bluuebunny/crossref_metadata_2025 huggingface dataset:
Reducing emotional exhaustion and increasing organizational support
Authors: Alexander Hamwi G. , Rutherford Brian N. , Boles James S.
Published: January 2014

Purpose

The purpose of this study is to explore stressors that may influence salespersons' emotional exhaustion and their perception of organizational support.

Design/methodology/approach

Structural equation modeling is used to assess: the effects of role conflict and work‐family conflict on emotional exhaustion; role conflict and role ambiguity's effects on perceived organizational support; and whether perceived organization support is directly or indirectly linked to emotional exhaustion.

Findings

Findings from the study suggest that work‐family conflict and role conflict both significantly affect emotional exhaustion. Work‐family conflict also was found to impact on the relationship between perceived organizational support and emotional exhaustion. Finally, role conflict and role ambiguity were found to have a negative impact on perceived organizational support.

Originality/value

This study provides a foundation for reducing salespersons' emotional exhaustion and provides a method of increasing a salesforce's perception of organizational support.
An exploration of key connections within sales‐marketing interface
Authors: Malshe Avinash
Published: January 2014

Purpose

The paucity of empirical research on the sales‐marketing interface necessitates a detailed exploration of linkages that can forge stronger connection between these two functions. This paper aims to explicate the boundary conditions that may affect the role played by structure, language, and process linkages in forging sales‐marketing connections, and to identify additional linkages that may play an important role in this interface.

Design/methodology/approach

A total of 47 sales and marketing professionals across different organizations in diverse industries were interviewed.

Findings

The research finds that certain boundary conditions (e.g. organizational hierarchy, time horizon) may influence how structure, language, and process linkages may operate in this interface. It also extends linkage repertoire by identifying two critical linkages: social and philosophical. Its managerial contribution lies in stressing the importance of: vertical and horizontal communication bridges; marketing's flexibility; interpersonal relationships; and the philosophical bond between the two functions, in forging stronger connections.

Originality/value

This is one of the few qualitative empirical investigations of the sales‐marketing interface. It broadens one's understanding of sales‐marketing linkages, adds to linkage repertoire, and extends the interface literature.
Guanxi as a gateway in Chinese‐Western business relationships
Authors: Gao Hongzhi , Knight John G. , Ballantyne David
Published: January 2014

Purpose

This article aims to identify critical aspects of Chinese‐Western intercultural guanxi relationships that have largely been ignored as a domain for study in international business and industrial marketing, and to suggest a way forward.

Design/methodology/approach

A theme analysis across a range of academic and business journal articles is undertaken to capture major themes involving China‐focused research that relates to international business and industrial marketing, and also to locate critical themes that may have been overlooked.

Findings

Intercultural interaction at a personal level is both unavoidable and critical for successfully doing business with China. This study introduces the term guanxi gateway ties to highlight a special class of facilitating relationships that can emerge through interactions between guanxi insiders and guanxi outsiders. Insiders and outsiders can meet and work together in this middle‐cultural territory for the instrumental purpose of obtaining passage through the “gateway”.

Research limitations/implications

Inevitably some journal articles of interest may have been missed in the review due to the chosen scanning boundary. Nevertheless the search method provides a sufficient base to reveal recurrent research themes, and also overlooked themes of potential significance.

Practical implications

Guanxi gateway ties assist companies and individual business actors to find a path through the cumbersome Chinese bureaucracy and hierarchical levels by activating personal relationships.

Originality/value

This study reveals a commonly overlooked perspective of guanxi, that is, as a facilitator of culture‐bridging ties. The conventional business perspective of guanxi can be viewed as evolving from a gated community into an intercultural facilitating mechanism.
How store brands build retailer brand image
Authors: Kremer Florence , Viot Catherine
Published: January 2014

Purpose

The purpose of this research is to highlight the role store brands can play in retail branding. Does an image transfer take place between store brands and the retailer brand? To address this issue, the authors propose to identify and test the dimensions of image transfer from the store brand to the retailer brand.

Design/methodology/approach

A qualitative study of 138 consumers helped to complete the attributes of store brand image and retailer brand image identified in the literature. A total of 322 customers of three major French retailers responded to a questionnaire. The data collected were tested in a structural equation model.

Findings

Results indicate that store brands have a positive impact on the retailer image. The price image of the store brand is positively related to the retailer price image. The values that customers associated with store brands improve the retailer brand image in terms of its values.

Research limitations/implications

Store brands are considered as a whole, without distinction between product categories. The paper focuses on standard store brands only, excluding “premium” store brands.

Practical implications

Retailers can find a rationale for investing in their store brand range in order to differentiate themselves from their competitors. Managers should ensure that their store brands' image is seen as congruent with their own retailer brand image. In particular, more attention should be paid to the values reflected by the store brands and the store brands' price image.

