Revenue Management at the Hong Kong Grand: The Dine in Grandeur Dilemma

This case provides an interesting example of the trade-offs between revenue management, brand image, loyalty programs, and employee satisfaction. The Dine In Grandeur Program (DIG) is financially successful (see the discussion below), but might be causing displacement of regular, full-paying customers and could have a negative effect on the Hong Kong Grand’s image. Furthermore, many employees and managers are unhappy with the program and find it difficult to implement. This case has been successfully used in a revenue management class, but could also be used in any service operations or service management class that includes revenue management as a topic. In addition, it could be used in a marketing strategy or services marketing class to illustrate the tradeoffs between revenue and brand image

Timing recovery after the cretaceous/paleogene boundary: evidence from Brazos River, Texas

As part of an on-going re-assessment of the Cretaceous/ Paleogene boundary in the Brazos River area, Falls County, Texas, a number of new exposures have been described. One of these, at River Bank South, provides a near continuous record of the lowermost Paleocene. It is from this succession that stable isotope analysis of bulk organic matter (δ13C and C/N) and mono-specific samples of the benthic foraminifera Lenticulina rotulata Lamarck (δ18O and δ13C) yields an orbitally-tuned stable isotope record, which allows the timing of events adjacent to the Cretaceous/Paleogene boundary to be determined. Using this cyclicity, it is suggested that the on-set of biotic recovery began ∼40,000 years after the impact (near the base of Zone Pα) and that more significant recovery of planktic foraminifera and calcareous nannofossils began close to the base of Zone P1a, some 85,000–100,000 years post-impact. The data also appear to record the presence of the earliest Paleocene DAN-C2 and Lower C29n hyperthermal events and that these events appear to be an accentuated segment of this orbital cyclicity

Mining gene expression data by interpreting principal components

BACKGROUND: There are many methods for analyzing microarray data that group together genes having similar patterns of expression over all conditions tested. However, in many instances the biologically important goal is to identify relatively small sets of genes that share coherent expression across only some conditions, rather than all or most conditions as required in traditional clustering; e.g. genes that are highly up-regulated and/or down-regulated similarly across only a subset of conditions. Equally important is the need to learn which conditions are the decisive ones in forming such gene sets of interest, and how they relate to diverse conditional covariates, such as disease diagnosis or prognosis. RESULTS: We present a method for automatically identifying such candidate sets of biologically relevant genes using a combination of principal components analysis and information theoretic metrics. To enable easy use of our methods, we have developed a data analysis package that facilitates visualization and subsequent data mining of the independent sources of significant variation present in gene microarray expression datasets (or in any other similarly structured high-dimensional dataset). We applied these tools to two public datasets, and highlight sets of genes most affected by specific subsets of conditions (e.g. tissues, treatments, samples, etc.). Statistically significant associations for highlighted gene sets were shown via global analysis for Gene Ontology term enrichment. Together with covariate associations, the tool provides a basis for building testable hypotheses about the biological or experimental causes of observed variation. CONCLUSION: We provide an unsupervised data mining technique for diverse microarray expression datasets that is distinct from major methods now in routine use. In test uses, this method, based on publicly available gene annotations, appears to identify numerous sets of biologically relevant genes. It has proven especially valuable in instances where there are many diverse conditions (10's to hundreds of different tissues or cell types), a situation in which many clustering and ordering algorithms become problematic. This approach also shows promise in other topic domains such as multi-spectral imaging datasets

Late Pleistocene pteropods, heteropods and planktonic foraminifera from the Caribbean Sea, Mediterranean Sea and Indian Ocean

Pteropods and heteropods (holoplanktonic gastropods) are an important component of the modern oceans; however, detailed information on their distribution in the fossil record is often based on poorly preserved specimens. This study presents the micropaleontological analysis of three exceptionally well-preserved Late Pleistocenemarine sediment cores from the eastern Caribbean Sea, westernMediterranean Sea and the Indian Ocean. This study presents the first stratigraphical record of heteropods in the Caribbean Sea and extends the known zonation of pteropods in the Mediterranean Sea. Distributions of pteropods, heteropods and planktonic foraminifera are presented with abundance and species richness data, as well as stratigraphical dates inferred from the oxygen isotope stratigraphy, argon-argon dating and biostratigraphy. The findings of this study greatly improve our understanding of holoplanktonic gastropod stratigraphy and ecology. Results reveal that the geographical range of heteropods, thought to be restricted to sub-tropical warm waters,may be much greater, including waters of sub-polar temperature. Heteropods were also found to be surprisingly abundant, potentially representing a more important part of the ocean food web than previously thought. Analysis revealed two species of holoplanktonic gastropod that are previously undescribed and indicate that the pteropod Heliconoides mermuysi (Cahuzac and Janssen 2010), known exclusively from the Moulin de Cabanes (Miocene),may have lived in theCaribbean Sea and Indian Ocean as recently as 4 kyr ago. These findings highlight the urgent need for increased research on holoplanktonic gastropods. The threat that current climate change and ocean acidification poses, particularly to the delicately shelled forms, means that some species may become extinct before they have even been fully ‘discovered’

