Female travellers in hospitality and tourism industry: A systematic literature review.

Female tourism is gaining momentum in the world. Thus, a review of female tourism is essential to explore future research directions. The paper discusses the evolution of female tourism research from the early 1980s to 2022 through different analytical methods. The 116 articles published in the list of Social Science Citation Index (SSCI) journals were collected. A systematic quantitative assessment of 116 articles was conducted using HistCite, and research themes were identified using VOSviewer. Qualitative content analysis was conducted to trace the growth of research, understand the past research development of each research theme, and identify research gaps for further research. The results show that current female tourism research can be divided into three research themes: motivation, risk, and sexuality. The motivations for young female travellers, solo female travellers, and middle-aged female travellers are discussed. In the atmosphere of gender equality, current female tourism research in risk and sexuality contains contradictory viewpoints with past studies as a result of changing times. A research agenda in four potential research areas is recommended. This review contributes to female tourism research by providing researchers with literature to guide and support further research.

Long-Term Change in Renal Function After Intravitreal Anti-VEGF Treatment for Diabetic Macular Edema: A 2-Year Retrospective Cohort Study.

INTRODUCTION: To investigate the longitudinal changes in renal function and associated factors after intravitreal anti-vascular endothelial growth factor (VEGF) administration in diabetic macular edema (DME). METHODS: A total of 108 patients who had received intravitreal ranibizumab or aflibercept for DME and had follow-up visits for at least 2 years in one hospital were retrospectively enrolled. The estimated glomerular filtration rate (eGFR) at baseline and during the follow-up period and receipt of any renal replacement therapy were recorded. Linear regression and Cox regression models were used to evaluate factors associated with eGFR decline and renal replacement therapy. RESULTS: After intravitreal anti-VEGF treatment, eGFR showed a mean decline of -10.4 ± 23.2% and -16.5 ± 26.4% at months 12 and 24, respectively. Patients in the eGFR > 120 mL/min and 15-30 mL/min groups had the greatest decline (-32.0 ± 20.6% and -37.4 ± 30.9%, respectively) while those in the 61-90 mL/min group had the smallest decline (-4.3 ± 19.7%) in eGFR after the 2-year treatment. One out of 52 patients (1.9%) receiving ranibizumab and five out of 56 patients (8.9%) receiving aflibercept started hemodialysis or peritoneal dialysis within the 2-year follow-up period (P = 0.21). Baseline eGFR correlated with renal replacement therapy after intravitreal anti-VEGF treatment (hazard ratio = 0.879 per increase of 1 in eGFR, P = 0.018). CONCLUSIONS: In DME patients receiving intravitreal anti-VEGF treatment, a persistent decline in eGFR was observed during the 2-year treatment course. Patients with extremely high or low eGFR had greater eGFR decline, and those with poor baseline eGFR tended to require dialysis after intravitreal anti-VEGF treatment.

Consumer heterogeneity for shared accommodations at pre-and-post adoption stages: Insights from travelers in Shanghai, China.

As shared accommodation has become one of the most important market developments in the tourism industry, numerous contributions have emerged regarding travelers' motivations to choose shared accommodation. A debated question, however, resides in the heterogeneity of travelers based on motivations. This paper aims to reconcile opposing perspectives by comparing motivation segmentation at two distinct phases of the adoption of this accommodation option: (i) before the first travel-potential users showing interest (n = 420) and (ii) after the first travel-current users (n = 420). Factor analysis, combined with clustering, is applied to both samples to identify underlying motivations and traveler segments. Interestingly, we find that factors defining choice motivations are relatively stable throughout the adoption process, but the heterogeneity of motivations among travelers is higher in users, increasing from three to six clusters. This suggests that travelers' motivations are dynamic and dependent on the phase of adoption.

The effects of online tourism information quality on conative destination image: The mediating role of resonance.

