Consulting on the European Union's 2050 tourism policies: An appreciative inquiry materiality assessment

Stakeholder consultations serve as powerful legitimising devices upon the balance of participants, the quality of the process and its effective results. We propose a deliberative digital stakeholder consultation methodology based on an appreciative inquiry approach to materiality assessment. We illustrate its application in a four-month consultation for the European Commission (2020 European Tourism Convention, towards a European Agenda for Tourism 2050). An interactive, online consultation (due to COVID-19) enabled dynamism and co-creation. Appreciative enquiry introduced the human elements of ownership and legitimacy towards policy. The choice of topics, language and attitudes reframed problems into opportunities with shared responsibilities. Technology allowed to explore new forms of open, democratic and inclusive engagement, and materiality provided structure and transparency that legitimised the process

Materiality: stakeholder accountability choices in hotels’ sustainability reports

Purpose: This paper aims to examine the choices made by the hotel industry about what to include, and who to be accountable to, in their sustainability reports; a process defined as materiality assessment. Design/methodology/approach: The paper is based on the findings of semi-structured interviews with eight sustainability managers (from eight of the world’s 50 largest hotel groups) to explore their understanding of, and use of, materiality and any barriers to its uptake and eight industry sustainability experts to assess the general industry-wide application of materiality. Findings: Sustainability managers from large hotel groups are evasive when disclosing their materiality criteria, their decision-making processes and how they aggregate stakeholder feedback; they limit their disclosure to the reporting process. Sustainability managers are disempowered, with limited resources, time, knowledge and skills to apply to materiality assessment. Experts confirm that hotel groups are unsystematic and opaque about their decision-making and how they control their materiality assessments. Practical implications: Materiality assessment is concealed from the public and may be constructed around business imperatives with high managerial capture. The hospitality industry needs to improve its sustainability reporting by examining how it defines and applies materiality and by addressing the barriers identified, if it is to demonstrate an enduring commitment to sustainability and organisational legitimacy. Originality/value: This study addresses the limited knowledge of how hotel groups undertake materiality assessments. It identifies gaps in the conception and application of materiality by pinpointing barriers to its uptake and recommending areas in need of further research. © 2019, Emerald Publishing Limited

Navigating the uncharted: a crisis response mix to creeping ‘unknowns’

Creeping crises have received limited attention in crisis management. With a backdrop of COVID-19, we explore how tourism organisations can address unprecedented creeping crises. We propose and test a creeping crisis response matrix qualitatively and quantitatively by analysing 108 earnings calls from 22 hotel groups covering the first 16 months of the pandemic. Some cannot detect creeping crises during the incubation periods or the later re-emergence, whereas early exposure gives an advantage in crisis response. Contrary to conventional wisdom, organisational responses to unknown crises are not always reactive, with organisations deploying a varied mix of responses (reactive, adaptive, protective and proactive) even in the early stages of a crisis. As the framing of the crisis improves, crisis responses shift from survival to full-on experimentation, to response by design and then to response by protocol. The proposed matrix can be used as a response roadmap for navigating future, unknown, creeping crises

Long-Range a-Synchronization as Control Signal for BCI: A Feasibility Study

First published February 7, 2023Shifts in spatial attention are associated with variations in α band (α, 8–14 Hz) activity, specifically in interhemispheric imbalance. The underlying mechanism is attributed to local α-synchronization, which regulates local inhibition of neural excitability, and frontoparietal synchronization reflecting long-range communication. The direction-specific nature of this neural correlate brings forward its potential as a control signal in brain-computer interfaces (BCIs). In the present study, we explored whether long-range α-synchronization presents lateralized patterns dependent on voluntary attention orienting and whether these neural patterns can be picked up at a single-trial level to provide a control signal for active BCI. We collected electroencephalography (EEG) data from a cohort of healthy adults (n = 10) while performing a covert visuospatial attention (CVSA) task. The data show a lateralized pattern of α-band phase coupling between frontal and parieto-occipital regions after target presentation, replicating previous findings. This pattern, however, was not evident during the cue-to-target orienting interval, the ideal time window for BCI. Furthermore, decoding the direction of attention trial-by-trial from cue-locked synchronization with support vector machines (SVMs) was at chance level. The present findings suggest EEG may not be capable of detecting long-range α-synchronization in attentional orienting on a single-trial basis and, thus, highlight the limitations of this metric as a reliable signal for BCI control.This research was supported by the Agència de Gestió d’Ajuts Universitaris i de Recerca Generalitat de Catalunya Grant 2017 SGR 1545. This project has been co-funded with 50% by the European Regional Development Fund under the framework of the FEDER Operative Programme for Catalunya 2014-2020 Ministerio de Ciencia e Innovación (Ref: PID2019-108531GB-I00 AEI/FEDER)

Comprehensive geriatric assesment of the nonagenarian population

Our society is facing new economic, political, social and demographic challenges that will require health care services capable of responding to the population's growing health needs, especially chronic processes linked to ageing. Comprehensive assessment of the frail elderly people represents one of the most important matters in providing proper geriatric care in primary health care (PHC). A cross-sectional descriptive study was conducted on a final sample of 105 patients > 90 years of age cared for by a PHC team. 75.2% of the population were women. 17.1% of the population as a whole and 18.9% of women lived alone. Close to 40% of the population had experienced one or more falls. 65.7% were taking more than 4 drugs/day and approximately 50% had been properly vaccinated. On a cognitive level, the majority of the population suffered from mild decline, despite their advanced age. We must progress towards comprehensive, proactive and patient-centred care. Good comprehensive geriatric assessment coupled with good care from PHC teams provides elderly persons with a better state of health

