We examine the effects of consumer motivations on browsing online stores with mobile devices and compare them with those on browsing physical stores. The results of the simultaneous analysis in multiple populations with structural equation modeling show that four kinds of motivations affect browsing mobile-based online stores, whereas three motivations affect browsing physical stores. This study implies that idea motivation is the most important determinant of both mobile and offline browsing. Also, it implies that adventure motivation and value motivation are important for mobile-based online stores, whereas gratification motivation is important for physical stores. This is the first study to examine the determinants of browsing intention in both physical stores and mobile-based online stores and will contribute to better understanding in-store browsing activity.KEY WORDS AND PHRASES: Hedonic shopping motivations, mobile-based online store, mobile commerce, simultaneous analysis in multiple populations, structural equation modeling.
Thrombotic thrombocytopenic purpura (TTP) complicated with myeloperoxidase anti-neutrophil cytoplasmic autoantibody (MPO-ANCA)-associated vasculitis is rare and generally has a serious prognosis. We report a case wherein TTP was successfully treated with repeated plasma exchange (PE) and MPO-ANCA-associated vasculitis with corticosteroids. The renal function consequently improved such that haemodialysis could be discontinued and the patient was discharged without any significant complications.
We report a case of overdosage of tranexamic acid (TNA), which was suggested as the cause of visual impairment in a 56-year-old man. He had been undergoing chronic hemodialysis for 1 year, following 10 years of peritoneal dialysis. He had been hospitalized for an emergency operation for a bleeding ulcer of the stomach and duodenum. After the operation, he experienced a gradual loss of sight over about 1 week, although his general condition was good. He received intravenous injections of TNA as a hemostat during hospitalization for the operation. Two weeks after the operation he became blind. Retinography was flat and his visual field had become narrowed. On fluorescein angiography, microgranular hyperfluorescence, which indicated malfunction of the pigmented layer of the retina, was observed. No abnormality of the brain or the optic nerve was shown by magnetic resonance imaging. Concentrations of vitamins and trace minerals in the blood were within the normal ranges. Administration of vitamins A and B(12) did not improve his sight. However, discontinuation of TNA rapidly restored his sight, within a few days. He had received TNA once before because of bleeding ulcer, and his sight had been impaired at that time. Based on the repeated episodes, it was strongly suggested that an overdose of TNA in this dialysis patient caused the sight disturbance. Because TNA is metabolized by the kidney, caution is necessary when prescribing TNA for patients with renal failure.
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