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The current period of disruptive social change is inextricably bound up with new means and modes of communication, information, and media streams. The Communication, Information Technologies & Media Sociology section of the American Sociological Association (CITAMS) locates these factors at the center of our collective interests, investigating them through a plethora of methods, theories, and empirical cases. Each year, CITAMS runs a special issue in ICS showcasing select works presented at the previous year's American Sociological Association conference and the affiliated Media Sociology preconference. Papers in the 2022 CITAMS Special Issue reflect a social context defined by a prolonged global pandemic and wrought by democratic uncertainty. Across these social circumstances, technology and media loom large. Simultaneously, everyday life continues and classic CITAMS scholarship sustains relevance for the ways people interact, construct identity, consume, and mobilize. All of this and more are contained in the pages of this year's Special Issue, from which readers can get a sense of what CITAMS has to offer and consider how their own work may fit within the broad CITAMS umbrella. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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This research aims to grasp the evolution of consumer demand and improve the resilience of the hotel industry under the public health crisis (COVID-19). Online reviews of 7,679 hotels in 10 cities were collected from Ctrip, China's major online hotel platform. Then, we applied opinion mining and time evolution to mine the change in consumer demand before, during, and after the COVID-19 pandemic. Findings show that some consumer demands (e.g. epidemic safety) will change during the outbreak period. However, during the nonoutbreak period, users were more concerned about their own check-in experience (e.g. hotel facilities, front desk services). This article provides new ideas for identifying the dynamic value of online reviews. We suggest that businesses focus on ensuring hotel safety during the crisis period. The results contribute essential theoretical and practical significance to the hotel industry's crisis management during public health crises.
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Teleconsultation is a type of medical practice similar to face-to-face consultations, and it allows a health professional to give a consultation remotely through information and communication technologies. In the context of the management of the coronavirus epidemic, the use of teleconsultation practices can facilitate healthcare access and limit the risk of avoidable propagation in medical cabinets. This paper presents the monitoring of international teleconsultation referrals in the era of Covid-19 to facilitate and prevent the suspension of access to care, the most common architecture for teleconsultation, communication technologies and protocols, vital body signals, video transmission, and the conduct of teleconsultation. The aim is to develop a teleconsultation platform to diagnose the patient in real time, transmit data from the remote location to the doctor, and provide a teleconsultation. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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BackgroundIn 2012 the Swedish national guidelines for osteoarthritis (OA) were published. The guidelines implicit that all patients with OA should obtain information and supervised exercise as first-line intervention and that OA is a clinical, not radiological diagnosis. The Swedish OA registry contains data which measure compliance to the guidelines since 2008 [2].ObjectivesTo describe the trends over time from 2008 to 2021 for patients who have received first-line interventions for hip and knee OA in Sweden and adherence of the healthcare staff to the national guidelines.MethodsDescriptive registry-based study including patients with hip or knee OA who participated in first-line interventions including education and exercise. Data were extracted from the Swedish OA registry between January 1st, 2008, and December 31, 2021. The registry contains patient-reported outcomes and physiotherapist-reported outcomes. In this study the following physiotherapist-reported outcomes were described over time: radiological examination before first-line intervention, if the first-line intervention was given the first time the patient seek health care caused of OA, which explanation patients had been given about their disease, intake of painkillers before the start of first-line intervention and the percent who got supervised exercise >10 times according to the guidelines of OA in Sweden. The following patient-reported outcomes were described over time: mean BMI at the first visit, and mean age at the first visit. To be included in the study, participants had to meet the following criteria: i) clinical diagnosis of OA, with hip or knee OA as the most symptomatic joint, ii) provided 3-month follow-up.ResultsA total of 175 764 participants with hip or knee OA were included in the study.The trends from 2008-2021 showed that the proportion of patients who had a radiological examination before entering the first-line intervention decreased from 97 % to 65 % in men and from 95% to 62 % in women. The proportion of patients who get assess to first-line intervention the first time they seek for their