Modern Management Approaches Research Articles

Outcomes of the modern management approach for locally advanced (T3-T4) laryngeal cancer: a retrospective cohort study.

Outcomes of the modern management approach for locally advanced (T3-T4) laryngeal cancer: a retrospective cohort study.

Myoglobin saturation as an intracellular indicator for transfusion need in oncology patients.

This study aims to demonstrate the potential of myoglobin saturation as an indicator of oxygen delivery adequacy to help determine the need for red cell transfusion. Modern blood management approaches have been established to optimise use of red blood cells for transfusions in patients with anaemia. However, most approaches make recommendations to transfuse based on haemoglobin or haematocrit levels and do not directly address adequacy of oxygen delivery. Intracellular oxygen determined by myoglobin saturation directly measures oxygen delivery at the tissue level. A custom built spectrometer system with an optical fibre probe was used in this pilot study to measure muscle cell myoglobin saturation noninvasively from the first digital interosseous muscles in patients undergoing planned red blood cell transfusion. Patients were recruited from both the in-patient and out-patient oncology service at a major university medical centre. Measurements were made immediately before, immediately after, and 24 h following transfusion. Clinical data and tissue oxygen values from the Somanetics INVOS system were also collected. Myoglobin saturation, and thus cellular oxygen increased in some, but not all patients receiving a transfusion, and was most pronounced in patients who initially had low myoglobin saturation compared with the group as a whole. Clinical decisions to transfuse based on haemoglobin or haematocrit thresholds alone are likely insufficient to optimise use of red blood cell transfusions. The combination of haemoglobin or haematocrit with myoglobin saturation may optimally determine who will benefit physiologically from a transfusion.

Организационно-управленческие подходы к развитию организационного поведения в системе управления персоналом

The article substantiates the relevance of modern organizational and management approaches to the development of organizational behavior of personnel. The role of behavior types and work values of the organization's employees, which resulted in the motivational model of organizational behavior of the staff, is revealed. Taking into account the identified motivational types of personnel, a set of methods for the development of organizational behavior of employees, including scientific-methodological, informational, andragogical and socio-communicative approaches is proposed. The study shows that organizational behavior is one of the key elements of the personnel management system, the effectiveness of which determines the management result and the financial success of the enterprise.

Model Of Management Lubuk Larangan for Area Development in Mandailing Natal District

This research proposes a comprehensive Model of Management for Lubuk Larangan, a unique cultural and natural resource in the Mandailing Natal District. Lubuk Larangan, traditionally known as a restricted fishing areas, holds significant cultural and ecological value for the local communities. However, the increasing pressures from modern development and anthropogenic activities necessitate the establishment of an effective management model to ensure sustainable area development.The proposed model integrates traditional wisdom, community participation, and modern management approaches to strike a balance between cultural preservation and sustainable development goals. It takes into account the socio-economic dynamics, environmental considerations, and aspirations of the local communities, aiming to create a harmonious and adaptive framework. Key components of the model include community engagement, knowledge transfer, regulatory frameworks, and monitoring systems. The model also emphasizes the importance of collaboration between local authorities, non-governmental organizations, and the communities to foster a sense of shared responsibility and ownership. This research utilizes quantitative methods approach quantitative data analysis to develop and validate the proposed model. The findings are expected to contribute to the sustainable development of Lubuk Larangan and serve as a valuable reference for similar initiatives in other regions facing the challenges of balancing cultural preservation and modern development. The model's success would not only benefit the Mandailing Natal District but also provide insights into the broader field of cultural and environmental resource management.

