El turismo de la tercera edad en los destinos turísticos consolidados: el caso de la Costa del Sol

XII Coloquio de Geografía del Turismo, Ocio y Recreación de la Asociación de Geógrafos Españoles. Colmenarejo (Madrid), del 17 al 19 de junio de 2010.Este estudio forma parte de la tesis doctoral que la autora está realizando en la Universidad de Málaga, y que es becada por la Consejería de Turismo, Comercio y Deporte de la Junta de Andalucí

Chapter Epilogue

This conclusion presents some closing thoughts on the key concepts discussed in the preceding chapters of this book. The book highlights that an important guiding principle when developing organizational interventions is to ensure that there's a close fit between the intervention and the context in which the intervention is undertaken. It presents work from some of the world's leading researchers in the field of organizational intervention research. The book also highlights the lack of research attention given to the specific needs of small-medium sized organizations. It argues that the gaps between research, practice, and policy should be closed and that this could happen through evaluating organizational interventions using realist evaluation. The book identifies four factors that were critical to the achievement of positive intervention outcomes. These included participatory decision-making and the co-creation of knowledge, multi-level management support, strong alignment between the intervention and the context, and institutionalizing interventions

Chapter Introduction

This chapter discusses the need for understanding what works for whom in which circumstances from a research and a policy perspective. It reviews state-of-the-art of evidence base on what works for whom in which circumstances, that is which tools and methods may work in which contexts. Organizational interventions often employ a participatory approach, where employees and managers through ongoing negotiations and discussions decide on the process and the content of the intervention. The demands for understanding how to design, implement and evaluate organizational interventions have arisen both from research and from policy. K. Nabe-Nielsen and R. Randall argued that interventions should be tailored to the organizational context and to the individuals within the organizations. The national policies all recommend that senior managers are involved in promoting the project, and in the management standards emphasize the role line managers have in the daily running of organizational interventions. The chapter also presents an overview of the key concepts discussed in this book

The importance of employee participation and perceptions of changes in procedures in a teamworking intervention

The powerful positive results of implementing teamwork are not always achieved. It has been suggested that attempts to implement theories regarding teamwork do not always lead to those theories being put into practice, and as a result positive outcomes are not always found. The participation of employees in the development and implementation of an intervention may help to ensure that changes take place. In this longitudinal study (N = 583) of teamwork implementation in Denmark we examined the links between pre-intervention working conditions and well-being, levels of participation in planning and implementation, employees’ reports of changes in procedures, and intervention outcomes. Pre-intervention levels of autonomy and job satisfaction predicted the degree of employee participation in the planning and implementation of the intervention. Pre-intervention well-being and social support were linked directly to the degree to which employees reported changes in existing work practices concerning teamwork. In addition, participation and changes in work procedures were significantly associated with post-intervention autonomy, social support and well-being. The results indicate that employee participation in intervention processes is crucial in what appears to be an important association with perceived changes in procedures and, therefore, in intervention outcomes

Positive participatory organisational interventions: a multilevel approach for creating healthy workplaces

In the following perspective paper, we argue for the importance of conducting research on positive participatory organizational interventions. We propose that these types of interventions are important because they not only focus on eliminating or reducing adverse job demands but focus also on developing job resources. To achieve the best effects, actions should be taken to address demands and resources at the individual, group, leader and organizational levels. We furthermore suggest that the participatory intervention process itself may also build resources at these four levels

Vertebral osteomyelitis caused by Campylobacter jejuni in an immunocompetent patient

BACKGROUND: Campylobacter jejuni is the leading cause of human bacterial gastroenteritis worldwide. However, systemic infection with C. jejuni is uncommon, and osteomyelitis caused by C. jejuni is extremely rare. Cultivation from spinal bone biopsies has not previously been reported in the literature.CASE PRESENTATION: A 79-year-old immunocompetent male was admitted to the emergency department at Aalborg University Hospital in Denmark with lower back pain, fever and diarrhoea. A FecalSwab obtained upon admission was PCR-positive for Campylobacter spp, while an aerobic blood culture bottle was positive for C. jejuni (Time to detection: 70.4 h). A MRI of columna totalis showed osteomyelitis at L1/L2 with an epidural abscess from L1 to L2 with compression of the dura sack. The patient underwent spinal surgery with spondylodesis and decompression of L1/L2. The surgery was uncomplicated and the discus material was also culture positive for C. jejuni. The patient was treated with meropenem for a total duration of four weeks, followed by four weeks of oral treatment with clindamycin in tapered dosage. The patient recovered quickly following surgery and targeted antibiotic treatment with decreasing lumbar pain and biochemical response and was fully recovered at follow-up three months after end of treatment.CONCLUSIONS: While C. jejuni osteomyelitis is rare, it should still be suspected as a possible causative bacterial aetiology in patients with vertebral osteomyelitis, in particular when symptoms of diarrhoea is involved in the clinical presentation. Susceptibility testing is crucial due to emerging resistance, and targeted treatment strategies should rely upon such tests.</p