This study shows that in patients with STEMI treated by primary angioplasty prolonged ischaemic time is associated with impaired myocardial perfusion, larger infarct size, and higher 1-year mortality. Therefore, all efforts should be made to shorten ischaemic time as much as possible to achieve better myocardial perfusion and myocardial salvage in primary angioplasty for STEMI.
In recent years, there has been an increase in international tourist arrivals worldwide. In this respect, Art Cities are among the most favorable tourist destinations, as they exhibit masterpieces of art and architecture in a cultural environment. However, the so-called phenomenon of overtourism has emerged as a significant threat to the residents’ quality of life, and, consequently, the sustainability of Art Cites. This research aims to develop a management toolkit that assists site managers to control tourism flows in Art Cities and World Heritage Sites and promotes the residents’ quality of life. The research methodology was developed within the framework of the Atlas Project in 2019. In this project, five European Art Cities, including Florence, Edinburgh, Bordeaux, Porto, and Santiago de Compostela, discussed their common management challenges through the shared learning method. After developing selection criteria, the Atlas’ partners suggested a total of nine strategies as best practices for managing overtourism in Art Cities in multiple sections of accommodation policies, monitoring tactics, and promotional offerings. The Atlas project was conducted before the outbreak of the COVID-19 virus pandemic. Based on the current data, it is somehow uncertain when and how tourism activities will return to normal. The analysis of the Atlas findings also highlights some neglected dimensions in the current strategies in terms of environmental concerns, climate change impacts, crisis management, and cultural development plans, which require further research to boost the heritage planning process.
Global cities are increasingly competing together in order to showcase themselves as the best destination for tourists, investors, and talented people. During the last four decades, there has been a growing interest in City branding. It takes place within a communication system that closely connects the overall city image and identity. Community leaders are more and more recognizing that there is a direct link between the city image and its attractiveness as a place to visit, live, invest, and study. Aimed at developing the theoretical framework of city branding, this research attempts to identify and explain the relationship between the variables affecting the city image as a paradigmatic model of city branding and sustainable urban development. Therefore, 35 peer-reviewed articles are initially selected from the Directory of Open Access Journals (DOAJ), through purposive sampling. Then, the collected data is analyzed in four stages using grounded theory. The results of this study indicate that the boosting of city image is a complex process that continuously and dynamically requires a meaningful combination of planning, actions, and stakeholders at various organizational levels.
City brand is a valuable asset that improves the competitive advantage of the city in the globalisation era. Relying on uniqueness and utilising various methods, cities endeavour to promote their reputation and sustainability level by attracting the capital and human resources. In the intense competition between the global cities, recognition of the factors that enhance the city's reputation will improve urban planning and management framework. This study explores how the city could obtain the reputation that it deserves through a more in-depth study of the city branding phenomenon. For this purpose, some of the city branding practices criticised using the empirical analysis method. The finding highlights that although city branding with its complex nature is an effective tool for promoting the city's reputation, residents and their priorities have an insufficient concentration in many city branding practices.
Climate change has dramatically affected the rainfall patterns and water systems in Central Italy. The vulnerability of this area to climate change and natural hazards necessitates that appropriate adaptation policies be put in place to protect heritage sites. This study aims to develop a cultural and natural heritage conservation framework for Central Italy that enhances the capacity of climate change adaptation for heritage resources. For this purpose, a comparison was made between the UNESCO (United National Educational, Scientific and Cultural Organization) Convention of 1972 and the European Landscape Convention of the Council of Europe to achieve a coherent vision for the protection of heritage resources in Europe. After describing the impacts of climate change on heritage resources in Central Italy, we analyze and suggest improvements to the conservation framework for wisely protecting heritage resources in a changing climate. The findings reveal that conservation sectors require assessments of the value of heritage resources at the territorial scale to effectively define conservation priorities, assess the vulnerabilities, and more precisely direct funding. In this respect, the integration of the European Landscape Convention with territorial planning may boost the unity of a conservation framework in terms of climate change while providing new opportunities for conservation authorities to develop adaptation policies.
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