Research of the latest technologies and approaches to ensuring safety at work

The implementation of appropriate measures and systems to ensure occupational safety depends not only on the economic efficiency of companies, but also on the life and health of employees, which makes this topic relevant. The purpose of the study was to assess the capabilities and effectiveness of leading technologies and new management approaches to ensuring safety at work in accordance with existing problems in the field of occupational safety. The main approaches used in the study are the statistical method, comparison, analysis, and the descriptive method. The study identified problems in the field of occupational safety in Ukraine, the main ones being a large share of undeclared labour and an inadequate system for recording accidents. Ways to ensure occupational safety are identified, which are primarily related to conducting conversations, motivating personnel, digitalisation of such safety elements as training, briefings, risk assessment, and incident management. Based on the analysis of the experience of global leading companies in ensuring occupational safety, effective practices for improving the effectiveness of the safety system have been identified, which include conversations with employees, special development and training programmes, the introduction of advanced technologies and unified safety systems. The conducted research allowed developing an occupational safety system that incorporates modern technologies and management approaches. The findings can be useful for company managers in selecting and implementing effective management measures and new technologies to ensure occupational safety

SCIENTIFIC APPROACHES AND KEY ASPECTS OF THE MODEL OF IMPLEMENTATION OF INNOVATIVE TECHNOLOGIES IN THE PRODUCTION MANAGEMENT SYSTEM OF INDUSTRIAL ENTERPRISES

Objective. To study and analyse various scientific methods and approaches to the introduction of the latest technologies into the production processes of industrial enterprises and to develop an effective model of innovative technologies. Methods. The following methods were used to achieve the goal and solve the above tasks: data analysis and synthesis - the article analyses various data, including sociological surveys, economic forecasts of the National Bank of Ukraine, and other important indicators; comparative analysis - comparing the current situation with previous years to assess economic recovery; comprehensive review and strategic analysis - describing the strategic directions of innovative transformations and industrial development, as well as considering the main models of innovation; forecasting. Results. The importance of introducing digital technologies in the management of industrial enterprises is substantiated, the contribution of enterprise resource planning systems and analytical tools to responding to market changes and optimising supply chains is emphasised. The necessity of an integrated approach to the introduction of innovative technologies in industrial management in Ukraine, taking into account the specifics of the enterprise, organisational culture and existing technological processes, as well as the need for continuous evaluation and optimisation of innovations, is determined. Scientific novelty. A model for the introduction of innovative technologies into the production management system of industrial enterprises has been developed, which allows for the comprehensive integration of modern innovative technologies with traditional management practices. This model helps to optimise production processes, increase the efficiency of enterprises and ensure their competitiveness in the global market. The article also proposes a comprehensive approach to studying the impact of innovation on the industrial sector in post-war Ukraine, taking into account internal and external factors affecting innovation processes, and focusing on the role of technological innovation for the country's economic recovery. Practical significance. The results of our study can be used to develop strategies and methods that can be applied in various areas of economic and industrial activity in Ukraine, especially in the context of recovery from the military conflict. The main areas of application include the industrial sector, economic policy and planning, and enterprise resource management. The article emphasises the importance of applying modern management approaches and digital technologies in the process of enterprise resource management, which can be useful for managers at all levels and can contribute to further research in the field of innovative development and management activities in industry, in particular in the context of digital transformation.

Bridging ancient wisdom and modern management: Enhancing I Ching learning with ChatGPT

This study aims to investigate the integration of artificial intelligence, specifically ChatGPT, into the learning process of the I Ching, and its impact on students' understanding and application of this ancient Chinese wisdom in modern management practices. The research adopts a quantitative approach, utilizing surveys to collect data from students. ChatGPT, an artificial intelligence language model, is employed as a learning tool to assist students in applying the principles of the I Ching to solve business problems. The surveys evaluate students' perceptions of ChatGPT's usefulness, ease of use, and its effectiveness in practical applications of the I Ching. Additionally, the study examines ChatGPT's responses to determine its knowledge of the I Ching. The findings affirm that ChatGPT possesses a fundamental understanding of the I Ching and can effectively apply it to solve problems presented in textbook cases. Students perceive ChatGPT as user-friendly and highly beneficial in learning how to apply the I Ching in practical scenarios. The integration of ChatGPT as a learning tool has not only enhanced accessibility to the I Ching but also elicited increased interest and engagement among students. This integration serves as a valuable bridge between ancient Chinese wisdom and modern management approaches. By harnessing the power of artificial intelligence, students can dynamically and interactively explore the depths of the I Ching, thereby enhancing their comprehension and application of its principles. Consequently, this integration not only facilitates the learning of the I Ching but also fosters greater interest and engagement among students in business school.

