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Many approaches on the economic aspect of hospital acquired infections (HAIs) have two major limitations: first, the lack of distinction between resources attributable to the management of HAI and resources absorbed by the main clinical problem for which the patient was hospitalized, and second, the lack of an adequate method for calculating the relative costs. These assume that the resources used by HAI can be determined by measuring the extra days of length of days (LOS) of infected patients versus non‐infected patients and attribute to extra‐LOS a value to the mean total cost. The aim of the article is to test a cost‐modelling method that could overcome these limitations by applying the appropriateness evaluation protocol to the medical charts of patients with hospital‐acquired symptomatic urinary tract infection (UTI) or sepsis, and by using cost‐centre accounting.

The paper explains and tests a model for calculating costs of HAIs.

The data analysis showed that it is not always true that infections protract LOS: five out of 25 sepsis cases have extra‐LOS and eight out of 25 UTI cases have extra‐LOS, while the cases of sepsis that arose in surgery ward and intensive care units and urinary tract infections in ICU are without prolongation of LOS. The data analysis also showed that, using the mean total cost, the three cases of sepsis in the general surgery and the six in the ICU did not incur costs, nor did the two cases of UTI in ICU, so that they appear to be infections at zero cost. Moreover, the weight of the cost for the bed, or for the diagnostic services, or for the pharmacological treatment, varied widely depending on the site of the HAI and the ward where the patient was hospitalized.

The method can be applied in any hospital.

The purpose of this paper introduces entomophagy as an alternative food consumption (AFC) capable of contributing to food well-being (FWB) among Western consumers. Specifically, it provides a conceptual framework where key factors related to the acceptance and adoption of insects and insects based foods are identified. This paper takes a sociocultural, symbolic and contextual perspective to offer marketers and public policymakers a set of recommendations to promote entomophagy as a sustainable and healthy food practice to help consumers achieve their FWB.

In this paper, first, the authors review the literature on entomophagy from its rise to establishment in different food cultures by considering two main perspectives as follows: historical and sociocultural. Second, the authors review the salience of entomophagy as an important AFC capable of addressing sustainability and food health issues. Finally, the authors propose a framework in which the authors define key factors related to the acceptance and adoption of an insects-based diet in Western food cultures. The identification of these factors will help marketing and public policymakers to set up educational programs and strategies to promote entomophagy as a sustainable and healthy food practice within different Western food cultures, and thus, help consumers to achieve their FWB.

To identify the key factors influencing the acceptance of entomophagy as AFC, this paper provides a summary of the core motivators characterizing the acceptance and adoption of insects and insect-based foods in Western food cultures. Specifically, the authors identify the key factors influencing the acceptance of entomophagy as food consumption in Western food cultures and based on the extant literature by Batat et al. (2017) the authors provide an entomophagy framework that includes both idiocentric and allocentric factors considering the adoption of insects and insect-based foods in Western food cultures. Table I provides a summary.

The authors believe entomophagy has the potential to generate societal benefits, as its appeal at the social (hunger in the world), environmental (reducing meat consumption and its impact on ecology) and health (less calories and nutritive food) level.

The research contributes to creating new knowledge that simulates debate among public policy and marketing scholars about entomophagy as a novel food in Western food cultures. The focus on key factors related to its acceptance and adoption of Western food cultures calls for empirical evidence to be tested in the marketplace using possibly different insect categories and other novel foods. Further, the framework should stimulate thinking about ways the authors can change consumers’ negative perceptions of disgusting food. Marketers and policymakers can achieve it by making their practices more efficient in terms of promoting sustainable AFC, as well as with efficient policy initiatives focused on supporting AFC, including the regulation of insect introduction.

The purpose of this paper is to examine empirically how operational performance and contextual factors contribute to differences in overall patient care costs across different hospitals.

Administrative data are employed from a sample of hospitals in New York State to construct measures of contextual factors, operational performance, and cost per patient. Operational performance and cost variables are adjusted to account for case mix differences across hospitals. Hierarchical regression is used to analyze the effects of contextual and operational variables on cost performance.

Increased length of stay, increased patient volume, and educational mission were associated with higher cost per patient. Mortality performance was associated with lower cost per patient. However, it was not found that location, size, or ownership status had a significant relationship with cost performance.

