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Abstract Emergency general surgeons often provide care to severely ill patients requiring surgical interventions and intensive support. One of the primary drivers of morbidity and mortality is perioperative bleeding. In general, when addressing life threatening haemorrhage, blood transfusion can become an essential part of overall resuscitation. However, under all circumstances, indications for blood transfusion must be accurately evaluated. When patients decline blood transfusions, regardless of the reason, surgeons should aim to provide optimal care and respect and accommodate each patient’s values and target the best outcome possible given the patient’s desires and his/her clinical condition. The aim of this position paper was to perform a review of the existing literature and to provide comprehensive recommendations on organizational, surgical, anaesthetic, and haemostatic strategies that can be used to provide optimal peri-operative blood management, reduce, or avoid blood transfusions and ultimately improve patient outcomes.

Abstract Anger suppression is important in our daily life, as its failure can sometimes lead to the breaking down of relationships in families. Thus, effective strategies to suppress or neutralise anger have been examined. This study shows that physical disposal of a piece of paper containing one’s written thoughts on the cause of a provocative event neutralises anger, while holding the paper did not. In this study, participants wrote brief opinions about social problems and received a handwritten, insulting comment consisting of low evaluations about their composition from a confederate. Then, the participants wrote the cause and their thoughts about the provocative event. Half of the participants (disposal group) disposed of the paper in the trash can (Experiment 1) or in the shredder (Experiment 2), while the other half (retention group) kept it in a file on the desk. All the participants showed an increased subjective rating of anger after receiving the insulting feedback. However, the subjective anger for the disposal group decreased as low as the baseline period, while that of the retention group was still higher than that in the baseline period in both experiments. We propose this method as a powerful and simple way to eliminate anger.

The present paper reflects the position of the Italian Association for Neuroendocrine Tumors (Itanet), the Italian Society of Gastroenterology (SIGE), and the Italian Society of Digestive Endoscopy (SIED) regarding the management of patients affected by gastric, duodenal, and rectal neuroendocrine neoplasms (NENs) amenable to endoscopic treatment. The key questions discussed in this paper are summarized in Table 1. Data were extracted from the MEDLINE database through searches; expert opinions and recommendations are provided in accordance with the available scientific evidence and the authors' expertise. Recommendations are presented alongside a level of evidence and grade of recommendation based on the GRADE system. This paper specifically focuses on subgroups of NENs considered suitable for endoscopic management according to current international guidelines: i. well-differentiated gastric neuroendocrine tumors (gNET) type 1 < 2 cm and selected cases of type 3; ii. well-differentiated duodenal, non-functioning, non-ampullary NET with size < 2 cm; and well-differentiated rectal NET with size < 2 cm. [ABSTRACT FROM AUTHOR]

Endometriosis is a common yet under-recognised chronic inflammatory disease, affecting 176 million women, trans and gender diverse people globally. The National Endometriosis Clinical and Scientific Trials (NECST) Registry is a new clinical registry collecting and tracking diagnostic and treatment data and patient-reported outcomes on people with endometriosis. The registry is a research priority action item from the 2018 National Action Plan for Endometriosis and aims to provide large-scale, national and longitudinal population-based data on endometriosis. Working groups (consisting of patients with endometriosis, clinicians and researchers) developing the NECST Registry data dictionary and data collection platform started in 2019. Our data dictionary was developed based on existing and validated questionnaires, tools, meta-data and data cubes – World Endometriosis Research Foundation Endometriosis Phenome and Biobanking Harmonisation Project, endometriosis CORE outcomes set, patient-reported outcome measures, the International Statistical Classification of Diseases-10th Revision Australian Modification diagnosis codes and Australian Government datasets: Australian Institute for Health and Welfare (for sociodemographic data), Medicare Benefits Schedule (for medical procedures) and the Pharmaceutical Benefits Scheme (for medical therapies). The resulting NECST Registry is an online, secure cloud-based database, prospectively collecting minimum core clinical and health data across eight patient and clinician modules and longitudinal data tracking disease life course. The NECST Registry has ethics approval (HREC/62508/ MonH-2020) and is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000987763).

