Browsing by Subject "Surrogate"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    The Association of Surrogate Decision Makers’ Religious and Spiritual Beliefs with End of Life Decisions
    (Elsevier, 2020-02) Torke, Alexia M.; Fitchett, George; Maiko, Saneta; Burke, Emily S.; Slaven, James E.; Newton Watson, Beth; Ivy, Steven; Monahan, Patrick O.; Biostatistics, School of Public Health
    Context: Although religion and spirituality are important to surrogate decision makers, little is known about the role of religion in decision making regarding life-sustaining treatments. Objectives: To determine the relationships between dimensions of religion and spirituality and medical treatment decisions made by surrogates. Methods: This prospective observational study enrolled patient/surrogate dyads from three hospitals in one metropolitan area. Eligible patients were 65 years or older and admitted to the medicine or medical intensive care services. Baseline surveys between hospital days 2 and 10 assessed seven dimensions of religion and spirituality. Chart reviews of the electronic medical record and regional health information exchange six months after enrollment identified the use of life-sustaining treatments and hospice for patients who died. Results: There were 291 patient/surrogate dyads. When adjusting for other religious dimensions, demographic, and illness factors, only surrogates' belief in miracles was significantly associated with a lower surrogate preference for do-not-resuscitate status (adjusted odds ratio [aOR] 0.39; 95% CI 0.19, 0.78). Among patients who died, higher surrogate intrinsic religiosity was associated with lower patient receipt of life-sustaining treatments within the last 30 days (aOR 0.66; 95% CI 0.45, 0.97). Belief in miracles (aOR 0.30; 95% CI 0.10, 0.96) and higher intrinsic religiosity (aOR 0.70; 95% CI 0.53, 0.93) were associated with lower hospice utilization. Conclusion: Few religious variables are associated with end-of-life preferences or treatment. Belief in miracles and intrinsic religiosity may affect treatment and should be identified and explored with surrogates by trained chaplains or other clinicians with appropriate training.
  • Thumbnail Image
    Item
    Radar Characteristics Study for the Development of Surrogate Roadside Objects
    (2018) Lin, Jun; Chien, Stanley Yung-Ping; Christopher, Lauren; Chen, Yaobin
    Driving safety is a very important topic in vehicle development. One of the biggest threat of driving safety is road departure. Many vehicle active safety technologies have been developed to warn and mitigate road departure in recent years. In order to evaluate the performance of road departure warning and mitigation technologies, the standard testing environment need to be developed. The testing environment shall be standardized to provide consistent and repeatable features in various locations worldwide and in various seasons. The testing environment should also be safe to the vehicle under test in case the safety features do not function well. Therefore, soft, durable and reusable surrogates of roadside objects need to be used. Meanwhile, all surrogates should have the same representative characteristics of real roadside objects to di erent automotive sensors (e.g. radar, LIDAR and camera). This thesis describes the study on identifying the radar characteristics of common roadside objects, metal guardrail, grass, and concrete divider, and the development of the required radar characteristics of surrogate objects. The whole process is divided into two steps. The rst step is to nd the proper methods to measure the radar properties of those three roadside objects. The measurement result of each roadside object will be used as the requirement for making its surrogate. The second step is to create the material for developing the surrogate of each roadside object. In the experimental results demonstrate that all three surrogates satisfy their radar characteristics requirements.