scholarly journals An Innovative Approach towards Possibility Fuzzy Soft Ordered Semigroups for Ideals and Its Application

Mathematics ◽  
2019 ◽  
Vol 7 (12) ◽  
pp. 1183 ◽  
Author(s):  
Sana Habib ◽  
Harish Garg ◽  
Yufeng Nie ◽  
Faiz Muhammad Khan
Keyword(s):  
Decision Making ◽  
Innovative Approach ◽  
Decision Making Process ◽  
The Novel ◽  
Ordered Semigroup ◽  
Modern Life ◽  
Ordered Semigroups ◽  
Wide Applicability ◽  
Novel Concept ◽  
Life Decision

The objective of this paper is put forward the novel concept of possibility fuzzy soft ideals and the possibility of fuzzy soft interior ideals. The various results in the form of the theorems with these notions are presented and further validated by suitable examples. In modern life decision-making problems, there is a wide applicability of the possibility fuzzy soft ordered semigroup which has also been constructed in the paper to solve the decision-making process. Elementary and fundamental concepts including regular, intra-regular and simple ordered semigroups in terms of possibility fuzzy soft ordered semigroup are presented. Later, the concept of left (resp. right) regular and left (resp. right) simple in terms of possibility fuzzy soft ordered semigroups are delivered. Finally, the notion of possibility fuzzy soft semiprime ideals in an ordered semigroup is defined and illustrated by theorems and example.

Sense of responsibility in ICU end-of-life decision-making: Relatives’ experiences

2017 ◽  
Vol 26 (1) ◽  
pp. 270-279 ◽  
Author(s):  
Ranveig Lind
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
End Of Life ◽  
Secondary Analysis ◽  
Active Role ◽  
Decision Making Process ◽  
Science Data ◽  
End Of Life Decision ◽  
Life Decision

Background: Relatives of intensive care unit patients who lack or have reduced capacity to consent are entitled to information and participation in decision-making together with the patient. Practice varies with legislation in different countries. In Norway, crucial decisions such as withdrawing treatment are made by clinicians, usually morally justified to relatives with reference to the principle of non-maleficence. The relatives should, however, be consulted about whether they know what the patient would have wished in the situation. Research objectives: To examine and describe relatives’ experiences of responsibility in the intensive care unit decision-making process. Research design: A secondary analysis of interviews with bereaved relatives of intensive care unit patients was performed, using a narrative analytical approach. Participants and research context: In all, 27 relatives of 21 deceased intensive care unit patients were interviewed about their experiences from the end-of-life decision-making process. Most interviews took place in the participants’ homes, 3–12 months after the patient’s death. Ethical considerations: Based on informed consent, the study was approved by the Data Protection Official of the Norwegian Social Science Data Services and by the Regional Committee for Medical and Health Research Ethics. Findings: The results show that intensive care unit relatives experienced a sense of responsibility in the decision-making process, independently of clinicians’ intention of sparing them. Some found this troublesome. Three different variants of participation were revealed, ranging from paternalism to a more active role for relatives. Discussion: For the study participants, the sense of responsibility reflects the fact that ethics and responsibility are grounded in the individual’s relationship to other people. Relatives need to be included in a continuous dialogue over time to understand decisions and responsibility. Conclusion: Nurses and physicians should acknowledge and address relatives’ sense of responsibility, include them in regular dialogue and help them separate their responsibility from that of the clinicians.

The enactment stage of end-of-life decision-making for children

2018 ◽  
Vol 17 (2) ◽  
pp. 165-171
Author(s):  
Jane Elizabeth Sullivan ◽  
Lynn Heather Gillam ◽  
Paul Terence Monagle
Keyword(s):  
Decision Making ◽  
End Of Life ◽  
Medical Intervention ◽  
Process Time ◽  
Decision Making Process ◽  
Structured Interviews ◽  
Bereaved Parents ◽  
Process Factors ◽  
End Of Life Decision ◽  
Life Decision

