in the questionnaire (median for app 24 days, IQR 10.25; median for questionnaire 28 days, IQR 4.75; P=.007), and there appeared to be specific cases of overreporting to the questionnaire. Mean daily nicotine doses between the QD and Day 7 were lower when calculated using app data (median for app 40 mg, IQR 52.1; median for questionnaire 40 mg, IQR 63.1; P=.001), and some large outliers were evident for the questionnaire. Mean daily nicotine doses, adjusted for cigarettes smoked, were not associated with cotinine concentrations for either method (app r =0.184, P=.55; questionnaire r =0.031, P=.92), but the small sample size meant that the analysis was likely underpowered. Conclusions:Daily assessment of NRT use via a smartphone app facilitated more complete data (a higher response rate) than questionnaires, and reporting rates over 28 days were encouraging among pregnant women. App data had better face validity; retrospective questionnaires appeared to overestimate NRT use for some participants