VISUAL DISPLAY OF INFORMATION INFLUENCES C-SECTION RATES

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. A28-A28
Keyword(s):  
Decision Making ◽  
Visual Display ◽  
Cervical Dilation ◽  
Steep Gradient ◽  
Slow Progress ◽  
The Difference ◽  
Low X ◽  
Latent Phase Of Labour ◽  
Latent Phase ◽  
The Way

Our findings indicate that doctors' decision-making about slow labour is influenced by the way in which information is presented graphically. Doctors are less likely to intervene during labour if the cervical dilation is drawn on a partogram with a low x to y ratio so that the progress line has a steep gradient than if the x to y ratio is higher so that the line is flatter. Moreover, if the latent phase of labour is drawn on the partogram labour seems longer with slow progress, and doctors are again more likely to intervene than if the information is omitted from the graph. Since the rate of progress is the same in both cases, the difference in decision-making must be due to a change in perception.

Effect of different types of noises on the formations of swarming systems: the sensing-noise and the acting-noise

2014 ◽  
Vol 28 (23) ◽  
pp. 1450186 ◽  
Author(s):  
Wen-Qiang Tian ◽  
Dan Gao ◽  
Ju-Feng Luo ◽  
Wei-Yi Zhang ◽  
Ying-Guan Wang
Keyword(s):  
Decision Making ◽  
Numerical Simulations ◽  
Negative Impact ◽  
Neighbor Distance ◽  
Different Types ◽  
Decision Making Processes ◽  
The Difference ◽  
The Way

In this paper, different types of noises, the sensing-noise and the acting-noise, are brought into the extended adaptive Attractive/Repulsive (A/R) swarming models to explore the role of noise in swarming formations. The difference between these two extended A/R models consists in the way in which the noise is introduced. The sensing-noise is added to the inputs of the swarming system which results in the uncertainty of the sensed information for agents, and it affects the whole processes of the swarming system. The acting-noise is added to the outputs of the swarming system, which does not affect the information-sensing and decision-making processes of the system, but it directly affects the action of swarms. With numerical simulations and analyses, the results show that the convergence of the expected swarming formation and the cohesiveness of the swarms may be affected to various degrees and suffered from certain negative impact due to the interference of different noises. We conclude that both the convergence and the cohesiveness are much more sensitive to the sensing-noise, and the model with acting-noise will be robust compared with the model with sensing-noise. Meanwhile we point out that, in the model with the interference of sensing-noise, too strong noises will lead to erroneous judgments of A/R function for agents. The sensed neighbor distance may fall into the zone of attraction, the zone of repulsion, or it may even fall into the zone of Non-A/R area. The original definite A/R function which is determined by the definite neighbor distance will evolve into the indefinite A/R function which is determined by the indefinite sensed neighbor distance. Along with the increase of the probability of such misjudgments, the effect of the A/R model will be progressively weakened. However, such phenomenon does not exist in the A/R model with the interference of acting-noise, in which the strong acting-noise leads the agents move randomly and spread apart gradually.

Do Homeric Heroes Make Real Decisions?

1990 ◽  
Vol 40 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Richard Gaskin
Keyword(s):  
Decision Making ◽  
The Self ◽  
Self Awareness ◽  
Reasons For Action ◽  
Greek Literature ◽  
Primitive Form ◽  
The Difference ◽  
The Right ◽  
The Way

Bruno Snell has made familiar a certain thesis about the Homeric poems, to the effect that these poems depict a primitive form of mindedness. The area of mindedness concerned is agency, and the content of the thesis is that Homeric agents are not agents in the fullest sense: they do not make choices in clear self-awareness of what they are doing; choices are made for them rather than by them; in some cases the instigators of action are gods, in other cases they are forces acting internally on the agent and over which he has no control. Homeric heroes act in the way Descartes thought an animal acts: agitur, non agit. Such agents ‘handeln nicht eigentlich (d.h. mil vollem Bewuβtsein eigenen Handelns), sondern sie reagieren’. The model of the agent which we nowadays have is roughly of a self which determines, rather than is determined to, action; the self arrives at this determination by considering available reasons for action in the light of its overall purposes, and it moves to action in full self-consciousness of what it is doing, and why. This model of action, Snell claims, is not met in Greek literature before the tragedians. I think anyone ought to concede that there is some difference between the way Homer portrays decision-making and the way it is portrayed in tragedy (with further differences among the tragedians themselves); but has Snell located the difference in the right place? I shall argue in this paper that he has not.

Clinical Judgment Revisited

1999 ◽  
Vol 38 (04/05) ◽  
pp. 279-286 ◽  
Author(s):  
L. L. Weed
Keyword(s):  
Decision Making ◽  
Medical Practice ◽  
Clinical Judgment ◽  
Medical Information ◽  
Patient Records ◽  
Practice Of Medicine ◽  
The Way

AbstractIt is widely recognised that accessing and processing medical information in libraries and patient records is a burden beyond the capacities of the physician’s unaided mind in the conditions of medical practice. Physicians are quite capable of tremendous intellectual feats but cannot possibly do it all. The way ahead requires the development of a framework in which the brilliant pieces of understanding are routinely assembled into a working unit of social machinery that is coherent and as error free as possible – a challenge in which we ourselves are among the working parts to be organized and brought under control.Such a framework of intellectual rigor and discipline in the practice of medicine can only be achieved if knowledge is embedded in tools; the system requiring the routine use of those tools in all decision making by both providers and patients.

