Comunicação de Marketing na Formação da Imagem dos Destinos Turísticos: o caso de Cabo Verde

Segundo a Organização Mundial do Turismo (OMT), o turismo é a maior indústria do séc. XXI gerando anualmente milhares de milhões de dólares em divisas para a economia de inúmeros países. Por apresentar um conjunto de características muito específicas, o sucesso desta actividade é fortemente condicionado pela imagem que os turistas e potenciais turistas apresentam relativamente a um determinado destino. Apesar de existirem muitos factores que interferem na formação desta imagem, a comunicação de marketing é apontada, pelos investigadores, como um dos elementos que desempenha um papel crucial neste âmbito. O objecto do presente trabalho de investigação é a comunicação de marketing na formação da imagem dos destinos turísticos particularizando o arquipélago de Cabo Verde. O principal objectivo da pesquisa, é analisar a eficácia da comunicação de marketing de três organizações (Cabo Verde – Investimentos, União Nacional dos Operadores Turísticos e operador Soltropico), na promoção do arquipélago de Cabo Verde, enquanto destino turístico, no mercado português. Para a realização deste estudo empírico, foram definidas três hipóteses. Essas hipóteses foram testadas através do cruzamento da informação proveniente de uma entrevista realizada aos directores de marketing de cada uma das três organizações, com os dados obtidos a partir da análise de conteúdo dos instrumentos de comunicação que têm vindo a ser utilizados pelas respectivas entidades para promover o destino e com as respostas de um conjunto de 115 turistas portugueses, a um questionário cujo assunto se encontra relacionado com os principais atributos de Cabo Verde enquanto destino de férias. A investigação realizada permitiu verificar que, de uma forma geral, existe uma sintonia entre os atributos de Cabo Verde que as organizações têm intenção de divulgar, os atributos deste destino que são transmitidos pelos seus instrumentos comunicação e os principais atributos do arquipélago indicados pelos turistas portugueses. Contudo, os resultados do estudo revelam também a necessidade de se introduzir algumas correcções a nível de conteúdos e imagens que se encontram presentes nos instrumentos de comunicação de algumas das organizações, visando a criação de uma imagem mais atractiva deste destino.

Comunicação de Marketing na Formação da Imagem dos Destinos Turísticos: o caso de Cabo Verde

Segundo a Organização Mundial do Turismo (OMT), o turismo é a maior indústria do séc. XXI gerando anualmente milhares de milhões de dólares em divisas para a economia de inúmeros países. Por apresentar um conjunto de características muito específicas, o sucesso desta actividade é fortemente condicionado pela imagem que os turistas e potenciais turistas apresentam relativamente a um determinado destino. Apesar de existirem muitos factores que interferem na formação desta imagem, a comunicação de marketing é apontada, pelos investigadores, como um dos elementos que desempenha um papel crucial neste âmbito. O objecto do presente trabalho de investigação é a comunicação de marketing na formação da imagem dos destinos turísticos particularizando o arquipélago de Cabo Verde. O principal objectivo da pesquisa, é analisar a eficácia da comunicação de marketing de três organizações (Cabo Verde – Investimentos, União Nacional dos Operadores Turísticos e operador Soltropico), na promoção do arquipélago de Cabo Verde, enquanto destino turístico, no mercado português. Para a realização deste estudo empírico, foram definidas três hipóteses. Essas hipóteses foram testadas através do cruzamento da informação proveniente de uma entrevista realizada aos directores de marketing de cada uma das três organizações, com os dados obtidos a partir da análise de conteúdo dos instrumentos de comunicação que têm vindo a ser utilizados pelas respectivas entidades para promover o destino e com as respostas de um conjunto de 115 turistas portugueses, a um questionário cujo assunto se encontra relacionado com os principais atributos de Cabo Verde enquanto destino de férias. A investigação realizada permitiu verificar que, de uma forma geral, existe uma sintonia entre os atributos de Cabo Verde que as organizações têm intenção de divulgar, os atributos deste destino que são transmitidos pelos seus instrumentos comunicação e os principais atributos do arquipélago indicados pelos turistas portugueses. Contudo, os resultados do estudo revelam também a necessidade de se introduzir algumas correcções a nível de conteúdos e imagens que se encontram presentes nos instrumentos de comunicação de algumas das organizações, visando a criação de uma imagem mais atractiva deste destino.

