The effects of background music tempo on consumer variety-seeking behavior: the mediating role of arousal.

Diversified purchases of consumers can help companies balance sales and inventories, which is of great significance to company profits. While existing research has explored the internal factors and external factors that influence consumers' variety-seeking behavior, little is known about the impact of background music, an important environmental cue in retail establishments, on consumer variety-seeking behavior. The present research investigates the influence of background music tempo on consumer variety-seeking behavior, along with its underlying mechanism and boundary condition. Five experiments revealed that background music tempo affects consumers' variety-seeking behavior (Study 1a, 1b & 4). Specifically, fast-tempo background music increases consumers' variety-seeking behavior (Study 1b). Arousal mediates the main effect (Study 2), as fast-tempo background music increases consumers' variety-seeking behavior by enhancing consumers' arousal. Moreover, participants' familiarity with the background music moderates the impact of background music tempo on consumer variety-seeking behavior (Study 3). Only when consumers have a high degree of familiarity with the background music they listen to, the tempo of the background music will have a significant impact on their variety-seeking behavior. These findings provide important theoretical contributions and management implications.

Keyhole vertical mini-abdominoplasty for correction of lower abdominal striae

Striae gravidarum are a common problem in postpartum women, who may experience serious emotional distress due to multiple streaks of scars on the abdomen. There is still no consensus on the treatment method for this problem. For a postpartum woman in her late 30s, who requested striae removal from the lower mid-abdomen, we developed and performed the keyhole-shaped vertical mini-abdominoplasty. This 37-year-old woman, who had given birth to two children, presented with multiple striae on the lower mid-abdomen and periumbilical area, as well as mild bulging in this area. The keyhole-shaped vertical mini-abdominoplasty, including multiple striae on the lower mid-abdomen and periumbilical skin, was designed. An area of striated lower abdominal and periumbilical skin, measuring approximately 10×15 cm2 and weighing about 450 g, was excised. Midline reinforcement of the loosened anterior rectus sheath with 3-0 Prolene sutures was done. Both lateral abdominal skin flaps were medially advanced to close the skin defects. Postoperatively, the patient had a favorable lower abdominal appearance with markedly fewer striae on the lower mid-abdomen and periumbilical area. The keyhole vertical mini-abdominoplasty can effectively correct moderate striae on the lower mid-abdomen and periumbilical area in postpartum women in their late 30s to middle age.

Effect of a combination of whole-body vibration and low resistance jump training on neural adaptation.

This study investigated and compared the effects of an eight-week program of whole body vibration combined with counter-movement jumping (WBV + CMJ) or counter-movement jumping (CMJ) alone on players. Twenty-four men's volleyball players of league A or B were randomized to the WBV + CMJ or CMJ groups (n = 12 and 12; mean [SD] age of 21.4 [2.2] and 21.7 [2.2] y; height of 175.6 [4.6] and 177.6 [3.9] cm; and weight, 69.9 [12.8] and 70.5 [10.7] kg, respectively). The pre- and post-training values of the following measurements were compared: H-reflex, first volitional (V)-wave, rate of electromyography rise (RER) in the triceps surae and absolute rate of force development (RFD) in plantarflexion and vertical jump height. After training, the WBV + CMJ group exhibited increases in H reflexes (p = 0.029 and <0.001); V-wave (p < 0.001); RER (p = 0.003 and <0.001); jump height (p < 0.001); and RFD (p = 0.006 and <0.001). The post-training values of V wave (p = 0.006) and RFD at 0-50 (p = 0.009) and 0-200 ms (p = 0.008) in the WBV + CMJ group were greater than those in the CMJ group. This study shows that a combination of WBV and power exercise could impact neural adaptation and leads to greater fast force capacity than power exercise alone in male players.

Replacement between conformity and counter-conformity in consumption decisions.

This study assessed, in a Chinese context, how self-esteem interacts with perceived similarity and uniqueness to yield cognitive dissonance, and whether the dissonance leads to self-reported conformity or counter-conformity behavior. Participants were 408 respondents from 4 major Chinese cities (M age = 33.0 yr., SD = 4.3; 48% men). Self-perceptions of uniqueness, similarity, cognitive dissonance, self-esteem and need to behave in conformity or counter-conformity were measured. A theoretical model was assessed in four situations, relating the ratings of self-esteem and perceived similarity/uniqueness to the way other people at a wedding were dressed, and the resultant cognitive dissonance and conformity/ counter-conformity behavior. Regardless of high or low self-esteem, all participants reported cognitive dissonance when they were told that they were dressed extremely similarly to or extremely differently from the other people attending the wedding. However, the conforming/counter-conforming strategies used by participants to resolve the cognitive dissonance differed. When encountering dissonance induced by the perceived extreme uniqueness of dress, participants with low self-esteem tended to say they would dress next time so as to conform with the way others were dressed, while those with high self-esteem indicated they would continue their counter-conformity in attire. When encountering dissonance induced by the perceived extreme similarity to others, both those with high and low self-esteem tended to say they would dress in an unorthodox manner to surprise other people in the future.