Women in Power and Decision making Positions : Conditions and Restraints

1970 ◽  
pp. 53-57
Author(s):  
Azza Charara Baydoun
Keyword(s):  
Decision Making ◽  
Political Participation ◽  
Political Life ◽  
The Political ◽  
Decision Making Process ◽  
Power Structures ◽  
Policies And Procedures ◽  
The Social ◽  
The Status ◽  
Slow Progress

Women today are considered to be outside the political and administrative power structures and their participation in the decision-making process is non-existent. As far as their participation in the political life is concerned they are still on the margins. The existence of patriarchal society in Lebanon as well as the absence of governmental policies and procedures that aim at helping women and enhancing their political participation has made it very difficult for women to be accepted as leaders and to be granted votes in elections (UNIFEM, 2002).This above quote is taken from a report that was prepared to assess the progress made regarding the status of Lebanese women both on the social and governmental levels in light of the Beijing Platform for Action – the name given to the provisions of the Fourth Conference on Women held in Beijing in 1995. The above quote describes the slow progress achieved by Lebanese women in view of the ambitious goal that requires that the proportion of women occupying administrative or political positions in Lebanon should reach 30 percent of thetotal by the year 2005!

Klein with Lacan: A Study on the Reception of Lacanian Ideas in Uruguay and Its Effects on Clinical Practices (1955–82)

2020 ◽  
Vol 22 (3) ◽  
pp. 341-361
Author(s):  
Gonzalo Grau-Pérez ◽  
J. Guillermo Milán
Keyword(s):  
Clinical Practice ◽  
Clinical Material ◽  
Clinical Practices ◽  
Before And After ◽  
The Difference ◽  
The 1960S ◽  
The Relationship ◽  
Discursive Approach ◽  
The Way ◽  
Clinical Cases

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.

Patients’ practices for taking the initiative in decision-making in outpatient psychiatric consultations

2017 ◽  
Vol 13 (2) ◽  
pp. 169-184 ◽  
Author(s):  
Shuya Kushida ◽  
Takeshi Hiramoto ◽  
Yuriko Yamakawa
Keyword(s):  
Decision Making ◽  
Conversation Analysis ◽  
Treatment Decision ◽  
Close Inspection ◽  
Important Resource ◽  
Treatment Decision Making ◽  
The Way

In spite of increasing advocacy for patients’ participation in psychiatric decision-making, there has been little research on how patients actually participate in decision-making in psychiatric consultations. This study explores how patients take the initiative in decision-making over treatment in outpatient psychiatric consultations in Japan. Using the methodology of conversation analysis, we analyze 85 video-recorded ongoing consultations and find that patients select between two practices for taking the initiative in decision-making: making explicit requests for a treatment and displaying interest in a treatment without explicitly requesting it. A close inspection of transcribed interaction reveals that patients make explicit requests under the circumstances where they believe the candidate treatment is appropriate for their condition, whereas they merely display interest in a treatment when they are not certain about its appropriateness. By fitting practices to take the initiative in decision-making with the way they describe their current condition, patients are optimally managing their desire for particular treatments and the validity of their initiative actions. In conclusion, we argue that the orderly use of the two practices is one important resource for patients’ participation in treatment decision-making.

Rangda and the Goddess Durga in Bali

2017 ◽  
Vol 12 (1) ◽  
pp. 50-77
Author(s):  
Sarah Weiss
Keyword(s):  
Decision Making ◽  
Binary Opposition ◽  
Dynamic Relationship ◽  
The Witch ◽  
Purity And Impurity ◽  
Good And Evil ◽  
Negative Attributes ◽  
The Way

This article examines Rangda and her role as a chthonic and mythological figure in Bali, particularly the way in which Rangda’s identity has intertwined with that of the Hindu goddess Durga— slayer of buffalo demons and other creatures that cannot be bested by Shiva or other male Hindu gods. Images and stories about Durga in Bali are significantly different from those found in Hindu contexts in India. Although she retains the strong-willed independence and decision-making capabilities prominently associated with Durga in India, in Bali the goddess Durga is primarily associated with violent and negative attributes as well as looks and behaviours that are more usually associated with Kali in India. The reconstruction of Durga in Bali, in particular the integration of Durga with the figure of the witch Rangda, reflects the local importance of the dynamic relationship between good and bad, positive and negative forces in Bali. I suggest that Balinese representations of Rangda and Durga reveal a flux and transformation between good and evil, not simply one side of a balanced binary opposition. Transformation—here defined as the persistent movement between ritual purity and impurity—is a key element in the localization of the goddess Durga in Bali.

Information support for expert evaluation of the states of the external environment

2020 ◽  
pp. 71-76
Author(s):  
Rasol Murtadha Najah
Keyword(s):  
Decision Making ◽  
Environmental Conditions ◽  
Fuzzy Inference ◽  
Environmental Parameters ◽  
Information Support ◽  
Expert Assessment ◽  
Fuzzy Variables ◽  
Decision Making Models ◽  
The Difference ◽  
State Of The Environment

This article discusses the application of methods to enhance the knowledge of experts to build a decision-making model based on the processing of physical data on the real state of the environment. Environmental parameters determine its ecological state. To carry out research in the field of expert assessment of environmental conditions, the analysis of known works in this field is carried out. The results of the analysis made it possible to justify the relevance of the application of analytical, stochastic models and models based on methods of enhancing the knowledge of experts — experts. It is concluded that the results of using analytical and stochastic objects are inaccurate, due to the complexity and poor mathematical description of the objects. The relevance of developing information support for an expert assessment of environmental conditions is substantiated. The difference of this article is that based on the analysis of the application of expert methods for assessing the state of the environment, a fuzzy logic adoption model and information support for assessing the environmental state of the environment are proposed. The formalization of the parameters of decision-making models using linguistic and fuzzy variables is considered. The formalization of parameters of decision-making models using linguistic and fuzzy variables was considered. The model’s description of fuzzy inference is given. The use of information support for environment state assessment is shown on the example of experts assessing of the land desertification stage.

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