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Safety Evaluation and Improvement of Homestays from the Perspective of Tourists’Perception: A Case Study of Tangjiajia Hot Spring Village in Nanjing
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作者 MIN Xu YU Ziping 《Journal of Landscape Research》 2024年第5期87-90,共4页
Safety is one of the basic needs of tourists,and their sense of security is a necessary condition for the successful operation of homestays.Based on the theory of tourist perception,Nanjing Tangjiajia Hot Spring Villa... Safety is one of the basic needs of tourists,and their sense of security is a necessary condition for the successful operation of homestays.Based on the theory of tourist perception,Nanjing Tangjiajia Hot Spring Village is taken as the research object.This paper analyzes the tourists’perception of homestay safety facilities and services through questionnaire survey,field investigation,interview,and other methods.It proposes strategies for improving homestay safety,aiming to provide safety management references for China’s homestay industry and promote its sustainable development. 展开更多
关键词 tourist perception Homestay safety Safety facilities Safety services
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How Sense of Ritual in Tourism Impacts Tourists’Co-Creation of Tourism Experience Values:A Study Based on the Theory of Value Co-Creation
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作者 Yi Min Zhang Guangyu Sun Genjin 《Contemporary Social Sciences》 2024年第2期67-84,共18页
Establishing a sense of ritual within tourism consumption scenarios offers tourists the opportunity for interactive engagement.Drawing upon the value co-creation theory,this study constructed an influence mechanism mo... Establishing a sense of ritual within tourism consumption scenarios offers tourists the opportunity for interactive engagement.Drawing upon the value co-creation theory,this study constructed an influence mechanism model to examine tourists'active engagement in the process of co-creating tourism experience values.It employed Partial Least Squares Structural Equation Modeling(PLS-SEM)to empirically test the proposed hypotheses.The findings demonstrate that the model constructed in the present study exhibits robust reliability,validity,and explanatory power.The perception of the sense of ritual in tourism exerts a significant positive influence on tourists’co-creation of tourism experience values,thereby significantly enhancing both the communitas and flow experienced by tourists during their travels.Moreover,such communitas and flow can mediate the influence of the sense of ritual in tourism on tourists’co-creation of tourism experience values.This study contributes to advancing the current research on tourists’co-creation of tourism experience values and the sense of ritual in tourism,thereby providing theoretical foundations for cultivating a sense of ritual within tourism consumption scenarios. 展开更多
关键词 sense of ritual in tourism tourists’co-creation of tourism experience values theory of value co-creation theory of Interaction Ritual Chains
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Aspirations of Fisherfolk Communities on Their Children’s Education in Albay, Asid, and Ragay Gulfs of Bicol, Philippines
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作者 Sipronio B. Belardo Angelo P. Candelaria 《Journal of Geoscience and Environment Protection》 2023年第7期136-155,共20页
The study explores the yearnings of fisherfolks on their child’s education, hindrances, and factors that shape their desire as parents. Field observations and key informant interview among elder members of fisherfolk... The study explores the yearnings of fisherfolks on their child’s education, hindrances, and factors that shape their desire as parents. Field observations and key informant interview among elder members of fisherfolk communities surrounding the Albay, Ragay, and Asid Gulfs of the Bicol Region was utilized. The study revealed that the majority of the fisherfolk parents do not want their children to continue fishing as their main source of livelihood because of potential risks, hardships, and cultural factors like collectivism, close family ties, and dependence on the elders. The parents’ aspirations were shaped by their persistence over various threats, fears, personal unfulfilled dreams, and career opportunities thru education. Most of the parents desired a college education and a safe and secure profession for their children. The study deduced that these challenges can be a contributory factor for the declining number of fisherfolks surrounding the gulfs. Influencing this sector is the factor motivating fishers in their aspirations for their children’s education. The study recommends introducing strategies for fisherfolks to develop a strong sense of hope and drive in realizing their aspirations and further research on the impact of culture, the role of women and children, and fisherfolks and their success stories. 展开更多
关键词 aspirations MOTIVATION Fisherfolk
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The Mediating Effect of Social Media on the Relationship Between Travel Preference and Tourist Behavior of Local Tourists in Davao City
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作者 Kiven G.Olivar Kirby S.Acquiatan Patricia Mae S.Palado 《Journal of Tourism and Hospitality Management》 2023年第2期51-59,共9页
This paper aims to determine the mediating effect of social media on the relationship between travel behavior and tourist preference.This paper utilized the mediation analysis design to determine whether social media ... This paper aims to determine the mediating effect of social media on the relationship between travel behavior and tourist preference.This paper utilized the mediation analysis design to determine whether social media significantly affects the independent and dependent variables.For the statistical tools,the proponents of the study utilized descriptive statistics,Sobel’s test,mean and standard deviation.Also,the proponents of the study utilized data from questionnaires gathered through an online google form.Most of the respondents are single females,college-level,and use Facebook most of the time.Therefore,this is the social media platform that the majority utilize.It has been revealed in the study the three sets of correlated variables:Travel behavior vs.tourist behavior,travel preference vs.social media,and social media vs.tourist behavior,have a strong positive linear relationship between the two quantitative variables.Thus,the study proponents concluded that there is an indirect effect between the travel preference and tourist behavior of local tourists in Davao City via social media.Lastly,the study’s findings reveal the fundamentals of how visitors make decisions,which are essential for enhancing the competitive advantages of cultural destinations.Significant findings from the study are beneficial to the growth of cultural tourism in Davao City. 展开更多
关键词 travel preference tourist behavior social media mediating effect
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Tourists’Willingness to Pay for Recreation Services in Nyerere National Park,Tanzania:Are We Overvaluing or Undervaluing Our Nature Recreation Resources?
