Three Supervision Modalities for Training Marital and Family Counselors

Three supervision modalities (live, delayed review, and verbal reports) in training marital and family counselors are discussed with attention given to goals, supervisory considerations, advantages, and disadvantages of each modality.     

Meta-analysis: a tool for medical and scientific discoveries.

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.     

Chaos theory, informational needs, and natural disasters

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.     

活血皇浆对田径运动员血液动力流变学和血液有形成分参数的影响

根据中医内科辩证和因时制宜原则 ,对校田径代表队在夏季比赛期间服用活血皇浆前后进行血液动力流变学和血液有形成分参数的比较观察结果表明 ,运动员服液后在脉率 (PR)、每搏量 (SV)、心输出量 (CO)、左心有效泵力 (VPE)和左心能量有效利用率 (EWK )改善的同时 ,出现心肌耗氧量 (HOV)、心肌耗氧指数 (HOI)、心肌血液需要量 (CMBN)、心肌血液灌注量(CMBV)和总周阻 (TPR)、标准周阻 (SPR)、收缩压 (SP)舒张压 (DP)等参数下降 ,呈现机能和能量节省化 ,而血液状态则表现为血容量 (BV)增多 ,全血粘度 (η)和还原血粘度 (ηr)下降 ,切变应力增高 ,血流速度加快 ,有利于维持微循环正常功能。血液有形成分的改变提示 ,血红蛋白 (Hb)红细胞比积 (HCT)和血小板 (PL T)有增高趋势 ;平均红细胞血红蛋白浓度 (MCHC)下降 ,则有可能与 BV相对增多 ,红细胞 (RBC)体积增大有关     

冰上课教学方法与难点教学实践初探

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.