AbstractObjectivesTypically pediatric end-of-life decision-making studies have examined the decision-making process, factors, and doctors’ and parents’ roles. Less attention has focussed on what happens after an end-of-life decision is made; that is, decision enactment and its outcome. This study explored the views and experiences of bereaved parents in end-of-life decision-making for their child. Findings reported relate to parents’ experiences of acting on their decision. It is argued that this is one significant stage of the decision-making process.MethodsA qualitative methodology was used. Semi-structured interviews were conducted with bereaved parents, who had discussed end-of-life decisions for their child who had a life-limiting condition and who had died. Data were thematically analysed.ResultsTwenty-five bereaved parents participated. Findings indicate that, despite differences in context, including the child’s condition and age, end-of-life decision-making did not end when an end-of-life decision was made. Enacting the decision was the next stage in a process. Time intervals between stages and enactment pathways varied, but the enactment was always distinguishable as a separate stage. Decision enactment involved making further decisions - parents needed to discern the appropriate time to implement their decision to withdraw or withhold life-sustaining medical treatment. Unexpected events, including other people’s actions, impacted on parents enacting their decision in the way they had planned. Several parents had to re-implement decisions when their child recovered from serious health issues without medical intervention.Significance of resultsA novel, critical finding was that parents experienced end-of-life decision-making as a sequence of interconnected stages, the final stage being enactment. The enactment stage involved further decision-making. End-of-life decision-making is better understood as a process rather than a discrete once-off event. The enactment stage has particular emotional and practical implications for parents. Greater understanding of this stage can improve clinician’s support for parents as they care for their child.

Intensive care nurses’ involvement in the end-of-life process – perspectives of relatives

2012 ◽  
Vol 19 (5) ◽  
pp. 666-676 ◽  
Author(s):  
Ranveig Lind ◽  
Geir F Lorem ◽  
Per Nortvedt ◽  
Olav Hevrøy
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
End Of Life ◽  
Decision Making Process ◽  
Intensive Care Nurses ◽  
Decision Making Processes ◽  
Nurses Role ◽  
End Of Life Decision ◽  
Life Decision

In this article, we report findings from a qualitative study that explored how the relatives of intensive care unit patients experienced the nurses’ role and relationship with them in the end-of-life decision-making processes. In all, 27 relatives of 21 deceased patients were interviewed about their experiences in this challenging ethical issue. The findings reveal that despite bedside experiences of care, compassion and comfort, the nurses were perceived as vague and evasive in their communication, and the relatives missed a long-term perspective in the dialogue. Few experienced that nurses participated in meetings with doctors and relatives. The ethical consequences imply increased loneliness and uncertainty, and the experience that the relatives themselves have the responsibility of obtaining information and understanding their role in the decision-making process. The relatives therefore felt that the nurses could have been more involved in the process.

scholarly journals Multiple Attribute Decision Making Algorithm via Picture Fuzzy Nano Topological Spaces

Symmetry ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 69
Author(s):  
Ibtesam Alshammari ◽  
Parimala Mani ◽  
Cenap Ozel ◽  
Harish Garg
Keyword(s):  
Decision Making ◽  
Numerical Data ◽  
Multiple Attribute Decision Making ◽  
Topological Spaces ◽  
The Novel ◽  
Multiple Attribute ◽  
The Difference ◽  
Comparison Table ◽  
Novel Concept ◽  
Selection Of

Picture fuzzy nano topological spaces is an extension of intuitionistic fuzzy nano topological spaces. Every decision in life ends with an answer such as yes or no, or true or false, but we have an another component called abstain, which we have not yet considered. This work is a gateway to study such a problem. This paper motivates an enquiry of the third component—abstain—in practical problems. The aim of this paper is to investigate the contemporary notion of picture fuzzy nano topological spaces and explore some of its properties. The stated properties are quantified with numerical data. Furthermore, an algorithm for Multiple Attribute Decision-Making (MADM) with an application regarding the file selection of building material under uncertainty by using picture fuzzy nano topological spaces is developed. As a practical problem, a comparison table is presented to show the difference between the novel concept and the existing methods.

scholarly journals The role of Emotion Regulation on the link between False Memory and Decision Making

2020 ◽  
Vol 11 (1) ◽  
pp. 24-33
Author(s):  
Tiana Voicu ◽  
Andrada Busuioc ◽  
Alexandra Chirilă ◽  
Maria Nedelcu
Keyword(s):  
Decision Making ◽  
Emotion Regulation ◽  
Prospect Theory ◽  
Emotional Regulation ◽  
Emotional State ◽  
False Memories ◽  
Decision Making Process ◽  
Moderating Role ◽  
Life Decision

Current research is based on an experimental two-stage condition. The main objective is to investigate how false memories influence the decision making process, but also the role of emotional regulation in the mentioned relationship. The experiment is based on the DRM paradigm. Participants were aged 18-50 and were divided into two experimental groups. The study investigates both everyday life decision making strategies and those involving taking risks, according to Prospect Theory. The results show that false memories influence decision making process, especially regarding risky ones, but did not support the moderating role of emotion regulation in decision making process under the condition of false memories. The implications of research highlight both the people’s suggestibility and the type of emotional state they should have in order to maintain their trust on false memories.

