This article describes a working partnership between the Cairns Clinical Librarian Service, Health Care Libraries, University of Oxford and the Emergency Department (ED) at the John Radcliffe Hospital, Oxford. This collaboration resulted in the establishment of a guideline development group in June 2002. The aim of the group is to produce a set of easily accessible, user-orientated, evidence-based guidelines for the use of clinicians in the Emergency Department, within a realistic timescale. The Cairns Clinical Librarian Project was built on previous models of clinical librarianship and incorporated an evaluation of previous programmes. The objective was to provide information to clinicians at the time and point of need. Consultation with the ED from the outset determined the approach adopted by the Cairns team. Clinical guidelines have been shown to improve clinical practice. Pending the introduction of nationally available protocols, we have begun to establish a collection of evidence-based guidelines using web-based architecture in conjunction with the Oxford Radcliffe Hospitals NHS Trust's IT department. A piece of diagnostic analysis was undertaken to ensure a coherent strategy was developed for the guideline project. An 'intermediate approach' was adopted, where existing valid guidelines were modified to fit local circumstances. We strove to be transparent at all times about all aspects of the guideline development process. Formative evaluation has shown how the application of evidence-based health care needs adequate resources and requires people with appropriate knowledge and skills. This article charts the progress of the project and highlights how the partnership between the clinical team and the Clinical Librarian has been deemed to be essential to the success of the project. 相似文献
This paper reports on a longitudinal interpretive case study of the transtion from preservice to inservice science teaching.
We describe four sets of overlapping worlds that provide vantagepoints for the study. Three sets describe the experiences
of Katie, the participating teacher. These are the world of the person who is good at science and the world of the person
who is not, the world of the student teacher and the world of the novice teacher, and the world of the primary science classroom
and the world of the primary classroom during other subjects. The final set describes our development as researchers during
this period—the world of the specialist science teacher and the world of the generalist teacher. In our analysis of the transition
experience, we employ the term entryways to describe understandings and strategies that helped the teacher and ourselves to
move between contrasting perspectives. 相似文献
This article describes a collaborative research project by the institutional research group and a team of faculty members at a Canadian university. In response to an increasingly diverse mix of students, the researchers set out to develop an understanding of relationships between student characteristics, categorized as demographic differences, personal attributes and academic preparedness, and student outcomes measured by both grades and student perceptions. Significant differences were found in grades outcomes based on characteristics such as international status, secondary school grades, study habits and writing skills. However, these differences were not evident in student perceptions of course value or learning achievement. This study has important implications for university administrators (recruiting, intake assessment and student support), instructors (understanding of diversity characteristics and how students perceive learning experience) and for students, who can be given an opportunity to better understand how their own personal characteristics might affect their learning experiences and outcomes.
Previous studies on the kinematics of the golf swing have mainly focused on group analysis of male golfers of a wide ability range. In the present study, we investigated gross body kinematics using a novel method of analysis for golf research for a group of low handicap female golfers to provide an understanding of their swing mechanics in relation to performance. Data were collected for the drive swings of 16 golfers using a 12-camera three-dimensional motion capture system and a stereoscopic launch monitor. Analysis of covariance identified three covariates (increased pelvis-thorax differential at the top of the backswing, increased pelvis translation during the backswing, and a decrease in absolute backswing time) as determinants of the variance in clubhead speed (adjusted r (2) = 0.965, P < 0.05). A significant correlation was found between left-hand grip strength and clubhead speed (r = 0.54, P < 0.05) and between handicap and clubhead speed (r = -0.612, P < 0.05). Flexibility measures showed some correlation with clubhead speed; both sitting flexibility tests gave positive correlations (clockwise: r = 0.522, P < 0.05; counterclockwise: r = 0.711, P < 0.01). The results suggest that there is no common driver swing technique for optimal performance in low handicap female golfers, and therefore consideration should be given to individual swing characteristics in future studies. 相似文献
This special issue of Archival Science examines the orientations, paradoxes, and tensions evident in the ethical struggles over the construction of the past and the degree to which archival agency can intercede in supporting a broadly drawn historical justice that also engages contemporary issues. Inspired and framed by a May 2008 conference hosted by School of Information and Labadie Collection, University of Michigan, Ann Arbor, the following essays offer case study examinations of how archival institutions and archivists contribute to societal memory systems through both their action and inaction, especially in regard to societal struggles over the meanings to be derived from the past. 相似文献
The removal of mercury from dilute solutions of mercuric nitrate by mercuric sulfide is indicative of an adsorption process. The relation of log vs. log C shows that the Freundlich adsorption isotherm exists.At higher concentrations of mercuric nitrate a reaction takes place with the mercuric sulfide forming a compound of the possible formula 2HgS·Hg(NO3)2 mercuric nitratodisulfide. 相似文献