With the increasing popularity of mobile applications, people enjoy browsing online tourism information on social media. This information may cause psychological resonance, which in turn stimulates travel intentions. This study examined the relationship between online travel information quality (OTIQ), resonance, and conative destination image. A partial least squares structural equation model was used to analyze the survey data of 426 users who recently used social media to browse online tourism information. The results show that four dimensions of OTIQ (value-added, relevancy, completeness, and design) affect cognitive resonance, and three dimensions of OTIQ (interestingness, design, and amount of information) affect emotional resonance. Both cognitive resonance and emotional resonance directly affect the conative destination image. This study contributes to online tourism marketing research by identifying the factors of OTIQ that rise tourists' resonance. It also contributes to destination image research by extending the application of resonance theory and examining the role of cognitive resonance and emotional resonance in forming a conative destination image. Understanding how QTIQ builds a destination image can help destinations improve the quality of online tourism information to attract potential tourists. This study also provides recommendations to destination marketers to formulate appropriate marketing strategies in the age of innovative technology.

Corrigendum: The formation of multi-destination image: A study of China's Greater Bay Area.

[This corrects the article DOI: 10.3389/fpsyg.2022.975025.].

Influence of memorability on revisit intention in welcome back tourism: The mediating role of nostalgia and destination attachment.

"Welcome Back Tourism" is an important marketing strategy to help overseas Tourism destinations quickly recover from the crisis and enhance their core competitiveness. How to translate the memorability of tourists to revisit intention is the core key to open "Welcome Back Tourism." This study takes local residents in Guangzhou, Shenzhen and Foshan as the research objects, and tries to explore the influence relationship between memorability of a previous travel experience, nostalgia, destination attachment and revisit intention. The results of 291 valid data showed that memorability of a previous travel experience had positive influence on revisit intention; Nostalgia has a positive effect on destination attachment. Nostalgia and destination attachment play a mediating role in the influence of memorability of a previous travel experience on revisit intention. The contributions and management Recommendations of these findings are discussed.

The formation of multi-destination image: A study of China's Greater Bay Area.

Many governments promote the concept of multi-destination tourism to attract foreign visitors to stay longer in a region. This study constructs a higher-order multi-destination image model to examine how the unique cognitive images of Hong Kong, Macau, and Guangzhou collectively constitute the overall cognitive image of China's Greater Bay Area (GBA). Then, it further examines how this overall cognitive image builds affective, overall, and conative images of the GBA. The results of an online survey of non-Chinese tourists from Guinea, Japan, New Zealand, United Kingdom, and United States show that cognitive images of three cities in the GBA take different weighting in constructing the overall cognitive image of the GBA. The overall cognitive destination image significantly influences the formation of the affective, overall, and conative images of the GBA region. For constructing the conative image, the affective image shows the greatest impact, overall cognitive image follows; the impact of the overall image is less. This study proposes theoretical implications for future regional tourism studies. Practical recommendations are also proposed.

An Exploratory Study of Pandemic-Restricted Travel-A New Form of Travel Pattern on the during- and Post-COVID-19 Era.

This study introduces a new travel pattern "pandemic-restricted travel" that exists from COVID-19 based on prospect theory. The purpose of this study is to incorporate the motivation to travel and constraint to normal travel to predict tourists' intention to continue visiting other alternative destinations due to COVID-19 restrictions. This study first generated the items of motivation to travel and constraints to normal travel from a focus group interview with 15 travel industry professionals in December 2020 in Zhuhai. Then, an online survey collected data from 416 respondents in the Greater Bay Area of China from January to February 2021. The results of exploratory factor analysis using SPSS identified two factors of motivation to travel (leisure and exploration) and two factors of favourable constraints to normal travel (policy restriction and perceived risk). The results of partial least squares-structural equation modelling (PLS-SEM) indicated that these four factors positively influence satisfaction but only leisure and exploration factors positively influence the intention of continuous pandemic-restricted travel. Among the four factors, leisure has the strongest impact on both satisfaction and intention of continue travelling. The results also revealed that satisfaction fully mediates the effects of two constraint factors and partially mediates the effects of two motivation factors on the intention of continuous pandemic-restricted travel. Implications for researchers and governments for pandemic-restricted travel during and in the post-COVID-19 era are then discussed.

