IPA Analysis of First-time Tourists＇ Perceptions on the Image of the Tourist Destination Take Hainan International Tourism Islands for Example

Nowadays, the image construction of Hainan International Tourism Islands has been vigorously promoted. The research is going to make an empirical analysis of Hainan tourism image, adopting IPA analysis method. Generally speaking, there is a big gap between the Hainan tourist destination and tourists＇ expectations. The Hainan Tourist Destination image is mainly built on natural-advantage-resource projects such as natural sceneries, air quality, and climate, etc., meanwhile, the relatively insufficient constructions of soft-wares such as tourism-related facilities, as well as the quality of tourism services, etc., are the focus of future efforts.

Perceptions and emotions in postoperative recovery of patients with perianal diseases

This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discomfort,but also carry a significant emotional burden,often exacerbated by social stigma.Psycho-logical factors,including stress,anxiety,and depression,activate neuroendocrine pathways,such as the hypothalamic–pituitary–adrenal axis,disrupting the gut microbiota and leading to dysbiosis.This disruption can delay wound healing,prolong hospital stay,and intensify pain.Drawing on the findings of Hou et al,our article highlights the critical role of illness perception and negative emotions in shaping recovery outcomes.It advocates for a holistic approach that integrates psychological support and gut microbiota modulation,to enhance healing and improve overall patient outcomes.

Safety Evaluation and Improvement of Homestays from the Perspective of Tourists’Perception: A Case Study of Tangjiajia Hot Spring Village in Nanjing

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.

Chinese visiting Rovaniemi, Finland: profile and perceptions of Arctic tourists

The profile of the Chinese tourist is changing. Outbound tourism destinations for Chinese tourists are no longer limited to the Asia-Pacific region. Chinese tourists visit many different destinations, and the areas around the Arctic Circle are growing in attraction. This paper is based on a 2016 online survey about Chinese tourists visiting Rovaniemi, Finland. The questions were based on a previous study of the Finnish Tourist Board conducted in 2003. The results were analyzed and the two studies were compared. The resultant profile of the Chinese tourist visiting the Rovaniemi area showed natural landscapes to be the most important attraction. All respondents had a ＂must-do＂ activity, and more than half participated in sport and leisure activities. The state of the environment, natural landscape, and safety conditions were rated most important among tourists. Increasingly, tourists prefer to organize individual trips, using multiple information channels. Currently, Chinese tourists demand deeper tourism experiences. They want to enjoy winter activities in a pure environment, and unique experiences, such as sleeping in an ice or glass hotel. Chinese tourists appreciate the uniqueness that cannot be found in other places. They wish to benefit from travel information from various media, which will allow Chinese tourists to make a complete plan before their journey.

Knowledge, Attitudes and Perceptions of Colorectal Cancer Screening in Brazzaville

Objective: assess the knowledge, attitudes, and perceptions of Brazzaville residents on colorectal cancer and its screening. Population and Methods: a CAP-type cross-sectional study was conducted from June 1 to October 31, 2022, with 803 workers approached at their place of service. Information was collected using a questionnaire administered to participants. The variables studied concerned knowledge, attitudes, and perceptions about colorectal cancer. SPSS software, along with Chi-square and Fisher tests, was used for data entry and analysis. Odds ratios were calculated to determine the strength of the association between variables. Results: The average age of the participants was 33.5 ± 10 years, with a sex ratio of 0.9. There were 231 health workers. The main sources of information were health personnel (78.2%) and the internet (52.6%). The site of the pathology was known to 87% of participants. About 40% identified age, genetic predispositions, and a diet rich in animal fats as risk factors. No signs of the disease were known by 50% of the participants. Colonoscopy was known as a screening method by 40% of participants. Seventy-five percent were willing to participate in a CRC awareness campaign, but only 5% agreed to a screening colonoscopy, although 96% recognized its usefulness. Overall, the level of knowledge was insufficient in 70.4% of cases;attitudes were adapted in 55.7% of cases, and perceptions were adapted in 97.3% of cases. Factors influencing knowledge included young age (p = 0.006), a good level of education, being a healthcare worker, and high socio-economic level. Conclusion: colorectal cancer and its screening are poorly understood by the population. Awareness activities must be organized to improve knowledge and promote screening and early diagnosis of CRC.

