Torroella-l'Estartit: el turisme i els seus cicles

Valoració de la temporada turística a Torroella i l’Estartit al 1995. També s’aprofita per fer un repàs sobre l’evolució del turisme en aquesta zona, i per fer algunes recomanacions sobre el model de gestió i activitat turística

La Situació econòmica i turística a la Costa Brava

Visió de la realitat econòmica de la Costa Brava 20 anys després del Debat Costa Brava de 1976, sobretot centrat en l’activitat turística

El turisme: de l'estiueig dels forasters a la invasió dels visitants

Repàs de l'evolució que ha experimentat el turisme a la Costa Brava els darrers cent anys, durant tot el segle XX. La intenció no és tant reconstruir la seva historia, com parlar dels diferents models turístics que l'han caracteritzat, en un context mes ampli. Publicat dins el context d’un número monogràfic de la Revista de Girona sobre el s. XX, i ocupant l’apartat dedicat al turisme

El Turisme, present i futur

L’aparició del turisme ha estat una de les claus per a entendre la transformació que ha patit la plana del Baix Ter, tant pel que fa al paisatge humà com al paisatge físic. Les raons de la massificació del turisme a la Costa Brava serien la bellesa de l’entorn, la bona climatologia i l’oferta de serveis a un preu assequible

Una Mirada turística para el patrimonio cultural: Centro de Atención al Visitante del Camino de los Príncipes, Santa Catarina, Brazil

En este trabajo se lleva a cabo la planificación de un centro que sirva como punto de referencia para la información de la región del Camino de los Príncipes, en Santa Catarina, Brasil. Allí, a través de actividades turísticas, se buscará difundir i preservar el patrimonio cultural y natural por medio de su valoración. Este centro será denominado “Centro de Atención al Visitante”, y allí el turista, la población local y los administradores podrán acceder a todas las informaciones relevantes y oportunidades de servicios del Camino de los Príncipes

Estratègies d'adaptació al canvi climàtic a la Costa Brava: una reflexió teòrica sobre la relació amb el rejoveniment de les destinacions madures

Aquesta Master Tesi té per objecte investigar la relació entre el canvi climàtic i el desenvolupament de destinacions turístiques madures. En concret, es pretén avançar en el coneixement que es té sobre: 1) com afectarà el canvi climàtic a les destinacions madures; 2) quines mesures s’estan prenent per a fer-hi front des de l’àmbit públic; i 3) en quina mesura la lluita contra el canvi climàtic pot alinear-se al costat dels processos de rejoveniment de les destinacions, de forma que ambdós es retroalimentin i generin sinèrgies positives perquè les destinacions turístiques les aprofitin per esdevenir més sostenibles i, a la vegada, es projectin cap al futur resultant més atractives. Per contrastar els avenços teòrics a nivell pràctic, s’ha decidit delimitar l’àrea geogràfica de la Costa Brava (Catalunya, Espanya) per tal de formular un estudi de cas, que consisteix en l’anàlisi de les Agendes 21 locals dels municipis de litoral. Aquesta anàlisi ha permès extreure conclusions que, si bé encara s’han de considerar a nivell prospectiu i les quals caldrà que siguin revalidades per la comunitat científica, igualment s’han de considerar valuoses per la seva aportació en les teories de gestió de destinacions turístiques i d’estratègies per fer front del canvi climàtic

Gallery districts of Barcelona: the strategic play of art dealers

This article focuses on Barcelona"s art market to explore the underlying factors behind the clustering of art dealers in several of the city"s districts. Drawing upon quantitative and qualitative data, the article analyses how such clustering reveals a strategic action in the sense attributed to it by Crozier and Friedberg (1981). Gallery districts are not a reflection of structural factors (economic, urban development-related or social) but the result of a combination of strategic choices either individual or collective which explain the permanence of leading gallery districts or the emergence of new ones.

Implementación de un servicio de apoyo a las convocatorias de evaluación de la investigación

Desde 2011, el Área de Programación y Calidad de la Universitat Oberta de Catalunya (UOC) trabaja de manera transversal con el Grupo de Servicios de Biblioteca de Apoyo a la Investigación para ofrecer un servicio de apoyo a las convocatorias de evaluación de la investigación (AQU, ANECA). Se ha hecho una apuesta institucional para que el profesorado de la UOC supere satisfactoriamente las calificaciones y reconocimientos externos exigidos para las titulaciones del centro y tenga suficiente y valorada experiencia docente e investigadora.

