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Objective:To compare the accuracy, time to answer, user confidence, and user satisfaction between UpToDate and DynaMed (formerly DynaMed Plus), which are two popular point-of-care information tools.Methods:A crossover study was conducted with medical residents in obstetrics and gynecology and family medicine at the University of Toronto in order to compare the speed and accuracy with which they retrieved answers to clinical questions using UpToDate and DynaMed. Experiments took place between February 2017 and December 2019. Following a short tutorial on how to use each tool and completion of a background survey, participants attempted to find answers to two clinical questions in each tool. Time to answer each question, the chosen answer, confidence score, and satisfaction score were recorded for each clinical question.Results:A total of 57 residents took part in the experiment, including 32 from family medicine and 25 from obstetrics and gynecology. Accuracy in clinical answers was equal between UpToDate (average 1.35 out of 2) and DynaMed (average 1.36 out of 2). However, time to answer was 2.5 minutes faster in UpToDate compared to DynaMed. Participants were also more confident and satisfied with their answers in UpToDate compared to DynaMed.Conclusions:Despite a preference for UpToDate and a higher confidence in responses, the accuracy of clinical answers in UpToDate was equal to those in DynaMed. Previous exposure to UpToDate likely played a major role in participants'' preferences. More research in this area is recommended.  相似文献   
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This paper addresses tacit-to-explicit knowledge externalization, arguably the most critical, and yet problematic, phase of Nonaka's knowledge creation theory. Specifically, we propose and describe instance-based cognitive mapping (ICM), a unique externalization process that analyzes multiple decision instances using the inductive learning algorithms of artificial intelligence to generate a polynomial representation of the knowledge worker's mental model, explicitly relating how the knowledge worker implicitly selects and weighs key factors in making decisions within a specific problem domain. After reviewing current externalization techniques, we describe the characteristics, and evaluate the advantages, of the ICM process. An exploratory test of the process suggests that inductive learning algorithms, such as the group method of data handling, can be used to discover a reasonable polynomial estimate of a knowledge worker's tacit mental model. This estimate can then be compared with other explicit models and standards, updated with new information and knowledge, and internalized by all interested knowledge workers.  相似文献   
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Contemporary models of adult speech perception acknowledge that the processing of linguistic and nonlinguistic aspects of the speech signal are interdependent. But when in development does this interdependence first emerge? In the adult literature, one way to demonstrate this relationship has been to examine how language experience affects talker identification. Thus, in this study, 4- to 5-month-old infants (N = 96) were tested on their ability to tell apart talkers in a familiar language (English) compared to unfamiliar languages (Polish or Spanish). Infants readily distinguished between talkers in the familiar language but not in the unfamiliar languages, supporting the hypothesis that the integrated processing of linguistic and nonlinguistic information in speech is early emerging and robust.  相似文献   
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ABSTRACT

Children’s positive perceived motor competence (PMC) provides motivation for physical activity. Theoretically young children (<8 years) have inflated PMC but as children cognitively develop, perceptions are hypothesized to decrease. This study investigated strength of PMC association over time, whether any change was negative (i.e. PMC decreased) and sex differences. A total of 198 children participated, 88 (44.4%) girls and 110 (55.6%) boys, aged 8.37–11.3 years at time point one (T1). Test–retest reliability using intraclass correlation was moderate for locomotor and moderate-to-good for object control perception. Hierarchical regression analysis showed PMC at T1 positively predicted significant variance one year later (T2) for locomotor (23.1%) and object control skill (5 items: 37.7%; 7 items: 39.9%). Whilst boys and girls differed on perception level there was no interaction between PMC and sex. Incongruent with previous theoretical perspectives this study identified stability in children’s PMC across an important developmental period.  相似文献   
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User experience is immeasurably important for your patrons as they access your Web site. This article presents tips and strategies for testing user experience, suggests a number of different popular technologies and tools that are used in the UX field, and lays out a plan for sharing and utilizing data to make improvements on your Web site. It is the goal of this article to present a model for improving Web site usability that can be scaled up or down depending on the resources available at your institution.  相似文献   
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ABSTRACT

Librarians and information specialists' involvement during the development of grant applications for external funding can save researchers' time, provide specialist support, and contribute to reducing avoidable waste in research. This article presents a survey of information specialists working for the National Institute for Health Research's Research Design Service within English applied health services research and a scoping review to identify other examples of librarians supporting grant applications. The survey found that support included: verifying proposed research has not already been performed; searching literature to provide background for the project; and advising on or writing systematic review methods. The scoping review found three examples where librarians were involved: in writing sections of the application; conducting reviews, and becoming a co-applicant. We recommend librarians engage with researchers by checking whether search requests are to support an application and by becoming familiar with resources and techniques to support grant proposal development.  相似文献   
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Religious defiance that results in publicly leaving religion (apostasy) is an enormous taboo in Arab communities despite the recent surge in apostates’ numbers. Drawing from research on stigma, apostasy, authorship, and critical studies, I explore how a transnational Arab community, which emerges in the crossfire among democratizing politics of self-expression, regulation of public identity by digital technologies, and vast opposition networks, uses digital technologies and the politics of naming to destigmatize its identity. Extending the literatures of stigma and apostasy to ex-Muslims, I conclude that this case reveals religious and nonreligious Arabs’ common struggle against violence and the need for structural changes to protect digital technologies’ emancipatory potential.  相似文献   
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