scholarly journals Canadian Urological Association guideline: Erectile dysfunction

2021 ◽  
Vol 15 (10) ◽  
Author(s):  
Trustin Domes ◽  
Borna Tadayon Najafabadi ◽  
Matthew Roberts ◽  
Jeffrey Campbell ◽  
Ryan Flannigan ◽  
...  
Keyword(s):  
Decision Making ◽  
Erectile Dysfunction ◽  
Care Delivery ◽  
Model Framework ◽  
Health Practitioners ◽  
Assessment And Treatment ◽  
General Readership ◽  
Clinical Questions ◽  
Decision Making Model

Erectile dysfunction (ED) impacts the wellness and quality of life of millions of Canadians. An evaluation focused on the identification of reversible and irreversible underlying factors is recommended for patients presenting with ED. Through a shared decision-making model framework, the goal of ED treatment is to improve functional outcomes and enhance sexual satisfaction while minimizing adverse effects associated with treatment. Given that ED is assessed and treated by multiple different types of health practitioners, the purpose of this guideline is to provide the best available evidence to facilitate care delivery through a Canadian lens. After a narrative review of ED assessment and treatment for general readership, five key clinical questions relating to priority areas of ED are assessed using the GRADE and Evidence to Decision making frameworks.

scholarly journals Refusal to Travel in the National Ambulance Service. A Patient Care Report examination.

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Eamonn Byrne ◽  
Sasha Selby ◽  
Paul Gallen ◽  
Alan Watts
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Shared Decision Making ◽  
Vital Signs ◽  
Ambulance Service ◽  
Guidance Document ◽  
Shared Decision ◽  
Clinical Guidance ◽  
Decision Making Model

<p><strong>Introduction</strong></p><p>Every patient has the right to refuse treatment and, or transport (RTT) to hospital (1). The National Ambulance Service (NAS) has operated under a clinical guidance document that requires an assessment of patient capacity and a baseline amount of data to be gathered on every patient to facilitate the patient making an informed decision (2,3). An increase in the rate of non-conveyance of patients and refusal to travel calls as well as an increasing number of complaints prompted a quality improvement initiative based on improving and facilitating a shared decision-making model.</p><p><strong>Aim</strong></p><p>For patients who RTT, to establish a baseline quality of information collected and recorded on a Patient Care Report.</p><p><strong>Methods</strong></p><p>All NAS incidents closed with a refusal of treatment or transport, from 1<sup>st</sup> Jan 2017 to 9<sup>th</sup> November 2017 were identified from National Emergency Operation Centre (NEOC). A random selection of 75 Patient care reports (52 Paper and 23 Electronic) were identified and reviewed. Compliance with the refusal to travel guidance document was measured.</p><p><strong>Results</strong></p><p>31% of paper PCR’s reviewed were missing a complete set of vital signs. An average of 48.4 % (Median 48.4% Range 36.5% to 61.5%) were missing a complete second set of vital signs. 17.3% of combined forms were missing the patient’s chief complaint and 38.7% had no practitioner clinical impression entered. 24% had no capacity assessment completed.</p><p><strong>Conclusion</strong></p><p>Clinical information recorded by NAS staff did not meet the clinical guidance document requirements. It is impossible to assess what information was given to a patient to facilitate a shared decision-making model. The quality of NAS documentation can be improved for patients who refuse to travel.</p>

Decision-Making Model for Convention Site Selection

2012 ◽  
Vol 538-541 ◽  
pp. 895-900 ◽  
Author(s):  
Han Chen Huang
Keyword(s):  
Decision Making ◽  
Site Selection ◽  
Political Conflict ◽  
Decision Makers ◽  
City Image ◽  
Analytic Hierarchy ◽  
Number Of Factors ◽  
Decision Making Model ◽  
Hierarchy Process

A number of factors must be considered when selecting a convention site. Typically, most selections are based on the decision makers’ knowledge and experience, which may lead to biased decisions based on the decision makers’ subjective judgment. This study establishes decision-making evaluation factors and attributes for convention site selection based on a literature review. After surveying experts’ opinions using questionnaires, we employed the fuzzy analytic hierarchy process (FAHP) to analyze the weighting of the factors and attributes. The results show that of the five evaluation factors, site environment is the most important, followed by meeting and accommodation facilities, local support, extraconference opportunities, and costs. Additionally, the five most important attributes among the 20 evaluation attributes are the suitability of convention facilities, suitability and quality of local infrastructure, climate, city image, and political conflict or terrorist threats.

