排序方式： 共有9条查询结果，搜索用时 796 毫秒
1
1.
2.
Browne R Lasserre K McTaggart J Bayley L McKibbon A Clark M Perry GJ Murphy J 《Health information and libraries journal》2012,29(1):75-80
This is the second in a series of articles exploring international trends in health science librarianship in the first decade of the 21st century. The invited authors were asked to reflect on developments in their country - viz. Australia, Canada, New Zealand and the United States. Future issues will track trends in Northern Europe, the Nordic countries, Southern Europe and Latin America. JM. 相似文献
3.
R B Haynes M F Ramsden K A McKibbon C J Walker 《Bulletin of the Medical Library Association》1991,79(4):377-381
The effect of introducing user fees on the frequency and quality of MEDLINE searching with GRATEFUL MED by physicians in clinical settings was tested. After training and free use (prior study), consenting participants were randomly allocated to pay searching costs (pay group) or continue without fees (no pay group). Fifty-nine physicians participated. Among the prior study's frequent searchers, the pay group searched at less than one third of the rate of those assigned to no pay. For less frequent searchers in the prior study, only 48% of those assigned to pay did any searches, compared with 85% for the no pay group (P = 0.006), and for those who did search, their frequency was almost half. However, there was no significant difference in the quality of searches; both groups demonstrated about equivalent recall (P = 0.77), but significantly lower precision (P = 0.03) than for the librarian's independent searches. Similarly, there was no difference in the proportion of searches affecting clinical decisions for the two groups. Thus, imposing user charges for online searching in clinical settings after a period of free use adversely affects searching quantity, but not quality. MEDLINE providers should consider whether user fees will undermine its benefits. 相似文献
4.
5.
Suzanne F. Grefsheim Jocelyn A. Rankin Gerald J. Perry K. Ann McKibbon 《Journal of the Medical Library Association》2008,96(2):114-120
Purpose: Building on its 1995 research policy statement, the Medical Library Association (MLA) has issued a new research policy, The Research Imperative. This paper shares the background research that informed the new policy.Methods: Semi-structured interviews were conducted with fifty-one key informants representing various library types, functions, geographic locations, ages, and ethnicities. The grounded theory approach was used to analyze the resulting textual database. Additionally, to gather input from the membership as a whole, two open forums were held at MLA annual meetings.Results: Key informant data indicated that the policy should provide roles for MLA in leadership, advocacy, collaboration, services, education, publishing, and development of a research agenda. Evidence-based library and information practice was emphasized. Six themes emerged to center the new policy: creation of a research culture, challenges, domains of research, research skills set, roles of stakeholders, and measurement of progress.Conclusion: Reflecting the interests and beliefs of the membership, The Research Imperative challenges MLA members to build a supportive culture that values and contributes to a research base that is recognized as an essential tool for future practice.
Highlights
- The Research Imperative reaffirms the Medical Library Association''s (MLA''s) commitment to research and emphasizes the need to develop health sciences librarianship''s own knowledgebase as a solid foundation for best practices.
- Informants described a growing recognition that health sciences librarians should base their practice decisions on evidence just as the health care practitioners and researchers they serve should.
- A research process that gathered data systematically from the membership guided the policy''s development.
- Members expect the association to monitor progress toward its research goals and report on it annually.
Implications
- The Research Imperative challenges the association and its members to build a culture of reflective practice in which the profession''s evidence base is routinely used.
- To advance the vision articulated in its research policy, MLA must lead by inculcating research throughout the association, identifying a research agenda, advocating for improved access to and support of library and information science research, fostering collaborations, and educating members to better use and conduct their own applied research.
- MLA should leverage its Center of Research and Education (CORE) as a repository for member-generated research, tools, and datasets.
6.
