The field of entrepreneurship is considered essential for the economy, and many researchers around the world have studied it from diverse perspectives. The outcomes of this research are not yet consensual. Today, it is gaining attention and consensus due to the increasing pressure of sustainable development, so there is a need for academic research to examine this field by incorporating sustainability value creation practices and the efforts of current entrepreneurs towards said goal, especially in the case of the agricultural sector. Accordingly, this study aims to address the problem of what drives students to incorporate sustainable agriculture in their entrepreneurial ventures. Moreover, we aim to determine whether the value placed in the triple bottom line affects the intention to establish sustainable businesses. The study is based on five antecedents of the Theory of Planned Behavior (TBP) and was designed to explore the mechanism underlying the intention to promote sustainable entrepreneurship in agriculture. The primary objective was to collect and analyze the data using the partial least square structural equation model (PLS-SEM) to test the determinants. The results revealed that the indicators of a favorable sustainable attitude, supportive subjective norms, control behaviors, adequate opportunity recognitions, and encouraging the triple bottom line had strong influences on the intention of promoting sustainability in entrepreneurship. Besides, the attitudes, subjective norms, opportunity recognition, and sustainability values can also predict students’ significant positive intentions toward sustainable agriculture in entrepreneurship. The research findings contribute to the literature by providing an empirical basis for the formulation of policies to encourage students to start an agribusiness, thereby improving the effectiveness of entrepreneurship education development programs and bridging the gap between sustainable entrepreneurial intentions and actions. Therefore, the insight into the determinants of sustainable entrepreneurship can be an essential step toward designing a practical and durable policy mechanism for the implementation of the triple bottom line when developing entrepreneurial agriculture education programs.
Cognitive impairment is a common complaint among cancer survivors and may be a consequence of the tumors themselves or direct effects of cancer-related treatment (eg, chemotherapy, endocrine therapy, radiation). For some survivors, symptoms persist over the long term and, when more severe, can impact quality of life and function. This section of the NCCN Guidelines for Survivorship provides assessment, evaluation, and management recommendations for cognitive dysfunction in survivors. Nonpharmacologic interventions (eg, instruction in coping strategies; management of distress, pain, sleep disturbances, and fatigue; occupational therapy) are recommended, with pharmacologic interventions as a last line of therapy in survivors for whom other interventions have been insufficient.
Healthy lifestyle habits have been associated with improved health outcomes and quality of life and, for some cancers, a reduced risk of recurrence and death. The NCCN Guidelines for Survivorship therefore recommend that cancer survivors be encouraged to achieve and maintain a healthy lifestyle, with attention to weight management, physical activity, and dietary habits. This section of the NCCN Guidelines focuses on recommendations regarding physical activity in survivors, including assessment for the risk of exercise-induced adverse events, exercise prescriptions, guidance for resistance training, and considerations for specific populations (eg, survivors with lymphedema, ostomies, peripheral neuropathy). In addition, strategies to encourage health behavioral change in survivors are discussed.
Anonymous nondirected living liver donation (ANLLD), sometimes referred to as "altruistic" donation, occurs when a biologically unrelated person comes forward to donate a portion of his/her liver to a transplant candidate who is unknown to the donor.Here, we explore the current status of ANLLD with special consideration of published reports; US experience; impact on donor psychosocial outcomes; barriers to donation; and current global trends with respect to ethical considerations. Between 1998 and 2019, 105 anonymous nondirected living liver donor (ND-LLD) transplants have been documented in the US Scientific Registry of Transplant Recipients. Sixteen donors (15%) were reported to experience a postoperative complication. Currently, 89 donors remain alive (85%), 16 (15%) have unknown status, and none are confirmed deceased. Although there are only a handful of case series, these data suggest that ANLLD is a feasible option. While there are no liver-specific data, studies involving anonymous nondirected kidney donors suggest that anonymous donation does not adversely impact psychosocial outcomes in donors or recipients. There are substantial financial burdens and ethical considerations related to ANLLD. Further studies are required to assess donor demographics, psychosocial motivations, long-term health-related quality of life, and financial impact of ANLLD. K E Y W O R D S altruistic, anonymous; living liver donation, living donor liver transplantation, nondirected
Many cancer survivors experience physical and/or psychosocial side effects, which can be severe, debilitating, and sometimes permanent. These NCCN Guidelines for Survivorship provide screening, evaluation, and treatment recommendations for common consequences of cancer and cancer treatment for health care professionals who work with survivors of adult-onset cancer in the posttreatment period. These introductory sections of the guidelines include the panel’s definition of cancer survivors, a discussion of the effects of cancer and its treatment, general principles and standards for survivorship care, and guidance regarding screening for problems that require further assessment.
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