From intention to action:Enabling sustainable agriculture in emerging economies through decentralized regulations for manure management

This study contributes to the debate about effective regulatory strategies for environmental regulation in achieving sustainable agriculture, particularly in understudied emerging economies. We leverage the case of swine manure recovery in China to illuminate this crucial but under‐researched context. Building on the theory of planned behavior, which posits a gap between intention and behavior, we investigate how these regulations and their combinations influence swine farmers' intentions and behaviors toward resource recovery. Findings reveal command‐and‐control regulations most effectively stimulate initial intentions, while incentive‐based regulations work best in bridging the gap between intention and action. Information‐based approaches further strengthen this conversion, particularly when combined with incentives. Bridging the disciplines of regulation and behavioral science, this study advances theoretical understanding of the intention‐behavior gap in environmental policy. It informs effective regulation design that promote sustainable agricultural practices in developing countries, ultimately contributing to achieving the Sustainable Development Goals

From intention to action:Enabling sustainable agriculture in emerging economies through decentralized regulations for manure management

This study contributes to the debate about effective regulatory strategies for environmental regulation in achieving sustainable agriculture, particularly in understudied emerging economies. We leverage the case of swine manure recovery in China to illuminate this crucial but under‐researched context. Building on the theory of planned behavior, which posits a gap between intention and behavior, we investigate how these regulations and their combinations influence swine farmers' intentions and behaviors toward resource recovery. Findings reveal command‐and‐control regulations most effectively stimulate initial intentions, while incentive‐based regulations work best in bridging the gap between intention and action. Information‐based approaches further strengthen this conversion, particularly when combined with incentives. Bridging the disciplines of regulation and behavioral science, this study advances theoretical understanding of the intention‐behavior gap in environmental policy. It informs effective regulation design that promote sustainable agricultural practices in developing countries, ultimately contributing to achieving the Sustainable Development Goals

From intention to action:Enabling sustainable agriculture in emerging economies through decentralized regulations for manure management

This study contributes to the debate about effective regulatory strategies for environmental regulation in achieving sustainable agriculture, particularly in understudied emerging economies. We leverage the case of swine manure recovery in China to illuminate this crucial but under‐researched context. Building on the theory of planned behavior, which posits a gap between intention and behavior, we investigate how these regulations and their combinations influence swine farmers' intentions and behaviors toward resource recovery. Findings reveal command‐and‐control regulations most effectively stimulate initial intentions, while incentive‐based regulations work best in bridging the gap between intention and action. Information‐based approaches further strengthen this conversion, particularly when combined with incentives. Bridging the disciplines of regulation and behavioral science, this study advances theoretical understanding of the intention‐behavior gap in environmental policy. It informs effective regulation design that promote sustainable agricultural practices in developing countries, ultimately contributing to achieving the Sustainable Development Goals

Research on the Influence Mechanism of Rational Consumers’ Food Safety Supervision Satisfaction

As emerging food safety incidents have gained widespread concerns, research on consumers’ attitudes towards this issue is crucial to create effective solutions. To this end, in accordance with relevant data of consumers in 13 cities with subordinate districts, Jiangsu province, this paper divided different consumer groups by their experience so as to study their degree of satisfaction towards food safety and corresponding influencing factors. According to the descriptive statistics and the building of the cumulative logistic regression model, the results therefrom showed that consumers with direct or indirect experience have separate attitudes towards food safety which cannot be changed by changing consumers’ personal characteristics. Moreover, the two groups are divided in their demands in food production and consumption along with exceptions on policy implementation, etc. Finally, suggestions to improve consumers’ satisfaction are given in at the end of the paper

The Relationship between Green Organization Identity and Corporate Environmental Performance: The Mediating Role of Sustainability Exploration and Exploitation Innovation

The link between green organizational identity (GOI) and corporate environmental performance (CEP) has been investigated, but existing studies have no consistent conclusion. A significant research gap remains regarding the mediating role of sustainability exploration innovation (SER), sustainability exploitation innovation (SEI), and the moderating role of government environmental regulation (GER). This study explored the relationship between GOI and CEP in a moderated meditation model which includes SER, SEI, and GER. Using structural equation modelling and bootstrap method based on data sets from of 380 Chinese companies, the results show that: (1) GOI promotes SER, thereby enhancing CEP; (2) GOI promotes SEI, thereby enhancing CEP; (3) GER can positively moderate the indirect effect of GOI on CEP via SER; (4) GER negatively moderate the indirect effect of GOI on CEP via SEI. These findings suggest that firms choose different innovative ways between SER and SEI to improve CEP which depends on different levels of GER in China

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London