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Sample records for analysis mesa decision

  1. Marine Ecosystems Analysis (MESA) Program, New York Bight Surficial Sediment Analyses

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Marine Ecosystems Analysis (MESA) Program, New York Bight Study was funded by NOAA and the Bureau of Land Management (BLM). The Atlas was a historical...

  2. MESA: Message-Based System Analysis Using Runtime Verification

    Science.gov (United States)

    Shafiei, Nastaran; Tkachuk, Oksana; Mehlitz, Peter

    2017-01-01

    In this paper, we present a novel approach and framework for run-time verication of large, safety critical messaging systems. This work was motivated by verifying the System Wide Information Management (SWIM) project of the Federal Aviation Administration (FAA). SWIM provides live air traffic, site and weather data streams for the whole National Airspace System (NAS), which can easily amount to several hundred messages per second. Such safety critical systems cannot be instrumented, therefore, verification and monitoring has to happen using a nonintrusive approach, by connecting to a variety of network interfaces. Due to a large number of potential properties to check, the verification framework needs to support efficient formulation of properties with a suitable Domain Specific Language (DSL). Our approach is to utilize a distributed system that is geared towards connectivity and scalability and interface it at the message queue level to a powerful verification engine. We implemented our approach in the tool called MESA: Message-Based System Analysis, which leverages the open source projects RACE (Runtime for Airspace Concept Evaluation) and TraceContract. RACE is a platform for instantiating and running highly concurrent and distributed systems and enables connectivity to SWIM and scalability. TraceContract is a runtime verication tool that allows for checking traces against properties specified in a powerful DSL. We applied our approach to verify a SWIM service against several requirements.We found errors such as duplicate and out-of-order messages.

  3. Analysis of Well ER-EC-2a Testing, Western Pahute Mesa-Oasis Valley FY 2000 Testing Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-EC-2a during the Western Pahute Mesa - Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program is documented in Appendix A, Western Pahute Mesa - Oasis Valley, Well ER-EC-2a Data Report for Development and Hydraulic Testing.

  4. Analysis of well ER-18-2 testing, Western Pahute Mesa - Oasis Valley FY 2000 testing program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-18-2 during the Western Pahute Mesa - Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program is documented in Appendix A, Western Pahute Mesa - Oasis Valley, Well ER-18-2 Data Report for Development and Hydraulic Testing.

  5. Analysis of Well ER-EC-7 Testing, Western Pahute Mesa - Oasis Valley FY 2000 Testing Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-EC-7 during the Western Pahute Mesa - Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program was documented in Appendix A, Western Pahute Mesa - Oasis Valley, Well ER-EC-7 Data Report for Development and Hydraulic Testing.

  6. Analysis of Well ER-EC-8 testing, Western Pahute Mesa-Oasis Valley FY 2000 testing program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-EC-8 during the Western Pahute Mesa - Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program is documented in Appendix A, Western Pahute Mesa-Oasis Valley, Well ER-EC-8 Data Report for development and Hydraulic Testing.

  7. Analysis of Well ER-EC-4 Testing, Western Pahute Mesa-Oasis Valley FY 2000 Testing Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-EC-4 during the Western Pahute Mesa-Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program is documented in Appendix A, Western Pahute Mesa - Oasis Valley, Well ER-EC-4 Data Report for Development and Hydraulic Testing.

  8. Analysis of Well ER-EC-5 Testing, Western Pahute Mesa-Oasis Valley FY 2000 Testing Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-EC-5 during the Western Pahute Mesa - Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program is documented in Appendix A, Western Pahute Mesa - Oasis Valley, Well ER-EC-5 Data Report for Development and Hydraulic Testing.

  9. Analysis of Well ER-EC-6 Testing, Western Pahute Mesa - Oasis Valley FY 2000 Testing Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-EC-6 during the Western Pahute Mesa-Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program is documented in Appendix A, Western Pahute Mesa-Oasis Valley, Well ER-EC-6 Data Report for Development and Hydraulic Testing.

  10. Analysis of Well ER-EC-1 Testing, Western Pahute Mesa-Oasis Valley FY 2000 Testing Program

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-30

    This report documents the analysis of the data collected for Well ER-EC-1 during the Western Pahute Mesa - Oasis Valley (WPM-OV) well development and testing program that was conducted during fiscal year (FY) 2000. The data collection for that program is documented in Appendix A, Western Pahute Mesa - Oasis Valley, Well ER-EC-1 Data Report for Development and Hydraulic Testing.

  11. Decision analysis multicriteria analysis

    International Nuclear Information System (INIS)

    Lombard, J.

    1986-09-01

    The ALARA procedure covers a wide range of decisions from the simplest to the most complex one. For the simplest one the engineering judgement is generally enough and the use of a decision aiding technique is therefore not necessary. For some decisions the comparison of the available protection option may be performed from two or a few criteria (or attributes) (protection cost, collective dose,...) and the use of rather simple decision aiding techniques, like the Cost Effectiveness Analysis or the Cost Benefit Analysis, is quite enough. For the more complex decisions, involving numerous criteria or for decisions involving large uncertainties or qualitative judgement the use of these techniques, even the extended cost benefit analysis, is not recommended and appropriate techniques like multi-attribute decision aiding techniques are more relevant. There is a lot of such particular techniques and it is not possible to present all of them. Therefore only two broad categories of multi-attribute decision aiding techniques will be presented here: decision analysis and the outranking analysis

  12. Analysis of tracer responses in the BULLION Forced-Gradient Experiment at Pahute Mesa, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Paul W. Reimus; Marc J. Haga

    1999-10-01

    This report presents an analysis of the tracer data from the BULLION forced-gradient experiment (FGE) conducted on Pahute Mesa at the Nevada Test Site from June 2, 1997 through August 28, 1997, for the Underground Test Area (UGTA) Program. It also serves to document the polystyrene microsphere data from the FGE. The FGE involved the injection of solute and colloid tracers into wells ER-20-6 No. 1 and ER-20-6 No. 2 while ER-20-6 No. 3 was pumped at approximately 116 gallons per minute (gpm). The experimental configuration and test design are described briefly in this report; more details are provided elsewhere (IT, 1996, 1997, 1998). The tracer responses in the various wells yielded valuable information about transport processes such as longitudinal dispersion, matrix diffusion and colloid transport in the hydrogeologic system in the vicinity of the BULLION nuclear test cavity. Parameter values describing these processes are derived from the semi-analytical model interpretations presented in this report. A companion report (IT, 1998) presents more detailed numerical modeling interpretations of the solute tracer responses.

  13. Analysis of tracer responses in the BULLION Forced-Gradient Experiment at Pahute Mesa, Nevada

    International Nuclear Information System (INIS)

    Reimus, Paul W.; Haga, Marc J.

    1999-01-01

    This report presents an analysis of the tracer data from the BULLION forced-gradient experiment (FGE) conducted on Pahute Mesa at the Nevada Test Site from June 2, 1997 through August 28, 1997, for the Underground Test Area (UGTA) Program. It also serves to document the polystyrene microsphere data from the FGE. The FGE involved the injection of solute and colloid tracers into wells ER-20-6 No. 1 and ER-20-6 No. 2 while ER-20-6 No. 3 was pumped at approximately 116 gallons per minute (gpm). The experimental configuration and test design are described briefly in this report; more details are provided elsewhere (IT, 1996, 1997, 1998). The tracer responses in the various wells yielded valuable information about transport processes such as longitudinal dispersion, matrix diffusion and colloid transport in the hydrogeologic system in the vicinity of the BULLION nuclear test cavity. Parameter values describing these processes are derived from the semi-analytical model interpretations presented in this report. A companion report (IT, 1998) presents more detailed numerical modeling interpretations of the solute tracer responses

  14. Mesa with Apron

    Science.gov (United States)

    2006-01-01

    23 September 2006 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a mesa and an impact grater just east of Phlegra Montes. The mesa is the eroded remnant of a once more extensive terrain. An apron of material surrounds the mesa. Location near: 38.5oN, 193.4oW Image width: 3 km (1.9 mi) Illumination from: lower left Season: Northern Spring

  15. Summary of micrographic analysis of fracture coating phases on drill cores from Pahute Mesa, Nevada Test Site. Revision 1

    International Nuclear Information System (INIS)

    1998-12-01

    The flow path between Pahute Mesa and the groundwater discharge area in Oasis Valley (approximately 18 miles to the southwest) is of concern due to the relatively short travel distance between a recharge area where underground nuclear testing has been conducted and the off-site water users. Groundwater flow and transport modeling by IT Corporation (IT) has shown rapid tritium transport in the volcanic rock aquifers along this flow path. The resultant estimates of rapid transport were based on water level data, limited hydraulic conductivity data, estimates of groundwater discharge rates in Oasis Valley, assumed porosities, and estimated retardation rates. Many of these parameters are poorly constrained and may vary considerably. Sampling and analytical techniques are being applied as an independent means to determine transport rates by providing an understanding of the geochemical processes that control solute movement along the flow path. As part of these geochemical investigations, this report summarizes the analysis of fracture coating mineral phases from drill core samples from the Pahute mesa area of the Nevada Test Site (NTS). Archived samples were collected based on the presence of natural fractures and on the types and abundance of secondary mineral phases present on those fracture surfaces. Mineral phases present along fracture surfaces are significant because, through the process of water-rock interaction, they can either contribute (as a result of dissolution) or remove (as a result of precipitation or adsorption) constituents from solution. Particular attention was paid to secondary calcite occurrences because they represent a potential source of exchangeable carbon and can interact with groundwater resulting in a modified isotopic signature and apparent water age

  16. Plutonium-238 Decision Analysis

    International Nuclear Information System (INIS)

    Brown, Mike; Lechel, David J.; Leigh, C.D.

    1999-01-01

    Five transuranic (TRU) waste sites in the Department of Energy (DOE) complex, collectively, have more than 2,100 cubic meters of Plutonium-238 (Pu-238) TRU waste that exceed the wattage restrictions of the Transuranic Package Transporter-II (TRUPACT-11). The Waste Isolation Pilot Plant (WIPP) is being developed by the DOE as a repository for TRU waste. With the Waste Isolation Pilot Plant (WIPP) opening in 1999, these sites are faced with a need to develop waste management practices that will enable the transportation of Pu-238 TRU waste to WIPP for disposal. This paper describes a decision analysis that provided a logical framework for addressing the Pu-238 TRU waste issue. The insights that can be gained by performing a formalized decision analysis are multifold. First and foremost, the very process. of formulating a decision tree forces the decision maker into structured, logical thinking where alternatives can be evaluated one against the other using a uniform set of criteria. In the process of developing the decision tree for transportation of Pu-238 TRU waste, several alternatives were eliminated and the logical order for decision making was discovered. Moreover, the key areas of uncertainty for proposed alternatives were identified and quantified. The decision analysis showed that the DOE can employ a combination approach where they will (1) use headspace gas analyses to show that a fraction of the Pu-238 TRU waste drums are no longer generating hydrogen gas and can be shipped to WIPP ''as-is'', (2) use drums and bags with advanced filter systems to repackage Pu-238 TRU waste drums that are still generating hydrogen, and (3) add hydrogen getter materials to the inner containment vessel of the TRUPACT-11to relieve the build-up of hydrogen gas during transportation of the Pu-238 TRU waste drums

  17. Fasting Glucose GWAS Candidate Region Analysis across Ethnic Groups in the Multi-Ethnic Study of Atherosclerosis (MESA)

    OpenAIRE

    Rasmussen-Torvik, L. J.; Guo, X.; Bowden, D. W.; Bertoni, A. G.; Sale, M. M.; Yao, J.; Bluemke, D. A.; Goodarzi, M. O.; Chen, Y. I.; Vaidya, D.; Raffel, L. J.; Papanicolaou, G.J.; Meigs, J. B.; Pankow, J. S.

    2012-01-01

    Genetic variants associated with fasting glucose in European ancestry populations are increasingly well understood. However, the nature of the associations between these SNPs and fasting glucose in other racial and ethnic groups is unclear. We sought to examine regions previously identified to be associated with fasting glucose in Caucasian GWAS across multiple ethnicities in the Multi-Ethnic Study of Atherosclerosis (MESA). Non-diabetic MESA participants with fasting glucose measured at the ...

  18. Value of information analysis for Corrective Action Unit Nos. 101 and 102: Central and western Pahute Mesa, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    1998-09-01

    The purpose of this report is to describe the basis for and present the results of a value of information analysis (VOIA) for the Pahute Mesa underground test area of the Nevada Test Site (NTS), one of several areas of the Nevada Test Site used for underground nuclear testing in the past. The value of information analysis was used to evaluate and compare potential characterization options at the Pahute Mesa underground test area for site remediation purposes. Thirty six characterization options were evaluated, ranging from a single, inexpensive study using existing data and intended to address a single question or uncertainty, to a forty-million-dollar suite of activities designed to collect and analyze new information to address multiple uncertainties. The characterization options were compared and ranked based on how effective the experts though the information collection would be in reducing uncertainties, how this effected the distance to contaminant boundary, and the cost of the option

  19. Hydraulic characterization of volcanic rocks in Pahute Mesa using an integrated analysis of 16 multiple-well aquifer tests, Nevada National Security Site, 2009–14

    Science.gov (United States)

    Garcia, C. Amanda; Jackson, Tracie R.; Halford, Keith J.; Sweetkind, Donald S.; Damar, Nancy A.; Fenelon, Joseph M.; Reiner, Steven R.

    2017-01-20

    An improved understanding of groundwater flow and radionuclide migration downgradient from underground nuclear-testing areas at Pahute Mesa, Nevada National Security Site, requires accurate subsurface hydraulic characterization. To improve conceptual models of flow and transport in the complex hydrogeologic system beneath Pahute Mesa, the U.S. Geological Survey characterized bulk hydraulic properties of volcanic rocks using an integrated analysis of 16 multiple-well aquifer tests. Single-well aquifer-test analyses provided transmissivity estimates at pumped wells. Transmissivity estimates ranged from less than 1 to about 100,000 square feet per day in Pahute Mesa and the vicinity. Drawdown from multiple-well aquifer testing was estimated and distinguished from natural fluctuations in more than 200 pumping and observation wells using analytical water-level models. Drawdown was detected at distances greater than 3 miles from pumping wells and propagated across hydrostratigraphic units and major structures, indicating that neither faults nor structural blocks noticeably impede or divert groundwater flow in the study area.Consistent hydraulic properties were estimated by simultaneously interpreting drawdown from the 16 multiple-well aquifer tests with an integrated groundwater-flow model composed of 11 well-site models—1 for each aquifer test site. Hydraulic properties were distributed across volcanic rocks with the Phase II Pahute Mesa-Oasis Valley Hydrostratigraphic Framework Model. Estimated hydraulic-conductivity distributions spanned more than two orders of magnitude in hydrostratigraphic units. Overlapping hydraulic conductivity ranges among units indicated that most Phase II Hydrostratigraphic Framework Model units were not hydraulically distinct. Simulated total transmissivity ranged from 1,600 to 68,000 square feet per day for all pumping wells analyzed. High-transmissivity zones exceeding 10,000 square feet per day exist near caldera margins and extend

  20. Decision Analysis Technique

    Directory of Open Access Journals (Sweden)

    Hammad Dabo Baba

    2014-01-01

    Full Text Available One of the most significant step in building structure maintenance decision is the physical inspection of the facility to be maintained. The physical inspection involved cursory assessment of the structure and ratings of the identified defects based on expert evaluation. The objective of this paper is to describe present a novel approach to prioritizing the criticality of physical defects in a residential building system using multi criteria decision analysis approach. A residential building constructed in 1985 was considered in this study. Four criteria which includes; Physical Condition of the building system (PC, Effect on Asset (EA, effect on Occupants (EO and Maintenance Cost (MC are considered in the inspection. The building was divided in to nine systems regarded as alternatives. Expert's choice software was used in comparing the importance of the criteria against the main objective, whereas structured Proforma was used in quantifying the defects observed on all building systems against each criteria. The defects severity score of each building system was identified and later multiplied by the weight of the criteria and final hierarchy was derived. The final ranking indicates that, electrical system was considered the most critical system with a risk value of 0.134 while ceiling system scored the lowest risk value of 0.066. The technique is often used in prioritizing mechanical equipment for maintenance planning. However, result of this study indicates that the technique could be used in prioritizing building systems for maintenance planning

  1. Mining on the Mesa

    Energy Technology Data Exchange (ETDEWEB)

    Sprouls, M.W.

    1994-10-01

    Peabody Western Coal Co. is the owner of Black Mesa and Kayenta coal opencast mines, both sited on Hopi and Navajo lands. 93% of the employees are native American, mostly Navajo. Kayenta is the larger and extracts coal with draglines. Sulphur content is high so the coal has to be analyzed and carefully blended before use. Black Mesa also uses draglines, here quality control is not as important as it is at Kayenta. Coal is transported to power stations using slurry pipelines. Both mines are heavily involved in land reclamation, leaving a landscape that makes better grazing than it did before mining. 2 figs.

  2. Analysis of metolachlor ethane sulfonic acid (MESA) chirality in groundwater: A tool for dating groundwater movement in agricultural settings.

    Science.gov (United States)

    Rice, Clifford P; McCarty, Gregory W; Bialek-Kalinski, Krystyna; Zabetakis, Kara; Torrents, Alba; Hapeman, Cathleen J

    2016-08-01

    To better address how much groundwater contributes to the loadings of pollutants from agriculture we developed a specific dating tool for groundwater residence times. This tool is based on metolachlor ethane sulfonic acid, which is a major soil metabolite of metolachlor. The chiral forms of metolachlor ethane sulfonic acid (MESA) and the chiral forms of metolachlor were examined over a 6-year period in samples of groundwater and water from a groundwater-fed stream in a riparian buffer zone. This buffer zone bordered cropland receiving annual treatments with metolachlor. Racemic (rac) metolachlor was applied for two years in the neighboring field, and subsequently S-metolachlor was used which is enriched by 88% with the S-enantiomer. Chiral analyses of the samples showed an exponential increase in abundance of the S-enantiomeric forms for MESA as a function of time for both the first order riparian buffer stream (R(2)=0.80) and for groundwater within the riparian buffer (R(2)=0.96). However, the S-enrichment values for metolachlor were consistently high indicating different delivery mechanisms for MESA and metolachlor. A mean residence time of 3.8years was determined for depletion of the initially-applied rac-metolachlor. This approach could be useful in dating groundwater and determining the effectiveness of conservation measures. A mean residence time of 3.8years was calculated for groundwater feeding a first-order stream by plotting the timed-decay for the R-enantiomer of metolachlor ethane sulfonic acid. Published by Elsevier B.V.

  3. TYBO/BENHAM: Model Analysis of Groundwater Flow and Radionuclide Migration from Underground Nuclear Tests in Southwestern Pahute Mesa, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Andrew Wolfsberg; Lee Glascoe; Guoping Lu; Alyssa Olson; Peter Lichtner; Maureen McGraw; Terry Cherry; Guy Roemer

    2002-09-01

    Recent field studies have led to the discovery of trace quantities of plutonium originating from the BENHAM underground nuclear test in two groundwater observation wells on Pahute Mesa at the Nevada Test Site. These observation wells are located 1.3 km from the BENHAM underground nuclear test and approximately 300 m from the TYBO underground nuclear test. In addition to plutonium, several other conservative (e.g. tritium) and reactive (e.g. cesium) radionuclides were found in both observation wells. The highest radionuclide concentrations were found in a well sampling a welded tuff aquifer more than 500m above the BENHAM emplacement depth. These measurements have prompted additional investigations to ascertain the mechanisms, processes, and conditions affecting subsurface radionuclide transport in Pahute Mesa groundwater. This report describes an integrated modeling approach used to simulate groundwater flow, radionuclide source release, and radionuclide transport near the BENHAM and TYBO underground nuclear tests on Pahute Mesa. The components of the model include a flow model at a scale large enough to encompass many wells for calibration, a source-term model capable of predicting radionuclide releases to aquifers following complex processes associated with nonisothermal flow and glass dissolution, and site-scale transport models that consider migration of solutes and colloids in fractured volcanic rock. Although multiple modeling components contribute to the methodology presented in this report, they are coupled and yield results consistent with laboratory and field observations. Additionally, sensitivity analyses are conducted to provide insight into the relative importance of uncertainty ranges in the transport parameters.

  4. Developing MESA : an accelerated reliability test

    NARCIS (Netherlands)

    Baskoro, G.; Rouvroye, J.L.; Bacher, W.; Brombacher, A.C.

    2003-01-01

    This paper describes the on-going research on an accelerated reliability test strategy called MESA (Multiple Environment Stress Analysis) intended to find in a fast and efficient manner (potential) reliability problems during the design phase of high volume consumer products. This test has shown

  5. Lone ranger decision making versus consensus decision making: Descriptive analysis

    OpenAIRE

    Maite Sara Mashego

    2015-01-01

    Consensus decision making, concerns group members make decisions together with the requirement of reaching a consensus that is all members abiding by the decision outcome. Lone ranging worked for sometime in a autocratic environment. Researchers are now pointing to consensus decision-making in organizations bringing dividend to many organizations. This article used a descriptive analysis to compare the goodness of consensus decision making and making lone ranging decision management. This art...

  6. Approximate reasoning in decision analysis

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, M M; Sanchez, E

    1982-01-01

    The volume aims to incorporate the recent advances in both theory and applications. It contains 44 articles by 74 contributors from 17 different countries. The topics considered include: membership functions; composite fuzzy relations; fuzzy logic and inference; classifications and similarity measures; expert systems and medical diagnosis; psychological measurements and human behaviour; approximate reasoning and decision analysis; and fuzzy clustering algorithms.

  7. Multicriteria decision analysis: Overview and implications for environmental decision making

    Science.gov (United States)

    Hermans, Caroline M.; Erickson, Jon D.; Erickson, Jon D.; Messner, Frank; Ring, Irene

    2007-01-01

    Environmental decision making involving multiple stakeholders can benefit from the use of a formal process to structure stakeholder interactions, leading to more successful outcomes than traditional discursive decision processes. There are many tools available to handle complex decision making. Here we illustrate the use of a multicriteria decision analysis (MCDA) outranking tool (PROMETHEE) to facilitate decision making at the watershed scale, involving multiple stakeholders, multiple criteria, and multiple objectives. We compare various MCDA methods and their theoretical underpinnings, examining methods that most realistically model complex decision problems in ways that are understandable and transparent to stakeholders.

  8. Hydraulic Property and Soil Textural Classification Measurements for Rainier Mesa, Nevada Test Site, Nevada

    Science.gov (United States)

    Ebel, Brian A.; Nimmo, John R.

    2010-01-01

    This report presents particle size analysis, field-saturated hydraulic conductivity measurements, and qualitative descriptions of surficial materials at selected locations at Rainier Mesa, Nevada. Measurements and sample collection were conducted in the Rainier Mesa area, including unconsolidated sediments on top of the mesa, an ephemeral wash channel near the mesa edge, and dry U12n tunnel pond sediments below the mesa. Particle size analysis used a combination of sieving and optical diffraction techniques. Field-saturated hydraulic conductivity measurements employed a single-ring infiltrometer with analytical formulas that correct for falling head and spreading outside the ring domain. These measurements may prove useful to current and future efforts at Rainier Mesa aimed at understanding infiltration and its effect on water fluxes and radionuclide transport in the unsaturated zone.

  9. Calidad de las aceitunas de mesa.

    Directory of Open Access Journals (Sweden)

    Garrido Fernández, Antonio

    1999-06-01

    Full Text Available The paper comments the different regulations related to table olives at national or international scales. The Unified Qualitative standard Applying to Table Olives in International Trade and COI/Codex (International Olive Oil Council, IOC, and IOC/Codex Alimentarius, «Reglamentación Técnico Sanitaria para la elaboración, circulación y venta de aceitunas de mesa» (Spanish, «Normas de calidad para la exportación de aceitunas de mesa» (Spanish, and the United States Standards for Grades of Green and Canned Ripe Olives (USA are especially considered. The effects of the new regulations on Nutritional Labelling (mainly in USA, applications of the Analysis and Control of Critical Points (ACCP, and the problems derived from the application of the ISO 9000, or EN 29000, to this Sector are also discussed.

    El trabajo comenta las diferentes normas, tanto nacionales como internacionales, que regulan los aspectos de la calidad de las aceitunas de mesa. Se comentan especialmente la Norma Cualitativa Unificada Aplicable a Aceitunas de Mesa en el Comercio Internacional y las correspondientes COI/CODEX (Consejo Oleícola Internacional, COI, y COI/Codex Alimentarius, respectivamente, la Reglamentación Técnico Sanitaria para la elaboración, circulación, y venta de aceitunas de mesa (española, las Normas de calidad para la exportación de Aceitunas de Mesa (española, y las «United States Standards for Grades of Green and Canned Ripe Olives» (USA. Asimismo se analizan las implicaciones de las nuevas reglamentaciones sobre etiquetado nutricional (principalmente en el comercio con USA, la aplicación del Análisis de Riesgos y Control de Puntos Críticos (ARCPC, y la necesidad de adaptar el Sector al cumplimiento de las diversas normas de la serie ISO 9000 o su equivalente EN 29000.

  10. Is the Mesa Central of Mexico a biogeographical province? Descriptive analysis based on freshwater biotic components ¿La mesa central de México es una provincia biogeográfica? Análisis descriptivo basado en componentes bióticos dulceacuícolas

    Directory of Open Access Journals (Sweden)

    Omar Domínguez-Domínguez

    2009-12-01

    Full Text Available This essay presents an analysis of the concept of Mesa Central of México as a potential biogeographical province. This region of México has been used as a reference for describing species richness and distribution patterns of the freshwater fish fauna. However, it has not been recognized as a biogeographical province in the available schemes which are mostly based on the composition of terrestrial biota. Here, we provide a historical sketch of the way the concept of Mesa Central arose in the literature as a physiographic province, and we provide a comparison with respect to the regionalization schemes of the Mexican territory, which are based on attributes such physiography, elevation, hydrology, geology and biogeography. We conclude that the Mesa Central, even though it represents a practical concept for establishing the distribution pattern of the fish fauna, in the way it was described originally cannot be circumscribed to any of the regions or provinces in which Mexico has been divided. We also argue that this geographical region cannot be considered as a synonym of the Transmexican Volcanic Axis biogeographical province, and also that it is possible that the fact that this area is not circumscribed to any regionalization scheme is due to the fact that freshwater elements have not been considered in the establishment of such biogeographical regions. We end by pointing out the need for a biogeographical analysis that integrates most of the freshwater elements in order to determine whether both the aquatic and terrestrial flora and fauna are driven by the same geobiotic processes.En este ensayo se presenta un análisis del concepto de Mesa Central de México como una posible provincia biogeográfica. Esta región del país ha sido utilizada como referencia para describir la riqueza y distribución de una parte importante de la fauna ictiológica dulceacuícola, sin embargo, no es reconocida como provincia biogeográfica en ninguno de los

  11. Metabolic Syndrome Derived from Principal Component Analysis and Incident Cardiovascular Events: The Multi Ethnic Study of Atherosclerosis (MESA and Health, Aging, and Body Composition (Health ABC

    Directory of Open Access Journals (Sweden)

    Subhashish Agarwal

    2012-01-01

    Full Text Available Background. The NCEP metabolic syndrome (MetS is a combination of dichotomized interrelated risk factors from predominantly Caucasian populations. We propose a continuous MetS score based on principal component analysis (PCA of the same risk factors in a multiethnic cohort and compare prediction of incident CVD events with NCEP MetS definition. Additionally, we replicated these analyses in the Health, Aging, and Body composition (Health ABC study cohort. Methods and Results. We performed PCA of the MetS elements (waist circumference, HDL, TG, fasting blood glucose, SBP, and DBP in 2610 Caucasian Americans, 801 Chinese Americans, 1875 African Americans, and 1494 Hispanic Americans in the multiethnic study of atherosclerosis (MESA cohort. We selected the first principal component as a continuous MetS score (MetS-PC. Cox proportional hazards models were used to examine the association between MetS-PC and 5.5 years of CVD events (n=377 adjusting for age, gender, race, smoking and LDL-C, overall and by ethnicity. To facilitate comparison of MetS-PC with the binary NCEP definition, a MetS-PC cut point was chosen to yield the same 37% prevalence of MetS as the NCEP definition (37% in the MESA cohort. Hazard ratio (HR for CVD events were estimated using the NCEP and Mets-PC-derived binary definitions. In Cox proportional models, the HR (95% CI for CVD events for 1-SD (standard deviation of MetS-PC was 1.71 (1.54–1.90 (P<0.0001 overall after adjusting for potential confounders, and for each ethnicity, HRs were: Caucasian, 1.64 (1.39–1.94, Chinese, 1.39 (1.06–1.83, African, 1.67 (1.37–2.02, and Hispanic, 2.10 (1.66-2.65. Finally, when binary definitions were compared, HR for CVD events was 2.34 (1.91–2.87 for MetS-PC versus 1.79 (1.46–2.20 for NCEP MetS. In the Health ABC cohort, in a fully adjusted model, MetS-PC per 1-SD (Health ABC remained associated with CVD events (HR=1.21, 95%CI 1.12–1.32 overall, and for each ethnicity, Caucasian (HR

  12. Metabolic Syndrome Derived from Principal Component Analysis and Incident Cardiovascular Events: The Multi Ethnic Study of Atherosclerosis (MESA) and Health, Aging, and Body Composition (Health ABC).

    Science.gov (United States)

    Agarwal, Subhashish; Jacobs, David R; Vaidya, Dhananjay; Sibley, Christopher T; Jorgensen, Neal W; Rotter, Jerome I; Chen, Yii-Der Ida; Liu, Yongmei; Andrews, Jeanette S; Kritchevsky, Stephen; Goodpaster, Bret; Kanaya, Alka; Newman, Anne B; Simonsick, Eleanor M; Herrington, David M

    2012-01-01

    Background. The NCEP metabolic syndrome (MetS) is a combination of dichotomized interrelated risk factors from predominantly Caucasian populations. We propose a continuous MetS score based on principal component analysis (PCA) of the same risk factors in a multiethnic cohort and compare prediction of incident CVD events with NCEP MetS definition. Additionally, we replicated these analyses in the Health, Aging, and Body composition (Health ABC) study cohort. Methods and Results. We performed PCA of the MetS elements (waist circumference, HDL, TG, fasting blood glucose, SBP, and DBP) in 2610 Caucasian Americans, 801 Chinese Americans, 1875 African Americans, and 1494 Hispanic Americans in the multiethnic study of atherosclerosis (MESA) cohort. We selected the first principal component as a continuous MetS score (MetS-PC). Cox proportional hazards models were used to examine the association between MetS-PC and 5.5 years of CVD events (n = 377) adjusting for age, gender, race, smoking and LDL-C, overall and by ethnicity. To facilitate comparison of MetS-PC with the binary NCEP definition, a MetS-PC cut point was chosen to yield the same 37% prevalence of MetS as the NCEP definition (37%) in the MESA cohort. Hazard ratio (HR) for CVD events were estimated using the NCEP and Mets-PC-derived binary definitions. In Cox proportional models, the HR (95% CI) for CVD events for 1-SD (standard deviation) of MetS-PC was 1.71 (1.54-1.90) (P definitions were compared, HR for CVD events was 2.34 (1.91-2.87) for MetS-PC versus 1.79 (1.46-2.20) for NCEP MetS. In the Health ABC cohort, in a fully adjusted model, MetS-PC per 1-SD (Health ABC) remained associated with CVD events (HR = 1.21, 95%CI 1.12-1.32) overall, and for each ethnicity, Caucasian (HR = 1.24, 95%CI 1.12-1.39) and African Americans (HR = 1.16, 95%CI 1.01-1.32). Finally, when using a binary definition of MetS-PC (cut point 0.505) designed to match the NCEP definition in terms of prevalence in the Health ABC cohort (35

  13. Applied decision analysis and risk evaluation

    International Nuclear Information System (INIS)

    Ferse, W.; Kruber, S.

    1995-01-01

    During 1994 the workgroup 'Applied Decision Analysis and Risk Evaluation; continued the work on the knowledge based decision support system XUMA-GEFA for the evaluation of the hazard potential of contaminated sites. Additionally a new research direction was started which aims at the support of a later stage of the treatment of contaminated sites: The clean-up decision. For the support of decisions arising at this stage, the methods of decision analysis will be used. Computational aids for evaluation and decision support were implemented and a case study at a waste disposal site in Saxony which turns out to be a danger for the surrounding groundwater ressource was initiated. (orig.)

  14. Decision strategy research: system analysis

    International Nuclear Information System (INIS)

    Carle, B.

    2000-01-01

    The objective of SCK-CEN's R and D programme on decision strategies is (1) to develop theories, methods and software tools which help decision makers shape, analyse and understand their decisions; (2) to study group processes in decision making; (3) to apply theories, methods and tools in a context related to nuclear emergency preparedness and more generally to support in a context dealing with ionising radiation; (4) to increase SCK-CEN's knowledge on general emergency preparedness and to introduce SCK-CEN staff to computer supported decision techniques. Ongoing R and D has two components: (1) the study of the use of information and knowledge transfer in group decision processes, and more specific studying important factors when computers are used as information source and communication tool; and (2) the study of preference modelling individually and during group decision processes. Principal achievements in 1999 are described

  15. Decision strategy research: system analysis

    Energy Technology Data Exchange (ETDEWEB)

    Carle, B

    2000-07-01

    The objective of SCK-CEN's R and D programme on decision strategies is (1) to develop theories, methods and software tools which help decision makers shape, analyse and understand their decisions; (2) to study group processes in decision making; (3) to apply theories, methods and tools in a context related to nuclear emergency preparedness and more generally to support in a context dealing with ionising radiation; (4) to increase SCK-CEN's knowledge on general emergency preparedness and to introduce SCK-CEN staff to computer supported decision techniques. Ongoing R and D has two components: (1) the study of the use of information and knowledge transfer in group decision processes, and more specific studying important factors when computers are used as information source and communication tool; and (2) the study of preference modelling individually and during group decision processes. Principal achievements in 1999 are described.

  16. MESA - A new approach to low cost scientific spacecraft

    Science.gov (United States)

    Keyes, G. W.; Case, C. M.

    1982-09-01

    Today, the greatest obstacle to science and exploration in space is its cost. The present investigation is concerned with approaches for reducing this cost. Trends in the scientific spacecraft market are examined, and a description is presented for the MESA space platform concept. The cost drivers are considered, taking into account planning, technical aspects, and business factors. It is pointed out that the primary function of the MESA concept is to provide a satellite system at the lowest possible price. In order to reach this goal an attempt is made to benefit from all of the considered cost drivers. It is to be tried to work with the customer early in the mission analysis stage in order to assist in finding the right compromise between mission cost and return. A three phase contractual arrangement is recommended for MESA platforms. The phases are related to mission feasibility, specification definition, and design and development. Modular kit design promotes flexibility at low cost.

  17. An analysis of medical decision making

    International Nuclear Information System (INIS)

    Lusted, L.B.

    1977-01-01

    Medical decision-making studies continue to focus on two questions: How do physicians make decisions and how should physicians make decisions. Researchers pursuing the first question emphasize human cognitive processes and the programming of symbol systems to model the observed human behaviour. Those researchers concentrating on the second question assume that there is a standard of performance against which physicians' decisions can be judged, and to help the physician improve his performance an array of tools is proposed. These tools include decision trees, Bayesian analysis, decision matrices, receiver operating characteristic (ROC) analysis, and cost-benefit considerations including utility measures. Both questions must be answered in an ethical context where ethics and decision analysis are intertwined. (author)

  18. THE CAUSAL ANALYSIS / DIAGNOSIS DECISION ...

    Science.gov (United States)

    CADDIS is an on-line decision support system that helps investigators in the regions, states and tribes find, access, organize, use and share information to produce causal evaluations in aquatic systems. It is based on the US EPA's Stressor Identification process which is a formal method for identifying causes of impairments in aquatic systems. CADDIS 2007 increases access to relevant information useful for causal analysis and provides methods and tools that practitioners can use to analyze their own data. The new Candidate Cause section provides overviews of commonly encountered causes of impairments to aquatic systems: metals, sediments, nutrients, flow alteration, temperature, ionic strength, and low dissolved oxygen. CADDIS includes new Conceptual Models that illustrate the relationships from sources to stressors to biological effects. An Interactive Conceptual Model for phosphorus links the diagram with supporting literature citations. The new Analyzing Data section helps practitioners analyze their data sets and interpret and use those results as evidence within the USEPA causal assessment process. Downloadable tools include a graphical user interface statistical package (CADStat), and programs for use with the freeware R statistical package, and a Microsoft Excel template. These tools can be used to quantify associations between causes and biological impairments using innovative methods such as species-sensitivity distributions, biological inferenc

  19. Advancing Alternative Analysis: Integration of Decision Science.

    Science.gov (United States)

    Malloy, Timothy F; Zaunbrecher, Virginia M; Batteate, Christina M; Blake, Ann; Carroll, William F; Corbett, Charles J; Hansen, Steffen Foss; Lempert, Robert J; Linkov, Igor; McFadden, Roger; Moran, Kelly D; Olivetti, Elsa; Ostrom, Nancy K; Romero, Michelle; Schoenung, Julie M; Seager, Thomas P; Sinsheimer, Peter; Thayer, Kristina A

    2017-06-13

    Decision analysis-a systematic approach to solving complex problems-offers tools and frameworks to support decision making that are increasingly being applied to environmental challenges. Alternatives analysis is a method used in regulation and product design to identify, compare, and evaluate the safety and viability of potential substitutes for hazardous chemicals. We assessed whether decision science may assist the alternatives analysis decision maker in comparing alternatives across a range of metrics. A workshop was convened that included representatives from government, academia, business, and civil society and included experts in toxicology, decision science, alternatives assessment, engineering, and law and policy. Participants were divided into two groups and were prompted with targeted questions. Throughout the workshop, the groups periodically came together in plenary sessions to reflect on other groups' findings. We concluded that the further incorporation of decision science into alternatives analysis would advance the ability of companies and regulators to select alternatives to harmful ingredients and would also advance the science of decision analysis. We advance four recommendations: a ) engaging the systematic development and evaluation of decision approaches and tools; b ) using case studies to advance the integration of decision analysis into alternatives analysis; c ) supporting transdisciplinary research; and d ) supporting education and outreach efforts. https://doi.org/10.1289/EHP483.

  20. Data Decision Analysis: Project Shoal

    Energy Technology Data Exchange (ETDEWEB)

    Forsgren, Frank; Pohll, Greg; Tracy, John

    1999-01-01

    The purpose of this study was to determine the most appropriate field activities in terms of reducing the uncertainty in the groundwater flow and transport model at the Project Shoal area. The data decision analysis relied on well-known tools of statistics and uncertainty analysis. This procedure identified nine parameters that were deemed uncertain. These included effective porosity, hydraulic head, surface recharge, hydraulic conductivity, fracture correlation scale, fracture orientation, dip angle, dissolution rate of radionuclides from the puddle glass, and the retardation coefficient, which describes the sorption characteristics. The parameter uncertainty was described by assigning prior distributions for each of these parameters. Next, the various field activities were identified that would provide additional information on these parameters. Each of the field activities was evaluated by an expert panel to estimate posterior distribution of the parameters assuming a field activity was performed. The posterior distributions describe the ability of the field activity to estimate the true value of the nine parameters. Monte Carlo techniques were used to determine the current uncertainty, the reduction of uncertainty if a single parameter was known with certainty, and the reduction of uncertainty expected from each field activity on the model predictions. The mean breakthrough time to the downgradient land withdrawal boundary and the peak concentration at the control boundary were used to evaluate the uncertainty reduction. The radionuclide 137Cs was used as the reference solute, as its migration is dependent on all of the parameters. The results indicate that the current uncertainty of the model yields a 95 percent confidence interval between 42 and 1,412 years for the mean breakthrough time and an 18 order-of-magnitude range in peak concentration. The uncertainty in effective porosity and recharge dominates the uncertainty in the model predictions, while the

  1. Probabilistic Analysis in Management Decision Making

    DEFF Research Database (Denmark)

    Delmar, M. V.; Sørensen, John Dalsgaard

    1992-01-01

    The target group in this paper is people concerned with mathematical economic decision theory. It is shown how the numerically effective First Order Reliability Methods (FORM) can be used in rational management decision making, where some parameters in the applied decision basis are uncertainty...... quantities. The uncertainties are taken into account consistently and the decision analysis is based on the general decision theory in combination with reliability and optimization theory. Examples are shown where the described technique is used and some general conclusion are stated....

  2. The Analysis of Sulfur-35 as a Young Groundwater Tracer at E-Tunnel, Rainier Mesa, Nevada National Security Site

    Energy Technology Data Exchange (ETDEWEB)

    Deinhart, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bibby, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Roberts, S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Tompson, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Esser, B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-08-09

    Analysis of the relatively short-lived radionuclide sulfur-35 (t1/2 = 87 days) provides useful insight into groundwater discharge from E-Tunnel at the Nevada National Security Site (NNSS). Discharge rates at E-Tunnel vary with precipitation, potentially as the result of short or fast flowpaths between recharge and discharge. The presence of sulfur-35 in groundwater would indicate a significant component of young (< 2-year-old) groundwater. We collected two large volume (20 L) samples of discharge water in November 2016. The samples were sent to Lawrence Livermore National Laboratory (LLNL), where they were processed and analyzed by Liquid Scintillation Counting (LSC). Sulfur-35 was not detected in either the sample or field duplicate, a finding consistent with E-Tunnel discharge containing no significant component of groundwater with age less than six months.

  3. Advancing Alternative Analysis: Integration of Decision Science

    DEFF Research Database (Denmark)

    Malloy, Timothy F; Zaunbrecher, Virginia M; Batteate, Christina

    2016-01-01

    Decision analysis-a systematic approach to solving complex problems-offers tools and frameworks to support decision making that are increasingly being applied to environmental challenges. Alternatives analysis is a method used in regulation and product design to identify, compare, and evaluate......, and civil society and included experts in toxicology, decision science, alternatives assessment, engineering, and law and policy. Participants were divided into two groups and prompted with targeted questions. Throughout the workshop, the groups periodically came together in plenary sessions to reflect......) engaging the systematic development and evaluation of decision approaches and tools; (2) using case studies to advance the integration of decision analysis into alternatives analysis; (3) supporting transdisciplinary research; and (4) supporting education and outreach efforts....

  4. Decision analysis for deteriorating structures

    International Nuclear Information System (INIS)

    Val, Dimitri V.; Stewart, Mark G.

    2005-01-01

    Measures that improve durability of a structure usually increase its initial cost. Thus, in order to make a decision about a cost-effective solution the life-cycle cost of a structure including cost of structural failure needs to be considered. Due to uncertainties associated with structural properties, loads and environmental conditions the cost of structural failure is a random variable. The paper derives probability distributions of the cost of failure of a single structure and a group of identical structures when single or multiple failures are possible during the service life of a structure. The probability distributions are based on cumulative probabilities of failure of a single structure over its service life. It is assumed that failures occur at discrete points in time, the cost of failure set at the time of decision making remains constant for a particular design solution and the discount rate is a deterministic parameter not changing with time. The probability distributions can be employed to evaluate the expected life-cycle cost or the expected utility, which is then used in decision making. An example, which considers the selection of durability specifications for a reinforced concrete structure built on the coast, illustrates the use of the derived probability distributions

  5. Comparative Analysis of Investment Decision Models

    Directory of Open Access Journals (Sweden)

    Ieva Kekytė

    2017-06-01

    Full Text Available Rapid development of financial markets resulted new challenges for both investors and investment issues. This increased demand for innovative, modern investment and portfolio management decisions adequate for market conditions. Financial market receives special attention, creating new models, includes financial risk management and investment decision support systems.Researchers recognize the need to deal with financial problems using models consistent with the reality and based on sophisticated quantitative analysis technique. Thus, role mathematical modeling in finance becomes important. This article deals with various investments decision-making models, which include forecasting, optimization, stochatic processes, artificial intelligence, etc., and become useful tools for investment decisions.

  6. Sensitivity Analysis in Sequential Decision Models.

    Science.gov (United States)

    Chen, Qiushi; Ayer, Turgay; Chhatwal, Jagpreet

    2017-02-01

    Sequential decision problems are frequently encountered in medical decision making, which are commonly solved using Markov decision processes (MDPs). Modeling guidelines recommend conducting sensitivity analyses in decision-analytic models to assess the robustness of the model results against the uncertainty in model parameters. However, standard methods of conducting sensitivity analyses cannot be directly applied to sequential decision problems because this would require evaluating all possible decision sequences, typically in the order of trillions, which is not practically feasible. As a result, most MDP-based modeling studies do not examine confidence in their recommended policies. In this study, we provide an approach to estimate uncertainty and confidence in the results of sequential decision models. First, we provide a probabilistic univariate method to identify the most sensitive parameters in MDPs. Second, we present a probabilistic multivariate approach to estimate the overall confidence in the recommended optimal policy considering joint uncertainty in the model parameters. We provide a graphical representation, which we call a policy acceptability curve, to summarize the confidence in the optimal policy by incorporating stakeholders' willingness to accept the base case policy. For a cost-effectiveness analysis, we provide an approach to construct a cost-effectiveness acceptability frontier, which shows the most cost-effective policy as well as the confidence in that for a given willingness to pay threshold. We demonstrate our approach using a simple MDP case study. We developed a method to conduct sensitivity analysis in sequential decision models, which could increase the credibility of these models among stakeholders.

  7. How decision analysis can further nanoinformatics.

    Science.gov (United States)

    Bates, Matthew E; Larkin, Sabrina; Keisler, Jeffrey M; Linkov, Igor

    2015-01-01

    The increase in nanomaterial research has resulted in increased nanomaterial data. The next challenge is to meaningfully integrate and interpret these data for better and more efficient decisions. Due to the complex nature of nanomaterials, rapid changes in technology, and disunified testing and data publishing strategies, information regarding material properties is often illusive, uncertain, and/or of varying quality, which limits the ability of researchers and regulatory agencies to process and use the data. The vision of nanoinformatics is to address this problem by identifying the information necessary to support specific decisions (a top-down approach) and collecting and visualizing these relevant data (a bottom-up approach). Current nanoinformatics efforts, however, have yet to efficiently focus data acquisition efforts on the research most relevant for bridging specific nanomaterial data gaps. Collecting unnecessary data and visualizing irrelevant information are expensive activities that overwhelm decision makers. We propose that the decision analytic techniques of multicriteria decision analysis (MCDA), value of information (VOI), weight of evidence (WOE), and portfolio decision analysis (PDA) can bridge the gap from current data collection and visualization efforts to present information relevant to specific decision needs. Decision analytic and Bayesian models could be a natural extension of mechanistic and statistical models for nanoinformatics practitioners to master in solving complex nanotechnology challenges.

  8. Cancer incidence study in Mesa County, Colorado

    International Nuclear Information System (INIS)

    Ouimette, D.R.; Ferguson, S.W.; Zoglo, D.; Murphy, S.; Alley, S.; Bahler, S.

    1983-01-01

    In November of 1982 the Colorado Department of Health completed an epidemiologic investigation of leukemia, multiple myeloma, and cancers of the lung, stomach, pancreas and colon in Mesa County, Colorado for the years 1970 to 1979. This investigation was performed in response to a concern that the presence of uranium mill tailings in some Mesa County homes presents a potential cancer hazard. The results of the investigation show that the incidence of multiple myeloma, colon, stomach and pancreatic cancer are not above expected rates. The incidence of leukemia is not above expected rates for the entire study period, 1970 to 1979. The incidence of lung cancer appears elevated when compared to the The Third National Cancer Survey data for Colorado but lower than expected when compared to Surveillance, Epidemiology and End Results data. To further examine the leukemia and lung cancer incidence findings, a case/control study was conducted. The controls consisted of colon, stomach and pancreatic cancer cases. The results of the leukemia case/control analysis show no association with the radiation exposure variables: occupational radiation exposure; uranium mining exposure; having ever lived in a type A home (uranium tailings home); and radiation therapy. The lung cancer case/control analysis shows a significant association with only the radiation exposure variable, uranium mining history, indicating cases were more likely to have been uranium miners than were controls. As with leukemia, the study found no association between lung cancer and living in a uranium mill tailings home. The relatively low radiation exposures typical of type A homes and the small number of persons exposed make it very difficult to establish, by epidemiologic methods, that a risk exists

  9. Decision Vulnerability Analysis (DVA) Program

    Science.gov (United States)

    2014-05-01

    31 14 Graphical Representation of the Summary Judgments of the Effectiveness, Vulnerability, and Understanding of the Subsystems’ as Judged by...posed several challenges. Numerous organizational typologies have been suggested over the years ( Robbins , 1994), and these typologies are often based...structure and functioning from a typology perspective ( Robbins , 1994), excerpts from a task analysis that described how the analysts currently performed

  10. Decisions, decisions: analysis of age, cohort, and time of testing on framing of risky decision options.

    Science.gov (United States)

    Mayhorn, Christopher B; Fisk, Arthur D; Whittle, Justin D

    2002-01-01

    Decision making in uncertain environments is a daily challenge faced by adults of all ages. Framing decision options as either gains or losses is a common method of altering decision-making behavior. In the experiment reported here, benchmark decision-making data collected in the 1970s by Tversky and Kahneman (1981, 1988) were compared with data collected from current samples of young and older adults to determine whether behavior was consistent across time. Although differences did emerge between the benchmark and the present samples, the effect of framing on decision behavior was relatively stable. The present findings suggest that adults of all ages are susceptible to framing effects. Results also indicated that apparent age differences might be better explained by an analysis of cohort and time-of-testing effects. Actual or potential applications of this research include an understanding of how framing might influence the decision-making behavior of people of all ages in a number of applied contexts, such as product warning interactions and medical decision scenarios.

  11. Decision analysis with cumulative prospect theory.

    Science.gov (United States)

    Bayoumi, A M; Redelmeier, D A

    2000-01-01

    Individuals sometimes express preferences that do not follow expected utility theory. Cumulative prospect theory adjusts for some phenomena by using decision weights rather than probabilities when analyzing a decision tree. The authors examined how probability transformations from cumulative prospect theory might alter a decision analysis of a prophylactic therapy in AIDS, eliciting utilities from patients with HIV infection (n = 75) and calculating expected outcomes using an established Markov model. They next focused on transformations of three sets of probabilities: 1) the probabilities used in calculating standard-gamble utility scores; 2) the probabilities of being in discrete Markov states; 3) the probabilities of transitioning between Markov states. The same prophylaxis strategy yielded the highest quality-adjusted survival under all transformations. For the average patient, prophylaxis appeared relatively less advantageous when standard-gamble utilities were transformed. Prophylaxis appeared relatively more advantageous when state probabilities were transformed and relatively less advantageous when transition probabilities were transformed. Transforming standard-gamble and transition probabilities simultaneously decreased the gain from prophylaxis by almost half. Sensitivity analysis indicated that even near-linear probability weighting transformations could substantially alter quality-adjusted survival estimates. The magnitude of benefit estimated in a decision-analytic model can change significantly after using cumulative prospect theory. Incorporating cumulative prospect theory into decision analysis can provide a form of sensitivity analysis and may help describe when people deviate from expected utility theory.

  12. Financial Analysis, Budgeting, Decision and Control

    Directory of Open Access Journals (Sweden)

    Mariana Rodica TIRLEA

    2013-12-01

    Full Text Available The economic processes taking place in the economic environment are stochastic processes that involve and imply risks, arising from product diversification, competition, financial derivatives transactions: swaps, futures, options and from the large number of actors involved in the stock market with a higher or a smaller uncertainty degree. Competition and competitiveness, led to major and rapid change in the business environment, they determined actors participating in the economy to find solutions and methods of collecting and processing data, in such a way that, after being transformed into information they quickly help based on their analysis in decision making, planning and financial forecasting, having an effect on increasing their economic efficiency. In these circumstances the financial analysis, decision, forecasting and control, should be based on quality information that should be a value creation source. The active nature of the financial function implies the existence of a substantially large share of financial analysis, financial decision, forecasting and control.

  13. Strategic decision analysis applied to borehole seismology

    International Nuclear Information System (INIS)

    Menke, M.M.; Paulsson, B.N.P.

    1994-01-01

    Strategic Decision Analysis (SDA) is the evolving body of knowledge on how to achieve high quality in the decision that shapes an organization's future. SDA comprises philosophy, process concepts, methodology, and tools for making good decisions. It specifically incorporates many concepts and tools from economic evaluation and risk analysis. Chevron Petroleum Technology Company (CPTC) has applied SDA to evaluate and prioritize a number of its most important and most uncertain R and D projects, including borehole seismology. Before SDA, there were significant issues and concerns about the value to CPTC of continuing to work on borehole seismology. The SDA process created a cross-functional team of experts to structure and evaluate this project. A credible economic model was developed, discrete risks and continuous uncertainties were assessed, and an extensive sensitivity analysis was performed. The results, even applied to a very restricted drilling program for a few years, were good enough to demonstrate the value of continuing the project. This paper explains the SDA philosophy concepts, and process and demonstrates the methodology and tools using the borehole seismology project example. SDA is useful in the upstream industry not just in the R and D/technology decisions, but also in major exploration and production decisions. Since a major challenge for upstream companies today is to create and realize value, the SDA approach should have a very broad applicability

  14. Medical decision making tools: Bayesian analysis and ROC analysis

    International Nuclear Information System (INIS)

    Lee, Byung Do

    2006-01-01

    During the diagnostic process of the various oral and maxillofacial lesions, we should consider the following: 'When should we order diagnostic tests? What tests should be ordered? How should we interpret the results clinically? And how should we use this frequently imperfect information to make optimal medical decision?' For the clinicians to make proper judgement, several decision making tools are suggested. This article discusses the concept of the diagnostic accuracy (sensitivity and specificity values) with several decision making tools such as decision matrix, ROC analysis and Bayesian analysis. The article also explain the introductory concept of ORAD program

  15. Landscape Evolution Comparison between Sacra Mensa, Mars and the Grand Mesa, Colorado, USA

    Science.gov (United States)

    Chesnutt, J. M.; Wegmann, K. W.; Cole, R. D.; Byrne, P. K.

    2017-12-01

    Grand Mesa conducted in 2017 combined with a thorough GIS analysis of Sacra Mensa, will help characterize the key phenomena that sculpted these impressive landforms. We also explore the prospect for lateral variability in incompetent units within Sacra Mensa from which landslides and slumping may have initiated, as may be the case for the units within Grand Mesa.

  16. an analysis of perceived prominent decision making areas in ...

    African Journals Online (AJOL)

    p2333147

    Keywords: Game ranch management, decision making, risk perception, springbuck. ABSTRACT ..... environment, herd management (herd structure) and marketing and client satisfaction .... Prospect theory: An analysis of decision under risk.

  17. Assessing hydraulic connections across a complex sequence of volcanic rocks - Analysis of U-20 WW multiple-well aquifer test, Pahute Mesa, Nevada National Security Site, Nevada

    Science.gov (United States)

    Garcia, C. Amanda; Fenelon, Joseph M.; Halford, Keith J.; Reiner, Steven R.; Laczniak, Randell J.

    2011-01-01

    Groundwater beneath Pahute Mesa flows through a complexly layered sequence of volcanic rock aquifers and confining units that have been faulted into distinct structural blocks. Hydraulic property estimates of rocks and structures in this flow system are necessary to assess radionuclide migration near underground nuclear testing areas. The U.S. Geological Survey (USGS) used a 12 month (October 1, 2008— October 1, 2009) intermittent pumping schedule of well U-20 WW and continuously monitored water levels in observation wells ER-20-6 #3, UE-20bh 1, and U-20bg as a multi-well aquifer test to evaluate hydraulic connections across structural blocks, bulk hydraulic properties of volcanic rocks, and the hydraulic significance of a major fault. Measured water levels were approximated using synthetic water levels generated from an analytical model. Synthetic water levels are a summation of environmental water-level fluctuations and a Theis (1935) transform of the pumping signal from flow rate to water-level change. Drawdown was estimated by summing residual differences between measured and synthetic water levels and the Theis-transformed pumping signal from April to September 2009. Drawdown estimates were used in a three‑dimensional numerical model to estimate hydraulic properties of distinct aquifers, confining units, and a major fault.

  18. A regret theory approach to decision curve analysis: A novel method for eliciting decision makers' preferences and decision-making

    OpenAIRE

    Vickers Andrew; Hozo Iztok; Tsalatsanis Athanasios; Djulbegovic Benjamin

    2010-01-01

    Abstract Background Decision curve analysis (DCA) has been proposed as an alternative method for evaluation of diagnostic tests, prediction models, and molecular markers. However, DCA is based on expected utility theory, which has been routinely violated by decision makers. Decision-making is governed by intuition (system 1), and analytical, deliberative process (system 2), thus, rational decision-making should reflect both formal principles of rationality and intuition about good decisions. ...

  19. Decision Analysis: Engineering Science or Clinical Art

    Science.gov (United States)

    1979-11-01

    TECHNICAL REPORT TR 79-2-97 DECISION ANALYSIS: ENGINEERING SCIENCE OR CLINICAL ART ? by Dennis M. Buede Prepared for Defense Advanced Research...APPLICATIONS OF THE ENGINEER- ING SCIENCE AND CLINICAL ART EXTREMES 9 3.1 Applications of the Engineering Science Approach 9 3.1.1 Mexican electrical...DISCUSSION 29 4.1 Engineering Science versus Clinical Art : A Characterization of When Each is Most Attractive 30 4.2 The Implications of the Engineering

  20. Defense against nuclear weapons: a decision analysis

    International Nuclear Information System (INIS)

    Orient, J.M.

    1985-01-01

    Response to the public health threat posed by nuclear weapons is a medical imperative. The United States, in contrast to other nations, has chosen a course that assures maximal casualties in the event of a nuclear attack, on the theory that prevention of the attack is incompatible with preventive measures against its consequences, such as blast injuries and radiation sickness. A decision analysis approach clarifies the risks and benefits of a change to a strategy of preparedness

  1. Decision Analysis Tools for Volcano Observatories

    Science.gov (United States)

    Hincks, T. H.; Aspinall, W.; Woo, G.

    2005-12-01

    Staff at volcano observatories are predominantly engaged in scientific activities related to volcano monitoring and instrumentation, data acquisition and analysis. Accordingly, the academic education and professional training of observatory staff tend to focus on these scientific functions. From time to time, however, staff may be called upon to provide decision support to government officials responsible for civil protection. Recognizing that Earth scientists may have limited technical familiarity with formal decision analysis methods, specialist software tools that assist decision support in a crisis should be welcome. A review is given of two software tools that have been under development recently. The first is for probabilistic risk assessment of human and economic loss from volcanic eruptions, and is of practical use in short and medium-term risk-informed planning of exclusion zones, post-disaster response, etc. A multiple branch event-tree architecture for the software, together with a formalism for ascribing probabilities to branches, have been developed within the context of the European Community EXPLORIS project. The second software tool utilizes the principles of the Bayesian Belief Network (BBN) for evidence-based assessment of volcanic state and probabilistic threat evaluation. This is of practical application in short-term volcano hazard forecasting and real-time crisis management, including the difficult challenge of deciding when an eruption is over. An open-source BBN library is the software foundation for this tool, which is capable of combining synoptically different strands of observational data from diverse monitoring sources. A conceptual vision is presented of the practical deployment of these decision analysis tools in a future volcano observatory environment. Summary retrospective analyses are given of previous volcanic crises to illustrate the hazard and risk insights gained from use of these tools.

  2. Decision analysis for INEL hazardous waste storage

    Energy Technology Data Exchange (ETDEWEB)

    Page, L.A.; Roach, J.A.

    1994-01-01

    In mid-November 1993, the Idaho National Engineering Laboratory (INEL) Waste Reduction Operations Complex (WROC) Manager requested that the INEL Hazardous Waste Type Manager perform a decision analysis to determine whether or not a new Hazardous Waste Storage Facility (HWSF) was needed to store INEL hazardous waste (HW). In response to this request, a team was formed to perform a decision analysis for recommending the best configuration for storage of INEL HW. Personnel who participated in the decision analysis are listed in Appendix B. The results of the analysis indicate that the existing HWSF is not the best configuration for storage of INEL HW. The analysis detailed in Appendix C concludes that the best HW storage configuration would be to modify and use a portion of the Waste Experimental Reduction Facility (WERF) Waste Storage Building (WWSB), PBF-623 (Alternative 3). This facility was constructed in 1991 to serve as a waste staging facility for WERF incineration. The modifications include an extension of the current Room 105 across the south end of the WWSB and installing heating, ventilation, and bay curbing, which would provide approximately 1,600 ft{sup 2} of isolated HW storage area. Negotiations with the State to discuss aisle space requirements along with modifications to WWSB operating procedures are also necessary. The process to begin utilizing the WWSB for HW storage includes planned closure of the HWSF, modification to the WWSB, and relocation of the HW inventory. The cost to modify the WWSB can be funded by a reallocation of funding currently identified to correct HWSF deficiencies.

  3. Decision analysis for INEL hazardous waste storage

    International Nuclear Information System (INIS)

    Page, L.A.; Roach, J.A.

    1994-01-01

    In mid-November 1993, the Idaho National Engineering Laboratory (INEL) Waste Reduction Operations Complex (WROC) Manager requested that the INEL Hazardous Waste Type Manager perform a decision analysis to determine whether or not a new Hazardous Waste Storage Facility (HWSF) was needed to store INEL hazardous waste (HW). In response to this request, a team was formed to perform a decision analysis for recommending the best configuration for storage of INEL HW. Personnel who participated in the decision analysis are listed in Appendix B. The results of the analysis indicate that the existing HWSF is not the best configuration for storage of INEL HW. The analysis detailed in Appendix C concludes that the best HW storage configuration would be to modify and use a portion of the Waste Experimental Reduction Facility (WERF) Waste Storage Building (WWSB), PBF-623 (Alternative 3). This facility was constructed in 1991 to serve as a waste staging facility for WERF incineration. The modifications include an extension of the current Room 105 across the south end of the WWSB and installing heating, ventilation, and bay curbing, which would provide approximately 1,600 ft 2 of isolated HW storage area. Negotiations with the State to discuss aisle space requirements along with modifications to WWSB operating procedures are also necessary. The process to begin utilizing the WWSB for HW storage includes planned closure of the HWSF, modification to the WWSB, and relocation of the HW inventory. The cost to modify the WWSB can be funded by a reallocation of funding currently identified to correct HWSF deficiencies

  4. 36 CFR 7.39 - Mesa Verde National Park.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Mesa Verde National Park. 7... SPECIAL REGULATIONS, AREAS OF THE NATIONAL PARK SYSTEM § 7.39 Mesa Verde National Park. (a) Visiting of... the admission of commercial automobiles and buses to Mesa Verde National Park, contained in § 5.4 of...