Originality/value

The results indicate that store brands not only benefit from the strength of the retailer brand, but they also contribute, in a reciprocal way, to the improvement of the retailer image.
Retail Insights ‐ Autumn 1995
Authors: Fojt Martin
Published: January 2014

If, as everybody agrees now, business should be about meeting customers’ needs, it makes sense to involve customers as we create strategy. But here lies a problem. Ordinary market research techniques are fine for finding out what customers think about what already exists. They are much less good at helping us uncover customers’ attitudes to what might be, or their ideas about what should be.
Retail Insights ‐ Spring 1998
Authors: Pollitt David
Published: January 2014

Businesses have always competed on knowledge, whether executives explicitly have said so or not. So, what’s new? What’s new is that technology now permits us to acquire, organize, manage and leverage vast amounts of knowledge much more efficiently and purposefully than ever before, and in ways that were almost unimaginable even a decade ago. It has become increasingly clear that the ability to use knowledge more effectively than competition represents the only basis for sustained competitive advantage in today’s rapidly changing world, particularly at a time when most traditional forms of competitive advantage are soon matched or surpassed by others. Look how quickly costs and quality are equaled. Excellence in these areas is merely the price of admission to the competitive game. And the new game is technology enabled and knowledge‐driven.
Anbar Abstracts Issue
Authors: Fojt Martin
Published: January 2014

This special “Anbar Abstracts” issue of the Journal of Product & Brand Management is split into six sections covering abstracts under the following headings: Marketing strategy; Customer service; Pricing; Promotion; Marketing research, customer behavior;
Product management.
Anbar Abstracts Issue
Authors: Pollitt David
Published: January 2014

This special “Anbar Abstracts” issue of the Journal of Product & Brand Management is split into ten sections covering abstracts under the following headings: Marketing strategy; Customer service; Pricing; Promotion; Marketing research;
Product management; Channel management; Logistics and distribution; New product development; Purchasing.
Comparing user‐generated and librarian‐generated metadata on digital images
Authors: Petek Marija
Published: January 2014

Purpose

Images can be seen in a different way by different users. The purpose of this paper is to examine how users describe images and to ascertain whether differences exist between users and librarians in creating metadata on images.

Design/methodology/approach

The paper compares metadata on digital images generated by users to metadata generated by librarians. A sample of images taken from Digital Library of Slovenia and Flickr is presented to students to assign tags. The tags are grouped into categories and classes of attributes and compared to keywords added by Slovene librarians and to tags created by Flickr visitors.

Findings

The number of assigned tags differs greatly among survey participants, librarians and Flickr users, the participants being the most productive. A majority of tags reflect perceptual attributes and tagging is mostly done for personal benefit. The matching rate for all images is 41.4 percent; matching is a little higher with the Flickr images.

Practical implications

Social tagging can be used to develop control vocabularies reflecting users' language and to provide access to digital images.

Originality/value

The paper presents quantitative data on image attributes used by users in describing images.
The global accounting academic: what counts!
Authors: Guthrie James , D. Parker Lee
Published: January 2014

Purpose

– This editorial aims to consider the global accounting academic and the environment in which we research and teach, including consideration of the challenges that confront us now and into the future.

Design/methodology/approach

– Document review, personal reflections and argument.

Findings

– The paper acknowledges that the accounting academic has an important role to play in a global higher education system. However, challenges include government research performance measurement systems, journal ranking lists, lack of funding for quality teaching and research, life as a “cash cow” for universities, the impact of the virtual university and its impact on professional practice, the profession and society in general. These factors carry direct implications for the current shape and orientation of accounting research and scholarship.

Research limitations/implications

– The paper offers scope for accounting academics to engage with the profession and society as to the impact of their teaching and research, not only in Australia, but internationally.

Originality/value

– The paper provides important commentary on the global accounting academic and what counts.
An investigation of the role of communication in IT projects
Authors: Monteiro de Carvalho Marly
Published: January 2014

Purpose

– The purpose of this paper is to explore communication management in information technology (IT) projects and to identify barriers to communication, from both individual and organisational standpoints, and from distinctive stakeholders' points of view (project management office (PMO), project manager, IT and business personnel).

Design/methodology/approach

– A case-based research in a large IT service provider was conducted, mixing qualitative and quantitative data. A literature review shed light on different epistemological fields, and different aspects of communication in IT projects were analysed and different perspectives were brought together in a communication integrated framework (CIF). Several data collection methods were combined. Structured and unstructured interviews of 78 participants (PMO, IT and business personnel), PMO archival data, and survey-based research were performed in order to achieve triangulation.

Findings

– The contribution of the CIF to project communication management theory can be summarized as follows. First, the framework considers different perspectives, from the individual to the organisational, which affect communication during IT projects in the form of an integrated system approach. Second, the contingency perspective of different stakeholders are explored, particularly as regards the PMO, IT and business personnel. The case revealed an inconsistency: on the one hand, the importance of communication is exalted by all the analysed stakeholders, and on the other hand, the communication processes and practices proposed by the PMO and formalised in the company's project management (PM) methodology are neither followed nor prioritised by project managers.

