Service innovations and firm performance in the hospitality industry: evidence from tourism driven economies

Purpose – The purpose of this paper is to identify the impact of service innovations on firm performance in the hospitality industry in Croatia during the 2012-2014 period. Methodology – The study uses data from the most recent round of Community Innovation Survey, a confidential dataset compiled by Eurostat on innovation activities of firms in the EU member states. With means of the nearest neighbour matching treatment analysis it first explores the determinants behind the ability of firms to introduce service innovations before it explores whether firms that introduce service innovations outperform their rivals. Findings – The results of investigation suggest that service innovations emerge predominantly through transfer of knowledge and skills between organizations, through intra-firm channels and other spillover mechanisms. In addition, there is little evidence of internal organizational and marketing innovations as drivers of innovation in services. Contribution –Rising importance of services in world economy suggests that service innovations are important for firm performance and competitiveness. To the best of our knowledge, there has been no attempt to address determinants of innovation in general and service innovations in particular in the hospitality industry in Croatia, whose economy largely depends on tourism, in post crisis period. To this end, our study makes genuine contribution to the existing literature that can translate into concrete policy recommendations

Cerebral Amyloid Angiopathy-Related Inflammation (CAA-rI): Three Heterogeneous Case Reports and a Focused Literature Review

Cerebral amyloid angiopathy-related inflammation (CAA-rI) is a largely reversible, subacute encephalopathy, which is considered as a rare variant of cerebral amyloid angiopathy (CAA). Although the diagnosis of this inflammatory vasculopathy is generally clinico-pathologic, a probable or possible diagnosis can often be established based on current clinico-radiological diagnostic criteria. This is important since CAA-rI is considered as a treatable disorder, which most commonly occurs in the elderly population. Behavioral changes and cognitive deterioration are highlighted as the most common clinical signs of CAA-rI, followed by a heterogeneous spectrum of typical and atypical clinical presentations. However, despite the well-established clinical and radiological features incorporated in the current diagnostic criteria for this CAA variant, this rare disorder is still insufficiently recognized and treated. Here, we have shown three patients diagnosed with probable CAA-rI, with significant heterogeneity in the clinical and neuroradiological presentations, followed by different disease courses and outcomes after the introduction of immunosuppressive treatment. Moreover, we have also summarized up-to-date literature data about this rare, yet underdiagnosed, immune-mediated vasculopathy

Characterization of natural and synthetic humic substances (melanoidins) by chemical composition and adsorption measurements

Melanoidins, condensation products of sugars and amino acids, are thought to represent a key link in the transformation of polysaccharides and proteins to humic material in the marine environment. We investigated adsorption behaviour of melanoidins prepared in equimolar solutions of glucose and amino acids of choice (glutamic acid, valine and lysine) and pseudomelanoidins which were prepared from glucose only. Melanoidins were prepared using different condensation times (2, 4, 16 and 32 days). Synthesized melanoidins were separated into different molecular mass fractions. Fractionation of melanoidins by sorption on the macroreticular resin XAD-8 separated melanoidins into hydrophobic neutral, hydrophobic acid and hydrophilic fractions. Adsorption of melanoidins and their different fractions was studied at a mercury electrode by directly measuring the change of the double layer capacitance caused by the adsorption of organic molecules on the electrode surface through phase sensitive alternating current voltammetry. The hydrophobic acid fraction of melanoidins accounted for most of the adsorption behaviour of melanoidins. Consequently, the higher molecular mass fraction of melanoidins (>10 kDa) exhibits a stronger adsorption in comparison to the lower molecular mass fraction (<3 kDa) of the same melanoidin. The good fit of adsorption data of melanoidins and pseudomelanoidins to the same adsorption isotherm supports the idea that melanoidins are comprised of a sugar derived “backbone” that is responsible for the adsorption behaviour of melanoidin, while the presence of nitrogen atoms is responsible for the complexation of copper ions. Adsorption characteristics and complexation ability of melanoidins and natural organic matter were similar. Our results suggest that in the process of humification, selective adsorption of condensation products on aqueous surfaces may lead to a progressive immobilization of certain fractions, i.e., it is probable that higher molecular mass components accumulate at aquatic surfaces, while lower mass components remain in solution

Vitamin D receptor gene variants contribute to hip and knee osteoarthritis susceptibility