  5. MESA, PÚLPITO E PALCO

    OpenAIRE

    Calvani, Carlos Eduardo

    2015-01-01

    O artigo aborda a relação entre arte e religião a partir da liturgia cristã. Na primeira parte, apresenta historicamente, três centros visuais dos espaços litúrgicos nos quais se desenvolve o culto cristão -mesa, púlpito e palco – destacando simbolismos e significados atribuídos a cada um desses centros. A mesa (ou altar) caracteriza as liturgias de matriz católica; a centralidade do púlpito é a marca visual das liturgias protestantes reformadas; o palco, por sua vez, emerge, principalmente n...

  6. [HEALTH ECONOMIC ANALYSIS AND FAIR DECISION MAKING].

    Science.gov (United States)

    Jeantet, Marine; Lopez, Alain

    2015-09-01

    Health technology assessment consists in evaluating the incremental cost-benefit ratio of a medicine, a medical device, a vaccine, a health strategy, in comparison to alternative health technologies. This form of socio-eoonomic evaluation aims at optimizing resource allocation within the health system. By setting the terms of valid alternatives, it is useful to highlight public choices, but it cannot in itself make the decision as regards the public funding of patient's access to the considered technology. The decision to include such technology in the basket of health goods and sercices covered, the levels and conditions of the coverage, also result from budget constraints, from economic situation and from a political vision about health policy, social protection and public expenditure. Accordingly, health economic analysis must be implemented on specific and targeted topics. The decision making process, with its health, economic and ethical stakes, calls for a public procedure and debate, based on shared information and argument. Otherwise, health system regulation, confronted with radical and costly innovations in the coming years, will become harder to handle. This requires the development of health economic research teams able to contribute to this assessment exercise.

  7. True pancreaticoduodenal artery aneurysms: A decision analysis

    International Nuclear Information System (INIS)

    Takao, Hidemasa; Nojo, Takeshi; Ohtomo, Kuni

    2010-01-01

    Purpose: True pancreaticoduodenal artery aneurysms are rare. No definitive study evaluating the natural history of these lesions or their preferred method of treatment has been published. The purpose of this study was to evaluate the outcome of preventive treatment of unruptured pancreaticoduodenal artery aneurysms using a Markov model. Materials and methods: With the use of a Markov model, we performed a decision analysis to evaluate the outcome of preventive treatment of unruptured pancreaticoduodenal artery aneurysms. The risk of rupture and the mortality of preventive treatment are unknown. Therefore, we performed sensitivity analysis using these parameters. Effectiveness was measured in life expectancy. Results: For 80-year-old patients, preventive treatment was dominated by no treatment if mortality rates of preventive treatment were greater than 1.4%, greater than 2.6%, greater than 3.8%, and greater than 4.8% at annual rupture rates of 1%, 2%, 3%, and 4%, respectively. For 50-year-old patients, preventive treatment was dominated by no treatment if mortality rates of preventive treatment were greater than 3.3%, greater than 5.9%, greater than 8.0%, and greater than 9.7% at annual rupture rates of 1%, 2%, 3%, and 4%, respectively. Conclusion: The effectiveness of preventive treatment of unruptured pancreaticoduodenal artery aneurysms depends on the aneurysm rupture rate, mortality rate of preventive treatment, and patient age. Taking into account the effects of these parameters is important in making treatment decisions.

  8. Risk analysis as a decision tool

    International Nuclear Information System (INIS)

    Yadigaroglu, G.; Chakraborty, S.

    1985-01-01

    From 1983 - 1985 a lecture series entitled ''Risk-benefit analysis'' was held at the Swiss Federal Institute of Technology (ETH), Zurich, in cooperation with the Central Department for the Safety of Nuclear Installations of the Swiss Federal Agency of Energy Economy. In that setting the value of risk-oriented evaluation models as a decision tool in safety questions was discussed on a broad basis. Experts of international reputation from the Federal Republic of Germany, France, Canada, the United States and Switzerland have contributed to report in this joint volume on the uses of such models. Following an introductory synopsis on risk analysis and risk assessment the book deals with practical examples in the fields of medicine, nuclear power, chemistry, transport and civil engineering. Particular attention is paid to the dialogue between analysts and decision makers taking into account the economic-technical aspects and social values. The recent chemical disaster in the Indian city of Bhopal again signals the necessity of such analyses. All the lectures were recorded individually. (orig./HP) [de

  9. Decisions under uncertainty using Bayesian analysis

    Directory of Open Access Journals (Sweden)

    Stelian STANCU

    2006-01-01

    Full Text Available The present paper makes a short presentation of the Bayesian decions method, where extrainformation brings a great support to decision making process, but also attract new costs. In this situation, getting new information, generally experimentaly based, contributes to diminushing the uncertainty degree that influences decision making process. As a conclusion, in a large number of decision problems, there is the possibility that the decision makers will renew some decisions already taken because of the facilities offered by obtainig extrainformation.

  10. Robustness of Multiple Objective Decision Analysis Preference Functions

    Science.gov (United States)

    2002-06-01

    Bayesian Decision Theory and Utilitarian Ethics ,” American Economic Review Papers and Proceedings, 68: 223-228 (May 1978). Hartsough, Bruce R. “A...1983). Morrell, Darryl and Eric Driver. “ Bayesian Network Implementation of Levi’s Epistemic Utility Decision Theory ,” International Journal Of...elicitation efficiency for the decision maker. Subject Terms Decision Analysis, Utility Theory , Elicitation Error, Operations Research, Decision

  11. Environmental sustainable decision making – The need and obstacles for integration of LCA into decision analysis

    DEFF Research Database (Denmark)

    Dong, Yan; Miraglia, Simona; Manzo, Stefano

    2018-01-01

    systems, revealing potential problem shifting between life cycle stages. Through the integration with traditional risk based decision analysis, LCA may thus facilitate a better informed decision process. In this study we explore how environmental impacts are taken into account in different fields......Decision analysis is often used to help decision makers choose among alternatives, based on the expected utility associated to each alternative as function of its consequences and potential impacts. Environmental impacts are not always among the prioritized concerns of traditional decision making...... of interest for decision makers to identify the need, potential and obstacles for integrating LCA into conventional approaches to decision problems. Three application areas are used as examples: transportation planning, flood management, and food production and consumption. The analysis of these cases shows...

  12. Using discriminant analysis for credit decision

    Directory of Open Access Journals (Sweden)

    Gheorghiţa DINCĂ

    2015-12-01

    Full Text Available This paper follows to highlight the link between the results obtained applying discriminant analysis and lending decision. For this purpose, we have carried out the research on a sample of 24 Romanian private companies, pertaining to 12 different economic sectors, from I and II categories of Bucharest Stock Exchange, for the period 2010-2012. Our study works with two popular bankruptcy risk’s prediction models, the Altman model and the Anghel model. We have double-checked and confirmed the results of our research by comparing the results from applying the two fore-mentioned models as well as by checking existing debt commitments of each analyzed company to credit institutions during the 2010-2012 period. The aim of this paper was the classification of studied companies into potential bankrupt and non-bankrupt, to assist credit institutions in their decision to grant credit, understanding the approval or rejection algorithm of loan applications and even help potential investors in these ompanies.

  13. 3D Tomography of a Mesa Using Cosmic Ray Muons Detected in an Underground Tunnel

    Science.gov (United States)

    Guardincerri, E.; Rowe, C. A.

    2016-12-01

    The LANL Mini Muon Tracker (MMT) is a muon tracking detector made of sealed aluminum drift tubes. The MMT was operated at four locations inside a tunnel under the Los Alamos town site mesa between November 2015 and February 2016 and it collected cosmic ray muons attenuated by the tunnel overburden. The data were analyzed and used to obtain a 3D tomographic image of the mesa and will be later combined with gravity data collected around the same location. We describe here the muon data taking and their analysis, and we show the resulting 3D image.

  14. Acid rain compliance planning using decision analysis

    International Nuclear Information System (INIS)

    Norris, C.; Sweet, T.; Borison, A.

    1991-01-01

    Illinois Power Company (IP) is an investor-owned electric and natural gas utility serving portions of downstate Illinois. In addition to one nuclear unit and several small gas and/or oil-fired units, IP has ten coal-fired units. It is easy to understand the impact the Clean Air Act Amendments of 1990 (CAAA) could have on IP. Prior to passage of the CAAA, IP formed several teams to evaluate the specific compliance options at each of the high sulfur coal units. Following that effort, numerous economic analyses of compliance strategies were conducted. The CAAA have introduced a new dimension to planning under uncertainty. Not only are many of the familiar variables uncertain, but the specific form of regulation, and indeed, the compliance goal itself is hard to define. For IP, this led them to use techniques not widely used within their corporation. This paper summarizes the analytical methods used in these analyses and the preliminary results as of July, 1991. The analysis used three approaches to examine the acid rain compliance decision. These approaches were: (1) the 'most-likely,' or single-path scenario approach; (2) a multi-path strategy analysis using the strategies defined in the single-scenario analysis; and (3) a less constrained multi-path option analysis which selects the least cost compliance option for each unit

  15. Variable precision rough set for multiple decision attribute analysis

    Institute of Scientific and Technical Information of China (English)

    Lai; Kin; Keung

    2008-01-01

    A variable precision rough set (VPRS) model is used to solve the multi-attribute decision analysis (MADA) problem with multiple conflicting decision attributes and multiple condition attributes. By introducing confidence measures and a β-reduct, the VPRS model can rationally solve the conflicting decision analysis problem with multiple decision attributes and multiple condition attributes. For illustration, a medical diagnosis example is utilized to show the feasibility of the VPRS model in solving the MADA...

  16. Corrective Action Investigation Plan for Corrective Action Unit 99: Rainier Mesa/Shoshone Mountain, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    McCord, John

    2004-01-01

    caldera as well as from more distant sources. This has resulted in a layered volcanic stratigraphy composed of thick deposits of welded and nonwelded ash-flow tuff and lava flows. These deposits are proximal to the source caldera and are interstratified with the more distal facies of fallout tephra and bedded reworked tuff from more distant sources. In each area, a similar volcanic sequence was deposited upon Paleozoic carbonate and siliciclastic rocks that are disrupted by various thrust faults, normal faults, and strike-slip faults. In both Rainier Mesa (km) to the southwest, and Tippipah Spring, 4 km to the north, and the tunnel complex is dry. Particle-tracking simulations performed during the value of information analysis (VOIA) (SNJV, 2004b) indicate that most of the regional groundwater that underlies the test locations at Rainier Mesa and Shoshone Mountain eventually follows similar and parallel paths and ultimately discharges in Death Valley and the Amargosa Desert. Particle-tracking simulations conducted for the regional groundwater flow and risk assessment indicated that contamination from Rainier Mesa and Shoshone Mountain were unlikely to leave the NTS during the 1,000-year period of interest (DOE/NV, 1997a). It is anticipated that CAU-scale modeling will modify these results somewhat, but it is not expected to radically alter the outcome of these previous particle-tracking simulations within the 1,000-year period of interest. The Rainier Mesa/Shoshone Mountain CAIP describes the corrective action investigation (CAI) to be conducted at the Rainier Mesa/Shoshone Mountain CAU to evaluate the extent of contamination in groundwater due to the underground nuclear testing. The CAI will be conducted by the UGTA Project, which is part of the NNSA/NSO Environmental Restoration Project (ERP). The purpose and scope of the CAI are presented in this section, followed by a summary of the entire document

  17. Modelling elderly cardiac patients decision making using Cognitive Work Analysis: identifying requirements for patient decision aids.

    Science.gov (United States)

    Dhukaram, Anandhi Vivekanandan; Baber, Chris

    2015-06-01

    Patients make various healthcare decisions on a daily basis. Such day-to-day decision making can have significant consequences on their own health, treatment, care, and costs. While decision aids (DAs) provide effective support in enhancing patient's decision making, to date there have been few studies examining patient's decision making process or exploring how the understanding of such decision processes can aid in extracting requirements for the design of DAs. This paper applies Cognitive Work Analysis (CWA) to analyse patient's decision making in order to inform requirements for supporting self-care decision making. This study uses focus groups to elicit information from elderly cardiovascular disease (CVD) patients concerning a range of decision situations they face on a daily basis. Specifically, the focus groups addressed issues related to the decision making of CVD in terms of medication compliance, pain, diet and exercise. The results of these focus groups are used to develop high level views using CWA. CWA framework decomposes the complex decision making problem to inform three approaches to DA design: one design based on high level requirements; one based on a normative model of decision-making for patients; and the third based on a range of heuristics that patients seem to use. CWA helps in extracting and synthesising decision making from different perspectives: decision processes, work organisation, patient competencies and strategies used in decision making. As decision making can be influenced by human behaviour like skills, rules and knowledge, it is argued that patients require support to different types of decision making. This paper also provides insights for designers in using CWA framework for the design of effective DAs to support patients in self-management. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  18. CRITICAL ANALYSIS OF THE RELIABILITY OF INTUITIVE MORAL DECISIONS

    Directory of Open Access Journals (Sweden)

    V. V. Nadurak

    2017-06-01

    Full Text Available Purpose of the research is a critical analysis of the reliability of intuitive moral decisions. Methodology. The work is based on the methodological attitude of empirical ethics, involving the use of findings from empirical research in ethical reflection and decision making. Originality. The main kinds of intuitive moral decisions are identified: 1 intuitively emotional decisions (i.e. decisions made under the influence of emotions that accompanies the process of moral decision making; 2 decisions made under the influence of moral risky psychological aptitudes (unconscious human tendencies that makes us think in a certain way and make decisions, unacceptable from the logical and ethical point of view; 3 intuitively normative decisions (decisions made under the influence of socially learned norms, that cause evaluative feeling «good-bad», without conscious reasoning. It was found that all of these kinds of intuitive moral decisions can lead to mistakes in the moral life. Conclusions. Considering the fact that intuition systematically leads to erroneous moral decisions, intuitive reaction cannot be the only source for making such decisions. The conscious rational reasoning can compensate for weaknesses of intuition. In this case, there is a necessity in theoretical model that would structure the knowledge about the interactions between intuitive and rational factors in moral decisions making and became the basis for making suggestions that would help us to make the right moral decision.

  19. Mesa Verde: A Study of Man in an Agricultural Setting. Student Manual.

    Science.gov (United States)

    Community Health Service (DHEW/PHS), Bethesda, MD.

    This student manual contains information and guides to assist the secondary student in functioning as an archeologist. Included are fables, pictures for analysis, a time line and description of the pre-history of Mesa Verde, Colorado. The manual concludes with artifact identification word sheets. A related document is ED 001 722. (AWW)

  20. DECISION ANALYSIS OF INCINERATION COSTS IN SUPERFUND SITE REMEDIATION

    Science.gov (United States)

    This study examines the decision-making process of the remedial design (RD) phase of on-site incineration projects conducted at Superfund sites. Decisions made during RD affect the cost and schedule of remedial action (RA). Decision analysis techniques are used to determine the...

  1. Decision analysis in the clinical neurosciences

    NARCIS (Netherlands)

    D.W.J. Dippel (Diederik)

    1994-01-01

    textabstractDiagnostic and therapeutic choice in neurology can fortunately be made without formal decision support in the majority of cases. in many patients a diagnosis and treatment choice are relatively easy to establish. This study however, concerns the application of a decision support

  2. Environmental Decision Analysis: Meeting the Challenges of Making Good Decisions at CALFED

    Directory of Open Access Journals (Sweden)

    Claire D Tomkins

    2006-09-01

    Full Text Available We present a methodology to support decision making at CALFED based on the principles of decision analysis, an analytical approach to decision making designed to handle complex decisions involving both uncertainty and multiple dimensions of value. The impetus for such an approach is a recognized need to enhance communication between scientists and management and between program elements within CALFED. In addition, the environmental decision analysis framework supports both the explicit representation of uncertainty in the decision problem and communication about risk, important elements of most environmental management decisions. The decision analysis cycle consists of four phases: 1 formulate, 2 evaluate, 3 appraise, and 4 decide. In phase one, we identify the objectives and also the alternatives, or possible actions. To facilitate inter-comparison between proposed actions, we recommend formulation of a set of common metrics for CALFED. In our pilot study, we introduced common metrics for salinity, winter-run Chinook salmon survival, and habitat health. The second phase focuses on quantifying possible impacts on the set of metrics, drawing on existing data, model runs, and expert opinions. For the evaluation phase, we employ tools such as decision trees to assess the system-wide impacts of a given action. In the final phase, tools such as expected cost-benefit analysis, value contribution diagrams, and 3-D tradeoff plots aid communication between various stakeholders, scientists, and managers. While decision analysis provides a spectrum of decision support tools, we emphasize that it does not dictate a solution but rather enhances communication about tradeoffs associated with different actions.

  3. Risk-based decision analysis for groundwater operable units

    International Nuclear Information System (INIS)

    Chiaramonte, G.R.

    1995-01-01

    This document proposes a streamlined approach and methodology for performing risk assessment in support of interim remedial measure (IRM) decisions involving the remediation of contaminated groundwater on the Hanford Site. This methodology, referred to as ''risk-based decision analysis,'' also supports the specification of target cleanup volumes and provides a basis for design and operation of the groundwater remedies. The risk-based decision analysis can be completed within a short time frame and concisely documented. The risk-based decision analysis is more versatile than the qualitative risk assessment (QRA), because it not only supports the need for IRMs, but also provides criteria for defining the success of the IRMs and provides the risk-basis for decisions on final remedies. For these reasons, it is proposed that, for groundwater operable units, the risk-based decision analysis should replace the more elaborate, costly, and time-consuming QRA

  4. Use of Earth Observation Data for Environmental Monitoring in the Horn of Africa within the Framework of MESA IGAD THEMA

    Science.gov (United States)

    Atheru, Zachary; Fortunate, Muyambi

    2015-12-01

    The achievements and challenges on the implementation of activities of IGAD Climate Prediction and Applications Centre (ICPAC) regarding the use of Earth Observation data for environmental monitoring in the Horn of Africa within the framework of MESA IGAD THEMA. Examples of the outputs from the Land Degradation Assessment, Natural Habitat Conservation and Forest Monitoring are provided and explained. The difficulties faced in communicating and disseminating information particularly to decision makers are highlighted. Also outlined is the scope and expected results from the Monitoring for Environment and Security in Africa (MESA) IGAD Thematic action and emphasis placed on lessons learnt on (i) developing services from products (ii) strengthening national networks (III) disseminating and communicating information to decision and policy makers, and (iv) capacity building. The overall objective of the MESA programme in the IGAD region is to enhance land degradation mitigation, natural habitats assessment and Forest Monitoring for sustainable management of environmental resources through the use of Earth Observation data. This is done by strengthening the Earth Observation information management capacity of regional and national institutions in order to support decision and policy making processes. The services produce and distribute regularly land degradation index maps, land cover change indicators on IGAD selected Natural Habitats areas, Forest degradation, deforestation extent, vulnerability index map. It also develops the political and policy frameworks that are strengthened to ensure an active and sustainable participation of IGAD member states in global environmental surveillance initiatives and finally give adequate technical capacity of MESA IGAD stakeholders.

  5. Decision theory, the context for risk and reliability analysis

    International Nuclear Information System (INIS)

    Kaplan, S.

    1985-01-01

    According to this model of the decision process then, the optimum decision is that option having the largest expected utility. This is the fundamental model of a decision situation. It is necessary to remark that in order for the model to represent a real-life decision situation, it must include all the options present in that situation, including, for example, the option of not deciding--which is itself a decision, although usually not the optimum one. Similarly, it should include the option of delaying the decision while the authors gather further information. Both of these options have probabilities, outcomes, impacts, and utilities like any option and should be included explicitly in the decision diagram. The reason for doing a quantitative risk or reliability analysis is always that, somewhere underlying there is a decision to be made. The decision analysis therefore always forms the context for the risk or reliability analysis, and this context shapes the form and language of that analysis. Therefore, they give in this section a brief review of the well-known decision theory diagram

  6. Decision forests for computer vision and medical image analysis

    CERN Document Server

    Criminisi, A

    2013-01-01

    This practical and easy-to-follow text explores the theoretical underpinnings of decision forests, organizing the vast existing literature on the field within a new, general-purpose forest model. Topics and features: with a foreword by Prof. Y. Amit and Prof. D. Geman, recounting their participation in the development of decision forests; introduces a flexible decision forest model, capable of addressing a large and diverse set of image and video analysis tasks; investigates both the theoretical foundations and the practical implementation of decision forests; discusses the use of decision for

  7. Canine neoplasia and exposure to uranium mill tailings in Mesa County, Colorado

    International Nuclear Information System (INIS)

    Reif, J.S.; Schweitzer, D.J.; Ferguson, S.W.; Benjamin, S.A.

    1983-01-01

    A canine cancer registry was established for Mesa County, Colorado in order to collect material for a case control analysis of exposure to uranium tailings. Between 1979 and 1981, 212 cases of canine cancer were confirmed histologically. Based on the address provided at the time of diagnosis, 33 dogs (15.6%) lived in a house with some exposure to uranium tailings. A control group, comprised of dogs with a histologic diagnosis other than cancer, was stratified according to hospital and matched with cases on a 1:1 basis. No significant differences were noted with respect to exposure to uranium tailings for total cancers or cancers of specific sites including lymph node, breast, liver, testicle and bone. The overall estimated relative risk was 0.70 (95% CI 0.04 to 1.16). Canine population estimates were derived for Mesa County in order to develop crude incidence rates for the major types and sites of cancer. Crude rates were compared with those published previously for Alameda County, California and Tulsa County, Oklahoma. Mesa County rates for total cancer incidence, connective tissue tumors and non melanoma skin cancer were higher than those reported for Alameda County. When compared with Tulsa County, Mesa County rates for total cancer, breast cancer, melanoma and mastocytoma were lower than expected while rates for osteosarcoma, hemangiosarcoma and fibrosarcoma significantly exceeded expected values

  8. Hydrologic Data for the Groundwater Flow and Contaminant Transport Model of Corrective Action Units 101 and 102: Central and Western Pahute Mesa, Nye County, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Drici, Warda [Stoller-Navarro Joint Venture, Las Vegas, NV (United States)

    2004-02-01

    This report documents the analysis of the available hydrologic data conducted in support of the development of a Corrective Action Unit (CAU) groundwater flow model for Central and Western Pahute Mesa: CAUs 101 and 102.

  9. Contaminant Transport Parameters for the Groundwater Flow and Contaminant Transport Model of Corrective Action Units 101 and 102: Central and Western Pahute Mesa, Nye County, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Drici, Warda [International Technologies Corporation, Las Vegas, NV (United States)

    2003-08-01

    This report documents the analysis of the available transport parameter data conducted in support of the development of a Corrective Action Unit (CAU) groundwater flow model for Central and Western Pahute Mesa: CAUs 101 and 102.

  10. Decision analysis for dynamic accounting of nuclear material

    International Nuclear Information System (INIS)

    Shipley, J.P.

    1978-01-01

    Effective materials accounting for special nuclear material in modern fuel cycle facilities will depend heavily on sophisticated data analysis techniques. Decision analysis, which combines elements of estimation theory, decision theory, and systems analysis, is a framework well suited to the development and application of these techniques. Augmented by pattern-recognition tools such as the alarm-sequence chart, decision analysis can be used to reduce errors caused by subjective data evaluation and to condense large collections of data to a smaller set of more descriptive statistics. Application to data from a model plutonium nitrate-to-oxide conversion process illustrates the concepts

  11. LOPEZ DE MESA Y LA MEDICINA

    Directory of Open Access Journals (Sweden)

    Humberto Roselli

    1985-04-01

    Full Text Available

    Hace apenas dos meses la Academia Nacional de Medicina y la Sociedad Colombiana de Historia de la Medicina iniciaban en este mismo recinto el homenaje del cuerpo médico colombiano a la memoria del Profesor Luis López de Mesa con motivo del primer centenario de su nacimiento, homenaje que ahora culmina con esta nueva sesión solenme conjunta.

    Fue la del Profesor López de Mesa una vida eminente en grado sumo, habiéndose destacado en todas las actividades que emprendiera, como se ha recordado profudamente en estos días. Autor de más de 20 obras que incluyeron novelas, tratados de sociología, de historia colombiana, ensayos filosóficos y reflexiones personales; hombre público que se destacó como Ministro de Educación, como parlamentario y diplomático, y luego como Ministro de Relaciones Exteriores, Rector de la Universidad Nacional; Académico y Presidente de la Academia Nacional de Medicina,Miembro de las de la Lengua, de Historia y de Ciencia Exactas, Físicas y Naturales; Presidente del Colegio Máximo de Academias; prácticamente no hubo campo de la inteligencia y de la cultura colombianas que el Profesor López de Mesa no hubiera tocado con éxito y en los cuales no hubiera dejado huellas de su pensamiento y de su trajín humanista. Se le considera como uno de los fundadores de la sociología en Colombia y un estilista difícil pero correcto y profundo. La trayectoria de su vida pública es aún ampliamente recordada en nuestro medio.

    En aquella ocasión hicimos un repaso de la carrera del Profesor López de Mesa como médico y psiquiatra y escudriñamos algunas de las circunstancias de su formación científica que habrían posteriormente de reflejarse en su obra como sociólogo y estadista.! En esta oportunidad resumimos aquellos y algunos otros detalles.

  12. Alternative Fuels Data Center: Mesa Unified School District Reaps Economic

    Science.gov (United States)

    and Environmental Benefits with Propane Buses Mesa Unified School District Reaps Economic and School District Reaps Economic and Environmental Benefits with Propane Buses on Facebook Tweet about Alternative Fuels Data Center: Mesa Unified School District Reaps Economic and Environmental Benefits with

  13. Multivariate Analysis of Household Decision Making, Contraceptive ...

    African Journals Online (AJOL)

    Nneka Umera-Okeke

    contraceptives and fertility behaviour of ever-married men in Nigeria. ... exposure. The study concluded that women empowerment in decision ... through the prevention of unwanted and unplanned births is one of the most effective .... visitors who slept in the household the previous night before the survey) were eligible ...

  14. A regret theory approach to decision curve analysis: a novel method for eliciting decision makers' preferences and decision-making.

    Science.gov (United States)

    Tsalatsanis, Athanasios; Hozo, Iztok; Vickers, Andrew; Djulbegovic, Benjamin

    2010-09-16

    Decision curve analysis (DCA) has been proposed as an alternative method for evaluation of diagnostic tests, prediction models, and molecular markers. However, DCA is based on expected utility theory, which has been routinely violated by decision makers. Decision-making is governed by intuition (system 1), and analytical, deliberative process (system 2), thus, rational decision-making should reflect both formal principles of rationality and intuition about good decisions. We use the cognitive emotion of regret to serve as a link between systems 1 and 2 and to reformulate DCA. First, we analysed a classic decision tree describing three decision alternatives: treat, do not treat, and treat or no treat based on a predictive model. We then computed the expected regret for each of these alternatives as the difference between the utility of the action taken and the utility of the action that, in retrospect, should have been taken. For any pair of strategies, we measure the difference in net expected regret. Finally, we employ the concept of acceptable regret to identify the circumstances under which a potentially wrong strategy is tolerable to a decision-maker. We developed a novel dual visual analog scale to describe the relationship between regret associated with "omissions" (e.g. failure to treat) vs. "commissions" (e.g. treating unnecessary) and decision maker's preferences as expressed in terms of threshold probability. We then proved that the Net Expected Regret Difference, first presented in this paper, is equivalent to net benefits as described in the original DCA. Based on the concept of acceptable regret we identified the circumstances under which a decision maker tolerates a potentially wrong decision and expressed it in terms of probability of disease. We present a novel method for eliciting decision maker's preferences and an alternative derivation of DCA based on regret theory. Our approach may be intuitively more appealing to a decision-maker, particularly

  15. A regret theory approach to decision curve analysis: A novel method for eliciting decision makers' preferences and decision-making

    Directory of Open Access Journals (Sweden)

    Vickers Andrew

    2010-09-01

    Full Text Available Abstract Background Decision curve analysis (DCA has been proposed as an alternative method for evaluation of diagnostic tests, prediction models, and molecular markers. However, DCA is based on expected utility theory, which has been routinely violated by decision makers. Decision-making is governed by intuition (system 1, and analytical, deliberative process (system 2, thus, rational decision-making should reflect both formal principles of rationality and intuition about good decisions. We use the cognitive emotion of regret to serve as a link between systems 1 and 2 and to reformulate DCA. Methods First, we analysed a classic decision tree describing three decision alternatives: treat, do not treat, and treat or no treat based on a predictive model. We then computed the expected regret for each of these alternatives as the difference between the utility of the action taken and the utility of the action that, in retrospect, should have been taken. For any pair of strategies, we measure the difference in net expected regret. Finally, we employ the concept of acceptable regret to identify the circumstances under which a potentially wrong strategy is tolerable to a decision-maker. Results We developed a novel dual visual analog scale to describe the relationship between regret associated with "omissions" (e.g. failure to treat vs. "commissions" (e.g. treating unnecessary and decision maker's preferences as expressed in terms of threshold probability. We then proved that the Net Expected Regret Difference, first presented in this paper, is equivalent to net benefits as described in the original DCA. Based on the concept of acceptable regret we identified the circumstances under which a decision maker tolerates a potentially wrong decision and expressed it in terms of probability of disease. Conclusions We present a novel method for eliciting decision maker's preferences and an alternative derivation of DCA based on regret theory. Our approach may

  16. Decision making analysis of walnut seedling production on a small ...

    African Journals Online (AJOL)

    The decision has to be made between those three alternatives aiming at achievement of optimal/best economic result for the family farm. Summarizing results obtained from the decision tree, simulation and sensitivity analysis, the optimal solution for the family farm should be to continue production of walnut seedlings with ...

  17. Household consumption, female employment and fertility decisions; A microeconometric analysis

    NARCIS (Netherlands)

    Kalwij, A.S.

    1999-01-01

    This thesis is mainly concerned with a simultaneous analysis of the economic determinants of female employment and fertility decisions on a household level in the Netherlands. In particular, this thesis is interested in the role of the employment decisions of women in the observed behavior that

  18. Decision Analysis of Dynamic Spectrum Access Rules

    Energy Technology Data Exchange (ETDEWEB)

    Juan D. Deaton; Luiz A. DaSilva; Christian Wernz

    2011-12-01

    A current trend in spectrum regulation is to incorporate spectrum sharing through the design of spectrum access rules that support Dynamic Spectrum Access (DSA). This paper develops a decision-theoretic framework for regulators to assess the impacts of different decision rules on both primary and secondary operators. We analyze access rules based on sensing and exclusion areas, which in practice can be enforced through geolocation databases. Our results show that receiver-only sensing provides insufficient protection for primary and co-existing secondary users and overall low social welfare. On the other hand, using sensing information between the transmitter and receiver of a communication link, provides dramatic increases in system performance. The performance of using these link end points is relatively close to that of using many cooperative sensing nodes associated to the same access point and large link exclusion areas. These results are useful to regulators and network developers in understanding in developing rules for future DSA regulation.

  19. PATIENT-CENTERED DECISION MAKING: LESSONS FROM MULTI-CRITERIA DECISION ANALYSIS FOR QUANTIFYING PATIENT PREFERENCES.

    Science.gov (United States)

    Marsh, Kevin; Caro, J Jaime; Zaiser, Erica; Heywood, James; Hamed, Alaa

    2018-01-01

    Patient preferences should be a central consideration in healthcare decision making. However, stories of patients challenging regulatory and reimbursement decisions has led to questions on whether patient voices are being considered sufficiently during those decision making processes. This has led some to argue that it is necessary to quantify patient preferences before they can be adequately considered. This study considers the lessons from the use of multi-criteria decision analysis (MCDA) for efforts to quantify patient preferences. It defines MCDA and summarizes the benefits it can provide to decision makers, identifies examples of MCDAs that have involved patients, and summarizes good practice guidelines as they relate to quantifying patient preferences. The guidance developed to support the use of MCDA in healthcare provide some useful considerations for the quantification of patient preferences, namely that researchers should give appropriate consideration to: the heterogeneity of patient preferences, and its relevance to decision makers; the cognitive challenges posed by different elicitation methods; and validity of the results they produce. Furthermore, it is important to consider how the relevance of these considerations varies with the decision being supported. The MCDA literature holds important lessons for how patient preferences should be quantified to support healthcare decision making.

  20. Decision analysis of shoreline protection under climate change uncertainty

    Science.gov (United States)

    Chao, Philip T.; Hobbs, Benjamin F.

    1997-04-01

    If global warming occurs, it could significantly affect water resource distribution and availability. Yet it is unclear whether the prospect of such change is relevant to water resources management decisions being made today. We model a shoreline protection decision problem with a stochastic dynamic program (SDP) to determine whether consideration of the possibility of climate change would alter the decision. Three questions are addressed with the SDP: (l) How important is climate change compared to other uncertainties?, (2) What is the economic loss if climate change uncertainty is ignored?, and (3) How does belief in climate change affect the timing of the decision? In the case study, sensitivity analysis shows that uncertainty in real discount rates has a stronger effect upon the decision than belief in climate change. Nevertheless, a strong belief in climate change makes the shoreline protection project less attractive and often alters the decision to build it.

  1. Uncertainty about probability: a decision analysis perspective

    International Nuclear Information System (INIS)

    Howard, R.A.

    1988-01-01

    The issue of how to think about uncertainty about probability is framed and analyzed from the viewpoint of a decision analyst. The failure of nuclear power plants is used as an example. The key idea is to think of probability as describing a state of information on an uncertain event, and to pose the issue of uncertainty in this quantity as uncertainty about a number that would be definitive: it has the property that you would assign it as the probability if you knew it. Logical consistency requires that the probability to assign to a single occurrence in the absence of further information be the mean of the distribution of this definitive number, not the medium as is sometimes suggested. Any decision that must be made without the benefit of further information must also be made using the mean of the definitive number's distribution. With this formulation, they find further that the probability of r occurrences in n exchangeable trials will depend on the first n moments of the definitive number's distribution. In making decisions, the expected value of clairvoyance on the occurrence of the event must be at least as great as that on the definitive number. If one of the events in question occurs, then the increase in probability of another such event is readily computed. This means, in terms of coin tossing, that unless one is absolutely sure of the fairness of a coin, seeing a head must increase the probability of heads, in distinction to usual thought. A numerical example for nuclear power shows that the failure of one plant of a group with a low probability of failure can significantly increase the probability that must be assigned to failure of a second plant in the group

  2. Combining morphological analysis and Bayesian Networks for strategic decision support

    CSIR Research Space (South Africa)

    De Waal, AJ

    2007-12-01

    Full Text Available Morphological analysis (MA) and Bayesian networks (BN) are two closely related modelling methods, each of which has its advantages and disadvantages for strategic decision support modelling. MA is a method for defining, linking and evaluating...

  3. SPATIAL ANALYSIS AND DECISION ASSISTANCE (SADA) TRAINING COURSE

    Science.gov (United States)

    Spatial Analysis and Decision Assistance (SADA) is a Windows freeware program that incorporates tools from environmental assessment into an effective problem-solving environment. SADA was developed by the Institute for Environmental Modeling at the University of Tennessee and inc...

  4. Archaeological investigations on the Buckboard Mesa Road Project

    Energy Technology Data Exchange (ETDEWEB)

    Amick, D.S.; Henton, G.H.; Pippin, L.C.

    1991-10-01

    In 1986, the Desert Research Institute (DRI) conducted an archaeological reconnaissance of a new alignment for the Buckboard Mesa Road on the Nevada Test Site for the Department of Energy (DOE). During this reconnaissance, several archaeological sites of National Register quality were discovered and recorded including a large quarry, site 26Ny4892, and a smaller lithic scatter, site 26Ny4894. Analysis of the debitage at 26Ny4892 indicates that this area was used primarily as a quarry for relatively small cobbles of obsidian found in the alluvium. Lithic reduction techniques used here are designed for efficiently reducing small pieces of toolstone and are oriented towards producing flake blanks from small cores and bifacially reducing exhausted cores. Projectile point cross references indicate that the area has seen at least casual use for about 10,000 years and more sustained use for the last 3,000 years. Initial obsidian hydration measurements indicate sustained use of the quarry for about the last 3,000 years although the loci of activities appear to change over time. Based on this study, the DRI recommends that quarrying activities in the area of 26Ny4892 are sufficiently sampled and that additional investigations into that aspect of prehistoric activity in the area are not necessary. This does not apply to other aspects of prehistoric use. DRI recommends that preconstruction surveys continue to identify nonquarrying, prehistoric utilization of the area. With the increased traffic on the Buckboard Mesa Road, there is a greater potential for vandalism to sites of National Register-quality located near the road. The DRI recommends that during the orientation briefing the workers at the Test Site be educated about the importance of cultural resources and the need for their protection. 202 refs., 41 figs., 52 tabs.

  5. A decision analysis of an exploratory studies facility

    International Nuclear Information System (INIS)

    Merkhofer, M.W.; Gnirk, P.

    1991-01-01

    An Exploratory Studies Facility (ESF) is planned to support the characterization of a potential site for a high-level nuclear waste repository at Yucca Mountain, NV. The selection of a design for the ESF is a critical decision, because the ESF design may affect the accuracy of characterization testing and subsequent repository design. The assist the design process, a comparative evaluation was conducted to rank 34 alternative relied on techniques from formal decision analysis, including decision trees and multiattribute utility analysis (MUA). The results helped to identify favorable design features and convinced the Department of Energy to adopt the top-ranked option as the preferred ESF design

  6. Evolving R Coronae Borealis Stars with MESA

    Science.gov (United States)

    Clayton, Geoffrey C.; Lauer, Amber; Chatzopoulos, Emmanouil; Frank, Juhan

    2018-01-01

    R Coronae Borealis (RCB) stars form a small class of cool, carbon-rich supergiants that have almost no hydrogen. They undergo extreme, irregular declines in brightness of up to 8 magnitudes due to the formation of thick clouds of carbon dust. Two scenarios have been proposed for the origin of an RCB star: the merger of a CO/He white dwarf (WD) binary and a final helium-shell flash. We are using a combination of 3D hydrodynamics codes and the 1D MESA (Modules for Experiments in Stellar Astrophysics) stellar evolution code including nucleosynthesis to construct post-merger spherical models based on realistic merger progenitor models and on our hydrodynamical simulations, and then following the evolution into the region of the HR diagram where RCB stars are located. We are investigating nucleosynthesis in the dynamically accreting material of CO/He WD mergers which may provide a suitable environment for significant production of 18O and the very low 16O/18O values observed.Our MESA modeling consists of two steps: first mimicking the WD merger event using two different techniques, (a) by choosing a very high mass accretion rate with appropriate abundances and (b) by applying "stellar engineering" to an initial CO WD model to account for the newly merged material by applying an entropy adjusting procedure. Second, we follow the post-merger evolution using a large nuclear reaction network including the effects of convective and rotational instabilities to the mixing of material in order to match the observed RCB abundances. MESA follows the evolution of the merger product as it expands and cools to become an RCB star. We then examine the surface abundances and compare them to the observed RCB abundances. We also investigate how long fusion continues in the He shell near the core and how this processed material is mixed up to the surface of the star. We then model the later evolution of RCB stars to determine their likely lifetimes and endpoints when they have returned to

  7. Decision Analysis for Metric Selection on a Clinical Quality Scorecard.

    Science.gov (United States)

    Guth, Rebecca M; Storey, Patricia E; Vitale, Michael; Markan-Aurora, Sumita; Gordon, Randolph; Prevost, Traci Q; Dunagan, Wm Claiborne; Woeltje, Keith F

    2016-09-01

    Clinical quality scorecards are used by health care institutions to monitor clinical performance and drive quality improvement. Because of the rapid proliferation of quality metrics in health care, BJC HealthCare found it increasingly difficult to select the most impactful scorecard metrics while still monitoring metrics for regulatory purposes. A 7-step measure selection process was implemented incorporating Kepner-Tregoe Decision Analysis, which is a systematic process that considers key criteria that must be satisfied in order to make the best decision. The decision analysis process evaluates what metrics will most appropriately fulfill these criteria, as well as identifies potential risks associated with a particular metric in order to identify threats to its implementation. Using this process, a list of 750 potential metrics was narrowed to 25 that were selected for scorecard inclusion. This decision analysis process created a more transparent, reproducible approach for selecting quality metrics for clinical quality scorecards. © The Author(s) 2015.

  8. METHODOLOGY FOR ANALYSIS OF DECISION MAKING IN AIR NAVIGATION SYSTEM

    Directory of Open Access Journals (Sweden)

    Volodymyr Kharchenko

    2011-03-01

    Full Text Available Abstract. In the research of Air Navigation System as a complex socio-technical system the methodologyof analysis of human-operator's decision-making has been developed. The significance of individualpsychologicalfactors as well as the impact of socio-psychological factors on the professional activities of ahuman-operator during the flight situation development from normal to catastrophic were analyzed. On thebasis of the reflexive theory of bipolar choice the expected risks of decision-making by the Air NavigationSystem's operator influenced by external environment, previous experience and intentions were identified.The methods for analysis of decision-making by the human-operator of Air Navigation System usingstochastic networks have been developed.Keywords: Air Navigation System, bipolar choice, human operator, decision-making, expected risk, individualpsychologicalfactors, methodology of analysis, reflexive model, socio-psychological factors, stochastic network.

  9. Geophysical Investigations at Pahute Mesa, Nevada.

    Science.gov (United States)

    1987-08-12

    be azimuth dependent (Lynnes and Lay, 1984). The body wave magnitude anomalies observed by Alewine are plotted in Figure 1 along with the Bouguer ...of this type can be used to test the seismic Figure 1. The body wave magnitude anomaly is plotted on a map of the Bouguer gravity for Pahute Mesa...Nevada. 370 22’ 30" 370 7’ 300 116 30’ 1160 15’ 0 KILOMTERS 10 BOUGUER GRAVITY 2 mgal CONTOURS AMb o 0.2O 0.1- 0.2 0 0.0- 0.1 -0.1 - 0.0 X -0.2 - -0.1X

  10. Social influence and perceptual decision making: a diffusion model analysis.

    Science.gov (United States)

    Germar, Markus; Schlemmer, Alexander; Krug, Kristine; Voss, Andreas; Mojzisch, Andreas

    2014-02-01

    Classic studies on social influence used simple perceptual decision-making tasks to examine how the opinions of others change individuals' judgments. Since then, one of the most fundamental questions in social psychology has been whether social influence can alter basic perceptual processes. To address this issue, we used a diffusion model analysis. Diffusion models provide a stochastic approach for separating the cognitive processes underlying speeded binary decisions. Following this approach, our study is the first to disentangle whether social influence on decision making is due to altering the uptake of available sensory information or due to shifting the decision criteria. In two experiments, we found consistent evidence for the idea that social influence alters the uptake of available sensory evidence. By contrast, participants did not adjust their decision criteria.

  11. Decision analysis for the selection of tank waste retrieval technology

    International Nuclear Information System (INIS)

    DAVIS, FREDDIE J.; DEWEESE, GREGORY C.; PICKETT, WILLIAM W.

    2000-01-01

    The objective of this report is to supplement the C-104 Alternatives Generation and Analysis (AGA) by providing a decision analysis for the alternative technologies described therein. The decision analysis used the Multi-Attribute Utility Analysis (MUA) technique. To the extent possible information will come from the AGA. Where data are not available, elicitation of expert opinion or engineering judgment is used and reviewed by the authors of the AGA. A key element of this particular analysis is the consideration of varying perspectives of parties interested in or affected by the decision. The six alternatives discussed are: sluicing; sluicing with vehicle mounted transfer pump; borehole mining; vehicle with attached sluicing nozzle and pump; articulated arm with attached sluicing nozzle; and mechanical dry retrieval. These are evaluated using four attributes, namely: schedule, cost, environmental impact, and safety

  12. Characterization of Mesa Verde Black-on-white ceramics from southwestern Colorado using NAA

    Energy Technology Data Exchange (ETDEWEB)

    Glowacki, D M; Neff, H; Glascock, M D [Missouri Univ., Columbia, MO (United States). Research Reactor Facility

    1995-10-01

    Sixty Mesa Verde variety Black-on-white bowls from Castle Rock Pueblo (5MT 1825) and Sand Canyon Pueblo (5MT765) in southwestern Colorado were chemically characterized using neutron activation analysis. Eleven clay sources local to the sites in the McElmo Drainage area were also analyzed. The results revealed two distinct compositional groups containing relative frequencies that imply local production. The occurrence of trade between the two sites was also identified. (author). 20 refs., 5 figs., 2 tabs.

  13. Fuzzy rationality and parameter elicitation in decision analysis

    Science.gov (United States)

    Nikolova, Natalia D.; Tenekedjiev, Kiril I.

    2010-07-01

    It is widely recognised by decision analysts that real decision-makers always make estimates in an interval form. An overview of techniques to find an optimal alternative among such with imprecise and interval probabilities is presented. Scalarisation methods are outlined as most appropriate. A proper continuation of such techniques is fuzzy rational (FR) decision analysis. A detailed representation of the elicitation process influenced by fuzzy rationality is given. The interval character of probabilities leads to the introduction of ribbon functions, whose general form and special cases are compared with the p-boxes. As demonstrated, approximation of utilities in FR decision analysis does not depend on the probabilities, but the approximation of probabilities is dependent on preferences.

  14. Decision Analysis System for Selection of Appropriate Decontamination Technologies

    International Nuclear Information System (INIS)

    Ebadian, M.A.; Boudreaux, J.F.; Chinta, S.; Zanakis, S.H.

    1998-01-01

    The principal objective for designing Decision Analysis System for Decontamination (DASD) is to support DOE-EM's endeavor to employ the most efficient and effective technologies for treating radiologically contaminated surfaces while minimizing personnel and environmental risks. DASD will provide a tool for environmental decision makers to improve the quality, consistency, and efficacy of their technology selection decisions. The system will facilitate methodical comparisons between innovative and baseline decontamination technologies and aid in identifying the most suitable technologies for performing surface decontamination at DOE environmental restoration sites

  15. Decision analysis for cleanup strategies in an urban environment

    International Nuclear Information System (INIS)

    Sinkko, K.; Ikaeheimonen, T.K.

    2000-01-01

    The values entering the decisions on protective actions, as concerning the society, are multidimensional. People have strong feelings and beliefs about these values, some of which are not numerically quantified and do not exist in monetary form. The decision analysis is applied in planning the recovery operations to clean up an urban environment in the event of a hypothetical nuclear power plant accident assisting in rendering explicit and apparent all factors involved and evaluating their relative importance. (author)

  16. Computerization of the safeguards analysis decision process

    International Nuclear Information System (INIS)

    Ehinger, M.H.

    1990-01-01

    This paper reports that safeguards regulations are evolving to meet new demands for timeliness and sensitivity in detecting the loss or unauthorized use of sensitive nuclear materials. The opportunities to meet new rules, particularly in bulk processing plants, involve developing techniques which use modern, computerized process control and information systems. Using these computerized systems in the safeguards analysis involves all the challenges of the man-machine interface experienced in the typical process control application and adds new dimensions to accuracy requirements, data analysis, and alarm resolution in the regulatory environment

  17. Employing Conjoint Analysis in Making Compensation Decisions.

    Science.gov (United States)

    Kienast, Philip; And Others

    1983-01-01

    Describes a method employing conjoint analysis that generates utility/cost ratios for various elements of the compensation package. Its superiority to simple preference surveys is examined. Results of a study of the use of this method in fringe benefit planning in a large financial institution are reported. (Author/JAC)

  18. Application of decision analysis in antibiotic formulary choices.

    Science.gov (United States)

    Szymusiak-Mutnick, B; Mutnick, A H

    1994-01-01

    To introduce the reader to the fundamentals involved in using decision analysis as a tool in evaluating the associated costs and effectiveness of comparable therapeutic agents. Currently available literature citations were used to provide the reader with basic references whose purpose is to provide a step-by-step approach for using Decision Analysis in conducting a cost-effective comparison of three commonly used antibiotics. Data were gathered from a previously conducted retrospective chart review where the three antibiotics were used for either prophylactic, empiric, or documented infections. Although this study was limited by its retrospective nature, the reader can use the data to appreciate the fundamentals of decision analysis. The continually changing climate in healthcare and the added visibility of pharmacologic agents in the treatment and prevention of disease has increased pressure on pharmacy departments to provide therapeutic agents that are cost-effective. Decision analysis can be used to compare therapeutic agents, in terms of financial as well as clinical outcomes, in a structured fashion that all members of the health care team can understand. The application of Decision analysis is appropriate for many therapeutic agents, not just antibiotics.

  19. TESTING MULTI-CRITERIA DECISION ANALYSIS FOR MORE TRANSPARENT RESOURCE-ALLOCATION DECISION MAKING IN COLOMBIA.

    Science.gov (United States)

    Castro Jaramillo, Hector Eduardo; Goetghebeur, Mireille; Moreno-Mattar, Ornella

    2016-01-01

    In 2012, Colombia experienced an important institutional transformation after the establishment of the Health Technology Assessment Institute (IETS), the disbandment of the Regulatory Commission for Health and the reassignment of reimbursement decision-making powers to the Ministry of Health and Social Protection (MoHSP). These dynamic changes provided the opportunity to test Multi-Criteria Decision Analysis (MCDA) for systematic and more transparent resource-allocation decision-making. During 2012 and 2013, the MCDA framework Evidence and Value: Impact on Decision Making (EVIDEM) was tested in Colombia. This consisted of a preparatory stage in which the investigators conducted literature searches and produced HTA reports for four interventions of interest, followed by a panel session with decision makers. This method was contrasted with a current approach used in Colombia for updating the publicly financed benefits package (POS), where narrative health technology assessment (HTA) reports are presented alongside comprehensive budget impact analyses (BIAs). Disease severity, size of population, and efficacy ranked at the top among fifteen preselected relevant criteria. MCDA estimates of technologies of interest ranged between 71 to 90 percent of maximum value. The ranking of technologies was sensitive to the methods used. Participants considered that a two-step approach including an MCDA template, complemented by a detailed BIA would be the best approach to assist decision-making in this context. Participants agreed that systematic priority setting should take place in Colombia. This work may serve as the basis to the MoHSP on its interest of setting up a systematic and more transparent process for resource-allocation decision-making.

  20. Multi-criteria decision analysis for use in transport decision making

    DEFF Research Database (Denmark)

    the recent years that besides the social costs and benefits associated with transport other impacts that are more difficult to monetise should also have influence on the decision making process. This is in many developed countries realised in the transport planning, which takes into account a wide range......, however, commonly agreed that the final decision making concerning transport infrastructure projects in many cases will depend on other aspects besides the monetary ones assessed in a socio-economic analysis. Nevertheless, an assessment framework such as the Danish one (DMT, 2003) does not provide any...... specific guidelines on how to include the strategic impacts; it merely suggests describing the impacts verbally and keeping them in mind during the decision process. A coherent, well-structured, flexible, straight forward evaluation method, taking into account all the requirements of a transport...

  1. Decision-making in irrigation networks: Selecting appropriate canal structures using multi-attribute decision analysis.

    Science.gov (United States)

    Hosseinzade, Zeinab; Pagsuyoin, Sheree A; Ponnambalam, Kumaraswamy; Monem, Mohammad J

    2017-12-01

    The stiff competition for water between agriculture and non-agricultural production sectors makes it necessary to have effective management of irrigation networks in farms. However, the process of selecting flow control structures in irrigation networks is highly complex and involves different levels of decision makers. In this paper, we apply multi-attribute decision making (MADM) methodology to develop a decision analysis (DA) framework for evaluating, ranking and selecting check and intake structures for irrigation canals. The DA framework consists of identifying relevant attributes for canal structures, developing a robust scoring system for alternatives, identifying a procedure for data quality control, and identifying a MADM model for the decision analysis. An application is illustrated through an analysis for automation purposes of the Qazvin irrigation network, one of the oldest and most complex irrigation networks in Iran. A survey questionnaire designed based on the decision framework was distributed to experts, managers, and operators of the Qazvin network and to experts from the Ministry of Power in Iran. Five check structures and four intake structures were evaluated. A decision matrix was generated from the average scores collected from the survey, and was subsequently solved using TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) method. To identify the most critical structure attributes for the selection process, optimal attribute weights were calculated using Entropy method. For check structures, results show that the duckbill weir is the preferred structure while the pivot weir is the least preferred. Use of the duckbill weir can potentially address the problem with existing Amil gates where manual intervention is required to regulate water levels during periods of flow extremes. For intake structures, the Neyrpic® gate and constant head orifice are the most and least preferred alternatives, respectively. Some advantages

  2. Benefit-Risk Analysis for Decision-Making: An Approach.

    Science.gov (United States)

    Raju, G K; Gurumurthi, K; Domike, R

    2016-12-01

    The analysis of benefit and risk is an important aspect of decision-making throughout the drug lifecycle. In this work, the use of a benefit-risk analysis approach to support decision-making was explored. The proposed approach builds on the qualitative US Food and Drug Administration (FDA) approach to include a more explicit analysis based on international standards and guidance that enables aggregation and comparison of benefit and risk on a common basis and a lifecycle focus. The approach is demonstrated on six decisions over the lifecycle (e.g., accelerated approval, withdrawal, and traditional approval) using two case studies: natalizumab for multiple sclerosis (MS) and bedaquiline for multidrug-resistant tuberculosis (MDR-TB). © 2016 American Society for Clinical Pharmacology and Therapeutics.

  3. Closed-Loop Analysis of Soft Decisions for Serial Links

    Science.gov (United States)

    Lansdowne, Chatwin A.; Steele, Glen F.; Zucha, Joan P.; Schlesinger, Adam M.

    2013-01-01

    We describe the benefit of using closed-loop measurements for a radio receiver paired with a counterpart transmitter. We show that real-time analysis of the soft decision output of a receiver can provide rich and relevant insight far beyond the traditional hard-decision bit error rate (BER) test statistic. We describe a Soft Decision Analyzer (SDA) implementation for closed-loop measurements on single- or dual- (orthogonal) channel serial data communication links. The analyzer has been used to identify, quantify, and prioritize contributors to implementation loss in live-time during the development of software defined radios. This test technique gains importance as modern receivers are providing soft decision symbol synchronization as radio links are challenged to push more data and more protocol overhead through noisier channels, and software-defined radios (SDRs) use error-correction codes that approach Shannon's theoretical limit of performance.

  4. Use of decision analysis techniques to determine Hanford cleanup priorities

    International Nuclear Information System (INIS)

    Fassbender, L.; Gregory, R.; Winterfeldt, D. von; John, R.

    1992-01-01

    In January 1991, the U.S. Department of Energy (DOE) Richland Field Office, Westinghouse Hanford Company, and the Pacific Northwest Laboratory initiated the Hanford Integrated Planning Process (HIPP) to ensure that technically sound and publicly acceptable decisions are made that support the environmental cleanup mission at Hanford. One of the HIPP's key roles is to develop an understanding of the science and technology (S and T) requirements to support the cleanup mission. This includes conducting an annual systematic assessment of the S and T needs at Hanford to support a comprehensive technology development program and a complementary scientific research program. Basic to success is a planning and assessment methodology that is defensible from a technical perspective and acceptable to the various Hanford stakeholders. Decision analysis techniques were used to help identify and prioritize problems and S and T needs at Hanford. The approach used structured elicitations to bring many Hanford stakeholders into the process. Decision analysis, which is based on the axioms and methods of utility and probability theory, is especially useful in problems characterized by uncertainties and multiple objectives. Decision analysis addresses uncertainties by laying out a logical sequence of decisions, events, and consequences and by quantifying event and consequence probabilities on the basis of expert judgments

  5. Making Good Decisions in Healthcare with Multi-Criteria Decision Analysis: The Use, Current Research and Future Development of MCDA.

    Science.gov (United States)

    Mühlbacher, Axel C; Kaczynski, Anika

    2016-02-01

    Healthcare decision making is usually characterized by a low degree of transparency. The demand for transparent decision processes can be fulfilled only when assessment, appraisal and decisions about health technologies are performed under a systematic construct of benefit assessment. The benefit of an intervention is often multidimensional and, thus, must be represented by several decision criteria. Complex decision problems require an assessment and appraisal of various criteria; therefore, a decision process that systematically identifies the best available alternative and enables an optimal and transparent decision is needed. For that reason, decision criteria must be weighted and goal achievement must be scored for all alternatives. Methods of multi-criteria decision analysis (MCDA) are available to analyse and appraise multiple clinical endpoints and structure complex decision problems in healthcare decision making. By means of MCDA, value judgments, priorities and preferences of patients, insurees and experts can be integrated systematically and transparently into the decision-making process. This article describes the MCDA framework and identifies potential areas where MCDA can be of use (e.g. approval, guidelines and reimbursement/pricing of health technologies). A literature search was performed to identify current research in healthcare. The results showed that healthcare decision making is addressing the problem of multiple decision criteria and is focusing on the future development and use of techniques to weight and score different decision criteria. This article emphasizes the use and future benefit of MCDA.

  6. A decision analysis of an exploratory studies facility

    International Nuclear Information System (INIS)

    Merkhofer, M.W.; Gnirk, P.

    1992-01-01

    This paper reports that an Exploratory Studied Facility (ESF) is planned to support the characterization of a potential site for a high-level nuclear waste repository at Yucca Mountain, NV. The selection of a design for the ESF is a critical characterization decision because the ESF design may affect the accuracy of characterization testing an constrains subsequent repository design. To assist the design process, a comparative evaluation was conducted to rank 34 alternative ESF-repository designs. The evaluation relied on techniques from formal decision analysis, including decision trees and multiattribute utility analysis (MUA). The results helped to identify favorable design features and enabled the Department of Energy to adopt an improved ESF design

  7. Using real options analysis to support strategic management decisions

    Science.gov (United States)

    Kabaivanov, Stanimir; Markovska, Veneta; Milev, Mariyan

    2013-12-01

    Decision making is a complex process that requires taking into consideration multiple heterogeneous sources of uncertainty. Standard valuation and financial analysis techniques often fail to properly account for all these sources of risk as well as for all sources of additional flexibility. In this paper we explore applications of a modified binomial tree method for real options analysis (ROA) in an effort to improve decision making process. Usual cases of use of real options are analyzed with elaborate study on the applications and advantages that company management can derive from their application. A numeric results based on extending simple binomial tree approach for multiple sources of uncertainty are provided to demonstrate the improvement effects on management decisions.

  8. Accretion onto CO White Dwarfs using MESA

    Science.gov (United States)

    Feng, Wanda; Starrfield, Sumner

    2018-06-01

    The nature of type Ia Supernovae (SNe Ia) progenitor systems and their underlying mechanism are not well understood. There are two competing progenitor scenarios: the single-degenerate scenario wherein a white dwarf (WD) star accretes material from a companion star, reaching the Chandrasekhar mass limit; and, the double-degenerate scenario wherein two WDs merge. In this study, we investigate the single-degenerate scenario by accretion onto carbon-oxygen (CO) WDs using the Modules for Experiments in Stellar Astrophysics (MESA). We vary the WD mass, composition of the accreting material, and accretion rate in our models. Mixing between the accreted material and the WD core is informed by multidimensional studies that suggest occurance after thermonuclear runaway (TNR) ensues. We compare the accretion of solar composition material onto CO WDs with the accretion of mixed solar and core material after TNR. As many of our models eject less material than accreted, our study supports that accretion onto CO WDs is a feasible channel for SNe I progenitors.

  9. An extended data envelopment analysis for the decision-making

    Directory of Open Access Journals (Sweden)

    Xiao-Li Meng

    2017-10-01

    Full Text Available Abstract Based on the CCR model, we propose an extended data envelopment analysis to evaluate the efficiency of decision making units with historical input and output data. The contributions of the work are threefold. First, the input and output data of the evaluated decision making unit are variable over time, and time series method is used to analyze and predict the data. Second, there are many sample decision making units, which are divided into several ordered sample standards in terms of production strategy, and the constraint condition consists of one of the sample standards. Furthermore, the efficiency is illustrated by considering the efficiency relationship between the evaluated decision making unit and sample decision making units from constraint condition. Third, to reduce the computation complexity, we introduce an algorithm based on the binary search tree in the model to choose the sample standard that has similar behavior with the evaluated decision making unit. Finally, we provide two numerical examples to illustrate the proposed model.

  10. Best-estimate analysis and decision making under uncertainty

    International Nuclear Information System (INIS)

    Orechwa, Y.

    2004-01-01

    In many engineering analyses of system safety the traditional reliance on conservative evaluation model calculations is being replaced with so called best-estimate analysis. These best-estimate analyses differentiate themselves from the traditional conservative analyses through two ingredients, namely realistic models and an account of the residual uncertainty associated with the model calculations. Best-estimate analysis, in the context of this paper, refers to the numerical evaluation of system properties of interest in situations where direct confirmatory measurements are not feasible. A decision with regard to the safety of the system is then made based on the computed numerical values of the system properties of interest. These situations generally arise in the design of systems that require computed and generally nontrivial extrapolations from the available data. In the case of nuclear reactors, examples are criticality of spent fuel pools, neutronic parameters of new advanced designs where insufficient material is available for mockup critical experiments and, the large break loss of coolant accident (LOCA). In this paper the case of LOCA, is taken to discuss the best-estimate analysis and decision making. Central to decision making is information. Thus, of interest is the source, quantity and quality of the information obtained in a best-estimate analysis, and used to define the acceptance criteria and to formulate a decision rule. This in effect expands the problem from the calculation of a conservative margin to a predefined acceptance criterion, to the formulation of a consistent decision rule and the computation of a test statistic for application of the decision rule. The latter view is a necessary condition for developing risk informed decision rules, and, thus, the relation between design basis analysis criteria and probabilistic risk assessment criteria is key. The discussion is in the context of making a decision under uncertainty for a reactor

  11. Reliability analysis framework for computer-assisted medical decision systems

    International Nuclear Information System (INIS)

    Habas, Piotr A.; Zurada, Jacek M.; Elmaghraby, Adel S.; Tourassi, Georgia D.