A new look at atrial fibrillation: lessons learned from drugs, pacing, and ablation therapies.

Atrial fibrillation (AF) is the most common arrhythmia and among the leading causes of stroke and heart failure in Western populations. Despite the increasing size of clinical trials assessing the efficacy and safety of AF therapies, achieved outcomes have not always matched expectations. Considering that AF is a symptom of many possible underlying diseases, clinical research for this arrhythmia should take into account their respective pathophysiology. Accordingly, the definition of the study populations to be included should rely on the established as well as on the new classifications of AF and take advantage from a differentiated look at the AF-electrocardiogram and from increasingly large spectrum of biomarkers. Such an integrated approach could bring researchers and treating physicians one step closer to the ultimate vision of personalized therapy, which, in this case, means an AF therapy based on refined diagnostic elements in accordance with scientific evidence gathered from clinical trials. By applying clear-cut patient inclusion criteria, future studies will be of smaller size and thus of lower cost. In addition, the findings from such studies will be of greater predictive value at the individual patient level, allowing for pinpointed therapeutic decisions in daily practice.

Practices in primary health care oriented toward the harmful consumption of drugs

Objective To analyze the practices of primary care focused on the harmful consumption of drugs. Method This is a qualitative study, developed with a dialectical-critical approach. Data collection was carried out through semi-structured interviews with 10 employees of a basic health unit (UBS). Results The demands are not accepted, and if they go beyond the barriers shaped by the historical absence of health care practices for drug users and moralistic and preconceived ideologies, they are not reinterpreted as health needs; practices that meet these demands and go beyond the barriers are poor; the functionalist approach, which explains drug use as a disease and considers drug users as deviants, supports the few existing practices. Conclusion primary health care is mistakenly focused on addiction; it lacks structural elements of the production process in health and internal dynamics of the working processes that would foster the development of collective practices.

Identity of care in a Psychosocial Care Center for Children and Adolescents who uses drugs

Objective To associate the territory of identity with the production of care within a PCC focusing on children and adolescents with drug abuse and their institutional identity. Method We used the “ process tracing methodology” in four research categories: focus groups, characterization of professionals, observing the everyday and interviewing two members of emblematic cases of the service. Results territory of identity of the institution, which operates the production of care is crossed by the difficulty of dealing with the complexity brought by the users and the performance of the PCC network. This paper is also permeated by different conceptions of care and small problematization of these issues in collective spaces of service. Conclusion The discussion in focus groups and other devices can be powerful resources to reframe the meaning of care and identity of collective service.

Effects of thyromimetic drugs on aldosterone-dependent sodium transport in the toad bladder.

Aldosterone increases transepithelial Na+ transport in the urinary bladder of Bufo marinus. The response is characterized by 3 distinct phases: 1) a lag period of about 60 min, ii) an initial phase (early response) of about 2 hr during which Na+ transport increases rapidly and transepithelial electrical resistance falls, and iii) a late phase (late response) of about 4 to 6 hr during which Na+ transport still increases significantly but with very little change in resistance. Triiodothyronine (T3, 6 nM) added either 2 or 18 hr before aldosterone selectively antagonizes the late response. T3 per se (up to 6 nM) has no effect on base-line Na+ transport. The antagonist activity of T3 is only apparent after a latent period of about 6 to 8 hr. It is not rapidly reversible after a 4-hr washout of the hormone. The effects appear to be selective for thyromimetic drugs since reverse T3 (rT3) is inactive and isopropyldiiodothyronine (isoT2) is more active than T3. The relative activity of these analogs corresponds to their relative affinity for T3 nuclear binding sites which we have previously described. Our data suggest that T3 might control the expression of aldosterone by regulating gene expression, e.g. by the induction of specific proteins, which in turn will inhibit the late mineralocorticoid response, without interaction with the early response.

