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The purpose of this paper is to present an update on the Ealing Intensive Therapeutic and Short Breaks Service (ITSBS).

The challenges the service has faced are reviewed, including the service’s response to those challenges. Also provided is a more detailed analysis of the outcomes of the service.

The ITSBS continues to succeed in supporting young people with intellectual disabilities and challenging behaviour to stay at home with their families.

Despite considerable challenges and adaptations to the model, the ITSBS is still achieving successful outcomes for vulnerable young people and is considered nationally to be a best-practice model. Few prior articles have provided an account of how innovative service models are maintained and evolve over time.

Going beyond odd and even prices, this paper aims to explore the rationale behind the widespread practice of setting prices ending in “50” or “80” in the luxury industry. The authors argue that when they set such prices, managers agree to reduce their profit margin to limit the anticipated guilt luxury consumers associate with luxury shopping while also protecting their brand luxury. The authors label these prices compromise prices and formally define compromise pricing as the practice of choosing a price’s ending so that the price falls below (but not just below) a round number to boost sales without damaging brand luxury.

Following the observation of the overrepresentation of prices ending in “50” and “80” in the luxury clothing category, an experiment explores the impact of compromise prices on anticipated guilt and brand luxury in the luxury watch category. Then, to identify when luxury pricing managers typically favor compromise prices, multinomial regressions investigate prices collected on two online luxury fashion retailers for the luxury clothing and handbag categories.

Compromise prices reduce the anticipated guilt luxury consumers associate with luxury shopping compared with even prices while enhancing brand luxury compared with odd prices and interestingly, with even prices also. This finding gives rationale to luxury managers’ preference for compromise prices in the ninth hundred (i.e. €X950, €X980), especially for higher-priced products, i.e. when the potential for price underestimation and/or the risk of damaging brand luxury are more important.

This research contributes to the field of luxury pricing by providing evidence to an original price-ending practice, coined compromise pricing, which consists in agreeing to a slight reduction in prices and unit margin to protect brand luxury.

This paper aims to examine, building upon affect balance theory, whether the two modes of luxury consumption, conspicuous consumption (CC) and style consumption (SC), trigger consumers’ mixed emotions of pleasure and guilt and whether the mixed emotions interactively as well as independently influence consumer loyalty to repurchase luxury.

Using an online survey and seemingly unrelated regressions (SUR) analysis, the authors test the hypotheses and assess the parallel (double) mediation effects of pleasure and guilt on the relationships between luxury consumption and repurchase intention.

The authors confirm the relationships between CC and pleasure (+), between SC and pleasure (+), between CC and guilt (+) and between SC and guilt (−); the independent effects of pleasure (+) and guilt (−) on repurchase intention (RI); and the interaction effect of pleasure and guilt on RI (+). The authors further demonstrate that both pleasure and guilt mediate the relationship between CC and RI, whereas only pleasure mediates the relationship between SC and RI.

Future researchers may consider possible mixed emotions other than pleasure and guilt and further explore the dynamics between mixed consumer emotions and consumer loyalty in diverse consumption contexts.

The authors suggest luxury marketers to reduce consumer guilt by promoting SC and by maximizing consumer pleasure, which will lead to greater repurchase intention.

Prior research focused on either the positive or negative side of consumer emotion. The authors fill in the research void by examining whether mixed emotions coexist in luxury consumption and how they interplay and influence consumer loyalty.

Despite a substantial body of research on physician incomes and hours, there has been surprisingly little study of part-time work in the professions or on the organizational structures that support or inhibit part-time arrangements. To assess the factors associated with the presence and prevalence of part-time work in radiology practices, we conducted structured interviews with 69 practice administrators and 13 self-employed or retired radiologists. Patterns of part-time work are heavily gendered; men use it as a transition to retirement while women seek it early in their careers to balance work and family needs. As hypothesized, larger practices, academic practices, and those affiliated with larger organizations were significantly more likely to have part-time radiologists. Controlling for level of competition between practices, those that had recently experienced increased competition were less likely to have part-time radiologists. Neither difficulty recruiting radiologists to the practice nor length of the average workweek for full-time radiologists were associated with having part-time radiologists in the practice. Practices that had a senior partner or administrator who supported the concept of part-time work were more likely to offer this option to physicians. We expected that radiology practices would have explicit policies regarding part-time work; however few of the practices had any formal policies on this career option. As a result, radiologists seeking part-time work early in their careers were at a distinct disadvantage in negotiations. Fear of the stigma and related career consequences may restrain male radiologists from seeking part-time work early in their careers. Despite acceptance in some practices and a growing presence of part-time radiologists in the specialty as a whole, there are significant and persistent barriers to part-time work arrangements other than as a transition to retirement.

This chapter provides both an introduction to the volume and a brief review of literature on education and other social factors and health beliefs in health care services.

Literature review.

The chapter argues for the importance of greater examination of education, other social factors, and health beliefs in the use of health care services.

Reviews the issues of education, social factors, and beliefs and previews this volume.

Virtual communities are increasing in popularity and changing the way apparel fashion information is learned and shared by consumers. According to Agins, consumers, as opposed to élite designers, are now dictating fashion trends and pinpointing the ideal places of distribution. The purpose of this exploratory study is to examine the fashion‐related discussion which is taking place on perhaps the best known of these communities, MySpace.com. The three research questions driving this study include: “What are consumers saying about fashion within this particular virtual community?”; “What commonalities exist among the plethora of fashion‐related information available in this context?”; and “What kinds of insights can marketers draw from the categories of fashion‐related information being presented in MySpace.com?”

Content analysis was selected as the method for investigation. Within the forum Fashion and Style, the subgroup FashionLOVERS was selected for investigation because it represented a general discussion of fashion. The first 200 forum topical areas with five or more posts were selected for analysis. A total of 6,623 individual posts were examined and each of the three authors independently reviewed the posts noting the general topical categories of content. Interrater reliability for the coders was computed.

Eight recurring categories of fashion related information were identified in the study. The four most popular discussion categories were personal style, brands and designers, tips and advice, and retailers. The prevalence of these four topics suggests that consumer driven marketing is a growing and influential component of fashion marketing.

This study makes an important contribution to the study of virtual communities. Results provide insight into the complex, multi‐layered, interactive fashion‐related communication that occurs within virtual communities.

Fashion marketers and retailers are encountering an untapped resource with these virtual communities. Findings highlight the power of consumers in virtual communities and suggest a need for fashion marketers and retailers to closely monitor communication within virtual communities.

This research is particularly valuable because it provides insight into the popular virtual community, MySpace.com. Detailed investigation into types of fashion information that are shared with community members is presented and discussed.

China represents around 20% of the world's population, and her economy is still performing well under economic crisis. Historical events have shaped different parts of China with different economic developments and cultural encounters. The most prominent difference is between Hong Kong and the Mainland. This chapter would like to examine the development and issues of fashion retailing in China. For better understanding, this chapter starts with a brief discussion on apparel industry development and fashion culture in Hong Kong and the Mainland, follows by historical development and then presents systems of fashion retailing in both Hong Kong and the Mainland. Desktop research and exploratory research techniques were employed. Stores of international fashion luxury brands in Hong Kong, Shanghai and Beijing were visited. Comparison of branding issues, particularly for luxury market in Hong Kong and the Mainland are discussed, so are future directions of fashion retailing in these places.