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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.

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.

Local development is a subject that arouses significant interest in the international scientific community in general, and in the Ibero-American one, in particular. The process of globalization has transformed the management of local development, altering the role that is played by local and regional entities, and it is the object of an important follow-up and analysis by academia. This research uses a bibliometric methodology and a fractional counting method, reviewing the 738 articles from the Scopus database in order to understand the state of Ibero-American research on local development, and analyze the scientific literature on the topic. The results show a significant increase in the number of publications in the 21st century, with Spain and Brazil leading the way. In addition, this research provides interesting results regarding the most influential authors on this topic, the most relevant journals, and the most important institutions and funding organizations. There are several areas of knowledge involved since local development is a transversal field, such as Social Science, environment, business, economics, and agriculture. A deep analysis of authors’ keywords identified new trends, linking local development with tourism, education, geotourism, climate change, local sustainable development, social innovation, and creativity, which provides academia with potential new lines of research.

Despite the great number of models developed in research projects, only a small percentage have been successfully transferred to the productive sector. The PRIMA programme supported by Horizon 2020, the European Union Framework Programme for Research and Innovation, aims to reverse this situation. The SUPROMED project funded by PRIMA sought to develop an online platform composed of several models adapted to the requirements of end users for increasing the economic and environmental sustainability of Mediterranean agricultural systems. MOPECO, in its research version, was designed to maximize the profitability of irrigated farms in water-scarce regions. A simplified version of this model (MOPECO irrigation scheduling) was included in the SUPROMED platform for improving irrigation efficiency, providing farmers with a useful irrigation scheduling software. This paper shows the approach to adapt and transfer MOPECO to the productive sector. The tool was validated in three different demosite areas across the Mediterranean, involving local stakeholders in the design, validation, and dissemination of the software. The simplified tool reached similar or higher yields than farmers using less water. Thus, the average water saved was around 16%, while the average yield increased around 10% in the plots located in the three demosites of the project (Eastern Mancha in Spain, Bekaa valley in Lebanon, and Sidi Bouzid in Tunisia). This fact decreased the water footprint and increased the profitability of farms. The high applicability of the tool has generated interest among many technicians, farmers, and advisory enterprises. Furthermore, regional and national governmental extension services have shown interest in spreading the use of the tool across their territories, validating the methodology used for adapting and transferring a scientific model to the productive sector.

Higher education is incorporating Information and Communication Technology (ICT) at a fast rate for different purposes. Scientific papers include within the concept of Technology Enhanced Learning (TEL) the myriad applications of information and communication technology, e-resources, and pedagogical approaches to the development of education. TEL’s specific application to higher education is especially relevant for countries under rapid development for providing quick and sustainable access to quality education (UN sustainable development goal 4). This paper presents the research results of an online pedagogical experience in collaborative academic research for analyzing good practice in TEL-supported higher education development. The results are obtained through a pilot implementation providing curated data on TEL competency’s development of faculty skills and analysis of developing sustainable higher education degrees through TEL cooperation, for capacity building. Given the increased volume and complexity of the knowledge to be delivered, and the exponential growth of the need for skilled workers in emerging economies, online training is the most effective way of delivering a sustainable higher education. The results of the PETRA Erasmus+ capacity-building project provides evidence of a successful implementation of a TEL-supported methodology for collaborative faculty development focused on future online degrees built collaboratively and applied locally.

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

The social confinement resulting from the COVID-19 crisis temporarily reduced greenhouse gas emissions. Although experts contend that the decrease in pollution rates was not drastic, some surveys detect growth in social concern about the climate. In this new climate-conscious environment, municipalities and local governments are promoting a new way of living and caring for cities, even before they can regain national and international freedom of movement. This work analyzes the connections between new climate awareness arising from the COVID-19 crisis, proposals of sustainable citizenship around the world, and its communication on Twitter to educate the new eco-conscious audience. The methodology mixes quantitative and qualitative analysis, using the Twitonomy Premium tool and the Twitter research tool with data extracted at the end of December 2020. Among the top ten most influential and active accounts, the results show educational institutions, local institutions, companies, neighborhoods, associations, and influencers. The impossibility of living in the city has not prevented citizen education and commitment to make real change for when that city and its citizens return to normality. However, this new normality must be different: more ecological, more responsible, more sustainable, and practiced from early childhood.

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.