Vitamin D receptor (VDR) gene polymorphisms could play a significant role in the susceptibility and patho-genesis of osteoarthritis (OA), the most common degenerative joint disorder in humans. The current study involved 94 OA patients and 100 healthy, asymptomatic controls. VDR variants FokI (rs2228570), TaqI (rs731236), ApaI (rs7975232) and EcoRV (rs4516035) were genotyped using TaqMan-based real-time PCR. Adjusted odds ratio (OR) analysis showed that VDR TaqI and FokI polymorphisms are significantly associated with susceptibility to OA (OR=1.986, P=0.001 and OR=1.561, P=0.017, respectively). Joint-specific analysis showed that the VDR TaqI polymorphism was associated with risk of hip OA (OR=1.930, P=0.005) and knee OA (OR=1.916, P=0.028), while the VDR FokI polymorphism was associated with higher risk of knee OA (OR=2.117, P=0.012). VDR TaqI and FokI polymorphisms are associated with the occurrence of persistent pain (P=0.005 and P=0.027, respectively), while ApaI was associated with a family history of OA (p=0.004). The VDR FokI and TaqI genetic variants significantly contribute to osteoarthritis susceptibility, the occurrence of persistent pain, and potentially to joint-specific OA risk

Neutrophil-to-Lymphocyte Ratio, Monocyte-to-Lymphocyte Ratio, Platelet-to-Lymphocyte Ratio, and Mean Platelet Volume-to-Platelet Count Ratio as Biomarkers in Critically Ill and Injured Patients: Which Ratio to Choose to Predict Outcome and Nature of Bacteremia?

Background. Neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume-to-platelet count (MPV/PC) ratio are readily available parameters that might have discriminative power regarding outcome. The aim of our study was to assess prognostic value of these biomarkers regarding outcome in critically ill patients with secondary sepsis and/or trauma. Methods. A total of 392 critically ill and injured patients, admitted to surgical ICU, were enrolled in a prospective observational study. Leukocyte and platelet counts were recorded upon fulfilling Sepsis-3 criteria and for traumatized Injury Severity Score > 25 points. Patients were divided into four subgroups: peritonitis, pancreatitis, trauma with sepsis, and trauma without sepsis. Results. NLR and MPV/PC levels were significantly higher in nonsurvivors (AUC/ROC of 0.681 and 0.592, resp., in the peritonitis subgroup; 0.717 and 0.753, resp., in the pancreatitis subgroup); MLR and PLR did not differ significantly. There was no significant difference of investigated biomarkers between survivors and nonsurvivors in trauma patients with and without sepsis except for PLR in the trauma without sepsis subgroup (significantly higher in nonsurvivors, AUC/ROC of 0.719). Independent predictor of lethal outcome was NLR in the whole cohort and in the peritonitis subgroup as well as MPV in the pancreatitis subgroup. Also, there were statistically significant differences in MPV/PC, MLR, and PLR values regarding nature of bacteremia. In general, the lowest levels had been found in patients with Gram-positive blood cultures. Conclusions. NLR and MPV were very good independent predictors of lethal outcome. For the first time, we demonstrate that nature of bacteremia influences MPV/PC, MLR, and PLR. In heterogeneous cohort subgroup, analysis is essential

Large-Vessel Giant Cell Arteritis following COVID-19—What Can HLA Typing Reveal?

Giant cell arteritis (GCA) is an immune-mediated vasculitis that affects large arteries. It has been hypothesized that viruses may trigger inflammation within the vessel walls. Genetic studies on human leukocyte antigens (HLAs) have previously reported HLA-DRB1*04 as a susceptible allele for GCA and HLA-DRB1*15 as a protective allele for GCA. Here, we discuss the clinical presentation, laboratory findings, HLA class I and class II analysis results, and management of patients with extracranial large-vessel (LV) GCA, detected at least six weeks after recovery from COVID-19. This case series encompassed three patients with LV-GCA (two males and a female with an age range of 63–69 years) whose leading clinical presentation included the presence of constitutional symptoms and significantly elevated inflammatory markers. The diagnosis of LV-GCA was confirmed by CT angiography and FDG-PET/CT, revealing inflammation in the large vessels. All were treated with corticosteroids, while two received adjunctive therapy. By analyzing HLA profiles, we found no presence of the susceptible HLA-DRB1*04 allele, while the HLA-DRB1*15 allele was detected in two patients. In conclusion, LV-GCA may be triggered by COVID-19. We highlight the importance of the early identification of LV-GCA following SARS-CoV-2 infection, which may be delayed due to the overlapping clinical features of GCA and COVID-19. The prompt initiation of therapy is necessary in order to avoid severe vascular complications. Future studies will better define the role of specific HLA alleles in patients who developed GCA following COVID-19