Why Rotationplasty? A Qualitative Study of Decision-Making by Families of Patients With Primary Bone Sarcoma

Rotationplasty is an established technique that is indicated as part of the surgical reconstruction for certain patients with primary bone tumors around the knee who undergo tumor resection. There is considerable variation in the application of rotationplasty by surgeons as well as acceptance of the procedure by patients who may be candidates for this procedure. We qualitatively studied the decision-making process of families of patients who had undergone rotationplasty by interviewing 4 patients and their families using semi-structured interviews. Thematic analysis identified the following themes that were important in the decision-making process: (1) the desire for good information sources, (2) finding value in meeting with other patients who had been faced with a similar decision, (3) prioritizing function over cosmesis, (4) a desire to limit the need for revision surgeries, and (5) accepting that a return to normalcy is not an option with a surgery. Physicians and patients faced with a similar decision can benefit from a better understanding of the process, and by the normalization of anxieties and concerns that they may experience.

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The Impact of Social Media Use on Consumers’ Restaurant Consumption Experiences: A Qualitative Study

Sustainability ◽

10.3390/su13126581 ◽

2021 ◽

Vol 13 (12) ◽

pp. 6581

Author(s):

Jooyoung Hwang ◽

Anita Eves ◽

Jason L. Stienmetz

Keyword(s):

Decision Making ◽

Social Media ◽

Selection Process ◽

Decision Making Process ◽

Structured Interviews ◽

High Standards ◽

Tourism And Hospitality Industry ◽

Tourism And Hospitality ◽

Search For Information ◽

The Impact

Travellers have high standards and regard restaurants as important travel attributes. In the tourism and hospitality industry, the use of developed tools (e.g., smartphones and location-based tablets) has been popularised as a way for travellers to easily search for information and to book venues. Qualitative research using semi-structured interviews based on the face-to-face approach was adopted for this study to examine how consumers’ restaurant selection processes are performed with the utilisation of social media on smartphones. Then, thematic analysis was adopted. The findings of this research show that the adoption of social media on smartphones is positively related with consumers’ gratification. More specifically, when consumers regard that process, content and social gratification are satisfied, their intention to adopt social media is fulfilled. It is suggested by this study that consumers’ restaurant decision-making process needs to be understood, as each stage of the decision-making process is not independent; all the stages of the restaurant selection process are organically connected and influence one another.

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Longer duration of symptoms at the time of presentation is not associated with worse survival in primary bone sarcoma

The Bone & Joint Journal ◽

10.1302/0301-620x.100b5.bjj-2017-1235.r1 ◽

2018 ◽

Vol 100-B (5) ◽

pp. 652-661 ◽

Cited By ~ 6

Author(s):

J. M. Lawrenz ◽

J. F. Styron ◽

M. Parry ◽

R. J. Grimer ◽

N. W. Mesko

Keyword(s):

Overall Survival ◽

Proportional Hazards ◽

Bone Sarcoma ◽

Axial Skeleton ◽

Cox Proportional Hazards ◽

Low Grade ◽

Duration Of Symptoms ◽

Negative Effect ◽

Primary Bone Sarcoma ◽

Primary Bone

Aims The primary aim of this study was to determine the effect of the duration of symptoms (DOS) prior to diagnosis on the overall survival in patients with a primary bone sarcoma. Patients and Methods In a retrospective analysis of a sarcoma database at a single institution between 1990 and 2014, we identified 1446 patients with non-metastatic and 346 with metastatic bone sarcoma. Low-grade types of tumour were excluded. Our data included the demographics of the patients, the characteristics of the tumour, and the survival outcome of patients. Cox proportional hazards analysis and Kaplan–Meier survival analysis were performed, and the survivorship of the non-metastatic and metastatic cohorts were compared. Results In the non-metastatic cohort, a longer DOS was associated with a slightly more favourable survival (hazard ratio (HR) 0.996, 95% confidence interval (CI) 0.994 to 0.998, p < 0.001). In all types of tumour, there was no difference in survival between patients with a DOS of greater than four months and those with a DOS of less than four months (p = 0.566). There was no correlation between the year of diagnosis and survival (p = 0.741). A diagnosis of chondrosarcoma (HR 0.636, 95% CI 0.474 to 0.854, p = 0.003) had the strongest positive effect on survival, while location in the axial skeleton (HR 1.76, 95% CI 1.36 to 2.29, p < 0.001) had the strongest negative effect on survival. Larger size of tumour (HR 1.05, 95% CI 1.03 to 1.06, p < 0.001) and increased age of the patient (HR 1.02, 95% CI 1.01 to 1.03, p < 0.001) had a slightly negative effect on survival. Metastatic and non-metastatic cohorts had similar median DOS (16 weeks, p = 0.277), although the median survival (15.5 months vs 41 months) and rates of survival at one year (69% vs 89%) and five years (20% vs 59%) were significantly shorter in the metastatic cohort. Conclusion A longer DOS prior to diagnosis is not associated with a poorer overall survival in patients with a primary bone sarcoma. Location in the axial skeleton remains the strongest predictor of a worse prognosis. This may be helpful in counselling patients referred for evaluation on a delayed basis. Cite this article: Bone Joint J 2018;100-B:652–61.

