Alle auteurs: Astrid Versluis, Thuy-My Le, Francine C van Erp Mark A Blankestijn, Geert F Houben, André C Knulst, Harmieke van Os-Medendorp Clin Transl Allergy. 2022;e12119. https://doi-org.saxion.idm.oclc.org/10.1002/clt2.12119 Abstract Background: After a positive food challenge (FC), patients receive dietary advice regarding avoidance of the culprit food. We examined the frequency and variables associated with dietary adherence after a positive FC in adults. Methods: In this prospective daily practice study, adults with a positive FC were included. After every FC, dietary advice was given consisting of three options: (1) strict avoidance, (2) avoidance but products with precautionary allergen labelling (PAL) allowed and (3) (small) amounts allowed. Questionnaires about dietary adherence and associated variables were completed prior to and 6 months after the FC(s). Results: 41 patients (with 58 positive FCs) were included. Overall, patients adhered to the advised diet after 31% of the FCs. After 33 FCs, the advice was strict avoidance, whereof 82% followed a less strict diet. After 16 FCs, the advice was avoidance but products with PAL allowed, whereof 19% followed a less strict and 25% a stricter diet. In 9 FCs with the least strict advice, "(small) amounts allowed'', 67% followed a stricter diet. Three variables were associated with adherence: misremembering dietary advice, impaired health-related quality of life (HRQL) on domain "Emotional impact'' and the need for dietary change after the FC. Conclusion: After one third of the positive FCs, patients adhered to the dietary advice. Variables associated with adherence were misremembering dietary advice, impaired HRQL on domain "Emotional impact'' and the need for dietary change after the FC. It seems important that healthcare professionals should more frequently apply adherence-enhancing strategies to improve dietary adherence.
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Collaborative Online International Learning (COIL) is often framed as an example of a broader practice known as Virtual Exchange (VE). The term Virtual Exchange has increasingly been used as an attempt to unify a fragmented field of Higher Education practice and is often used interchangeably with the term COIL. However, the design of COIL, with its strong focus on collaborative and intercultural learning, is often very different to other VE initiatives. Labelling all VE initiatives, including COIL, generally as VE, can lead to both educators and researchers having difficulty identifying and distinguishing COIL. Therefore, the purpose of this paper is to provide a critical review of VE and define COIL and its key characteristics. This article also describes how theory can inform practice and explains why continued interchangeable use of the term COIL with the umbrella term Virtual Exchange is unhelpful for future research and practice.
The diverse European landscape of climate consciousness is shaped by political values, financial constraints, and country-specific point of view. The aim of the study was to unravel age-specific ecological awareness, forms of engagement, and perceptions, contributing to a nuanced understanding of climate dynamics.Selected regions: Germany (Rheinisches Revier), the Netherlands (Amsterdam Metropolitan Area), and Poland (Upper Silesia/Metropolis GZM) present different states regarding recycling/Circular Economy principles, and different environments.The research design incorporates an inductive qualitative approach to investigate environmental awareness and attitudes toward ecologically friendly behaviors. Six FGIs (Focus Group Interviews) were conducted across three European regions, involving participants from diverse age groups (20–39 years and 40–60 years) in each region.The study shows that ecological awareness varies between countries and generations, reflecting distinctive environmental strategies shaped by cultural and developmental factors. Participants in each region and age group exhibit diverse levels of engagement in sustainable activities, and highlight issues such as the need for tailored strategies, concerns related to eco-labelling, greenwashing, and inadequate waste treatment, as well as information gaps.These variations in pro-environmental attitudes and behaviors across age groups and regions underscore the need for tailored strategies and regional policies. Transparency in waste management, eco-labelling, and sustainable transportation alternatives should be prioritized. Educational initiatives addressing information gaps, especially regarding lifestyle choices, are crucial. Collaboration and interdisciplinary approaches are essential for fostering positive change and a sustainable future across the European Union. Transparent communication, regulatory measures, and accessible eco-friendly options encourage widespread adoption of pro-environmental behaviors.
