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In our opinion, to assess sustainability of a company, it is also advisable to include the following areas of assessment: · compliance of the strategic goals of the company with a sustainable development strategy; · actions of the Company to address the strategic objectives of sustainable development; · implementation of best corporate governance practices, taking into account the principles of sustainable development (stable employment, competitive wages, additional social benefits, social investments in the regions of presence); · assessment of suppliers and contractors for compliance with the principles of sustainable development; · interaction with authorities, non-profit organizations in the spheres of social significant; · impact of the organization on the socio-economic development of local communities. Considering the criteria-based apparatus for assessing stability, it should be emphasized that there are not only difficulties associated with the selection of assessed indicators, but there are also other methodological complications that do not allow to sum up individual indicators of stability and evaluate it using an integral indicator. The problem is that there exists a more complex relationship between the indicators. For example, in agriculture, the production of organic products leads to a decrease in the use of mineral fertilizers, reduction of soil and water pollution. It can strengthen administrative support, but it can also negatively affect the income of the producer, due to lower yields, and the welfare of the consumer, due to higher prices for products. Moreover, newly registered companies are automatically recorded as small business, part of de facto nonoperating companies that are in bankruptcy proceedings, remains in the register (BobylevaA. According to experts (Sberbank, 2019), these facts greatly complicate the assessment of the dynamics of companies viewed by segments, and may distort research results. On the one hand, such companies may be better provided with orders, have a guaranteed sales market (Papadopoulos, G, 2015); on the other hand, due to the use of transfer prices, they may be financially unstable, run a high risk of bankruptcy, etc. Nevertheless, taking into account the possible errors of analysis due to imperfections in the information base, in the next section we are going to use the elements of the above criteria apparatus to assess the sustainability of small and mediumsized businesses. It should also be noted that the average number of employees for 2010-2018 in small business increased by less than 10%, and in 2014-2018 it even decreased slightly. On the other hand, it should be borne in mind that in small businesses, employment often takes place according to illegal schemes: the employee either does not register at all or is registered as part-time, receives "unofficial" wages. The ratio of profitable and unprofitable small enterprises has remained at 80:20 for all years. For example, in 2018 the proportion of unprofitable enterprises amounted to 33% (Rosstat, 2019). Nevertheless, the higher profitability of these industries did not lead to an overflow of capital and an outstripping growth in the number of enterprises in these industries: by type of activity the largest share is occupied by wholesale trade and repair (35-39%), construction (11-13%). Until 2014, companies related to real estate operations had a high share (20-21%), but in recent years their share has dropped to 8%. In agriculture, hotel business, education, services in healthcare, culture, sports, small enterprises make up no more than 3% in each of 31 52nd International Scientific Conference on Economic and Social Development Porto, 16-17 April 2020 the areas (Rosstat, 2019). There is a outstripping growth of microenterprises: if in 2010 their share in small business was 86%, then in 2018 it was already 91%, their number in 2010-2018 increased by 71%, turnover - 2. Indicators of medium-sized enterprises` sustainability are particularly noteworthy. Unfortunately, the incompatibility of the data does not allow an analysis for the entire period of 2010-2018, but the analysis for 2017-2018 shows that in the medium-sized enterprises the average number of employees has decreased, investments in fixed assets, assets, the turnover are stagnant, while as in enterprises of other categories, these indicators are growing. According to other criteria, short-term economic benefits continue to dominate in the priority system of many small companies. Overcoming such decision-making models will be facilitated by the development of sustainability management through portfolio and transformational approaches. It should be taken into account that the project affects sustainability, and sustainability criteria (sustainability requirements) affect project parameters. It is advisable to include two types of projects in portfolios: a) traditional ones aimed at improving operational activities without violating sustainability, and b) special projects whose immediate goal is to strengthen sustainability. For example, a new product that takes into account environmental requirements is a traditional project, while a construction project for sewage treatment plants is a special one (Anshin, 2017). The systematic selection of projects is provided by determining the stability drivers and evaluating their compatibility in a given period. Also the time difference should be taken into account: energy efficiency reduction projects can be costly, but its implementation saves resources. The Council may include representatives of the executive authorities, the public, suppliers and customers. Their participation will facilitate the selection of the most relevant projects in terms of increasing the stability of the region or type of activity (for example, related to digitalization). Development of reporting in the sphere of sustainable development and providing it to interested parties.