    2007-01-01

    We present a technique that enhances computer-assisted decision (CAD) systems with the ability to assess the reliability of each individual decision they make. Reliability assessment is achieved by measuring the accuracy of a CAD system with known cases similar to the one in question. The proposed technique analyzes the feature space neighborhood of the query case to dynamically select an input-dependent set of known cases relevant to the query. This set is used to assess the local (query-specific) accuracy of the CAD system. The estimated local accuracy is utilized as a reliability measure of the CAD response to the query case. The underlying hypothesis of the study is that CAD decisions with higher reliability are more accurate. The above hypothesis was tested using a mammographic database of 1337 regions of interest (ROIs) with biopsy-proven ground truth (681 with masses, 656 with normal parenchyma). Three types of decision models, (i) a back-propagation neural network (BPNN), (ii) a generalized regression neural network (GRNN), and (iii) a support vector machine (SVM), were developed to detect masses based on eight morphological features automatically extracted from each ROI. The performance of all decision models was evaluated using the Receiver Operating Characteristic (ROC) analysis. The study showed that the proposed reliability measure is a strong predictor of the CAD system's case-specific accuracy. Specifically, the ROC area index for CAD predictions with high reliability was significantly better than for those with low reliability values. This result was consistent across all decision models investigated in the study. The proposed case-specific reliability analysis technique could be used to alert the CAD user when an opinion that is unlikely to be reliable is offered. The technique can be easily deployed in the clinical environment because it is applicable with a wide range of classifiers regardless of their structure and it requires neither additional

  12. Safety analysis in support of regulatory decision marking

    International Nuclear Information System (INIS)

    Pomier Baez, L.; Troncoso Fleitas, M.; Valhuerdi Debesa, C.; Valle Cepero, R.; Hernandez, J.L.

    1996-01-01

    Features of different safety analysis techniques by means of calculation thermohydraulic a probabilistic and severe accidents used in the safety assessment, as well as the development of these techniques in Cuba and their use in support of regulatory decision making are presented

  13. Assessment of major nuclear technologies with decision and risk analysis

    International Nuclear Information System (INIS)

    Winterfeldt, D. von

    1995-01-01

    Selecting technologies for major nuclear programs involves several complexities, including multiple stakeholders, multiple conflicting objectives, uncertainties, and risk. In addition, the programmatic risks related to the schedule, cost, and performance of these technologies often become major issues in the selection process. This paper describes a decision analysis approach for addressing these complexities in a logical manner

  14. Multi-criteria decision analysis integrated with GIS for radio ...

    African Journals Online (AJOL)

    Multi-criteria decision analysis integrated with GIS for radio astronomical observatory site selection in peninsular of Malaysia. R Umar, Z.Z. Abidin, Z.A. Ibrahim, M.K.A. Kamarudin, S.N. Hazmin, A Endut, H Juahir ...

  15. Decision analysis and rational countermeasures in radiation protection

    International Nuclear Information System (INIS)

    Sinkko, K.

    1991-09-01

    During the past few years several international organizations (ICRP, IAEA, OECD/NEA), in revising their radiation protection principles, have emphasized the importance of the rationalization and planning of intervention after a nuclear accident. An accident itself and the introduction of protective action entails risks to the people affected, monetary costs and social disruption. Thus protective actions, often including objectives which are difficult to control simultaneously, cannot be undertaken without careful contemplation and consideration of the essential consequences of decisions. Often during an accident there is not enough time for careful consideration. Decision analysis is an analyzing and thought guiding method for the definition of objectives and comparison of options. It is an appropriate methodology assisting in rendering explicit and apparent all factors involved and evaluating their relative importance. The planning of intervention with the help of decision analysis is portion of the preparation for accident situations. In this report one of the techniques of decision analysis, multi-attribute utility analysis, is presented, as concerns its application in planning protective actions in the event of radiation accidents. (orig.)

  16. Decision analysis of Hanford underground storage tank waste retrieval systems

    International Nuclear Information System (INIS)

    Merkhofer, M.W.; Bitz, D.A.; Berry, D.L.; Jardine, L.J.

    1994-05-01

    A decision analysis approach has been proposed for planning the retrieval of hazardous, radioactive, and mixed wastes from underground storage tanks. This paper describes the proposed approach and illustrates its application to the single-shell storage tanks (SSTs) at Hanford, Washington

  17. The potential for meta-analysis to support decision analysis in ecology.

    Science.gov (United States)

    Mengersen, Kerrie; MacNeil, M Aaron; Caley, M Julian

    2015-06-01

    Meta-analysis and decision analysis are underpinned by well-developed methods that are commonly applied to a variety of problems and disciplines. While these two fields have been closely linked in some disciplines such as medicine, comparatively little attention has been paid to the potential benefits of linking them in ecology, despite reasonable expectations that benefits would be derived from doing so. Meta-analysis combines information from multiple studies to provide more accurate parameter estimates and to reduce the uncertainty surrounding them. Decision analysis involves selecting among alternative choices using statistical information that helps to shed light on the uncertainties involved. By linking meta-analysis to decision analysis, improved decisions can be made, with quantification of the costs and benefits of alternate decisions supported by a greater density of information. Here, we briefly review concepts of both meta-analysis and decision analysis, illustrating the natural linkage between them and the benefits from explicitly linking one to the other. We discuss some examples in which this linkage has been exploited in the medical arena and how improvements in precision and reduction of structural uncertainty inherent in a meta-analysis can provide substantive improvements to decision analysis outcomes by reducing uncertainty in expected loss and maximising information from across studies. We then argue that these significant benefits could be translated to ecology, in particular to the problem of making optimal ecological decisions in the face of uncertainty. Copyright © 2013 John Wiley & Sons, Ltd.

  18. A safety decision analysis for Saudi Arabian nuclear research facility

    International Nuclear Information System (INIS)

    Abulfaraj, W.H.; Abdul-Fattah, A.F.

    1985-01-01

    Establishment of a nuclear research facility should be the first step in planning for introducing the nuclear energy to Saudi Arabia. The fuzzy set decision theory is selected among different decision theories to be applied for this analysis. Four research reactors from USA are selected for the present study. The IFDA computer code, based on the fuzzy set theory is applied. Results reveal that the FNR reactor is the best alternative for the case of Saudi Arabian nuclear research facility, and MITR is the second best. 17 refs

  19. Risk Analysis and Decision Making FY 2013 Milestone Report

    Energy Technology Data Exchange (ETDEWEB)

    Engel, David W.; Dalton, Angela C.; Dale, Crystal; Jones, Edward; Thompson, J.

    2013-06-01

    Risk analysis and decision making is one of the critical objectives of CCSI, which seeks to use information from science-based models with quantified uncertainty to inform decision makers who are making large capital investments. The goal of this task is to develop tools and capabilities to facilitate the development of risk models tailored for carbon capture technologies, quantify the uncertainty of model predictions, and estimate the technical and financial risks associated with the system. This effort aims to reduce costs by identifying smarter demonstrations, which could accelerate development and deployment of the technology by several years.

  20. Accommodating complexity and human behaviors in decision analysis.

    Energy Technology Data Exchange (ETDEWEB)

    Backus, George A.; Siirola, John Daniel; Schoenwald, David Alan; Strip, David R.; Hirsch, Gary B.; Bastian, Mark S.; Braithwaite, Karl R.; Homer, Jack [Homer Consulting

    2007-11-01

    This is the final report for a LDRD effort to address human behavior in decision support systems. One sister LDRD effort reports the extension of this work to include actual human choices and additional simulation analyses. Another provides the background for this effort and the programmatic directions for future work. This specific effort considered the feasibility of five aspects of model development required for analysis viability. To avoid the use of classified information, healthcare decisions and the system embedding them became the illustrative example for assessment.

  1. Systematic approaches to data analysis from the Critical Decision Method

    Directory of Open Access Journals (Sweden)

    Martin Sedlár

    2015-01-01

    Full Text Available The aim of the present paper is to introduce how to analyse the qualitative data from the Critical Decision Method. At first, characterizing the method provides the meaningful introduction into the issue. This method used in naturalistic decision making research is one of the cognitive task analysis methods, it is based on the retrospective semistructured interview about critical incident from the work and it may be applied in various domains such as emergency services, military, transport, sport or industry. Researchers can make two types of methodological adaptation. Within-method adaptations modify the way of conducting the interviews and cross-method adaptations combine this method with other related methods. There are many decsriptions of conducting the interview, but the descriptions how the data should be analysed are rare. Some researchers use conventional approaches like content analysis, grounded theory or individual procedures with reference to the objectives of research project. Wong (2004 describes two approaches to data analysis proposed for this method of data collection, which are described and reviewed in the details. They enable systematic work with a large amount of data. The structured approach organizes the data according to an a priori analysis framework and it is suitable for clearly defined object of research. Each incident is studied separately. At first, the decision chart showing the main decision points and then the incident summary are made. These decision points are used to identify the relevant statements from the transcript, which are analysed in terms of the Recognition-Primed Decision Model. Finally, the results from all the analysed incidents are integrated. The limitation of the structured approach is it may not reveal some interesting concepts. The emergent themes approach helps to identify these concepts while maintaining a systematic framework for analysis and it is used for exploratory research design. It

  2. A framework for sensitivity analysis of decision trees.

    Science.gov (United States)

    Kamiński, Bogumił; Jakubczyk, Michał; Szufel, Przemysław

    2018-01-01

    In the paper, we consider sequential decision problems with uncertainty, represented as decision trees. Sensitivity analysis is always a crucial element of decision making and in decision trees it often focuses on probabilities. In the stochastic model considered, the user often has only limited information about the true values of probabilities. We develop a framework for performing sensitivity analysis of optimal strategies accounting for this distributional uncertainty. We design this robust optimization approach in an intuitive and not overly technical way, to make it simple to apply in daily managerial practice. The proposed framework allows for (1) analysis of the stability of the expected-value-maximizing strategy and (2) identification of strategies which are robust with respect to pessimistic/optimistic/mode-favoring perturbations of probabilities. We verify the properties of our approach in two cases: (a) probabilities in a tree are the primitives of the model and can be modified independently; (b) probabilities in a tree reflect some underlying, structural probabilities, and are interrelated. We provide a free software tool implementing the methods described.

  3. MESA. An ERL project for particle physics experiments

    Energy Technology Data Exchange (ETDEWEB)

    Hug, Florian [Institut fuer Kernphysik, Universitaet Mainz (Germany)

    2016-07-01

    The Mainz Energy-recovering Superconducting Accelerator (MESA) will be constructed at the Institut fuer Kernphysik of the Johannes Gutenberg University of Mainz. The accelerator is a low energy continuous wave (CW) recirculating electron linac for particle physics experiments. MESA will be operated in two different modes serving mainly two experiments: the first is the external beam (EB) mode, where the beam is dumped after being used with the external fixed target experiment P2, whose goal is the measurement of the weak mixing angle with highest accuracy. The required beam current for P2 is 150 μA with polarized electrons at 155 MeV. In the second operation mode MESA will be run as an energy recovery linac (ERL). In an ERL the energy of the electrons is recovered after their experimental use by decelerating them in the superconducting acceleration cavities. The experiment served in this mode is a (pseudo) internal fixed target experiment named MAGIX. It demands an unpolarized beam of 1 mA at 105 MeV. In a later construction stage of MESA the achievable beam current in ERL-mode shall be upgraded to 10 mA. Within this talk an overview of the MESA project will be given highlighting the challenges of operation with high density internal gas targets and the (*new*) physics applications.

  4. Ethical analysis to improve decision-making on health technologies

    DEFF Research Database (Denmark)

    Saarni, Samuli I; Hofmann, Bjørn; Lampe, Kristian

    2008-01-01

    Health technology assessment (HTA) is the multidisciplinary study of the implications of the development, diffusion and use of health technologies. It supports health-policy decisions by providing a joint knowledge base for decision-makers. To increase its policy relevance, HTA tries to extend...... beyond effectiveness and costs to also considering the social, organizational and ethical implications of technologies. However, a commonly accepted method for analysing the ethical aspects of health technologies is lacking. This paper describes a model for ethical analysis of health technology...... to only analyse the ethical consequences of a technology, but also the ethical issues of the whole HTA process must be considered. Selection of assessment topics, methods and outcomes is essentially a value-laden decision. Health technologies may challenge moral or cultural values and beliefs...

  5. Using the Situated Clinical Decision-Making framework to guide analysis of nurses' clinical decision-making.

    Science.gov (United States)

    Gillespie, Mary

    2010-11-01

    Nurses' clinical decision-making is a complex process that holds potential to influence the quality of care provided and patient outcomes. The evolution of nurses' decision-making that occurs with experience has been well documented. In addition, literature includes numerous strategies and approaches purported to support development of nurses' clinical decision-making. There has been, however, significantly less attention given to the process of assessing nurses' clinical decision-making and novice clinical educators are often challenged with knowing how to best support nurses and nursing students in developing their clinical decision-making capacity. The Situated Clinical Decision-Making framework is presented for use by clinical educators: it provides a structured approach to analyzing nursing students' and novice nurses' decision-making in clinical nursing practice, assists educators in identifying specific issues within nurses' clinical decision-making, and guides selection of relevant strategies to support development of clinical decision-making. A series of questions is offered as a guide for clinical educators when assessing nurses' clinical decision-making. The discussion presents key considerations related to analysis of various decision-making components, including common sources of challenge and errors that may occur within nurses' clinical decision-making. An exemplar illustrates use of the framework and guiding questions. Implications of this approach for selection of strategies that support development of clinical decision-making are highlighted. Copyright © 2010 Elsevier Ltd. All rights reserved.

  6. Multivariate analysis of flow cytometric data using decision trees.

    Science.gov (United States)

    Simon, Svenja; Guthke, Reinhard; Kamradt, Thomas; Frey, Oliver

    2012-01-01

    Characterization of the response of the host immune system is important in understanding the bidirectional interactions between the host and microbial pathogens. For research on the host site, flow cytometry has become one of the major tools in immunology. Advances in technology and reagents allow now the simultaneous assessment of multiple markers on a single cell level generating multidimensional data sets that require multivariate statistical analysis. We explored the explanatory power of the supervised machine learning method called "induction of decision trees" in flow cytometric data. In order to examine whether the production of a certain cytokine is depended on other cytokines, datasets from intracellular staining for six cytokines with complex patterns of co-expression were analyzed by induction of decision trees. After weighting the data according to their class probabilities, we created a total of 13,392 different decision trees for each given cytokine with different parameter settings. For a more realistic estimation of the decision trees' quality, we used stratified fivefold cross validation and chose the "best" tree according to a combination of different quality criteria. While some of the decision trees reflected previously known co-expression patterns, we found that the expression of some cytokines was not only dependent on the co-expression of others per se, but was also dependent on the intensity of expression. Thus, for the first time we successfully used induction of decision trees for the analysis of high dimensional flow cytometric data and demonstrated the feasibility of this method to reveal structural patterns in such data sets.

  7. Decision Making in Nursing Practice: A Concept Analysis.

    Science.gov (United States)

    Johansen, Mary L; O'Brien, Janice L

    2016-01-01

    The study aims to gain an understanding of the concept of decision making as it relates to the nurse practice environment. Rodgers' evolutionary method on concept analysis was used as a framework for the study of the concept. Articles from 1952 to 2014 were reviewed from PsycINFO, Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), JSTOR, PubMed, and Science Direct. Findings suggest that decision making in the nurse practice environment is a complex process, integral to the nursing profession. The definition of decision making, and the attributes, antecedents, and consequences, are discussed. Contextual factors that influence the process are also discussed. An exemplar is presented to illustrate the concept. Decision making in the nurse practice environment is a dynamic conceptual process that may affect patient outcomes. Nurses need to call upon ways of knowing to make sound decisions and should be self-reflective in order to develop the process further in the professional arena. The need for further research is discussed. © 2015 Wiley Periodicals, Inc.

  8. Live birth rates after MESA or TESE in men with obstructive azoospermia: is there a difference?

    NARCIS (Netherlands)

    van Wely, Madelon; Barbey, Natalie; Meissner, Andreas; Repping, Sjoerd; Silber, Sherman J.

    2015-01-01

    How do live birth rates compare after intracytoplasmic sperm injection (ICSI) for men with obstructive azoospermia when using sperm derived from testicular sperm extraction (TESE) versus microsurgical epididymal sperm aspiration (MESA)? Our study suggests that proximal epididymal sperm (from MESA)

  9. NPDES Permit for Mesa Verde National Park Wastewater Treatment Facility in Colorado

    Science.gov (United States)

    Under NPDES permit number CO-0034398, the United States Department of the Interior, National Park Service, Mesa Verde National Park is authorized to discharge from the Mesa Verde National Park wastewater treatment plant, in Montezuma County, Colo.

  10. System for decision analysis support on complex waste management issues

    International Nuclear Information System (INIS)

    Shropshire, D.E.

    1997-01-01

    A software system called the Waste Flow Analysis has been developed and applied to complex environmental management processes for the United States Department of Energy (US DOE). The system can evaluate proposed methods of waste retrieval, treatment, storage, transportation, and disposal. Analysts can evaluate various scenarios to see the impacts to waste slows and schedules, costs, and health and safety risks. Decision analysis capabilities have been integrated into the system to help identify preferred alternatives based on a specific objectives may be to maximize the waste moved to final disposition during a given time period, minimize health risks, minimize costs, or combinations of objectives. The decision analysis capabilities can support evaluation of large and complex problems rapidly, and under conditions of variable uncertainty. The system is being used to evaluate environmental management strategies to safely disposition wastes in the next ten years and reduce the environmental legacy resulting from nuclear material production over the past forty years

  11. SEDIMENT ANALYSIS NETWORK FOR DECISION SUPPORT (SANDS) LANDSAT GEOLOGICAL SURVEY OF AL (GSA) ANALYSIS V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The Sediment Analysis Network for Decision Support (SANDS) Landsat Geological Survey of AL (GSA) Analysis dataset analyzed changes in the coastal shoreline and...

  12. Design of Graph Analysis Model to support Decision Making

    International Nuclear Information System (INIS)

    An, Sang Ha; Lee, Sung Jin; Chang, Soon Heung; Kim, Sung Ho; Kim, Tae Woon

    2005-01-01

    Korea is meeting the growing electric power needs by using nuclear, fissile, hydro energy and so on. But we can not use fissile energy forever, and the people's consideration about nature has been changed. So we have to prepare appropriate energy by the conditions before people need more energy. And we should prepare dynamic response because people's need would be changed as the time goes on. So we designed graphic analysis model (GAM) for the dynamic analysis of decision on the energy sources. It can support Analytic Hierarchy Process (AHP) analysis based on Graphic User Interface

  13. Using multicriteria decision analysis during drug development to predict reimbursement decisions.

    Science.gov (United States)

    Williams, Paul; Mauskopf, Josephine; Lebiecki, Jake; Kilburg, Anne

    2014-01-01

    Pharmaceutical companies design clinical development programs to generate the data that they believe will support reimbursement for the experimental compound. The objective of the study was to present a process for using multicriteria decision analysis (MCDA) by a pharmaceutical company to estimate the probability of a positive recommendation for reimbursement for a new drug given drug and environmental attributes. The MCDA process included 1) selection of decisions makers who were representative of those making reimbursement decisions in a specific country; 2) two pre-workshop questionnaires to identify the most important attributes and their relative importance for a positive recommendation for a new drug; 3) a 1-day workshop during which participants undertook three tasks: i) they agreed on a final list of decision attributes and their importance weights, ii) they developed level descriptions for these attributes and mapped each attribute level to a value function, and iii) they developed profiles for hypothetical products 'just likely to be reimbursed'; and 4) use of the data from the workshop to develop a prediction algorithm based on a logistic regression analysis. The MCDA process is illustrated using case studies for three countries, the United Kingdom, Germany, and Spain. The extent to which the prediction algorithms for each country captured the decision processes for the workshop participants in our case studies was tested using a post-meeting questionnaire that asked the participants to make recommendations for a set of hypothetical products. The data collected in the case study workshops resulted in a prediction algorithm: 1) for the United Kingdom, the probability of a positive recommendation for different ranges of cost-effectiveness ratios; 2) for Spain, the probability of a positive recommendation at the national and regional levels; and 3) for Germany, the probability of a determination of clinical benefit. The results from the post

  14. Multi-criteria decision analysis: Limitations, pitfalls, and practical difficulties

    Energy Technology Data Exchange (ETDEWEB)

    Kujawski, Edouard

    2003-02-01

    The 2002 Winter Olympics women's figure skating competition is used as a case study to illustrate some of the limitations, pitfalls, and practical difficulties of Multi-Criteria Decision Analysis (MCDA). The paper compares several widely used models for synthesizing the multiple attributes into a single aggregate value. The various MCDA models can provide conflicting rankings of the alternatives for a common set of information even under states of certainty. Analysts involved in MCDA need to deal with the following challenging tasks: (1) selecting an appropriate analysis method, and (2) properly interpreting the results. An additional trap is the availability of software tools that implement specific MCDA models that can beguile the user with quantitative scores. These conclusions are independent of the decision domain and they should help foster better MCDA practices in many fields including systems engineering trade studies.

  15. Legal Knowledge as a Tool for Social Change: La Mesa por la Vida y la Salud de las Mujeres as an Expert on Colombian Abortion Law.

    Science.gov (United States)

    González Vélez, Ana Cristina; Jaramillo, Isabel Cristina

    2017-06-01

    In May 2006, Colombia's Constitutional Court liberalized abortion, introducing three circumstances under which the procedure would not be considered a crime: (1) rape or incest; (2) a risk to the woman's health or life; and (3) fetal malformations incompatible with life. Immediately following the court's ruling, known as Sentence C-355, members of La Mesa por la Vida y Salud de las Mujeres (hereinafter La Mesa) began to mobilize to ensure the decision's implementation, bearing in mind the limited impact that the legal framework endorsed by the court has had in other countries in the region. We argue that La Mesa's strategy is an innovative one in the field of legal mobilization insofar as it presumes that law can be shaped not just by public officials and universities but also by social actors engaged in the creation and diffusion of legal knowledge. In this regard, La Mesa has become a legal expert on abortion by accumulating knowledge about the multiple legal rules affecting the practice of abortion and about the situations in which these rules are to be applied. In addition, by becoming a legal expert, La Mesa has been able to persuade health providers that they will not risk criminal prosecution or being fired if they perform abortions. We call this effect of legal mobilization a "pedagogical effect" insofar as it involves the production of expertise and appropriation of knowledge by health professionals. We conclude by discussing La Mesa's choice to become a legal expert on abortion as opposed to recruiting academics to do this work or encouraging women to produce and disseminate this knowledge.

  16. Municipal solid waste management system: decision support through systems analysis

    OpenAIRE

    Pires, Ana Lúcia Lourenço

    2010-01-01

    Thesis submitted to the Universidade Nova de Lisboa, Faculdade de Ciências e Tecnologia for the degree of Doctor of Philosophy in Environmental Engineering The present study intends to show the development of systems analysis model applied to solid waste management system, applied into AMARSUL, a solid waste management system responsible for the management of municipal solid waste produced in Setúbal peninsula, Portugal. The model developed intended to promote sustainable decision making, ...

  17. Renewable Energy Data, Analysis, and Decisions: A Guide for Practitioners

    Energy Technology Data Exchange (ETDEWEB)

    Cox, Sarah L [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Lopez, Anthony J [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Watson, Andrea C [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Grue, Nicholas W [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Leisch, Jennifer E. [United States Agency for International Development (USAID)

    2018-03-16

    High-quality renewable energy resource data and other geographic information system (GIS) data are essential for the transition to a clean energy economy that prioritizes local resources, improves resiliency, creates jobs, and promotes energy independence. This guide is intended to support policymakers and planners, as well as technical experts, consultants, and academics in incorporating improved data and analysis into renewable energy decision-making.

  18. Use of multicriteria decision analysis to address conservation conflicts.

    Science.gov (United States)

    Davies, A L; Bryce, R; Redpath, S M

    2013-10-01

    Conservation conflicts are increasing on a global scale and instruments for reconciling competing interests are urgently needed. Multicriteria decision analysis (MCDA) is a structured, decision-support process that can facilitate dialogue between groups with differing interests and incorporate human and environmental dimensions of conflict. MCDA is a structured and transparent method of breaking down complex problems and incorporating multiple objectives. The value of this process for addressing major challenges in conservation conflict management is that MCDA helps in setting realistic goals; entails a transparent decision-making process; and addresses mistrust, differing world views, cross-scale issues, patchy or contested information, and inflexible legislative tools. Overall we believe MCDA provides a valuable decision-support tool, particularly for increasing awareness of the effects of particular values and choices for working toward negotiated compromise, although an awareness of the effect of methodological choices and the limitations of the method is vital before applying it in conflict situations. © 2013 Society for Conservation Biology.

  19. Surface motion induced by nuclear explosions beneath Pahute Mesa. Part I. Halfbreak, Greeley, Scotch, Boxcar events

    International Nuclear Information System (INIS)

    Perret, W.R.

    1976-10-01

    Results of surface motion studies conducted by Sandia Laboratories during seven underground nuclear explosions detonated beneath Pahute Mesa, Areas 19 and 20 of the Nevada Test Site, between 1966 and 1973 are reported. The report is divided into two parts of which this, Part I, includes (1) descriptions of the Pahute Mesa geological environment and of the purposes and instrumentation used in these programs (Chapter 1), and (2) description of four events, the data derived from each, and analysis of these data. These Part I events are HALFBEAK (Chapter 2), GREELEY (Chapter 3), SCOTCH (Chapter 4), and BOXCAR (Chapter 5) for all of which a nominally radial array of gage stations yielded data as a function of distance primarily, although in a few cases data were derived from stations at widely separated azimuths from the explosion. Results of the analysis indicate that average propagation velocity through the geologic column between the explosions and mesa surface was about 8800 ft/sec and that for horizontal distances greater than shot depth, refraction occurred within rhyolite flows with characteristic velocity of about 12,300 ft/sec. There is evidence which suggests possible deeper refraction at a velocity between 18,000 and 21,000 ft/sec. Only the verticle motion peaks follow a pattern amenable to regression analysis because geometrical effects influence horizontal motion amplitudes differently as horizontal distances increase. Particle velocities vary roughly as the inverse square of slant or radial range with exponent values ranging from -3.9 to -1.3. Displacements follow a similar pattern with exponents ranging from about -6 to -2. Displacement profiles at various times during the motion and displacement hodographs in the vertical-radial plane aid in understanding several local phenomena implied by individual motion records

  20. Multi-criteria decision analysis using hydrological indicators for decision support - a conceptual framework.

    Science.gov (United States)

    Butchart-Kuhlmann, Daniel; Kralisch, Sven; Meinhardt, Markus; Fleischer, Melanie

    2017-04-01

    Assessing the quantity and quality of water available in water stressed environments under various potential climate and land-use changes is necessary for good water and environmental resources management and governance. Within the region covered by the Southern African Science Service Centre for Climate Change and Adaptive Land Management (SASSCAL) project, such areas are common. One goal of the SASSCAL project is to develop and provide an integrated decision support system (DSS) with which decision makers (DMs) within a given catchment can obtain objective information regarding potential changes in water flow quantity and timing. The SASSCAL DSS builds upon existing data storage and distribution capability, through the SASSCAL Information System (IS), as well as the J2000 hydrological model. Using output from validated J2000 models, the SASSCAL DSS incorporates the calculation of a range of hydrological indicators based upon Indicators of Hydrological Alteration/Environmental Flow Components (IHA/EFC) calculated for a historic time series (pre-impact) and a set of model simulations based upon a selection of possible climate and land-use change scenarios (post-impact). These indicators, obtained using the IHA software package, are then used as input for a multi-criteria decision analysis (MCDA) undertaken using the open source diviz software package. The results of these analyses will provide DMs with an indication as to how various hydrological indicators within a catchment may be altered under different future scenarios, as well providing a ranking of how each scenario is preferred according to different DM preferences. Scenarios are represented through a combination of model input data and parameter settings in J2000, and preferences are represented through criteria weighting in the MCDA. Here, the methodology is presented and applied to the J2000 Luanginga model results using a set of hypothetical decision maker preference values as input for an MCDA based on

  1. Análise de correspondência como instrumento para descrição do perfil do trabalhador da cultura de tomate de mesa em Goiás The correspondence analysis as instrument to analyze the profile of the worker in the tomato crop in the Goiás state, Brazil

    Directory of Open Access Journals (Sweden)

    Sueli Martins Freitas Alves

    2009-10-01

    Full Text Available O cultivo do tomate de mesa em Goiás está estruturado numa proposta tecnológica baseada no uso intensivo de agrotóxicos, o que envolve riscos e danos potenciais à saúde dos trabalhadores. O objetivo deste trabalho foi utilizar a Análise de Correspondência Múltipla (ACM para explorar a perfil do trabalhador da cultura de tomate de mesa quanto ao uso de agrotóxicos. Para isso, foram obtidas informações sobre fatores socioeconômicos e demográficos, percepção de risco, uso de agrotóxicos, uso de equipamento de proteção individual (EPI e morbidade referida, por meio de questionário respondido por 96 trabalhadores da cultura de tomate de mesa, em seis municípios do Estado de Goiás. A Análise de Correspondência Múltipla (ACM possibilitou definir três grupos de trabalhadores. No grupo 1, os que responderam que já se intoxicaram com agrotóxicos e não usam EPI porque dificulta o trabalho ou porque não têm costume. No grupo 2, os que responderam que não se intoxicaram com agrotóxico relataram que usam somente algum tipo de EPI porque os consideram desconfortáveis ou por outros motivos. No grupo 3, os que relataram usar EPI completo e que moram em barracas de lona na lavoura de tomate. Foi possível fazer correspondência entre as modalidades da pesquisa, o que não seria possível com o uso de estatística descritiva.The tomato cropping in the Goiás state is structured under a technological proposal based on the intensive use of pesticides, which involves risks and potential damages to the workers' health. This study aimed to use the Multiple Correspondence Analysis (ACM to explore the worker's profile concerning to the use of pesticides in tomato crop. So, information about the socioeconomic and demographic factors, risk perception, pesticide uses, use of individual protection equipment (EPI and referred morbidity were obtained, by using a questionnaire applied to 96 workers in tomato crop, in six counties at the State

  2. Enhanced electricity system analysis for decision making - A reference book

    International Nuclear Information System (INIS)

    2000-01-01

    The objective of electricity system analysis in support of decision making is to provide comparative assessment results upon which relevant policy choices between alternative technology options and supply strategies can be based. This reference book offers analysts, planners and decision makers documented information on enhanced approaches to electricity system analysis, that can assist in achieving this objective. The book describes the main elements of comprehensive electricity system analysis and outlines an advanced integrated analysis and decision making framework for the electric power sector. Emphasis is placed on mechanisms for building consensus between interested and affected parties, and on aspects of planning that go beyond the traditional economic optimisation approach. The scope and contents of the book cover the topics to be addressed in decision making for the power sector and the process of integrating economic, social, health and environmental aspects in the comparative assessment of alternative options and strategies. The book describes and discusses overall frameworks, processes and state of the art methods and techniques available to analysts and planners for carrying out comparative assessment studies, in order to provide sound information to decision makers. This reference book is published as part of a series of technical reports and documents prepared in the framework of the inter-agency joint project (DECADES) on databases and methodologies for comparative assessment of different energy sources for electricity generation. The overall objective of the DECADES project is to enhance capabilities for incorporating economic, social, health and environmental issues in the comparative assessment of electricity generation options and strategies in the process of decision making for the power sector. The project, established in 1992, is carried out jointly by the European Commission (EC), the Economic and Social Commission for Asia and the Pacific

  3. Mesa 10 x 20 NTMS area, Arizona: data report (abbreviated)

    International Nuclear Information System (INIS)

    Cook, J.R.; Koller, G.R.

    1980-09-01

    Surface sediment samples were collected at 713 sites, at a target sampling density of one site per 13 square kilometers. Ground water samples were collected at 365 sites. Neutron activation analysis results are given for uranium and 16 other elements in sediments, and for uranium and 9 other elements in ground water. Mass spectrometry results are given for helium in ground water. Field measurements and observations are reported for each site. Analytical data and field measurements are presented in tables and maps. Data from ground water and surface water sites include (1) water chemistry measurements (pH, conductivity, and alkalinity) (2) physical measurements where applicable (water temperature, well description, and scintillometer reading) and (3) elemental analyses (U, Al, Br, Cl, Dy, F, Mg, Mn, Na, and V). Helium analyses are given for ground water. Data from sediment sites include (1) stream water chemistry measurements from sites where water was available and (2) elemental analyses for sediment samples (U, Th, Hf, Al, Ce, Dy, Eu, Fe, La, Lu, Mn, Sc, Sm, Na, Ti, V, and Yb). Sample site descriptors (stream characteristics, vegetation, etc.) are also tabulated. Areal distribution maps, histograms, and cumulative frequency plots for most elements; U/Th, U/Hf, U/(Th+Hf), and U/La ratios; and scintillometer readings at sediment sample sites are included on the microfiche. The maximum uranium concentration found in sediments in the Mesa quadrangle was 36.6 ppM. The mean of the logarithms of the uranium concentrations was 0.58, which is equivalent to 3.8 ppM. High uranium concentrations are related to Precambrian granites; however, high log (U/Th) values appear to be related to Tertiary volcanic rocks

  4. Engaging stakeholders for adaptive management using structured decision analysis

    Science.gov (United States)

    Irwin, Elise R.; Kathryn, D.; Kennedy, Mickett

    2009-01-01

    Adaptive management is different from other types of management in that it includes all stakeholders (versus only policy makers) in the process, uses resource optimization techniques to evaluate competing objectives, and recognizes and attempts to reduce uncertainty inherent in natural resource systems. Management actions are negotiated by stakeholders, monitored results are compared to predictions of how the system should respond, and management strategies are adjusted in a “monitor-compare-adjust” iterative routine. Many adaptive management projects fail because of the lack of stakeholder identification, engagement, and continued involvement. Primary reasons for this vary but are usually related to either stakeholders not having ownership (or representation) in decision processes or disenfranchisement of stakeholders after adaptive management begins. We present an example in which stakeholders participated fully in adaptive management of a southeastern regulated river. Structured decision analysis was used to define management objectives and stakeholder values and to determine initial flow prescriptions. The process was transparent, and the visual nature of the modeling software allowed stakeholders to see how their interests and values were represented in the decision process. The development of a stakeholder governance structure and communication mechanism has been critical to the success of the project.

  5. A diffusion decision model analysis of evidence variability in the lexical decision task

    NARCIS (Netherlands)

    Tillman, Gabriel; Osth, Adam F.; van Ravenzwaaij, Don; Heathcote, Andrew

    2017-01-01

    The lexical-decision task is among the most commonly used paradigms in psycholinguistics. In both the signal-detection theory and Diffusion Decision Model (DDM; Ratcliff, Gomez, & McKoon, Psychological Review, 111, 159–182, 2004) frameworks, lexical-decisions are based on a continuous source of

  6. Fuzzy Multicriteria Decision Analysis for Adaptive Watershed Management

    Science.gov (United States)

    Chang, N.

    2006-12-01

    The dramatic changes of societal complexity due to intensive interactions among agricultural, industrial, and municipal sectors have resulted in acute issues of water resources redistribution and water quality management in many river basins. Given the fact that integrated watershed management is more a political and societal than a technical challenge, there is a need for developing a compelling method leading to justify a water-based land use program in some critical regions. Adaptive watershed management is viewed as an indispensable tool nowadays for providing step-wise constructive decision support that is concerned with all related aspects of the water consumption cycle and those facilities affecting water quality and quantity temporally and spatially. Yet the greatest challenge that decision makers face today is to consider how to leverage ambiguity, paradox, and uncertainty to their competitive advantage of management policy quantitatively. This paper explores a fuzzy multicriteria evaluation method for water resources redistribution and subsequent water quality management with respect to a multipurpose channel-reservoir system--the Tseng- Wen River Basin, South Taiwan. Four fuzzy operators tailored for this fuzzy multicriteria decision analysis depict greater flexibility in representing the complexity of various possible trade-offs among management alternatives constrained by physical, economic, and technical factors essential for adaptive watershed management. The management strategies derived may enable decision makers to integrate a vast number of internal weirs, water intakes, reservoirs, drainage ditches, transfer pipelines, and wastewater treatment facilities within the basin and bring up the permitting issue for transboundary diversion from a neighboring river basin. Experience gained indicates that the use of different types of fuzzy operators is highly instructive, which also provide unique guidance collectively for achieving the overarching goals

  7. Decision making in quasi-markets: a pedagogic analysis.

    Science.gov (United States)

    Jones, P R; Cullis, J G

    1996-04-01

    The objective of the 1991 NHS reforms was to reduce "excessive" vertical integration by constructing a quasi-market in which incentive structures and increased availability of information would enable decision makers make better use of resources. There is, however, no overall framework in which to consider the welfare gains which result from the introduction of a quasi-market or the welfare losses which arise from distortions in a quasi-market. This paper offers an analysis which can be applied to illustrate the difficulty of estimating the welfare loss from cream skimming and also to consider the impact of local monopoly.

  8. Assumptions and Policy Decisions for Vital Area Identification Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Myungsu; Bae, Yeon-Kyoung; Lee, Youngseung [KHNP CRI, Daejeon (Korea, Republic of)

    2016-10-15

    U.S. Nuclear Regulatory Commission and IAEA guidance indicate that certain assumptions and policy questions should be addressed to a Vital Area Identification (VAI) process. Korea Hydro and Nuclear Power conducted a VAI based on current Design Basis Threat and engineering judgement to identify APR1400 vital areas. Some of the assumptions were inherited from Probabilistic Safety Assessment (PSA) as a sabotage logic model was based on PSA logic tree and equipment location data. This paper illustrates some important assumptions and policy decisions for APR1400 VAI analysis. Assumptions and policy decisions could be overlooked at the beginning stage of VAI, however they should be carefully reviewed and discussed among engineers, plant operators, and regulators. Through APR1400 VAI process, some of the policy concerns and assumptions for analysis were applied based on document research and expert panel discussions. It was also found that there are more assumptions to define for further studies for other types of nuclear power plants. One of the assumptions is mission time, which was inherited from PSA.

  9. ANALYSIS AND COMPARISON OF EXISTING DECISION SUPPORT TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    V. A. Rybak

    2016-01-01

    Full Text Available The article presents the results of an analytical review and comparison of the most common managerial decision support technologies: the analytic hierarchy method, neural networks, fuzzy set theory, genetic algorithms and neural-fuzzy modeling. The advantages and disadvantages of these approaches are shown. Determine the scope of their application. It is shown that the hierarchy analysis method works well with the full initial information, but due to the need for expert comparison of alternatives and the selection of evaluation criteria has a high proportion of subjectivity. For problems in the conditions of risk and uncertainty prediction seems reasonable use of the theory of fuzzy sets and neural networks. It is also considered technology collective decision applied both in the general election, and the group of experts. It reduces the time for conciliation meetings to reach a consensus by the preliminary analysis of all views submitted for the plane in the form of points. At the same time the consistency of opinion is determined by the distance between them.

  10. A Primer on Bayesian Decision Analysis With an Application to a Kidney Transplant Decision.

    Science.gov (United States)

    Neapolitan, Richard; Jiang, Xia; Ladner, Daniela P; Kaplan, Bruce

    2016-03-01

    A clinical decision support system (CDSS) is a computer program, which is designed to assist health care professionals with decision making tasks. A well-developed CDSS weighs the benefits of therapy versus the cost in terms of loss of quality of life and financial loss and recommends the decision that can be expected to provide maximum overall benefit. This article provides an introduction to developing CDSSs using Bayesian networks, such CDSS can help with the often complex decisions involving transplants. First, we review Bayes theorem in the context of medical decision making. Then, we introduce Bayesian networks, which can model probabilistic relationships among many related variables and are based on Bayes theorem. Next, we discuss influence diagrams, which are Bayesian networks augmented with decision and value nodes and which can be used to develop CDSSs that are able to recommend decisions that maximize the expected utility of the predicted outcomes to the patient. By way of comparison, we examine the benefit and challenges of using the Kidney Donor Risk Index as the sole decision tool. Finally, we develop a schema for an influence diagram that models generalized kidney transplant decisions and show how the influence diagram approach can provide the clinician and the potential transplant recipient with a valuable decision support tool.

  11. Integrating technical analysis and public values in risk-based decision making

    International Nuclear Information System (INIS)

    Bohnenblust, Hans; Slovic, Paul

    1998-01-01

    Simple technical analysis cannot capture the complex scope of preferences or values of society and individuals. However, decision making needs to be sustained by formal analysis. The paper describes a policy framework which incorporates both technical analysis and aspects of public values. The framework can be used as a decision supporting tool and helps decision makers to make more informed and more transparent decisions about safety issues

  12. Preliminary hydrogeological evaluation of geological units from the Mesa de los Santos, Santander

    International Nuclear Information System (INIS)

    Diaz, Eliana Jimena; Contreras, Nathalia Maria; Pinto, Jorge Eduardo; Velandia, Francisco; Morales, Carlos Julio; Hincapie, Gloria

    2009-01-01

    This paper present a preliminary hydrogeological evaluation of La Mesa de Los Santos' lithostratigraphic formations, based on the geological mapping, stratigraphy and inventory of water points. All this is supplemented with the analysis of primary porosity by means of the petrographic study and the secondary porosity related statistically with the quantity of fractures of each formation, as well as opening, interconnection and dip. It is made an approach to hydrogeological potential of the geologic outcropping formations in La Mesa de Los Santos, Department of Santander, from the stratigraphic and petrographic analysis and the structural features of these formations. The Upper Member of Los Santos Formation presents the highest potential because of rock's fracturing, continued by the Lower Member with low primary porosity and half fracturing. Silgara Formation, Granito de Pescadero, Jordan Formation and some sections of the sandy levels of the Rosablanca Formation presents a lowest potential due to its low porosity and low grade of fracturing. Low permeability is presented in the Middle Member of the Los Santos Formation, Paja and Tablazo formations, as well as in sectors of the fore mentioned formations and in the Quaternary deposits.

  13. Ethical analysis to improve decision-making on health technologies.

    Science.gov (United States)

    Saarni, Samuli I; Hofmann, Bjørn; Lampe, Kristian; Lühmann, Dagmar; Mäkelä, Marjukka; Velasco-Garrido, Marcial; Autti-Rämö, Ilona

    2008-08-01

    Health technology assessment (HTA) is the multidisciplinary study of the implications of the development, diffusion and use of health technologies. It supports health-policy decisions by providing a joint knowledge base for decision-makers. To increase its policy relevance, HTA tries to extend beyond effectiveness and costs to also considering the social, organizational and ethical implications of technologies. However, a commonly accepted method for analysing the ethical aspects of health technologies is lacking. This paper describes a model for ethical analysis of health technology that is easy and flexible to use in different organizational settings and cultures. The model is part of the EUnetHTA project, which focuses on the transferability of HTAs between countries. The EUnetHTA ethics model is based on the insight that the whole HTA process is value laden. It is not sufficient to only analyse the ethical consequences of a technology, but also the ethical issues of the whole HTA process must be considered. Selection of assessment topics, methods and outcomes is essentially a value-laden decision. Health technologies may challenge moral or cultural values and beliefs, and their implementation may also have significant impact on people other than the patient. These are essential considerations for health policy. The ethics model is structured around key ethical questions rather than philosophical theories, to be applicable to different cultures and usable by non-philosophers. Integrating ethical considerations into HTA can improve the relevance of technology assessments for health care and health policy in both developed and developing countries.

  14. Portfolio Decision Analysis Framework for Value-Focused Ecosystem Management.

    Science.gov (United States)

    Convertino, Matteo; Valverde, L James

    2013-01-01

    Management of natural resources in coastal ecosystems is a complex process that is made more challenging by the need for stakeholders to confront the prospect of sea level rise and a host of other environmental stressors. This situation is especially true for coastal military installations, where resource managers need to balance conflicting objectives of environmental conservation against military mission. The development of restoration plans will necessitate incorporating stakeholder preferences, and will, moreover, require compliance with applicable federal/state laws and regulations. To promote the efficient allocation of scarce resources in space and time, we develop a portfolio decision analytic (PDA) framework that integrates models yielding policy-dependent predictions for changes in land cover and species metapopulations in response to restoration plans, under different climate change scenarios. In a manner that is somewhat analogous to financial portfolios, infrastructure and natural resources are classified as human and natural assets requiring management. The predictions serve as inputs to a Multi Criteria Decision Analysis model (MCDA) that is used to measure the benefits of restoration plans, as well as to construct Pareto frontiers that represent optimal portfolio allocations of restoration actions and resources. Optimal plans allow managers to maintain or increase asset values by contrasting the overall degradation of the habitat and possible increased risk of species decline against the benefits of mission success. The optimal combination of restoration actions that emerge from the PDA framework allows decision-makers to achieve higher environmental benefits, with equal or lower costs, than those achievable by adopting the myopic prescriptions of the MCDA model. The analytic framework presented here is generalizable for the selection of optimal management plans in any ecosystem where human use of the environment conflicts with the needs of

  15. BUSINESS INTELLIGENCE TOOLS FOR DATA ANALYSIS AND DECISION MAKING

    Directory of Open Access Journals (Sweden)

    DEJAN ZDRAVESKI

    2011-04-01

    Full Text Available Every business is dynamic in nature and is affected by various external and internal factors. These factors include external market conditions, competitors, internal restructuring and re-alignment, operational optimization and paradigm shifts in the business itself. New regulations and restrictions, in combination with the above factors, contribute to the constant evolutionary nature of compelling, business-critical information; the kind of information that an organization needs to sustain and thrive. Business intelligence (“BI” is broad term that encapsulates the process of gathering information pertaining to a business and the market it functions in. This information when collated and analyzed in the right manner, can provide vital insights into the business and can be a tool to improve efficiency, reduce costs, reduce time lags and bring many positive changes. A business intelligence application helps to achieve precisely that. Successful organizations maximize the use of their data assets through business intelligence technology. The first data warehousing and decision support tools introduced companies to the power and benefits of accessing and analyzing their corporate data. Business users at every level found new, more sophisticated ways to analyze and report on the information mined from their vast data warehouses.Choosing a Business Intelligence offering is an important decision for an enterprise, one that will have a significant impact throughout the enterprise. The choice of a BI offering will affect people up and down the chain of command (senior management, analysts, and line managers and across functional areas (sales, finance, and operations. It will affect business users, application developers, and IT professionals. BI applications include the activities of decision support systems (DSS, query and reporting, online analyticalprocessing (OLAP, statistical analysis, forecasting, and data mining. Another way of phrasing this is

  16. Multicriteria Decision Analysis of Freshwater Resource Management in Southwestern Bangladesh

    Science.gov (United States)

    Peters, C.; Baroud, H.; Hornberger, G. M.

    2016-12-01

    Freshwater resources in coastal Bangladesh fluctuate with extreme periods of shortage and abundance. Bangladeshis have adapted to these alternating periods but are still plagued with scarce drinking water resources due to pond water pathogens, salinity of groundwater, and arsenic contamination. The success of attempts to correct the problem of unsafe drinking water have varied across the southern Bangladesh as a result of physical and social factors. We use a multicriteria decision analysis (MCDA) to explore the various physical and social factors that influence decisions about freshwater technologies and management schemes in southern Bangladesh. To determine the best freshwater technologies and management schemes, we examine four alternatives, including managed aquifer recharge (MAR), pond sand filter (PSF), rain water harvesting (RWH), and tubewells (TW). Criteria are grouped into four categories (environmental, technical, social, and economic) and weighting of social factors will be determined by community surveys, non-governmental organizations (NGO) opinions, and academic interviews. Social data include regional water quality perceptions, perceptions of management/technology success, MAR community surveys, and interviews with NGO partners. Environmental and technical feasibility factors are determined from regional water quality data, geospatial information, land use/land change, and regional stratigraphy. Survey data suggest a wide range of criteria based on location and stakeholder perception. MAR and PSF technologies likely have the greatest environmental and technical potential for success but are highly influenced by community dynamics, individual perspective, and NGO involvement. RWH solutions are used frequently and are successful at reducing the water security threats of contamination by pathogens, arsenic, and salts. This MCDA informs us of community and stakeholder water resource decisions, specifically related to their objectives and preferences.

  17. Portfolio Decision Analysis Framework for Value-Focused Ecosystem Management.

    Directory of Open Access Journals (Sweden)

    Matteo Convertino

    Full Text Available Management of natural resources in coastal ecosystems is a complex process that is made more challenging by the need for stakeholders to confront the prospect of sea level rise and a host of other environmental stressors. This situation is especially true for coastal military installations, where resource managers need to balance conflicting objectives of environmental conservation against military mission. The development of restoration plans will necessitate incorporating stakeholder preferences, and will, moreover, require compliance with applicable federal/state laws and regulations. To promote the efficient allocation of scarce resources in space and time, we develop a portfolio decision analytic (PDA framework that integrates models yielding policy-dependent predictions for changes in land cover and species metapopulations in response to restoration plans, under different climate change scenarios. In a manner that is somewhat analogous to financial portfolios, infrastructure and natural resources are classified as human and natural assets requiring management. The predictions serve as inputs to a Multi Criteria Decision Analysis model (MCDA that is used to measure the benefits of restoration plans, as well as to construct Pareto frontiers that represent optimal portfolio allocations of restoration actions and resources. Optimal plans allow managers to maintain or increase asset values by contrasting the overall degradation of the habitat and possible increased risk of species decline against the benefits of mission success. The optimal combination of restoration actions that emerge from the PDA framework allows decision-makers to achieve higher environmental benefits, with equal or lower costs, than those achievable by adopting the myopic prescriptions of the MCDA model. The analytic framework presented here is generalizable for the selection of optimal management plans in any ecosystem where human use of the environment conflicts with the

  18. Portfolio Decision Analysis Framework for Value-Focused Ecosystem Management

    Science.gov (United States)

    Convertino, Matteo; Valverde, L. James

    2013-01-01

    Management of natural resources in coastal ecosystems is a complex process that is made more challenging by the need for stakeholders to confront the prospect of sea level rise and a host of other environmental stressors. This situation is especially true for coastal military installations, where resource managers need to balance conflicting objectives of environmental conservation against military mission. The development of restoration plans will necessitate incorporating stakeholder preferences, and will, moreover, require compliance with applicable federal/state laws and regulations. To promote the efficient allocation of scarce resources in space and time, we develop a portfolio decision analytic (PDA) framework that integrates models yielding policy-dependent predictions for changes in land cover and species metapopulations in response to restoration plans, under different climate change scenarios. In a manner that is somewhat analogous to financial portfolios, infrastructure and natural resources are classified as human and natural assets requiring management. The predictions serve as inputs to a Multi Criteria Decision Analysis model (MCDA) that is used to measure the benefits of restoration plans, as well as to construct Pareto frontiers that represent optimal portfolio allocations of restoration actions and resources. Optimal plans allow managers to maintain or increase asset values by contrasting the overall degradation of the habitat and possible increased risk of species decline against the benefits of mission success. The optimal combination of restoration actions that emerge from the PDA framework allows decision-makers to achieve higher environmental benefits, with equal or lower costs, than those achievable by adopting the myopic prescriptions of the MCDA model. The analytic framework presented here is generalizable for the selection of optimal management plans in any ecosystem where human use of the environment conflicts with the needs of

  19. The need for consumer behavior analysis in health care coverage decisions.

    Science.gov (United States)

    Thompson, A M; Rao, C P

    1990-01-01

    Demographic analysis has been the primary form of analysis connected with health care coverage decisions. This paper reviews past demographic research and shows the need to use behavioral analyses for health care coverage policy decisions. A behavioral model based research study is presented and a case is made for integrated study into why consumers make health care coverage decisions.

  20. Mesas de dinero: generalidades y experiencia en Colombia

    Directory of Open Access Journals (Sweden)

    Johnny Alvarez Jaramillo

    1989-04-01

    Full Text Available RESUMEN   Las necesidades de financiamiento de corto plazo, ha determinado el aguzamiento  de la imaginación para garantizar los recursos. Generalmente, las prácticas financieras en Colombia se extienden sin ningún control institucional; hasta que desafortunadamente, las prácticas desleales  o fraudulentas, llevan al estado a intervenir y reglamentar. Las llamadas MESAS DE DINERO, se han generalizado en nuestro medio en la medida en que proveen recursos financieros de corto plazo, difíciles de conseguir por los canales tradicionales. Los recientes escándalos del sector bursátil y anteriormente, la crisis bancaria, desaceleraron el crecimiento del mercado financiero extrainstitucional, pero no lo han acabado  del todo.El presente artículo, pretende informar brevemente sobre las experiencias de las llamadas  MESAS DE DINERO, su práctica y desarrollo.

  1. Applications of decision analysis and related techniques to industrial engineering problems at KSC

    Science.gov (United States)

    Evans, Gerald W.

    1995-01-01

    This report provides: (1) a discussion of the origination of decision analysis problems (well-structured problems) from ill-structured problems; (2) a review of the various methodologies and software packages for decision analysis and related problem areas; (3) a discussion of how the characteristics of a decision analysis problem affect the choice of modeling methodologies, thus providing a guide as to when to choose a particular methodology; and (4) examples of applications of decision analysis to particular problems encountered by the IE Group at KSC. With respect to the specific applications at KSC, particular emphasis is placed on the use of the Demos software package (Lumina Decision Systems, 1993).

  2. Personalized prophylactic anticoagulation decision analysis in patients with membranous nephropathy

    Science.gov (United States)

    Lee, Taewoo; Biddle, Andrea K.; Lionaki, Sofia; Derebail, Vimal K.; Barbour, Sean J.; Tannous, Sameer; Hladunewich, Michelle A.; Hu, Yichun; Poulton, Caroline J.; Mahoney, Shannon L.; Jennette, J. Charles; Hogan, Susan L.; Falk, Ronald J.; Cattran, Daniel C.; Reich, Heather N.; Nachman, Patrick H.

    2014-01-01

    Primary membranous nephropathy is associated with increased risk of venous thromboembolic events, which are inversely correlated with serum albumin levels. To evaluate the potential benefit of prophylactic anticoagulation (venous thromboembolic events prevented) relative to the risk (major bleeds), we constructed a Markov decision model. The venous thromboembolic event risk according to serum albumin was obtained from an inception cohort of 898 patients with primary membranous nephropathy. Risk estimates of hemorrhage were obtained from a systematic literature review. Benefit-to-risk ratios were predicted according to bleeding risk and serum albumin. This ratio increased with worsening hypoalbuminemia from 4.5:1 for an albumin under 3 g/dl to 13.1:1 for an albumin under 2 g/dl in patients at low bleeding risk. Patients at intermediate bleeding risk with an albumin under 2 g/dl have a moderately favorable benefit-to-risk ratio (under 5:1). Patients at high bleeding risk are unlikely to benefit from prophylactic anticoagulation regardless of albuminemia. Probabilistic sensitivity analysis, to account for uncertainty in risk estimates, confirmed these trends. From these data, we constructed a tool to estimate the likelihood of benefit based on an individual’s bleeding risk profile, serum albumin level, and acceptable benefit-to-risk ratio (http://www.gntools.com). This tool provides an approach to the decision of prophylactic anticoagulation personalized to the individual’s needs and adaptable to dynamic changes in health status and risk profile. PMID:24336031

  3. Combining morphological analysis and Bayesian networks for strategic decision support

    Directory of Open Access Journals (Sweden)

    A de Waal

    2007-12-01

    Full Text Available Morphological analysis (MA and Bayesian networks (BN are two closely related modelling methods, each of which has its advantages and disadvantages for strategic decision support modelling. MA is a method for defining, linking and evaluating problem spaces. BNs are graphical models which consist of a qualitative and quantitative part. The qualitative part is a cause-and-effect, or causal graph. The quantitative part depicts the strength of the causal relationships between variables. Combining MA and BN, as two phases in a modelling process, allows us to gain the benefits of both of these methods. The strength of MA lies in defining, linking and internally evaluating the parameters of problem spaces and BN modelling allows for the definition and quantification of causal relationships between variables. Short summaries of MA and BN are provided in this paper, followed by discussions how these two computer aided methods may be combined to better facilitate modelling procedures. A simple example is presented, concerning a recent application in the field of environmental decision support.

  4. Decision aids for patients facing a surgical treatment decision: a systematic review and meta-analysis

    NARCIS (Netherlands)

    Knops, Anouk M.; Legemate, Dink A.; Goossens, Astrid; Bossuyt, Patrick M. M.; Ubbink, Dirk T.

    2013-01-01

    To summarize the evidence available on the effects of decision aids in surgery. When consenting to treatment, few patients adequately understand their treatment options. To help patients make deliberate treatment choices, decision aids provide evidence-based information on the disease, treatment

  5. The Potential for Meta-Analysis to Support Decision Analysis in Ecology

    Science.gov (United States)

    Mengersen, Kerrie; MacNeil, M. Aaron; Caley, M. Julian

    2015-01-01

    Meta-analysis and decision analysis are underpinned by well-developed methods that are commonly applied to a variety of problems and disciplines. While these two fields have been closely linked in some disciplines such as medicine, comparatively little attention has been paid to the potential benefits of linking them in ecology, despite reasonable…

  6. Estimating Pesticide Exposure from Dietary Intake and Organic Food Choices: The Multi-Ethnic Study of Atherosclerosis (MESA)

    Science.gov (United States)

    Beresford, Shirley A.A.; Fenske, Richard A.; Fitzpatrick, Annette L.; Lu, Chensheng; Nettleton, Jennifer A.; Kaufman, Joel D.

    2015-01-01

    Background Organophosphate pesticide (OP) exposure to the U.S. population is dominated by dietary intake. The magnitude of exposure from diet depends partly on personal decisions such as which foods to eat and whether to choose organic food. Most studies of OP exposure rely on urinary biomarkers, which are limited by short half-lives and often lack specificity to parent compounds. A reliable means of estimating long-term dietary exposure to individual OPs is needed to assess the potential relationship with adverse health effects. Objectives We assessed long-term dietary exposure to 14 OPs among 4,466 participants in the Multi-Ethnic Study of Atherosclerosis, and examined the influence of organic produce consumption on this exposure. Methods Individual-level exposure was estimated by combining information on typical intake of specific food items with average OP residue levels on those items. In an analysis restricted to a subset of participants who reported rarely or never eating organic produce (“conventional consumers”), we assessed urinary dialkylphosphate (DAP) levels across tertiles of estimated exposure (n = 480). In a second analysis, we compared DAP levels across subgroups with differing self-reported organic produce consumption habits (n = 240). Results Among conventional consumers, increasing tertile of estimated dietary OP exposure was associated with higher DAP concentrations (p Fenske RA, Fitzpatrick AL, Lu C, Nettleton JA, Kaufman JD. 2015. Estimating pesticide exposure from dietary intake and organic food choices: the Multi-Ethnic Study of Atherosclerosis (MESA). Environ Health Perspect 123:475–483; http://dx.doi.org/10.1289/ehp.1408197 PMID:25650532

  7. Robustness of Multiple Objective Decision Analysis Preference Functions

    National Research Council Canada - National Science Library

    Klimack, William

    2002-01-01

    .... The impact of these differences was examined to improve implementation efficiency. The robustness of the decision model was examined with respect to the preference functions to reduce the time burden imposed on the decision maker...

  8. An approach to a constructive simplification of multiagent multicriteria decision making problems via intercriteria analysis

    International Nuclear Information System (INIS)

    Atanassov, Krassimir; Szmidt, Eulalia; Kacprzyk, Janusz; Atanassova, Vassia

    2017-01-01

    A new multiagent multicriteria decision making procedure is proposed that considerably extends the existing methods by making it possible to intelligently reduce the set of criteria to be accounted for. The method employs elements of the novel Intercriteria Analysis method. The use of new tools, notably the intuitionistic fuzzy pairs and intuitionistic fuzzy index matrices provides additional information about the problem, addressed in the decision making procedure. Key words: decision making, multiagent systems, multicriteria decision making, intercriteria analysis, intuitionistic fuzzy estimation

  9. Ethical analysis to improve decision-making on health technologies

    DEFF Research Database (Denmark)

    Saarni, Samuli I; Hofmann, Bjørn; Lampe, Kristian

    2008-01-01

    beyond effectiveness and costs to also considering the social, organizational and ethical implications of technologies. However, a commonly accepted method for analysing the ethical aspects of health technologies is lacking. This paper describes a model for ethical analysis of health technology...... that is easy and flexible to use in different organizational settings and cultures. The model is part of the EUnetHTA project, which focuses on the transferability of HTAs between countries. The EUnetHTA ethics model is based on the insight that the whole HTA process is value laden. It is not sufficient...... to only analyse the ethical consequences of a technology, but also the ethical issues of the whole HTA process must be considered. Selection of assessment topics, methods and outcomes is essentially a value-laden decision. Health technologies may challenge moral or cultural values and beliefs...

  10. Hierarchical Modelling of Flood Risk for Engineering Decision Analysis

    DEFF Research Database (Denmark)

    Custer, Rocco

    protection structures in the hierarchical flood protection system - is identified. To optimise the design of protection structures, fragility and vulnerability models must allow for consideration of decision alternatives. While such vulnerability models are available for large protection structures (e...... systems, as well as the implementation of the flood risk analysis methodology and the vulnerability modelling approach are illustrated with an example application. In summary, the present thesis provides a characterisation of hierarchical flood protection systems as well as several methodologies to model...... and robust. Traditional risk management solutions, e.g. dike construction, are not particularly flexible, as they are difficult to adapt to changing risk. Conversely, the recent concept of integrated flood risk management, entailing a combination of several structural and non-structural risk management...

  11. Generalized concavity in fuzzy optimization and decision analysis

    CERN Document Server

    Ramík, Jaroslav

    2002-01-01

    Convexity of sets in linear spaces, and concavity and convexity of functions, lie at the root of beautiful theoretical results that are at the same time extremely useful in the analysis and solution of optimization problems, including problems of either single objective or multiple objectives. Not all of these results rely necessarily on convexity and concavity; some of the results can guarantee that each local optimum is also a global optimum, giving these methods broader application to a wider class of problems. Hence, the focus of the first part of the book is concerned with several types of generalized convex sets and generalized concave functions. In addition to their applicability to nonconvex optimization, these convex sets and generalized concave functions are used in the book's second part, where decision-making and optimization problems under uncertainty are investigated. Uncertainty in the problem data often cannot be avoided when dealing with practical problems. Errors occur in real-world data for...

  12. Women's self-efficacy perceptions in mathematics and science: Investigating USC-MESA students

    Science.gov (United States)

    Hong, Rebecca Cheng-Shun

    This study is an investigation into female high school seniors in the USC-MESA program and how the role of self-efficacy perceptions in mathematics and science relates to their college major choice. Bandura's theory on self-efficacy provides the backdrop for this study. This study is qualitative and takes an ethnographic approach incorporating 23 interviews, 2 focus groups, 49.5 hours of observation, and document analysis. Results show that female high school seniors participating in the USC-MESA program demonstrate a strong self-efficacy perception in mathematics and science through their academic choices and pursuits in high school and beyond. This finding confirms a linear approach in understanding how courses taken in high school contribute to the trajectory of college academic choices. It also challenges the theory of self-efficacy in math and science to examine historically underrepresented populations in the field and the external factors that play a key role in their persistence to pursue STEM fields in college and beyond.

