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Lidl Sweden has the ambition to be market leaders within environmental and social responsibility. To be able to achieve this we have ambitious goals within every aspect of sustainability, among many for example:.
For us as a global retail chain all around the world with a high international profile, BREEAM was the natural choice since it is world-known as well as covering all aspects of sustainability. It matches our ambition to be market leaders in Sweden within sustainability. The project has worked actively to find long-term sustainable solutions while also looking at the BREEAM requirements from a holistic perspective, with combinations of solutions resulting in synergy effects rather than looking at each BREEAM requirement as a standalone issue.
The response within the whole company has been enormous: Lidl intends to certify all future stores with BREEAM and by specifying systems solutions, compliant regardless of site it is possible to streamline the certification process and administrative work.
Lidl has already moved on: The building has been designed, constructed and fitted out to ensure optimised thermal comfort and acoustic performance and low emitting internal finishes. The lighting strategy has been designed in line with best practice for visual performance and comfort to provide the best possible lighting environment from a health perspective.
All fluorescent and compact fluorescent lamps are fitted with high-frequency ballast. The project has been located on an area of land which has previously been developed for use by commercial purposes. The land was of low ecological value pre-development and measures have been taken to minimise the long-term impact on the biodiversity.
Statistical performance was evaluated using c statistics, Brier score and the Hosmer-Lemeshow test. Adjusted in-hospital mortality rates and hospital standardised mortality ratios. The significant factors determining in-hospital mortality included age, admission type, primary diagnosis, the Charlson index and do-not-resuscitate status.
The Massachusetts hospital standardised mortality ratios for acute non-specialist hospitals ranged from The reference standard hospital standardised mortality ratio is with the values below and above suggesting either random or special cause variation. The model was characterised by excellent discrimination c statistic 0. We have developed a case-mix model to give insight into mortality rates for patients served by hospitals in Massachusetts. Our analysis indicates that this technique would be applicable and relevant to Massachusetts hospital care as well as to other US hospitals.
Aylin P, , Making sense of the evidence for the "weekend effect". The efficacy and safety of the new oral anticoagulants NOAC and the benefits of extended duration thromboprophylaxis following hip and knee replacements remain uncertain. This observational study describes the relations between thromboprophylaxis policies following hip and knee replacements across England's NHS and patient outcomes between January and December From the national administrative database, we analyzed mortality, thromboembolic complications, emergency readmission, and bleeding rates for , hip and , knee replacements.
We found no advantage in favor of any single anticoagulation policy or in changing policy. This study supports the American Academy of Orthopaedic Surgeons' recommendation that the choice and duration of thromboprophylaxis prophylaxis be decided by the treating surgeon.