Sand Exclusion or Management: Multidisciplinary Approach in Decision Making

2012 ◽  
Author(s):  
Manuel Jaimes Plata ◽  
Yair Andres Quintero Pea ◽  
Diana Paola Martin ◽  
Michael Puentes
Keyword(s):  
Decision Making ◽  
Multidisciplinary Approach ◽  
Or Management

A Multidisciplinary Approach to Dyadic Decision Making

1990 ◽  
Vol 35 (6) ◽  
pp. 577-578
Author(s):  
Amy Holtzworth-Munroe
Keyword(s):  
Decision Making ◽  
Multidisciplinary Approach

Laryngotracheal Reconstruction in the Pediatric Burn Patient: Surgical Techniques and Decision Making

2020 ◽  
Vol 41 (4) ◽  
pp. 882-886
Author(s):  
Asitha D L Jayawardena ◽  
Sarah Bouhabel ◽  
Robert L Sheridan ◽  
Christopher J Hartnick
Keyword(s):  
Decision Making ◽  
Multidisciplinary Approach ◽  
Burn Injury ◽  
Surgical Techniques ◽  
Surgical Decision ◽  
Laryngotracheal Reconstruction ◽  
Unaffected Skin ◽  
Surgical Decision Making ◽  
Insight Into ◽  
Burn Patient

Abstract The management of laryngotracheal stenosis (LTS) in the pediatric burn patient is complex and requires a multidisciplinary approach. The mainstay of treatment for LTS is laryngotracheal reconstruction (LTR), however, limited reports of burn-specific LTR techniques exist. Here, we provide insight into the initial airway evaluation, surgical decision making, anesthetic challenges, and incision modifications based on our experience in treating patients with this pathology. The initial airway evaluation can be complicated by microstomia, trismus, and neck contractures—the authors recommend treatment of these complications prior to initial airway evaluation to optimize safety. The surgical decision making regarding pursuing single-stage LTR, double-stage LTR, and 1.5-stage LTR can be challenging—the authors recommend 1.5-stage LTR when possible due to the extra safety of rescue tracheostomy and the decreased risk of granuloma, which is especially important in pro-inflammatory burn physiology. Anesthetic challenges include obtaining intravenous access, securing the airway, and intravenous induction—the authors recommend peripherally inserted central catheter when appropriate, utilizing information from the initial airway evaluation to secure the airway, and avoidance of succinylcholine upon induction. Neck and chest incisions are often within the TBSA covered by the burn injury—the authors recommend modifying typical incisions to cover unaffected skin whenever possible in order to limit infection and prevent wound healing complications. Pediatric LTR in the burn patient is challenging, but can be safe when the surgeon is thoughtful in their decision making.

Weather Forecasting by Humans—Heuristics and Decision Making

2004 ◽  
Vol 19 (6) ◽  
pp. 1115-1126 ◽  
Author(s):  
Charles A. Doswell
Keyword(s):  
Decision Making ◽  
Cognitive Psychology ◽  
Multidisciplinary Approach ◽  
Weather Forecasting ◽  
Judgment And Decision Making ◽  
Human Cognition ◽  
Weather Forecasts ◽  
Weather Forecasters ◽  
Insight Into ◽  
Considerable Insight

Abstract The decision-making literature contains considerable information about how humans approach tasks involving uncertainty using heuristics. Although there is some reason to believe that weather forecasters are not identical in all respects to the typical subjects used in judgment and decision-making studies, there also is evidence that weather forecasters are not so different that the existing understanding of human cognition as it relates to making decisions is entirely inapplicable to weather forecasters. Accordingly, some aspects of cognition and decision making are reviewed and considered in terms of how they apply to human weather forecasters, including biases introduced by heuristics. Considerable insight into human forecasting could be gained by applying available studies of the cognitive psychology of decision making. What few studies exist that have used weather forecasters as subjects suggest that further work might well be productive in terms of helping to guide the improvement of weather forecasts by humans. It is concluded that a multidisciplinary approach, involving disciplines outside of meteorology, needs to be developed and supported if there is to be a future role for humans in forecasting the weather.

