bluuebunny/crossref_metadata_2025 huggingface dataset:
Influence of leftover antibiotics on self-medication in Saudi Arabia: a cross-sectional study
Authors: Al-Mehmadi Bader , Alsubaie Saad , Al-Morikhi Omar , Alqahtani Fawaz , Almutairi Waad , Al-Mutairi Maryam , Alotaibi Mohammed , Alenazi Saud , Alanazi Khalid
Published: March 2023

Background: Antimicrobial resistance is increasing at an alarming rate. The use of antibiotics without a prescription by  a patient or other family members and their inappropriate storage have caused serious health issues as it would lead to antibiotic resistance and exposure to risk of harmful adverse effects unnecessarily. Exploring causes behind their storage in homes and reuse will help us identify the problem in depth and help in recommending effective solutions.

Methods: This is a cross-sectional study. Our target study population was the residents of Saudi Arabia. Data were collected by an online questionnaire and analysed by SPSS.

Results: A total of 738 participants answered the online questionnaire, from all ages, genders, nationalities, and different socioeconomic backgrounds residing in different regions across the kingdom of Saudi Arabia. 76.42% knew that an antibiotic is a chemical substance used to treat infections. The participants were questioned about when do they start using antibiotics, to which 95.66% (n=706) responded, after consulting a physician, 3.25% (n=24) said when they felt ill for any reason, and 1.08% (n=8) replied after first attempting herbal medicine. 147 participants admitted that they store excess pills of antibiotics after being prescribed for an infection and re-use them later on for symptoms like sore throat and fever.

Conclusions: Although strict measures have been put into effect from the Saudi Ministry of Health to reduce antimicrobial resistance caused by misuse of antibiotics by restricting the dispense of antibiotics from pharmacies without a medical prescription, a large portion of the population regardless of age, level of education, or professional background, have continued to store excess pills of antibiotics after an infection treatment and re-use them once they think they need them for new symptoms. This advises for further revision of the current measures to fill those gaps and reduce this habit.
A first Tunisian pilot study investigating sexual dysfunctions in patients with hemophilia.
Authors: Zahra Kmira , Bouselama Emna , cherif wided , aidli rim , Bannour Rania , amamou badii , fathallah neila , zaier monia , ben sayed nesrine , ben youssef yosra , Regaieg Haifa , Khelif Abderrahim
Published: March 2023

Background: Little data is actually available on sexual health problems with sexual activity, and intimacy (sexual difficulty) in patients with hemophilia (PWH). We conducted this study to determine the prevalence of sexual difficulty in PWH and to determine factors associated with erectile dysfunction (ED).

Methods: Based on The International Index of Erectile Function 15 (IIEF-15) questionnaire, we evaluated ED and other sexual problems in PWH.

Results: Forty-Three (43) PWH were included in our study. The mean age was 33 years. Fourteen (32.6%) respondents were identified as having severe disease. The majority (93%) suffered from erectile dysfunction. Lack of desire and orgasm was observed in 76.7% of cases each. Lack of sexual satisfaction and global satisfaction were noted in 83.7% of cases and 88.4% of cases, respectively. Among PWH, older age was associated with ED.

Conclusion: Our study illustrates the need for programs to assess and improve the sexual health of PWH in comprehensive hemophilia care.
Effect of anti-retroviral regimen on proximal tubular function in Zambian adolescents and young adults living with HIV: A cross sectional study
Authors: Mweemba Aggrey , Kelly Paul , Heimburger Douglas C. , Mutale Wilbroad , Nzala Selestine , Wester C. William , Banda Justor , Mulenga Lloyd , Siwingwa Mpanji , Todd Jim
Published: March 2023

Background: Tenofovir regimens remain the preferred formulations in the HIV guidelines for adolescents and young adults in Zambia and globally. However, some adolescents and young adults are maintained on abacavir by clinicians because of anxiety about possible proximal tubular dysfunction from tenofovir. We assessed the effect of two regimens on proximal tubular function in adolescents and young adults living with HIV.

Methods: This was a cross-sectional study involving 180 participants with HIV receiving either tenofovir or abacavir for ≥12 months at the largest tertiary teaching hospital. Two first-morning urine and blood specimens were collected and analyzed for proximal tubular markers, glomerular function, electrolytes, and routine monitoring tests. Proximal tubular function was determined by measuring the fractional excretion of phosphate (FePO4). Proximal tubular dysfunction was defined by FePO4 ≥20% regardless of serum phosphate and FePO4  ≥10-20% when serum phosphate was below 0.81mmol/L.

Results: The prevalence of proximal tubular dysfunction was 6% and was higher in the tenofovir group than the abacavir (10% vs. 2%, p<0.058). However, after adjusting for potential confounders, tenofovir was not associated with worse proximal tubular function. Age, urine b2-microglobulin: creatinine ratio, C-reactive protein, and urine protein: creatinine ratio was all associated with worsening proximal tubular dysfunction. Reduced estimated glomelurar filtration rate (eGFR) was found in four (2.2%) participants; three of which were on tenofovir.