symptoms increased from 4 % to 10 % both in men and women. People that get the correct information about OA increased from 15% to 40 %, and patients that get the explanation that OA was a tear and wear disease decreased from 30 % to 5%. The mean BMI (28) is unchanged over time. The mean age increased from 64 years to 67 years between 2008-2020 but decreased during the covid-19 pandemic to 64 years. The percentage that was given supervised exercise more than 10 times was constant between 2012-2020 at 30 % but decreased during the covid-19 pandemic to 20%.ConclusionThe results implicit that the implementation of a supported OA self-management program in Sweden has been successful and changed the care given to patients with OA in Sweden. However, the national guidelines for OA, have still not been fully implemented. We need to keep implementing the guidelines so all patients with OA get the first-line intervention at the right time.References[1]Anon. (2012). Nationella riktlinjer för rörelseorganens sjukdomar 2012 - stöd för styrning och ledning. Socialstyrelsen.[2]Thorstensson CA, Garellick G, Rystedt H, Dahlberg LE. Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence-Based Supported Osteoarthritis Self-Management Programme. Musculoskeletal Care. 2015 Jun;13(2):67-75. doi: 10.1002/msc.1085. Epub 2014 Oct 24. PMID: 25345913.Acknowledgements:NIL.Disclosure of InterestsNone Declared.
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The objective of this investigation is to understand how online distance education can contribute to promoting the development of digital skills, in particular, teaching digital skills. Contemporary society increasingly demands the use of digital technologies in the various areas of life, including in the teaching and learning process, even more evident in the pandemic context of COVID-19, which caused the suspension of face-to-face classes worldwide and imposed a new educational model, facilitated by digital technologies and based on online education methodologies, designated as emergency remote teaching. Among the many challenges, teachers had to adapt and reformulate their pedagogical practices and teaching methodologies in a virtual learning environment, often without having fundamental digital skills to promote quality learning. Through a narrative bibliographic review of an exploratory nature and qualitative methodology, studies, programs and models were identified that could be used as a reference to enable training propositions for the development of teaching digital skills, a key factor for pedagogical innovation.
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Broiler chicken eggs are one of the main and strategic foods for the people of Indonesia and contribute to regional and national inflation. Broiler egg production in Indonesia differs between regions. Areas with a surplus of eggs tend to have lower prices than areas with a deficit. This research is to measure the transmission of broiler egg prices between markets in surplus and deficit areas, using weekly price time series data for the period January 2018-December 2021. Areas of surplus broiler eggs, East Java Province (the highest broiler egg production in Indonesia) which become one of the main suppliers to the Province of East Nusa Tenggara as a deficit area. Using the Johannsen cointegration test it is found that there is no cointegration or there is no relationship between the surplus and deficit regions in the long term but not in the short term. Factors of marketing infrastructure, market information systems, and geographical conditions can be obstacles to the absence of cointegration. The VAR (Vector Auto-Regressive) Vector Error Correction model (VECM) test, found that price transmission occurred between surplus and deficit areas, meaning that between the two regions, there was market integration prior to Covid. The transmission has weakened, and due to the Covid situation, there have been restrictions on the movement of people and goods. The government and other market players need to study the response of the broiler egg market, in the short and long term so that market players can make the right policies.
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Digital nomads live a new way of life that creates an ideal balance of work and leisure. Research on the phenomenon of digital nomads is still in its early stages and is not fully framed as a proper research category. Therefore, the present research aims to explore research on digital nomadism by study leading countries, authors and themes that can become a foundation for future research. This study is exploratory and interpretive - using bibliometrics, we systematically searched all articles indexed in the Web of Science database. The study presents the evolution of scholarly production, and identifies key authors and countries that have the potential to become pioneers in digital nomad research. We identified 17 core concepts of digital nomad research as well as concepts that have not yet received much attention from scientists. Additionally, our study provides a framework for research on digital nomadism and presents topics for future research: we determine how the 17 core concepts identified in this study affect the lives of digital nomads, research into legislation that directly affects digital nomads, study how COVID-19 has changed working styles, and offer a bibliometric analysis of data on digital nomads from other databases.
