378 results
Search Results
2. Development of the national priority assistive product list in Malawi.
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Munthali, Alister C., Ebuenyi, Ikenna D., Jamali, Monica, Kafumba, Juba, Chiyamwaka, Jessie, Chinguo, Dorothy, Smith, Emma M., McAuliffe, Eilish, and Maclachlan, Malcolm
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READING , *PROSTHETICS , *CONSENSUS (Social sciences) , *HUMAN services programs , *DATABASE management , *FOCUS groups , *WHEELCHAIRS , *URINARY incontinence , *MEETINGS , *RESEARCH funding , *QUESTIONNAIRES , *HEARING aids , *ORTHOPEDIC apparatus , *ARTIFICIAL implants , *MEDICAL supplies , *DESCRIPTIVE statistics , *ASSISTIVE technology , *HEALTH planning , *CRUTCHES , *GOVERNMENT programs , *EYEGLASSES , *DIAPERS , *STAKEHOLDER analysis , *DATA analysis software , *MEDICAL needs assessment , *PEOPLE with disabilities , *PATIENTS' attitudes - Abstract
In 2016 WHO launched the priority assistive products list (APL) consisting of 50 products and recommended that using this as a reference, countries should develop their own contextually relevant national APLs. This paper describes the development of Malawi's APL. Two hundred and ninety-six persons with disabilities participated in a rapid Assistive Technology Assessment (rATA) survey. Six focus group discussions (FGDs) with people with various types of disabilities were conducted. The rATA questionnaire and FGDs collected data on assistive products (APs) participants used, APs they needed and the challenges they experienced. Data collection was done in six districts spread across the three regions in Malawi. All age groups were included in the survey. Persons with disabilities aged less than 18 participated but went with their guardians. All persons who participated in this study provided consent. Survey and FGDs results were presented at an APL consensus meeting with policymakers, service providers, disabled peoples' organizations and development partners in the disability sector. Based on the results and further discussions, a consensus was reached on the priority APs for Malawi. More than a third of respondents used wheelchairs (32%), followed by auxiliary crutches (25%), walking sticks (13%), reading glasses (11%), prosthesis (10%), elbow crutches (9%) and orthosis (8%). There is also a high demand for products such as pull-up underwear (incontinence products) (79%), hearing aids (70%), reading glasses (59%) and diapers (63%). After intensive discussions during a consensus meeting, an agreement was reached on the 22 priority APs for Malawi. There is a wide range of APs being used by people with different functional limitations in Malawi. There is also a demand for APs that are not readily available. When developing an APL, the list should include products in use, those in demand, and those recommended by service providers. Following the development of the priority assistive products list (APL) by WHO, member states should develop their own contextually based APL. The development of the APL should be based on research evidence. All key stakeholders including persons with disabilities and other functional limitations, government, and development partners should participate in this process. The APL should be part of the national health system or community services. The Department of Disability and Elderly Affairs in the Ministry of Gender, Community Development, being the Government of Malawi line ministry coordinating disability issues participated actively in this study including inviting participants in the stakeholders' validation workshop. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Psychological Morbidity in the Farming Community: A Literature Review.
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Chiswell, Hannah
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SUICIDE ,ONLINE information services ,PROFESSIONAL peer review ,CONSENSUS (Social sciences) ,AGRICULTURE ,PSYCHOLOGY of agricultural laborers ,SYSTEMATIC reviews ,DISEASES ,COMMUNITIES ,MENTAL health ,HEALTH status indicators ,DESCRIPTIVE statistics ,MEDLINE ,MENTAL illness ,EPIDEMIOLOGICAL research ,RURAL population - Abstract
The mental health of the farming community across industrialised nations has long been a major concern. Using an adapted procedure for a systematic literature review of observational epidemiological studies reporting prevalence (informed by the Joanna Briggs Institute method), this paper reviews peer-reviewed literature that explicitly compares farmer and non-farmer mental health (n = 48). In doing so, it provides a central and accessible evidence base for researchers and practitioners, and simultaneously reveals a stark lack of consensus; specifically, 54.0% of measures deployed to assess farmer mental health determined it to be the same as or even better than non-farming populations. This ambiguity sits in sharp contrast to the unequivocally worrisome farmer suicide statistics. Informed by the literature, the paper discusses potential reasons for this mismatch, including (i) farmers' progression through a different "pathway" to suicide that is not always preceded by mental illness, and (ii) a failure of current methods to accurately gauge the mental health status of farmers. The paper concludes by recommending more research into farmers' "pathway" to suicide, and highlights the need for a dedicated and multi-disciplinary programme of methods research that will afford a more culturally appropriate and effective means of understanding mental health in the farming community. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Synthesis and perspectives from the Ottawa 2022 conference on the assessment of competence.
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Boursicot, Katharine, Kemp, Sandra, Norcini, John, Nadarajah, Vishna Devi, Humphrey-Murto, Susan, Archer, Elize, Williams, Jen, Pyörälä, Eeva, and Möller, Riitta
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CONSENSUS (Social sciences) ,DIVERSITY & inclusion policies ,CONFERENCES & conventions ,MEDICAL personnel ,PROFESSIONAL competence ,MEDICAL education - Abstract
The Ottawa Conference on the Assessment of Competence in Medicine and the Healthcare Professions was first convened in 1985 in Ottawa. Since then, what has become known as the Ottawa conference has been held in various locations around the world every 2 years. It has become an important conference for the community of assessment – including researchers, educators, administrators and leaders – to share contemporary knowledge and develop international standards for assessment in medical and health professions education. The Ottawa 2022 conference was held in Lyon, France, in conjunction with the AMEE 2022 conference. A diverse group of international assessment experts were invited to present a symposium at the AMEE conference to summarise key concepts from the Ottawa conference. This paper was developed from that symposium. This paper summarises key themes and issues that emerged from the Ottawa 2022 conference. It highlights the importance of the consensus statements and discusses challenges for assessment such as issues of equity, diversity, and inclusion, shifts in emphasis to systems of assessment, implications of 'big data' and analytics, and challenges to ensure published research and practice are based on contemporary theories and concepts. [ABSTRACT FROM AUTHOR]
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- 2023
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5. Teaching Medical Students to Reflect More Deeply.
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Hayton, Amy, Kang, Ilho, Wong, Raymond, and Loo, Lawrence K.
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CONSENSUS (Social sciences) ,CRITICAL thinking ,CURRICULUM planning ,HOSPITAL medical staff ,INTERNAL medicine ,MEDICAL students ,REFLECTION (Philosophy) ,STATISTICS ,ADULT education workshops ,EFFECT sizes (Statistics) ,COURSE evaluation (Education) ,INTER-observer reliability - Abstract
The article discusses research on the implementation of an educational workshop on writing of reflection papers as part of the required curriculum for Internal Medicine clerkship. It discusses findings on the increase in the level of deeper critical reflection skills among third year medical students compared to those of students who did not participate in the workshop.
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- 2015
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6. Managing assessment during curriculum change: Ottawa Consensus Statement.
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Hays, Richard B., Wilkinson, Tim, Green-Thompson, Lionel, McCrorie, Peter, Bollela, Valdes, Nadarajah, Vishna Devi, Anderson, M. Brownell, Norcini, John, Samarasekera, Dujeepa D., Boursicot, Katharine, Malau-Aduli, Bunmi S, Mandache, Madalina Elena, and Nadkar, Azhar Adam
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CONSENSUS (Social sciences) , *ACCREDITATION , *MEDICAL education , *COURSE evaluation (Education) , *CURRICULUM planning - Abstract
Curriculum change is relatively frequent in health professional education. Formal, planned curriculum review must be conducted periodically to incorporate new knowledge and skills, changing teaching and learning methods or changing roles and expectations of graduates. Unplanned curriculum evolution arguably happens continually, usually taking the form of "minor" changes that in combination over time may produce a substantially different programme. However, reviewing assessment practices is less likely to be a major consideration during curriculum change, overlooking the potential for unintended consequences for learning. This includes potentially undermining or negating the impact of even well-designed and important curriculum changes. Changes to any component of the curriculum "ecosystem "- graduate outcomes, content, delivery or assessment of learning – should trigger an automatic review of the whole ecosystem to maintain constructive alignment. Consideration of potential impact on assessment is essential to support curriculum change. Powerful contextual drivers of a curriculum include national examinations and programme accreditation, so each assessment programme sits within its own external context. Internal drivers are also important, such as adoption of new learning technologies and learning preferences of students and faculty. Achieving optimal and sustainable outcomes from a curriculum review requires strong governance and support, stakeholder engagement, curriculum and assessment expertise and internal quality assurance processes. This consensus paper provides guidance on managing assessment during curriculum change, building on evidence and the contributions of previous consensus papers. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Optimization consensus analysis for group decision making in view of non-transferable and transferable allocation schemes.
