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This study presents a bibliometric analysis of sustainable tourism management using the VOSviewer tool. It aims to fill the bibliometric gap in the growing body of research on sustainable tourism management and, consequently, contribute to recent scholarly interest in this subject. Therefore, its main objective is to present a qualitative and quantitative analysis of the research published on sustainable tourism management from 1996 to April 2023, which enables its scientific production. To this end, we used a total of 317 publications with 7475 cited references from Web of Science. In addition, we performed three bibliometric analyses (co-authorship, co-citation and co-occurrence of keywords). The results show the current trends in sustainable tourism management and also provide a theoretical basis regarding this subject, which is of growing importance in the tourism sector. Our study’s conclusions suggest that the priorities of sustainable tourism management are shifting from competitiveness to sustainability, in accordance with new consumer demands and the 2030 Agenda. In conclusion, a broader framework of sustainable tourism management is required.

(1) Background: Malnutrition frequently affects patients with cancer, and it negatively impacts treatment tolerance, clinical outcomes and survival. Thus, appropriate nutritional screening and early nutrition support are extremely recommended. Currently, a significant number of oral supplements (OS) are commercially available; despite this, there is a lack of evidence for recommending specific OS, including leucine-enriched OS, for nutritional support in patients with cancer. (2) Aim: To compare the clinical evolution of patients with cancer (undergoing systemic treatment) that received standard hypercaloric, whey protein-based hyperproteic oral supplements vs. hypercaloric, hyperproteic leucine-enriched OS using a novel morphofunctional nutritional evaluation. (3) Patients and methods: This paper details an open-label, controlled clinical study in which patients were randomly assigned to receive nutritional treatment with whey protein-based hyperproteic oral supplements (control group) vs. hypercaloric, hyperproteic leucine-enriched OS (intervention group) during a twelve-week period. Forty-six patients were included; epidemiological, clinical, anthropometric, ultrasound (muscle echography of the rectus femoris muscle of the quadriceps and abdominal adipose tissue) and biochemical evaluation were performed. All patients received additional supplementation with vitamin D. (4) Results: Nutritional parameters (including bioimpedance, anthropometric, ultrasound and biochemical variables) of all included patients remained stable after the nutritional intervention. Extracellular mass tended to increase in the patients that received the leucine-enriched formula. Functionality (evaluated through the stand-up test) improved in both groups (p < 0.001). Prealbumin, transferrin levels and superficial adipose tissue increased in the control group (p < 0.05), while self-reported quality of life improved in all the evaluated patients (p < 0.001). (5) Conclusions: Nutritional support with hypercaloric, hyperproteic (with whey protein) OS and vitamin D supplementation were associated with the maintenance of body composition and improvements in functionality and in quality of life in the patients with cancer undergoing systemic treatment. No significant benefits were observed when a leucine-enriched formula was used.

This study presents a bibliometric analysis of sustainable tourism management using the VOSviewer tool. It aims to fill the bibliometric gap in the growing body of research on sustainable tourism management and, consequently, contribute to recent scholarly interest in this subject. Therefore, its main objective is to present a qualitative and quantitative analysis of the research published on sustainable tourism management from 1996 to April 2023, which enables its scientific production. To this end, we used a total of 317 publications with 7475 cited references from Web of Science. In addition, we performed three bibliometric analyses (co-authorship, co-citation and co-occurrence of keywords). The results show the current trends in sustainable tourism management and also provide a theoretical basis regarding this subject, which is of growing importance in the tourism sector. Our study’s conclusions suggest that the priorities of sustainable tourism management are shifting from competitiveness to sustainability, in accordance with new consumer demands and the 2030 Agenda. In conclusion, a broader framework of sustainable tourism management is required

Mobile applications (apps) are becoming an essential tool when it comes to sightseeing. There is even a specific category for trips in the leading app stores. These are no strangers to the rise of the itinerant travel style, the caravans. The study aims to understand the situation of the main caravanning apps in Spain. We have carried out a web scraping methodology using a sample of 1,601 Spanish reviews of the main apps related to caravanning. The most interesting findings, among others, are that we are getting to know a sector that up to now was unknown and that even has not been affected by the pandemic crisis. Besides, the paper has demonstrated that developers do not follow the right strategies in caravanning apps. The paper also shows users' most crucial concerns about these apps. Therefore, managers of caravanning apps could improve their strategies by focusing their attention on users' concerns and, most important, reviews to respond.

