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- Campion, Otto Bulmaniya, et al.
(författare)
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Monitoring and evaluation of Indigenous Land and Sea Management : An Indigenous-led approach in the Arafura Swamp, northern Australia
- 2023
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Ingår i: Ecological Management & Restoration. - 1442-7001 .- 1442-8903. ; 24:2-3, s. 75-88
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Tidskriftsartikel (refereegranskat)abstract
- As Indigenous Land and Sea Management has grown in scope and scale, there has been increasing focus on monitoring and evaluation to foster learning, strengthen accountability and report on outcomes. A resurgence in Indigenous governance has led to recognition that Indigenous knowledge, law and governance systems are essential to successful conservation initiatives on Indigenous lands. Indigenous-led monitoring and evaluation involves Indigenous Peoples exercising control, direction and informed decisions about monitoring and evaluation practices and signals a greater role for Indigenous methodologies alongside participatory approaches and Western sciences. This Article describes the Intercultural Monitoring and Evaluation Project, led by the Arafura Swamp Rangers Aboriginal Corporation in partnership with Bi and Yolŋu Traditional Owners and clans and non-Indigenous practitioners and researchers. The Intercultural Monitoring and Evaluation Project aimed to co-produce an Indigenous-led and Country-based monitoring and evaluation system for Arafura Swamp Rangers Aboriginal Corporation's Healthy Country Plan. The Intercultural Monitoring and Evaluation Project recognised that the Rangers from the Arafura Swamp Rangers Aboriginal Corporation are accountable within Bi, Yolŋu and Western governance systems and that monitoring and evaluation at Arafura Swamp Rangers Aboriginal Corporation needed to strengthen relationships between all three. The Intercultural Monitoring and Evaluation Project involved: (i) developing understandings of monitoring and evaluation in Bi, Yolŋu and Western knowledge systems, (ii) generating organisational roadmaps, targets and indicators, (iii) developing Bi, Yolŋu and Western monitoring methods, (iv) building a data management system and seasonal monitoring calendar, (v) initiating a monitoring and evaluation committee to inform Arafura Swamp Rangers Aboriginal Corporation's strategic decision-making and (vi) sharing the story of the project with others. This approach embedded monitoring and evaluation in Indigenous law and governance, oral knowledge traditions and the intergenerational kinship relationships that sustain people and Country, while also connecting to Western adaptive management frameworks. Indigenous-led approaches can integrate monitoring and evaluation with Indigenous practices of caring for Country, contributing directly to the multiple ecological, cultural and socio-economic goals of Indigenous Land and Sea Management.
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| 3. |
- Hindricks, Gerhard, et al.
(författare)
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Ability to remotely monitor atrial high-rate episodes using a single-chamber implantable cardioverter-defibrillator with a floating atrial sensing dipole
- 2023
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Ingår i: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 25:5
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To allow timely initiation of anticoagulation therapy for the prevention of stroke, the European guidelines on atrial fibrillation (AF) recommend remote monitoring (RM) of device-detected atrial high-rate episodes (AHREs) and progression of arrhythmia duration along pre-specified strata (6 min...<1h, 1 h...<24 h, >= 24h). We used the MATRIX registry data to assess the capability of a single-lead implantable cardioverter-defibrillator (ICD) with atrial sensing dipole (DX ICD system) to follow this recommendation in patients with standard indication for single-chamber ICD.Methods and results: In 1841 DX ICD patients with daily automatic RM transmissions, electrograms of first device-detected AHREs per patient in each duration stratum were adjudicated, and the corresponding positive predictive values (PPVs) for the detections to be true atrial arrhythmia were calculated. Moreover, the incidence and progression of new-onset AF was assessed in 1451 patients with no AF history. A total of 610 AHREs >= 6min were adjudicated. The PPV was 95.1% (271 of 285) for episodes 6min...<1h, 99.6% (253/254) for episodes 1 h...<24h, 100% (71/71) for episodes >= 24h, or 97.5% for all episodes (595/610). The incidence of new-onset AF was 8.2% (119/1451), and in 31.1% of them (37/119), new-onset AF progressed to a higher duration stratum. Nearly 80% of new-onset AF patients had high CHA(2)DS(2)-VASc stroke risk, and 70% were not on anticoagulation therapy. Age was the only significant predictor of new-onset AF.Conclusion: A 99.7% detection accuracy for AHRE >= 1h in patients with DX ICD systems in combination with daily RM allows a reliable guideline-recommended screening for subclinical AF and monitoring of AF-duration progression.
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