全面预算管理是以企业战略规划为依据,以量化的、综合的、涵盖企业经营全过程的全面预算为基础,以全员、全过程、全方位控制为特征的企业内部管理控制系统。从我国会展行业的实际现状出发,从理论和实践两方面对全面预算管理的应用进行探讨,运用全面预算管理的基本理论,深入分析会展行业特点及在实施过程中存在的问题,并有针对性地提出改进措施,以此抓住会展企业预算管理工作的关键环节,探索建立起一套适合其自身发展的预算管理体系。 相似文献
7.
The aims of this study were to examine and compare selected physiological and metabolic responses of wheelchair athletes in two paraplegic racing classes [T3: n?=?8 (lesion levels T1–T7; paraplegics); T4: n?=?9 (lesion levels below T7; paraplegics)] to prolonged exercise. In addition, we describe the responses of three tetraplegic athletes [T2: n?=?3 (lesion levels C6/C7: tetraplegics)]. Twenty athletes completed 90?min of exercise at 75% [Vdot]O2peak on a motorized treadmill adapted for wheelchairs. The mean (±s) heart rates of the T3 and T4 racing classes were 165±2 and 172±6 beats?·?min?1, respectively. For the T4 racing class, heart rate gradually increased during the test (P?<0.05), whereas for the T3 racing class, heart rate reached a plateau after an initial increase. The mean heart rate of the tetraplegics was 114±3 beats?·?min?1. The T3 and T4 classes exhibited similar respiratory exchange ratios, plasma lactate and glucose concentrations throughout the test. For both the T3 and T4 racing class, free fatty acid, glycerol, ammonia, urea and potassium concentrations had increased from resting values by the end of the test (P?<0.05). In conclusion, the results of this study suggest that endurance-trained wheelchair athletes are able to maintain velocities equivalent to the same relative exercise intensity (75% [Vdot]O2peak) for prolonged periods irrespective of lesion level. 相似文献
8.
Nancy L. Wilczynski Cynthia Lokker Kathleen Ann McKibbon Nicholas Hobson R. Brian Haynes 《Journal of the Medical Library Association》2016,104(1):42-46
Objective
The research attempted to develop search filters for biomedical literature databases that improve retrieval of studies of clinical relevance for the nursing and rehabilitation professions.Methods
Diagnostic testing framework compared machine-culled and practitioner-nominated search terms with a hand-tagged clinical literature database.Results
We were unable to: (1) develop filters for nursing, likely because of the overlapping and expanding scope of practice for nurses in comparison with medical professionals, or (2) develop filters for rehabilitation, because of its broad scope and the profession''s multifaceted understanding of “health and ability.”Conclusions
We found limitations on search filter development for these health professions: nursing and rehabilitation. 相似文献9.
Kathleen Ann McKibbon Nancy Lou Wilczynski Robert Brian Haynes for the Hedges Team 《Health information and libraries journal》2009,26(3):187-202
Background: People search medline for trials of healthcare interventions for clinical decisions, or to produce systematic reviews, practice guidelines, or technology assessments. Finding all relevant randomized controlled trials (RCTs) with little extraneous material is challenging. Objective: To provide comparative data on the operating characteristics of search filters designed to retrieve RCTs from medline . Methods: We identified 38 filters. The testing database comprises handsearching data from 161 clinical journals indexed in medline . Sensitivity, specificity and precision were calculated. Results: The number of terms and operating characteristics varied considerably. Comparing the retrieval against the single term ‘randomized controlled trials.pt.’ (sensitivity for retrieving RCTs, 93.7%), 24 of 38 filters had statistically higher sensitivity; 6 had a sensitivity of at least 99.0%. Four other filters had specificities (non retrieval of non‐RCTs) that were statistically not different or better than the single term (97.6%). Precision was poor: only two filters had precision (proportion of retrieved articles that were RCTs) statistically similar to that of the single term (56.4%)—all others were lower. Filters with more search terms often had lower specificity, especially at high sensitivities. Conclusion: Many RCT filters exist (n = 38). These comparative data can direct the choice of an RCT filter. 相似文献
1