Management Activities to Motivate and Establish Employee Loyalty

The work examines modern strategies and management approaches aimed at increasing the level of motivation and establishing the loyalty of personnel in organisations. An analysis of the integrated management activity model, which is specially adapted to achieve maximum efficiency in the context of employee motivation and loyalty, was carried out. The main focus of the research is on the role of leadership in creating a favourable working environment and forming a positive working atmosphere. The author also considered modern management technologies that simplify motivation processes and ensure transparency in the interaction between management and staff. The literature review and the analysis of the integrated model help to reveal the key aspects and principles that underlie the successful management of employee motivation and loyalty in modern organisations. The article’s conclusions serve as a basis for further research and development of personnel management strategies.

Exploring the Facets of Shared Leadership within the Intricate Frameworks of Chinese Ideologies: A Modern Perspective on Traditional Values

Shared leadership as a modern management approach provides the structure and framework for innovational thinking within creative working places. China's swift ascent as one of the foremost global players, coupled with its aspirations to become an innovation leader, makes a reevaluation of traditional organizational structures and leadership paradigms necessary. Research on the application of modern management approaches such as shared leadership, within the context of Chinese culture is notably underrepresented and needs to be further focused on. Using a literature review methodology, this study delves into the book "A Short History of Chinese Philosophy" to check on relevant text passages and aspects derived from various original schools of thought within traditional Chinese ideologies. Subsequently, these aspects are categorized as either pro or con arguments and reinterpreted through the lens of shared leadership readiness. Seven affirmative arguments and seven opposing arguments judge the application of shared leadership ideas embedded in Chinese traditional values and philosophies. Taoism, particularly in its third phase and Neo-Taoism stand as representative examples favoring shared leadership. Conversely, Realistic Confucianism and the Mohist School serve as representatives against the adoption of shared leadership. One limitation of the re-interpretation lies in the potential for misunderstanding the original Chinese traditional values which may not have been intended for application within the context of modern management approaches, potentially resulting in wrong conclusions. Additionally, relying solely on one source to depict the history of Chinese philosophy constitutes another limitation, as it simplifies the complexity of Chinese traditions. Follow-up studies could focus on constructing a robust theoretical framework. Another significant contribution could involve the development of a survey aimed at assessing the extent of influence exerted by the original schools of thought on traditional Chinese individuals.

ЭВОЛЮЦИЯ УПРАВЛЕНЧЕСКОЙ МЫСЛИ

In the modern world, constant updating and adaptation of management methods are required for the effective functioning of organizations. Studying the evolution of management thought is key to understanding and applying management strategies. This work analyzes the evolution of management thought, compares classical and modern concepts, identifies changes, trends, and influences on the development of management theories. The research goal is to systematize knowledge about management thought and highlight trends in the development of modern approaches. The study reveals key stages in the evolution of management thought, including the transition from the theories of F. Taylor and G. Fayol to modern management approaches such as management by objectives, the information approach, «Teal organizations,» and others. Current trends in management are analyzed, including digitization, customer orientation, sustainable development, and others.

Designing an Ethically-Oriented Management Model for Employee Education Development in Higher Education Using Grounded Theory (Case Study: Free Universities of Mazandaran Province)

