Analiza factorilor de influenta a activitatii organizatiilor prestatoare de servicii publice, din perspectiva cresterii competitivitatii

Directiile de actiune stabilite de Guvern in vederea cresterii eficientei administratiei publice locale, precum descentralizarea administrativa si descentralizarea financiara, dar si alte masuri, printre care si parteneriatul public-privat, in paralel cu aparitia unor unitati de prestare private au condus la disparitia monopolului pe piata in cazul unor categorii de servicii publice si, implicit, la aparitia si intensificarea concurentei. De aceea, obtinerea unui avantaj competitiv a devenit un deziderat al organizatiilor prestatoare de servicii publice. Insa, pentru a deveni mai competitive si mai eficiente, este necesar ca aceste organizatii sa deruleze activitati prin intermediul carora sa identifice factorii ce le pot influenta activitatea, precum si natura si intensitatea acestor influente. Factorul politic se detaseaza cu usurinta din cadrul componentelor macromediului de marketing, deoarece toate deciziile adoptate la nivelul administratiei centrale se rasfrang in mod direct asupra economiei unui stat. De asemenea, angajatii reprezentand verigi de legatura intre clienti si organismele prestatoare de servicii publice au un rol important in cresterea eficientei si a competitivitatii organizatiei. Cunoscand acesti factori de influenta, prestatorii pot opta pentru deciziile optime, in vederea atingerii obiectivelor stabilite.servicii publice, competitivitate, functionari publici, influenta mediului de marketing, public services, competitiveness, public employees, influence of marketing environment

How Lifestyle, Professional and Financial Criteria Influence Students’ Personal Vision to Become Entrepreneurs. Evidence from Romania

A personal vision is a picture of what success looks like, an idea of what people want to achievewith their lives. It influences all areas including family, well-being, leisure, morality and work. Thepurpose of this paper is to investigate different aspects that can define the personal vision of astudent who wants to start his business in the near future. The authors analysed personal visionthrough the prism of some variables identified in 3 sections: lifestyle, professional and financialcriteria, using SPSS 20.0 Software. The results pointed out that there is a relationship between thenumber of hours worked in the maturity phase of a business and the students’ priority, but alsobetween the value of personal investment and the value for the desired profit, while for those whothink that a business supports and cultivates morals, beliefs and standards, family involvement isimportant in their company running

Factorii de succes ai planificarii strategice de marketing

Aceasta lucrare isi propune sa prezinte pe de o parte factorii ce asigura implementarea cu succces a planificarii, dar si modelul multidimensional al acesteia, cu cele trei laturi: analitica, comportamentala si organizationala. De asemenea, sunt dezvoltate sectiunile planului strategic, si anume: directia strategica sau declaratia de misiune; obiectivele, strategiile de crestere si portofoliul de afaceri. Fiecare dintre acestea arata aportul gandirii strategice in domeniul planificarii de marketing. Prin urmare, pentru a atinge obiectivele de marketing, managerii trebuie sa creeze o directie strategica viabila, care conecteaza tendintele pietei cu nevoile si dorintele consumatorilor.marketing, planificare strategica, pozitionare, consumatori, strategic planning, positioning, consumers

Subjective Global Assessment and Handgrip Strength as Predictive Factors in Patients with Liver Cirrhosis

Background and Aims. Malnutrition is common in patients with chronic liver disease. We aimed to evaluate malnutrition assessment tools in predicting severity and survival of patients with liver cirrhosis. Material and Methods. We examined patients with liver cirrhosis. Nutritional evaluation was performed on admission, using subjective global assessment (SGA), handgrip strength (HGS), and anthropometry. Patients were followed up for 6 months. Results. We included 100 patients, 72 men, with mean age of 59.2 years. According to disease severity, patients were 23% Child-Pugh A, 46% Child-Pugh B, and 31% Child-Pugh C. SGA and HGS significantly correlated with Child-Pugh, MELD, and MELD-Na scores on admission. At 6 months follow-up, 80.4% (78 of 97) of patients survived, while 3 patients were lost from observation. Survival was predicted by SGA (1 death in 32 patients SGA A, 8 deaths in 46 patients SGA B, and 9 deaths in 19 patients SGA C, p=0.001) and HGS (25.1 ± 8.5 in deceased versus 30.6 ± 10.9 in survivors, p=0.046). The mean BMI and MAMC values did not significantly differ between patients who survived or were deceased at 6 months. Conclusion. HGS and SGA may predict severity and short-term survival in cirrhotic patients

Catalyzing Change: ESG Integration in the Global Economy for a Resilient and Responsible Future

