BACKGROUND Trial of labour is a safe option for most women after one previous caesarean delivery. However, the proportion of women attempting trial of labour after previous caesarean delivery (TOLAC) has been declining in many countries. In addition, women with prior caesarean delivery appear to know little regarding their mode of delivery and healthcare providers' recommendations. The doctors'...

OBJECTIVES To simulate physician-driven dynamics of delivery mode decisions (scheduled cesarean delivery [CD] vs. vaginal delivery [VD] vs. unplanned CD after labor), and to evaluate a behavioral theory of how experiential learning leads to emerging bias toward more CD and practice variation across obstetricians. DATA SOURCES/STUDY SETTING Hospital discharge data on deliveries performed by 30...

Empirical evidence on sustainability of programs that improve the quality of care delivery over time is lacking. Therefore, this study aims to identify the predictive role of short and long term improvements in quality of chronic care delivery on program sustainability. In this longitudinal study, professionals [2010 (T0): n=218, 55% response rate; 2011 (T1): n=300, 68% response rate; 2012 (T2)...

Data warehouse is subject Oriented, included, TimeVariant and nonvolatile collection of data. This data helps in supporting decision making process by analyst in an organization. The Business intelligence is the delivery of accurate, useful information to the appropriate decision makers with necessary timeframe to support effective decision-making. This paper reviews the impact of metadata in d...

Recent research suggests that creativity can enhance the performance of people for a variety of tasks, including decisionmaking. Creativity enhancements can be delivered through a decision-making support system. In theory, such delivery should improve the decision performance of the system's user. This paper tests the theory empirically and discusses the implications for decision-making. © 2006...

BACKGROUND In Ghana, the site of this study, the maternal mortality ratio and under-five mortality rate remain high indicating the need to focus on maternal and child health programming. Ghana has high use of antenatal care (95%) but sub-optimum levels of institutional delivery (about 57%). Numerous barriers to institutional delivery exist including financial, physical, cognitive, organizationa...

In this paper, we propose and compare two spectrum decision schemes namely; Adaptive Spectrum Decision (ASD) and Maximum Remaining Lifetime (MRL). The simulation results and performance analysis such as channel utilization, data delivery, and spectrum handoff rate are evaluated and compared. The results obtained that ASD has great performance in comparison with MRL scheme. KeywordsSpectrum deci...

OBJECTIVE To describe the opinions of pediatricians who teach resuscitation in Brazil on initiating and limiting the delivery room resuscitation of extremely preterm infants. METHOD Cross-sectional study with electronic questionnaire (Dec/2011-Sep/2013) sent to pediatricians who are instructors of the Neonatal Resuscitation Program of the Brazilian Society of Pediatrics, containing three hypo...