Search results

Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the impact of KT on comorbid psychological symptoms, particularly depression and anxiety, is less clear, and recipients of living-donor (LD) organs may have a different psychological outcome from recipients of dead-donor (DD) organs.

In total, 152 patients were included and analyzed using a cross-sectional design. Of these patients, 25 were pre-KT, 13 were post-KT with a LD transplant and 114 were post-KT with a DD transplant. The patients were tested for a variety of psychometric outcomes using the Hospital Anxiety and Depression Scale, the 12-Item Short Form Health Survey (assessing physical and mental health-related quality of life), the Resilience Scale, the Coping Self-Questionnaire and the Social Support Questionnaire.

The mean age of the patients was 51.25 years and 40 per cent of the patients were female. As expected, the post-KT patients had significantly better scores on the physical component of the Short Form Health Survey than the pre-KT patients, and there were no significant differences between the two post-KT groups. There were no significant differences among the groups in any of the other psychometric outcome parameters tested, including anxiety, depression and the mental component of health-related quality of life.

KT and the origin of the donor organ do not appear to have a significant impact on the psychological well-being of transplant patients with CKD. Although the diagnosis and early treatment of psychological symptoms, such as depression and anxiety, remain important for these patients, decisions regarding KT, including the mode of transplantation, should not be fundamentally influenced by concerns about psychological impairments at the population level.

CKD is a serious condition involving profound impairment of the physical and psychological well-being of patients. KT is considered the treatment of choice for most of these patients. KT has notable advantages over dialysis with regard to the long-term physical functioning of the renal and cardiovascular system and increases the life expectancy of patients. However, the data on the improvement of psychological impairments after KT are less conclusive.

The purpose of this paper is to examine the origins and the business model of department stores in Mexico between 1891 and 1910.

Primary and secondary source material support an historical and comparative study of retailing and marketing evolution in a market on the global periphery.

This paper finds that Mexico's vanguard position in establishing the first purpose‐built department stores in Latin America is closely linked to the strong presence of an immigrant entrepreneurial class from the Barcelonnette region of France in the retailing and textile manufacturing sectors. Mexican department stores followed Parisian models, policies, and innovations closely, yet accommodated local customs and conditions. The stores served as showcases for the success of the national government's economic and cultural modernization program and as cultural primers for Mexican consumers.

Scholarly work on department stores, consumerism, and the influential French community in Mexico is extremely limited, especially so in English. This is the first work that brings these together and analyzes them within – and in relation to – the context of Mexico's rapid modernization during the era of President Porfirio Díaz from 1876 to 1911. It also undermines the notion that the USA is the first and most influential foreign influence on modern Mexican consumer culture.

In this chapter, the analysis-action nexus will be addressed by reviewing studies from across the chapters. The broad themes covered have included governance and sustainability, consumer benefits and experiences, and networking among entrepreneurs and associated opportunities. It is argued that addition to tourism intelligence often lies in improving communication, building trusted connections, and affirming local networks. A focus on the need for trust, the use of tools for insights, the value of identifying new trends, and understanding target markets, together with the usefulness of training and an appreciation of time, help smooth the journey along the long and winding road from analysis to action.