Comparative and reliability studies of neuromechanical leg muscle performances of volleyball athletes in different divisions.

This study compared neural profiles of the leg muscles of volleyball athletes playing in different divisions of Taiwan's national league to analyse the reliability and correlations between their profiles and biomechanical performances. Twenty-nine athletes including 12 and 17 from the first and second divisions of the league, respectively, were recruited. The outcome measures were compared between the divisions, including soleus H-reflex, first volitional (V) wave, normalised rate of electromyography (EMG) rise (RER) in the triceps surae muscles, and RER ratio for the tibialis anterior and soleus muscles, normalised root mean square (RMS) EMG in the triceps surae muscles, antagonist co-activation of the tibialis anterior muscle, rate of force development (RFD), and maximal plantar flexion torque and jump height. Compared to the results of the second division, the neural profiles of the first division showed greater normalised V waves, normalised RER in the lateral gastrocnemius, and normalised RMS EMG of the soleus and lateral gastrocnemius muscles with less antagonist co-activation of the tibialis anterior. First division volleyball athletes showed greater maximal torque, jump height, absolute RFD at 0-30, 0-100, and 0-200 ms, and less in the normalised RFD at 0-200 ms of plantar flexion when compared to the results of those in the second division. Neural profiles correlated to fast or maximal muscle strength or jump height. There are differences in the descending neural drive and activation strategies in leg muscles during contractions between volleyball athletes competing at different levels. These measures are reliable and correlate to biomechanical performances.

ED services: the impact of caring behaviors on patient loyalty.

INTRODUCTION: This article describes an observational study of caring behaviors in the emergency departments of 4 Ascension Health hospitals and the impact of these behaviors on patient loyalty to the associated hospital. These hospitals were diverse in size and geography, representing 3 large urban community hospitals in metropolitan areas and 1 in a midsized city. METHODS: Research assistants from Purdue University (West Lafayette, IN) conducted observations at the first study site and validated survey instruments. The Purdue research assistants trained contracted observers at the subsequent study sites. The research assistants conducted observational studies of caregivers in the emergency departments at 4 study sites using convenience sampling of patients. Caring behaviors were rated from 0 (did not occur) to 5 (high intensity). The observation included additional information, for example, caregiver roles, timing, and type of visit. Observed and unobserved patients completed exit surveys that recorded patient responses to the likelihood-to-recommend (loyalty) questions, patient perceptions of care, and demographic information. RESULTS: Common themes across all study sites emerged, including (1) the area that patients considered most important to an ED experience (prompt attention to their needs upon arrival to the emergency department); (2) the area that patients rated as least positive in their actual ED experience (prompt attention to their needs upon arrival to the emergency department); (3) caring behaviors that significantly affected patient loyalty (eg, making sure that the patient is aware of care-related details, working with a caring touch, and making the treatment procedure clearly understood by the patient); and (4) the impact of wait time to see a caregiver on patient loyalty. A number of correlations between caring behaviors and patient loyalty were statistically significant (P < .05) at all sites. DISCUSSION: The study results raised considerations for ED caregivers, particularly with regard to those caring behaviors that are most closely linked to patient loyalty but that occurred least frequently. The study showed through factor analysis that some caring behaviors tended to occur together, suggesting an underlying, unifying dimension to that factor.

Satisfaction and value: a meta-analysis in the healthcare context.

Understanding healthcare performance from the patient's perspective has attracted more attention from the scholars and practitioners as consumers are becoming the driving force to the innovation of healthcare delivery in the knowledge economy (Morath 2003; Scott 2003). However, most of the studies have been constrained in the methods by which the clinical professionals assess what they perceived as the patient's value. This research attempts to examine the constructs for the conceptualization of patient value and its relationship with patient satisfaction. The results indicate that the providers' skills and knowledge and their respectful communication with the patients are the most important. These attributes followed by the providers' level of empathy and attention and the physical environment factors.