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Thepractice of evidence-based health care requires that information on methodology be identifiedfrom databases such as MEDLINE. Up until this year there have been no designated medicalsubject headings (MeSH) for evidence-based health care. ‘EVIDENCE-BASEDMEDICINE’ appears as a MeSH term from 1997. The absence of designated MeSH forthis concept prior to 1997 provides a challenge to the searcher. This paper describes the creationof a MEDLINE search strategy to retrieve articles on the methods of evidence-based health carepublished prior to the introduction of the new term, where an optimal combination of free-textand MeSH terms is required to identify relevant material. The study examines both free-text andsubject heading searching and attempts an optimal balance of sensitivity and specificity. It beginsby examining separate free-text and subject heading searches. Sensitivity of the subject headingsearch was 33% and specificity 80%, while the free-text search produced asensitivity of 50% and a specificity of 67%. The final strategy, combining bothapproaches, was more successful with sensitivity reaching between 82 and 90% andspecificity 83%. It is therefore possible to devise a search strategy to retrieve articles on themethods of evidence-based health care with relatively successful rates of sensitivity andspecificity. The limitations of MEDLINE, however, necessitate the use of additional approachesin identifying articles on the methods of evidence-based health care.  相似文献   
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Conclusion Supervision, the most prevalent of the control mechanisms studied, was used in all of the schools to varying degrees. The frequency of superintendent visits fluctuated between a high of almost every day, in the case where the superintendent and the principal shared the same facility, to two times a year. Superintendents did visit schools without formal sessions with the principals. Several principals described their superintendents' visits as informal walk-throughs. District size did not influence the frequency of supervision by the superintendents. Schools in both large and small districts received roughly the same number of visits. Ninety-two percent of the principals received a medium or high number of visits. In some schools, particularly unit districts composed of grades kindergarten through 12, principals were evaluated by associate superintendents for secondary education. Central office personnel usually visited several times each month. Principals from large districts received fewer visits from central office staff than did principals from medium or small districts. Most principals perceived the visits by their superintendents and central office personnel as nonthreatening. When superintendents and central office administrators visited schools, they added to the system of control by collecting information about all aspects of schooling, including the climate. In general, principals perceived supervision as light, and felt that schools and principals were afforded considerable autonomy.Vanderbilt University  相似文献   
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The OSTMED.DR® database provides access to both citation and full-text osteopathic literature, including the Journal of the American Osteopathic Association. Currently, it is a free database searchable using basic and advanced search features.  相似文献   
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Textbook vetting and evaluation process intends to ensure that the materials provided are relevant, of the required quality, suitable ad would enhance learning efficiency and effectiveness. The paper investigates the role of publishers and Tanzania Institute of Education (TIE) in the textbooks vetting and evaluation process; examines factors used to vet, evaluate and approve primary and secondary school textbooks in Tanzania and proposes Strategies that would enhance the textbook vetting, evaluation and process. The study used a mixed method research design. Respondents were selected educational publishers; MoEVT, Baraza la Kiswahili Tanzania, TIE, and Publishers Association of Tanzania. Questionnaire and semi- structured interview were used to collect data which were analysed qualitatively and quantitatively. Major findings of the study were; textbooks vetting and evaluation process is not professionally conducted although standard criteria have been established; there is not well established roles among key players involved in the vetting and evaluation process leading to conflict of interest between TIE and the publishers. The study recommends establishing an independent professional evaluation board and a well-defined timetable and effective communication among various players; enacting a book policy and adopting a limited multiple-textbook publishing system.  相似文献   
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Oh and LaRose (2016) contended that problem severity and channel publicness shape support seekers’ goals, time spent composing messages, and the sophistication of those messages. The current study seeks to replicate and extend Oh and LaRose’s study to produce a more accurate understanding of the factors that influence the sophistication of support-seeking messages online. Support seekers’ goals varied according to the severity of a stressor and the publicness of a channel, and the amount of time people spent composing a message influenced its sophistication. We extend the original study by examining associations that were not initially tested. Time spent composing messages mediated the influence of problem severity on the quality of people’s messages, and this effect was moderated by channel publicness.  相似文献   
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