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Article

This article has been withdrawn as it was published elsewhere and accidentally duplicated. The original article can be seen here: 10.1108/14664100010343971. When citing…

Abstract

This article has been withdrawn as it was published elsewhere and accidentally duplicated. The original article can be seen here: 10.1108/14664100010343971. When citing the article, please cite: Javier Ena, Concepción Benito, (2000), “Achieving plasma HIV RNA below the level of detection in clinical practice”, British Journal of Clinical Governance, Vol. 5 Iss 2 pp. 100 - 105.

Details

Clinical Performance and Quality Healthcare, vol. 8 no. 2
Type: Research Article
ISSN: 1063-0279

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Abstract

Aims to assess the impact of a day‐care center (DCC) on hospital bed usage by HIV‐infected patients. Reviews the medical records of 710 hospital admissions of HIV‐infected patients admitted to two Spanish hospitals, one of them with a DCC, over a three‐year period. The proportion of unnecessary admissions was significantly higher in the hospital without a DCC. The rate of hospital admissions among patients who were admitted to hospital was also greater in the hospital without a DCC, as well as the rate of admissions among patients on antiretroviral drugs. Concludes that the availability of a DCC improves the appropriateness of hospital admissions and decreases the number of hospitalizations in HIV‐infected patients.

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British Journal of Clinical Governance, vol. 6 no. 2
Type: Research Article
ISSN: 1466-4100

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Article

Javier Ena and Concepción Benito

Clinical trials have shown that highly active antiretroviral therapy (HAART) reduces plasma HIV RNA below the detection level in up to 90 per cent of patients. To assess…

Abstract

Clinical trials have shown that highly active antiretroviral therapy (HAART) reduces plasma HIV RNA below the detection level in up to 90 per cent of patients. To assess the independent predictors that are associated with achieving undetectable plasma HIV RNA in the daily clinical practice, we carried out a retrospective study. Among 106 HIV‐infected patients treated with HAART, 63 (59 per cent) achieved undetectable plasma HIV RNA (less than 400 copies/ml) at their last visit. Adherence with HAART (greater than 80 per cent of prescribed dose) was self‐reported by 81 patients (76 per cent). Independent predictors of achieving undetectable plasma HIV RNA were: self‐reported adherence to therapy (Odds ratio [OR] 11.79, 95 per cent Confidence intervals [CI]: 3.55‐33.17, p = 0.0001) and lack of previous antiretroviral therapy (OR: 3.12, 95 per cent CI: 1.09‐8.96, p = 0.03). The efficacy of antiretroviral therapy observed in the daily clinical practice was noticeably lower than that reported in clinical trials. Patient adherence with prescribed HAART and lack of previous antiretroviral therapy are important factors related to successful therapy in the real world.

Details

British Journal of Clinical Governance, vol. 5 no. 2
Type: Research Article
ISSN: 1466-4100

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Article

Concepción Garcés-Ayerbe, Sabina Scarpellini, Jesus Valero-Gil and Pilar Rivera-Torres

The environmental management literature has focussed on the analysis of the variety of strategic options with regards to environment protection, without providing an…

Abstract

Purpose

The environmental management literature has focussed on the analysis of the variety of strategic options with regards to environment protection, without providing an interesting detail of the transformation and change process between the different alternatives. Therefore, the purpose of this paper is to study pro-environmental change processes in firms, focussing on the width and the intensity of environmental measures implemented in a three-year period in different areas (productive process, product, management and supply chains).

Design/methodology/approach

Performing a cluster analysis based on a sample of 303 Spanish firms, the study finds four categories of pro-environmental change.

Findings

The comparative analysis of these categories leads the authors to describe the pro-environmental change process as one with four stages that firms can go through. The first pro-environmental stage focusses on process measures. The second stage focusses on the adoption of management measures together with process measures. In the third stage, the firm moves after including measures in the product and in the supply chains. Companies that wish to advance further in this process, reaching the fourth stage of pro-environmental change, do so by increasing the intensity of the different measures adopted in previous stages, and through eco-innovation.

Research limitations/implications

The main contribution of this paper relative to the previous literature is a more detailed vision of the strategic possibilities in environmental protection, providing information about the process of change and about how firms evolve to more advanced environmental strategy stages. Knowledge of this evolution process, little studied in the previous literature, helps us to understand the complexity and strategic significance of adopting environmental protection measures. This knowledge is useful for academics and for public and private managers responsible for designing and developing environmental strategy.