Efficacy and Safety of Canakinumab Vs Triamcinolone Acetonide in Patients with Gouty Arthritis Unable to Use Nonsteroidal Anti-Inflammatory Drugs and Colchicine, and On Stable Urate Lowering Therapy (ULT) or Unable to Use ULT

Background/Purpose: The primary treatment goals for gouty arthritis (GA) are rapid relief of pain and inflammation during acute attacks, and long-term hyperuricemia management. A post-hoc analysis of 2 pivotal trials was performed to assess efficacy and safety of canakinumab (CAN), a fully human monoclonal anti-IL-1_ antibody, vs triamcinolone acetonide (TA) in GA patients unable to use NSAIDs and colchicine, and who were on stable urate lowering therapy (ULT) or unable to use ULT. Methods: In these 12-week, randomized, multicenter, double-blind, double-dummy, active-controlled studies (_-RELIEVED and _-RELIEVED II), patients had to have frequent attacks (_3 attacks in previous year) meeting preliminary GA ACR 1977 criteria, and were unresponsive, intolerant, or contraindicated to NSAIDs and/or colchicine, and if on ULT, ULT was stable. Patients were randomized during an acute attack to single dose CAN 150 mg s.c. or TA 40 mg i.m. and were redosed "on demand" for each new attack. Patients completing the core studies were enrolled into blinded 12-week extension studies to further investigate on-demand use of CAN vs TA for new attacks. The subpopulation selected for this post-hoc analysis was (a) unable to use NSAIDs and colchicine due to contraindication, intolerance or lack of efficacy for these drugs, and (b) currently on ULT, or contraindication or previous failure of ULT, as determined by investigators. Subpopulation comprised 101 patients (51 CAN; 50 TA) out of 454 total. Results: Several co-morbidities, including hypertension (56%), obesity (56%), diabetes (18%), and ischemic heart disease (13%) were reported in 90% of this subpopulation. Pain intensity (VAS 100 mm scale) was comparable between CAN and TA treatment groups at baseline (least-square [LS] mean 74.6 and 74.4 mm, respectively). A significantly lower pain score was reported with CAN vs TA at 72 hours post dose (1st co-primary endpoint on baseline flare; LS mean, 23.5 vs 33.6 mm; difference _10.2 mm; 95% CI, _19.9, _0.4; P_0.0208 [1-sided]). CAN significantly reduced risk for their first new attacks by 61% vs TA (HR 0.39; 95% CI, 0.17-0.91, P_0.0151 [1-sided]) for the first 12 weeks (2nd co-primary endpoint), and by 61% vs TA (HR 0.39; 95% CI, 0.19-0.79, P_0.0047 [1-sided]) over 24 weeks. Serum urate levels increased for CAN vs TA with mean change from baseline reaching a maximum of _0.7 _ 2.0 vs _0.1 _ 1.8 mg/dL at 8 weeks, and _0.3 _ 2.0 vs _0.2 _ 1.4 mg/dL at end of study (all had GA attack at baseline). Adverse Events (AEs) were reported in 33 (66%) CAN and 24 (47.1%) TA patients. Infections and infestations were the most common AEs, reported in 10 (20%) and 5 (10%) patients treated with CAN and TA respectively. Incidence of SAEs was comparable between CAN (gastritis, gastroenteritis, chronic renal failure) and TA (aortic valve incompetence, cardiomyopathy, aortic stenosis, diarrohea, nausea, vomiting, bicuspid aortic valve) groups (2 [4.0%] vs 2 [3.9%]). Conclusion: CAN provided superior pain relief and reduced risk of new attack in highly-comorbid GA patients unable to use NSAIDs and colchicine, and who were currently on stable ULT or unable to use ULT. The safety profile in this post-hoc subpopulation was consistent with the overall _-RELIEVED and _-RELIEVED II population.

Audit report on the Iowa Turkey Marketing Council for the years ended December 31, 2006 and 2005

Audit report on the Iowa Turkey Marketing Council for the years ended December 31, 2006 and 2005

In vitro compatibility of remifentanil hydrochloride and sufentanil citrate with selected drugs

: Objectives Physicochemical incompatibilities between intravenous drugs are a recurrent problem in intensive care units. The present study was aimed at investigating the physical compatibility of remifentanil and sufentanil with other drugs (insulin, midazolam, propofol, potassium chloride, magnesium sulfate, furosemide, heparin, monobasic potassium phosphate) that are frequently administered together intravenously. In addition, the physicochemical compatibility of three common associations of drugs was evaluated in glass tube tests and during dynamic simulated Y site administrations (remifentanil-insulin-midazolam; remifentanil-insulin-propofol; sufentanil-insulin-midazolam). Methods Physical compatibility was verified by visual inspection of the various mixtures (two, three or four drugs) in glass tubes and by pH determination of the mixtures collected during simulated Y site administrations. Solutions were considered as compatible in the absence of any visual change in the solution and of any significant variation in pH value. In addition, chemical stability was checked during in vitro dynamic simulations. The solutions were prepared in 50 ml syringes, placed on syringe pumps and connected to a Swan-Ganz catheter; the liquid collected at the tip was assayed by high performance liquid chromatography. Results In the visual examinations, only the associations of remifentanil and furosemide were incompatible. The three assayed associations were compatible in the tested proportion range over 24 h. Conclusions Remifentanil was physically compatible with the tested drugs, except for furosemide (Lasix; Sanofi-Aventis, 250 mg/25 ml) and physicochemically compatible with insulin and midazolam and insulin and propofol. Sufentanil was physically compatible with all tested drugs and physicochemically compatible with insulin and midazolam

