The sexual behavior of older adults, especially women, has undergone changes in recent years, though there are still certain stereotypes today related to pathophysiology, beliefs, culture and tradition that negatively affect older adults’ sexual activity. The aim of our review is to present the main qualitative studies analyzing how physiological and psychosocial factors affect sexual behavior in older adults. A systematic review of these qualitative studies was carried out. All stages of this review were carried out peer-to-peer in order to guarantee minimized bias. A bibliographical search was completed between February and April 2019, in Web of Science, Scopus, PubMed Medline, PsycINFO ProQuest and CINAHL. To analyze the findings of the selected qualitative studies, a “Thematic Synthesis Analysis” was performed, using Eppi-Reviewer 4 software (UCL Institute of Education, University of London, UK). The quality of the studies was assessed with a CASP-Qualitative-Checklist. A total of 16,608 references were screened and 18 qualitative studies were included in this review. The studies involved 2603 participants across seven countries, most being women (approximately 80%). We identified a wide variety of physiological and psychological factors that can influence the sexual behavior of older adults, such as the presence of pathologies (erectile dysfunction and menopause), the strength of spiritual beliefs, and patriarchal roles upheld by upbringings conveying that women’s role is to provide men with sexual pleasure. Biological age in relation to stereotypical models of sexual behavior, emphasized as a risk factor in the contraction of sexual diseases, seems to play a relevant role as a factor limiting sexual behavior in older adults.

The inclusion of people with disabilities (PwD) in tourism is a phenomenon that encompasses various influencing factors, such as accessibility, which must be reviewed for this process to work correctly. Accessible tourism has advantages for both people with disabilities and everyone else. It provides an opportunity for everyone to enjoy leisure without barriers. However, there are still factors that limit the proper operation of the sector, which require a review and new strategies for its improvement. The objective of this review is to offer a synthesis of those challenges that must be addressed in order to achieve quality accessible tourism, as well as to present the various emerging trends that can represent an important advance for the future of accessible tourism. To this end, a qualitative study review process has been carried out where the different opinions and perceptions of the various actors involved in the accessible tourism sector are considered. A thematic analysis and synthesis of the information was conducted using the “Thematic Synthesis” procedure. The methodological quality of the studies included in the synthesis was also assessed. The studies reviewed show a need to recognize disabled travelers as autonomous and independent people who seek to escape from their daily routine, and who require certain specific supports to facilitate their tourist experience. Accessible tourism is valued as a good market opportunity, but its proper development requires greater staff awareness to promote co-creation in tourism, as well as the support of technological systems to create individualized tourist profiles detailing the needs of each person.

In recent years, international migration has changed considerably, improving our understanding of the diversity of migrants, something that until recently was viewed as a fixed pattern associated with the ethnic group in question. At the same time, in the international context, the importance and the need to recognize the rights of people with disabilities has grown. Therefore, the purpose of this paper is to provide a more detailed analysis of this phenomenon in Europe, from the perspective of superdiversity, which covers the different variables that come into play, as well as the responses to the diverse needs that are provided through the action protocols in host countries. To address the objective of this research, we present a critical review of the migration policies undertaken at the European level, methodologically approached using the causal inference model. Our findings show a lack of structure of social and professional intervention policies, at the international level, towards refugees with disabilities. We conclude by presenting a series of political guidelines that rely on scientific evidence to improve the lives of migrants with disabilities.

Hyperactive behaviour refers to a person making more movement than expected for his or her age and development, acting impulsively, and being easily distracted. There is a need to encourage early and reliable detection through the proposal of new methodologies and systems in the context of hyperactive behaviour to prevent or lessen related problems and disorders. This paper presents a methodology to compute a fuzzy protoform (a linguistic description) as an estimator for hyperactive behaviour. The proposed methodology is developed in a system called Smart HyBeDe, which integrate non-invasive and commercial wearable devices, such as activity bracelets, in order to capture data streams from inertial measurement units and optical heart rate sensors. The generated data by the wearable device are synchronized with a mobile device to process the fuzzy protoform to inform family members and professionals. Three datasets generated by the wearable device in real contexts are presented. These datasets are used to evaluate the impact of wrist choice for the wearable device, multiple fuzzy temporal windows, different aggregation operators, and relevant linguistic terms to define the fuzzy protoform as an estimator for the hyperactive behaviour. The results, analysed by a hyperactive behaviour expert, show that the proposed protoform is a suitable hyperactive behaviour estimator.

Currently, wearable technology is present in different fields that aim to satisfy our needs in daily life, including the improvement of our health in general, the monitoring of patient health, ensuring the safety of people in the workplace or supporting athlete training. The objective of this bibliometric analysis is to examine and map the scientific advances in wearable technologies in healthcare, as well as to identify future challenges within this field and put forward some proposals to address them. In order to achieve this objective, a search of the most recent related literature was carried out in the Scopus database. Our results show that the research can be divided into two periods: before 2013, it focused on design and development of sensors and wearable systems from an engineering perspective and, since 2013, it has focused on the application of this technology to monitoring health and well-being in general, and in alignment with the Sustainable Development Goals wherever feasible. Our results reveal that the United States has been the country with the highest publication rates, with 208 articles (34.7%). The University of California, Los Angeles, is the institution with the most studies on this topic, 19 (3.1%). Sensors journal (Switzerland) is the platform with the most studies on the subject, 51 (8.5%), and has one of the highest citation rates, 1461. We put forward an analysis of keywords and, more specifically, a pennant chart to illustrate the trends in this field of research, prioritizing the area of data collection through wearable sensors, smart clothing and other forms of discrete collection of physiological data.

Background: Women with fibromyalgia syndrome (FMS) experience generalized and chronic musculoskeletal pain and other disabling symptoms such as female sexual difficulties that reduce the quality and the frequency of their sexual relationships. Objective:The aim of this study was to examine sexual dysfuntion in women diagnosed with FMS compared with healthy controls.Methods: A systematic review with meta-analysis was performed. The literature search was conducted using PubMed Medline, Scopus, Web of Science, CINAHL, SciELO, and PsycINFO PROQUEST until February 2021. Observational studies with 2 groups (women with FMS and healthy controls) that assessed sexual function were included. Pooled effect was calculated using Cohen standardized mean difference (SMD) and its 95% confidence interval (CI) in a random-effects model.Results: Twelve studies were included comprising 1367 women (766 diagnosed with FMS and 601 healthy controls). The methodological quality of the included studies was moderate, according to the Newcastle-Ottawa Scale. Our findings showed a significant sexual dysfunction in women diagnosed with FMS (SMD = 1.72; 95% CI, 1.18-2.26; p < 0.001). In addition, the secondary outcomes more affected in women with FMS were sexual satisfaction (SMD = −2.09; 95% CI, −2.83 to −1.36; p < 0.001) and the pain during sexual relations (SMD = −1.97; 95% CI, −2.81 to −1.12; p < 0.001). Conclusions:Women with FMS showed a significant sexual dysfunction and other related sexual difficulties, such as increase in sexual pain and a decreased sexual desire or sexual satisfaction, compared with healthy women.

No abstract