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Medicine has made increasing use of meta-analysis, largely as a quantitative procedure for combining results of clinical trials. Meta-analysis begins with a comprehensive review of the literature. The next step is a systematic analysis of the quality and content of each study. Finally, results are combined statistically and conclusions are drawn from this new overview of the data. This paper presents a brief historical perspective on the use of meta-analysis in medicine with emphasis on the medical library. The authors conclude that in the future, medical librarians will play a significant role in the application of this useful technique.  相似文献   
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Chaos theory, informational needs, and natural disasters   总被引:2,自引:0,他引:2  
This study applies chaos theory to a system-wide analysis of crisis communication in a natural disaster. Specifically, we analyze crisis communication during the 1997 Red River Valley flood in Minnesota and North Dakota. This flood, among the worst in modern American history, consumed entire metropolitan areas, displacing thousands of people. The conditions and decisions leading to the disaster, and the subsequent reactions are retraced. Communication related to river crest predictions (fractals), the shock at the magnitude of the crisis (cosmology episode), novel forms of reorganizing (self-organization), and agencies that aided in establishing a renewed order (strange attractors) are evaluated. Ultimately, we argue that preexisting sensemaking structures favoring rationalized, traditional views of a complex system led officials to make inappropriately unequivocal predictions and ultimately diminished the effectiveness of the region's crisis communication and planning.  相似文献   
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The roles of academic health sciences librarians are continually evolving as librarians initiate new programs and services in response to developments in computer technology and user demands. However, statistics currently collected by libraries do not accurately reflect or measure these new roles. It is essential for librarians to document, measure, and evaluate these new activities to continue to meet the needs of users and to ensure the viability of their professional role. To determine what new measures should be compiled, the authors examined current statistics, user demands, professional literature, and current activities of librarians as reported in abstracts of poster sessions at Medical Library Association annual meetings. Three new categories of services to be measured are proposed. The first, consultation, groups activities such as quality filtering and individual point-of-need instruction. The second, outreach, includes activities such as working as liaisons, participating in grand rounds or morning report, and providing continuing education. The third area, Web authoring, encompasses activities such as designing Web pages, creating online tutorials, and developing new products. Adding these three measures to those already being collected will provide a more accurate and complete depiction of the services offered by academic health sciences librarians.  相似文献   
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冰上课教学方法与难点教学实践初探   总被引:1,自引:1,他引:0  
在教学实践中感到冰上课的难点有2个:站立和弯道技术.就冰上站立和弯道技术进行了技术和教学方法的初步探讨.在冰上首先要解决站立问题,能站立后滑行就比较容易;另一个难点就是弯道滑行,这点若也解决,冰上课就成功了.  相似文献   
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Executives recognize the value of maintaining access to information. More managers filter their own e-mail rather than have assistants do this task. Organizing and storing data for future use are left to the personal preference of the individual manager. Is this in the best interest of the organization? Are data being stored in a manner causing them to be irretrievable in the future? Are irrelevant data being stored? This study investigates the strategies used to store and retrieve e-mail. The results revealed that the primary search strategy was a reliance on memory. The labels assigned to the e-mail folders triggered the user's memory. Although, in the short term, memory is sufficient for organizing and retrieving information, the lack of transferability and preservation of this information poses a danger. The association between the electronic file label and the stored information is unique to the manager and may lead to inaccessibility of relevant corporate knowledge in the future.  相似文献   
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This article reviews the literature pertaining to the written composing ability of students with learning disabilities that was published primarily in the decade from 1980 to 1990. The papers included are either reports of research or discussions of instructional procedures that are based on research. The topics addressed include story composition, expository writing, training/intervention research, and rationales/procedures for instruction.  相似文献   
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