The Effect of Place Attachment on Overseas Students' Tourism Ambassador Behavior: A Mediation Role of Life Satisfactionrdrd.

Life satisfaction is a research hotspot in positive psychology in recent years. This study uses overseas students as subjects and attempts to examine the effect of place attachment and student life satisfaction on Mainland Chinese students' word-of-mouth (WOM) recommendations and their Ambassador Behavioral (AB) intention. A survey was systematically conducted in six institutions in Macao. The results of 312 valid data indicate that place dependence has a positive influence on place identity; place identity and place dependence have a positive influence on student life satisfaction; student life satisfaction mediates the influence of the two dimensions of place attachment on WOM and AB intention. Recommendations are provided to improve overseas students' life satisfaction in the study places. It helps to improve their sense of ownership and actively participate in the construction of the study places.

Regional Travel as an Alternative Form of Tourism during the COVID-19 Pandemic: Impacts of a Low-Risk Perception and Perceived Benefits.

Previous COVID-19 tourism research has not considered the positive impact of a low-risk perception and a perception of the benefits of regional travel on taking alternative tourism. This study attempts to fill the research gap and examine the positive effect of these perceptions on tourists' attitudes to regional travel and intentions to undertake regional travel during the COVID-19 pandemic. A survey of 278 respondents confirmed that the perceived benefit positively influences tourists' attitudes and travel intentions, but that a low-risk perception only positively affects their attitudes. This study contributes to tourism risk management research by introducing the concept of a low-risk perception as a positive factor. For tourism recovery, it finds that relaxation, value, and convenience are benefits to drive people to travel.

Actual Self-Image Versus Ideal Self-Image: An Exploratory Study of Self-Congruity Effects on Gambling Tourism.

This study aims to apply self-congruity theory to examine the relationship between self-congruity of tourists and their perceived image of a gambling destination. This study employs the Euclidean distance model and extends Malhotra's pars of adjectives with five new items about gambling motives. A face-to-face questionnaire survey was used, and a total of 152 samples were collected from tourists in Macau. The results show that the actual self-image of tourists is more related to their perception of Macau image. For actual congruence, tourists exhibit a greater tendency to match the informal, liberal, and emotional image of Macau. For ideal congruence, they have a tendency to match the contemporary, organized, and pleasant image of Macau. This study makes up for the deficiency of self-congruity theory in tourism research. This study helps tourism departments to develop appropriate strategies to promote gambling tourism and disseminate relevant information that can bring gambling destinations closer to tourists.

The impact of a 360° virtual tour on the reduction of psychological stress caused by COVID-19.

The continuous spread of the COVID-19 pandemic is causing people to feel anxiety and stress. This study constructs a four-layer research model to examine how a 360° virtual tour can reduce people's psychological stress through two types of presence (the sense of presence and telepresence) and affective-motivational states (enjoyment and involvement) in this extraordinary period of the COVID-19 pandemic. In order to test the moderating effect of involvement, partial least squares (PLS) analysis is employed to analyse valid data collected from 235 individuals. The results of this study indicate that telepresence has a higher impact in generating affective-motivational states than the sense of presence. Among the factors, enjoyment shows the highest effect on satisfaction with the 360° virtual tour experience and stress reduction; involvement moderates the effect of telepresence on satisfaction with the 360° virtual tour experience. This study also contributes to virtual reality research by distinguishing the concepts of 'sense of presence' and 'telepresence' as well as demonstrating the mechanisms whereby virtual reality technology influences people's psychological well-being. Timely recommendations are provided for people in order to reduce psychological stress during and after COVID-19 pandemic.

Dental and oral health students' perceptions of loupes.