Conclusions: Proximal tubular dysfunction defined by FePO4 was more prevalent in the tenofovir group than the abacavir group, but not after adjusting for age. Our findings should be interpreted with caution as age differences between the two groups confounded the results.
Complex motivations of Japanese medical students to an online medical English course during the COVID-19 pandemic
Authors: Azuma Miu , Nomura Osamu , Sakuma Takaya , Soma Yuki
Published: March 2023

Background: In response to globalism, many East-Asian countries now include a Medical English course in their undergraduate medical education syllabus. Traditional didactic educational culture is a potential barrier for teaching and learning medical English in East-Asian countries. Online technology-based learning has been recognized as an effective instructional strategy for teaching medical English in the East. The purpose of this study was to explore the relationship between the related attribute factors of students' motivation to learn medical English through an online modality.

Methods: Of 134 eligible fourth-year medical students who participated in an online medical English course at a Japanese medical school, 105 were enrolled in this single cohort study. The participants completed pre- and post-course surveys regarding their motivation during the course, including perceived academic control and task value, and their assignment scores. A structural equation model was used to examine the hypothesized relationship of constructs, based on control-value theory.

Results: The model showed a good fit for the data (χ 2[df=7] = 1.821, p=0.969, CFI = 1.000, RMSEA < 0.001, SRMR < 0.05, GFI = 0.993, AGFI = 0.980). The latent variables of the perceived course achievement related to the observed variables of academic control and task value scale scores, and negatively predicted willingness for self-study after course completion. In addition, the preference of English as the course language negatively predicted willingness for self-study of medical English.

Conclusion: Choice of English as the language of instruction and perceived high course achievement negatively predicted students’ motivation for further English self-study after the class. The importance of incorporating the perspective of lifelong learning into the teaching of medical English was recognized.
Public engagement by early career researchers in East Africa during the COVID-19 pandemic: case studies from East Africa
Authors: K. Milugo Trizah , V. Mosha Mary , Wampande Eddie , Philemon Rune , N. Lwanga Immaculate , Seeley Janet , K. Sewankambo Nelson
Published: March 2023

Background: Community engagement and involvement (CEI) in research usually depends on face-to-face interactions. However, the COVID-19 pandemic prevented such interactions because of national lockdowns and social distancing. This paper highlights the ways in which early career researchers from East Africa tackled CEI activities during the pandemic.

Methods: We provide four case examples that illustrate how early-career researchers based in Kenya, Uganda and Tanzania, deployed different approaches and initiatives to community-engaged research during the pandemic to encourage participation and uptake of research findings.

Results: All the three early-career researchers attempted to use virtual/digital means to implement the CEI. However, in each country, this attempt was unsuccessful because of poor connectivity, as well as many poorer students lacking access to telephones and computers. Nevertheless, the researchers effectively engaged the students using different activities (making up songs, drawing comics, and taking part in quizzes) once the schools reopened.

Conclusion: These results highlight the complexity of implementing community engagement and involvement in health research when face-to-face interaction is not possible. The findings are relevant to researchers who wish to incorporate community engagement in their research and initiatives.
Protocol for a systematic review of the evidence-based knowledge on the distribution, associated risk factors, the prevention and treatment modalities for noma
Authors: Maguire Brittany J. , Shrestha Poojan , Rashan Sumayyah , Shrestha Rujan , Harriss Elinor , Varenne Benoit , Guérin Philippe J.
Published: March 2023

Introduction: Noma (cancrum oris) is a devastating opportunistic infection resulting in severe tissue destruction that affects mouth and oro-facial structures. There are substantial gaps in our current knowledge and understanding of its aetiology, pathogenesis, prevention and treatment efficacy, as well as its distribution and burden. Although observed worldwide, the disease impacts the most vulnerable and marginalised populations, and is most reported in young children from sub-Saharan Africa. Noma often presents alongside conditions of extreme poverty, malnutrition and poor environmental sanitation. This protocol paper outlines the methodology for a systematic review planned to exhaustively synthesize the findings of the available noma literature. The project aims to generate an account of the present state of knowledge about the various aspects of noma to aid in framing effective strategies and interventions to curb this disease which disproportionately afflicts the poorest in society.

Methods and analysis: The following databases have been searched by a medical librarian from database inception to 7 December 2022: OVID (MEDLINE/ Embase/ CAB abstracts/ Global Health), Scopus, Web of Science, African Index Medicus, African Journals Online: Health, French language search: Pascal, ClinicalTrials.gov, and WHO ICTRP. All primary research studies reporting on patients of any age diagnosed with noma will be eligible for inclusion in the review, including clinical trials, cohort studies, case-control, cross-sectional, other observational studies, case studies and case series. Data will be extracted from included studies to analyse the current evidence-based knowledge on the distribution, risk factors, microbiology, prevention and treatment modalities, and outcomes of noma.

Ethics and dissemination: Results of this systematic review will be published in a peer-reviewed journal upon completion.

PROSPERO Registration: CRD42019124839 (08/03/2019)
Healthcare workers affected by COVID-19 in a midwife obstetric unit in Johannesburg, South Africa
Authors: Mnyani Coceka N , Mukendi Aurélie , Lembethe Nelisiwe M , Kubheka Thembelihle Q , Sherman Gayle G
Published: March 2023

Background/Aims

COVID-19 was first identified in China in December 2019 and was declared a pandemic in March 2020. South Africa reported its first case on 5 March 2020, and by December 2021, the country was battling a fourth wave of COVID-19 infections. This study assessed the impact of COVID-19 infections among healthcare workers in a midwives' obstetric unit in Soweto, South Africa, during the peak of the first wave.