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Meng, Fanyong, Zhao, Dengyu, and Tan, Chunqiao
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GROUP decision making ,CONSENSUS (Social sciences) ,DECISION making ,MULTIPLE criteria decision making ,STATISTICAL decision making - Abstract
Most practical decision-making problems commonly contain several alternatives evaluated by more than one decision maker (DM) according to the built criteria system. It is known as multi-criteria group decision making problems. The decision-making results should be based on highly similar individual opinions to derive the most suitable choice. Nevertheless, the divergence of individual judgments is usually significant due to various subjective and objective reasons. In this case, some DMs need to modify their judgments to derive final results, the consensus adjustment in group decision making. Like supply chain management, the centralized consensus process can minimize individual adjustments under the set consensus condition. Based on the hypothesis of rational humans that individuals always pursue maximum benefits, this paper proposes an iterative consensus process in a centralized environment. According to non-consensus adjustments, the iterative procedure contains non-transferable and transferable two parts. When the non-transferable consensus adjustment procedure is completed, the transferable consensus adjustment procedure is activated using an asymmetrical Nash bargaining game allocation mechanism. Additionally, a case study is provided to demonstrate the efficaciousness and practicality of the new method. Meanwhile, sensitivity and comparison analyses are done. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Group decision-making theories for child and family social work.
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Alfandari, Ravit, Taylor, Brian J., Enosh, Guy, Killick, Campbell, McCafferty, Paul, Mullineux, Judith, Przeperski, Jarosław, Rölver, Michael, and Whittaker, Andrew
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CONSENSUS (Social sciences) ,JUDGMENT (Psychology) ,MATHEMATICAL models ,FAMILIES ,CONCEPTUAL structures ,GROUP decision making ,THEORY ,CHILD welfare ,HEALTH ,INFORMATION resources ,COMMUNICATION ,INTERPERSONAL relations ,SOCIAL case work - Abstract
Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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9. Faith-based organizations and poverty alleviation: a scoping review on definitions and terminology (2010–2021).
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Maes, Sarah, Schrooten, M., Raeymaeckers, P., and Broeckaert, B.
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POVERTY reduction ,CONSENSUS (Social sciences) ,SPIRITUALITY ,SOCIAL support ,SYSTEMATIC reviews ,POVERTY areas ,SOCIAL sciences ,RESEARCH funding ,AT-risk people ,TERMS & phrases ,RELIGIOUS institutions ,LITERATURE reviews ,RELIGION ,GREY literature ,CHURCH buildings ,SOCIAL case work - Abstract
In this paper, we present the results of a scoping review in which we examined the scientific literature (2010–2021) on faith-based organizations (FBOs) working within the field of poverty alleviation, focusing on the way studies define and use the term FBO. Fifty-two relevant studies were identified and included. Our research shows that the term FBOs is primarily used in American studies. Moreover, there is no broad consensus on the exact definition or meaning of the term nor on its scope. Because of this lack of consensus and the inherent shortcomings of the term, we suggest to replace the term FBO by the term "religion-based solidarity initiatives" (RSIs), We define RSIs as: "Initiatives that, from a religious inspiration, aim at organizing collective action for and/or providing support or services to people in vulnerable positions." These initiatives can range from small scale ad hoc initiatives till large scale formal organizations. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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10. A synthesis and appraisal of clinical practice guidelines, consensus statements and Cochrane systematic reviews for the management of focal spasticity in adults and children.
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Williams, Gavin, Singer, Barby J., Ashford, Stephen, Hoare, Brian, Hastings-Ison, Tandy, Fheodoroff, Klemens, Berwick, Steffen, Sutherland, Edwina, and Hill, Bridget
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CONSENSUS (Social sciences) ,META-synthesis ,PATIENT aftercare ,EVALUATION of medical care ,CINAHL database ,SKELETAL muscle ,MEDICAL information storage & retrieval systems ,MEDICAL databases ,INFORMATION storage & retrieval systems ,NEUROLOGY ,SYSTEMATIC reviews ,EXTREMITIES (Anatomy) ,PHYSICAL therapy ,MEDICAL personnel ,PEDIATRICS ,SPASTICITY ,MEDICAL protocols ,PATIENTS' families ,PHYSICAL activity ,RESEARCH funding ,HEALTH care teams ,DECISION making ,DESCRIPTIVE statistics ,PATIENT-professional relations ,MEDLINE ,GOAL (Psychology) ,CHILDREN ,ADULTS - Abstract
To identify and appraise the existing clinical practice guidelines, consensus statements and Cochrane systematic reviews for the management of adult and paediatric focal spasticity to generate a single synthesized guideline. Systematic review of 12 electronic databases. Clinical practice guidelines, consensus statements and Cochrane systematic reviews for focal spasticity in adults and children. Included studies were appraised according to the AGREE II criteria. A total of 25 papers were included in this review, comprising 12 clinical practice guidelines, nine consensus statements and four Cochrane systematic reviews. The areas most strongly endorsed were: (1) management to be provided by a multi-disciplinary team, (2) therapy should be goal-directed, (3) goals to be developed in conjunction with the patient and family, and (4) importance of follow-up evaluations. There was a greater focus on activity outcomes and classification in the paediatric papers. The guidelines varied considerably in their quality, with AGREE II scores ranging from 52.8 to 97.1%. This systematic review has synthesized the key elements regarding principles of focal spasticity management, outcome measures, physical interventions and educational recommendations into a single, readily applied guideline available for clinical use. Despite considerable variability in the quality of the guidelines, several strong themes emerged. Focal spasticity management should be multi-disciplinary, patient-centred and goal-directed. Routine measurement of impairment and activity are strongly endorsed. Botulinum toxin A injection should only be provided as part of an integrated approach to focal spasticity management. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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11. An end of year ethical smorgasbord.
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Stammers, Trevor
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MEDICAL students ,MEDICAL personnel ,CONSENSUS (Social sciences) ,CONSCIENTIOUS objection ,ORGAN donation ,ABORTION - Abstract
Browning and Veit note how, since the presence of sentience in mammals, birds and cephalopods received official scientific recognition in the 2012 I Cambridge Declaration on Consciousness i , animal sentience has been legally recognized in the European Union, UK, New Zealand and parts of Australia. The final paper by Hendricks and Seybold criticizes the still extant practice of unauthorized pelvic examinations (UPEs) on unconscious female patients by medical students as part of their training. In their paper, they 'analyze this shift towards recognition of sentience in the regulation and practice in the treatment of laboratory animals and its effects on animal welfare and use'. [Extracted from the article]
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- 2022
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12. Supporting Consensus Statements: Considerations and Recommendations for a Systematic Review Service.
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Demetres, Michelle R., Wright, Drew N., and Delgado, Diana
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CONSENSUS (Social sciences) ,BIBLIOGRAPHY ,BIBLIOGRAPHICAL citations ,LIBRARIANS - Abstract
Increasingly, a critical eye has been placed on the methodological quality of consensus statements. As expert systematic review (SR) methodologists, librarians are often called on to support consensus statement work. Using the Weill Cornell Medicine Samuel J. Wood Library's SR Service experience as a guide, the aim of this paper is to answer three main questions regarding librarians supporting consensus statement work: (1) What is a consensus statement? (2) What is consensus statement methodology and how does this compare to practice guidelines? (3) What are important and practical points to consider when supporting this kind of request? [ABSTRACT FROM AUTHOR]
- Published
- 2021
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13. Analysing the Assisted Dying Bill [HL] debate 2021.
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Wojtulewicz, Christopher M.
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CONSENSUS (Social sciences) ,PALLIATIVE treatment ,SOCIAL control ,ASSISTED suicide ,COMPASSION - Abstract
This paper considers the number of speeches which treat central topics in the House of Lords second reading of the 'Assisted Dying Bill' (October 22, 2021). It summarizes some of the principal arguments for and against the Bill according to the main categories of discussion. These were compassion; palliative care; autonomy, choice and control; legal and social effects. In summarizing the arguments thematically, it is possible to see the current state of the debate and how concerns are shared on either side, even if approaches to and proposed solutions for those problems are different. The paper concludes that the essential source of disagreement lies outside of the arguments raised, and therefore that any change in the law is not likely to arise from political consensus. [ABSTRACT FROM AUTHOR]
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- 2022
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14. The Sensory Processing Measure – Second Edition: A Critical Review and Appraisal.