Breast cancer incidence and overdiagnosis in Catalonia (Spain)

Introduction: Early detection of breast cancer (BC) with mammography may cause overdiagnosis and overtreatment, detecting tumors which would remain undiagnosed during a lifetime. The aims of this study were: first, to model invasive BC incidence trends in Catalonia (Spain) taking into account reproductive and screening data; and second, to quantify the extent of BC overdiagnosis. Methods: We modeled the incidence of invasive BC using a Poisson regression model. Explanatory variables were: age at diagnosis and cohort characteristics (completed fertility rate, percentage of women that use mammography at age 50, and year of birth). This model also was used to estimate the background incidence in the absence of screening. We used a probabilistic model to estimate the expected BC incidence if women in the population used mammography as reported in health surveys. The difference between the observed and expected cumulative incidences provided an estimate of overdiagnosis. Results: Incidence of invasive BC increased, especially in cohorts born from 1940 to 1955. The biggest increase was observed in these cohorts between the ages of 50 to 65 years, where the final BC incidence rates more than doubled the initial ones. Dissemination of mammography was significantly associated with BC incidence and overdiagnosis. Our estimates of overdiagnosis ranged from 0.4% to 46.6%, for women born around 1935 and 1950, respectively. Conclusions: Our results support the existence of overdiagnosis in Catalonia attributed to mammography usage, and the limited malignant potential of some tumors may play an important role. Women should be better informed about this risk. Research should be oriented towards personalized screening and risk assessment tools.

Competing risks to breast cancer mortality in Catalonia

Background: Breast cancer mortality has experienced important changes over the last century. Breast cancer occurs in the presence of other competing risks which can influence breast cancer incidence and mortality trends. The aim of the present work is: 1) to assess the impact of breast cancer deaths among mortality from all causes in Catalonia (Spain), by age and birth cohort and 2) to estimate the risk of death from other causes than breast cancer, one of the inputs needed to model breast cancer mortality reduction due to screening or therapeutic interventions. Methods: The multi-decrement life table methodology was used. First, all-cause mortality probabilities were obtained by age and cohort. Then mortality probability for breast cancer was subtracted from the all-cause mortality probabilities to obtain cohort life tables for causes other than breast cancer. These life tables, on one hand, provide an estimate of the risk of dying from competing risks, and on the other hand, permit to assess the impact of breast cancer deaths on all-cause mortality using the ratio of the probability of death for causes other than breast cancer by the all-cause probability of death. Results: There was an increasing impact of breast cancer on mortality in the first part of the 20th century, with a peak for cohorts born in 1945–54 in the 40–49 age groups (for which approximately 24% of mortality was due to breast cancer). Even though for cohorts born after 1955 there was only information for women under 50, it is also important to note that the impact of breast cancer on all-cause mortality decreased for those cohorts. Conclusion: We have quantified the effect of removing breast cancer mortality in different age groups and birth cohorts. Our results are consistent with US findings. We also have obtained an estimate of the risk of dying from competing-causes mortality, which will be used in the assessment of the effect of mammography screening on breast cancer mortality in Catalonia.

Dissemination of periodic mammography and patterns of use, by birth cohort, in Catalonia (Spain)

Background: In Catalonia (Spain) breast cancer mortality has declined since the beginning of the 1990s. The dissemination of early detection by mammography and the introduction of adjuvant treatments are among the possible causes of this decrease, and both were almost coincident in time. Thus, understanding how these procedures were incorporated into use in the general population and in women diagnosed with breast cancer is very important for assessing their contribution to the reduction in breast cancer mortality. In this work we have modeled the dissemination of periodic mammography and described repeat mammography behavior in Catalonia from 1975 to 2006. Methods: Cross-sectional data from three Catalan Health Surveys for the calendar years 1994, 2002 and 2006 was used. The dissemination of mammography by birth cohort was modeled using a mixed effects model and repeat mammography behavior was described by age and survey year. Results: For women born from 1938 to 1952, mammography clearly had a period effect, meaning that they started to have periodic mammograms at the same calendar years but at different ages. The age at which approximately 50% of the women were receiving periodic mammograms went from 57.8 years of age for women born in 1938–1942 to 37.3 years of age for women born in 1963–1967. Women in all age groups experienced an increase in periodic mammography use over time, although women in the 50–69 age group have experienced the highest increase. Currently, the target population of the Catalan Breast Cancer Screening Program, 50–69 years of age, is the group that self-reports the highest utilization of periodic mammograms, followed by the 40–49 age group. A higher proportion of women of all age groups have annual mammograms rather than biennial or irregular ones. Conclusion: Mammography in Catalonia became more widely implemented during the 1990s. We estimated when cohorts initiated periodic mammograms and how frequently women are receiving them. These two pieces of information will be entered into a cost-effectiveness model of early detection in Catalonia.

