8 research outputs found

    Decision analysis and political processes

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    Decision analysis has been with us for at least half a century. Over that time it has developed from a theoretical paradigm for individual rational choice to a practical tool for individuals, small groups and ‘unitary’ organisations, which helps them towards a sound decision-making mindful of the behavioural characteristics of individuals and group dynamics. Decision analysis has also shown its worth in the context of stakeholder engagement and public participation. The time is right for it to be more widely used in making societal decisions. However, to achieve that we need to realise that in many circumstances it will only be one input to the political process that leads to the actual decision. Recognising that suggests that our community of decision analysts needs to deconstruct our paradigm and attend more to communicating the result of the analysis in comparison with other inputs to the societal decision

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    Reasons for exclusion of the 136 full text papers. (DOCX 142 kb

    Communicating geographical risks in crisis management: The need for research

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    In any crisis, there is a great deal of uncertainty, often geographical uncertainty or, more precisely, spatio-temporal uncertainty. Examples include the spread of contamination from an industrial accident, drifting volcanic ash, and the path of a hurricane. Estimating spatio-temporal probabilities is usually a difficult task, but that is not our primary concern. Rather, we ask how analysts can communicate spatio-temporal uncertainty to those handling the crisis. We comment on the somewhat limited literature on the representation of spatial uncertainty on maps. We note that many cognitive issues arise and that the potential for confusion is high. We note that in the early stages of handling a crisis the uncertainties involved may be deep, i.e. difficult or impossible to quantify in the time available. In such circumstance, we suggest the idea of presenting multiple scenarios

    Uncertainty handling during nuclear accidents.

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    In the years following Chernobyl, many reports and projects reflected on how to improve emergency management processes in dealing with an accidental offsite release of radiation at a nuclear facility. A common observation was the need to address the inevitable uncertainties. Various suggestions were made and some of these were researched in some depth. The Fukushima Daiichi Disaster has led to further reflections. However, many of the uncertainties inherent in responding to a threatened or actual release remain unaddressed in the analyses and model runs that are conducted to support the emergency managers in their decision making. They are often left to factor in allowances for the uncertainty through informal discussion and unsupported judgement, and the full range of sources of uncertainty may not be addressed. In this paper, we summarise the issues and report on a project which has investigated the handling of uncertainty in the UK’s national crisis cell. We suggest the R&D programmes needed to provide emergency managers with better guidance on uncertainty and how it may affect the consequences of taking different countermeasures

    The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: A systematic review of the literature

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    Background: A small proportion of chiropractors, osteopaths, and other manual medicine providers use spinal manipulative therapy (SMT) to manage non-musculoskeletal disorders. However, the efficacy and effectiveness of these interventions to prevent or treat non-musculoskeletal disorders remain controversial. Objectives: We convened a Global Summit of international scientists to conduct a systematic review of the literature to determine the efficacy and effectiveness of SMT for the primary, secondary and tertiary prevention of non-musculoskeletal disorders. Global summit: The Global Summit took place on September 14–15, 2019 in Toronto, Canada. It was attended by 50 researchers from 8 countries and 28 observers from 18 chiropractic organizations. At the summit, participants critically appraised the literature and synthesized the evidence

    Response to Lawrence DJ: The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: A systematic review of the literature

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    Thank you for the opportunity to respond to the Letter to the Editor by Dana J. Lawrence. In his letter, Lawrence states that the results of our systematic review may be due to bias. However, he does not adequately substantiate his claims
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