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Brown, Ted, Almiento, Luca, Yu, Mong-Lin, and Bhopti, Anoo
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CONSENSUS (Social sciences) , *MULTITRAIT multimethod techniques , *SENSORIMOTOR integration , *RESEARCH methodology evaluation , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *PSYCHOLOGY of movement , *PSYCHOMETRICS , *RESEARCH methodology , *STATISTICAL reliability , *HEALTH outcome assessment , *PEOPLE with disabilities ,RESEARCH evaluation - Abstract
This paper aims to provide an overview and critique of the newly updated Sensory Processing Measure – second edition (SPM-2) to assist clinicians in understanding its strengths and limitations and in selecting an appropriate sensory processing scale that best meets their clients' needs. Using four established research methodological quality critique tools, the SPM-2's family of age-related versions was evaluated by administering the tools separately and discussed their scoring and findings to reach a consensus on all ratings. The tools identified several strengths and weaknesses of the SPM-2. The SPM-2's items on its age-related versions scored well in the criteria of internal consistency, test-retest reliability, explanation of the instrument design, construct validity, content validity, criterion validity and ease of administration, and scoring. However, a lack of normative data for participant groups outside of the United States, methodological limitations, and a lack of investigation into some important psychometric properties, particularly responsiveness, were identified as notable weaknesses of the SPM-2's items on its age-related versions based on the critique criteria. Overall, despite the areas needing further development and investigation, the SPM-2 is considered a psychometrically sound tool that provides a reliable and valid approach to measuring aspects of the sensory processing construct across the lifespan. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Building a Nyoongar work practice model for Aboriginal youth mental health: prioritising trust, culture and spirit, and new ways of working.
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Culbong, Tiana, Crisp, Nikayla, Biedermann, Britta, Lin, Ashleigh, Pearson, Glenn, Eades, Anne-Marie, and Wright, Michael
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CONSENSUS (Social sciences) ,CULTURE ,HEALTH services accessibility ,COMMUNITIES ,MENTAL health ,MEDICAL care research ,CONCEPTUAL structures ,ABORIGINAL Australians ,SOCIAL skills ,STATISTICAL models ,MEDICAL care of indigenous peoples ,MENTAL health services ,DIFFUSION of innovations ,TRUST ,SPIRITUAL care (Medical care) - Abstract
Mainstream youth mental health services struggle to comprehend the connection between colonisation and service provision for Aboriginal young people. This is the consensus agreed by Aboriginal Elders from Perth, Western Australia and young Aboriginal leaders within their communities (Wright, Culbong, Crisp, Biedermann, & Lin (2019). 1–7). What is required is a more nuanced, culturally relevant approach to both an understanding of the impact of colonisation on mental health and help-seeking behaviour if they are to provide equitable access for Aboriginal young people. In this paper, we report on a three-year participatory action research (PAR) project conducted on Whadjuk Nyoongar country in Perth, Western Australia. An innovative model of care framework developed from the project and described in this paper, focuses on key components that both inform and assist service providers in improving service provision to Aboriginal young people. The model, depicted as a tree, symbolises strength and growth, with the 'roots' of the tree, holding trust, culture and spirit. This paper details a culturally-safe co-design process that was held and directed with Elders, in partnership with young people, youth mental health service staff and youth policy staff. [ABSTRACT FROM AUTHOR]
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- 2022
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16. Viewing Readiness-for-Residency through Binoculars: Mapping Competency-Based Assessments to the AAMC's 13 Core Entrustable Professional Activities (EPAs).
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Eliasz, Kinga L., Nick, Michael W., Zabar, Sondra, Buckvar-Keltz, Lynn, Ng, Grace M., Riles, Thomas S., and Kalet, Adina L.
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PSYCHOLOGY of medical students ,NATIONAL competency-based educational tests ,CONSENSUS (Social sciences) ,TASK performance ,SIMULATION methods in education ,UNDERGRADUATES ,INTERNSHIP programs ,CONCEPTUAL structures ,UNDERGRADUATE programs ,OUTCOME-based education ,MEDICAL schools ,INTRACLASS correlation ,CLINICAL competence ,STUDENT attitudes ,MEDICAL education - Abstract
Construct: The construct being assessed is readiness-for-residency of graduating medical students, as measured through two assessment frameworks. Background: Readiness-for-residency of near-graduate medical students should be but is not consistently assessed. To address this, the Association of American Medical Colleges (AAMC), in 2014, identified and described 13 core Entrustable Professional Activities (EPAs), which are tasks that all residents should be able to perform unsupervised upon entering residency. However, the AAMC did not initially provide measurement guidelines or propose standardized assessments. We designed Night-onCall (NOC), an immersive simulation for our near-graduating medical students to assess and address their readiness-for-residency, framed around tasks suggested by the AAMC's core EPAs. In adopting this EPA assessment framework, we began by building upon an established program of competency-based clinical skills assessments, repurposing competency-based checklists to measure components of the EPAs where possible, and designing new checklists, when necessary. This resulted in a blended suite of 14 checklists, which theoretically provide substantive assessment of all 13 core EPAs. In this paper, we describe the consensus-based mapping process conducted to ensure we understood the relationship between competency and EPA-based assessment lenses and could therefore report meaningful feedback on both to transitioning students in the NOC exercise. Approach: Between January-November 2017, five clinician and two non-clinician health professions educators at NYU Grossman School of Medicine conducted a rigorous consensus-based mapping process, which included each rater mapping each of the 310 NOC competency-based checklist items to lists of entrustable behaviors expected of learners according to the AAMC 13 core EPAs. Findings: All EPAs were captured to varying degrees by the 14 NOC checklists (overall Intraclass Correlation Coefficient (ICC) = 0.77). Consensus meetings resolved discrepancies and improved ICC values for three (EPA-9, EPA-10, EPA-12) of the four EPAs that initially showed poor reliability. Conclusions: Findings suggest that with some limitations (e.g., EPA-7 "form clinical questions/retrieve evidence") established competency-based assessments can be repurposed to measure readiness-for-residency through an EPA lens and both can be reported to learners and faculty. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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17. Centralization of rule-making versus embeddedness in the Eurozone.
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Savevska, Maja
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EUROZONE ,CONSENSUS (Social sciences) ,DECENTRALIZATION in management ,FISCAL year ,EMBEDDEDNESS (Socioeconomic theory) - Abstract
A new consensus has emerged which stipulates that the Eurozone problems are caused by a lack of embeddedness of the euro in proper financial and fiscal unions. This paper reviews the debates on the Eurozone's state of disembeddedness and argues that it is not enough to embed the monetary union in scaled-up financial and fiscal unions. For the euro problems to disappear it needs to be embedded in social Europe. The transfer of policy prerogatives at the supranational level does not make the structure embedded, but the substance of the policy measures. From a Polanyian perspective, the extent of the Eurozone dis/embeddedness depends not on the level of centralization of policymaking, but on the interplay between the two forgotten Polanyian principles: improvement and habitation. This paper tries to assess the extent of dis-embeddedness through these two principles. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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18. How do public leaders learn from society? A reflexive analysis of action learners.
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Murphy, Anne, Canel, María José, and Barandiarán, Xabier
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ACTIVE learning ,GROUNDED theory ,ORGANIZATIONAL learning ,CONSENSUS (Social sciences) ,ORGANIZATIONAL change - Abstract
This paper uses action learning as a basis for producing research data that help explore the relationship between learning and listening in public organizations. The regional government of Gipuzkoa in northern Spain is engaged in a sustained effort to change the way it interacts with and interprets the future needs of society. Based on grounded theory and on a review of key concepts about critical action learning, a reflexive analysis of the implementation of the methodology of action learning with policy makers was conducted. The paper explores the learning journey participants undertake when implementing a governmental programme of citizen engagement, and shows that a space for criticality resulted in participants learning to listen to each other, and consequently to society, in ways which had previously been beyond reach. The paper concludes by discussing the learning implications for listening to society. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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19. Expert by Experience Involvement in Mental Health Research: Developing a Wellbeing Brochure for People with Lived Experiences of Mental Illness.
