23 research outputs found

    Millennial Chinese Consumers’ Perceived Destination Brand Value

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    There has been a substantial rise in the number of Chinese tourists, with the Chinese millennials being important influencers. Yet very little is known about their tourism behavior, particularly how their perceived destination brand values influence their destination loyalty. This study brings in the consumers’ perceived brand value concept from the branding literature to investigate Chinese millennial tourists’ destination loyalty. An online survey was adopted to collect data from 287 Chinese millennial tourists. The findings offer insight into the relative effects of five dimensions of tourists’ perceived destination brand values on their destination loyalty. The findings also extend existing tourism literature, showing the moderating effects of destination brand globality, destination status (domestic vs. international) and national brand attitude on the said relationships. Managerial implications to better target Chinese millennials are discussed together with future research directions

    Acute diverticulitis in immunocompromised patients: evidence from an international multicenter observational registry (Web-based International Register of Emergency Surgery and Trauma, Wires-T)

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    Background: Immunocompromised patients with acute diverticulitis are at increased risk of morbidity and mortality. The aim of this study was to compare clinical presentations, types of treatment, and outcomes between immunocompromised and immunocompetent patients with acute diverticulitis. Methods: We compared the data of patients with acute diverticulitis extracted from the Web-based International Registry of Emergency Surgery and Trauma (WIRES-T) from January 2018 to December 2021. First, two groups were identified: medical therapy (A) and surgical therapy (B). Each group was divided into three subgroups: nonimmunocompromised (grade 0), mildly to moderately (grade 1), and severely immunocompromised (grade 2). Results: Data from 482 patients were analyzed—229 patients (47.5%) [M:F = 1:1; median age: 60 (24–95) years] in group A and 253 patients (52.5%) [M:F = 1:1; median age: 71 (26–94) years] in group B. There was a significant difference between the two groups in grade distribution: 69.9% versus 38.3% for grade 0, 26.6% versus 51% for grade 1, and 3.5% versus 10.7% for grade 2 (p < 0.00001). In group A, severe sepsis (p = 0.027) was more common in higher grades of immunodeficiency. Patients with grade 2 needed longer hospitalization (p = 0.005). In group B, a similar condition was found in terms of severe sepsis (p = 0.002), quick Sequential Organ Failure Assessment score > 2 (p = 0.0002), and Mannheim Peritonitis Index (p = 0.010). A Hartmann’s procedure is mainly performed in grades 1–2 (p < 0.0001). Major complications increased significantly after a Hartmann’s procedure (p = 0.047). Mortality was higher in the immunocompromised patients (p = 0.002). Conclusions: Immunocompromised patients with acute diverticulitis present with a more severe clinical picture. When surgery is required, immunocompromised patients mainly undergo a Hartmann’s procedure. Postoperative morbidity and mortality are, however, higher in immunocompromised patients, who also require a longer hospital stay

    Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery

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    Revisiting the role of critical reviews in film marketing

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    This paper examines the impact of user generated content on film consumption choices. To date, a number of studies have addressed the impact of critical reviews on the performance of films at the box office. These studies were situated in a film marketing environment which preceded web 2.0 and the proliferation of user generated reviews which have resulted from the development of web 2.0 technologies. Literature on the impact which professional reviewers have on consumption of film (and other art forms) has developed separately from considerations of word of mouth. Word of mouth has been acknowledged as a key influencer for arts audiences and prior to the development of user generated content media, such word of mouth has been limited to actual friendship/ peer groups and could be seen as geographically and socially bounded. The development of the user generated review and the increasing importance of sites hosting such reviews can be viewed as a merging of the realms of the professional and amateur critic. This study uses a two stage method of analysis in order to explore the impact which such user generated reviews on the process of consumer choice. Through content analysis of user generated reviews on popular film websites as well as qualitative data collection concerned with consumer selection of film, we have evaluated the impact of user generated content on film choice. This study has implications for film consumers in terms of assisting them in selecting artistic products which fit with their tastes and for film professionals who need to understand how to navigate this new emerging terrain. The aim of this study was to (1) map out how film consumers search for and use reviews in the online environment and to (2) assess how this has changed the influence of and influencers in the area of critical reviews

    Fashion through Time

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