  13. A diffusion decision model analysis of evidence variability in the lexical decision task.

    Science.gov (United States)

    Tillman, Gabriel; Osth, Adam F; van Ravenzwaaij, Don; Heathcote, Andrew

    2017-12-01

    The lexical-decision task is among the most commonly used paradigms in psycholinguistics. In both the signal-detection theory and Diffusion Decision Model (DDM; Ratcliff, Gomez, & McKoon, Psychological Review, 111, 159-182, 2004) frameworks, lexical-decisions are based on a continuous source of word-likeness evidence for both words and non-words. The Retrieving Effectively from Memory model of Lexical-Decision (REM-LD; Wagenmakers et al., Cognitive Psychology, 48(3), 332-367, 2004) provides a comprehensive explanation of lexical-decision data and makes the prediction that word-likeness evidence is more variable for words than non-words and that higher frequency words are more variable than lower frequency words. To test these predictions, we analyzed five lexical-decision data sets with the DDM. For all data sets, drift-rate variability changed across word frequency and non-word conditions. For the most part, REM-LD's predictions about the ordering of evidence variability across stimuli in the lexical-decision task were confirmed.

  14. Análise exploratória de adoçantes de mesa via espectroscopia no infravermelho (FTIR e análise por componentes principais (ACP Exploratory analysis of commercial sweeteners by infrared spectroscopy (FTIR and principal component analysis (PCA

    Directory of Open Access Journals (Sweden)

    Adriana Tozetto

    2007-12-01

    Full Text Available Nos últimos vinte anos, o consumo de alimentos diet e light tem aumentado sistematicamente, o que tem propiciado o constante desenvolvimento de produtos desse gênero. Grande ênfase tem sido dada àqueles produtos que substituem sacarose por edulcorantes de baixos conteúdos calóricos ou não calóricos. Seguindo esta tendência, adoçantes de mesa têm sido desenvolvidos variando-se amplamente o veículo e o tipo de edulcorante empregado. Neste trabalho, a análise de componentes principais associada à espectroscopia na região do infravermelho médio foi utilizada com sucesso para diferenciar os veículos empregados na produção destes adoçantes, sendo que esta metodologia quimiométrica reduziu o espaço dimensional para dois fatores, explicando cerca de 82-% da variância total dos dados. As variáveis responsáveis por esta discriminação estão localizadas na região da impressão digital do espectro de infravermelho (752,2 a 1284,5 cm-1. A análise exploratória mostrou-se útil para a visualização destes dados, gerando informações semiquantitativas para os adoçantes constituídos por lactose/aspartame, observações que seriam dificilmente visualizadas sem o recurso quimiométrico aplicado.In the last twenty years, the consumption of diet and light foods has grown steadily, leading to the constant development of such products. Much emphasis has been placed on products that replace sucrose with sweeteners of low or zero calorie content. The development of new commercial sweeteners illustrates this tendency. In this work, principal component analysis and infrared spectroscopy were used to successfully differentiate the vehicles (mediums employed in the production of sweeteners. This chemometric methodology reduced the dimensional space to two factors, accounting for 82% of the total variance of the data. The variables responsible for this discrimination were localized in the fingerprint region of the infrared spectrum (752.2 to

  15. Modules for Experiments in Stellar Astrophysics (MESA): Giant Planets, Oscillations, Rotation, and Massive Stars

    OpenAIRE

    Paxton, Bill; Cantiello, Matteo; Arras, Phil; Bildsten, Lars; Brown, Edward F.; Dotter, Aaron; Mankovich, Christopher; Montgomery, M. H.; Stello, Dennis; Timmes, F. X.; Townsend, Richard

    2013-01-01

    We substantially update the capabilities of the open source software package Modules for Experiments in Stellar Astrophysics (MESA), and its one-dimensional stellar evolution module, MESA Star. Improvements in MESA Star's ability to model the evolution of giant planets now extends its applicability down to masses as low as one-tenth that of Jupiter. The dramatic improvement in asteroseismology enabled by the space-based Kepler and CoRoT missions motivates our full coupling of the ADIPLS adiab...

  16. Decision Analysis on Survey and SOil Investigation Problem in Power Engineering Consultant

    OpenAIRE

    Setyaman, Amy Maulany; Sunitiyoso, Yos

    2013-01-01

    The study aims to gather and organize information for decision making against the problems arising in Power Engineering Consultant's survey and soil investigation product due to new policy in production cost efficiency that is implemented in 2012. The study conducted using Kepner and Tragoe's analytical process that consisted of four stages analytical process such as situation analysis, problem analysis, decision making analysis and potential problem analysis. As for the decision making analy...

  17. A fault tree analysis strategy using binary decision diagrams

    International Nuclear Information System (INIS)

    Reay, Karen A.; Andrews, John D.

    2002-01-01

    The use of binary decision diagrams (BDDs) in fault tree analysis provides both an accurate and efficient means of analysing a system. There is a problem, however, with the conversion process of the fault tree to the BDD. The variable ordering scheme chosen for the construction of the BDD has a crucial effect on its resulting size and previous research has failed to identify any scheme that is capable of producing BDDs for all fault trees. This paper proposes an analysis strategy aimed at increasing the likelihood of obtaining a BDD for any given fault tree, by ensuring the associated calculations are as efficient as possible. The method implements simplification techniques, which are applied to the fault tree to obtain a set of 'minimal' subtrees, equivalent to the original fault tree structure. BDDs are constructed for each, using ordering schemes most suited to their particular characteristics. Quantitative analysis is performed simultaneously on the set of BDDs to obtain the top event probability, the system unconditional failure intensity and the criticality of the basic events

  18. TENDENCY OF IMPROVEMENT ANALYSIS OF VENTURE ACTIVITY FOR MANAGEMENT DECISIONS

    Directory of Open Access Journals (Sweden)

    G.Yu. Iakovetс

    2015-03-01

    Full Text Available The questions concerning the definition of current trends and prospects of venture financing new innovative enterprises as one of the most effective and alternative, but with a high degree of risk financing sources of the entity. The features of venture financing that is different from other sources of business financing, as well as income from investments of venture capital can greatly exceed the volume of investments, but at the same time such financing risks are significant, so it all makes it necessary to build an effective system of venture capital investments in the workplace. In the course of the study also revealed problems of analysis and minimization of risks in the performance of venture financing of innovative enterprises. Defining characteristics analysis and risk assessment of venture financing helps to find ways to minimize and systematization, avoidance and prevention of risks in the performance of venture capital. The study also identified the major areas of improvement analysis of venture capital for management decisions.

  19. Clinical decision regret among critical care nurses: a qualitative analysis.

    Science.gov (United States)

    Arslanian-Engoren, Cynthia; Scott, Linda D

    2014-01-01

    Decision regret is a negative cognitive emotion associated with experiences of guilt and situations of interpersonal harm. These negative affective responses may contribute to emotional exhaustion in critical care nurses (CCNs), increased staff turnover rates and high medication error rates. Yet, little is known about clinical decision regret among CCNs or the conditions or situations (e.g., feeling sleepy) that may precipitate its occurrence. To examine decision regret among CCNs, with an emphasis on clinical decisions made when nurses were most sleepy. A content analytic approach was used to examine the narrative descriptions of clinical decisions by CCNs when sleepy. Six decision regret themes emerged that represented deviations in practice or performance behaviors that were attributed to fatigued CCNs. While 157 CCNs disclosed a clinical decision they made at work while sleepy, the prevalence may be underestimated and warrants further investigation. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Vascular access choice in incident hemodialysis patients: a decision analysis.

    Science.gov (United States)

    Drew, David A; Lok, Charmaine E; Cohen, Joshua T; Wagner, Martin; Tangri, Navdeep; Weiner, Daniel E

    2015-01-01

    Hemodialysis vascular access recommendations promote arteriovenous (AV) fistulas first; however, it may not be the best approach for all hemodialysis patients, because likelihood of successful fistula placement, procedure-related and subsequent costs, and patient survival modify the optimal access choice. We performed a decision analysis evaluating AV fistula, AV graft, and central venous catheter (CVC) strategies for patients initiating hemodialysis with a CVC, a scenario occurring in over 70% of United States dialysis patients. A decision tree model was constructed to reflect progression from hemodialysis initiation. Patients were classified into one of three vascular access choices: maintain CVC, attempt fistula, or attempt graft. We explicitly modeled probabilities of primary and secondary patency for each access type, with success modified by age, sex, and diabetes. Access-specific mortality was incorporated using preexisting cohort data, including terms for age, sex, and diabetes. Costs were ascertained from the 2010 USRDS report and Medicare for procedure costs. An AV fistula attempt strategy was found to be superior to AV grafts and CVCs in regard to mortality and cost for the majority of patient characteristic combinations, especially younger men without diabetes. Women with diabetes and elderly men with diabetes had similar outcomes, regardless of access type. Overall, the advantages of an AV fistula attempt strategy lessened considerably among older patients, particularly women with diabetes, reflecting the effect of lower AV fistula success rates and lower life expectancy. These results suggest that vascular access-related outcomes may be optimized by considering individual patient characteristics. Copyright © 2015 by the American Society of Nephrology.

  1. SIDEKICK: Genomic data driven analysis and decision-making framework

    Directory of Open Access Journals (Sweden)

    Yoon Kihoon

    2010-12-01

    Full Text Available Abstract Background Scientists striving to unlock mysteries within complex biological systems face myriad barriers in effectively integrating available information to enhance their understanding. While experimental techniques and available data sources are rapidly evolving, useful information is dispersed across a variety of sources, and sources of the same information often do not use the same format or nomenclature. To harness these expanding resources, scientists need tools that bridge nomenclature differences and allow them to integrate, organize, and evaluate the quality of information without extensive computation. Results Sidekick, a genomic data driven analysis and decision making framework, is a web-based tool that provides a user-friendly intuitive solution to the problem of information inaccessibility. Sidekick enables scientists without training in computation and data management to pursue answers to research questions like "What are the mechanisms for disease X" or "Does the set of genes associated with disease X also influence other diseases." Sidekick enables the process of combining heterogeneous data, finding and maintaining the most up-to-date data, evaluating data sources, quantifying confidence in results based on evidence, and managing the multi-step research tasks needed to answer these questions. We demonstrate Sidekick's effectiveness by showing how to accomplish a complex published analysis in a fraction of the original time with no computational effort using Sidekick. Conclusions Sidekick is an easy-to-use web-based tool that organizes and facilitates complex genomic research, allowing scientists to explore genomic relationships and formulate hypotheses without computational effort. Possible analysis steps include gene list discovery, gene-pair list discovery, various enrichments for both types of lists, and convenient list manipulation. Further, Sidekick's ability to characterize pairs of genes offers new ways to

  2. Model for nuclear proliferation resistance analysis using decision making tools

    International Nuclear Information System (INIS)

    Ko, Won Il; Kim, Ho Dong; Yang, Myung Seung

    2003-06-01

    The nuclear proliferation risks of nuclear fuel cycles is being considered as one of the most important factors in assessing advanced and innovative nuclear systems in GEN IV and INPRO program. They have been trying to find out an appropriate and reasonable method to evaluate quantitatively several nuclear energy system alternatives. Any reasonable methodology for integrated analysis of the proliferation resistance, however, has not yet been come out at this time. In this study, several decision making methods, which have been used in the situation of multiple objectives, are described in order to see if those can be appropriately used for proliferation resistance evaluation. Especially, the AHP model for quantitatively evaluating proliferation resistance is dealt with in more detail. The theoretical principle of the method and some examples for the proliferation resistance problem are described. For more efficient applications, a simple computer program for the AHP model is developed, and the usage of the program is introduced here in detail. We hope that the program developed in this study could be useful for quantitative analysis of the proliferation resistance involving multiple conflict criteria

  3. Model for nuclear proliferation resistance analysis using decision making tools

    Energy Technology Data Exchange (ETDEWEB)

    Ko, Won Il; Kim, Ho Dong; Yang, Myung Seung

    2003-06-01

    The nuclear proliferation risks of nuclear fuel cycles is being considered as one of the most important factors in assessing advanced and innovative nuclear systems in GEN IV and INPRO program. They have been trying to find out an appropriate and reasonable method to evaluate quantitatively several nuclear energy system alternatives. Any reasonable methodology for integrated analysis of the proliferation resistance, however, has not yet been come out at this time. In this study, several decision making methods, which have been used in the situation of multiple objectives, are described in order to see if those can be appropriately used for proliferation resistance evaluation. Especially, the AHP model for quantitatively evaluating proliferation resistance is dealt with in more detail. The theoretical principle of the method and some examples for the proliferation resistance problem are described. For more efficient applications, a simple computer program for the AHP model is developed, and the usage of the program is introduced here in detail. We hope that the program developed in this study could be useful for quantitative analysis of the proliferation resistance involving multiple conflict criteria.

  4. Hesitant fuzzy methods for multiple criteria decision analysis

    CERN Document Server

    Zhang, Xiaolu

    2017-01-01

    The book offers a comprehensive introduction to methods for solving multiple criteria decision making and group decision making problems with hesitant fuzzy information. It reports on the authors’ latest research, as well as on others’ research, providing readers with a complete set of decision making tools, such as hesitant fuzzy TOPSIS, hesitant fuzzy TODIM, hesitant fuzzy LINMAP, hesitant fuzzy QUALIFEX, and the deviation modeling approach with heterogeneous fuzzy information. The main focus is on decision making problems in which the criteria values and/or the weights of criteria are not expressed in crisp numbers but are more suitable to be denoted as hesitant fuzzy elements. The largest part of the book is devoted to new methods recently developed by the authors to solve decision making problems in situations where the available information is vague or hesitant. These methods are presented in detail, together with their application to different type of decision-making problems. All in all, the book ...

  5. Analysis of the decision-making process of nurse managers: a collective reflection.

    Science.gov (United States)

    Eduardo, Elizabete Araujo; Peres, Aida Maris; de Almeida, Maria de Lourdes; Roglio, Karina de Dea; Bernardino, Elizabeth

    2015-01-01

    to analyze the decision-making model adopted by nurses from the perspective of some decision-making process theories. qualitative approach, based on action research. Semi-structured questionnaires and seminars were conducted from April to June 2012 in order to understand the nature of decisions and the decision-making process of nine nurses in position of managers at a public hospital in Southern Brazil. Data were subjected to content analysis. data were classified in two categories: the current situation of decision-making, which showed a lack of systematization; the construction and collective decision-making, which emphasizes the need to develop a decision-making model. the decision-making model used by nurses is limited because it does not consider two important factors: the limits of human rationality, and the external and internal organizational environments that influence and determine right decisions.

  6. Optimal soil venting design using Bayesian Decision analysis

    OpenAIRE

    Kaluarachchi, J. J.; Wijedasa, A. H.

    1994-01-01

    Remediation of hydrocarbon-contaminated sites can be costly and the design process becomes complex in the presence of parameter uncertainty. Classical decision theory related to remediation design requires the parameter uncertainties to be stipulated in terms of statistical estimates based on site observations. In the absence of detailed data on parameter uncertainty, classical decision theory provides little contribution in designing a risk-based optimal design strategy. Bayesian decision th...

  7. Decision Making Analysis: Critical Factors-Based Methodology

    Science.gov (United States)

    2010-04-01

    the pitfalls associated with current wargaming methods such as assuming a western view of rational values in decision - making regardless of the cultures...Utilization theory slightly expands the rational decision making model as it states that “actors try to maximize their expected utility by weighing the...items to categorize the decision - making behavior of political leaders which tend to demonstrate either a rational or cognitive leaning. Leaders

  8. Fault trees for decision making in systems analysis

    International Nuclear Information System (INIS)

    Lambert, H.E.

    1975-01-01

    The application of fault tree analysis (FTA) to system safety and reliability is presented within the framework of system safety analysis. The concepts and techniques involved in manual and automated fault tree construction are described and their differences noted. The theory of mathematical reliability pertinent to FTA is presented with emphasis on engineering applications. An outline of the quantitative reliability techniques of the Reactor Safety Study is given. Concepts of probabilistic importance are presented within the fault tree framework and applied to the areas of system design, diagnosis and simulation. The computer code IMPORTANCE ranks basic events and cut sets according to a sensitivity analysis. A useful feature of the IMPORTANCE code is that it can accept relative failure data as input. The output of the IMPORTANCE code can assist an analyst in finding weaknesses in system design and operation, suggest the most optimal course of system upgrade, and determine the optimal location of sensors within a system. A general simulation model of system failure in terms of fault tree logic is described. The model is intended for efficient diagnosis of the causes of system failure in the event of a system breakdown. It can also be used to assist an operator in making decisions under a time constraint regarding the future course of operations. The model is well suited for computer implementation. New results incorporated in the simulation model include an algorithm to generate repair checklists on the basis of fault tree logic and a one-step-ahead optimization procedure that minimizes the expected time to diagnose system failure. (80 figures, 20 tables)

  9. The value of decision tree analysis in planning anaesthetic care in obstetrics.

    Science.gov (United States)

    Bamber, J H; Evans, S A

    2016-08-01

    The use of decision tree analysis is discussed in the context of the anaesthetic and obstetric management of a young pregnant woman with joint hypermobility syndrome with a history of insensitivity to local anaesthesia and a previous difficult intubation due to a tongue tumour. The multidisciplinary clinical decision process resulted in the woman being delivered without complication by elective caesarean section under general anaesthesia after an awake fibreoptic intubation. The decision process used is reviewed and compared retrospectively to a decision tree analytical approach. The benefits and limitations of using decision tree analysis are reviewed and its application in obstetric anaesthesia is discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Application of Decision Analysis to Evaluate Alternative Research and Development Investments

    National Research Council Canada - National Science Library

    Artelli, Michael

    1998-01-01

    .... In contrast to the current ad hoc approach, decision analysis provides an explicit and easily explained rationale for investment choices, complete and consistent incorporation of multiple objectives...

  11. Can streamlined multi-criteria decision analysis be used to implement shared decision making for colorectal cancer screening?

    Science.gov (United States)

    Dolan, James G.; Boohaker, Emily; Allison, Jeroan; Imperiale, Thomas F.

    2013-01-01

    Background Current US colorectal cancer screening guidelines that call for shared decision making regarding the choice among several recommended screening options are difficult to implement. Multi-criteria decision analysis (MCDA) is an established methodology well suited for supporting shared decision making. Our study goal was to determine if a streamlined form of MCDA using rank order based judgments can accurately assess patients’ colorectal cancer screening priorities. Methods We converted priorities for four decision criteria and three sub-criteria regarding colorectal cancer screening obtained from 484 average risk patients using the Analytic Hierarchy Process (AHP) in a prior study into rank order-based priorities using rank order centroids. We compared the two sets of priorities using Spearman rank correlation and non-parametric Bland-Altman limits of agreement analysis. We assessed the differential impact of using the rank order-based versus the AHP-based priorities on the results of a full MCDA comparing three currently recommended colorectal cancer screening strategies. Generalizability of the results was assessed using Monte Carlo simulation. Results Correlations between the two sets of priorities for the seven criteria ranged from 0.55 to 0.92. The proportions of absolute differences between rank order-based and AHP-based priorities that were more than ± 0.15 ranged from 1% to 16%. Differences in the full MCDA results were minimal and the relative rankings of the three screening options were identical more than 88% of the time. The Monte Carlo simulation results were similar. Conclusion Rank order-based MCDA could be a simple, practical way to guide individual decisions and assess population decision priorities regarding colorectal cancer screening strategies. Additional research is warranted to further explore the use of these methods for promoting shared decision making. PMID:24300851

  12. Decentralisation of Health Services in Fiji: A Decision Space Analysis.

    Science.gov (United States)

    Mohammed, Jalal; North, Nicola; Ashton, Toni

    2015-11-15

    Decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. Fiji has attempted two approaches to decentralisation. The current approach reflects a model of deconcentration of outpatient services from the tertiary level hospital to the peripheral health centres in the Suva subdivision. Using a modified decision space approach developed by Bossert, this study measures decision space created in five broad categories (finance, service organisation, human resources, access rules, and governance rules) within the decentralised services. Fiji's centrally managed historical-based allocation of financial resources and management of human resources resulted in no decision space for decentralised agents. Narrow decision space was created in the service organisation category where, with limited decision space created over access rules, Fiji has seen greater usage of its decentralised health centres. There remains limited decision space in governance. The current wave of decentralisation reveals that, whilst the workload has shifted from the tertiary hospital to the peripheral health centres, it has been accompanied by limited transfer of administrative authority, suggesting that Fiji's deconcentration reflects the transfer of workload only with decision-making in the five functional areas remaining largely centralised. As such, the benefits of decentralisation for users and providers are likely to be limited. © 2016 by Kerman University of Medical Sciences.

  13. Vacation portfolio decisions: analysis using a Bayesian belief network

    NARCIS (Netherlands)

    Grigolon, A.B.; Kemperman, A.D.A.M.; Timmermans, H.J.P.

    2011-01-01

    The aim of this study is to analyse the extent to which vacation portfolio decisions are influenced by socio-demographic characteristics. A vacation portfolio involves interdependent decisions related to the facets that make the vacation trip, including transport mode, accommodation, destination,

  14. Water supply system decision making using multicriteria analysis

    African Journals Online (AJOL)

    2005-07-04

    Jul 4, 2005 ... Political factor: Tourism in the city (Cr4). Each of these was measured according to the points of view of the decision makers. Some of these were difficult to measure, and this is one of the reasons for using multicriteria decision aid. The use of this methodology may be helpful in preserving all the information ...

  15. An Analysis of Design Decision-Making in Industrial Practice

    DEFF Research Database (Denmark)

    Ahmed, Saeema; Hansen, Claus Thorp

    2002-01-01

    This paper describes research that confronts a generic decision-making model with design strategies employed by experienced designers. The relationship between the decision-making activities proposed by the model and the eight design strategies identified by an empirical study of design work is e...

  16. Child Protection Decision Making: A Factorial Analysis Using Case Vignettes

    Science.gov (United States)

    Stokes, Jacqueline; Schmidt, Glen

    2012-01-01

    This study explored decision making by child protection social workers in the province of British Columbia, Canada. A factorial survey method was used in which case vignettes were constructed by randomly assigning a number of key characteristics associated with decision making in child protection. Child protection social workers (n = 118) assessed…

  17. Structure and analysis of IS decision-making processes

    NARCIS (Netherlands)

    Boonstra, A.

    Decisions to invest in information systems (IS) are made by many organisations on a very regular basis. Such decisions can vary from quickly identifying the problem, screening options and choosing a solution in a very straightforward way, to very extensive and repeated search, screen, design and

  18. Analysis and decision making method for radiation accident situation

    International Nuclear Information System (INIS)

    Jammet, H.; Hamard, J.

    1975-01-01

    Decisions on the application of countermeasures for accident situations must take into account the cost of these countermeasures and the feasibility of reducing the exposure. A contribution to the solution of this problem, rested on the application of the principle of choice rationalization and optimization of decision making method, is presented [fr

  19. Multiple criteria decision analysis for health technology assessment.

    Science.gov (United States)

    Thokala, Praveen; Duenas, Alejandra

    2012-12-01

    Multicriteria decision analysis (MCDA) has been suggested by some researchers as a method to capture the benefits beyond quality adjusted life-years in a transparent and consistent manner. The objectives of this article were to analyze the possible application of MCDA approaches in health technology assessment and to describe their relative advantages and disadvantages. This article begins with an introduction to the most common types of MCDA models and a critical review of state-of-the-art methods for incorporating multiple criteria in health technology assessment. An overview of MCDA is provided and is compared against the current UK National Institute for Health and Clinical Excellence health technology appraisal process. A generic MCDA modeling approach is described, and the different MCDA modeling approaches are applied to a hypothetical case study. A comparison of the different MCDA approaches is provided, and the generic issues that need consideration before the application of MCDA in health technology assessment are examined. There are general practical issues that might arise from using an MCDA approach, and it is suggested that appropriate care be taken to ensure the success of MCDA techniques in the appraisal process. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  20. Selection of Representative Models for Decision Analysis Under Uncertainty

    Science.gov (United States)

    Meira, Luis A. A.; Coelho, Guilherme P.; Santos, Antonio Alberto S.; Schiozer, Denis J.

    2016-03-01

    The decision-making process in oil fields includes a step of risk analysis associated with the uncertainties present in the variables of the problem. Such uncertainties lead to hundreds, even thousands, of possible scenarios that are supposed to be analyzed so an effective production strategy can be selected. Given this high number of scenarios, a technique to reduce this set to a smaller, feasible subset of representative scenarios is imperative. The selected scenarios must be representative of the original set and also free of optimistic and pessimistic bias. This paper is devoted to propose an assisted methodology to identify representative models in oil fields. To do so, first a mathematical function was developed to model the representativeness of a subset of models with respect to the full set that characterizes the problem. Then, an optimization tool was implemented to identify the representative models of any problem, considering not only the cross-plots of the main output variables, but also the risk curves and the probability distribution of the attribute-levels of the problem. The proposed technique was applied to two benchmark cases and the results, evaluated by experts in the field, indicate that the obtained solutions are richer than those identified by previously adopted manual approaches. The program bytecode is available under request.

  1. Identifying a preservation zone using multicriteria decision analysis

    Energy Technology Data Exchange (ETDEWEB)

    Farashi, A.; Naderi, M.; Parvian, N.

    2016-07-01

    Zoning of a protected area is an approach to partition landscape into various land use units. The management of these landscape units can reduce conflicts caused by human activities. Tandoreh National Park is one of the most biologically diverse, protected areas in Iran. Although the area is generally designed to protect biodiversity, there are many conflicts between biodiversity conservation and human activities. For instance, the area is highly controversial and has been considered as an impediment to local economic development, such as tourism, grazing, road construction, and cultivation. In order to reduce human conflicts with biodiversity conservation in Tandoreh National Park, safe zones need to be established and human activities need to be moved out of the zones. In this study we used a systematic methodology to integrate a participatory process with Geographic Information Systems (GIS) using a multi–criteria decision analysis (MCDA) technique to guide a zoning scheme for the Tandoreh National Park, Iran. Our results show that the northern and eastern parts of the Tandoreh National Park that were close to rural areas and farmlands returned less desirability for selection as a preservation area. Rocky Mountains were the most important and most destructed areas and abandoned plains were the least important criteria for preservation in the area. Furthermore, the results reveal that the land properties were considered to be important for protection based on the obtaine. (Author)

  2. Corporate investment decisions and economic analysis. Exercises and case studies

    International Nuclear Information System (INIS)

    Babusiaux, D.; Pierru, A.

    2005-01-01

    Economic analysis of industrial projects is based on methods which are often simple, sometimes complex, yet always to be applied with rigor. The aim of this book is to help readers assimilate the concepts and methods for investment decision and project evaluation. It offers a wide range of exercises, problems and case studies taken from business, which are the fruit of many years of teaching, consulting and research. Some are direct application of basics, others require a higher degree of reflection for more complex applications. Our approach borrows elements from micro economics, engineering economics and finance theory. While many examples relate to the energy sector, particularly oil and gas, the problems addressed are of broader scope and so are fully applicable to other industry sectors. This book is ideally suited to both professionals and students who seek to master capital budgeting techniques. A review of essential points is proposed at the beginning of each chapter and key methodological elements are recalled in the solutions. (authors)

  3. Microseismic Monitoring Design Optimization Based on Multiple Criteria Decision Analysis

    Science.gov (United States)

    Kovaleva, Y.; Tamimi, N.; Ostadhassan, M.

    2017-12-01

    Borehole microseismic monitoring of hydraulic fracture treatments of unconventional reservoirs is a widely used method in the oil and gas industry. Sometimes, the quality of the acquired microseismic data is poor. One of the reasons for poor data quality is poor survey design. We attempt to provide a comprehensive and thorough workflow, using multiple criteria decision analysis (MCDA), to optimize planning micriseismic monitoring. So far, microseismic monitoring has been used extensively as a powerful tool for determining fracture parameters that affect the influx of formation fluids into the wellbore. The factors that affect the quality of microseismic data and their final results include average distance between microseismic events and receivers, complexity of the recorded wavefield, signal-to-noise ratio, data aperture, etc. These criteria often conflict with each other. In a typical microseismic monitoring, those factors should be considered to choose the best monitoring well(s), optimum number of required geophones, and their depth. We use MDCA to address these design challenges and develop a method that offers an optimized design out of all possible combinations to produce the best data acquisition results. We believe that this will be the first research to include the above-mentioned factors in a 3D model. Such a tool would assist companies and practicing engineers in choosing the best design parameters for future microseismic projects.

  4. Ignorance- versus evidence-based decision making: a decision time analysis of the recognition heuristic.

    Science.gov (United States)

    Hilbig, Benjamin E; Pohl, Rüdiger F

    2009-09-01

    According to part of the adaptive toolbox notion of decision making known as the recognition heuristic (RH), the decision process in comparative judgments-and its duration-is determined by whether recognition discriminates between objects. By contrast, some recently proposed alternative models predict that choices largely depend on the amount of evidence speaking for each of the objects and that decision times thus depend on the evidential difference between objects, or the degree of conflict between options. This article presents 3 experiments that tested predictions derived from the RH against those from alternative models. All experiments used naturally recognized objects without teaching participants any information and thus provided optimal conditions for application of the RH. However, results supported the alternative, evidence-based models and often conflicted with the RH. Recognition was not the key determinant of decision times, whereas differences between objects with respect to (both positive and negative) evidence predicted effects well. In sum, alternative models that allow for the integration of different pieces of information may well provide a better account of comparative judgments. (c) 2009 APA, all rights reserved.

  5. Multi-Criteria Decision Making for a Spatial Decision Support System on the Analysis of Changing Risk

    Science.gov (United States)

    Olyazadeh, Roya; van Westen, Cees; Bakker, Wim H.; Aye, Zar Chi; Jaboyedoff, Michel; Derron, Marc-Henri

    2014-05-01

    Natural hazard risk management requires decision making in several stages. Decision making on alternatives for risk reduction planning starts with an intelligence phase for recognition of the decision problems and identifying the objectives. Development of the alternatives and assigning the variable by decision makers to each alternative are employed to the design phase. Final phase evaluates the optimal choice by comparing the alternatives, defining indicators, assigning a weight to each and ranking them. This process is referred to as Multi-Criteria Decision Making analysis (MCDM), Multi-Criteria Evaluation (MCE) or Multi-Criteria Analysis (MCA). In the framework of the ongoing 7th Framework Program "CHANGES" (2011-2014, Grant Agreement No. 263953) of the European Commission, a Spatial Decision Support System is under development, that has the aim to analyse changes in hydro-meteorological risk and provide support to selecting the best risk reduction alternative. This paper describes the module for Multi-Criteria Decision Making analysis (MCDM) that incorporates monetary and non-monetary criteria in the analysis of the optimal alternative. The MCDM module consists of several components. The first step is to define criteria (or Indicators) which are subdivided into disadvantages (criteria that indicate the difficulty for implementing the risk reduction strategy, also referred to as Costs) and advantages (criteria that indicate the favorability, also referred to as benefits). In the next step the stakeholders can use the developed web-based tool for prioritizing criteria and decision matrix. Public participation plays a role in decision making and this is also planned through the use of a mobile web-version where the general local public can indicate their agreement on the proposed alternatives. The application is being tested through a case study related to risk reduction of a mountainous valley in the Alps affected by flooding. Four alternatives are evaluated in

  6. Multi criteria decision analysis on a waste repository in Mol

    International Nuclear Information System (INIS)

    Carle, B.

    2005-01-01

    In Belgium, the management of radioactive waste is taken care of by ONDRAF/NIRAS, the Belgian Agency for Radioactive Waste and Enriched Fissile Materials. Local partnerships with stakeholders from municipalities in existing nuclear zones were setup to facilitate the dialogue between the repository designers and the local community. Since the establishment of the partnership in Mol, MONA in February 2000, all aspects of a possible near-surface or a deep geological repository are discussed in 4 working groups by around 50 volunteer members. The outcome of the discussions in the partnership can be a shared project, supported by both local stakeholders and ONDRAF/NIRAS, in which the specifications and the conditions needed for establishing a repository in Mol are elaborated. MONA asked the Decision Strategy Research Department of SCK-CEN to organise a Multi Criteria Analysis (MCA) in the context of the deciding between a surface and a deep repository for low level radioactive waste. The objective of the multi criteria analysis is to support a number of representatives of the various working groups within MONA in their selection between two acceptable options for a repository of low level radioactive waste on the territory of Mol. The options are the surface repository developed by the working groups of MONA, and a deep repository in the clay layers underneath the nuclear site of Mol. This study should facilitate the selection between both options, or in case this appears to be difficult, at least to get a well-structured overview of all factors (criteria) of importance to the judgement, and to get insight into the degree in which the various criteria contribute to the selection

  7. Use of probabilistic methods for analysis of cost and duration uncertainties in a decision analysis framework

    International Nuclear Information System (INIS)

    Boak, D.M.; Painton, L.

    1995-01-01

    Probabilistic forecasting techniques have been used in many risk assessment and performance assessment applications on radioactive waste disposal projects such as Yucca Mountain and the Waste Isolation Pilot Plant (WIPP). Probabilistic techniques such as Monte Carlo and Latin Hypercube sampling methods are routinely used to treat uncertainties in physical parameters important in simulating radionuclide transport in a coupled geohydrologic system and assessing the ability of that system to comply with regulatory release limits. However, the use of probabilistic techniques in the treatment of uncertainties in the cost and duration of programmatic alternatives on risk and performance assessment projects is less common. Where significant uncertainties exist and where programmatic decisions must be made despite existing uncertainties, probabilistic techniques may yield important insights into decision options, especially when used in a decision analysis framework and when properly balanced with deterministic analyses. For relatively simple evaluations, these types of probabilistic evaluations can be made using personal computer-based software

  8. 76 FR 22075 - Divide Ranger District, Rio Grande National Forest; CO; Black Mesa Vegetation Management Project

    Science.gov (United States)

    2011-04-20

    ... Ranger District, Rio Grande National Forest; CO; Black Mesa Vegetation Management Project AGENCY: Forest... Web site http://www.fs.usda.gov/riogrande under ``Land & Resource Management'', then ``Projects'' on... need for the Black Mesa Vegetation Management Project is move toward achieving long-term desired...

  9. Mesa Verde--A Year-Round High School. A Descriptive Report of 1980-81.

    Science.gov (United States)

    Housden, Terry; Holmes, Lynda

    Mesa Verde High School was constructed in 1974 and is the last high school built in the San Juan (California) Unified District. It serves students in grades 9 through 12 and has an open enrollment policy. Mesa Verde operates on a year-round schedule with students divided into three tracks. Basically, each track is in session for 9 weeks and then…

  10. Opportunities for parity violating electron scattering experiments at the planned MESA facility

    Science.gov (United States)

    Aulenbacher, Kurt

    2011-11-01

    We suggest to start an accelerator physics project called the Mainz Energy recovering Superconducting Accelerator (MESA) as an extension to our experimental facilities. MESA may allow to introduce an innovative internal target regime based on the ERL principle. A second mode of operation will be to use an external polarized electron beam for parity violating experiments.

  11. MESA: Supporting Teaching and Learning about the Marine Environment--Primary Science Focus

    Science.gov (United States)

    Preston, Christine

    2010-01-01

    The Marine Education Society of Australasia (MESA) Inc. is a national organisation of marine educators that aims to bring together people interested in the study and enjoyment of coastal and marine environments. MESA representatives and members organise education and interpretation activities in support of schools and communities during a number…

  12. Design and Analysis of Decision Rules via Dynamic Programming

    KAUST Repository

    Amin, Talha M.

    2017-04-24

    The areas of machine learning, data mining, and knowledge representation have many different formats used to represent information. Decision rules, amongst these formats, are the most expressive and easily-understood by humans. In this thesis, we use dynamic programming to design decision rules and analyze them. The use of dynamic programming allows us to work with decision rules in ways that were previously only possible for brute force methods. Our algorithms allow us to describe the set of all rules for a given decision table. Further, we can perform multi-stage optimization by repeatedly reducing this set to only contain rules that are optimal with respect to selected criteria. One way that we apply this study is to generate small systems with short rules by simulating a greedy algorithm for the set cover problem. We also compare maximum path lengths (depth) of deterministic and non-deterministic decision trees (a non-deterministic decision tree is effectively a complete system of decision rules) with regards to Boolean functions. Another area of advancement is the presentation of algorithms for constructing Pareto optimal points for rules and rule systems. This allows us to study the existence of “totally optimal” decision rules (rules that are simultaneously optimal with regards to multiple criteria). We also utilize Pareto optimal points to compare and rate greedy heuristics with regards to two criteria at once. Another application of Pareto optimal points is the study of trade-offs between cost and uncertainty which allows us to find reasonable systems of decision rules that strike a balance between length and accuracy.

  13. Balancing Information Analysis and Decision Value: A Model to Exploit the Decision Process

    Science.gov (United States)

    2011-12-01

    technical intelli- gence e.g. signals and sensors (SIGINT and MASINT), imagery (!MINT), as well and human and open source intelligence (HUMINT and OSINT ...Clark 2006). The ability to capture large amounts of da- ta and the plenitude of modem intelligence information sources provides a rich cache of...many tech- niques for managing information collected and derived from these sources , the exploitation of intelligence assets for decision-making

  14. Design and Analysis of Decision Rules via Dynamic Programming

    KAUST Repository

    Amin, Talha M.

    2017-01-01

    Another area of advancement is the presentation of algorithms for constructing Pareto optimal points for rules and rule systems. This allows us to study the existence of “totally optimal” decision rules

  15. Risk Analysis: Its Application to Argumentation and Decision-Making.

    Science.gov (United States)

    Follert, Vincent

    1981-01-01

    Notes that utility theory has enjoyed renewed interest among debate critics and other decision makers. Some of the problems with its application are identified and guidelines for debaters are suggested. (PD)

  16. An empirical analysis of the corporate call decision

    International Nuclear Information System (INIS)

    Carlson, M.D.

    1998-01-01

    An economic study of the the behaviour of financial managers of utility companies was presented. The study examined whether or not an option pricing based model of the call decision does a better job of explaining callable preferred share prices and call decisions compared to other models. In this study, the Rust (1987) empirical technique was extended to include the use of information from preferred share prices in addition to the call decisions. Reasonable estimates were obtained from data of shares of the Pacific Gas and Electric Company (PGE) for the transaction costs associated with a call. It was concluded that the managers of the PGE clearly take into account the value of the option to delay the call when making their call decisions

  17. Quantitative analysis of strategic and tactical purchasing decisions

    OpenAIRE

    Heijboer, G.J.

    2003-01-01

    Purchasing management is a relatively new scientific research field, partly due to the fact that purchasing has only recently been recognized as a factor of strategic importance to an organization. In this thesis, the author focuses on a selection of strategic and tactical purchasing decision problems. New quantitative models are developed for these decision problems using a range of mathematical techniques, thereby contributing to the further development of purchasing theory and its appliati...

  18. Corrective Action Investigation Plan for Corrective Action Unit 99: Rainier Mesa/Shoshone Mountain, Nevada Test Site, Nevada with Errata and ROTC 1, Rev. No. 0

    Energy Technology Data Exchange (ETDEWEB)

    McCord, John; Marutzky, Sam

    2004-12-01

    volcanic rocks that erupted from the caldera as well as from more distant sources. This has resulted in a layered volcanic stratigraphy composed of thick deposits of welded and nonwelded ash-flow tuff and lava flows. These deposits are proximal to the source caldera and are interstratified with the more distal facies of fallout tephra and bedded reworked tuff from more distant sources. In each area, a similar volcanic sequence was deposited upon Paleozoic carbonate and siliciclastic rocks that are disrupted by various thrust faults, normal faults, and strike-slip faults. In both Rainier Mesa (km) to the southwest, and Tippipah Spring, 4 km to the north, and the tunnel complex is dry. Particle-tracking simulations performed during the value of information analysis (VOIA) (SNJV, 2004b) indicate that most of the regional groundwater that underlies the test locations at Rainier Mesa and Shoshone Mountain eventually follows similar and parallel paths and ultimately discharges in Death Valley and the Amargosa Desert. Particle-tracking simulations conducted for the regional groundwater flow and risk assessment indicated that contamination from Rainier Mesa and Shoshone Mountain were unlikely to leave the NTS during the 1,000-year period of interest (DOE/NV, 1997a). It is anticipated that CAU-scale modeling will modify these results somewhat, but it is not expected to radically alter the outcome of these previous particle-tracking simulations within the 1,000-year period of interest. The Rainier Mesa/Shoshone Mountain CAIP describes the corrective action investigation (CAI) to be conducted at the Rainier Mesa/Shoshone Mountain CAU to evaluate the extent of contamination in groundwater due to the underground nuclear testing. The CAI will be conducted by the UGTA Project, which is part of the NNSA/NSO Environmental Restoration Project (ERP). The purpose and scope of the CAI are presented in this section, followed by a summary of the entire document.

  19. MODULES FOR EXPERIMENTS IN STELLAR ASTROPHYSICS (MESA): PLANETS, OSCILLATIONS, ROTATION, AND MASSIVE STARS

    International Nuclear Information System (INIS)

    Paxton, Bill; Cantiello, Matteo; Bildsten, Lars; Arras, Phil; Brown, Edward F.; Dotter, Aaron; Mankovich, Christopher; Montgomery, M. H.; Stello, Dennis; Timmes, F. X.; Townsend, Richard

    2013-01-01

    We substantially update the capabilities of the open source software package Modules for Experiments in Stellar Astrophysics (MESA), and its one-dimensional stellar evolution module, MESA star. Improvements in MESA star's ability to model the evolution of giant planets now extends its applicability down to masses as low as one-tenth that of Jupiter. The dramatic improvement in asteroseismology enabled by the space-based Kepler and CoRoT missions motivates our full coupling of the ADIPLS adiabatic pulsation code with MESA star. This also motivates a numerical recasting of the Ledoux criterion that is more easily implemented when many nuclei are present at non-negligible abundances. This impacts the way in which MESA star calculates semi-convective and thermohaline mixing. We exhibit the evolution of 3-8 M ☉ stars through the end of core He burning, the onset of He thermal pulses, and arrival on the white dwarf cooling sequence. We implement diffusion of angular momentum and chemical abundances that enable calculations of rotating-star models, which we compare thoroughly with earlier work. We introduce a new treatment of radiation-dominated envelopes that allows the uninterrupted evolution of massive stars to core collapse. This enables the generation of new sets of supernovae, long gamma-ray burst, and pair-instability progenitor models. We substantially modify the way in which MESA star solves the fully coupled stellar structure and composition equations, and we show how this has improved the scaling of MESA's calculational speed on multi-core processors. Updates to the modules for equation of state, opacity, nuclear reaction rates, and atmospheric boundary conditions are also provided. We describe the MESA Software Development Kit that packages all the required components needed to form a unified, maintained, and well-validated build environment for MESA. We also highlight a few tools developed by the community for rapid visualization of MESA star results

  20. MODULES FOR EXPERIMENTS IN STELLAR ASTROPHYSICS (MESA): PLANETS, OSCILLATIONS, ROTATION, AND MASSIVE STARS

    Energy Technology Data Exchange (ETDEWEB)

    Paxton, Bill; Cantiello, Matteo; Bildsten, Lars [Kavli Institute for Theoretical Physics, University of California, Santa Barbara, CA 93106 (United States); Arras, Phil [Department of Astronomy, University of Virginia, P.O. Box 400325, Charlottesville, VA 22904-4325 (United States); Brown, Edward F. [Department of Physics and Astronomy, National Superconducting Cyclotron Laboratory, and Joint Institute for Nuclear Astrophysics, Michigan State University, East Lansing, MI 48864 (United States); Dotter, Aaron [Research School of Astronomy and Astrophysics, The Australian National University, Weston, ACT 2611 (Australia); Mankovich, Christopher [Department of Physics, University of California, Santa Barbara, CA 93106 (United States); Montgomery, M. H. [Department of Astronomy and McDonald Observatory, University of Texas, Austin, TX 78712 (United States); Stello, Dennis [Sydney Institute for Astronomy (SIfA), School of Physics, University of Sydney, NSW 2006 (Australia); Timmes, F. X. [School of Earth and Space Exploration, Arizona State University, Tempe, AZ 85287 (United States); Townsend, Richard, E-mail: matteo@kitp.ucsb.edu [Department of Astronomy, University of Wisconsin-Madison, Madison, WI 53706 (United States)

    2013-09-15

    We substantially update the capabilities of the open source software package Modules for Experiments in Stellar Astrophysics (MESA), and its one-dimensional stellar evolution module, MESA star. Improvements in MESA star's ability to model the evolution of giant planets now extends its applicability down to masses as low as one-tenth that of Jupiter. The dramatic improvement in asteroseismology enabled by the space-based Kepler and CoRoT missions motivates our full coupling of the ADIPLS adiabatic pulsation code with MESA star. This also motivates a numerical recasting of the Ledoux criterion that is more easily implemented when many nuclei are present at non-negligible abundances. This impacts the way in which MESA star calculates semi-convective and thermohaline mixing. We exhibit the evolution of 3-8 M{sub Sun} stars through the end of core He burning, the onset of He thermal pulses, and arrival on the white dwarf cooling sequence. We implement diffusion of angular momentum and chemical abundances that enable calculations of rotating-star models, which we compare thoroughly with earlier work. We introduce a new treatment of radiation-dominated envelopes that allows the uninterrupted evolution of massive stars to core collapse. This enables the generation of new sets of supernovae, long gamma-ray burst, and pair-instability progenitor models. We substantially modify the way in which MESA star solves the fully coupled stellar structure and composition equations, and we show how this has improved the scaling of MESA's calculational speed on multi-core processors. Updates to the modules for equation of state, opacity, nuclear reaction rates, and atmospheric boundary conditions are also provided. We describe the MESA Software Development Kit that packages all the required components needed to form a unified, maintained, and well-validated build environment for MESA. We also highlight a few tools developed by the community for rapid visualization of MESA star

  1. Additive Representations of Preferences, A New Foundation of Decision Analysis; The Algebraic Approach

    NARCIS (Netherlands)

    P.P. Wakker (Peter)

    1991-01-01

    textabstractIn Wakker (1989, "Additive Representations of Preferences, A New Foundation of Decision Analysis"), a new foundation of decision analysis was given. The main tool was a way to derive comparisons of "tradeoffs" from ordinal preferences, with comparisons of tradeoffs revealing orderings of

  2. 75 FR 35457 - Draft of the 2010 Causal Analysis/Diagnosis Decision Information System (CADDIS)

    Science.gov (United States)

    2010-06-22

    ... Causal Analysis/Diagnosis Decision Information System (CADDIS) AGENCY: Environmental Protection Agency... site, ``2010 release of the Causal Analysis/Diagnosis Decision Information System (CADDIS).'' The..., organize, and share information useful for causal evaluations in aquatic systems. CADDIS is based on EPA's...

  3. Baseline studies in the desert ecosystem at East Mesa Geothermal Test Site, Imperial Valley, California

    Energy Technology Data Exchange (ETDEWEB)

    Romney, E.M.; Wallace, A.; Lunt, O.R.; Ackerman, T.A.; Kinnear, J.E.

    1977-09-01

    Baseline data reported herein for soil, vegetation, and small mammal components of the East Mesa desert ecosystem represent a collection period from October 1975 to September 1977. Inasmuch as changes in salt balance from geothermal brine sources are of potential impact upon the ecosystem, considerable analytical effort was given to the determination of element constituents in soil, plant, and animal samples. A preliminary synthesis of data was done to investigate the heterogeneity of element constituents among the sampled population and to summarize results. Findings indicate that periodic sampling and chemical analysis of vegetation around an industrialized geothermal energy source is probably the best way to monitor the surrounding ecosystem for assuring containment of any resource pollutants.

  4. Multi-criteria decision analysis with probabilistic risk assessment for the management of contaminated ground water

    International Nuclear Information System (INIS)

    Khadam, Ibrahim M.; Kaluarachchi, Jagath J.

    2003-01-01

    Traditionally, environmental decision analysis in subsurface contamination scenarios is performed using cost-benefit analysis. In this paper, we discuss some of the limitations associated with cost-benefit analysis, especially its definition of risk, its definition of cost of risk, and its poor ability to communicate risk-related information. This paper presents an integrated approach for management of contaminated ground water resources using health risk assessment and economic analysis through a multi-criteria decision analysis framework. The methodology introduces several important concepts and definitions in decision analysis related to subsurface contamination. These are the trade-off between population risk and individual risk, the trade-off between the residual risk and the cost of risk reduction, and cost-effectiveness as a justification for remediation. The proposed decision analysis framework integrates probabilistic health risk assessment into a comprehensive, yet simple, cost-based multi-criteria decision analysis framework. The methodology focuses on developing decision criteria that provide insight into the common questions of the decision-maker that involve a number of remedial alternatives. The paper then explores three potential approaches for alternative ranking, a structured explicit decision analysis, a heuristic approach of importance of the order of criteria, and a fuzzy logic approach based on fuzzy dominance and similarity analysis. Using formal alternative ranking procedures, the methodology seeks to present a structured decision analysis framework that can be applied consistently across many different and complex remediation settings. A simple numerical example is presented to demonstrate the proposed methodology. The results showed the importance of using an integrated approach for decision-making considering both costs and risks. Future work should focus on the application of the methodology to a variety of complex field conditions to

  5. Vegetation classification and distribution mapping report Mesa Verde National Park

    Science.gov (United States)

    Thomas, Kathryn A.; McTeague, Monica L.; Ogden, Lindsay; Floyd, M. Lisa; Schulz, Keith; Friesen, Beverly A.; Fancher, Tammy; Waltermire, Robert G.; Cully, Anne

    2009-01-01

    The classification and distribution mapping of the vegetation of Mesa Verde National Park (MEVE) and surrounding environment was achieved through a multi-agency effort between 2004 and 2007. The National Park Service’s Southern Colorado Plateau Network facilitated the team that conducted the work, which comprised the U.S. Geological Survey’s Southwest Biological Science Center, Fort Collins Research Center, and Rocky Mountain Geographic Science Center; Northern Arizona University; Prescott College; and NatureServe. The project team described 47 plant communities for MEVE, 34 of which were described from quantitative classification based on f eld-relevé data collected in 1993 and 2004. The team derived 13 additional plant communities from field observations during the photointerpretation phase of the project. The National Vegetation Classification Standard served as a framework for classifying these plant communities to the alliance and association level. Eleven of the 47 plant communities were classified as “park specials;” that is, plant communities with insufficient data to describe them as new alliances or associations. The project team also developed a spatial vegetation map database representing MEVE, with three different map-class schemas: base, group, and management map classes. The base map classes represent the fi nest level of spatial detail. Initial polygons were developed using Definiens Professional (at the time of our use, this software was called eCognition), assisted by interpretation of 1:12,000 true-color digital orthophoto quarter quadrangles (DOQQs). These polygons (base map classes) were labeled using manual photo interpretation of the DOQQs and 1:12,000 true-color aerial photography. Field visits verified interpretation concepts. The vegetation map database includes 46 base map classes, which consist of associations, alliances, and park specials classified with quantitative analysis, additional associations and park specials noted

  6. Immunizing Children: A Qualitative Analysis of Future Parental Decision Making.

    Science.gov (United States)

    Espeleta, Hannah C; Beasley, Lana O; Ridings, Leigh E; Smith, Tyler J; Shields, Jennifer D

    2017-10-01

    Vaccinations are considered one of public health's greatest accomplishments. Despite evidence for vaccine effectiveness, uptake levels are still well below the Centers for Disease Control and Prevention's guidelines. The immunization decision-making process for parents is complex and depends on factors associated with knowledge and experiences. This qualitative study sought to expand on a previous decision-making model for immunizations by examining how individuals receive vaccination information, determining the role of experience in influencing decisions, and understanding how young adults might locate vaccination information in the future. Three focus groups were conducted with 29 undergraduate students without children. Results suggest that young adults exhibit an awareness of information regarding vaccine use and effectiveness, value doctor opinions and recommendations, and desire more robust research on vaccinations. Implications of these results include the importance of (1) disseminating vaccination education to young adults, (2) enhancing consistency/trust between medical professionals and youth, and (3) expanding public policy to increase vaccine uptake.

  7. Endogenous Risks and Learning in Climate Change Decision Analysis

    International Nuclear Information System (INIS)

    O'Neill, B.C.; Ermoliev, Y.; Ermolieva, T.

    2005-01-01

    We analyze the effects of risks and learning on climate change decisions. A two-stage, dynamic, climate change stabilization problem is formulated. The explicit incorporation of ex-post learning induces risk aversion among ex-ante decisions, which is characterized in linear models by VaR- (Value at Risk) and CVaR-type risk (Conditional Value at Risk) measures. Combined with explicit introduction of 'safety' constraints, it creates a 'hit-or-miss' type decision making situation and shows that, even in linear models, learning may lead to either less or more restrictive ex-ante emission reductions. We analyze stylized elements of the model in order to identify the key factors driving outcomes, in particular, the critical role of quantiles of probability distributions characterizing key uncertainties

  8. Radiological emergency response for community agencies with cognitive task analysis, risk analysis, and decision support framework.

    Science.gov (United States)

    Meyer, Travis S; Muething, Joseph Z; Lima, Gustavo Amoras Souza; Torres, Breno Raemy Rangel; del Rosario, Trystyn Keia; Gomes, José Orlando; Lambert, James H

    2012-01-01

    Radiological nuclear emergency responders must be able to coordinate evacuation and relief efforts following the release of radioactive material into populated areas. In order to respond quickly and effectively to a nuclear emergency, high-level coordination is needed between a number of large, independent organizations, including police, military, hazmat, and transportation authorities. Given the complexity, scale, time-pressure, and potential negative consequences inherent in radiological emergency responses, tracking and communicating information that will assist decision makers during a crisis is crucial. The emergency response team at the Angra dos Reis nuclear power facility, located outside of Rio de Janeiro, Brazil, presently conducts emergency response simulations once every two years to prepare organizational leaders for real-life emergency situations. However, current exercises are conducted without the aid of electronic or software tools, resulting in possible cognitive overload and delays in decision-making. This paper describes the development of a decision support system employing systems methodologies, including cognitive task analysis and human-machine interface design. The decision support system can aid the coordination team by automating cognitive functions and improving information sharing. A prototype of the design will be evaluated by plant officials in Brazil and incorporated to a future trial run of a response simulation.

  9. [Analysis of the characteristics of the older adults with depression using data mining decision tree analysis].

    Science.gov (United States)

    Park, Myonghwa; Choi, Sora; Shin, A Mi; Koo, Chul Hoi

    2013-02-01

    The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method. A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs. The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease. The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.

  10. Understanding antibiotic decision making in surgery-a qualitative analysis.

    Science.gov (United States)

    Charani, E; Tarrant, C; Moorthy, K; Sevdalis, N; Brennan, L; Holmes, A H

    2017-10-01

    To investigate the characteristics and culture of antibiotic decision making in the surgical specialty. A qualitative study including ethnographic observation and face-to-face interviews with participants from six surgical teams at a teaching hospital in London was conducted. Over a 3-month period: (a) 30 ward rounds (WRs) (100 h) were observed, (b) face-to-face follow-up interviews took place with 13 key informants, (c) multidisciplinary meetings on the management of surgical patients and daily practice on wards were observed. Applying these methods provided rich data for characterizing the antibiotic decision making in surgery and enabled cross-validation and triangulation of the findings. Data from the interview transcripts and the observational notes were coded and analysed iteratively until saturation was reached. The surgical team is in a state of constant flux with individuals having to adjust to the context in which they work. The demands placed on the team to be in the operating room, and to address the surgical needs of the patient mean that the responsibility for antibiotic decision making is uncoordinated and diffuse. Antibiotic decision making is considered by surgeons as a secondary task, commonly delegated to junior members of their team and occurs in the context of disjointed communication. There is lack of clarity around medical decision making for treating infections in surgical patients. The result is sub-optimal and uncoordinated antimicrobial management. Developing the role of a perioperative clinician may help to improve patient-level outcomes and optimize decision making. Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  11. Modeling unsaturated-zone flow at Rainier Mesa as a possible analog for a future Yucca Mountain

    International Nuclear Information System (INIS)

    Gauthier, J.H.

    1998-01-01

    Rainier Mesa is structurally similar to Yucca Mountain, and receives precipitation similar to the estimated long-term average for Yucca Mountain. Tunnels through the unsaturated zone at Rainier Mesa have encountered perched water and, after the perched water was drained, flow in fractures and faults. Although flow observations have been primarily qualitative, Rainier Mesa hydrology is a potential analog for Yucca Mountain hydrology in a wetter climate. In this paper, a groundwater flow model that has been used in the performance assessment of Yucca Mountain--the weeps model--is applied to Rainier Mesa. The intent is to gain insight in both Rainier Mesa and the weeps flow model

  12. An analysis of the buy-vs-lease decision.

    Science.gov (United States)

    Berlin, Jonathan W; Lexa, Frank J

    2006-02-01

    This article presents a financial model to analyze the buy-vs-lease decision. The model is constructed from the perspective of a lessee with an operating lease and uses the concept of net present value, which calculates the current value of predicted cash flows in the future. Predicted cash flows of an operating lease compared with buying are presented in the model, as is the after-tax borrowing rate, the appropriate discount rate used in a model of this type. The article also discusses nonfinancial factors that may influence the buy-vs-lease decision, including the need for flexibility in working capital and the anticipated technological obsolescence of equipment.

  13. Lifetime risks of kidney donation: a medical decision analysis.

    Science.gov (United States)

    Kiberd, Bryce A; Tennankore, Karthik K

    2017-09-01

    This study estimated the potential loss of life and the lifetime cumulative risk of end-stage renal disease (ESRD) from live kidney donation. Markov medical decision analysis. USA. 40-year-old live kidney donors of both sexes and black/white race. Live donor nephrectomy. Potential remaining life years lost, quality-adjusted life years (QALYs) lost and added lifetime cumulative risk of ESRD from donation. Overall 0.532-0.884 remaining life years were lost from donating a kidney. This was equivalent to 1.20%-2.34% of remaining life years (or 0.76%-1.51% remaining QALYs). The risk was higher in male and black individuals. The study showed that 1%-5% of average-age current live kidney donors might develop ESRD as a result of nephrectomy. The added risk of ESRD resulted in a loss of only 0.126-0.344 remaining life years. Most of the loss of life was predicted to be associated with chronic kidney disease (CKD) not ESRD. Most events occurred 25 or more years after donation. Reducing the increased risk of death associated with CKD had a modest overall effect on the per cent loss of remaining life years (0.72%-1.9%) and QALYs (0.58%-1.33%). Smoking and obesity reduced life expectancy and increased overall lifetime risks of ESRD in non-donors. However the percentage loss of remaining life years from donation was not very different in those with or without these risk factors. Live kidney donation may reduce life expectancy by 0.5-1 year in most donors. The development of ESRD in donors may not be the only measure of risk as most of the predicted loss of life predates ESRD. The study identifies the potential importance of following donors and treating risk factors aggressively to prevent ESRD and to improve donor survival. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  14. El origen de la Mesa Maestral en la Orden de San

    Directory of Open Access Journals (Sweden)

    Manuel López Fernández

    2009-01-01

    Full Text Available En las páginas siguientes tratamos de analizar las circunstancias que originaron el nacimiento de la Mesa Maestral en la Orden de Santiago, así como las consecuencias inmediatas que la aparición de este organismo económico –fuente exclusiva de rentas para los maestres— tuvo en dicha Orden. El análisis lo hacemos apoyándonos en el documento correspondiente al Capítulo General donde se estableció un nuevo rumbo para el reparto de los bienes temporales de la institución santiaguista. A pesar de que dicho documento está sin datar, nuestra opinión es que corresponde al Capítulo General de 1271 y que la Mesa Maestral surgió en el seno de la Orden de Santiago como consecuencia de la presión que los comendadores ejercieron sobre el maestre Pelay Pérez Correa en los años finales de su vida.In the following pages we try to analyze the circumstances that led to the birth of the Masters Bureau in the Order of Santiago, as well as the immediate effects that the birth of this economic body, exclusive source of revenue for the Masters, was in that Order. The analysis we do to build on the document for the General Chapter, which set a new course for the temporary sharing out of property in the santiaguista. institution Although the document is not dated, our view is that belongs to the General Chapter of 1271 and that the Masters Bureau arose within the Order of Santiago as a result of the pressure exerted by the Knight commanders on the grand master Pelayo Perez Correa in the final years of his life.

  15. A Costing Analysis for Decision Making Grid Model in Failure-Based Maintenance

    Directory of Open Access Journals (Sweden)

    Burhanuddin M. A.

    2011-01-01

    Full Text Available Background. In current economic downturn, industries have to set good control on production cost, to maintain their profit margin. Maintenance department as an imperative unit in industries should attain all maintenance data, process information instantaneously, and subsequently transform it into a useful decision. Then act on the alternative to reduce production cost. Decision Making Grid model is used to identify strategies for maintenance decision. However, the model has limitation as it consider two factors only, that is, downtime and frequency of failures. We consider third factor, cost, in this study for failure-based maintenance. The objective of this paper is to introduce the formulae to estimate maintenance cost. Methods. Fish bone analysis conducted with Ishikawa model and Decision Making Grid methods are used in this study to reveal some underlying risk factors that delay failure-based maintenance. The goal of the study is to estimate the risk factor that is, repair cost to fit in the Decision Making Grid model. Decision Making grid model consider two variables, frequency of failure and downtime in the analysis. This paper introduces third variable, repair cost for Decision Making Grid model. This approaches give better result to categorize the machines, reduce cost, and boost the earning for the manufacturing plant. Results. We collected data from one of the food processing factories in Malaysia. From our empirical result, Machine C, Machine D, Machine F, and Machine I must be in the Decision Making Grid model even though their frequency of failures and downtime are less than Machine B and Machine N, based on the costing analysis. The case study and experimental results show that the cost analysis in Decision Making Grid model gives more promising strategies in failure-based maintenance. Conclusions. The improvement of Decision Making Grid model for decision analysis with costing analysis is our contribution in this paper for

  16. Situated Analysis of Team Handball Players' Decisions: An Exploratory Study

    Science.gov (United States)

    Lenzen, Benoit; Theunissen, Catherine; Cloes, Marc

    2009-01-01

    This exploratory study aimed to investigate elements involved in decision making in team handball live situations and to provide coaches and educators with teaching recommendations. The study was positioned within the framework of the situated-action paradigm of which two aspects were of particular interest for this project: (a) the relationship…

  17. An empirical analysis of capital structure decisions in Dutch firms

    NARCIS (Netherlands)

    de Jong, A.

