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Managing emergent phenomena with ketamine
Managing emergent phenomena with ketamine




The net results are a new perspective on what is really important in organizational life, original insights on familiar experiences, and some clear signposts for the next generation of nonlinear social scientists.

managing emergent phenomena with ketamine

Unusual concepts are also encountered, such as the organizational unconscious, collective intelligence, and the revolt of the slaved variables. Each application begins with a tight summary of standard thinking on a subject, followed by the new insights that are afforded by nonlinear dynamics and the empirical data supporting those ideas.

managing emergent phenomena with ketamine

Applications include: work motivation, personnel selection and turnover, creative thinking by individuals and groups, the development of social networks, coordination in work groups, the emergence of leaders, work performance in organizational hierarchies, economic problems that are relevant to organizations, techniques for predicting the future, and emergency management. The dynamics concepts are then explained along with the most recent research methods for analyzing real data. Managing Emergent Phenomena begins by describing how the concept of an organization has changed from a bureaucracy, to a humanistic and organic system, to a complex adaptive system. This side-effect can be blunted and often prevented by administering a benzodiazepine. Although the small sample size limited our ability to demonstrate significant genotype differences, we generated effect sizes, sample size estimates, and nongenetic covariates information in order to support future pharmacogenetic study design for evaluating this adverse event.Chaos, catastrophe, self-organization, and complexity theories (nonlinear dynamics) now have practical and measurable roles in the functioning of work organizations. Ketamine is notorious for a 'reemergence phenomenon' in which patients experience nightmares or delirium while awakening from Ketamine anesthesia. Younger age, higher dose, and longer duration of anesthesia significantly predicted EP occurrence and severity among our pilot sample. This pilot study demonstrates feasibility for implementing a pharmacogenetic study in a clinical setting, and we estimate that between 380 and 570 cases will be needed to adequately power future genetic association studies. Exploratory analysis of nongenotype models containing age, ketamine dose, duration of anesthesia, and time from ketamine administration to assessment for EP significantly predicted EP occurrence (p =. Occurrence and severity of EP were not associated with CYP2B6*6 or GRIN2B (p >. Genetic association of CYP2B6*6 and GRIN2B (rs1019385 and rs1806191) single-nucleotide polymorphisms and ketamine-induced EP occurrence and severity were tested using logistic and linear regression.įorty-seven patients (63%) received ketamine and were genotyped, and 40% of them experienced EP. EP was measured with the Clinician Administered Dissociative State Scale. This cross-sectional, pharmacogenetic candidate, gene pilot study recruited 75 patients having minor elective outpatient surgeries. The aim of the study was to investigate the feasibility and sample sizes required to explore the relationship between CYP2B6*6 and GRIN2B single-nucleotide polymorphisms and ketamine-induced EP. Up to 55% of patients who are administered ketamine experience an emergence phenomena (EP) that closely mimics schizophrenia and increases their risk of injury however, to date, no studies have investigated genetic association of ketamine-induced EP in healthy patients.






Managing emergent phenomena with ketamine