检索结果-南通市图书馆

Touristic Sustainability in Rural and Natural Spaces

Cultural and Religious Studies 2015年第1期3卷 20-32页

作者： Violante Martinez Quintana rocio blanco gregory National University of Distance Education Madrid Spain University of Extremadura Caceres Spain

This article aims to give the reader an overview of the development of nature tourism and its importance for the sustainability of rural and natural areas involving special protection. Once you have seen the end of mass tourism, tourism demand is much more heterogeneous and attends a difference of purposes for which such demand is diversified, representing a particularly important tourism and leisure activities that take place now in natural areas, thus giving rise to different types of leisure and tourism, such as Rural tourism, Ecotourism, Agrotourism, Nature and Adventures tourism, Sports tourism in natural areas, etc. What is important for the sustainability of these areas, that are subject to this type of tourism is getting some positive impacts maintaining sustainability and combating the negative impact, that such activities may have on certain protected areas or special conservation. From this point of view, we believe it is important to develop responsible tourism and committed to environmental conservation and for that the local population must be trained in order to achieve development of the territory without the activities that are the fruit of these typologies tourism and leisure pose a danger. Also, the tourist population must be more aware about what constitutes such practices of leisure and tourism for conservation of the environment and, at the same time, the development of the most depressed areas.

关键词： Natural Tourism development Sustainable Tourism agrotourism positive and negative impacts ruraland natural spaces

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Association of procedure length on outcomes and adverse events of endoscopic retrograde cholangiopancreatography

引用

Gastroenterology Report 2014年第2期2卷 140-144页

作者： Paresh P.Mehta Madhusudhan R.Sanaka Mansour A.Parsi Mazen J.Albeldawi John A.Dumot rocio Lopez gregory Zuccaro John J.Vargo Digestive Disease Institute Department of Gastroenterology and HepatologyCleveland ClinicCleveland OHUSA Department of Quantitative Health Sciences Cleveland ClinicClevelandOHUSA

Objective:The aims of this study were to determine the effects of length of procedure on endoscopic retrograde cholangiopancreatography(ERCP)outcomes and adverse ***:All ERCP procedures,performed by experienced advanced endoscopists,in patients without prior papillary intervention from 2006 to 2008 were *** were arbitrarily divided into two groups:shorter procedures(SP),with a duration shorter than the overall mean procedure length,and longer procedures(LP),with a duration longer than overall mean procedure *** of procedure was defined as the time from endoscope insertion to endoscope ***:Two hundred and ninety-five procedures were included in the *** procedure length was 45.630.1 *** hundred and seventy-seven procedures(60%)were SP and 118(40%)were *** were no differences between the groups with regard to patients’ages,genders,race,or trainee *** cases were more likely to be biliary vs pancreatic or bi-ductal evaluations(P=0.03).LP had significantly higher complexity scores(34%with>3 vs 13%;P=0.046)and were more likely to require pre-cut papillotomy(39%vs 15%;P<0.001).There was no significant difference between the groups in overall completion rates(91.5%LP vs 96%SP;P=0.10)or adverse events(10.2%LP vs 6.2%SP;P=0.21).However,LP cases were associated with higher rates of post-ERCP bleeding(4.2%vs 0.6%;P=0.029).Conclusion:There was no significant difference in outcomes or overall adverse events between shorter and longer ERCP ***,longer procedures were associated with higher procedure complexity,higher utilization of pre-cut technique,and increased risk of bleeding.

关键词： endoscopic retrograde cholangiopancreatography(ERCP) duration of procedure adverse events pancreatitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：