Emergency general surgeons often provide care to severely ill patients requiring surgical interventions and intensive support. One of the primary drivers of morbidity and mortality is perioperative bleeding. In general, when addressing life threatening haemorrhage, blood transfusion can become an essential part of overall resuscitation. However, under all circumstances, indications for blood transfusion must be accurately evaluated. When patients decline blood transfusions, regardless of the reason, surgeons should aim to provide optimal care and respect and accommodate each patient's values and target the best outcome possible given the patient's desires and his/her clinical condition. The aim of this position paper was to perform a review of the existing literature and to provide comprehensive recommendations on organizational, surgical, anaesthetic, and haemostatic strategies that can be used to provide optimal peri-operative blood management, reduce, or avoid blood transfusions and ultimately improve patient outcomes. [ABSTRACT FROM AUTHOR]

Guidelines and recommendations for the diagnosis and management of cow’s milk allergy (CMA) in childhood are based on scientific review of the available evidence. While this approach is the most rigorous, guidelines may not fully address all scenarios encountered by clinicians. Many symptoms of CMA overlap with other common childhood illnesses and are subjectively reported by the caregivers of the infant, as is the interpretation of the dietary interventions. Additionally, many healthcare professionals and caregivers do not follow the recommendations to perform an oral food challenge or reintroduction of cow’s milk after a diagnostic elimination diet because (1) the infant is doing well and (2) the carer’s fear of symptoms relapsing with this procedure. As a result, CMA in infants may be either under-diagnosed leading to reduced quality of life for families or over-diagnosed, resulting in unnecessary long-term elimination diets and increasing the risk for nutritional deficiencies. This paper discusses some of these controversial topics, focusing on misdiagnosis and mismanagement in clinical practice. The lack of objective diagnostic criteria can hamper the diagnosis and management of CMA in daily practice.

The aim of the present guidance paper was to update the previous ENETS guidelines on well‐differentiated gastric and duodenal neuroendocrine tumours (NETs), providing practical guidance for specialists in the diagnosis and management of gastroduodenal NETs. Type II gastric NETs, neuroendocrine carcinomas (NECs), and functioning duodenal NETs are not covered, since they will be discussed in other ENETS guidance papers. [ABSTRACT FROM AUTHOR]

Background: Nowadays, safety management plans have an effective role in reducing the incidence of accidents. Therefore, this study aimed at investigating the role of safety management systems on accidents and the status of safety performance indicators in a combined cycle power plant in 2011. Materials and Methods: This descriptive-analytical research was carried out in two stages in all Yazd Combined Cycle Power Plant units on accident victims from 2004-2011, based on the documentation of the previous years and using census sampling. The Accident Frequency Rate (AFR), Accident Severity Rate (ASR), and Frequency Severity Rate (FSI) indices were derived from the OSHA standard using the formulas and data obtained from the completed questionnaires and interviews with the people. Results: The total number of accidents was 287 cases through the studied period (8 years). The results showed a significant relationship between age and work experience, as well as between age and marital status. The main causes of accidents were unsafe acts. The lowest level of personal protective equipment was used in 2004 (15.2%), whereas the highest rate was used in 2011 (30%). After the implementation of the Integrated Management Systems (IMSs), accident indicators showed a decreasing trend regarding the washing time. Also, the amount of AFR, ASR and FSI indices of the accidents in terms of work shift indicated a significant decrease in 2004 than after the implementation of the safety management systems. Conclusion: According to the results, due to the positive impact of safety programs (IMS), incident indicators had a downward trend and unsafe acts were decreased.

The World Federation of Ultrasound in Medicine and Biology (WFUMB) is addressing the issue of incidental findings with a series of position papers to give advice on characterization and management. The biliary system (gallbladder and biliary tree) is the third most frequent site for incidental findings. This first part of the position paper on incidental findings of the biliary system is related to general aspects, gallbladder polyps and other incidental findings of the gallbladder wall. Available evidence on prevalence, diagnostic work-up, malignancy risk, follow-up and treatment is summarized with a special focus on ultrasound techniques. Multiparametric ultrasound features of gallbladder polyps and other incidentally detected gallbladder wall pathologies are described, and their inclusion in assessment of malignancy risk and decision- making on further management is suggested. [ABSTRACT FROM AUTHOR]

Abstract Coronavirus Disease 2019 (COVID‐19) has infected more than 3.0 million people worldwide and killed more than 200,000 as of April 27, 2020. In this White Paper, we address the cardiovascular co‐morbidities of COVID‐19 infection; the diagnosis and treatment of standard cardiovascular conditions during the pandemic; and the diagnosis and treatment of the cardiovascular consequences of COVID‐19 infection. In addition, we will also address various issues related to the safety of healthcare workers and the ethical issues related to patient care in this pandemic.