Norovirus outbreaks in long-term care facilities in Catalonia from 2017 to 2018

Norovirus is the leading cause of outbreaks of acute viral gastroenteritis. We carried out this study to investigate outbreaks in long-term care facilities reported in 2017 and 2018 in Catalonia (Spain). The characteristics of the centers, exposed persons and the genogroups responsible were analyzed. Viral loads were estimated. The attack rate (AR) of the outbreaks studied, and the rate ratio (RR) and the odds ratio (OR) and their 95% confdence intervals as measures of association were calculated. The mean cycle thresholds were compared using the t-test for independent means. We included 30 outbreaks (4631 exposed people). The global AR was 25.93%. The RR of residents vs. staf was 2.28 (95% CI 2.0-2.6). The RR between AR in residents with total or severe dependence vs. residents with moderate, low or no-dependence was 1.23 (95% CI 1.05-1.45). The AR were higher in smaller centers than in larger ones (38.47% vs. 19.25% and RR 2; 95% CI 1.82-2.2). GII was responsible for 70% of outbreaks. No association was found between the genogroup and presenting symptoms (OR 0.96; 95% CI 0.41-2.26). Viral loads were higher in symptomatic than in asymptomatic patients (p = 0.001)

Norovirus outbreaks in long-term care facilities in Catalonia from 2017 to 2018

Norovirus is the leading cause of outbreaks of acute viral gastroenteritis. We carried out this study to investigate outbreaks in long-term care facilities reported in 2017 and 2018 in Catalonia (Spain). The characteristics of the centers, exposed persons and the genogroups responsible were analyzed. Viral loads were estimated. The attack rate (AR) of the outbreaks studied, and the rate ratio (RR) and the odds ratio (OR) and their 95% confidence intervals as measures of association were calculated. The mean cycle thresholds were compared using the t-test for independent means. We included 30 outbreaks (4631 exposed people). The global AR was 25.93%. The RR of residents vs. staff was 2.28 (95% CI 2.0–2.6). The RR between AR in residents with total or severe dependence vs. residents with moderate, low or no-dependence was 1.23 (95% CI 1.05–1.45). The AR were higher in smaller centers than in larger ones (38.47% vs. 19.25% and RR 2; 95% CI 1.82–2.2). GII was responsible for 70% of outbreaks. No association was found between the genogroup and presenting symptoms (OR 0.96; 95% CI 0.41–2.26). Viral loads were higher in symptomatic than in asymptomatic patients (p = 0.001).This study was funded by Instituto de Salud Carlos III through the project PI16/02005 (Co-funded by European Regional Development Fund “Investing in your future”) and the Catalan Agency for the Management of Grants for University (AGAUR Grant No. 2017/SGR 1342). The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication

Involvement of workers in closed and semiclosed institutions in outbreaks of acute gastroenteritis due to norovirus

Norovirus outbreaks frequently occur in closed or semiclosed institutions. Recent studiesin Catalonia and various countries indicate that, during outbreaks in these institutions, norovirus isdetected in between 23% and 60% of workers, and the prevalence of infection in asymptomatic workersinvolved in outbreaks ranges from 17% to 40%. In this work, we carried out a prospective studyto investigate the involvement of workers in closed and semiclosed institutions during outbreaks.The attack rates (ARs) and the rate ratios (RRs) were calculated according to the type of transmissionand occupational category. The RRs and 95% confidence intervals (CIs) between workers and userswere calculated. The mean cycle of quantification (Cq) values were compared according to thegenogroup and the presence of symptoms. ARs were higher in person-to-person transmission thanin common vehicle outbreaks, and 38.8% of workers were symptomatic. The RR between workersand users was 0.46 (95% CI 0.41-0.52). The ARs in workers were high, particularly in workers withcloser contact with users. The mean Cq was lower in patients than in asymptomatic infected persons,although the difference was only significant for genogroup I (GI). The frequency of asymptomaticinfected persons suggests that personal hygiene measures should be followed by all workers in thecenters affected

A foodborne norovirus outbreak in a nursing home and spread to staff and their household contacts

On 16 March 2018, a nursing home notified a possible acute gastroenteritis outbreak that affected 11 people. Descriptive and case-control studies and analysis of clinical and environmental samples were carried out to determine the characteristics of the outbreak, its aetiology, the transmission mechanism and the causal food. The extent of the outbreak in and outside the nursing home was determined and the staff factors influencing propagation were studied by multivariate analysis. A turkey dinner on March 14 was associated with the outbreak (OR 4.22, 95% CI 1.11-16.01). Norovirus genogroups I and II were identified in stool samples. The attack rates in residents, staff and household contacts of staff were 23.49%, 46.22% and 22.87%, respectively. Care assistants and cleaning staff were the staff most frequently affected. Cohabitation with an affected care assistant was the most important factor in the occurrence of cases in the home (adjusted OR 6.37, 95% CI 1.13-36.02). Our results show that staff in close contact with residents and their household contacts had a higher risk of infection during the norovirus outbreak

La COVID-19 a Catalunya 2020-2021

Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Salut públicaCoronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Salud públicaSARS-CoV-2 coronavirus; COVID-19; 2019-nCoV; Public healthPublicació que recull aportacions d’algunes de les persones que han participat, durant els anys 2020 i 2021, en la gestió de la crisi sanitària COVID-19