Centralized support user management in a distributed healthcare information management system. The at least one local storage device may include a plurality of storage entities that form a consistency group. A reflective material layer is disposed along the recess of the substrate. A key index is updated in at least one node of the database with the key index value associated with the data and identified from the lowest level node thereby making the searched-for key value identifiable within the at least one node. The resin flow regulating projections are formed such that a center section thereof, the highest in height, is on a radial direction line extending from the pin point gates in the outward radial direction and the height gradually decreases away from the position on the radial direction line in a circumferential direction of the web. A nanowire from each of the at least two different catalyzing nanoparticles is substantially simultaneously grown.