Research limitations/implications

– This study was dependent on self-reported perceptions. It embraced IT projects, and new studies should be done for other types of projects. The focus is within a specific organisation and its characteristics conditioned the findings.

Practical implications

– CIF allows improving the assessment of the communication area in projects. An important managerial implication of this study is that the adoption of a standardised PM framework is not sufficient for the elimination of barriers to communication. The study suggests that firms should consider manners of developing the communication management process, as well as increasing the efficient use of performance report and communication tools to reduce detrimental conflict.

Originality/value

– The paper proposes a framework. CIF allows to considering different perspectives, from the individual to the organisational level that affect communication in IT projects.
User studies on teleoperation of robots for plant inspection
Authors: Schmidt Ludger , Hegenberg Jens , Cramar Liubov
Published: January 2014

Purpose

– To avoid harm to humans, environment, and capital goods, hazardous or explosive gases that are possibly escaping from industrial and infrastructure facilities of the gas and oil processing industry have to be detected and located quickly and reliably. Project RoboGasInspector aims at the development and evaluation of a human-robot system that applies autonomous robots equipped with remote gas detection devices to detect and locate gas leaks. This article aims to focus on the usability of telemanipulation in this context.

Design/methodology/approach

– This paper presents four user studies concerning human-robot interfaces for teleoperation in industrial inspection tasks. Their purpose is to resolve contradictory scientific findings regarding aspects of teleoperation and to verify functionality, usability, and technology acceptance of the designed solution in the actual context of use. Therefore, aspects concerning teleoperation that were separately examined before are evaluated in an integrated way. Considered aspects are influence of media technology on telepresence, simulator sickness and head slaved camera control, usability of different input devices for telemanipulation, and identification of intuitive gestures for teleoperation of mobile robots.

Findings

– In general, the implemented interaction concepts perform better compared to conventional ones used in contemporary, actually applied robot systems. Otherwise, reasons are analyzed and approaches for further improvements are discussed. Exemplary results are given for each study.

Originality/value

– The solution combines several technical approaches that are so far separately examined. Each approach is transferred to the innovative domain of industrial inspections and its applicability in this context is verified. New findings give design recommendations for remote workplaces of robot operators.
Taming the amygdala: new tools for crisis management
Authors: Buell Hirsch Peter
Published: January 2014

Purpose

– The article discusses the ramifications for corporate reputation of the current concerns about consumer data privacy in order to identify potential risks and benefits for corporations in their relations with consumers and other stakeholders.

Design/methodology/approach

– The article discusses the ramifications for corporate reputation of the current concerns about consumer data privacy in order to identify potential risks and benefits for corporations in their relations with consumers and other stakeholders.

Findings

– This review suggests that there are indeed significant concerns for corporations about how consumers feel about corporate use of personal and, in particular, behavioral data. However, there are steps that corporations can take to demonstrate their commitment to data privacy that can mitigate potential reputational damage and even strengthen their image with consumers and other stakeholders.

Originality/value

– Data privacy as a reputation asset has been little discussed in the literature to date.
Seeing the trees through the forest
Authors: Minihan Brian
Published: January 2014

Purpose

– Collaborative efforts in academic library collection management and development are frequent topics in library literature. This paper aims to analyse the nature of collaborative projects among Hong Kong academic libraries, with a view to whether further synchronisation of collection management is likely or not.

Design/methodology/approach

– By comparing collaboration, as defined in the academic library literature from the 1970s to the present, to the status of current collaboration in academic libraries in Hong Kong, the local outlook for collaborative collection decisions among an eight-member library consortium was analysed. The ramification of local weeding projects and collection management decisions without a joint storage facility and its associated communication benefits regarding collection management decisions are detailed.

Findings

– Hong Kong academic libraries will all need to communicate clearly to one another and agree on local strategies before they can expect to build up to see any benefits from collaboration in collection management and development.

Originality/value

– Although many of the themes have been touched upon before, in an Asian context it is useful to emphasize that success in collaboration is not dependent on budgets and resources alone.
Graft copolymer ofMoringaseed as remedial agent of industrial effluent
Authors: S. Vankar Padma , Shanker Sahu Rama
Published: January 2014

Purpose

– A graft copolymer (PBW-g-PAM) ofMoringaseed was prepared. The phosphate buffer washed seed powder and polyacrylamide were reacted, using ceric ion initiator. The grafted copolymer was tested for its efficiency for metal removal (Cr-VI) from tannery effluent and for color removal from textile effluent using standard spectroscopic methods. The paper aims to discuss these issues.

Design/methodology/approach

– The PBW-g-PAM was prepared by standard method and characterized by FT-IR, SEM, UV-vis, XRD and DSC/TGA analyses.

Findings

– The effects of PBW-g-PAM dose, contact time and pH on percent removal of Cr-VI and dye color, have been reported.