Perceptions of Mothers with Preterm Babies towards Donor Breast Milk at Women and Newborn Hospital,Lusaka Zambia

Breast milk offers essential nutrients crucial for the development of the preterm immune system, thus reducing the incidence of infection and mortality often associated with prematurity. In the absence of breast milk, the preferred option is donated breast milk, the best alternative for hospitalized neonates whose mothers have insufficient breast milk or are unavailable. In Zambia, donor breast milk is unavailable. Instead, the protocol recommends the administration of formula milk. However, the use of formula milk in preterm babies is associated with an increased risk of necrotizing enterocolitis and sepsis. Zambia needs to establish a donor milk bank, hence the need to understand the perception of mothers towards donated breast milk. A qualitative descriptive case study utilized 10 focus group discussions with in-depth interviews, purposively selected using a variation strategy. Data was thematically analysed. Participants demonstrated potential acceptance to donor breast milk utilization, as more nutritional compared to formula despite lack of awareness. Concerns related to safety, quality, fear of disease transmission and discomfort feeding from a different bloodline were identified as hinderance to possible utilisation. These perceptions underscore the importance of educational initiatives aimed at dispelling myths and misconceptions surrounding donor breast milk and establishing donor breast milk programs. Therefore, the study recommends educational initiatives tailored to raise awareness to mothers about donor breast milk.

Evaluation of the Living Conditions and Health Perceptions of Waste Electrical and Electronic Equipment Handlers in the Informal Sector in Dakar

Electrical and electronic devices are becoming an increasingly important part of our society. In Africa, and in Senegal in particular, the handling and management of electronic and electrical equipment (EEE) that has reached the end of its life is mainly informal. This professional environment is characterized by the disintegration of the sector and the social heterogeneity that can be found there. The objective of this study is to assess the standard of living of electrical and electronic equipment waste handlers in the Dakar region, as well as their perception of their health. A survey was used to obtain information on sociodemographic background, living arrangements, perception of health status, and good practices to be implemented in case of work-related health problems. Life style, perception of general health and health problems were ranged as excellent, very good, good, average and poor. Informal recyclers in the Dakar region lived mainly in rooms and buildings as tenants (49.1%), or in family homes (48.4%) before starting this activity, and 51.2% continue to live in rooms and buildings as tenants compared to 41.4% who still live in a family home. The perception of health status ranged from poor to excellent, and 4.9% believe that they are limited in work due to a disability or health problem. Informal work is a heterogeneous phenomenon that makes research and policymaking particularly complex. There are several external factors within informal WEEE re-cyclers that can cause health problems or functional disability. However, the living conditions and the perception they have of their state of health are contradictory to the working conditions and the social environment to which they belong. A biomedical approach would consolidate these achievements by confirming or invalidating them.

Impact mechanism of perception on the protection intention of tourist heritage sites:Taking the Hangzhou section of the Grand Canal as an example

Heritage tourism is a hot research topic in the academic field,and most scholars focus on the development model of heritage tourism and heritage conservation theory and methods,but less on the heritage tourists themselves.Based on the theory of planned behavior,the study introduces the variable of“perception”,and takes the Hangzhou section of the Grand Canal as a case study,and investigates tourists through literature,fieldwork and questionnaires.The study constructs a“perception-subjective norm-willingness to protect”model to explore the influence of tourists’“perception”and“subjective norm”on“willingness to protect”.The study found that:first,heritage tourists’perceptions significantly affect attitudes,subjective norms,perceptual behavior control and willingness to conserve.Second,tourists’attitudes,subjective norms and perceptual behavior control significantly affect their willingness to conserve.Third,heritage tourists’economic perceptions,social perceptions and emotional perceptions can affect willingness to conserve.The study provides references for relevant governments and tourism enterprises to conserve and develop the Grand Canal section.

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.

