Search results for " Decision making"
showing 10 items of 183 documents
Ethical dilemmas as professional challenge : case study on management in reception centers in Finland
2017
This study examined what kinds of ethical dilemmas managers working in reception centers in Finland have encountered as well as what kinds of strategies they applied in ethically challenging situations, and finally, what ethical dimensions the strategies included. This specific topic has not been investigated before, thus, this study aimed to theoretically and empirically examine it. Theoretical framework bases on Geva’s (2006) typology of ethical dilemmas, Jones’ (1991) issue- contingent model of moral intensity, and Rahim & Bonoma’s (1979) model of the styles of handling interpersonal conflict. The study is qualitative in nature, and was conducted by interviewing ten (10) managers working…
Sustainable vehicle routing based on firefly algorithm and TOPSIS methodology
2019
Abstract In a sustainable management of logistics, transportation plays a crucial role. Traditionally, the main purpose was to solve the Vehicle Routing Problem minimizing the cost associated with the travelled distances. Nowadays, the economic profit cannot be the only driver for achieving sustainability and environmental issues have to be also considered. In this paper, to satisfy the intricate limits involved in real vehicle routing problem, the study has been structured considering different types of vehicles in terms of maximum capacity, velocity and emissions, asymmetric paths, vehicle-client constraints and delivery time windows. The firefly algorithm has been implemented to solve th…
Leadership and Ethical Decision Making among Mauritian Managers
2017
It is proposed that transformational leadership is likely to be associated with higher ethical decision making, while transactional leadership should be related to lower ethical decision making. However, little empirical research provides support for these claims. Using a structured interview schedule, data from 247 managers was collected from three established higher education institutions in Mauritius. Findings indicate that surprisingly, transformational leadership had a negative impact on ethical judgment and intention of subordinates in relation to ethical issues including bribery, nepotism, padding up of expenses’ account and political favouritism, suggesting the possibility of pseudo…
Juridiskās zinātnes, Nr.14
2021
A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare
2020
Abstract Background Determining the mental capacity of psychiatric patients for making healthcare related decisions is crucial in clinical practice. This meta-review of review articles comprehensively examines the current evidence on the capacity of patients with a mental illness to make medical care decisions. Methods Systematic review of review articles following PRISMA recommendations. PubMed, Scopus, CINAHL and PsycInfo were electronically searched up to 31 January 2020. Free text searches and medical subject headings were combined to identify literature reviews and meta-analyses published in English, and summarising studies on the capacity of patients with serious mental illnesses to m…
Treatment of high blood pressure in elderly and octogenarians: European Society of Hypertension statement on blood pressure targets
2016
Abstract The European Society of Hypertension recommend the following main rules for treatment of hypertension in elderly and octogenarians: 1) In elderly hypertensives with SBP ≥ 160 mmHg there is solid evidence to recommend reducing SBP to between 140 mmHg and 150 mmHg. 2) In fit elderly patients less than 80 years old treatment may be considered at SBP ≥ 140 mmHg with a target SBP < 140 mmHg if treatment is well tolerated. 3) In fit individuals older than 80 years with an initial SBP ≥ 160 mmHg it is recommended to reduce SBP to between 150 mmHg and 140 mmHg. 4) In frail elderly patients, it is recommended to base treatment decisions on comorbidity and carefully monitor the effects of tr…
Comprehensive geriatric assessment is an essential tool to support treatment decisions in elderly patients with diffuse large B-cell lymphoma: A pros…
2015
We performed a multicenter study to validate the concept that a simple comprehensive geriatric assessment (CGA) can identify elderly, non-fit patients with diffuse large B-cell lymphoma (DLBCL) in whom curative treatment is not better then palliation, and to analyze potential benefits of treatment modulation after further subdividing the non-fit category by CGA criteria. One hundred and seventy-three patients aged > 69 treated with curative or palliative intent by clinical judgement only were grouped according to CGA into fit (46%), unfit (16%) and frail (38%) categories. Two-year overall survival (OS) was significantly better in fit than in non-fit patients (84% vs. 47%; p < 0.0001).…
Assessment and management of agitation in psychiatry: Expert consensus
2016
International audience; BACKGROUND:Psychomotor agitation is associated with different psychiatric conditions and represents an important issue in psychiatry. Current recommendations on agitation in psychiatry are not univocal. Actually, an improper assessment and management may result in unnecessary coercive or sedative treatments. A thorough and balanced review plus an expert consensus can guide assessment and treatment decisions.METHODS:An expert task force iteratively developed consensus using the Delphi method. Initial survey items were based on systematic review of the literature. Subsequent surveys included new, re-worded or re-rated items.RESULTS:Out of 2175 papers assessing psychomo…
Author's reply: Comment on “Why are Cochrane hepato-biliary reviews undervalued by physicians as an aid for clinical decision making?”
2010
Comparison between statistical and fuzzy approaches for improving diagnostic decision making in patients with chronic nasal symptoms
2014
This paper compares a fuzzy model, expressed in rule-form, with a well known statistical approach (i.e. logistic regression model) for diagnostic decision making in patients with chronic nasal symptoms. The analyses were carried out using a database obtained from a questionnaire administered to 1359 patients with nasal symptoms containing personal data, clinical data and skin prick test (SPT) results. Both the fuzzy model and the logistic regression model developed were validated using a data set obtained from another medical institution. The accuracy of the two models in identifying patients with positive or negative SPT was similar. This study is a preliminary step to the creation of a so…