The sustainable development of tourism in protected areas and the planning of its development is extremely important for mountain regions. The local population and tourists have a very important role in this process. Therefore, surveys of the local population and visitor satisfaction represent the basis of this research. The Vršac Mountains Outstanding Natural Landscape (ONL) could represent a significant destination for sustainable tourism. This mountainous area is characterized by a favorable geographical position, a diversity of natural and social factors, rare flora and fauna, and the rich ethno-social heritage of the local population. It is in a very favorable geographical position, and the proximity of the big cities Serbia and Romania, as well as many other factors, are important for tourism development in this area. A quantitative methodology was used for the purposes of this paper during our research. The purpose of this research was to investigate the influence of tourism development on the satisfaction of residents and visitors of the ONL by applying a survey technique, with the help of a questionnaire as a research instrument. A total of 1419 respondents were surveyed (789 residents and 630 visitors). The research results show that the ecological and socio-cultural dimensions of sustainability have the greatest importance for the respondents, and that these two dimensions of sustainability have the greatest impact on sustainable tourism in this protected area. Our main research hypothesis, which states that sustainable tourism has a positive impact on the satisfaction of residents and visitors, is fully confirmed. These data could be significant for tourism planning and the management of protected areas.

The present study highlights the value of gastronomy and culinary practices in Făgăraș County as a dimension of the Intangible Cultural Heritage that can contribute to the sustainable development of the area. The field research carried out within an interdisciplinary project of the Transilvania University of Brașov pointed out the importance of the different “ciorbe” (sour soups) in the local gastronomy of Făgăraș County. Our groundwork found some traditional local soups and soup recipes. Starting from these results, the study stresses the opportunity to exploit this heritage resource through social entrepreneurship. To uphold this perspective, our study highlights that soups and sour soups are prepared with local ingredients, that women in the area are experienced and have the willingness to cook together. The tourist specificity of the area favors the creation of a local network between entrepreneurs from all over the country. The main contribution of the study derives from the fact that it presents arguments that show the generosity of gastronomy and culinary practices as a heritage resource, illustrating that a popular culinary product can grow and become a local brand.

Background: The underutilization of primary care services is a possible factor influencing inappropriate emergency service presentations. The objective of this study was to evaluate the proportion and characteristics of patients inappropriately accessing emergency room services from the perspective of primary care underutilization. Methods: This cross-sectional study included patients who visited the emergency room of a County Hospital, initially triaged with green, blue, or white codes, during a 2-week period in May 2017. Two primary care physicians performed a structured analysis to correlate the initial diagnosis in the emergency room with the final diagnosis to establish whether the patient’s medical complaints could have been resolved in primary care. Results: A total of 1269 adult patients were included in this study. In total, the medical problems of 71.7% of patients could have been resolved by a primary care physician using clinical skills, extended resources, or other ambulatory care and out-of-hours services. Conclusions: Low awareness of out-of-hours centers and a lack of resources for delivering more complex services in primary care can lead to inappropriate presentations to the emergency services. Future research on this topic needs to be conducted at the national level.