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Goal. The aim of this paper is to determine the attitudes and opinions of the members of the Pensioners' Club of the city of Osijek after the education was carried out with the aim of training them in information and communication skills. Methodology. The paper presents the results of the research conducted through interviews and focus groups among retirees, the members of the Osijek Retirees' Club. The research examined the attitudes and opinions of 10 pensioners on the topic of education in terms of information and communication technologies during March 2022 using the interview method. After the interviews, the attitudes and opinions of the retirees related to the use of technology were examined in a focus group (1) in which 9 retirees participated (some of whom attended the education, some of whom did not). Finally, a focus group (2) in which 4 retirees participated examined their attitudes and opinions about virtual reality. The respondents wore VR glasses and observed the history of Osijek in the period from 1920 to 2020 by decades. More specifically, they observed how objects, houses, newspapers, furniture and similar things covered in the mentioned period looked. The paper presents the attitudes and opinions of the participants of the workshops, and is a continuation of the previous research, conducted before this training (Jakopec, Selthofer and Hocenski, 2022). Results. The results of the conducted interviews and focus groups indicate that the majority of retirees share the desire for learning and acquiring additional IT knowledge. They own at least one device (mostly a desktop computer or a smartphone) through which they visit social networks, search for necessary information and read the daily news. The respondents who participated in the research believe that they need more similar workshops in order to establish and expand their existing knowledge. After the workshops, the pensioners stated that they are fully aware of the advantages that IT knowledge brings them, and they relate this knowledge to the use of technology during the COVID-19 pandemic, when physically going to certain places (for example, to the doctor) was not possible. The results of the second focus group in which 3D reality was observed using VR glasses have shown that the respondents were not previously familiar with the concepts of virtual reality. According to the participants, the workshop lasted too short, they felt disoriented, and the glasses did not impress them too much. They also pointed out that they wore them for too short a time to highlight something as an advantage, they did not remember much of the presented content, but they found it interesting. Most of them stated that they would like to repeat the experience, but with better instructions and extended time of wearing glasses. Limitations. The research sample is limited to a specific subgroup of the retired members of the Club, and is therefore not representative of the entire population of retired people in the city of Osijek and in the Republic of Croatia. Value. The results of the research indicate the attitudes and opinions of people of the third age towards education in the field of information and communication technologies and virtual reality. The results of the research contribute to the implementation of the "Active pension” project. © 2023, Hrvatsko Knjiznicarsko Drustvo. All rights reserved.
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The popularity of Petra, Jordan, as a tourist destination has surged among international visitors since the 1980s. This has led to the tourism sector's emergence as a major source of income for indigenous communities living adjacent to the ancient city's ruins. Rapidly expanding visitor numbers and business activity-both licensed and unlicensed-exposed the need for government to play an active role in organizing Petra's tourism industry. Drawing upon a thematic analysis of interviews I conducted in three tourism-reliant, tribal communities in Petra's vicinity in 2022, this case study examines relations between the Petra Development and Tourism Region Authority (PDTRA) and indigenous stakeholders in the local economy. Focusing on the period extending from 2019-just before the COVID-19 pandemic's onset-to 2022, I explore local perspectives towards PDTRA policies impacting indigenous work in the tourism sector. I find that legality, size, and internal organization of stakeholder groups affect their capacity to influence political decisions that impact their lives and livelihoods.
