With the downturn in the global socioeconomic panorama, the social entrepreneurship orientation (SEO) and the social performance of non-profit organizations (NPOs) have become subject to growing levels of attention. The objective of this study is to analyze the influence of SEO on the performance of NPOs. To this end, we deployed a quantitative methodology based on the application of a survey of NPOs, which received a total of 135 valid responses. Our results demonstrate a positive effect for the dimensions of social innovation and social proactivity even while reporting no effect for the acceptance of social risks on performance. These results hold important implications across two different levels: in terms of the NPOs and policy-makers.

While there is a large body of literature on the benefits of open innovation, little is known about the knowledge flows and the interrelationship of the purposeful and serendipitous spillover of knowledge flows that deliver value from international open innovation (IOI) collaborations. This study examines these knowledge flows occurring from IOI and the extent to which the entrepreneurial ecosystem (EE) context, knowledge management (KM) capabilities of the firm, and knowledge spillovers (KS), nurture IOI engagement. A quantitative study is adopted where data on 98,809 firms from 15 European Union countries to empirically tested a proposed model through multiple linear regressions of logit models. The results highlight the positive effect of KS on IOI engagement, and the positive mediating effect of KM capability on the relationship between KS and IOI. Additionally, the results show a positive moderating effect of the EE on the relationship between the firm's KM capability and IOI engagement. Additionally, the findings emphasize the beneficial nature of the EE on nurturing KM capabilities within firms located in the ecosystem and its impact on nurturing KS within the network.

Biliary leaks have been treated with endoscopic management using different techniques with conflicting results. Furthermore the appropriate rescue therapy for refractory leaks has not been established. We evaluated the clinical effectiveness of initial endotherapy for postcholecystectomy biliary leaks using an homogenous approach (sphincterotomy + placement of a 10-French plastic stent) in a large series of patients as well as the optimal and efficacy of rescue endotherapy for refractory biliary leaks. This was a multicenter, retrospective study of 178 patients who underwent endoscopic management of postcholecystectomy biliary leaks with a combination of biliary sphincterotomy and the placement of a large-bore (10-French) plastic stent. Data were collected to analyze the clinical outcomes and technical success, efficacy of the rescue endotherapy and the need for surgery, adverse events and prognostic factors for clinical success of endotherapy. Following endotherapy, closure of the leak was accomplished in 162/178 patients (91.0 %). The multivariate logistic model showed that the type of leak, namely a high-grade biliary leak, was the only independent prognostic factor associated with treatment failure (OR = 26.78; 95 % CI = 6.59–108.83; P < 0.01). The remaining 16 patients were treated with multiple plastic stents (MPSs) with a success rate of 62.5 % (10 patients). The use of fewer than 3 plastic stents (P = 0.023) and a high-grade biliary leak (P = 0.034) were shown to be significant predictors of treatment failure with MPSs in refractory bile leaks. The 6 patients in whom the placement of MPSs failed were retreated with a fully cover self-expandable metallic stent (FCSEMS), resulting in closure of the leak in all cases. Endotherapy of biliary leaks with a combination of biliary sphincterotomy and the placement of a large-bore plastic stent is associated with a high rate of success (90 %). However in our series there were several failures using MPSs as a strategy for rescue endotherapy suggesting that refractory biliary leaks should be treated with FCSEMS especially in patients with high-grade leaks.

Knowledge and its transference are increasingly viewed as key factors of companies’ competitiveness. In this sense, our research aims to analyze how the knowledge transfer takes place between the higher education sector and the companies. In order to achieve the objectives of the study, a questionnaire was administered through a telephone interview to 500 companies, distributed throughout Portugal. The empirical results show there is cooperation between companies and institutions of higher education when entrepreneurs are younger, and companies are located in urban areas such as Lisbon. This cooperation, which translates into the knowledge transfer, is conducive to greater innovation as well as greater financial performance.