The impact of dynamic capabilities on SME performance during COVID-19

Dynamic capabilities (DCs) are a growing field of research within the scope of theoretical structures based on resource and strategic management. Given the demonstrated impact of DCs on company performance, it is important to study the effects of DCs on small and medium sized enterprises (SMEs) within the context of the COVID-19 pandemic. Hence, this research evaluates the role of DCs during the pandemic and its impact on the performance levels of SMEs. Analysing the responses of 209 SMEs using a structural equations model, we report that DCs positively affect company performance both prior to and during the pandemic. However, we also verify that while prior to the pandemic companies placed greater emphasis on the search for new opportunities, following the onset of the pandemic the focus shifted to getting their products to the market. These results contribute to the literature on strategic management and the DC based approach during periods of turbulence and pandemics.

Experience of ambulance drivers on transfer of suspected or confirmed patients for COVID-19.

OBJECTIVE: To unveil the experience of ambulance drivers regarding the transfer of suspected or confirmed patients for COVID-19. METHOD: Exploratory study with a qualitative approach conducted in October 2021 with 18 drivers from the Northwestern Mesoregion of the State of Ceará-Brazil. The individual interviews occurred virtually, via Google Meet®, and for data processing the IRAMUTEQ® software was used. RESULTS: Six classes were obtained: Feelings experienced during transfers; Concern about contamination of the work team and family members; Therapeutic itinerary, patients' clinical status and increase in the number of transfers; Disinfection of ambulances between transfers of patients with suspected and/or diagnosed COVID-19; Gowning for patient transfers and Psychospiritual aspects of drivers during the pandemic. CONCLUSION: The experience was marked by challenges in adapting to the new routine and procedures during transfers. It was evidenced feelings of fear, insecurity, tension and anguish in the worker's reports.

Use of the prone position in pregnant women with COVID-19 or other health conditions.

OBJECTIVE: to analyze, in the scientific literature, the knowledge available on the use of the prone position in pregnant women diagnosed with COVID-19 or other health conditions. METHOD: an integrative literature review developed through the following guiding question: What is the scientific knowledge available on the use of the prone position in pregnant women with COVID-19 or other health conditions? The search for studies was carried out in eight databases. RESULTS: using the prone position in pregnant women with Acute Respiratory Distress syndrome allowed for improvements in lung compliance and oxygenation. It also allowed reducing uterine compression on the maternal large vessels, and a reduction in blood pressure was observed in pregnant women with pre-eclampsia. The prone position was also safe in the surgical management of pregnant patients. In addition, the following conditions stood out as disadvantages related to the prone position in pregnant women: possibility of aortocaval compression, causing severe hypotension, and inability to easily monitor fetal status or to perform emergency Cesarean sections. CONCLUSION: the prone position was considered safe, reliable and comfortable for its use in the clinical management of pregnant women, where specific care measures must be taken to avoid compression of gravid abdomen, as well as fetal monitoring is important to detect placental circulation impairment.

B2B marketing strategies in healthcare management: intellectual structure and research trends

Purpose>This study aims to map out the ways in which the intellectual structure and research trends of scientific publications come together in business-to-business (B2B) marketing strategies in the health-care sector. More specifically, it aims first to identify the fundamental contributions of research in this area of knowledge and second to determine the lines of research that constitute the most prominent intellectual contribution to the development of a solid future research agenda.Design/methodology/approach>The statistical and analytical methods include bibliometric, co-citation and cluster analysis techniques. To identify useful patterns of information within the paper, this study sought paid special attention to scholarship that was jointly cited. This study then applied hierarchical cluster analysis to the totality of the co-cited paper and then grouped the interrelated paper into distinct sets.Findings>This study were able to systematically identify and classify various theoretical perspectives of B2B marketing strategies within the health-care sector into four main approaches, namely, decision-making strategies;relational marketing;co-creation;new challenges.Originality/value>By systematically identifying, exploring and analyzing the key priorities of B2B marking within the health-care sector, this study contributes positively to the existing literature. The added value is that the work will help to further improve the international standards of excellence within the health-care sector and its marking apparatuses.

Women and Music in the Early Modern Age Palácio Nacional de Queluz, 2–4 July 2021

Taking the career of Violante Vestri (c1725–1791) as an example, and illustrating with the famous engraving dedicated to her in 1750 by Marc'Antonio Dal Re, Alessandra Mignati (Università Cattolica del Sacro Cuore, Milan;Università di Napoli Federico II) proposed some thoughts on the history of female performers, the audience's expectations, the importance of seduction in theatre and the significance of the support from prestigious personalities. Artistic rivalry was approached by Benoît Dratwicki (Centre de Musique Baroque de Versailles) in a paper dedicated to the quarrels of singers at the Académie royale de musique in the eighteenth century, which examined the public and private issues involved and their media misappropriation. A number of these women came from families of professional musicians, while others were seasoned prima donnas;a small handful were local adolescents selected to receive musical training. Dance was also the subject of a single paper: ‘From Feuilleton to Gender Studies: Marie Sallé under the Eyes of Critics’, by Silvia Garzarella (independent scholar, Milan).

