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The National Library of Medicine has had an enormous impact on health information services all over the world. Although NLM is primarily a national institution, it has become an important international resource by responding to requests from the international community. NLM has been influential in three major ways. First, NLM has provided a model for other national and regional health information services. Second, it has been a catalyst, in that MEDLARS and other services it provides formed the nucleus of many regional networks. NLM helped such networks get started by giving advice on how to set up services and build collections and by "training the trainers" on the MEDLARS system. Third, NLM has supported national and regional operations by providing the additional training and materials needed for day-to-day service.  相似文献   
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The history of nursing education in America is briefly told, with the growth of education in institutions of higher learning emphasized. Two trends in nursing education are paralleled by similar developments in nursing literature. The growth of scholarship in nursing is also noted. It is pointed out that nursing is a discipline in its own right, and that training for leadership is required. Continuing education programs are mentioned, together with the increase in nursing literature. Integrated libraries for the health sciences are recommended.  相似文献   
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Although a substantial majority of academic libraries now provide streaming video, the literature contains few studies which focus on how such resources are used. This article presents the results of a qualitative research study consisting of in-depth interviews with 18 instructors who use of one category of streaming video resources, educational videos, which are important because they are sold a higher price than most individuals can afford, and thus are typically only available to instructors through the library. The study's main findings are that instructors think educational streaming video resources compare favorably to commercial and non-streaming alternatives in most respects and use them whenever possible, that the primary benefit of these resources is to facilitate better use of limited class time by enabling instructors to assign videos as outside-of-class viewing, and that the library is not the primary means instructors use to discover new educational streaming video resources. Additional insights are provided into factors that academic libraries should consider when deciding which resources to invest in, which acquisition models to pursue, and what marketing strategies to employ to ensure maximum usage.  相似文献   
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Increased genetic testing in personalized medicine presents unique challenges for couples, including managing disease risk and potential discrimination as a couple. This study investigated couples’ conflicts and support gaps as they coped with perceived genetic discrimination. We also explored the degree to which communal coping was beneficial in reducing support gaps and ultimately stress. Dyadic analysis of married adults (N?=?266, 133 couples), in which one person had the genetic risk for serious illness, showed that perceived discrimination predicted more frequent conflicts about alpha-1 antitrypsin deficiency-related treatment, privacy boundaries, and finances, which, in turn, predicted wider gaps in emotion and esteem support, and greater stress for both spouses. Communal coping predicted lower support gaps for both partners and marginally lower stress.  相似文献   
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