Purpose: One of the modern management approaches that has received significant attention and has addressed the weaknesses and problems of traditional management models is ethically-oriented management. Therefore, the purpose of this research is to design an ethically-oriented management model to enhance employee education in higher education, utilizing grounded theory in the free universities of Mazandaran province. Methodology: The nature of this study is exploratory and utilizes qualitative data. The research population consists of management experts and professors with management experience in the free universities of Mazandaran province. The researcher employed the snowball method to achieve theoretical saturation after conducting interviews with 13 experts and opinion leaders. Qualitative data were collected through structured interviews and analyzed using the qualitative method of grounded theory. Findings: Causal factors influencing ethically-oriented management for the development of employee education include personal characteristics, psychological capability, job identity, and organizational communications. Contextual factors include organizational ethics, organizational foundations, organizational justice, and leadership roles. Influential intervening factors include political, executive, infrastructural, and cultural factors. Additionally, three core phenomenon components have been identified and reported: ethical educational leadership skills, ethical literacy, and instructional design. Resulting strategies include external and internal university strategies, formal and informal strategies. Lastly, outcomes include structural development, educational development, communicational development, and performance development. Conclusion: This research began with the aim of achieving an ethically-oriented management model for the development of employee education in higher education using grounded theory and has completed its evolutionary journey through qualitative methods, resulting in a model. Finally, recommendations derived from the researcher's experiences are presented.

Shared Leadership and Employee Satisfaction in China: A Multiple Correspondence Analysis of Gender and Education Aspects of Participative Leadership Models

The relevance of researching on modern management approaches is today´s dynamic labor market’s demand for flexible leadership models, such as shared leadership, to attract talents in companies by meeting employee´s requirements of more participation in management tasks. This paper aims for the investigation of gender and education level related influences on attitudes toward shared leadership and employee satisfaction in a Chinese cultural context for a better understanding of possible limitations of shared leadership. Shared leadership is mainly explored with a focus on its origins in North America, the study of shared leadership in the Chinese culture is underrepresented. This quantitative research is conducted through an online survey, distributed by WeChat, involving 103 Chinese employees, with 39 women and 64 men, 34 years old on average, in a manufacturing work environment to approve the industry relevance. The convenience sampling ensures a high level of trust and data quality of the respondents regarding sensitive information about employee satisfaction and attitude toward shared leadership. Only existing, validated questionnaires were used. The survey regarding employee satisfaction is based on Spector (1985). The survey regarding attitude toward shared leadership is based on Small (2007). The results are evaluated by their means, standard deviations, correlation analysis and multiple correspondence analysis. Statistical analysis is performed by XLSTAT. The first hypothesis (H1), suggesting a clustering effect by gender and education level on shared leadership’s scope, is not significantly confirmed by the correlation analysis. The multiple correspondence analysis raises suspicions about men exhibiting higher employee satisfaction and a more negative attitude toward shared leadership than women. Individuals with a bachelor’s degree tend to display ambivalent attitudes toward shared leadership. The second hypothesis (H2), proposing a positive correlation between attitude toward shared leadership and employee satisfaction, is not confirmed by the correlation analysis. No significant correlation is found among the variables for the entire sample of Chinese respondents. The third hypothesis (H3), proposing an ambivalent attitude of Chinese employees toward shared leadership, is confirmed by the calculated mean score within the survey by Small (2007). There are potential reasons for this ambivalence, e.g. suggesting a conflict between traditional and modern values in China. This paper recommends a deeper understanding of ambivalent employee satisfaction at work to enhance the effectivity and efficiency of planned leadership changes. Tailored leadership training should be designed to align with the preferences of these specific target groups. Future research directions could focus on strategies for persuading team members to embrace a shared leadership approach. Additionally, exploring the reasons behind negative attitudes toward shared leadership paves the way for further research, such as examining potential connections with hierarchical power structures.

Implementation of Catur Purusa Artha in Village Credit Institution’s Financial Management

This study delves into the implementation of Catur Purusa Artha in managing the finances of Village Credits Institutions. Defining Dharma as adherence to rules, Artha as the pursuit of profits, Kama as efforts towards development, and Moksha as endeavors for harmony with stakeholders, the research explores these principles across 40 Village Credit Institutions (LPD). Data, collected through questionnaires and analyzed using frequency distribution techniques, provides insights into the incorporation of these concepts. Triangulation strengthens findings through comparisons with in-depth interviews of two LPD informants outside the sample group. The results reveal that all respondents implement the Catur Purusha Artha concept. However, a nuanced analysis highlights areas for improvement, specifically in lending activities and product development. This study indicates a fusion of traditional and modern management approaches within LPDs, showcasing a dynamic blend of principles that contribute to their financial management. These findings offer valuable insights for enhancing the effectiveness of Village Credit Institutions by addressing specific areas requiring attention and emphasizing the coexistence of traditional and contemporary management practices in LPDs.

