Emergency notifications: Twentieth century or twenty-first?

2016 ◽  
Vol 14 (5) ◽  
pp. 335
Author(s):  
Kevin Curran, MBA

This article explores one area of the decision-making process for emergency managers: when and how to issue a public notification. For certain emergencies, a plan is in place. In other scenarios, a notification decision must be made that could be the difference between life and death. Perhaps the best known of these options is the mass media Emergency Alert System. However, newer options may provide better ways to inform a potentially affected population. Through interviews and literature reviews, this article will explore the choices available and the need for a coherent decision to be made in a difficult environment.

2021 ◽  
Vol 10 (18) ◽  
pp. 4150
Author(s):  
Mark E. Fenton ◽  
Sarah A. Wade ◽  
Bibi N. Pirrili ◽  
Zsolt J. Balogh ◽  
Christopher W. Rowe ◽  
...  

Multidisciplinary team (MDT) meetings are the mainstay of the decision-making process for patients presenting with complex clinical problems such as papillary thyroid carcinoma (PTC). Adherence to guidelines by MDTs has been extensively investigated; however, scarce evidence exists on MDT performance and variability where guidelines are less prescriptive. We evaluated the consistency of MDT management recommendations for T1 and T2 PTC patients and explored key variables that may influence therapeutic decision making. A retrospective review of the prospective database of all T1 and T2 PTC patients discussed by the MDT was conducted between January 2016 and May 2021. Univariate analysis (with Bonferroni correction significance calculated at p < 0.006) was performed to establish clinical variables linked to completion thyroidectomy and Radioactive iodine (RAI) recommendations. Of 468 patients presented at thyroid MDT, 144 pT1 PTC and 118 pT2 PTC met the selection criteria. Only 18% (n = 12) of pT1 PTC patients initially managed with hemithyroidectomy were recommended completion thyroidectomy. Mean tumour diameter was the only variable differing between groups (p = 0.003). pT2 patients were recommended completion thyroidectomy in 66% (n = 16) of instances. No measured variable explained the difference in recommendation. pT1 patients initially managed with total thyroidectomy were not recommended RAI in 71% (n = 55) of cases with T1a status (p = 0.001) and diameter (p = 0.001) as statistically different variables. For pT2 patients, 60% (n = 41) were recommended RAI post-total thyroidectomy, with no differences observed among groups. The majority of MDT recommendations were concordant for patients with similar measurable characteristics. Discordant recommendations for a small group of patients were not explained by measured variables and may have been accounted for by individual patient factors. Further research into the MDT decision-making process is warranted.


2021 ◽  
Vol 8 (4) ◽  
pp. 98-120
Author(s):  
Tajudeen Adebayo Sanni

The study determines the level of household income utilization and decision-making among educated working married employees in the Mbarara Municipality, Mbarara, Uganda. The study was guided by Sen’s Cooperative Conflict Theory. The study employed a mixed design of quantitative and qualitative approach. It targeted working educated married employees from MMC with a study sample of 113 respondents consisting of 92 married, educated working employees. Purposive sampling was used to select key informants (21) like the LCs 1,(6) 2(6) and 3(6) mayor,(1) probation officer(1) and legal officers (1) that is in the 6 division in the municipality was interviewed. Qualitative data were analyzed using themes and quantitative data using the Statistical Package for Social Sciences (SPSS) software. The study findings established that age, marital status, religion, educational qualification, years of marriage, monthly income influence the level of income utilization and decision-making among working educated married employees. In addition, patriarchal ideologies, community perceptions of decision making, gender roles, and religion also impacted their income utilization. The findings of this study also show that the level of household income utilization among the educated working married employees in Mbarara Municipality also varies based on the amounts earned by married employees and the difference between the husband and wife’s salaries. The study concluded that household income utilization in general significantly influences the decision making process and affect the level of income utilization among educated working married employees. This is because the household is a huge contributor to the decision making process in the majority of employees’ homes in Mbarara Municipality. Based on the findings, the study recommends that the government should intensify effort by providing jobs for men and women to meet the financial obligation in their household. Keywords: Gender Relations, Educated, Working Married Employees, Mbarara, Uganda


Author(s):  
Sharon Thabo Mampane

The purpose of this chapter is to argue that there is a need for youth development for participation in decision makings of the country. Programs for youth development should be geared towards changing the behavior of the youth from undesirable to desirable conduct. This chapter follows a qualitative approach in understanding and explaining in detail what youth development and participation in decision making in the society, entails. Data were collected via literature reviews on youth development and participation and on factors contributing to the importance of how laws, most notably laws on youth participation in matters, concern them. These factors are important, but key to developing the youth for participative decision-making and for ensuring that children's right to participate is implemented. The aim of this paper is to ensure that the youth are involved as partners in communities because they are deemed to be assets in the decision-making process of the country.