A comprehensive review of the non-timber forest product (NTFP) sector from 1980 to 2022 was undertaken. The study employed a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, incorporating explicit keywords. The results indicate that NTFPs underwent significant evolution, including research and development changes, particularly following the Rio de Janeiro summit. Most published research originated from the United States, accounting for 24% of the total; Brazil and India each contributed 10% of the published research. We included 316 potential research items: 262 articles, 19 book chapters, 27 review articles, and eight conference papers. The review analysis highlighted that NTFPs are crucial in meeting food requirements, obtaining specific medicinal resources, and acquiring material inputs for rural households, serving as a safety net during agrarian distress. NTFPs play a crucial role in promoting the development of the bio-economy. In low- and high-income nations with abundant bio-resources, NTFP value chains are increasingly pertinent for generating revenue, enhancing livelihoods, and reducing poverty in forest dependent communities. Further, the analysis emphasized that NTFP consumption, utilization, and sales occur at the household level, and its comprehensive assessment is challenging, leading to the need for a reevaluation of approaches that include value chain analysis. [ABSTRACT FROM AUTHOR]

In this article, I explore conceptual connections between spirituality and business, and I advocate for the concept of business spirituality. I explain why the spiritual triad of love, communion, and gift is deeply related to the business triad of abundance, interaction, and resources. I also make clear why individual and collective intentions and cultural values are the main channels of interaction between business and spirituality. In the second part of the article, I argue that business evolves through spiritualization, among other ways: a) receiving meaning and purpose to business organizations; b) supporting its dematerialization; c) helping it overcome the dualism of the market; d) promoting cohesion; e) stimulating innovation; f) endorsing nonprofit institutions; g) inspiring Social Corporate Responsibility; h) encouraging spiritual leadership; i) illuminating the workplace; j) fostering respect for ethics; and k) helping it understand diversity. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Administração e Inovação (RAI) is the property of Revista de Administracao e Inovacao- RAI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Success management can bring valuable contributions to improve project results and stakeholders' relationships. However, the success management process must be explicitly integrated into project management approaches, guides and methodologies (such as PMBOK, PRINCE2 or PM2), which is not currently happening. The purpose of this position paper is to discuss the need and importance for this integration and to present a first proposal on how this can be operationalized. To support the position, the methodology of the European Union PM2 was used. The result of the integration demonstrates that it is possible to advance management and raise the level of project success. [ABSTRACT FROM AUTHOR]

Multisystem inflammatory syndrome in children (MIS‐C) is a rare, but severe complication of coronavirus disease 2019 (COVID‐19). It develops approximately 4 weeks after severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection and involves hyperinflammation with multisystem injury, commonly progressing to shock. The exact pathomechanism of MIS‐C is not known, but immunological dysregulation leading to cytokine storm plays a central role. In response to the emergence of MIS‐C, the European Academy of Allergy and Clinical Immunology (EAACI) established a task force (TF) within the Immunology Section in May 2021. With the use of an online Delphi process, TF formulated clinical statements regarding immunological background of MIS‐C, diagnosis, treatment, follow‐up, and the role of COVID‐19 vaccinations. MIS‐C case definition is broad, and diagnosis is made based on clinical presentation. The immunological mechanism leading to MIS‐C is unclear and depends on activating multiple pathways leading to hyperinflammation. Current management of MIS‐C relies on supportive care in combination with immunosuppressive and/or immunomodulatory agents. The most frequently used agents are systemic steroids and intravenous immunoglobulin. Despite good overall short‐term outcome, MIS‐C patients should be followed‐up at regular intervals after discharge, focusing on cardiac disease, organ damage, and inflammatory activity. COVID‐19 vaccination is a safe and effective measure to prevent MIS‐C. In anticipation of further research, we propose a convenient and clinically practical algorithm for managing MIS‐C developed by the Immunology Section of the EAACI. [ABSTRACT FROM AUTHOR]

Cardiomyopathies (CMPs) are myocardial diseases in which the heart muscle is structurally and functionally abnormal in the absence of coronary artery disease, hypertension, valvular disease and congenital heart disease sufficient to cause the observed myocardial abnormality. Thought for a long time to be rare diseases, it is now clear that most of the CMPs can be easily observed in clinical practice. However, there is a group of specific heart muscle diseases that are rare in nature whose clinical/echocardiographic phenotypes resemble those of the four classical morphological subgroups of hypertrophic, dilated, restrictive, arrhythmogenic CMPs. These rare CMPs, often but not solely diagnosed in infants and paediatric patients, should be more properly labelled as specific CMPs. Emerging consensus exists that these conditions require tailored investigation and management. Indeed, an appropriate understanding of these conditions is mandatory for early treatment and counselling. At present, however, the multisystemic and heterogeneous presentation of these entities is a challenge for clinicians, and time delay in diagnosis is a significant concern. The aim of this paper is to define practical recommendations for diagnosis and management of the rare CMPs in paediatric or adult age. A modified Delphi method was adopted to grade the recommendations proposed by each member of the writing committee. The inherited and rare cardiomyopathy team. The multidisciplinary team, with specific expertise in inherited and rare CMPs, has the potential to improve diagnostic work-up and explore the available treatment options. The expertise required involves adult and paediatric cardiologists, genetic counsellors, electrophysiologists, geneticists, psychologists, intensive care specialists, cardiac surgeons and electrophysiologists [Display omitted] • Rare cardiomyopathies (CMPs) require tailored investigation and management. • A multidisciplinary team is essential to improve diagnosis and management of rare CMPs. • A step-by-step clinical evaluation is required to reach aetiological diagnosis. [ABSTRACT FROM AUTHOR]

Abstract Studies on effective distribution practices' specific to the paper industry are largely non-existent. Therefore, through our exploratory research, we first identify key elements of physical distribution in existing literature. [...]