Pneumopericardium following severe thoracic trauma

BackgroundTraumatic pneumopericardium (PPC) is a rare clinical entity associated with chest trauma, resulting from a pleuropericardial connection in the presence of a pneumothorax, interstitial air tracking along the pulmonary perivascular sheaths from ruptured alveoli to the pericardium, or direct trachea-bronchial-pericardial communication. Our objectives were to describe the modern management approach to PPC and to identify variables that could improve survival with severe thoracic injury. MethodsWe conducted a retrospective study of the trauma registry between 2015 and 2022 at a Level I verified adult trauma center for all patients with PPC. Demographics, injury patterns, and treatment characteristics were compared between blunt and penetrating trauma. This study focused on the management strategies and the physiologic status regarding PPC and the development of tension physiology. The main outcome measure was operative versus nonoperative management. ResultsOver a seven-year period, there were 46,389 trauma admissions, of which 488 patients had pneumomediastinum. Eighteen patients were identified with PPC at admission. Median age was 39.5 years (range, 18–77 years), predominantly male (n = 16, 89 %), Black (n = 12, 67 %), and the majority from blunt trauma (78 %). Half had subcutaneous emphysema on presentation while 39 % had recognizable pneumomediastinum on chest x-ray. Tube thoracostomy was the most common intervention in this cohort (89 %). Despite tube thoracostomy, tension PPC was observed in three patients, two mandating emergent pericardial windows for progression to tension physiology, and the remaining requiring reconstruction of a blunt tracheal disruption. The majority of PPC patients recovered with expectant management (83 %), and no deaths were directly related to PPC. ConclusionsTraumatic PPC is a rare radiographic finding with the majority successfully managed conservatively in a monitored ICU setting. These patients often have severe thoracic injury with concomitant injuries requiring thoracostomy alone; however, emergent surgical intervention may be required when PPC progresses to tension physiology to improve overall survival.

EDUCATION AS A TOOL FOR STABILISING THE SOCIO-ECONOMIC SITUATION IN UKRAINE: PROBLEMS, PROSPECTS

The impact of education on society and the economy is manifested in the reproduction and improvement of: human resources, social capital, personnel, professional and qualification potential of enterprises; motivations and incentives for human development, economic activities, productive employment; standards, benchmarks, priorities of economic and non-economic activities; creative (knowledge and rent generating) potential of social technological support. The purposes of the article are: to determine the features of effective balanced satisfaction of the educational needs of the population and economy, which results in the resilience, sustainable development of the state and society; to identify the shortcomings of modern management approaches to the processes organisation for meeting educational needs and staffing in Ukraine; to justify relevant guidelines and priorities for the educational system and macroeconomic development. The methods of research include: analysis and generalisation of literary sources on the problems of organisation and prospects of improvement of education, social activities of personnel provision for the Ukrainian economy, reproduction and optimisation of professional, qualification and innovation potential; comparison of regularities and problems of the educational system functioning as a progressive stimulus and component of the Ukrainian economy, which allows to synthesise and systematise the urgent priorities for activation of the potentials of education itself and the workforce in order to provide the state resilience and sustainable development in the complex internal and macro-regional realities of today. The role of education as a social institution, an individual and collective resource that creates an environment and provides opportunities to achieve acceptable competitiveness criteria for a range of subjects at micro-, meso- and macro-competitive levels, is constantly increasing in the globalised world. At the same time, the principles and priorities of the reproduction and use of human resources and the labour force itself, the systemic processes of normalisation and deregulation of various aspects of the functioning of the labour sphere, the formation and implementation of social capital, the coordination of administrative and market levers of relevant practices and measures, the sequence of their guidelines have a powerful impact on: the content of comprehensive and professional education recognised as socially necessary (i.e., provided to the average consumer through services of legally recognised basic quality); the quality of material, technical and personnel support of the education system; directions of its modernisation. Fulfilment of the conditions and measures for ensuring compliance of the systems of education and employment organisation with the dynamic requirements of the scientific and technological progress, implementation of their prognostic functions to meet the prospective needs of the economy in personnel requires the participation of a wide range of public institutions and subjects of legislative regulation, macroeconomic and branch administration, provision of services for education, career guidance, personnel selection, employment, certification, material and technical support of various educational and qualification processes.

