WRONG DECISION MAKING CAN RARELY LEAD TO CORRECT MANAGEMENT- A MISBEHAVING TALE OF SUBCUTANEOUS ICD

Subcutaneous ICD lead position affects defibrillation threshold

Introduction Subcutaneous implantable cardioverter-defibrillators (S-ICD) provide an alternative to traditional transvenous implantable cardioverter-defibrillators (TV-ICD) and avoid complications associated with intravascular access and leads. They are highly effective in detecting and treating ventricular arrhythmias, with comparable inappropriate shock rates. Use of S-ICD is anticipated to i...

Making decisions that matter How improving executive decision-making can lead to better business outcomes

A fuzzy group decision making approach to construction project risk management

Implementation of the risk management concepts into construction practice may enhance the performance of project by taking appropriate response actions against identified risks. This research proposes a multi-criteria group decision making approach for the evaluation of different alternative response scenarios. To take into account the uncertainties inherent in evaluation process, fuzzy logic i...

Communicating uncertainty can lead to less decision satisfaction: a necessary cost of involving patients in shared decision making?

BACKGROUND Given the large number of interventions of uncertain effectiveness, research on communicating uncertainty is needed to examine its impact on patients' health decisions. OBJECTIVE To examine physicians' communication of uncertainty and its impact on patients' decisions and decision satisfaction. DESIGN, SETTING, AND PARTICIPANTS Participants included female patients seen in a brea...

Pnm-12: Can Stress Lead to Infertility?

Background: The role that stress plays in infertility remains controversial and despite medical advances a large percentage of infertility remains unexplained. Clinicians and researchers consistently report that infertile women view infertility and its treatment as extremely stressful. Basic science has elucidated the linkages between the hypothalamic-pituitary axis (HPA) and hypothalamic-pitui...