OBJECTIVE To determine whether doctors in an Australian tertiary hospital would use an informationist service, and to identify how the service would influence care. DESIGN A prospective uncontrolled pilot study July 2002-January 2003. SETTING A teaching hospital in South Australia. STUDY PARTICIPANTS Fourteen doctors working in the selected units. INTERVENTION An informationist attended...

INTRODUCTION The Trauma Quality Improvement Project has demonstrated significant variations in risk-adjusted mortality rates across the designated trauma centers. It is not known whether the outcome differences are related to provider-level clinical decision making. We hypothesized that centers with good outcomes undertake critical operative interventions aggressively, thereby avoiding complica...

BACKGROUND Women with breast cancer want to participate in treatment decision-making. Guidelines have confirmed the right of informed shared decision-making. However, previous research has shown that the implementation of informed shared decision-making is suboptimal for reasons of limited resources of physicians, power imbalances between patients and physicians and missing evidence-based patie...

Germinal centers (GCs) are distinct microanatomical structures that form in the secondary lymphoid organs of endothermic vertebrates (i.e., mammals and some birds). Within GCs, B cells undergo a Darwinian selection process to identify clones which can respond pathogen insult as well affinity mature cell repertoire. The GC response ultimately generates memory bone marrow plasma facilitate humora...

With the rapid growth of cloud computing developers are being concern about the massive power consumption by the data centers. The huge amount of power consume by the data centers does not only results in high operational cost but also the production of heat and carbon footprints on the environment. Researchers are making efforts to maximize the power efficiency and minimizing energy consumptio...

BACKGROUND Predicting outcome of breast cancer (BC) patients based on sentinel lymph node (SLN) status without axillary lymph node dissection (ALND) is an area of uncertainty. It influences the decision-making for regional nodal irradiation (RNI). The aim of the NORA (NOdal RAdiotherapy) survey was to examine the patterns of RNI. METHODS A web-questionnaire, including several clinical scenari...