Simultaneous determination of antidementia drugs in human plasma: Procedure transfer from HPLC-MS to UPLC-MS/MS.

A previously developed high performance liquid chromatography mass spectrometry (HPLC-MS) procedure for the simultaneous determination of antidementia drugs, including donepezil, galantamine, memantine, rivastigmine and its metabolite NAP 226-90, was transferred to an ultra performance liquid chromatography system coupled to a tandem mass spectrometer (UPLC-MS/MS). The drugs and their internal standards ([(2)H(7)]-donepezil, [(13)C,(2)H(3)]-galantamine, [(13)C(2),(2)H(6)]-memantine, [(2)H(6)]-rivastigmine) were extracted from 250μL human plasma by protein precipitation with acetonitrile. Chromatographic separation was achieved on a reverse phase column (BEH C18 2.1mm×50mm; 1.7μm) with a gradient elution of an ammonium acetate buffer at pH 9.3 and acetonitrile at a flow rate of 0.4mL/min and an overall run time of 4.5min. The analytes were detected on a tandem quadrupole mass spectrometer operated in positive electrospray ionization mode, and quantification was performed using multiple reaction monitoring. The method was validated according to the recommendations of international guidelines over a calibration range of 1-300ng/mL for donepezil, galantamine and memantine, and 0.2-50ng/mL for rivastimgine and NAP 226-90. The trueness (86-108%), repeatability (0.8-8.3%), intermediate precision (2.3-10.9%) and selectivity of the method were found to be satisfactory. Matrix effects variability was inferior to 15% for the analytes and inferior to 5% after correction by internal standards. A method comparison was performed with patients' samples showing similar results between the HPLC-MS and UPLC-MS/MS procedures. Thus, this validated UPLC-MS/MS method allows to reduce the required amount of plasma, to use a simplified sample preparation, and to obtain a higher sensitivity and specificity with a much shortened run-time.

Non steroidal anti-inflammatory drugs and COX-2 inhibitors as anti-cancer therapeutics: hypes, hopes and reality.

Non-steroidal anti-inflammatory drugs (NSAIDs) and specific inhibitors of cyclooxygenase (COX)-2, are therapeutic groups widely used for the treatment of pain, inflammation and fever. There is growing experimental and clinical evidence indicating NSAIDs and COX-2 inhibitors also have anti-cancer activity. Epidemiological studies have shown that regular use of Aspirin and other NSAIDs reduces the risk of developing cancer, in particular of the colon. Molecular pathology studies have revealed that COX-2 is expressed by cancer cells and cells of the tumor stroma during tumor progression and in response to chemotherapy or radiotherapy. Experimental studies have demonstrated that COX-2 over expression promotes tumorigenesis, and that NSAIDs and COX-2 inhibitors suppress tumorigenesis and tumor progression. Clinical trials have shown that NSAIDs and COX-2 inhibitors suppress colon polyp formation and malignant progression in patients with familial adenomatous polyposis (FAP) syndrome. Recent advances in the understanding of the cellular and molecular mechanisms of the anti-cancer effects of NSAIDs and COX-2 inhibitors have demonstrated that these drugs target both tumor cells and the tumor vasculature. The therapeutic benefits of COX-2 inhibitors in the treatment of human cancer in combination with chemotherapy or radiotherapy are currently being tested in clinical trials. In this article we will review recent advances in the understanding of the anti-tumor mechanisms of these drugs and discuss their potential application in clinical oncology.

