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Author(s): M. González-Rodríguez [sup.1] , R. Villar-Taibo [sup.1] , A. Fernández-Pombo [sup.1] , M. Pazos-Couselo [sup.1] [sup.2] , M. A. Sifontes-Dubón [sup.1] , S. Ferreiro-Fariña [sup.1] , A. Cantón-Blanco [sup.1] [...], Background/Objectives Radiotherapy (RT) is a component of therapy for head and neck cancer (HNC) with a negative nutritional impact. Our aim was to compare an early versus a conventional nutritional intervention. Subjects and methods Retrospective study of HNC patients undergoing RT. Evolution before and after the establishment of a fast-track circuit was evaluated. A conventional group (CG) made up of patients submitted to the nutrition unit during RT after nutritional deterioration, was compared to an early group (EG) represented by patients included in a fast-track circuit, starting nutritional follow-up before the beginning of RT. Only patients with preserved oral intake were involved. Demographic, nutritional and clinical variables were analyzed. Data of hospitalizations and deaths were collected up to three months after RT. Results 135 subjects constituted the EG and 39 the CG. At baseline, the prevalence of malnutrition was lower in the EG (31.9% vs 69.5%, p = 0.0001), as was the need for nutritional supplements (40% vs 79.5%, p = 0.0001) or nasogastric tube (0% vs 12.8%, p = 0.0001) in comparison to the CG. Three months after RT, there were less patients with oral nutritional support in the EG (79.1% vs 96.9%, p = 0.018), and the number of emergency visits (0.75 vs 1.1 episodes per patient, p = 0.021) and hospitalizations was also lower in this group (29% vs 59%, p = 0.044). Conclusions The fast-track approach made early intervention possible. Therefore, patients maintained a better nutritional status, needed less nutritional support and their evolution improved, with a significant decrease in hospitalizations.

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Creative tourism has been approached from several points of view: products and processes, enabling elements, marketing, sustainability, etc. However, to our best knowledge, there is no integrative model that brings together all its dimensions and enables a 'bird's eye' perspective of creative destination competitiveness. As such, this article aims to present a competitiveness model for a creative tourism destination. The model presents four essential dimensions: core elements (products and processes, travellers and entrepreneurs), enablers (community engagement, stakeholders competences, and creative atmosphere), and developers (marketing and communication). Avenues for future research are presented based on the identification of areas to expand existing knowledge on creative tourism research, mainly by proposing measurement instruments which may contribute to operationalize the proposed model. [ABSTRACT FROM AUTHOR]

The increasing use of mobile applications by travellers and the high adaption of tourism companies into this new contact and sales platform, made it necessary to comprehensively investigate the mobile application users' behaviours. This research combines the Stimulus-Organism-Response (S-O-R) framework and Technology Acceptance Model (TAM) to develop a theoretical background in examining travel booking behaviour of mobile application users. The conceptual model suggests that mobile application quality (MAQ) directly affects perceived ease of use (PEOU) and perceived usefulness (PU) which influence the intention to use (IU) mobile applications. Moreover, the offline brand trust (BT) has been hypothesised as a moderator between PEOU and PU's impacts on IU mobile applications. Analyses results indicated that system and service quality dimensions of MAQ significantly affect IU mobile application via PEOU and PU. Moreover, offline BT had both direct and moderator influences on the formation of IU mobile application. The study findings contributed to the theory in understanding mobile application users' behaviours and suggested valuable managerial strategies in the m-commerce context. [ABSTRACT FROM AUTHOR]