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Statistics Poland herbals for prostate discount 1pack slip inn, (2019) jb herbals order generic slip inn online,Statistical Yearbook of Maritime Economy 2018" Retrieved 15 herbs pregnancy cheap slip inn 1pack online. Statistics Poland, (2020),Statistical Yearbook of Maritime Economy 2019" Retrieved 15. It is intended to promote patient mobility, to give citizens of the Union the possibility of benefiting from new treatment opportunities, provided by the expansion of health services made available to them. The focus of this work focuses on the analysis of the Directive, its scope and relevant consequences in Portugal. Access to cross-border healthcare presupposes a set of assumptions that are analyzed in this work, from transparent information to removing administrative obstacles and costs of treatment in the countries of destination. We also analyze the terms of transposing the Directive into the Portuguese legal order, and in particular the introduction of the subordination mechanism to prior authorization. The methodology adopted is based on a theoretical framework that comprised the study of legislation, jurisprudential decisions, reports and opinions of various bodies and entities. This Directive covers healthcare broadly, public or not, and covers a wide range of healthcare, but excludes continued care, organ procurement and transplantation and public vaccination. The Charter of Fundamental Rights of the European Union, in article 35є, also presents health as an essential right. The aim is to safeguard the security of the Member States by outlining a common strategy in the fight against the disease. Despite its good intentions, over the years this Directive has not had the expected effect. The economic crisis has put other priorities first and health, despite being a service of general interest, has been forgotten and even neglected. The investigation objective the aim of this work is to present the results of the investigation about the aplication of the Directive in the field, all over the last eight years. This study was developed within the scope of the research for the Master Thesis in law, realized by the Author Joaquim Cepeda with the scientific orientation of the Author Maria do Rosбrio Anjos. After the conclusion and public defence of the Master degree, it seems quite importante to share with the scientific community some of the results and conclusions about the theme. Methodology Considering the theme and the rules of investigation on issues of law we did develope a theoretical study of the legal framework of the Directive. Cross-border healthcare is provided in a Member State other than the State of 432 52nd International Scientific Conference on Economic and Social Development Porto, 16-17 April 2020 affiliation, with a view to promoting the freedom to provide clinical services. However, Member States may prohibit their nationals from accessing healthcare in another member when the "public interest" impose it. For example, in case of danger to public health due to infectious diseases (paragraphs 11 and 12 of the Directive). According to this report, for the informed decision of the user, it is essential that information on prices and waiting timesis made available online. The results show that citizens are not informed about the new treatment opportunities that the Directive recognises to them neither informed about the existence of national contact points. The users interviewed mentioned that the main reasons for the lowseeking of cross-border care relate to administrative issues, in particular those relating to applications for prior authorisation. The interviewees also considered that the information available on most contact point websites does not provide sufficient detail. Of the interviewees, 55% point out as the main reason for not wanting to receive treatments abroad, satisfaction with the care provided in its country of origin. The same Parliament report also mentions that the quality of life of patients is an important component of the assessment of costs/benefits in the health sector. Actually, this point of view is mentioned by some Authors about this issue, reinforcing that this is a way to improve the quality and universality of the service and also its better management, and may result in some no savings for mS by the synergy resulting from a common and more integrated management. Greater clarity and transparency on the working conditions of healthcare providers is needed in order to ensure greater patient mobility. The right to information is crucial but the Directive goes further and imposes a duty of information. The transposition of the Directive into the legal system Portuguese occurred with Law No. It excludes from the scope of the law the integrated continuing care and the donation or collection of organs for therapeutic purposes or transplantation.