Originality/value

– The efficiency of metal removal was shown to be 99 per cent in just 15 min. Similar results were obtained for efficient color removal from textile effluents. It is for the first time that graft polymer ofMoringaseed has been used for metal and color removal.
Does the Decoupling Reform Affect Agricultural Employment in Sweden? Evidence from an Exogenous Change
Authors: Nordin Martin
Published: January 2014

This study uses aggregated municipality data, for the years 2001–2009, to explore whether direct payments to farmers affect agricultural employment in Swedish municipalities. The decoupling reform in 2005 included a new grassland support payment accompanied by management obligations that had unexpectedly high redistributive consequences as it greatly increased common agricultural policy payments to municipalities with large areas of grassland. In some municipalities, total payments more than doubled. Thus, since the reform seems exogenous to the behaviour of farmers and the regional economy, the reform can be used to identify a subsidy effect. We find that a permanent increase in agricultural employment can be attributed to the new grassland support. Our results indicate that the grassland support generates an additional job at a cost of SEK 250,000, relative to the average agricultural wage of SEK 333,000. However, the subsidy effect is largely keeping jobs in agriculture, i.e. the grassland support may be slowing down the process of structural change in grassland regions.
Effects of Boiling on Chlorogenic Acid and the Liver Protective Effects of Its Main Products Against CCl4‐Induced Toxicity In Vitro
Authors: Kan Shidong , Cheung Matt Wan Man , Zhou Yanling , Ho Wing Shing
Published: January 2014

Chlorogenic acid (3‐O‐caffeoylquinic acid, CA) is the active component in several botanical beverage, vegetables, fruits, and herbal drugs. The effect of water boiling on the bioactivity of CA was studied. CA could be isomerized to 4‐O‐caffeoylquinic acid (4‐O‐CA) and 5‐O‐caffeoylquinic acid (5‐O‐CA) in decoctive extraction, and each of the isomers occupied about one‐third of the total caffeoylquinic acids. A novel method, using water elution of microsphere resin, was used to purify CA and its 2 isomers. The yield of CA, 4‐O‐CA, and 5‐O‐CA was 82%, 5.6%, and 50%, with the purity of 98%, 97%, and 99%, respectively. The DPPH radical scavenging assay showed that 4‐O‐CA, 5‐O‐CA, and CA exhibited similar activity. However, there was no significant difference between 4‐O‐CA and 5‐O‐CA when used against CCl4‐induced toxicity in hepG2 cells. Our studies show that isomerization is the main transformation of CA in boiling, and the decoction could not decrease the anti‐oxidant activity of CA.
Transcriptomic analysis of Streptomyces clavuligerus ΔccaR::tsr: effects of the cephamycin C‐clavulanic acid cluster regulator CcaR on global regulation
Authors: Álvarez‐Álvarez R. , Rodríguez‐García A. , Santamarta I. , Pérez‐Redondo R. , Prieto‐Domínguez A. , Martínez‐Burgo Y. , Liras P.
Published: January 2014

Streptomyces clavuligerus ATCC 27064 and S. clavuligerus ΔccaR::tsr cultures were grown in asparagine‐starch medium, and samples were taken in the exponential and stationary growth phases. Transcriptomic analysis showed that the expression of 186 genes was altered in the ccaR‐deleted mutant. These genes belong to the cephamycin C gene cluster, clavulanic acid gene cluster, clavams, holomycin, differentiation, carbon, nitrogen, amino acids or phosphate metabolism and energy production. All the clavulanic acid biosynthesis genes showed Mc values in the order of −4.23. The blip gene‐encoding a β‐lactamase inhibitory protein was also controlled by the cephamycin C‐clavulanic acid cluster regulator (Mc −2.54). The expression of the cephamycin C biosynthesis genes was greatly reduced in the mutant (Mc values up to −7.1), while the genes involved in putative β‐lactam resistance were less affected (Mc average −0.88). Genes for holomycin biosynthesis were upregulated. In addition, the lack of clavulanic acid and cephamycin production negatively affected the expression of genes for the clavulanic acid precursor arginine and of miscellaneous genes involved in nitrogen metabolism (amtB, glnB, glnA3, glnA2, glnA1). The transcriptomic results were validated by quantative reverse transcription polymerase chain reaction and luciferase assay of luxAB‐coupled promoters. Transcriptomic analysis of the homologous genes of S. coelicolor validated the results obtained for S. clavuligerus primary metabolism genes.
Policy Indexes as Tools for Decision Makers: The Case of Climate Policy
Authors: Surminski Swenja , Williamson Andrew
Published: January 2014