Methods

Healthcare workers from the unit who were infected with or affected by COVID-19 were interviewed. Data were collected on demographics, presenting symptoms, the need for hospital admission in those who tested positive and the perceived source of infection. Qualitative data were collected on perceptions of testing negative or positive and the impact of testing positive.

Results

A total of 18 healthcare workers were interviewed, with the majority being midwives (61.1%), or advanced midwives (27.8%). Of the 15 included in quantitative analysis, 53% tested positive for COVID-19, with three (37.5%) requiring hospital admission, but there were no deaths. Of the staff who tested positive, 87.5% thought they became infected at work. None reported managing a patient with confirmed COVID-19. As a result of the high number of staff that tested positive for COVID-19 in the unit, there were staff shortages and anxiety about testing positive.

Conclusions

There was a high rate of COVID-19 infections in the unit, with the majority thought to have been acquired at work. This created anxiety among staff and had an impact on workload. The COVID-19 pandemic had a devastating impact on healthcare workers globally, and the effects are likely to be felt for years to come.
Digital Puzzle Worksheet for Identifying Metacognition Level of Students: A Study of Gender Differences
Authors: Ramlah Ramlah , Abadi Agung Prasetyo , Aisyah Dewi Siti , Lestari Karunia Eka , Yudhanegara Mokhammad Ridwan
Published: March 2023

Digital puzzle worksheet (DPW) is innovative teaching material designed using open-source software such as Canva and Liveworksheets. Subsequently, puzzle games in the form of questions can improve problem-solving skills by engaging in metacognitive processes. This research used a case study method to describe the impact of applying the DPW to identify the metacognition levels of students through the assignment of contextual maths problems. The source of informants was third-grade elementary school students in West Java, Indonesia. Test instruments, observation sheets, and interviews were used, while data analysis adopted an iterative model. Furthermore, the method and time triangulation increased confidence in the resulting conclusions. The results showed that male students were at the metacognitive level of ‘strategic use’ and ‘aware use’ for females, based on the characteristics of the observed metacognitive level. The most prominent feature was identifying and determining problem-solving strategies with metacognitive awareness. The reaction of students to the DPW improved problem-solving abilities, expanded conceptual understanding, and enhanced digital technology competence. Therefore, this experience was applied when solving contextual mathematical problem assignments.
Duygusal Yemenin Yordayıcıları Olarak Üstbiliş, Duygu Düzenleme Zorlukları ve Öz Şefkat
Authors: ÇAMKERTEN Özlem , GÜLOĞLU Berna
Published: March 2023

Bu araştırmanın amacı yetişkin bireylerin duygusal yeme davranışının yordayıcısı olarak çeşitli sosyo-demografik değişkenler ile üstbiliş, duygu düzenleme zorlukları ve öz şefkati incelemektir. Bu amaç doğrultusunda araştırmanın örneklemini 18 yaş üstünde, Türkiye’de yaşayan ve herhangi bir yeme bozukluğu tanısı almamış 434 (319 kadın 115 erkek) kişi oluşturmuştur. Ölçekler katılımcılara çevrimiçi şekilde ulaştırılmıştır. Bu ölçekler; araştırmacılar tarafından hazırlanan demografik bilgi formu, Üç Faktörlü Yeme Ölçeği, Üstbiliş Ölçeği-30, Duygu Düzenlemede Zorluklar Ölçeği ve Öz Şefkat Ölçeği Kısa Formudur. Bulgulara göre cinsiyet, yaş, çalışma durumu, romantik ilişki durumu, kilo, kişisel kilo algısı, üstbiliş, duygu düzenleme zorlukları ve öz şefkat duygusal yemeyle ilişkili bulunmuştur. Duygusal yemeyle ilişkili olduğu tespit edilen değişkenlerle hiyerarşik regresyon analizi yapılmış ve bulgulara göre cinsiyet, yaş, çalışma durumu, kilo, bilişsel güven, kontrol edilemezlik ve tehlike, açıklık, farkındalık ve öz şefkatin duygusal yemeyi anlamlı şekilde yordadığı saptanmıştır. Araştırma sonuçlarına göre duygusal yemeyi önleme ve tedavi etme konusunda öz şefkat, duygu düzenleme zorlukları ve üstbilişsel inançların önemli bir rolü olabileceği görülmüş; uygulayıcıların ve gelecekteki araştırmacıların duygusal yemeyi ele alırken bu faktörlere dikkat etmesi gerektiği düşünülmüştür.
OUTCOMES AND COMPLICATIONS OF MIDFOOT ARTHRODESIS IN A COHORT OF 108 PATIENTS
Authors: Reynolds A. , Kumar C. S.
Published: March 2023

Midfoot arthrodesis is the conventional surgical intervention for midfoot arthritis. Arthrodesis aims to stabilise, realign and fuse the affected joints, providing patients with improved pain and function. Current research neglects the measurement of patient reported outcomes.