Mediating effects between World Games identification and licensed merchandise

2014 ◽  
Vol 24 (4) ◽  
pp. 384-398 ◽  
Author(s):  
Lee-Joy Cheng ◽  
Chin-Chia Yeh ◽  
Seng-Lee Wong
Keyword(s):  
Decision Making ◽  
Structural Equation ◽  
Perceived Quality ◽  
Equation Modeling ◽  
Content Type ◽  
Purchasing Intention ◽  
Licensed Merchandise ◽  
Decision Making Model ◽  
International Events

Purpose – The purpose of this paper is to explore consumer decision-making factors related to purchases of licensed merchandise, while focussing on how consumers’ identification with the 2009 World Games (WG), perceptions of quality and attitudes toward collecting, affect the decision-making model with regards to purchasing intention. Design/methodology/approach – The research model is based on the study of Kwak and Kang (2009), but also includes an assessment of consumers’ collecting attitudes. A purposive sampling method was adopted and data were collected from 1,985 valid samples via questionnaire surveys during the 2009 WG in Kaohsiung, Taiwan. Structural equation modeling was used to test the decision-making model presented in this study. Findings – The results reveal that consumers’ intentions with respect to purchasing licensed merchandise are influenced most by their attitudes toward collecting, followed by the perceived quality of the merchandise. The findings also suggest that the greater the perceived quality of licensed merchandise, the more positive the consumer attitude toward collecting. Lastly, the study finds no direct effect between respondent WG identification and intention to purchase licensed merchandise. Research limitations/implications – An exploratory concept proposed in this study, WG identification, is quite different from either event or place identification. In this study, due to its influence on at least two other relationships, the effects of one's attitude toward collecting prove to be much more complicated than the previous literature suggests. Since all data were collected in Taiwan, the research findings may have been influenced by particular local cultural and political factors, and therefore might not be well informed by inferences drawn from western populations. Practical implications – It was found that emphasizing the collectability of licensed merchandise is the most effective strategy for increasing consumer purchasing intention and promoting sales of merchandise at similar international events and competitions. This finding should encourage those interested in increasing consumers’ purchasing intention to pay more attention to the importance of licensed commemorative merchandise. Originality/value – Due to a lack of first-hand data on the consumption of licensed merchandise at major international events and competitions, little direct empirical research has been done in Taiwan. This study is the first attempt to explore this issue.

scholarly journals Mathematical modeling for a multiproduct manufacturing system featuring postponement, external suppliers, overtime, and scrap

2022 ◽  
Vol 13 (1) ◽  
pp. 1-12
Author(s):  
Yuan-Shyi P. Chiu ◽  
Jian-Hua Lian ◽  
Victoria Chiu ◽  
Yunsen Wang ◽  
Hsiao-Chun Wu
Keyword(s):  
Decision Making ◽  
Cost Function ◽  
Due Dates ◽  
Numerical Illustration ◽  
Screening Process ◽  
Multiproduct Manufacturing ◽  
The Cost ◽  
Decision Making Model ◽  
Mathematical Derivation

Manufacturing firms operating in today’s competitive global markets must continuously find the appropriate manufacturing scheme and strategies to effectively meet customer needs for various types of quality of merchandise under the constraints of short order lead-time and limited in-house capacity. Inspired by the offering of a decision-making model to aid smooth manufacturers’ operations, this study builds an analytical model to expose the influence of the outsourcing of common parts, postponement policies, overtime options, and random scrapped items on the optimal replenishment decision and various crucial system performance indices of the multiproduct problem. A two-stage fabrication scheme is presented to handle the products’ commonality and the uptime-reduced strategies to satisfy the short amount of time before the due dates of customers’ orders. A screening process helps identify and remove faulty items to ensure the finished lot’s anticipated quality. Mathematical derivation assists us in finding the manufacturing relevant total cost function. The differential calculus helps optimize the cost function and determine the optimal stock-replenishing rotation cycle policy. Lastly, a simulated numerical illustration helps validate our research result’s applicability and demonstrate the model’s capability to disclose the crucial managerial insights and facilitate manufacturing-relevant decision making.

scholarly journals A fuzzy-TOPSIS model for maintenance outsourcing considering the quality of submitted tender documents

2021 ◽  
Vol 23 (3) ◽  
pp. 443-453
Author(s):  
Maysa Alshraideh ◽  
Shereen Ababneh ◽  
Elif Elcin Gunay ◽  
Omar Al-Araidah
Keyword(s):  
Decision Making ◽  
Selection Criteria ◽  
Fuzzy Topsis ◽  
Final Decision ◽  
Proposed Model ◽  
Maintenance Outsourcing ◽  
Multiple Experts ◽  
Decision Making Model