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作者 Daudi Bigirwa Lukelo Roden Msese +1 位作者 Rameck Rwakalaza Odass Bilame 《Journal of Sustainable Business and Economics》 2023年第3期13-23,共11页
This study estimated tourists’Willingness to Pay(WTP)per day for recreation services in Nyerere National Park(NNP)and compared these values with daily travel costs that are incurred by tourists to visit NNP in order ... This study estimated tourists’Willingness to Pay(WTP)per day for recreation services in Nyerere National Park(NNP)and compared these values with daily travel costs that are incurred by tourists to visit NNP in order to inform whether recreation resources in the park are overvalued or undervalued.The study revealed that tourists’WTP per day for recreation services was estimated at$237.4 and$1521 for resident and non-resident tourists,respectively.The estimated tourists’WTP values exceed the daily travel costs currently incurred by tourists,which are$201.04 and$1517.97 for resident and non-resident tourists,respectively.This indicates that tourists are willing to spend more to enjoy recreation services in NNP,which signifies that recreation resources in NNP are slightly undervalued.In addi­tion,the findings disclosed that the largest share of tourist daily travel expenses is allocated to transportation services,and very little is paid to the park as a conservation fee.It was revealed that out of the daily travel expenses incurred by non-resident and resident tourists,only 4.62%and 2.23%are respectively paid directly to NNP as conservation fees.This study considers that allocation is not very fair;thus,NNP,in collaboration with TANAPA,needs to adjust the current entrance or conservation fee and reduce the transportation costs charged by tourist companies.The travel costs incurred by tourists,age,education,monthly income,site visited,substitute site,and quality of park were identified as significant factors in influencing tourists’WTP for recreation services in NNP.Thus,policies oriented to reduce tour­ists’transportation costs and improve the quality of national parks would attract more tourists to NNP. 展开更多
关键词 Willingness to pay Recreation services Resident tourists Non-resident tourists Conservation fee Nyerere National Park
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Return of Chinese Tourists
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《ChinAfrica》 2023年第5期50-51,共2页
South Africa on 29 March received the first group of 13 tourists from China over the past three years.The tourists,taking a flight from Air China,landed at O.R.Tambo International Airport in Johannesburg and were welc... South Africa on 29 March received the first group of 13 tourists from China over the past three years.The tourists,taking a flight from Air China,landed at O.R.Tambo International Airport in Johannesburg and were welcomed by people from different walks of life. 展开更多
关键词 tourist WELCOME AFRICA
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Dosage Formula in Anesthesia for Manual Intrauterine Aspiration Post-Abortion in Resource-Limited Settings
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作者 Serge Ibula Rivain Iteke +6 位作者 Berthe Barhayiga Doddie Tsansya Roger Cishugi Jean Jacques Kalongo Sandra Sagboze Jean Paul Cikwanine Dieudonné Sengeyi 《Pharmacology & Pharmacy》 2024年第4期71-80,共10页
Setting: Provincial General Reference Hospital of Bukavu, General Reference Hospital of Panzi, General Reference Hospital of Ciriri, General Reference Hospital of Nyatende and Biopharm Hospital Center. Objective: Cont... Setting: Provincial General Reference Hospital of Bukavu, General Reference Hospital of Panzi, General Reference Hospital of Ciriri, General Reference Hospital of Nyatende and Biopharm Hospital Center. Objective: Contribute to the improvement of the anesthetic ECP of patients benefiting from MVA for incomplete abortion, Describe the methodology used for adoption of the dosage formula in Anesthesia for MVA, present the mathematical demonstration leading to the dosage formula in anesthesia for MVA. Materials and Methods: Our study was descriptive by mathematical demonstration of obtaining the equilibrium constant of the dosage formula of bipuvacaine 0.1% and Fentanyl 50 µg% adapted to the weight and specific size of patients treated anesthetically in MVA cases for incomplete abortion. We also carried out an operational research by first determining the interval where our equilibrium constant is included and secondly by means of the ends of the intervals found correlated to the ends of intervals of possible weights and sizes in the being normal human female of childbearing age to arrive at the real numerical value of the equilibrium constant of the BUKAVU Dosage Formula in the case of anesthesia for MVA during the management of incomplete abortions. Results: TWO-STAGE OPERATIONAL RESEARCH: • Determination of the interval where the equilibrium constant x = −0.95 x x by crossing