COVID-19; Diabetes; Medical nutrition COVID-19; Diabetes; Nutrición médica COVID-19; Diabetis; Nutrició mèdica Diabetes mellitus and/or hyperglycemia are highly prevalent medical conditions in patients hospitalized for coronavirus disease 2019 (COVID-19) and are associated with adverse outcomes. In addition, COVID-19 itself can provoke fluctuating and high glucose levels that can be difficult to manage upon hospitalization. Hospitalized patients with COVID-19 are at high risk of malnutrition due to an increase in nutritional requirements and a severe acute inflammatory response. The management of patients with diabetes/hyperglycemia and COVID-19 is challenging and requires a specific nutritional approach, the purpose of which is to fulfill the nutritional requirements while maintaining an optimal glycemic control. In this study, an expert group of nutritional endocrinologists carried out a qualitative literature review and provided recommendations based on evidence and guidelines, when available, or on their own experience. The optimal care based on these recommendations was compared with the routine bedside care as reported by a panel of physicians (mainly, endocrinologists, geriatricians, and internists) treating patients with diabetes/hyperglycemia and COVID-19 in their daily practice. Early screening and diagnosis, a diabetes-specific therapeutic approach, and a close malnutrition monitoring are essential to improve the clinical outcomes of these patients. In conclusion, the proposed recommendations are intended to provide a useful guide on the clinical management of malnutrition in patients with COVID-19 and diabetes/hyperglycemia, in order to improve their outcomes and accelerate their recovery. The comparison of the recommended optimal care with routine clinical practice could aid to identify gaps in knowledge, implementation difficulties, and areas for improvement in the management of malnutrition in this population. This study was funded by Abbott. Abbott Nutrition was the sponsor of the study, but it didn’t participate in the design, research, data collection and data review.

ScienCity es una actividad que viene siendo continuada desde 2018 con el objetivo de dar a conocer los conocimientos y tecnologías emergentes siendo investigados en las universidades, informar de experiencias, servicios e iniciativas puestas ya en marcha por instituciones y empresas, llegar hasta decisores políticos que podrían crear sinergias, incentivar la creación de ideas y posibilidades de desarrollo conjuntas, implicar y provocar la participación ciudadana, así como gestar una red internacional multidisciplinar de investigadores que garantice la continuación de futuras ediciones. En 2022 se recibieron un total de 48 trabajos repartidos en 25 ponencias y 24 pósteres pertenecientes a 98 autores de 14 instituciones distintas de España, Portugal, Polonia y Países Bajos., Fundación Española para la Ciencia y la Tecnología-Ministerio de Ciencia, Innovación y Universidades; Consejería de la Presidencia, Administración Pública e Interior de la Junta de Andalucía; Estrategia de Política de Investigación y Transferencia de la Universidad de Huelva; Cátedra de Innovación Social de Aguas de Huelva; Cátedra de la Provincia; Grupo de investigación TEP-192 de Control y Robótica; Centro de Investigación en Tecnología, Energía y Sostenibilidad (CITES)