The last two decades have witnessed an explosion in the publication of country indexes that measure and rank the relative national policy performances of governments. To illustrate the challenges of using and applying these tools we focus on those four indexes that have been specifically designed in response to the emergence of the relatively new policy area of climate change. We investigate if and how these tools provide information about the evolving landscape of climate policy in the BRIC (Brazil, Russia, India and China) countries, widely considered the future battleground of climate policy. We find that even for this relatively narrow area different methodologies exist. Interpreting and applying climate policy indexes across countries therefore requires a solid understanding of underlying objectives and data used for each index. A clear gap is the underrepresentation of adaptation policy in all four indexes. Our investigation concludes with a reflection on how climate policy indexes are currently applied, including business planning. These tools provide informative pointers that can be of use for stakeholders, nevertheless they should not be considered in isolation, but need to be complemented by a broader view on what is driving particular responses to climate change in a country.
Polygenic risk scores for smoking: predictors for alcohol and cannabis use?
Authors: Vink Jacqueline M. , Hottenga Jouke Jan , de Geus Eco J. C. , Willemsen Gonneke , Neale Michael C. , Furberg Helena , Boomsma Dorret I.
Published: January 2014

Background and Aims

A strong correlation exists between smoking and the use of alcohol and cannabis. This paper uses polygenic risk scores to explore the possibility of overlapping genetic factors. Those scores reflect a combined effect of selected risk alleles for smoking.

Methods

Summary‐level P‐values were available for smoking initiation, age at onset of smoking, cigarettes per day and smoking cessation from the Tobacco and Genetics Consortium (n between 22 000 and 70 000 subjects). Using different P‐value thresholds (0.1, 0.2 and 0.5) from the meta‐analysis, sets of ‘risk alleles’ were defined and used to generate a polygenic risk score (weighted sum of the alleles) for each subject in an independent target sample from the Netherlands Twin Register (n = 1583). The association between polygenic smoking scores and alcohol/cannabis use was investigated with regression analysis.

Results

The polygenic scores for ‘cigarettes per day’ were associated significantly with the number of glasses alcohol per week (P = 0.005, R2 = 0.4–0.5%) and cannabis initiation (P = 0.004, R2 = 0.6–0.9%). The polygenic scores for ‘age at onset of smoking’ were associated significantly with ‘age at regular drinking’ (P = 0.001, R2 = 1.1–1.5%), while the scores for ‘smoking initiation’ and ‘smoking cessation’ did not significantly predict alcohol or cannabis use.

Conclusions

Smoking, alcohol and cannabis use are influenced by aggregated genetic risk factors shared between these substances. The many common genetic variants each have a very small individual effect size.
Strategic and non‐strategic problem gamblers differ on decision‐making under risk and ambiguity
Authors: Lorains Felicity K. , Dowling Nicki A. , Enticott Peter G. , Bradshaw John L. , Trueblood Jennifer S. , Stout Julie C.
Published: January 2014

Aims

To analyse problem gamblers' decision‐making under conditions of risk and ambiguity, investigate underlying psychological factors associated with their choice behaviour and examine whether decision‐making differed in strategic (e.g. sports betting) and non‐strategic (e.g. electronic gaming machine) problem gamblers.

Design

Cross‐sectional study.

Setting

Out‐patient treatment centres and university testing facilities in Victoria, Australia.

Participants

Thirty‐nine problem gamblers and 41 age, gender and estimated IQ‐matched controls.

Measurements

Decision‐making tasks included the Iowa Gambling Task (IGT) and a loss aversion task. The Prospect Valence Learning (PVL) model was used to provide an explanation of cognitive, motivational and response style factors involved in IGT performance.

Findings

Overall, problem gamblers performed more poorly than controls on both the IGT (P = 0.04) and the loss aversion task (P = 0.01), and their IGT decisions were associated with heightened attention to gains (P = 0.003) and less consistency (P = 0.002). Strategic problem gamblers did not differ from matched controls on either decision‐making task, but non‐strategic problem gamblers performed worse on both the IGT (P = 0.006) and the loss aversion task (P = 0.02). Furthermore, we found differences in the PVL model parameters underlying strategic and non‐strategic problem gamblers' choices on the IGT.

Conclusions

Problem gamblers demonstrated poor decision‐making under conditions of risk and ambiguity. Strategic (e.g. sports betting, poker) and non‐strategic (e.g. electronic gaming machines) problem gamblers differed in decision‐making and the underlying psychological processes associated with their decisions.
Ideology‐Specific Patterns of Moral Indifference Predict Intentions Not to Vote
Authors: Johnson Kate M. , Iyer Ravi , Wojcik Sean P. , Vaisey Stephen , Miles Andrew , Chu Veronica , Graham Jesse
Published: January 2014

Results from a nationally representative survey (N = 1, 341) provide evidence that self‐reported nonvoting behavior is associated with lower endorsement of moral concerns and values (Study 1). Across three studies, five large samples (total N = 27,038), and two presidential elections, we replicate this pattern and show that the explicit intention not to vote is associated with lower endorsement of moral concerns and values (Studies 2–4). This pattern was not found for endorsement of nonmoral values. Separate analyses for liberals, conservatives, libertarians, and Tea Party supporters reveal that the intention not to vote is specifically associated with low endorsement of the moral concerns most associated with one's ideological group: Care and Fairness concerns predicted voting intentions for liberals, while Loyalty, Authority, and Sanctity concerns predicted voting intentions for conservatives and members of the Tea Party group FreedomWorks.
Hepatectomy for liver abscess caused by stones spilled during laparoscopic cholecystectomy
Authors: Hashimoto Masaji , Sasaki Kazunari , Matsuda Masamichi , Watanabe Goro
Published: January 2014