This paper identifies several significant relationships between contextual and operational variables and hospital costs. From a managerial perspective, these findings highlight the fact that some drivers of cost in hospitals are under the control of managers. One of the primary cost drivers in the study is length of stay, which implies that there is significant room for improvement in healthcare performance through a focus on operational excellence.

For researchers, the present study highlights the relative importance of operational versus contextual factors, with respect to cost performance in hospitals. The results of this study also provide direction for additional research into the role operational performance might play in determining the overall organizational performance in a hospital.

This paper aims to explore the relationship between bank market power and stability of financial institutions in Italy between 2001 and 2012. The authors first test the existence of a U-shaped relationship between market power and financial stability. Second, they regress the market share indicator on bank risk-taking to underline whether financial stability is affected by increasing or decreasing the market power of banks. Third, they explore whether this relationship is affected by the size, level of capitalization and credit insolvency of banks.

Relying on highly territorially disaggregated data at labor market areas level, the authors estimate the impact of bank market power and other explanatory variables on a proxy of risk taking behavior such as the banking “stability inefficiency” derived simultaneously from the estimation of a stability stochastic frontier. Bank market power is taken into account through an individual measure based on loans. Financial stability is calculated through the Z-score. The authors use, as risk-taking measure, the stability inefficiency whose estimation approach is the stochastic frontier analysis.

The empirical evidence shows that the inefficiency of financial stability is found to be U-shaped related with respect to the measure of market power. Bank size is an essential factor in explaining the relationship between bank market power and risk-taking. Cooperative banks have fewer incentives to gain market power to better perform in term of risks. The reform of the cooperative banks that took recently place in Italy is not supported by the data.

The relationship between bank market power and financial stability has been analyzed using a rich sample of cooperative, commercial and popular banks in Italy over the 2001-2012 period. The authors rely on labor market areas being sub-regional geographical areas where the bulk of the labor force lives and works. The paper investigates the market power-stability link considering both cooperative and non-cooperative banks. Indeed, specific attention has been paid on cooperative banks because of their mission in favor of the local community as only few studies, to the best of the authors’ knowledge, examine cooperative banking.

This paper aims to investigate the effect of fun activities on employee engagement at Lebanese financial institutions.

The study follows the qualitative process through semistructured interviews. In total, five managers and 20 employees within five different financial institutions and banks were interviewed. The data were first analyzed using the coding technique and then “quantitized” data were analyzed using SPSS software.

The findings convey the factors that can influence employee engagement, the measurements associated with employee engagement, the advantages and disadvantages of fun activities and the types of fun activities applied and its inhibitors. The findings demonstrate that workplace fun can help attain organizational goals through increasing the level of engagement regardless of the financial satisfaction.

The results stress on the importance of implementing fun activities and highlight the importance of implementing such activities and their effects on the employees’ overall engagement and productivity, as well as the various ways of applying those activities in Lebanese financial institutions.

The findings assist managers in creating a fun workplace environment that enhances employee engagement, which in return will help organizations attain their goals.

Understanding the work–fun concept in Lebanese financial institutions may encourage potential candidates to apply for a job within these institutions and be the reason to encourage other organizations to adopt such activities as well. Such development will help improve the quality of candidates and employees, which will reflect better institutional income.

This paper offers new insights and perspectives regarding fun activities and their relationship with employee engagement in Lebanese financial institutions. It introduces a new idea in Lebanese businesses as well as sheds light on the importance of adopting such activities to enhance employee engagement that creates organizational competitive advantage as reached in the results.

Integration is a fundamental mandate of schooling in democratic and differentiated societies. This chapter analyzes the consequences generated by an increase in number of students without Italian citizenship in Italian schools, and the development of multiethnic classrooms. When non-Italian pupils comprise >25–50% of the pupils in classrooms, it’s worth questioning: Are these classrooms segregated? Which factors affect school integration and for whom? The chapter presents the results of the first survey on classrooms with a “high density” of students with an immigrant background carried out in Italy. This study is based on a sample of 1,040 students enrolled in lower secondary education in Lombardy. We use statistical indicators related to two dimensions of integration: (a) the institutional dimension (school access and achievement), and (b) the relational dimension (well-being and absence of conflicts among peers). Data analysis included indexes and a correlation matrix between indexes, regression analysis, and cluster analysis. Results demonstrate a positive correlation between the rate of non-native students in the classroom and low degree of integration, but also the complexity of factors at stake such as gender imbalance and the high concentration of students whose families have a low Socio-Economic Status (SES), independently from citizenship. These results enabled us to de-construct the concept of school integration, identifying a plurality of integrative factors and providing suggestions for intervention.

