Factors associated with successful answering of clinical questions using an information retrieval system

OBJECTIVES: Despite the growing use of online databases by clinicians, there has been very little research documenting how effectively they are used. This study assessed the ability of medical and nurse-practitioner students to answer clinical questions using an information retrieval system. It also attempted to identify the demographic, experience, cognitive, personality, search mechanics, and user-satisfaction factors associated with successful use of a retrieval system. METHODS: Twenty-nine students completed questionnaires of clinical and computer experience as well as tests of cognitive abilities and personality type. They were then administered three clinical questions to answer in a medical library setting using the MEDLINE database and electronic and print full-text resources. RESULTS: Medical students were able to answer more questions correctly than nurse-practitioner students before and after searching, but both had comparable improvements in the number of correct questions before and after searching. Successful ability to answer questions was also associated with having experience in literature searching and higher standardized test-score percentiles. CONCLUSIONS: Medical and nurse-practitioner students obtained comparable benefits in the ability to answer clinical questions from use of the information retrieval system. Future research must examine strategies that improve successful search and retrieval of clinical questions posed by clinicians in practice.     

Alar and apples: newspapers, risk and media responsibility

During 1989, a major environmental and health risk issue, the spraying of Alar on apples, created a furor among the American people. After hearing charges from the Natural Resources Defense Council (NRDC) that eating Alar-laden apples significantly increased a child's risk of developing cancer, numbers of school districts dropped apples from their menus and parents poured apple juice down the drains. Apple sales plummeted. The NRDC's charges, which were disseminated by a well-planned and effective public relations campaign, brought counter-charges from the US environmental Protection Agency, which accused the NRDC of basing its study on poor data, among other things. The core of the dispute was in the risk figures and risk interpretations being used by each organization.     

Influences on the Construction of Health News: The Reporting Practices of Local Television News Health Journalists

Local television news remains a primary news source for Americans and is a key source of consumer health information. This study explores why local television health journalists cover particular topics and assesses why health journalism newsgathering practices often differ from the normative newsgathering practices of general assignment reporters. Fifteen in-depth telephone interviews were conducted with health journalists from varying geographical regions and media markets. Influence from local hospitals and personal interest in a health topic often determined the health content the journalists produced. Journalists said it was difficult to cover health issues in addition to other newsroom responsibilities.     

Deductive and defeasible reasoning on the basis of a unified algebraic approach

Application of a unified classical approach to the modeling and analysis of both deductive and defeasible reasoning developed by the authors on the basis of n-tuple algebra is demonstrated. A method of analysis of defeasible reasoning transferring the “non-classical” component to the semantics and allowing carrying out logical analysis without violating the laws of classical logic is demonstrated.     

Young Children Give Priority to Ownership When Judging Who Should Use an Object

This study provides evidence that children give priority to ownership when judging who should use an object. Children (N = 269) and adults (N = 154) considered disputes over objects. In disputes between a character using an object and the owner of the object, children, as young as 3 years and as old as 7 years, sided with the owner, and did so more than adults. However, children aged 4 and older disregarded owners' rights in dilemmas where these were pitted against the need to prevent harm. These findings suggest that ownership is central in children's judgments about object use and constrain developmental accounts of how children acquire an appreciation of ownership.