Decisional conflict in breast cancer patients considering immediate breast reconstruction.

Background: Breast cancer (BC) patients who are treated with mastectomy are frequently offered immediate breast reconstruction. This study aimed to assess decisional conflict in patients considering immediate breast reconstruction, and to identify factors associated with clinically significant decisional conflict (CSDC).

Methods: Baseline data of a multicenter randomized controlled trial evaluating the impact of an online decision aid for BC patients considering immediate breast reconstruction after mastectomy were analyzed.

Factors influencing claw lesion scoring in sows.

Claw lesions have a multifactorial origin and may affect sow welfare and farm profitability. However, estimating the precise impact is hampered by several factors that interfere with the accuracy of claw lesion assessment. The objective of this study was to determine the impact of observer, scoring condition and claw cleanliness on claw lesion scoring in sows.

What makes an ideal hospital-based medical leader? Three views of healthcare professionals and managers: A case study.

Medical leadership is an increasingly important aspect of hospital management. By engaging physicians in leadership roles, hospitals aim to improve their clinical and financial performances. Research has revealed numerous factors that are regarded as necessary for 'medical leaders' to master, however we lack insights into their relative importance.

On-Farm Claw Scoring in Sows Using a Novel Mobile Device.

Claw lesions and lameness in sows are important problems in the industry as they impair sow welfare and result in economic losses. Available scoring techniques to detect claw lesions are all limited in terms of collecting data during all reproductive phases and recording all claws. The Mobile Claw Scoring Device (MCSD) was designed to address these limitations.