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Drawing on the theory of social distance, this study examined the extent to which residents' attitudes concerning tourism can predict a sympathetic understanding of tourists. Results from residents within the rapidly emerging inbound tourism market, Japan (n =1569), were analyzed. EFA was undertaken on both residents' attitudes and social distance data. CFA was then undertaken to establish a measurement model, followed by SEM to examine model relationships. The SEM revealed that more negative attitudes concerning tourism were found to have the strongest impact on less sympathetic understanding of tourists and vice versa, revealing that residents' attitudes toward tourists depend in part upon whether attitudes about tourism are positive or negative. This study expands residents' attitude theory by exploring the outcomes of such attitudes, rather than focusing on antecedents. Practical implications are advanced concerning internal marketing strategies, such as disseminating the positive impacts of tourism development to residents. [ABSTRACT FROM AUTHOR]

Background: Since the WOMAN trial, intravenous tranexamic acid (TXA) has been increasingly used in severe postpartum haemorrhage (PPH) but research evaluating use in high‐income settings is limited. Aims: To assess whether implementation of a new guideline involving early administration of 1 g intravenous TXA in active PPH with blood loss ≥ 1000 mL, was associated with a change in maternal morbidity. Materials and Methods: Retrospective study of all singleton, term, vaginal births from November 2016 to June 2019 with a PPH of ≥1000 mL, before and after hospital adoption of a guideline recommending early (within three hours of birth) administration of TXA for women with active PPH ≥ 1000 mL. Univariate analysis assessed the impact of this guideline implementation on a primary outcome of maternal morbidity, defined as one or more of haemoglobin < 90 g/L, administration of blood products, hysterectomy or intensive care admission. Secondary outcomes were adverse events related to administration of TXA, use of an intrauterine balloon or postpartum iron infusion. Results: There was no difference in morbidity (odds ratio (OR) 0.86, 95% CI 0.57–1.29, P = 0.46) or postpartum iron infusion (OR 1.44, 95% CI 0.92–2.27, P = 0.11), but there was a reduction in the use of intrauterine balloon tamponade after the implementation of the TXA guideline (OR 0.33, 95% CI 0.16–0.67, P < 0.01). Conclusions: This retrospective analysis showed a reduced use of intrauterine balloon but failed to show a benefit in maternal morbidity with early administration of TXA for severe postpartum haemorrhage in a high‐income setting. [ABSTRACT FROM AUTHOR]

There is widespread concern about the implications of increased targeting of marketing to children. However, despite the ubiquitous presence of marketing in children's environments, children's actual exposure to the full range of marketing across all media and in multiple settings remains unknown. This article reports on an innovative method of analysis, using data from wearable automated cameras, to objectively document children's marketing exposure across and within settings. Results show children were exposed to an average of 638 marketing encounters per day. The most common form of marketing exposure was to brand labeling, and marketing for food and beverages the dominant product category. This article provides an objective observation of the commercial world of children in a wide range of settings, presenting unique insights and a new analysis method for documenting children's environmental advertising exposure to inform policy decisions about the ethics and practices of marketing to children. [ABSTRACT FROM AUTHOR]

Abstract: The past 10 years has seen dramatic growth in international visitor numbers to Japan. Our research investigates Japanese host community perceptions of tourism development, specifically the impact that social distance has on these perceptions. Results from host residents (n = 1,569) confirmed significant differences in perceived social distance between visitor nationalities. Regression analyses reveal social distance to have a more significant influence on host perceptions towards tourism and its development than host attributes identified in earlier studies. Strategies and tactics for alleviating social distance are discussed, and implications are drawn for Japan's future development as a sustained successful tourism destination. [ABSTRACT FROM AUTHOR]

This study evaluates the research method of means–end in a cross-cultural research context in order to understand Japanese tourists’ values that drive travel choices in New Zealand. It contributes an extensive critique of means–end analysis and its advantages over quantitative research methods in cross-cultural research. Its theoretical contribution comes in the form of a set of values or travel motivators, including a number of culturally motivated values that reveal unique insights into Japanese travel experiences. The article argues that meaningful values research must consider not only those values that are commonly understood across cultures but also those that are particular to the culture of interest, in order to understand what drives perception and satisfaction relevant for destination management and marketing. The data can be used to address a number of practical issues facing tourism practitioners such as segmenting the Japanese market, positioning tourism offerings within this market, and developing communication strategies. [ABSTRACT FROM PUBLISHER]