This study aimed to investigate objective, and patient reported outcomes of midfoot arthrodesis. The secondary aim was to identify variables predicting the development of non-union.

An automated search of online patient records identified 108 eligible patients (117 feet). The rates of union, re-operations, and complications were calculated using radiographs and medical records. Logistic regression was used to model variables influencing the odds of non-union. All living patients were posted a Manchester Oxford Foot Questionnaire (MOx-FQ), a patient reported outcome assessment. Pre-operative MOx-FQ results were available in a minority of cases. Students t-test was used to compare pre- and post-operative MOx-FQ scores.

The rate of union achieved was 74%. The rate of re-operations was 35%. The rate of complications was 14%. Bone grafts and staple fixation independently impacted the odds of non-union. Bone grafts decreased the odds of non-union, whilst staple fixation increased the odds. This finding agrees with the opinion of other researchers.

We recommend the use of bone grafts, and the avoidance of fixation with staples. Previous attempts have been made to assess patient outcomes. However, this study is the first to use the MOx-FQ, a validated questionnaire. Therefore, this study establishes a baseline for improvements in patient reported outcomes.
OUR CTEV ACHILLES TENOTOMY JOURNEY: FROM CONSULTANT-DELIVERED CARE UNDER GENERAL ANAESTHETIC TO PHYSIOTHERAPY-DELIVERED CARE IN OUTPATIENT CLINIC. OUTCOMES FROM 45 FEET
Authors: Hughes K. , Quarm M. , Paterson S. , Baird E.
Published: March 2023

To our knowledge, we are the only centre in the UK where Achilles tenotomies (TA) for CTEV Ponseti correction are performed in outpatient clinic under local anaesthetic by an Advanced Physiotherapy Practitioner (APP) in orthopaedics. This study aims to present the outcomes and safety of this practice.

Retrospective analysis of cases of idiopathic CTEV undergoing Ponseti correction January 2020 to October 2022. Demographic data: Pirani score and number of casts before boots and bar. Patients were divided into five groups: Group 1: TA performed by an Orthopaedic consultant under general anaesthetic (GA) in theatre. Group 2: TA performed by an Orthopaedic consultant under local anaesthetic (LA) in theatre. Group 3: TA performed by APP under GA in theatre. Group 4: TA performed by APP under LA in theatre. Group 5: TA performed by an APP under LA in outpatient clinic. Complications recorded: revision TA, infection, neurovascular injury or need for re-casting. Mean follow up 18 months.

45 feet included. Mean Pirani score 5.5, age started casting 33 days and total number of casts 6. No significant difference in demographic details between groups. 6, 4, 20, 5 and 10 tenotomies were performed in groups 1, 2, 3, 4, and 5 respectively. Complications were 1 revision tenotomy from group 2, one from group 4 and 1 renewal of cast from 3.

This study demonstrates that TAs performed in outpatient clinic under LA by an APP is safe and feasible. No increase in complications were observed compared to TAs performed by orthopaedic consultants.
A Multi-source Information Graph-based Web Service Recommendation Framework for a Web Service Ecosystem
Authors: Jia Zhixuan , Fan Yushun , Zhang Jia , Wu Xing , Wei Chunyu , Yan Ruyu
Published: March 2023

Web service recommendation remains a highly demanding yet challenging task in the field of services computing. In recent years, researchers have started to employ side information comprised in a heterogeneous Web service ecosystem to address the issues of data sparsity and cold start in Web service recommendation. Some recent works have exploited the deep learning techniques to learn user/Web service representations accumulating information from multiplex sources. However, we argue that they still struggle to utilize multi-source information in a discriminating, unified and flexible manner. To tackle this problem, this paper presents a novel multi-source information graph-based Web service recommendation framework (MGASR), which can automatically and efficiently extract multifaceted knowledge from the heterogeneous Web service ecosystem. Specifically, different node-type and edge-type dependent parameters are designed to model corresponding types of objects (nodes) and relations (edges) in the Web service ecosystem. We then leverage graph neural networks (GNNs) with an attention mechanism to construct a multi-source information neural network (MIN) layer, for mining diverse significant dependencies among nodes. By stacking multiple MIN layers, each node can be characterized by a highly contextualized representation due to capturing high-order multi-source information. As such, MGASR can generate representations with rich semantic information toward supporting Web service recommendation tasks. Extensive experiments conducted over three real-world Web service datasets demonstrate the superior performance of our proposed MGASR as compared to various baseline methods.
Two-stage Detection of Semantic Redundancies in RDF Data
Authors: Chen Yiming , Li Daiyi , Yan Li , Ma Zongmin
Published: March 2023

With the enrichment of the RDF (resource description framework), integrating diverse data sources may result in RDF data duplication. Failure to effectively detect the duplicates brings redundancies into the integrated RDF datasets. This not only increases unnecessarily the size of the datasets, but also reduces the dataset quality. Traditionally a similarity calculation is applied to detect if a pair of candidates contains duplicates. For massive RDF data, a simple similarity calculation may lead to extremely low efficiency. To detect duplicates in the massive RDF data, in this paper we propose a detection approach based on RDF data clustering and similarity measurements. We first propose a clustering method based on locality sensitive hashing (LSH), which can efficiently select candidate pairs in RDF data. Then, a similarity calculation is performed on the selected candidate pairs. We finally obtain the duplicate candidates. We show through experiments that our approach can quickly extract the duplicate candidates in RDF datasets. Our approach had the highest F score and time performance in the OAEI (Ontology Alignment Evaluation Initiative) 2019 competition.
A Comparative Analysis Between Timber Industry and Nontimber Forest Products Industry in Relation to Sustainability and Operators' Proactiveness
Authors: Luo Yixuan , Feng Xiao
Published: March 2023

