The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
Fikret Berkes - One of the best experts on this subject based on the ideXlab platform.
-
evolution of co Management Role of knowledge generation bridging organizations and social learning
Journal of Environmental Management, 2009Co-Authors: Fikret BerkesAbstract:Over a period of some 20 years, different aspects of co-Management (the sharing of power and responsibility between the government and local resource users) have come to the forefront. The paper focuses on a selection of these: knowledge generation, bridging organizations, social learning, and the emergence of adaptive co-Management. Co-Management can be considered a knowledge partnership. Different levels of organization, from local to international, have comparative advantages in the generation and mobilization of knowledge acquired at different scales. Bridging organizations provide a forum for the interaction of these different kinds of knowledge, and the coordination of other tasks that enable co-operation: accessing resources, bringing together different actors, building trust, resolving conflict, and networking. Social learning is one of these tasks, essential both for the co-operation of partners and an outcome of the co-operation of partners. It occurs most efficiently through joint problem solving and reflection within learning networks. Through successive rounds of learning and problem solving, learning networks can incorporate new knowledge to deal with problems at increasingly larger scales, with the result that maturing co-Management arrangements become adaptive co-Management in time.
-
Evolution of co-Management: Role of knowledge generation, bridging organizations and social learning
Journal of Environmental Management, 2009Co-Authors: Fikret BerkesAbstract:Over a period of some 20 years, different aspects of co-Management (the sharing of power and responsibility between the government and local resource users) have come to the forefront. The paper focuses on a selection of these: knowledge generation, bridging organizations, social learning, and the emergence of adaptive co-Management. Co-Management can be considered a knowledge partnership. Different levels of organization, from local to international, have comparative advantages in the generation and mobilization of knowledge acquired at different scales. Bridging organizations provide a forum for the interaction of these different kinds of knowledge, and the coordination of other tasks that enable co-operation: accessing resources, bringing together different actors, building trust, resolving conflict, and networking. Social learning is one of these tasks, essential both for the co-operation of partners and an outcome of the co-operation of partners. It occurs most efficiently through joint problem solving and reflection within learning networks. Through successive rounds of learning and problem solving, learning networks can incorporate new knowledge to deal with problems at increasingly larger scales, with the result that maturing co-Management arrangements become adaptive co-Management in time. © 2008 Elsevier Ltd. All rights reserved.
Brian P Mullan - One of the best experts on this subject based on the ideXlab platform.
-
understanding the heterogeneity in volume overload and fluid distribution in decompensated heart failure is key to optimal volume Management Role for blood volume quantitation
Jacc-Heart Failure, 2014Co-Authors: Wayne L Miller, Brian P MullanAbstract:OBJECTIVES: This study sought to quantitate total blood volume (TBV) in patients hospitalized for decompensated chronic heart failure (DCHF) and to determine the extent of volume overload, and the magnitude and distribution of blood volume and body water changes following diuretic therapy. BACKGROUND: The accurate assessment and Management of volume overload in patients with DCHF remains problematic. METHODS: TBV was measured by a radiolabeled-albumin dilution technique with intravascular volume, pre-to-post-diuretic therapy, evaluated at hospital admission and at discharge. Change in body weight in relation to quantitated TBV was used to determine interstitial volume contribution to total fluid loss. RESULTS: Twenty-six patients were prospectively evaluated. Two patients had normal TBV at admission. Twenty-four patients were hypervolemic with TBV (7.4 ± 1.6 liters) increased by +39 ± 22% (range, +9.5% to +107%) above the expected normal volume. With diuresis, TBV decreased marginally (+30 ± 16%). Body weight declined by 6.9 ± 5.2 kg, and fluid intake/fluid output was a net negative 8.4 ± 5.2 liters. Interstitial compartment fluid loss was calculated at 6.2 ± 4.0 liters, accounting for 85 ± 15% of the total fluid reduction. CONCLUSIONS: TBV analysis demonstrated a wide range in the extent of intravascular overload. Dismissal measurements revealed marginally reduced intravascular volume post-diuretic therapy despite large reductions in body weight. Mobilization of interstitial fluid to the intravascular compartment with diuresis accounted for this disparity. Intravascular volume, however, remained increased at dismissal. The extent, composition, and distribution of volume overload are highly variable in DCHF, and this variability needs to be taken into account in the approach to individualized therapy. TBV quantitation, particularly serial measurements, can facilitate informed volume Management with respect to a goal of treating to euvolemia.