An abdominal abscess caused by spilled stones is a serious complication of laparoscopic cholecystectomy that requires drainage or reoperation to remove the scattered stones. Herein, we report the case of a 50‐year‐old woman, who was on dialysis for renal failure. She underwent major hepatectomy for a liver abscess caused by stones spilled during laparoscopic cholecystectomy.
Laparoscopic management of hypertrophic hypersecretory gastropathy with protein loss: A case report
Authors: Byun Jeik , Kwon Sebastianus , Oh Seung‐Young , Lee Kyung‐Goo , Suh Yun‐Suhk , Kong Seong‐Ho , Kim Sang‐Gyun , Kim Woo‐Ho , Yang Han‐Kwang , Lee Hyuk‐Joon
Published: January 2014

Hypertrophic hypersecretory gastropathy with protein loss (HHGP) is a rare form of acquired gastropathy characterized by giant gastric rugal folds and hypoalbuminemia. It is often misdiagnosed as Ménétrier's disease. We report the case of a 45‐year‐old man with HHGP who presented with nausea and anorexia. The patient had no underlying disease and was not on medication. Esophagogastroduodenoscopy and CT showed a thickening of the gastric folds in the stomach. As cancer cells were not detected on endoscopic biopsies, the patient was diagnosed with Ménétrier's disease. He was managed with a high‐protein diet and annual follow‐up by esophagogastroduodenoscopy. Five years after the diagnosis, the patient underwent laparoscopy‐assisted total gastrectomy for refractory abdominal pain, diarrhea, and protein loss. A pathological diagnosis of HHGP was made and he was discharged without any surgical complications. The patient was relieved of anorexia, abdominal pain, and diarrhea. Laparoscopy‐assisted total gastrectomy could be regarded as a treatment option for HHGP.
Laparoscopic total remnant pancreatectomy after laparoscopic pancreaticoduodenectomy
Authors: Sunagawa Hiroki , Mayama Yasuaki , Orokawa Tomofumi , Oshiro Naoto
Published: January 2014

Total remnant pancreatectomy after pancreaticoduodenectomy (PD) is a difficult procedure. Recently, distal pancreatectomy and PD have been performed laparoscopically. Herein, we present the first case report of a laparoscopic total remnant pancreatectomy. A 72‐year‐old woman underwent a totally laparoscopic pylorus‐preserving PD for inferior bile duct cancer. The tumor was composed of moderately differentiated tubular adenocarcinoma and was diagnosed as pStage III according to the UICC‐TNM classification. Eighteen months later, CT showed a low‐density mass in the remnant pancreas. We conducted a total resection of the remnant pancreas laparoscopically. Histologically, it was diagnosed as a primary pancreatic cancer. The patient's postoperative course was uneventful. She was discharged on postoperative day 14. When an initial PD is performed laparoscopically, laparoscopic total remnant pancreatectomy is technically feasible and safe in selected patients.
Laparoendoscopic approach for refractory Roux‐en‐Y hepaticojejunostomy stricture in an acute setting: A unique case and technique
Authors: Pidigue Rajan Seshiyer , Chinnusamy Palanivelu , Jategaonkar Priyadarshan Anand , Ramakrishnan Parthasarathi , Subbiah Rajapandian , Palanisamy Senthilnathan , Natesan Anand Vijai S , Palanivelu Praveen Raj
Published: January 2014

Roux‐en‐Y hepaticojejunostomy stricture is a substantial problem that develops in 10%–30% of patients and requires frequent intervention. Although endoscopic/percutaneous approaches are preferred, especially for refractory stricture, open surgical reconstruction remains the gold standard. However, such an operation may be highly challenging. The recently developed covered, self‐expanding metallic stent is a useful option for such difficult cases. We present a case of recurrent Roux‐en‐Y hepaticojejunostomy stricture complicated by densely packed intrahepatic stones and suppurative cholangitis with failed percutaneous biliary draining. Enteroscopic manipulations were unfeasible, and the case was successfully managed by the laparoendoscopic approach. If treating surgeons have the necessary expertise, this technique may be considered in such difficult scenarios.
Single‐incision laparoscopic hepatic resection in patients with previous hepatic resections: A mini case series
Authors: Kim Guowei , Lau Arthur Chin‐Haeng , Chang Stephen Kin Yong
Published: January 2014

