Tourism sector competitiveness in Portugal: applying Porter's Diamond

The tourism sector has stood out for its enormous capacity for growth on a global scale and holding a relevant role both as a tool for the competitiveness and as a driver of regional development. This profile stems not only from its multiplier effects but also the opportunities susceptible to identification within the scope of offsetting regional disparities in growth and prosperity. The objective of this research project consists of evaluating the competitiveness of the regional areas and directorates of tourism in Portugal with the methodology applied requiring the input of primary data (a sample of 446 companies), through a questionnaire aimed at companies displaying the activities characteristic of the World Tourism Organisation satellite account. Through the application of Porter’s Diamond Model, we arrived at a conceptual model through recourse to the Partial Least Square – Path Modelling technique with the objective of analysing the relationships unfolding among the determinant variables to competitiveness in the tourism sector. Despite the results returned proving clear, we also verify that encapsulating competitiveness proves no easy task given how Portugal reports regions with simultaneously very varied and very specific characteristics.O sector do turismo destaca-se pela enorme capacidade de crescimento a nível mundial, desempenhando um papel relevante tanto como ferramenta para a competitividade como enquanto motor do desenvolvimento regional. Este perfil decorre não apenas dos seus efeitos multiplicadores, mas também das oportunidades suscetíveis de identificação no âmbito da compensação das disparidades regionais no crescimento e prosperidade. O objetivo desta investigação consiste em avaliar a competitividade das áreas regionais e direções do turismo em Portugal. Utilizamos dados primários (uma amostra de 446 empresas), através de um questionário destinado a empresas que exibem as atividades características da conta satélite da Organização Mundial de Turismo. Através da aplicação do Modelo de Diamante de Porter, alcançamos um modelo conceitual através do recurso à técnica de Partial Least Square – Path Modelling com o objetivo de analisar as relações que se desdobram entre as variáveis determinantes para a competitividade no setor de turismo. Apesar de os resultados retornados serem claros, verificamos também que o encapsulamento da competitividade não se revela uma tarefa fácil, dado o fato de Portugal englobar regiões com características simultaneamente muito variadas e muito específicas

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Film induced tourism: a systematic literature review

The “film induced tourism” concept serves for the study of tourism visits made to a destination or attraction resulting from its featuring in cinema films, television series or promotional videos. This phenomenon falls within the field of “film induced versus destination branding image” research, a fairly recently established field, and with this article correspondingly seeking to carry out analysis of the contents and systematisation of this area based on the contents of the Web of Science database. Thus, this article consists of the application of a systematic survey involving the summary and evaluation based upon the interpretation of the results returned. The sample contains only those articles published in English language journals and explicitly excluding conference proceedings or commentaries.We thus sought to grasp the perspectives adopted by both empirical and theoretical studies, the themes studied and the main conclusions of those studies analysed here. The results convey the diversity of both the quantitative and qualitative studies and the various future lines of research defined in accordance with the gaps detected in the results returned.O conceito de “film-induced tourism” é aplicado ao estudo das visitas turísticas a um destino ou atracão turística pelo resultado da exposição a filmes de cinema, series televisivas, ou vídeos promocionais. Este fenómeno enquadra-se no campo de investigação de “film-induced versus destination branding image”, sendo consideravelmente recente e nesse sentido o presente trabalho tem por objetivo realizar uma análise de conteúdo e sistematização dos artigos sobre esse campo, tendo como base de dados a web of science. O propósito do trabalho consistiu na aplicação de uma revisão sistemática envolvendo a síntese e a avaliação com base na interpretação. Foram mantidos na base apenas os artigos que tivessem sido publicados em periódicos no idioma inglês e não fossem proceedings ou comentários. Procurou-se perceber em que perspetiva os estudos empíricos foram analisados, quais as temáticas estudadas e as principais conclusões dos estudos analisados. Os resultados apresentam uma diversidade de estudos quantitativos e qualitativos e várias futuras linhas de investigação foram delineadas em função dos gaps detetados nos resultados encontrados

Convergence in Tourism Management Research: A Bibliometric Analysis

The tourism sector has correspondingly attracted a great deal of interest from many researchers with particular focuses falling on tourism management and witnessing exponential growth in the research on this field. Given this, the objective of this current study involves producing a chart of these scientific publications, identifying their intellectual structure and the research trends in tourism management. Our research thus seeks to contribute towards: (i) mapping the intellectual structure of research on tourism management as depicted in the academic literature, (ii) identifying the fundamental contributions made by the tourism management research field, (iii) determining the lines of research constituting its intellectual structure, (iv) identifying the scientific journals with the greatest impact on this area and (v) identifying the geographic distribution of knowledge, by universities and countries, and the collaborative structures. O turismo tem-se destacado pelo potencial de expansão à escala mundial, desempenhando um papel relevante como ferramenta de competitividade e motor de desenvolvimento regional. Esta temática tem sido alvo de grande interesse por parte de muitos investigadores, com especial incidência na gestão do turismo, verificando-se um crescimento exponencial de investigação nesta área. Face ao exposto, o objetivo do presente estudo é realizar um mapeamento das publicações científicas, estrutura intelectual e tendências de investigação relacionadas com a gestão do turismo. Neste contexto a nossa pesquisa pretende contribuir para o avanço da literatura. Para tal, efetuámos uma análise bibliométrica ao conceito “tourism management” procurando conhecer a investigação realizada

The role of tourism public-private partnerships in regional development: a conceptual model proposal

Tourism is characterized as being a sector that stands out as one of the business activities with the greatest potential for worldwide expansion, and as an engine for economic growth. If at the national level, the appeal of tourism is significant, on the local level this sector presents itself as an essential tool in regional development, as a means to avoid regional desertification and stagnation, stimulating the potential of more undeveloped regions. In such a competitive sector as tourism, companies should develop synergies and achieve competitive advantage. In this context, public-private partnerships play an important role in regional development. The aim of this paper is to present a theoretical context that combines different concepts and elements to explain and understand the public-private partnership phenomenon in tourism. A conceptual model of the role of public-private partnerships will be proposed in order to contribute to successful regional development

A multi-country analysis of COVID-19 hospitalizations by vaccination status

Background: Individuals vaccinated against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), when infected, can still develop disease that requires hospitalization. It remains unclear whether these patients differ from hospitalized unvaccinated patients with regard to presentation, coexisting comorbidities, and outcomes. Methods: Here, we use data from an international consortium to study this question and assess whether differences between these groups are context specific. Data from 83,163 hospitalized COVID-19 patients (34,843 vaccinated, 48,320 unvaccinated) from 38 countries were analyzed. Findings: While typical symptoms were more often reported in unvaccinated patients, comorbidities, including some associated with worse prognosis in previous studies, were more common in vaccinated patients. Considerable between-country variation in both in-hospital fatality risk and vaccinated-versus-unvaccinated difference in this outcome was observed. Conclusions: These findings will inform allocation of healthcare resources in future surges as well as design of longer-term international studies to characterize changes in clinical profile of hospitalized COVID-19 patients related to vaccination history. Funding: This work was made possible by the UK Foreign, Commonwealth and Development Office and Wellcome (215091/Z/18/Z, 222410/Z/21/Z, 225288/Z/22/Z, and 220757/Z/20/Z); the Bill & Melinda Gates Foundation (OPP1209135); and the philanthropic support of the donors to the University of Oxford's COVID-19 Research Response Fund (0009109). Additional funders are listed in the "acknowledgments" section