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In 2001, the Regenstrief Institute for Health Care and the Indiana University School of Medicine (IUSM) began an IAIMS planning effort to create a vision and a tactical plan for the first Integrated Advanced Information Management Systems (IAIMS) implementation to cross a large area and include unaffiliated institutions. A number of elements made this planning effort unique. Among these elements were the existence of a network infrastructure that supported the Indianapolis Network for Patient Care, the existence of a mature medical informatics program at the Regenstrief Institute, and the existence of a wide-area knowledge network fostered by the IUSM libraries. However, the leadership for a strong information technology role in the IUSM that could promote collaboration in support of education and research across the diverse Indianapolis hospital systems had been lacking. By bringing together various groups, each with a commitment to improve health care quality and public health across the Indianapolis metropolitan area, regardless of individual institutional affiliation, the strategic directions for I3-Indianapolis IAIMS Initiative have been defined and the foundations for a third generation IAIMS construct have been laid in Indianapolis, Indiana.  相似文献   
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ABSTRACT

Evidence exists that American institutions of higher education are well-entrenched in the consideration of mechanisms for supporting the implementation of Open Educational Resources (OER) and alternative textbooks. Literature reveals that developing and implementing OER is a significant undertaking in terms of time and human resources. This study deploys content analysis of a sample of United States regionally based higher education institutional websites to determine the current state of institutional support mechanisms to implementers just embarking on the OER journey. Findings reveal that institutions have made strides in the development of faculty mini-grants and stipends with guidelines, proposal checklists, and weighting mechanisms to inform decision making. However, due to widespread language across the stratified sample emphasising award pool and individual limits, it is clear that OER funding is still seeking wider support as a permanent funded resource. Sponsorship of institutional OER initiatives seems split between institutional library functions and teaching and learning centres. Other issues, such as ownership and licensing, are significantly underdeveloped in field implementation or fall in a large continuum of practices. Recommendations of shared responsibility and use of data driven initiatives are provided that may improve institutional support of faculty OER adoption, adaption and creation.  相似文献   
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Marital conflict and conduct problems in Children of Twins   总被引:3,自引:0,他引:3  
The Children-of-Twins design was used to test whether associations between marital conflict frequency and conduct problems can be replicated within the children of discordant twin pairs. A sample of 2,051 children (age 14-39 years) of 1,045 twins was used to estimate the genetic and environmental influences on marital conflict and determine whether genetic or environmental selection processes underlie the observed association between marital conflict and conduct problems. Results indicate that genetic and nonshared environmental factors influence the risk of marital conflict. Furthermore, genetic influences mediated the association between marital conflict frequency and conduct problems. These results highlight the need for quasiexperimental designs in investigations of intergenerational associations.  相似文献   
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The purpose of this study was to improve understanding of the link between self-presentational concerns and competitive anxiety. Specifically, we examined (a) associations among self-presentational concerns and competitive state anxiety dimensional symptom responses using the modified Competitive State Anxiety Inventory-2 (CSAI-2; Martens, Vealey, & Burton, 1990) and (b) whether self-presentational concerns mediate trait-state anxiety relationships. In addressing these matters, we also examined the factor structure and composition of the Self-Presentation in Sport Questionnaire (SPSQ; Wilson & Eklund, 1998). Results showed that self-presentational concerns were positively associated with intensity and frequency dimensional symptoms and negatively associated with direction symptoms. Results also showed that self-presentational concerns demonstrated consistently higher associations with the cognitive component and the intensity symptom of the CSAI-2 state measures. Results showed no support for the notion that self-presentational concerns mediate the trait-state anxiety relationship. When examining the factor structure and composition of the SPSQ, the results from two independent athlete samples support the tenability of an abbreviated 21-item four-factor model. Thus the newly constituted scale is recommended for measuring self-presentational concerns in sport.  相似文献   
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Large scale statewide library cooperation using information technology and wide area networks dates back to the early 1980s with efforts such as the Florida Center for Library Automation and, more recently, the LOUIS Project in Louisiana (see JAL January 1994) and OhioLink (see JAL September 1995). Early efforts were usually focused on the implementation of library information management systems and the provision of shared access to locally held collections, and they often still are. In the 1990s, though, we are witnessing a shift in statewide cooperative use of networks to provide principally access to bibliographic and full-text resources not held locally and usually provided by commercial vendors for use by libraries. As the case studies in this column illustrate the development of funding sources, the technical implementations and support, and the management organization differ from state to state. They reflect, though, the incremental shift in the information landscape towards “electronic libraries”. I choose the word incremental intentionally to reflect that this change has not (at least so far) been anywhere near as rapid or revolutionary as many expected. Nevertheless, what has happened in about 15 years is quite dramatic. It portends a different kind of academic library.—CBL, University of Maryland, College Park.  相似文献   
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Historically, disaster response efforts have focused primarily on basic physical survival and safety—addressing medical emergencies and ensuring adequate shelter and supplies of food and water. However, in addition to physical survival, relief efforts must also consider strategies to promote emotional healing and psychological well-being. In particular, those who intervene must consider the acceptability of intervention strategies, taking into account survivors' cultural background, religious customs, and spiritual beliefs. This article offers recommendations to better align school-based therapeutic interventions with children's religious and spiritual beliefs.  相似文献   
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