A Importância do Marketing no Sector Bancário - Caso Caixa Económica de Cabo Verde

Actualmente as empresas precisam adoptar as melhores praticas de gestão para se sobreviverem neste mercado competitivo e com tendencias em aumentar a competitividade cada vez mais, uma vez que estamos num mercado globalizado. Devido a esses acontecimentos é que o presente trabalho teve como objectivo maior conhecer a importância do marketing no sector bancário. A metodologia utilizada para a concretização desta pesquisa, no que se refere aos objectivos traçados foi a metodologia exploratóoria, onde consegui–se retratar os aspectos teóricos sobre o marketing, o marketing bancário, fazer um breve apanhado do sector e também realizou – se um estudo de caso na Caixa Económica de Cabo Verde - CECV. A fim de responder o problema da pesquisa optou – se pela utilização de duas técnicas de recolha de dados, nomeadamente, realização de uma entrevista com o coordenador de marketing da empresa em estudo e análise documental da mesma e conseguentemente foram analisados e interpretados as informações obtidas. Ficou provado que a empresa utiliza uma filosofia de marketing interno, assim como também se provou que realmente investir em marketing reflete de uma forma positiva evolução da quota do mercado da empresa. De uma forma geral o resultado obtido foi favorável (o que se esperava), constatando que na verdade o marketing é de grande importância na gestão da empresa estudada, pois contribui para o alcance dos seus objectivos.

O Marketing na Organização de Eventos Turisticos

O presente estudo aborda a temática do marketing na organização dos eventos turísticos da ilha de São Vicente, que tem como objectivo principal analisar a importância da adopção e aplicação das ferramentas do marketing e a sua contribuição para o sucesso desses eventos. A sua realização propiciou uma pesquisa do tipo exploratório com levantamento bibliográfico e de natureza qualitativa, e para alcançar os objectivos definidos desenvolveu-se um estudo de caso sobre o marketing e os eventos turísticos da ilha de São Vicente, com base na aplicação de uma entrevista estruturada aos organizadores e promotores de eventos da ilha. Os resultados da pesquisa foram apresentados e posteriormente propôs-se as linhas estratégicas do marketing para a melhoria dos eventos organizados na ilha. Dos resultados obtidos constatou-se que as empresas organizadoras dos eventos em São Vicente fazem uso das ferramentas do marketing para a divulgação e promoção dos seus eventos, apesar de não disporem de um plano de marketing específico e de ainda existirem algumas insuficiências que necessitam ser colmatadas para que os eventos turísticos ganhem a projecção e reconhecimento nacional e internacional que se pretende. As conclusões a que se chegou foram conseguidas através da análise das entrevistas, e também na qualidade de espectadora e apreciadora desses eventos. Espera-se que o estudo sirva de referência para todos os interessados nessa temática e futuros estudiosos, pesquisadores, ao mesmo tempo que seja uma chamada de atenção para as entidades responsáveis e com competência na área. The present study addresses the theme of marketing in the organization of events of interest in the island of São Vicente, and has as its main objective to analyze the importance of the adoption and implementation of marketing tools and their contribution to the success of such events. The realization initiated with a literature review, exploratory-type investigation, with a qualitative nature. To achieve our objectives we developed a case study on marketing and tourism events on the island of São Vicente, based on the application of a structured interview to the events’ organizers and promoters of the island. The search results were presented, and subsequently we’ve shown some marketing strategies that can be used for the improvement of the events organized on the island. From the results obtained, it was clear that the organizers of events in São Vicente make use of marketing tools for the dissemination and promotion of their events, despite not having a specific marketing plan. Besides, there are still some shortcomings that need to be fulfilled so that touristic events are projected to gain national and international recognition, as intended. The conclusions reached were obtained through analyses of interviews made, and also as a spectator and an appraiser of these events. It is hoped that the study will serve as a reference for anyone interested in this subject: future scholars, researchers, while serving, at the same time, as a reminder to those responsible and competent in the area.

Logistics-production, logistics-marketing and external integration: Their impact on performance

Highly competitive environments are leading companies to implement SupplyChain Management (SCM) to improve performance and gain a competitiveadvantage. SCM involves integration, co-ordination and collaborationacross organisations and throughout the supply chain. It means that SCMrequires internal (intraorganisational) and external (interorganisational)integration. This paper examines the Logistics-Production and Logistics-Marketing interfaces and their relation with the external integrationprocess. The study also investigates the causal impact of these internaland external relationships on the company s logistical service performance.To analyse this, an empirical study was conducted in the Spanish Fast MovingConsumer Goods (FMCG) sector.