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Considering lean thinking inside and beyond the organisation's boundaries, in the extended supply chain, this paper aims to fill a literature gap clearly stating some outsourcing practices as lean practices and establishing a deployment evolution parallel between both practices.

A literature review was carried out collecting cases of lean deployment in healthcare, from both scientific and grey literature. Cases were classified according to lean deployment taxonomy in healthcare settings, showing some differences in lean journey stages in 15 countries.

There is an alignment between SCM thinking in healthcare and lean thinking that places a SCM decision as outsourcing as a lean practice serving not only strategic intent but solving operational efficiency. There is a match between different outsourcing drivers (transactional, strategic and transformational) and lean maturity levels. The main constraint to deployment of both lean and outsourcing practices are cultural differences.

Understanding lean and outsourcing different deployment maturity levels under the national cultural umbrella can open new perspectives to study lean sustainability factors and better outsourcing relationships in healthcare organisations.

This paper presents a merger between the state‐of‐the art of both lean and outsourcing practices in healthcare settings and suggests an outsourcing and lean evolving pathway.

Understanding how VMI benefits serve lean purposes in healthcare and why its outcomes can be difficult to achieve in healthcare settings is the main purpose of this study.

An in‐depth case study of VMI is presented in the perspective of the downstream member, a public general multi‐site hospital, operating as a small scale consolidated service centre in terms of material management, exploring such dimensions as: VMI benefits, risks, barriers and enablers.

Despite some unawareness of VMI benefits in healthcare, it can present a waste reduction solution not only in costs but in the quality of care for freeing clinical professionals to clinical tasks, among other savings. The multiple benefits are better explored, as in any relationship building, by investing in partnership creation and overcoming the idiosyncratic barriers of the healthcare sector.

Although findings of a single case study are difficult to generalize, the protocol and methodology presented allow replication in other units of analysis with the same inclusion criteria.

This paper brings the lean deployment discussion out of the organization's boundaries, showing the interconnections and pointing to the need for future work that would allow healthcare managers to build a lean supply chain.

By considering VMI an outsourcing alternative, this paper identifies the lean thinking intent behind such options and enhances the idiosyncratic difficulties in full deployment in the healthcare sector, a less studied setting.

We present a critical literature review debating Brazilian research on social and environmental accounting (SEA). The aim of this study is to understand the role of politics in the construction of hegemonies in SEA research in Brazil. In particular, we examine the role of hegemony in relation to the co-option of SEA literature and sustainability in the Brazilian context by the logic of development for economic growth in emerging economies. The methodological approach adopts a post-structural perspective that reflects Laclau and Mouffe’s discourse theory. The study employs a hermeneutical, rhetorical approach to understand and classify 352 Brazilian research articles on SEA. We employ Brown and Fraser’s (2006) categorizations of SEA literature to help in our analysis: the business case, the stakeholder–accountability approach, and the critical case. We argue that the business case is prominent in Brazilian studies. Second-stage analysis suggests that the major themes under discussion include measurement, consulting, and descriptive approach. We argue that these themes illustrate the degree of influence of the hegemonic politics relevant to emerging economics, as these themes predominantly concern economic growth and a capitalist context. This paper discusses trends and practices in the Brazilian literature on SEA and argues that the focus means that SEA avoids critical debates of the role of capitalist logics in an emerging economy concerning sustainability. We urge the Brazilian academy to understand the implications of its reifying agenda and engage, counter-hegemonically, in a social and political agenda beyond the hegemonic support of a particular set of capitalist interests.

This chapter examines elements of the regulatory framework in effect in the Brazilian Border Region and neighboring countries as they interact with elements of the culture industry. Located in what is referred to as the Southern Arc, the first city we examine, Foz do Iguaçu-PR, lies on the border between Paraguay and Argentina. The second city is Tabatinga-AM, part of the conurbation region made up by a Colombian city and including the Peruvian border, coming to be known as the Northern Arc.

Our research was produced through the triangulation of primary data obtained in two trips into the field, carried out in 2013 and 2014, secondary data (official and semi-official) and academic bibliography.

