scholarly journals MANAGEMENT OF FIRST-TIME PATELLAR DISLOCATION: A SURVEY OF PRISM MEMBERS

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0013
Author(s):  
Shital N Parikh ◽  
Matthew Veerkamp ◽  
Matthew Ellington ◽  
Craig J Finlayson ◽  
Joseph Molony ◽  
...  
Keyword(s):  
Decision Making ◽  
Sports Medicine ◽  
Patellar Dislocation ◽  
Decision Making Process ◽  
Free Text ◽  
Guided Growth ◽  
Osteochondral Fracture ◽  
Orthopedic Surgeons ◽  
Several Variables ◽  
First Time

Background: There are no current guidelines for optimal management of first-time patellar dislocation in children and adolescents. Purpose: To develop consensus-based guidelines for management of first-time dislocation in adolescents. Methods: A 29-question, case-based, multiple-choice survey was developed after 2-rounds of iterations by 20 members of the Patellofemoral RIG. The survey contained two case scenarios of first-time patellar dislocation in adolescents - one with and one without an osteochondral fracture. The survey was administered to primary sports medicine and orthopedic surgeons of the PRISM Society in April 2020 and the responses were analyzed. Consensus-based guidelines were generated when at least 66% of the respondents agreed Results: 81/276 (29%) members responded to the survey and 6 consensus-based guidelines were generated from those responses. [Table: see text] There was no consensus between conservative (60%) and operative (40%) treatment of contralateral patellar dislocation. Free-text analysis revealed several variables that influence the decision-making process. Conclusion: There are changes in trends related to management of first-time dislocation in adolescents. MRI, though not recommended for all patients with first-time dislocation, was obtained by 51% of respondents. The survey provides details of conservative treatment, including the role and duration of bracing and physical therapy. For first-time dislocation with an osteochondral fracture, concomitant patellar stabilization is preferred over isolated fixation. Simultaneous guided-growth for genu valgum correction is recommended. There were several variables that influenced the decision-making process and there were several areas of discordance. Further research studies on these parameters could potentially improve outcomes.

scholarly journals MANAGEMENT OF FIRST-TIME PATELLAR DISLOCATION: A SURVEY OF PRISM MEMBERS (201)

2021 ◽  
Vol 9 (10_suppl5) ◽  
pp. 2325967121S0031
Author(s):  
Shital Parikh ◽  
Matthew Veerkamp ◽  
Keyword(s):  
Decision Making ◽  
Sports Medicine ◽  
Patellar Dislocation ◽  
Decision Making Process ◽  
Free Text ◽  
Guided Growth ◽  
Osteochondral Fracture ◽  
Orthopedic Surgeons ◽  
Several Variables ◽  
First Time

Objectives: There are no current guidelines for optimal management of first-time patellar dislocation in children and adolescents. The objective of this study was to develop consensus-based guidelines for management of first-time dislocation in adolescents. Methods: A 29-question, case-based, multiple-choice survey was developed after 2-rounds of iterations by 20 members of the Patellofemoral RIG. The survey contained two case scenarios of first-time patellar dislocation in adolescents - one with and one without an osteochondral fracture. The survey was administered to primary sports medicine and orthopedic surgeons of the PRISM Society in April 2020 and the responses were analyzed. Consensus-based guidelines were generated when at least 66% of the respondents agreed. Results: 81/276 (29%) members responded to the survey and 6 consensus-based guidelines were generated from those responses (Table 1).There was no consensus between conservative (60%) and operative (40%) treatment of contralateral patellar dislocation. Free-text analysis revealed several variables that influence the decision-making process. Conclusions: There are changes in trends related to management of first-time dislocation in adolescents. MRI, though not recommended for all patients with first-time dislocation, was obtained by 51% of respondents. The survey provides details of conservative treatment, including the role and duration of bracing and physical therapy. For first-time dislocation with an osteochondral fracture, concomitant patellar stabilization is preferred over isolated fixation. Simultaneous guided-growth for genu valgum correction is recommended. There were several variables that influenced the decision-making process and there were several areas of discordance. Further research studies on these parameters could potentially improve outcomes. *PF RIG members: Matthew Ellington, MD, Craig J Finlayson, MD, Joseph Molony, Jr., PT, MS, SCS, CSCS, Nicole Friel, MD MS, Daniel W Green, MD, Jeffery L Mikutis, DO, Todd A Milbrandt, MD, James L Pace, MD, Albert M Pendleton, MD, Lauren H Redler, MD, Jason Rhodes, MD, Shannon D Safier, MD, John A Schlechter, MD, Beth E Shubin Stein, MD, Curtis Vandenberg, MD, Jeffrey M Vaughn, DO, Eric J Wall, MD, Drew E Warnick, MD, Moshe Yaniv, MD, Shital N Parikh, MD.

scholarly journals Women and the Family in Lebanon: Figures and Facts

1970 ◽  
pp. 9-10
Author(s):  
Hassan Hammoud
Keyword(s):  
Decision Making ◽  
Development Program ◽  
Decision Making Process ◽  
United Nations Development Program ◽  
Occupational Characteristics ◽  
The Family ◽  
The Status ◽  
Post War ◽  
First Time ◽  
Nations Development

In collaboration with the United Nations Development Program, the Lebanese Ministry of Social Affairs has completed a survey ' that provides for the first time in 65 years a comprehensive profile of the population in post-war Lebanon. One of its several objectives was to identify the demographic, educational, social, and occupational characteristics of Lebanese society. If properly considered, such information could play a major role in the decision-making process over several public policies in the country. The data of the survey are presented in 187 statistical tables . I will analyse selected tables related to the status and characteristics of women and the family.

