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1.
Ambio ; 52(1): 155-170, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36136262

RESUMO

Marine social-ecological systems (SES) have been providing important cultural, social, and economic services for many centuries. They are, however, increasingly threatened by fast changing environmental, ecological, and socio-economic conditions. As historical marine research is increasingly developing into a multidisciplinary endeavour, it offers outstanding points of departure to analyse historic events and the response and adaptation of the respective SES. Such knowledge helps to inform today's fisheries management and promotes successful management of changing ecosystems. Here, we compile and analyse historical data (1890-1950) of the German Western Baltic Sea fishery SES. This period is characterised by a series of strong impacts due to political, technological, economic, and ecological changes, such as two world wars, a global economic crisis, and other economic or ecological disasters. In our opinion, potential negative effects of those events were in the past attenuated by the system's high capacity to adapt. However, most of the fishers´ historic options on how to respond and adapt have recently become no longer available. New threats (e.g. climate change) have emerged instead. We conclude that today's fisheries management needs to integrate options of adaptation by exhausting all present or future opportunities. Adaptive fisheries management should not only focus on environmental change but need to include socio-economic change as well.


Assuntos
Pesqueiros , Mudança Climática , Ecossistema , Pesqueiros/história , Pesqueiros/tendências , Oceanos e Mares , Fatores Socioeconômicos
2.
Vet Clin North Am Exot Anim Pract ; 26(1): 281-308, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36402487

RESUMO

Animal physical rehabilitation is one of the fast-growing fields in veterinary medicine in recent years. It has become increasingly common in small animal practice and will continue to emerge as an essential aspect of veterinary medicine that plays a vital role in the care of animals with physical impairments or disabilities from surgery, injuries, or diseases.1 This is true now more than ever because of the increasing advances in lifesaving treatments, the increased lifespan of companion animals, and the growth of chronic conditions, of which many are associated with movement disorders. The American Association of Rehabilitation Veterinarians (AARV) defines APR as "the diagnosis and management of patients with painful or functionally limiting conditions, particularly those with injury or illness related to the neurologic and musculoskeletal systems." Rehabilitation not only focuses on recovery after surgical procedures but also on improving the function and quality of life in animals suffering from debilitating diseases such as arthritis or neurologic disorders. The overall goal of APR is to decrease pain, reduce edema, promote tissue healing, restore gait and mobility to its prior activity level, regain strength, prevent further injury, and promote optimal quality of life. Typically, a multimodal approach with pharmaceutical and nonpharmaceutical interventions is used by APR therapists to manage patients during their recovery. The purpose of this article aims to provide knowledge and guidance on physical rehabilitation to help veterinarians in the proper return of their patients with ZCA safely after injury and/or surgery.


Assuntos
Doenças dos Animais , Animais de Estimação , Medicina Veterinária , Animais , Humanos , Dor/reabilitação , Dor/veterinária , Qualidade de Vida , Animais de Zoológico , Reabilitação , Doenças dos Animais/terapia , Medicina Veterinária/métodos , Medicina Veterinária/tendências
7.
Adv Health Care Manag ; 212022 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-36437614

RESUMO

The chapter summarizes key literature, including emerging ideas, that is pertinent to the question of how organizations and their leadership deal with and are resilient through crises - highlighting what works in surviving unexpected crises. The chapter presents an illustration of organizational response; it concludes with an analysis of what is missing from the literature and recommends a path forward to expanding actionable knowledge in this area. Multiple, interdependent factors that foster resilience are identified including (1) being sensitive to possible threats - even seemingly small failures, (2) not relying on simple interpretations of events but rather seeking diversity to create a complete view of the environment, (3) leadership that embraces communication, transparency, and continuous learning, (4) valuing expertise and allowing expert staff to make decisions during a crisis, and (5) a cultural commitment to a resiliency mindset that accepts failures as opportunities to learn and improve. Emerging concepts that may foster resilience but require more research include managing paradox, emotional ambivalence and diversity. Additional areas for fruitful research include: the impact of short-term versus long-term, or successive, crises; external versus internal shocks and the framing of the source of shocks; how crisis affect the pace of innovation and change; the role of diversity in organizational responses to crises; and a set of methodological opportunities to leverage natural experiments or simulations in ways that allow for longitudinal data illuminating the full cycle of crises across organizations from anticipation, to response, to longer-term adaptation to the new normal.


Assuntos
Liderança , Organizações , Humanos , Comunicação , Conhecimento , Inovação Organizacional , Atenção à Saúde/tendências
10.
Neurol India ; 70(Supplement): S104-S107, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36412354

RESUMO

Minimally invasive spine surgery (MISS) is an important option for spinal operations, with advantages including rapid recovery and preservation of normal structures. As the number of geriatric patients is increasing, the role of MISS might expand in the future. MISS techniques and approaches continue to be developed, and recent trends in MISS development include the refinement of surgical approaches and techniques, as well as systems related to newly developed techniques, rather than spinal implants. Among the various techniques for MISS, endoscopic spine surgery, including uniportal and biportal endoscopic approaches, is the focus of vigorous research efforts that may lead to further expansion of the indications of endoscopic spine surgery. Endoscopic spine surgery will be an important part of spine surgery. Lateral lumbar interbody fusion and endoscopic lumbar interbody fusion may play meaningful roles in the MISS fusion area. Robotics and augmented reality are also likely to be important technological modalities in spine surgery in the future.


Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos , Procedimentos Neurocirúrgicos , Fusão Vertebral , Coluna Vertebral , Idoso , Humanos , Realidade Aumentada , Endoscopia , Vértebras Lombares/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/tendências , Procedimentos Neurocirúrgicos/métodos , Procedimentos Neurocirúrgicos/tendências , Fusão Vertebral/métodos , Fusão Vertebral/tendências , Coluna Vertebral/cirurgia , Cirurgia Assistida por Computador , Previsões
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