    1999-01-01

    This Ph.D. thesis investigates capital structure decisions in Dutch firms. Firms are faced with the choice from a variety of sources of financing for the funding of their activities. These choices determine the firms' capital structures. Building on the well known theorems of Modigliani and Miller,

  18. The Role of Research and Analysis in Resource Allocation Decisions

    Science.gov (United States)

    Lea, Dennis; Polster, Patty Poppe

    2011-01-01

    In a time of diminishing resources and increased accountability, it is important for school leaders to make the most of every dollar they spend. One approach to ensuring responsible resource allocation is to closely examine the organizational culture surrounding decision making and provide a structure and process to incorporate research and data…

  19. Quantitative analysis of strategic and tactical purchasing decisions

    NARCIS (Netherlands)

    Heijboer, G.J.

    2003-01-01

    Purchasing management is a relatively new scientific research field, partly due to the fact that purchasing has only recently been recognized as a factor of strategic importance to an organization. In this thesis, the author focuses on a selection of strategic and tactical purchasing decision

  20. An analysis of perceived prominent decision making areas in ...

    African Journals Online (AJOL)

    The development of the highly individualistic commercial springbuck (Antidorcas marsupialis) production systems and the resulting growth in the commercial value of the springbuck has opened a new realm of game management decision making. These relatively undomesticated production systems demand sophisticated ...

  1. Doubly Bayesian Analysis of Confidence in Perceptual Decision-Making.

    Science.gov (United States)

    Aitchison, Laurence; Bang, Dan; Bahrami, Bahador; Latham, Peter E

    2015-10-01

    Humans stand out from other animals in that they are able to explicitly report on the reliability of their internal operations. This ability, which is known as metacognition, is typically studied by asking people to report their confidence in the correctness of some decision. However, the computations underlying confidence reports remain unclear. In this paper, we present a fully Bayesian method for directly comparing models of confidence. Using a visual two-interval forced-choice task, we tested whether confidence reports reflect heuristic computations (e.g. the magnitude of sensory data) or Bayes optimal ones (i.e. how likely a decision is to be correct given the sensory data). In a standard design in which subjects were first asked to make a decision, and only then gave their confidence, subjects were mostly Bayes optimal. In contrast, in a less-commonly used design in which subjects indicated their confidence and decision simultaneously, they were roughly equally likely to use the Bayes optimal strategy or to use a heuristic but suboptimal strategy. Our results suggest that, while people's confidence reports can reflect Bayes optimal computations, even a small unusual twist or additional element of complexity can prevent optimality.

  2. Modules for Experiments in Stellar Astrophysics (MESA): Convective Boundaries, Element Diffusion, and Massive Star Explosions

    Science.gov (United States)

    Paxton, Bill; Schwab, Josiah; Bauer, Evan B.; Bildsten, Lars; Blinnikov, Sergei; Duffell, Paul; Farmer, R.; Goldberg, Jared A.; Marchant, Pablo; Sorokina, Elena; Thoul, Anne; Townsend, Richard H. D.; Timmes, F. X.

    2018-02-01

    We update the capabilities of the software instrument Modules for Experiments in Stellar Astrophysics (MESA) and enhance its ease of use and availability. Our new approach to locating convective boundaries is consistent with the physics of convection, and yields reliable values of the convective-core mass during both hydrogen- and helium-burning phases. Stars with Meffects of Rayleigh-Taylor instabilities that, in combination with the coupling to a public version of the STELLA radiation transfer instrument, creates new avenues for exploring Type II supernova properties. These capabilities are exhibited with exploratory models of pair-instability supernovae, pulsational pair-instability supernovae, and the formation of stellar-mass black holes. The applicability of MESA is now widened by the capability to import multidimensional hydrodynamic models into MESA. We close by introducing software modules for handling floating point exceptions and stellar model optimization, as well as four new software tools - MESA-Web, MESA-Docker, pyMESA, and mesastar.org - to enhance MESA's education and research impact.

  3. Advances in Understanding Air Pollution and Cardiovascular Diseases: The Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air)

    Science.gov (United States)

    Kaufman, Joel D.; Spalt, Elizabeth W.; Curl, Cynthia L.; Hajat, Anjum; Jones, Miranda R.; Kim, Sun-Young; Vedal, Sverre; Szpiro, Adam A.; Gassett, Amanda; Sheppard, Lianne; Daviglus, Martha L.; Adar, Sara D.

    2016-01-01

    The Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air) leveraged the platform of the MESA cohort into a prospective longitudinal study of relationships between air pollution and cardiovascular health. MESA Air researchers developed fine-scale, state-of-the-art air pollution exposure models for the MESA Air communities, creating individual exposure estimates for each participant. These models combine cohort-specific exposure monitoring, existing monitoring systems, and an extensive database of geographic and meteorological information. Together with extensive phenotyping in MESA—and adding participants and health measurements to the cohort—MESA Air investigated environmental exposures on a wide range of outcomes. Advances by the MESA Air team included not only a new approach to exposure modeling but also biostatistical advances in addressing exposure measurement error and temporal confounding. The MESA Air study advanced our understanding of the impact of air pollutants on cardiovascular disease and provided a research platform for advances in environmental epidemiology. PMID:27741981

  4. Two hypothetical problems in radioactive waste management: a comparison of cost/benefit analysis and decision analysis

    Energy Technology Data Exchange (ETDEWEB)

    Watson, S R; Hayward, G M

    1982-01-01

    In our interim report a general review was given of the characteristics of three formal methods for aiding decision making in relation to the general problems posed in radioactive waste management. In this report, consideration is given to examples of the sort of proposals that the Environment Departments may be asked to review, and two of the formal decision aids (cost-benefit analysis and decision analysis) which could be used to assist these tasks are discussed. The example decisions chosen are the siting of an underground repository for intermediate-level wastes and the choice of a waste management procedure for an intermediate-level waste stream.

  5. Nature and extent of lava-flow aquifers beneath Pahute Mesa, Nevada Test Site

    Energy Technology Data Exchange (ETDEWEB)

    Prothro, L.B.; Drellack, S.L. Jr.

    1997-09-01

    Work is currently underway within the Underground Test Area subproject of the US Department of Energy/Nevada Operations Office Environmental Restoration Program to develop corrective action plans in support of the overall corrective action strategy for the Nevada Test Site as established in the Federal Facility Agreement and Consent Order (FFACO, 1996). A closure plan is currently being developed for Pahute Mesa, which has been identified in the FFACO as consisting of the Western and Central Pahute Mesa Corrective Action Units. Part of this effort requires that hydrogeologic data be compiled for inclusion in a regional model that will be used to predict a contaminant boundary for these Corrective Action Units. Hydrogeologic maps have been prepared for use in the model to define the nature and extent of aquifers and confining units that might influence the flow of contaminated groundwater from underground nuclear tests conducted at Pahute Mesa. Much of the groundwater flow beneath Pahute Mesa occurs within lava-flow aquifers. An understanding of the distribution and hydraulic character of these important hydrogeologic units is necessary to accurately model groundwater flow beneath Pahute Mesa. This report summarizes the results of a study by Bechtel Nevada geologists to better define the hydrogeology of lava-flow aquifers at Pahute Mesa. The purpose of this study was twofold: (1) aid in the development of the hydrostratigraphic framework for Pahute Mesa, and (2) provide information on the distribution and hydraulic character of lava-flow aquifers beneath Pahute Mesa for more accurate computer modeling of the Western and Central Pahute Mesa Corrective Action Units.

  6. IMPLEMENTATION OF GIS-BASED MULTICRITERIA DECISION ANALYSIS WITH VB IN ArcGIS

    OpenAIRE

    DERYA OZTURK; FATMAGUL BATUK

    2011-01-01

    This article focuses on the integration of multicriteria decision analysis (MCDA) and geographical information systems (GIS) and introduces a tool, GIS–MCDA, written in visual basic in ArcGIS for GIS-based MCDA. The GIS–MCDA deals with raster-based data sets and includes standardization, weighting and decision analysis methods, and sensitivity analysis. Simple additive weighting, weighted product method, technique for order preference by similarity to ideal solution, compromise programming, a...

  7. A decision analysis approach to climate adaptation: comparing multiple pathways for multi-decadal decision making

    Science.gov (United States)

    Lin, B. B.; Little, L.

    2013-12-01

    Policy planners around the world are required to consider the implications of adapting to climatic change across spatial contexts and decadal timeframes. However, local level information for planning is often poorly defined, even though climate adaptation decision-making is made at this scale. This is especially true when considering sea level rise and coastal impacts of climate change. We present a simple approach using sea level rise simulations paired with adaptation scenarios to assess a range of adaptation options available to local councils dealing with issues of beach recession under present and future sea level rise and storm surge. Erosion and beach recession pose a large socioeconomic risk to coastal communities because of the loss of key coastal infrastructure. We examine the well-known adaptation technique of beach nourishment and assess various timings and amounts of beach nourishment at decadal time spans in relation to beach recession impacts. The objective was to identify an adaptation strategy that would allow for a low frequency of management interventions, the maintenance of beach width, and the ability to minimize variation in beach width over the 2010 to 2100 simulation period. 1000 replications of each adaptation option were produced against the 90 year simulation in order to model the ability each adaptation option to achieve the three key objectives. Three sets of adaptation scenarios were identified. Within each scenario, a number of adaptation options were tested. The three scenarios were: 1) Fixed periodic beach replenishment of specific amounts at 20 and 50 year intervals, 2) Beach replenishment to the initial beach width based on trigger levels of recession (5m, 10m, 20m), and 3) Fixed period beach replenishment of a variable amount at decadal intervals (every 10, 20, 30, 40, 50 years). For each adaptation option, we show the effectiveness of each beach replenishment scenario to maintain beach width and consider the implications of more

  8. Fabrication study of GaAs mesa diodes for X-ray detection

    OpenAIRE

    Ng, J.S.; Meng, X.; Lees, J.E.; Barnett, A.; Tan, C.H.

    2014-01-01

    A study of leakage currents using GaAs mesa p-i-n diodes for X-ray photon counting is presented. Different wet chemical etching solution and etch depth were used in the fabrication of these mesa diodes. Low and uniform leakage currents were achieved when the diode fabrication used (i) a combination of main etching solution and finishing etching solution for the etching, and (ii) partially etched mesas. The diodes fabricated using these methods showed well-defined X-ray peaks when illuminated ...

  9. Nationally Appropriate Mitigation Action: developing a Multi Criteria Decision Analysis (MCDA ) process for prioritization of NAMAs

    DEFF Research Database (Denmark)

    Sharma, Sudhir; Desgain, Denis DR; Sandbukt, Sunniva

    be relevant as next year countries will have to translate their mitigation contribution outlined in their INDCs submitted to UNFCCC into implementation plans. Multiple-criteria decision analysis (MCDA) is a tool commonly used for decision making process, including to rank options or to short-list a limited...

  10. Relating cost-benefit analysis results with transport project decisions in the Netherlands

    NARCIS (Netherlands)

    Annema, Jan Anne; Frenken, Koen|info:eu-repo/dai/nl/207145253; Koopmans, Carl; Kroesen, Maarten

    2017-01-01

    This paper relates the cost-benefit analysis (CBA) results of transportation policy proposals in the Netherlands with the decision to implement or abandon the proposal. The aim of this study is to explore the relation between the CBA results and decision-making. Multinomial logit regression models

  11. Relating cost-benefit analysis results with transport project decisions in the Netherlands

    NARCIS (Netherlands)

    Annema, J.A.; Frenken, Koen; Koopmans, Carl; Kroesen, M.

    2017-01-01

    This paper relates the cost-benefit analysis (CBA) results of transportation policy proposals in the Netherlands with the decision to implement or abandon the proposal. The aim of this study is to explore the relation between the CBA results and decision-making. Multinomial logit regression

  12. Decision tree analysis to evaluate dry cow strategies under UK conditions

    NARCIS (Netherlands)

    Berry, E.A.; Hogeveen, H.; Hillerton, J.E.

    2004-01-01

    Economic decisions on animal health strategies address the cost-benefit aspect along with animal welfare and public health concerns. Decision tree analysis at an individual cow level highlighted that there is little economic difference between the use of either dry cow antibiotic or an internal teat

  13. NATO Guide for Judgement-Based Operational Analysis in Defence Decision Making : Client-Oriented Volume

    NARCIS (Netherlands)

    Wijnmalen, D.J.D.; et al

    2012-01-01

    Judgment plays an important role in all Operational Analysis (OA). NATO practitioners have determined that approaches in OA that are based on human judgement are increasingly critical to defence decision making. The purpose of the NATO Guide for Judgement-Based OA in Defence Decision Making is to

  14. NATO Guide for Judgement-Based Operational Analysis in Defence Decision Making : Executive Leaflet

    NARCIS (Netherlands)

    Wijnmalen, D.J.D.; et al

    2012-01-01

    Judgment plays an important role in all Operational Analysis (OA). NATO practitioners have determined that approaches in OA that are based on human judgement are increasingly critical to defence decision making. The purpose of the NATO Guide for Judgement-Based OA in Defence Decision Making is to

  15. Trustworthy patient decision aids: a qualitative analysis addressing the risk of competing interests

    NARCIS (Netherlands)

    Elwyn, G.; Dannenberg, M.; Blaine, A.; Poddar, U.; Durand, M.A.

    2016-01-01

    OBJECTIVE: Our aim in this study was to examine the competing interest policies and procedures of organisations who develop and maintain patient decision aids. DESIGN: Descriptive and thematic analysis of data collected from a cross-sectional survey of patient decision aid developer's competing

  16. Do violations of the axioms of expected utility theory threaten decision analysis?

    Science.gov (United States)

    Nease, R F

    1996-01-01

    Research demonstrates that people violate the independence principle of expected utility theory, raising the question of whether expected utility theory is normative for medical decision making. The author provides three arguments that violations of the independence principle are less problematic than they might first appear. First, the independence principle follows from other more fundamental axioms whose appeal may be more readily apparent than that of the independence principle. Second, the axioms need not be descriptive to be normative, and they need not be attractive to all decision makers for expected utility theory to be useful for some. Finally, by providing a metaphor of decision analysis as a conversation between the actual decision maker and a model decision maker, the author argues that expected utility theory need not be purely normative for decision analysis to be useful. In short, violations of the independence principle do not necessarily represent direct violations of the axioms of expected utility theory; behavioral violations of the axioms of expected utility theory do not necessarily imply that decision analysis is not normative; and full normativeness is not necessary for decision analysis to generate valuable insights.

  17. 75 FR 58374 - 2010 Release of CADDIS (Causal Analysis/Diagnosis Decision Information System)

    Science.gov (United States)

    2010-09-24

    ... Decision Information System) AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of public... 2010 version of the Causal Analysis/Diagnosis Decision Information System (CADDIS). This Web site was developed to help scientists find, develop, organize, and use environmental information to improve causal...

  18. Analysis of decision procedures for a sequence of inventory periods

    International Nuclear Information System (INIS)

    Avenhaus, R.

    1982-07-01

    Optimal test procedures for a sequence of inventory periods will be discussed. Starting with a game theoretical description of the conflict situation between the plant operator and the inspector, the objectives of the inspector as well as the general decision theoretical problem will be formulated. In the first part the objective of 'secure' detection will be emphasized which means that only at the end of the reference time a decision is taken by the inspector. In the second part the objective of 'timely' detection will be emphasized which will lead to sequential test procedures. At the end of the paper all procedures will be summarized, and in view of the multitude of procedures available at the moment some comments about future work will be given. (orig./HP) [de

  19. Second-Order Risk Constraints in Decision Analysis

    Directory of Open Access Journals (Sweden)

    Love Ekenberg

    2014-01-01

    Full Text Available Recently, representations and methods aimed at analysing decision problems where probabilities and values (utilities are associated with distributions over them (second-order representations have been suggested. In this paper we present an approach to how imprecise information can be modelled by means of second-order distributions and how a risk evaluation process can be elaborated by integrating procedures for numerically imprecise probabilities and utilities. We discuss some shortcomings of the use of the principle of maximising the expected utility and of utility theory in general, and offer remedies by the introduction of supplementary decision rules based on a concept of risk constraints taking advantage of second-order distributions.

  20. Mesa NTMS 10 x 20 quadrangle area. Supplemental data report

    International Nuclear Information System (INIS)

    Koller, G.R.

    1980-01-01

    This data report presents supplemental analytical results for stream sediments and ground water. The samples were collected as part of the SRL-NURE reconnaissance in the National Topographic Map Series (NTMS) Mesa 1 0 x 2 0 quadrnangle. Results are reported for 24 elements (Ag, As, Ba, Be, Ca, Co, Cr, Cu, K, Li, Mg, Mo, Nb, Ni, P, Pb, Se, Sn, Sr, Th, W, Y, Zn, and extractable U) in sediments and 31 elements (Ag, Al, As, B, Ba, Be, Ca, Ce, Co, Cr, Cu, Fe, K, Li, Mg, Mn, Mo, Na, Nb, Ni, P, Sc, Se, Si, Sr, Th, Ti, V, Y, Zn, and Zr) as well as pH, alkalinity, and conductivity in ground water

  1. MESAFace, a graphical interface to analyze the MESA output

    Science.gov (United States)

    Giannotti, M.; Wise, M.; Mohammed, A.

    2013-04-01

    MESA (Modules for Experiments in Stellar Astrophysics) has become very popular among astrophysicists as a powerful and reliable code to simulate stellar evolution. Analyzing the output data thoroughly may, however, present some challenges and be rather time-consuming. Here we describe MESAFace, a graphical and dynamical interface which provides an intuitive, efficient and quick way to analyze the MESA output. Catalogue identifier: AEOQ_v1_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/AEOQ_v1_0.html Program obtainable from: CPC Program Library, Queen’s University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 19165 No. of bytes in distributed program, including test data, etc.: 6300592 Distribution format: tar.gz Programming language: Mathematica. Computer: Any computer capable of running Mathematica. Operating system: Any capable of running Mathematica. Tested on Linux, Mac, Windows XP, Windows 7. RAM: Recommended 2 Gigabytes or more. Supplementary material: Additional test data files are available. Classification: 1.7, 14. Nature of problem: Find a way to quickly and thoroughly analyze the output of a MESA run, including all the profiles, and have an efficient method to produce graphical representations of the data. Solution method: We created two scripts (to be run consecutively). The first one downloads all the data from a MESA run and organizes the profiles in order of age. All the files are saved as tables or arrays of tables which can then be accessed very quickly by Mathematica. The second script uses the Manipulate function to create a graphical interface which allows the user to choose what to plot from a set of menus and buttons. The information shown is updated in real time. The user can access very quickly all the data from the run under examination and visualize it with plots and tables. Unusual features: Moving the

  2. Health care priority setting in Norway a multicriteria decision analysis

    Directory of Open Access Journals (Sweden)

    Defechereux Thierry

    2012-02-01

    Full Text Available Abstract Background Priority setting in population health is increasingly based on explicitly formulated values. The Patients Rights Act of the Norwegian tax-based health service guaranties all citizens health care in case of a severe illness, a proven health benefit, and proportionality between need and treatment. This study compares the values of the country's health policy makers with these three official principles. Methods In total 34 policy makers participated in a discrete choice experiment, weighting the relative value of six policy criteria. We used multi-variate logistic regression with selection as dependent valuable to derive odds ratios for each criterion. Next, we constructed a composite league table - based on the sum score for the probability of selection - to rank potential interventions in five major disease areas. Results The group considered cost effectiveness, large individual benefits and severity of disease as the most important criteria in decision making. Priority interventions are those related to cardiovascular diseases and respiratory diseases. Less attractive interventions rank those related to mental health. Conclusions Norwegian policy makers' values are in agreement with principles formulated in national health laws. Multi-criteria decision approaches may provide a tool to support explicit allocation decisions.

  3. Health care priority setting in Norway a multicriteria decision analysis.

    Science.gov (United States)

    Defechereux, Thierry; Paolucci, Francesco; Mirelman, Andrew; Youngkong, Sitaporn; Botten, Grete; Hagen, Terje P; Niessen, Louis W

    2012-02-15

    Priority setting in population health is increasingly based on explicitly formulated values. The Patients Rights Act of the Norwegian tax-based health service guaranties all citizens health care in case of a severe illness, a proven health benefit, and proportionality between need and treatment. This study compares the values of the country's health policy makers with these three official principles. In total 34 policy makers participated in a discrete choice experiment, weighting the relative value of six policy criteria. We used multi-variate logistic regression with selection as dependent valuable to derive odds ratios for each criterion. Next, we constructed a composite league table - based on the sum score for the probability of selection - to rank potential interventions in five major disease areas. The group considered cost effectiveness, large individual benefits and severity of disease as the most important criteria in decision making. Priority interventions are those related to cardiovascular diseases and respiratory diseases. Less attractive interventions rank those related to mental health. Norwegian policy makers' values are in agreement with principles formulated in national health laws. Multi-criteria decision approaches may provide a tool to support explicit allocation decisions.

  4. Warfighter decision making performance analysis as an investment priority driver

    Science.gov (United States)

    Thornley, David J.; Dean, David F.; Kirk, James C.

    2010-04-01

    Estimating the relative value of alternative tactics, techniques and procedures (TTP) and information systems requires measures of the costs and benefits of each, and methods for combining and comparing those measures. The NATO Code of Best Practice for Command and Control Assessment explains that decision making quality would ideally be best assessed on outcomes. Lessons learned in practice can be assessed statistically to support this, but experimentation with alternate measures in live conflict is undesirable. To this end, the development of practical experimentation to parameterize effective constructive simulation and analytic modelling for system utility prediction is desirable. The Land Battlespace Systems Department of Dstl has modeled human development of situational awareness to support constructive simulation by empirically discovering how evidence is weighed according to circumstance, personality, training and briefing. The human decision maker (DM) provides the backbone of the information processing activity associated with military engagements because of inherent uncertainty associated with combat operations. To develop methods for representing the process in order to assess equipment and non-technological interventions such as training and TTPs we are developing componentized or modularized timed analytic stochastic model components and instruments as part of a framework to support quantitative assessment of intelligence production and consumption methods in a human decision maker-centric mission space. In this paper, we formulate an abstraction of the human intelligence fusion process from the Defence Science and Technology Laboratory's (Dstl's) INCIDER model to include in our framework, and synthesize relevant cost and benefit characteristics.

  5. Patient decision making competence: outlines of a conceptual analysis.

    Science.gov (United States)

    Welie, J V; Welie, S P

    2001-01-01

    In order to protect patients against medical paternalism, patients have been granted the right to respect of their autonomy. This right is operationalized first and foremost through the phenomenon of informed consent. If the patient withholds consent, medical treatment, including life-saving treatment, may not be provided. However, there is one proviso: The patient must be competent to realize his autonomy and reach a decision about his own care that reflects that autonomy. Since one of the most important patient rights hinges on the patient's competence, it is crucially important that patient decision making incompetence is clearly defined and can be diagnosed with the greatest possible degree of sensitivity and, even more important, specificity. Unfortunately, the reality is quite different. There is little consensus in the scientific literature and even less among clinicians and in the law as to what competence exactly means, let alone how it can be diagnosed reliably. And yet, patients are deemed incompetent on a daily basis, losing the right to respect of their autonomy. In this article, we set out to fill that hiatus by beginning at the very beginning, the literal meaning of the term competence. We suggest a generic definition of competence and derive four necessary conditions of competence. We then transpose this definition to the health care context and discuss patient decision making competence.

  6. Decision analysis interviews on protective actions in Finland supported by the RODOS system

    Energy Technology Data Exchange (ETDEWEB)

    Haemaelaeinen, R.P.; Lindstedt, M. [Helsinki Univ. of Technology, Otaniemi (Finland). System Analysis Lab.; Sinkko, K.; Ammann, M. [Radiation and Nuclear Safety Authority, Helsinki (Finland); Salo, A. [Lepolantie 54, Helsinki (Finland)

    2000-03-01

    This work was undertaken in order to study the utilisation of decision analysis interviews and of the RODOS system when planning protective actions in the case of a nuclear accident. Six decision analysis interview meetings were organised. Interviewees were competent national safety authorities and technical level decision-makers, i.e., those who are responsible for drawing up advice or making presentations of matters to decision-makers responsible for the practical implementation of the actions. The theme of the meetings was to study how uncertainties could be included in the decision-making process and whether pre-structured generic attributes and value trees would help this process and save time. The approach was to present a generic value tree, a decision table and a selected information package at the beginning of the interviews. The interviewees then examined the suggested value tree in order to ensure that no important factors have been omitted and they made changes when necessary. Also, the decision table was examined and altered by some participants and some of them asked for further information on some issues. But all in all the selected approach allowed for more time and effort to be allocated to value trade-offs and elicitation of risk attitudes. All information was calculated with the support of the RODOS system. Predefined value trees were found to ensure that all relevant factors are considered. The participants also felt that RODOS could provide the required information but, as in previous RODOS exercises, they found it more problematic to use decision analysis methods when planning countermeasures in the early phase of a nuclear accident. Furthermore, it was again noted that understanding the actual meaning 'soft' attributes, such as socio-psychological impacts, was not a straightforward issue. Consequently, the definition of attributes and training in advance would be beneficial. The incorporation of uncertainties also proved to be

  7. Decision analysis interviews on protective actions in Finland supported by the RODOS system

    International Nuclear Information System (INIS)

    Haemaelaeinen, R.P.; Lindstedt, M.; Salo, A.

    2000-03-01

    This work was undertaken in order to study the utilisation of decision analysis interviews and of the RODOS system when planning protective actions in the case of a nuclear accident. Six decision analysis interview meetings were organised. Interviewees were competent national safety authorities and technical level decision-makers, i.e., those who are responsible for drawing up advice or making presentations of matters to decision-makers responsible for the practical implementation of the actions. The theme of the meetings was to study how uncertainties could be included in the decision-making process and whether pre-structured generic attributes and value trees would help this process and save time. The approach was to present a generic value tree, a decision table and a selected information package at the beginning of the interviews. The interviewees then examined the suggested value tree in order to ensure that no important factors have been omitted and they made changes when necessary. Also, the decision table was examined and altered by some participants and some of them asked for further information on some issues. But all in all the selected approach allowed for more time and effort to be allocated to value trade-offs and elicitation of risk attitudes. All information was calculated with the support of the RODOS system. Predefined value trees were found to ensure that all relevant factors are considered. The participants also felt that RODOS could provide the required information but, as in previous RODOS exercises, they found it more problematic to use decision analysis methods when planning countermeasures in the early phase of a nuclear accident. Furthermore, it was again noted that understanding the actual meaning 'soft' attributes, such as socio-psychological impacts, was not a straightforward issue. Consequently, the definition of attributes and training in advance would be beneficial. The incorporation of uncertainties also proved to be difficult and

  8. Analysis of Product Buying Decision on Lazada E-commerce based on Previous Buyers’ Comments

    Directory of Open Access Journals (Sweden)

    Neil Aldrin

    2017-06-01

    Full Text Available The aims of the present research are: 1 to know that product buying decision possibly occurs, 2 to know how product buying decision occurs on Lazada e-commerce’s customers, 3 how previous buyers’ comments can increase product buying decision on Lazada e-commerce. This research utilizes qualitative research method. Qualitative research is a research that investigates other researches and makes assumption or discussion result so that other analysis results can be made in order to widen idea and opinion. Research result shows that product which has many ratings and reviews will trigger other buyers to purchase or get that product. The conclusion is that product buying decision may occur because there are some processes before making decision which are: looking for recognition and searching for problems, knowing the needs, collecting information, evaluating alternative, evaluating after buying. In those stages, buying decision on Lazada e-commerce is supported by price, promotion, service, and brand.

  9. Availability, Sustainability, and Suitability of Ground Water, Rogers Mesa, Delta County, Colorado - Types of Analyses and Data for Use in Subdivision Water-Supply Reports

    Science.gov (United States)

    Watts, Kenneth R.

    2008-01-01

    The population of Delta County, Colorado, like that in much of the Western United States, is forecast to increase substantially in the next few decades. A substantial portion of the increased population likely will reside in rural subdivisions and use residential wells for domestic water supplies. In Colorado, a subdivision developer is required to submit a water-supply plan through the county for approval by the Colorado Division of Water Resources. If the water supply is to be provided by wells, the water-supply plan must include a water-supply report. The water-supply report demonstrates the availability, sustainability, and suitability of the water supply for the proposed subdivision. During 2006, the U.S. Geological Survey, in cooperation with Delta County, Colorado, began a study to develop criteria that the Delta County Land Use Department can use to evaluate water-supply reports for proposed subdivisions. A table was prepared that lists the types of analyses and data that may be needed in a water-supply report for a water-supply plan that proposes the use of ground water. A preliminary analysis of the availability, sustainability, and suitability of the ground-water resources of Rogers Mesa, Delta County, Colorado, was prepared for a hypothetical subdivision to demonstrate hydrologic analyses and data that may be needed for water-supply reports for proposed subdivisions. Rogers Mesa is a 12-square-mile upland mesa located along the north side of the North Fork Gunnison River about 15 miles east of Delta, Colorado. The principal land use on Rogers Mesa is irrigated agriculture, with about 5,651 acres of irrigated cropland, grass pasture, and orchards. The principal source of irrigation water is surface water diverted from the North Fork Gunnison River and Leroux Creek. The estimated area of platted subdivisions on or partially on Rogers Mesa in 2007 was about 4,792 acres of which about 2,756 acres was irrigated land in 2000. The principal aquifer on Rogers

  10. A preliminary study applying decision analysis to the treatment of caries in primary teeth.

    Science.gov (United States)

    Tamošiūnas, Vytautas; Kay, Elizabeth; Craven, Rebecca

    2013-01-01

    To determine an optimal treatment strategy for carious deciduous teeth. Manchester Dental Hospital. Decision analysis. The likelihoods of each of the sequelae of caries in deciduous teeth were determined from the literature. The utility of the outcomes from non-treatment and treatment was then measured in 100 parents of children with caries, using a visual analogue scale. Decision analysis was performed which weighted the value of each potential outcome by the probability of its occurrence. A decision tree "fold-back" and sensitivity analysis then determined which treatment strategies, under which circumstances, offered the maximum expected utilities. The decision to leave a carious deciduous tooth unrestored attracted a maximum utility of 76.65 and the overall expected utility for the decision "restore" was 73.27 The decision to restore or not restore carious deciduous teeth are therefore of almost equal value. The decision is however highly sensitive to the utility value assigned to the advent of pain by the patient. There is no clear advantage to be gained by restoring deciduous teeth if patients' evaluations of outcomes are taken into account. Avoidance of pain and avoidance of procedures which are viewed as unpleasant by parents should be key determinants of clinical decision making about carious deciduous teeth.

  11. Decisions and Reasons: Examining Preservice Teacher Decision-Making through Video Self-Analysis

    Science.gov (United States)

    Rich, Peter J.; Hannafin, Michael J.

    2008-01-01

    Methods used to study teacher thinking have both provided insight into the cognitive aspects of teaching and resulted in new, as yet unresolved, relationships between practice and theory. Recent developments in video-analysis tools have allowed preservice teachers to analyze both their practices and thinking, providing important feedback for…

  12. Hanford Site cleanup and transition: Risk data needs for decision making (Hanford risk data gap analysis decision guide)

    International Nuclear Information System (INIS)

    Gajewski, S.; Glantz, C.; Harper, B.; Bilyard, G.; Miller, P.

    1995-10-01

    Given the broad array of environmental problems, technical alternatives, and outcomes desired by different stakeholders at Hanford, DOE will have to make difficult resource allocations over the next few decades. Although some of these allocations will be driven purely by legal requirements, almost all of the major objectives of the cleanup and economic transition missions involve choices among alternative pathways. This study examined the following questions: what risk information is needed to make good decisions at Hanford; how do those data needs compare to the set(s) of risk data that will be generated by regulatory compliance activities and various non-compliance studies that are also concerned with risk? This analysis examined the Hanford Site missions, the Hanford Strategic Plan, known stakeholder values, and the most important decisions that have to be made at Hanford to determine a minimum domain of risk information required to make good decisions that will withstand legal, political, and technical scrutiny. The primary risk categories include (1) public health, (2) occupational health and safety, (3) ecological integrity, (4) cultural-religious welfare, and (5) socio-economic welfare

  13. Verification and validation of the decision analysis model for assessment of TWRS waste treatment strategies

    International Nuclear Information System (INIS)

    Awadalla, N.G.; Eaton, S.C.F.

    1996-01-01

    This document is the verification and validation final report for the Decision Analysis Model for Assessment of Tank Waste Remediation System Waste Treatment Strategies. This model is also known as the INSIGHT Model

  14. A Decision Making Analysis of Persuasive Argumentation and the Choice Shift Effect

    Science.gov (United States)

    Vinokur, Amiram; And Others

    1975-01-01

    A subjective expected utility (SEU) decision-making analysis was performed on the content of arguments generated by subjects privately or during group discussion in response to choice-dilemmas shown to shift toward risk and caution. (Editor)

  15. A Benefit-Risk Analysis Approach to Capture Regulatory Decision-Making: Multiple Myeloma.

    Science.gov (United States)

    Raju, G K; Gurumurthi, Karthik; Domike, Reuben; Kazandjian, Dickran; Landgren, Ola; Blumenthal, Gideon M; Farrell, Ann; Pazdur, Richard; Woodcock, Janet

    2018-01-01

    Drug regulators around the world make decisions about drug approvability based on qualitative benefit-risk analysis. In this work, a quantitative benefit-risk analysis approach captures regulatory decision-making about new drugs to treat multiple myeloma (MM). MM assessments have been based on endpoints such as time to progression (TTP), progression-free survival (PFS), and objective response rate (ORR) which are different than benefit-risk analysis based on overall survival (OS). Twenty-three FDA decisions on MM drugs submitted to FDA between 2003 and 2016 were identified and analyzed. The benefits and risks were quantified relative to comparators (typically the control arm of the clinical trial) to estimate whether the median benefit-risk was positive or negative. A sensitivity analysis was demonstrated using ixazomib to explore the magnitude of uncertainty. FDA approval decision outcomes were consistent and logical using this benefit-risk framework. © 2017 American Society for Clinical Pharmacology and Therapeutics.

  16. FUZZY DECISION ANALYSIS FOR INTEGRATED ENVIRONMENTAL VULNERABILITY ASSESSMENT OF THE MID-ATLANTIC REGION

    Science.gov (United States)

    A fuzzy decision analysis method for integrating ecological indicators is developed. This is a combination of a fuzzy ranking method and the Analytic Hierarchy Process (AHP). The method is capable ranking ecosystems in terms of environmental conditions and suggesting cumula...

  17. Decision support for farmers in Africa: Analysis of the roles and ...

    African Journals Online (AJOL)

    Decision support for farmers in Africa: Analysis of the roles and ... producers to access more consumable, accurate and timely information for making informed choices. ... To capitalise on 'big data', the sub-Saharan African grain industry needs ...

  18. Developing shape analysis tools to assist complex spatial decision making

    Energy Technology Data Exchange (ETDEWEB)

    Mackey, H.E. [Westinghouse Savannah River Company, AIKEN, SC (United States); Ehler, G.B.; Cowen, D. [South Carolina Univ., Columbia, SC (United States)

    1996-05-31

    The objective of this research was to develop and implement a shape identification measure within a geographic information system, specifically one that incorporates analytical modeling for site location planning. The application that was developed incorporated a location model within a raster-based GIS, which helped address critical performance issues for the decision support system. Binary matrices, which approximate the object`s geometrical form, are passed over the grided data structure and allow identification of irregular and regularly shaped objects. Lastly, the issue of shape rotation is addressed and is resolved by constructing unique matrices corresponding to the object`s orientation

  19. Developing shape analysis tools to assist complex spatial decision making

    International Nuclear Information System (INIS)

    Mackey, H.E.; Ehler, G.B.; Cowen, D.

    1996-01-01

    The objective of this research was to develop and implement a shape identification measure within a geographic information system, specifically one that incorporates analytical modeling for site location planning. The application that was developed incorporated a location model within a raster-based GIS, which helped address critical performance issues for the decision support system. Binary matrices, which approximate the object's geometrical form, are passed over the grided data structure and allow identification of irregular and regularly shaped objects. Lastly, the issue of shape rotation is addressed and is resolved by constructing unique matrices corresponding to the object's orientation

  20. Multiple Criteria Decision Analysis for Health Care Decision Making--An Introduction: Report 1 of the ISPOR MCDA Emerging Good Practices Task Force.

    Science.gov (United States)

    Thokala, Praveen; Devlin, Nancy; Marsh, Kevin; Baltussen, Rob; Boysen, Meindert; Kalo, Zoltan; Longrenn, Thomas; Mussen, Filip; Peacock, Stuart; Watkins, John; Ijzerman, Maarten

    2016-01-01

    Health care decisions are complex and involve confronting trade-offs between multiple, often conflicting, objectives. Using structured, explicit approaches to decisions involving multiple criteria can improve the quality of decision making and a set of techniques, known under the collective heading multiple criteria decision analysis (MCDA), are useful for this purpose. MCDA methods are widely used in other sectors, and recently there has been an increase in health care applications. In 2014, ISPOR established an MCDA Emerging Good Practices Task Force. It was charged with establishing a common definition for MCDA in health care decision making and developing good practice guidelines for conducting MCDA to aid health care decision making. This initial ISPOR MCDA task force report provides an introduction to MCDA - it defines MCDA; provides examples of its use in different kinds of decision making in health care (including benefit risk analysis, health technology assessment, resource allocation, portfolio decision analysis, shared patient clinician decision making and prioritizing patients' access to services); provides an overview of the principal methods of MCDA; and describes the key steps involved. Upon reviewing this report, readers should have a solid overview of MCDA methods and their potential for supporting health care decision making. Copyright © 2016. Published by Elsevier Inc.

  1. Stormwater Pollution Prevention Plan TA-60 Roads and Grounds Facility and Associated Sigma Mesa Staging Area

    Energy Technology Data Exchange (ETDEWEB)

    Sandoval, Leonard Frank [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-02-01

    This Stormwater Pollution Prevention Plan (SWPPP) is applicable to operations at the Technical Area -60 (TA-60) Roads and Grounds Facility and Associated Sigma Mesa Staging Area off Eniwetok Drive, in Los Alamos County, New Mexico.

  2. NPDES Permit for Mesa Verde National Park Water Treatment Plant in Colorado

    Science.gov (United States)

    Under NPDES permit number CO-0034462, the United States Department of the Interior, National Park Service is authorized to discharge from the Mesa Verde National Park water treatment plant, in Montezuma County, Colo.

  3. Using reliability analysis to support decision making\\ud in phased mission systems

    OpenAIRE

    Zhang, Yang; Prescott, Darren

    2017-01-01

    Due to the environments in which they will operate, future autonomous systems must be capable of reconfiguring quickly and safely following faults or environmental changes. Past research has shown how, by considering autonomous systems to perform phased missions, reliability analysis can support decision making by allowing comparison of the probability of success of different missions following reconfiguration. Binary Decision Diagrams (BDDs) offer fast, accurate reliability analysis that cou...

  4. Using the method of judgement analysis to address variations in diagnostic decision making

    OpenAIRE

    Hancock, Helen C; Mason, James M; Murphy, Jerry J

    2012-01-01

    Abstract Background Heart failure is not a clear-cut diagnosis but a complex clinical syndrome with consequent diagnostic uncertainty. Judgment analysis is a method to help clinical teams to understand how they make complex decisions. The method of judgment analysis was used to determine the factors that influence clinicians' diagnostic decisions about heart failure. Methods Three consultants, three middle grade doctors, and two junior doctors each evaluated 45 patient scenarios. The main out...

  5. An Evaluation on Factors Influencing Decision making for Malaysia Disaster Management: The Confirmatory Factor Analysis Approach

    Science.gov (United States)

    Zubir, S. N. A.; Thiruchelvam, S.; Mustapha, K. N. M.; Che Muda, Z.; Ghazali, A.; Hakimie, H.

    2017-12-01

    For the past few years, natural disaster has been the subject of debate in disaster management especially in flood disaster. Each year, natural disaster results in significant loss of life, destruction of homes and public infrastructure, and economic hardship. Hence, an effective and efficient flood disaster management would assure non-futile efforts for life saving. The aim of this article is to examine the relationship between approach, decision maker, influence factor, result, and ethic to decision making for flood disaster management in Malaysia. The key elements of decision making in the disaster management were studied based on the literature. Questionnaire surveys were administered among lead agencies at East Coast of Malaysia in the state of Kelantan and Pahang. A total of 307 valid responses had been obtained for further analysis. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were carried out to analyse the measurement model involved in the study. The CFA for second-order reflective and first-order reflective measurement model indicates that approach, decision maker, influence factor, result, and ethic have a significant and direct effect on decision making during disaster. The results from this study showed that decision- making during disaster is an important element for disaster management to necessitate a successful collaborative decision making. The measurement model is accepted to proceed with further analysis known as Structural Equation Modeling (SEM) and can be assessed for the future research.

  6. Shared decision-making in the paediatric field: a literature review and concept analysis.

    Science.gov (United States)

    Park, Eun Sook; Cho, In Young

    2017-09-13

    The concept of shared decision-making is poorly defined and often used interchangeably with related terms. The aim of this study was to delineate and clarify the concept of shared decision-making in the paediatric field. Rodgers and Knafl's evolutionary concept analysis was used to delineate and clarify the concept. Following a search of the CINAHL, PubMed and MEDLINE databases and online journals between 1995 and 2016, we included a total of 42 articles that referred to shared decision-making in the paediatric field. The attributes included active participation of the three: parents, children and health professionals; collaborative partnership; reaching a compromise; and common goal for child's health. Antecedents were existing several options with different possible outcomes; substantial decisional conflict; recognising child's health situations that decision-making is needed; and willingness to participate in decision-making. Finally, the consequences included decreased decisional conflict; mutual empowerment; improved child health status; and improved quality of paediatric health care. This study provides a theoretical understanding of the concept of shared decision-making in the paediatric field; furthermore, by integrating this concept into paediatric practice, it may help to reduce the gap between theory and practice. The analysis could also provide nursing researchers with insight into paediatric decision-making and establish a foundation to develop future interventions and situation-specific theory for promoting high-quality decision-making in the paediatric field. © 2017 Nordic College of Caring Science.

  7. Decision Styles and Rationality: An Analysis of the Predictive Validity of the General Decision-Making Style Inventory

    Science.gov (United States)

    Curseu, Petru Lucian; Schruijer, Sandra G. L.

    2012-01-01

    This study investigates the relationship between the five decision-making styles evaluated by the General Decision-Making Style Inventory, indecisiveness, and rationality in decision making. Using a sample of 102 middle-level managers, the results show that the rational style positively predicts rationality in decision making and negatively…

  8. Environmental decision support system on base of geoinformational technologies for the analysis of nuclear accident consequences

    International Nuclear Information System (INIS)

    Haas, T.C.; Maigan, M.; Arutyunyan, R.V.; Bolshov, L.A.; Demianov, V.V.

    1996-01-01

    The report deals with description of the concept and prototype of environmental decision support system (EDSS) for the analysis of late off-site consequences of severe nuclear accidents and analysis, processing and presentation of spatially distributed radioecological data. General description of the available software, use of modem achievements of geostatistics and stochastic simulations for the analysis of spatial data are presented and discussed

  9. Econometric Analysis of Bulk Shipping: implications for investment strategies and financial decision-making

    NARCIS (Netherlands)

    S. Tsolakis

    2005-01-01

    textabstractThis thesis provides an econometric analysis of the bulk shipping markets and the implications for shipping investment and financial decision making. Chapter 1 sets the scene by providing a historic analysis of bulk shipping markets over the last 55 years. From this analysis, four

  10. Game Theoretic Interaction and Decision: A Quantum Analysis

    Directory of Open Access Journals (Sweden)

    Ulrich Faigle

    2017-11-01

    Full Text Available An interaction system has a finite set of agents that interact pairwise, depending on the current state of the system. Symmetric decomposition of the matrix of interaction coefficients yields the representation of states by self-adjoint matrices and hence a spectral representation. As a result, cooperation systems, decision systems and quantum systems all become visible as manifestations of special interaction systems. The treatment of the theory is purely mathematical and does not require any special knowledge of physics. It is shown how standard notions in cooperative game theory arise naturally in this context. In particular, states of general interaction systems are seen to arise as linear superpositions of pure quantum states and Fourier transformation to become meaningful. Moreover, quantum games fall into this framework. Finally, a theory of Markov evolution of interaction states is presented that generalizes classical homogeneous Markov chains to the present context.

  11. Ship Engine Room Casualty Analysis by Using Decision Tree Method

    Directory of Open Access Journals (Sweden)

    Ömür Yaşar SAATÇİOĞLU

    2017-03-01

    Full Text Available Ships may encounter undesirable conditions during operations. In consequence of a casualty, fire, explosion, flooding, grounding, injury even death may occur. Besides, these results can be avoidable with precautions and preventive operating processes. In maritime transportation, casualties depend on various factors. These were listed as misuse of the engine equipment and tools, defective machinery or equipment, inadequacy of operational procedure and measure of safety and force majeure effects. Casualty reports which were published in Australia, New Zealand, United Kingdom, Canada and United States until 2015 were examined and the probable causes and consequences of casualties were determined with their occurrence percentages. In this study, 89 marine investigation reports regarding engine room casualties were analyzed. Casualty factors were analyzed with their frequency percentages and also their main causes were constructed. This study aims to investigate engine room based casualties, frequency of each casualty type and main causes by using decision tree method.

  12. LANL Institutional Decision Support By Process Modeling and Analysis Group (AET-2)

    Energy Technology Data Exchange (ETDEWEB)

    Booth, Steven Richard [Los Alamos National Laboratory

    2016-04-04

    AET-2 has expertise in process modeling, economics, business case analysis, risk assessment, Lean/Six Sigma tools, and decision analysis to provide timely decision support to LANS leading to continuous improvement. This capability is critical during the current tight budgetary environment as LANS pushes to identify potential areas of cost savings and efficiencies. An important arena is business systems and operations, where processes can impact most or all laboratory employees. Lab-wide efforts are needed to identify and eliminate inefficiencies to accomplish Director McMillan’s charge of “doing more with less.” LANS faces many critical and potentially expensive choices that require sound decision support to ensure success. AET-2 is available to provide this analysis support to expedite the decisions at hand.

  13. A method for analysis of nuclear power plant operators' decision making in simulated disturbance situations

    International Nuclear Information System (INIS)

    1995-01-01

    An analysis method has been developed for analysis of nuclear power plant operators' decision making in simulated disturbance situations. The aim of the analysis is to investigate operators' orientation which is expected to manifest itself as collective strategies in utilization of resources of decision making. Resources analyzed here are different information sources and, in addition, collaborative resources like communication and participation. The cognitive approach on the basis of the method considers decision making as collective construction of common interpretation of available information. Utilization of information is evaluated with respect to operative context. This is made with help of conceptualization of the disturbance situation from the decision making point of view and by construction of operative reference for activity. The latter means conceptualization of the situation from the safety point of view and also consideration of other boundary constraints of decision making, i.e. economical and technical aspects. The analysis method is intended to be used in routine simulator training in nuclear power plants. By virtue of its contextual and dynamical approach it makes the developing nature of activity visible. Cumulation and distribution of knowledge of decision making as developing activity, controlled by orientation and boundary constraints of process control, is expected to improve operational culture of a plant organization. (author). 2 refs, 1 fig

  14. Individual relocation decisions after tornadoes: a multi-level analysis.

    Science.gov (United States)

    Cong, Zhen; Nejat, Ali; Liang, Daan; Pei, Yaolin; Javid, Roxana J

    2018-04-01

    This study examines how multi-level factors affected individuals' relocation decisions after EF4 and EF5 (Enhanced Fujita Tornado Intensity Scale) tornadoes struck the United States in 2013. A telephone survey was conducted with 536 respondents, including oversampled older adults, one year after these two disaster events. Respondents' addresses were used to associate individual information with block group-level variables recorded by the American Community Survey. Logistic regression revealed that residential damage and homeownership are important predictors of relocation. There was also significant interaction between these two variables, indicating less difference between homeowners and renters at higher damage levels. Homeownership diminished the likelihood of relocation among younger respondents. Random effects logistic regression found that the percentage of homeownership and of higher income households in the community buffered the effect of damage on relocation; the percentage of older adults reduced the likelihood of this group relocating. The findings are assessed from the standpoint of age difference, policy implications, and social capital and vulnerability. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

  15. Application of decision analysis in debt-for-environment swaps

    Energy Technology Data Exchange (ETDEWEB)

    Abu-Taleb, M.F. [Department of Civil Engineering, Applied Science University, PO Box 40, 11831, Amman (Jordan)

    2003-03-01

    Through a mandate by the Government of Jordan, a debt-for-environment swap initiative was designed to mobilize resources for programs that improve the Jordanian environment within a broad spectrum of conservation, water supply, sanitation, resource management, ecological protection, environmental education, and pollution abatement technology. As a debtor country, Jordan faces a severe debt burden (with debt-per-capita levels among the highest in the world), and is facing difficulty obtaining further credit to fill the gaps in hard currency requirements for imports. Debt swap converts outstanding debt obligations into local currency for approved national environmental programs and projects. With creditor countries favoring debt swap over debt forgiveness in general, and debt swap for environmental technology projects in particular, the initiative was launched to ensure both fiscal and environmental quality benefits. With donors requiring that project development and selection procedures be fair, unbiased, and transparent, a mechanism for ultimate selection was developed by the author solely for the initiative based on multiple objective optimization techniques. This paper formulates the necessary decision-analytic principles for the initiative and presents a discrete, defensible, and transparent model for selection of projects. The model ranks the projects in terms of environment and economic objectives and can be used for other generalized applications. (orig.)

  16. Decision analysis for the siting of nuclear power plants: the relevance of multiattribute utility theory

    International Nuclear Information System (INIS)

    Keeney, R.L; Nair, K.

    1975-01-01

    The necessity for improved decision making concerning the siting and licensing of major power facilities has been accelerated in the past decade by the increased environmental consciousness of the public and by the energy crisis. These problems are exceedingly complex due to their multiple objective nature, the many interest groups, the long-range time horizons, and the inherent uncertainties of the potential impacts of any decision. Along with the relatively objective economic and engineering concerns, clearly the more subjective factors involving safety, environmental, and social issues are crucial to the problem. Hence, the professional judgments and knowledge of experts in these areas should be utilized in analyses of siting decisions. Likewise, the preferences of the general public, as consumers, the utility companies, as builders and operators of power plant facilities, and environmentalists and the government must be accounted for in analyzing power plant siting and licensing issues. We advocate an approach for formally articulating the experts' judgments and the decision makers' preferences, both of which are clearly subjective, and processing these along with the more objective considerations in a logical manner to acquire the implications for decision making. The appropriateness and application of decision analysis for power plant location decisions is discussed and illustrated. Emphasis is placed on the assessment of the decision maker's preferences and tradeoffs concerning multiple objectives. (U.S.)

  17. Web-Based Analysis for Decision Support Systems

    African Journals Online (AJOL)

    pc

    2018-03-05

    Mar 5, 2018 ... Faculty of Computing and Information Technology, King Abdulaziz University, Jeddah, SA ... impact of web-based analysis on DSSs and how it affects ... Internal users. ... and control of models, especially accounting, financial,.

  18. Cost-benefit analysis in decision making for diagnostic radiology

    International Nuclear Information System (INIS)

    Fabrikant, J.I.; Hilberg, A.W.

    1982-02-01

    This paper reviews certain current concepts and methods relating to benefit-risk analysis, in terms of economic costs and raidation risks to health, in relation to the benefits from diagnostic radiology in clinical medicine

  19. Hydrologic Source Term Processes and Models for the Clearwater and Wineskin Tests, Rainier Mesa, Nevada National Security Site

    Energy Technology Data Exchange (ETDEWEB)

    Carle, Steven F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2011-05-04

    This report describes the development, processes, and results of a hydrologic source term (HST) model for the CLEARWATER (U12q) and WINESKIN (U12r) tests located on Rainier Mesa, Nevada National Security Site, Nevada (Figure 1.1). Of the 61 underground tests (involving 62 unique detonations) conducted on Rainier Mesa (Area 12) between 1957 and 1992 (USDOE, 2015), the CLEARWATER and WINESKIN tests present many unique features that warrant a separate HST modeling effort from other Rainier Mesa tests.

  20. Decision-making in rectal and colorectal cancer: systematic review and qualitative analysis of surgeons' preferences.

    Science.gov (United States)

    Broc, Guillaume; Gana, Kamel; Denost, Quentin; Quintard, Bruno

    2017-04-01

    Surgeons are experiencing difficulties implementing recommendations not only owing to incomplete, confusing or conflicting information but also to the increasing involvement of patients in decisions relating to their health. This study sought to establish which common factors including heuristic factors guide surgeons' decision-making in colon and rectal cancers. We conducted a systematic literature review of surgeons' decision-making factors related to colon and rectal cancer treatment. Eleven of 349 identified publications were eligible for data analyses. Using the IRaMuTeQ (Interface of R for the Multidimensional Analyses of Texts and Questionnaire), we carried out a qualitative analysis of the significant factors collected in the studies reviewed. Several validation procedures were applied to control the robustness of the findings. Five categories of factors (i.e. patient, surgeon, treatment, tumor and organizational cues) were found to influence surgeons' decision-making. Specifically, all decision criteria including biomedical (e.g. tumor information) and heuristic (e.g. surgeons' dispositional factors) criteria converged towards the factor 'age of patient' in the similarity analysis. In the light of the results, we propose an explanatory model showing the impact of heuristic criteria on medical issues (i.e. diagnosis, prognosis, treatment features, etc.) and thus on decision-making. Finally, the psychosocial complexity involved in decision-making is discussed and a medico-psycho-social grid for use in multidisciplinary meetings is proposed.

  1. Lean production tools and decision latitude enable conditions for innovative learning in organizations: a multilevel analysis.

    Science.gov (United States)

    Fagerlind Ståhl, Anna-Carin; Gustavsson, Maria; Karlsson, Nadine; Johansson, Gun; Ekberg, Kerstin

    2015-03-01

    The effect of lean production on conditions for learning is debated. This study aimed to investigate how tools inspired by lean production (standardization, resource reduction, visual monitoring, housekeeping, value flow analysis) were associated with an innovative learning climate and with collective dispersion of ideas in organizations, and whether decision latitude contributed to these associations. A questionnaire was sent out to employees in public, private, production and service organizations (n = 4442). Multilevel linear regression analyses were used. Use of lean tools and decision latitude were positively associated with an innovative learning climate and collective dispersion of ideas. A low degree of decision latitude was a modifier in the association to collective dispersion of ideas. Lean tools can enable shared understanding and collective spreading of ideas, needed for the development of work processes, especially when decision latitude is low. Value flow analysis played a pivotal role in the associations. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  2. A Meta-Analysis of Blood Glucose Effects on Human Decision Making

    DEFF Research Database (Denmark)

    Orquin, Jacob L.; Kurzban, Robert

    2016-01-01

    The academic and public interest in blood glucose and its relationship to decision making has been increasing over the last decade. To investigate and evaluate competing theories about this relationship, we conducted a psychometric meta-analysis on the effect of blood glucose on decision making. We...... and willingness to work when a situation is food related, but decrease willingness to pay and work in all other situations. Low levels of blood glucose increase the future discount rate for food; that is, decision makers become more impatient, and to a lesser extent increase the future discount rate for money...

  3. Systematic maintenance analysis with decision support method and tool for optimizing maintenance programme

    International Nuclear Information System (INIS)

    Laakso, K.; Simola, K.; Dorrepaal, J.; Skogberg, P.

    1999-01-01

    This report describes an approach to evaluate the effectiveness of test and maintenance programs of technical systems used during several years. The method combines an analysis of the historical data on faults and repairs with an analysis of the history of periodic testing and preventive maintenance action programs. The application of the maintenance analysis from the methodological point of view in the reliability centered maintenance (RCM) project for Barsebaeck nuclear power plant is described. In order to limit the analysis resources, a method for ranking of objects for maintenance analysis is needed. Preliminary suggestions for changes in maintenance action programs are based on signals from simple maintenance indicators and qualitative analysis of underlying data on failures and maintenance. To facilitate generation of maintenance indicators, and make the maintenance analysis more efficient, a powerful and suitable data treatment tool is needed for analysis of the work order history. In the final maintenance decisions, additional decision criteria must be taken into account, and thus a more formal decision analysis is often needed for decision support. (au)

  4. Time-location patterns of a diverse population of older adults: the Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air).

    Science.gov (United States)

    Spalt, Elizabeth W; Curl, Cynthia L; Allen, Ryan W; Cohen, Martin; Adar, Sara D; Stukovsky, Karen H; Avol, Ed; Castro-Diehl, Cecilia; Nunn, Cathy; Mancera-Cuevas, Karen; Kaufman, Joel D

    2016-06-01

    The primary aim of this analysis was to present and describe questionnaire data characterizing time-location patterns of an older, multiethnic population from six American cities. We evaluated the consistency of results from repeated administration of this questionnaire and between this questionnaire and other questionnaires collected from participants of the Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air). Participants reported spending most of their time inside their homes (average: 121 h/week or 72%). More than 50% of the participants reported spending no time in several of the location options, including at home outdoors, at work/volunteer/school locations indoors or outdoors, or in "other" locations outdoors. We observed consistency between self-reported time-location patterns from repeated administration of the time-location questionnaire and compared with other survey instruments. Comparisons with national cohorts demonstrated the differences in time-location patterns in the MESA Air cohort due to differences in demographics, but the data showed similar trends in patterns by age, gender, season, and employment status. This study was the first to explicitly examine the time-location patterns in an older, multiethnic population and the first to add data on Chinese participants. These data can be used to inform future epidemiological research of MESA Air and other studies that include diverse populations.

  5. Proof of patient information: Analysis of 201 judicial decisions.

    Science.gov (United States)

    Dugleux, E; Rached, H; Rougé-Maillart, C

    2018-05-01

    The ruling by the French Court of Cassation dated February 25, 1997 obliged doctors to provide proof of the information given to patients, reversing more than half a century of case law. In October 1997, it was specified that such evidence could be provided by "all means", including presumption. No hierarchy in respect of means of proof has been defined by case law or legislation. The present study analyzed judicial decisions with a view to determining the means of proof liable to carry the most weight in a suit for failure to provide due patient information. A retrospective qualitative study was conducted for the period from January 2010 to December 2015, by a search on the LexisNexis ® JurisClasseur website. Two hundred and one judicial decisions relating to failure to provide due patient information were selected and analyzed to study the characteristics of the practitioners involved, the content of the information at issue and the means of proof provided. The resulting cohort of practitioners was compared with the medical demographic atlas of the French Order of Medicine, considered as exhaustive. Two hundred and one practitioners were investigated for failure to provide information: 45 medical practitioners (22±3%), and 156 surgeons (78±3%) including 45 orthopedic surgeons (29±3.6% of surgeons). Hundred and ninety-three were private sector (96±1.3%) and 8 public sector (4±1.3%). Hundred and one surgeons (65±3.8% of surgeons), and 26 medical practitioners (58±7.4%) were convicted. Twenty-five of the 45 orthopedic surgeons were convicted (55±7.5%). There was no significant difference in conviction rates between surgeons and medical practitioners: odds ratio, 1.339916; 95% CI [0.6393982; 2.7753764] (Chi 2 test: p=0.49). Ninety-two practitioners based their defense on a single means of proof, and 74 of these were convicted (80±4.2%). Forty practitioners based their defense on several means of proof, and 16 of these were convicted (40±7.8%). There was

  6. RATING DECISION ANALYSIS BASED ON IOS APP STORE DATA

    Directory of Open Access Journals (Sweden)

    Dejan Erić

    2014-12-01

    Full Text Available Purpose: The aim of the paper is to describe the specific aspects of the e-commerce model business-to-consumer as a constantly developing field of an economic life in the Central European countries according to their customers. The current state of e-business and business-to-consumer e-commerce issue was identified by the research in the Czech Republic, Hungary, Poland and Slovakia.Methodology/Approach: For the purposes of collecting primary data the crucial factor for the selection of e-shops was identification of the suitable  online portals focused on post-purchase evaluation of e-shops in Visegrad group countries. Automatic data collection method was used for the observed variables (evaluations within selected online portals of the identified e-shops. The total of 5,228,127 evaluations of 9,260 e-shops were analysed. The main focus was given to customer overall satisfaction with an e-shop in relation to communication with a customer or overall satisfaction with an e-shop and delivery quality.Findings: The results of the research showed that there exists a direct relation between overall satisfaction with an e-shop and communication with customers or overall satisfaction with an e-shop and delivery quality.Originality/Value of paper: The ambition of this paper through the findings is to help subjects of e-commerce in their marketing decisions in order to even better understand the factors that influence customers’ satisfaction. 

  7. Decision tree analysis to evaluate dry cow strategies under UK conditions

    OpenAIRE

    Berry, E.A.; Hogeveen, H.; Hillerton, J.E.

    2005-01-01

    Economic decisions on animal health strategies address the cost-benefit aspect along with animal welfare and public health concerns. Decision tree analysis at an individual cow level highlighted that there is little economic difference between the use of either dry cow antibiotic or an internal teat sealant in preventing a new intramammary infection in a cow free of infection in all quarters of the mammary gland at drying off. However, a potential net loss of over pound20 per cow might occur ...

  8. Geology of the Horse Range Mesa quadrangle, Colorado

    Science.gov (United States)

    Cater, Fred W.; Bush, A.L.; Bell, Henry; Withington, C.F.

    1953-01-01

    The Horse Range Mesa quadrangle is one of eighteen 7 1/2-minute quadrangles covering the principal carnotite-producing area of southwestern Colorado. The geology of the quadrangles was mapped by the U.S. Geological Survey for the Atomic Energy Commission as part of a comprehensive study of carnotite deposits. The rocks exposed in the eighteen quadrangles consist of crystalline rocks of pre-Cambrian age and sedimentary rocks that range in age from late Paleozoic to Quaternary. Over much of the area the sedimentary rocks are flat lying, but in places the rocks are disrupted by high-angle faults, and northwest-trending folds. Conspicuous among the folds are large anticlines having cores of intrusive salt and gypsum. Most of the carnotite deposits are confined to the Salt Wash sandstone member of the Jurassic Morrison formation. Within this sandstone, most of the deposits are spottily distributed through an arcuate zone known as the "Uravan Mineral Belt". Individual deposits range in size from irregular masses containing only a few tons of ore to large, tabular masses containing many thousands of tons. The ore consists largely of sandstone selectively impregnated and in part replaced by uranium and vanadium minerals. Most of the deposits appear to be related to certain sedimentary strictures in sandstones of favorable composition.

