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The interaction of patient and health care professional in circumstances of urgency, stress, and possible unpredictability is complex. The author first describes a decision analysis model often used in medical settings and then explains how decision analysis can provide an objective framework for determining which treatment modality will have the best outcome for the least cost. Because of the predictive nature of this model, it could be initiated at the time of diagnosis and provide a framework, not only for decision making, but also to initiate a clinical pathway for care planning.

AA-M). • Further Trends in the Etiology of End-Stage Renal Disease in African-Americans Source: Current Opinion in Nephrology and Hypertension. 6(3): 243-249. May 1997. Contact: Available from Rapid Science Publishers. 400 Market Street, Suite 750, Philadelphia, PA 19106-2199. (800) 552-5866 or (215) 574-2333. Fax (215) 574-2292. Summary: This review article summarizes the latest research contributions to understanding the many causes of the excess rates of end-stage renal disease (ESRD) among African Americans.

Tool=pmcentrez&artid=127386 • Tubulointerstitial Nephritis Due to a Mutant Polyomavirus BK Virus Strain, BKV(Cin), Causing End-Stage Renal Disease. 6 The advantage of PubMed over previously mentioned sources is that it covers a greater number of domestic and foreign references. It is also free to use. If the publisher has a Web site that offers full text of its journals, PubMed will provide links to that site, as well as to sites offering other related data. User registration, a subscription fee, or some other type of fee may be required to access the full text of articles in some journals.

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ACM. Issue of Comm. ACM Sept. 2003


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