R. Gibbs - One of the best experts on this subject based on the ideXlab platform.
-
Heritage and the Role of data Management systems: a prototype model for New Zealand
36th Annual Hawaii International Conference on System Sciences 2003. Proceedings of the, 2003Co-Authors: L.a. Gardner, S.j. Holdaway, D.c. Whitehead, J. Kleine, H.d. Bader, R. GibbsAbstract:Heritage Management in New Zealand is data rich but information poor. For nearly 50 years, the New Zealand Archaeological Association has maintained a paper based, largely textual, database of prehistoric and historic archaeological sites. While originally set up as a research tool, this database now serves a major Management Role. However, the increasing pace of development in New Zealand means that information delivery to an expanding range of stakeholders is beyond the capabilities of the current system. Here we propose a model for an information Management system designed to replace the paper record and to provide maximum flexibility of storage and access to data. The model is described is based on a prototype implementation.
Stuart T. Haines - One of the best experts on this subject based on the ideXlab platform.
-
Understanding insulin Management: Role of the
2020Co-Authors: Stuart T. HainesAbstract:Objectives: To provide an overview of insulin Management and related complications and describe how pharmacists can counsel and assist patients with diabetes. Summary: A survey conducted by the American Pharmacists Association in the summer of 2013 revealed that pharmacists want and need a better understanding of insulin Management. Areas of needed education identified included transitioning a patient to insulin, dosing and titration, and mealtime considerations. Options for treating type 1 and type 2 diabetes are expanding, with new products and strategies for achieving success emerging in the literature. In this article, the authors bring some clarity to these issues and suggest ways that pharmacists can help their patients achieve individualized treatment goals, including educating patients about the different types of insulin; the causes of and Management strategies for hypoglycemia; the benefit of good glucose control; how other medica tions may affect insulin use; and how to manage missed doses and problems with medication adherence. Conclusion: In the absence of a universal insulin Management plan, patients must work closely with their providers in crafting individualized treatment plans, which pharmacists are ideally suited to help advise on and manage for optimal health outcomes.
-
Understanding insulin Management: Role of the pharmacist
Pharmacy Today, 2014Co-Authors: Stuart T. Haines, Joshua J. NeumillerAbstract:Abstract Objectives To provide an overview of insulin Management and related complications and describe how pharmacists can counsel and assist patients with diabetes. Summary A survey conducted by the American Pharmacists Association in the summer of 2013 revealed that pharmacists want and need a better understanding of insulin Management. Areas of needed education identified included transitioning a patient to insulin, dosing and titration, and mealtime considerations. Options for treating type 1 and type 2 diabetes are expanding, with new products and strategies for achieving success emerging in the literature. In this article, the authors bring some clarity to these issues and suggest ways that pharmacists can help their patients achieve individualized treatment goals, including educating patients about the different types of insulin; the causes of and Management strategies for hypoglycemia; the benefit of good glucose control; how other medications may affect insulin use; and how to manage missed doses and problems with medication adherence. Conclusion In the absence of a universal insulin Management plan, patients must work closely with their providers in crafting individualized treatment plans, which pharmacists are ideally suited to help advise on and manage fo r optimal health outcomes.
Antonie Van Nistelrooij - One of the best experts on this subject based on the ideXlab platform.
-
strategic Management and organization development planned change in a public sector organization
Journal of Change Management, 2006Co-Authors: Harry Sminia, Antonie Van NistelrooijAbstract:This paper reports on a case study on the introduction of organization development (OD) techniques in a traditionally top-down lead public sector organization in the Netherlands. The findings suggest that an OD-inspired bottom-up change approach can have a place next to a top-down strategic Management change approach. However, to reap the benefits of OD, the top Management Role appeared to be pivotal, especially with regard to creating the circumstances under which sufficient participation can take place.