A major challenge in the textile sector is achieving true circularity while preventing fraud, including false sustainability claims and material mislabelling. The complexity of supply chains and outdated certification systems have resulted in a lack of accountability and transparency. This project addresses these issues by developing and implementing Digital Product Passports, integrated with digital trust mechanisms as verifiable credentials, to create a transparent, responsible, and accountable textile supply chain. The project traces the journey of a corporate fashion t-shirt from cotton sourcing in India to production and distribution in the Netherlands, ensuring full transparency and traceability. Its goal is to drive a shift towards a circular economy by fostering collaboration across the supply chain and empowering stakeholders, particularly Tiers 3 and 4 in the Global South. Schijvens Corporate Fashion leads the effort with regenerative cotton sourcing through Raddis®Cotton, utilising Aware™’s technology solution. Adopting a ‘Fibre-Forward’ approach, the consortium ensures traceability by integrating data from raw material sourcing to end-user. This approach benefits all stakeholders, from farmers to garment producers, by providing verifiable information on fibre origins, social conditions, and ecological impacts. By tracking each fibre and collecting direct data, the project removes the opacity that can undermine sustainability claims. The project enhances accountability and sustainability compliance by utilising decentralised technologies for product verification. Integrating digital identity wallets for individuals and organisations, secured with verifiable credentials, enhances trust and accountability, fostering circular economy practices. Rather than seeing DPPs as the end goal, the project views them as catalysts for systemic change. It prioritises continuous improvement, collaboration, and shared benefits, aiming to establish a regenerative circular economy. Through a practical toolkit, the project will help organisations and policymakers navigate DPP adoption, strengthening transparency and creating a scalable, inclusive system for supply chains across the Global South and -North.
Door de toenemende welvaart wordt in Nederland steeds meer buiten de deur gegeten. Tegelijkertijd kampt bijna de helft van de Nederlanders van 18 jaar en ouder met overgewicht. Buitenshuis consumeert men gemiddeld meer calorieën consumeert dan wanneer het eten thuis wordt bereid. Dit draagt bij aan de overgewichtsproblematiek in Nederland. Daarnaast wordt er ook buitenshuis te veel zout, suiker en verzadigd vet geconsumeerd. De huidige trend van minder dierlijk en meer plantaardig biedt goede mogelijkheden hiervoor. Het zou dus veel gezonder kunnen: minder calorieën en betere kwaliteit (minder zout, suiker verzadigd vet, meer plantaardig). Maar hebben koks en catering personeel de tools en mogelijkheden om dit te veranderen? De gezonde keuze de gemakkelijke keuze laten zijn, dat is de opdracht. Hierbij richten we ons met dit project specifiek op het buitenshuis eten, de Foodservice markt, en meer specifiek bedrijfscatering. De volgende onderzoeksvragen staan centraal in dit project: • Welke tools hebben koks en catering personeel nodig om gezondere gerechten te kunnen samenstellen en aan te bieden in bedrijfsrestaurants? • Hoe kunnen de gasten verleid worden? Wat is het effect van nudging interventies zoals bv. menulabelling, standaard optie, portiegroottes, groente als ‘centre of plate’, etc. op het keuzegedrag van gasten in bedrijfsrestaurants? • Evalueren van een Gezonde bedrijfscateringsconcept 2.0 op een ‘real life’ locatie, gebruikmakend van de uitkomsten van de bovenstaande vragen.
TOURBAN objective is to spearhead a transnational and cross-sectoral movement towards tourism sustainability in urban areas across Europe, leveraging SME capacities and skills to uptake best practices and develop innovative solutions that make them both more sustainable and competitive. It will do so by tackling current urban tourism challenges in an era of increasing tourism visitor pressure, acting in European cities such as Amsterdam, Barcelona, Copenhagen, Dubrovnik, Kiel, Budapest and Tallinn. To achieve the objective, TOURBAN will share knowledge on sustainability strategies and the advantages of adopting sustainable solutions and practices, including EU/internationally recognised certificates and labels (e.g. EU Eco Label, EMAS) and circular economy models. These will be based on case studies and stories from SMEs and other frontrunners in sustainability.The project will share this practical knowledge through highly interactive training workshops and peer-to-peer sessions. Another core element of the project is cross-sector knowledge exchange and collaboration. In addition, more intensive support services will be delivered so that the tourism SMEs can effectively adopt sustainability strategies and seek additional financing. In this, financial support will be provided on the basis of a selection process under a competitive Call for Proposals launched by the Sustainable Urban Tourism Acceleration Programme. In this action, TOURBAN will engage around 70 SMEs from 7 different countries (NL, ES, DK, HR, DE, HU and EE) in a 12-month programme. To drive successful outcomes, the partnership gathers expertise in a wide range of topics related to tourism sustainability and can draw on years of practical experience in incubation, acceleration and SME developmentPartners:Breda University of Applied Sciences (Breda - The Netherlands), Barcelona Chamber of Commerce (Barcelona - Spain), B. Link Barcelona Strategic Projects (Barcelona - Spain), The Institute for Tourism Research in Northern Europe (Kiel - Germany), Estonian Chamber of Commerce and Industry (Tallinn - Estonia), City of Dubrovnik Development Agency (Dubrovnik - Croatia), Creative Business Network (Copenhagen - Denmark), VIMOSZ Hungarian Hospitality Employers’ Association (Budapest - Hungary).
