BACKGROUND DECISION + 2, a training program for physicians, is designed to implement shared decision making (SDM) in the context of antibiotics use for acute respiratory tract infections (ARTIs). We evaluated the impact of DECISION + 2 on SDM implementation as assessed by patients and physicians, and on physicians' intention to engage in SDM. METHODS From 2010 to 2011, a multi-center, two-arm...

In this issue of Academic Emergency Medicine, Schoenfeld et al. report a qualitative analysis of Shared decision-making (SDM) from the perspective of Emergency Department (ED) patients. Shared decision-making is "a collaborative process in which patients and providers make health care decisions together, taking into account the best evidence available, as well as the patient's values and prefer...

High-resolution digital audio systems currently embrace two forms of encoding. DVD-audio uses multi-level linear pulse code modulation (LPCM) while Super-Audio CD (SACD) uses sigma-delta modulation (SDM) in a scheme designated by Sony as direct stream digital (DSD) [1]. Debate has centred on their relative merits [2-7] where high-frequency quantization noise and the effectiveness of dither have...

This paper proposes a new consensus model in participatory decision making. The model employs advice centrality approach by electing a leader and recommender named as Supra Decision Maker (SDM). A SDM has a role as a decision bench-marker to other decision makers in evaluating each alternative with respect to given criteria. The weighting value for each alternative can be obtained by considerin...

In mobile communications, the channel consists of many resolvable paths with different time delays, resulting in a severely frequency-selective fading channel. The frequency-domain equalization (FDE) can take advantage of the channel selectivity and improve the bit error rate (BER) performance of the single-carrier (SC) transmission. Recently, multi-input multi-output (MIMO) multiplexing is gai...

This paper describes sparse dislributed memory (SDM) as a neural-net associative memory. It is characterized by two weight matrices and by a large internal dimension-the number of hidden units is much larger than the number of input or output units. The first man'ix, A, is fixed and possibly random, and the second matrix, C, is modifiable. The paper compares and contrasts SDM to (1) computer me...

BACKGROUND Decision aids can be used to support shared decision making (SDM). A patient-oriented treatment decision aid (DA) was developed for type 2 diabetes but its use by general practice staff appeared to be limited. OBJECTIVES To explore views of practice staff towards SDM and the DA. DESIGN A mixed-methods study within the Dutch PORTDA-diab trial. SETTING AND PARTICIPANTS Included w...

BACKGROUND Patients' preferences and expectations should be taken into account in treatment decision making in the last phase of life. Shared decision making (SDM) is regarded as a way to give the patient a central role in decision making. Little is known about how SDM is used in clinical practice in advanced cancer care. OBJECTIVE To examine whether and how the steps of SDM can be recognized...

PURPOSE To review the results of low-intensity/high-density subthreshold micropulse laser (SDM) for treatment of central serous chorioretinopathy. METHOD The records of all patients treated in a retinal subspecialty practice with SDM for central serous chorioretinopathy were reviewed. RESULTS Eleven consecutive eyes of 11 patients treated between October 2011 and April 2014 were identified ...

High speed, high resolution and high sensitivity are desirable for optical coherence tomography (OCT). Here, we demonstrate a space-division multiplexing (SDM) technology that translates long coherence length of a commercially available wavelength tunable laser into high OCT imaging speed. We achieved an effective 800,000 A-scans/s imaging speed using a 100,000 Hz tunable vertical cavity surfac...