  9. Mesa NTMS 10 x 20 quadrangle area. Supplemental data report

    International Nuclear Information System (INIS)

    Koller, G.R.

    1980-01-01

    This data report presents supplemental analytical results for stream sediments and ground water. The samples were collected as part of the SRL-NURE reconnaissance in the National Topographic Map Series (NTMS) Mesa 1 0 x 2 0 quadrangle. Results are reported for 24 elements (Ag, As, Ba, Be, Ca, Co, Cr, Cu, K, Li, Mg, Mo, Nb, Ni, P, Pb, Se, Sn, Sr, Th, W, Y, Zn, and extractable U) in sediments and 31 elements (Ag, Al, As, B, Ba, Be, Ca, Ce, Co, Cr, Cu, Fe, K, Li, Mg, Mn, Mo, Na, Nb, Ni, P, Sc, Se, Si, Sr, Th, Ti, V, Y, Zn, and Zr) as well as pH, alkalinity, and conductivity in ground water. Field data and NAA data will be open-filed when they are available. Microfiche cards have been placed in a pocket on the last page of this report. These cards contain the following information: Cards marked Pg. 1, Pg. 2, and Pg. 3 contain histograms, cumulative frequency plots, and areal distribution plots for sediment samples. The card marked Plate 1 is a site-code map for sediment samples

  10. Practical results of the MESA 1 line calcinator trial operation

    International Nuclear Information System (INIS)

    Napravnik, J.; Sazavsky, P.; Skaba, V.; Zahalka, F.; Vild, J.; Kulovany, J.

    1987-01-01

    Mobile calcination and cementation unit MESA 1 was designed and built by UJV Rez in cooperation with many enterprises, mainly with the Kralovopolske Strojirny Brno. This facility for direct fixation of liquid radioactive wastes was experimentally tested using model non-radioactive solutions and model and actual wastes from the Jaslovske Bohunice nuclear power plant. The calciner was run in trial operation at the Kralovopolske SAtrojirny Brno. A total of 1.3 m 3 of model solutions was processed into 180 kg of calcinate. The fixation of the calcinate in cement, the times of solidification and of hardening and the moisture content of concrete blocks were studied. The application was also tested of the calciner in drying ion exchangers from WWER-440 prior to their bituminization. Following the despatch of the cementation module to the Chernobyl nuclear power plant, the direct calcination module was tested at Dukovany together with an auxiliary module which makes possible self-contained calciner operation. Model non-radioactive solutions from the Dukovany nuclear power plant were treated containing H 3 BO 3 and NaNO 3 as main components. The usability in actual conditions of the mobile calcination and cementation unit for radioactive wastes was tested in a total of about 70 operating hours. (E.S.). 2 figs., 2 refs

  11. Analysis of Decision Making Skills for Large Scale Disaster Response

    Science.gov (United States)

    2015-08-21

    Capability to influence and collaborate Compassion Teamwork Communication Leadership Provide vision of outcome / set priorities Confidence, courage to make...project evaluates the viability of expanding the use of serious games to augment classroom training, tabletop and full scale exercise, and actual...training, evaluation, analysis, and technology ex- ploration. Those techniques have found successful niches, but their wider applicability faces

  12. [Comparison of Discriminant Analysis and Decision Trees for the Detection of Subclinical Keratoconus].

    Science.gov (United States)

    Kleinhans, Sonja; Herrmann, Eva; Kohnen, Thomas; Bühren, Jens

    2017-08-15

    Background Iatrogenic keratectasia is one of the most dreaded complications of refractive surgery. In most cases, keratectasia develops after refractive surgery of eyes suffering from subclinical stages of keratoconus with few or no signs. Unfortunately, there has been no reliable procedure for the early detection of keratoconus. In this study, we used binary decision trees (recursive partitioning) to assess their suitability for discrimination between normal eyes and eyes with subclinical keratoconus. Patients and Methods The method of decision tree analysis was compared with discriminant analysis which has shown good results in previous studies. Input data were 32 eyes of 32 patients with newly diagnosed keratoconus in the contralateral eye and preoperative data of 10 eyes of 5 patients with keratectasia after laser in-situ keratomileusis (LASIK). The control group was made up of 245 normal eyes after LASIK and 12-month follow-up without any signs of iatrogenic keratectasia. Results Decision trees gave better accuracy and specificity than did discriminant analysis. The sensitivity of decision trees was lower than the sensitivity of discriminant analysis. Conclusion On the basis of the patient population of this study, decision trees did not prove to be superior to linear discriminant analysis for the detection of subclinical keratoconus. Georg Thieme Verlag KG Stuttgart · New York.

  13. Beyond utilitarianism: a method for analyzing competing ethical principles in a decision analysis of liver transplantation.

    Science.gov (United States)

    Volk, Michael L; Lok, Anna S F; Ubel, Peter A; Vijan, Sandeep

    2008-01-01

    The utilitarian foundation of decision analysis limits its usefulness for many social policy decisions. In this study, the authors examine a method to incorporate competing ethical principles in a decision analysis of liver transplantation for a patient with acute liver failure (ALF). A Markov model was constructed to compare the benefit of transplantation for a patient with ALF versus the harm caused to other patients on the waiting list and to determine the lowest acceptable 5-y posttransplant survival for the ALF patient. The weighting of the ALF patient and other patients was then adjusted using a multiattribute variable incorporating utilitarianism, urgency, and other principles such as fair chances. In the base-case analysis, the strategy of transplanting the ALF patient resulted in a 0.8% increase in the risk of death and a utility loss of 7.8 quality-adjusted days of life for each of the other patients on the waiting list. These harms cumulatively outweighed the benefit of transplantation for an ALF patient having a posttransplant survival of less than 48% at 5 y. However, the threshold for an acceptable posttransplant survival for the ALF patient ranged from 25% to 56% at 5 y, depending on the ethical principles involved. The results of the decision analysis vary depending on the ethical perspective. This study demonstrates how competing ethical principles can be numerically incorporated in a decision analysis.

  14. Estimation of Groundwater Recharge at Pahute Mesa using the Chloride Mass-Balance Method

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, Clay A [DRI; Hershey, Ronald L [DRI; Healey, John M [DRI; Lyles, Brad F [DRI

    2013-07-01

    Groundwater recharge on Pahute Mesa was estimated using the chloride mass-balance (CMB) method. This method relies on the conservative properties of chloride to trace its movement from the atmosphere as dry- and wet-deposition through the soil zone and ultimately to the saturated zone. Typically, the CMB method assumes no mixing of groundwater with different chloride concentrations; however, because groundwater is thought to flow into Pahute Mesa from valleys north of Pahute Mesa, groundwater flow rates (i.e., underflow) and chloride concentrations from Kawich Valley and Gold Flat were carefully considered. Precipitation was measured with bulk and tipping-bucket precipitation gauges installed for this study at six sites on Pahute Mesa. These data, along with historical precipitation amounts from gauges on Pahute Mesa and estimates from the PRISM model, were evaluated to estimate mean annual precipitation. Chloride deposition from the atmosphere was estimated by analyzing quarterly samples of wet- and dry-deposition for chloride in the bulk gauges and evaluating chloride wet-deposition amounts measured at other locations by the National Atmospheric Deposition Program. Mean chloride concentrations in groundwater were estimated using data from the UGTA Geochemistry Database, data from other reports, and data from samples collected from emplacement boreholes for this study. Calculations were conducted assuming both no underflow and underflow from Kawich Valley and Gold Flat. Model results estimate recharge to be 30 mm/yr with a standard deviation of 18 mm/yr on Pahute Mesa, for elevations >1800 m amsl. These estimates assume Pahute Mesa recharge mixes completely with underflow from Kawich Valley and Gold Flat. The model assumes that precipitation, chloride concentration in bulk deposition, underflow and its chloride concentration, have been constant over the length of time of recharge.

  15. Decision Engines for Software Analysis Using Satisfiability Modulo Theories Solvers

    Science.gov (United States)

    Bjorner, Nikolaj

    2010-01-01

    The area of software analysis, testing and verification is now undergoing a revolution thanks to the use of automated and scalable support for logical methods. A well-recognized premise is that at the core of software analysis engines is invariably a component using logical formulas for describing states and transformations between system states. The process of using this information for discovering and checking program properties (including such important properties as safety and security) amounts to automatic theorem proving. In particular, theorem provers that directly support common software constructs offer a compelling basis. Such provers are commonly called satisfiability modulo theories (SMT) solvers. Z3 is a state-of-the-art SMT solver. It is developed at Microsoft Research. It can be used to check the satisfiability of logical formulas over one or more theories such as arithmetic, bit-vectors, lists, records and arrays. The talk describes some of the technology behind modern SMT solvers, including the solver Z3. Z3 is currently mainly targeted at solving problems that arise in software analysis and verification. It has been applied to various contexts, such as systems for dynamic symbolic simulation (Pex, SAGE, Vigilante), for program verification and extended static checking (Spec#/Boggie, VCC, HAVOC), for software model checking (Yogi, SLAM), model-based design (FORMULA), security protocol code (F7), program run-time analysis and invariant generation (VS3). We will describe how it integrates support for a variety of theories that arise naturally in the context of the applications. There are several new promising avenues and the talk will touch on some of these and the challenges related to SMT solvers. Proceedings

  16. Decision on performing interim analysis for comparative clinical trials.

    Science.gov (United States)

    Pak, Kyongsun; Jacobus, Susanna; Uno, Hajime

    2017-09-01

    In randomized-controlled trials, interim analyses are often planned for possible early trial termination to claim superiority or futility of a new therapy. While unblinding is necessary to conduct the formal interim analysis in blinded studies, blinded data also have information about the potential treatment difference between the groups. We developed a blinded data monitoring tool that enables investigators to predict whether they observe such an unblinded interim analysis results that supports early termination of the trial. Investigators may skip some of the planned interim analyses if an early termination is unlikely. We specifically focused on blinded, randomized-controlled studies to compare binary endpoints of a new treatment with a control. Assuming one interim analysis is planned for early termination for superiority or futility, we conducted extensive simulation studies to assess the impact of the implementation of our tool on the size, power, expected number of interim analyses, and bias in the treatment effect. The numerical study showed the proposed monitoring tool does not affect size or power, but dramatically reduces the expected number of interim analyses when the effect of the treatment difference is small. The tool serves as a useful reference when interpreting the summary of the blinded data throughout the course of the trial, without losing integrity of the study. This tool could potentially save the study resources and budget by avoiding unnecessary interim analyses.

  17. Two hypothetical problems in radioactive waste management: a comparison of cost/benefit analysis and decision analysis

    International Nuclear Information System (INIS)

    Watson, S.R.; Hayward, G.M.

    1982-03-01

    In our interim report we gave a general review of the characteristics of three formal methods for aiding decision making in relation to the general problems posed in radioactive waste management. In this report we go on to consider examples of the sort of proposals that the Environment Departments may be asked to review, and to discuss how two of the formal decision aids (cost-benefit analysis and decision analysis) could be used to assist these tasks. The example decisions we have chosen are the siting of an underground repository for intermediate-level wastes and the choice of a waste management procedure for an intermediate-level waste stream. (U.K.)

  18. Mountainous Ecosystem Sensor Array (MESA): a mesh sensor network for climate change research in remote mountainous environments

    Science.gov (United States)

    Robinson, P. W.; Neal, D.; Frome, D.; Kavanagh, K.; Davis, A.; Gessler, P. E.; Hess, H.; Holden, Z. A.; Link, T. E.; Newingham, B. A.; Smith, A. M.

    2013-12-01

    Developing sensor networks robust enough to perform unattended in the world's remote regions is critical since these regions serve as important benchmarks that lack anthropogenic influence. Paradoxically, the factors that make these remote, natural sites challenging for sensor networking are often what make them indispensable for climate change research. The MESA (Mountainous Ecosystem Sensor Array) project has faced these challenges and developed a wireless mesh sensor network across a 660 m topoclimatic gradient in a wilderness area in central Idaho. This sensor array uses advances in sensing, networking, and power supply technologies to provide near real-time synchronized data covering a suite of biophysical parameters used in ecosystem process models. The 76 sensors in the network monitor atmospheric carbon dioxide concentration, humidity, air and soil temperature, soil water content, precipitation, incoming and outgoing shortwave and longwave radiation, snow depth, wind speed and direction, and leaf wetness at synchronized time intervals ranging from two minutes to two hours and spatial scales from a few meters to two kilometers. We present our novel methods of placing sensors and network nodes above, below, and throughout the forest canopy without using meteorological towers. In addition, we explain our decision to use different forms of power (wind and solar) and the equipment we use to control and integrate power harvesting. Further, we describe our use of the network to sense and quantify its own power use. Using examples of environmental data from the project, we discuss how these data may be used to increase our understanding of the effects of climate change on ecosystem processes in mountainous environments. MESA sensor locations across a 700 m topoclimatic gradient at the University of Idaho Taylor Wilderness Research Station.

  19. Decision tree analysis in subarachnoid hemorrhage: prediction of outcome parameters during the course of aneurysmal subarachnoid hemorrhage using decision tree analysis.

    Science.gov (United States)

    Hostettler, Isabel Charlotte; Muroi, Carl; Richter, Johannes Konstantin; Schmid, Josef; Neidert, Marian Christoph; Seule, Martin; Boss, Oliver; Pangalu, Athina; Germans, Menno Robbert; Keller, Emanuela

    2018-01-19

    OBJECTIVE The aim of this study was to create prediction models for outcome parameters by decision tree analysis based on clinical and laboratory data in patients with aneurysmal subarachnoid hemorrhage (aSAH). METHODS The database consisted of clinical and laboratory parameters of 548 patients with aSAH who were admitted to the Neurocritical Care Unit, University Hospital Zurich. To examine the model performance, the cohort was randomly divided into a derivation cohort (60% [n = 329]; training data set) and a validation cohort (40% [n = 219]; test data set). The classification and regression tree prediction algorithm was applied to predict death, functional outcome, and ventriculoperitoneal (VP) shunt dependency. Chi-square automatic interaction detection was applied to predict delayed cerebral infarction on days 1, 3, and 7. RESULTS The overall mortality was 18.4%. The accuracy of the decision tree models was good for survival on day 1 and favorable functional outcome at all time points, with a difference between the training and test data sets of decision trees enables exploration of dependent variables in the context of multiple changing influences over the course of an illness. The decision tree currently generated increases awareness of the early systemic stress response, which is seemingly pertinent for prognostication.

  20. A critical narrative analysis of shared decision-making in acute inpatient mental health care.

    Science.gov (United States)

    Stacey, Gemma; Felton, Anne; Morgan, Alastair; Stickley, Theo; Willis, Martin; Diamond, Bob; Houghton, Philip; Johnson, Beverley; Dumenya, John

    2016-01-01

    Shared decision-making (SDM) is a high priority in healthcare policy and is complementary to the recovery philosophy in mental health care. This agenda has been operationalised within the Values-Based Practice (VBP) framework, which offers a theoretical and practical model to promote democratic interprofessional approaches to decision-making. However, these are limited by a lack of recognition of the implications of power implicit within the mental health system. This study considers issues of power within the context of decision-making and examines to what extent decisions about patients' care on acute in-patient wards are perceived to be shared. Focus groups were conducted with 46 mental health professionals, service users, and carers. The data were analysed using the framework of critical narrative analysis (CNA). The findings of the study suggested each group constructed different identity positions, which placed them as inside or outside of the decision-making process. This reflected their view of themselves as best placed to influence a decision on behalf of the service user. In conclusion, the discourse of VBP and SDM needs to take account of how differentials of power and the positioning of speakers affect the context in which decisions take place.

  1. Groundwater, surface-water, and water-chemistry data, Black Mesa area, northeastern Arizona: 2011-2012

    Science.gov (United States)

    Macy, Jamie P.; Unema, Joel A.

    2014-01-01

    the confined and unconfined areas was -13.4 feet; the median water-level changes were -2.1 feet for 16 wells measured in the unconfined areas and -39.1 feet for 18 wells measured in the confined area. Spring flow was measured at four springs in 2012. Flow fluctuated during the period of record for Burro and Unnamed Spring near Dennehotso, but a decreasing trend was apparent at Moenkopi School Spring and Pasture Canyon Spring. Discharge at Burro Spring has remained relatively constant since it was first measured in the 1980s and discharge at Unnamed Spring near Dennehotso has fluctuated for the period of record. Trend analysis for discharge at Moenkopi and Pasture Canyon Springs yielded a slope significantly different from zero. Continuous records of surface-water discharge in the Black Mesa area were collected from streamflow-gaging stations at the following sites: Moenkopi Wash at Moenkopi 09401260 (1976 to 2010), Dinnebito Wash near Sand Springs 09401110 (1993 to 2010), Polacca Wash near Second Mesa 09400568 (1994 to 2010), and Pasture Canyon Springs 09401265 (2004 to 2010). Median winter flows (November through February) of each water year were used as an index of the amount of groundwater discharge at the above-named sites. For the period of record of each streamflow-gaging station, the median winter flows have generally remained constant, and there are no significant statistical trends in groundwater discharge. In 2012, water samples collected from 10 wells and 4 springs in the Black Mesa area were analyzed for selected chemical constituents, and the results were compared with previous analyses. Concentrations of dissolved solids, chloride, and sulfate have varied at all 10 wells for the period of record, but neither increasing nor decreasing trends over time were found. Dissolved solids, chloride, and sulfate concentrations increased at Moenkopi School Spring during the more than 12 years of record at that site. Concentrations of dissolved solids, chloride, and

  2. Groundwater, surface-water, and water-chemistry data, Black Mesa area, northeastern Arizona—2012–2013

    Science.gov (United States)

    Macy, Jamie P.; Truini, Margot

    2016-03-02

    -level change for 34 wells in both the confined and unconfined areas was -13.5 feet; the median water-level changes were -0.8 feet for 16 wells measured in the unconfined areas and -51.0 feet for 16 wells measured in the confined area.Spring flow was measured at four springs in 2013; Burro, Unnamed Spring near Dennehotso, Moenkopi School, and Pasture Canyon Springs. Flow fluctuated during the period of record for Burro and Unnamed Springs near Dennehotso, but a decreasing trend was apparent at Moenkopi School Spring and Pasture Canyon Spring. Discharge at Burro Spring has remained relatively constant since it was first measured in the 1980s and discharge at Unnamed Spring near Dennehotso has fluctuated for the period of record at each spring. Trend analysis for discharge at Moenkopi School and Pasture Canyon Springs showed a decreasing trend.Continuous records of surface-water discharge in the Black Mesa area were collected from streamflow-gaging stations at the following sites: Moenkopi Wash at Moenkopi 09401260 (1976 to 2013), Dinnebito Wash near Sand Springs 09401110 (1993 to 2013), Polacca Wash near Second Mesa 09400568 (1994 to 2013), and Pasture Canyon Springs 09401265 (2004 to 2013). Median winter flows (November through February) from these sites for each water year were used as an index of the amount of groundwater discharge. For the period of record of each streamflow-gaging station, the median winter flows have generally remained constant, which suggests no change in groundwater discharge.In 2013, water samples collected from 12 wells and 4 springs in the Black Mesa area were analyzed for selected chemical constituents, and the results were compared with previous analyses. Concentrations of dissolved solids, chloride, and sulfate have varied at all 12 wells for the period of record, but neither increasing nor decreasing trends over time were found. Dissolved solids, chloride, and sulfate concentrations increased at Moenkopi School Spring during the more than 13 years

  3. A decision analysis approach for risk management of near-earth objects

    Science.gov (United States)

    Lee, Robert C.; Jones, Thomas D.; Chapman, Clark R.

    2014-10-01

    Risk management of near-Earth objects (NEOs; e.g., asteroids and comets) that can potentially impact Earth is an important issue that took on added urgency with the Chelyabinsk event of February 2013. Thousands of NEOs large enough to cause substantial damage are known to exist, although only a small fraction of these have the potential to impact Earth in the next few centuries. The probability and location of a NEO impact are subject to complex physics and great uncertainty, and consequences can range from minimal to devastating, depending upon the size of the NEO and location of impact. Deflecting a potential NEO impactor would be complex and expensive, and inter-agency and international cooperation would be necessary. Such deflection campaigns may be risky in themselves, and mission failure may result in unintended consequences. The benefits, risks, and costs of different potential NEO risk management strategies have not been compared in a systematic fashion. We present a decision analysis framework addressing this hazard. Decision analysis is the science of informing difficult decisions. It is inherently multi-disciplinary, especially with regard to managing catastrophic risks. Note that risk analysis clarifies the nature and magnitude of risks, whereas decision analysis guides rational risk management. Decision analysis can be used to inform strategic, policy, or resource allocation decisions. First, a problem is defined, including the decision situation and context. Second, objectives are defined, based upon what the different decision-makers and stakeholders (i.e., participants in the decision) value as important. Third, quantitative measures or scales for the objectives are determined. Fourth, alternative choices or strategies are defined. Fifth, the problem is then quantitatively modeled, including probabilistic risk analysis, and the alternatives are ranked in terms of how well they satisfy the objectives. Sixth, sensitivity analyses are performed in

  4. Aneurysmal subarachnoid hemorrhage prognostic decision-making algorithm using classification and regression tree analysis.

    Science.gov (United States)

    Lo, Benjamin W Y; Fukuda, Hitoshi; Angle, Mark; Teitelbaum, Jeanne; Macdonald, R Loch; Farrokhyar, Forough; Thabane, Lehana; Levine, Mitchell A H

    2016-01-01

    Classification and regression tree analysis involves the creation of a decision tree by recursive partitioning of a dataset into more homogeneous subgroups. Thus far, there is scarce literature on using this technique to create clinical prediction tools for aneurysmal subarachnoid hemorrhage (SAH). The classification and regression tree analysis technique was applied to the multicenter Tirilazad database (3551 patients) in order to create the decision-making algorithm. In order to elucidate prognostic subgroups in aneurysmal SAH, neurologic, systemic, and demographic factors were taken into account. The dependent variable used for analysis was the dichotomized Glasgow Outcome Score at 3 months. Classification and regression tree analysis revealed seven prognostic subgroups. Neurological grade, occurrence of post-admission stroke, occurrence of post-admission fever, and age represented the explanatory nodes of this decision tree. Split sample validation revealed classification accuracy of 79% for the training dataset and 77% for the testing dataset. In addition, the occurrence of fever at 1-week post-aneurysmal SAH is associated with increased odds of post-admission stroke (odds ratio: 1.83, 95% confidence interval: 1.56-2.45, P tree was generated, which serves as a prediction tool to guide bedside prognostication and clinical treatment decision making. This prognostic decision-making algorithm also shed light on the complex interactions between a number of risk factors in determining outcome after aneurysmal SAH.

  5. Applying rigorous decision analysis methodology to optimization of a tertiary recovery project

    International Nuclear Information System (INIS)

    Wackowski, R.K.; Stevens, C.E.; Masoner, L.O.; Attanucci, V.; Larson, J.L.; Aslesen, K.S.

    1992-01-01

    This paper reports that the intent of this study was to rigorously look at all of the possible expansion, investment, operational, and CO 2 purchase/recompression scenarios (over 2500) to yield a strategy that would maximize net present value of the CO 2 project at the Rangely Weber Sand Unit. Traditional methods of project management, which involve analyzing large numbers of single case economic evaluations, was found to be too cumbersome and inaccurate for an analysis of this scope. The decision analysis methodology utilized a statistical approach which resulted in a range of economic outcomes. Advantages of the decision analysis methodology included: a more organized approach to classification of decisions and uncertainties; a clear sensitivity method to identify the key uncertainties; an application of probabilistic analysis through the decision tree; and a comprehensive display of the range of possible outcomes for communication to decision makers. This range made it possible to consider the upside and downside potential of the options and to weight these against the Unit's strategies. Savings in time and manpower required to complete the study were also realized

  6. Applied Swarm-based medicine: collecting decision trees for patterns of algorithms analysis.

    Science.gov (United States)

    Panje, Cédric M; Glatzer, Markus; von Rappard, Joscha; Rothermundt, Christian; Hundsberger, Thomas; Zumstein, Valentin; Plasswilm, Ludwig; Putora, Paul Martin

    2017-08-16

    The objective consensus methodology has recently been applied in consensus finding in several studies on medical decision-making among clinical experts or guidelines. The main advantages of this method are an automated analysis and comparison of treatment algorithms of the participating centers which can be performed anonymously. Based on the experience from completed consensus analyses, the main steps for the successful implementation of the objective consensus methodology were identified and discussed among the main investigators. The following steps for the successful collection and conversion of decision trees were identified and defined in detail: problem definition, population selection, draft input collection, tree conversion, criteria adaptation, problem re-evaluation, results distribution and refinement, tree finalisation, and analysis. This manuscript provides information on the main steps for successful collection of decision trees and summarizes important aspects at each point of the analysis.

  7. Learning from examples - Generation and evaluation of decision trees for software resource analysis

    Science.gov (United States)

    Selby, Richard W.; Porter, Adam A.

    1988-01-01

    A general solution method for the automatic generation of decision (or classification) trees is investigated. The approach is to provide insights through in-depth empirical characterization and evaluation of decision trees for software resource data analysis. The trees identify classes of objects (software modules) that had high development effort. Sixteen software systems ranging from 3,000 to 112,000 source lines were selected for analysis from a NASA production environment. The collection and analysis of 74 attributes (or metrics), for over 4,700 objects, captured information about the development effort, faults, changes, design style, and implementation style. A total of 9,600 decision trees were automatically generated and evaluated. The trees correctly identified 79.3 percent of the software modules that had high development effort or faults, and the trees generated from the best parameter combinations correctly identified 88.4 percent of the modules on the average.

  8. A Flood Risk Assessment of Quang Nam, Vietnam Using Spatial Multicriteria Decision Analysis

    Directory of Open Access Journals (Sweden)

    Chinh Luu

    2018-04-01

    Full Text Available Vietnam is highly vulnerable to flood and storm impacts. Holistic flood risk assessment maps that adequately consider flood risk factors of hazard, exposure, and vulnerability are not available. These are vital for flood risk preparedness and disaster mitigation measures at the local scale. Unfortunately, there is a lack of knowledge about spatial multicriteria decision analysis and flood risk analysis more broadly in Vietnam. In response to this need, we identify and quantify flood risk components in Quang Nam province through spatial multicriteria decision analysis. The study presents a new approach to local flood risk assessment mapping, which combines historical flood marks with exposure and vulnerability data. The flood risk map output could assist and empower decision-makers in undertaking flood risk management activities in the province. Our study demonstrates a methodology to build flood risk assessment maps using flood mark, exposure and vulnerability data, which could be applied in other provinces in Vietnam.

  9. Allocating health care: cost-utility analysis, informed democratic decision making, or the veil of ignorance?

    Science.gov (United States)

    Goold, S D

    1996-01-01

    Assuming that rationing health care is unavoidable, and that it requires moral reasoning, how should we allocate limited health care resources? This question is difficult because our pluralistic, liberal society has no consensus on a conception of distributive justice. In this article I focus on an alternative: Who shall decide how to ration health care, and how shall this be done to respect autonomy, pluralism, liberalism, and fairness? I explore three processes for making rationing decisions: cost-utility analysis, informed democratic decision making, and applications of the veil of ignorance. I evaluate these processes as examples of procedural justice, assuming that there is no outcome considered the most just. I use consent as a criterion to judge competing processes so that rationing decisions are, to some extent, self-imposed. I also examine the processes' feasibility in our current health care system. Cost-utility analysis does not meet criteria for actual or presumed consent, even if costs and health-related utility could be measured perfectly. Existing structures of government cannot creditably assimilate the information required for sound rationing decisions, and grassroots efforts are not representative. Applications of the veil of ignorance are more useful for identifying principles relevant to health care rationing than for making concrete rationing decisions. I outline a process of decision making, specifically for health care, that relies on substantive, selected representation, respects pluralism, liberalism, and deliberative democracy, and could be implemented at the community or organizational level.

  10. Analysis of decision alternatives of the deep borehole filter restoration problem

    International Nuclear Information System (INIS)

    Abdildin, Yerkin G.; Abbas, Ali E.

    2016-01-01

    The energy problem is one of the biggest challenges facing the world in the 21st century. The nuclear energy is the fastest-growing contributor to the world energy and uranium mining is the primary step in its chain. One of the fundamental problems in the uranium extraction industry is the deep borehole filter restoration problem. This decision problem is very complex due to multiple objectives and various uncertainties. Besides the improvement of uranium production, the decision makers often need to meet internationally recognized standards (ISO 14001) of labor protection, safety measures, and preservation of environment. The problem can be simplified by constructing the multiattribute utility function, but the choice of the appropriate functional form requires the practical evaluation of different methods. In present work, we evaluate the alternatives of this complex problem by two distinct approaches for analyzing decision problems. The decision maker and the assessor is a Deputy Director General of a transnational corporation. - Highlights: • Analyzes 5 borehole recovery methods across the 4 most important attributes (criteria). • Considers financial, technological, environmental, and safety factors. • Compares two decision analysis approaches and the profit analysis. • Illustrates the assessments of the decision maker's preferences. • Determines that the assumption of independence of attributes yields imprecise recommendations.

  11. ADA perceived disability claims: a decision-tree analysis.

    Science.gov (United States)

    Draper, William R; Hawley, Carolyn E; McMahon, Brian T; Reid, Christine A; Barbir, Lara A

    2014-06-01

    The purpose of this study is to examine the possible interactions of predictor variables pertaining to perceived disability claims contained in a large governmental database. Specifically, it is a retrospective analysis of US Equal Employment Opportunity Commission (EEOC) data for the entire population of workplace discrimination claims based on the "regarded as disabled" prong of the Americans with Disabilities Act (ADA) definition of disability. The study utilized records extracted from a "master database" of over two million charges of workplace discrimination in the Integrated Mission System of the EEOC. This database includes all ADA-related discrimination allegations filed from July 26, 1992 through December 31, 2008. Chi squared automatic interaction detection (CHAID) was employed to analyze interaction effects of relevant variables, such as issue (grievance) and industry type. The research question addressed by CHAID is: What combination of factors are associated with merit outcomes for people making ADA EEOC allegations who are "regarded as" having disabilities? The CHAID analysis shows how merit outcome is predicted by the interaction of relevant variables. Issue was found to be the most prominent variable in determining merit outcome, followed by industry type, but the picture is made more complex by qualifications regarding age and race data. Although discharge was the most frequent grievance among charging parties in the perceived disability group, its merit outcome was significantly less than that for the leading factor of hiring.

  12. Using decision trees and their ensembles for analysis of NIR spectroscopic data

    DEFF Research Database (Denmark)

    Kucheryavskiy, Sergey V.

    and interpretation of the models. In this presentation, we are going to discuss an applicability of decision trees based methods (including gradient boosting) for solving classification and regression tasks with NIR spectra as predictors. We will cover such aspects as evaluation, optimization and validation......Advanced machine learning methods, like convolutional neural networks and decision trees, became extremely popular in the last decade. This, first of all, is directly related to the current boom in Big data analysis, where traditional statistical methods are not efficient. According to the kaggle.......com — the most popular online resource for Big data problems and solutions — methods based on decision trees and their ensembles are most widely used for solving the problems. It can be noted that the decision trees and convolutional neural networks are not very popular in Chemometrics. One of the reasons...

  13. Decision analysis for the exploration of gas reserves: merging todim and thor

    Directory of Open Access Journals (Sweden)

    Carlos Francisco Simões Gomes

    2010-12-01

    Full Text Available This article approaches the problem of selecting the non-dominated alternative for the destination of the natural gas reserves in the Mexilhão field in the Santos Basin, Brazil. Major aims of the case study reported here were to create a mechanism for assisting in the process of analyzing and selecting the best options for the destination of natural gas, and to enable the decision agent to choose the investment options best aligned to the expectations and objectives observed in the company strategies. The decision analysis employed in the study made use of the TODIM method and the THOR multicriteria decision support system. The application of both demonstrated that a decision analytic framework can be extremely useful when recommending options for upstream projects, owing to the fact that it can clearly identify the most important alternatives in the face of the scenarios tested and in relation to the criteria expressed.

  14. Shaping the Conversation: A Secondary Analysis of Reproductive Decision-Making Among Black Mothers with HIV.

    Science.gov (United States)

    Amutah, Ndidiamaka N; Gifuni, Jacqueline; Wesley, Yvonne

    2016-01-01

    The purpose of this qualitative secondary data analysis is to examine the major influencers on mothers with HIV in their childbearing decisions, as well as how those influencers shape conversations with clinicians and health-care providers regarding HIV treatment and prevention. The original study gained insight into the reproductive decision-making of mothers with HIV. By analyzing a subsample of 15 interviews from an original cohort of 25 participants in the earlier study, three major themes were identified as follows: (1) family members, not health-care providers, influence reproductive decisions; (2) negative attitudes toward subsequent pregnancies are mainly due to HIV transmission; and (3) birth control decisions were predominately supported by family members, while health-care providers were not consulted.

  15. Shaping the Conversation: A Secondary Analysis of Reproductive Decision-Making among Black Mothers with HIV

    Directory of Open Access Journals (Sweden)

    Ndidiamaka N. Amutah

    2016-01-01

    Full Text Available The purpose of this qualitative secondary data analysis is to examine the major influencers on mothers with HIV in their childbearing decisions, as well as how those influencers shape conversations with clinicians and health-care providers regarding HIV treatment and prevention. The original study gained insight into the reproductive decision-making of mothers with HIV. By analyzing a subsample of 15 interviews from an original cohort of 25 participants in the earlier study, three major themes were identified as follows: (1 family members, not health-care providers, influence reproductive decisions; (2 negative attitudes toward subsequent pregnancies are mainly due to HIV transmission; and (3 birth control decisions were predominately supported by family members, while health-care providers were not consulted.

  16. Negative decision outcomes are more common among people with lower decision-making competence: An item-level analysis of the Decision Outcome Inventory (DOI

    Directory of Open Access Journals (Sweden)

    Andrew M Parker

    2015-04-01

    Full Text Available Most behavioral decision research takes place in carefully controlled laboratory settings, and examination of relationships between performance and specific real-world decision outcomes is rare. One prior study shows that people who perform better on hypothetical decision tasks, assessed using the Adult Decision-Making Competence (A-DMC measure, also tend to experience better real-world decision outcomes, as reported on the Decision Outcomes Inventory (DOI. The DOI score reflects avoidance of outcomes that could result from poor decisions, ranging from serious (e.g., bankruptcy to minor (e.g., blisters from sunburn. The present analyses go beyond the initial work, which focused on the overall DOI score, by analyzing the relationships between specific decision outcomes and A-DMC performance. Most outcomes are significantly more likely among people with lower A-DMC scores, even after taking into account two variables expected to produce worse real-world decision outcomes: younger age and lower socio-economic status. We discuss the usefulness of DOI as a measure of successful real-world decision making.

  17. Accelerating policy decisions to adopt haemophilus influenzae type B vaccine: a global, multivariable analysis.

    Science.gov (United States)

    Shearer, Jessica C; Stack, Meghan L; Richmond, Marcie R; Bear, Allyson P; Hajjeh, Rana A; Bishai, David M

    2010-03-16

    Adoption of new and underutilized vaccines by national immunization programs is an essential step towards reducing child mortality. Policy decisions to adopt new vaccines in high mortality countries often lag behind decisions in high-income countries. Using the case of Haemophilus influenzae type b (Hib) vaccine, this paper endeavors to explain these delays through the analysis of country-level economic, epidemiological, programmatic and policy-related factors, as well as the role of the Global Alliance for Vaccines and Immunisation (GAVI Alliance). Data for 147 countries from 1990 to 2007 were analyzed in accelerated failure time models to identify factors that are associated with the time to decision to adopt Hib vaccine. In multivariable models that control for Gross National Income, region, and burden of Hib disease, the receipt of GAVI support speeded the time to decision by a factor of 0.37 (95% CI 0.18-0.76), or 63%. The presence of two or more neighboring country adopters accelerated decisions to adopt by a factor of 0.50 (95% CI 0.33-0.75). For each 1% increase in vaccine price, decisions to adopt are delayed by a factor of 1.02 (95% CI 1.00-1.04). Global recommendations and local studies were not associated with time to decision. This study substantiates previous findings related to vaccine price and presents new evidence to suggest that GAVI eligibility is associated with accelerated decisions to adopt Hib vaccine. The influence of neighboring country decisions was also highly significant, suggesting that approaches to support the adoption of new vaccines should consider supply- and demand-side factors.

  18. Annotated bibliography of the physical data of Rainier Mesa and Yucca Mountain

    International Nuclear Information System (INIS)

    Russell, C.E.

    1988-09-01

    Yucca Mountain, located on and adjacent to the Nevada Test Site (NTS) has been designated as the only site to undergo characterization to determine if it meets the criteria to become the Nation's first high-level nuclear waste repository. During this process, care must be taken to not compromise the site's integrity through excessive testing. In order to supplement the limited data to be gathered at Yucca Mountain, analog areas are to be considered. This annotated bibliography was compiled by the Desert Research Institute to help investigate ways in which Rainier Mesa could either be used as a supplemental repository test site or where existing Rainier Mesa data can be used either to support or refute test results from Yucca Mountain. Rainier Mesa, the location of numerous underground nuclear tests on the NTS, possesses some geologic characteristics similar to those of Yucca Mountain, which makes it a likely candidate for comparison. Almost 500 references regarding geology, hydrology, meteorology, biology, and archaeology were annotated and entered alpha-numerically into the bibliography. These references were categorized into 50 topics which are defined in Section 2 and presented in Section 3. Each reference is categorized as to whether it contains Yucca Mountain data, Rainier Mesa data, or both, and a final category consists of those reports that contain Rainier Mesa data that have already been applied to Yucca Mountain research. The annotated bibliography is presented in Section 4

  19. A multimethod analysis of shared decision-making in hospice interdisciplinary team meetings including family caregivers.

    Science.gov (United States)

    Washington, Karla T; Oliver, Debra Parker; Gage, L Ashley; Albright, David L; Demiris, George

    2016-03-01

    Much of the existing research on shared decision-making in hospice and palliative care focuses on the provider-patient dyad; little is known about shared decision-making that is inclusive of family members of patients with advanced disease. We sought to describe shared decision-making as it occurred in hospice interdisciplinary team meetings that included family caregivers as participants using video-conferencing technology. We conducted a multimethod study in which we used content and thematic analysis techniques to analyze video-recordings of hospice interdisciplinary team meetings (n = 100), individual interviews of family caregivers (n = 73) and hospice staff members (n = 78), and research field notes. Participants in the original studies from which data for this analysis were drawn were hospice family caregivers and staff members employed by one of five different community-based hospice agencies located in the Midwestern United States. Shared decision-making occurred infrequently in hospice interdisciplinary team meetings that included family caregivers. Barriers to shared decision-making included time constraints, communication skill deficits, unaddressed emotional needs, staff absences, and unclear role expectations. The hospice philosophy of care, current trends in healthcare delivery, the interdisciplinary nature of hospice teams, and the designation of a team leader/facilitator supported shared decision-making. The involvement of family caregivers in hospice interdisciplinary team meetings using video-conferencing technology creates a useful platform for shared decision-making; however, steps must be taken to transform family caregivers from meeting attendees to shared decision-makers. © The Author(s) 2015.

  20. Decision Analysis of Advertising and Price for Bilateral Competing Supply Chain

    Directory of Open Access Journals (Sweden)

    Cheng-Tang Zhang

    2013-01-01

    Full Text Available The outcome of centralized equilibrium, prisoner's dilemma equilibrium, and decentralized equilibrium under different decision models has been provided with regards to bilateral competing supply chain system, either side of which is composed of one manufacturer and one retailer. Theoretical analysis indicates a positive correlation between price and one's own advertising investment level and a negative correlation between price and the opponent's advertising investment level. Through analysis of numerical examples, the results reveal a first mover advantage that leads to prisoner's dilemma in the system as well as the impact that price and advertising competition intensity has on the supply chain's choice of decision model.

  1. An Integrated Approach with Group Decision-Making for Strategy Selection in SWOT Analysis

    OpenAIRE

    İhsan Yüksel

    2012-01-01

    The main aim of this study was to improve the analytical dimension of SWOT (strengths, weaknesses, opportunities and threats) analysis with group decision-making, which underlines the analysis of internal and external environments that in turn, will improve the definition of corporate strategy within the strategic planning process. The main issue of the study was how to select the most appropriate strategy by taking into consideration different effects of each factor of SWOT analysis on strat...

  2. Competitor analysis for Feelback Ltd - A base for strategic decision making

    OpenAIRE

    Markkanen, Sini

    2012-01-01

    The aim of this research was to execute a competitor analysis for Feelback Ltd. The analysis focused on finding the company’s current competitors operating in Finland. The commissioner Feelback intended to use the competitor information in strategic decision making, such as planning the company’s operations in the competitive environment. The competitor analysis found 14 competitors which were grouped into direct, indirect and potential competitors. As a conclusion, it can be stated t...

  3. Integrating risk analysis and multi-criteria decision support under uncertainty in electricity distribution system asset management

    International Nuclear Information System (INIS)

    Catrinu, M.D.; Nordgard, D.E.

    2011-01-01

    Asset managers in electricity distribution companies generally recognize the need and the challenge of adding structure and a higher degree of formal analysis into the increasingly complex asset management decisions. This implies improving the present asset management practice by making the best use of the available data and expert knowledge and by adopting new methods for risk analysis and decision support and nevertheless better ways to document the decisions made. This paper discusses methods for integrating risk analysis and multi-criteria decision support under uncertainty in electricity distribution system asset management. The focus is on how to include the different company objectives and risk analyses into a structured decision framework when deciding how to handle the physical assets of the electricity distribution network. This paper presents an illustrative example of decision support for maintenance and reinvestment strategies based, using expert knowledge, simplified risk analyses and multi-criteria decision analysis under uncertainty.

  4. A decision analysis framework for stakeholder involvement and learning in groundwater management

    Science.gov (United States)

    Karjalainen, T. P.; Rossi, P. M.; Ala-aho, P.; Eskelinen, R.; Reinikainen, K.; Kløve, B.; Pulido-Velazquez, M.; Yang, H.

    2013-12-01

    Multi-criteria decision analysis (MCDA) methods are increasingly used to facilitate both rigorous analysis and stakeholder involvement in natural and water resource planning. Decision-making in that context is often complex and multi-faceted with numerous trade-offs between social, environmental and economic impacts. However, practical applications of decision-support methods are often too technically oriented and hard to use, understand or interpret for all participants. The learning of participants in these processes is seldom examined, even though successful deliberation depends on learning. This paper analyzes the potential of an interactive MCDA framework, the decision analysis interview (DAI) approach, for facilitating stakeholder involvement and learning in groundwater management. It evaluates the results of the MCDA process in assessing land-use management alternatives in a Finnish esker aquifer area where conflicting land uses affect the groundwater body and dependent ecosystems. In the assessment process, emphasis was placed on the interactive role of the MCDA tool in facilitating stakeholder participation and learning. The results confirmed that the structured decision analysis framework can foster learning and collaboration in a process where disputes and diverse interests are represented. Computer-aided interviews helped the participants to see how their preferences affected the desirability and ranking of alternatives. During the process, the participants' knowledge and preferences evolved as they assessed their initial knowledge with the help of fresh scientific information. The decision analysis process led to the opening of a dialogue, showing the overall picture of the problem context and the critical issues for the further process.

  5. Quantification of a decision-making failure probability of the accident management using cognitive analysis model

    International Nuclear Information System (INIS)

    Yoshida, Yoshitaka; Ohtani, Masanori; Fujita, Yushi

    2002-01-01

    In the nuclear power plant, much knowledge is acquired through probabilistic safety assessment (PSA) of a severe accident, and accident management (AM) is prepared. It is necessary to evaluate the effectiveness of AM using the decision-making failure probability of an emergency organization, operation failure probability of operators, success criteria of AM and reliability of AM equipments in PSA. However, there has been no suitable qualification method for PSA so far to obtain the decision-making failure probability, because the decision-making failure of an emergency organization treats the knowledge based error. In this work, we developed a new method for quantification of the decision-making failure probability of an emergency organization using cognitive analysis model, which decided an AM strategy, in a nuclear power plant at the severe accident, and tried to apply it to a typical pressurized water reactor (PWR) plant. As a result: (1) It could quantify the decision-making failure probability adjusted to PSA for general analysts, who do not necessarily possess professional human factors knowledge, by choosing the suitable value of a basic failure probability and an error-factor. (2) The decision-making failure probabilities of six AMs were in the range of 0.23 to 0.41 using the screening evaluation method and in the range of 0.10 to 0.19 using the detailed evaluation method as the result of trial evaluation based on severe accident analysis of a typical PWR plant, and a result of sensitivity analysis of the conservative assumption, failure probability decreased about 50%. (3) The failure probability using the screening evaluation method exceeded that using detailed evaluation method by 99% of probability theoretically, and the failure probability of AM in this study exceeded 100%. From this result, it was shown that the decision-making failure probability was more conservative than the detailed evaluation method, and the screening evaluation method satisfied

  6. Quantification of a decision-making failure probability of the accident management using cognitive analysis model

    Energy Technology Data Exchange (ETDEWEB)

    Yoshida, Yoshitaka; Ohtani, Masanori [Institute of Nuclear Safety System, Inc., Mihama, Fukui (Japan); Fujita, Yushi [TECNOVA Corp., Tokyo (Japan)

    2002-09-01

    In the nuclear power plant, much knowledge is acquired through probabilistic safety assessment (PSA) of a severe accident, and accident management (AM) is prepared. It is necessary to evaluate the effectiveness of AM using the decision-making failure probability of an emergency organization, operation failure probability of operators, success criteria of AM and reliability of AM equipments in PSA. However, there has been no suitable qualification method for PSA so far to obtain the decision-making failure probability, because the decision-making failure of an emergency organization treats the knowledge based error. In this work, we developed a new method for quantification of the decision-making failure probability of an emergency organization using cognitive analysis model, which decided an AM strategy, in a nuclear power plant at the severe accident, and tried to apply it to a typical pressurized water reactor (PWR) plant. As a result: (1) It could quantify the decision-making failure probability adjusted to PSA for general analysts, who do not necessarily possess professional human factors knowledge, by choosing the suitable value of a basic failure probability and an error-factor. (2) The decision-making failure probabilities of six AMs were in the range of 0.23 to 0.41 using the screening evaluation method and in the range of 0.10 to 0.19 using the detailed evaluation method as the result of trial evaluation based on severe accident analysis of a typical PWR plant, and a result of sensitivity analysis of the conservative assumption, failure probability decreased about 50%. (3) The failure probability using the screening evaluation method exceeded that using detailed evaluation method by 99% of probability theoretically, and the failure probability of AM in this study exceeded 100%. From this result, it was shown that the decision-making failure probability was more conservative than the detailed evaluation method, and the screening evaluation method satisfied

  7. Profesor Luis López de Mesa. Reminiscencias

    Directory of Open Access Journals (Sweden)

    J. Hernando Ordoñez

    1998-12-01

    Full Text Available

    Personalidad


    El 18 de Octubre pasado se cumplieron 30 años de la muerte del Profesor Luis López de Mesa, fecha luctuosa para la cultura americana. Con tal motivo quiero revivir su memoria y rendirle un cálido homenaje de gratitud y admiración, haciendo reminiscencias de hechos y anécdotas vividas gracias a la cordial amistad que me permitió apreciar la grandeza de su personalidad, que brilló con luz propia en todos los campos del saber humano, que lo llevó a escalar sitio de honor entre los grandes humanistas del continente.

    Sería un atrevimiento de mi parte, dada la poquedad de mis recursos literarios, intentar una biografía del profesor López de Mesa, tanto más, cuando eminentes autores han escrito obras magistrales relatando y exaltando las múltiples facetas de su excepcional cultura.

    Mi propósito es modesto: no he de referirme a su actuación como fundador del Colegio Máximo de las Academias Colombianas, ni de su hija “Bahía Solano”, ni del brillo con que desempeñó cargos tan importantes como Rector de la Universidad Nacional, Ministro de Educación Nacional y de Relaciones Exteriores, miembro de las más prestigiosas sociedades científicas y culturales, tanto nacionales como extranjeras, autor de numerosas obras a cual más eruditas, originales y profundas, y tantos títulos, cargos y actuaciones, que me sería largo enumerar.

    La sencillez y su modestia fueron admirables, como han sido las de los grandes genios. No conoció la vanidad ni el orgullo. Casi me atrevería a pensar que no se dio cuenta de su propia grandeza, a pesar de los múltiples y más variados elogios, honores y homenajes que le rendían tanto en el ambiente nacional como en el internacional, donde contaba con la admiración de los más brillantes exponentes de la cultura, que, distantes, se admiran recíprocamente, como de lejos se divisan y se contemplan las más elevadas cumbres de las monta

  8. Using decision analysis to support proactive management of emerging infectious wildlife diseases

    Science.gov (United States)

    Grant, Evan H. Campbell; Muths, Erin L.; Katz, Rachel A.; Canessa, Stefano; Adams, Michael J.; Ballard, Jennifer R.; Berger, Lee; Briggs, Cheryl J.; Coleman, Jeremy; Gray, Matthew J.; Harris, M. Camille; Harris, Reid N.; Hossack, Blake R.; Huyvaert, Kathryn P.; Kolby, Jonathan E.; Lips, Karen R.; Lovich, Robert E.; McCallum, Hamish I.; Mendelson, Joseph R.; Nanjappa, Priya; Olson, Deanna H.; Powers, Jenny G.; Richgels, Katherine L. D.; Russell, Robin E.; Schmidt, Benedikt R.; Spitzen-van der Sluijs, Annemarieke; Watry, Mary Kay; Woodhams, Douglas C.; White, C. LeAnn

    2017-01-01

    Despite calls for improved responses to emerging infectious diseases in wildlife, management is seldom considered until a disease has been detected in affected populations. Reactive approaches may limit the potential for control and increase total response costs. An alternative, proactive management framework can identify immediate actions that reduce future impacts even before a disease is detected, and plan subsequent actions that are conditional on disease emergence. We identify four main obstacles to developing proactive management strategies for the newly discovered salamander pathogen Batrachochytrium salamandrivorans (Bsal). Given that uncertainty is a hallmark of wildlife disease management and that associated decisions are often complicated by multiple competing objectives, we advocate using decision analysis to create and evaluate trade-offs between proactive (pre-emergence) and reactive (post-emergence) management options. Policy makers and natural resource agency personnel can apply principles from decision analysis to improve strategies for countering emerging infectious diseases.

  9. Data mining approach to bipolar cognitive map development and decision analysis

    Science.gov (United States)

    Zhang, Wen-Ran

    2002-03-01

    A data mining approach to cognitive mapping is presented based on bipolar logic, bipolar relations, and bipolar clustering. It is shown that a correlation network derived from a database can be converted to a bipolar cognitive map (or bipolar relation). A transitive, symmetric, and reflexive bipolar relation (equilibrium relation) can be used to identify focal links in decision analysis. It can also be used to cluster a set of events or itemsets into three different clusters: coalition sets, conflict sets, and harmony sets. The coalition sets are positively correlated events or itemsets; each conflict set is a negatively correlated set of two coalition subsets; and a harmony set consists of events that are both negatively and positively correlated. A cognitive map and the clusters can then be used for online decision analysis. This approach combines knowledge discovery with the views of decision makers and provides an effective means for online analytical processing (OLAP) and online analytical mining (OLAM).

  10. Winning at litigation through decision analysis creating and executing winning strategies in any litigation or dispute

    CERN Document Server

    Celona, John

    2016-01-01

    This book is the first in-depth guide to applying the philosophy, theory, and methods of decision analysis to creating and executing winning legal strategies. With explanations that progress from introductory to advanced and practice problems at the end of each chapter, this is a book the reader will want to use and refer to for years to come. Practicing decision analysts, operations research and management science students, attorneys and law students will find this book an invaluable addition to their knowledge and skills. John Celona has over three decades of experience in teaching and applying decision analysis. John lectures in the School of Engineering at Stanford University and is on faculty at The Stanford Center for Professional Development, the American Course on Drug Development and Regulatory Sciences, and the Academy of the American Society for Healthcare Risk Management.

  11. Using Decision Analysis to Understand the Indications for Unilateral Hand Transplantation

    Science.gov (United States)

    McClelland, Brett; Novak, Christine B.; Hanna, Steven; McCabe, Steven J.

    2016-01-01

    Background: Upper extremity transplantation has been performed to improve quality of life, the benefit which must be traded off for the risk created by life-long immunosuppression. We believe the process of decision analysis is well suited to improve our understanding of these trade-offs. Method: We created a decision tree to include a branch point to illustrate the expected recovery of useful function in the transplant, using the best estimates for utility and probability that exist. Results: Our model revealed that when the probability of achieving a good result, graded as Chen level one or two is greater than 73%, transplantation is preferred over no transplantation. The decision is sensitive to the probability of major complications and the utility of a transplanted limb with minimal function. Conclusions: The results of this analysis show that under some circumstances given a high probability of satisfactory functional recovery, unilateral hand transplantation can be justified. PMID:28149213

  12. Investment Decision Support for Engineering Projects Based on Risk Correlation Analysis

    Directory of Open Access Journals (Sweden)

    Yan Liu

    2012-01-01

    Full Text Available Investment decisions are usually made on the basis of the subjective judgments of experts subjected to the information gap during the preliminary stages of a project. As a consequence, a series of errors in risk prediction and/or decision-making will be generated leading to out of control investment and project failure. In this paper, the variable fuzzy set theory and intelligent algorithms integrated with case-based reasoning are presented. The proposed algorithm manages the numerous fuzzy concepts and variable factors of a project and also sets up the decision-making process in accordance with past cases and experiences. Furthermore, it decreases the calculation difficulty and reduces the decision-making reaction time. Three types of risk correlations combined with different characteristics of engineering projects are summarized, and each of these correlations is expounded at the project investment decision-making stage. Quantitative and qualitative change theories of variable fuzzy sets are also addressed for investment risk warning. The approach presented in this paper enables the risk analysis in a simple and intuitive manner and realizes the integration of objective and subjective risk assessments within the decision-makers' risk expectation.

  13. Multi-criteria decision analysis and environmental risk assessment for nanomaterials

    International Nuclear Information System (INIS)

    Linkov, Igor; Satterstrom, F. Kyle; Steevens, Jeffery; Ferguson, Elizabeth; Pleus, Richard C.

    2007-01-01

    Nanotechnology is a broad and complex discipline that holds great promise for innovations that can benefit mankind. Yet, one must not overlook the wide array of factors involved in managing nanomaterial development, ranging from the technical specifications of the material to possible adverse effects in humans. Other opportunities to evaluate benefits and risks are inherent in environmental health and safety (EHS) issues related to nanotechnology. However, there is currently no structured approach for making justifiable and transparent decisions with explicit trade-offs between the many factors that need to be taken into account. While many possible decision-making approaches exist, we believe that multi-criteria decision analysis (MCDA) is a powerful and scientifically sound decision analytical framework for nanomaterial risk assessment and management. This paper combines state-of-the-art research in MCDA methods applicable to nanotechnology with a hypothetical case study for nanomaterial management. The example shows how MCDA application can balance societal benefits against unintended side effects and risks, and how it can also bring together multiple lines of evidence to estimate the likely toxicity and risk of nanomaterials given limited information on physical and chemical properties. The essential contribution of MCDA is to link this performance information with decision criteria and weightings elicited from scientists and managers, allowing visualization and quantification of the trade-offs involved in the decision-making process

  14. Multi-criteria decision analysis and environmental risk assessment for nanomaterials

    Science.gov (United States)

    Linkov, Igor; Satterstrom, F. Kyle; Steevens, Jeffery; Ferguson, Elizabeth; Pleus, Richard C.

    2007-08-01

    Nanotechnology is a broad and complex discipline that holds great promise for innovations that can benefit mankind. Yet, one must not overlook the wide array of factors involved in managing nanomaterial development, ranging from the technical specifications of the material to possible adverse effects in humans. Other opportunities to evaluate benefits and risks are inherent in environmental health and safety (EHS) issues related to nanotechnology. However, there is currently no structured approach for making justifiable and transparent decisions with explicit trade-offs between the many factors that need to be taken into account. While many possible decision-making approaches exist, we believe that multi-criteria decision analysis (MCDA) is a powerful and scientifically sound decision analytical framework for nanomaterial risk assessment and management. This paper combines state-of-the-art research in MCDA methods applicable to nanotechnology with a hypothetical case study for nanomaterial management. The example shows how MCDA application can balance societal benefits against unintended side effects and risks, and how it can also bring together multiple lines of evidence to estimate the likely toxicity and risk of nanomaterials given limited information on physical and chemical properties. The essential contribution of MCDA is to link this performance information with decision criteria and weightings elicited from scientists and managers, allowing visualization and quantification of the trade-offs involved in the decision-making process.

  15. Molecular-beam epitaxy on shallow mesa gratings patterned on GaAs(311)A and (100) substrates

    NARCIS (Netherlands)

    Gong, Q.; Nötzel, R.; Schönherr, H.-P.; Ploog, K.H.

    2002-01-01

    We report on the morphology and properties of the surface formed by molecular-beam epitaxy on shallow mesa gratings on patterned GaAs(311)A and GaAs(100). On GaAs(311)A substrates, the corrugated surface formed after GaAs growth on shallow mesa gratings along [011] is composed of monolayer high

  16. Does a reactor need a safety backfit. Case study on communicating decision and risk analysis information to managers

    Energy Technology Data Exchange (ETDEWEB)

    Brown, R.V.; Ulvila, J.W.

    1988-06-01

    An approach to communicating decision and risk analysis findings to managers is illustrated in a real case context. This article consists essentially of a report prepared for senior managers of the Nuclear Regulatory Commission to help them make a reactor safety decision. It illustrates the communication of decision analysis findings relating to technical risks, costs, and benefits in support of a major risk management decision: whether or not to require a safety backfit. Its focus is on the needs of decision makers, and it introduces some novel communication devices.

  17. Economic analysis for upgrade decision-making using a control system replacement example

    International Nuclear Information System (INIS)

    De Grosbois, J.; Wichman, R.; Hepburn, G.A.; Basso, R.; Kumar, V.; Deregowska, D.

    2006-01-01

    This paper (3rd in a CNS series) provides insight on how nuclear power plants can achieve better efficiencies and reduced operations and maintenance (O and M) costs by making well-informed equipment upgrade decisions. An investment decision in a plant system upgrade will have various technical options and associated performance outcomes. These can be modelled and evaluated using economic and financial analysis methods. The economic analysis usually involves a comparison of an investment scenario versus a no-investment scenario called difference case analysis. The investment may include several scenarios due to the existence of various options, different investment timings, or desired performance results. Classical approaches, using financial tools such as net present value and internal rate of return calculations, may be used to quantify the financial benefits of the difference cases when certainty about the outcomes is assumed. When making decisions under risk, the classical approaches may be augmented with methods that consider life-cycle costs and benefits, the cost consequences of and probability of equipment failure, the timing of the replacement, and the uncertainties in estimating costs and benefits. The use of expected value and Monte Carlo simulation, among others, allow the incorporation of financial and technical uncertainty into the analysis. Finally, sensitivity analysis enables better understanding of the problem and may improve the decision and clarify the level of confidence that should be put in the outcomes. This paper illustrates the use of financial decision analysis methods for equipment replacements using a control system upgrade example. These methods may easily be generalized for other types of plant upgrades. (author)

  18. Bats of Mesa Verde National Park, Colorado: composition, reproduction, and roosting habits.

    Science.gov (United States)

    O'Shea, Thomas J.; Cryan, Paul M.; Snider, E. Apple; Valdez, Ernest W.; Ellison, Laura E.; Neubaum, Daniel J.

    2011-01-01

    We determined the bat fauna at Mesa Verde National Park (Mesa Verde) in 2006 and 2007, characterized bat elevational distribution and reproduction, and investigated roosting habits of selected species. We captured 1996 bats of 15 species in mist nets set over water during 120 nights of sampling and recorded echolocation calls of an additional species. The bat fauna at Mesa Verde included every species of bat known west of the Great Plains in Colorado, except the little brown bat (Myotis lucifugus). Some species showed skewed sex ratios, primarily due to a preponderance of males. Thirteen species of bats reproduced at Mesa Verde. Major differences in spring precipitation between the 2 years of our study were associated with differences in reproductive rates and, in some species, with numbers of juveniles captured. Reduced reproductive effort during spring drought will have a greater impact on bat populations with the forecasted increase in aridity in much of western North America by models of global climate change. We radiotracked 46 bats of 5 species to roosts and describe the first-known maternity colonies of spotted bats (Euderma maculatum) in Colorado. All 5 species that we tracked to diurnal roosts relied almost exclusively on rock crevices rather than trees or snags, despite the presence of mature forests at Mesa Verde and the use of trees for roosts in similar forests elsewhere by some of these species. Comparisons with past bat surveys at Mesa Verde and in surrounding areas suggest no dramatic evidence for effects of recent stand-replacing fires on the composition of the bat community.

  19. Global analysis of dynamical decision-making models through local computation around the hidden saddle.

    Directory of Open Access Journals (Sweden)

    Laura Trotta

    Full Text Available Bistable dynamical switches are frequently encountered in mathematical modeling of biological systems because binary decisions are at the core of many cellular processes. Bistable switches present two stable steady-states, each of them corresponding to a distinct decision. In response to a transient signal, the system can flip back and forth between these two stable steady-states, switching between both decisions. Understanding which parameters and states affect this switch between stable states may shed light on the mechanisms underlying the decision-making process. Yet, answering such a question involves analyzing the global dynamical (i.e., transient behavior of a nonlinear, possibly high dimensional model. In this paper, we show how a local analysis at a particular equilibrium point of bistable systems is highly relevant to understand the global properties of the switching system. The local analysis is performed at the saddle point, an often disregarded equilibrium point of bistable models but which is shown to be a key ruler of the decision-making process. Results are illustrated on three previously published models of biological switches: two models of apoptosis, the programmed cell death and one model of long-term potentiation, a phenomenon underlying synaptic plasticity.

