How Sense of Ritual in Tourism Impacts Tourists’Co-Creation of Tourism Experience Values:A Study Based on the Theory of Value Co-Creation

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.

Tourist Products Design of National Village Based on Experience——A Case Study of Minority Villages of Southeast Guizhou,China

On the basis of resources features of minority villages in Southeast Guizhou and tourists' experience needs,the paper proposed that national villages would increasingly be the ideal destination of cultural experience tourism under the background of experience economy,and products design centering on experience need was the common problem confronted tourism development of national villages.Through analyzing four aspects of tourist resources which were natural ecology and pastoral scenery,tangible national culture,process and event national culture,and intangible culture,the paper proposed a general method for design of tourist products of national villages.The design should be conducted by following steps of "theme extraction—image shaping—scene design—atmosphere creation—program arrangement—implication design—publicity marketing".It should establish brand image of tourist products of national villages,so as to help tourists realize "image establishment—purchasing impulse—participation into interaction—profound experience—expectation achievement",and to constantly increase the attraction power of tourist products of national villages and comprehensive economic benefit of tourism.

The Impact of the Cognition of Landscape Experience on Tourist Environmental Conservation Behaviors

This article explores the relationship between the tourist's cognition of the landscape experience and the environmental conservation efforts at three distinct tourist sites in mountains of southwestern China. A total of 1500 on-site questionnaire surveys were distributed and 1142 valid questionnaires were used for statistical analysis. Results from multi-group path analysis showed that both cognition of the cultural landscape experience and cognition of the natural landscape experience had positive impacts on environmental conservation behaviors and behavior intentions of tourists. Results from comparative analysis among the three tourist sites indicated that cognition of the cultural landscape experience had a stronger power to predict senior environmental conservation behaviors and behavior intentions than cognition of the natural landscape experience, whereas cognition of the natural landscape experience had more power to predict general environmental conservation behaviors and behavior intentions than cognition of the cultural landscape experience. Furthermore, our findings benefit environmental management and sustainabilityat tourist sites.

Tourist Expectation and Tourist Experience in Cultural Tourism

Chiang Rai is one of the most famous destinations in Thailand due to its rich tourism resources especially with many cultural resources and well-organized and developed tourism infrastructure. As a consequence, Chiang Rai has targeted to promote and develop cultural tourism in order to attract more foreign tourists to visit and satisfy their needs and expectations, which is seen as one of the most important aspects in the current tourism development strategies in Chiang Rai. Therefore, the main purpose of this study is to compare the gap between pre- and post-experience of foreign tourists who visited Chiang Rai towards their expectation and experience on＂ （1） arts and crafts; （2） life style of local people; （3） local food; （4） festivals and local traditions; （5） ethnic/indigenous life style and culture; and （6） cultural heritage. The quantitative approach has been chosen to conduct the study by using a questionnaire with 400 foreign tourists and One-way ANOVA was the statistic used for gap analysis between tourist expectation and experience. The data collection included the analysis of government documents and the relevant literature. The ~mding of the study illustrated that cultural tourism plays an important role in tourism development in Chiang Rai and the gap between pre- and post-experience of tourists. However, in order to minimize the gap between pre- and post-experience of tourists and maximize their expectation and satisfaction, both government and private sectors should have an in-depth understanding towards the management of cultural tourism. The tourist needs more quality cultural products and foreign language skills from staffand local people.

Study on Tai'an Tourism Performing Art Product Experience Design from the Perspective of Tourists

Tourism performing art is the product of the integration of culture and tourism.With the arrival of the experience economy era,tourism performing art products will be an important link in the development of tourism,with strong development potential,which can better meet the needs of tourists’ in-depth experience and promote the long-term development of regional tourism.This paper studied the development of Tai’an tourism performing art products from the perspective of experience.Through the survey of tourists and statistics of data,this paper discussed the development strategy of Tai’an tourism performing art products,aiming to provide reference for the development of Tai’an tourism performing art products.

