scholarly journals A Challenge of Macro-Meso-Micro Analysis Impacts on Multiracial Nationality Decision Making :Multiracial Thai-Japanese in Bangkok

2021 ◽  
Vol 1 (2) ◽  
pp. 10-23
Author(s):  
Thanapum Limsiritong ◽  
Tomoyuki Furutani ◽  
Karnjira Limsiritong
Keyword(s):  
Decision Making ◽  
Model Prediction ◽  
Working Environment ◽  
Macro Level ◽  
Micro Structure ◽  
Labor Management ◽  
Developed Country ◽  
Formative Measurement ◽  
International Labor ◽  
Future Population

Nationality decision making could impact immensely to country structural, society issues, and future population. Exploring the factors and model prediction could dramatical give benefits to Thailand-Japan or as a reference to other countries toward possibility of multiracial nationality decision making, policy approach to future population and international labor management. The case study of Thai-Japanese multiracial nationality decision making could crucial explain to 4 scenarioses under developing and developed country status contexts. The objectives in this exploratory basic factors research are (1) To study the possibility factors of multiracial decision making (2) To adjust the factors impact on multiracial decision making into a model prediction (3) To assess a model in separation of developing and developed country context toward multiracial decision making. This research conduted N=685 of multinaitonality Thai-Japanese in Bangkok (Thailand) under criteria control throught statistic processes requirement, questionnaire survey conducted in purposive sampling via online at Bangkok as the biggest majority province of Japanese migrant in Thailand (Thailand-Japan embassy,2019). PLS-SEM was considered to assess a formative measurement from lower to higher order and mediation model of macro, meso, and micro levels by using SMART-PLS 3.0. The results indicate that Thailand macro level should concern about “Political and governance”, and “Hospital and wellness” factors, Japan macro level should consider to “Economic”, and “Working environment” factors. Also, Thailand meso level have more issue on development factors than Japan, afterward meso factor as an individual background and experience reports that education and passport competency support to multiracial nationality decision making to both Thailand and Japan. As a result, Thailand macro, meso, and micro structure presents to the unrelevance between macro, meso, and micro which causes to unsupport of nationality decision making meanwhile Japan has a potential to escalate a policy toward macro and meso in better positive way with a significant support between macro, meso, and micro structure both direct and indirect to multiracial natonality decision making.

scholarly journals UK consultants’ experiences of the decision-making process around referral to intensive care: an interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044752
Author(s):  
Kaja Heidenreich ◽  
Anne-Marie Slowther ◽  
Frances Griffiths ◽  
Anders Bremer ◽  
Mia Svantesson
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Moral Responsibility ◽  
Critically Ill ◽  
Interpersonal Relationships ◽  
Qualitative Interviews ◽  
Working Environment ◽  
Critically Ill Patient ◽  
Decision Making Process ◽  
Moral Duties

ObjectiveThe decision whether to initiate intensive care for the critically ill patient involves ethical questions regarding what is good and right for the patient. It is not clear how referring doctors negotiate these issues in practice. The aim of this study was to describe and understand consultants’ experiences of the decision-making process around referral to intensive care.DesignQualitative interviews were analysed according to a phenomenological hermeneutical method.Setting and participantsConsultant doctors (n=27) from departments regularly referring patients to intensive care in six UK hospitals.ResultsIn the precarious and uncertain situation of critical illness, trust in the decision-making process is needed and can be enhanced through the way in which the process unfolds. When there are no obvious right or wrong answers as to what ought to be done, how the decision is made and how the process unfolds is morally important. Through acknowledging the burdensome doubts in the process, contributing to an emerging, joint understanding of the patient’s situation, and responding to mutual moral duties of the doctors involved, trust in the decision-making process can be enhanced and a shared moral responsibility between the stake holding doctors can be assumed.ConclusionThe findings highlight the importance of trust in the decision-making process and how the relationships between the stakeholding doctors are crucial to support their moral responsibility for the patient. Poor interpersonal relationships can damage trust and negatively impact decisions made on behalf of a critically ill patient. For this reason, active attempts must be made to foster good relationships between doctors. This is not only important to create a positive working environment, but a mechanism to improve patient outcomes.

scholarly journals Interpreting change through legal culture: the case of the Irish exclusionary rule

Legal Studies ◽  
2021 ◽  
pp. 1-18
Author(s):  
Claire Hamilton
Keyword(s):  
Decision Making ◽  
Common Law ◽  
Legal Culture ◽  
Macro Level ◽  
Judicial Decision ◽  
Exclusionary Rule ◽  
Judicial Decision Making ◽  
The Common ◽  
Law Of Evidence