- Author
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Tapsell, Amy, Martin, Kellie M., Moxham, Lorna, Burns, Shawn, Perlman, Dana, and Patterson, Christopher
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ACTION research ,CAMPS ,CONSENSUS (Social sciences) ,CONVALESCENCE ,EXPERIENCE ,FOCUS groups ,RESEARCH methodology ,MENTAL illness ,PSYCHIATRY ,SURVEYS ,TIME ,SOCIAL support ,WELL-being ,THEMATIC analysis ,LIFESTYLES ,HUMAN services programs ,PHYSICAL activity ,RELAXATION techniques ,MINDFULNESS ,DESCRIPTIVE statistics ,SLEEP hygiene - Abstract
This is a process paper that describes the development of a wellbeing brochure, shared between university researchers, a consumer research advocate, and fully informed by people who are living with mental illness (experts by experience). The purpose of this brochure was to provide strategies for maintaining wellbeing for EBEs, after attending a psychosocial intervention. Brochure development was guided by a mixed-methods research design, using a survey and focus group. The findings illustrate five key themes in EBEs strategies for maintaining wellbeing: good sleep hygiene, regular physical activity, maintaining a healthy lifestyle, relaxation techniques and social support. This process paper demonstrates how collaborating with experts by experience represents a valuable approach for developing mental health research and resources. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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20. Society, science and institutionally-embodied higher education reform in nineteenth-century Ireland: the role of mobile, professional elites in fashioning reform.
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McCormack, Christopher F.
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IRISH history -- 19th century ,EDUCATIONAL change ,PUBLIC institutions ,HISTORY of universities & colleges ,NINETEENTH century ,SOCIAL history ,HISTORY of science -- 19th century ,PROFESSIONAL employees ,CONSENSUS (Social sciences) ,HIGHER education ,ELITE (Social sciences) - Abstract
The paper considers the relation between society, science and institutionally-embodied higher education reform in nineteenth-century Ireland. Institutional reform is measured in terms of governance, curriculum, access and teaching practice. Superiorisation, subversion and fusion are identified as characteristics of reformed institutions. Mobile professional elites are viewed as agents of institutional reform. The institutions examined are Trinity College, Mechanics Institutes, the Museum of Irish Industry, Royal College of Science, Queen's Colleges, Catholic University, Royal University, and the National University of Ireland. Historians of education have frequently tended to write commemorative histories of individual institutions. This writer's interest resides less in the institutions per se than in tracing their popular roots and assessing their often strained inter-relationships which qualified their progress and which was conditioned by government's imperative to manage consensus in the changing milieu within which they operated. As such the paper contributes to much-needed research into the university as 'a societal phenomenon'. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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21. Examining the nature of interprofessional practice: An initial framework validation and creation of the InterProfessional Activity Classification Tool (InterPACT).
- Author
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Xyrichis, Andreas, Reeves, Scott, and Zwarenstein, Merrick
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MEDICAL practice ,BUSINESS networks ,CONCEPTUAL structures ,CONFLICT (Psychology) ,CONSENSUS (Social sciences) ,EXPERIMENTAL design ,MEDICAL information storage & retrieval systems ,RESEARCH methodology ,MEDICAL care ,MEDLINE ,TEAMS in the workplace ,SYSTEMATIC reviews ,THEORY ,EMPIRICAL research ,THEMATIC analysis - Abstract
The practice of, and research on interprofessional working in healthcare, commonly referred to as teamwork, has been growing rapidly. This has attracted international policy support flowing from the growing belief that patient safety and quality of care can only be achieved through the collective effort of the multiple professionals caring for a given patient. Despite the increasing policy support, the evidence for effectiveness lags behind: while there are supporting analytic epidemiological studies, few reliable intervention studies have been published and so we have yet to confirm a causal link. We argue that this lag in evidence development may be because interprofessional terms (e.g. teamwork, collaboration) remain conceptually unclear, with no common terminology or definitions, making it difficult to distinguish interventions from each other. In this paper, we examine published studies from the last decade in order to elicit current usage of terms related to interprofessional working; and, in so doing, undertake an initial empirical validation of an existing conceptual framework by mapping its four categories (teamwork, collaboration, coordination and networking) against the descriptions of interprofessional interventions in the included studies. We searched Medline and Embase for papers describing interprofessional interventions using a standard approach. We independently screened papers and classified these under set categories following a thematic approach. Disagreements were resolved through consensus. Twenty papers met our inclusion criteria. Identified interprofessional work interventions fall into a range, from looser to tighter links between members. Definitions are inconsistently and inadequately applied. We found the framework to be a helpful and practical tool for classifying such interventions more consistently. Our analysis enabled us to scrutinise the original dimensions of the framework, confirm their usefulness and consistency, and reveal new sub-categories. We propose a slightly revised typology and a classification tool (InterPACT) for future validation, with four mutually exclusive categories: teamwork, collaboration, coordination and networking. Consistent use, further examination and refinement of the new typology and tool may lead to greater clarity in definition and design of interventions. This should support the development of a reliable and coherent evidence base on interventions to promote interprofessional working in health and social care. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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22. Police: Choreographing demobilisation.
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Mir, Marc Villanueva
- Subjects
POLICE power ,CONSENSUS (Social sciences) ,POLICE ,CHOREOGRAPHY ,POLITICAL movements - Abstract
This paper tackles the politics of social control involved in the task of the police, by approaching police as a state institution that operates through and upon movement, and which seeks to transform the political aspect of movement (which Randy Martin defines as 'mobilization') into social demobilization. I argue that police performance is a choreographed performance, and focus on how police benefit from choreography as a language of control. Following Jacques Rancière's distinction of politics and police, I recognize the biopolitical dimension of police by focusing on how police manufactures social consensus by using choreographed movement to repress spontaneous movement. I draw on Randy Martin and André Lepecki in order to argue that movement plays, therefore, a central role in the performance of police: movement appearing to be both the source of police power and their main target. We must look at the professionalized production of acquiescent patterns of movement as a conscious operation of power aiming for demobilization and for the transformation of public spaces of dialogue and dispute into spaces of mobility and circulation. I engage critically with the well-known paper 'Choreopolice and choreopolitics; or, the task of the dancer' by Lepecki, which defines police as a biopolitical logic of relentless circulation while leaving aside other considerations of police that might as well be informed by the scope of performance research: provided that we consider police a practice of the bodies, what are the body techniques that police deploy? How are they embodied? I build upon Erin Manning ' s concept of ecology of movements to describe the interplay of police officers and protesters as an interface, and to observe how police usually perform on the level of atmosphere distortion in order to overwhelm and disperse protesters. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
23. Polarised social media discourse during COVID-19 pandemic: evidence from YouTube.
- Author
-
Gupta, Samrat, Jain, Gaurav, and Tiwari, Amit Anand
- Subjects
CONSENSUS (Social sciences) ,MEDICAL masks ,COVID-19 ,SOCIAL media ,INTERNET ,SIMULATION methods in education ,CONCEPTUAL structures ,ACCESS to information ,RESEARCH funding ,STAY-at-home orders ,COVID-19 pandemic ,PUBLIC opinion - Abstract
The onset of the COVID-19 pandemic has attracted significant attention on social media platforms as these platforms provide users unparalleled access to 'information' from around the globe. In spite of demographic differences, people have been expressing and shaping their opinions using social media on topics ranging from the plight of migrant workers to vaccine development. However, the social media induced polarisation owing to selective online exposure to information during the COVID-19 pandemic has been a major cause of concern for countries across the world. In this paper, we analyse the temporal dynamics of polarisation in online discourse related to the COVID-19. We use random network theory-based simulation to investigate the evolution of opinion formation in comments posted on different COVID-19-related YouTube videos. Our findings reveal that as the pandemic unfolded, the extent of polarisation in the online discourse increased with time. We validate our experimental model using real-world complex networks and compare consensus formation on these networks with equivalent random networks. This study has several implications as polarisation around socio-cultural issues in crises such as pandemic can exacerbate the social divide. The framework proposed in this study can aid regulatory agencies to take required actions and mitigate social media-induced polarisation. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
24. Fully distributed robust consensus control of multi-agent systems with heterogeneous unknown fractional-order dynamics.