the means between the extremes of volumes of anesthetic drugs giving a satisfactory sensory block without hemodynamic disturbance and the extremes of normal weight and height for women of childbearing age. We ended up with X = 0.37. Conclusion: At the end of our study which had the general objectives of contributing to the improvement of the anesthetic PEC of patients receiving MVA for incomplete abortion and specific objectives of describing the methodology used for adoption of the dosage formula in Anesthesia for MVA and present the mathematical demonstration which resulted in the dosage formula in nesthesia for MVA, it appears that the dosage formula of Bukavu, in case of intrathecal spinal analgesia of MVA for incomplete abortion provides precision on the specificity of the doses of bipuvacaine hypobarre 0.1% and Fentanyl 50 µg% reported to each patient according to her weight and height. Its application could therefore reduce morbidity and mortality and improve patient-practitioner comfort in the event of MVA for incomplete abortion following the dosage precision it provides. 展开更多
关键词 DOSAGE ANESTHESIA Intrauterine aspiration DR Congo
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Prediction model establishment and validation for enteral nutrition aspiration during hospitalization in patients with acute pancreatitis
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作者 Ping Hou Hao-Jun Wu +4 位作者 Tang Li Jia-Bin Liu Quan-Qing Zhao Hong-Jiang Zhao Zi-Ming Liu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第8期2583-2591,共9页
BACKGROUND Acute pancreatitis(AP)is a disease caused by abnormal activation of pancreatic enzymes and can lead to self-digestion of pancreatic tissues and dysfunction of other organs.Enteral nutrition plays a vital ro... BACKGROUND Acute pancreatitis(AP)is a disease caused by abnormal activation of pancreatic enzymes and can lead to self-digestion of pancreatic tissues and dysfunction of other organs.Enteral nutrition plays a vital role in the treatment of AP because it can meet the nutritional needs of patients,promote the recovery of intestinal function,and maintain the barrier and immune functions of the intestine.However,the risk of aspiration during enteral nutrition is high;once aspiration occurs,it may cause serious complications,such as aspiration pneumonia,and suffocation,posing a threat to the patient’s life.This study aims to establish and validate a prediction model for enteral nutrition aspiration during hospitalization in patients with AP.AIM To establish and validate a predictive model for enteral nutrition aspiration during hospitalization in patients with AP.METHODS A retrospective review was conducted on 200 patients with AP admitted to Chengdu Shangjin Nanfu Hospital,West China Hospital of Sichuan University from January 2020 to February 2024.Clinical data were collected from the electronic medical record system.Patients were randomly divided into a validation group(n=40)and a modeling group(n=160)in a 1:4 ratio,matched with 200 patients from the same time period.The modeling group was further categorized into an aspiration group(n=25)and a non-aspiration group(n=175)based on the occurrence of enteral nutrition aspiration during hospitalization.Univariate and multivariate logistic regression analyses were performed to identify factors influencing enteral nutrition aspiration in patients with AP during hospitalization.A prediction model for enteral nutrition aspiration during hospitalization was constructed,and calibration curves were used for validation.Receiver operating characteristic curve analysis was conducted to evaluate the predictive value of the model.RESULTS There was no statistically significant difference in general data between the validation and modeling groups(P>0.05).The comparison of age,gender,body mass index,smoking history,hypertension history,and diabetes history showed no statistically significant difference between the two groups(P>0.05).However,patient position,consciousness status,nutritional risk,Acute Physiology and Chronic Health Evaluation(APACHE-II)score,and length of nasogastric tube placement showed statistically significant differences(P<0.05)between the two groups.Multivariate logistic regression analysis showed that patient position,consciousness status,nutritional risk,APACHE-II score,and length of nasogastric tube placement were independent factors influencing enteral nutrition aspiration in patients with AP during hospitalization(P<0.05).These factors were incorporated into the prediction model,which showed good consistency between the predicted and actual risks,as indicated by calibration curves with slopes close to 1 in the training and validation sets.Receiver operating characteristic analysis revealed an area under the curve(AUC)of 0.926(95%CI:0.8889-0.9675)in the training set.The optimal cutoff value is 0.73,with a sensitivity of 88.4 and specificity of 85.2.In the validation set,the AUC of the model for predicting enteral nutrition aspiration in patients with AP patients during hospitalization was 0.902,with a standard error of 0.040(95%CI:0.8284-0.9858),and the best cutoff value was 0.73,with a sensitivity of 91.9 and specificity of 81.8.CONCLUSION A prediction model for enteral nutrition aspiration during hospitalization in patients with AP was established and demonstrated high predictive value.Further clinical application of the model is warranted. 展开更多