Disaster risk reduction in Bangladesh: A comparison of three major floods for assessing progress towards resilience

The modern disaster management approach is based on the disaster management cycle comprising four distinct components: mitigation, preparedness, response and recovery, and focuses on Disaster Risk Reduction (DRR) and resilience. As a disaster-prone country, Bangladesh needed to evolve its policies to develop a strong disaster management system that builds resilience at the community level and ensures overall DRR. Frequent floods and policy failures drove changes, so analysis is needed to see if the policy shifts are productive and results-oriented. This study shows Bangladesh’s shift to DRR by comparing human casualties and infrastructure/financial damage in the 1988, 2004, and 2022 floods. It analyzes Bangladesh’s DRR efficiency over 34 years and the three major floods. Furthermore, it highlights the flood impacts to identify gaps and areas for improvement in building resilience. The study reveals that the current DRR approach in Bangladesh is adequate and well aligned with the vision of “Winning resilience together against all odds.” The significant transition from a predominantly relief and recovery approach to an integrated, “people-centered” flood management strategy made the disaster management framework robust and capable of handling future disasters which is the prerequisite to reducing the risk, vulnerability and impact of disasters. Areas of improvement include coordinated efforts between government and non-government organizations and agencies, empowerment of local authorities, community-based capacity building, and strict monitoring and accountability of mismanagements, among others. Bangladesh has well-designed DRR strategies and plans in place. It must invest in DRR and implement a “Whole-of-Society” approach to build a resilient, sustainable nation.

THE CHARACTERISTICS OF THE MILITARY SUPPLY CHAIN MANAGEMENT OF MEDICAL ITEMS. THE CASE OF ISRAEL DEFENSE FORCES

The paper discusses the characteristics of the management of medical military supply chain in the state of Israel, based on a mixed research method, quantitative and qualitative. The medical military supply chain has the mission to ensure the combat effectiveness and readiness of the military in times of peace and war. The paper approaches the management the supply chain of medical equipment for military hospitals using the modern management approach based on various multiple stakeholders goals and interests, such as the accuracy of inventory management and its influence on the end-user units of the field and operational competence of the operational units, how it can be used in the supply and centres and in the unit. The researchers formulate several recommendations about various ways how to cope with urgent and operational requests and to improve the management of the medical military supply chain.

Islamic Perception of Shopping Mall Through the Dimension of Facility Management

A shopping mall refers to a structure with several retail establishments managed as a single property that offers various products and services. It has become essential to the functioning of contemporary society, particularly for residents of urban and suburban areas. However, concerns or issues regarding facilities and services in shopping malls continue to surface even today. Past studies have suggested that facility management is a best practice for overcoming management and operation issues. It also aligns with the Islamic principle as it is beneficial knowledge relevant to the modern management approach. Therefore, this paper seeks to comprehend the potential facility management approach to shopping mall management. The main objective of this study is to emphasize the importance of facility management in shopping malls by evaluating consumer satisfaction. A survey is conducted with a total sample of 200 respondents based on three facility management maintenance characteristics: functional, technical, and image. One of the reputable shopping malls in Johor Bahru is selected for this study because it attracts numerous visitors from throughout Johor Bahru. The results show that most of the visitors are pleased and satisfied with all three aspects from the dimension of facility management.