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There is evidence that sacred places across the world are launching augmented reality (AR) applications. This application of AR is somehow prompted by the most recent Covid-19 pandemic where in-person experiences are altered by the virtual. AR, as an innovative technology, augments the physical environment with digitally generated imagery that can generate privileges for tourists in sacred places and become the reason to trigger cultural conflicts and religious controversy. This in-depth interview-based research aims to explore the tourists' views and ideas of applying AR in the Mosque City of Bagerhat of Bangladesh, a UNESCO World Heritage Site in terms of possibilities, cultural conflicts, and religious controversy. Findings show that the application of AR in a sacred place can support tourists in many useful ways, can offer them positive experiences, and help in sustainability concerns of the site. However, the application of AR in a sacred place can be an element of conflicting interests between the religious and general tourists. Adequate attention is thus required from the parties involved in terms of applying AR in the Mosque City of Bagerhat of Bangladesh, a sacred religious site.
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Grandparents who were separated from their infant grandchildren during COVID-19 sought other ways to connect, including video chat. Video chat supports learning, and its features (e.g., contingent responsiveness) may allow for cultural exchange. However, technological problems may disrupt these exchanges. In a seminaturalistic, longitudinal study, 47 families submitted up to three video chats and surveys. Families were predominantly White/Caucasian, highly educated, and lived between 1 and 2,700 miles apart. Multilevel models were used to predict the proportion of the sessions devoted to exchanging culture (e.g., holidays, parenting advice) and managing tech problems. Culture exchange did not change as a function of infant age, video chat experience, or when encountering tech problems. Although only marginally statistically significant, culture exchange increased as distance increased. Tech problems changed as a function of tech talk. Qualitative analysis revealed that cultural transmission occurred via a culture of care and sharing of information across video chat, that families adapted their behaviors to the new technology, and that technology disruptions rarely interfered with the flow of information. These findings demonstrate the ability to share culture when physically separated and in the presence of tech disruptions. Further, this study supports previous work on the emerging culture of video chat. Families adapted to being separated, and grandparents and infants successfully communicated through a new modality. Because video chat supports family relationships, equitable access to high-speed internet should be a priority to enable more families to use it. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement This study demonstrates that video chat allowed for familial culture exchanges to be maintained through a separation during COVID-19. Examining what and how cultural exchanges took place suggests that supports for using video chat, including access to high-speed internet, are necessary for families separated by other circumstances. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Access and use of computer-based educational technology within K-12 schools have been steadily increasing since the 1980s (Cuban, 1993;Delgado et al., 2015;Penuel, 2006), including more school districts providing every student with a device (1:1) after the year 2000 (Gray & Lewis, 2021;Harper & Milman, 2016;Penuel, 2006;Zheng et al., 2016). Despite this steady increase in devices, information systems, and learning platforms within schools, growth of information technology (IT) staff positions has not grown proportionally with technology and has resulted in a staff capacity issue for district technology departments (CoSN, 2021;Gao & Murphy, 2016;Kentucky Department of Education, 2017). This issue was exacerbated by the emergency switch to distance learning as a result of the COVID-19 pandemic, which relied on devices and online systems for learning to continue and further strained the technology departments (CoSN, 2022a, 2022b;Rauf, 2020;White, 2020).Since computers were introduced to these educational institutions, schools and districts have positioned students as technical and pedagogical supports for educational technology (National School Boards Association, 2002;Van Eck et al., 2001). Commonly known as student tech teams (STTs), this type of program is still frequent today within schools and there is a wealth of practitioner-created resources on the topic. Yet, studies on these programs are absent from the decades of research on technology integration within K-12 schools (Peterson & Scharber, 2017).This dissertation was designed to fill this void within the literature, provide a foundational understanding of STTs within K-12 educational technology initiatives, and identify practical strategies for school educators and leaders. Using a philosophically pragmatic lens and an ecological framework (Zhao & Frank, 2003), this explanatory sequential mixed-methods study (Creswell & Plano Clark, 2011) explored the following research questions:* How are student technology teams structured within K-12 school ecosystems?