Governance in the implementation of the UN sustainable development goals in higher education: global trends.

Governance is a key component for implementing sustainable development (SD) initiatives in university teaching, research, and projects. This line of thinking also applies to implementing the United Nations (UN) sustainable development goals (SDGs). Despite the role of governance in guiding processes related to the SDGs, few studies have examined these relations in an integrative manner in higher education. To bridge this knowledge gap, this study assesses the connections between governance and implementing the SDGs at higher education institutions (HEIs). Specifically, it relies on two main methods. The first is a bibliometric analysis, where the literature on the topic has been analyzed. The second method uses case studies from a sample of universities. The combined dual approach has identified the extent to which governance issues influence how these organizations perceive and handle the SDGs. The study provides valuable recommendations that may assist HEIs in implementing the SDGs with a due emphasis on governance.

Digital transformation towards sustainability in higher education: state-of-the-art and future research insights.

The technological revolution has contributed to environmental and social issues around the world. However, in the context of higher education institutions (HEIs) - key stakeholders for sustainable development - there is a theoretical gap regarding systematic reviews on the topic. In order to address this need, this study explores how digital transformation (DT) can contribute to sustainability in HEIs by identifying the general state of the art, the theoretical perspectives in the field, and future research insights. A multi-methods approach was adopted, which consisted of a quantitative bibliometric review and a qualitative content analysis. Consistent with this approach, the Scopus database was used for the bibliometric analysis of 672 publications, which was conducted with the support of VOSviewer software. Subsequently, a content analysis of 72 publications was carried out using the software ATLAS.ti and Zotero. The findings suggest three areas of current research: ensuring sustainability competencies through DT, smart and sustainable campus approaches, and theorisation of sustainability in higher education through DT. The theoretical perspectives of the field were divided and discussed into seven main clusters. Lastly, five research lines for further studies on DT towards sustainability were identified. This study has both theoretical and practical implications since it may be the first literature review on this subject, providing theoretical insights to the academic community, guiding sustainability and digital practices in HEIs - through the identification of tools, approaches, and strategies - and then supporting the implementation of the United Nations Sustainable Development Goals.

Efeito do tamoxifeno sobre o endométrio em pacientes com câncer de mama na pós-menopausa / Effect of tamoxifen on the endometrium in post-menopausal patients with breast cancer

O trabalho tem como objetivo discutir, através de uma revisão da literatura, as influências do tamoxifeno sobre as alterações do padrão endometrial em pacientes com câncer de mama na pós-menopausa. Além de caracterizar os principais padrões endometriais e relacioná-los ao câncer de endométrio, são descritas também as recomendações da literatura vigente para a monitorização e seguimento destas pacientes. A literatura especializada demonstra claramente a relevância do acompanhamento clínico rigoroso destas mulheres pelo risco aumentado de câncer endometrial; no entanto, ainda não há consenso sobre qual o melhor exame de rastreio ou a periodicidade de realização do mesmo. Conclui-se que a prioridade é o exame clínico anual e orientação das pacientes quanto à sintomatologia, principalmente quanto à presença de sangramento vaginal. A partir destes sintomas, dá-se prosseguimento com investigação mais detalhada.(AU)

The present work aims to discuss, through a literature review, the influence of tamoxifen use in endometrial pattern changes in postmenopausal patients with breast cancer. In addition, to characterize the main endometrial patterns and relate them to endometrial cancer was a secondary objective. This review describes the recommendations of the current literature for endometrial monitoring of these patients. The literature clearly demonstrated to be relevant the clinical monitoring of these patients, because the increased risk of endometrial cancer. However, there is no consensus about which is the best tracking exam or the timing of completion of it. It was concluded that the priority is an annual clinical checkup for symptoms, especially the presence of vaginal bleeding; further, detailed investigation will depend on which symptoms are presented.(AU)