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This study assessed the hand hygiene performance in French nursing homes using the consumption of alcohol-based hand rubs (AHRs) as a surrogate. Nursing homes from the 17 French regions were contacted to collect their AHR consumption and occupancy in 2018 and 2019. A total of 1290 nursing homes from 15 French regions participated in the survey. The estimated median number of hand hygiene actions per resident-day was 1.48 (interquartile range: 1.04-2.03) in 2018 and 1.60 (1.10-2.26) in 2019. A significantly higher AHR consumption was observed in public nursing homes with an infection control team or link nurse.

In this study, we investigated the influence of overall financial development and its components on energy consumption using the panel data of 120 countries and the generalized method of moments (GMM). By dividing the sample into developed and developing countries, we further examined the national differences of the impact of financial development on energy consumption. The empirical results indicate that the overall financial development significantly positively impacts energy consumption from a worldwide perspective, and its two components (financial institution and the financial market) have the same effect. The analysis of national differences indicates that the financial development also positively impacts energy consumption in developing countries but with no obvious effect in developed countries. The results also suggest that financial development cannot be used to restrain the increase in energy consumption from the global perspective, and policymakers in developing countries must balance the relationship between the development of the financial sector and energy consumption.

Purpose This study aims to consider environmental sustainability, a global challenge under the preview of sustainable development goals, highlighting the significance of knowledge economy in attaining sustainable aggregate demand behavior globally. For this purpose, 155 countries that have data available from 1995 to 2021 were selected. The purpose of selecting these countries is to test the global responsibility of the knowledge economy to attain environmental sustainability. Design/methodology/approach Results are estimated with the help of panel quantile regression. The empirical existence of aggregate demand-based environmental Kuznets curve (EKC) was tested using non-linear tests. Moreover, principal component analysis has been incorporated to construct the knowledge economy index. Findings U-shaped aggregate demand-based EKC at global level is validated. However, environmental deterioration increases with an additional escalation after US$497.945m in aggregate demand. As a determinant, the knowledge economy is reducing CO2 emissions. The knowledge economy has played a significant role in global responsibility, shifting the EKC downward and extending the CO2 reduction phase for every selected country. Further, urbanization, energy intensity, financial development and trade openness significantly deteriorate the environmental quality. Originality/value This study contains the empirical existence of aggregate demand-based EKC. The role of the knowledge economy is examined through an index which is calculated by using four pillars of the knowledge economy (technology, innovations, education and institutions). This study is based on a combined panel of all the countries for which the data was available.

The COVID-19 pandemic has tremendously affected the whole of human society worldwide. Travel patterns have greatly changed due to the increased risk perception and the governmental interventions regarding COVID-19. This study aimed to identify contributing factors to the changes in public and private transportation mode choice behavior in China after COVID-19 based on an online questionnaire survey. In the survey, travel behaviors in three periods were studied: before the outbreak (before 27 December 2019), the peak (from 20 January to 17 March 2020), and after the peak (from 18 March to the date of the survey). A series of random-parameter bivariate Probit models was developed to quantify the relationship between individual characteristics and the changes in travel mode choice. The key findings indicated that individual sociodemographic characteristics (e.g., gender, age, ownership, occupation, residence) have significant effects on the changes in mode choice behavior. Other key findings included (1) a higher propensity to use a taxi after the peak compared to urban public transportation (i.e., bus and subway); (2) a significant impact of age on the switch from public transit to private car and two-wheelers; (3) more obvious changes in private car and public transportation modes in more developed cities. The findings from this study are expected to be useful for establishing partial and resilient policies and ensuring sustainable mobility and travel equality in the post-pandemic era.

This dataset currently consists of a single excel file which contains the Scottish Social Accounting Matrix for 2013, with households being disaggregated into quintiles based on their weekly income. The dataset has been used to study the impact of Energy Efficient Scotland programme and associated work that explored how the anticipated impacts may change due to Brexit