Language-Segmented Study Based on TripAdvisor Reviews Related to Memorable Tourist Experiences

The Memorable Tourist Experience(MTE)is a scientific concept within the studies on tourism that is developed based on several related constructions:Perceived Confidence,Sincerity,Authenticity,and Satisfaction.This work takes this model established by the work of Dr.Babak Taheri in 2018 on Monuments World Heritage of UNESCO,adopting an alternative data collection method to the face-to-face survey.Therefore,this work takes as a source of data the reviews collected in the recommendation platform TripAdvisor,working the same constructions of the MTE,with the collection of similar terms and the relationships between them.In order to highlight the terms,a first step is established with the use of Natural Language Processing(NLP),followed by the use of Machine Learning(ML)techniques to generate the relationships between the constructors defined in the models.The study makes a comparison using the method,in immaterial nature such as a flamenco show in the city of Seville;Flamenco has been declared by UNESCO an intangible World Heritage Site since 2010.The results of the study go in two directions:on the one hand to find similarities in the study of the specific MTE of both monuments with the hypotheses worked in the original model of Taheri.In addition to highlighting possible distinctive elements of each case and,and furthermore within the value contribution of the visit when it is led by an official tour guide,on the other hand,give presence to the model of obtaining data by reviews as a complementary data source of any tourist study.The data collection and analysis from both NLP and ML techniques permit the scientific study and the tourist operators to develop better value propositions to users and understanding of heterogeneous behaviors in the tourism industry.The study of reviews within the MTE allows identifying the stimulus that leads the user to choose an activity and hire it.These studies are extendable to other industries and business models,given the importance that references acquire within the consumer willing to buy.For the scientific community,the use of ML is a solid way to initiate studies on behavioral models,supplement them,and accept or reject hypotheses.When the source of the data is taken from free expressions,such as reviews,the appearance of bias in the behavior is attenuated.

An Uploaded Experience Too many tourists are experiencing life through a lens

REMEMBER the days when people used to have a phone, a computer and a camera？ I do - simply because it wasn＇t that long ago. However, as technology hurtles along at the speed of light, it might have escaped some people＇s attention that all these three devices now come together in the form of a smartphone, There＇s no need to carry all three devices when visiting a tourist site or monument - your handy smartphone can take a picture, log on to the Internet to post your picture on social media, and then use the calling function to tell your friends about the pictures you＇ve just posted.

An Analysis of Mystical Experience in Sophy' s Hysterical Hallucination in Darkness Visible

In William Golding' s Darkness Visible,Sophy' s experience of " hysterical hallucination" plays an important role in the the matic expression.They point directly to the evil nature of man.Although the specific content of hallucinations is different,they possess a common characteristic-mystical experience.They worth further research.This paper examines Sophy' s mystical experience in her hyster ical hallucination,so as to find out the functions of mystical experience and its influences on the novel' s thematic expression.

Outcome of non-variceal acute upper gastrointestinal bleeding in relation to the time of endoscopy and the experience of the endoscopist: A two-year survey

AIM: To prospectively assess the impact of time of endoscopy and endoscopist's experience on the outcome of non-variceal acute upper gastrointestinal (GI) bleeding patients in a large teaching hospital.METHODS: All patients admitted for non-variceal acute upper GI bleeding for over a 2-year period were potentially eligible for this study. They were managed by a team of seven endoscopists on 24-h call whose experience was categorized into two levels (high and low) according to the number of endoscopic hemostatic procedures undertaken before the study. Endoscopic treatment was standardized according to Forrest classification of lesions as well as the subsequent medical therapy. Time of endoscopy was subdivided into two time periods: routine (8 a.m.-5 p.m.) and on-call (5 p.m.-8 a.m.). For each category of experience and time periods rebleeding rate, transfusion requirement, need for surgery, length of hospital stay and mortality we compared. Multivariate analysis was used to discriminate the impact of different variables on the outcomes that were considered.RESULTS: Study population consisted of 272 patients (mean age 67.3 years) with endoscopic stigmata of hemorrhage. The patients were equally distributed among the endoscopists, whereas only 19% of procedures were done out of working hours. Rockall score and Forrest classification at admission did not differ between time periods and degree of experience.Univariate analysis showed that higher endoscopist's experience was associated with significant reduction in rebleeding rate (14% vs 37%), transfusion requirements (1.8±0.6 vs 3.0±1.7 units) as well as surgery (4% vs 10%), but not associated with the length of hospital stay nor mortality. By contrast, outcomes did not significantly differ between the two time periods of endoscopy.On multivariate analysis, endoscopist's experience was independently associated with rebleeding rate and transfusion requirements. Odds ratios for low experienced endoscopist were 4.47 for rebleeding and 6.90 for need of transfusion after the endoscopy.CONCLUSION: Endoscopist's experience is an important independent prognostic factor for non-variceal acute upper GI bleeding. Urgent endoscopy should be undertaken preferentially by a skilled endoscopist as less expert staff tends to underestimate some risk lesions with a negative influence on hemostasis.

