Tourism destination branding through advertising strategies

Brand confusion takes place when a person views an advertisement for a particular brand as a communication about a different brand. This empirical study was conducted in a sample of 134 men and women and based on 24 mass tourism destination advertisements of 8 different Mediterranean countries. Advertisements that were perceived as likeable and distinctive, and that were not information-overloaded suffered less from brand confusion. Destination brands with weak advertising support were found to be more vulnerable to brand confusion. Consumers with higher levels of product category involvement and higher levels of brand awareness and brand loyalty appear to confuse mass tourism destination brands less frequently

How We Can Pay for Health Care Reform

Describes savings and revenue sources and policies to reduce healthcare spending that could finance comprehensive reform with a public option, such as reducing physician and hospital payments, investing in prevention programs, and capping tax exclusions

A Rapid and Computationally Inexpensive Method to Virtually Implant Current and Next-Generation Stents into Subject-Specific Computational Fluid Dynamics Models

Computational modeling is often used to quantify hemodynamic alterations induced by stenting, but frequently uses simplified device or vascular representations. Based on a series of Boolean operations, we developed an efficient and robust method for assessing the influence of current and next-generation stents on local hemodynamics and vascular biomechanics quantified by computational fluid dynamics. Stent designs were parameterized to allow easy control over design features including the number, width and circumferential or longitudinal spacing of struts, as well as the implantation diameter and overall length. The approach allowed stents to be automatically regenerated for rapid analysis of the contribution of design features to resulting hemodynamic alterations. The applicability of the method was demonstrated with patient-specific models of a stented coronary artery bifurcation and basilar trunk aneurysm constructed from medical imaging data. In the coronary bifurcation, we analyzed the hemodynamic difference between closed-cell and open-cell stent geometries. We investigated the impact of decreased strut size in stents with a constant porosity for increasing flow stasis within the stented basilar aneurysm model. These examples demonstrate the current method can be used to investigate differences in stent performance in complex vascular beds for a variety of stenting procedures and clinical scenarios

Protein expression of the epsilon subspecies of protein kinase C ceases as Swiss 3T6 fibroblasts increase in cell density even though message for the protein is still present

AbstractWe have noted previously that growth of C6 glioma cells from low cell density to confluency and quiescence in serum is accompanied by changes in protein content of different protein kinase C (PKC) subspecies. Here we show that the same occurs as non-contact-inhibiting Swiss 3T6 fibroblasts grow to high density in the presence of serum. Protein expression of PKC subspecies α and δ increases as the cells increase in density while that of PKC-ζ remains the same. Unusally, protein expression of PKC-ϵ is completely down-regulated as cells grow beyond about 50% confluency and no PKC-ϵ protein can be detected in 3T6 fibroblasts at high density by Western blotting. However, mRNA for PKC-ϵ is expressed at all stages of fibroblast growth as revealed by RT-PCR. When high-density 3T6 fibroblasts are passaged to low density in fresh medium, re-expression of PKC-ϵ protein is observed within 15 min and becomes down-regulated again as cells become more dense. This very rapid synthesis of PKC-ϵ is not blocked by the transcription inhibitor actinomycin D but is inhibited by cycloheximide. PKC-ϵ has some characteristics of a novel `early response' protein whose synthesis in newly passaged 3T6 cells is regulated at the translational level

Acute kidney injury in the era of the AKI E-Alert

Background and objectivesOur aimwas to use a national electronicAKI alert to define the incidence and outcome of all episodes of community– and hospital–acquired adult AKI. Design, setting, participants, & measurements A prospective national cohort study was undertaken in a population of 3.06 million.Datawere collected betweenMarch of 2015 andAugust of 2015. All patients with adult ($18 years of age) AKI were identified to define the incidence and outcome of all episodes of community- and hospital-acquired AKI in adults. Mortality and renal outcomes were assessed at 90 days. Results There was a total of 31,601 alerts representing 17,689 incident episodes, giving an incidence of AKI of 577 per 100,000 population. Community-acquired AKI accounted for 49.3% of all incident episodes, and 42% occurred in the context of preexisting CKD (Chronic Kidney Disease Epidemiology Collaboration eGFR); 90-day mortality rate was 25.6%, and 23.7% of episodes progressed to a higher AKI stage than the stage associated with the alert. AKI electronic alert stage and peak AKI stage were associated with mortality, and mortality was significantly higher for hospital-acquired AKI compared with alerts generated in a community setting. Among patients who survived to 90 days after the AKI electronic alert, those who were not hospitalized had a lower rate of renal recovery and a greater likelihood of developing an eGFR,60 ml/min per 1.73m2 for the first time,which may be indicative of development of de novo CKD. Conclusions The reported incidence of AKI is far greater than the previously reported incidence in studies reliant on clinical identification of adult AKI or hospital coding data. Although an electronic alert systemis Information Technology driven and therefore, lacks intelligence and clinical context, these data can be used to identify deficiencies in care, guide the development of appropriate intervention strategies, and provide a baseline against which the effectiveness of these interventions may be measured