关键词 Acute pancreatitis HOSPITALIZATION Enteral nutrition Predictive model aspirATION
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A system-integrated approach for the design of tourist areas at the local level under changing conditions:A case study in the Altay Mountains
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作者 Alexandr Nikolaevich DUNETS Evgeniya Mikhailovna TABAKAEVA HAN Fang 《Regional Sustainability》 2024年第2期89-102,共14页
The existing approaches for the design of tourist areas often lead to limited flexibility in project implementation.To realize a more flexible approach,in this study,we formulated a model for planning and designing to... The existing approaches for the design of tourist areas often lead to limited flexibility in project implementation.To realize a more flexible approach,in this study,we formulated a model for planning and designing tourist areas at the local level.Moreover,specific tools for analyzing tourist areas and ensuring sustainable development under changing conditions were developed.This study was conducted in two tourist regions,Biryuzovaya Katun tourist complex and Belokurikha destination(including Belokurikha City with Belokurikha 2 Gornaya tourist complex and surrounding areas),in the Altay Mountains.We employed the recreation opportunity spectrum and proposed a system-integrated programming approach for the design of tourist areas at the destination and site levels.The key of this approach was the collection and analysis of current spatial data,including the spatial distribution of attractions and visitor flows.We constructed heat maps using video recording and unmanned aerial vehicle(UAV)observation data.Moreover,we analyzed the video stream using an image-analyzing framework You Only Look Once(YOLO)v5 software.The heat map of visitor flows based on video recording data in the Andreevskaya Sloboda museum of Belokurikha 2 Gornaya tourist complex allowed us to highlight the most attractive sites in this area and classify them into one of three types:points of functional concentration,points of transitional concentration,and points of attractions.The heat maps in Biryuzovaya Katun tourist complex,created using UAV observation data,allowed us to determine the spatiotemporal patterns of visitor flows and tourists’preferences throughout the day within four time intervals:09:00-12:00,13:00-14:00,14:00-15:00,and 16:00-18:00(LST).The maximum visitor flow density occurred from 16:00 to 18:00 in the beach area of the artificial lake.A comparison between the visitor-concentrated sites and the current facilities provided insights into the demand for attractions and facilities and the lacking areas.Heat maps are useful in analyzing the land use at the site level,while zoning based on the recreation opportunity spectrum can be used to design tourist areas at the destination level.The proposed methods for analyzing the use of tourist areas contribute to the development of adaptive tourism design. 展开更多
关键词 Tourism planning tourist areas Unmanned aerial vehicle(UAV) Visitor flows Heat map Altay Mountains
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Fine-needle aspiration technique under endoscopic ultrasound guidance:A technical approach for RNA profiling of pancreatic neoplasms
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作者 Sabina Sherafedinovna Seyfedinova Olga Aleksandrovna Freylikhman +4 位作者 Polina Sergeevna Sokolnikova Konstantin Aleksandrovich Samochernykh Anna Aleksandrovna Kostareva Olga Viktorovna Kalinina Evgeniy Gennadievich Solonitsyn 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第6期2663-2672,共10页
BACKGROUND Early diagnosis of pancreatic ductal adenocarcinoma(PDAC)has been a longstanding challenge.The prognosis of patients with PDAC depends on the stage at diagnosis.It is necessary to identify biomarkers for th... BACKGROUND Early diagnosis of pancreatic ductal adenocarcinoma(PDAC)has been a longstanding challenge.The prognosis of patients with PDAC depends on the stage at diagnosis.It is necessary to identify biomarkers for the detection and differentiation of pancreatic tumors and optimize PDAC sample preparation procedures for DNA and RNA analysis.Most molecular studies are done using paraffin-embedded blocks;however,the integrity of DNA and RNA is often compromised in this format.Moreover,RNA isolated from human pancreatic tissue samples is generally of low quality,in part,because of the high concentration of endogenous pancreatic RNAse activity