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Questioning Facilities Management in Higher Education in Egyptian Context for Better Decision-Making Process of Funding Allocation

International Journal of Business and Management ◽

10.5539/ijbm.v12n7p129 ◽

2017 ◽

Vol 12 (7) ◽

pp. 129

Author(s):

Mona Mohamed Abd Elghany ◽

Reem Aly Elharakany

Keyword(s):

Higher Education ◽

Decision Making ◽

Public Universities ◽

Quality Of Education ◽

Decision Making Process ◽

Facilities Management ◽

Structured Interviews ◽

Decision Making Processes ◽

Strategic Relationships

The quality of education is influenced by the managerialization of the universities, which refers to the introduction of substantial changes in the decision-making processes of the academic institutions, and the application of renewed information systems along with new managerial methodologies to restructure the organisational strategic relationships with stakeholders. This paper proposes a questionnaire to assess the importance of facilities in universities according to their financial budget consumed value. Semi Structured Interviews were conducted with the heads of logistic and financial departments in Egyptian universities, twenty public universities and twenty-three private universities, in order to identify criteria for the most significant university's facilities and appealing infrastructure that contributes to the quality of education.

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Limb salvage surgery for primary bone sarcoma of the lower extremities: Long-term consequences of endoprosthetic reconstructions

Annals of Surgical Oncology ◽

10.1007/bf02303861 ◽

1998 ◽

Vol 5 (5) ◽

pp. 423-436 ◽

Cited By ~ 70

Author(s):

S. John Ham ◽

Heimen Schraffordt Koops ◽

René P. H. Veth ◽

Jim R. van Horn ◽

Willemina M. Molenaar ◽

...

Keyword(s):

Limb Salvage ◽

Salvage Surgery ◽

Lower Extremities ◽

Bone Sarcoma ◽

Limb Salvage Surgery ◽

Primary Bone Sarcoma ◽

Primary Bone ◽

Long Term Consequences

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Constrained purchase decision-making process at the base of the pyramid

Journal of Consumer Marketing ◽

10.1108/jcm-01-2017-2065 ◽

2019 ◽

Vol 36 (1) ◽

pp. 178-188 ◽

Cited By ~ 4

Author(s):

Nanda Choudhury ◽

Srabanti Mukherjee ◽

Biplab Datta

Keyword(s):

Decision Making ◽

Transaction Cost ◽

Primary Data ◽

Decision Making Process ◽

Consumer Decision Making ◽

Base Of The Pyramid ◽

Structured Interviews ◽

Consumer Decision ◽

Content Type ◽

Consumer Vulnerability

Purpose The purpose of this paper is to examine the factors affecting decision-making at the BoP and propose a framework of the consumer decision-making process at the base of the pyramid (BoP). Design/methodology/approach The qualitative research design was adopted to collect primary data. Data collected through the in-depth semi-structured interviews of the 48 BoP consumers in Kolkata and Kharagpur (India) were subjected to grounded theory analysis for theory development. Findings This study reveals that consumer vulnerability affects the decision-making process and the transaction cost at BoP level. It was observed that the consumers at the BoP make constrained choices due to their vulnerability and try to minimise transaction cost while selecting the retails. The constrained retail choice leads to a limited selection of products and brands. Originality/value This study, for the first time, has investigated the decision-making process for BoP consumers in detail. As a pioneering attempt, it sheds light on some new factors including consumer vulnerability and transaction cost that have an impact on the consumer decision-making process.

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Exploration of Silence's Motives Towards the Work Decisions: The Case of Jordanian Public and Private Schools

Journal of Public Administration and Governance ◽

10.5296/jpag.v9i1.14432 ◽

2019 ◽

Vol 9 (1) ◽

pp. 266

Author(s):

Osama Khaled Alkhlaifat

Keyword(s):

Decision Making ◽

Private Schools ◽

Human Resources Management ◽

Point Of View ◽

Decision Making Process ◽

Structured Interviews ◽

Public And Private ◽

The Public ◽

Work Related ◽

Last Stage

The aim of this study has been to investigate and provide a deeper understanding of the motives of silence towards the participation in the work-related decisions, in both the public and private schools in the Jordanian capital (Amman). ‘100’ teachers were interviewed using the semi-structured interviews through the available communication means. The pre-set questions were directed to the sample of the study to identify both the situations related to the decisions and motives leading to silence and non-participation from the respondents' point of view. The motives were classified according to the factors to which they belong, as well as the situations were classified according to each stage of the decision-making process, where some specialists in the field of human resources management had been asked to help in accomplishing the classification. The results showed that the largest percentage of respondents faced at least one situation in which they chose to remain silent. Most of the situations mentioned were related to the first and last stage of decision-making process (identifying the problem and following up the decision). The results also showed that most of the motives were related to the organizational practices by the officials, where the total iteration is twice as the personal motives.