Effectiveness of early detection on breast cancer mortality reduction in Catalonia (Spain)

Background: At present, it is complicated to use screening trials to determine the optimal age intervals and periodicities of breast cancer early detection. Mathematical models are an alternative that has been widely used. The aim of this study was to estimate the effect of different breast cancer early detection strategies in Catalonia (Spain), in terms of breast cancer mortality reduction (MR) and years of life gained (YLG), using the stochastic models developed by Lee and Zelen (LZ). Methods: We used the LZ model to estimate the cumulative probability of death for a cohort exposed to different screening strategies after T years of follow-up. We also obtained the cumulative probability of death for a cohort with no screening. These probabilities were used to estimate the possible breast cancer MR and YLG by age, period and cohort of birth. The inputs of the model were: incidence of, mortality from and survival after breast cancer, mortality from other causes, distribution of breast cancer stages at diagnosis and sensitivity of mammography. The outputs were relative breast cancer MR and YLG. Results: Relative breast cancer MR varied from 20% for biennial exams in the 50 to 69 age interval to 30% for annual exams in the 40 to 74 age interval. When strategies differ in periodicity but not in the age interval of exams, biennial screening achieved almost 80% of the annual screening MR. In contrast to MR, the effect on YLG of extending screening from 69 to 74 years of age was smaller than the effect of extending the screening from 50 to 45 or 40 years. Conclusion: In this study we have obtained a measure of the effect of breast cancer screening in terms of mortality and years of life gained. The Lee and Zelen mathematical models have been very useful for assessing the impact of different modalities of early detection on MR and YLG in Catalonia (Spain).

Epidemiology of foodborne Norovirus outbreaks in Catalonia, Spain

Background: Noroviruses are one of the principal biological agents associated with the consumption of contaminated food. The objective of this study was to analyse the size and epidemiological characteristics of foodborne outbreaks of gastroenteritis in Catalonia, a region in the northeast of Spain. Methods: In all reported outbreaks of gastroenteritis associated with food consumption, faecal samples of persons affected were analysed for bacteria and viruses and selectively for parasites. Study variables included the setting, the number of people exposed, age, sex, clinical signs and hospital admissions. The study was carried out from October 2004 to October 2005. Results: Of the 181 outbreaks reported during the study period, 72 were caused by Salmonella and 30 by norovirus (NoV); the incidence rates were 14.5 and 9.9 per 100,000 person-years, respectively. In 50% of the NoV outbreaks and 27% of the bacterial outbreaks (p = 0.03) the number of persons affected was ≥10; 66.7% of NoV outbreaks occurred in restaurants; no differences in the attack rates were observed according to the etiology. Hospitalizations were more common (p = 0.03) in bacterial outbreaks (8.6%) than in NoV outbreaks (0.15%). Secondary cases accounted for 4% of cases in NoV outbreaks compared with 0.3% of cases in bacterial outbreaks (p < 0.001) Conclusion: Norovirus outbreaks were larger but less frequent than bacterial outbreaks, suggesting that underreporting is greater for NoV outbreaks. Food handlers should receive training on the transmission of infections in diverse situations. Very strict control measures on handwashing and environmental disinfection should be adopted in closed or partially-closed institutions.

Cost-effectiveness of early detection of breast cancer in Catalonia (Spain)

Background: Breast cancer (BC) causes more deaths than any other cancer among women in Catalonia. Early detection has contributed to the observed decline in BC mortality. However, there is debate on the optimal screening strategy. We performed an economic evaluation of 20 screening strategies taking into account the cost over time of screening and subsequent medical costs, including diagnostic confirmation, initial treatment, follow-up and advanced care. Methods: We used a probabilistic model to estimate the effect and costs over time of each scenario. The effect was measured as years of life (YL), quality-adjusted life years (QALY), and lives extended (LE). Costs of screening and treatment were obtained from the Early Detection Program and hospital databases of the IMAS-Hospital del Mar in Barcelona. The incremental cost-effectiveness ratio (ICER) was used to compare the relative costs and outcomes of different scenarios. Results: Strategies that start at ages 40 or 45 and end at 69 predominate when the effect is measured as YL or QALYs. Biennial strategies 50-69, 45-69 or annual 45-69, 40-69 and 40-74 were selected as cost-effective for both effect measures (YL or QALYs). The ICER increases considerably when moving from biennial to annual scenarios. Moving from no screening to biennial 50-69 years represented an ICER of 4,469€ per QALY. Conclusions: A reduced number of screening strategies have been selected for consideration by researchers, decision makers and policy planners. Mathematical models are useful to assess the impact and costs of BC screening in a specific geographical area.

L'Origen de l'arquitectura en pedra i l'urbanisme a la Catalunya Occidental

The consolidation of an agricultural economy based in extensive cereals production influenced the development of the typical communities of the plains of western Catalonia during the second millennium BC and the first centuries of the first and differentiated them from the villages of the coast. This paper analyzes the occupation and exploitation pattems of temtories, settlements and specially the development of stone architecture in the Bronze and Iron Age periods. We characterise the process that leads from the first open-air sedentary settlements to the agricultural settlements in early and middle Bronze Age period and the appearance of wellbuilt houses and town planning during the late Bronze Age. We can asses the contribution of the early Urnfield period and link the kind of settlement, the town plan, the architecture and building techniques - which centuries later characterised the Ibero-Ilergeta society - to their origin during the later Urnfield period: systematic exploitation of lands suitable for agriculture (Urgell, Monegros), the phenomenon of concentration-depopulation and the decrease in number of settlements combined with an increase in size.