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1.
Health sciences librarians at the University of Washington (UW) are partners in the evolution of Internet-based clinical information systems for two medical centers, University of Washington Medical Center and Harborview Medical Center, as well as the UW Primary Care Network clinics. Librarians lead information resource and systems development projects and play a variety of roles including facilitator, publisher, integrator, and educator. These efforts have been coordinated with parallel development efforts by the Integrated Advanced Information Management Systems (IAIMS) clinical informatics group in developing electronic medical record systems and clinical decision support tools. The outcome is MINDscape, a very heavily used Web view of the patient medical record with tightly integrated knowledge resources as well as numerous Web-accessible information resources and tools. The goal of this article is to provide a case study of librarian involvement in institutional information systems development at UW and to illustrate the variety of roles that librarians can assume in hospital settings.  相似文献   
2.
Abstract

The aim of the present study was to examine the relationships between muscle cross-sectional area (CSA) and muscular strength in terms of knee extension and flexion, hip extension and flexion, and hip abduction and adduction among well-trained soccer players. Fourteen university soccer players participated in the study, who had previously been divided into two groups based on ability (Group A: above-average ability; Group B: average ability). Maximal isokinetic and concentric muscular strength was measured in knee extension/flexion, hip extension/flexion and hip abduction/adduction using an isokinetic dynamometer at 1.57 and 4.19 rad·s?1 (3.14 rad·s?1) in both the dominant and non-dominant leg. The CSAs of the thigh, gluteus muscles and iliopsoas muscles were calculated based on magnetic resonance imaging. There was no significant difference between the two groups in muscle CSA and isokinetic strength. Although there were some statistically significant differences between the dominant and non-dominant leg in terms of CSA and strength (P<0.05–0.01), these were small and negligible. Apart from a non-significant relationship between the CSAs of the adductor muscles and hip adductor strength (r<0.26, n.s.), the CSA of the other muscle groups correlated with maximal isokinetic strength (r=0.38–0.64, P<0.05). These results suggest that no difference in muscle characteristics (in terms of muscle CSA and strength) was apparent among well-trained soccer players, even between the dominant and non-dominant leg. There is also a case that the anatomical function of a single (or group of) muscle(s) may not be reflected by the strength—CSA relationship depending on the movements (such as hip adduction-adductor muscle CSA). Thus, further studies are required to develop methods to assess neuromuscular function in relation to muscle morphology among soccer players.  相似文献   
3.
4.
The study examined African American, Asian American, and European American college students’ previous direct and indirect experiences of seeking professional psychological services and related attitudes. Survey data were collected from 254 European American, 182 African American and 82 Asian American college students. Results revealed that fewer African American and Asian American college students had sought professional psychological services, knew someone who had sought psychological services, and knew a close person who was diagnosed with a psychological disorder, relative to European American students. Furthermore, African American and Asian American participants showed less favorable attitudes on a variety of help-seeking attitudes, compared to the European American group.  相似文献   
5.
The aim of the present study was to examine the relationships between muscle cross-sectional area (CSA) and muscular strength in terms of knee extension and flexion, hip extension and flexion, and hip abduction and adduction among well-trained soccer players. Fourteen university soccer players participated in the study, who had previously been divided into two groups based on ability (Group A: above-average ability; Group B: average ability). Maximal isokinetic and concentric muscular strength was measured in knee extension/flexion, hip extension/flexion and hip abduction/adduction using an isokinetic dynamometer at 1.57 and 4.19 rad x s(-1) (3.14 rad x s(-1)) in both the dominant and non-dominant leg. The CSAs of the thigh, gluteus muscles and iliopsoas muscles were calculated based on magnetic resonance imaging. There was no significant difference between the two groups in muscle CSA and isokinetic strength. Although there were some statistically significant differences between the dominant and non-dominant leg in terms of CSA and strength (P < 0.05-0.01), these were small and negligible. Apart from a non-significant relationship between the CSAs of the adductor muscles and hip adductor strength (r < 0.26, N.S.), the CSA of the other muscle groups correlated with maximal isokinetic strength (r = 0.38-0.64, P < 0.05). These results suggest that no difference in muscle characteristics (in terms of muscle CSA and strength) was apparent among well-trained soccer players, even between the dominant and non-dominant leg. There is also a case that the anatomical function of a single (or group of) muscle(s) may not be reflected by the strength-CSA relationship depending on the movements (such as hip adduction-adductor muscle CSA). Thus, further studies are required to develop methods to assess neuromuscular function in relation to muscle morphology among soccer players.  相似文献   
6.