Experience of the patient's success in facing post-stroke urinary incontinence: the patient's perspective

Objective:Post-stroke urinary incontinence(UI)is one of the sequelae of stroke.This situation affects all aspects of the patient’s life–physically,psychologically,socially,and spiritually.This study aimed to investigate the experience of patients’success in facing a post-stroke UI.Methods:A qualitative study using the Rapid Assessment Procedure(RAP)approach was used in this study.Informants were selected using purposive sampling.In-depth interviews with as many as 8 patients who had recovered from post-stroke UI and living in the greater area of Southeast Sulawesi(Indonesia)were conducted.In-depth interviews were also conducted with 8 caregivers and 2 nurses.Data were analyzed using a thematic analysis approach and interpretation of data was based on Humanbecoming theory and Self-care deficit theory of nursing.Results:Five successful things the patients experienced during post-stroke UI were identified.The five successes were as follows:they provided information to get to know and understand post-stroke UI,followed the procedures to overcome post-stroke UI,conducted self-control exercises and stayed motivated,performed daily activities independently according to ability,and made use of family suppor t and peers’attention.Conclusions:These findings indicated that persistence,belief,independence,and social support(family and peer)made patients to successfully face their post-stroke UI and improved their quality of life.These findings also became the basis for developing a poststroke UI management model based on Humanbecoming theory and Self-care deficit theory of nursing.

On the Unipolar Generator: An Experimental and Theoretical Study

When studying the phenomenon of the induced electromotive force, which originates from Faraday’s unipolar inductor, the contrast between Faraday’s view of the magnetic field dynamic lines and the theory of relativity is revealed. In order to remove this contradiction, this phenomenon was studied in depth, theoretically and experimentally, using an experimental setup similar to Faraday’s. Calculations of the induced electromotive force, based on relativity on the one hand and on Faraday’s view on the other were made with the help of measurements of the magnetic field components. Accurate magnetic field measurements are confirmed by analytical calculations. Precise-induced electromotive force measurements confirmed Faraday’s view and contradicted the theory of relativity.

Prof.Sheng Canruo's Experience in Acupuncture Treatment of Throat Diseases with Yan Si Xue

Yan Si Xue(咽四穴)refer to four points in the throat summarized by Prof.Sheng Canruo in his long-year clinical experience based on the combination of TCM theory and the knowledge of modernmedical anatomy.By taking “Yan Si Xue” as main points,and other differential adjunct points,Prof.Sheng has obtained satisfactory therapeutic results in treating various throat diseases such ashoarseness,paralysis of vocal cord,dysphonia after radiotherapy on throat tumor,vocal nodules,disorder of the glossopharyngeal nerve,hysteric aphasia,and acute or chronic laryngopharyngitis.

Study on Redevelopment of Kunming West Mountain Forest Park in the View of Experience Economy

At the background of the experience economy becoming major economic form in place of the service economy,forest experience develops vigorously and becomes a new approach for people alleviating pressure,acquiring knowledge,and relaxation. On the basis of analyzing concept and characteristics of the forest experience,this paper analyzed current situation of forest experience by taking Kunming West Mountain Forest Park as an example. It found there are existing problems in subject image,development methods and degree,professional personnel and concept. In view of these problems,it came up with recommendations including determining subject image,designing special products,accelerating cultivation of professional personnel,and strengthening training of forest experience concept. It is expected to provide reference for multi-functional use theory of China and provide ideas for developing forest experience projects.

