A note on the use of goal programming for the multiplicative AHP

The main aim of this paper is to identify the opportunities of utilizing goal programming (GP) in the multiplicative analytic hierarchy process (MAHP). It starts with the issue of weight derivation from judgemental matrices. The use of GP for the weight derivation problem is not new, but GP is viewed in this paper from the perspective of augmenting the capabilities of the widely used row geometric mean method (RGMM) of the logarithmic least squares technique (LLST). Different possible approaches using GP are discussed. It is shown that the formulation of the GP problem can be easily modified to provide the same weights as those of the LLST. While this proposed GP technique is not superior to the RGMM in terms of computational ease or speed, it is quite useful in solving certain other problems of the MAHP, such as interval judgements and missing judgements, which cannot be readily solved by the RGMM. The proposed technique provides extensive scope for utilizing the vast literature on non-linear programming, say, for conducting sensitivity analysis. It also has the potential to be useful to more complicated issues of the MAHP, such as group decision making and interlevel dependence, hitherto little explored areas of the MAHP. © 1997 John Wiley & Sons, Ltd.     

Consumer evaluation of net utility: Effects of competition on consumer brand selection processes

This study explores how brand-related information is integrated within a competitive environment. Specifically, we develop a structural equation model of competition between two brands, which includes each brand's price-quality characteristics (i.e., net utility). The model simultaneously tests how the net utility of the focal and competing brands affects consumers' attitudes, intentions, and choice regarding the focal brand. This study extends existing research with the findings that price-quality evaluations of a focal brand and net utility perceptions of competing brands influence consumers' attitudes, intentions, and choice regarding the focal brand. Thus, in order to attract consumers to their brands, marketers should focus not only on improving the performance and net utility of their own brands, but also on studying competing brands in the marketplace.     

A Bibliographic Survey of the Activities and International Nature of Multiple Criteria Decision Making

One of the fascinating things about multiple criteria decision making (MCDM) is the degree to which the contributions that have built the field have come from all over the world. In this paper the international nature of the authorships of the 1216 refereed journal articles published on MCDM between 1987 and 1992, and the journals in which they have appeared, is examined. Also, an analysis of the 217 books and 31 journal special issues that have been published on MCDM, and 143 conferences that have been held on MCDM since the inception of the field, is similarly conducted. The paper concludes with a conference organizer, author and special issue guest editor index.     

Motivational Interviewing in Primary Care

Healthcare systems are in the process of reforming themselves to better meet the needs of people with, or at risk of developing, chronic diseases and long term conditions. One goal of these efforts is the coproduction of activated, informed, engaged and motivated patients and citizens. The clinical, public health and financial benefits of achieving such a goal may be dramatic. Motivational Interviewing (MI) is a proven and practical front-line approach which can help deliver this goal whilst also helping to deliver such policy objectives and intermediate outcomes as increased levels of patient centered care, participatory or shared decision making, evidence-based healthcare and improved clinician-patient relationships. Until now, MI has been passively diffusing through the system as a result of the innovation and early uptake by insightful individuals and organizations. If healthcare systems want to breakthrough to higher levels of performance, investment in the conscious and deliberate implementation of MI into front-line settings may prove helpful.     

Therapist response modes in the exploration stage: timing and effectiveness

In an investigation of the exploration stage of single counselling sessions with 26 anxious female volunteer clients and 13 female doctoral student therapists, no overall association was found between client narrative processing modes and subsequent therapist verbal response modes. There was evidence in a third of the sample for an association between therapist response modes and subsequent client narrative modes, such that clients used more internal than external or reflexive narrative processing modes when therapists used open questions about feelings and reflections of feelings. Client and therapist helpfulness ratings did not differ for different therapist response modes or client narrative process modes. Hence, overall results suggested that all four therapist response modes (open questions about thoughts, open questions about feelings, restatements, reflections of feelings) are effective during the exploration stage.     

老年患者的外科治疗决策及围手术期处理

泌尿外科老年患者多,老年患者必然手术并发症多,手术死亡率高。虽然现在泌尿外科近70％的手术已进入了微创时代,手术时间大幅缩减,但是老年患者的临床决策仍常常是个非常纠结的问题,手术要达到什么目的？何时要做适当的放弃？除了充分的围手术期准备,医生要敢于承担,家属要充分理解和合作。     

临床决策中患者及其家属的地位与作用

医生、医院每天都在为患者做临床决策。而在各个决策中患者与家属应该处于什么地位的问题早有争论。除了疾病外患者性别、年龄、家庭、经济、社会地位的个体差异决定了医生决策的不同。患者要真正参与,就必须真正全面知情。关于患者参与多少的问题要因人而异,可能只是提出意愿,可能提出耗资的底线,可能权衡费效比,可能以生活质量为唯一原则。总之,临床决策中患者及其家属的地位因人而异。     

Cross-cultural differences in distributive justice: a comparison of Turkey and the U.S

When allocators make decisions about distributing resources, they face a dilemma if the expectations for consequences that will flow from particular choices are incongruent with each other. For example, a certain allocation choice might be expected to make an allocator appear warm and likable but unfair. Previous research has found that culture can shape these perceptions and, thus, their congruence or incongruence. The present study further investigated these ideas. Differences between Turkish and U.S. students' perceptions of allocators who distributed resources on the basis of merit vs. need were investigated. Results revealed an allocation dilemma among the U.S. but not among the Turkish students. Specifically, the U.S. students perceived greater incongruence among allocation consequences for both merit and need choices than did the students from Turkey for whom perceptions of allocator's fairness were more aligned with perceptions of allocator's warmth.     

Cultural Variations in the Sexual Marketplace: Gender Equality Correlates With More Sexual Activity

ABSTRACT

Sexual economics theory assumes that heterosexual communities can be analyzed as marketplaces in which men offer women resources such as love, respect, money, and commitment in exchange for sex. In response to economic, political, and other disadvantages, women collectively restrict their sexuality to maintain a low supply relative to male demand, thereby ensuring a high price. Hence, we tested the hypothesis that sexual norms and practices would be more restrictive in countries marked by gender inequality than in countries where the genders were more equal. An international online sex survey (N>317,000) yielded four measures of sexual activity, and 37 nations' means on all four measures were correlated with independent (World Economic Forum) ratings of gender equality. Consistent with predictions, relatively high gender equality was associated with more casual sex, more sex partners per capita, younger ages for first sex, and greater tolerance/approval of premarital sex.