Analysis of the management of environmental proactivity and its structural determinants in the field of hotel

Recent literature has shown that a firm's environmental commitment can be a potential source of comparative advantage and may translate into higher revenues that could offset the additional costs involved in implementing environmentally friendly measures. Environmental commitment may be due to pressure from consumers who demand good environmental practices from hotels, which in turn could result in the hotels making business decisions that manifest as environmentally proactive measures by the establishment. Together with these hotel management measures, establishments have other structural factors (such as their location or hotel category) that may influence the implementation of environmentally proactive policies. Using discrete choice binomial logit model, this article analyzes the impact of business policy and structural factors on the probability that a hotel establishment can be considered environmentally proactive.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Eco-innovation and management in time of crisis: a comparative analysis of environmental good practices and labour productivity in the spanish hotel industry (2008-2012)

The economic crisis in recent years has significantly affected the Spanish hospitality industry. Some factors that affect labor productivity and therefore business performance in this sector may have affected the productivity in a different way when the economic crisis in Spain became deeper. One such factor is the eco-innovation. In previous works, the authors of this paper have used a variable that holds a set of good environmental practices to analyze the impact of the introduction of eco-innovation measures on labor productivity. The variable "good environmental practice" is an indicator of environmental management and has been introduced in a widely used production function. The main objective of the present work is to compare the impact of that variable on labor productivity into two different times (2008 and 2012) to verify the changes that have occurred as a result of the economic crisis. This analysis was performed for a sample of 173 hotels in Andalusia in 2008 and 181 in 2012.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Improving flash flood frequency analyses by using non-systematic dendrogeomorphic data

Flash floods have a rapid hydrological response in catchments with short lag times, characterized by “peaky” hydrographs. The peak flows are reached within a few hours, thus giving little or no advance warning to prevent and mitigate flood damage. As a result, flash floods may result in a high social risk, as shown for instance by the 1997 Biescas disaster in Spain. The analysis and management of flood risk are clearly conditioned by data availability, especially in mountain areas where usually flash-floods occur. Nevertheless, in mountain basins there is often short data series available that are not accurate in terms of statistical significance. In addition, when flow data is ready for use maximum annual values are generally not as reliable as average flow values, since conventional stream gauge stations may not record the extreme floods, leading to gaps in the time series. Dendrogeomorphology has been shown to be especially useful for improving flood frequency analyses in catchments where short flood series limit the use of conventional hydrological methods. This study presents pros and cons of using a given probability distribution function, such as the Generalized Extreme Value (GEV), and Bayesian Markov Chain Monte Carlo (MCMC) methods to account for non-systematic data provided by dendrogeomorphic techniques, in order to asses flood quantile estimates accuracy. To this end, we have considered a set of locations in Central Spain, where systematic flow available at a gauging site can be extended with non-systematic data obtained from implementation of dendrogeomorphic techniques

A systematic literature review and expert consensus on risk factors associated to infection progression in adult patients with respiratory tract or rectal colonisation by carbapenem-resistant Gram-negative bacteria

Multi-drug resistance; Risk factor; ColonizationResistencia a múltiples fármacos; Factor de riesgo; ColonizaciónResistència a múltiples fàrmacs; Factor de risc; ColonitzacióObjective. Risk factors (RFs) associated with infection progression in patients already colonised by carbapenem-resistant Gram-negative bacteria (CRGNB) have been addressed in few and disperse works. The aim of this study is to identify the relevant RFs associated to infection progression in patients with respiratory tract or rectal colonisation. Material and methods. A systematic literature review was developed to identify RFs associated with infection progression in patients with CRGNB respiratory tract or rectal colonisation. Identified RFs were then evaluated and discussed by the expert panel to identify those that are relevant according to the evidence and expert’s experience. Results. A total of 8 articles were included for the CRGNB respiratory tract colonisation and 21 for CRGNB rectal colonisation, identifying 19 RFs associated with pneumonia development and 44 RFs associated with infection progression, respectively. After discussion, the experts agreed on 13 RFs to be associated with pneumonia development after respiratory tract CRGNB colonisation and 33 RFs to be associated with infection progression after rectal CRGNB colonisation. Respiratory tract and rectal colonisation, previous stay in the ICU and longer stay in the ICU were classified as relevant RF independently of the pathogen and site of colonisation. Previous exposure to antibiotic therapy or previous carbapenem use were also common relevant RF for patients with CRGNB respiratory tract and rectal colonisation. Conclusion. The results of this study may contribute to the early identification of CRGNB colonized patients at higher risk of infection development, favouring time-to-effective therapy and improving health outcomes.This study was funded by Shionogi S.L.U