Objectives. The dental industry has embraced the usage of loupes, with recent literature identifying numerous clinical and ergonomic benefits. Despite the growing usage of loupes among Australian dental professionals and dental students, few data regarding the perceived benefits and limitations of their use in clinical practice are available. The aim of this study was to examine the experiences and opinions of loupe usage among Australian dental and oral health students. Methods. A self-reporting questionnaire was distributed to all dental and oral health students across Australia during 2016. Results. A total of 223 students responded to the questionnaire. Of these responses, 45.7% reported they wear loupes during their clinical training, with the majority (32%) purchasing them due to recommendation by a demonstrator. Primary benefits reported included ergonomics/posture (89%), restoration evaluation/detection (72%) and quality of care/improved patient care (63%). Primary limitations reported included infection control (53%), decreased awareness of patients' non-verbal communications (44%) and vision dependency (30%). Conclusions. Overall, the students in this study identified both benefits and limitations to wearing loupes in clinical practice. Despite this, an overwhelming majority (96%) of those who used loupes would recommend them to other dental and/or oral health students.

Renal Biomarkers for Treatment Effect of Ranibizumab for Diabetic Macular Edema.

AIMS: To investigate the correlations between renal biomarkers and the treatment outcomes of ranibizumab for diabetic macular edema (DME). METHODS: This hospital-based study retrospectively enrolled 88 eyes from 67 patients who had received one-year intravitreal ranibizumab treatment for DME. Best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) at baseline and during the follow-up period were recorded. BCVA and OCT characteristics at baseline and their changes after ranibizumab treatment were compared between different proteinuria and estimated glomerular filtration rate (eGFR) groups. RESULTS: Of the 88 eyes studied, those with moderately increased proteinuria had a thicker central subfield foveal thickness (CFT) and a higher proportion of intraretinal cysts than those with no proteinuria (P = 0.012 and 0.045, respectively) at baseline. After one year of ranibizumab treatment, the reduction in CFT was greater in patients with severely increased proteinuria than those with normal to mildly increased proteinuria (P = 0.030). On the other hand, patients with an eGFR <30 tended to have poorer visual improvements than those with normal eGFR (P = 0.044). CONCLUSIONS: After ranibizumab treatment for DME, patients with severe proteinuria tended to gain better anatomical improvement, while those with poor eGFR tended to have poorer visual improvement.

Intestinal FXYD12 and sodium-potassium ATPase: A comparative study on two euryhaline medakas in response to salinity changes.

FXYD proteins are the regulators of sodium-potassium ATPase (Na+/K+-ATPase, NKA). In teleosts, NKA is a primary driving force for the operation of many ion transport systems in the osmoregulatory organs (e.g. intestines). Hence, the purpose of this study was to determine the expression of FXYD proteins and NKA α-subunit in the intestines of two closely related medakas (Oryzias dancena and O. latipes), which came from different salinity habitats and have diverse osmoregulatory capabilities, to illustrate the association between NKA and FXYD proteins of two medaka species in response to salinity changes. The results showed that the fxyd12 mRNA was the most predominant in the intestines of both medakas. The association of FXYD12 and NKA in the intestines of the two medaka species was demonstrated via double immunofluorescent staining and co-immunoprecipitation. Upon salinity challenge, the localization of FXYD12 and NKA was similar in the intestines of the two medaka species. However, the expression profiles of intestinal FXYD12 and NKA (mRNA and protein levels), as well as NKA activity differed between the medakas. These results showed that FXYD12 may play a role in modulating NKA activity in the intestines of the two medakas following salinity changes in the maintenance of internal homeostasis. These findings contributed to knowledge of the expression and potential role of vertebrate FXYD12, the regulators of NKA, upon salinity challenge.

An Outbreak of Streptococcus pyogenes in a Mental Health Facility: Advantage of Well-Timed Whole-Genome Sequencing Over emm Typing.