Pappone C herbs like viagra buy on line slip inn, Santinelli V herbal order slip inn 1pack, Manguso F herbals during pregnancy purchase slip inn no prescription, Augello G, Santinelli O, Vicedomini G, Gulletta S, Mazzone P, Tortoriello V, Pappone A, Dicandia C, Rosanio S. A randomized study of prophylactic catheter ablation in asymptomatic patients with the Wolff-Parkinson-White syndrome. Termination of acute atrial fibrillation in the Wolff-Parkinson-White syndrome by procainamide and propafenone: importance of atrial fibrillatory cycle length. A comparison of intravenous propafenone and flecainide in the treatment of tachycardias associated with the Wolff-Parkinson-White syndrome. Challenging the superiority of amiodarone for rate control in Wolff-Parkinson-White and atrial fibrillation. Atrial fibrillation and thromboembolism in patients with hypertrophic cardiomyopathy: systematic review. Impact of atrial fibrillation on the clinical course of hypertrophic cardiomyopathy. Prognostic value of non-sustained ventricular tachycardia and the potential role of amiodarone treatment in hypertrophic cardiomyopathy: assessment in an unselected nonreferral based patient population. Substrate and procedural predictors of outcomes after catheter ablation for atrial fibrillation in patients with hypertrophic cardiomyopathy. Efficacy of catheter ablation for atrial fibrillation in hypertrophic cardiomyopathy: impact of age, atrial remodelling, and disease progression. Usefulness and safety of transcatheter ablation of atrial fibrillation in patients with hypertrophic cardiomyopathy. Efficacy of catheter ablation of atrial fibrillation in patients with hypertrophic obstructive cardiomyopathy. Predictors of recurrence following radiofrequency ablation for persistent atrial fibrillation. Chromosome 4q25 variants are genetic modifiers of rare ion channel mutations associated with familial atrial fibrillation. Lone atrial fibrillation in vigorously exercising middle aged men: case-control study. Patterns of ventricular tachyarrhythmias associated with training, deconditioning and retraining in elite athletes without cardiovascular abnormalities. Calvo N, Mont L, Tamborero D, Berruezo A, Viola G, Guasch E, Nadal M, Andreu D, Vidal B, Sitges M, Brugada J. Efficacy of circumferential pulmonary vein ablation of atrial fibrillation in endurance athletes. Koopman P, Nuyens D, Garweg C, La Gerche A, De Buck S, Van Casteren L, Alzand B, Willems R, Heidbuchel H. Efficacy of radiofrequency catheter ablation in athletes with atrial fibrillation. Heidbuchel H, Panhuyzen-Goedkoop N, Corrado D, Hoffmann E, Biffi A, Delise P, Blomstrom-Lundqvist C, Vanhees L, Ivarhoff P, Dorwarth U, Pelliccia A. Recommendations for participation in leisure-time physical activity and competitive sports in patients with arrhythmias and potentially arrhythmogenic conditions Part I: Supraventricular arrhythmias and pacemakers. Recurrence rates of arrhythmias during pregnancy in women with previous tachyarrhythmia and impact on fetal and neonatal outcomes. Comparison of transplacental treatment of fetal supraventricular tachyarrhythmias with digoxin, flecainide, and sotalol: results of a nonrandomized multicenter study. The acute treatment of maternal supraventricular tachycardias during pregnancy: a review of the literature. Interventions for preventing post-operative atrial fibrillation in patients undergoing heart surgery. Epistatic effects of potassium channel variation on cardiac repolarization and atrial fibrillation risk. Giustetto C, Cerrato N, Gribaudo E, Scrocco C, Castagno D, Richiardi E, Giachino D, Bianchi F, Barbonaglia L, Ferraro A.