Abstract The changes to the Irish exclusionary rule introduced by the judgment in People (DPP) v JC mark an important watershed in the Irish law of evidence and Irish legal culture more generally. The case relaxed the exclusionary rule established in People (DPP) v Kenny, one of the strictest in the common law world, by creating an exception based on ‘inadvertence’. This paper examines the decision through the lens of legal culture, drawing in particular on Lawrence Friedman's distinction between ‘internal’ and ‘external’ legal culture to help understand the factors contributing to the decision. The paper argues that Friedman's concept and, in particular, the dialectic between internal and external legal culture, holds much utility at a micro as well as macro level, in interrogating the cultural logics at work in judicial decision-making.

On Improving Algorithm Efficiency of Gas-Kick Simulations toward Automated Influx Management: A Robertson Differential-Algebraic-Equation Problem Approach

2021 ◽  
pp. 1-24
Author(s):  
Chen Wei ◽  
Yuanhang Chen
Keyword(s):  
Decision Making ◽  
Real Time ◽  
Model Prediction ◽  
Computational Efficiency ◽  
Prediction Accuracy ◽  
Numerical Scheme ◽  
Computational Time ◽  
Numerical Efficiency ◽  
Flow Models ◽  
Gas Kick

Summary Improved numerical efficiency in simulating wellbore gas-influx behaviors is essential for realizing real-time model-prediction-based gas-influx management in wells equipped with managed-pressure-drilling (MPD) systems. Currently, most solution algorithms for high-fidelitymultiphase-flow models are highly time consuming and are not suitable for real-time decision making and control. In the application of model-predictive controllers (MPCs), long calculation time can lead to large overshoots and low control efficiency. This paper presents a drift-flux-model (DFM)-based gas-influx simulator with a novel numerical scheme for improved computational efficiency. The solution algorithm to a Robertson problem as differential algebraic equations (DAEs) was used as the numerical scheme to solve the control equations of the DFM in this study. The numerical stability and computational efficiency of this numerical scheme and the widely used flux-splitting methods are compared and analyzed. Results show that the Robertson DAE problem approach significantly reduces the total number of arithmetic operations and the computational time compared with the hybrid advection-upstream-splitting method (AUSMV) while maintaining the same prediction accuracy. According to the “Big-O notation” analysis, the Robertson DAE approach shows a lower-order growth of computational complexity, proving its good potential in enhancing numerical efficiency, especially when handling simulations with larger scales. The validation of both the numerical schemes for the solution of the DFM was performed using measured data from a test well drilled with water-based mud (WBM). This study offers a novel numerical solution to the DFM that can significantly reduce the computational time required for gas-kick simulation while maintaining high prediction accuracy. This approach enables the application of high-fidelity two-phase-flow models in model-prediction-based decision making and automated influx management with MPD systems.

scholarly journals Comparative attitude and plans of the medical students and young Nepalese doctors

1970 ◽  
Vol 7 (2) ◽  
pp. 177-182 ◽  
Author(s):  
M Lakhey ◽  
S Lakhey ◽  
SR Niraula ◽  
D Jha ◽  
R Pant
Keyword(s):  
Medical Students ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Chi Square ◽  
Cross Sectional ◽  
Developed Country ◽  
Significance Level ◽  
Work Abroad ◽  
Job Prospects

Introduction: Many doctors are leaving Nepal to work abroad. To understand this problem better, we decided to study the attitude and plans of young doctors and medical students. Materials and methods: This cross-sectional study was conducted at Kathmandu Medical College involving 65 firstyear medical students, 100 interns and 100 house officers. The data collected was entered in Microsoft excel and analysed by SPSS (Statistical Package for Social Sciences) programme. Chi-square test was used to compare two proportions. Significance level was set at 5%. Results: Only 2% house officers said that their job prospects were excellent as compared to 22.4% of students, whereas 20% house officers as compared to 9% students thought job prospects in Nepal were poor (p= 0.003). Eighty two percent of students thought that a doctor's service to his country was very important as compared to 51% of interns (p=‹ 0.001) and 58% of house officers. Forty percent of students, 58% of interns and 48% of house officers (no statistical significance between the three groups) planned to migrate to a developed country after graduation. Eighty eight percent of students, 89% interns and 74% of house officers (no statistical significant differences between the three groups) were of the opinion that improving career opportunities or working environment of the doctor could make the profession more attractive. Conclusion: Although majority of students, interns and house officers were of the opinion that a doctor's service to his community/country was very important, almost half of them still planned to migrate to a developed country after graduation. Improving the chances of professional advancement and professional working environment can make the profession more attractive, and therefore, may decrease this tendency for brain drain from our country. Key words: Attitude; medical students; migration; young doctors; statistical significance. DOI: 10.3126/kumj.v7i2.2717 Kathmandu University Medical Journal (2009) Vol.7, No.2 Issue 26, 177-182

scholarly journals Patients as equal partners in decision-making: The global reality

