Persistent surgical wound bleeding: A rare condition related to acquired hemophilia A

SummaryAcquired hemophilia A (AHA) is a rare condition that predisposes affected patients to a bleeding tendency, even after a trivial physical insult. We present our experience with a 45-year-old male patient who was referred to our institute because of persistent bleeding from a left forearm surgical wound after fasciotomy. He was diagnosed as having AHA. Surgical treatment in combination with recombinant activated factor VII (rFVIIa) led to a satisfactory result. Clinical awareness and multidisciplinary professional connections are necessary in the treatment of AHA. Acquired hemophilia should be considered in the differential diagnosis of patients with uncontrolled bleeding episodes

Exploring correlations among tourism characteristics, visitor behavior intention, and customer satisfaction

In the process of getting into the 21st century, Taiwan left behind the agriculture-based economic system and changed it for high-density and elaboration industries. With progressing societies and economic development, tourism, leisure and recreational industries have boomed. Moreover, the implementation of two-day weekend policy has increased the leisure time and the frequency of tourism and recreation activities. The correlations between Tourism Characteristics, Visitor Behavior Intention, and Customer Satisfaction are therefore discussed in this study. Focussing on Xitou Nature Education Area, the customers were distributed 250 copies of questionnaires. A total of 182 valid copies were retrieved, with the retrieval rate of 73%. The research results show significant correlations between 1. Tourism Characteristics and Customer Satisfaction, 2. Customer Satisfaction and Behavior Intention, and 3. Tourism Characteristics and Behavior Intention. The research results are expected to provide assistance and suggestions for tourism industries developing industrial characteristics

Effects of computer integrated instruction on learning satisfaction: take the University of Tourism's student as an example

Higher Education Teachers are identified in both educational reform and instructional theory with being able to apply Computer Integrated Instruction to the teaching approach for more diverse changes correspondent with the demand in the era. In empirical research, innovative Computer Integrated Instruction is also proved to be able to enhance teachers' learning and teaching effectiveness and students' learning outcome. Research issues on teachers' Computer Integrated Instruction should be based on understanding that it could enhance Learning Satisfaction. In this case, this study tends to discuss the effects of Computer Integrated Instruction on Learning Satisfaction through the use of a questionnaire survey. The research results show the significantly positive correlations between Computer Integrated Instruction and Curriculum, Teaching Approach, and Learning Method; and, people with distinct gender, age, and grade appear various viewpoints on Learning Satisfaction. Such research results could provide recommendations for the authorities, private and public universities, and further researchers and reference of the government private and public universities practicing information education

Switching Intention and Behaviors to Wetland Ecotourism after the COVID-19 Pandemic: The Perspective of Push-Pull-Mooring Model

This study used a push–pull–mooring model (PPM model) to build an integrated model to explain the influencing factors of tourists’ switching intention to wetland ecotourism after the COVID-19 pandemic. The push effect is crowding perception, the pull effect is nature-based destination attractiveness, and the mooring effect is the risk perception of COVID-19. The study collected 551 valid research samples by questionnaire survey in two world-class wetlands in Taiwan. The results of the regression analysis showed that push, pull, and mooring influenced tourists’ switching intention to wetland ecotourism. Among them, the mooring effect regulated the relationship between the push effect and switching intention to wetland ecotourism, but did not regulate the relationship between the pull effect and switching intention to wetland ecotourism. Finally, the switching intention to wetland ecotourism further influenced wetland ecotourism behaviors. It is expected that people can go outdoors after the COVID-19 pandemic and bring substantial economic benefits of tourism to wetland ecological attractions in Taiwan

Effects of Corporate Social Responsibility on Firm Performance: Does Customer Satisfaction Matter?

Academic research has shed light on the empirical relationships among a firm’s corporate social responsibility (CSR), corporate social irresponsibility (CSiR) and firm performance and on the firm’s customer satisfaction–firm performance relationship in different markets. However, little notice has been taken of whether the coexistence of corporate social responsibility, corporate social irresponsibility and customer satisfaction has an interactive effect on firm performance. This study aims to examine the effects of their interaction on firm performance from an investment perspective. Using unbalanced panel regression to test a sample of publicly traded firms from the United States, this study finds that, in general, firms with higher customer satisfaction earn positive changes in abnormal stock returns. For firms that engage in CSR, CSR positively affects corporate performance, whereas firms’ social irresponsibility activities reduce firms’ financial performance. All else equal, a positive interactive effect of CSiR and customer satisfaction on stock return was observed. The results reveal that high customer satisfaction can alleviate the negative effect of corporate social irresponsibility on firms’ financial performance. Our findings will help management executives and investors to understand that the negative effect of a firm’s unforeseen events on firm performance can be weakened by increasing customer satisfaction