In the US, Lyme disease (LD) has become the most common vector-borne disease. Less than 10% of patients develop cranial nerve palsy or meningitis. There are few reports on cases of Lyme disease with more than one cranial neuropathy. Herein, we will discuss a case of persistent neurological deficits as a result of chronic Lyme disease resistant to standard therapy. Our case is unique due to involvements of cranial seven and eight nerves at the same time. Our case illustrates an extreme example of treatment resistance. However, early diagnosis and prompt establishment of adequate antibiotic treatment are still important to prevent progression to further stages of disease.

Purpose: Retailers acknowledge the importance of the retail store environment as a tool for differentiation and valuable for positioning the retail store. It makes the buyer's decision to visit the store easier. Further, a pleasing retail environment improves the customer's purchasing experience and satisfaction. This paper aims to; investigate the influence of store atmospherics and marketing stimuli on impulse buying behavior among females. Shopping pal provides a boundary condition between the influence of store environment, emotional response, and impulse buying. Methodology: This is a quantitative study and data was collected using surveys. The investigation was conducted using Amos and SPSS version 21, and the results were within an acceptable range. Findings: The findings of the study suggest that an impressive store environment with marketing stimuli such as price discount leads to positive emotions and impulse purchase behavior. Further, a shopping pal provides boundary conditions between the influence. Implications: Retailers must focus on creating a retail experience that is clean, relaxing pleasant, and has an excellent interior design, and they must encourage to group shopping. They might concentrate on promotional activities that encourage group shopping, such as group purchasing coupons and family prizes.

This study aims to investigate the online customer experience and postpurchase behavior in the mobile application context. This study is experimental with a quantitative approach. Two hypothetical mobile apps were developed; hedonic motive and instrumental motive. Data was collected by surveying 420 online shoppers and, analyzed by employing SEM using Amos. Results suggest that a mobile app that is hedonic motive (Richer media experience) enhances the customer experience and customer engagement behavior respectively. Next, the need for touch provides a boundary condition between the influence of customer experience and customer engagement behavior. Lastly, brand image provided the moderated moderation between customer experience and repurchase intention. These findings have implications for the retailer that they can enhance the customer experience through creating an effective customer experience using hedonic elements of the app. Further, retailers using a strong brand image can mitigate the need for touch in the online shopping context. Keywords: Mobile app, Hedonic motive, Instrumental motive, Engagement behavior

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