- Author
-
Gong, Ping, Wang, Kun, and Lan, Weiyao
- Subjects
MULTIAGENT systems ,CONSENSUS (Social sciences) - Abstract
This paper investigates the robust consensus control problem of heterogeneous unknown nonlinear fractional-order multi-agent systems (FOMASs) without leader and with multiple leaders of bounded inputs. More specifically, FOMASs with nonidentical unknown coupling nonlinearities and external disturbances are considered in this paper, which takes the first-order MASs as its special case. Based on the σ-modification adaptive control technique, some class of discontinuous robust adaptive control protocols are proposed to solve the leaderless consensus problem and containment consensus problem, respectively. By means of the set-valued maps theory and by artfully choosing Lyapunov function, it is shown that the proposed consensus protocols are user friendly in that they are capable of compensating uncertain coupling nonlinearities, rejecting disturbances, rendering smaller control gains and thus requiring smaller amplitude on the control input while preserving global consensus convergence. All of the proposed robust adaptive consensus protocols are independent of any global and unknown information and thus are fully distributed. Some numerical simulations are provided to validate the correctness of the obtained results. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
25. How did the Washington consensus move within the IMF? Fragmented change from the 1980s to the aftermath of the 2008 crisis.
- Author
-
Kaya, Ayse and Reay, Mike
- Subjects
CONSENSUS (Social sciences) ,CONTENT analysis ,MEETING minutes ,ECONOMIC policy ,INTERNATIONAL organization - Abstract
While the Washington Consensus is one of the most (in)famous economic policy paradigms of recent times, the literature on it still lacks a detailed, diachronic analysis of how it evolved within one of its most important disseminators, the International Monetary Fund (IMF). Such an analysis is important not just for gaining a better empirical sense of the Consensus, but also for illuminating a key question of interest in the study of international organizations: how ideas and institutions change. Toward this end, this paper uses content analysis to explore almost 12,000 IMF documents from 1982–2011, providing a uniquely detailed map of the institution's discourse on the Consensus. It tracks this policy paradigm's constituent parts across three different types of institutional documentation, representing different aspects of the institution's operations: Executive Board meeting minutes, Article IV staff reports, and Working Papers. Using vector autoregression techniques, the paper also examines the relative timing of discursive shifts across these three document types. Through these discussions, the paper advances and shows the relevance of "fragmented" change, where different dimensions of an overall policy paradigm shift at several different speeds, at different points in time, and led by a variety of different institutional activities. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
26. T–S fuzzy model-based adaptive repetitive consensus control for multi-agent systems with imprecise communication topology structure.
- Author
-
Chen, Jiaxi, Li, Junmin, and Zhao, Wenjie
- Subjects
MULTIAGENT systems ,TELECOMMUNICATION systems ,CONSENSUS (Social sciences) ,ENERGY function ,TOPOLOGY ,FUZZY arithmetic - Abstract
This paper studies the consensus problem of multi-agent systems (MAS) with imprecise communication topology structure (ICTS). T–S fuzzy model is used to express the ICTS. Through repeated learning techniques, this paper designs a distributed learning protocol that enables all agents reach consensus with periodic uncertainty parameters. The periodic uncertainty parameters are compensated based on a repetitive learning design method. With the information of leader agent is known to a small portion of following agents, an auxiliary control term is presented for each follower agent to handle leader's dynamic. Under the condition that the ICTS is fuzzy union connected, the learning control protocol proposed in this paper makes all the agents reach an agreement. In addition, the proposed consensus learning protocol is further promoted to solve the formation control problem. Sufficient conditions are given for the consensus and formation problems of the MAS by constructing a composite energy function, respectively. Finally, simulation examples are provided to demonstrate the effectiveness of the proposed control protocol. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
27. Generalised exponential consensus of the fractional-order nonlinear multi-agent systems via event-triggered control.
- Author
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Shi, Min, Hu, Songlin, and Yu, Yajuan
- Subjects
MULTIAGENT systems ,NONLINEAR systems ,CONSENSUS (Social sciences) ,NONLINEAR equations ,COMPUTER simulation - Abstract
In this paper, the leader-following consensus problem of the fractional-order nonlinear multi-agent systems via event-triggered control is considered. An effective event-triggered controller is designed and then generalised exponential consensus of the controlled multi-agent systems is studied in the sense of Mittag-Leffler stability of fractional-order systems. The event-triggering function design is dependent on the parameter of the system structure and the minimum inter-event interval can be flexibly adjusted with different fractional-order α. With the event-triggered control scheme, the consensus condition is obtained and the convergence rate of the system is estimated. Numerical simulation indicates the effectiveness of the theoretical results. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
28. Consensus tracking control with transient performance improvement for a group of unmanned aerial vehicles subject to faults and parameter uncertainty.
- Author
-
Wang, Qishao, Huang, Di, Duan, Zhisheng, and Wang, Jingyao
- Subjects
CONTROL theory (Engineering) ,UNCERTAINTY ,CONSENSUS (Social sciences) ,AUTOMOBILE dynamics ,VERTICALLY rising aircraft ,NETWORK performance - Abstract
This paper considers the consensus tracking synthesised with transient performance improvement problem for a network of unmanned aerial vehicles with faults. In practical situations, the parameter variations, modelling errors and disturbances are of particular interest. Thus, it is assumed that the dynamics of vehicles are subject to parameter uncertainty. As the main contribution of this paper, a set of fault-estimator-based protocols is proposed to drive the overall network performance below the given H
∞ synthesised with transient performance index. Sufficient conditions for designing the protocols which utilise the relative output information among neighbouring vehicles are given by applying the robust control theory. Simulations are performed to validate the proposed results. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
29. Inclusion in global health professions education communities through many lenses.
- Author
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Nadarajah, Vishna Devi, Ramani, Subha, Findyartini, Ardi, Sathivelu, Savithri, and Nadkar, Azhar Adam
- Subjects
HEALTH education ,CONSENSUS (Social sciences) ,ATTITUDES of medical personnel ,MEDICAL personnel ,WORLD health ,PROFESSIONAL identity ,INTERPERSONAL relations ,STUDENT attitudes ,PATIENT care - Abstract
In this paper, we reflect on what inclusion can mean to the global Health Professions Education (HPE) community, the impact of lack of inclusion, and offer suggestions on how to be inclusive. To illustrate the impact of inclusion, we offer perspectives from the lens of a medical student, junior doctor, educators, and educational leaders. The viewpoints offered in this communication can be useful to broaden and nurture inclusive pedagogy and scholarship. Furthermore, since the aim of HPE is high quality patient care and social advocacy, emphasising inclusion in HPE could enhance inclusion in patient care. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
30. Further recommendations of the International Paediatric Brain Injury Society (IPBIS) for the post-acute rehabilitation of children with acquired brain injury.
- Author
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Linden, Mark A., McKinlay, Audrey, Hawley, Carol, Aaro-Jonsson, Catherine, Kristiansen, Ingela, Meyer-Heim, Andreas, Ewing-Cobbs, Linda, Wicks, Beth, Beauchamp, Miriam H., and Prasad, Rajendra
- Subjects
- *
CONSENSUS (Social sciences) , *HEALTH services administration , *PEDIATRICS , *MEDICAL personnel , *MEDICAL protocols , *EXPERTISE , *BRAIN injuries , *INTERNATIONAL agencies , *REHABILITATION for brain injury patients , *GROUP process , *CHILDREN - Abstract
Paediatric acquired brain injury is a life-long condition which impacts on all facets of the individual's lived experience. The existing evidence base continues to expand and new fields of enquiry are established as clinicians and researchers uncover the extent of these impacts. To add to recommendations described in the International Paediatric Brain Injury Society's 2016 paper on post-acute care for children with acquired brain injury and highlight new areas of enquiry. Recommendations were made based on the opinions of a group of experienced international clinicians and researchers who are current or past members of the board of directors of the International Paediatric Brain Injury Society. The importance of each recommendation was agreed upon by means of group consensus. This update gives new consideration to areas of study including injuries which occur in pre-school children, young people in the military, medical referral, young offenders and the use of technology in rehabilitation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
31. Enacting Practices: Perception, Expertise and Enlanguaged Affordances.
- Author
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Gahrn-Andersen, Rasmus
- Subjects
- *
CONSENSUS (Social sciences) , *EXPERTISE , *SOCIAL perception - Abstract
The paper thematizes basic content-free cognition in human social practices. It explores the enlanguaged dimension of skilled practical doings and expertise by taking the minimal case of concept-based perception as its starting point. Having made a case for considering such activity as free of mental content, I argue in favor of the abolishment of the distinction between truth-telling and social consensus, thus questioning the assumption held by proponents of Radical Enactivism, namely that truth and accuracy conditions are restricted to content-involving activity. Instead, I claim, even content-free practical activity can be evaluated on the basis of accuracy conditions which ultimately tie with agents' practical understandings and the normative aspects of the practice. With this as my backdrop, I explore how expertise arises in the interplay of enlanguaged affordances, concept-involving perception and the normative accuracy conditions that constrain a particular practice. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
32. An ICF-based assessment schedule to facilitate the assessment and reporting of functioning in manual medicine – low back pain as a case in point.
