ABSTRACT
@#Introduction: Adventure tourism has become one of Malaysia’s most attractive tourism demands, and mountain climbing is rapidly becoming a popular recreational sport. Exploring mountain adventures offers a dynamic experience, preserving this fascinating activity, yet the climbers are exposed to the risk of altitude sickness, such as Acute Mountain Sickness (AMS). This study aimed to evaluate the prevalence of AMS and investigate the effects of high-altitude sickness on the climber profile associated with climbing at Mount Kinabalu, Malaysia. Methods:. The Lake Louise acute mountain sickness LLS score questionnaire collected 95 climber’s data at four different altitudes. SPO2 and Pulse rate was (PR) measured using a finger pulse oximeter. In a cohort study, AMS was measured on day one at 1866m (1st station), 3622m (2nd station), and day two at 3810m (3rd station), and 4095m (4th station). Results: At the altitude of 1866 (Timpohon Gate), the prevalence of AMS was 0%, 30% at 3622m (Laban Rata), 34.7% at 3810m (Sayat-Sayat), and 37.9% at 4095m (Low’s Peak). The overall prevalence of AMS was 37.9% and the majority of AMS cases were moderate in severity and the LLS score is significant with Pulse Rate and peripheral capillary oxygen saturation (SPO2). Conclusion: Concisely, this finding has triggered a need for consideration from multi agencies to enhance mountaineering guidance, especially for beginners or inexperienced hikers, for a suitable package for climbing attempts to reduce the incidence of AMS among Mount Kinabalu climbers.
ABSTRACT
Este estudo é uma análise referente às políticas públicas no setor turístico sob a óptica do reflexo do projeto neoliberal no Brasil. Procurou-se na literatura entre os períodos de 1990 a 2018 estudos a respeito da influência neoliberal nas medidas e políticas públicas no país, buscando uma reflexão econômica-sociológica de como esse fenômeno poderia se relacionar com o desenvolvimento do turismo e turismo de aventura. Ademais, houve um conjunto de políticas públicas investigadas que por sua vez trouxeram um maior entendimento a respeito da expansão e desenvolvimento do turismo no Brasil a partir da década de 1990. Através dessa investigação, foi possível constatar uma aproximação relevante entre as políticas públicas para setor turístico e o desenvolvimento expressivo do turismo neste período, inclusive para o turismo de aventura, vertente impulsionada pelas políticas públicas de reflexo neoliberal.
This study is an analysis of public policies in the tourism sector from the perspective of the reflex of the neoliberal project in Brazil. Between 1990 and 2018, literature was searched for studies about the neoliberal influence on public policies and measures in the country, seeking an economic-sociological reflection on how this phenomenon could relate to the development of tourism and adventure tourism. In addition, there was a set of public policies investigated, which in turn brought a greater understanding of the expansion and development of tourism in Brazil since the 1990s. Through this investigation, it was possible to find a relevant approach between public policies for tourism sector and the expressive development of tourism in this period, including adventure tourism, a trend driven by public policies of neoliberal reflex.