Liver cirrhosis is a progressive and chronic disease of the liver, of diverse etiology, which is frequently associated with glucose intolerance and in some cases concurs with type 2 diabetes (DM2). DM2 is associated with adverse outcomes in patients with cirrhosis, including a higher rate of hospitalizations, a higher prevalence of hepatocellular carcinoma, and an increased risk of mortality. Malnutrition is another frequent complication of cirrhosis, the prevalence of which increases with the degree of liver dysfunction, worsening the prognosis. This article describes the results of the expert consensus and the responses of the panelists on the nutritional management in routine clinical practice of patients with diabetes/hyperglycemia hospitalized (non-critically ill) with liver cirrhosis.La cirrosis hepática es una enfermedad progresiva y crónica del hígado, de etiología diversa, que se asocia frecuentemente con intolerancia a la glucosa y en algunos casos concurre con diabetes tipo 2 (DM2). La DM2 se asocia con resultados adversos en pacientes con cirrosis, incluyendo una mayor tasa de ingresos hospitalarios, una mayor prevalencia de carcinoma hepatocelular y un mayor riesgo de mortalidad. La desnutrición es otra complicación frecuente en la cirrosis, cuya prevalencia aumenta con el grado de disfunción hepática, empeorando el pronóstico. El presente artículo describe los resultados del consenso de expertos y las respuestas de los panelistas sobre el manejo nutricional en la práctica clínica habitual de los pacientes con diabetes/hiperglucemia hospitalizados en planta (no críticos) con cirrosis hepática.

Diabetes is a frequent comorbidity in cancer patients, since they share common risk factors. In cancer, the concurrence of cachexia represents a poor prognostic factor, which is aggravated by poor nutritional status. Clinically, cancer cachexia manifests as a significant reduction in body weight, accompanied by changes in body composition and alterations in the balance of the biological system, and causes progressive dysfunction. This article describes the results of the expert consensus and the responses of the panelists on the nutritional management in routine clinical practice of patients with diabetes/hyperglycemia hospitalized (non-critically ill) with cancer cachexia.La diabetes es una comorbilidad frecuente en pacientes con cáncer, ya que comparten factores de riesgo comunes. En la enfermedad oncológica, la presencia de caquexia tumoral representa un factor de mal pronóstico, que se ve agravado por un estado nutricional deficiente. Clínicamente, la caquexia se manifiesta como una reducción significativa del peso corporal, acompañado de cambios en la composición corporal y alteraciones en el equilibrio del sistema biológico, y causa una disfunción progresiva. El presente artículo describe los resultados del consenso de expertos y las respuestas de los panelistas sobre el manejo nutricional en la práctica clínica habitual de los pacientes con diabetes/hiperglucemia hospitalizados en planta (no críticos) con caquexia tumoral concurrente.

Exhaustive bibliographc research in PubMed/Medline.Búsqueda bibliográfica exhaustiva en PubMed/Medline.

People with diabetes are at high risk of requiring surgical intervention throughout their lives, and of perioperative complications in case of poor metabolic control. Hospitalization represents a stressful event that, together with other factors associated with diagnostic and therapeutic procedures, leads to a deterioration in the nutritional status of the patients. An association between poor nutritional status and adverse outcomes in surgical patients has been observed. This article describes the results of the expert consensus and the responses of the panelists on the nutritional management in routine clinical practice of patients with diabetes/hyperglycemia hospitalized (non-critically ill) in the perioperative setting.Las personas con diabetes tienen un riesgo elevado de requerir una intervención quirúrgica a lo largo de su vida y de tener complicaciones perioperatorias en caso de un control metabólico deficiente. La hospitalización representa un evento estresante que, unido a otros factores asociados a procedimientos diagnósticos y terapéuticos, conlleva un deterioro del estado nutricional de los pacientes. Se ha observado una asociación entre un estado nutricional deficiente y resultados adversos en pacientes quirúrgicos. El presente artículo describe los resultados del consenso de expertos y las respuestas de los panelistas sobre el manejo nutricional en la práctica clínica habitual de los pacientes con diabetes/hiperglucemia hospitalizados en planta (no críticos) en el periodo perioperatorio.