scholarly journals Fetal Skeletal Lethal Dysplasia: Case Report

2017 ◽  
Vol 39 (10) ◽  
pp. 576-582
Author(s):  
Alexandre Savoldi ◽  
Maria Villar ◽  
Heloisa Machado ◽  
Juan Llerena Júnior
Keyword(s):  
Decision Making ◽  
Clinical Management ◽  
Multidisciplinary Approach ◽  
Osteogenesis Imperfecta Type ◽  
Prenatal Period ◽  
Etiological Diagnosis ◽  
Fetal Malformations ◽  
Laboratory Investigations ◽  
Experienced Physician ◽  
Lethal Skeletal Dysplasia

AbstractThe clinical management and decision-making in pregnancies in which there is suspicion of lethal fetal malformations during the prenatal period, such as lethal skeletal dysplasia (SD), demand a multidisciplinary approach coordinated by an experienced physician. Based on the presentation of a case of osteogenesis imperfecta type IIA, we offer and discuss recommendations with the intention of organizing clinical and laboratory investigations aiming toward the clinical management, prognosis, and etiological diagnosis of these malformations, as well as genetic counselling to patients who wish to become pregnant.

scholarly journals Corporate Social Responsibility Activities of Enterprises from the Warmia and Mazury Region

Equilibrium ◽  
2011 ◽  
Vol 6 (4) ◽  
pp. 65-78
Author(s):  
Marian Oliński
Keyword(s):  
Decision Making ◽  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
Research Method ◽  
Small Degree ◽  
Management Technique ◽  
Socially Responsible ◽  
Or Management ◽  
Decision Making Processes ◽  
Corporate Social

In the future managers will have to take into account in their everyday decision-making processes the values promoted by corporate social responsibility. Apart from the consideration of the problems related to the market, profitability, sources of financing, etc. much attention will have to be paid to economic, social and ecological results of business activities, so to the ideas that form the foundations of the concept of corporate social responsibility. However, if businesses are to apply any new concept, method or management technique, it is necessary to familiarize themselves with it first. Therefore, the objective of the present research is the identification of the degree of the awareness of CSR concepts, their scope and the frequency of socially-responsible behaviours displayed among economic entities representing the warmińsko-mazurski region. The research objective was presented in the form of a question: Are companies operating in the warmińsko-mazurski region aware of the existence of the concepts of corporate social responsibility and do they understand them? In the light of the above objective the following research hypothesis was formulated: Entrepreneurs and employees of companies operating in the warmińsko-mazurskie province are familiarised with CSR concepts but to a small degree only and activities undertaken by them in this scope are usually of a temporary character and do not contribute to building the image of socially-responsible businesses. The studies were diagnostic and the research method applied was a diagnostic survey based on the developed questionnaire.

scholarly journals A neuronal mechanism underlying decision-making deficits during hyperdopaminergic states

2017 ◽  
Author(s):  
Jeroen P.H. Verharen ◽  
Johannes W. de Jong ◽  
Theresia J.M. Roelofs ◽  
Christiaan F.M. Huffels ◽  
Ruud van Zessen ◽  
...  
Keyword(s):  
Decision Making ◽  
Substance Abuse ◽  
Prefrontal Cortex ◽  
Nucleus Accumbens ◽  
Multidisciplinary Approach ◽  
Prediction Errors ◽  
Risky Decision ◽  
Reward Prediction ◽  
Decision Making Processes ◽  
Mesencephalic Dopamine

AbstractHyperdopaminergic states in mental disorders are associated with disruptive deficits in decision-making. However, the precise contribution of topographically distinct mesencephalic dopamine pathways to decision-making processes remains elusive. Here we show, using a multidisciplinary approach, how hyperactivity of ascending projections from the ventral tegmental area (VTA) contributes to faulty decision-making in rats. Activation of the VTA-nucleus accumbens pathway leads to insensitivity to loss and punishment due to impaired processing of negative reward prediction errors. In contrast, activation of the VTA-prefrontal cortex pathway promotes risky decision-making without affecting the ability to choose the economically most beneficial option. Together, these findings show how malfunction of ascending VTA projections affects value-based decision-making, providing a mechanistic understanding of the reckless behaviors seen in substance abuse, mania, and after dopamine replacement therapy in Parkinson’s disease.

