If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -This paper aims to contribute to the literature on beginning the principalship by identifying and illustrating key challenges that novice principals encounter in their first year for which they would benefit from improved preparation. Design/methodology/approach -The paper is a synthesis of a decade of research focusing on the principal with the general aim of analysing ways in which principals can work more effectively within the realities of schools as highly complex organizations. Throughout this work, the narrative account has been used as the main approach for depicting principals' understandings of the contexts in which they find themselves and their interpretations of the experiences that confront them in their roles. Findings -A range of findings generated from the research as a whole has been refined into the conceptualisation of four distinct but interrelated challenges facing novice principals in exercising their roles. Originality/value -The paper proposes a conceptual framework that can be used as a heuristic tool for informing the preparation of principals, especially in the Australian context.
Background Eating disorders (EDs) are potentially severe, complex, and life-threatening illnesses. The mortality rate of EDs is significantly elevated compared to other psychiatric conditions, primarily due to medical complications and suicide. The current rapid review aimed to summarise the literature and identify gaps in knowledge relating to any psychiatric and medical comorbidities of eating disorders. Methods This paper forms part of a rapid review) series scoping the evidence base for the field of EDs, conducted to inform the Australian National Eating Disorders Research and Translation Strategy 2021–2031, funded and released by the Australian Government. ScienceDirect, PubMed and Ovid/Medline were searched for English-language studies focused on the psychiatric and medical comorbidities of EDs, published between 2009 and 2021. High-level evidence such as meta-analyses, large population studies and Randomised Control Trials were prioritised. Results A total of 202 studies were included in this review, with 58% pertaining to psychiatric comorbidities and 42% to medical comorbidities. For EDs in general, the most prevalent psychiatric comorbidities were anxiety (up to 62%), mood (up to 54%) and substance use and post-traumatic stress disorders (similar comorbidity rates up to 27%). The review also noted associations between specific EDs and non-suicidal self-injury, personality disorders, and neurodevelopmental disorders. EDs were complicated by medical comorbidities across the neuroendocrine, skeletal, nutritional, gastrointestinal, dental, and reproductive systems. Medical comorbidities can precede, occur alongside or emerge as a complication of the ED. Conclusions This review provides a thorough overview of the comorbid psychiatric and medical conditions co-occurring with EDs. High psychiatric and medical comorbidity rates were observed in people with EDs, with comorbidities contributing to increased ED symptom severity, maintenance of some ED behaviours, and poorer functioning as well as treatment outcomes. Early identification and management of psychiatric and medical comorbidities in people with an ED may improve response to treatment and overall outcomes.
According to Hargreaves and Fink (2003;2006), sustainable leadership matters, spreads and lasts, and is fundamental to enduring and widespread school improvement. This observation is especially germane to the context of leading small primary schools in rural locations, where challenges encountered by principals in engaging with the complexities of continuous improvement are often accentuated. This article looks at the applicability of certain aspects of sustainable leadership to the circumstances surrounding small rural schools.First, reasons are given for devoting attention to the specific context of leadership in small rural primary schools, especially in Australia. The article then examines the distinctive challenges encountered by principals of small rural schools that appear to compound the difficulties of pursuing sustainable leadership. The next section draws from a Queensland study (Clarke & Stevens, 2004) that has generated vignettes depicting the complexity of novice teaching principals' work in rural environments. Taking cognizance of Hargreaves and Fink's analysis of sustainable leadership, selections from these vignettes are used to sharpen understandings of ways in which sustainable leadership plays out in this context and the factors that either promote or impede its development.
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