The balance among forest industry development, forest operators' well-being, and environmental conservation has been noted as an emerging concern in forest sustainability strategy. In this study, we innovatively adopted a multidimensional assessment method that integrates economic, environmental, and social dimensions to compare the comprehensive sustainability of roundwood, bamboo, tea products, and fruit industries, which are representative subtypes of the timber industry and the nontimber forest products (NTFP) industry. Additionally, our study examined whether a relationship exists between the forest industry's comprehensive sustainability and operators' proactiveness. We collected data on selected types of forest operators involved in productive loans from 115 villages in southern China between 2008 and 2020. Empirical results indicate that an increase in the comprehensive sustainability rank of the subtype forest industry led to growth in forest operators' financing amount. Specifically, the NTFP industry motivated operators' proactiveness more than did the timber industry, the effect of which was considerably greater in company group than in household group. Our findings reveal the necessity of policy interventions in developing countries to encourage the transition to optimizing forest industrial structure and sustainable forestry operations, which could initiate the socio-economic goal of sustained forest resource use and growth in forest sector output through the natural promotion effect posed by the sustainability advantages.
Valores, Creencias y Normas de los Prestadores de Servicios Turísticos del Parque Nacional Arrecifes de Cozumel, México
Authors: Pinel Romain , Segrado Pavón Romano Gino , Collantes Chávez-Costa Alejandro
Published: March 2023

Los prestadores de servicios turísticos (PST) de buceo son ampliamente beneficiados por la capacidad de atracción turística del Parque Nacional Arrecifes de Cozumel (PNAC), en el Caribe mexicano, pero los valores, creencias y normas acerca de la conservación del espacio natural son diversas, lo cual dificulta lograr una gestión sostenible de los servicios ecosistémicos frente a la presión turística crónica. El objetivo de esta investigación fue analizar las relaciones entre servicio turístico y los valores, creencias y normas de los PST hacia la conservación del PNAC. El método de recolección de datos fue con un grupo focal de prestadores de servicios turísticos de buceo y colaboradores administrativos del PNAC. Se estableció que las intenciones de los prestadores están predeterminadas por sistemas de influencias externos, regulados por grupos de pares sociales más influyentes. Los resultados son útiles para diseñar políticas públicas de conservación y buenas prácticas ambientales para el aprovechamiento turístico y los usos ecosistémicos en el PNAC.
Gestión de destinos familiares a través de la gamificación y personalización de viajes en familia en tiempo real
Authors: Borràs Joan , Macià Gerard , Albuera Francesc , Pérez Yvonne , Clavé Salvador Antón
Published: March 2023

En este artículo se presenta un desarrollo tecnológico diseñado específicamente para el turismo familiar que se materializa en las aplicaciones Costa Daurada Trip&Kids y Terres de l’Ebre Trip&Kids. Sus objetivos son: 1) facilitar a través de un sistema de gestión inteligente las visitas de turismo familiar hacia determinados atractivos turísticos, en especial los relacionados con las playas, el patrimonio cultural y la cultura del vino, y 2) mejorar la experiencia de las familias durante la visita a los atractivos e incrementar su grado de fidelización. Las aplicaciones utilizan sistemas inteligentes para sugerir a las familias las experiencias que mejor se ajustan a sus necesidades (edad de los niños, intereses, medio de transporte, etc.), teniendo en cuenta la afluencia, la posibilidad de reservar, las opciones de aparcamiento, los horarios o la meteorología, entre otros, en tiempo real, de los atractivos y su entorno. Las aplicaciones utilizan herramientas de gamificación para posibilitar la recogida de datos de los usuarios, así como también para incentivar las visitas a otras zonas con menor afluencia y descongestionar las zonas más frecuentadas. Finalmente, se generan indicadores para los gestores de destinos turísticos a través de la monitorización del comportamiento de los usuarios con las aplicaciones.
Turismo Social en Barcelona: ¿Mecanismo de Inclusión de la infancia?
Authors: Royo Campos Irene , Royo Ochoa Helena
Published: March 2023