Originality/value

One of the most original findings of this paper points out that it is possible to identify a pattern of environmental change through which firms can evolve. In this change process, firms start by adopting process measures, while they adopt eco-innovation behaviour only in the most advanced stage of environmental proactivity.

Details

Journal of Organizational Change Management, vol. 29 no. 7
Type: Research Article
ISSN: 0953-4814

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Article

Concepción Garcés‐Ayerbe, Pilar Rivera‐Torres and Josefina L. Murillo‐Luna

This study aims to learn more about the relationship between managers' perception of stakeholder pressure related to environmental matters and the degree of proactivity of…

Abstract

Purpose

This study aims to learn more about the relationship between managers' perception of stakeholder pressure related to environmental matters and the degree of proactivity of firms' environmental strategies. It seeks to analyse the moderating effect that managers' perception of environmental issues as competitive advantage opportunities can have on this relationship.

Design/methodology/approach

Structural equation modeling (SEM) is applied to verify the research framework.

Findings

The results indicate that, only in the least polluting firms, managers' competitive advantage expectations derived from environmental management moderate the relationship between the degree of environmental proactivity and stakeholder pressure. However, it is not effective in high polluting firms, perhaps as a consequence of the high degree of stakeholders' environmental pressure perceived by managers.

Practical implications

The results highlight the relevance of managers' subjective perceptions of the potential of environmental protection measures to generate competitive advantages. They suggest that the consideration of this variable is fundamental in order to better understand the degree of proactivity of firms' environmental strategies, as well as the influence of stakeholder pressure on environmental proactivity. The main limitation is the low response rate of the survey.

Originality/value

This is an original contribution because, although there are studies analysing how stakeholder pressure and managers' perceptions and values affect choice of environmental strategy, none of them analyse the combined impact of both issues.

Details

Management Decision, vol. 50 no. 2
Type: Research Article
ISSN: 0025-1747

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Article

Flavia Mabel Rinaldi, Lucía Maglio, Iliana Pisarro and Laura Basterrechea

This presentation intends to illustrate through the example of a few specific cases of urban actions and projects, those instances in which the existence of built heritage…

Abstract

Purpose

This presentation intends to illustrate through the example of a few specific cases of urban actions and projects, those instances in which the existence of built heritage leads to the recognition of identity and valuable contribution as a tool to regenerate, promote residence and economic development.

Design/methodology/approach

Introducing a conceptual framework for identity and culture it is possible to start the recognition of buildings, spaces, stories that configure own particularity to cities. And those would be the elements that would be configured as tools to involve the actions and transformation of the area. Studying each one of the heritage elements detected it is possible to trace a chorus line that impulse the new activity proposal.

Findings

Cases presented in this article were really astonishing in terms of impact and provoked many favorable externalities around them. It is possible to confirm that history and stories as good as buildings and determined places can help regeneration with its own promotion and new ideas applied for better results.

Originality/value

In fact, heritage as a concept, cultural tangible and intangible, is a powerful tool to regenerate cities, to promote economical activity and bind communities toward social development.

Details

Journal of Cultural Heritage Management and Sustainable Development, vol. 11 no. 2
Type: Research Article
ISSN: 2044-1266

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Article

Yolanda León-Fernández and Eugenio Domínguez-Vilches

This paper aims to analyse trends in implementing the main initiatives in the field of environmental management and sustainability in Spanish universities, taking as a…

Abstract

Purpose

This paper aims to analyse trends in implementing the main initiatives in the field of environmental management and sustainability in Spanish universities, taking as a reference point the guidelines adopted by a number of universities in countries most committed to sustainable development.

Design/methodology/approach

An analysis of information available on the Internet and of data collected from a questionnaire completed by a significant proportion of Spanish higher education institutions was carried out.

Findings

The research found that the Spanish university system follows international trends: it possesses permanent working structures, applies a variety of environmental management and sustainability tools and carries out other activities related to the environment and sustainable development. But there still appears to be scope for improvement in some aspects, including to increase the visibility of the efforts in the environmental area, and other aspects such as the varying terminology used to refer to similar tools and processes and, conversely, of the same nomenclature to refer to distinct concepts.

Originality/value

This paper provides new data and updated information on sustainability in Spanish universities and some recommendations for improvement.

Details

International Journal of Sustainability in Higher Education, vol. 16 no. 4
Type: Research Article
ISSN: 1467-6370

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