Going beyond environmental regulations—The influence of firm size on the effect of green practices on corporate financial performance

Despite the various environmental regulations to address the negative effect of construction activities on the environment, the construction sector is still slow to implement green practices (GPs). To encourage construction firms to implement GPs, these firms should be convinced that GPs are a financially viable endeavour. This paper aimed to analyse the influence of GPs on corporate financial performance (CFP) and investigate whether firm size influences that effect. A survey was employed to gather information from Malaysian construction firms, and the data were analysed using partial least squares structural equation modelling. The findings indicate that green supplier management, green subcontractor management, and green project management have significant effects on CFP and that large firms with high levels of green business practices and green project management attained higher CFP than small and medium enterprises. Policymakers and managers should take a flexible approach to boost GPs in the construction industry

2013. Documento Sevilla de Consenso sobre Alternativas a la Transfusión de Sangre Alogénica. Actualización del Documento Sevilla

La transfusión de sangre alogénica (TSA) no es inocua, y como consecuencia han surgido múltiples alternativas a la misma (ATSA). Existe variabilidad respecto a las indicaciones y buen uso de las ATSA. Dependiendo de la especialidad de los médicos que tratan a los pacientes, el grado de anemia, la política transfusional, la disponibilidad de las ATSA y el criterio personal, estas se usan de forma variable. Puesto que las ATSA tampoco son inocuas y pueden no cumplir criterios de coste-efectividad, la variabilidad en su uso es inaceptable. Las sociedades españolas de Anestesiología y Reanimación (SEDAR), Hematología y Hemoterapia (SEHH), Farmacia Hospitalaria (SEFH), Medicina Intensiva y Unidades Coronarias (SEMICYUC), Trombosis y Hemostasia (SETH) y Transfusiones Sanguíneas (SETS) han elaborado un documento de consenso para el buen uso de la ATSA. Un panel de expertos de las 6 sociedades ha llevado a cabo una revisión sistemática de la literatura médica y elaborado el 2013. Documento Sevilla de Consenso sobre Alternativas a la Transfusión de Sangre Alogénica. Solo se contempla las ATSA dirigidas a disminuir la transfusión de concentrado de hematíes. Se definen las ATSA como toda medida farmacológica y no farmacológica encaminada a disminuir la transfusión de concentrado de hematíes, preservando siempre la seguridad del paciente. La cuestión principal que se plantea en cada ítem se formula, en forma positiva o negativa, como: «La ATSA en cuestión reduce/no reduce la tasa transfusional». Para formular el grado de recomendación se ha usado la metodología Grades of Recommendation Assessment, Development and Evaluation (GRADE)

Incidence, clinical characteristics and management of inflammatory bowel disease in Spain: large-scale epidemiological study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD—Crohn’s disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)—during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100, 000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31–56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery. © 2021 by the authors. Licensee MDPI, Basel, Switzerland

Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain : Large-Scale Epidemiological Study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery

Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885

The authors wish to make the following corrections to this paper [...]

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Environmental Protection Expenditure for Companies: A Spanish Regional Analysis

ABSTRACT: Environmental protection has become one of the main concerns in developed economies, which is why an increasing degree of commitment in the field is required from all public and private bodies. Environmental protection in firms must cease to be a secondary, barely profitable objective, involving the performance of sporadic remedial actions, and become just one more element of their organization which, though it may require investment, may also provide a firm with major opportunities and cost reductions. This paper looks at the latest trends in expenditure on environmental protection by industrial firms. The information available is from the Spanish National Statistical Institute (INE), provided for the Spanish regions. Then, using shiftshare analysis, we will seek to ascertain whether there are competitive advantages and each region&apos;s degree of specialization in the main lines of expenditure

Environmental protection expenditure for companies: A Spanish regional analysis

Environmental protection has become one of the main concerns in developed economies, which is why an increasing degree of commitment in the field is required from all public and private bodies. Environ-mental protection in firms must cease to be a secondary, barely profitable objective, involving the performance of sporadic remedial actions, and become just one more element of their organization which, though it may require investment, may also provide a firm with major opportunities and cost reductions. This paper looks at the latest trends in expenditure on environmental protection by industrial firms. The information available is from the Spanish National Statistical Institute (INE), provided for the Spanish regions. Then, using shift-share analysis, we will seek to ascertain whether there are competitive advantages and each region′s degree of specialization in the main lines of expenditure

Estimación de las preferencias del consumidor por los atributos externos e internos de las hortalizas. Un estudio del consumidor alemán

Preference formation developed during the consumer’s evaluation of alternatives is one of the most important stages in models of consumer purchasing behaviour. This is especially true for the purchase of vegetables. The purpose of this paper is to analyze the role of extrinsic versus intrinsic attributes in the behaviour of consumer when purchasing cucumbers, considering four attributes; price, country of origin and production method (extrinsic), and freshness (intrinsic). Utilizing a sample of German tourists visiting the city of Almería (Spain), conjoint analysis methodology is used. The results suggest that an intrinsic aspect (freshness) is the most important attribute for consumers. Therefore, marketers are advised to consider the importance of this attribute to the consumer and try to position the product in the destination markets on the basis of product freshness.El proceso de formación de preferencias que tiene lugar durante la fase de evaluación de alternativas constituye una etapa muy importante en los modelos de comportamiento de compra del consumidor, sobre todo cuando éste se enfrenta con la compra de productos hortícolas. El objetivo de este trabajo es analizar el papel que juegan los atributos extrínsecos e intrínsecos en el comportamiento de compra de pepino, considerando, para ello, cuatro atributos: el precio, el país de origen y el método de producción (atributos extrínsecos), y la frescura (atributo intrínseco). Para ello se utiliza la metodología del análisis conjunto en una muestra de turistas alemanes que han visitado la ciudad de Almería (España). Los resultados muestran una mayor preferencia por un atributo intrínseco como es la frescura del producto. Por tanto, los productores deben de tener en cuenta la importancia de la frescura para el consumidor, y utilizarla para posicionar su producto en los mercados de destino

Environmental sustainable management of small rural tourist enterprises

Rural and nature tourism has experienced high growth over the past 20 years. One of the primary challenges facing rural tourism management is to establish a profitable and environmentally sustain-able industry. Moreover, sustainable tourism is a complex concept and it requires that nature and tourism activity should be studied from an integrated point of view. In this paper, we analyze how the environmental perceptions of entrepreneurs are included into business management. Through a partial least squares (PLS) model, we estimate several latent factors related to various aspects of business management and, in a second phase, we use the FIMIX-PLS algorithm to achieving a segmentation of entrepreneurs according to the structure of relationships obtained, which may allow identification of which factors are more related to an "ecopreneurial management