The industry developed rapidly since the Industrial Revolution in the 18th century. The side effect of industrial development was a large amount of non-hazardous waste and hazardous waste. All of this waste must be managed properly so that environmental sustainability is maintained and does not cause harm or problems to the community. A review will be conducted from various research journals in various countries and the types of waste also vary, namely plastic, pulp and paper industry waste, and other solid waste. A comparison of solid waste management will be carried on to reduce the generation of waste in the environment.

In this paper, a short historical review and the research results are presented, which are focused on the quality management systems used by the Hungarian SME’s. The research was based on an original empirical survey, conducted using a random sample of fifty managers from small and medium sized Hungarian enterprises. All of them use certified quality management systems. The paper presents their current state in the light of their responses, under several aspects. In conclusion, suggestions are given for the problems, such as measurement, development, and education on the research topic.

The purpose of this article is to present algorithms for the diagnostic management of solitary bone lesions incidentally encountered on computed tomography (CT) and magnetic resonance (MRI) in adults. Based on review of the current literature and expert opinion, the Practice Guidelines and Technical Standards Committee of the Society of Skeletal Radiology (SSR) proposes a bone reporting and data system (Bone-RADS) for incidentally encountered solitary bone lesions on CT and MRI with four possible diagnostic management recommendations (Bone-RADS1, leave alone; Bone-RADS2, perform different imaging modality; Bone-RADS3, perform follow-up imaging; Bone-RADS4, biopsy and/or oncologic referral). Two algorithms for CT based on lesion density (lucent or sclerotic/mixed) and two for MRI allow the user to arrive at a specific Bone-RADS management recommendation. Representative cases are provided to illustrate the usability of the algorithms. [ABSTRACT FROM AUTHOR]

This perspective serves as a preface to the Topical Issue of Fire and presents an opportunity, framed within the classic approach of a thought experiment, to discuss how a new wildfire governance framework may be created from the ground up, if it were unencumbered by any existing construct, or experiences. It is not specific to any one country or fire regime; rather, it is intended merely to stimulate a wider conversation about where we are at collectively, and where we may want to move to in the future with our policies, organization, science, management, technology; or any of the myriad components that comprise the greater discipline of wildland fire science and management. The authors suggest that loosening the shackles of reality may allow for innovative discussion and the generation of transformative ideas to help ecosystems and communities better coexist with fire. We invite perspectives to submit to this Topical Issue on all aspects of wildfire governance, including reviews and perspectives. We also welcome perspectives on how to adapt wildfire governance in the face of exceptional events such as pandemics, earthquakes, famines, and war.

In this paperwe share the behind-the-scenes story of the development of our paper "When worlds collide: The internal dynamics of organizational responses to conflicting institutional demands," which received the 2020 Academy of Management Review Decade Award. Furthermore, 10 years into its publication, we assess the degree towhich the phenomenonof conflicting institutionaldemands is still prevalent today. Wefurtherpushour theorizing, extending our initial model of the determinants of organizational responses to institutional complexity by discussing the potential consequences of these responses and outlining the organizational factors that may enable their successful enactment. [ABSTRACT FROM AUTHOR]

This paper aims to analyze a high-impact management article to understand the contribution of rhetoric in it. To this end, we selected the most cited study in research about TQM in 25 years, the article on strategy "The capabilities of market-driven organizations", by George S. Day (1994). To ground this analysis, a theoretical framework was developed mainly considering the rhetorical concepts of speaker, auditorium, agreement, and types of argument, as elaborated by Perelman and Olbrechts-Tyteca (2010). Finally, the results showed that Day used rhetorical tools - such as the arguments of example, authority and reciprocity - consistently throughout the article, thus increasing the adhesion to his thesis, which may have contributed to the success and repercussion achieved by the author. [ABSTRACT FROM AUTHOR]

I examine mergers and acquisitions in the U.S. paper and paperboard industry, which experienced a wave of horizontal mergers during the mid-1980s. I describe how the mergers affected investment decisions, [...]

Copyright of Estudos Tecnológicos em Engenharia is the property of Universidade do Vale do Rio dos Sinos and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)