Ainu Landowners’ Struggle for Justice and the Illegitimacy of the Nibutani Dam Project in Hokkaido Japan

2012 ◽  
Vol 14 (1) ◽  
pp. 63-80 ◽  
Author(s):  
Hiroshi Maruyama
Keyword(s):  
Decision Making ◽  
Indigenous People ◽  
Legal System ◽  
Public Works ◽  
Decision Making Process ◽  
Japanese History ◽  
Fait Accompli ◽  
Definition Of ◽  
The Right ◽  
First Time

Abstract In 2008 the Ainu were officially recognized as an indigenous people by the Japanese Government. The recognition arose from the 1997 court’s decision on the Nibutani Dam case which concluded, for the first time in Japanese history, that the Ainu people have the right to enjoy their own culture and that they fit the definition of indigenous people. The plaintiffs were Ainu landowners from the Nibutani Community who claimed the revocation of the expropriation decision. However, the Nibutani Dam was completed before the court’s decision, with the court acknowledging the completion as fait accompli on the grounds that the revocation of the expropriation decision would not be in the public’s interest. This article reveals the flawed legal system in the decision making process for public works as well as a brief history and some cultural background of the Ainu through those plaintiffs’ struggle for justice. Further, the illegitimacy of the Nibutani Dam project is discussed in light of publicness based on the complaint of those plaintiffs, and lastly, publicness of public works is explored in the context of studies on publicness in Japan.

Verfassungsgerichtliche Entscheidungsfindung und ihre Folgen

2020 ◽  
Author(s):  
Maria Abad Andrade
Keyword(s):  
Decision Making ◽  
Theoretical Models ◽  
Case Law ◽  
Decision Making Process ◽  
Constitutional Court ◽  
Institutional Autonomy ◽  
Constitutional Courts ◽  
Law And Politics ◽  
Decision Making Processes ◽  
First Time

How do constitutional courts decide and how do institutional factors affect decision-making processes and their outcomes? This book answers these questions—in a way that is relevant for law and politics—in two steps. In the first place, it develops possible theoretical models of constitutional courts’ decision-making. Thereafter, they are applied to the politically significant Turkish Constitutional Court (1962–2012) for the first time. Using interviews with former judges and analyses of court rulings, the author proposes that ‘unfavourable coupling’ takes place at the Turkish Constitutional Court in the form of a decision-making logic that follows majority principles combined with a process that requires a willingness to compromise and seek consensus for the court to function appropriately. This coupling affects the court’s decision-making process, its case law and, indirectly, even its ability to gain institutional autonomy and authority.

scholarly journals Initial conservative treatment of osteochondral fracture of the patella following first-time patellar dislocation

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Si Young Song ◽  
Tae-Soung Kim ◽  
Young-Jin Seo
Keyword(s):  
Conservative Treatment ◽  
Patellar Dislocation ◽  
Osteochondral Fracture ◽  
Medial Margin ◽  
Significant Difference ◽  
Functional Scores ◽  
Central Ridge ◽  
Group 2 ◽  
First Time ◽  
Group 1

Abstract Background There has been no gold standard of the initial treatment strategy for acute patellar dislocation (APD) with osteochondral fracture (OCF). Hence the study aim is firstly, to review and compare clinical outcomes of patients who underwent conservative treatment for APD with or without OCF. Secondly, to characterize the location and size of fracture fragment. Methods Sixty-nine consecutive patients who were retrospectively evaluated after first-time APD over a 2- year period were divided into two groups (group 1 (n = 24): APD with OCF and group 2 (n = 45): APD only). Magnetic resonance imaging (MRI) was used to assess patients with APD and OCF from the medial patella. All patients were treated with a supervised course of immobilization followed by progressive range of motion and strength exercise protocol. History of a recurrent dislocation, radiologic and functional scores were analyzed. Results Redislocation rate was 31.2% in group 1 and 26.6% in group 2, showing no significant difference between the two groups (p = 0.690). Intergroup differences in terms of final Kujala and IKDC scores were not significant (p = 0.117 and p = 0.283, respectively). Fracture sites of the patella in group 1 were classified as follows: patellar medial margin (12), inferomedial facet (7), and inferomedial facet involving central ridge (5). In the subgroup of patient with OCF of the inferomedial facet of the patella, the fragments were found in the lateral gutter and did not cause pain or mechanical symptoms. Thus, loose body removal was not performed. However, all five patients with large OCF involving the central ridge of the patella failed non-operative treatment with recurrent dislocations, ultimately requiring fragment refixation and medial retinacular imbrication. Conclusions First, APD patients with OCFs of medial margin or inferomedial facet showed similar redislocation rates and functional knee scores with those without OCFs after conservative treatment. Second, initial conservative treatment failed in some APD patients with large OCF, especially when OCFs were fractured from inferomedial facet involving central ridge. Surgery should be considered with this type.