The Experiences of the Elderly and Caregivers in Respect of Caring for the Elderly in Windhoek and Rehoboth Namibia: An Exploratory and Descriptive Study

In many instances, care for the elderly, especially in long-term care institutions, is provided under minimal supervision by caregivers who are lay people. This can lead to poor quality care or neglect of the elderly. The research question was: “How competent are lay caregivers for the elderly in old age homes, who often lack the opportunity for training to improve their knowledge and skills, in delivering care to the elderly? The aims of the study were to explore and describe the experiences of both the caregivers and the elderly in respect of caring for the elderly in old age homes. The objectives of the study were to explore and describe the experiences of the caregivers and the elderly with respect to caring for the elderly and in respect of nursing care they received. A qualitative, explorative, descriptive, contextual and phenomenology design was used to perform this study. In the situational analysis, the experiences and needs of the caregivers were described. Themes in terms of interpersonal relationships that could be positive or negative regarding the elderly were identified. These included lack of regular in-service training sessions for caregivers. Likewise, sub-themes like communication, support and caring for elderly people were revealed. Inadequate knowledge of caregivers in caring procedures, a shortage of staff, equipment and absence of policies which should support and guide the work of caregivers impacts negatively on the care of the elderly. From the experiences of the elderly and caregivers, the competencies under scrutiny emerged and were measured qualitatively by the perceptions of the elderly, in respect of the caring they were exposed to.

Experience with intraoperative radiotherapy for breast cancer: the Geneva University Hospital's experience

Background Breast conserving surgery along with adjuvant radiotherapy is effective in terms of local control and survival for early- stage breast cancer （1）. External beam radiotherapy （EBRT） following breast conserving surgery has been shown to improve survival by preventing local recurrence, in the Early Breast Cancer Trialists＇ Collaborative Group meta-analysis （2）. Standard radiotherapy typically requires numerous fractions over a 3-5 week period and is performed weeks or months after surgery or chemotherapy.

Swedish Women’S Emotional Experience of the First Trimester in a New Pregnancy after One or More Miscarriages: A Qualitative Interview Study

Objectives: The aim of this study was to evaluate how Swedish women describe their emotional state of being during the eighth week through the eleventh week after they have become pregnant again after suffering a previous miscarriage. Method: A qualitative content analysis with an inductive approach has been used to analyze fourteen interviews that served as the data base for this study. The content analysis resulted in the development of five categories which evolved into one primary theme. Findings: The five categories identified were Worry and preoccupation;Distance;managing their feelings;Mourning what is lost;Guarded happiness and expectations. These categories were compiled into a main theme, “Worry consumes a lot of energy, but on the other side lies happiness”. This theme focused on whether the women could feel any happiness about being pregnant again despite their concerns with the previous miscarriage. Conclusions: The emotional states of the women when they get pregnant again are typically characterized by anxiety, worry and concerns about their current pregnancy. The women have a tendency to distance themselves emotionally from their pregnancy but also strive to find the joy of being pregnant again. During the new pregnancy they find themselves in need of support from their family and friends as well as in need of support from the healthcare system.

MANAGEMENT OF MENEERE'S DISEASE—THE BEIJING TIANTAN HOSPITAL EXPERIENCE

Objective To report outcomes of nonsurgical and surgical management of Menire＇s disease at Beijing Tiantan Hospital. Methods Patients with Menire＇s disease were categorized into groups based on hearing and quality of life. Individualized management was provided, including life style modification, drug therapies, endolymphatic sac decompression and labyrin- thectomy. Treatment outcomes were evaluated during up to 24 months follow up. Results Eighty seven patients underwent life style modification and drug therapies. The vertigo control rate of Grade A and B was 76.9% and 83.8% respectively. Six patients received surgical management, including endolymphatic sac decompression （n = 5） and labyrinthecto- my （n = 1）. For these patients, the vertigo control rate of Grade A and B was 80% and 100%, respectively. Conclu- lsions Management of Meni6re＇s disease depends on several factors, i.e. severities of vertigo and hearing loss, quality of life, surgical contraindications and patient subjective desire. The treatment is drug therapies for the majority of patients, as well as life style modification. Surgical indications are rare and the least invasive procedures should be considered first. The results of surgery are generally satisfying.

