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1 – 10 of 87Nurgul Arslan, Gamze Akbulut, Muhammed Süleymanoğlu, Hacer Alataş and Bülent Yaprak
This study aims to determine the relationship between body mass index (BMI) and Global Registry of Acute Coronary Events (GRACE) risk score in patients diagnosed with acute…
Abstract
Purpose
This study aims to determine the relationship between body mass index (BMI) and Global Registry of Acute Coronary Events (GRACE) risk score in patients diagnosed with acute coronary syndrome (ACS) and to evaluate the results in this context.
Design/methodology/approach
This was a prospective cohort study of ACS patients admitted to a cardiac care unit in high specialization hospital's cardiology service. The study included 140 men aged >35 years who were diagnosed with ACS.
Findings
The mean age of the individuals participating in the study was 61.4 ± 10.9 years old. The mean BMI of the individuals was 25.3 ± 6.6 kg/m2, and the mean value of the waist/hip ratio was 0.85 ± 0.01. Individuals were divided into four quarters according to the GRACE score. It was determined that individuals with the highest GRACE score were very underweight or morbidly obese according to their BMI values (p = 0.04).
Originality/value
It has been observed that there is a U-shaped relationship between the GRACE score and the BMI in individuals diagnosed with ACS. The risk of death of ACS patients with very high or very low BMI values was found to be close to each other. Although there is a relationship between BMI and GRACE score, it is concluded that it is insufficient to determine the risk in coronary disease alone, and body fat distribution should be examined together with BMI.
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John Robinson, Andi Darell Alhakim, Grace Ma, Monisha Alam, Fernanda da Rocha Brando, Manfred Braune, Michelle Brown, Nicolas Côté, Denise Crocce Romano Espinosa, Ana Karen Garza, David Gorman, Maarten Hajer, John Madden, Rob Melnick, John Metras, Julie Newman, Rutu Patel, Rob Raven, Kenneth Sergienko, Victoria Smith, Hoor Tariq, Lysanne van der Lem, Christina Nga Jing Wong and Arnim Wiek
This study aims to explore barriers and pathways to a whole-institution governance of sustainability within the working structures of universities.
Abstract
Purpose
This study aims to explore barriers and pathways to a whole-institution governance of sustainability within the working structures of universities.
Design/methodology/approach
This paper draws on multi-year interviews and hierarchical structure analysis of ten universities in Canada, the USA, Australia, Hong Kong, South Africa, Brazil, the UK and The Netherlands. The paper addresses existing literature that championed further integration between the two organizational sides of universities (academic and operations) and suggests approaches for better embedding sustainability into four primary domains of activity (education, research, campus operations and community engagement).
Findings
This research found that effective sustainability governance needs to recognise and reconcile distinct cultures, diverging accountability structures and contrasting manifestations of central-coordination and distributed-agency approaches characteristic of the university’s operational and academic activities. The positionality of actors appointed to lead institution-wide embedding influenced which domain received most attention. The paper concludes that a whole-institution approach would require significant tailoring and adjustments on both the operational and academic sides to be successful.
Originality/value
Based on a review of sustainability activities at ten universities around the world, this paper provides a detailed analysis of the governance implications of integrating sustainability into the four domains of university activity. It discusses how best to work across the operational/academic divide and suggests principles for adopting a whole institution approach to sustainability.
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Atul Kumar Sahu, Mahak Sharma, Rakesh D. Raut, Anoop Kumar Sahu, Nitin Kumar Sahu, Jiju Antony and Guilherme Luz Tortorella
Today, proficient practices are required to stimulate along various boundaries of the supply chain (SC) to exploit manufacturing resources economically, effectually and gracefully…
Abstract
Purpose
Today, proficient practices are required to stimulate along various boundaries of the supply chain (SC) to exploit manufacturing resources economically, effectually and gracefully for retaining operational excellence. Accordingly, varieties of paramount practices, i.e. Lean, Agile, Resilient and Green practices, are integrated in present study with the objective to develop a Decision Support Framework (DSF) to select robust supplier under the extent of Lean-Agile-Resilient-Green (LARG) practices for a manufacturing firm. The framework is developed and validated in the Indian automotive sector, where the primary data is collected based on perceptions of the respondents working in an automotive company.
Design/methodology/approach
LARG metrics can ponder ecological balance, customer satisfaction, associations, effectiveness and sustainability and thus, the study consolidated LARG practices in one umbrella to develop a DSF. The analytical approach under DSF is developed by the integration AHP, DEMATEL, ANP, Extended MOORA and SAW techniques in present study to evaluate a robust supplier under the aegis of LARG practices in SC. DSF is developed by scrutinizing and categorizing LARG characteristics, where the selected LARG characteristics are handled by fuzzy sets theory to deal with the impreciseness and uncertainty in decision making.