EPEN-13. PATTERN OF RELAPSE IN POSTERIOR FOSSA EPENDYMOMA GROUP A

Abstract PURPOSE/OBJECTIVE Posterior fossa ependymoma group A (PF-EPN-A) is a poor prognostic ependymoma subgroup, predominantly seen in infants and young children. Among all ependymomas, most of the recurrences are seen in patients with the PF-EPN-A subgroup. Despite advances in neurosurgery and postoperative adjuvant therapy, management of these tumors remains challenging, and recurrence occurs in over 50% of cases. In this study, we aimed to evaluate the pattern of relapse in PF-EPN-A. MATERIALS AND METHODS The clinical features, treatment strategies and relapse patterns of patients diagnosed and treated with PF-EPN-A at the Hospital for Sick Children, Toronto have been evaluated retrospectively. RESULTS Seventy-five patients were diagnosed with PF-EPN-A at the Hospital for Sick Children, Toronto from 01 June 1996 to 01 June 2022. All patients were treated with surgery +/- focal radiation +/- chemotherapy after diagnosis. Out of 75 patients, 38 (50.6%) had recurrent disease. Twenty-three patients (60.5%) had a local relapse while 15 patients (40.5) experienced a distant relapse. Out of 23 patients who had a local relapse, only 8 patients (34%) developed a local relapse after a gross total resection (GTR). Other 15 patients developed a local relapse after either subtotal (STR) or near total resection (nTR). Out of 15 patients who experienced a distant relapse, 10 patients (66%) developed a distant relapse after GTR. Time to relapse was mean 32 months (11-132 months) after GTR and 24 months (1-98 months) after STR /nTR. CONCLUSIONS The modern management approach (more aggressive resection and early conformal radiotherapy) changed the relapse pattern and the classical dogma that “nearly all relapses in ependymoma are local’’ in modern series. This study supported the importance of GTR in the management of PF-EPN-A and also demonstrated that PF-EPN-A tends to recur more on distant sites rather than locally when the initial surgical intervention is a GTR.

أساليب الإدارة الذاتية وأثرها في تطوير القيادة الاستراتيجية بالمؤسسات: دراسة ميدانية على رئاسة وزارة البنيَ التحتية والمواصلات بولاية الخرطوم

The study aimed to know the methods of self-management and its impact on the development of strategic leadership in institutions: a field study on the presidency of the Ministry of Infrastructure and Transportation in Khartoum State. Its importance was represented in the need to apply self-management methods as a modern and flexible management method and approach that contributes to the manufacture and development of strategic leaders in business organizations. Its problem was summarized in the low administrative efficiency in some business organizations, the poor optimal use of modern administrative methods in them, the emergence of many problems and challenges, examples of which are poor administrative development, the deterioration of strategic leadership preparation rates, and the decline in performance. different operational and administrative environments. The study relied on the questionnaire as a basic tool in collecting its primary data, and it used the random sample method, where (35) questionnaires were distributed to a number of employees at the Ministry's headquarters, with a recovery rate of (90%) And with an enumeration rate of (16%) of the total number of workers headed by the Ministry. The study also used the descriptive analytical approach, the case study method, and the SPSS program in analyzing its basic data and testing its hypotheses. And reached a set of results, the most important of which are: the existence of a statistically significant relationship between the use of self-management methods and the development of strategic leadership in the Ministry of Infrastructure and Transportation in Khartoum State. There is a weak statistically significant relationship between the use of self-management methods in achieving job satisfaction for human resources at the Ministry of Infrastructure and Transportation in Khartoum State. Finally, the study recommended: the need to use the method of encouraging the presentation of development initiatives by employees through material and moral stimulation processes to contribute to the development of strategic leaders in the ministry. The need to use the method of activating the holding of meetings continuously to facilitate the process of exchanging information and practical and leadership experiences and strengthening the links of effective communication between all employees in the ministry.