Although projects relating to border integration, citizenship and economic development do exist, they do not question or challenge a nationalistic and politicized regime of representation portraying border areas primarily as routes for cocaine traffic or home to terrorist cells. The representation regime disseminated by mainstream media thus reduces the rich color and dynamics of the region to impoverished tones of gray recognizable in terms of “the name of the other.”

This chapter provides a relevant contribution to our understanding of communication processes carried out in two different regions of Brazil, both of them located far from the spotlights of mainstream Brazilian media. We employ a theoretical framework that combines geography of communication with perspectives on communication in borderland regions.

This paper aims to contribute to research on corporate governance in regulated sectors, with emphasis in the field of activity of foreign investors through the ownership structure and legal system that regulates companies in Brazil.

In the first moment, the investigation had a quantitative approach of relational nature. Based on the data about the valuation of actions, statistical methods were applied to a secondary database containing measurable information provided by the organizations that operate the Brazilian stock-market and documentary evidence provided by the companies. In the second moment, a qualitative approach was adopted, resorting on the use of semi-structured interviews with investors and agents of the sector.

The results lead to two paths: presenting the perspective that foreign investors play a key role in improving governance practices because foreign ownership mitigates agency problems, provides adequate follow-up and optimizes the use of corporate resources; and evidencing the existence of a mitigation of operational risks in the face of the various obligations imposed by the concession contract with the regulatory agency, without direct interference under the ownership structure of regulated companies.

The literature portrays a distinct economic scenario in Brazil, where stock control is pulverized and mechanisms of corporate governance and scope of action of investors and regulated sectors are well-defined and implemented.

A great part of the studies from this field discusses the same object: the impact of the adoption of corporate governance mechanisms on selected efficiency indicators or on the value of the companies' actions. This investigation, on the other hand, targeted a differentiated approach so that its contribution would lie in the investigation under the influence of the regulation on the legal attributions and the performance of the investors how many conflicts between the other shareholder/regulatory body, as the control measures import by the regulatory agent the concessionaires of the Brazilian highways and transportation sector.

The identification of the presence of foreign investors as a determinant for: better performance of companies in Brazilian regulated sector in terms of market valuation; better mitigation of requirements with the regulatory framework for the agencies that regulate the concession sector, targeting a reduction in the asymmetry of information and transparency among all stakeholders.

The fact that Brazil is an emerging country that lacks a rigid legal system and corruption-control measures in corporate environments and public sectors, stresses the importance of the application of the “Best Codes of Corporate Governance Practices” in the main developed countries. This also stresses the need for effective supervisory bodies that contribute to a better financial performance of companies, guaranteeing investors the legal system.

The purpose of this paper is to investigate the mineral content of seven Brazilian infant dairy product categories (petit Suisse cheeses, fermented milks, yogurts, fermented dairy beverage, dairy dessert, Requeijão cremoso spreadable cheese and UHT dairy beverages) and estimate their contribution to daily intake.

The composition of major (Ca, K, Mg, and Na) and trace (Pb, Cd, Cu and Mn) minerals was determined using Inductively Coupled Plasma Optical Emission Spectrometry. Furthermore, a comparative analysis of the mineral levels with the Reference Daily Intake (RDI) at different child development stages was carried out.

High Ca levels were observed in petit Suisse (3.44±1.66 mg g⁻¹), dairy dessert (3.88±0.02 mg g⁻¹) and Requeijão cremoso (4.14±0.07 mg g⁻¹). Dairy dessert presented the highest K level (2.57±0.07 mg g⁻¹), while the Requeijão cremoso presented the highest Na content (4.78±0.10 mg g⁻¹), and both products had the highest Mg contents (238.55±16.27 and 197.39±5.18 µg g⁻¹, respectively). Trace elements (Cd, Cu, Mn and Pb) were below the limit of detection for all commercial dairy foods. Among food products analyzed, petit Suisse cheese and dairy dessert can be considered good sources of calcium, while Requeijão cremoso is high in both calcium and sodium.