- Author
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Selb, Melissa, Nicol, Richard, Hartvigsen, Jan, Segerer, Wolfgang, and Côté, Pierre
- Subjects
LUMBAR pain ,CONSENSUS (Social sciences) ,NOSOLOGY ,FUNCTIONAL assessment ,QUALITATIVE research ,MANIPULATION therapy ,COMMUNICATION ,DESCRIPTIVE statistics ,RESEARCH funding - Abstract
This paper outlines the first steps toward developing the ICF-based assessment schedule for manual medicine with a focus on low back pain (LBP). It reports on the results of a consensus process to develop the default and optional versions of the set of ICF categories (ManMed Set) the assessment schedule should cover, and gives insight in expert input toward building a toolbox of instruments for assessing the ManMed Set categories. A scoping review and qualitative study were conducted, each resulting in a list of ICF categories. These categories, along with the categories of the ICF Generic-30 Set, Comprehensive ICF Core Set for LBP, and from an existing Delphi study, served as the starting point for an established consensus process to decide on the ManMed Set. After alternating plenary and working group sessions, an iterative ranking process and cut-off calculation, the multi-professional and international group of 20 experts in manual medicine included 23 categories in the default ManMed version (16 + the ICF Generic-7 Set categories) and 25 in the optional version. Their development is a major step toward developing an assessment schedule that can be employed in standardizing the assessment and reporting of functioning in manual medicine, initially of LBP patients. The ICF assessment schedule for manual medicine has potential use in supporting rehabilitation practice, such as for planning interventions, defining rehabilitation goals, and measuring and documenting functioning outcomes. It can be used to promote interdisciplinary coordination of care and facilitate communication between members of a multidisciplinary rehabilitation team within manual medicine and beyond. The ICF assessment schedule for manual medicine can facilitate rehabilitation and manual medicine research by providing evidence for optimizing rehabilitation practice. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
33. Tokophobia and fear of birth: a workshop consensus statement on current issues and recommendations for future research.
- Author
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Jomeen, J., Martin, C. R., Jones, C., Marshall, C., Ayers, S., Burt, K., Frodsham, L., Horsch, A., Midwinter, D., O'Connell, M., Shakespeare, J., Sheen, K., and Thomson, G.
- Subjects
CHILDBIRTH ,CONSENSUS (Social sciences) ,EXPERTISE ,FEAR ,MEDICAL personnel ,PHOBIAS ,ADULT education workshops ,EVIDENCE-based medicine ,DISEASE prevalence - Abstract
Objective: To discuss and develop a statement on the current state of the evidence and opinion in Fear of Childbirth (FoC) and Tokophobia (Tocophobia), and to provide recommendations. Background: A group met in 2019 to discuss the state of clinical and academic knowledge relating to FoC/Tokophobia. Five key areas were agreed as the focus of the meeting. Methods: 12 internationally acknowledged experts, in this or a closely related area (e.g. PTSD) met to discuss their understanding of the evidence for FoC/ Tokophobia and current practice. The consensus described in this paper constitutes the expression of the general opinion of the participants and does not necessarily imply unanimity. Keys points: Work focussed on tokophobia is recent and there remains a wide range of issues, which were addressed in the workshop including complexity in defining prevalence, a theoretical lack of understanding, which creates challenge for robust assessment and the identification of risk factors. An improved aetiological and developmental understanding of the tokophobia is required to underpin appropriate, effective and evidence-based interventions. Evaluation of pathways of care and relevant interventions, should be a focus of future research. Conclusion: Significant gaps remain within the FoC/tokophobia knowledge base. Further research is necessary. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
34. Performance assessment: Consensus statement and recommendations from the 2020 Ottawa Conference.
- Author
-
Boursicot, Katharine, Kemp, Sandra, Wilkinson, Tim, Findyartini, Ardi, Canning, Claire, Cilliers, Francois, and Fuller, Richard
- Subjects
CLINICAL competence ,CONFERENCES & conventions ,CONSENSUS (Social sciences) ,SERIAL publications ,NATIONAL competency-based educational tests - Abstract
In 2011 the Consensus Statement on Performance Assessment was published in Medical Teacher. That paper was commissioned by AMEE (Association for Medical Education in Europe) as part of the series of Consensus Statements following the 2010 Ottawa Conference. In 2019, it was recommended that a working group be reconvened to review and consider developments in performance assessment since the 2011 publication. Following review of the original recommendations in the 2011 paper and shifts in the field across the past 10 years, the group identified areas of consensus and yet to be resolved issues for performance assessment. This paper addresses developments in performance assessment since 2011, reiterates relevant aspects of the 2011 paper, and summarises contemporary best practice recommendations for OSCEs and WBAs, fit-for-purpose methods for performance assessment in the health professions. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
35. Building consensus: shifting strategies in the territorial targeting of Turkey's public transport investment.
- Author
-
Luca, Davide and Rodríguez-Pose, Andrés
- Subjects
CONSENSUS (Social sciences) ,PUBLIC transit ,INVESTMENTS ,RURAL development ,PROPORTIONAL representation - Abstract
A growing amount of research explores how the allocation of regional development monies follows electoral reasons. Yet, the existing literature on distributive politics provides different and contrasting expectations on which geographical areas will be targeted. The paper focuses on proportional representation (PR) systems. While in such settings governments have incentives to target core districts and punish foes, it is suggested that when incumbents attempt to build a state–party image they may broaden the territorial allocation of benefits and even target opposition out-groups. The paper exploits data on Turkey's public transport investment for the period 2003–14 and in-depth interviews to provide results in support of the hypothesis. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
36. The terminology of clinical reasoning in health professions education: Implications and considerations.
- Author
-
Young, Meredith, Thomas, Aliki, Gordon, David, Gruppen, Larry, Lubarsky, Stuart, Rencic, Joseph, Ballard, Tiffany, Holmboe, Eric, Da Silva, Ana, Ratcliffe, Temple, Schuwirth, Lambert, and Durning, Steven J.
- Subjects
CONSENSUS (Social sciences) ,LANGUAGE & languages ,MEDICAL education ,TEAMS in the workplace ,EVIDENCE-based medicine ,TEACHING methods ,CLINICAL education - Abstract
Introduction: Clinical reasoning is considered to be at the core of health practice. Here, we report on the diversity and inferred meanings of the terms used to refer to clinical reasoning and consider implications for teaching and assessment. Methods: In the context of a Best Evidence Medical Education (BEME) review of 625 papers drawn from 18 health professions, we identified 110 terms for clinical reasoning. We focus on iterative categorization of these terms across three phases of coding and considerations for how terminology influences educational practices. Results: Following iterative coding with 5 team members, consensus was possible for 74, majority coding was possible for 16, and full team disagreement existed for 20 terms. Categories of terms included: purpose/goal of reasoning, outcome of reasoning, reasoning performance, reasoning processes, reasoning skills, and context of reasoning. Discussion: Findings suggest that terms used in reference to clinical reasoning are non-synonymous, not uniformly understood, and the level of agreement differed across terms. If the language we use to describe, to teach, or to assess clinical reasoning is not similarly understood across clinical teachers, program directors, and learners, this could lead to confusion regarding what the educational or assessment targets are for "clinical reasoning." [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
37. What counts? A Delphi consensus-based approach to interpreting accreditation standards for Direct Client Activities in clinical psychology and clinical neuropsychology programs.
