Alien Registration- Tanas, Anna (Waterville, Kennebec County)

https://digitalmaine.com/alien_docs/14995/thumbnail.jp

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

The Italian Consensus Position Statement on Diagnosis, Treatment and Prevention of Obesity in Children and Adolescents integrates and updates the previous guidelines to deliver an evidence based approach to the disease. The following areas were reviewed: (1) obesity definition and causes of secondary obesity; (2) physical and psychosocial comorbidities; (3) treatment and care settings; (4) prevention.The main novelties deriving from the Italian experience lie in the definition, screening of the cardiometabolic and hepatic risk factors and the endorsement of a staged approach to treatment. The evidence based efficacy of behavioral intervention versus pharmacological or surgical treatments is reported. Lastly, the prevention by promoting healthful diet, physical activity, sleep pattern, and environment is strongly recommended since the intrauterine phase

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Alien Registration- Tanas, Anna (Waterville, Kennebec County)

https://digitalmaine.com/alien_docs/14995/thumbnail.jp

Exploring ethical business in central Europe: Leaders' values and perspectives on good practices

Weaknesses in the institutional environment of Central Europe challenge the sustainability of economic development. Institutional theory stipulates that institutions drive economic development, and institutions are configured by individual values and practices. The World Governance Indicators, the Corruption Perception Index, and the Doing Business Indicators indicate weaknesses in the institutional environments of the Visegrad countries. This paper explores the micro level perspective of institutions, focusing on values and practices, in terms of leadership and ethics. A survey of 868 private and public sector managers from Czech Republic, Hungary, Poland, and Slovakia provides evidence that leadership practices and ethical values are congruent, suggesting a positive influence on the institutional environment. The results also provide evidence for the presence of the gap, spanning between the micro and the macro level factors affecting sustainable economic development. These results imply that a bottom-up view of sustainable economic development is more suitable to the Central European context, and promotion of sustainable economic development needs to focus on the micro level factors. © 2020 by the authors.International Visegrad Fund [21220297]; Swinburne University of Technolog

The unique voice of the Visegrad Countries: preliminary investigation of leadership excellence in post-transitional Central Europe

The concept of excellence is often viewed as a pathway to success. The way excellence is understood in different contexts, is strongly dependent on environmental, economic, historical, and cultural factors. Excellence is a multi-faceted phenomenon, and its different aspects are manifested in a variety of disciplines. This study joins the line of investigations exploring the management aspect of excellence, and examines leadership in the context of Central Europe as a source of uniqueness of the region. This paper uses a leadership excellence model established in an Eastern societal context to four Central European nations. This new perspective expands the already existing empirical literature and fills multiple gaps. A group of countries previously not examined comprehensively is studied comparatively. Furthermore, the results shed light on dimensions, similarities and differences of leadership excellence in these countries, highlighting the presence of a shared and unique profile of leadership excellence in the Visegrad countries. Provided their shared historical, political and economic past, the results are particularly unique in the post-transitional context

V4 LEAD Studium Porownawcze Przywodztwa i Etyki w Zarzadzaniu w Europie Srodkowej i Ws chodniej (V4 LEAD: A comparative study of leadership excellence and ethics in Central Eastern Europe)

Abstract not available