National Trends in Cycling in Light of the Norwegian Bike Traffic Index

Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center

Background: Bicycle-related trauma has increased during the last decades, mainly due to the antipollution environmental policies. This study investigates the outcome of bicycle-related trauma in our level-one trauma center over a period of eight years. Methods: Data from 446 consecutive bicycle-related trauma patients admitted to our trauma center from 2011 to 2019 were selected and retrospectively analyzed. The sample was divided into three age groups: <18 years, 18−54 years, and ≥55 years. Mortality rates were obtained for the overall population and patients with an Injury Severity Score (ISS) ≥ 25. Month and seasonal patients’ distribution was described to provide an epidemiological overview of bike-related trauma over the years. Results: Patients ≥ 55 years showed a lower pre-hospital and in-hospital GCS (p ≤ 0.001), higher levels of lactates (p < 0.019) and higher ISS (p ≤ 0.001), probability of death (p ≤ 0.001), and overall mortality (p ≤ 0.001). The head and chest Abbreviated Injury Scale (AIS) ≥ 3 injuries were predictors of mortality, especially in patients over 55 years (p < 0.010). Bicycle-related trauma was more frequent during the summer (34%), particularly in July and August. Conclusions: Age over 55 years old, head and chest injuries, and an ISS > 25 were independent predictors of mortality.

Cycling Tourism: A Literature Review to Assess Implications, Multiple Impacts, Vulnerabilities, and Future Perspectives

Cycle tourists are increasingly prominent in the profile of world tourism and, in the light of the literature, it is essential, among other things, to examine more closely who they are, what their concerns and motivations are that generate the choice of a cycle tourism product, and, as a priority, the level of economic, social, and environmental impact they cause at destination. In this context, this literature review aims at identifying authors’ and publishers’ interest in cycle tourism, the positive and negative effects of this form of tourism on the economic environment (direct and indirect), as well as effects on the social environment (benefits and potential drawbacks for local communities, along with health benefits for practitioners) and, last but not least, the degree of vulnerability to economic crises generated by travel restrictions. The conclusions reported in this article, as they have been drawn from analyses and examples of best practice, based on natural and anthropogenic geographical conditions, will be prioritised as future research directions. The usefulness of this approach lies in the information with significant applied and novelty aspects, addressed to local, regional, and national authorities, cycling and cycle-tourism associations, and various private interested enterprises, with a view to promoting cycling for recreational purposes and implementing cycling/cycle-tourism infrastructure as a sustainable way of developing small towns and rural areas with tourism potential.

Tourism Sustainability and COVID-19 Pandemic: Is There a Positive Side?

The COVID-19 pandemic has wreaked havoc on the tourism industry like never before, resulting in massive losses of revenue and jobs around the world. Accordingly, the pandemic exacerbated the already existing sustainability challenges of the tourism industry. However, there is also a positive side of the pandemic which is often overlooked by international scholarship. Thus, the present study aims to review the extant literature in the area of COVID-19 and the tourism industry’s sustainability and resilience in future crises. Through a synthesis of secondary data, it was possible to bring attention to the negative as well as the positive effects of COVID-19 on the global tourism industry. This article contributed to a better understanding of the positive side of the pandemic in terms of rethinking, resetting, and redefining the industry in a more sustainable way. The study lays out a conceptual framework for tourism managers and destination planners to identify the pandemic as an opportunity and adopt sustainable solutions to deal with the post-pandemic challenges, thereby developing more sustainable and resilient tourism businesses and destinations.