Overharvesting of non-timber products impacts primarily on the product harvested herbs used in cooking buy discount slip inn 1pack, though there may be a number of secondary impacts on ecosystem services herbs contraindicated for pregnancy slip inn 1pack. Woodfuels Fuelwood harvesting rupam herbals cheap slip inn 1pack on line, can result in overall structural changes of the vegetation, converting a forest or woodland area into shrubland or grassland, with impacts on productivity, soil erosion and biodiversity (Ndegwa et al. It can have secondary impacts on fire regimes which may restrict woody plant regeneration (Chidumayo & Kwibisa, 2003). For sustainable woodfuel use, there is no net overall emission of carbon since the harvest is not fully compensated by regrowth. However, where woodfuel is unsustainably harvested, leading to deforestation, the emission from this land-use change is potentially the largest single carbon emission as was found for Zambia (Kutsch et al. Ecosystem processes directly impacted through woodfuel harvesting include: increased soil erosion, change in forest/woodland structure, change in woody plant to grass ratios, change in fire regimes, loss of biomass and sequestered carbon, change in soil properties, especially at charcoal pits where extreme temperatures have lasting impacts on soil, change in hydrology, and possibilities of increased flooding (Chidumayo & Gumbo, 2013). Redford, (1992) termed this "the empty forest" phenomenon forests maintaining their mature tree structure, but being devoid of larger vertebrates. Furthermore, there could be impacts on the principle predators (either through direct hunting) or through lack of prey (Henschel et al. There is evidence that forest restoration without the reintroduction of forest vertebrates may be impossible (Brodie & Aslan, 2012; Chapman & Onderdonk, 1998). Bushmeat hunting can lead to the local and potentially total extinction of some species, the great apes being particularly vulnerable (Abernethy & Obiang, 2010; Oates et al. Galliform birds are highly threatened by direct pressure from hunting globally, though are seldom hunted in the tropical and Neotropical forests (Keane et al. Peres and Palacios (2007) identified 11 Amazonian vertebrate species with over a 68% reduction in abundance, with the abundance of Uakari monkey (Cacajao calvus) reduced by 90-97% from overhunting. Regions of specific concern from bushmeat extraction are the Congo basin and Madagascar. Human use of fire is thought to have been a factor that has caused major change in the dominant vegetation of many areas. For instance there is evidence that the Mediterranean had a far higher dominance of oak forests in the past, but a human induced, altered fire regime from around 7000 years ago has now lead to a dominance of fire tolerant conifers (Zavala et al. The European settlers in Australia, prevented fires which caused changes to both the vegetation and fire regimes, and this may be responsible for some of the more recent devastating fires (Bowman, 1998; Head, 1989). This can then further damage the remaining late succession and fire intolerant trees, resulting in a grassland or open woodland, dominated by early succession, fire tolerant trees (Frost, 1996). Fire is used as a management tool in many vegetation types to stimulate forage production for livestock, or to alter the ratio of tree to grass (Archibald et al. Changing of fire frequency, timing or intensity can change vegetation structure and biodiversity, even in fire tolerant ecosystems. Peat fires as a result of peatlands being drained have been a major concern in Indonesia. For example, an estimated 24000 km2 of peatland burned in Indonesia during the 1997-1998 El Niсo-Southern Oscillation drought (Page et al. Forest fires in closed tropical rainforest are almost impossible, except during extreme drought conditions. Between 2001 and 2007, the average area of fires in Canada was 5,930 ha and 1,312 ha in Russia (de Groot et al. In the United States alone, fire suppression costs have exceeded $1 billion per annum for most of the last 10 years, with last year exceeding $2 billion. Any introductions, even in carefully planned biological control programs, are risky, but risk assessment is difficult because it is hard to predict community and ecosystem-wide impacts of introduced species and because introduced species often disperse and may evolve after arrival (Simberloff & Stiling, 1996). Not all invasive aliens have negative effects, some indeed are beneficial (Schlaepfer et al. The types of invaders include: plants, vertebrates, insects, mites, nematodes, weevils, parasitoids, pathogenic bacteria, fungi, viruses, and algae. Damage can be caused by predation, competition for resources such as space, food and breeding sites (Baillie et al. Not only do invasive aliens affect native species diversity, but they can also modify ecosystems. Invasive alien species are responsible for the stresses on 30% of threatened birds (and as much as 67% on islands), 11% of threatened amphibians, and 8% of threatened mammals sites (Baillie et al. Global changes, such as climate, land-use change and changes in the nitrogen and carbon cycles, can be expected to open new regions to invasives and allow previously benign species to become invasive (Masters & Norgrove, 2010; Hebertson & Jenkins, 2008).
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