present.AIM To assess the potential of endoscopic ultrasound-guided fine-needle aspiration(EUS-FNA)to obtain specimens from pancreatic neoplasms for subsequent RNA molecular profiling,including next-generation sequencing(NGS).METHODS Thirty-four EUS-FNA samples were included in this study:PDAC(n=15),chronic pancreatitis(n=5),pancreatic cysts(n=14),mucinous cysts(mucinous cystic neoplasia/intraductal papillary mucinous neoplasia)n=7,serous cystic neoplasms n=5,and pseudocysts n=2.Cyst material consisted of cyst fluid and cyst wall samples obtained by through-the-needle biopsy(TTNB).Samples were stored at -80℃ until analysis.RNA purity(A260/230,A260/280 ratios),concentration,and integrity(RIN)were assessed.Real-time polymerase chain reaction was conducted on all samples,and small RNA libraries were prepared from solid mass samples.RESULTS RNA was successfully extracted from 29/34(85%)EUS-FNA samples:100% pancreatic adenocarcinoma samples,100% chronic pancreatitis samples,70% pancreatic fluid cyst samples,and 50%TTNB samples.The relative expression of GAPDH and HPRT were obtained for all successfully extracted RNA samples(n=29)including lowquality RNA specimens.Low concentration and nonoptimal RIN values(no less than 3)of RNA extracted from EUS-FNA samples did not prevent NGS library preparation.The suitability of cyst fluid samples for RNA profiling varied.The quality of RNA extracted from mucinous cyst fluid had a median RIN of 7.7(5.0-8.2),which was compatible with that from solid neoplasms[6.2(0-7.8)],whereas the quality of the RNA extracted from all fluids of serous cystic neoplasms and TTNB samples had a RIN of 0.CONCLUSION The results demonstrate the high potential of EUS-FNA material for RNA profiling of various pancreatic lesions,including low-quality RNA specimens. 展开更多
关键词 Endoscopic ultrasound-guided fine-needle aspiration Pancreatic cancer Pancreatic cysts RNA extraction Through-the-needle biopsy Next-generation sequencing
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Role of macroscopic on-site evaluation of endoscopic ultrasoundguided fine-needle aspiration/biopsy:Results of a multicentric prospective study
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作者 Hussein H Okasha Hiwa A Hussein +24 位作者 Khaled M Ragab Omar Abdallah Fedoua Rouibaa Borahma Mohamed Fahd Ghalim Mahmoud Farouk Mohamed Lasheen Mohamed A Elbasiony Ahmed E Alzamzamy Ahmed El Deeb Hassan Atalla Mahmoud El-Ansary Sahar Mohamed Moaz Elshair Wafaa Khannoussi Mohamed Z Abu-Amer Amine Elmekkaoui Mohammed S Naguib Adil Ait Errami Ahmed El-Meligui Ahmed H El-Habashi Mahmoud G Ameen Dalia Abdelfatah Mona Kaddah Hanane Delsa 《World Journal of Gastrointestinal Endoscopy》 2024年第11期595-606,共12页
BACKGROUND The concept of macroscopic on-site evaluation(MOSE)was introduced in 2015 when the endoscopist observed better diagnostic yield when the macroscopically visible core on MOSE was superior to 4 mm.Recent stud... BACKGROUND The concept of macroscopic on-site evaluation(MOSE)was introduced in 2015 when the endoscopist observed better diagnostic yield when the macroscopically visible core on MOSE was superior to 4 mm.Recent studies suggest that MOSE by the endoscopist may be an excellent alternative to rapid on-site evaluation,and some classi-fications have been published.Few studies have assessed the adequacy of histologic cores in MOSE during endoscopic ultrasound-guided fine-needle aspiration/biopsy(EUS-FNA/FNB).AIM To evaluate the performance of MOSE during EUS-FNA/FNB.METHODS This multicentric prospective study was conducted in 16 centers in 3 countries(Egypt,Iraq,and Morocco)and included 1108 patients with pancreatic,biliary,or gastrointestinal pathology who were referred for EUS examination.We prospectively analyzed the MOSE in 1008 patients with available histopathological reports according to 2 classifications to determine the adequacy of the histological core samples.Data management and analysis were performed using a Statistical Package for Social Sciences(SPSS)version 27.RESULTS A total of 1074 solid lesions were biopsied in 1008 patients with available cytopathological reports.Mean age was 59 years,and 509 patients(50.5%)were male.The mean lesion size was 38 mm.The most frequently utilized needles were FNB-Franseen(74.5%)and 22 G(93.4%),with a median of 2 passes.According to 2 classifications,618 non-bloody cores(61.3%)and 964 good samples(95.6%)were adequate for histological evaluation.The overall diagnostic yield of cytopathology was 95.5%.The cytological examination confirmed the diagnosis of malignancy in 861 patients(85.4%),while 45 samples(4.5%)were inconclusive.Post-procedural adverse events occurred in 33 patients(3.3%).Statistical analysis showed a difference between needle types(P=0.035)with a high sensitivity of FNB(97%).The analysis of the relationship between the MOSE-score and the final diagnosis showed a significant difference between the different scores of the MOSE(P<0.001).CONCLUSION MOSE is a simple method that allows endoscopists to increase needle passes to improve sample quality.There is significantly higher FNB sensitivity and cytopathology diagnostic yield with good MOSE cores. 展开更多
