ABSTRACT
This article sheds light on the positive impact of ethical leaders on their subordinates' behaviours during times of crisis. The article focuses on the turbulent and abrupt changes taking place in military external operating environments which could negatively affect military personnel's mental health and psychological wellbeing. Pandemics and humanitarian crises are an example of such external environmental turbulences. These environmental turbulences are explored from an organisational perspective, under which they are viewed as a form of organisational change associated with a psychological uncertainty that has a negative impact on individuals. This uncertainty must be treated wisely by military leaders in all sectors of the armed forces in order to manage resistance to change and to prevent the negative psychological consequences that could be generated by such uncertainty. This article thus analyses ethical military leadership as a means to addressing the negative psychological consequences caused by change uncertainty in difficult times. It explores the terms change, change uncertainty, and ethical leadership. Various recommendations are made in the discussion section to facilitate the organisational process of implementing ethical leadership across all organisational levels of the armed forces. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
ABSTRACT
Introducción La pandemia por COVID-19 ha tenido un impacto en el manejo del ictus isquémico;se ha descrito una disminución de los ingresos hospitalarios e incluso una interrupción en la cadena de atención y un aumento de la mortalidad intrahospitalaria. Sin embargo, falta evidencia sobre su impacto en el pronóstico funcional. El objetivo de este estudio es analizar el efecto de la pandemia por COVID-19 en el pronóstico funcional a 3 meses de los pacientes con ictus isquémico agudo hospitalizados en Aragón. Material y métodos Revisamos los datos de todos los pacientes ingresados por ictus isquémico en todos los hospitales de nuestro sistema sanitario entre el 30 de diciembre del 2019 y el 3 de mayo del 2020. Comparamos su mRS y la mortalidad a 3 meses de los hospitalizados antes y después de haberse establecido el estado de emergencia secundario a la pandemia por COVID-19. Resultados En total, 318 pacientes con ictus isquémico agudo cumplieron nuestros criterios de inclusión. No hubo diferencias en las características globales y específicas de cada periodo, excepto por una mayor proporción de pacientes mayores de 80 años de edad durante el periodo pre-CoV (42,2% vs. 29,0%, p = 0,028). En el análisis comparativo, no encontramos una diferencia significativa en la mortalidad (12,3 vs. 7,9, p = 0,465) o la proporción de pacientes con mRS ≤ 2 (57,7% vs. 57,1%, p = 0,425) a los 3 meses. Conclusión Hasta donde sabemos, este es el primer estudio que analiza el impacto de la pandemia por COVID-19 en el pronóstico funcional a 3 meses de pacientes con ictus isquémico. En nuestra comunidad autónoma, no ha habido un incremento en la mortalidad o discapacidad a 3 meses de pacientes hospitalizados por ictus isquémico durante el periodo de COVID-19.
ABSTRACT
In line with the need for Spain's economic recovery after the COVID-19 pandemic and to address the country's transformation into a proactive and competitive economy, the development of innovative and entrepreneurial initiatives is becoming increasingly important. This chapter will focus on the dynamic capabilities of companies and on the cultural, institutional and demographic characteristics of the environment in which they operate. Within this context, the emphasis will be on two factors that affect the development of these initiatives: 1) the constitution of Spain's business fabric, fundamentally by SMEs, and 2) the commitment to the Sustainable Development Goals of the 2030 Agenda. By considering these two factors and analysing dynamic capabilities and social capital as elements that help achieve a sustainable competitive advantage, this paper will examine how social capital may favour the development of a successful and sustainable circular economy business model, especially for SMEs focused on the forestry sector and, more importantly, how these models can create a competitive advantage for companies. © 2021 by Nova Science Publishers, Inc. All rights reserved.
ABSTRACT
INTRODUCTION: The COVID-19 pandemic has had an impact on ischaemic stroke management, with a reported decrease in hospital admissions, and even disruptions in healthcare and increased in-hospital mortality. However, there is a lack of evidence on the impact of the pandemic on functional prognosis. The aim of this study is to analyse the effect of the COVID-19 pandemic on the 3-month functional outcomes of patients hospitalised due to acute ischaemic stroke in Aragon (Spain). METHODS: We reviewed the data of all patients admitted due to ischaemic stroke to any hospital in our regional healthcare system between 30 December 2019 and 3 May 2020. We compared modified Rankin Scale scores and mortality at 3 months in patients hospitalised before and after the declaration of a state of emergency due to the COVID-19 pandemic. RESULTS: In total, 318 patients with acute ischaemic stroke met our inclusion criteria. No differences were observed between periods in global or specific characteristics, with the exception of a higher proportion of patients older than 80 years during the first period (42.2% vs 29.0%, P = .028). In the comparative analysis, we found no significant differences in mortality (12.3 vs 7.9, P = .465) or in the proportion of patients with modified Rankin Scale scores ≤â¯2 (57.7% vs 57.1%, P = .425) at 3 months. CONCLUSION: To our knowledge, this is the first study to analyse the impact of COVID-19 pandemic on the 3-month functional outcomes of patients with ischaemic stroke. In our region, there has been no increase in rates of mortality or disability at 3 months in patients admitted due to ischaemic stroke during the pandemic.