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Anubha Taneja Mukherjee
Keyword(s):  
Decision Making ◽  
Decision Maker ◽  
Policy Making ◽  
Medical Science ◽  
National Policy ◽  
Decision Makers ◽  
Developed Country ◽  
The World ◽  
The Government ◽  
To Come

Decision making is an inherently complicated procedure, which by its very nature requires the decision-maker to co-opt all the stakeholders concerned. The procedure of decision-making may vary from country to country, depending on its size, culture, history and special demographic circumstances. Around the world, key decision-makers include the executive, the legislature and the judiciary. While the distribution of powers between these three may vary in tandem with their relation to each other, their roles remain the same. While the legislature enacts laws for its citizens, the executive, popularly known as the government, implements these laws and while doing so promulgates policies that are in alignment with the said laws. Mostly, the executive is also authorised to promulgate some laws of its own. The judiciary, on the other hand, comes into the picture when there is a dispute with regard to such laws. It also steps in on its own at times. While settling such disputes, the judiciary also ends up setting what we know as precedents, which also become a part of the legal fabric of a society. In a nutshell, these three are the key decision makers in any country. As mentioned above, while making decisions, these authorities are mostly required to co-opt all the stakeholders concerned, thereby making decision making a consultative process. These stakeholders include think tanks, research bodies, media and most importantly the affected party. The reason for having such a consultative procedure in place is that the decision makers are not experts in every subject or issue that comes their way. For instance, when a need to promulgate a national policy on thalassemia presents itself to a certain government, whether it be owing to media reportage or representations from the civil society, the decision makers will look towards people considered to be the experts in the subject to come forward and be a part of the policy making. One could say that this sounds like an ideal situation where the government actually invites people concerned with thalassemia to come forward and share views about it for the purpose of policy making. It is, however, true! It is as true for India as it is for any developed country. What we must ensure then is that the government or the decision maker considers us, the patients, as the experts. While it does sound obvious that those impacted with the disorder would be the ones with the first-hand knowledge about the disorder, the very fact that there is a topic in this conference on the role of patients in decision making speaks volumes about the distance that remains to be covered by the patients of thalassemia as far as participation in decision-making is concerned. With the massive strides in the field of medical science and the unflinching support of organisations like Thalassemia International Federation (TIF), we have now reached the stage where we must step out of the victim mode and represent ourselves before the decision-makers, whether by forming Patients Advocacy Groups or otherwise. One may take cue from various associations around the world. Global HD Organisations are a good example. They are known to have got together to give patients a voice in clinical research. The most popular strategy for reaching out to the decision makers is to unite, engage, and partner both in private meetings and consultative fora like events, task forces and projects. “Unite, Engage & Partner” can therefore be the most successful mantra for engaging with the decision makers. Talking of examples of advocacy and participation by patients, while there are numerous examples in Europe and North America of the power of patient advocacy so much so that patients are on the same level as doctors when it comes to voicing opinions in policy making, TIF on an international level has created since 2009 the Expert Patients Programme, and is now moving forward in giving patients a voice through its educational platform. Recently, India also launched its first Thalassemia Patients Advocacy Group (PAG) in the august presence of the Deputy Chief Minister of the capital of the country. The India PAG has seven patients from the fields of law, psychology, education and IT. The Group is already involved with the government on the formulation of the National Thalassemia Policy. This is a great start and this should give enough and more encouragement to thalassemics across the world to UNITE, ENGAGE AND PARTNER in the process that impacts them the most – decision-making!

scholarly journals The relation between career anchors, occupational types and job satisfaction of midcareer employees

2000 ◽  
Vol 26 (2) ◽  
Author(s):  
J. A. Ellison ◽  
A. M. G. Schreuder
Keyword(s):  
Job Satisfaction ◽  
Decision Making ◽  
Career Choices ◽  
Career Decision ◽  
Working Environment ◽  
Career Decision Making ◽  
Career Anchors ◽  
Career Anchor ◽  
Intrinsic Job Satisfaction ◽  
The Individual