Instrumentation and biomechanical model for kinematic and kinetic analysis of upper limbs during gait with crutches

[EN] The goal of this study was to develop a three-dimensional kinematic and kinetic model of the right upper extremity and a Lofstrand crutch in order to analyze joint displacements and loads during crutch-assisted gait. A Lofstrand crutch was instrumented with a six-component load cell to measure forces and moments at the crutch tip. The crutch and the right upper extremity of a subject were instrumented with markers to obtain kinematic data. A biomechanical model based on rigid bodies was implemented in biomechanical analysis software. To demonstrate the functionality of the model, a pilot test was conducted on one healthy individual during Lofstrand crutch-assisted gait. The shoulder extended during the support phase and flexed in the swing phase, the elbow flexed during the swing, and the wrist remained in extension throughout the cycle. In the shoulder and elbow joints, the predominant reaction forces were upward, whereas the internal force moments were flexion and extension, respectively. This tool will be useful when it comes to identifying risk factors for joint pathology associated with pattern gait, aid design or crutch overuse.This work was supported by a grant from the Castile-La Mancha Social & Health Foundation (Fundación Sociosanitaria de Castilla la Mancha) (PI2010/50). The research for this manuscript was partially funded by a CONSOLIDER INGENIO grant from the Spanish Ministry of Science and Innovation under its HYPER project (Hybrid NeuroProsthetic and NeuroRobotic Devices for Functional Compensation and Rehabilitation of Motor Disorders, CSD2009- 00067). We should like to thank Ana de los Reyes, Antonio del Ama, Beatriz Crespo, Fernando Trincado, Iris Dimbwadyo, Vicente Lozano, and Soraya Pérez for their contributions to this study.Pérez-Rizo, E.; Solís-Mozos, M.; Belda Lois, JM.; Page Del Pozo, AF.; Taylor, J.; Pons, JL.; Gil-Agudo, Á. (2013). Instrumentation and biomechanical model for kinematic and kinetic analysis of upper limbs during gait with crutches. Journal of Accessibility and Design for All. 3(2):135-156. https://doi.org/10.17411/jacces.v3i2.16S1351563

Towards a classificatión of dendrogeomorphological evidences and their utility in flood hazard analysis

Se analizan los diferentes parámetros dendrogeomorfológicos válidos para la estimación de riesgo

Suppressive Antibiotic Therapy in Prosthetic Joint Infections: A Multicentre Cohort Study

Objectives: The aim was to describe the effectiveness of suppressive antibiotic treatment (SAT) in routine clinical practice when used in situations in which removal of a prosthetic implant is considered essential for the eradication of an infection, and it cannot be performed. Methods: This was a descriptive retrospective and multicentre cohort study of prosthetic joint infection (PJI) cases managed with SAT. SAT was considered to have failed if a fistula appeared or persisted, if debridement was necessary, if the prosthesis was removed due to persistence of the infection or if uncontrolled symptoms were present. Results: In total, 302 patients were analysed. Two hundred and three of these patients (67.2%) received monotherapy. The most commonly used drugs were tetracyclines (39.7% of patients) (120/302) and cotrimoxazole (35.4% of patients) (107/302). SAT was considered successful in 58.6% (177/302) of the patients (median time administered, 36.5 months; IQR 20.75-59.25). Infection was controlled in 50% of patients at 5 years according to Kaplan-Meier analysis. Resistance development was documented in 15 of 65 (23.1%) of the microbiologically documented cases. SAT failure was associated with age <70 years (sub-hazard ratio (SHR) 1.61, 95% CI 1.1-2.33), aetiology other than Gram-positive cocci (SHR 1.56, 95% CI 1.09-2.27) and location of the prosthesis in the upper limb (SHR 2.4, 95% CI 1.5-3.84). SAT suspension was necessary due to adverse effects in 17 of 302 patients (5.6%). Conclusions: SAT offers acceptable results for patients with PJI when surgical treatment is not performed or when it fails to eradicate the infection

Bisphosphonate-related osteonecrosis. Application of adipose-derived stem cells in an experimental murine model

