An evaluation of power relationships among stakeholders in the tourism industry networks of Agra, India

Tourism-related businesses require a multitude of resources in order to operate successfully and given these resources can be accrued from more than one source, bases of power become complex. This is an inductive study which critically evaluates the application of stakeholder theory to an analysis of the tourism destination networks of Agra, India. It examines the relationships of power and dependency that exist between individual and group organisations and the way in which they motivate their behaviour towards each other. The key findings show that resource-based power is formed from the power of individual businesses, the power of the ancillary services stakeholders and the power of the authorities and that network-based power is acquired from the power of agents and the power of groups. © 2014 © 2014 Taylor & Francis

THE DETERMINANTS OF FOOD STAMP PROGRAM PARTICIPATION

Food Security and Poverty,

Facilitating meaningfulness in the workplace:a field intervention study

This article presents the findings of a field intervention study that sought to address two objectives: (a) what are the psychological effects of a meaningfulness intervention? and (b) what key issues should be considered when developing meaningfulness interventions? Eighty employees from three different organizations based in the UK were allocated to either the intervention condition or a wait-list control group. Compared against the wait-list control group, the meaningfulness intervention facilitated meaningfulness in/at work, job/organization engagement, and personal initiative. Finally, focus group interviews revealed a number of micro (e.g., sustaining motivation), meso (e.g., role of line managers) and macro (e.g., socio-political events) level issues that should be considered when planning and implementing meaningfulness interventions. Overall this study makes use of field intervention research in order to develop the rationale for incorporating meaningfulness theories and concepts within HRM practice, particularly in better aligning personal development, team-based learning and performance management activities

Zoning of mucosal phenotype, dysplasia, and telomerase activity measured by telomerase repeat assay protocol in Barrett's esophagus

Glandular dysplasia in Barrett's esophagus may regress spontaneously but can also progress to cancer. The human telomerase RNA template and the human telomerase reverse transcriptase enzyme which do not, of themselves, correlate strongly with telomerase activity, are too often overexpressed in Barrett's dysplasia to predict individual cancer risk. This study relates telomerase activity, mucosal phenotype, and dysplasia in Barrett's esophagus. Biopsies (n = 256) from squamous esophagus, columnar-lined esophagus every 2 cm, esophago-gastric junction, gastric body, and antrum from 32 patients with long-segment Barrett's esophagus were evaluated by telomerase repeat assay protocol (TRAP). Three biopsies for histology (n = 794) were simultaneously taken at each anatomical level. These and all prior and subsequent biopsies (n = 1917) were reviewed for mucosal phenotypes and dysplasia severity. Intestinal-type Barrett's mucosa was present at all levels in Barrett's esophagus. At least one Barrett's biopsy was TRAP(+) in 22 of 32 patients. TRAP positivity of intestinal-type Barrett's mucosa increased distally, possibly as a consequence of mucosal exposure to acid or bile reflux. Native gastric mucosa was rarely TRAP(+) (1/31 corpus, 2/32 antrum), whereas native squamous mucosa usually was TRAP(+) (31/32). Dysplasia almost always involved intestinal-type Barrett's mucosa (85/87; P</p

An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial

Objective To evaluate the clinical efficacy of an established programme of occupational therapy in maintaining functional activity and reducing further health risks from inactivity in care home residents living with stroke sequelae. Design Pragmatic, parallel group, cluster randomised controlled trial. Setting 228 care homes (>10 beds each), both with and without the provision of nursing care, local to 11 trial administrative centres across the United Kingdom. Participants 1042 care home residents with a history of stroke or transient ischaemic attack, including those with language and cognitive impairments, not receiving end of life care. 114 homes (n=568 residents, 64% from homes providing nursing care) were allocated to the intervention arm and 114 homes (n=474 residents, 65% from homes providing nursing care) to standard care (control arm). Participating care homes were randomised between May 2010 and March 2012. Intervention Targeted three month programme of occupational therapy, delivered by qualified occupational therapists and assistants, involving patient centred goal setting, education of care home staff, and adaptations to the environment. Main outcome measures Primary outcome at the participant level: scores on the Barthel index of activities of daily living at three months post-randomisation. Secondary outcome measures at the participant level: Barthel index scores at six and 12 months post-randomisation, and scores on the Rivermead mobility index, geriatric depression scale-15, and EuroQol EQ-5D-3L questionnaire, at all time points. Results 64% of the participants were women and 93% were white, with a mean age of 82.9 years. Baseline characteristics were similar between groups for all measures, personal characteristics, and diagnostic tests. Overall, 2538 occupational therapy visits were made to 498 participants in the intervention arm (mean 5.1 visits per participant). No adverse events attributable to the intervention were recorded. 162 (11%) died before the primary outcome time point, and 313 (30%) died over the 12 months of the trial. The primary outcome measure did not differ significantly between the treatment arms. The adjusted mean difference in Barthel index score at three months was 0.19 points higher in the intervention arm (95% confidence interval −0.33 to 0.70, P=0.48). Secondary outcome measures also showed no significant differences at all time points. Conclusions This large phase III study provided no evidence of benefit for the provision of a routine occupational therapy service, including staff training, for care home residents living with stroke related disabilities. The established three month individualised course of occupational therapy targeting stroke related disabilities did not have an impact on measures of functional activity, mobility, mood, or health related quality of life, at all observational time points. Providing and targeting ameliorative care in this clinically complex population requires alternative strategies

