The proposed integrated theoretical model is useful in identifying which factors could motivate physicians from different backgrounds to use the EHR. Physicians who perceive the EHR to be easy to use, coherent with their professional norms, supported by their peers and patients, and able to demonstrate tangible results are more likely to accept this technology. Age, gender, specialty and experience should also be taken into account when developing EHR implementation strategies targeting physicians.

The cubic-rhombohedral phase transition at 450 degrees C of AlF3 is studied by DSC, X-ray powder diffraction and Raman scattering. It is demonstrated that the transition is of first order with a hysteresis of about 6 degrees. It is established by X-ray powder diffraction patterns that the room temperature space group is R3c. A temperature study of the Raman scattering spectra (that confirms the above conclusion) evidences the presence of two soft modes. It is shown from group theory that the transition can be imputed to the condensation of the R5 mode of the cubic Brillouin zone and the attribution of the Raman lines is deduced on the basis of the compatibility diagram between the cubic and rhombohedral symmetries. The frequencies of the Raman lines are used to adjust the parameters of a rigid ion model and to calculate the phonon spectrum in the cubic phase. The calculated phonon density of states appears to be strongly dependent on the soft phonon frequency.

SURE shows adequate psychometric properties in a primary care population with a low prevalence of clinically significant decisional conflict. SURE has the potential to be a useful screening tool for practitioners, responding to the growing need for detecting clinically significant decisional conflict in patients.

Objectives: There are presently no data available concerning Internet addiction (IA) problems among adolescents in Canada and the province of Quebec. The goal of this study is thus to document and compare the influence of gender on Internet use and addiction.Method: The study data were collected from a larger research project on gambling among adolescents. Activities conducted online (applications used and time spent) as well as answers to the Internet Addiction Test (IAT) were collected from 3938 adolescents from grades 9 to 11. The two most often employed cut-off points for the IAT in the literature were documented: (40-69 and 70þ) and (50þ).Results: Boys spent significantly more time on the Internet than did girls. A greater proportion of the girls made intense use of social networks, whereas a greater proportion of the boys made intense use of massively multiplayer online role-playing games, online games, and adult sites. The proportion of adolescents with a potential IA problem varied according to the cut-off employed. When the cut-off was set at 70þ, 1.3% of the adolescents were considered to have an IA, while 41.7% were seen to be at risk. At a 50þ cut-off, 18% of the adolescents were considered to have a problem. There was no significant difference between the genders concerning the proportion of adolescents considered to be at risk or presenting IA problems. Finally, analysis of the percentile ranks would seem to show that a cut-off of 50þ better describes the category of young people at risk.

IR and Raman active modes have been measured in several fluoride scheelites, namely the laser matrix (studied as a reference) and four compounds (Ln = Ho, Er, Tm and Yb). The observed phonons have been assigned in accordance with the various irreducible representations of the point group of the crystal. In three modes never observed before have been measured. The polarized experimental IR reflection spectra have been analysed through a `four-parameters' model to give the mode frequencies and dampings. For the whole set of the compounds, the frequency dependence of the dielectric function, optical indices and absorption coefficient have been deduced from the IR study. The electronic Raman effect has been shown in the low-temperature Raman spectra for Ln= Tm, Ho and Yb. The corresponding measured wavenumbers are compared with the calculated energies between crystal-field levels of L SJ states, each being associated to an irreducible representation of the ion-site group .

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BackgroundThe misuse and limited effectiveness of antibiotics for acute respiratory infections (ARIs) are well documented, and current approaches targeting physicians or patients to improve appropriate use have had limited effect. Shared decision-making could be a promising strategy to improve appropriate antibiotic use for ARIs, but very little is known about its implementation processes and outcomes in clinical settings. In this matter, pilot studies have played a key role in health science research over the past years in providing information for the planning, justification, and/or refinement of larger studies. The objective of our study was to assess the feasibility and acceptability of the study design, procedures, and intervention of the DECISION+ program, a continuing medical education program in shared decision-making among family physicians and their patients on the optimal use of antibiotics for treating ARIs in primary care.MethodsA pilot clustered randomised trial was conducted. Family medicine groups (FMGs) were randomly assigned, to either the DECISION+ program, which included three 3-hour workshops over a four- to six-month period, or a control group that had a delayed exposure to the program.ResultsAmong 21 FMGs contacted, 5 (24%) agreed to participate in the pilot study. A total of 39 family physicians (18 in the two experimental and 21 in the three control FMGs) and their 544 patients consulting for an ARI were recruited. The proportion of recruited family physicians who participated in all three workshops was 46% (50% for the experimental group and 43% for the control group), and the overall mean level of satisfaction regarding the workshops was 94%.ConclusionsThis trial, while aiming to demonstrate the feasibility and acceptability of conducting a larger study, has identified important opportunities for improving the design of a definitive trial. This pilot trial is informative for researchers and clinicians interested in designing and/or conducting studies with FMGs regarding training of physicians in shared decision-making.Trial RegistrationClinicaltrials.Gov NCT00354315

Three different sites of the Cr 3ϩ ions in the fluoride perovskite KMgF 3 have been identified by absorption, selective optical excitation, and time-resolved emission spectroscopy of the 4 T 2 ↔ 4 A 2 transition. Highpressure measurements showing the crossover from low-crystal field to high-crystal field, allows us to situate the Dq/B values of the different chromium sites clearly below 2.3. The different spin-orbit components associated with the zero-phonon lines of the 4 T 2 ↔ 4 A 2 transition of each type of site are clearly shown on the optical spectra and identified by group-theory analysis. The decay profiles of the 4 T 2 level are exponential and the lifetimes at 15 K are 903, 919, and 473 s for the cubic, quadratic, and trigonal sites, respectively. The trigonal center which presents the lowest energy levels was peculiarly studied. Emission and excitation spectra are compared; their evolution versus temperature is followed and explained by the thermal population of the different spin-orbit sublevels. The phonon sideband of the trigonal site is compared with our previous lattice dynamic studies of the pure compound. The different peaks of the emission broadband are described in terms of phonons of the matrix and normal modes of the ͓CrF 6 ͔ 3Ϫ complex. ͓S0163-1829͑97͒03430-9͔