This paper aims to identify the most common fungal species that grow on paper manuscripts and cause bio-deterioration. It also detects the impact of additive materials on fungal degrading and builds a wide database. Thus, it helps conservators understand this phenomenon.

In total, 15 samples were collected from different paper manuscripts suffering from fungi. The achievement of the study objectives depends on using a variety of analyzes, such as a microbiological study, which indicated that three main fungi grew on the paper samples. Then, a digital microscope and an environmental scanning electron microscope were used to detect the effect of fungi on paper fibers. Fourier transform infrared microscopy was used to identify the binding medium and the X-ray diffraction method was used to measure the crystallinity index of cellulose of the paper samples.

Arabic gum was used as a binder medium with the samples. Aspergillus Niger, Aspergillus Fumigatus and Aspergillus Clavatus were the most common fungal species that grew on the Qur’an papers under investigation. They also caused much common damage to the paper samples. The results of the analyzes also showed that the highest crystallinity index of cellulose was in the samples that contained the lowest rate of fungal growth.

This paper highlights the relationship between fungal degradation and the multi-component nature of paper manuscripts. It builds a wide database that correlates the composition and the degradation of the Qur’an papers.

Using bank-level data over the 1994–2015 period, the authors aim to investigate the role of bank-specific factors on credit risk in Italy by considering two different groups of banks, namely, cooperative and non-cooperative (commercial and popular), in different local markets.

Relying on highly territorially disaggregated data at labour market areas’ level, the authors estimate the impact of the role of bank-specific factors on credit risk in Italy from the estimation of a fixed-effect estimator. Non-performing loans to total loans has been used as a proxy of credit risk; the bank-specific factors are as follows: growth of loans, reflecting credit policy; log of total assets, controlling for banks’ size; loans to total assets, reflecting the volume of credit market; equity to total assets, capturing the solvency of banks and reflecting their capital strength; return on assets, reflecting the profitability of banks; deposits to loans, reflecting the intermediation cost; cost of total assets, reflecting the banks’ efficiency or volume of intermediation cost.

The empirical findings suggest that regulatory credit policy, capitalisation, volume of credit and volume of intermediation costs are the main bank-specific factors affecting non-performing loans. Nevertheless, the present analysis suggests that the behaviour of cooperative banks’ behaviour seems to be in line with that of commercial rather than popular banks, casting doubts about the feasibility of their credit policies. It turns out that recent reforms involving popular and cooperative banks represent the first step toward the enhancement of the stability and efficiency of the Italian banking system. While the present study’s benchmark results are not particularly affected by the degree of competition in the banking sector and by banks’ size, it shows that both cooperative and non-cooperative banks have undertaken more prudent credit policies after the advent of the financial crisis and the introduction of the Basel regulation.

The relationship between bank-specific factors and credit risk has been analysed using a rich sample of cooperative, commercial and popular banks in Italy over the 1994–2015 period. The authors rely on labour market areas being sub-regional geographical areas where the bulk of the labour force lives and works. The contribution is motivated by the financial distress experienced after the 2008 financial crisis, which has significantly hit the Italian banking system and cooperative banks in particular.

The goal of sustainable economic growth is achievable only when economic growth and development occur without environmental degradation. The Environmental Kuznets Curve (EKC) hypothesis explains the inverted U-shaped association between economic activity and environmental degradation. The primary objective of this study is to empirically test the truth behind the EKC hypothesis. In addition to that, the study is intended to analyze the variation in the shape of the EKC; that is, cross-country variation, as well as variation over time. In order to achieve the stated objectives, the study analyzed a long list of countries (75 countries) for a fairly long period of time (1960–2016, i.e., 57 years). The empirical literature in this area estimated the EKC using some form of a polynomial regression equation. This study also used a similar kind of modeling structure to understand cross-country as well as dynamic variation in the shape of the EKC. In this study, firstly the selected countries are grouped on the basis of the shape of the EKC. Secondly, the dynamic behavior of each parameter in the polynomial equation is analyzed to understand the degree of association between economic activity and environmental degradation. This study suggests a decline in degree of association between the two over time.