关键词 Macroscopic on-site evaluation Fine-needle aspiration Fine-needle biopsy Endoscopic ultrasound SPECIMEN
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Flexible bronchoscopy for foreign body aspiration in children:A single-centre experience
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作者 Aleh Sautin Kirjl Marakhouski +1 位作者 Aleh Pataleta Kirill Sanfirau 《World Journal of Clinical Pediatrics》 2024年第2期127-134,共8页
BACKGROUND The technological evolution of bronchoscopy has led to the widespread adoption of flexible techniques and their use for both diagnostic and therapeutic purposes.Currently,there is an active debate regarding... BACKGROUND The technological evolution of bronchoscopy has led to the widespread adoption of flexible techniques and their use for both diagnostic and therapeutic purposes.Currently,there is an active debate regarding the comparative efficacy and safety of rigid vs flexible bronchoscopy in the treatment of foreign body aspiration.AIM To evaluate our experience with tracheobronchial foreign body extraction using flexible bronchoscopy and provide a literature overview.METHODS This was a single-centre retrospective study.Twenty-four patients were enrolled between January 2017 and January 2023.Medical records of patients aged below 18 years who were admitted to authors’affiliated institution with a suspected diagnosis of foreign body aspiration were collected from hospital’s database to Microsoft Excel 2019.Data were analysed using MedCalc Statistical Software.RESULTS Patient ages varied from 9 months to 11 years.The median age was 23.5 months,95%confidence interval(CI)19.49-44.77.We observed age clustering in children with foreign body aspiration at our institution with three age subgroups:(1)0-25 months;(2)40-60 months;and(3)120-140 months.We expectancy of an organic tracheobronchial foreign body was significantly higher in 0-25 months subgroup than that in older ones when subgroups 40-60 and 120-140 months were combined together(odds ratio=10.0,95%CI:1.44-29.26,P=0.0197).Successful foreign body extraction was performed in all cases.Conversion to a rigid bronchoscope was not required in any of the cases.No major complications(massive bleeding,tracheobronchial tree perforation,or asphyxia)were observed.CONCLUSION Flexible bronchoscopy is an effective and safe method for tracheobronchial foreign body extraction in children. 展开更多
关键词 Foreign body aspiration Tracheobronchial foreign body Paediatric bronchoscopy Flexible bronchoscopy Rigid bronchoscopy
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Application Effect of Stratified Nursing Intervention for ICU Mechanically Ventilated Patients in the Context of Aspiration Risk Assessment
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作者 Caisu Qin Yong Gao +1 位作者 Yanchi Zheng Wenjuan Wang 《Journal of Clinical and Nursing Research》 2024年第6期226-231,共6页
Objective:To explore the application effect of stratified nursing intervention based on the background of misinspiration risk assessment in mechanically ventilated patients in intensive care unit(ICU).Methods:100 case... Objective:To explore the application effect of stratified nursing intervention based on the background of misinspiration risk assessment in mechanically ventilated patients in intensive care unit(ICU).Methods:100 cases of mechanically ventilated patients who were admitted to the ICU of our hospital from March 2022 to March 2023 were selected and divided into an observation group and a control group according to the random number table method,with 50 cases in each of the two groups.The control group was given routine care in ICU,and the observation group was given stratified nursing interventions based on the background of the risk of aspiration assessment on the basis of the control group,and both groups were cared for until they were transferred out of the ICU,and the mechanical ventilation time,ICU stay time,muscle strength score,complication rate,adherence,and satisfaction were observed and compared between the two groups.Results:The mechanical ventilation time and ICU stay time of the observation group were shorter than that of the control group after the intervention;the muscle strength score,compliance and satisfaction of the observation group were higher than that of the control group after the intervention;and the complication rate of the observation group was lower than that of the control group after the intervention,all of which were P<0.05.Conclusion:The application of stratified nursing intervention based on the background of misaspiration risk assessment in ICU mechanically ventilated patients can improve the patient's muscle strength,shorten the time of mechanical ventilation,promote the patient's recovery,reduce the occurrence of complications,and improve the patient's compliance and satisfaction. 展开更多
