How much effort is needed to keep up with the literature relevant for primary care?     

Brian S Alper  Jason A Hand  Susan G Elliott  Scott Kinkade  Michael J Hauan  Daniel K Onion  Bernard M Sklar 《Journal of the Medical Library Association》2004,92(4):429-437

OBJECTIVES: Medicine must keep current with the research literature, and keeping current requires continuously updating the clinical knowledge base (i.e., references that provide answers to clinical questions). The authors estimated the volume of medical literature potentially relevant to primary care published in a month and the time required for physicians trained in medical epidemiology to evaluate it for updating a clinical knowledge base. METHODS: We included journals listed in five primary care journal review services (ACP Journal Club, DynaMed, Evidence-Based Practice, Journal Watch, and QuickScan Reviews). Finding little overlap, we added the 2001 "Brandon/Hill Selected List of Print Books and Journals for the Small Medical Library." We counted articles (including letters, editorials, and other commentaries) published in March 2002, using bibliographic software where possible and hand counting when necessary. For journals not published in March 2002, we reviewed the nearest issue. Five primary care physicians independently evaluated fifty randomly selected articles and timed the process. RESULTS: The combined list contained 341 currently active journals with 8,265 articles. Adjusting for publication frequency, we estimate 7,287 articles are published monthly in this set of journals. Physicians trained in epidemiology would take an estimated 627.5 hours per month to evaluate these articles. CONCLUSIONS: To provide practicing clinicians with the best current evidence, more comprehensive and systematic literature surveillance efforts are needed.  相似文献   

PUBLIC RELATIONS     

Crowe MR 《Bulletin of the Medical Library Association》1954,42(1):125-126

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Multicultura1 Education: a critique of Walkling and Zec     

M. Phillips-Bell 《Journal of Philosophy of Education》1981,15(1):97-105

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The decline in CUNY applications: Who and how come     

Mr. John M. Farago  Janice Weinman 《Research in higher education》1978,8(3):193-203

In the fall of 1976 applications for admission to the City University of New York (CUNY) had dropped sharply. In total number they were down by almost 13,000 from 1974, a drop of approximately 18%. Several hypotheses have been posited for the sharp decline in student applicants to the City University. Analysis of data drawn from the computer printouts of the City University's allocations indicates that the end of open admissions, for example, does not, in and of itself, explain the application drop. Similarly, the change in allocation formulas at CUNY seems not to explain the enrollment decline adequately. Finally, the imposition of tuition, or the perception about tuition, appears by no means the single most important factor in the enrollment drop. This paper attempts to determine the characteristics of the students not applying and to examine the reasons contributing to the sharp enrollment decline.  相似文献   

Understanding Persons.     

M. R. HAIGHT 《Philosophical Books》1982,23(2):124-125

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How 'authoring' programs help you create interactive CAI.     

D M Gayeski  D V Williams 《Training (New York, N.Y.)》1982,19(8):32-35

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Behavior modification in the home with the mother as the experimenter: the effect of differential reinforcement on sibling negative response rates     

M S Veenstra 《Child development》1971,42(6):2079-2083

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Developing a learning community for technology infusion in teacher preparation     

Paul?RestaEmail author  Nancy?J.?Allen  Coral?M.?Noonan 《TechTrends》2003,47(3):30-34

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Planar asymmetry tips the phonological playground and environment raises the bar     

Eckert MA  Lombardino LJ  Leonard CM 《Child development》2001,72(4):988-1002

Reading readiness varies as a function of family and environmental variables. This study of 11-year-old children (N = 39) was designed to determine if there was an additional or interactive contribution of brain structure. Evidence is presented that both environmental and biological variables predict phonological development. Temporal lobe (planar) asymmetry, hand preference, family history of reading disability, and SES explained over half of the variance in phonological and verbal performance. The results demonstrate a linear association between cerebral organization and phonological skill within socioeconomic groups. These data provide concrete evidence to support the commonly held assumption that both environmental and biological factors are independent determinants of a child's ability to process linguistic information.  相似文献   

The Afghan children of Oodnadatta: a reflection on gender, ethnicity and education in the interwar years     

Theobald MR 《Paedagogica Historica: International Journal of the History of Education》2001,37(1):211-230

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