This study is the first to analyze the mineral levels of several Brazilian infant dairy foods and the daily intake contribution during important child development stages. These findings provide valuable guidance for researchers and practitioners trying to develop healthy and nutritious dairy products for infants and children.

Universities are an example of institutions that aggregate people around work/study who consume water, energy and produce waste daily in their activities, generating an impact on the environment. The purpose of this study is to determine the quantity, composition and recycling potential of waste generated at the Faculdade UnB Planaltina (FUP) campus, of the University of Brasilia in the Federal District, Brazil, to develop a waste management strategy compatible with national legislation and sustainable global practices.

This study was based on conducting on-site visits to identify the sources of generation, hazardousness, management and gravimetric characteristics of residual waste from 2015 to 2016. In 2016, a selective collection was implemented on the FUP campus, and since then, actions to raise awareness for the selective disposal and monitoring of waste were conducted with the academic community.

The results showed that the campus generates 148 kg of waste/day, whereas the per capita generation is 92 g/day. The production of hazardous waste is related to campus laboratories which manage it under a specific program. The campus restaurant is the place that generates the most waste, of which organic waste is the most representative. When categorizing the waste generated on campus, the authors found that the majority are recyclables at 67% of the total. This category includes material composed of cardboard, paper and plastic, all able to be recycled in the Federal District.

The recyclable waste generated at the FUP campus is being diverted from the city’s landfill because they are donated to a recycling cooperative. These actions promote income generation, social inclusion of waste pickers and a circular economy, all in compliance with the National Solid Waste Policy. As a result, the FUP campus is more in line with Brazilian legislation and the global context of adopting sustainable waste management amongst higher education institutions.

This paper contributes to the literature on sustainability in higher education by reporting the process of implementation of a waste management strategy in a university campus. Further, it presents tools and methods that can be used to achieve sustainability in waste management. The study also identifies that the crucial factor for the success of such actions is the mobilization and participation of the academic community in the process. It does so by presenting findings demonstrating how the University of Brasilia has been concerned with adopting pro-environmental measures for sustainable development.

The purpose of this paper is to present an attempt to develop an instrument containing operational measures of lean combined with safety and ergonomic conditions in a workstation or production line. This operational tool aims to help researchers and practitioners to prioritize and evaluate the lean implementations, as well as the ergonomic and safety conditions, in an integrated way.

Lean manufacturing methods and principles, as well as safety and ergonomics aspects, were exhaustively researched with the ultimate goal of finding a way to improve the workplace by taking into account the efficiency and well-being of workers. The instrument was validated in an interactive process between theory and practical insights. At the end, it was tested in several workstations/production areas.

The study reveals that high scores are derived from a good interaction between lean, ergonomics and safety.

It would be important to validate it in different companies and different types of industries because each one has its own characteristics.

This tool helps practitioners (technicians and ergonomic practitioners from manufacturing companies) assess the implementation of lean principles and the safety issues in their processes. It also allows managers to evaluate their business and identify the priority areas to improve according to the previously defined company’s aims.

As Peter Drucker said: “If you can’t measure it, you can’t improve it.” For a successful implementation, managers should start the lean journey with a lean assessment and make it in a regular basis. To the authors’ knowledge, there are various lean assessment tools, but this work is innovative because it provides an assessment instrument to evaluate organizations’ workstations/production areas simultaneously in three dimensions: lean, safety and ergonomic aspects.

In this paper, Supply Chain Quality Management dimensions are empirically tested in order to understand their impact on the organization performance based on the Balanced Scorecard perspectives.

In order to validate the theoretical model proposed, an empirical study was carried out, supported by a large-scale questionnaire and statistical analysis.

Results show that all the Supply Chain Quality Management dimensions have a significant positive correlation in the four Balanced Scorecard performance perspectives. Product/service quality and quality culture dimensions were the ones that presented the highest average scores. No significant differences were detected in any dimension for the different regions considered in this study.

The present research can help companies to achieve a better performance in the analyzed perspectives: customer, financial, internal process, and learning and growth. This work also contributes to the existing body of knowledge on Supply Chain Quality Management, analyzing its impact on organization performance, considering a more embracing perspective.