BACKGROUND Although research suggests that patients prefer a shared decision making (SDM) experience when making healthcare decisions, clinicians do not routinely implement SDM into their practice and training programs are needed. Using a novel case-based strategy, we developed and pilot tested an online educational program to promote shared decision making (SDM) by primary care clinicians. M...

Objective This scoping review aims to determine the size and scope of the published literature on shared decision-making (SDM) using personal health record (PHR) technology and to map the literature in terms of system design and outcomes. Materials and Methods Literature from Medline, Google Scholar, Cumulative Index to Nursing and Allied Health Literature, Engineering Village, and Web of Sci...

BACKGROUND Despite increasing calls for shared decision making (SDM), the precise mechanisms for its attainment are unclear. Sharing decisions in mental health care may be especially complex. Fluctuations in service user capacity and significant power differences are particular barriers. OBJECTIVE AND DESIGN We trialled a form of facilitated SDM that aimed to generate patients' treatment pref...

BACKGROUND To investigate a possible prognostic significance of interactions between lymph node invasion (LNI), synchronous distant metastases (SDM), and venous invasion (VI) adjusted for mode of detection, Eastern Cooperative Oncology Group performance status (ECOG PS), erythrocyte sedimentation rate (ESR) and tumour size (TS) in 196 patients with renal cell carcinoma treated with radical neph...

1, Department of Prosthodontics and Crown and Bridge, SDM college of dental sciences and hospital,Dharwad,India . 2, Department of General Dentistry, SDM college of dental sciences and hospital,Dharwad,India . 3, Department of Oral Medicine and Radiology, SDM college of dental sciences and hospital,Dharwad,India . 4, Department of Oral Medicine and Radiology, Annoor dental college and hospital,...

BACKGROUND Shared decision making (SDM) requires health professionals to change their practice. Socio-cognitive theories, such as the Theory of Planned Behaviour (TPB), provide the needed theoretical underpinnings for designing behaviour change interventions. OBJECTIVE We systematically reviewed studies that used the TPB to assess SDM behaviours in health professionals to explore how theory i...

Ligand-gated ion channel receptors mediate neuronal inhibition or excitation depending on their ion charge selectivity. An investigation into the determinants of ion charge selectivity of the anion-selective alpha1 homomeric glycine receptor (alpha1 glycine receptor [GlyR]) was undertaken using point mutations to residues lining the extra- and intracellular ends of the ion channel. Five mutant ...

It has been suggested that in certain situations it would make sense to use diierent activation probabilities for writing and reading in SDM (Sparse Distributed Memory). However, here we model such a situation and nd that, at least approximately, it is optimal to use the same probabilities for writing and reading. We also investigate the scaling up of SDM, in connection with some observations m...