* What is the role of student technology teams within K-12 technology integration initiatives?Results from the study indicated that STTs are structured as work- and project-based courses, assistantships, and extracurriculars that can support the technical and instructional needs of staff and students within a school or district environment. STTs also provide opportunities for students to collaborate and create by tinkering with technologies and developing products that interest them while building their digital literacy skills. No two STTs are structured the same;however, staff and students' technical and instructional needs are common programmatic focus areas across STT environments.The role of STTs within K-12 technology integration initiatives is to give students autonomy, unique experiences, and opportunities to learn while serving the school and/or district community. The role of STT, as well as the benefit to its student members, is shaped by the coaches, tech department, and administrators' intentionality and mindset related to the capacity of students. Secondly, the STT's role is also shaped by the school and district's technology, schedules, and location. The findings of this study contribute to and extend the current understanding of educational technology initiatives, student tech teams, computing education in schools, and ecological framing of educational technologies. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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With the changes in consumer profile, especially in tourism activity, facing the issues brought by globalization, greater access to and use of Technologies, and more recently, the restrictions imposed by the protocols to prevent contamination by the Covid-19 virus and its consequences, it has been necessary to change the way of experiencing tourism, leading the market to adapt to the new reality. Thus, the incentive to implement so-called Proximity Tourism has gathered strength, prompting the following research question: how has this type of tourism been addressed and how have the cities of the Brazilian Northeast have been working with this theme to promote their potential on the social network platform Instagram? The main objective of this study was to perform an observational analysis of what is being posted on this social network concerning proximity tourism, by investigating the use of the hashtag #turismodeproximity, and whether the cities of the Northeast of Brazil are using this Instagram tool. As the result of this research, it was found that of the total posts indexed with this hashtag, only a small number are directly related to this region, indicating a lack of dissemination, and consequently, failure to generate greater visibility for this tourism modality.
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BackgroundSubcutaneous self-injection of methotrexate (SC MTX) is used for the treatment of several inflammatory diseases. All newly initiated patients should be educated and trained in the proper injection technique by their healthcare provider (HCP), with the first injection performed under medical supervision. This training has typically been conducted during face-to-face consultations, however since the start of the COVID-19 pandemic it has been necessary to conduct training remotely due to the cancellation of clinics.ObjectivesTo understand patient-reported experiences and satisfaction with remote SC MTX self-injection training.MethodsA cross-sectional electronic survey was administered between 11 October 2022 and 30 November 2022 to patients at Southern Health and Social Care Trust who had recently been trained via telephone or video conference [VC] on how to self-inject methotrexate using a pre-filled, auto-injector pen. Patients were aged ≥18 with a range of arthritis types, including rheumatoid, psoriatic, polyarticular juvenile idiopathic and chronic reactive inflammatory arthritis. Remote training was delivered by the patient's nurse as per routine practice (independently of this survey). Patients were sent a patient information pack (PIP) prior to the training consultation. During the training, the nurse discussed the process of injecting with the auto-injector pen before virtually supervising the first injection.The survey consisted of 14 questions;topics included experiences and satisfaction with preparation for the HCP appointment, the training consultation itself and post-training experiences and preferences. The responses were analysed descriptively on an item-by-item basis.ResultsIn total 73 patients completed the survey;77% (n=56/73) were female, and 96% (n=70/73) had no prior experience with a SC MTX auto-injector pen. The training was completed by telephone for 92% (n=67/73) of patients and by VC for 8% (n=6/73). 99% (n=72/73) received a PIP in advance of their training consultation and 92% (n=67/73) received this by post. 67% (n=49/73) of patients strongly agreed and 26% (n=19/73) agreed that they felt prepared for the training after receiving the PIP;78% (n=57/73) of patients strongly agreed and 22% (n=16/73) agreed that it was easy to read and understand, whilst 52% (n=38/73) strongly agreed and 32% (n=23/73) agreed that the PIP was helpful and did not require additional instructions before the appointment. 84% (n=61/73) took 15 minutes or less to complete the training with their HCP. None of the participants felt confused or did not understand the training instructions from their HCP, 78% (n=57/73) strongly agreed and 19% (n=14/73) agreed that the remote training was helpful and made them feel more confident to use the injector pen on their own and 97% (n=71/73) did not need to contact their HCP for more training or advice following their appointment. When asked about the main advantages of remote training, 32% (n=23/73) agreed it was more convenient, 25% (n=18/73) agreed that it was time saving and 30% (n=22/73) agreed that not having to attend the hospital was beneficial. 85% (n=62/73) strongly agreed and 14% (n=10/73) agreed that they were satisfied with the remote training provided and 82% (n=60/73) strongly agreed and 18% (n=13/73) agreed that they would recommend the remote training to another patient.ConclusionThese findings provide new insight into patients' experiences with self-injection training when delivered remotely by their HCP. The patient information pack and training consultation were well received as most patients found it helpful, convenient and time saving.References:NIL.AcknowledgementsThis survey was funded by Nordic Pharma. Medical writing support was provided by Angie Bonsu of Open Health and funded by Nordic Pharma.Disclosure of InterestsShannon McCourt Grant/research support from: Nordic Pharma, Mano Andiappan Employee of: Open Health who were paid by Nordic Pharma to support the work described in the .