Help-seeking stigma is considered a major obstacle to seeking professional psychological services in Asian American college women. Informed in part by objectification theory and the psychological flexibility model of behavior change, the present cross-sectional study examines the role of disordered eating cognition and psychological inflexibility in help-seeking stigma among a sample of Asian American college women (N = 257). More specifically, this study examined whether disordered eating cognitions and psychological inflexibility would mediate the association between psychological distress and stigma tolerance for seeking psychological services in this group. Results revealed that both greater disordered eating cognition and greater psychological inflexibility were associated with lower stigma tolerance, and each of them uniquely mediated the association between greater psychological distress and lower stigma tolerance. These findings suggest that disordered eating cognitions and avoidance-based coping and beliefs may contribute to help-seeking stigma and its association with psychological distress. Limitations of the study and the directions of future research are discussed.  相似文献   
7.
The present study investigated whether young adults’ disordered eating cognitions predicted attitudes toward seeking professional psychological services. Two hundred and eighty three 18- to 24-year-old undergraduate students completed a survey package that included measures of disordered eating cognitions and help-seeking attitudes. Hierarchical regression analyses revealed that greater disordered eating cognitions uniquely predicted lower degrees of favorable help-seeking attitudes overall, lower stigma tolerance with respect to seeking professional psychological services, lower interpersonal openness in the context of help-seeking, and lower confidence in psychological professionals. The findings suggest that outreach interventions should, among other things, focus on stigma associated with help-seeking and disordered eating problems.  相似文献   
8.
The present study examined whether mental health stigma (i.e., negative attitudes toward people with a psychological disorder) and self-concealment are unique predictors of help-seeking attitudes in Asian American and European American college students with no history of seeking professional psychological services. The Asian American group had less favorable help-seeking attitudes overall, lower levels of stigma tolerance and interpersonal openness, greater mental health stigma, and greater self-concealment than the European American group. Mental health stigma and self-concealment were unique predictors of help-seeking attitudes overall in both groups. However, mental health stigma was not a unique predictor of recognition of need for psychotherapeutic help and confidence in mental health practitioners, the components of help-seeking attitudes theorized to be most associated with actual help-seeking behavior. Self-concealment was a unique predictor of confidence in mental health practitioners in the Asian American group, but not in the European American group.  相似文献   
9.
Saito  H.  Masuda  H.  Kawakami  M. 《Reading and writing》1998,10(3-5):323-357
Four experiments are reported here to address the question of whether figurative and phonological processing based on sub-word components (radicals) interact in the recognition of Japanese kanji characters. A delayed matching task was used in which two briefly exposed source characters (e.g., ), each made up by two radicals, were followed by a probe character (e.g., ) which in critical conditions was different from the source characters. The task of the subject was to decide whether the probe was one of the two source characters. When a probe was figuratively similar to the source display, the homophonic relatedness between source and probe characters elicited more false responses to the probe. However, no homophony effect was found when the probe was dissimilar to the source display. Further, the false alarm rates in the homophone condition with figurative similarity was shown to be sensitive to proportion of homophonous trials in negative sets. The results suggest that phonological information of both whole character and of components was automatically activated despite experimental tasks in which subjects were given little incentive to execute phonetic processing. It is concluded that the interaction of figurative and phonological processing is due to mutual activation of the whole character and its radical(s) in the process of word identification in kanji. The results are considered within an interactive-activation framework with fore- and background activation device in multilevels.  相似文献   
10.
Research on Asian Americans and their psychological adjustment is limited. Consisting of two cross-sectional studies, the present investigation examined the relationships among self-concealment, mindfulness, emotional distress in stressful interpersonal situations, and general psychological ill-health in Asian American college students, and in comparison with European American counterparts. In the Asian Americans, self-concealment was found to be positively related to general psychological ill-health and negatively related to mindfulness. In both ethnic groups, mindfulness was found to be negatively related to general psychological ill-health. Findings suggest that, as seen with European American counterparts, both self-concealment and mindfulness may be important concepts in understanding the psychological adjustments of Asian American college students.  相似文献   
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