Bisphosphonate-related osteonecrosis of the jaw is a pathological condition without effective established treatment and preventive strategies. The aim of this study was to analyse the effect of adipose-derived stem cells (ASC) in an experimental murine model of osteonecrosis. 38 Wistar rats were injected intraperitoneally with zoledronic acid. After treatment, upper jaw molars were extracted. The animals were randomly assigned to one of two groups. In the control group, saline solution was applied over the alveolar sockets after the tooth extractions. In the treatment group, ASCs were applied instead of saline solution. The control and treatment groups were subdivided based on the time of euthanasia. A clinical and histological analysis was performed. The presence of osteonecrosis in alveolar bone was observed in a similar distribution in both groups. In the ASC-treated group, new bone formation was greater than in controls. In this study, application of ASCs showed greater new bone formation in an osteonecrosis-like murine model. Previous inhibited post-extraction bone remodelling could be reactivated, and these findings appeared to be secondary to implantation of ASCs

Mejoras en la estimación de la frecuencia y magnitud de avenidas torrenciales mediante técnicas dendrogeomorfológicas

Para prevenir el riesgo de inundación, en el análisis científico de la peligrosidad asociada a las avenidas fluviales, clásicamente se han empleado métodos hidrológico-hidráulicos y, en menor medida, histórico-paleohidrológicos y geológico-geomorfológicos. Sin embargo, estas técnicas plantean enormes incertidumbres científicas por la disponibilidad de los datos de partida, su validez espacio-temporal, y su representatividad estadística. La Dendrogeomorfología es un conjunto de técnicas que, aprovechando fuentes de información registradas en las raíces, troncos y ramas de los árboles y arbustos ubicados en determinadas posiciones geomorfológicas (bancos de orilla, barras longitudinales, llanura de inundación, etc.), permite completar (e incluso suplir) el registro sistemático y paleohidrológico de avenidas torrenciales que han acontecido en esa corriente. En este artículo se propone investigar, se muestran los resultados-tipo y se discute sobre la aplicación y limitaciones de las fuentes de datos y los métodos científicos derivados del análisis dendrogeomorfológico. Para llevarlo a cabo, se sugiere una combinación de métodos de adquisición de datos en campo, estudios de laboratorio y análisis de datos en gabinete, con un plan de trabajo que contempla doce tareas o actividades: 1, caracterización geomorfológica; 2, caracterización florística; 3, muestreo de ejemplares: 4, adquisición de datos topográficos detallados; 5, preparación de las muestras; 6, conteo y medida de los anillos de crecimiento; 7, estudio anatómico e histológico; 8, sincronización de las series; 9, detección y datación de eventos; 10, modelación hidráulica de tramos; 11, análisis estadístico de caudales de avenida; y 12, cartografía de las áreas de peligrosidad por avenidas torrenciales y mapas de riesgo. - In order to prevent flood risks, scientific fluvial flood hazard analysis has been carried out traditionally with hydrologic and hydraulic methods, and secondarily, using palaeohydrological-historical and geological-geomorphological methods. Nonetheless, these techniques pose countless uncertainties due to the availability of the data, their spatio-temporal validity and their statistical representativeness. Dendrogeomorphology is a set of techniques that takes advantage of sources of information registered in roots, trunks and branches of trees or treelike bushes placed in certain geomorphological locations (such as banks, longitudinal bars, flood prone areas, etc.), that may be useful to complete the systematic registry or paleohydrologic data of torrential floods that have occurred in a certain stream. The aim of this paper is to research the usefulness and limitations of the data sources and methodologies derived from the dendrogeomorphological analysis. For accomplishing this objective a combination of methods is proposed, from data acquisition methods in field, laboratory studies, to data analysis. The schedule comprises twelve tasks: 1, geomorphologic characterization; 2, floristic characterization; 3, species sampling: 4, acquisition of detailed topographic data; 5, sample arrangement; 6, growth ring count and measurement; 7, hystologic and anatomic study; 8, series synchronization; 9, event detection and dating; 10, hydraulic reach modelling; 11, flow data statistical analysis; y 12, hazard and flood prone areas cartography and risk mapping

Non-O1 Vibrio cholerae inguinal skin and soft tissue infection with bullous skin lesions in a patient with a penis squamous cell carcinoma

Vibrio spp. is a pathogen rarely isolated in cancer patients, and in most cases it is associated with haematological diseases. Cutaneous manifestations of this organism are even rarer. We report a case of Non-O1 Vibrio cholerae inguinal skin and soft tissue infection presenting bullous skin lesions in a young type II diabetic patient with a penis squamous cell carcinoma having a seawater exposure history