Testing the application and limitation of stochastic simulations to predict the lithology of glacial and fluvial deposits in Central Glasgow, UK

Abstract Glacigenic and fluvial deposits of variable lithological composition underlie many major cities in Europe and North America. Traditional geological mapping and 3D modelling techniques rarely capture this complexity as they use lithostratigraphic designations which are commonly based on genesis and age rather than lithological compositions. In urban areas, thousands of boreholes have been, and continue to be, drilled to facilitate the planning, design and construction of buildings and infrastructure. While these data may provide the basis for geological maps and 3D models based on lithological interpretation, they are too numerous for manual correlation to be undertaken efficiently. In this paper we explore the application of largely automated stochastic modelling techniques to develop predictive lithology models for glacial and fluvial deposits in the city of Glasgow, UK. These techniques are commonly used to assess facies variation in oilfield models and are applied here in an urban setting using over 4000 borehole records. Predictions derived from these methods have been evaluated by removing control data and re-running the simulations. We demonstrate a moderate improvement in the prediction of lithology when using a lithologically-derived stochastic model compared with a conventionally interpolated lithostratigraphic model. It is possible to report uncertainty within the resulting models, either with probability maps or through a suite of plausible simulations of the lithologies across the study region

Albedos and diameters of three Mars Trojan asteroids

We observed the Mars Trojan asteroids (5261) Eureka and (101429) 1998 VF31 and the candidate Mars Trojan 2001 FR127 at 11.2 and 18.1 microns using Michelle on the Gemini North telescope. We derive diameters of 1.28, 0.78, and <0.52 km, respectively, with corresponding geometric visible albedos of 0.39, 0.32, and >0.14. The albedos for Eureka and 1998 VF31 are consistent with the taxonomic classes and compositions (S(I)/angritic and S(VII)/achrondritic, respectively) and implied histories presented in a companion paper by Rivkin et al. Eureka's surface likely has a relatively high thermal inertia, implying a thin regolith that is consistent with predictions and the small size that we derive.Comment: Icarus, in press. See companion paper 0709.1925 by Rivkin et al; two minor typos fixe

Local Hemodynamic Changes Caused by Main Branch Stent Implantation and Subsequent Side Branch Balloon Angioplasty in a Representative Coronary Bifurcation

Abnormal blood flow patterns promoting inflammation, cellular proliferation, and thrombosis may be established by local changes in vessel geometry after stent implantation in bifurcation lesions. Our objective was to quantify altered hemodynamics due to main vessel (MV) stenting and subsequent virtual side branch (SB) angioplasty in a coronary bifurcation by using computational fluid dynamics (CFD) analysis. CFD models were generated from representative vascular dimensions and intravascular ultrasound images. Time-averaged wall shear stress (TAWSS), oscillatory shear index (OSI), and fractional flow reserve (FFR) were quantified. None of the luminal surface was exposed to low TAWSS (/cm2) in the nondiseased bifurcation model. MV stenting introduced eccentric areas of low TAWSS along the lateral wall of the MV. Virtual SB angioplasty resulted in a more concentric region of low TAWSS in the MV distal to the carina and along the lateral wall of the SB. The luminal surface exposed to low TAWSS was similar before and after virtual SB angioplasty (rest: 43% vs. 41%; hyperemia: 18% vs. 21%) and primarily due to stent-induced flow alterations. Sites of elevated OSI (\u3e0.1) were minimal but more impacted by general vessel geometry established after MV stenting. FFR measured at a jailed SB was within the normal range despite angiographic stenosis of 54%. These findings indicate that the most commonly used percutaneous interventional strategy for a bifurcation lesion causes abnormal local hemodynamic conditions. These results may partially explain the high clinical event rates in bifurcation lesions

Characterization of Propellant Flow and Bias Required to Initiate an Arc Discharge in a Heaterless Hollow Cathode

Heaterless hollow cathodes provide an opportunity to reduce complexity and improve reliability in electric propulsion systems. While removal of the heater has little effect on steady-state operation of a hollow cathode, it has a considerable effect on the ignition process. To successfully integrate a heaterless hollow cathode into a spaceflight electric propulsion system, it will be necessary to establish definitive requirements for the propellant feed and electrical subsystems so that ignition of a plasma discharge can be achieved reliably. The aim of this research was to form a better understanding of these requirements by performing an investigation of the propellant flow and voltage conditions required for the ignition of a plasma arc discharge. This aim was achieved by performing discharge initiation experiments using both a specially designed experimental apparatus and a functional heaterless hollow cathode assembly. It was demonstrated that there is a distinct difference in the voltage required to initiate a plasma discharge between two common electric propulsion propellants, xenon and krypton, which suggests that the developmental testing of heaterless hollow cathodes needs to be performed with the appropriate propellant gas species. Heaterless hollow cathode ignition experiments showed that the keeper orifice diameter has a strong effect on the voltage required to ignite a plasma discharge at a given propellant mass flow rate, while the effect of keeper-cathode separation distance was only strong at flow rates below 25 sccm (Xe)