  20. Decision Analysis and Its Application to the Frequency of Containment Integrated Leakage Rate Tests

    International Nuclear Information System (INIS)

    Apostolakis, George E.; Koser, John P.; Sato, Gaku

    2004-01-01

    For nuclear utilities to become competitive in a deregulated electricity market, costs must be reduced, safety must be maintained, and interested stakeholders must remain content with the decisions being made. One way to reduce costs is to reduce the frequency of preventive maintenance and testing. However, these changes must be weighed against their impact on safety and stakeholder relations. We present a methodology that allows the evaluation of decision options using a number of objectives that include safety, economics, and stakeholder relations. First, the candidate decision options are screened to make sure that they satisfy the relevant regulatory requirements. The remaining options are evaluated using multiattribute utility theory. The results of the formal analysis include a ranking of the options according to their desirability as well as the major reasons that explain this ranking. These results are submitted to a deliberative process in which the decision makers scrutinize the results to ensure that they are meaningful. During the deliberation, new decision options may be formulated based on the insights that the formal analysis provides, as happened in the case study of this paper. This case study deals with the reduction in frequency of the containment integrated leak rate test of a boiling water reactor

  1. Multi-criteria decision analysis in environmental sciences: ten years of applications and trends.

    Science.gov (United States)

    Huang, Ivy B; Keisler, Jeffrey; Linkov, Igor

    2011-09-01

    Decision-making in environmental projects requires consideration of trade-offs between socio-political, environmental, and economic impacts and is often complicated by various stakeholder views. Multi-criteria decision analysis (MCDA) emerged as a formal methodology to face available technical information and stakeholder values to support decisions in many fields and can be especially valuable in environmental decision making. This study reviews environmental applications of MCDA. Over 300 papers published between 2000 and 2009 reporting MCDA applications in the environmental field were identified through a series of queries in the Web of Science database. The papers were classified by their environmental application area, decision or intervention type. In addition, the papers were also classified by the MCDA methods used in the analysis (analytic hierarchy process, multi-attribute utility theory, and outranking). The results suggest that there is a significant growth in environmental applications of MCDA over the last decade across all environmental application areas. Multiple MCDA tools have been successfully used for environmental applications. Even though the use of the specific methods and tools varies in different application areas and geographic regions, our review of a few papers where several methods were used in parallel with the same problem indicates that recommended course of action does not vary significantly with the method applied. Published by Elsevier B.V.

  2. Neural systems analysis of decision making during goal-directed navigation.

    Science.gov (United States)

    Penner, Marsha R; Mizumori, Sheri J Y

    2012-01-01

    The ability to make adaptive decisions during goal-directed navigation is a fundamental and highly evolved behavior that requires continual coordination of perceptions, learning and memory processes, and the planning of behaviors. Here, a neurobiological account for such coordination is provided by integrating current literatures on spatial context analysis and decision-making. This integration includes discussions of our current understanding of the role of the hippocampal system in experience-dependent navigation, how hippocampal information comes to impact midbrain and striatal decision making systems, and finally the role of the striatum in the implementation of behaviors based on recent decisions. These discussions extend across cellular to neural systems levels of analysis. Not only are key findings described, but also fundamental organizing principles within and across neural systems, as well as between neural systems functions and behavior, are emphasized. It is suggested that studying decision making during goal-directed navigation is a powerful model for studying interactive brain systems and their mediation of complex behaviors. Copyright © 2011. Published by Elsevier Ltd.

  3. A multi-criteria decision analysis of augmentative treatment of upper limps in persons with tetraplegia

    NARCIS (Netherlands)

    Hummel, J. Marjan; Snoek, Govert J.; van Til, Janine Astrid; van Rossum, Wouter; IJzerman, Maarten Joost

    2005-01-01

    This study supported the evaluation by a rehabilitation team of the performance of two treatment options that improve the arm-hand function in subjects with sixth cervical vertebra (C6) level Motor Group 2 tetraplegia. The analytic hierarchy process, a technique for multicriteria decision analysis,

  4. Nursing Faculty Decision Making about Best Practices in Test Construction, Item Analysis, and Revision

    Science.gov (United States)

    Killingsworth, Erin Elizabeth

    2013-01-01

    With the widespread use of classroom exams in nursing education there is a great need for research on current practices in nursing education regarding this form of assessment. The purpose of this study was to explore how nursing faculty members make decisions about using best practices in classroom test construction, item analysis, and revision in…

  5. European antitrust policy 1957-2004: An analysis of Commission decisions

    NARCIS (Netherlands)

    Carree, M.; Günster, A.; Schinkel, M.P.

    2008-01-01

    This paper provides a survey of European antitrust law enforcement since its foundation in the Treaty of Rome of 1957. We present a complete overview and statistical analysis of all 538 formal Commission decisions adopted up to 2004 under Articles 81, 82 and 86 of the European Community Treaty. We

  6. Fuzzy Decision Analysis for Integrated Environmental Vulnerability Assessment of the Mid-Atlantic Region

    Science.gov (United States)

    Liem T. Tran; C. Gregory Knight; Robert V. O' Neill; Elizabeth R. Smith; Kurt H. Riitters; James D. Wickham

    2002-01-01

    A fuzzy decision analysis method for integrating ecological indicators was developed. This was a combination of a fuzzy ranking method and the analytic hierarchy process (AHP). The method was capable of ranking ecosystems in terms of environmental conditions and suggesting cumulative impacts across a large region. Using data on land cover, population, roads, streams,...

  7. The adoption of total cost of ownership for sourcing decisions - a structural equations analysis

    NARCIS (Netherlands)

    Wouters, Marc; Anderson, James C.; Wynstra, Finn

    2005-01-01

    This study investigates the adoption of total cost of ownership (TCO) analysis to improve sourcing decisions. TCO can be seen as an application of activity based costing (ABC) that quantifies the costs that are involved in acquiring and using purchased goods or services. TCO supports purchasing

  8. The Influence of Social Norms in Consumer Decision Making: A Meta-Analysis

    NARCIS (Netherlands)

    Melnyk, V.; Herpen, van E.; Trijp, van J.C.M.

    2010-01-01

    Although social norms can substantially impact consumer decision making, understanding of how the specification of the norm determines its impact is limited. This meta-analysis (200 independent studies, 659 effect sizes) examines how aspects of social norm specification determine the effect of norms

  9. What Satisfies Students?: Mining Student-Opinion Data with Regression and Decision Tree Analysis

    Science.gov (United States)

    Thomas, Emily H.; Galambos, Nora

    2004-01-01

    To investigate how students' characteristics and experiences affect satisfaction, this study uses regression and decision tree analysis with the CHAID algorithm to analyze student-opinion data. A data mining approach identifies the specific aspects of students' university experience that most influence three measures of general satisfaction. The…

  10. Sensitivity analysis for decision-making using the MORE method-A Pareto approach

    International Nuclear Information System (INIS)

    Ravalico, Jakin K.; Maier, Holger R.; Dandy, Graeme C.

    2009-01-01

    Integrated Assessment Modelling (IAM) incorporates knowledge from different disciplines to provide an overarching assessment of the impact of different management decisions. The complex nature of these models, which often include non-linearities and feedback loops, requires special attention for sensitivity analysis. This is especially true when the models are used to form the basis of management decisions, where it is important to assess how sensitive the decisions being made are to changes in model parameters. This research proposes an extension to the Management Option Rank Equivalence (MORE) method of sensitivity analysis; a new method of sensitivity analysis developed specifically for use in IAM and decision-making. The extension proposes using a multi-objective Pareto optimal search to locate minimum combined parameter changes that result in a change in the preferred management option. It is demonstrated through a case study of the Namoi River, where results show that the extension to MORE is able to provide sensitivity information for individual parameters that takes into account simultaneous variations in all parameters. Furthermore, the increased sensitivities to individual parameters that are discovered when joint parameter variation is taken into account shows the importance of ensuring that any sensitivity analysis accounts for these changes.

  11. Corporate Decision Making and SocioEnvironmental Investments In Brazil: An Analysis Based On Social Audits

    Directory of Open Access Journals (Sweden)

    André Luiz Bufoni

    2012-06-01

    indicate a significant correlation between the amount of environmental investments and variables such as age, level of education, professional training of employees and profit-sharing policies. However, no significant correlation between environmental investments and profitability was found. The analysis revealed a linkage between decisions to invest in the environment and social investments outside the firm.

  12. On the ethical analysis of value issues in public decision-making ...

    African Journals Online (AJOL)

    South African Journal of Philosophy ... What difference can such an ethical analysis make to public decision-making? ... value and ethical questions cannot be settled in a rational manner ... values and ethics are so intertwined with emotions and biases that one cannot take them seriously in ... AJOL African Journals Online.

  13. An integrated probabilistic risk analysis decision support methodology for systems with multiple state variables

    International Nuclear Information System (INIS)

    Sen, P.; Tan, John K.G.; Spencer, David

    1999-01-01

    Probabilistic risk analysis (PRA) methods have been proven to be valuable in risk and reliability analysis. However, a weak link seems to exist between methods for analysing risks and those for making rational decisions. The integrated decision support system (IDSS) methodology presented in this paper attempts to address this issue in a practical manner. In consists of three phases: a PRA phase, a risk sensitivity analysis (SA) phase and an optimisation phase, which are implemented through an integrated computer software system. In the risk analysis phase the problem is analysed by the Boolean representation method (BRM), a PRA method that can deal with systems with multiple state variables and feedback loops. In the second phase the results obtained from the BRM are utilised directly to perform importance and risk SA. In the third phase, the problem is formulated as a multiple objective decision making problem in the form of multiple objective reliability optimisation. An industrial example is included. The resultant solutions of a five objective reliability optimisation are presented, on the basis of which rational decision making can be explored

  14. Measuring the Extent of European State Aid Control : An Econometric Analysis of the European Commission Decisions

    NARCIS (Netherlands)

    Brouwer, E.; Ozbugday, F.C.

    2011-01-01

    This paper provides an analysis of the European Commission (EC) decisions on state aid control using data on 550 state aid cases approved by the EC between 1998 and 2009. More specifically, we measure the determinants of the duration of state aid, total budget of state aid and daily budget of state

  15. Measuring the Extent of European State Aid Control : An Econometric Analysis of the European Commission Decisions

    NARCIS (Netherlands)

    Brouwer, E.; Ozbugday, F.C.

    2010-01-01

    This paper provides an analysis of the European Commission (EC) decisions on state aid control using data on 550 state aid cases approved by the EC between 1998 and 2009. More specifically, we measure the determinants of the duration of state aid, total budget of state aid and daily budget of state

  16. European antitrust policy 1957-2004: an analysis of Commission decisions

    NARCIS (Netherlands)

    Carree, M.; Günster, A.; Schinkel, M.P.

    2010-01-01

    This paper provides a survey of European antitrust law enforcement since its foundation in the Treaty of Rome of 1957 up to and including 2004. We present a complete overview and statistical analysis of all 538 formal Commission decisions under Articles 81, 82, and 86 of the European Community

  17. Cost-utility analysis of antihypertensive medications in Nigeria: a decision analysis

    Directory of Open Access Journals (Sweden)

    Ekwunife Obinna Ikechukwu

    2013-01-01

    Full Text Available Abstract Background Many drugs are available for control of hypertension and its sequels in Nigeria but some are not affordable for majority of the populace. This serious pharmacoeconomic question has to be answered by the nation’s health economists. The objective of this study was to evaluate the cost-effectiveness of drugs from 4 classes of antihypertensive medications commonly used in Nigeria in management of hypertension without compelling indication to use a particular antihypertensive drug. Methods The study employed decision analytic modeling. Interventions were obtained from a meta-analysis. The Markov process model calculated clinical outcomes and costs during a life cycle of 30 years of 1000 hypertensive patients stratified by 3 cardiovascular risk groups, under the alternative intervention scenarios. Quality adjusted life year (QALY was used to quantify clinical outcome. The average cost of treatment for the 1000 patient was tracked over the Markov cycle model of the alternative interventions and results were presented in 2010 US Dollars. Probabilistic cost-effectiveness analysis was performed using Monte Carlo simulation, and results presented as cost-effectiveness acceptability frontiers. Expected value of perfect information (EVPI and expected value of parameter perfect information (EVPPI analyses were also conducted for the hypothetical population. Results Thiazide diuretic was the most cost-effective option across the 3 cardiovascular risk groups. Calcium channel blocker was the second best for Moderate risk and high risk with a willingness to pay of at least 2000$/QALY. The result was robust since it was insensitive to the parameters alteration. Conclusions The result of this study showed that thiazide diuretic followed by calcium channel blocker could be a feasible strategy in order to ensure that patients in Nigeria with hypertension are better controlled.

  18. Climate Risk Informed Decision Analysis: A Hypothetical Application to the Waas Region

    Science.gov (United States)

    Gilroy, Kristin; Mens, Marjolein; Haasnoot, Marjolijn; Jeuken, Ad

    2016-04-01

    More frequent and intense hydrologic events under climate change are expected to enhance water security and flood risk management challenges worldwide. Traditional planning approaches must be adapted to address climate change and develop solutions with an appropriate level of robustness and flexibility. The Climate Risk Informed Decision Analysis (CRIDA) method is a novel planning approach embodying a suite of complementary methods, including decision scaling and adaptation pathways. Decision scaling offers a bottom-up approach to assess risk and tailors the complexity of the analysis to the problem at hand and the available capacity. Through adaptation pathway,s an array of future strategies towards climate robustness are developed, ranging in flexibility and immediacy of investments. Flexible pathways include transfer points to other strategies to ensure that the system can be adapted if future conditions vary from those expected. CRIDA combines these two approaches in a stakeholder driven process which guides decision makers through the planning and decision process, taking into account how the confidence in the available science, the consequences in the system, and the capacity of institutions should influence strategy selection. In this presentation, we will explain the CRIDA method and compare it to existing planning processes, such as the US Army Corps of Engineers Principles and Guidelines as well as Integrated Water Resources Management Planning. Then, we will apply the approach to a hypothetical case study for the Waas Region, a large downstream river basin facing rapid development threatened by increased flood risks. Through the case study, we will demonstrate how a stakeholder driven process can be used to evaluate system robustness to climate change; develop adaptation pathways for multiple objectives and criteria; and illustrate how varying levels of confidence, consequences, and capacity would play a role in the decision making process, specifically

  19. PROMETHEE Method and Sensitivity Analysis in the Software Application for the Support of Decision-Making

    Directory of Open Access Journals (Sweden)

    Petr Moldrik

    2008-01-01

    Full Text Available PROMETHEE is one of methods, which fall into multi-criteria analysis (MCA. The MCA, as the name itself indicates, deals with the evaluation of particular variants according to several criteria. Developed software application (MCA8 for the support of multi-criteria decision-making was upgraded about PROMETHEE method and a graphic tool, which enables the execution of the sensitivity analysis. This analysis is used to ascertain how a given model output depends upon the input parameters. The MCA8 software application with mentioned graphic upgrade was developed for purposes of solving multi-criteria decision tasks. In the MCA8 is possible to perform sensitivity analysis by a simple form – through column graphs. We can change criteria significances (weights in these column graphs directly and watch the changes of the order of variants immediately.

  20. Decision analysis for mobilizing and retrieving sludge from double-shell tanks

    International Nuclear Information System (INIS)

    Brothers, A.J.; Williams, N.C.; Dukelow, J.S.; Hansen, R.I.

    1997-09-01

    This decision analysis evaluates alternative technologies for the initial mobilization and retrieval of sludges in double-shell tanks (DSTs). The analysis is from the perspective of the need to move sludges from one DST to another for interim retrieval. It supports the more general decision of which technologies to use to retreive various types of DST waste. The initial analysis is from the perspective of a typical DST with 2 ft of sludge to mobilize. During the course of the analysis, it became clear that it was important to also consider sludge mobilization in support of the high-level waste (HLW) vitrification demonstration plant, and in particular the risks associated with failing to meeting the minimum order requirements for the vendor, as well as the cost of mobilization and retrieval from the HLW vitrification source tanks

  1. Dating of Las Mesas Copper Age walled enclosure (La Fuente, Spain

    Directory of Open Access Journals (Sweden)

    Odriozola, Carlos P.

    2014-12-01

    Full Text Available The site of Las Mesas is located in the west bank of the Guadajira river (La Fuente, Badajoz, Spain. It covers a half hectare and is enclosed by a stone wall. Previous assessments based on site surveys suggested a general chronological span from Late Neolithic period (ca. 3600-2900 BC through the Copper Age (3rd millennium BC. Excavations revealed a well-constructed wall with bastions and a domestic space at the centre of the site with three occupational phases. Several functional areas and a votive pit are ascribed to the second phase. A deer antler located in a re-cut ritual pit associated to the second phase was dated by AMS-14C. Samples from a living floor assigned to the second phase (SU-9/10 and the basement of a kiln associated with the first phase (SU-18 was dated by optically stimulated luminescence (OSL using the single aliquot regenerative dose (SAR protocol on 90-160 m quartz grains. Luminescence profiling analysis of 7 samples taken throughout the archaeological stratigraphy was used to assess variations in luminescence behaviour and relative age through the sequence, using infrared-, optically –and thermally– stimulated luminescence (IRSL, OSL, TSL on poly-mineral and etched samples. Luminescence dating and profiling indicates that the upper archaeological layer (SU-1B probably dates to the Late Bronze Age (ca. 1000 BC, but that the sediments in the remainder of this section accumulated during the late Neolithic-Copper Age: the site was most probably inhabited between 3300 and 2900 BC. There were gaps in occupation between the Late Neolithic-Cooper Age phases (I & II, and between the Late Neolithic-Cooper Age phases and Late Bronze Age phase (II & III, indicating that the site was abandoned and reoccupied twice. The AMS-14C date on deer antler of 4254 ± 45 BP (3010-2675 cal BC is consisten with the OSL results for phase II, indicating that the pit was excavated at the beginning of the second occupational phase. Combined OSL

  2. BENEFIT-COST ANALYSIS IN U.S. ENVIRONMENTAL REGULATORY DECISIONS

    OpenAIRE

    Easter, K. William; Archibald, Sandra O.

    1998-01-01

    As the number and cost of environmental regulations have increased over the last thirty years, the regulated community, taxpayers, and policy makers have begun to demand that the benefits of regulations justify their costs. The use of benefit-cost analysis as an integral part of developing new regulations is increasing and the demands and expectations being placed on the method have expanded. Although benefit-cost analysis is expected to play an even greater role in environmental decision mak...

  3. Design and optimization of a ground water monitoring system using GIS and multicriteria decision analysis

    Energy Technology Data Exchange (ETDEWEB)

    Dutta, D.; Gupta, A.D.; Ramnarong, V.

    1998-12-31

    A GIS-based methodology has been developed to design a ground water monitoring system and implemented for a selected area in Mae-Klong River Basin, Thailand. A multicriteria decision-making analysis has been performed to optimize the network system based on major criteria which govern the monitoring network design such as minimization of cost of construction, reduction of kriging standard deviations, etc. The methodology developed in this study is a new approach to designing monitoring networks which can be used for any site considering site-specific aspects. It makes it possible to choose the best monitoring network from various alternatives based on the prioritization of decision factors.

  4. Econometric Analysis on Developing Decision to Promote an Investment Object of Small Business

    Directory of Open Access Journals (Sweden)

    Cristina Gabriela ZAMFIR

    2014-12-01

    Full Text Available Econometric applications should be used for decision making on economic issues of the day. One of the most important is access to finance sources, a vital field to the country's economic activity. Accessing funding source involves feasibility studies for decision making on opening funding. Therefore, I decided to approach applied econometrics in the feasibility studies: I avoided advanced software applications, limiting to universally accepted methodology of the World Bank and the functions for calculating Excel spreadsheet-success of a feasibility study is correctness and depth of analysis and processing raw data, not in getting and keeping a reputable software.

  5. The need to go beyond analysis in making risk-based decisions

    Energy Technology Data Exchange (ETDEWEB)

    Ahearne, J.F. [The Sigma XI Center, Research Triangle Park, NC (United States)

    1999-12-01

    safer systems. However, the decision-makers and their advisors have lagged in going beyond analysis in making risk-based decisions. Whether it is a case like Brent Spar here in Europe or Yucca Mountain in the United States, significant lessons can be learned on how to make decisions in democratic societies.

  6. The need to go beyond analysis in making risk-based decisions

    International Nuclear Information System (INIS)

    Ahearne, J.F.

    1999-01-01

    decision-makers and their advisors have lagged in going beyond analysis in making risk-based decisions. Whether it is a case like Brent Spar here in Europe or Yucca Mountain in the United States, significant lessons can be learned on how to make decisions in democratic societies

  7. Climate Risk Informed Decision Analysis (CRIDA): A novel practical guidance for Climate Resilient Investments and Planning

    Science.gov (United States)

    Jeuken, Ad; Mendoza, Guillermo; Matthews, John; Ray, Patrick; Haasnoot, Marjolijn; Gilroy, Kristin; Olsen, Rolf; Kucharski, John; Stakhiv, Gene; Cushing, Janet; Brown, Casey

    2016-04-01

    over time. They are part of the Dutch adaptive planning approach Adaptive Delta Management, executed and develop by the Dutch Delta program. Both decision scaling and adaptation pathways have been piloted in studies worldwide. The objective of CRIDA is to mainstream effective climate adaptation for professional water managers. The CRIDA publication, due in april 2016, follows the generic water design planning design cycle. At each step, CRIDA describes stepwise guidance for incorporating climate robustness: problem definition, stress test, alternatives formulation and recommendation, evaluation and selection. In the presentation the origin, goal, steps and practical tools available at each step of CRIDA will be explained. In two other abstracts ("Climate Risk Informed Decision Analysis: A Hypothetical Application to the Waas Region" by Gilroy et al., "The Application of Climate Risk Informed Decision Analysis to the Ioland Water Treatment Plant in Lusaka, Zambia, by Kucharski et al.), the application of CRIDA to cases is explained

  8. Spatially explicit multi-criteria decision analysis for managing vector-borne diseases

    Science.gov (United States)

    2011-01-01

    The complex epidemiology of vector-borne diseases creates significant challenges in the design and delivery of prevention and control strategies, especially in light of rapid social and environmental changes. Spatial models for predicting disease risk based on environmental factors such as climate and landscape have been developed for a number of important vector-borne diseases. The resulting risk maps have proven value for highlighting areas for targeting public health programs. However, these methods generally only offer technical information on the spatial distribution of disease risk itself, which may be incomplete for making decisions in a complex situation. In prioritizing surveillance and intervention strategies, decision-makers often also need to consider spatially explicit information on other important dimensions, such as the regional specificity of public acceptance, population vulnerability, resource availability, intervention effectiveness, and land use. There is a need for a unified strategy for supporting public health decision making that integrates available data for assessing spatially explicit disease risk, with other criteria, to implement effective prevention and control strategies. Multi-criteria decision analysis (MCDA) is a decision support tool that allows for the consideration of diverse quantitative and qualitative criteria using both data-driven and qualitative indicators for evaluating alternative strategies with transparency and stakeholder participation. Here we propose a MCDA-based approach to the development of geospatial models and spatially explicit decision support tools for the management of vector-borne diseases. We describe the conceptual framework that MCDA offers as well as technical considerations, approaches to implementation and expected outcomes. We conclude that MCDA is a powerful tool that offers tremendous potential for use in public health decision-making in general and vector-borne disease management in particular

  9. Spatially explicit multi-criteria decision analysis for managing vector-borne diseases

    Directory of Open Access Journals (Sweden)

    Hongoh Valerie

    2011-12-01

    Full Text Available Abstract The complex epidemiology of vector-borne diseases creates significant challenges in the design and delivery of prevention and control strategies, especially in light of rapid social and environmental changes. Spatial models for predicting disease risk based on environmental factors such as climate and landscape have been developed for a number of important vector-borne diseases. The resulting risk maps have proven value for highlighting areas for targeting public health programs. However, these methods generally only offer technical information on the spatial distribution of disease risk itself, which may be incomplete for making decisions in a complex situation. In prioritizing surveillance and intervention strategies, decision-makers often also need to consider spatially explicit information on other important dimensions, such as the regional specificity of public acceptance, population vulnerability, resource availability, intervention effectiveness, and land use. There is a need for a unified strategy for supporting public health decision making that integrates available data for assessing spatially explicit disease risk, with other criteria, to implement effective prevention and control strategies. Multi-criteria decision analysis (MCDA is a decision support tool that allows for the consideration of diverse quantitative and qualitative criteria using both data-driven and qualitative indicators for evaluating alternative strategies with transparency and stakeholder participation. Here we propose a MCDA-based approach to the development of geospatial models and spatially explicit decision support tools for the management of vector-borne diseases. We describe the conceptual framework that MCDA offers as well as technical considerations, approaches to implementation and expected outcomes. We conclude that MCDA is a powerful tool that offers tremendous potential for use in public health decision-making in general and vector

  10. Health versus money. Value judgments in the perspective of decision analysis.

    Science.gov (United States)

    Thompson, M S

    1983-01-01

    An important, but largely uninvestigated, value trade-off balances marginal nonhealth consumption against marginal medical care. Benefit-cost analysts have traditionally, if not fully satisfactorily, dealt with this issue by valuing health gains by their effects on productivity. Cost-effectiveness analysts compare monetary and health effects and leave their relative valuations to decision makers. A decision-analytic model using the satisfaction or utility gained from nonhealth consumption and the level of health enables one to calculate willingness to pay--a theoretically superior way of assigning monetary values to effects for benefit-cost analysis-and to determine minimally acceptable cost-effectiveness ratios. Examples show how a decision-analytic model of utility can differentiate medical actions so essential that failure to take them would be considered negligent from actions so expensive as to be unjustifiable, and can help to determine optimal legal arrangements for compensation for medical malpractice.

  11. OPTIMAL BUSINESS DECISION SYSTEM FOR MULTINATIONALS: A MULTIFACTOR ANALYSIS OF SELECTED MANUFACTURING FIRMS

    Directory of Open Access Journals (Sweden)

    Oforegbunam Thaddeus Ebiringa

    2011-03-01

    Full Text Available Traditional MIS has been made more effective through the integration of organization, human andtechnology factors into a decision matrix. The study is motivated by the need to find an optimal mixof interactive factors that will optimize the result of decision to apply ICT to manufacturingprocesses. The study used Factor analysis model based on the sampled opinion of forty (40operations/production managers and two thousand (2000 production line workers of three leadingmanufacturing firms: Uniliver Plc., PZ Plc, and Nigerian Breweries Plc operating in Aba IndustrialEstate of Nigeria. The results shows that a progressive mixed factor loading matrix, based on thepreferred ordered importance of resources factors in the formulation, implementation, monitoring,control and evaluation of ICT projects of the selected firms led to an average capability improvementof 0.764 in decision efficiency. This is considered strategic for achieving balanced corporate growthand development.

  12. Project management in mine actions using Multi-Criteria-Analysis-based decision support system

    Directory of Open Access Journals (Sweden)

    Marko Mladineo

    2014-12-01

    Full Text Available In this paper, a Web-based Decision Support System (Web DSS, that supports humanitarian demining operations and restoration of mine-contaminated areas, is presented. The financial shortage usually triggers a need for priority setting in Project Management in Mine actions. As part of the FP7 Project TIRAMISU, a specialized Web DSS has been developed to achieve a fully transparent priority setting process. It allows stakeholders and donors to actively join the decision making process using a user-friendly and intuitive Web application. The main advantage of this Web DSS is its unique way of managing a mine action project using Multi-Criteria Analysis (MCA, namely the PROMETHEE method, in order to select priorities for demining actions. The developed Web DSS allows decision makers to use several predefined scenarios (different criteria weights or to develop their own, so it allows project managers to compare different demining possibilities with ease.

  13. Duopoly Market Analysis within One-Shot Decision Framework with Asymmetric Possibilistic Information

    Directory of Open Access Journals (Sweden)

    Peijun Guo

    2010-12-01

    Full Text Available In this paper, a newly emerging duopoly market with a short life cycle is analyzed. The partially known information of market is characterized by the possibility distribution of the parameter in the demand function. Since the life cycle of the new product is short, how many products should be produced by two rival firms is a typical one-shot decision problem. Within the one-shot decision framework, the possibilistic Cournot equilibrium is obtained for the optimal production level of each firm in a duopoly market with asymmetrical possibilistic information. The analysis results show that the proposed approaches are reasonable for one-shot decision problems, which are extensively encountered in business and economics.

  14. The utility of environmental exergy analysis for decision making in energy

    International Nuclear Information System (INIS)

    Simpson, Adam P.; Edwards, Chris F.

    2013-01-01

    The analysis framework discussed and employed in this paper utilizes the recent recognition that exergy is a form of environmental free energy to provide a fundamental basis for valuing environmental interactions independent from their secondary impacts. The framework is comprised of two separate components: (1) environmental exergy analysis and (2) anthropocentric sensitivity analysis. Environmental exergy analysis is based on fundamental thermodynamic principles and analysis techniques. It extends the principles of technical exergy analysis to the environment in order to quantify the location, magnitudes, and types of environmental impact—state change, alteration of natural transfers, and destruction change. Anthropocentric sensitivity analysis is based on the concepts of anthropocentric value and anthropocentric sensitivity. It enables the results of environmental exergy analysis to be interpreted for decision making, but at the expense of introducing some subjectivity into the framework. A key attribute of the framework is its ability to evaluate the environmental performance of energy systems on a level playing field, regardless of the specifics of the systems—i.e., resources consumed, products and by-products produced, or system size and time scale. The utility of the analysis framework for decision making is demonstrated in this paper through application to three example energy systems. - Highlights: ► Utilizes the recognition that exergy is a form of environmental free energy. ► Combines environmental exergy analysis and anthropocentric sensitivity analysis. ► Evaluates/compares environmental performance of systems on a level playing field. ► Independence from the system specifics—resources, by-products, sizes, time scales. ► Utility for decision making is demonstrated using real and notional energy systems

  15. Applying Recursive Sensitivity Analysis to Multi-Criteria Decision Models to Reduce Bias in Defense Cyber Engineering Analysis

    Science.gov (United States)

    2015-10-28

    techniques such as regression analysis, correlation, and multicollinearity assessment to identify the change and error on the input to the model...between many of the independent or predictor variables, the issue of multicollinearity may arise [18]. VII. SUMMARY Accurate decisions concerning

  16. Multivariate analysis of flow cytometric data using decision trees

    Directory of Open Access Journals (Sweden)

    Svenja eSimon

    2012-04-01

    Full Text Available Characterization of the response of the host immune system is important in understanding the bidirectional interactions between the host and microbial pathogens. For research on the host site, flow cytometry has become one of the major tools in immunology. Advances in technology and reagents allow now the simultaneous assessment of multiple markers on a single cell level generating multidimensional data sets that require multivariate statistical analysis. We explored the explanatory power of the supervised machine learning method called 'induction of decision trees' in flow cytometric data. In order to examine whether the production of a certain cytokine is depended on other cytokines, datasets from intracellular staining for six cytokines with complex patterns of co-expression were analyzed by induction of decision trees. After weighting the data according to their class probabilities, we created a total of 13,392 different decision trees for each given cytokine with different parameter settings. For a more realistic estimation of the decision trees's quality, we used stratified 5-fold cross-validation and chose the 'best' tree according to a combination of different quality criteria. While some of the decision trees reflected previously known co-expression patterns, we found that the expression of some cytokines was not only dependent on the co-expression of others per se, but was also dependent on the intensity of expression. Thus, for the first time we successfully used induction of decision trees for the analysis of high dimensional flow cytometric data and demonstrated the feasibility of this method to reveal structural patterns in such data sets.

  17. INTEGRATION OF MULTICRITERIA ANALYSIS INTO DECISION SUPPORT CONCEPT FOR URBAN ROAD INFRASTRUCTURE MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Niksa Jajac

    2010-12-01

    Full Text Available Urban road infrastructure management deals with complex decision making process. There are several reasons for a complexity such as: multi-disciplinarity, lots of participants, huge quantity of information, limited budget, conflict goals and criteria. These facts indicate that decision making processes in urban road infrastructure management belong to ill-defined problems. In order to cope with such complexity and to help managers during decision making processes this research proposes an application of multicriteria methods. Therefore, a generic concept of decision support for urban road infrastructure management based on multicriteria analysis is proposed. Three multicriteria methods: AHP, SAW and PROMETHHE, in a combination with 0-1 programming are used. The main advantage of an application of multicriteria analysis is that all stakeholders could be objectively included into decision process. Therefore, setting up of criteria weights involves opinions from all stakeholders’ groups (stakeholders are divided into three characteristic groups. Evaluation of criteria importance (weights is based on three sets of opinions processed by Analytic Hierarchic Processing (AHP method. Three sets of criteria are then processed by Simple Additive Weighting (SAW method resulting in a final set of criteria weights. By using SAW method, relative importance of opinions of all three stakeholders’ groups is introduced. Collected data are then processed by PROMETHEE multicriteria methods. Proposed decision support concept is validated on the problem of improvement of one part of an urban road infrastructure system for a large urban area of town of Split. The concept is efficiently applied on several problems regarding parking garages: location selection, sub-project ranking, definition of an investment strategy.

  18. Role of pharmacoeconomic analysis in R&D decision making: when, where, how?

    Science.gov (United States)

    Miller, Paul

    2005-01-01

    Pharmacoeconomics is vitally important to drug manufacturers in terms of communicating to external decision-makers (payers, prescribers, patients) the value of their products, achieving regulatory and reimbursement approval and contributing to commercial success. Since development of new drugs is long, costly and risky, and decisions must be made how to allocate considerable research and development (R&D) resources, pharmacoeconomics also has an essential role informing internal decision-making (within a company) during drug development. The use of pharmacoeconomics in early development phases is likely to enhance the efficiency of R&D resource use and also provide a solid foundation for communicating product value to external decision-makers further downstream, increasing the likelihood of regulatory (reimbursement) approval and commercial success. This paper puts the case for use of pharmacoeconomic analyses earlier in the development process and outlines five techniques (clinical trial simulation [CTS], option pricing [OP], investment appraisal [IA], threshold analysis [TA] and value of information [VOI] analysis) that can provide useful input into the design of clinical development programmes, portfolio management and optimal pricing strategy. CTS can estimate efficacy and tolerability profiles before clinical data are available. OP can show the value of different clinical programme designs, sequencing of studies and stop decisions. IA can compare expected net present value (NPV) of different product profiles or study designs. TA can be used to understand development drug profile requirements given partial data. VOI can assist risk management by quantifying uncertainty and assessing the economic viability of gathering further information on the development drug. No amount of pharmacoeconomic data can make a bad drug good; what it can do is enhance the drug developers understanding of the characteristics of that drug. Decision-making, in light of this

  19. Evaluation of SOVAT: an OLAP-GIS decision support system for community health assessment data analysis.

    Science.gov (United States)

    Scotch, Matthew; Parmanto, Bambang; Monaco, Valerie

    2008-06-09

    Data analysis in community health assessment (CHA) involves the collection, integration, and analysis of large numerical and spatial data sets in order to identify health priorities. Geographic Information Systems (GIS) enable for management and analysis using spatial data, but have limitations in performing analysis of numerical data because of its traditional database architecture.On-Line Analytical Processing (OLAP) is a multidimensional datawarehouse designed to facilitate querying of large numerical data. Coupling the spatial capabilities of GIS with the numerical analysis of OLAP, might enhance CHA data analysis. OLAP-GIS systems have been developed by university researchers and corporations, yet their potential for CHA data analysis is not well understood. To evaluate the potential of an OLAP-GIS decision support system for CHA problem solving, we compared OLAP-GIS to the standard information technology (IT) currently used by many public health professionals. SOVAT, an OLAP-GIS decision support system developed at the University of Pittsburgh, was compared against current IT for data analysis for CHA. For this study, current IT was considered the combined use of SPSS and GIS ("SPSS-GIS"). Graduate students, researchers, and faculty in the health sciences at the University of Pittsburgh were recruited. Each round consisted of: an instructional video of the system being evaluated, two practice tasks, five assessment tasks, and one post-study questionnaire. Objective and subjective measurement included: task completion time, success in answering the tasks, and system satisfaction. Thirteen individuals participated. Inferential statistics were analyzed using linear mixed model analysis. SOVAT was statistically significant (alpha = .01) from SPSS-GIS for satisfaction and time (p OLAP-GIS decision support systems as a valuable tool for CHA data analysis.

  20. Evaluation of SOVAT: An OLAP-GIS decision support system for community health assessment data analysis

    Directory of Open Access Journals (Sweden)

    Parmanto Bambang

    2008-06-01

    Full Text Available Abstract Background Data analysis in community health assessment (CHA involves the collection, integration, and analysis of large numerical and spatial data sets in order to identify health priorities. Geographic Information Systems (GIS enable for management and analysis using spatial data, but have limitations in performing analysis of numerical data because of its traditional database architecture. On-Line Analytical Processing (OLAP is a multidimensional datawarehouse designed to facilitate querying of large numerical data. Coupling the spatial capabilities of GIS with the numerical analysis of OLAP, might enhance CHA data analysis. OLAP-GIS systems have been developed by university researchers and corporations, yet their potential for CHA data analysis is not well understood. To evaluate the potential of an OLAP-GIS decision support system for CHA problem solving, we compared OLAP-GIS to the standard information technology (IT currently used by many public health professionals. Methods SOVAT, an OLAP-GIS decision support system developed at the University of Pittsburgh, was compared against current IT for data analysis for CHA. For this study, current IT was considered the combined use of SPSS and GIS ("SPSS-GIS". Graduate students, researchers, and faculty in the health sciences at the University of Pittsburgh were recruited. Each round consisted of: an instructional video of the system being evaluated, two practice tasks, five assessment tasks, and one post-study questionnaire. Objective and subjective measurement included: task completion time, success in answering the tasks, and system satisfaction. Results Thirteen individuals participated. Inferential statistics were analyzed using linear mixed model analysis. SOVAT was statistically significant (α = .01 from SPSS-GIS for satisfaction and time (p Conclusion Using SOVAT, tasks were completed more efficiently, with a higher rate of success, and with greater satisfaction, than the

  1. Adding value in oil and gas by applying decision analysis methodologies: case history

    Energy Technology Data Exchange (ETDEWEB)

    Marot, Nicolas [Petro Andina Resources Inc., Alberta (Canada); Francese, Gaston [Tandem Decision Solutions, Buenos Aires (Argentina)

    2008-07-01

    Petro Andina Resources Ltd. together with Tandem Decision Solutions developed a strategic long range plan applying decision analysis methodology. The objective was to build a robust and fully integrated strategic plan that accomplishes company growth goals to set the strategic directions for the long range. The stochastic methodology and the Integrated Decision Management (IDM{sup TM}) staged approach allowed the company to visualize the associated value and risk of the different strategies while achieving organizational alignment, clarity of action and confidence in the path forward. A decision team involving jointly PAR representatives and Tandem consultants was established to carry out this four month project. Discovery and framing sessions allow the team to disrupt the status quo, discuss near and far reaching ideas and gather the building blocks from which creative strategic alternatives were developed. A comprehensive stochastic valuation model was developed to assess the potential value of each strategy applying simulation tools, sensitivity analysis tools and contingency planning techniques. Final insights and results have been used to populate the final strategic plan presented to the company board providing confidence to the team, assuring that the work embodies the best available ideas, data and expertise, and that the proposed strategy was ready to be elaborated into an optimized course of action. (author)

  2. Exploratory Use of Decision Tree Analysis in Classification of Outcome in Hypoxic-Ischemic Brain Injury.

    Science.gov (United States)

    Phan, Thanh G; Chen, Jian; Singhal, Shaloo; Ma, Henry; Clissold, Benjamin B; Ly, John; Beare, Richard

    2018-01-01

    Prognostication following hypoxic ischemic encephalopathy (brain injury) is important for clinical management. The aim of this exploratory study is to use a decision tree model to find clinical and MRI associates of severe disability and death in this condition. We evaluate clinical model and then the added value of MRI data. The inclusion criteria were as follows: age ≥17 years, cardio-respiratory arrest, and coma on admission (2003-2011). Decision tree analysis was used to find clinical [Glasgow Coma Score (GCS), features about cardiac arrest, therapeutic hypothermia, age, and sex] and MRI (infarct volume) associates of severe disability and death. We used the area under the ROC (auROC) to determine accuracy of model. There were 41 (63.7% males) patients having MRI imaging with the average age 51.5 ± 18.9 years old. The decision trees showed that infarct volume and age were important factors for discrimination between mild to moderate disability and severe disability and death at day 0 and day 2. The auROC for this model was 0.94 (95% CI 0.82-1.00). At day 7, GCS value was the only predictor; the auROC was 0.96 (95% CI 0.86-1.00). Our findings provide proof of concept for further exploration of the role of MR imaging and decision tree analysis in the early prognostication of hypoxic ischemic brain injury.

  3. Risky decision making in Attention-Deficit/Hyperactivity Disorder: A meta-regression analysis.

    Science.gov (United States)

    Dekkers, Tycho J; Popma, Arne; Agelink van Rentergem, Joost A; Bexkens, Anika; Huizenga, Hilde M

    2016-04-01

    ADHD has been associated with various forms of risky real life decision making, for example risky driving, unsafe sex and substance abuse. However, results from laboratory studies on decision making deficits in ADHD have been inconsistent, probably because of between study differences. We therefore performed a meta-regression analysis in which 37 studies (n ADHD=1175; n Control=1222) were included, containing 52 effect sizes. The overall analysis yielded a small to medium effect size (standardized mean difference=.36, pdecision making than control groups. There was a trend for a moderating influence of co-morbid Disruptive Behavior Disorders (DBD): studies including more participants with co-morbid DBD had larger effect sizes. No moderating influence of co-morbid internalizing disorders, age or task explicitness was found. These results indicate that ADHD is related to increased risky decision making in laboratory settings, which tended to be more pronounced if ADHD is accompanied by DBD. We therefore argue that risky decision making should have a more prominent role in research on the neuropsychological and -biological mechanisms of ADHD, which can be useful in ADHD assessment and intervention. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Nicotine replacement therapy decision based on fuzzy multi-criteria analysis

    Science.gov (United States)

    Tarmudi, Zamali; Matmali, Norfazillah; Abdullah, Mohd Lazim

    2017-08-01

    It has been observed that Nicotine Replacement Therapy (NRT) is one of the alternatives to control and reduce smoking addiction among smokers. Since the decision to choose the best NRT alternative involves uncertainty, ambiguity factors and diverse input datasets, thus, this paper proposes a fuzzy multi-criteria analysis (FMA) to overcome these issues. It focuses on how the fuzzy approach can unify the diversity of datasets based on NRT's decision-making problem. The analysis done employed the advantage of the cost-benefit criterion to unify the mixture of dataset input. The performance matrix was utilised to derive the performance scores. An empirical example regarding the NRT's decision-making problem was employed to illustrate the proposed approach. Based on the calculations, this analytical approach was found to be highly beneficial in terms of usability. It was also very applicable and efficient in dealing with the mixture of input datasets. Hence, the decision-making process can easily be used by experts and patients who are interested to join the therapy/cessation program.

  5. [Application of evidence based medicine to the individual patient: the role of decision analysis].

    Science.gov (United States)

    Housset, B; Junod, A F

    2003-11-01

    The objective of evidence based medicine (EBM) is to contribute to medical decision making by providing the best possible information in terms of validity and relevance. This allows evaluation in a specific manner of the benefits and risks of a decision. The limitations and hazards of this approach are discussed in relation to a clinical case where the diagnosis of pulmonary embolism was under consideration. The individual details and the limited availability of some technical procedures illustrate the need to adapt the data of EBM to the circumstances. The choice between two diagnostic tests (d-dimers and ultrasound of the legs) and their optimal timing is analysed with integration of the consequences for the patient of the treatments proposed. This allows discussion of the concept of utility and the use of sensitivity analysis. If EBM is the cornerstone of rational and explicit practise it should also allow for the constraints of real life. Decision analysis, which depends on the same critical demands as EBM but can also take account of the individual features of each patient and test the robustness of a decision, gives a unique opportunity reconcile rigorous reasoning with individualisation of management.

  6. An Analytic Hierarchy Process Analysis: Application to Subscriber Retention Decisions in the Nigerian Mobile Telecommunications

    Directory of Open Access Journals (Sweden)

    Adebiyi Sulaimon Olanrewaju

    2015-12-01

    Full Text Available The introduction of mobile number portability (MNP in the Nigerian telecommunications industry has brought a new challenge for mobile operators. This study investigates the use of Analytic Hierarchy Process (AHP in customer retention decisions in the Nigerian telecommunication industry using a cross-sectional survey design. Primary data were obtained through questionnaires administered to 480 mobile telecommunications subscribers in six tertiary institutions located in Lagos State, Nigeria. These educational institutions were chosen using a multistage sampling technique. Of 438 questionnaires received from subscribers, 408 were valid. Based on this sample data an AHP model was built to assess the determinants of customer retention decisions. Next, eigen values, an eigen vector and maximum lambda (λMax were obtained using the AHP analysis for the matrices. This analysis shows that customers considered call quality as the important in the retention decision. We conclude that AHP is a meaningful tool for determining what motivates retention decisions, that can help network operators formulate effective customer retention strategies.

  7. Uncertainty and sensitivity analysis of flood risk management decisions based on stationary and nonstationary model choices

    Directory of Open Access Journals (Sweden)

    Rehan Balqis M.

    2016-01-01

    Full Text Available Current practice in flood frequency analysis assumes that the stochastic properties of extreme floods follow that of stationary conditions. As human intervention and anthropogenic climate change influences in hydrometeorological variables are becoming evident in some places, there have been suggestions that nonstationary statistics would be better to represent the stochastic properties of the extreme floods. The probabilistic estimation of non-stationary models, however, is surrounded with uncertainty related to scarcity of observations and modelling complexities hence the difficulty to project the future condition. In the face of uncertain future and the subjectivity of model choices, this study attempts to demonstrate the practical implications of applying a nonstationary model and compares it with a stationary model in flood risk assessment. A fully integrated framework to simulate decision makers’ behaviour in flood frequency analysis is thereby developed. The framework is applied to hypothetical flood risk management decisions and the outcomes are compared with those of known underlying future conditions. Uncertainty of the economic performance of the risk-based decisions is assessed through Monte Carlo simulations. Sensitivity of the results is also tested by varying the possible magnitude of future changes. The application provides quantitative and qualitative comparative results that satisfy a preliminary analysis of whether the nonstationary model complexity should be applied to improve the economic performance of decisions. Results obtained from the case study shows that the relative differences of competing models for all considered possible future changes are small, suggesting that stationary assumptions are preferred to a shift to nonstationary statistics for practical application of flood risk management. Nevertheless, nonstationary assumption should also be considered during a planning stage in addition to stationary assumption

  8. Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow.

    Science.gov (United States)

    Effken, Judith A; Brewer, Barbara B; Logue, Melanie D; Gephart, Sheila M; Verran, Joyce A

    2011-10-01

    To better understand the environmental constraints on nurse managers that impact their need for and use of decision support tools, we conducted a Cognitive Work Analysis (CWA). A complete CWA includes system analyses at five levels: work domain, decision-making procedures, decision-making strategies, social organization/collaboration, and worker skill level. Here we describe the results of the Work Domain Analysis (WDA) portion in detail then integrate the WDA with other portions of the CWA, reported previously, to generate a more complete picture of the nurse manager's work domain. Data for the WDA were obtained from semi-structured interviews with nurse managers, division directors, CNOs, and other managers (n = 20) on 10 patient care units in three Arizona hospitals. The WDA described the nurse manager's environment in terms of the constraints it imposes on the nurse manager's ability to achieve targeted outcomes through organizational goals and priorities, functions, processes, as well as work objects and resources (e.g., people, equipment, technology, and data). Constraints were identified and summarized through qualitative thematic analysis. The results highlight the competing priorities, and external and internal constraints that today's nurse managers must satisfy as they try to improve quality and safety outcomes on their units. Nurse managers receive a great deal of data, much in electronic format. Although dashboards were perceived as helpful because they integrated some data elements, no decision support tools were available to help nurse managers with planning or answering "what if" questions. The results suggest both the need for additional decision support to manage the growing complexity of the environment, and the constraints the environment places on the design of that technology if it is to be effective. Limitations of the study include the small homogeneous sample and the reliance on interview data targeting safety and quality. Copyright © 2011

  9. GPs' decision-making when prescribing medicines for breastfeeding women: Content analysis of a survey

    Directory of Open Access Journals (Sweden)

    Amir Lisa H

    2010-03-01

    Full Text Available Abstract Background Many breastfeeding women seek medical care from general practitioners (GPs for various health problems and GPs may consider prescribing medicines in these consultations. Prescribing medicines to a breastfeeding mother may lead to untimely cessation of breastfeeding or a breastfeeding mother may be denied medicines due to the possible risk to her infant, both of which may lead to unwanted consequences. Information on factors governing GPs' decision-making and their views in such situations is limited. Methods GPs providing shared maternity care at the Royal Women's Hospital, Melbourne were surveyed using an anonymous postal survey to determine their knowledge, attitudes and practices on medicines and breastfeeding, in 2007/2008 (n = 640. Content analysis of their response to a question concerning decision-making about the use of medicine for a breastfeeding woman was conducted. A thematic network was constructed with basic, organising and global themes. Results 335 (52% GPs responded to the survey, and 253 (76% provided information on the last time they had to decide about the use of medicine for a breastfeeding woman. Conditions reported were mastitis (24%, other infections (24% and depressive disorders (21%. The global theme that emerged was "complexity of managing risk in prescribing for breastfeeding women". The organising themes were: certainty around decision-making; uncertainty around decision-making; need for drug information to be available, consistent and reliable; joint decision-making; the vulnerable "third party" and infant feeding decision. Decision-making is a spectrum from a straight forward decision, such as treatment of mastitis, to a complicated one requiring multiple inputs and consideration. GPs use more information seeking and collaboration in decision-making when they perceive the problem to be more complex, for example, in postnatal depression. Conclusion GPs feel that prescribing medicines for

  10. Parent-son decision-making about human papillomavirus vaccination: a qualitative analysis

    Directory of Open Access Journals (Sweden)

    Alexander Andreia B

    2012-12-01

    Full Text Available Abstract Background Licensed for use in males in 2009, Human Papillomavirus (HPV vaccination rates in adolescent males are extremely low. Literature on HPV vaccination focuses on females, adult males, or parents of adolescent males, without including adolescent males or the dynamics of the parent-son interaction that may influence vaccine decision-making. The purpose of this paper is to examine the decision-making process of parent-son dyads when deciding whether or not to get vaccinated against HPV. Methods Twenty-one adolescent males (ages 13–17, with no previous HPV vaccination, and their parents/guardians were recruited from adolescent primary care clinics serving low to middle income families in a large Midwestern city. Dyad members participated in separate semi-structured interviews assessing the relative role of the parent and son in the decision regarding HPV vaccination. Interviews were recorded, transcribed, and coded using inductive content analysis. Results Parents and sons focused on protection as a reason for vaccination; parents felt a need to protect their child, while sons wanted to protect their own health. Parents and sons commonly misinterpreted the information about the vaccine. Sons were concerned about an injection in the penis, while some parents and sons thought the vaccine would protect them against other sexually transmitted infections including Herpes, Gonorrhea, and HIV. Parents and sons recalled that the vaccine prevented genital warts rather than cancer. The vaccine decision-making process was rapid and dynamic, including an initial reaction to the recommendation for HPV vaccine, discussion between parent and son, and the final vaccine decision. Provider input was weighed in instances of initial disagreement. Many boys felt that this was the first health care decision that they had been involved in. Dyads which reported shared decision-making were more likely to openly communicate about sexual issues than those

  11. Análisis de la condición física en jugadores y jugadoras de tenis de mesa y su relación con el rendimiento deportivo. [Physical fitness analysis in male and female table tennis players and their relationship to competition performance].

    Directory of Open Access Journals (Sweden)

    Jon Mikel Picabea

    2017-01-01

    Full Text Available Los objetivos de este estudio fueron analizar el perfil físico de jugadores de tenis de mesa, observar si existían diferencias en función del género en las pruebas realizadas y determinar si existía alguna relación entre las pruebas de condición física y el rendimiento deportivo. Veinte jugadores de tenis de mesa, de los cuales 10 eran jugadores de categoría masculina (17,61 ± 7,56 años, 1,63 ± 0,11 m, 60,62 ± 20,03 kg, 22,07 ± 5,87 kg/m2 y 10 jugadoras de categoría femenina (17,35 ± 7,12 años, 1,61 ± 0,07 m, 48,89 ± 7,66 kg, 19,33 ± 2,26 kg/m2 fueron evaluados en la capacidad de sprint, fuerza isométrica de antebrazo, salto vertical con contra movimiento, salto horizontal con contra movimiento, capacidad de cambiar de dirección y flexibilidad. Los resultados mostraron mejores resultados en el grupo de jugadores masculinos en comparación con el grupo femenino en el test de capacidad de cambio de dirección (MAT, p 0,05 entre el resultado obtenido en las pruebas de condición física y el rendimiento deportivo en competición ni en jugadores masculinos ni femeninos. Este aspecto pone de manifiesto que la condición física puede no ser uno de los factores relevantes en el rendimiento deportivo de los jugadores de tenis de mesa de este estudio. Abstract The aims of this study were to analyze the physical profile of table tennis players, look at differences between genders in the different tests and to determinate the relationships between the physical fitness test and sport performance. 20 table tennis players, 10 male players (17.61 ± 7.56 years, 1.63 ± 0.11 m, 60.62 ± 20.03 kg, 22.07 ± 5.87 kg/m2 and 10 female players (17.35 ± 7.12 years, 1.61 ± 0.07 m, 48.89 ± 7.66 kg, 19.33 ± 2.26 kg/m2, performed a sprint test, forearm isometric strength, countermovement vertical test, countermovement horizontal test, change of direction ability test and flexibility. The male players obtained better results than the female

  12. Effects of stress on decisions under uncertainty: A meta-analysis.

    Science.gov (United States)

    Starcke, Katrin; Brand, Matthias

    2016-09-01

    [Correction Notice: An Erratum for this article was reported in Vol 142(9) of Psychological Bulletin (see record 2016-39486-001). It should have been reported that the inverted u-shaped relationship between cortisol stress responses and decision-making performance was only observed in female, but not in male participants as suggested by the study by van den Bos, Harteveld, and Stoop (2009). Corrected versions of the affected sentences are provided.] The purpose of the present meta-analysis was to quantify the effects that stress has on decisions made under uncertainty. We hypothesized that stress increases reward seeking and risk taking through alterations of dopamine firing rates and reduces executive control by hindering optimal prefrontal cortex functioning. In certain decision situations, increased reward seeking and risk taking is dysfunctional, whereas in others, this is not the case. We also assumed that the type of stressor plays a role. In addition, moderating variables are analyzed, such as the hormonal stress response, the time between stress onset and decisions, and the participants' age and gender. We included studies in the meta-analysis that investigated decision making after a laboratory stress-induction versus a control condition (k = 32 datasets, N = 1829 participants). A random-effects model revealed that overall, stress conditions lead to decisions that can be described as more disadvantageous, more reward seeking, and more risk taking than nonstress conditions (d = .17). In those situations in which increased reward seeking and risk taking is disadvantageous, stress had significant effects (d = .26), whereas in other situations, no effects were observed (d = .01). Effects were observed under processive stressors (d = .19), but not under systemic ones (d = .09). Moderation analyses did not reveal any significant results. We concluded that stress deteriorates overall decision-making performance through the mechanisms proposed. The effects differ

  13. Some selected research item of the micro mechanics department at MESA

    NARCIS (Netherlands)

    Elwenspoek, Michael Curt

    1994-01-01

    New developments within the micro mechanics department at MESA are presented. The developments are: (1) a description will be provided of dry etch processes-reactive ion etching, RIE-of silicon in a mixture of SF6, 02, and CHF3. (2) The design, fabrication and performance of new electrostatic

  14. Modules for Experiments in Stellar Astrophysics (MESA): Convective Boundaries, Element Diffusion, and Massive Star Explosions

    OpenAIRE

    Paxton, Bill; Schwab, Josiah; Bauer, Evan B.; Bildsten, Lars; Blinnikov, Sergei; Duffell, Paul; Farmer, R.; Goldberg, Jared A.; Marchant, Pablo; Sorokina, Elena; Thoul, Anne; Townsend, Richard H. D.; Timmes, F. X.

    2017-01-01

    We update the capabilities of the software instrument Modules for Experiments in Stellar Astrophysics (MESA) and enhance its ease of use and availability. Our new approach to locating convective boundaries is consistent with the physics of convection, and yields reliable values of the convective core mass during both hydrogen and helium burning phases. Stars with $M

  15. ERDA test facilities, East Mesa Test Site. Geothermal resource investigations, Imperial Valley, California

    Energy Technology Data Exchange (ETDEWEB)

    1976-01-01

    Detailed specifications which must be complied with in the construction of the ERDA Test Facilities at the East Mesa Site for geothermal resource investigations in Imperial Valley, California are presented for use by prospective bidders for the construction contract. The principle construction work includes a 700 gpm cooling tower with its associated supports and equipment, pipelines from wells, electrical equipment, and all earthwork. (LCL)

  16. 77 FR 18997 - Rim Lakes Forest Restoration Project; Apache-Sitgreavese National Forest, Black Mesa Ranger...

    Science.gov (United States)

    2012-03-29

    ... DEPARTMENT OF AGRICULTURE Forest Service Rim Lakes Forest Restoration Project; Apache-Sitgreavese National Forest, Black Mesa Ranger District, Coconino County, AZ AGENCY: Forest Service, USDA. ACTION: Notice of intent to prepare an environmental impact statement. SUMMARY: The U.S. Forest Service (FS) will...

  17. Mesa-height Dependent Quantum Efficiency Characteristics of InGaN Micro-LEDs

    KAUST Repository

    Shen, Chao; Kang, Chun Hong; Ng, Tien Khee; Ooi, Boon S.

    2013-01-01

    The mechanisms of mesa-height dependent efficiency and efficiency droop of blue InGaN/GaN micro-LED is presented. Device with a large etch-depth (> 1.3 µm) shows significant strain relief with aggravated current crowding.

  18. Mesa Verde: A Study of Man in an Agricultural Setting. Library Packet.

    Science.gov (United States)

    Community Health Service (DHEW/PHS), Bethesda, MD.

    This collection of secondary readings contains general information about the ecology of living space, and specific information about the prehistory ecology of Mesa Verde, Colorado. There is also a section on how anthropologists use trees to date artifacts. A related document is indexed as ED 001 721. (AWW)

  19. Women's Self-Efficacy Perceptions in Mathematics and Science: Investigating USC-MESA Students

    Science.gov (United States)

    Hong, Rebecca C.; Jun, Alexander

    2012-01-01

    Higher education institutions have struggled with the underrepresentation of female students in the STEM majors. The authors investigate the USC-MESA program and the role of women's self-efficacy perceptions in mathematics and science. It is crucial to understand the theory of self-efficacy in examining historically underrepresented populations in…

  20. Information Presentation in Decision and Risk Analysis: Answered, Partly Answered, and Unanswered Questions.

    Science.gov (United States)

    Keller, L Robin; Wang, Yitong

    2017-06-01

    For the last 30 years, researchers in risk analysis, decision analysis, and economics have consistently proven that decisionmakers employ different processes for evaluating and combining anticipated and actual losses, gains, delays, and surprises. Although rational models generally prescribe a consistent response, people's heuristic processes will sometimes lead them to be inconsistent in the way they respond to information presented in theoretically equivalent ways. We point out several promising future research directions by listing and detailing a series of answered, partly answered, and unanswered questions. © 2016 Society for Risk Analysis.

  1. Analysis of factors influencing decision making of Czech households when purchasing clothes and footwear

    Directory of Open Access Journals (Sweden)

    Zuzana Toufarová

    2007-01-01

    Full Text Available The paper analyses buying behaviour of Czech households on the market with footwear and cloths. It aims at factors influ, encing this behaviour, e.g. price, brand, quality, product attributes, habits, price reductions, advertisement, innovation and word-of-mauth. Primary data were obtained via survey of 727 Czech households by staff of the Department of Marketing and Trade, Mendel University of Agriculture and Forestry Brno. The paper provides results of correlation analysis and factor analysis. When making purchase decisions, households identify attributes and parameters of clothes and footwear as the most important factor. Due to factor analysis, factors were reduced into four comprehensive groups.

  2. Frame-based safety analysis approach for decision-based errors

    International Nuclear Information System (INIS)

    Fan, Chin-Feng; Yihb, Swu

    1997-01-01

    A frame-based approach is proposed to analyze decision-based errors made by automatic controllers or human operators due to erroneous reference frames. An integrated framework, Two Frame Model (TFM), is first proposed to model the dynamic interaction between the physical process and the decision-making process. Two important issues, consistency and competing processes, are raised. Consistency between the physical and logic frames makes a TFM-based system work properly. Loss of consistency refers to the failure mode that the logic frame does not accurately reflect the state of the controlled processes. Once such failure occurs, hazards may arise. Among potential hazards, the competing effect between the controller and the controlled process is the most severe one, which may jeopardize a defense-in-depth design. When the logic and physical frames are inconsistent, conventional safety analysis techniques are inadequate. We propose Frame-based Fault Tree; Analysis (FFTA) and Frame-based Event Tree Analysis (FETA) under TFM to deduce the context for decision errors and to separately generate the evolution of the logical frame as opposed to that of the physical frame. This multi-dimensional analysis approach, different from the conventional correctness-centred approach, provides a panoramic view in scenario generation. Case studies using the proposed techniques are also given to demonstrate their usage and feasibility

  3. Decision Support System Requirements Definition for Human Extravehicular Activity Based on Cognitive Work Analysis.

    Science.gov (United States)

    Miller, Matthew James; McGuire, Kerry M; Feigh, Karen M

    2017-06-01

    The design and adoption of decision support systems within complex work domains is a challenge for cognitive systems engineering (CSE) practitioners, particularly at the onset of project development. This article presents an example of applying CSE techniques to derive design requirements compatible with traditional systems engineering to guide decision support system development. Specifically, it demonstrates the requirements derivation process based on cognitive work analysis for a subset of human spaceflight operations known as extravehicular activity . The results are presented in two phases. First, a work domain analysis revealed a comprehensive set of work functions and constraints that exist in the extravehicular activity work domain. Second, a control task analysis was performed on a subset of the work functions identified by the work domain analysis to articulate the translation of subject matter states of knowledge to high-level decision support system requirements. This work emphasizes an incremental requirements specification process as a critical component of CSE analyses to better situate CSE perspectives within the early phases of traditional systems engineering design.

  4. On the suitability of fast and frugal heuristics for designing values clarification methods in patient decision aids: a critical analysis.