OBJECTIVEWe report the utility of whole-genome sequencing (WGS) conducted in a clinically relevant time frame (ie, sufficient for guiding management decision), in managing a Streptococcus pyogenes outbreak, and present a comparison of its performance with emm typing.SETTINGA 2,000-bed tertiary-care psychiatric hospital.METHODSActive surveillance was conducted to identify new cases of S. pyogenes. WGS guided targeted epidemiological investigations, and infection control measures were implemented. Single-nucleotide polymorphism (SNP)-based genome phylogeny, emm typing, and multilocus sequence typing (MLST) were performed. We compared the ability of WGS and emm typing to correctly identify person-to-person transmission and to guide the management of the outbreak.RESULTSThe study included 204 patients and 152 staff. We identified 35 patients and 2 staff members with S. pyogenes. WGS revealed polyclonal S. pyogenes infections with 3 genetically distinct phylogenetic clusters (C1-C3). Cluster C1 isolates were all emm type 4, sequence type 915 and had pairwise SNP differences of 0-5, which suggested recent person-to-person transmissions. Epidemiological investigation revealed that cluster C1 was mediated by dermal colonization and transmission of S. pyogenes in a male residential ward. Clusters C2 and C3 were genomically diverse, with pairwise SNP differences of 21-45 and 26-58, and emm 11 and mostly emm120, respectively. Clusters C2 and C3, which may have been considered person-to-person transmissions by emm typing, were shown by WGS to be unlikely by integrating pairwise SNP differences with epidemiology.CONCLUSIONSWGS had higher resolution than emm typing in identifying clusters with recent and ongoing person-to-person transmissions, which allowed implementation of targeted intervention to control the outbreak.Infect Control Hosp Epidemiol 2018;852-860.

Analysis of experience-regulated transcriptome and imprintome during critical periods of mouse visual system development reveals spatiotemporal dynamics.

Visual system development is light-experience dependent, which strongly implicates epigenetic mechanisms in light-regulated maturation. Among many epigenetic processes, genomic imprinting is an epigenetic mechanism through which monoallelic gene expression occurs in a parent-of-origin-specific manner. It is unknown if genomic imprinting contributes to visual system development. We profiled the transcriptome and imprintome during critical periods of mouse visual system development under normal- and dark-rearing conditions using B6/CAST F1 hybrid mice. We identified experience-regulated, isoform-specific and brain-region-specific imprinted genes. We also found imprinted microRNAs were predominantly clustered into the Dlk1-Dio3 imprinted locus with light experience affecting some imprinted miRNA expression. Our findings provide the first comprehensive analysis of light-experience regulation of the transcriptome and imprintome during critical periods of visual system development. Our results may contribute to therapeutic strategies for visual impairments and circadian rhythm disorders resulting from a dysfunctional imprintome.

The Impacts of Attitudes and Engagement on Electronic Word of Mouth (eWOM) of Mobile Sensor Computing Applications.

As one of the latest revolutions in networking technology, social networks allow users to keep connected and exchange information. Driven by the rapid wireless technology development and diffusion of mobile devices, social networks experienced a tremendous change based on mobile sensor computing. More and more mobile sensor network applications have appeared with the emergence of a huge amount of users. Therefore, an in-depth discussion on the human-computer interaction (HCI) issues of mobile sensor computing is required. The target of this study is to extend the discussions on HCI by examining the relationships of users' compound attitudes (i.e., affective attitudes, cognitive attitude), engagement and electronic word of mouth (eWOM) behaviors in the context of mobile sensor computing. A conceptual model is developed, based on which, 313 valid questionnaires are collected. The research discusses the level of impact on the eWOM of mobile sensor computing by considering user-technology issues, including the compound attitude and engagement, which can bring valuable discussions on the HCI of mobile sensor computing in further study. Besides, we find that user engagement plays a mediating role between the user's compound attitudes and eWOM. The research result can also help the mobile sensor computing industry to develop effective strategies and build strong consumer user-product (brand) relationships.