Single‐incision laparoscopic hepatic resection has been attracting increased attention from the surgical community in recent years. While there have been reports and studies on this procedure, none has suggested the possibility of doing repeated hepatic resections via a single incision. This report on three such cases aims to determine the feasibility and safety of this approach for such patients. Three patients who had previously had liver resections underwent single‐incision laparoscopic hepatic resection in our center. Patient demographics, type of port and instruments used, operating time, complications and incision length were collected. The operating time in each case was less than 230 min. The incision length for the single‐port device was 3.5 cm or less. The length of hospital stay was less than 5 days in each case. Intra‐operative blood loss was limited to 250 mL in each case. There were no immediate postoperative complications related to hepatic resection. Single‐incision laparoscopic hepatic resection is feasible for selected patients who have had previous hepatic resections. Because the port entry site for the single‐incision laparoscopic approach is usually slightly larger than that for the conventional approach, it is safer in re‐resection cases where there may be adhesions from previous surgery. Other possible benefits, such as cosmesis and reduced port‐associated morbidity, are mainly related to the use of only one small incision.
Rectal arteriovenous fistula resected laparoscopically after laparoscopic sigmoidectomy: A case report
Authors: Ushigome Hajime , Hayakawa Tetsushi , Morimoto Mamoru , Kitagami Hidehiko , Tanaka Moritsugu
Published: January 2014

We report a very rare case of rectal arteriovenous fistula following sigmoidectomy and discuss this case in the context of the existing literature. In April 2011, the patient, a man in his 60s, underwent laparoscopic sigmoidectomy with lymph node dissection for sigmoid colon cancer. Beginning in February 2012, he experienced frequent diarrhea. Abdominal contrast‐enhanced CT revealed local thickening of the rectal wall and rectal arteriovenous fistula near the anastomosis site. Rectitis from the rectal arteriovenous fistula was diagnosed. No improvement was seen with conservative treatment. Therefore, surgical resection was performed laparoscopically and the site of the lesion was confirmed by intraoperative angiography. The arteriovenous fistula was identified and resected. Postoperatively, diarrhea symptoms resolved, and improvement in rectal wall thickening was seen on abdominal CT. No recurrence has been seen as of 1 year postoperatively.
Robotics in general surgery: An evidence‐based review
Authors: Baek Se‐Jin , Kim Seon‐Hahn
Published: January 2014

Since its introduction, robotic surgery has been rapidly adopted to the extent that it has already assumed an important position in the field of general surgery. This rapid progress is quantitative as well as qualitative. In this review, we focus on the relatively common procedures to which robotic surgery has been applied in several fields of general surgery, including gastric, colorectal, hepato‐biliary‐pancreatic, and endocrine surgery, and we discuss the results to date and future possibilities. In addition, the advantages and limitations of the current robotic system are reviewed, and the advanced technologies and instruments to be applied in the near future are introduced. Such progress is expected to facilitate the widespread introduction of robotic surgery in additional fields and to solve existing problems.
Effects of supplemental palygorskite instead of zinc oxide on growth performance, apparent nutrient digestibility and fecal zinc excretion in weaned piglets
Authors: Tang Chao H. , Wang Xiu Q. , Zhang Jun M.
Published: January 2014

The aim of this study was to determine the effects of dietary supplementation of palygorskite instead of zinc oxide (ZnO) on growth performance, apparent nutrient digestibility and zinc contents in serum and feces in weaned piglets. One hundred and sixty‐five piglets (28 days of age, 7.10 ± 0.86 kg) were allotted to five treatments on the basis of weight and sex. Each treatment included three replicates of 11 piglets. The piglets were fed the same basal diet supplemented with 0 mg/kg (control group), 1800 mg/kg, 2400 mg/kg, or 3000 mg/kg palygorskite or 2500 mg/kg ZnO for 28 days. There was no significant difference for incidence of diarrhea among the four treatments during the 0–14‐day feeding period. Compared with the control group, piglets offered diets supplemented with 1800 mg/kg palygorskite had higher (P < 0.05) average daily gain (ADG) and crude protein digestibility. Fecal digestibility of energy in 1800 mg/kg palygorskite and ZnO groups were higher (P < 0.05) than that in the control group. Both the zinc concentrations in serum and fecal zinc excretion in palygorskite groups and control group were all lower (P < 0.05) than that in the ZnO group. In conclusion, dietary supplementation with 1800 mg/kg palygorskite can improve growth performance and nutrient digestibility and can also decrease zinc excretion in feces in weaned piglets.
Essentially Winnicott: Creating Psychic Health
Authors: Caldwell Lesley , Joyce Angela
Published: January 2014

The authors of this paper recognize the paradox of identifying with the body of work of D. W. Winnicott as it was essential to his view that each analyst has to become the analyst s/he is or can be. This is to avoid the dead hand of conformity and falsity. Nevertheless his work continues to inspire creative use with its concern with health and those conditions for its development. Both authors find themselves committed to history taking, to needing and taking time, to a willingness to wait before interpreting, to a recognition that the self derives originally from a bodily state of unintegration, that the body remains significant for the expression of self‐states, to an understanding of aggression as not primarily associated with destructiveness, to attending to the state of mind in the analyst that encourages the establishment and maintenance of the analytic setting. Clinically their intention is to maintain a continuity within which psychic change can be facilitated, through an attention to the ongoing exchanges between both parties of the analytic relation. Several clinical examples are given from different settings to illustrate the presence of these tenets in their work.
An Outline of Our Contemporary Freudian Approach
Authors: Sandler Anne‐Marie , Schachter Joan
Published: January 2014