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In Japan, workcations have gained attention as a way to offset the economic damage caused to inbound tourism by the COVID-19 pandemic. Considering its aims to contribute to the local community and increase interactions with local residents, the Japanese-style workcation can be positioned as a form of digital nomadism that seeks alternatives to existing work styles. This study is based on fieldwork in Tottori Prefecture in Japan and includes interviews and participant observation. It aims to examine (1) national and local government workcation policies, (2) the development of new services and businesses that facilitate workcation, and (3) the process of introducing hybrid work in companies. Japanese-style workcation as a social design can offer solutions to problems such as the concentration of population in cities, ageing population, and declining tourism industry. The work styles and lifestyles suggested by the Japanese-style workcation should continue to be explored as an area where new tourism, social design, and community design overlap. At the same time, incorporating digital nomadism as individualism into the workcation remains a future issue.
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Following the rapid scientific and technological development in this new era of global industrial transformation, the tourism industry has overcome the severe challenges of the COVID-19 pandemic by taking advantage of new development opportunities. Digital technologies, such as big data, cloud computing, artificial intelligence, and fifth-generation mobile communications have released the huge potential for promoting the development of the high-quality cultural tourism integration. Scholars have explored the benefits of developing and improving the quality of cultural tourism integration in addition to how the digital economy can promote the development of cultural tourism integration. Most existing research has regarded the digital economy as a means to promote the development of cultural tourism integration;however, there is relatively little systematic research on the logical mechanism, transmission channels, and practical paths that enable the high-quality development of cultural tourism integration. Therefore, this paper systematically explores the logical mechanism, direct effects, and transmission mechanisms in the digital economy that promote the development of high-quality cultural tourism integration. The study findings open up the "black box"of developing high-quality cultural tourism integration and help to establish its scientific basis in the digital economy. Based on a systematic explanation of how the digital economy enables the high-quality development and transmission of cultural tourism integration through organizational, technological, and product innovation channels, this paper conducts empirical testing using 2011-2020 panel data from 30 Chinese provinces (excluding Tibet, Hong Kong, Macao, and Taiwan of Chian) and obtains three main findings. First, the digital economy has a positive enabling effect on the development of high-quality cultural tourism integration, which has been verified in benchmark regression, instrumental variable regression, and robustness testing. Second, this enabling effect shows regional differences. For example, East China benefits from its relatively well-developed digital economy and can enjoy the dividends from its high-quality cultural tourism destinations. However, although West China has seen rapid growth in its digital economy, the region also shows a trend of increasing marginal effects from its enabling effect, while the digital economy's enabling trend in Central China still needs to be strengthened. Third, by constructing a transmission channel, that is, "digital economy-organization-technology-product innovation-developmental quality of cultural tourism integration", we find that the digital economy can positively promote the development of high-quality cultural tourism integration by regulating transmission channels for innovation, such as organizational, technological, and product innovation. According to the research conclusions, measures to promote the development of high-quality cultural tourism integration in the digital economy should be taken in the following four areas. First, local governments and cultural tourism departments should deepen their development strategies to integrate the digital economy with the real economy and systematically cultivate new drivers for the development of high-quality cultural tourism integration. Second, a digital cultural tourism platform should be built to optimize the value creation mechanism for the development of high-quality cultural tourism integration. Third, regional heterogeneity characteristics should be combined with the digital economy's enabling effect to implement a differentiated digital cultural tourism development strategy. Fourth, organizational, technological, and product innovation advantages should be cultivated to expand the transmission channels for the development of high-quality cultural tourism integration within the digital economy.
