Engagement for supply chain sustainability: A guide

Public and investor expectations about corporate sustainability performance and disclosure are growing rapidly and extending into company supply chains. Companies are increasingly recognising that their supply chain holds both substantial risk and opportunity. As a result, many companies have started to engage creatively and proactively with their diverse supply chains to leverage their collective capacity to address sustainability challenges. Existing supplier engagement frameworks typically promote progressive steps towards collaboration as the ideal form of supplier engagement, but our research shows that this insufficiently captures the complexity of actual company-supplier relations. Instead, there are a variety of suitable engagement approaches that can be positioned along a spectrum between more coordinated and more collaborative. This spectrum of approaches applies to individual companies working with single suppliers, as well as to multiple companies partnering across industries and with other stakeholders to address wider supply chain challenges. Supply chain sustainability outcomes depend on your company’s ability to find the approach or combination of approaches that best align with current circumstances. Key considerations include your company’s desired objectives, supply chain characteristics, and the readiness of both your company and your suppliers

The Ursinus Weekly, May 5, 1924

Library campaign shows progress • Ursinus represented at YMCA conference • Asher R. Kepler addresses students • Survey taken of conditions at Princeton • Varsity defeated while scrubs defeat • Junior varsity wins • English Club holds monthly meeting • Resume of coming events proves very interesting time ahead: May Day; Junior play; Music week • Campus notables: Former student council presidents • Mr. Thomas Clemens addresses YMCA • First YW meeting under new administration • Zwing repeated Dulcyhttps://digitalcommons.ursinus.edu/weekly/2350/thumbnail.jp

The Ursinus Weekly, June 2, 1924

Faculty to lose two members • Penn State and Ursinus divide honors over week end • Glenwood alumni hold reunion • Library campaign improves by degrees • Commencement plans announced in detail • Summer session at University of Mexico • College Republican clubs • Girls Glee Club assists at Pottstown • Basketball U\u27s awarded, managers elected • Schaff semi-annual business meeting • Pupils recital of the Ursinus school of music • Hiking Club shows marked improvementhttps://digitalcommons.ursinus.edu/weekly/2354/thumbnail.jp

The Efficacy and Toxicity of Bupropion in the Elderly

Bupropion is an antidepressant with excellent tolerability and few side effects or drug interactions. These characteristics suite it well for use both in the elderly and in the medically ill. However, early reports of seizures with bupropion therapy in patients with bulimia limited its use. The pharmacology, efficacy, toxicity, and side effect profile of both the immediate release (IR) and the recently available sustained release (SR) formulations of bupropion are reviewed. Bupropion SR is associated with a reduced seizure incidence (0.1%) compared to that found with the IR formulation (0.4%). Recent reports, however, demonstrate that the half-life of bupropion is prolonged in the elderly and that the elderly accumulate bupropion metabolites. Potential toxic effects, including seizures and psychosis, may result from high bupropion plasma levels and the accumulation of bupropion metabolites in the elderly or in those with impaired renal or liver function. Clinical reports in the elderly demonstrate that lower (75-225 mg/day) doses of bupropion are associated with fewer side effects and equal efficacy to that found with higher doses. Bupropion is a good antidepressant choice for the elderly and the medically ill, provided additional precautions, including the use of low doses, are taken. Bupropion should either be avoided or be used with extreme caution in anyone who is at increased risk of seizures or who has a history of psychosis or an eating disorder

How to Support Secondary School Teachers After Emergency Remote Teaching

AbstractThe forced use of emergency remote teaching (ERT) during COVID-19 school closures was sudden, disruptive, and difficult for teachers, leading to a minimal understanding of how to support secondary school teachers’ use of online educational technology after the ERT experience. The purpose of this qualitative study was to understand how to support secondary school teachers’ use of online educational technology after the ERT experience. The technology acceptance model was the framework used in this study. The research questions explored the framework by asking about teacher perspectives of support, usefulness, and ease of use of online educational technology. The data collection method for this general qualitative study was semistructured interviews with 12 secondary school teachers who experienced ERT. This study supports that there are still unmet support needs for online education, and the ERT experience changed the participants’ perspectives of perceived usefulness and perceived ease of use of online education to positive. An incidental finding was that ERT was disruptive. The findings support a positive social change to meet students’ technology needs for higher education and future employment by understanding how to support secondary school teachers’ use of online educational technology after the ERT experience

Cecocentral scotoma as the initial manifestation of subacute bacterial endocarditis

Danielle Savitsky Strauss, Samuel Baharestani, Julia Nemiroff, Kiran Amesur, David HowardNew York University Langone Medical Center, New York, NY, USAIntroduction: We report a case of a 67-year-old male who presented with a cecocentral scotoma caused by a septic embolus from subacute bacterial endocarditis (SBE).Methods: A 67-year-old man presented with sudden, painless decreased vision in the left eye. A dilated fundoscopic exam, Humphrey visual field test, transthoracic echocardiogram, abdominal computed tomography (CT), and blood cultures were all performed.Results: A dilated fundoscopic exam revealed temporal segmental optic disc pallor on the left, and Humphrey visual field testing demonstrated a dense left cecocentral scotoma. When the patient developed fever (103.9°F) and palpitations, transthoracic echocardiogram revealed valvular vegetations, and contrast CT of the abdomen revealed an abscess in the dome of the liver likely due to an infectious thrombus. Blood cultures grew viridians group streptococci in three separate peripheral collections.Conclusion: This case illustrates that a sudden cecocentral scotoma may be the initial manifestation of SBE. Keywords: endocarditis, scotoma, streptococcal infections, visual field