International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

The impact of school leadership on school level factors: validation of a causal model

This study aims to contribute to a better understanding of the antecedents and effects of educational leadership, and of the influence of the principal's leadership on intervening and outcome variables. A path analysis was conducted to test and validate a causal model. The results show no direct or indirect effects of educational leadership on student commitment; instead a reciprocal relationship was found between student commitment and strategic leadership. A range of antecedent variables appears to have more effects on the school culture than educational leadership has. Finally, the principal's vision has a substantial impact on his or her educational leadership behaviours. The findings suggest the importance of cognitive processes in order to understand the complex chain of variables through which principals have an impact on school effectiveness and school improvement. The results also underline the importance of conceptualizing leadership from a contingency approach