The paper provides a multiple-experts Fuzzy-TOPSIS decision-making model for the selection among maintenance contractors based on the quality of tendering documents. The study introduces a set of selection criteria utilizing benefit and cost criteria from literature. The proposed model aggregates subjective linguistic assessments of multiple experts that express their opinions on the degree of importance of criteria and allows multiple decisionmakers to evaluate the compliance of contractors’ documents. For a case study, the model is applied to select among contractors tendering to maintain the heavy-duty cranes of an international steel company from literature. Several decision-making scenarios are investigated, and major changes in the final decision are observed. The changes in obtained results illustrate the need to better address uncertainties in rating and tendering an overqualified contractor at a higher cost.

scholarly journals ENHANCING THE WORK-LIFE BALANCE THROUGH AHP MODELING OF EARLY CAREER DECISION-MAKING

2019 ◽  
Vol 11 (2) ◽  
pp. 181-194
Author(s):  
Remigiusz Gawlik
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
University Students ◽  
Business Models ◽  
Value Added ◽  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Decision Making Model

The paper presents the results of ranking of the significance of quality of life determinants by University students that are starting professional activities. Research methodology: literature review; elaboration of an AHP decision-making model; two-stage expert selection; significance rankings by experts and a graphical and descriptive presentation of obtained results. Research sample: 14 experts out of almost 200 University students. Research outcome: a decision-making model that aims at maximizing the life satisfaction of future employees as a function of their individual assessments of significance of particular determinants of quality of life. Research implications: a more accurate adaptation to trends on the labor market and creation of new business models. Research limitation: narrowing the group of experts to University students. Value added of the research: better-motivated employees with a satisfactory level of work-life balance will contribute to an increase of societal satisfaction level.

scholarly journals The decision making process of being palliative volunteer

2019 ◽  
Vol 8 (2) ◽  
pp. 263
Author(s):  
Ni Putu Wulan Purnama Sari ◽  
Nia Novita Sari
Keyword(s):  
Decision Making ◽  
Role Conflict ◽  
Care Delivery ◽  
Decision Making Process ◽  
Insufficient Information ◽  
Descriptive Model ◽  
Depth Interview ◽  
Entry Points ◽  
Decision Making Model ◽  
Voice Recorder

Palliative care delivery in Surabaya community, Indonesia, is in collaboration with palliative volunteers. The decision to be palliative volunteer was not easy, mainly because of financial matter, time limitation, and role conflict. This study aimed to analyze the decision making process of being a palliative volunteer in Surabaya. This qualitative study involved 13 female palliative volunteers under the supervision of Public Health Center (PHC) of Rangkah. In-depth-interview was used for data collection. Instruments used were interview guideline, observation sheet, and voice recorder. Collaizi method was used for data analysis. The majority was 40-50 years old, married, housewife, and high school graduated. Each participant manages 5-8 patients to be home-visited regularly. The driving force and the reason to persistently be a palliative volunteer was the willingness to help others in need. The major entry point acting as stimulus was health care professional in the Rangkah PHC. The decision making model applied was descriptive model, because despite of insufficient information through various entry points but the decision made was fast and persistent.

implementasi model pengambilan keputusan dalam kepemimpinan suatu sekolah

2019 ◽  
Author(s):  
Elvi Gustheana ◽  
Hade Afriansyah ◽  
Rusdinal
Keyword(s):  
Decision Making ◽  
School Leaders ◽  
Educational Institution ◽  
Good Decision ◽  
Analytic Tool ◽  
Decision Making Models ◽  
The Right ◽  
Decision Making Model

In leading an institution, especially an educational institution, it is necessary to have practive, innovative and apropriate policies in every problem – the problem faced. In leading a school, the leader, namely the principal, must understand the models of good decision makingthat can improve the quality of the school and raise the name of the school. In bulding good leadership in a school it is necessary to make the right decisions made by the school leaders, and in running a school, the right decisions are needed which can be an alternative in every problem faced. Taking this decision is also a plan that results in every implementation running smoothly so that leadership in a school goes well and properly. This paper focus on the decision making models which are initially applied in the economic, politic and psychology science. Only a few papers explore this issue, most of its reveal about the result study or the output instead of discussing the process of decision making. Discussion about the usage of decision making model as the analytic tool and the application of the model is quite few.

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