In this paper the authors give a summary of their Contemporary Freudian approach to clinical work. The main theoretical perspectives are described followed by the clinical principles guiding clinical work with adults. A clinical example is then given to illustrate how these principles inform the analyst's listening and formulation of interpretations. Our Contemporary Freudian approach has developed over many years of clinical work and study and our immersion in the life of the British Psychoanalytic Society with its different schools of thought. It is based on the Freudian tradition: the conceptualization of the dynamic unconscious and the role of unconscious phantasy which informs our understanding of the unfolding analytic process. The Freudian developmental perspective (further elaborated by Anna Freud and others) is the essential basis on which we understand the patient's history and current mental functioning. The centrality of the body with its sexual and aggressive drives that have to be integrated into the individual's self and object representations over the course of development, remains fundamental in our clinical approach.
A Jungian Approach to Analytic Work in the Twenty‐First Century
Authors: Cochrane Maggie , Flower Steven , Mackenna Chris , Morgan Helen
Published: January 2014

In Part 1 of this paper the authors summarize those key concepts in Jungian analytic theory which differentiate it from a psychoanalytic approach. To illustrate these perspectives and their application in clinical work, a patient is introduced. The authors elaborate on a particular dream with the proposition that it holds within it both an image of the internal world of the patient's personal psyche and something which might be viewed as archetypal and emerging from the collective unconscious.

Part 2 focuses on more recent developments in Jungian analytic thinking. Michael Fordham's important work in extending Jungian theory into an understanding of infant development is summarized and illustrated by a clinical example. This is followed by a brief summary of how contemporary debate within the Jungian analytic community has been much affected by recent developments in areas outside the analytic discourse which have offered both a challenge to and an affirmation of certain Jungian concepts. Examples given are from emergence theory and neuroscience. The Jungian interest in such phenomena stems from a view of the human psyche as rooted in a wider world of matter, culture, history and an unconscious that is not only personal but also collective.
What are the Experiences of Therapeutic Rupture and Repair for Clients and Therapists within Long‐Term Psychodynamic Therapy?
Authors: Haskayne Donna , Larkin Michael , Hirschfeld Rachel
Published: January 2014

Despite outcome research demonstrating that a rupture–repair process in the therapeutic relationship can be beneficial, there is a lack of qualitative research on ruptures and how they are repaired. This study explored parallel accounts of therapeutic ruptures produced by clients and therapists during long‐term psychodynamic therapy. Interviews were conducted with four client–therapist dyads and were analysed using Interpretative Phenomenological Analysis. Themes found included: clients' experience of the danger of emotional experience (Negative emotions as dangerous); accounts of the discovery during therapy being a difficult and gradual experience (Therapeutic discovery; gradual and hard work; to and fro); the experience of the hurdles within the therapeutic relationship (The struggle; not knowing; control and power); then followed by a connection (The positive connection; emotional sensitivity; shining a light). The results are discussed in relation to a number of core concepts in psychodynamic therapy.
Neuropathologic Assessment of Dementia Markers in Identical and Fraternal Twins
Authors: Iacono Diego , Volkman Inga , Nennesmo Inger , Pedersen Nancy L. , Fratiglioni Laura , Johansson Boo , Karlsson David , Winblad Bengt , Gatz Margaret
Published: January 2014

Twin studies are an incomparable source of investigation to shed light on genetic and non‐genetic components of neurodegenerative diseases, as Alzheimer's disease (AD). Detailed clinicopathologic correlations using twin longitudinal data and post‐mortem examinations are mostly missing. We describe clinical and pathologic findings of seven monozygotic (MZ) and dizygotic (DZ) twin pairs. Our findings show good agreement between clinical and pathologic diagnoses in the majority of the twin pairs, with greater neuropathologic concordance in MZ than DZ twins. Greater neuropathologic concordance was found for β‐amyloid than tau pathology within the pairs. ApoE4 was associated with higher β‐amyloid and earlier dementia onset, and importantly, higher frequency of other co‐occurring brain pathologies, regardless of the zygosity. Dementia onset, dementia duration, difference between twins in age at dementia onset and at death, did not correlate with AD pathology. These clinicopathologic correlations of older identical and fraternal twins support the relevance of genetic factors in AD, but not their sufficiency to determine the pathology, and consequently the disease, even in monozygotic twins. It is the interaction among genetic and non‐genetic risks which plays a major role in influencing, or probably determining, the degeneration of those brain circuits associated with pathology and cognitive deficits in AD.