BACKGROUND To measure and compare the extent to which shared a decision making (SDM) process is implemented both in psychiatric outpatient clinical encounters and in the primary care setting from the patient's perspective. METHODS A total of 1,477 patients recruited from the Canary Islands Health Service mental health and primary care departments were invited to complete the nine-item Shared ...

introduCtion: In shared decision-making (SDM) clinicians and patients arrive at a joint treatment decision, by incorporating best available evidence and the patients’ personal values and preferences. Little is known about the role of SDM in (paediatric) plastic surgery. For patients with congenital vascular malformations, many therapeutic options exist, ranging from surgery to compression stock...

Space division multiplexing (SDM) utilizing few-mode fibers or multicore fibers supporting multiple spatial channels, is currently under intense investigation as an efficient approach to overcome the current capacity limit of high-speed longhaul transmission systems based on single mode optical fibers. In order to realize the potential energy and cost savings offered by SDM systems, the individ...

BACKGROUND Patient centred communication (PCC) has been described as a method for doctor-patient communication. The principles of shared decision making (SDM) have been proposed more recently. AIMS This study aimed to examine PCC and SDM empirically with respect to their mutual association, the variation in practitioners' working styles, and the associations with patient characteristics. ME...

Most shared decision-making (SDM) models within healthcare have been limited to the patient-physician dyad. As a first step towards promoting an interprofessional approach to SDM in primary care, this article reports how an interprofessional and interdisciplinary group developed and achieved consensus on a new interprofessional SDM model. The key concepts within published reviews of SDM models ...

سابقه و هدف: امروزه صنعتی شدن توسعه شهرنشینی باعث آلودگی هوا در اکثر کلان‌شهرهای جهان شده است سالانه میلیون­ ها نفر به ­علت جان خود را از دست می­ دهند. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﺤﺪود ﺑﻮدن ﺷﺒﻜﻪ اﻳﺴﺘﮕﺎه‌ﻫﺎى ﭘﺎﻳﺶ آﻻﻳﻨﺪه‌ﻫﺎى ﻫﻮا ﻏﻴﺮ اﻗﺘﺼﺎدى اﻓﺰاﻳﺶ ﺗﻌﺪاد این اﻳﺴــﺘﮕﺎه‌ﻫا سطح شهرها، دﺳﺖ‌ﻳﺎﺑﻰ ﭘﻮﺷــﺶ ﻣﻜﺎﻧﻰ زﻣﺎﻧﻰ ﻣﻨﺎﺳــﺐ برای ﻧﺸﺎن دادن ﺗﻐﻴﻴﺮات ﻏﻠﻈﺖ ذرات آلاینده ﺑﺴﻴﺎر دﺷﻮار اﺳﺖ. بر اساس پژوهش حاضر با هدف تهیه نقشه ­ها...

This paper discusses a method for finding near-optimal build orientations for shape deposition manufacturing (SDM). SDM is a solid freeform fabrication process that allows the creation of complex shaped parts by the iterative application of numerically controlled material deposition and milling operations. The part build time in SDM process depends on the number of layers. And the number of lay...

Background This study introduced the Standard Days MethodTM (SDM), a fertility awareness-based method of family planning, to couples in a region of Istanbul, Turkey who were using a method of low effectiveness or no family planning method. The objective was to determine potential demand for, and satisfaction with, the SDM. Methods A total of 657 couples were selected by systematic sampling and ...