Empirical Research on Tourists' After-trip Perception of Landscape Preference in the Confucius Temple in Nanjing City

Thurstone’s Comparative Judgment Model was applied to measure characteristics of tourists’after-trip perception of landscape preference in the Confucius Temple,a famous historical block in Nanjing City.The results show that(a)as time goes by,the tourists’time perception differentiation has continuously sublimated from the general experience into the peak experience,and gradually evolved into the core experience element in the overall perception.In terms of content,perceptional contents of tourists decrease in sequence of the Confucian culture,the commercial culture and the culture of refined scholars.As a whole,tourists’after-trip perception differentiation has 3 sections:halo zone,sub-halo zone,and gray zone.(b)Because of tourism development,the Confucian culture is influenced by other cultures,and the commercial culture shows the trend of"over-generalization",and the culture of refined scholars has weakening carriers and modes of inheritance.Inheritance of its unique cultural connotations deserves increasing attention.

Image Perception and Emotional Evaluation of Tourists for Desert Tourism Destinations in Inner Mongolia——Content Analyses Based on Network Travel Notes

Recent years have witnessed the popularity of desert tourism as a fashion tourism product in the 21^(st) century along with the increasing demand for personalized tourism for tourists. The academic community is paying growing attention to desert tourism research, but there is little research on the perception of tourists about the image of desert tourism destinations in Inner Mongolia. With Inner Mongolia as the object of the study, this paper analyzed the image perception and evaluation of tourists for Inner Mongolia desert tourism destinations from three aspects of cognitive image perception, emotional image perception, and overall image perception according to the "cognitive-emotional" model, with the help of relevant network text analysis methods, and proposed some suggestions for the future development of desert tourism destinations in Inner Mongolia from the aspects of increasing desert humanities tourism resources and product development, improving scenic spot management ability, improving tourism service quality, improving tourism infrastructure construction and strengthening environmental protection. It is hoped that this paper can provide a reference for improving the image of Inner Mongolia desert tourism destinations and improving the tourist experience.

Longitudinal Studies on Illness Perceptions in Cancer Patients: A Scoping Review

Objective:To conduct a scoping review of longitudinal studies related to disease perception in cancer patients and to provide a reference for the improvement of disease perception in cancer patients.Methods:Using the scoping method,PubMed,Web of Science,The Cochrane Library,Medline,CNKI,Wanfang Database,VIP Chinese Scientific and Technical Journals Database,and China Biomedical Literature Database were searched up to July 2023 for analysis and discussion of the included literature.Results:A total of 19 articles were included,distributed across 9 countries including China,the Netherlands,and the United Kingdom,with 8 articles published in China.The study subjects included patients with breast cancer,colorectal cancer,laryngeal cancer,lung cancer,esophageal cancer,and bladder cancer.The content covered dynamic changes in disease perception,the impact of disease perception,and the influencing factors of disease perception.Conclusion:The number of longitudinal studies on disease perception in cancer patients is gradually increasing and becoming more diverse.However,issues such as a small total number of studies,single research methods,and short observation periods persist.In the future,it is necessary to conduct in-depth longitudinal research on disease perception in cancer patients,expand the scope of research fields,and provide more comprehensive theories to guide clinical treatment and nursing practices,ultimately improving the treatment outcomes and quality of life for cancer patients.

An analysis of tourist’s perceptions toward tourism development:Study of cold desert destination,India

Tourism impacts on society are complex and mixed.However,they are vital to diverse societies,clusters,and individuals dependent upon their morals,attitudes,and resources existing for tourism development.Increasing tourism also brings many problems.Hence,tourist experience is fundamental for destination image and devel-opment.This research examines tourist perceptions and attitudes toward tourism impacts in Chitkul,Kalpa,and Nako in Kinnaur.Random sampling has been used to measure tourist responses on a range of indicators related to tourism development.Likert scale responses were analyzed using factor analysis,ANOVA,Mann-Whitney U-test,Kolmogorov test,and descriptive statistics.The results confirmed that tourists do not perceive any type of pollu-tion or societal barriers.They observed that natural magnetism and the socio-cultural milieu of the destination is what attracts tourists.However,tourists are not satisfied with‘networking services’,‘organization efforts’,‘sup-plementary conveniences’,and‘carriage concerns’at selected destinations in Kinnaur.Moreover,Chitkul emerged as the top tourist destination in Kinnaur.Since the destination would emerge as a hub of tourist activities shortly considering the congestion and exploitation of nearby tourist destinations at Kulu-Manali-Rohtang in Beas Valley.Hence,the assessment of tourist perceptions can be used as an indicator of tourism destination competitiveness and can assist in developing appropriate tourism policies and infrastructure upgrades.

