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11.
Evaluation of a program to teach health professionals to search MEDLINE   总被引:1,自引:0,他引:1  
This study analyzes the search behavior of end users who had taken a class in searching MEDLINE on the National Library of Medicine's MEDLARS system. Of the class alumni, 58% obtained passwords. Most of these were still conducting their own searches twelve to eighteen months later. Telephone interviews and search observations indicated that these end users were satisfied with their results and felt they had mastered the basic mechanics of searching. However, appropriate use of explodes and subheadings, as well as locating appropriate search terms, still presented difficulties for them. Further training in these areas may be required.  相似文献   
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OBJECTIVE: Women with histories of childhood maltreatment (CM) have higher rates of physical health problems and greater medical utilization compared to women without abuse histories. This study examined whether current post-traumatic stress disorder (PTSD) symptoms mediate the relationship between CM and indicators of physical health and medical utilization in female veterans. METHOD: Respondents were 221 female veterans (56% of the potential sample), who received medical care from the San Diego VA Healthcare System during a 12-month period. Respondents provided self-report information about CM, PTSD symptoms, use of pain medication, and physical symptoms and functioning. Additional information about medical utilization was extracted from respondents' medical charts. Regression-based models were conducted to test whether PTSD symptoms mediate the relationships between CM and physical symptoms and between CM and medical utilization. RESULTS: Emotional abuse was associated with poorer role-physical functioning, increased bodily pain and greater odds of using pain medication in the past 6 months. Physical abuse was associated with poorer general health. Contrary to prediction, emotional neglect was associated with better role-physical functioning, and CM was not associated with increased healthcare utilization. PTSD was shown to mediate the relationship between emotional and physical abuse and health outcomes. CONCLUSIONS: PTSD, or psychopathology more generally, appears to be an important factor in the negative health impact of CM. Given that several empirically supported interventions are available for PTSD, there may be physical health benefits in early identification and treatment of psychopathology related to CM.  相似文献   
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ABSTRACT

This paper reviews the software functionality that has evolved over the past two decades of research in Computer Mediated Communications at New Jersey Institute of Technology (NJIT) to create a Virtual Classroom® to support distance education. Based upon many years of evaluating its effectiveness we also summarize our views about the software functionality needed for further improvement of this approach to distance education. This view of a future Virtual Classroom® allows the instructor complete control over the learning materials and the tools to easily to weave in the learners as co contributors to a growing web of course knowledge. Beyond the current basic tools of the Virtual Classroom® we discuss the future role for hypertext, gaming and simulation, animation and multimedia and the role of the educator as a facilitator of a collaborative learning process. Both the proper software and the proper pedagogical techniques are necessary in order to obtain maximum effectiveness in the asynchronous computer‐mediated environment  相似文献   
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Objective: The research analyzes usage of a major biomedical library''s pre-1993 print journal collection.Methodology: In July 2003, in preparation for a renovation and expansion project, the Biomedical Library at the University of California, San Diego, moved all of its pre-1993 journal volumes off-site, with the exception of twenty-two heavily used titles. Patrons wishing to consult one of these stored volumes could request that it be delivered to the library for their use. In the spring of 2006, an analysis was made of these requests.Results: By July of 2006, 79,827 journal volumes published in 1992 or earlier had been requested from storage. The number of requests received declined with age of publication. The usage distribution exhibited a “long tail”: 50% of the 79,827 requests were for journal volumes published before 1986. The availability of electronic access dramatically reduced the chance that corresponding print journal volumes would be requested.Conclusions: The older biomedical print journal literature appears to be of continued value to the biomedical research community. When electronic access was provided to the older literature, demand for older print volumes declined dramatically.

Highlights

  • Analysis of requests for stored biomedical journal volumes published prior to 1993 indicates that older biomedical journal literature receives substantial use: during this 3-year study, there were nearly 80,000 requests for journal volumes published in 1992 or earlier, with half the requests for volumes published from 1986–1992 and 40% of the request for volumes published from 1970–1985. These results indicate that retaining older print volumes, or providing easy access to the older literature through electronic journals or other means, will likely be required to meet user information needs.
  • Use of older journal volumes varies by title and by user population, and a small number of journal titles were responsible for most of the use.
  • Requests for older print biomedical journal titles dropped significantly when electronic access became available.

Implications

  • Biomedical libraries should carefully consider implications of eliminating on-site access to older journal literature for users and budgets.
  • Removing access to older journal literature may result in higher demand for interlibrary loan and document delivery services.
  • Biomedical libraries can safely substitute reliable electronic access to older literature to meet ongoing needs for this information, thereby creating space for other purposes.
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Simulation is the process of executing a model that describes a system with enough detail; this model has its entities, an internal state, some input and output variables and a list of processes bound to these variables. Teaching a simulation language such as general purpose simulation system (GPSS) is always a challenge, because of the way it executes the models and the abstraction level it can achieve, very different compared with most well-known programming languages. This article presents an open source simulation framework that implements a subset of entities of GPSS, which could help students to improve the understanding of this language. This tool also stores all entities of simulations in every single simulation time, which is very useful for debugging simulations, but also for getting a detailed history of all entities in the simulations, knowing exactly how they have behaved in every simulation time.  相似文献   
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Newly hatched chicks were force-fed food and water throughout rearing, and food, water, or sand reinforcers during exposure to an omission-training procedure. The chicks were thus prevented from performing approach and contact responses to the reinforcer at any time in their lives. Nevertheless, the subjects displayed approach and species-specific feeding or drinking reactions directed toward an illuminated key paired with food or water, but not with sand. Illumination of a key either uncorrelated or negatively correlated with food or water did not engender appreciable responding. Feeding and drinking reactions were topographically distinct, determined by the type of reinforcer, but were not elicited by the reinforcer. These findings support a “learned release” view of autoshaping, according to which phylogenetically preorganized behavior patterns are triggered by distal stimuli paired with biologically significant proximal stimulation, and suggest a close relationship between autoshaping and primitive instances of visual object recognition.  相似文献   
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This paper considers efforts made in evaluating a distance‐learning course, which was intended to prepare students for working on an undergraduate dissertation in business and economic areas. Course delivery had stressed a tutorial approach with an emphasis on individual mentor–student exchanges. Given the nature of the learning approach and the backgrounds of the students, an attempt was made to open the evaluation process to participants and allow them to articulate their learning experiences. In seeking this end, the evaluation employed both metaphor and mapping techniques to chart the experiences that had been provoked by the learning encounters.  相似文献   
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