Este estudio trata las consideraciones, evoluciones y modificaciones sufridas por el Turismo Social, focalizándose en el colectivo de los menores en situación de vulnerabilidad, y en cómo se gestiona su accesibilidad al ocio en la ciudad de Barcelona.El objetivo principal es comprobar si Barcelona es una ciudad apta y preparada en materia de Turismo Social enfocado al colectivo de los menores en riesgo de exclusión. Para lograr este objetivo, este proyecto se ha regido por una búsqueda de información de diversas fuentes bibliográficas sobre los términos y evolución del Turismo Social y exclusión social, así como un análisis de la oferta existente en Barcelona. Para conocer la visión de agentes implicados en esta temática, se han realizado entrevistas en profundidad a diversos profesionales del sector.Los resultados obtenidos apuntan que el Turismo Social en Barcelona es gestionado de manera singular, ya que basa su actividad turística en una finalidad meramente económica. Esto se debe al hecho que no se fomentan suficientes prácticas dirigidas a menores en riesgo de exclusión social, así como la falta de políticas que faciliten este acceso. Por consiguiente, el estudio propone un sistema de indicadores susceptibles a reconocer si una ciudad es inclusiva en materia de Turismo Social.
Dimensions of entrepreneurship around the reactivation of the economy based on tourism in central Mexico
Authors: García Lirios Cruz , Bermúdez-Ruíz Gilberto , Juárez-Nájera Margarita
Published: March 2023

The pandemic caused by SARS CoV-2 and the COVID-19 disease have linked tourism with local entrepreneurship. It is a phenomenon in which political actors, economic and social agents converge in order to reactivate the local economy. In this vein, the objective of this work was to validate an entrepreneurship scale, considering four dimensions: trust. opportunity, optimization and innovation. An exploratory, cross-sectional and psychometric work was carried out with a sample of 100 coffee growers from central Mexico. Four factors were established that explained 32% of the variance, suggesting the contrast in another sample. In relation to the state of the art, the scope of the study is discussed.
Análisis de un modelo metateórico aplicado a comunidades cercanas a los destinos turísticos de Quintana Roo, México
Authors: Medina Argueta Georgina del Socorro , Rosado Varela Ángel Aarón
Published: March 2023

El objetivo de la investigación fue analizar las comunidades cercanas a destinos turísticos de Quintana Roo a partir de una propuesta de modelo metateórico de planteamiento crítico y orientado hacia alternativas para el desarrollo del turismo. El modelo se aplicó en 17 comunidades a través de entrevistas semi estructuradas a trabajadores de turismo como actores claves. Los resultados permitieron una visión diferente a la contemplada en los diagnósticos y análisis de los modelos turísticos tradicionales y vigentes, pues muestra la sensible percepción directa de las comunidades y más aún de los actores que intervienen directamente en actividades turísticas. Los retos más fundamentales de las comunidades, deberán centrarse en dos aspectos: a) desarrollar de manera sostenible el turismo y b) rescatar y diversificar sus actividades tradicionales. La utilización del modelo, funciona como eje de análisis sobre el desarrollo de la actividad y la incidencia en las condiciones de vida de la comunidad receptora de los destinos turísticos, lo cual establece un buen inicio en pro al bienestar.
Percepción del territorio, condicionante y oportunidad para el turismo entre agentes locales en Jalisco, México.
Authors: Gómez Zárate David , Santamaría Velasco Carlos Alberto
Published: March 2023

El artículo analiza la percepción del territorio entre agentes clave del campo turístico local para indagar cómo incide en el abordaje del turismo en Ameca, Jalisco, municipio al occidente de México marcado por la migración, cuyo potencial turístico plantea una alternativa para su desarrollo socioeconómico. La metodología utilizada es fenomenológica, recurriendo a la entrevista semiestructurada y el análisis interpretativo para profundizar en la percepción de los participantes, complementada de etnografía y análisis documental para contextualizar el lugar. Los resultados indican que, al interiorizar componentes socioeconómicos y culturales que afectan sus experiencias en el territorio, los agentes forman una imagen del lugar que puede ser condicionante al desarrollo turístico, orientando sus disposiciones en un sentido negativo a pesar de cualquier potencialidad, así mismo, a través de su percepción pueden encontrarse estrategias endógenas correctivas
Tourism as a development strategy in Belize
Authors: Ramsey Doug , Everitt John
Published: March 2023

Tourism is an economic activity that influences virtually every corner of the contemporary world. This study focuses on tourism development in Belize where in a short period of time the national government has shifted from virtually ignoring tourism to making it a national priority for economic development. This paper adopts an historical perspective to describe the political economy of tourism development in Belize in the latter half of the twentieth century. It begins by establishing a political economy framework for analyzing tourism development. With this in place, tourism in Belize is discussed through four major stages. The stages primarily reflect the role of the state with respect to tourism, which were in part established based on the attitudes toward tourism, tourism numbers, as well as on the development of tourism infrastructure within the country. In this sense, the paper is seen as a contribution to public policy that sees tourism as one means for economic development, but one that will be reliant on policy and economic initiatives that are external to local communities.
Turismo de co-creación, valor añadido en escenarios turísticos
Authors: Binkhorst Esther
Published: March 2023