Clinical competency:perceptions of nursing interns and clinical mentors

Objective:To assess the clinical competency of nursing interns and the perception of clinical nurse mentors toward student nurses'clinical competency.Methods:A study was carried out among 104 nursing interns and 26 clinical nurse mentors using the purposive sampling technique.A self-repor ted perception scale was used to collect the data.Results:In general,most nursing interns perceived themselves as clinically competent during the internship.The clinical nurse mentors too repor ted that the current internship is helping the nursing interns in becoming competent.Conclusions:Frequent clinical evaluation,buddy system,provision of stipends,good leadership,and coordination between the academic institute and hospital are repor ted as the critical motivating factors for improving the clinical competency of student interns.

Tourists’ Perception of Celebrity Memorial Hall Under Red Tourism Back-ground:A Case Study of Wu Lanfu Memorial Hall

Wu Lanfu Memorial Hall is taken as research object. By combining web text analysis with questionnaire research, comprehensive analysis of tourist experience information (thematic background, scenic area services and hardware infrastructure) of research object is conducted under red tourism perspective. Via further correlation analysis, the dimensions that influence visitors’perception and experience of celebrity memorial hall are found, which attempts to contribute to the more comprehensive promotion of the tourism experience of red tourist attractions. Research results are as below. First, visitors are generally satisfied with the overall perception of celebrity memorial hall, and celebrity memorial hall occupies an indispensable position in the red tourism system. Second, visitors’ potential perception of memorial hall is quite different from their actual perception, and the quality of scenic spots does not match its potential perception. Third, celebrity effect plays a prominent role in red tourism attractions. Fourth, celebrity memorial hall play an important role in the inheritance and dissemination of red culture. Corresponding improvement suggestions are put forward in this paper based on above conclusions, and it aims to provide the reference for the development of red tourism and the spread of red culture in ethnic regions.

The Study on Tourist Destination Tourism Image Perception and Evaluation in Xi'an City

[Objective] The aim was to explore the tourist destination image measurement method, and have an empirical study on Xi＇an City. [Method] With combination of non-structural and structured approach to design questionnaires, tourism image of Xi＇an was explored using the SPSS software from both the qualitative and quantitative analyses. [Result] Xi＇an tourism images serve a heritage historical monuments atmosphere with the Terracotta Warriors, City Wall, Big Wild Goose Pagoda,Huaqing Hot Springs, presenting a positive feeling among tourists in general. In the dissemination of travel, tourism infrastructure construction, tourism transportation,travel services have negative effects on the image of Xi＇an tourism. [Conclusion]The evaluation on the tourism resources is highly spoken of by tourists than the scenic spot, indicating that despite high visibility of tourism resources in Xi＇an, it has not formed strong core competitiveness and a complete tourism industrial chain. It is necessary to take the right marketing strategies to enhance tourist familiarity to Xi＇an. Tourists demands, therefore, should be well considered in developing Xi＇an scenic spots and new tourism products and projects be focused on to improve tourists＇ satisfaction.

Investigation on Tourists' Satisfaction Degree in Xionger Mountain of Shandong Province

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.

Study on Consumer Behaviors of Tourists in Rural Areas of Liaoning Province

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.

Study on Ecological Footprint of Sightseeing Tourists and Vacation Tourists in Sanya City

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.

Behavior Characteristics of Tourists and Detailed Classification of Tourist Source Market in Liuxihe National Forest Park

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.