Household Surveys performed in four villages selected from Oromia, Amhara and Southern Nations, Nationalities, and Peoples’ Region (SNNPR) following from the ‘Ethiopian Rural Household Survey’ (ERHS) conducted in 2004.It contains detailed data on household consumption and expenditures, assets, income, agricultural activities, land allocation, demographic characteristics, and other variables. From September 2011 to January 2012 another survey of 221 households was conducted in three major regions of central and southern Ethiopia. At the time of this latest survey effort the most recent ERHS survey data available was from 2004. The selection of respondents, determination of sample size, and apportionment of the sample were based on a proportional sampling technique.In addition to addressing important questions from the ERHS survey data, the field survey was designed to generate detailed information on household biomass energy production and consumption practices; as well as farming activities; labour and land allocation; economic and demographic characteristics; and expenditures on food, non-food items, and energy. The 2011 survey effort collected detailed household biomass energy use data. The measurement of household biomass energy use was obtained in traditional units and later converted into kilograms. The conversion factors for each of the biomass were collected from the closest urban centre of each of the study areas. Information obtained on household biomass energy use was collected for a time period of one week before the survey was conducted. It was then aggregated into annual figures, although household biomass energy use may vary seasonally. Quality/Lineage: The data was collected by qualified enumerators who had participated in previous ERHS survey. In addition to myself I recruited assistant supervisor to check the accuracy and quality of data on daily basis and followup interview process closely. Before the survey commenced a pilot survey was conducted in each of the study areas to identify the different types of energy households are using and other critical variables of interest for the research. This information was used to revise and improve questionnaire. Moreover, a one day in-depth training was given to enumerators and assistant supervisor to enrich their deeper understanding of each the question in the survey and to further improve questionnaire from their earlier experiences in those villages. Purpose: Over 90% of Ethiopian rural population rely on biomass energy. However, biomass energy utilization is linked to household livelihood as in rural households produce and consume biomass energy simultaneously with other (on and off-farm)activities. With the rampant rate of deforestation that Ethiopia is facing it is important to investigate the effect of deforestation or fuelwood scarcity which is assumed affect household welfare through influence on wage and price. In light of this, the survey effort collected information on household use of biomass energy sources, expenditure and labour allocation choices and amount of labour time used for each activities.This helped me to investigate the effect of fuelwood scarcity on household welfare from three aspects: labour allocation decision, energy expenditure and fuel choice and biomass energy consumption behavior to better understand the related linkage of household production and utilization of biomass with livelihoods or food security. This dataset was first published on the institutional Repository "Zentrum für Entwicklungsforschung: ZEF Data Portal" with ID={c08e08aa-3055-4651-801b-0383610c1987}.

Aims The aim of this study was to determine whether the sequential application of povidone iodine-alcohol (PVI) followed by chlorhexidine gluconate-alcohol (CHG) would reduce surgical wound contamination to a greater extent than PVI applied twice in patients undergoing spinal surgery. Patients and Methods A single-centre, interventional, two arm, parallel group randomised controlled trial was undertaken, involving 407 patients who underwent elective spinal surgery. For 203 patients, the skin was disinfected before surgery using PVI (10% [w/w (1% w/w available iodine)] in 95% industrial denatured alcohol, povidone iodine; Videne Alcoholic Tincture) twice, and for 204 patients using PVI once followed by CHG (2% [w/v] chlorhexidine gluconate in 70% [v/v] isopropyl alcohol; Chloraprep with tint). The primary outcome measure was contamination of the wound determined by aerobic and anaerobic bacterial growth from samples taken after disinfection. Results The detection of viable bacteria in any one of the samples taken after disinfection (culture-positive) was significantly lower in the group treated with both PVI and CHG than in the group treated with PVI alone (59 (29.1%) versus 85 (41.7%), p = 0.009; odds ratio 0.574; 95% confidence interval, 0.380 to 0.866). Conclusions Antisepsis of the skin with the sequential application of PVI and CHG more effectively reduces the contamination of a surgical wound than PVI alone. Cite this article: Bone Joint J 2017;99-B:1354–65.

Although the United Nations’ Sustainable Development Goals (SDGs) advocate, through SDG 4 and SDG 10, equitable quality education and the reduction of inequalities within and between countries, respectively, few studies have examined how inequalities in regional sustainability influence higher education. Therefore, this study aims to examine the relationship between regional sustainability and higher education in China using fixed-effects panel modelling. A systematic force framework showing how regional sustainability drives higher education was constructed from economic, social, and environmental perspectives, and the endogeneity in the process of how regional sustainability affects higher education was explored by introducing one-year lagged values as instrumental variables. Our results show that regional sustainability has a significant impact on higher educational attainment in China, with differing effects in the eastern, central, and western regions, respectively. In central China, economic sustainability plays a significant positive role in higher educational attainment; in the western region, economic and social sustainability have stronger positive effects, while environmental sustainability has significantly negative effects. In terms of policy implications, our findings can be used to support regional development policies to promote regional higher education.

The increasing depletion of natural resources, combined with a wider set of pressures on the environment, has, in recent years, highlighted the need for a more efficient use of energy and a development process that involves alternative energy sources. Energy efficiency has received much attention as a solution, implying both monetary and emissions savings. However, the latter may be partially offset by the income and demand effects of the former, both in more efficient sectors and in spreading to the wider economy. This is the problem of rebound effects. Taking Spain as a case study, and introducing an energy-related CGE model that develops the inclusion of renewables, this paper evaluates a combination of efficiency initiatives to deliver both reduced energy use by households and a more sustainable supply of energy. Our findings suggest that a package aimed at improving efficiency in household electricity and petroleum use, combined with a more competitive supply of energy from renewable sources, may be the only way to get reductions in all energy use, and thus benefit the economy. Specifically, we consider how this package may lead to positive economic impacts and associated rebound effects, where the latter are focused on a greener energy supply.