Universidad Regiomontana

Elevated puborectalis stiffness measured by endovaginal shear wave elastography is associated with obstructed defecation syndrome

Abstract Obstructed defecation syndrome (ODS) is a common functional disorder in which conventional B-mode ultrasound demonstrates abnormal puborectalis muscle (PRM) behaviour but cannot quantify intrinsic tissue mechanical properties. Shear wave elastography (SWE) provides a qua...

Tourist Environmental Awareness and Conservation Engagement in a Caribbean Marine Protected Island System: Evidence from Cozumel, Mexico

Tourism is a major driver of economic growth in tropical island destinations but also places increasing pressure on fragile marine ecosystems. This study examined tourists’ environmental awareness, perceptions, and conservation-related behaviors on Cozumel Island, part of the Mes...