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BackgroundHypophosphatasia(HPP), a rare, inherited metabolic disease featuring low serum alkaline phosphatase (ALP) activity due to ALPL (encoding tissue non-specific alkaline phosphatase) gene mutation[1,2]. A wide-ranging clinical spectrum is often seen due to defective mineralisation affecting teeth, bones, joints and muscles[1]. This disease has a prevalence of 1/6370 in Europe and is often misdiagnosed and underdiagnosed with a diagnostic delay of more than ten years[1] The treatment is often supportive for milder cases and enzyme replacement therapy in severe cases.ObjectivesTo share this case to raise awareness among Rheumatologists.MethodsThis 58-year-old Caucasian female had her first HPP symptom as early eruption of deciduous teeth, along with recurrent dental infections and gum problems. She was diagnosed with flat feet at age five, had a big toe fracture at sixteen, followed by a metatarsal fracture. She experienced leg muscle cramps and aches, affecting her performance in sport during school life.At the age of thirty she began noticing weakness in arms and legs, which progressed over the years. She faced significant early morning stiffness along with painful ribs, hips, knees, shoulders, and small joints of feet when walking.She was diagnosed with Fibromyalgia at the age of forty-four. The following ten years she met numerous specialists including rheumatologist, pain specialist and physiotherapists. She was also diagnosed with early osteoarthritis, pernicious anaemia, hyperlipidemia, functional neurological syndrome, and central sensitization syndrome. She had multiple trials of steroids and opioids, all of which were stopped either due to side effects or inefficiency.A major flare of symptoms five years ago rendered her bedbound for three months, following which a chemical pathologist noticed a persistent low ALP levels and decided to investigate for HPP. It took another four years to complete these investigations due to the coronavirus pandemic.Currently, she is unable to weight bear or climb stairs and must stay indoors or in bed during flareup. She moved into a ground floor flat at the age of 54 and use a walking stick occasionally. By 58, she is unable to work and had given up her own business due to pain, weakness, and disability.ResultsOn clinical assessment, her height is 160 cm, faced difficulty getting up from chair, has an antalgic waddling gait, with a 6-minute walking distance of 60 metre, stopped after three minutes, and had a Brief Pain Inventory pain severity score of 7/10. Her ALP level is 24 U/L and PLP/PA ratio is 18.8 (ref < 5), and genetic testing showed heterozygous missense variant of ALPL gene mutation.ConclusionIt took more than forty years to reach a conclusive diagnosis of childhood onset HPP. Low ALP level is a signature of HPP and warrants investigations. Diagnosis can be challenging due to the rareness and variable presentation, however recognition of HPP features is crucial for timely referral, optimal disease management and potential improvement in quality of life.References[1]Högler W, Langman C, Gomes da Silva H, Fang S, Linglart A, Ozono K, Petryk A, Rockman-Greenberg C, Seefried L, Kishnani PS. Diagnostic delay is common among patients with hypophosphatasia: initial findings from a longitudinal, prospective, global registry. BMC Musculoskelet Disord. 2019 Feb 14;20(1):80. doi:10.1186/s12891-019- 2420-8. PMID: 30764793;PMCID: PMC6376686.[2]Injean P, Lee S, Downey C. Hypophosphatasia May Be Misdiagnosed as Fibromyalgia: A Single Center Experience []. Arthritis Rheumatol. 2020;72 (suppl 10). https://acrs.org//hypophosphatasia-may-be-misdiagnosed-as- ibromyalgia-a-single-center-experience/. Accessed January 14, 2023.[3]Lefever E, Witters P, Gielen E, Vanclooster A, Meersseman W, Morava E, Cassiman D, Laurent MR. Hypophosphatasia in Adults: Clinical Spectrum and Its Association With Genetics and Metabolic Substrates. J Clin Densitom. 2020 Jul-Sep;23(3):340- 48. doi: 10.1016/j.jocd.2018.12.006. Epub 2018 Dec 21. PMID: 30655187.Acknowledgements:N L.Disclosure of InterestsNone Declared.
