Corporate images and customer behavioral intentions in an environmentally certified context: Promoting environmental sustainability in the hospitality industry

Growing environmental awareness has made customers change their attitudes andincreasingly demand that the hospitality industry provides products and services thatare environmentally friendly. This sector faces increasing pressure to operate in amore ecofriendly manner given its negative influence on the natural environment.Extant research demonstrates that sustainable tourism can be promoted throughenvironmental certifications. However, little attention has been paid to the relevanceof customer perceptions about these schemes and their influence on customerbehavioral intentions. So that, this study attempts to explore the conditions underwhich perceived green image leads to favorable customer behavioral intentionstowards environmentally certified hotels by considering the mediating effects offunctional and emotional images. A structured questionnaire was used to collect datafrom hotel customers in Spain. The results indicate that green image serves as apredictor of functional image, which in turn is linked to customer behavioralintentions. This shows that the evaluation of environmental issues influences theassessment of cognitive aspects, although not the direct evaluation of affectiveaspects. Consequently, green image associations directly influence the cognitiveresponses of consumers but not their emotions. Therefore, consumers will evaluatea hotel's functional image not only by considering traditional attributes but also bytaking into account environmental issues. These findings suggest that hotelcompanies should work to develop a green positioning strategy developing productsand services possessing both greenness and high?value attributes

Proximal aortic arch cannulation for proximal ascending aortic aneurysms.

INTRODUCTION: Different arterial inflow sites have been reported to date for particularly challenging cardiac operations. The ascending aorta, femoral artery, and subclavian artery are the most commonly used sites. Although its use has been reported, the aortic arch has not gained popularity in the performance of cannulation. According to a search performed in the PubMed database, aortic arch cannulation for ascending aorta replacement has not been examined in a separate study before. In the present study, we report the treatment outcomes of patients with ascending aortic aneurysms in whom the aortic arch was cannulated for arterial inflow. MATERIAL AND METHODS: Twenty-seven patients with aneurysmal dilatation of the ascending aorta underwent ascending aorta replacement from April 2010 to March 2013. The mean age of the patients was 64 years. All operations were carried out by cannulating the aortic arch distally from the origin of the innominate artery. RESULTS: There was no mortality or cannulation-related morbidity. In 23 patients, only the supracoronary ascending aorta was replaced, whereas in 4 patients, the button modification of the Bentall procedure was performed to replace the root and the ascending aorta. CONCLUSIONS: The technique of aortic arch cannulation distal to the origin of the innominate artery is worthy of consideration in the treatment of aneurysms limited to the ascending aorta due to its safety, simplicity, and low morbidity

occlusive disease

Background: This study aims to examine unilateral and bilateral revascularization of aortoiliac occlusive disease via paramedian incision and retroperitoneal approach.Methods: Between January 2005 and December 2012, 74 patients (67 males, 7 females; mean age 61.6 +/- 9.5 years; range 24 to 79 years) underwent surgical revascularization for aortoiliac occlusive disease via paramedian incision and retroperitoneal approach [aortofemoral bypass (n=40), iliofemoral bypass (n=14), aortoiliac bypass (n=2) and aortobifemoral bypass (18)]. Data of the patients for unilateral aortoiliac revascularization were compared with those for bilateral aortoiliac revascularization. The preoperative characteristics and perioperative data of the patients were analyzed.Results: Three patients (3.9%) died postoperatively due to myocardial infarction and pulmonary complications. No intraoperative complications occurred. Six patients required subsequent reoperation: two for acute distal embolism to the contralateral limb, two for distal anastomosis leakage, and two for local distal wound infection. These patients were successfully treated. The patients were discharged from the hospital on antiplatelet therapy. There was no significant difference in the length of intensive care unit stay, time to oral intake, preoperative and postoperative hemoglobin levels, hematocrit levels, creatinin levels, and need for transfusion between the unilateral and bilateral revascularization patients.Conclusion: Based on our experience, the retroperitoneal aortoiliac approach with a paramedian incision has few complications and reasonable outcomes

Evaluation of the neuroprotective effects of anti-inflammatory drugs in experimental spinal cord damage

WOS: 000466103300006PubMed ID: 31023039In this study, we aimed to investigate the effectiveness of etofenamate and compare it with methyl prednisolone in the experimental spinal cord trauma model. A total of 31 Wistar Albino rats weighed between 220 and 270 gr were used in this study. The rats were divided into three groups as the control; posttraumatic normal saline (NS), trauma + E; posttraumatic etofenamate; and trauma + methylprednisolone, posttraumatic methylprednisolone. All medications were given into the peritoneum. Six hours after trauma and drug administration, approximately 2 cm of cord segment in the area subjected to dorsal laminectomy was dissected from the dura spinal cord and removed. The samples were histopathologically examined. In this study, signifi cant differences were found both between trauma + NS and trauma + methylprednisolone, and between trauma NS and trauma + etofenamate, and trauma + methylprednisolone and trauma + etofenamate groups according to the Ivan Damjanov criteria and in terms of petechial hemorrhage, diffuse bleeding, loss in the regulation of grey and white matters, edema, necrosis, and cystic degeneration fi ndings. According to the Ivan Damjanov criteria, trauma + NS group was found as Grades 2-3, trauma + etofenamate group as Grade 1, and trauma + methylprednisolone as Grades 1-2. Neuroprotective effect of etofenamate was found to be stronger than that of methyl prednisolone in rats with induced posttraumatic spinal cord damage (Tab. 4, Ref. 24)

Communication of the Right Pulmonary Artery and Left Atrium

Direct communication of the right pulmonary artery and the left atrium is an extremely rare congenital malformation of the pulmonary vasculature. A 41-year-old woman with a history of cyanosis since childhood presented with mild exertional dyspnea. On physical examination, she had central cyanosis, clubbing of the fingers, and an upright position caused by orthodeoxia. Imaging studies showed a very large aneurysm in the distal right pulmonary artery with a direct communication to the left atrium. The patient underwent successful repair, with resolution of hypoxia and exertional symptoms. (C) 2014 by The Society of Thoracic Surgeon

Adenoid cystic carcinoma with cervical spine metastasis: case report

WOS: 000483546906079

Cervical meningioma presented with Brown-Sequard syndrome: a case presentation

WOS: 000483546906182