BACKGROUND Shared decision making is an important component of patient-centred care and decision aids are tools designed to support patients' decision making and help patients with depression to make informed choices. OBJECTIVE The study aim was to assess the effectiveness of a web-based decision aid for patients with unipolar depression. DESIGN Randomized controlled trial. SETTING AND PA...

The main concern of DCS is reliability. For improving the reliability one way is proper task allocation among the nodes and load balancing is one of the best ways to improve not only reliability but throughput and minimizes execution time. In this paper, we reviewed the concept of load balancing and various mechanisms and finally compared static and dynamic load balancing. The main purpose of t...

Most successful crime prevention efforts take the approach of "designing out crime" through the identification of highly specific crime problems and the development of preventive efforts to reduce them (Clarke, 1992). A study of the design, maintenance and management of "Metro," Washington, DCs subway system, allows for the novel approach of evaluating an effort to design in security at the out...

OBJECTIVES Unresolved clinically significant decisional conflict (CSDC) in patients following a consultation with health professionals is often the result of inadequate patient involvement in decision-making and may result in poor outcomes. We sought to identify the prevalence of CSDC in studies on decision-making in primary care and to explore its risk factors. SETTING We performed a seconda...

Decision making often entails conflict. In many situations, the symptoms of such decisional conflict are conspicuous. This article explores an important and unexamined question: How does observing someone else experiencing decisional conflict impact our own preferences? The authors show that observing others’ emotional conflict and agony over an impending decision makes the observer’s preferenc...

Background: Around 20% of birthing women report high levels of childbirth fear. Fear potentially impacts women’s emotional health, preparation for birth, and birth outcomes. Evidence suggests that personal and external factors contribute to childbirth fear, however results vary. Aim: To identify pyscho-social factors associated with childbirth fear and possible antenatal predictors of childbirt...

BACKGROUND Gender differences in communication styles between clinicians and patients have been postulated to impact patient care, but the extent to which the gender dyad structure impacts outcomes in shared decision making remains unclear. METHODS Participant-level meta-analysis of 775 clinical encounters within 7 randomized trials where decision aids, shared decision making tools, were used...

PURPOSE To evaluate the 21-gene recurrence score (RS) on decision-making in a population-based cohort. PATIENTS AND METHODS Patients with axillary node-negative or nodal micrometastases, estrogen receptor-positive, and human epidermal growth factor receptor 2-negative breast cancer being considered for chemotherapy were eligible. All cancer treatment centers in Ontario, Canada, participated. ...