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The COVID-19 pandemic has influenced various aspects of people's lives;for instance, restrictions during the pandemic have forced people to think about sports participation and physical activity in new ways. There has been growing interest in technological interventions to support exercise-related behavioural changes in daily life;in particular, exergames designed to induce full-body movement offer alternatives to physical activity. Since Taiwan has a high rate of ownership of exergame-related equipment, it is worth examining players' perceptions of using exergames for exercise. This study utilised a Means-End Chain analysis with in-depth laddering interviews to investigate Taiwanese perceptions of certain attributes of exergames as most likely to produce desired consequences in accordance with their values. The findings provide researchers and practitioners interested in the use of technology for exercise with valuable implications of Means-End Chain theory and structuration theory and suggestions for exergame design and promotion.
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Opportunities to participate in physical activities (PA) and fitness exercises in public and private facilities have been reduced or banned due to social distancing regulations during the height of the global pandemic. Though Korea has not experienced lockdown, several venues have been restricted to prevent the spread of Covid-19. Despite the limitations of PA engagement, people have found alternative activities by using online platforms to keep active and fit. Thus, this study focuses on analyzing fitness-related video titles from YouTube. By collecting data through text mining and conducting network analysis, it provides basic knowledge of the fitness trends from pre- and post-Covid-19. As a result, 'exercise' was found to have the highest tendency and had strong connections to keywords that indicated specific methods of working out to become fit, but it also had connections to trendy keywords such as 'hip-up' and 'body-profile' which reflect the fitness culture in Korea.
ABSTRACT
The COVID-19 pandemic has accelerated the shift from traditional office setups to remote working, driven by information and communication technology advancements. As a result, the metaverse concept is gaining popularity in modern organizations, allowing users to create avatars for virtual work, socializing, and other activities. While its corporate adoption is rising, managers must acquire the necessary skills to integrate and utilize the technology successfully. However, technological progress can be disruptive, making it essential to weigh the benefits and drawbacks.Methodology: This proposal aims to investigate metaverse skills that managers require for remote working using virtual realities, assessing the positive and negative risks for employees and management within business organizations. Using secondary data from reliable online databases, a qualitative research approach was used to understand the pros and cons of the metaverse and remote work.Purpose: The study examines the essential skills managers need to adopt metaverse virtual realities for remote working and how employees and organizations can implement it while maintaining a positive work environment. Keywords such as metaverse, remote working, virtual reality, and information and communication technology are critical. As technology evolves, managers and organizations must consider the metaverse's inherent advantages and disadvantages to ensure a successful transition to remote.Research Questions: What are the necessary skills needed by managers towards the adoption of metaverse virtual realities for remote working? How can employees and organizations adapt to implementing metaverse for remote work and sustain a positive work environment? © 2023 IEEE.