- Author
-
Anderson, Rebecca A., Gooi, Chien Hoong, Oxenham, Vincent, Player, Michelle, Grimsgaard, Cathrine, Collison, James, Kambouropoulos, Alexa, and Moses, Karen
- Subjects
- *
CONSENSUS (Social sciences) , *COGNITION disorders , *NEUROPSYCHOLOGY , *ACCREDITATION , *HOSPITAL medical staff , *CLINICAL psychology , *BENCHMARKING (Management) , *CLINICAL competence , *ANXIETY , *SUPERVISION of employees , *DELPHI method - Abstract
Despite operating from the same professional accreditation standards, discrepancies in what is recorded as Direct Client Activities (DCA) in postgraduate psychology trainee logbooks have been noted across training programs in Australia. The aim of this study was to create a consensus-based list of DCA to guide the completion of trainee logbooks while undertaking practicums in clinical psychology or clinical neuropsychology. A modified Delphi approach was used to gather data across three rounds. Two expert panels, representing the two areas of practice endorsement (AoPEs), rated the degree to which they agreed or disagreed with a range of activities being recorded as DCA in trainee logbooks. Activities with over 80% agreement or disagreement during any round were accepted or rejected from the final list, respectively. Sixteen activities for clinical psychology and 30 activities for clinical neuropsychology were endorsed by the expert panels. Only nine activities across the two panels did not reach consensus over the three rounds. This study has created a list of consensus activities within these two AoPEs which will facilitate benchmarking activities, and reduce confusion and anxiety for trainees, supervisors, and placement coordinators. Discrepancies do, however, remain across the AoPEs, warranting further clarification and definition refinement. What is already known about this topic: Logbooks are a key strategy in ensuring individual trainees and postgraduate training programs are meeting minimum standards set by accrediting bodies. Although required by the Australian Psychology Accreditation Council (APAC) to be recorded in trainee logbooks, there is a lack of consensus across Australian postgraduate psychology program providers as to what constitutes "Direct Client Activities". Inconsistent logging practices prevents benchmarking and creates confusion and anxiety for trainees, supervisors, and placement coordinators. What this topic adds: This paper was the first, to our knowledge, to obtain expert consensus on trainee Direct Client Activities for logbook recording within the clinical psychology and clinical neuropsychology areas of practice endorsement. The list provides greater certainty for "what counts" as Direct Client Activities for logbook recording within these two areas of practice endorsement, with 16 clinical psychology and 30 clinical neuropsychology activities endorsed. There is a need to better clarify the rationale and principles for recording Direct Client Activities across areas of practice endorsement, to inform ongoing practices in these areas. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
38. What motivates urban climate leaders? A study of urban climate governance in eight Swedish municipalities.
- Author
-
Lindvall, Daniel
- Subjects
- *
URBAN climatology , *CONSENSUS (Social sciences) , *CITIES & towns , *URBAN studies , *CLIMATE change mitigation - Abstract
This paper explores the motivations behind urban climate governance in eight Swedish municipalities. The study demonstrates that political consensus among, and willingness of, urban political leaders is of importance for motivating climate actions. Municipalities are moreover motivated by the accomplishments of other cities, national and subnational policies, and an increasing climate concern in society. In line with previous research, individual policy entrepreneurs have been important for local climate action; however, with the adoption of national and subnational policies, local climate policies are becoming increasingly institutionalised. Although some of the conclusions of the study confirm the significance of a polycentric governance approach, little relevance was attributed to citizen participation. The institutionalisation of urban climate governance deserves further attention so as to better understand how the dynamics of polycentric governance can be affected, and what implications this may have on climate policy-making process, and the engagement and support of urban residents. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
39. Semantic impairment in aphasia: A problem of control?
- Author
-
Tessaro, Bruna, Hameau, Solène, Salis, Christos, and Nickels, Lyndsey
- Subjects
SEMANTICS ,EXECUTIVE function ,CONSENSUS (Social sciences) ,LINGUISTICS ,COGNITION ,APHASIA ,SHORT-term memory ,ATTENTION ,ACHIEVEMENT tests ,LANGUAGE disorders ,PROMPTS (Psychology) ,DISEASE complications - Abstract
The relationship between cognitive processes and language ability in aphasia has recently gained increasing attention, with some authors suggesting that control impairments may underlie difficulties with semantic tasks in aphasia. This paper aims to present an overview of the current research on the involvement of cognitive processes in semantic processing tasks and discuss the proposed relationship between cognitive control and semantic processing in aphasia. The role of cognitive processes in semantic processing tasks commonly used in the aphasiology literature is discussed and two theoretical approaches to semantic processing that contribute to the understanding of the nature of semantic breakdown in aphasia are outlined. Finally, we examine the evidence put forward in the Controlled Semantic Cognition framework with regard to the interpretation of impaired performance on semantic processing tasks in people with aphasia. Non-linguistic cognitive abilities such as working memory, inhibition and control are required by semantic processing tasks, in addition to access to conceptual information, making it difficult to dissociate these abilities. Several issues exist regarding the evidence put forward for a control deficit as the underlying cause of poor performance on semantic processing tasks in aphasia. It remains unclear whether impairment on semantic tasks in people with aphasia is related to problems with the representation and/or processing (activation/retrieval) of meaning or problems with cognitive control (or both). Further research is still needed to fully understand how non-linguistic cognitive processes interact with semantic processing, as well as clarify and consistency the definition of control. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
40. Towards a unified approach to research on democratic backsliding.
- Author
-
Jee, Haemin, Lueders, Hans, and Myrick, Rachel
- Subjects
DEMOCRACY ,CONSENSUS (Social sciences) ,VOTERS ,PRACTICAL politics ,POLITICAL systems - Abstract
A growing literature examines democratic backsliding, but there is little consensus on when, where, and why it occurs. Reviewing more than 100 recent articles and working papers, this research note argues that inattention to the measurement of backsliding and the underlying concept of democracy drives this disagreement. We propose three remedies. First, we outline several questions that help researchers navigate common measurement challenges. Second, we argue that conceptual confusion around backsliding is driven in large part by inconsistent definitions of democracy. We show how outlining a comprehensive concept of democracy enables researchers to better account for the diversity of instances of democratic backsliding. Our third contribution is drawing attention to a previously overlooked form of backsliding: when governments lose the effective power to govern or voters and elites increasingly disagree about truths and facts. The research note urges scholars to pay closer attention to the conceptualization and measurement of backsliding prior to empirical analysis. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
41. How Voting and Consensus Created the Diagnostic and Statistical Manual of Mental Disorders (DSM-III).
- Author
-
Davies, James
- Subjects
CONSENSUS (Social sciences) ,INTERVIEWING ,MENTAL illness ,CLASSIFICATION of mental disorders ,PSYCHIATRY ,PSYCHOMETRICS ,RESEARCH funding ,VOTING - Abstract
This paper examines how Task Force votes were central to the development of Diagnostic and Statistical Manual of Mental Disorders (DSM-III and DSM-III-R). Data were obtained through a literature review, investigation of DSM archival material housed at the American Psychiatric Association (APA), and interviews with key Task Force members of DSM-III and DSM-III-R. Such data indicate that Task Force votes played a central role in the making of DSM-III, from establishing diagnostic criteria and diagnostic definitions to settling questions about the inclusion or removal of diagnostic categories. The paper concludes that while the APA represented DSM-III, and the return to descriptive psychiatry it inaugurated, as a triumph of empirically based decision-making, the evidence presented here fails to support that view. Since the DSM is a cumulative project, and as DSM-III lives on through subsequent editions, this paper calls for a more socio-historically informed understanding of DSM's construction to be deployed in how the DSM is taught and implemented in training and clinical settings. [ABSTRACT FROM PUBLISHER]
- Published
- 2017
- Full Text
- View/download PDF
42. Novel distributed robust adaptive consensus protocols for linear multi-agent systems with directed graphs and external disturbances.
- Author
-
Lv, Yuezu, Li, Zhongkui, Duan, Zhisheng, and Feng, Gang
- Subjects
COOPERATIVE control systems ,CONSENSUS (Social sciences) ,MULTIAGENT systems ,ROBUST control ,ADAPTIVE control systems - Abstract
This paper addresses the distributed consensus protocol design problem for linear multi-agent systems with directed graphs and external unmatched disturbances. Novel distributed adaptive consensus protocols are proposed to achieve leader–follower consensus for any directed graph containing a directed spanning tree with the leader as the root node and leaderless consensus for strongly connected directed graphs. It is pointed out that the adaptive protocols involve undesirable parameter drift phenomenon when bounded external disturbances exist. By using the σ modification technique, distributed robust adaptive consensus protocols are designed to guarantee the ultimate boundedness of both the consensus error and the adaptive coupling weights in the presence of external disturbances. All the adaptive protocols in this paper are fully distributed, relying on only the agent dynamics and the relative states of neighbouring agents. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
43. Urban Renewal and Public Participation in Sydney: Unpacking Social Media Strategies and Use for Contesting Consensus.
- Author
-
Williamson, Wayne and Ruming, Kristian
- Subjects
URBAN renewal ,SOCIAL media ,HYACINTHOIDES ,MASS media use ,CONSENSUS (Social sciences) ,PRODUCTION planning ,PARTICIPATION - Abstract
Copyright of Urban Policy & Research is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
44. Non-technical skills assessments in undergraduate medical education: A focused BEME systematic review: BEME Guide No. 54.
