A PROPOSAL FOR THE MANAGEMENT OF HUMAN COMPETENCES FOR SUSTAINABILITY

Considering the discussion regarding the need to promote and develop sustainability in organisations, this study aims to propose the management of human competences for sustainability. The study comprises two phases. First, after reviewing the theories and concepts related to competences and their relationship with sustainability in organisations, we defined six specific human competences. In the second phase, to ascertain the adherence of this set of competences in the organisations, two studies were conducted in companies that are recognized for their actions focused on sustainability and competences management. The evidence reinforces that the competence-based approach represents an appropriate perspective that strategicly drives sustainability management in organisations. As a proposal, the following aspects were defined based on a guiding model: what is the competence-based management model suitable for, how it will be developed, formatted and used

Percutaneous endoscopic versus surgical gastrostomy in patients with benign and malignant diseases: a systematic review and meta-analysis

To compare the complications and mortality related to gastrostomy procedures performed using surgical and percutaneous endoscopic gastrostomy techniques, this review covered seven studies. Five of these were retrospective and two were randomized prospective studies. In total, 406 patients were involved, 232 of whom had undergone percutaneous endoscopic gastrostomy and 174 of whom had undergone surgical gastrostomy. The analysis was performed using Review Manager. Risk differences were computed using a fixed-effects model and forest and funnel plots. Data on risk differences and 95% confidence intervals were obtained using the Mantel-Haenszel test. There was no difference in major complications in retrospective (95% CI (-0.11 to 0.10)) or randomized (95% CI (-0.07 to 0.05)) studies. Regarding minor complications, no difference was found in retrospective studies (95% CI (-00.17 to 0.09)), whereas a difference was observed in randomized studies (95% CI (-0.25 to -0.02)). Separate analyses of retrospective and randomized studies revealed no differences between the methods in relation to mortality and major complications. Moreover, low levels of minor complications were observed among endoscopic procedures in randomized studies, with no difference observed compared with retrospective studies