Considering the global state of the current economy we can notice a slowdown across both developed and developing countries, most of them facing the risk of recession. This paper aims to explore the intersection of ESG, and the pressing challenges confronting the global economy. The article will emphasize the significance and urgency of addressing these challenges to foster sustainable growth and resilience. The study seeks to analyze potential benefits that the integration of ESG norms can bring to the global economy and highlight the reasons why it has become so crucial. The research methods employed provide an overview of the key issues with the greatest impact that are shaping the present global economy as well as how ESG - Environmental, Social, and Governance factors have emerged as catalysts for change by mitigating risks, capitalizing on opportunities, and driving long-term value. The findings of this study serve as a foundation for developing more viable and resilient practices, enabling informed decision-making, and ensuring the long-term sustainable growth of the global economy overall

The social side of Moebius: A focus group of teenagers with Moebius Syndrome

Moebius syndrome is a rare congenital condition that results in facial paralysis. A recent study of adults with Moebius syndrome identified their social challenges and coping strategies. The present study extended previous research by examining these factors among teenagers with Moebius syndrome. The study included 10 teenagers with Moebius Syndrome and their social interaction experiences and coping strategies. The teenage participants ranged from 12-17 years old and most were Caucasian and American. The study was conducted as a focus group and they were interviewed about living with Moebius syndrome and their social interactions with people without the condition, especially in the school setting. Results were analyzed using qualitative content analysis and revealed five themes of social functioning: social engagement/disengagement; resilience/sensitivity; social support/stigma; being understood/misunderstood; and public awareness/lack of awareness. Compensatory expressivity skills such as vocal inflection and body movements were also used by some teenagers in order to help facilitate social interactions despite their facial paralysis. There were many similarities between the teenagers in the present study and the adults in the previous study. Both reported resiliency and showing confidence, persistence, competence, and choosing to be unaffected by negative judgments of others. Many adults and teenagers dislike discussing their Moebius with close family and friends, despite having their support. This is possibly due to the internalization of the social stigma of Moebius syndrome. Adults and teenagers are very much alike in that they use the same compensatory skills to facilitate their interaction with people, and both agree that stigmatization of Moebius can be reduced by creating more awareness of Moebius in the media and social institutions. A new finding among the teenagers was their reports of having a ‘positive outlook’, believed to be a result of getting support from being involved in groups and clubs at school. Additionally, teenagers experienced social strain from family members, such as unwanted help and attention

Skeletal Muscle Stem Cell Niche from Birth to Old Age

Stem cells are defined as undifferentiated cells that are able to unlimitedly renew themselves within controlled conditions and to differentiate into a multitude of mature cell types. Skeletal muscle stem cells, represented predominantly by satellite cells, show a variable capability of self-renewal and myogenic differentiation. They were found to be involved not only in the growth of myofibers during neonatal and juvenile life but also in the regeneration of skeletal muscles after an injury. The microenvironment in which stem cells are nourished and maintained dormant preceding division and differentiation is known as “niche.” The niche consists of myofibers, which are believed to modulate the active/inactive state of the stem cells, extracellular matrix, neural networks, blood vessels, and a multitude of soluble molecules. It was observed that changes in the composition of the niche have an impact on the stem cell functions and hierarchy. Furthermore, it seems that its layout is variable throughout the entire life, translating into a decrease in the regenerative capacity of satellite cells in aged tissues. The scope of this chapter is to provide a detailed view of the changes that occur in the skeletal stem cell niche during life and to analyze their implications on tissue regeneration. Future studies should focus on developing new therapeutic tools for diseases involving muscle atrophy

Current Trends in Advanced Alginate-Based Wound Dressings for Chronic Wounds

Chronic wounds represent a major public health issue, with an extremely high cost worldwide. In healthy individuals, the wound healing process takes place in different stages: inflammation, cell proliferation (fibroblasts and keratinocytes of the dermis), and finally remodeling of the extracellular matrix (equilibrium between metalloproteinases and their inhibitors). In chronic wounds, the chronic inflammation favors exudate persistence and bacterial film has a special importance in the dynamics of chronic inflammation in wounds that do not heal. Recent advances in biopolymer-based materials for wound healing highlight the performance of specific alginate forms. An ideal wound dressing should be adherent to the wound surface and not to the wound bed, it should also be non-antigenic, biocompatible, semi-permeable, biodegradable, elastic but resistant, and cost-effective. It has to give protection against bacterial, infectious, mechanical, and thermal agents, to modulate the level of wound moisture, and to entrap and deliver drugs or other molecules This paper explores the roles of alginates in advanced wound-dressing forms with a particular emphasis on hydrogels, nanofibers networks, 3D-scaffolds or sponges entrapping fibroblasts, keratinocytes, or drugs to be released on the wound-bed. The latest research reports are presented and supported with in vitro and in vivo studies from the current literature