Comparative effectiveness of standard endotracheal tubes vs. endotracheal tubes with continuous subglottic suctioning on ventilator-associated pneumonia rates

Ventilator-associated pneumonia (VAP) accounts for the majority of nosocomial pneumonias, which may increase intensive care and prolonged hospital stays. Endotracheal tubes allowing continuous subglottic suctioning may reduce VAP; however, they are more expensive than standard endotracheal tubes not allowing continuous suctioning. he objective of this study was to measure the comparative costs associated with continuous subglottic suctioning endotracheal tubes (CSS-ETT) versus standard endotracheal tubes (S-ETT) among intubated patients and whether cost differential is offset by the occurrence of VAP in patients receiving either type of intubation. A retrospective chart review was conducted for 154 intubated adult patients (77 = S-ETT; 77 = CSS-ETT). The S-ETT group had one case of VAP; the CSS-ETT group had none. The mean total hospital charges were higher for the S-ETT group ($103,600; CSS-ETT= $88,500) (p = 0.3). Although the average number of intubation days and ICU days were greater for the CSS-ETT group, there were no cases of VAP compared to the S-ETT group. ased upon the one S-ETT VAP case and the VAP attributable costs, it is cost effective to use the CSS-ETT.     

星巴克：像品咖啡一样去生活

对于爱喝咖啡的人来说,星巴克（Starbucks）是一个耳熟能详的名字,它最早来源于19世纪美国文坛杰出大师赫尔曼·梅尔维尔的经典著作——《白鲸——莫比·迪克》的主人公。1971年,杰拉德·鲍德温和戈登·波克在美国西雅图开设第一家咖啡豆和香料的专卖店星巴克公司。1987年,霍华德·舒尔茨（Howard Schultz）斥资400万美元重组星巴克,推动了星巴克向意式咖啡馆的转型,并完全以自己的理念来经营星巴克,为公司注入了长足发展的动力。     

德国：世界会展王国

会展业,展览会与博览会的总称,在西方国家已有上百年的历史。这个古老却兴盛的行业,随着工业和商业的文明不断演进着。如今,会展业已成为现代服务业的一朵奇葩,一种投入少、社会效益高、无污染、零排放的绿色产业。     

Strategic Dilemmas: How Managers Use HR Practices to Meet Multiple Goals

Contrary to the classic assumptions in the business and human resource (HR) strategy literatures, real‐world organizations often pursue multiple and potentially contradictory performance goals. They may adopt ‘hybrid’ strategies to maximize both differentiation and low cost — leading middle managers to face dilemmas in how to achieve different goals using the same HR practices. We link employee‐level surveys of HR practices to establishment‐level data on service quality, labour efficiency and profitability to examine the effects of HR practices on these outcomes. We find that establishments with greater use of high involvement practices have significantly higher service quality, which mediates the relationship between HR practices and profitability. Findings for labour efficiency are positive, but generally not significant. These findings also have implications for the quality of jobs.     

Is off-farm income reforming the farm? Evidence from Mexico

Does access to off-farm income complement or compete with agricultural production? This article explores the effect of off-farm income on agricultural production activities, using data from the 2003 Mexico National Rural Household Survey. We first discuss the theoretical conditions under which access to off-farm income may influence production in an agricultural household model. Instrumental-variable (IV) estimation methods are then used to test whether agricultural production activities, technologies, and input use differ between households with and without access to off-farm income. We find that off-farm income has a negative effect on agricultural output and the use of family labor on the farm, but a positive impact on the demand for purchased inputs. There is also a slight efficiency gain in households with access to off-farm income. Findings offer insights into how household production evolves as rural households increasingly engage in off-farm income activities.     