Performance of a multi-disciplinary emergency department observation protocol for acetaminophen overdose.

The availability of 20-h N-acetylcysteine (NAC) infusion for low-risk acetaminophen (APAP) overdose enabled our center to implement an Emergency Department observation unit (OU) protocol as an alternative to hospitalization. Our objective was to evaluate our early experience with this protocol. This retrospective cohort study included all patients treated for low-risk APAP overdose in our academic hospital between 2006 and 2011. Cases were identified using OU and pharmacy records. Successful OU discharge was defined as disposition with no inpatient admission. Differences in medians with 95 % confidence intervals were used for comparisons. One hundred ninety-six patients received NAC for APAP overdose with a mean age of 35 years (SD 14); 73 % were white, and 43 % were male. Twenty (10 %) received care in the OU; 3/20(15 %) met criteria for inclusion in the OU protocol and 13/20(65 %) were discharged successfully. Out of the 196 patients, 10 met criteria for inclusion in the OU protocol but instead received care in the inpatient setting. The median total length of stay from presentation to ED discharge was 41 h for all patients treated in the OU, compared to 68 h for ten patients who met criteria for inclusion in the OU protocol but who were admitted (difference 27 h, 95 % CI 18-72 h). ED observation for APAP overdose can be a viable alternative to inpatient admission. Most patients were successfully discharged from the OU. This evaluation identified both over- and under-utilization of the OU. OU treatment resulted in shorter median length of stay than inpatient admission

Vereckei criteria as a diagnostic tool amongst emergency medicine residents to distinguish between ventricular tachycardia and supra-ventricular tachycardia with aberrancy

SummaryBackgroundAccurate electrocardiographic (ECG) differentiation of ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy (SVT-A) on ECG is key to therapeutic decision-making in the emergency department (ED) setting.ObjectiveThe goal of this study was to test the accuracy and agreement of emergency medicine residents to differentiate VT from SVT-A using the Vereckei criteria.MethodsSix emergency medicine residents volunteered to participate in the review of 114 ECGs from 86 patients with a diagnosis of either VT or SVT-A based on an electrophysiology study. The resident reviewers initially read 12-lead ECGs blinded to clinical information, and then one week later reviewed a subset of the same 12-lead ECGs unblinded to clinical information.ResultsOne reviewer was excluded for failing to follow study protocol and one reviewer was excluded for reviewing less than 50 blinded ECGs. The remaining four reviewers each read 114 common ECGs blinded to clinical data and their diagnostic accuracy for VT was 74% (sensitivity 70%, specificity 80%), 75% (sensitivity 76%, specificity 73%), 61% (sensitivity 81%, specificity 25%), and 68% (sensitivity 84%, specificity 40%). The intraclass correlation coefficient (ICC) was 0.31 (95% CI 0.22–0.42). Eliminating two of the four reviewers who left a disproportionately high number of ECGs unclassified resulted in an increase in overall mean diagnostic accuracy (70–74%) and agreement (0.31–0.50) in the two remaining reviewers. Three reviewers read 45 common ECGs unblinded to clinical information and had accuracies for VT 93%, 93% and 78%.ConclusionThe new single lead Vereckei criteria, when applied by emergency medicine residents achieved only fair-to-good individual accuracy and moderate agreement. The addition of clinical information resulted in substantial improvement in test characteristics. Further improvements (accuracy and simplification) of algorithms for differentiating VT from SVT-A would be helpful prior to clinical implementation

Accounting for albedo change to identify climate-positive tree cover restoration

Restoring tree cover changes albedo, which is the fraction of sunlight reflected from the Earth’s surface. In most locations, these changes in albedo offset or even negate the carbon removal benefits with the latter leading to global warming. Previous efforts to quantify the global climate mitigation benefit of restoring tree cover have not accounted robustly for albedo given a lack of spatially explicit data. Here we produce maps that show that carbon-only estimates may be up to 81% too high. While dryland and boreal settings have especially severe albedo offsets, it is possible to find places that provide net-positive climate mitigation benefits in all biomes. We further find that on-the-ground projects are concentrated in these more climate-positive locations, but that the majority still face at least a 20% albedo offset. Thus, strategically deploying restoration of tree cover for maximum climate benefit requires accounting for albedo change and we provide the tools to do so