The objective of this research was to determine the value of the career anchor model in career decision-making. Career models that can provide the individual with greater self-insight can serve as an important guide when making career choices in todays turbulent working environment. Two hundred and ninety-five midcareer employees (managerial and non-managerial) completed questionnaires to determine their career anchor, occupation type and levels of general, intrinsic and extrinsic job satisfaction. The differences in job satisfaction between employees with a fit between career anchor and occupational type and those with no such fit were compared. It was found that respondents with a fit had a significantly higher level of general and intrinsic job satisfaction than those with no such fit. It is therefore suggested that the career anchor construct could probably serve as a useful tool for midcareer employees to make career choices. Opsomming Die doel van hierdie ondersoek was om die waarde van die loopbaanankermodel in loopbaanbesluitneming te bepaal. Loopbaanmodelle wat individue van groter insig kan voorsien kan as n belangrike riglyn in vandag se turbulente werksomgewing dien. Tweehonderd vyf-en-negentig middelloopbaan-werknemers (bestuur en nie-bestuur) het vraelyste voltooi om hulle loopbaanankers, beroepstipe en vlakke van algemene, intrinsieke en ekstrinsieke werkstevredenheid te bepaal. Die verskille in werkstevredenheid tussen werknemers met n passing tussen loopbaananker en beroepstipe en die sender n sodanige passing, is vergelyk. Daar is bevind dat respondente met n passing 'n beduidende hoer vlak van algemene en intrinsieke werkstevredenheid het as die sender so 'n passing. Daar word derhalwe voorgestel dat die loopbaanankermodel waarskynlik as n nuttige instrument by middelloopbaan-werknemers gebruik kan word om loopbaanbesluite te neem.

scholarly journals Pengaruh Gender Terhadap Pengambilan Keputusan di Lingkungan Kerja

2018 ◽  
Vol 3 (3) ◽  
pp. 57
Author(s):  
Dani Finata Pratama ◽  
Harmon Chaniago
Keyword(s):  
Decision Making ◽  
Data Processing ◽  
Hypothesis Test ◽  
Descriptive Analysis ◽  
Working Environment ◽  
Influential Factor ◽  
Gender Influence ◽  
Senior Officer ◽  
Simple Regression Analysis ◽  
Staff Level

In a work environment, employees from the staff level to top management once confront a problem that requires decision-making. Gender is a very influential factor in decision making. Gender defined here is not “gender”. It is the attitudes or attributes of a man or woman that can change over time and working conditions. This study aims to determine the effect of employee gender differences, knowing the ability of employee decision making and to know how much influence gender to decision making in the working environment of PT Jasa Marga (Persero) Tbk. Purbaleunyi Branch. The research method used is descriptive analysis, classical assumption test, correlation analysis, simple regression analysis, and hypothesis test. The sample in this study were 114 respondents consisting of employees of data processing, staff, up to senior officer. Data collection was done by distributing questionnaires and interviewing employees. Based on the results of data, gender and decision making are in good category. The conclusion of this research is gender influence toward decision making 57,3%. Dalam lingkungan kerja, karyawan dari tingkat staf hingga manajemen puncak pernah berhadapan dengan suatu masalah yang membutuhkan pengambilan keputusan. Gender merupakan faktor yang sangat berpengaruh dalam pengambilan keputusan. Gender yang diartikan disini bukanlah “jenis kelamin”. Namun, merupakan sikap atau sifat yang dimiliki seorang pria ataupun wanita yang dapat berubah seiring berjalannya waktu dan kondisi lingkungan kerja. Penelitian ini bertujuan untuk mengetahui dampak perbedaan gender karyawan, mengetahui kemampuan pengambilan keputusan karyawan dan mengetahui berapa besar pengaruh gender terhadap pengambilan keputusan di lingkungan kerja PT Jasa Marga (Persero) Tbk. Cabang Purbaleunyi. Metode penelitian yang digunakan adalah analisis deskriptif, uji asumsi klasik, analisis korelasi, analisis regresi sederhana, dan uji hipotesis. Sampel dalam penelitian ini sebanyak 114 responden yang terdiri dari karyawan data processing, staf, hingga senior officer. Pengumpulan data dilakukan dengan menyebarkan kuesioner dan mewawancarai karyawan. Berdasarkan hasil olah data, gender dan pengambilan keputusan berada pada kategori baik. Kesimpulan dari penelitian ini yaitu adanya pengaruh gender terhadap pengambilan keputusan sebesar 57,3%.

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