En la economía de la experiencia, todos aquellos que ofrecen servicios están en constante búsqueda de nuevas maneras de distinguirse y de captar la atención del cliente. Las reglas sociales de las sociedades actuales están dando paso a una autonomía comunicativa propia. El enfoque tradicional de arriba abajo, lo que se conoce por top down, está siendo sustituido por nuevos diálogos entre socios iguales. Los clientes, por lo tanto, están adquiriendo más poder y control. Las innovaciones basadas exclusivamente en el producto y en la compañía están siendo sustituidas por lo que se ha pasado a denominar la experiencia de co-creación, un nuevo enfoque que se presenta como un nuevo valor y como el futuro de la innovación.Se han empezado a observar algunos ejemplos de experiencia de co-creación en diferentes campos. Sin embargo, en el campo del turismo aún no se ha aplicado, algo bastante sorprendente, ya que para muchos países el turismo es la principal fuente de ingresos mientras que para muchos otros, sobre todo para los países desarrollados, desempeña un papel clave en la calidad de vida. Es durante el tiempo de ocio cuando la gente expresa esa necesidad de buscar experiencias cada vez más únicas que reflejen sus propias historias personales.El presente artículo ofrece una nueva e innovadora perspectiva sobre el turismo en la economía de la experiencia basada en el principio de co-creación. La perspectiva que concibe el turismo como una red facilita la inclusión de todo aquello relacionado con la co-creación de experiencias en turismo, dándole un papel primordial al ser humano.
Demanda y participación de responsabilidad social corporativa y turismo sostenible – Implicaciones para el Caribe
Authors: Dodds Rachel , Joppe Marion
Published: March 2023

Existe abundante literatura sobre la necesidad de un turismo sostenible, pero existen relativamente pocos autores que hayan examinando su aplicación práctica y sus implicaciones en regiones específicas del mundo. Este estudio tiene como finalidad identificar y evaluar las prácticas de responsabilidad social corporativa en el sector turístico y los códigos de conducta, tanto los publicados por organizaciones internacionales o no gubernamentales, como los incorporados por las propias empresas. El estudio también intenta determinar la demanda de turismo sostenible. Al identificar la situación actual de la sostenibilidad dentro de la industria del turismo, es posible determinar cuáles son las acciones n necesarias para promover el programa, especialmente en regiones tales como el Caribe. La cuestión surge por primera vez como parte de un estudio más extenso, realizado para el Banco Mundial/CorporaciónFinanciera Internacional (Dodds & Joppe, 2005), sin embargo, este estudio tenía mayor alcance con respecto al acceso a los mercados turísticos de los países menos desarrollados.
Vacaciones en un mar de incidentes. Derechos y obligaciones del turista
Authors: Arcarons Ramón
Published: March 2023

El 1 de diciembre, de 2007, quedó derogada la Ley 21 /1995, de 6 de julio, reguladora de los viajes combinados por Real Decreto Legislativo 1/2007 (España). El Real Decreto refunde en un único texto la Ley General para la Defensa de los Consumidores y Usuarios y las normas de transposición de las directivas comunitarias dictadas en materia de protección de los consumidores y usuarios, encontrándose entre estas la Ley de Viajes Combinados.Pero también se han hecho modificaciones que traerán consecuencias importantes en el día a día de las agentes de viajes.
Las tres Cs del turismo caribeño: Contextos, Características y Consecuencias
Authors: Padilla Art , McElroy Jerome L.
Published: March 2023

La metáfora de las "Tres C" (contexto, características y consecuencias) se emplea para obtener un marco alrededor del cual visualizar el fenómeno del turismo. Cada elemento está estrechamente relacionado  con los otros, y cada  uno  se  ve  afectado  por  e  insertado en los otros. En conjunto, las Tres C determinan la configuración del turismo en destinos  específicos.  Es un mecanismo simple pero potente analíticamente que aporta un enfoque multidisciplinario al análisis de los problemas del turismo, lo que permite una comprensión más matizada de las temáticas y los desafíos del turismo internacional. El trabajo intenta destacar dos aspectos. En primer lugar, el estilo o carácter del turismo en un determinado destino resulta de un complejo conjunto interrelacionado de  macro  fuerzas  socio-económicas e históricas -los contextos- que difieren de destino a destino (o de isla a isla). En segundo lugar, la interacción entre el contexto y las características define en gran medida las consecuencias o resultados que se observan, tanto positivos como negativos. Para ilustrar el enfoque de las Tres C, se realizaron análisis contrastados entre la República Dominicana y las Islas Turcas y Caicos, con extensiones a Cuba. Sugerimos el modelo de Tres C es lo suficientemente amplio para adaptarse a una variedad de destinos y puede dar lugar a mejores conclusiones de política regional.
Conceptualización del turismo caribeño a través de la de hibridación: Tour de Grenada como producto
Authors: Nelson Velvet , Torres Rebecca Marie
Published: March 2023

Desde una perspectiva geográfica, la hibridación expone la forma en que se enredan los diferentes componentes de la naturaleza y la cultura, creando una nueva variante, que desdibuja las distinciones artificiales. En este trabajo, el concepto de hibridación se aplica al estudio del caso de Grenada. Si bien el principal atractivo de esta isla del Caribe es sol, mar y arena, los turistas que visitan Grenada tienen una serie de otros intereses lejos de la playa. Los turistas que podrían clasificarse como la masa convencional "de sol y arena", a menudo quieren experimentar más aspectos de la isla, y muchos lo hacen a través de visitas guiadas. Estos tours se han desarrollado para reflejar los diversos intereses y por lo tanto difíciles de clasificar dentro de las etiquetas de productos turísticos típicamente estrechas. Esta investigación cuenta con el análisis de contenido y la semiótica de la literatura de promoción del turismo, así como la observación participante en las visitas guiadas para ilustrar las variantes híbridas que han surgido en los productos turísticos de Grenada, en la que elementos de la agricultura, cultura, naturaleza, y otros se mezclan casi a la perfección . Pasar de las clasificaciones dualistas de los destinos y los turistas, hacia concepciones más complejas y matizadas a través de la hibridación, abre nuevas oportunidades para satisfacer los diversos intereses de los turistas convencionales, así como los visitantes más nicho de mercado.
Proveedores en destinos turísticos: los retos en Zanzibar
Authors: Anderson Wineaster , Juma Saleh
Published: March 2023