scholarly journals A combined compromise solution (CoCoSo) method for multi-criteria decision-making problems

2019 ◽  
Vol 57 (9) ◽  
pp. 2501-2519 ◽  
Author(s):  
Morteza Yazdani ◽  
Pascale Zarate ◽  
Edmundas Kazimieras Zavadskas ◽  
Zenonas Turskis
Keyword(s):  
Decision Making ◽  
Design Methodology ◽  
Distance Measure ◽  
Decision Making Process ◽  
High Agreement ◽  
Content Type ◽  
Multiplication Rule ◽  
Grey Relational Coefficient ◽  
Grey Relational ◽  
First Time

PurposeThe purpose of this paper is to discuss the advantage of a combinatory methodology presented in this study. The paper suggests that the comparison with results of previously developed methods is in high agreement.Design/methodology/approachThis paper introduces a combined compromise decision-making algorithm with the aid of some aggregation strategies. The authors have considered a distance measure, which originates from grey relational coefficient and targets to enhance the flexibility of the results. Hence, the weight of the alternatives is placed in the decision-making process with three equations. In the final stage, an aggregated multiplication rule is employed to release the ranking of the alternatives and end the decision process.FindingsThe authors described a real case of choosing logistics and transportation companies in France from a supply chain project. Some comparisons such as sensitivity analysis approach and comparing to other studies and methods provided to validate the performance of the proposed algorithm.Originality/valueThe algorithm has a unique structure among MCDM methods which is presented for the first time in this paper.

scholarly journals PENGAMBILAN KEPUTUSAN, SIKAP DAN KEPUASAN KONSUMEN TERHADAP PAKET NASI LIWET DI RMSASA BANDAR LAMPUNG

2021 ◽  
Vol 8 (2) ◽  
pp. 325
Author(s):  
Erin Apriani ◽  
Yaktiworo Indriani ◽  
Rabiatul Adawiyah
Keyword(s):  
Decision Making ◽  
Performance Analysis ◽  
Research Data ◽  
Survey Method ◽  
Decision Making Process ◽  
Sources Of Information ◽  
Satisfaction Index ◽  
Side Dish ◽  
Attribute Model ◽  
First Time

The study aims to know the decision making, attitude, and satisfaction of consumers towards steam rice package at The Sambel Alu Sultan Agung (RMSASA) Restaurant. The attributes studied consisted of price, scent, taste, size, benefit, side dish variation, dish appearance, cleanliness, location, parking area, comfort and safety place. This research was conducted by survey method.  The respondents of this study consisted of 48 consumers who purchased liwet rice package for the first time. The research data was analyzed by description, Fishbein Multi-attribute Model, Customer Satisfaction Index (CSI,) and Importance Performance Analysis (IPA).  The results showed that the consumer's decision-making process of purchasing steam rice package was influenced by consumers' desire to try liwet rice package besides their hunger.  Sources of information obtained by consumers were mostly from people stories.  Alternatives chosen by consumers when the liwet rice package ran out was switching to another menu. The calculation of attitude of consumers showed that consumers like the liwet rice package with multi-atribute value of 182.06.  The highest score of attitude was taste, followed by cleanliness, comfort and safety place.  The results of CSI analysis showed that consumers were satisfied with the liwet rice package with CSI value of 77.54.  Meanwhile, based on IPA analysis, the attributes laid in quadrant I were aroma and location; quadrant II were cleanliness, taste, comfort and safety place; quadrant III were parking areas, price, size, and benefit; and quadrant IV were menu variation and dish appearance. Key words: attitude, CSI, IPA, steam rice, the decision making

scholarly journals Decision-Making Process under Uncertainty in International Investments in Petroleum Exploration and Production: Multicriteria Approach

2007 ◽  
Vol 25 (5) ◽  
pp. 339-356 ◽  
Author(s):  
Lucio Guido Tapia Carpio ◽  
Marcus Vinicius Margueron
Keyword(s):  
Decision Making ◽  
Petroleum Exploration ◽  
Decision Making Process ◽  
International Investments ◽  
Political Risks ◽  
Multi Attribute Utility Theory ◽  
Exploration And Production ◽  
International Projects ◽  
First Time

This paper intends to present a contribution to the development of techniques of decision-making in international projects of exploration and production of petroleum. A case study of the Multi-Attribute Utility Theory (MAUT) was developed and applied to define priorities among ten offshore exploration investment opportunities around the world offered to a Brazilian petroleum multinational company, according to decision-makers' preferences. The MAUT model proposed shows for the first time a combination of operational, political and technological risks, resulting in a quite complete formulation to describe quantitatively the decision-making process. It is important to emphasize that this paper presents an unpublished model to evaluate political risks whose detailed analysis is currently of extreme importance for international investments in petroleum projects.

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