60419 research outputs found
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Applications and Implications of Service Robots in Hospitality
No full textService robots continue to permeate and automate the hospitality sector. In doing so, these technological innovations pose to radically change current service production and delivery practices and, consequently, service management and marketing strategies. This study explores the various impacts of robotization in the sector by offering one of the first empirical accounts on the current state-of-the-art of service robotics as deployed in hospitality service encounters. The results suggest that service robots either support or substitute employees in service encounters. They also offer hospitality businesses a novel point of differentiation, but only if properly integrated as part of wider marketing efforts. Finally, the automation of tasks, processes, and, ultimately, jobs has serious socioeconomic implications both at the microlevel and macrolevel. Consequently, hospitality executives need to consider where and how to apply robotization to strike a balance between operational efficiency and customer expectations. Displaying ethical leadership is key to reaping the benefits of the robot revolution
The ticking clock: does actively making an enhanced care team aware of the passage of time improve pre-hospital scene time following traumatic incidents?
No full textIntroduction
Pre-hospital enhanced care teams like Helicopter Emergency Medical Services (HEMS) are often dispatched to major trauma patients, including patients with traumatic brain injuries and those with major haemorrhage. For these patients, minimizing the time to definitive care is vital. The aim of this study was to determine whether increased awareness of elapsed on scene time produces a relevant time performance improvement for major trauma patients attended by HEMS, and weather introducing such a timer was feasible and acceptable to clinicians.
Methods
We performed a prospective cohort study of all single casualty traumatic incidents attended by Air Ambulance Kent Surrey Sussex (AAKSS) between 15 October 2016 and 23 May 2017 to test if introduction of a prompting scene timer within the service resulted in a reduction in pre-hospital scene times.
Results
The majority of the patients attended were male (74%) and sustained blunt trauma (92%). Overall, median scene time was 25.5 [IQR16.3] minutes before introduction of the scene timer and 23.0 [11.0] minutes after introduction, p = 0.13). Scene times for patients with a GCS ˂ 8 and for patients requiring prehospital anaesthesia were significantly lower after introduction of the timer (28 [IQR 14] vs 25 [1], p = 0.017 and 34 [IQR 13] vs 28 [IQR11] minutes, p = 0.007 respectively). The majority of clinicians felt the timer made them more aware of passing time (91%) but that this had not made a difference to scene time (62%) or their practice (57%).
Conclusion
Audible scene timers may have the potential to reduce pre-hospital scene time for certain single casualty trauma patients treated by a HEMS team, particularly for those patients needing pre-hospital anaesthesia. Regular use of on-scene timers may improve outcomes by reducing time to definitive care for certain subgroups of trauma patients.</p
Prehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocol
No full textBackground:
Since 2016, critical care paramedics from the South East Coast Ambulance Service have offered neuromuscular blockade to patients for ventilatory/airway control after cardiac arrest.
Aims:
To examine the first cases of paramedic-delivered neuromuscular blockade, and evaluate the prevalence of its use and safety.
Methods:
Retrospective service evaluation of patients receiving post-arrest paralysis during the study period from 1 April 2016 until 31 July 2017.
Findings:
The study included 127 patients. The mean age of administration was 63 years, mean weight was 80 kg (SD: 19 kg), dose was 1 mg/kg and median time from rocuronium administration to hospital was 32 minutes (IQR 20–43 minutes). Three patients (2.3%) experienced a minor adverse incident. There were no major airway complications, nor other significant adverse incidents. Thirty-seven patients (31%) survived to discharge.