Use of the prone position in pregnant women with COVID-19 or other health conditions Uso de la posición prona en gestantes con COVID-19 u otras condiciones de salud Utilização da posição prona em gestantes com COVID-19 ou outras condições de saúde

Objective: to analyze, in the scientific literature, the knowledge available on the use of the prone position in pregnant women diagnosed with COVID-19 or other health conditions. Method: an integrative literature review developed through the following guiding question: What is the scientific knowledge available on the use of the prone position in pregnant women with COVID-19 or other health conditions? The search for studies was carried out in eight databases. Results: using the prone position in pregnant women with Acute Respiratory Distress syndrome allowed for improvements in lung compliance and oxygenation. It also allowed reducing uterine compression on the maternal large vessels, and a reduction in blood pressure was observed in pregnant women with pre-eclampsia. The prone position was also safe in the surgical management of pregnant patients. In addition, the following conditions stood out as disadvantages related to the prone position in pregnant women: possibility of aortocaval compression, causing severe hypotension, and inability to easily monitor fetal status or to perform emergency Cesarean sections. Conclusion: the prone position was considered safe, reliable and comfortable for its use in the clinical management of pregnant women, where specific care measures must be taken to avoid compression of gravid abdomen, as well as fetal monitoring is important to detect placental circulation impairment.

Práticas seguras no manejo de vias aéreas de pacientes com Covid-19: revisão integrativa

Introduçao: A pandemia causada pelo vírus SARS-CoV-2 no inicio de 2020 alterou práticas dos profissionais de saúde com a finalidade em atenuar os riscos de contaminaçâo dos trabalhadores da linha de frente de assistencia a saúde, principalmente, atividades relacionadas ao manejo de vias aéreas de pacientes com Covid-19. Objetivo: identificar as práticas necessárias para garantir a segurança dos profissionais de saúde no manejo de vias aéreas de pacientes suspeitos ou diagnosticados com Covid-19. Materiais e métodos: revisâo integrativa realizada em dez bases de dados relevantes na área da saúde, sendo a amostra composta por 17 pesquisas. As práticas identificadas foram elencadas conforme os quatro procedimentos pontuados pela literatura: intubaçâo endotraqueal, extubaçâo, broncoscopia e traqueostomia. Resultados: as principais recomendaçöes mencionadas foram: intubaçâo endotraqueal: realizada por equipe experiente, treinada, mínima e profissionais de grupos de risco para Covid-19 nâo devem fazer parte desta equipe;extubaçâo: nâo utilizar cateter nasal de alto fluxo após o procedimento;broncoscopia: realizar em sala isolada e com pressâo negativa;traqueostomia: poderá ser considerada precocemente, mas o risco-beneficio deve ser avaliado. Conclusäo: as práticas identificadas poderâo direcionar o gerenciamento de vias aéreas e nortear a construçâo de tecnologías assistenciais, educacionais ou gerenciais.Alternate :Introduction:The pandemic caused by the SARS-CoV-2 virus in early 2020 changed the practices of health professionals in order to mitigate the risks of contamination of health care frontline workers, mainly activities related to the management of the airways of patients with Covid-19. Objective: to identify the practices necessary to ensure the safety of health professionals in managing the airway of patients suspected or diagnosed with Covid-19. Materials and methods: an integrative review carried out in ten relevant databases in the health area, with the sample consisting of 17 surveys. The practices identified were listed according to the four procedures punctuated by the literature: endotracheal intubation, extubation, bronchoscopy and tracheostomy. Results: the main recommendations mentioned were: endotracheal intubation: performed by an experienced, trained, minimal team and professionals from risk groups for covid-19 should not be part of this team;extubation: do not use a high flow nasal catheter after the procedure;bronchoscopy: perform in an isolated room with negative pressure;tracheostomy: may be considered early, but the risk-benefit must be assessed. Conclusion: the practices identified may direct the management of airways and guide the construction of assistive, educational or managerial technologies.Alternate :Introducción: La pandemia causada por el virus SARS-CoV-2 a principios de 2020 cambió las prácticas de los profesionales de la salud con el fin de mitigar los riesgos de contaminación de los trabajadores de primera línea de atención médica, principalmente actividades relacionadas con el manejo de las vías respiratorias de pacientes con Covid-19. Objetivo: identificar las prácticas necesarias para garantizar la seguridad de los profesionales de la salud en el manejo de la vía aérea de pacientes sospechosos o diagnosticados con Covid-19. Materiales y métodos: una revisión integradora realizada en diez bases de datos relevantes en el área de la salud, la muestra consiste en 17 encuestas. Las prácticas identificadas se enumeraron de acuerdo con los cuatro procedimientos puntuados por la literatura: intubación endotraqueal, extubación, broncoscopia y traqueotomía. Resultados: las principales recomendaciones mencionadas fueron: intubación endotraqueal: realizada por un equipo experimentado, capacitado, mínimo y profesionales de grupos de riesgo para Covid-19 no deberían formar parte de este equipo;extubación: no use un catéter nasal de alto flujo después del procedimiento;broncoscopia: realizar en una habi ación aislada con presión negativa;traqueotomía: puede considerarse temprano, pero se debe evaluar el riesgo-beneficio. Conclusión: las prácticas identificadas pueden dirigir la gestión de las vías aéreas y guiar la construcción de tecnologías de asistencia, educación o gestión.