Decision Making in the U.S. Department of Energy's Environmental Management Office of Science and Technology

10.17226/9448 ◽  
1999 ◽  
Keyword(s):  
Environmental Management ◽  
Decision Making ◽  
Science And Technology ◽  
The U.S

scholarly journals An Exploratory Study of Research Data Governance in the U.S.

2020 ◽  
Vol 4 (1) ◽  
pp. 122-142
Author(s):  
Inna Kouper ◽  
Anjanette H Raymond ◽  
Stacey Giroux
Keyword(s):  
Decision Making ◽  
Exploratory Study ◽  
Research Data ◽  
Science And Society ◽  
Data Governance ◽  
Knowledge Commons ◽  
Multiple Voices ◽  
The Us ◽  
The Commons ◽  
The U.S

AbstractMaking decisions regarding data and the overall credibility of research constitutes research data governance. In this paper, we present results of an exploratory study of the stakeholders of research data governance. The study was conducted among individuals who work in academic and research institutions in the US, with the goal of understanding what entities are perceived as making decisions regarding data and who researchers believe should be responsible for governing research data. Our results show that there is considerable diversity and complexity across stakeholders, both in terms of who they are and their ideas about data governance. To account for this diversity, we propose to frame research data governance in the context of polycentric governance of a knowledge commons. We argue that approaching research data from the commons perspective will allow for a governance framework that can balance the goals of science and society, allow us to shift the discussion toward protection from enclosure and knowledge resilience, and help to ensure that multiple voices are included in all levels of decision-making.

The decision-making of treatment and outcome in elderly patients with symptomatic severe aortic stenosis

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
Q Zhao ◽  
H Xu ◽  
J Lv ◽  
Y Wu
Keyword(s):  
Decision Making ◽  
Aortic Stenosis ◽  
Elderly Patients ◽  
Science And Technology ◽  
Multivariable Analysis ◽  
Intervention Group ◽  
Left Ventricular ◽  
Lower Mortality ◽  
Funding Source ◽  
The Impact

Abstract Background The prevalence of aortic stenosis (AS) steadily increases with age. There is a consensus that intervention should be advised in patients with symptomatic severe AS. However, decision to operate raises complex issues in the elderly due to the increasing operative comorbidity and mortality. There is limited information regarding the characteristics and outcome of elderly patients with symptomatic severe AS who were denied intervention and the reasons leading to the denial. Purpose To analyze the decision-making and the prognosis in elderly patients with symptomatic severe AS. Methods In a cohort of 8929 patients aged ≥60 years with significant valvular heart disease, we divided patients with severe (valve area ≤1 cm2 or peak velocity ≥4.0 m/s or mean gradient ≥40 mmHg), symptomatic (angina or NYHA II-IV or syncope) AS into three groups by final treatment decision: intervention group, doctor-deny group, patient-deny group. The impact of characteristics on decision-making was evaluated and 1-year mortality among three groups were compared. Results Among 546 patients with severe symptomatic AS, the interventional decision was taken in 338 patients (61.9%), 134 patients (24.5%) were denied intervention by doctor after evaluation and 74 patients (13.5%) refused intervention due to personal preference. In multivariable analysis, age [OR=1.104, 95% CI (1.068–1.142)], multi-comorbidities [OR=4.706, 95% CI (2.355–9.403)] and left ventricular end-diastolic diameter (LVEDD) [OR=1.021, 95% CI (1.001–1.042)] were markedly associated with the conservative decision made by doctor, while LVEF >50% [OR=0.260, 95% CI (0.082–0.823)] was significantly linked with the interventional decision. Lower mortality was observed in intervention group during 1-year follow-up compared with either doctor-deny group or patient-deny group (both P<0.001 after adjustment). Further, diabetes [HR=2.513, 95% CI (1.243–5.084)], syncope [HR=2.856, 95% CI (1.338–6.098)], atrial fibrillation (AF) [HR=2.764, 95% CI (1.305–5.855)], stroke [HR=2.921, 95% CI (1.252–6.851)] and multi-comorbidities [HR=3.120, 95% CI (1.363–7.142)] were strong 1-year mortality predictors, whereas interventional treatment [HR=0.195, 95% CI (0.091–0.417)] and LEVF >50% [HR=0.960, 95% CI (0.938–0.984)] were related to lower mortality. Conclusions Intervention was denied in about forty percent of elderly patients with symptomatic severe AS. Patients with advanced age, multi-comorbidities and increased LVEDD tended to be denied intervention by doctors, whereas interventions were more likely to be performed on patients with normal LVEF. Diabetes, syncope, AF, stroke and multi-comorbidities were the predictive factors of 1-year mortality. Elderly patients with symptomatic severe AS could benefit from intervention. Patient education needs to be strengthened, to encourage more patients accept the appropriate intervention. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): National Twelfth Five-year Science and Technology Support Projects by Ministry of Science and Technology of China

Special education faculty decision-making regarding designing and delivering family-professional partnership content and skills in the U.S.

2021 ◽  
Vol 105 ◽  
pp. 103419
Author(s):  
Grace L. Francis ◽  
Amy Kilpatrick ◽  
Shana J. Haines ◽  
Tracy Gershwin ◽  
Kathleen B. Kyzar ◽  
...  
Keyword(s):  
Decision Making ◽  
Special Education ◽  
Education Faculty ◽  
The U.S

Collegial Courts: Panel Decision-Making and the U.S. Courts of Appeals

2021 ◽  
Author(s):  
Pamela C. Corley ◽  
Wendy L. Martinek
Keyword(s):  
Decision Making ◽  
Court Decision ◽  
Appellate Court ◽  
Courts Of Appeals ◽  
Court Of Appeals ◽  
Appeals Process ◽  
Almost All ◽  
The U.S

The three-judge panel mechanism by which the courts of appeals process almost all (though not quite all) of their cases affords scholars unique opportunities to explore how appellate court decision-making may transcend being merely the sum of its parts. Specifically, court of appeals judges pursue their decision-making responsibilities as part of a collegial group, and thus it is important to understand how being a member of a multimember court influences their behavior.

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