2009 ◽  
pp. 1-10
Author(s):  
Albert Boonstra ◽  
Bert de Brock

The past few years, many organizations have been using the Internet in quite arbitrary and experimental ways. This phase, which can be considered as a period of learning and experimentation, has created a need for a more systematic approach to the identification, the ordering and the assessment of e-business options. It is the objective of this paper to address this need by presenting a methodology that aims at supporting management in using alternative e-business applications in the first stage of the decision-making process. Figure 1 shows how a systematic decision-making process can be organized by using e-business options. The steps are based on Simon’s intelligence, design, and choice trichotomy (Simon, 1960). First, alternative e-business options have to be identified and ordered. Then the possible options have to be assessed and selected. After this stage the selected opportunities have to be specified and designed. Next, implementation, operation, maintenance, and evaluation may follow. In Figure 1 this is called the “formal life cycle”. We will apply the word “e-business option” referring to the possibility to use an electronic network for a business purpose. An e-business opportunity is defined here as an assessed and selected e-business option. In practice, different intermediate feedback activities, interrupts, delays and adjustments are often necessary to reconsider earlier steps (Mintzberg, Raisinghani, & Théorêt, 1976). This is—among other reasons—because decision-making processes of this kind take place in dynamic environments and decisions are made in political contexts (Pettigrew, 2002). Moreover, participants in decision-making processes are often lacking the necessary information to make well-considered decisions right from the start (Miller, Hickson, & Wilson, 1996). In Figure 1 these activities are called “intermediate feedback”.


Author(s):  
Nilmini Wickramasinghe

A key activity in healthcare is clinical decision making. This decision making typically has to be made rapidly and often without complete information. Moreover, the consequences of these decisions could be far reaching including the difference between life or death. Today analytics can assist in clinical decision making as the following chapter highlights. However, to gain the most from any type of analytics, it is first necessary to fully understand the dynamics around the clinical decision making process.


2012 ◽  
Vol 50 (No. 5) ◽  
pp. 243-247
Author(s):  
M. Kašková

The basic condition of forest management development is the accessibility of the forest. A design of the forest road network in relation to all-society functions of forests has been made in the catchment of the Vilčok stream. The catchment is situated in Protected Landscape Area Beskydy. The method Quantification and quantitative evaluation of functions of forests as a basis for their evaluation (Vyskot et al. 2003) was used for the design. This method can be applied to road planning. It can serve as another component in the decision-making process of the planning of forest road construction.


2020 ◽  
Vol 12 (1) ◽  
pp. 85-95
Author(s):  
Barbara Kaczmarczyk

Threats have accompanied humanity since the dawn of time. Most of them can develop into crisis situations that can be interpreted in many different ways. The crisis situation is closely linked with the concept of crisis management, which is implemented in four phases. At every stage of work, various elements are significant in terms of crisis management. There are also elements that are very important at every stage. These include: threat analysis, estimation of the probability of their occurrence in a given area, and assessment of their sensitivity. An appropriate information flow system supports the implementation of the above elements. This system should be effective in such relations as between services and between services and society. The effectiveness of information flow depends on the reliability of this information and its flow channel. Information is of particular importance in the decision-making process. It should have appropriate features and properties. Based on the information, both good and bad decisions can be made. In crisis management, this can be relevant to human health and even human life. This article discusses issues related to the nature of information in crisis management.


2010 ◽  
Vol 3 (2) ◽  
pp. 265-277 ◽  
Author(s):  
Alaka Sarmah ◽  
Chucheng Fa Gogoi

Governance today is of paramount apprehension for any state. Concern for governance therefore reveals new areas of articulation for a state and the people living within its jurisdiction. For many, governance refers to certain conditions necessary for a state through which it can exercise power in managing the nation's social and economic assets and also becomes the precondition for realizing democratic ideals. Though the notion of governance is different for different people, one common understanding of it is the decision making process as well as the process of implementation of those decisions. This process also identifies involvement of different structures from different walks of life, signifying both the formal as well as informal actors. In this background, the traditional institutions of a society also have their appeal for involvement of local structures in the issues of governance. The traditional institutions of Karbi Anglong also entails such appeals, because of its involvement in civil, socio-economic and religious jurisdiction of the local interests. Therefore the participation of people through such institutions has been recognized as a process of grass rooting the democratic principle of governance in its most popular form as mentioned above. In this paper an attempt is made in recognizing the effect of the traditional institutions in Karbi Anglong more specifically among the Karbi Tribes.


2021 ◽  
Vol 8 (1) ◽  
pp. 43-52
Author(s):  
Rina Yuliana ◽  
Joko Sutrisno ◽  
Tria Rosana Dewi

Based on the results of the research and analysis that has been carried out, it can be seen first that consumer involvement in the tea purchase decision-making process in the Modern Market of Surakarta is high (31,56 > 24). Second, according to consumers in the Surakarta City Modern Market, the difference between tea brands is not real, meaning that consumers do not see much difference between tea brands. Third, the type of tea consumer behavior in modern markets is dissonance, reducing buying behavior. Usually, consumer behavior is meaningful and goal-oriented. Products are accepted or rejected based on the extent to which both are considered relevant to their needs and lifestyle.


Author(s):  
Pranav Patil ◽  
Kishor Gangurde ◽  
Aniket Khairnar ◽  
Akash Mule ◽  
P. T. Suradkar

In today’s world as the population increases day by day the numbers of vehicle also increases on the roads and highways. This results in more accident because of rider’s poor behaviors such as speed driving, drunk driving, riding without helmet protection, riding without sufficient sleep etc. In most of the accident cases, the victims loses their lives because of unavailability of medical facilities instantly. The critical time between the accident and getting victim medical help can be the difference between life and death. It is very difficult to know that an accident has occurred and to locate position where it has happened. To solve this problem “Accident Detection and Alert System” is used to save lives by making the medical facilities arriving on time. To resolve this problem we are developing a wireless system using Accelerometer, GPS and GSM for accident detection and reporting. If any accident occurs, this wireless device will send automated message and call the police, family members giving the exact position where the crash had occurred. So they can provide proper help to victim. This system is used to report information related to accident location and personal profile. Personal profile contains name, blood group, address, phone number of family members. So it will be easy to provide help and identify the victim.


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