Digitalization is leading to profound changes in our private and work lives. New technologies are pervasive and create opportunities for new business models and lifestyles. Recently, the term “Corporate Digital Responsibility” has been coined to summarize the emerging responsibilities of corporations relating to their digitalization-related impacts, risks, challenges, and opportunities. The paper at hand reviews the topic of CDR using a multi-step approach. First, results from an opinion poll of 509 US-based respondents are reported which illustrate the perceived opportunities and threats associated with the topic of digitalization, underlining the need for a strategic approach to CDR implementation. Second, existing uses and definitions of the CDR terminology are summarized and a definition of CDR is derived. Third, twenty important topics related to CDR are identified, summarized and categorized into three categories using the ESG (Environmental, Social, Governance) framework. Finally, results are discussed with regards to their theoretical and managerial contributions and a hands-on guide which companies can use to implement a suitable CDR strategy is presented.

Electric fish handling gloves (FHGs) have been developed to immobilize fish during handling, with the potential benefit of reducing the time needed for sedation and recovery of fish relative to chemical anaesthetics. We examined the secondary stress responses (i.e., hematocrit, blood glucose, lactate, and pH) and reflex responses of Largemouth Bass Micropterus salmoides that were immobilized in water using electric FHGs for multiple durations (0, 30, and 120 s) relative to fish that were handled using only bare hands in water. We also evaluated the efficacy of the immobilization by quantifying the number of volitional movements that were observed during handling. Our findings suggested that when FHGs were used, fish tended to remain still (i.e., to show full reflex impairment) during handling relative to controls. Fish that were held with FHGs showed negligible reflex impairment immediately after the electricity was terminated. After a 30‐min posttreatment retention period, blood chemistry and ventilation rates were similar between fish held with FHGs and those held with bare hands. This study supports the notion that electric FHGs are a safe and effective tool for practitioners who need to temporarily immobilize fish for handling, enumeration, or performing various scientific procedures. Received November 15, 2016; accepted February 26, 2017 Published online May 4, 2017

Background Patient-related risk factors for the development of postoperative pulmonary complications (PPCs) include age ≥ 60-years, congestive heart failure, hypoalbuminemia and smoking. The effect of obesity is unclear and has not been shown to independently increase the likelihood of PPCs in trauma patients undergoing trauma laparotomy. We hypothesized the likelihood of mortality and PPCs would increase as body mass index (BMI) increases in trauma patients undergoing trauma laparotomy. Methods The Trauma Quality Improvement Program (2010-2016) was queried to identify trauma patients ≥ 18-years-old undergoing trauma laparotomy within 6-h of presentation. A multivariable logistic regression analysis was used to determine the likelihood of PPCs and mortality when stratified by BMI. Results From 8,330 patients, 2,810 (33.7%) were overweight (25-29.9 kg/m 2 ), 1444 (17.3%) obese (30-34.9 kg/m 2 ), 580 (7.0%) severely obese (35-39.9 kg/m 2 ), and 401 (4.8%) morbidly obese (≥ 40 kg/m 2 ). After adjusting for covariates including age, injury severity score, chronic obstructive pulmonary disease, smoking, and rib/lung injury, the likelihood of PPCs increased with increasing BMI: overweight (OR = 1.37, CI 1.07-1.74, p = 0.012), obese (OR = 1.44, CI 1.08-1.92, p = 0.014), severely obese (OR = 2.20, CI 1.55-3.14, p < 0.001), morbidly obese (OR = 2.42, CI 1.67-3.51, p < 0.001), compared to those with normal BMI. In addition, the adjusted likelihood of mortality increased for the morbidly obese (OR = 2.60, CI 1.78-3.80, p < 0.001) compared to those with normal BMI. Conclusion Obese trauma patients undergoing emergent trauma laparotomy have a high likelihood for both PPCs and mortality, with morbidly obese trauma patients having the highest likelihood for both. This suggests obesity should be accounted for in risk prediction models of trauma patients undergoing laparotomy.

Objectives: To determine whether, similar to adults, early tracheostomy in pediatric patients with severe traumatic brain injury (TBI) improves inhospital outcomes including ventilator days, intensive care unit (ICU) length of stay (LOS), and total hospital LOS when compared to late tracheostomy. Design: Retrospective cohort analysis. Setting: The Pediatric Trauma Quality Improvement Program (TQIP) database Patients: One hundred twenty-seven pediatric patients <16 years old with severe (>3) abbreviated injury scale TBI who underwent early (days 1-6) or late (day ≥7) tracheostomy between 2014 and 2016. Interventions: Not applicable. Measurements and Main Results: The Pediatric TQIP database was queried for patients <16 years old with severe TBI, who underwent tracheostomy. Patient demographics and outcomes of early versus late tracheostomy were compared using Student t test, Mann-Whitney U test, and χ2 analysis. Sixteen patients underwent early tracheostomy while 111 underwent late tracheostomy. The groups had similar distributions of age, gender, mechanism of injury, and mean injury severity scores (P > .05). Early tracheostomy was associated with decreased ICU LOS (early: 17 vs late: 32 days, P < .05) and ventilator days (early: 9.7 vs late: 27.1 days, P < .05). There was no difference in total LOS (early: 26.7 vs late: 41.3 days, P = .06), the incidence of acute respiratory distress syndrome (early: 6.3% vs late: 2.7%, P = .45), pneumonia (early: 12.5% vs late: 29.7%, P = .15), or mortality (early: 0% vs late: 2%, P = .588) between the 2 groups. Conclusion: Similar to adults, early tracheostomy in pediatric patients with severe TBI is associated with decreased ICU LOS and ventilator days. Future prospective trials are needed to confirm these findings. Article Tweet: Early tracheostomy in pediatric patients with severe TBI is associated with decreased ICU LOS and ventilator days.

Traumatic esophageal injury is a highly lethal but rare injury with minimal data in the trauma population. We sought to provide a descriptive analysis of esophageal trauma (ET) to identify the incidence, associated injuries, interventions, and outcomes. We hypothesized that blunt trauma is associated with higher risk of death than penetrating trauma. The Trauma Quality Improvement Program (2010–2016) was queried for patients with ET. Patients with blunt and penetrating trauma were compared using chi-square and Mann-Whitney U tests. A multivariable logistic regression model was used to determine risk of mortality. Of 1,403,466 adult patients, 651 (<0.01%) presented with ET. The most common associated thoracic injuries were rib fractures (38.7%) and pneumothorax (26.7%). More patients with a penetrating mechanism underwent open repair of the esophagus than those with blunt mechanism (46.2% vs 11.7%, P < 0.001). After controlling for covariates, there was no difference in risk of mortality between blunt and penetrating trauma ( P = 0.65). The mortality rate for patients with esophageal injury surviving greater than 24 hours was 7.5 per cent. In this large national database analysis, ET was rare and most commonly associated with rib fractures and pneumothorax. Contrary to our hypothesis, the risk of mortality was equivalent between blunt and penetrating ET.