Chronic diseases are the major cause of death and disability worldwide. Healthcare systems are reforming themselves to improve the health of people with, or at risk of developing, chronic diseases. One of the major goals of these health reforms is to provide both selfmanagement support and decision support to patients so that they become involved and informed [1]. “Shared decision making” (SDM)...

Transformations are a key technology in model driven software engineering since they are used to implement refinements for platform independence, restructurings for software migration and weavings for aspect composition. By considering transformations as models, one can develop transformations in the same paradigm as conventional applications. In this paper, we illustrate how Fujaba’s language ...

The capacity benefits of flexi-grid optical networks are limited by the finite amount of bandwidth of standard fibers, and will not be able to scale indefinitely. Space Division Multiplexing (SDM) has emerged as a promising technology to overcome this limitation. In this preliminary work we give an overview of current SDM technologies, covering coupled and non-coupled SDM networks, and of the p...

Time-domain quantization (TDQ) and noise shaping applied to linear frequency modulation (LFM) offers an alternative although unconventional means of generating uniformly sampled 1-bit code with characteristics similar to that generated by feedback sigma–delta modulation (SDM). Fundamental insight into the SDM process emerges by exploiting the relationship between uniform quantization and phase ...

Shared decision-making (SDM) promotes family and clinician collaboration, with ultimate goals of improved health and satisfaction. This clinical report provides a basis for a systematic approach to the implementation of SDM by clinicians for children with disabilities. Often in the discussion of treatment plans, there are gaps between the child's/family's values, priorities, and understanding o...

OBJECTIVES The hypothesis that shared decision-making (SDM) reduces medical practice variations is increasingly common, but no evidence is available. We aimed to elaborate further on this, and to perform a first exploratory analysis to examine this hypothesis. This analysis, based on a limited data set, examined how SDM is associated with variation in the choice of single embryo transfer (SET) ...

BACKGROUND Mental health care has lagged behind other health-care domains in developing and applying shared decision making (SDM) for treatment decisions. This is despite compatibilities with ideals of modern mental health care such as self-management and recovery-oriented practice, and growing policy-level interest. Psychiatric medication is a mainstay of mental health treatment, but there are...

BACKGROUND Despite an increased awareness of shared decision-making (SDM) and its prominent position on the health policy agenda, its implementation in routine care remains a challenge in Germany. In order to overcome this challenge, it is important to understand healthcare providers' views regarding SDM and to take their perspectives and opinions into account in the development of an implement...