Este estudio explora los retos vinculados entre la industria turística y los proveedores locales en las destinaciones. Durante el 2010 se realizaron estudios en Zanzíbar entre los tres grupos involucrados: hoteleros y restauradores, proveedores locales y turistas. El resultado del análisis cualitativo de las perspectivas de los encuestados revelan una multitud de coacciones y restricciones. Para los operadores la mayor restricción serían la baja calidad del producto local, la poca formalidad en los negocios, el alto nivel de costes y el incumplimiento de acuerdos por parte de los proveedores locales. El bajo nivel de producción, los bajos precios ofrecidos por los hoteleros y restauradores, en combinación con el pago tardío por los productos suministrados, representan los problemas más serios comentados por los proveedores locales. Existe también un cierto grado de desconfianza mutua entre proveedores locales y operadores. No obstante, desde el punto de vista del turista, el origen de estos productos consumidos en los hoteles y restaurantes, no resulta ser una gran preocupación. Se recomiendan estrategias que unan el desequilibrio entre oferta y demanda con el objetivo de maximizar los beneficios turísticos como método para combatir la intensa pobreza.
Análisis importancia-rendimiento de los mochileros en la isla Robinson Crusoe, Fiji
Authors: Lück Michael
Published: March 2023

El rápido crecimiento del turismo durante las últimas décadas implica retos para los proveedores de servicios de alojamiento, especialmente aquellos establecidos en islas pequeñas. La creciente competencia demandaba una absoluta satisfacción por parte del cliente, y a la vez el desarrollo de nuevas técnicas para poder medir y monitor aquella satisfacción. El método que se usaba comúnmente para medir la satisfacción del cliente eran escalas estándar tipo Likert. Esto para evaluar hasta qué punto los turistas estaban satisfechos con ciertas características del hotel. Sin embargo, este método pasaba por alto que algunas de las características tienen un diferente nivel de importancia unas de otras para los clientes.El análisis Importancia-Rendimiento (I-P Analysis), mide tanto la importancia de una característica del hotel para un cliente como la satisfacción del cliente con la misma. Un estudio I-P fue aplicado en un hotel de mochileros en la isla Robinson Crusoe, en Fiji. Los resultados muestran que la administración del hotel conoce su clientela objetivo y les proporciona un buen servicio. No obstante, los resultados también muestran que hay posibilidad de mejora en algunas áreas y que en otras parece haber demasiada atención.
Turismo cultural en contextos de fragilidad institucional. Proyecto de rutas culturales en Tierra Del Fuego
Authors: Garcés Feliú Eugenio
Published: March 2023

El siguiente artículo presenta un proyecto de rutas culturales diseñadas para la Tierra del Fuego chilena, conectado a la promoción del turismo y al impulso de la economía, a través del desarrollo de una oferta específica de turismo de alto estándar, unida a su herencia cultural y natural, con el propósito de capturar la posible creación de ingresos para Chile. El principal objetivo del proyecto es incrementar la competitividad del sector turístico de intereses especiales en Tierra del Fuego, un sector clave del sur de la Patagonia, a través de la divulgación y transferencia de tecnologías y conocimiento, adquiridos en más de 10 años de investigación y proyectos, al territorio y a sus agentes locales. Estas Rutas Culturales construyen una oferta innovadora, capaz de estructurar los diferentes recursos turísticos y fortalecer las bases para el desarrollo de una nueva etapa del mercado turístico nacional e internacional, localizado en el extremo sur de Chile y América.
Tour-Scapes Or How To Convert Mature Tourism Destinations To Complex Sustainable Landscapes; The Strategy Of The “Second Coast”
Authors: Goula Maria , Spanou Ioanna , Perez Rumpler Patricia
Published: March 2023

Este artículo aborda el potencial de innovación del diseño paisajístico en destinaciones turísticas maduras del Mediterráneo, especialmente en relación a su contribución a la creación de un nuevo imaginario así como también a la configuración de criterios sostenibles con el fin de mejorar entornos consolidados turísticamente. Se estructura en dos partes: La primera trata la intensa relación entre el Paisaje y el Turismo. La segunda se centra en la evaluación de los resultados de la investigación desarrollados en el marco del Máster en Paisajismo, UPC, en los territorios de la Costa Brava, Cataluña, España y Languedoc, Francia. Los trabajos presentados exploran los protocolos del desarrollo de un imaginario turístico sostenible basado en la identidad y el potencial natural de estos paisajes en relación al desarrollo de un proyecto de turismo holístico que involucra el paisaje no como fondo sino como un producto turístico en sí. Las experiencias incluyen aproximaciones que relacionan el ya existente desarrollo de la costa con la zona agrónoma “interior”, específicamente denominada “segunda costa”.