关键词 Mechanical ventilation aspiration risk assessment Stratified care Muscle strength COMPLICATION
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Investigation on Tourists' Satisfaction Degree in Xionger Mountain of Shandong Province 被引量:1
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作者 王小爱 侯宗强 《Journal of Landscape Research》 2010年第5期64-68,共5页
Through the field investigation in Xionger Mountain,it was found that the scenic area is rich in tourism resources.However,the development of tourism is lagging behind.By the method of random sampling,a survey for vis... Through the field investigation in Xionger Mountain,it was found that the scenic area is rich in tourism resources.However,the development of tourism is lagging behind.By the method of random sampling,a survey for visitors was conducted.A total of 100 questionnaires were issued,100 of which were valid.With the help of TSI evaluating model,tourists' satisfaction degree was calculated accurately.The results showed that ratio of tourism performance to price in Xionger Mountain wasn't high,of which tourists generally expressed dissatisfaction;that the overall environment was quite good,of which tourists showed higher satisfaction degree;that some tourists' expectations to this scenic area were not high;that revisit willing was comparatively high;that there was a certain gap compared with other scenic spot.Tourists' satisfaction degree on Xionger Mountain is 55.89% through calculating TSI index.Finally,aiming at the existent problems,some countermeasures for improving the tourists' satisfaction degree on Xionger Mountain were put forward from the aspects of tour value,environmental perception,marketing philosophy and modes. 展开更多
关键词 SATISFACTION DEGREE index tourist SATISFACTION DEGREE TOURISM environment Xionger MOUNTAIN
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Study on Consumer Behaviors of Tourists in Rural Areas of Liaoning Province 被引量:1
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作者 刘英杰 《Journal of Landscape Research》 2010年第11期49-54,共6页
This study takes Liaoning Province for an example,investigates and analyzes a series of consumer decision behaviors of tourists in rural tourist sites,such as need recognition,data collection,purchase decision,summari... This study takes Liaoning Province for an example,investigates and analyzes a series of consumer decision behaviors of tourists in rural tourist sites,such as need recognition,data collection,purchase decision,summarizes law of tourists' behaviors,points out internal interaction between tourists' behaviors and demography features,proposes improvement measures for promoting the sustainable development of rural tourism. 展开更多
关键词 tourists in RURAL SCENIC areas CONSUMER behavior LIAONING Province
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Study on Ecological Footprint of Sightseeing Tourists and Vacation Tourists in Sanya City
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作者 邵小慧 罗艳菊 袁建平 《Journal of Landscape Research》 2010年第10期43-47,共5页
Based on the theory of ecological footprint and tourists' consumption structure, the model of tourist ecological footprint was divided into six sub-models including catering, accommodation, shopping, sightseeing, ... Based on the theory of ecological footprint and tourists' consumption structure, the model of tourist ecological footprint was divided into six sub-models including catering, accommodation, shopping, sightseeing, shopping and entertainment, and ecological footprint of sightseeing tourists and vacation tourists in Sanya City was analyzed. The result showed that per capita ecological footprint of vacation tourists was higher than that of sightseeing tourists in Sanya City. The influential factor of the two kinds of tourists was slightly different in their proportion of sightseeing and entertainment factors. In the future, it should advocate sightseeing tourists to rationally make use of ecological resources, vacation tourists to have a healthy and ecological holiday, so as to ensure sustainable development of tourism. 展开更多
关键词 SIGHTSEEING tourists VACATION tourists ECOLOGICAL FOOTPRINT Sanya
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Behavior Characteristics of Tourists and Detailed Classification of Tourist Source Market in Liuxihe National Forest Park
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作者 陈丽丽 章家恩 《Journal of Landscape Research》 2011年第1期87-90,共4页