Online Survey Data Quality and Its Implication for Willingness‐to‐Pay: A Cross‐Country Comparison

Using online surveys to elicit consumer preference is gaining popularity because of several advantages offered by this method. Past research mainly focuses on the comparison between online surveys and other survey modes. Few have explored methods of using online survey tools to improve data quality for consumer willingness‐to‐pay (WTP) estimates. This article determines the impact of using a validation question (VQ) approach that asked survey respondents to select a particular answer on improving online survey data quality across six countries. Results show that survey data quality is a common problem in online surveys across countries and the severity of this problem differs significantly. Using VQs might detect the respondents who are less careful in answering survey questions, thus providing less reliable answers. The econometric models for respondents who correctly answer VQs (pass VQs) perform significantly better than the models for respondents who incorrectly answer VQs (fail VQs). The WTP estimates for respondents who pass and fail VQs differ significantly; and in general the WTP estimates for respondents passing VQs have smaller variances than those for all respondents and for respondents failing VQs.     

Shifting Strategies: the Pursuit of Closure and the ‘Association of German Auditors’

Drawing on Weber’s [(1972). Wirtschaft und Gesellschaft: Grundriss der verstehenden Soziologie [Economy and society. An outline of interpretive sociology]. (5th ed.). Tübingen: Mohr Siebeck] theories of social stratification and closure, and on Parkin’s [(1979). Marxism and class theory. London: Tavistock] development thereof, this paper contributes a case study of Germany to the literature on closure processes (rather than outcomes), and outcomes falling short of professionalization. It explores the early history of the first German association of auditors, the Verband Deutscher Bücherrevisoren (VDB), founded in 1896. The paper traces how closure was pursued, at various times, by different means and to different degrees, depending on the changing social, economic and political contexts and on changing perception of what would best serve the association’s interest. By thus focusing on the shifting aims and strategies of the VDB, the paper contributes new insights into the dynamics within professions and between professions and their environments, and the dynamics and conditions underlying failed professionalization projects. The paper shows that, while the VDB had a degree of success in creating many of the structure and processes of a modern professional body, its ambition to achieve market and professional closure was not fulfilled.     

Achieving relational outcomes in casual dining restaurants through consumer commitment

The purpose of the study is to identify how we can achieve positive word-of-mouth (WOM) and share of purchases through consumer commitment in casual dining restaurants. This study proposes the theory of organizational commitment and the framework of the relationship development process as the theoretical foundation to identify the antecedents of consumer commitment (i.e. identification, switching costs, and satisfaction), and tests the role of consumer commitment between its antecedents and relational outcomes (i.e. share of purchases and positive WOM). The results of the study support that commitment plays a partial mediating role in the relationship between its antecedents and share of purchases. In addition, commitment exerts a full mediating role on the effects of identification and switching costs on positive WOM intentions, while it plays a partial mediating role between satisfaction and positive WOM intentions. Managerial implications are discussed to maximize delivering relational outcomes based on consumer commitment and its antecedents.     

Employee satisfaction and turnover intention: A comparative analysis between front-of-house and back-of-house employees in casino-entertainment venues

ABSTRACT

This study investigates job location and its relationship with employee turnover intention within the casino-entertainment industry. The researchers analyzed turnover intention at the supervisor and company level from the perspective of employees who hold front-of-house or back-of-house jobs in three Nevada casinos and their corporate office. The results of this research fill existing gaps in the academic literature related to turnover intention and provide beneficial implications for industry and academic practitioners. Organizations within the casino-entertainment industry may develop strategies related to the management of human capital that could provide fiscal and operational benefits.     

Dyadic Exploration of the Relationship of Leisure Satisfaction,Leisure Time,and Gender to Relationship Satisfaction

The stress suppressing model proposes that sufficient resources reduce stress. The stress exposure model suggests that certain factors expose individuals to more stress. The current study tested these two models by assessing the within-person lagging effect of leisure time on perceived severity of daily stressors. Analyzing eight-day diary data (N=2,022), we found that having more leisure time than usual on a day reduced perceived severity of daily stressors the next day and that the decrease in severity became larger with further increase in leisure time. Additionally, the effect is much stronger among busy individuals who usually had little leisure time. The findings demonstrated an accelerated suppressing effect that differed between-person, and the lagging effect affords stronger implication for causality than correlational analysis.