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This paper proposes a paradigm shift from
online service to online experience for online service management and practices.
Online experience is conceptualized. The paper further discusses the
opportunities and constraints of delivering online experience.
While the United States has not established federal regulations for greenhouse gas (GHG) reduction targets, many US states have adopted their own standards and guidelines. In this study we examine state adoption of targets for GHG reductions during the ten-year period of 1998-2008, and identify factors that explain variation in target adoption. Potential influences are drawn from research from the public policy formulation and diffusion literature, and from studies specific to climate policy adoption. Potential influences on GHG reduction efforts among US states include socioeconomic attributes of residents, political and ideological orientations of citizens and state government, interest group activities, environmental pressures, and proximity to other states that have adopted GHG reduction targets. The findings of the multinomial logistic regression analysis indicate that states are more likely to adopt GHG reduction targets if they share a border with another state with a similar climate program and if their citizens are more ideologically liberal. Other factors including socioeconomic resources and interest group activities were not found to be associated with policy adoption. The findings yield insights into the conditions under which states are more likely to take action to reduce GHG’s, and are relevant both to state policy makers and residents with an interest in climate planning, and for researchers attempting to estimate future greenhouse gas reduction scenarios.
Cerebral venous sinus
thrombosis (CVT) is a rare cause of stroke and the clinical presentation is
variable, thus mimicking other neurologic pathologies. One of the more common
acquired risk factors of venous sinus thrombosis is oral contraceptive
medications such as Yaz. While the prognosis for CVT is favorable, it is important to identify and treat early to prevent neurologic deficits. We report
two cases of young female patients who presented with sinus thrombosis and
review the current literature on this topic. CVT accounts for 0.5% of strokes
and most commonly presents with headaches and in many cases focal neurologic
deficits. Diagnosis is confirmed with
neuroimaging including CT angiography or MR angiography. Treatment consists of anticoagulation and in some cases, thrombolytic therapy is beneficial.
The overall prognosis of CVT is favorable but, further research is needed to
outline optimal treatment options including the duration of anticoagulation
therapy and the role of thrombolytic therapy to prevent serious neurologic