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A novel combined radiological method for evaluation of the response to chemotherapy for primary bone sarcoma

Journal of Surgical Oncology ◽

10.1002/jso.23074 ◽

2012 ◽

Vol 106 (3) ◽

pp. 273-279 ◽

Cited By ~ 10

Author(s):

Shinji Miwa ◽

Junichi Taki ◽

Norio Yamamoto ◽

Toshiharu Shirai ◽

Hideji Nishida ◽

...

Keyword(s):

Bone Sarcoma ◽

Radiological Method ◽

Response To Chemotherapy ◽

Primary Bone Sarcoma ◽

Primary Bone

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Variability in adolescent portal privacy features: how the unique privacy needs of the adolescent patient create a complex decision-making process

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocy042 ◽

2018 ◽

Vol 25 (8) ◽

pp. 1008-1017 ◽

Cited By ~ 11

Author(s):

Marianne Sharko ◽

Lauren Wilcox ◽

Matthew K Hong ◽

Jessica S Ancker

Keyword(s):

Decision Making ◽

Information Access ◽

The United States ◽

Decision Making Process ◽

Snowball Sampling ◽

Structured Interviews ◽

Patient Portals ◽

Medical Organization ◽

Clear Cut ◽

Types Of Information

Abstract Objective Medical privacy policies, which are clear-cut for adults and young children, become ambiguous during adolescence. Yet medical organizations must establish unambiguous rules about patient and parental access to electronic patient portals. We conducted a national interview study to characterize the diversity in adolescent portal policies across a range of institutions and determine the factors influencing decisions about these policies. Methods Within a sampling framework that ensured diversity of geography and medical organization type, we used purposive and snowball sampling to identify key informants. Semi-structured interviews were conducted and analyzed with inductive thematic analysis, followed by a member check. Results We interviewed informants from 25 medical organizations. Policies established different degrees of adolescent access (from none to partial to complete), access ages (from 10 to 18 years), degrees of parental access, and types of information considered sensitive. Federal and state law did not dominate policy decisions. Other factors in the decision process were: technology capabilities; differing patient population needs; resources; community expectations; balance between information access and privacy; balance between promoting autonomy and promoting family shared decision-making; and tension between teen privacy and parental preferences. Some informants believed that clearer standards would simplify policy-making; others worried that standards could restrict high-quality polices. Conclusions In the absence of universally accepted standards, medical organizations typically undergo an arduous decision-making process to develop teen portal policies, weighing legal, economic, social, clinical, and technological factors. As a result, portal access policies are highly inconsistent across the United States and within individual states.

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Decision-Making Process in Comprehensive Medication Management Services: From the Understanding to the Development of a Theoretical Model

Pharmacy ◽

10.3390/pharmacy8040180 ◽

2020 ◽

Vol 8 (4) ◽

pp. 180 ◽

Cited By ~ 1

Author(s):

Isabela Viana Oliveira ◽

Yone de Almeida Nascimento ◽

Djenane Ramalho-de-Oliveira

Keyword(s):

Decision Making ◽

Medication Management ◽

Educational Interventions ◽

Professional Autonomy ◽

Care Process ◽

Decision Making Process ◽

Structured Interviews ◽

Service Data ◽

Patient Care Process ◽

Theoretical Proposal

In Comprehensive medication management (CMM), the practitioner applies a decision-making method to assess patients’ pharmacotherapy in order to identify and solve drug therapy problems. Grounded theory was used to understand how pharmacists make clinical decisions when providing CMM service. Data collection included individual semi structured interviews with 11 pharmacists, observation of clinical case discussions and CMM consultations provided by the participating pharmacists. Two main categories emerged: 1. Understanding the rational method of decision-making: the foundation of the patient care process. 2. Balancing the care equation: the objective and the subjective, which includes a theoretical proposal explaining the pharmacists’ decision-making process and the factors that can modify this process. The pharmacotherapy knowledge should guide the anamnesis. Thus, the professional can evaluate the indication, effectiveness, safety and convenience of medications used by the patient. After exploring patients’ medication experiences, pharmacists can follow two courses of action: helping the patient overcome barriers to medication use; or matching the pharmacotherapy to the patient’s routine. Professional autonomy and absence of the patient at the time of the decision were some factors that influenced the pharmacist’s decision. Findings provide a broad understanding of pharmacists’ decision-making process during the care of patients using medications. It can be applied as a basis for educational interventions to train professionals on decision-making.

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