Decision making in clinical stage I (CSI) testicular cancer (TC).

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e15034-e15034
Author(s):  
Giovannella Palmieri ◽  
Lucia Nappi ◽  
Caterina Condello ◽  
Luigi Formisano ◽  
Piera Federico ◽  
...  
Keyword(s):  
Decision Making ◽  
Patient Preferences ◽  
Multidisciplinary Approach ◽  
Decision Aids ◽  
Clinical Stage ◽  
Treatment Options ◽  
Patient Centered ◽  
Key Points ◽  
Open Question

e15034 Background: Optimal management of CSI seminomatous (S) and nonseminomatous (NS) TC is an open question. Quality of life and patient preferences are the principal end-points for the best treatment choice. Multidisciplinary approach is required for CSI TC patients to allow an individualized treatment with a patient-centered approach and an active participation in decisions. The “shared decision making” (SDM) is the prevailing approach because patients together with clinicians arrive at a mutually agreed-on choice. We have a project concerning the involvement of patients with CSI TC in the SDM. Methods: We used some key points of SDM: define the problem; treatment options; discuss pros/cons; clarify patient preferences; clarify the patient’s understanding. Educational material are offered to patients. From 2005 to 2012, 32 patients with CSI TC were evaluated. For each patient some clinical and socio-demographic features, type of treatment chosen and some sequel related to treatment were analyzed. Results: Patients characteristics are reported in the table. 4 S patients chose surveillance, 10 chemotherapy and 6 radiotherapy. 2 NS patients chose surveillance, 9 chemotherapy. 4 relapsed: 1 S patient after 13 months from chemotherapy and 1 during the surveillance after 24 months. 2 NS patients relapsed after 12 and 18 months both during the surveillance. All relapsed patients received chemotherapy. Metabolic alterations were analyzed. 1 S patient treated with chemotherapy had a cardiovascular accident. Conclusions: We observed an high gap between surveillance and the active treatments: there is no best choice for every one so we should improve decision-making process and decision aids into the management of CSI patients with TC. [Table: see text]

scholarly journals 2021 Korean Heart Rhythm Society Guidelines: Management of Atrial Fibrillation in Specific Clinical Settings

2021 ◽  
Vol 96 (4) ◽  
pp. 264-295
Author(s):  
You Mi Hwang ◽  
Hong Euy Lim ◽  
Dae In Lee ◽  
Hee Tae Yu ◽  
Yae Min Park ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Multidisciplinary Approach ◽  
Heart Rhythm ◽  
Clinical Settings

Optimized management of atrial fibrillation requires patient-oriented decision making with a multidisciplinary approach. This report incorporates recent authoritative studies to provide detailed recommendations for managing atrial fibrillation in specific clinical settings. The principles of the Atrial fibrillation Better Care (ABC) pathway apply in these clinical settings. In addition, specific considerations are discussed for each of these conditions and populations.

The Heart Team: conclusions and future perspectives

ESC CardioMed ◽  
2018 ◽  
pp. 3035-3038
Author(s):  
Andras P. Durko ◽  
Stuart J. Head ◽  
David P. Taggart
Keyword(s):  
Social Sciences ◽  
Decision Making ◽  
Problem Solving ◽  
Multidisciplinary Approach ◽  
Academic Disciplines ◽  
Multidisciplinary Teams ◽  
Heart Team ◽  
Grey Zone ◽  
Future Perspectives ◽  
Multiple Alternative

A multidisciplinary approach to problem-solving means observing complex issues from multiple, alternative perspectives and redefining them outside of their normal boundaries by involving several different academic disciplines in the process. The rationale of creating multidisciplinary teams is to ease decision-making in ‘grey zone’ areas, and to avoid one-sided or biased conclusions. Given its advantages, the concept is widely applied in different academic areas, ranging from engineering to social sciences.

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