Association of gestation and fetal growth restriction on cardiovascular health in preterm-born children

Objectives TO prospectively evaluate the associations of early and current life factors, including gestational age, and fetal growth restriction (FGR) in preterm-born subjects, on cardiovascular health including measures of central and peripheral blood pressure and arterial stiffness and assesscardiovascular changes before and after acute exercise in preterm- and term-born school-aged children. Study Design From 240 children, aged 7-12 years, 204 (141 preterm-born and 63 term-born) had satisfactory data. An oscillometric device recorded cardiovascular measures before and after cycle ergometer exercise testing. Data were analysed with multivariable linear regression and mediation. Results Central systolic blood pressure (SBP) was 6.4mmHg (95%CI 1.2,11.6) higher in preterm-born children with FGR and 3.4mmHg (0.02,6.8) higher in those without FGR when compared with term controls. Augmentation index (AIx) was 4.1% (0.7,7.4) higher in the preterm FGR group when compared with those without FGR but was similar between the latter group and term controls. Regression modelling showed gestational age, female sex, and antenatal smoking, but not FGR, were significantly associated with SBP. In contrast, FGR and fat mass index, but not gestation, were significantly associated with AIx. Cardiovascular exercise responses were similar between all three groups studied. Conclusions Our data show the differential associations of prematurity and FGR on central SBP and AIx. Cardiovascular responses to exercise were similar in all three groups. Preterm-born children with and without FGR are at increased risk of cardiovascular disease in adult life

Galaxy Zoo: comparing the demographics of spiral arm number and a new method for correcting redshift bias

The majority of galaxies in the local Universe exhibit spiral structure with a variety of forms. Many galaxies possess two prominent spiral arms, some have more, while others display a many-armed flocculent appearance. Spiral arms are associated with enhanced gas content and star formation in the discs of low-redshift galaxies, so are important in the understanding of star formation in the local universe. As both the visual appearance of spiral structure, and the mechanisms responsible for it vary from galaxy to galaxy, a reliable method for defining spiral samples with different visual morphologies is required. In this paper, we develop a new debiasing method to reliably correct for redshift-dependent bias in Galaxy Zoo 2, and release the new set of debiased classifications. Using these, a luminosity-limited sample of ∼18 000 Sloan Digital Sky Survey spiral galaxies is defined, which are then further sub-categorized by spiral arm number. In order to explore how different spiral galaxies form, the demographics of spiral galaxies with different spiral arm numbers are compared. It is found that whilst all spiral galaxies occupy similar ranges of stellar mass and environment, many-armed galaxies display much bluer colours than their two-armed counterparts. We conclude that two-armed structure is ubiquitous in star-forming discs, whereas many-armed spiral structure appears to be a short-lived phase, associated with more recent, stochastic star-formation activity

Evidence of abnormality in glutathione metabolism in the airways of preterm born children with a history of bronchopulmonary dysplasia

Preterm-born children are at risk of long-term pulmonary deficits, including those who developed bronchopulmonary dysplasia (BPD) in infancy, however the underlying mechanisms remain poorly understood. We characterised the exhaled breath condensate (EBC) metabolome from preterm-born children, both with and without BPD. Following spirometry, EBC from children aged 7–12 years, from the Respiratory Health Outcomes in Neonates study, were analysed using Time-of-Flight Mass Spectrometry. Metabolite Set Enrichment Analysis (MSEA) linked significantly altered metabolites to biological processes. Linear regression models examined relationships between metabolites of interest and participant demographics. EBC was analysed from 214 children, 144 were born preterm, including 34 with BPD. 235 metabolites were detected, with 38 above the detection limit in every sample. Alanine and pyroglutamic acid were significantly reduced in the BPD group when compared to preterm controls. MSEA demonstrated a reduction in glutathione metabolism. Reduced quantities of alanine, ornithine and urea in the BPD group were linked with alteration of the urea cycle. Linear regression revealed significant associations with BPD when other characteristics were considered, but not with current lung function parameters. In this exploratory study of the airway metabolome, preterm-born children with a history of BPD had changes consistent with reduced antioxidant mechanisms suggesting oxidative stress