China＇s Experience in Rural Poverty Reduction.Jobs from Industrialization and Urbanization to Increase Rural Household Income

This paper makes an appraisal of the successful experience of China, a country with the largest agricultural population in the world, in the reduction of rural poverty. We conclude that it is an indispensible strategy to give priority to the development of urban sectors to promote economic growth and reduce rural poverty, and that the development of low value-added agriculture yields few, if any, benefits in decreasing rural poverty. By first adopting urban-biased policies and promoting industrialization, China has created new sources of economic growth and urban employment opportunities to absorb the surplus rural workforce. Entering labor-intensive industrial sectors for higher incomes has thus become a critical avenue for the rural poor to benefit from economic growth and escape poverty.

Evaluation of Patients’ Experience Following Dental Implant Surgical Procedure

Background: Patient’s acceptability of dental implant prostheses may be influenced the fact that a surgical procedure is involved. Adequate relevant information by the dental professionals pre-surgery, is therefore, paramount to alleviating the fear of surgery and contribute positively to patient’s ability to cope with post-surgical experience. This study, therefore, aimed at evaluating the postsurgical experience of the dental implant patients. As against what was expected, and relate this with the information given pre surgery. Methodology: Post treatment self-completed questionnaires were administered to consented patients that had dental implants placed between July 2017 and December 2019. The surgical procedure followed the standard protocol and data related to post-surgical experience were collected one week after the surgery to obtain information on the level of pain/discomfort and amount of swelling experienced following surgery. The effect of the information on coping ability following surgery was also assessed. Data were analyzed using descriptive statistics (p value ≤ 0.05). Results: Twenty-seven patients received 44 implants to replace 48 teeth. The mean age of the patients was 45 ± 16.3 (SD) years. Teeth mostly replaced were the maxillary central incisors (39.6%). The majority of the patients 77.7% reported to experience less pain/discomfort than expected and 66.6% had less swelling than expected. While 29.6% felt they had excellent explanation of what to expect, 51.9% said they had good explanation. The post-surgical experience between males and females was not statistically significant (pain: p = 0.08, swelling: p = 0.64). However, the majority (8/12) that had good to excellent information preoperatively, had significantly less discomfort than expected. Conclusion: Positive, encouraging and satisfactory experience of patients following implant surgical procedure is related to adequate and correct information pre-surgery.

How Vaginal Infections Impact Women’s Everyday Life <br/>—Women’s Lived Experiences of Bacterial Vaginosis and Recurrent Vulvovaginal Candidiasis

Reoccurring symptoms and persistent problems that continue post treatment can be characteristic of the vaginal infections Bacterial Vaginosis (BV) and recurrent vulvovaginal candidiasis (RVVC). The purpose of this study was to describe women’s life experiences in managing the symptoms of bacterial vaginosis and Candida. Sixteen women were recruited and participated in an interview study when they contacted a Swedish gynecology clinic with vaginal complaints that ranged from and included abnormal discharge, irritation itching along with serious malodor. An interpretive phenomenological approach was used with an individual interview to get a more intimate understanding of the women experiencing these problems. The finding of this study shows that managing the recurrent symptoms of the infections remains to be a challenge for women as it has a clearly negative impact on the quality of their lives. Four themes developed: frustration and mood disorders, intimacy changes in the relationship, exposure, hope and relief. The women had high hopes of eliminating the symptoms within the six-month study period. The treatment program, with its well-developed guidelines and continuity of care within the context of the study greatly improved the quality of life of these women. Women had feelings of frustration and anxiety when nothing could cure their problem while they had also a great hope to get rid of the symptoms with a long striking treatment. Well-developed guidelines and continuity of care can help these women to have an improved quality of life.