Findings
The study has identified 63 measures (15 for Lean, 15 for Agile, 14 for resilient and 19 for Green) to support the robust supplier selection process for manufacturing firms. The findings of study explicate “Internal communication agility”, “Interchangeability to personnel resources”, “Manufacturing flexibility”, “degree of online solution”, “Quickness to resource up-gradation”, “Manageability to demand and supply change”, “Overstocking inventory practices” as significant metrics in ranking order. Additionally, “Transparency to share information”, “Internal communication agility”, “Manufacturing Flexibility”, “Green product (outgoing)” are found as influential metrics under LARG practices respectively.
Practical implications
A technical DSF to utilize by the managers is developed, which is connected with knowledge-based theory and a case of an automobile manufacturing firm is presented to illustrate its implementation. The companies can utilize presented DSF to impose service excellence, societal performance, agility and green surroundings in SC for achieving sustainable outcomes to be welcomed by the legislations, society and rivals. The framework represents an important decision support tool to enable managers to overcome imprecise SC information sources.
Originality/value
The study presented a proficient platform to review the most significant LARG alternative in the SC. The study suggested a cluster of LARG metrics to support operational improvement in manufacturing firms for shifting gear toward sustainable SC practices. The present study embraces its existence in enrolling a high extent of collaboration amongst clients, project teams and LARG practices to virtually eradicate the likelihood of absolute project failure.
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Grace Li and Margaret J. Penning
This chapter focuses on the heterogeneous pathways (including marital and cohabiting union and parenting histories) through which people navigate their family life courses from…
Abstract
This chapter focuses on the heterogeneous pathways (including marital and cohabiting union and parenting histories) through which people navigate their family life courses from adolescence through mid-life, and their implications for union dissolution in middle and later life. The analyses draw on data (retrospective, cross-sectional) from the 2011 and 2017 Canadian General Social Surveys. The study sample includes individuals aged 50 and over (n = 14,547) who were in a union at age 50. Sequence analyses are used to identify the most common family life course trajectories among these individuals from adolescence through midlife (ages 15–50). Logistic regression analyses then address the implications of these trajectories for union dissolution in middle and later life (ages 50+). The results reveal four main family trajectories that characterize the earlier years of the adult life course: married with children, cohabiting with children, single or cohabiting without children, and married without children. These family trajectories, together with their level of complexity, play an important role in relation to both marital and cohabiting union dissolution outcomes in later life.
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Margarietha de Villiers Scheepers, Paul Williams, Vikki Schaffer, Anthony Grace, Carl Walling, Jenna Campton, Karen Hands, Deborah Fisher, Hannah Banks, Jo Loth and Aurora Scheelings
In contrast to prior studies examining burnout in academic employees, this paper explores how academic employee agency mitigates burnout risks in the context of the coronavirus…
Abstract
Purpose
In contrast to prior studies examining burnout in academic employees, this paper explores how academic employee agency mitigates burnout risks in the context of the coronavirus pandemic (COVID-19) and how this agency facilitates research productivity and influences well-being in the face of changes in learning and teaching practices.
Design/methodology/approach
The authors use collaborative auto-ethnography (CAE) in the higher education (HE) sector to probe how an employee productivity group supported the group's members during the pandemic.
Findings
Thematic analysis revealed four emerging themes: burnout, beneficial habits for research productivity, blocking-out-time and belonging. The authors' findings suggest that by acknowledging and legitimising employee-initiated groups, feelings of neglect can be combatted. Purposeful employee groups have the potential to create a therapeutic, safe space and, in addition to the groups' productivity intent, diminish the negative effects of a crisis on organisational effectiveness.
Originality/value
This paper contributes to the literature by utilising a CAE approach to provide greater insight into how academics enact agency by creating digital research workspaces, attending to the spatial dimensions of well-being especially during turbulent times.
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Grace K.S. Ho, Carmen Lam and Rob Law
The purpose of this study is to develop a holistic resilience framework and its contributing factors for organizations in the hospitality and tourism industry for coping with…
Abstract
Purpose
The purpose of this study is to develop a holistic resilience framework and its contributing factors for organizations in the hospitality and tourism industry for coping with uncertain environments, such as those brought about by the COVID-19 pandemic.
Design/methodology/approach
This conceptual paper is based on a broad review of the literature on organizational resilience and strategic leadership. A conceptual framework is developed and discussed.
Findings
This study develops a holistic “strategic leadership-enhanced organizational resilience framework” that addresses the actions and mindsets required by hospitality and tourism organizations to attain organizational resilience and health.
Research limitations/implications
This study fills the research gap in corporate resilience frameworks for hospitality and tourism. This study has practical implications for the industry by suggesting specific actions that companies can take to enhance their organizational health and resiliency under environmental uncertainty.
Originality/value
Previous studies suggested only partial strategic resilience responses. This study constructs a holistic “strategic leadership-enhanced organizational resilience framework” in the hospitality and tourism context.
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