Catastrophic musculoskeletal injuries in Thoroughbred racehorses on racetracks in Gauteng, South Africa

The incidence and types of catastrophic musculoskeletal injuries in Thoroughbreds that resulted in euthanasia on selected racetracks in South Africa between 1998 and 2012 were investigated by an observational retrospective investigation. Data from the National Horseracing Authority of Southern Africa for these racetracks were used to calculate incidence rates in Thoroughbreds (n = 114) that sustained catastrophic musculoskeletal injuries during racing that required immediate euthanasia, based on the diagnosis made by the on-site veterinarian as well as on fetlock radiographs and dissections of 53 cadaver limbs of horses that sustained a catastrophic musculoskeletal injury. The proximal sesamoid bones and the distal suspensory ligament were involved in 55.26% of horses; 73.58% of the cadaver limb radiographs were of the left forelimb, 64.15% were closed fractures, and 74.47% had biaxial proximal sesamoid bone fractures. Catastrophic musculoskeletal injuries occurred almost exclusively unilaterally and involved mostly the left front leg. The average incidence rate for a catastrophic musculoskeletal injury occurring in a year at any of the tracks was 0.6 of 1000 starts

Catastrophic musculoskeletal injuries in thoroughbred racehorses on racetracks in Gauteng- South Africa

The incidence and types of catastrophic musculoskeletal injuries in Thoroughbreds that resulted in euthanasia on selected racetracks in South Africa between 1998 and 2012 were investigated by an observational retrospective investigation. Data from the National Horseracing Authority of Southern Africa for these racetracks were used to calculate incidence rates in Thoroughbreds (n = 114) that sustained catastrophic musculoskeletal injuries during racing that required immediate euthanasia, based on the diagnosis made by the on-site veterinarian as well as on fetlock radiographs and dissections of 53 cadaver limbs of horses that sustained a catastrophic musculoskeletal injury. The proximal sesamoid bones and the distal suspensory ligament were involved in 55.26% of horses; 73.58% of the cadaver limb radiographs were of the left forelimb, 64.15% were closed fractures, and 74.47% had biaxial proximal sesamoid bone fractures. Catastrophic musculoskeletal injuries occurred almost exclusively unilaterally and involved mostly the left front leg. The average incidence rate for a catastrophic musculoskeletal injury occurring in a year at any of the tracks was 0.6 of 1000 starts.The South African Veterinary Foundation and the University of Pretoria’s Research Committee.http://www.jsava.co.zaam2019Companion Animal Clinical StudiesStatistic

Fluorescent Chemosensors for Toxic Organophosphorus Pesticides: A Review

Many organophosphorus (OP) based compounds are highly toxic and powerful inhibitors of cholinesterases that generate serious environmental and human health concerns. Organothiophosphates with a thiophosphoryl (P=S) functional group constitute a broad class of these widely used pesticides. They are related to the more reactive phosphoryl (P=O) organophosphates, which include very lethal nerve agents and chemical warfare agents, such as, VX, Soman and Sarin. Unfortunately, widespread and frequent commercial use of OP-based compounds in agricultural lands has resulted in their presence as residues in crops, livestock, and poultry products and also led to their migration into aquifers. Thus, the design of new sensors with improved analyte selectivity and sensitivity is of paramount importance in this area. Herein, we review recent advances in the development of fluorescent chemosensors for toxic OP pesticides and related compounds. We also discuss challenges and progress towards the design of future chemosensors with dual modes for signal transduction. © 2010 by the authors; licensee MPDI, Basel, Switzerland