Conclusion:
From this patient group, paramedic-administered rocuronium in intubated patients who have experienced a cardiac arrest and a return of spontaneous circulation appears to be safe, but further interventional research is required to determine whether this improves patient outcomes.</p
Religious identity in the workplace: A systematic review, research agenda, and practical implications
No full textWe conducted a systematic review of relevant literature to address how religious and occupational identities relate to each other in the workplace. We identified 53 relevant publications for analysis and synthesis. Studies addressed value differences associated with religion and occupation, identity tensions, unmet expectations, and the connection of religious identity to well-being and work outcomes. Key variables in the connection between religious and occupational identities included personal preferences, the fit between religious identity and job-related concerns, and the organization’s policies, practices and expectations. We highlight the personal and organizational consequences of being able to express religious identity at work and the conditions that promote high congruence between religious identity and its expression in the workplace. From these findings, we develop a research agenda and offer recommendations for management practice that focus on support for expression of religious identity at work while maintaining a broader climate of inclusion
Adherence and acceptability of light therapies to improve sleep in intrinsic circadian rhythm sleep disorders and neuropsychiatric illness: systematic review
No full textMobile materiality: the great exhibition of 1851 and the mobile-material relations of Henry Mayhew's 1851: or, the adventures of Mr and Mrs Sandboys
No full textValuation of Marine Plastic Pollution in the European Arctic: Applying an Integrated Choice and Latent Variable Model to Contingent Valuation
No full textDespite its remoteness, marine plastic pollution is a significant environmental problem in the Arctic. In Svalbard, for example, plastics are found on the shorelines, in the water column, on the ocean floor and in the ice. Organisms have been observed to be entangled in nets and ingestion of plastics has been documented in a range of organisms. Notably almost all Arctic bird species have been found to have ingested plastic, with Northern fulmars being particularly affected, with 89% of samples recorded as having ingested plastic. Identification and valuation of ecosystem services affected by marine plastic pollution can provide input for decision makers in evaluating and comparing management policies concerning this unique environment. This study employs the contingent valuation method (CVM) for eliciting the willingness to pay (WTP) of Norwegian households for reducing marine plastic pollution around the archipelago of Svalbard. An Integrated Choice and Latent Variable model (ICLV) is employed to explore attitudinal determinants of WTP. We find an average WTP for an initiative to reduce marine plastics of NOK 5,485 (USD 642) per household per year. The ICLV results reveal that people who are relatively more concerned about marine plastic pollution and who deem the proposed initiative effective are willing to pay more (up to 85 % and 50 %, respectively). The use of ICLV models in CVM and recommendations for future research are discussed
Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity
No full textDespite decades of unequivocal evidence that waist circumference provides both
independent and additive information to BMI for predicting morbidity and risk of death, this
measurement is not routinely obtained in clinical practice. This Consensus Statement proposes
that measurements of waist circumference afford practitioners with an important opportunity
to improve the management and health of patients. We argue that BMI alone is not sufficient to
properly assess or manage the cardiometabolic risk associated with increased adiposity in adults
and provide a thorough review of the evidence that will empower health practitioners and
professional societies to routinely include waist circumference in the evaluation and management
of patients with overweight or obesity. We recommend that decreases in waist circumference are
a critically important treatment target for reducing adverse health risks for both men and women.
Moreover, we describe evidence that clinically relevant reductions in waist circumference can be
achieved by routine, moderate- intensity exercise and/or dietary interventions. We identify gaps
in the knowledge, including the refinement of waist circumference threshold values for a given
BMI category , to optimize obesity risk stratification across age, sex and ethnicity. We recommend
that health professionals are trained to properly perform this simple measurement and consider
it as an important ‘vital sign’ in clinical practice
Determinants of impact investing for tourism development in emerging destinations of sub-Saharan Africa
No full textImpact investing is making important and positive contributions to the socio-economic development of groups at the bottom-of-the-pyramid. Independent literature streams reveal how in resource scarce contexts of sub-Saharan Africa, businesses are increasingly tapping into this emerging opportunity which is extending loans and other forms of capital. However, to date, there is very limited understanding of this domain from a hospitality and tourism perspective. By synthesizing across these literature streams, we explore the opportunities, constrains and nature of impact investing, and theorize its key determinants in resource scarce contexts. To elaborate our theorization, we content analyse published accounts i.e. industry reports and academic literature to argue for the need for more impact investing in hospitality and tourism, a sector that has traditionally suffered from under-financing and limited politico-economic recognition. The study lays a foundation for future research on impact investing in hospitality and tourism and yield important policy and managerial implications
A time-dependent Hartree-Fock study of triple-alpha dynamics
No full textTime-dependent Hartree-Fock calculations have been performed for fusion reactions of 4He + 4He → 8Be∗, followed by 4He + 8Be∗. Depending on the orientation of the initial state, a linear chain vibrational state or a triangular vibration is found in 12C, with transitions between these states observed. The vibrations of the linear chain state and the triangular state occur at '9 and 4 MeV respectivel
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