El Decreto 26/2018, de 23 de enero, de ordenación de campamentos de turismo en Andalucía regula el sector del caravaning desde el punto de vista turístico y del libre mercado. Este estudio analiza la percepción empresarial y efectos del Decreto a través de un cuestionario y tablas de frecuencia. Los resultados muestran que el Decreto ha sido positivo para el sector del caravaning en Andalucía a pesar de algunas limitaciones en aspectos que dificultan el acceso de operadores al sector. Además, sirve de base para la elaboración de normativas en otras comunidades que deseen un desarrollo del sector. The Decree 26/2018, of January 23, of management of tourism camps in Andalusia regulates the caravanning sector from the tourist and free market point of view. This study analyzes the perception of entrepreneurs and effects of the Decree through a questionnaire and a table of frequencies. The results show that the Decree has been positive for the caravanning sector in Andalusia in spite of some limitations that make harder the access of operators to this sector. Furthermore, it is useful as a basis for the elaboration of regulations in other communities that wish to develop the sector.

This paper aims to evaluate the possibility of using non-utilized hydraulic energy in urban water distribution systems. For this purpose, the viability and possible alternatives of installing conventional turbines or pumps working as turbines (PATs = Pumps as Turbines) at the head of pressure hydraulic networks in two towns in the province of Huelva have been studied: Canaveral de Leon and Aracena (Andalucia, southwest Spain). Sensitivity analyses are carried out for: (a) To study the feasibility and efficiency of installing turbines or PATs in the hydraulic networks; (b) To determine the required hydraulic capacity of the turbines or PATs; (c) To analyse the installation points in the pipeline network; and (d) To evaluate the possible generation of electrical energy. The evaluation of the recoverable amount of hydraulic energy in both water distribution systems requires the application of the energy conservation equation, taking into account the calculation of load losses, the Darcy-Weisbach equation. A diagram energy height-flow rate with different working ranges of commercial turbines/PATs was used for the selection of the appropriate hydraulic machine. The results obtained of the Aracena hydraulic network show that the best solution would be the installation of a 2 kW BANKI that could generate an approximate annual energy of 17,52 MWh/year. In the Canaveral de Leon water supply system a 0,75 kW BANKI turbine with an approximate annual energy generation of 6,57 MWh/year is proposed as the best solution.

Resumen La obesidad supone uno de los grandes retos en salud en la actualidad. Las importantes repercusiones que implica obligan a un manejo integral. El presente documento tiene como objetivo establecer recomendaciones practicas y basadas en la evidencia para el diagnostico y el manejo de la obesidad en Espana, desde la perspectiva del endocrinologo clinico. Se ha realizado un documento de posicionamiento que puede consultarse en www.seen.es , que ha sido consensuado por el Grupo de Obesidad de la Sociedad Espanola de Endocrinologia y Nutricion (GOSEEN), junto con el Area de Nutricion (NutriSEEN) y el Grupo de trabajo de Endocrinologia, Nutricion y Ejercicio Fisico (GENEFSEEN).

Purpose: This study sought to identify the factors that affect intention to use applications (apps) related to caravanning and to test a conceptual model based on the literature to assess the intention to use apps to plan a trip in a caravanning sector. Design/methodology/approach: This study analysed the data obtained from caravanning users using partial least squares (PLS). The model used in this paper is based on a review of the literature. Findings: This study showed that perceived value, perceived ease of use and satisfaction had an influence on intention to use apps related to caravanning. The key predictors of satisfaction were hedonic motivation and perceived ease of use. Research limitations/implications: The results are based on users of motorhomes, caravans and campers who have visited Andalusia as caravanning users. The study should be expand to more regions and countries to determine if such expanded samples would field different results and conclusions. Furthermore, there is a lack of studies of caravanning in the literature. Practical implications: This study could be useful for app developers because of the lack of studies in this specific sector in order to develop marketing strategies. It would also be convenient for them to have a knowledge of the effect of moderating variables such as gender, marital status and age on the intention to use caravanning apps to develop their strategies in apps. Originality/value: This is a pioneering study in the field of caravanning and apps. It also offers practical implications for app developers. It is the first paper to use a model based on the literature to test the intention to use apps related to caravanning.