- Author
-
Gordon, Morris, Farnan, Jeanne, Grafton-Clarke, Ciaran, Ahmed, Ridwaan, Gurbutt, Dawne, McLachlan, John, and Daniel, Michelle
- Subjects
CONCEPTUAL structures ,CONSENSUS (Social sciences) ,CONTENT analysis ,EXPERIMENTAL design ,HEALTH education ,RESEARCH methodology ,MEDICAL education ,MEDICAL students ,PSYCHOMETRICS ,QUALITY assurance ,QUESTIONNAIRES ,RESEARCH evaluation ,SYSTEMATIC reviews ,THEMATIC analysis ,NATIONAL competency-based educational tests ,UNDERGRADUATES ,RESEARCH methodology evaluation - Abstract
Consensus on how to assess non-technical skills is lacking. This systematic review aimed to evaluate the evidence regarding non-technical skills assessments in undergraduate medical education, to describe the tools used, learning outcomes and the validity, reliability and psychometrics of the instruments. A standardized search of online databases was conducted and consensus reached on included studies. Data extraction, quality assessment, and content analysis were conducted per Best Evidence in Medical Education guidelines. Nine papers met the inclusion criteria. Assessment methods broadly fell into three categories: simulated clinical scenarios, objective structured clinical examinations, and questionnaires or written assessments. Tools to assess non-technical skills were often developed locally, without reference to conceptual frameworks. Consequently, the tools were rarely validated, limiting dissemination and replication. There were clear themes in content and broad categories in methods of assessments employed. The quality of this evidence was poor due to lack of theoretical underpinning, with most assessments not part of normal process, but rather produced as a specific outcome measure for a teaching-based study. While the current literature forms a good starting position for educators developing materials, there is a need for future work to address these weaknesses as such tools are required across health education. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
45. Finite-time consensus tracking for multi-agent systems with inherent uncertainties and disturbances.
- Author
-
Niu, Xinglong, Liu, Yungang, and Man, Yongchao
- Subjects
MULTIAGENT systems ,UNCERTAINTY (Information theory) ,CONSENSUS (Social sciences) ,TRACKING control systems ,DIRECTED graphs ,NONLINEAR systems - Abstract
In this paper, finite-time consensus tracking is investigated via time-varying feedback for uncertain nonlinear multi-agent systems (NMASs). The presence of inherent uncertainties and disturbances in the NMASs highlights the main novelty : (1) The inherent uncertainties imply that more serious unknowns and time-variations are allowed in the nonlineartities and the control coefficients of the NMASs. (2) The inherent disturbances mean that the upper bound of the disturbances is unknown. To compensate the inherent uncertainties and disturbances, time-varying protocols are proposed by integrating time-varying technique and sliding mode method. Based on the proposed protocols, the finite-time leader-following consensus and finite-time containment are achieved under directed graph. Finally, the validation of the proposed protocols is verified by two examples. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
46. Cooperative adaptive consensus tracking for multiple nonholonomic mobile robots.
- Author
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Liu, Lixia, Yu, Jinwei, Ji, Jinchen, Miao, Zhonghua, and Zhou, Jin
- Subjects
TRACKING control systems ,CLOSED loop systems ,MOBILE robots ,NONHOLONOMIC dynamical systems ,CONSENSUS (Social sciences) ,GRAPH theory ,TRACKING algorithms - Abstract
This paper addresses the cooperative adaptive consensus tracking for a group of multiple nonholonomic mobile robots, where the nonholonomic robot model is assumed to be a canonical vehicle having two actuated wheels and one passive wheel. By integrating a kinematic controller and a torque controller for the nonholonomic robotic system, a cooperative adaptive consensus tracking strategy is developed for the uncertain dynamic models using Lyapunov-like analysis in combination with backstepping approach and sliding mode technique. A key feature of the developed adaptive consensus tracking algorithm is the introduction of a directed network topology into the control constraints based on algebraic graph theory to characterise the communication interaction among robots, which plays an important role in realising the cooperative consensus tracking with respect to a specific common reference trajectory. Furthermore, a novel framework is proposed for developing a unified methodology for the convergence analysis of the closed-loop control systems, which can fully ensure the desired adaptive consensus tracking for multiple nonholonomic mobile robots. Subsequently, illustrative examples and numerical simulations are provided to demonstrate and visualise the theoretical results. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
47. Asynchronous sampled-data consensus of singular multi-agent systems based on event-triggered strategy.
- Author
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Liu, Lili, Zhu, Shihua, and Wu, Baowei
- Subjects
MULTIAGENT systems ,MATRIX inequalities ,LINEAR matrix inequalities ,CONSENSUS (Social sciences) - Abstract
This paper is concerned with sampled-data consensus for multi-agent systems with singular dynamics. It is assumed that the sampling period of each agent is independent of the other's. Based on event-triggered sampled-data transmission strategy, a distributed consensus protocol is presented. The consensus of singular multi-agent system is transformed into the stability of singular systems with multiple time-varying delays. By employing the Lyapunov-Krasovskii functional method, a sufficient condition on the consensus of multi-agent singular system is derived. Based on the obtained condition, an algorithm to design consensus controller gains is presented in terms of linear matrix inequalities. Two numerical examples are given to show the effectiveness of the proposed method. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
48. Consensus of double-integrator multi-agent systems without relative states derivative under relative-state dependent measurement noises*.
- Author
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Djaidja, Sabir and Wu, Qinghe
- Subjects
MULTIAGENT systems ,RELATIVE velocity ,NOISE measurement ,CONSENSUS (Social sciences) ,VELOCITY - Abstract
This paper proposes a consensus protocol for continuous-time double-integrator multi-agent systems under noisy communication in directed topologies. Each agent's control input relies on its own velocity and the relative positions with neighbours; it does not require the relative velocities. The agent receives its neighbours' positions information corrupted by time-varying measurement noises whose intensities are proportional to the absolute relative distance that separates the agent from the neighbours. The consensus protocol is mainly based on the velocity damping gain to derive conditions under which the unbiased mean square χ-consensus is achieved in directed fixed topologies, and the unbiased mean square average consensus is achieved in directed switching topologies. The mean square state errors are quantified for both the positions and velocities. Finally, to illustrate the approach presented, some numerical simulations are performed. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
49. Multi-agent system finite-time consensus control in the presence of disturbance and input saturation by using of adaptive terminal sliding mode method.
- Author
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Mirabdollahi, S. E., Haeri, M., and Niu, Yugang
- Subjects
MULTIAGENT systems ,SLIDING mode control ,CONSENSUS (Social sciences) - Abstract
The paper develops finite-time consensus control for multi-agent systems by considering disturbances and input saturation. A new adaptive-terminal sliding mode control is suggested to solve consensus control within a finite time. Two cases are solved in the paper. In the first case, it is assumed that disturbances are with known upper. To achieve the consensus purpose within the finite time, in this case, the control inputs are designed based on terminal sliding mode technique by considering the input signal saturation. Also, the control inputs are modified to reduce the high dependency of reaching times to initial speeds. In the second case, the agents are subjected to disturbances with unknown upper bounds. To handle the problem, the control signals are acquired by combining the adaptive and terminal sliding mode methods. By considering saturation boundary and disturbances with unknown upper band, a new adaptive-terminal sliding mode method is designed to control the multi-agent system in reduced settling and reaching times. The proposed techniques efficiency is confirmed by numerical simulations. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
50. Determining consensus thresholds for group decision making with preference relations.
- Author
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Wang, Hai, Liao, Huchang, Huang, Bing, and Xu, Zeshui
- Subjects
GROUP decision making ,CONSENSUS (Social sciences) ,EXPECTED returns ,DECISION making - Abstract
Consensus thresholds play a significant role in consensus checking and reaching in group decision-making problems. The existing studies contribute very few guidelines and leave the task of determining consensus thresholds to decision makers. This paper presents an effective process to determine the thresholds in the setting of group decision-making with preference relations (PRs). The process employs a concept called random consensus indices which refer to the expected values of consensus indices of randomly generated PRs. Instead of determining the thresholds directly, decision makers are only required to express that, to what extent, the information provided by the authorized experts should be better than the random case. From the view of decision makers, the process is independent to specific consensus measures and thus could be applied easily. The process is implemented with different types of PRs and discussed in distinct situations. Besides, for the applications of frequently considered scenarios, the values of random consensus indices are provided and the consensus thresholds are recommended. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
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