On the basis of questionnaires and field investigation,behavior characteristics of tourists in Liuxihe National Forest Park were analyzed,and the results showed that tourists in the study area mainly come from the Pea... On the basis of questionnaires and field investigation,behavior characteristics of tourists in Liuxihe National Forest Park were analyzed,and the results showed that tourists in the study area mainly come from the Pearl River Delta for sightseeing,mostly 21-45 years old,with higher revisit rate but less residence time.And meanwhile,key tourist source markets of Liuxihe National Forest Park were classified on the basis of spatial distance features,social and economic features,and behavior characteristics of tourists,specifically,The Pearl River Delta Sightseeing Tourist Market,The Pearl River Delta Vacationing Tourist Market,The Pearl River Delta Business Tourist Market,and The Pearl River Delta Special-interest Tourist Market.Moreover,corresponding development strategies were proposed according to actual conditions of each market. 展开更多
关键词 Liuxihe NATIONAL FOREST Part Behavior characteristics of tourists tourist SOURCE MARKET
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Marketing Strategies Based on Tourists' Satisfaction on Rural Tourism in Suzhou City of China
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作者 盛晓兰 《Journal of Landscape Research》 2011年第12期76-80,共5页
To further promote rural tourism brand of Suzhou and enhance its competitiveness,tourist source market of rural tourism in Suzhou City was analyzed through questionnaire survey from the perspectives of demographic fea... To further promote rural tourism brand of Suzhou and enhance its competitiveness,tourist source market of rural tourism in Suzhou City was analyzed through questionnaire survey from the perspectives of demographic features and behavioral characteristics of tourists.Moreover,significance of service items and tourists' satisfaction on these items were investigated from the perspectives of scenic area management,traffic conditions,accommodation services,hygienic conditions,commodity price,infrastructure,guide services,food and recreational activities.Through sorting out statistics obtained in the investigation,corresponding marketing strategies were proposed.First,orientation of rural tourism market should be defined,local tourist source market taken as the principal one,especially tourists from the middle-class and upper-class.Second,rural cultural connotations should be further explored to build villages of dominant cultures and bring new ideas to traditional festivals.Third,integrated marketing should be introduced to the promotion of rural tourism,marketing channels further integrated,and online marketing of rural tourism enhanced. 展开更多
关键词 RURAL TOURISM tourists SATISFACTION MARKETING STRATEGY
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Study on Tourism Decision-making Pattern of European Tourists in China——With European Tourists in Xi’an City as a Study Case
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作者 姚媛 《Journal of Landscape Research》 2010年第8期91-93,99,共4页
With the inbound tourism market data supported by National Natural Science Foundation of China as the basis, this study through researching the tourism decision-making behaviors of inbound tourists, adopting questionn... With the inbound tourism market data supported by National Natural Science Foundation of China as the basis, this study through researching the tourism decision-making behaviors of inbound tourists, adopting questionnaire survey among European tourists in Xi'an City, analyzed their tourism decision behaviors and influencing factors, and aimed to propose pertinent suggestions for the expansion of European tourist market for Xi'an City. 展开更多
关键词 TOURISM decision-making behaviors Xi’an City Expansion of tourist source market
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Assessing the Carrying Capacity of Tourist Resorts: An Application of Tourists’ Spatial Behavior Simulator Based on GIS and Multi-Agent System 被引量:2
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作者 ZHANG Ren-jun 1,2 1. Institute of Mountain Hazards and Environment, Chinese Academy of Sciences, Chengdu 610041, Sichuan, China 2. Graduated School of the Chinese Academy of Sciences, Beijing 100039, China 《Wuhan University Journal of Natural Sciences》 EI CAS 2005年第4期779-784,共6页
Based on the study of visitors' individual spatial behaviors, a tourists'spatial behavior simulator (TSBS) to assess the carrying capacity of tourist resorts was developed,TSBS employs GIS (Geographic Informat... Based on the study of visitors' individual spatial behaviors, a tourists'spatial behavior simulator (TSBS) to assess the carrying capacity of tourist resorts was developed,TSBS employs GIS (Geographic Information System) to manage the spatial data,and Multi-Agent systemto simulate the actions of individual visitors. By utilizing TSBS, visitors' travel patterns such aslocation, cost, and state can be analyzed and predicted. Based on this analysis and prediction, themodel of assessing the carrying capacity of resorts is built. Our results show that TSBS will be aneffective tool to accurately assess the carrying capacity of tourist resorts. 展开更多
关键词 tourist resort carrying capacity TSBS GIS MULTI-AGENT SIMULATOR
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