    Science.gov (United States)

    Pieterse, Arwen H; de Vries, Marieke

    2013-09-01

    Increasingly, patient decision aids and values clarification methods (VCMs) are being developed to support patients in making preference-sensitive health-care decisions. Many VCMs encourage extensive deliberation about options, without solid theoretical or empirical evidence showing that deliberation is advantageous. Research suggests that simple, fast and frugal heuristic decision strategies sometimes result in better judgments and decisions. Durand et al. have developed two fast and frugal heuristic-based VCMs. To critically analyse the suitability of the 'take the best' (TTB) and 'tallying' fast and frugal heuristics in the context of patient decision making. Analysis of the structural similarities between the environments in which the TTB and tallying heuristics have been proven successful and the context of patient decision making and of the potential of these heuristic decision processes to support patient decision making. The specific nature of patient preference-sensitive decision making does not seem to resemble environments in which the TTB and tallying heuristics have proven successful. Encouraging patients to consider less rather than more relevant information potentially even deteriorates their values clarification process. Values clarification methods promoting the use of more intuitive decision strategies may sometimes be more effective. Nevertheless, we strongly recommend further theoretical thinking about the expected value of such heuristics and of other more intuitive decision strategies in this context, as well as empirical assessments of the mechanisms by which inducing such decision strategies may impact the quality and outcome of values clarification. © 2011 John Wiley & Sons Ltd.

  5. Shared Decision-Making in Oncology - A Qualitative Analysis of Healthcare Providers' Views on Current Practice.

    Science.gov (United States)

    Frerichs, Wiebke; Hahlweg, Pola; Müller, Evamaria; Adis, Christine; Scholl, Isabelle

    2016-01-01

    Despite an increased awareness of shared decision-making (SDM) and its prominent position on the health policy agenda, its implementation in routine care remains a challenge in Germany. In order to overcome this challenge, it is important to understand healthcare providers' views regarding SDM and to take their perspectives and opinions into account in the development of an implementation program. The present study aimed at exploring a) the attitudes of different healthcare providers regarding SDM in oncology and b) their experiences with treatment decisions in daily practice. A qualitative study was conducted using focus groups and individual interviews with different healthcare providers at the University Cancer Center Hamburg, Germany. Focus groups and interviews were audio-recorded, transcribed and analyzed using conventional content analysis and descriptive statistics. N = 4 focus groups with a total of N = 25 participants and N = 17 individual interviews were conducted. Attitudes regarding SDM varied greatly between the different participants, especially concerning the definition of SDM, the attitude towards the degree of patient involvement in decision-making and assumptions about when SDM should take place. Experiences on how treatment decisions are currently made varied. Negative experiences included time and structural constraints, and a lack of (multidisciplinary) communication. Positive experiences comprised informed patients, involvement of relatives and a good physician-patient relationship. The results show that German healthcare providers in oncology have a range of attitudes that currently function as barriers towards the implementation of SDM. Also, their experiences on how decision-making is currently done reveal difficulties in actively involving patients in decision-making processes. It will be crucial to take these attitudes and experiences seriously and to subsequently disentangle existing misconceptions in future implementation programs.

  6. Completion Report for Well ER-EC-14, Corrective Action Units 101 and 102: Central and Western Pahute Mesa

    Energy Technology Data Exchange (ETDEWEB)

    None

    2013-03-05

    709.6 m of Tertiary volcanic rocks. The stratigraphy and general lithology were not as expected due to the position of Well ER-EC-14 relative to the buried caldera margins of the Timber Mountain caldera complex. The well is located inside the Rainier Mesa caldera, but outside the younger Ammonia Tanks caldera. On November 5, 2012, a preliminary fluid level in the shallow piezometer string was measured at the depth of 311.8 m. This water level depth was taken before installation of the bridge plug (to be placed within the main completion casing to separate the two slotted zones). Well development, hydrologic testing, and sampling, will be conducted at a later date. No tritium above levels detectable by field methods were encountered in this hole. All Fluid Management Plan (FMP) requirements for Well ER-EC-14 were met. Analysis of monitoring samples and FMP confirmatory samples indicated that fluids generated during drilling at Well ER-EC-14 met the FMP criteria for discharge to an unlined sump or designated infiltration area. All sanitary and hydrocarbon waste generated was properly handled and disposed of.

  7. Analysis of Pedestrian Gap Acceptance and Crossing Decision in Kuala Lumpur

    Directory of Open Access Journals (Sweden)

    Mohamad Nor Siti Naquiyah

    2017-01-01

    Full Text Available Pedestrians are most vulnerable of all road users. This research aims to investigate and model pedestrian road crossing behaviour at crossing facilities. In particular, they have two aspects of pedestrians crossing behaviour are examined, namely the size of traffic gaps acceptance by pedestrians and the decision of pedestrians either to cross the road or not. A fields survey was carried out at six crossing facilities which from a zebra crossing at midblock. In this survey, the data were recorded in real traffic condition using video recorder. Determine the associations between characteristics of pedestrians, crossing facilities and vehicular traffic through on-site observations of pedestrian behaviour. This data will analysis using statistical analysis which is multiple regression and binary logit regression method. It is hope that through this research, the model of pedestrian gap acceptance and pedestrian crossing decision can be reached and what are the indicators that pedestrians look for when accepting gaps to cross the road.

  8. A stochastic multicriteria model for evidence-based decision making in drug benefit-risk analysis.

    Science.gov (United States)

    Tervonen, Tommi; van Valkenhoef, Gert; Buskens, Erik; Hillege, Hans L; Postmus, Douwe

    2011-05-30

    Drug benefit-risk (BR) analysis is based on firm clinical evidence regarding various safety and efficacy outcomes. In this paper, we propose a new and more formal approach for constructing a supporting multi-criteria model that fully takes into account the evidence on efficacy and adverse drug reactions. Our approach is based on the stochastic multi-criteria acceptability analysis methodology, which allows us to compute the typical value judgments that support a decision, to quantify decision uncertainty, and to compute a comprehensive BR profile. We construct a multi-criteria model for the therapeutic group of second-generation antidepressants. We assess fluoxetine and venlafaxine together with placebo according to incidence of treatment response and three common adverse drug reactions by using data from a published study. Our model shows that there are clear trade-offs among the treatment alternatives. Copyright © 2011 John Wiley & Sons, Ltd.

  9. Extended warranties, maintenance service and lease contracts modeling and analysis for decision-making

    CERN Document Server

    Murthy, D N Prabhakar

    2014-01-01

    Serving to unify the existing literature on extended warranties, maintenance service contracts and lease contracts, this book also presents a unique perspective on the topic focussed on cost analysis and decision-making from the perspectives of the parties involved. Using a game theoretic approach together with mathematical modelling, results are presented in an integrated manner with key topics that require further research highlighted in order to serve as a starting point for researchers (engineers and statisticians) who are interested in doing further work in these areas. Designed to assist practitioners (managers, engineers, applied statisticians) who are involved with extended warranties, maintenance service contracts and lease contracts, the book provides them with the models and techniques needed for proper cost analysis and effective decision-making. The book is also suitable for use as a reference text in industrial engineering, applied statistics, operations research and management.

  10. Towards for Analyzing Alternatives of Interaction Design Based on Verbal Decision Analysis of User Experience

    Directory of Open Access Journals (Sweden)

    Marília Soares Mendes

    2010-04-01

    Full Text Available In domains (as digital TV, smart home, and tangible interfaces that represent a new paradigm of interactivity, the decision of the most appropriate interaction design solution is a challenge. HCI researchers have promoted in their works the validation of design alternative solutions with users before producing the final solution. User experience with technology is a subject that has also gained ground in these works in order to analyze the appropriate solution(s. Following this concept, a study was accomplished under the objective of finding a better interaction solution for an application of mobile TV. Three executable applications of mobile TV prototypes were built. A Verbal Decision Analysis model was applied on the investigations for the favorite characteristics in each prototype based on the user’s experience and their intentions of use. This model led a performance of a qualitative analysis which objectified the design of a new prototype.

  11. Using decision analysis to assess comparative clinical efficacy of surgical treatment of unstable ankle fractures.

    Science.gov (United States)

    Michelson, James D

    2013-11-01

    The development of a robust treatment algorithm for ankle fractures based on well-established stability criteria has been shown to be prognostic with respect to treatment and outcomes. In parallel with the development of improved understanding of the biomechanical rationale of ankle fracture treatment has been an increased emphasis on assessing the effectiveness of medical and surgical interventions. The purpose of this study was to investigate the use of using decision analysis in the assessment of the cost effectiveness of operative treatment of ankle fractures based on the existing clinical data in the literature. Using the data obtained from a previous structured review of the ankle fracture literature, decision analysis trees were constructed using standard software. The decision nodes for the trees were based on ankle fracture stability criteria previously published. The outcomes were assessed by calculated Quality-Adjusted Life Years (QALYs) assigned to achieving normal ankle function, developing posttraumatic arthritis, or sustaining a postoperative infection. Sensitivity analysis was undertaken by varying the patient's age, incidence of arthritis, and incidence or infection. Decision analysis trees captured the essential aspects of clinical decision making in ankle fracture treatment in a clinically useful manner. In general, stable fractures yielded better outcomes with nonoperative treatment, whereas unstable fractures had better outcomes with surgery. These were consistent results over a wide range of postoperative infection rates. Varying the age of the patient did not qualitatively change the results. Between the ages of 30 and 80 years, surgery yielded higher expected QALYs than nonoperative care for unstable fractures, and generated lower QALYs than nonoperative care for stable fractures. Using local cost estimates for operative and nonoperative treatment, the incremental cost of surgery for unstable fractures was less than $40,000 per QALY (the

  12. U-Form vs. M-Form: How to Understand Decision Autonomy Under Healthcare Decentralization? Comment on "Decentralisation of Health Services in Fiji: A Decision Space Analysis".

    Science.gov (United States)

    Bustamante, Arturo Vargas

    2016-06-07

    For more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. Decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. Jalal Mohammed, Nicola North, and Toni Ashton analyze decision autonomy within decentralized services in Fiji. They conclude that the narrow decision space allowed to local entities might have limited the benefits of decentralization on users and providers. To discuss the costs and benefits of healthcare decentralization this paper uses the U-form and M-form typology to further illustrate the role of decision autonomy under healthcare decentralization. This paper argues that when evaluating healthcare decentralization, it is important to determine whether the benefits from decentralization are greater than its costs. The U-form and M-form framework is proposed as a useful typology to evaluate different types of institutional arrangements under healthcare decentralization. Under this model, the more decentralized organizational form (M-form) is superior if the benefits from flexibility exceed the costs of duplication and the more centralized organizational form (U-form) is superior if the savings from economies of scale outweigh the costly decision-making process from the center to the regions. Budgetary and financial autonomy and effective mechanisms to maintain local governments accountable for their spending behavior are key decision autonomy variables that could sway the cost-benefit analysis of healthcare decentralization. © 2016 by Kerman University of Medical Sciences.

  13. A life cycle analysis approach to D and D decision-making

    International Nuclear Information System (INIS)

    Yuracko, K.L.; Gresalfi, M.; Yerace, P.; Krstich, M.; Gerrick, D.

    1998-05-01

    This paper describes a life cycle analysis (LCA) approach that makes decontamination and decommissioning (D and D) of US Department of Energy facilities more efficient and more responsive to the concerns of the society. With the considerable complexity of D and D projects and their attendant environmental and health consequences, projects can no longer be designed based on engineering and economic criteria alone. Using the LCA D and D approach, the evaluation of material disposition alternatives explicitly includes environmental impacts, health and safety impacts, socioeconomic impacts, and stakeholder attitudes -- in addition to engineering and economic criteria. Multi-attribute decision analysis is used to take into consideration the uncertainties and value judgments that are an important part of all material disposition decisions. Use of the LCA D and D approach should lead to more appropriate selections of material disposition pathways and a decision-making process that is both understandable and defensible. The methodology and procedures of the LCA D and D approach are outlined and illustrated by an application of the approach at the Department of Energy's West Valley Demonstration Project. Specifically, LCA was used to aid decisions on disposition of soil and concrete from the Tank Pad D and D Project. A decision tree and the Pollution Prevention/Waste Minimization Users Guide for Environmental Restoration Projects were used to identify possible alternatives for disposition of the soil and concrete. Eight alternatives encompassing source reduction, segregation, treatment, and disposal were defined for disposition of the soil; two alternatives were identified for disposition of the concrete. Preliminary results suggest that segregation and treatment are advantageous in the disposition of both the soil and the concrete. This and other recent applications illustrate the strength and ease of application of the LCA D and D approach

  14. Risk analysis for CHP decision making within the conditions of an open electricity market

    International Nuclear Information System (INIS)

    Al-Mansour, Fouad; Kozuh, Mitja

    2007-01-01

    Decision making under uncertainty is a difficult task in most areas. Investment decisions for combined heat and power production (CHP) are certainly one of the areas where it is difficult to find an optimal solution since the payback period is several years and parameters change due to different perturbing factors of economic and mostly political nature. CHP is one of the most effective measures for saving primary energy and reduction of greenhouse gas emissions. The implementation of EU directives on the promotion of cogeneration based on useful heat demand in the internal energy market will accelerate CHP installation. The expected number of small CHP installations will be very high in the near future. A quick, reliable and simple tool for economic evaluation of small CHP systems is required. Since evaluation is normally made by sophisticated economic computer models which are rather expensive, a simple point estimate economic model was developed which was later upgraded by risk methodology to give more informative results for better decision making. This paper presents a reliable computer model entitled 'Computer program for economic evaluation analysis of CHP' as a tool for analysis and economic evaluation of small CHP systems with the aim of helping the decision maker. The paper describes two methods for calculation of the sensitivity of the economic results to changes of input parameters and the uncertainty of the results: the classic/static method and the risk method. The computer program uses risk methodology by applying RISK software on an existing conventional economic model. The use of risk methodology for economic evaluation can improve decisions by incorporating all possible information (knowledge), which cannot be done in the conventional economic model due to its limitations. The methodology was tested on the case of a CHP used in a smaller hospital

  15. Analysis on Dynamic Decision-Making Model of the Enterprise Technological Innovation Investment under Uncertain Environment

    Directory of Open Access Journals (Sweden)

    Yong Long

    2012-01-01

    Full Text Available Under the environment of fuzzy factors including the return of market, performance of product, and the demanding level of market, we use the method of dynamic programming and establish the model of investment decision, in technology innovation project of enterprise, based on the dynamic programming. Analysis of the influence caused by the changes of fuzzy uncertainty factors to technological innovation project investment of enterprise.

  16. Decision making model design for antivirus software selection using Factor Analysis and Analytical Hierarchy Process

    OpenAIRE

    Nurhayati Ai; Gautama Aditya; Naseer Muchammad

    2018-01-01

    Virus spread increase significantly through the internet in 2017. One of the protection method is using antivirus software. The wide variety of antivirus software in the market tends to creating confusion among consumer. Selecting the right antivirus according to their needs has become difficult. This is the reason we conduct our research. We formulate a decision making model for antivirus software consumer. The model is constructed by using factor analysis and AHP method. First we spread que...

  17. GIS and Multicriteria Decision Analysis for Landfill Site Selection in AL-HashimyahQadaa

    OpenAIRE

    Alanbari, Mohammad Ali; Al-Ansari, Nadhir; Jasim, Hadeel Kareem

    2014-01-01

    Waste management system is not well regulated in Iraq. Despite the fact that there are various techniques used for solid waste disposal, landfill is the most common mode for the disposal of solid waste in Iraq, landfill site selection criteria is quite complex process and it depends on several regulation and factors. In this study landfill site selection is performed by using Multicriteria Decision Analysis (MCDA) and Geographic Information System (GIS) for the Al-Hashimyahqadaa. Existing lan...

  18. Economic Recession, Job Vulnerability, and Tourism Decision Making: A Qualitative Comparative Analysis

    OpenAIRE

    Papatheodorou, A.; Pappas, Nikolaos

    2016-01-01

    Occupational uncertainty has a considerable effect upon consumer decisions during a recession, especially with respect to discretionary products and services such as tourism. Using Qualitative Comparative Analysis (QCA), the study examines the complex relations among job vulnerability, disposable income for tourism, marketing activities, and price and quality issues for Greek holiday makers returning from their vacations. The article also compares QCA with the two dominant linear methods of a...

  19. Non-compliance with a postmastectomy radiotherapy guideline: Decision tree and cause analysis

    OpenAIRE

    Razavi, Amir R; Gill, Hans; Åhlfeldt, Hans; Shahsavar, Nosrat

    2008-01-01

    Background: The guideline for postmastectomy radiotherapy (PMRT), which is prescribed to reduce recurrence of breast cancer in the chest wall and improve overall survival, is not always followed. Identifying and extracting important patterns of non-compliance are crucial in maintaining the quality of care in Oncology. Methods: Analysis of 759 patients with malignant breast cancer using decision tree induction (DTI) found patterns of non-compliance with the guideline. The PMRT guideline was us...

  20. Plastic Surgeon Expertise in Predicting Breast Reconstruction Outcomes for Patient Decision Analysis

    Directory of Open Access Journals (Sweden)

    Clement S. Sun, MS

    2013-11-01

    Conclusions: The use of individual plastic surgeon–elicited probability information is not encouraged unless the individual’s prediction skill has been evaluated. In the absence of this information, a group consensus on the probability of outcomes is preferred. Without a large evidence base for calculating probabilities, estimates assessed from a group of plastic surgeons may be acceptable for purposes of breast reconstruction decision analysis.

  1. Demonstration of risk-based decision analysis in remedial alternative selection and design

    International Nuclear Information System (INIS)

    Evans, E.K.; Duffield, G.M.; Massmann, J.W.; Freeze, R.A.; Stephenson, D.E.

    1993-01-01

    This study demonstrates the use of risk-based decision analysis (Massmann and Freeze 1987a, 1987b) in the selection and design of an engineering alternative for groundwater remediation at a waste site at the Savannah River Site, a US Department of Energy facility in South Carolina. The investigation focuses on the remediation and closure of the H-Area Seepage Basins, an inactive disposal site that formerly received effluent water from a nearby production facility. A previous study by Duffield et al. (1992), which used risk-based decision analysis to screen a number of ground-water remediation alternatives under consideration for this site, indicated that the most attractive remedial option is ground-water extraction by wells coupled with surface water discharge of treated effluent. The aim of the present study is to demonstrate the iterative use of risk-based decision analysis throughout the design of a particular remedial alternative. In this study, we consider the interaction between two episodes of aquifer testing over a 6-year period and the refinement of a remedial extraction well system design. Using a three-dimensional ground-water flow model, this study employs (1) geostatistics and Monte Carlo techniques to simulate hydraulic conductivity as a stochastic process and (2) Bayesian updating and conditional simulation to investigate multiple phases of aquifer testing. In our evaluation of a remedial alternative, we compute probabilistic costs associated with the failure of an alternative to completely capture a simulated contaminant plume. The results of this study demonstrate the utility of risk-based decision analysis as a tool for improving the design of a remedial alternative through the course of phased data collection at a remedial site

  2. The impact of DECISION+2 on patient intention to engage in shared decision making: secondary analysis of a multicentre clustered randomized trial.

    Science.gov (United States)

    Couët, Nicolas; Labrecque, Michel; Robitaille, Hubert; Turcotte, Stéphane; Légaré, France

    2015-12-01

    Training health professionals in shared decision making (SDM) may influence their patients' intention to engage in SDM. To assess the impact of DECISION+2, a SDM training programme for family physicians about the use of antibiotics to treat acute respiratory infections (ARIs), on their patients' intention to engage in SDM in future consultations. Secondary analysis of a multicentre clustered randomized trial. Three hundred and fifty-nine patients consulting family physicians about an ARI in nine family practice teaching units (FPTUs). DECISION+2 (two-hour online tutorial, two-hour workshop, and decision support tools) was offered in the experimental group (five FPTUs, 162 physicians, 181 patients). Usual care was provided in the control group (four FPTUs, 108 physicians, 178 patients). Change in patients' intention scores (range -3 to +3) between pre- and post-consultation. The mean ± SD [median] scores of intention to engage in SDM were high in both study groups before consultation (DECISION+2 group: 1.4 ± 1.0 [1.7]; control group: 1.5 ± 1.1 [1.7]) and increased in both groups after consultation (DECISION+2 group: 2.1 ± 1.1 [2.7]; control group: 1.9 ± 1.2 [2.3]). Change of intention, classified as either increased, stable or decreased, was not statistically associated with the exposure to the DECISION+2 programme after adjusting for the cluster design (proportional odds ratio = 1.5; 95% confidence interval = 0.8-3.0). DECISION+2 had no significant impact on patients' intention to engage in SDM for choosing to use antibiotics or not to treat an ARI in future consultations. Patient-targeted interventions may be necessary to achieve this purpose. © 2014 John Wiley & Sons Ltd.

  3. AN ANALYSIS ON THE DECISION MODEL OF SMART PLUS INSURANCE PRODUCT PURCHASE

    Directory of Open Access Journals (Sweden)

    Fitry Primadona

    2016-09-01

    Full Text Available The purposes of this study were 1 to analyze the decision model of Smart Plus insurance product purchase and 2 to determine the criteria, sub-criteria, and alternative priorities in Smart Plus purchase decision model. The methods utilized in the study included a survey and interview (in-depth interview by using an AHP analysis (Analytical Hierarchy Process and processing software of "Expert Choice". The result of the first analysis indicated the four marketing mixes that had been performed (Price, Product, Process, and Place; while the second one showed that the purchase of Smart Plus product is based on the factors with the level of interest as follow: benefit (36.3%, premium (35.7%, membership process (14.6%, and provider (13.4%. The result of the second analysis revealed the important sub-criteria including premium offer, additional benefits, membership card, and temporary certificate from the medical specialist.Keywords: AHP, life insurance, marketing mix, purchase decision

  4. Rough Neutrosophic Multi-Attribute Decision-Making Based on Grey Relational Analysis

    Directory of Open Access Journals (Sweden)

    Kalyan Mondal

    2015-01-01

    Full Text Available This paper presents rough netrosophic multiattribute decision making based on grey relational analysis. While the concept of neutrosophic sets is a powerful logic to deal with indeterminate and inconsistent data, the theory of rough neutrosophic sets is also a powerful mathematical tool to deal with incompleteness. The rating of all alternatives is expressed with the upper and lower approximation operator and the pair of neutrosophic sets which are characterized by truth-membership degree, indeterminacy-membership degree, and falsitymembership degree. Weight of each attribute is partially known to decision maker. We extend the neutrosophic grey relational analysis method to rough neutrosophic grey relational analysis method and apply it to multiattribute decision making problem. Information entropy method is used to obtain the partially known attribute weights. Accumulated geometric operator is defined to transform rough neutrosophic number (neutrosophic pair to single valued neutrosophic number. Neutrosophic grey relational coefficient is determined by using Hamming distance between each alternative to ideal rough neutrosophic estimates reliability solution and the ideal rough neutrosophic estimates un-reliability solution. Then rough neutrosophic relational degree is defined to determine the ranking order of all alternatives. Finally, a numerical example is provided to illustrate the applicability and efficiency of the proposed approach.

  5. Scenario and multiple criteria decision analysis for energy and environmental security of military and industrial installations.

    Science.gov (United States)

    Karvetski, Christopher W; Lambert, James H; Linkov, Igor

    2011-04-01

    Military and industrial facilities need secure and reliable power generation. Grid outages can result in cascading infrastructure failures as well as security breaches and should be avoided. Adding redundancy and increasing reliability can require additional environmental, financial, logistical, and other considerations and resources. Uncertain scenarios consisting of emergent environmental conditions, regulatory changes, growth of regional energy demands, and other concerns result in further complications. Decisions on selecting energy alternatives are made on an ad hoc basis. The present work integrates scenario analysis and multiple criteria decision analysis (MCDA) to identify combinations of impactful emergent conditions and to perform a preliminary benefits analysis of energy and environmental security investments for industrial and military installations. Application of a traditional MCDA approach would require significant stakeholder elicitations under multiple uncertain scenarios. The approach proposed in this study develops and iteratively adjusts a scoring function for investment alternatives to find the scenarios with the most significant impacts on installation security. A robust prioritization of investment alternatives can be achieved by integrating stakeholder preferences and focusing modeling and decision-analytical tools on a few key emergent conditions and scenarios. The approach is described and demonstrated for a campus of several dozen interconnected industrial buildings within a major installation. Copyright © 2010 SETAC.

  6. Sestava pečenega piščančjega mesa različnih rej

    OpenAIRE

    Korenčan, Nina

    2017-01-01

    Namen diplomskega dela je bil ugotoviti, kako način reje piščancev (intenzivna (kontrola), ekološka reja (Eko) in z dodanim selenom, vezanim na organske spojine (Se)) vpliva na različne kakovostne parametre presnega mesa in mesa po pečenju, in sicer na masno razmerje meso, kosti in koža, na osnovno kemijsko sestavo, na izgubo mase med pečenjem ter na instrumentalne parametre in senzorične lastnosti kosov (prsi in bedra) piščančjega mesa. V poskusu smo analizirali devet trupov piščancev brez d...

  7. Completion Report for Well ER-20-4 Corrective Action Units 101 and 102: Central and Western Pahute Mesa

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Management

    2011-04-30

    Well ER-20-4 was drilled for the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office in support of the Nevada Environmental Restoration Project at the Nevada National Security Site, Nye County, Nevada. The well was drilled in August and September 2010 as part of the Pahute Mesa Phase II drilling program. The primary purpose of the well was to investigate the possibility of radionuclide transport from up-gradient underground nuclear tests conducted in central Pahute Mesa. This well also provided detailed hydrogeologic information in the Tertiary volcanic section that will help reduce uncertainties within the Pahute Mesa-Oasis Valley hydrostratigraphic framework model.

  8. Systems Analysis – a new paradigm and decision support tools for the water framework directive

    Directory of Open Access Journals (Sweden)

    M. Bruen

    2008-05-01

    Full Text Available In the early days of Systems Analysis the focus was on providing tools for optimisation, modelling and simulation for use by experts. Now there is a recognition of the need to develop and disseminate tools to assist in making decisions, negotiating compromises and communicating preferences that can easily be used by stakeholders without the need for specialist training. The Water Framework Directive (WFD requires public participation and thus provides a strong incentive for progress in this direction. This paper places the new paradigm in the context of the classical one and discusses some of the new approaches which can be used in the implementation of the WFD. These include multi-criteria decision support methods suitable for environmental problems, adaptive management, cognitive mapping, social learning and cooperative design and group decision-making. Concordance methods (such as ELECTRE and the Analytical Hierarchy Process (AHP are identified as multi-criteria methods that can be readily integrated into Decision Support Systems (DSS that deal with complex environmental issues with very many criteria, some of which are qualitative. The expanding use of the new paradigm provides an opportunity to observe and learn from the interaction of stakeholders with the new technology and to assess its effectiveness.

  9. Tracheostomy and invasive mechanical ventilation in amyotrophic lateral sclerosis: decision-making factors and survival analysis.

    Science.gov (United States)

    Kimura, Fumiharu

    2016-04-28

    Invasive and/or non-invasive mechanical ventilation are most important options of respiratory management in amyotrophic lateral sclerosis. We evaluated the frequency, clinical characteristics, decision-making factors about ventilation and survival analysis of 190 people with amyotrophic lateral sclerosis patients from 1990 until 2013. Thirty-one percentage of patients underwent tracheostomy invasive ventilation with the rate increasing more than the past 20 years. The ratio of tracheostomy invasive ventilation in patients >65 years old was significantly increased after 2000 (25%) as compared to before (10%). After 2010, the standard use of non-invasive ventilation showed a tendency to reduce the frequency of tracheostomy invasive ventilation. Mechanical ventilation prolonged median survival (75 months in tracheostomy invasive ventilation, 43 months in non-invasive ventilation vs natural course, 32 months). The life-extending effects by tracheostomy invasive ventilation were longer in younger patients ≤65 years old at the time of ventilation support than in older patients. Presence of partners and care at home were associated with better survival. Following factors related to the decision to perform tracheostomy invasive ventilation: patients ≤65 years old: greater use of non-invasive ventilation: presence of a spouse: faster tracheostomy: higher progression rate; and preserved motor functions. No patients who underwent tracheostomy invasive ventilation died from a decision to withdraw mechanical ventilation. The present study provides factors related to decision-making process and survival after tracheostomy and help clinicians and family members to expand the knowledge about ventilation.

  10. Multi-criteria decision analysis for waste management in Saharawi refugee camps

    International Nuclear Information System (INIS)

    Garfi, M.; Tondelli, S.; Bonoli, A.

    2009-01-01

    The aim of this paper is to compare different waste management solutions in Saharawi refugee camps (Algeria) and to test the feasibility of a decision-making method developed to be applied in particular conditions in which environmental and social aspects must be considered. It is based on multi criteria analysis, and in particular on the analytic hierarchy process (AHP), a mathematical technique for multi-criteria decision making (Saaty, T.L., 1980. The Analytic Hierarchy Process. McGraw-Hill, New York, USA; Saaty, T.L., 1990. How to Make a Decision: The Analytic Hierarchy Process. European Journal of Operational Research; Saaty, T.L., 1994. Decision Making for Leaders: The Analytic Hierarchy Process in a Complex World. RWS Publications, Pittsburgh, PA), and on participatory approach, focusing on local community's concerns. The research compares four different waste collection and management alternatives: waste collection by using three tipper trucks, disposal and burning in an open area; waste collection by using seven dumpers and disposal in a landfill; waste collection by using seven dumpers and three tipper trucks and disposal in a landfill; waste collection by using three tipper trucks and disposal in a landfill. The results show that the second and the third solutions provide better scenarios for waste management. Furthermore, the discussion of the results points out the multidisciplinarity of the approach, and the equilibrium between social, environmental and technical impacts. This is a very important aspect in a humanitarian and environmental project, confirming the appropriateness of the chosen method.

  11. Differential impairments underlying decision making in anorexia nervosa and bulimia nervosa: a cognitive modeling analysis.

    Science.gov (United States)

    Chan, Trista Wai Sze; Ahn, Woo-Young; Bates, John E; Busemeyer, Jerome R; Guillaume, Sebastien; Redgrave, Graham W; Danner, Unna N; Courtet, Philippe

    2014-03-01

    This study examined the underlying processes of decision-making impairments in individuals with anorexia nervosa (AN) and bulimia nervosa (BN). We deconstructed their performance on the widely used decision task, the Iowa Gambling Task (IGT) into cognitive, motivational, and response processes using cognitive modeling analysis. We hypothesized that IGT performance would be characterized by impaired memory functions and heightened punishment sensitivity in AN, and by elevated sensitivity to reward as opposed to punishment in BN. We analyzed trial-by-trial data of IGT obtained from 224 individuals: 94 individuals with AN, 63 with BN, and 67 healthy comparison individuals (HC). The prospect valence learning model was used to assess cognitive, motivational, and response processes underlying IGT performance. Individuals with AN showed marginally impaired IGT performance compared to HC. Their performance was characterized by impairments in memory functions. Individuals with BN showed significantly impaired IGT performance compared to HC. They showed greater relative sensitivity to gains as opposed to losses than HC. Memory functions in AN were positively correlated with body mass index. This study identified differential impairments underlying IGT performance in AN and BN. Findings suggest that impaired decision making in AN might involve impaired memory functions. Impaired decision making in BN might involve altered reward and punishment sensitivity. Copyright © 2013 Wiley Periodicals, Inc.

  12. Return or relocate? An inductive analysis of decision-making in a disaster.

    Science.gov (United States)

    Henry, Jacques

    2013-04-01

    This paper proposes an inductive analysis of the decision as to whether to return or to relocate by persons in the State of Louisiana, United States, who evacuated after Hurricanes Katrina and Rita in August and September 2005, respectively. Drawing on interviews with evacuees in these events and extensive fieldwork in the impacted area, the paper seeks to identify the folk dimensions of the decision-making process, assess their arrangements, and situate the process in the larger context of risk and resilience in an advanced society. It suggests that, despite the material and emotional upheaval experienced by affected persons, the decision-making process is a rational endeavour combining a definite set of tightly interconnected factors, involving material dimensions and substantive values that can act in concert or in conflict. In addition, it indicates that there are significant variations by geographic areas, homeownership, and kind of decision. Some theoretical implications, practical measures, and suggestions for future research are examined. © 2013 The Author(s). Journal compilation © Overseas Development Institute, 2013.

  13. Finding the Most Preferred Decision-Making Unit in Data Envelopment Analysis

    Directory of Open Access Journals (Sweden)

    Shirin Mohammadi

    2016-01-01

    Full Text Available Data envelopment analysis (DEA evaluates the efficiency of the transformation of a decision-making unit’s (DMU’s inputs into its outputs. Finding the benchmarks of a DMU is one of the important purposes of DEA. The benchmarks of a DMU in DEA are obtained by solving some linear programming models. Currently, the obtained benchmarks are just found by using the information of the data of inputs and outputs without considering the decision-maker’s preferences. If the preferences of the decision-maker are available, it is very important to obtain the most preferred DMU as a benchmark of the under-assessment DMU. In this regard, we present an algorithm to find the most preferred DMU based on the utility function of decision-maker’s preferences by exploring some properties on that. The proposed method is constructed based on the projection of the gradient of the utility function on the production possibility set’s frontier.

  14. Phase I Transport Model of Corrective Action Units 101 and 102: Central and Western Pahute Mesa, Nevada Test Site, Nye County, Nevada with Errata Sheet 1, 2, 3, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Greg Ruskauff

    2009-02-01

    As prescribed in the Pahute Mesa Corrective Action Investigation Plan (CAIP) (DOE/NV, 1999) and Appendix VI of the Federal Facility Agreement and Consent Order (FFACO) (1996, as amended February 2008), the ultimate goal of transport analysis is to develop stochastic predictions of a contaminant boundary at a specified level of uncertainty. However, because of the significant uncertainty of the model results, the primary goal of this report was modified through mutual agreement between the DOE and the State of Nevada to assess the primary model components that contribute to this uncertainty and to postpone defining the contaminant boundary until additional model refinement is completed. Therefore, the role of this analysis has been to understand the behavior of radionuclide migration in the Pahute Mesa (PM) Corrective Action Unit (CAU) model and to define, both qualitatively and quantitatively, the sensitivity of such behavior to (flow) model conceptualization and (flow and transport) parameterization.

  15. Application of decision tree technique to sensitivity analysis for results of radionuclide migration calculations. Research documents

    International Nuclear Information System (INIS)

    Nakajima, Kunihiko; Makino, Hitoshi

    2005-03-01

    Uncertainties are always present in the parameters used for the nuclide migration analysis in the geological disposal system. These uncertainties affect the result of such analyses, e.g., and the identification of dominant nuclides. It is very important to identify the parameters causing the significant impact on the results, and to investigate the influence of identified parameters in order to recognize R and D items with respect to the development of geological disposal system and understanding of the system performance. In our study, the decision tree analysis technique was examined in the sensitivity analysis as a method for investigation of the influences of the parameters and for complement existing sensitivity analysis. As a result, results obtained from Monte Carlo simulation with parameter uncertainties could be distinguished with not only important parameters but also with their quantitative conditions (e.g., ranges of parameter values). Furthermore, information obtained from the decision tree analysis could be used 1) to categorize the results obtained from the nuclide migration analysis for a given parameter set, 2) to show prospective effect of reduction to parameter uncertainties on the results. (author)

  16. Effective Decision Maker-Scientist Engagement:Climate Change Vulnerability Analysis of California's Water System to Using Decision Scaling.

    Science.gov (United States)

    Schwarz, A. M.; Ray, P.; Brown, C.; Wi, S.

    2016-12-01

    For nearly 2 years the California Department of Water Resources (CDWR) has been working with the University of Massachusetts Amherst (UMass) to evaluate climate change vulnerabilities to the California State Water Project. Working cooperatively, the team has developed tools and methods to employ a decision scaling approach to CDWR's existing water system model (CalSim-II/CalLite 3.0). This presentation will discuss how and why this partnership came to be, the co-production model the team has developed to share expertise, the new understanding of the system that has been gained through the process, and current and future efforts to influence planning and investments based on the findings of the work. This cooperative decision-maker-with-scientist engagement is unique in that CDWR has not outsourced the application of the science to their systems, and instead has worked directly with UMass researchers to develop the process, produce results, and interpret findings. Further, CDWR staff has worked with UMass researchers to present results in ways that are more useable and actionable for decision-makers. As will be shown, many of these graphics allow the team to use the science differently to improve decision making.

  17. Treatment options for patients with acute myeloid leukemia with a matched sibling donor: a decision analysis.

    Science.gov (United States)

    Sung, Lillian; Buckstein, Rena; Doyle, John J; Crump, Michael; Detsky, Allan S

    2003-02-01

    The role of allogeneic bone marrow transplantation (BMT) in the consolidation of young adults with acute myeloid leukemia (AML) with matched sibling donors (MSD) is controversial. Although BMT is associated with increased event free survival compared with intensive chemotherapy (CT) consolidation, BMT also is associated with increased treatment-related mortality and likely decreased quality of life and life expectancy in patients who do not develop recurrent disease. The authors used decision analysis to compare three strategies for maximizing quality-adjusted life years (QALYs) in patients with AML in first remission with an MSD: BMT All, BMT None (consolidation CT only), or BMT in high-risk patients, as defined by baseline cytogenetic testing (Test strategy). A second decision-analysis tree was then constructed that compared BMT with CT specifically for patients with intermediate cytogenetics. Using expected QALYs as the outcome measure, the Test, BMT All, and BMT None strategies were associated with 20.10 QALYs, 19.63 QALYs, and 18.38 QALYs, respectively. Thus, the Test strategy, with CT for low-risk patients and BMT for intermediate risk and high-risk patients, was expected to be the optimal strategy. In the intermediate cytogenetic decision analysis, although the expected QALY for BMT recipients was higher compared with CT recipients (19.78 QALYs vs. 18.75 QALYs), because of uncertainty in variable estimates, the optimal choice was less clear. CT consolidation is a reasonable option for patients with AML who have favorable cytogenetics, even if an MSD is available. This model provides a framework from which patients with AML and their physicians can make decisions about consolidation therapy. Copyright 2003 American Cancer Society.DOI 10.1002/cncr.11098

  18. A big data analysis of the relationship between future thinking and decision-making.

    Science.gov (United States)

    Thorstad, Robert; Wolff, Phillip

    2018-02-20

    We use big data methods to investigate how decision-making might depend on future sightedness (that is, on how far into the future people's thoughts about the future extend). In study 1, we establish a link between future thinking and decision-making at the population level in showing that US states with citizens having relatively far future sightedness, as reflected in their tweets, take fewer risks than citizens in states having relatively near future sightedness. In study 2, we analyze people's tweets to confirm a connection between future sightedness and decision-making at the individual level in showing that people with long future sightedness are more likely to choose larger future rewards over smaller immediate rewards. In study 3, we show that risk taking decreases with increases in future sightedness as reflected in people's tweets. The ability of future sightedness to predict decisions suggests that future sightedness is a relatively stable cognitive characteristic. This implication was supported in an analysis of tweets by over 38,000 people that showed that future sightedness has both state and trait characteristics (study 4). In study 5, we provide evidence for a potential mechanism by which future sightedness can affect decisions in showing that far future sightedness can make the future seem more connected to the present, as reflected in how people refer to the present, past, and future in their tweets over the course of several minutes. Our studies show how big data methods can be applied to naturalistic data to reveal underlying psychological properties and processes.

  19. Selecting essential information for biosurveillance--a multi-criteria decision analysis.

    Directory of Open Access Journals (Sweden)

    Nicholas Generous

    Full Text Available The National Strategy for Biosurveillance defines biosurveillance as "the process of gathering, integrating, interpreting, and communicating essential information related to all-hazards threats or disease activity affecting human, animal, or plant health to achieve early detection and warning, contribute to overall situational awareness of the health aspects of an incident, and to enable better decision-making at all levels." However, the strategy does not specify how "essential information" is to be identified and integrated into the current biosurveillance enterprise, or what the metrics qualify information as being "essential". The question of data stream identification and selection requires a structured methodology that can systematically evaluate the tradeoffs between the many criteria that need to be taken in account. Multi-Attribute Utility Theory, a type of multi-criteria decision analysis, can provide a well-defined, structured approach that can offer solutions to this problem. While the use of Multi-Attribute Utility Theoryas a practical method to apply formal scientific decision theoretical approaches to complex, multi-criteria problems has been demonstrated in a variety of fields, this method has never been applied to decision support in biosurveillance.We have developed a formalized decision support analytic framework that can facilitate identification of "essential information" for use in biosurveillance systems or processes and we offer this framework to the global BSV community as a tool for optimizing the BSV enterprise. To demonstrate utility, we applied the framework to the problem of evaluating data streams for use in an integrated global infectious disease surveillance system.

  20. Selecting essential information for biosurveillance--a multi-criteria decision analysis.

    Science.gov (United States)

    Generous, Nicholas; Margevicius, Kristen J; Taylor-McCabe, Kirsten J; Brown, Mac; Daniel, W Brent; Castro, Lauren; Hengartner, Andrea; Deshpande, Alina

    2014-01-01

    The National Strategy for Biosurveillance defines biosurveillance as "the process of gathering, integrating, interpreting, and communicating essential information related to all-hazards threats or disease activity affecting human, animal, or plant health to achieve early detection and warning, contribute to overall situational awareness of the health aspects of an incident, and to enable better decision-making at all levels." However, the strategy does not specify how "essential information" is to be identified and integrated into the current biosurveillance enterprise, or what the metrics qualify information as being "essential". The question of data stream identification and selection requires a structured methodology that can systematically evaluate the tradeoffs between the many criteria that need to be taken in account. Multi-Attribute Utility Theory, a type of multi-criteria decision analysis, can provide a well-defined, structured approach that can offer solutions to this problem. While the use of Multi-Attribute Utility Theoryas a practical method to apply formal scientific decision theoretical approaches to complex, multi-criteria problems has been demonstrated in a variety of fields, this method has never been applied to decision support in biosurveillance.We have developed a formalized decision support analytic framework that can facilitate identification of "essential information" for use in biosurveillance systems or processes and we offer this framework to the global BSV community as a tool for optimizing the BSV enterprise. To demonstrate utility, we applied the framework to the problem of evaluating data streams for use in an integrated global infectious disease surveillance system.

  1. "Suffering" in palliative sedation: Conceptual Analysis and Implications for Decision-Making in Clinical Practice.

    Science.gov (United States)

    Bozzaro, Claudia; Schildmann, Jan

    2018-04-21

    Palliative sedation is an increasingly used and, simultaneously, challenging practice at the end of life. Many controversies associated with this therapy are rooted in implicit differences regarding the understanding of "suffering" as prerequisite for palliative sedation. The aim of this paper is to inform the current debates by a conceptual analysis of two different philosophical accounts of suffering, (1) the subjective and holistic concept and (2) the objective and gradual concept and by a clinical-ethical analysis of the implications of each account for decisions about palliative sedation. We will show that while the subjective and holistic account of suffering fits well with the holistic approach of palliative care, there are considerable challenges to justify limits to requests for palliative sedation. By contrast, the objective and gradual account fits well with the need for an objective basis for clinical decisions in the context of palliative sedation, but runs the risk of falling short when considering the individual and subjective experience of suffering at the end of life. We will conclude with a plea for the necessity of further combined conceptual and empirical research to develop a sound and feasible understanding of suffering which can contribute to consistent decision-making about palliative sedation. Copyright © 2018. Published by Elsevier Inc.

  2. On the Nirex MADA [Multi-Attribute Decision Analysis]. Proof of evidence

    International Nuclear Information System (INIS)

    Stirling, A.

    1996-01-01

    Proof of Evidence is given by an expert witness on behalf of Greenpeace Ltd as part of their submission to a Planning Inquiry in 1995 hearing the application of UK Nirex Ltd for permission to construct an underground Rock Characterisation Facility (RCF) at a site near Sellafield. The RCF is part of an investigation by Nirex into a suitable site for the disposal of radioactive waste. The evidence concerns the use by Nirex of a technique known as Multi-Attribute Decision Analysis (MADA) in support of their decision to concentrate their studies on the Sellafield site. Potentially, MADA offers a highly effective methodology for making difficult political decisions involving a mixture of technical, social and economic considerations. Its proper use, however, relies on: drawing an explicit distinction between relatively technical ''performance scores'' and wholly subjective ''importance weightings''; a clearly expressed and agreed scope for the analysis; the inclusion of a wide range of perspectives; systematic and comprehensive sensitivity testing of the implications of varying data, assumptions and value judgements; optimising the choice of option under each perspective; presenting explicit data, assumptions, transparent methodologies and accessible procedures for critical evaluation and public peer review. It is concluded that Nirex's MADA seems to be seriously deficient in relation to many of these principles. (9 references). (UK)

  3. Innovation and decision-making process in reverse logistics: a bibliometric analysis

    Directory of Open Access Journals (Sweden)

    Fernando Antonio Guimarães Tenório

    2014-05-01

    Full Text Available This work aimed to make a bibliometric analysis on empirical studies that focus on the reverse logistics process. Papers published in two major events of management and a production engineering were collected during the years 2007-2012. To perform the analysis assumptions were adopted as the concepts of innovation and decision-making. 43 articles were analyzed and it was found that, in most cases, organizations choose to deploy reverse logistics as a means to solving problems related to environmental laws and regulations and after its implementation, the decision-making process related to the network of companies that perform reverse logistics remains restricted to the adopter company, thus becoming a centralized decision-making process. It was also found that reverse logistics is, in most cases, an innovation in the supply chain, it provides a new way to manage and operate the return and recycling of waste products and generating competitive advantages in the form of increased net income and better picture of the organization to its partners and customers.

  4. Life support technology investment strategies for flight programs: An application of decision analysis

    Science.gov (United States)

    Schlater, Nelson J.; Simonds, Charles H.; Ballin, Mark G.

    1993-01-01

    Applied research and technology development (R&TD) is often characterized by uncertainty, risk, and significant delays before tangible returns are obtained. Given the increased awareness of limitations in resources, effective R&TD today needs a method for up-front assessment of competing technologies to help guide technology investment decisions. Such an assessment approach must account for uncertainties in system performance parameters, mission requirements and architectures, and internal and external events influencing a development program. The methodology known as decision analysis has the potential to address these issues. It was evaluated by performing a case study assessment of alternative carbon dioxide removal technologies for NASA's proposed First Lunar Outpost program. An approach was developed that accounts for the uncertainties in each technology's cost and performance parameters as well as programmatic uncertainties such as mission architecture. Life cycle cost savings relative to a baseline, adjusted for the cost of money, was used as a figure of merit to evaluate each of the alternative carbon dioxide removal technology candidates. The methodology was found to provide a consistent decision-making strategy for development of new life support technology. The case study results provided insight that was not possible from more traditional analysis approaches.

  5. Multiple Criteria Decision Making by Generalized Data Envelopment Analysis Introducing Aspiration Level Method

    International Nuclear Information System (INIS)

    Yun, Yeboon; Arakawa, Masao; Hiroshi, Ishikawa; Nakayama, Hirotaka

    2002-01-01

    It has been proved in problems with 2-objective functions that genetic algorithms (GAs) are well utilized for generating Pareto optimal solutions, and then decision making can be easily performed on the basis of visualized Pareto optimal solutions. However, GAs are difficult to visualize Pareto optimal solutions in cases in which the number of objective function is more than 4. Hence, it is trouble some to grasp the trade-off among many objective functions, and decision makers hesitate to choose a final solution from a number of Pareto optimal solutions. In order to solve these problems, we suggest an aspiration level approach to the method using the generalized data envelopment analysis and GAs. We show that the proposed method supports decision makers to choose their desirable solution from many Pareto optimal solutions. Furthermore, it will be seen that engineering design can be effectively done by the proposed method, which makes generation of several Pareto optimal solutions close to the aspiration level and trade-off analysis easily

  6. A decision-making framework for protecting process plants from flooding based on fault tree analysis

    International Nuclear Information System (INIS)

    Hauptmanns, Ulrich

    2010-01-01

    The protection of process plants from external events is mandatory in the Seveso Directive. Among these events figures the possibility of inundation of a plant, which may cause a hazard by disabling technical components and obviating operator interventions. A methodological framework for dealing with hazards from potential flooding events is presented. It combines an extension of the fault tree method with generic properties of flooding events in rivers and of dikes, which should be adapted to site-specific characteristics in a concrete case. Thus, a rational basis for deciding whether upgrading is required or not and which of the components should be upgraded is provided. Both the deterministic and the probabilistic approaches are compared. Preference is given to the probabilistic one. The conclusions drawn naturally depend on the scope and detail of the model calculations and the decision criterion adopted. The latter has to be supplied from outside the analysis, e.g. by the analyst himself, the plant operator or the competent authority. It turns out that decision-making is only viable if the boundary conditions for both the procedure of analysis and the decision criterion are clear.

  7. Strategic Decision-Making: Research Mapping from Exploratory Factor Analysis and Multidimensional Scaling

    Directory of Open Access Journals (Sweden)

    Ivano Ribeiro

    2017-04-01

    Full Text Available To understand the connection between authors, concepts and theories that address strategic decision-making, in this article the citations and co-citations of works published up to 2014 were analyzed. The sample consists of 489 articles published in international periodicals included in the Web of Science-ISI Web of Knowledge database. The search was conducted using key words that enabled the identification of the highest possible number of articles on the subject in question. Through Multidimensional Scaling (MDS and Exploratory Factor Analysis (EFA, the conceptual and theoretical relationships involved in these studies were identified. The results show that from 1980 to 2014 three different factors are highlighted: the first has to do with studies on conflict; the second factor is the Top Management Team (TMT and decision-making; and the third is related to processes. More recently (2013-2014, studies on strategic decision-making are converging towards analysis of conflict and process, composition and control, with Upper Echelon Theory being maintained as the central theory in these studies. This finding is the main contribution of this article.

  8. Multi-criteria decision analysis for assessment and appraisal of orphan drugs

    Directory of Open Access Journals (Sweden)

    Georgi Iskrov

    2016-09-01

    Full Text Available Background: Limited resources and expanding expectations push all countries and types of health systems to adopt new approaches in priority setting and resources allocation. Despite best efforts, it is difficult to reconcile all competing interests and trade-offs are inevitable. This is why multi-criteria decision analysis (MCDA has played a major role in recent uptake of value-based reimbursement. MCDA framework enables exploration of stakeholders’ preferences, as well as explicit organization of broad range of criteria on which real-world decisions are made.Assessment and appraisal of orphan drugs tend to be one of the most complicated health technology assessment (HTA tasks. Access to market approved orphan therapies remains an issue. Early constructive dialogue among rare disease stakeholders and elaboration of orphan drug-tailored decision support tools could set the scene for ongoing accumulation of evidence, as well as for proper reimbursement decision-making.Objective: The objective of this study was to create a MCDA value measurement model to assess and appraise orphan drugs. This was achieved by exploring the preferences on decision criteria’s weights and performance scores through a stakeholder-representative survey and a focus group discussion that were both organized in Bulgaria.Results/Conclusions: Decision criteria that describe the health technology’s characteristics were unanimously agreed as the most important group of reimbursement considerations. This outcome, combined with the high individual weight of disease severity and disease burden criteria underlined some of the fundamental principles of healthcare – equity and fairness. Our study proved that strength of evidence may be a key criterion in orphan drug assessment and appraisal. Evidence is not only used to shape reimbursement decision-making, but also to lend legitimacy to policies pursued. The need for real-world data on orphan drugs was largely stressed

  9. Integrating clinicians, knowledge and data: expert-based cooperative analysis in healthcare decision support

    Directory of Open Access Journals (Sweden)

    García-Alonso Carlos

    2010-09-01

    Full Text Available Abstract Background Decision support in health systems is a highly difficult task, due to the inherent complexity of the process and structures involved. Method This paper introduces a new hybrid methodology Expert-based Cooperative Analysis (EbCA, which incorporates explicit prior expert knowledge in data analysis methods, and elicits implicit or tacit expert knowledge (IK to improve decision support in healthcare systems. EbCA has been applied to two different case studies, showing its usability and versatility: 1 Bench-marking of small mental health areas based on technical efficiency estimated by EbCA-Data Envelopment Analysis (EbCA-DEA, and 2 Case-mix of schizophrenia based on functional dependency using Clustering Based on Rules (ClBR. In both cases comparisons towards classical procedures using qualitative explicit prior knowledge were made. Bayesian predictive validity measures were used for comparison with expert panels results. Overall agreement was tested by Intraclass Correlation Coefficient in case "1" and kappa in both cases. Results EbCA is a new methodology composed by 6 steps:. 1 Data collection and data preparation; 2 acquisition of "Prior Expert Knowledge" (PEK and design of the "Prior Knowledge Base" (PKB; 3 PKB-guided analysis; 4 support-interpretation tools to evaluate results and detect inconsistencies (here Implicit Knowledg -IK- might be elicited; 5 incorporation of elicited IK in PKB and repeat till a satisfactory solution; 6 post-processing results for decision support. EbCA has been useful for incorporating PEK in two different analysis methods (DEA and Clustering, applied respectively to assess technical efficiency of small mental health areas and for case-mix of schizophrenia based on functional dependency. Differences in results obtained with classical approaches were mainly related to the IK which could be elicited by using EbCA and had major implications for the decision making in both cases. Discussion This

  10. Integrating clinicians, knowledge and data: expert-based cooperative analysis in healthcare decision support.

    Science.gov (United States)

    Gibert, Karina; García-Alonso, Carlos; Salvador-Carulla, Luis

    2010-09-30

    Decision support in health systems is a highly difficult task, due to the inherent complexity of the process and structures involved. This paper introduces a new hybrid methodology Expert-based Cooperative Analysis (EbCA), which incorporates explicit prior expert knowledge in data analysis methods, and elicits implicit or tacit expert knowledge (IK) to improve decision support in healthcare systems. EbCA has been applied to two different case studies, showing its usability and versatility: 1) Bench-marking of small mental health areas based on technical efficiency estimated by EbCA-Data Envelopment Analysis (EbCA-DEA), and 2) Case-mix of schizophrenia based on functional dependency using Clustering Based on Rules (ClBR). In both cases comparisons towards classical procedures using qualitative explicit prior knowledge were made. Bayesian predictive validity measures were used for comparison with expert panels results. Overall agreement was tested by Intraclass Correlation Coefficient in case "1" and kappa in both cases. EbCA is a new methodology composed by 6 steps:. 1) Data collection and data preparation; 2) acquisition of "Prior Expert Knowledge" (PEK) and design of the "Prior Knowledge Base" (PKB); 3) PKB-guided analysis; 4) support-interpretation tools to evaluate results and detect inconsistencies (here Implicit Knowledg -IK- might be elicited); 5) incorporation of elicited IK in PKB and repeat till a satisfactory solution; 6) post-processing results for decision support. EbCA has been useful for incorporating PEK in two different analysis methods (DEA and Clustering), applied respectively to assess technical efficiency of small mental health areas and for case-mix of schizophrenia based on functional dependency. Differences in results obtained with classical approaches were mainly related to the IK which could be elicited by using EbCA and had major implications for the decision making in both cases. This paper presents EbCA and shows the convenience of

  11. A multi-criteria decision analysis assessment of waste paper management options.

    Science.gov (United States)

    Hanan, Deirdre; Burnley, Stephen; Cooke, David

    2013-03-01

    The use of Multi-criteria Decision Analysis (MCDA) was investigated in an exercise using a panel of local residents and stakeholders to assess the options for managing waste paper on the Isle of Wight. Seven recycling, recovery and disposal options were considered by the panel who evaluated each option against seven environmental, financial and social criteria. The panel preferred options where the waste was managed on the island with gasification and recycling achieving the highest scores. Exporting the waste to the English mainland for incineration or landfill proved to be the least preferred options. This research has demonstrated that MCDA is an effective way of involving community groups in waste management decision making. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Low-Level Waste Vitrification Plant Project contracting strategy decision analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Felise, P.; Phillips, J.D.

    1994-10-17

    Ten basic contracting strategies were developed after a review of past strategies that had been used at the Hanford Site, other US Department of Energy (DOE) sites, other US government agencies, and in the private sector. As applicable to the Low-Level Waste Vitrification Plant (LLWVP) Project, each strategy was described and depicted in a schedule format to assess compatibility with the Hanford Federal Facility Agreement and Consent Order, al so known as the Tri-Party Agreement (Ecology et al. 1994) milestones, key decision points, and other project requirements. The-pro and con aspects of each strategy also were tabulated. Using this information as a basis, the LLWVP Project team members, along with representatives of Tank Waste Remediation System (TWRS) Engineering, TWRS Programs, and Procurement Materials Management, formed a Westinghouse Hanford Company (WHC) evaluation team to select the best strategy. Kepner-Tregoe decision analysis techniques were used in facilitated meetings to arrive at the best balanced choice.

  13. Low-Level Waste Vitrification Plant Project contracting strategy decision analysis report

    International Nuclear Information System (INIS)

    Felise, P.; Phillips, J.D.

    1994-01-01

    Ten basic contracting strategies were developed after a review of past strategies that had been used at the Hanford Site, other US Department of Energy (DOE) sites, other US government agencies, and in the private sector. As applicable to the Low-Level Waste Vitrification Plant (LLWVP) Project, each strategy was described and depicted in a schedule format to assess compatibility with the Hanford Federal Facility Agreement and Consent Order, al so known as the Tri-Party Agreement (Ecology et al. 1994) milestones, key decision points, and other project requirements. The-pro and con aspects of each strategy also were tabulated. Using this information as a basis, the LLWVP Project team members, along with representatives of Tank Waste Remediation System (TWRS) Engineering, TWRS Programs, and Procurement Materials Management, formed a Westinghouse Hanford Company (WHC) evaluation team to select the best strategy. Kepner-Tregoe decision analysis techniques were used in facilitated meetings to arrive at the best balanced choice

  14. Cost-effectiveness study of nitrate therapy using a decision analysis methodology.

    Science.gov (United States)

    Larrat, E P

    1994-04-01

    The cost-assessment technology of decision analysis was applied to isosorbide dinitrate (ISDN), the standard therapy for angina; isosorbide mononitrate (ISMO), approved mid-1992; and nitroglycerin patches to measure the effect of economics on clinical practice and administrative choices. The evaluation was conducted to illustrate the utility of this method for decision makers in various sectors of the health care system, including physicians, pharmacy benefit administrators, formulary committees, and manufacturers. Findings indicate that despite a higher unit cost for ISMO, total anticipated treatment costs with this new long-acting nitrate are lower than those associated with ISDN (28%) and nitroglycerin patch (16%) therapy in patients with stable angina, and ISMO requires less dosing titration and is associated with fewer tolerance effects.

  15. Revealed preferences towards the appraisal of orphan drugs in Poland - multi criteria decision analysis.

    Science.gov (United States)

    Kolasa, Katarzyna; Zwolinski, Krzysztof Miroslaw; Zah, Vladimir; Kaló, Zoltán; Lewandowski, Tadeusz

    2018-04-27

    A Multi Criteria Decision Analysis (MCDA) technique was adopted to reveal the preferences of the Appraisal Body of the Polish HTA agency towards orphan drugs (OMPs). There were 34 positive and 23 negative HTA recommendations out of 54 distinctive drug-indication pairs. The MCDA matrix consisted of 13 criteria, seven of which made the most impact on the HTA process. Appraisal of clinical evidence, cost of therapy, and safety considerations were the main contributors to the HTA guidance, whilst advancement of technology and manufacturing costs made the least impact. MCDA can be regarded as a valuable tool for revealing decision makers' preferences in the healthcare sector. Given that only roughly half of all criteria included in the MCDA matrix were deemed to make an impact on the HTA process, there is certainly some room for improvement with respect to the adaptation of a new approach towards the value assessment of OMPs in Poland.

  16. Analysis of methods of processing of expert information by optimization of administrative decisions

    Science.gov (United States)

    Churakov, D. Y.; Tsarkova, E. G.; Marchenko, N. D.; Grechishnikov, E. V.

    2018-03-01

    In the real operation the measure definition methodology in case of expert estimation of quality and reliability of application-oriented software products is offered. In operation methods of aggregation of expert estimates on the example of a collective choice of an instrumental control projects in case of software development of a special purpose for needs of institutions are described. Results of operation of dialogue decision making support system are given an algorithm of the decision of the task of a choice on the basis of a method of the analysis of hierarchies and also. The developed algorithm can be applied by development of expert systems to the solution of a wide class of the tasks anyway connected to a multicriteria choice.

  17. Customer Purchasing Behavior Analysis as Alternatives for Supporting In-Store Green Marketing Decision-Making

    Directory of Open Access Journals (Sweden)

    M. Alex Syaekhoni

    2017-11-01

    Full Text Available Due to increasing concerns about environmental protection, the environmental sustainability of businesses has been widely considered in the manufacturing and supply chain context. Further, its adoption has been implemented in the retail industry for marketing field, including green product promotion. This study aimed to propose a customer purchasing behavior analysis as an alternative for supporting decision-making in order to promote green products in retail stores. Hence, right-on-target marketing strategies can be implemented appropriately. The study was carried out using shopping path data collected by radio frequency identification (RFID from a large retail store in Seoul, South Korea. In addition, the store layout and its traffic were also analyzed. This method is expected to help experts providing appropriate decision alternatives. In addition, it can help retailers in order to increase product sales and achieve high levels of customer satisfaction.

  18. Non-monetary valuation using Multi-Criteria Decision Analysis: Sensitivity of additive aggregation methods to scaling and compensation assumptions

    Science.gov (United States)

    Analytical methods for Multi-Criteria Decision Analysis (MCDA) support the non-monetary valuation of ecosystem services for environmental decision making. Many published case studies transform ecosystem service outcomes into a common metric and aggregate the outcomes to set land ...

  19. Decision making support of the management of technogenically contaminated territories basing on risk analysis with use of geographic information technology

    International Nuclear Information System (INIS)

    Yatsalo, B.I.; Demin, V.F.

    2002-01-01

    Overall questions of decision making support of the contaminated territories management on a basis of risk assessment were considered. Characteristics and possibilities of the applied geoinformation system of decision making support PRANA developed for the risk control and rehabilitation of contaminated territories are demonstrated. The PRANA system involves estimations of all fundamental characteristics of risk during analysis of results and contaminated territories management [ru

  20. Path Analysis Examining Self-Efficacy and Decision-Making Performance on a Simulated Baseball Task

    Science.gov (United States)

    Hepler, Teri J.; Feltz, Deborah L.

    2012-01-01

    The purpose of this study was to examine the relationship between decision-making self-efficacy and decision-making performance in sport. Undergraduate students (N = 78) performed 10 trials of a decision-making task in baseball. Self-efficacy was measured before performing each trial. Decision-making performance was assessed by decision speed and…