End-of-Life Decision Making in the Seriously Ill Hospitalized Patient: An Organizing Framework and Results of a Preliminary Study

2000 ◽  
Vol 16 (1_suppl) ◽  
pp. S31-S39 ◽  
Author(s):  
Daren K. Heyland ◽  
Joan Tranmer ◽  
Deb Feldman-Stewart
Keyword(s):  
Decision Making ◽  
End Of Life ◽  
Information Exchange ◽  
End Of Life Care ◽  
Decision Making Process ◽  
Life Care ◽  
Preliminary Study ◽  
End Of Life Decision ◽  
Seriously Ill ◽  
Life Decision

Recent studies of patient/family satisfaction with end-of-life care suggest that improvements in communication and decision making are likely to have the greatest impact on improving the quality of end-of-life care. The apparent failure of recent studies specifically designed to improve decision making strongly suggest that there are powerful determinants of the decision making process that are not completely understood. In this paper, we present an organizing framework that describes the decision making process and breaks it into three analytic steps: information exchange, deliberation, and making the decision. In addition, we report the results of a preliminary study of end-of-life decision making that incorporates aspects of this organizing framework. Thirty-seven seriously ill hospitalized patients were interviewed. The majority wanted to share decisional responsibility with physicians. We demonstrated the feasibility of measuring certain aspects of the decision making process in such patients. By providing and using a framework related to end-of-life decision making, we hope to better understand the complex interaction and processes between dying patients, caregivers, and physicians.

Q-Neutrosophic Soft Expert Set and its Application in Decision Making

2018 ◽  
Vol 7 (4) ◽  
pp. 37-61 ◽  
Author(s):  
Nasruddin Hassan ◽  
Vakkas Uluçay ◽  
Mehmet Şahin
Keyword(s):  
Decision Making ◽  
Two Dimensions ◽  
New Method ◽  
The Novel ◽  
Soft Sets ◽  
Neutrosophic Sets ◽  
Fuzzy Soft Sets ◽  
Novel Concept

This article describes how Smarandache defined neutrosophic sets to handle problems involving incomplete, indeterminacy and awareness of inconsistency knowledge, and is further developed to neutrosophic soft expert sets by Sahin et al. Adam and Hassan defined multi Q-fuzzy soft sets as an extension to fuzzy soft sets and gave its applications. This article will extend this further by presenting a novel concept of Q-neutrosophic soft expert sets, and define the associated related concepts and basic operations of complement, subset, union, intersection, AND and OR. This novel concept enables the single dimensionality of soft expert sets to be extended to two dimensions. Then, this article constructs an algorithm based on this concept. The following will illustrate the feasibility of the new method by an example. Finally, a comparison of the proposed method to existing methods is furnished to verify the effectiveness of the novel concept.

scholarly journals How should the ‘privilege’ in therapeutic privilege be conceived when considering the decision-making process for patients with borderline capacity?

2020 ◽  
Vol 47 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Sumytra Menon ◽  
Vikki Entwistle ◽  
Alastair Vincent Campbell ◽  
Johannes J M van Delden
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Well Being ◽  
Relevant Information ◽  
Mental Capacity ◽  
Decision Making Process ◽  
The Novel ◽  
The Individual ◽  
Therapeutic Privilege ◽  
Court Of Appeal

Therapeutic privilege (TP) is a defence that may be available to doctors who fail to disclose to the patient relevant information when seeking informed consent for treatment if they have a reasonable belief that providing that information would likely cause the patient concerned serious physical or mental harm. In a landmark judgement, the Singapore Court of Appeal introduced a novel interpretation of TP, identifying circumstances in which it might be used with patients who did not strictly lack capacity but might be inclined to refuse recommended treatments. In this paper, we explore the conceptual and practical challenges of this novel interpretation of TP. We propose that more emphasis should be placed on forms of shared and supported decision-making that foster the autonomy of patients with compromised mental capacity while being mindful of the need to safeguard their well-being. The kind of privilege that doctors might need to invoke is one of time and supportive expertise to ensure a flexible, responsive approach calibrated to the individual patients’ needs. The provision of such service would extinguish the need for the novel TP proposed by the Singapore Court of Appeal.

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