Reevaluating Point-of-Care Resources: Community Engagement in Difficult Collection Choices     

Rachel R. Walden  Nakia J. Woodward  Richard L. Wallace 《Medical reference services quarterly》2019,38(1):22-30

Rising collection costs sometimes necessitate tough decisions regarding cancellation of popular products. In 2015–2016, the East Tennessee State University Medical Library subscribed to UpToDate and DynaMed Plus, both clinical point-of-care products, with the understanding that one product would be canceled at the fiscal year end. The librarian team undertook a year-long community engagement campaign to inform library users about the pending product cancellation decision. Ultimately, DynaMed Plus was selected and UpToDate was cancelled. The campaign generated user engagement with the decision making, along with perceived benefits including increased awareness of the library's budget constraints, increased discussion of scholarly publishing, and greater faculty/student knowledge of evaluating evidence-based products.  相似文献   

原创性一次文献医学连续型电子出版物现状及面临的问题与建议     

李军亮  裴燕 《编辑学报》2019,31(1):20-23

介绍我国医学原创性一次文献连续型电子出版物数量、学科影响力,分析目前连续型电子出版物面临的问题,探讨我国医学原创性一次文献连续型电子出版物的发展方向。一方面,连续型电子出版物需不断提高自身学术质量、编校质量,加强推广与宣传,提升在学科中的影响力和行业中的认可度;另一方面,编辑部需创新人才管理体制,建立稳定、专职的复合型编辑团队;同时,在国家政策的引导下,光盘版连续型电子出版物应加快多媒体融合,推动光盘版向网络版出版的转型。  相似文献   

中医院校档案馆开展口述档案工作的思考     

李园园 《兰台世界》2019,(7):39-41

口述档案可以丰富校史馆藏,有利于加强校史研究,积淀和传承学校文化。开展口述档案工作,是高校档案部门责无旁贷的事情。然而,中医院校档案馆在这方面比较滞后,本文希望中医院校档案馆能以用户利用为导向,选择多种途径,形成长效工作机制,建立有中医特色的口述档案资源库。  相似文献   

中医“内外合治”治疗腰椎间盘突出症160例     

田桓青 《宜春学院学报》2011,33(8)

目的：观察＂内外合治＂对腰椎间盘突出症的疗效。方法：自2007年2月至2010年3月共收治腰椎间盘突出症160例。其中男性93例,女性67例;年龄22～68岁,平均年46.7。病程最短20日,最长9年。采用补肾活血汤内服、中药超声波离子导入、推拿按摩等方法治疗。结果：160例患者中,治愈104例、显效25例、有效16例、无效15例,总效率为90.6%。结论：中医＂内外合治＂治疗腰椎间盘突出症方法简便易行、效果好,值得临床推广。  相似文献   

Oral injuries in children less than 24 months of age in a pediatric emergency department     

《Child abuse & neglect》2019

BackgroundOral injuries in young children may indicate physical abuse. The prevalence of oral injuries in young children presenting to the emergency department is unknown. These data would assist providers in making decisions about the need for further abuse evaluation.ObjectiveTo determine the prevalence of oral injuries, associated chief complaints and characteristics, and frequency of abuse evaluations in children younger than 24 months presenting to a pediatric emergency department (PED). Participants and Setting: Twelve pediatric emergency medicine physicians consecutively enrolled children younger than 24 months in a tertiary care PED.MethodsWe performed a prospective observational study. Enrolled patients underwent a complete oral examination. Providers recorded patient demographics, type of chief complaint, oral injury details, developmental ability, and the presence of an abuse evaluation.ResultsOral injuries occurred in 36/1303 (2.8%, 95% CI 1.9–3.8%) and were more common in patients with traumatic (26/200, 13%) versus medical chief complaints (10/1,103, 0.9%) (p < .001). Of patients with oral injuries (36), 78% were mobile and 72% had traumatic chief complaints. Nine (25%) children with oral injuries were evaluated for abuse. Oral injuries in children 0–11 months old were more likely to be evaluated for abuse than children 12–24 months old (70.0% vs. 7.7%, p < .001).ConclusionsThe prevalence of oral injuries in children <24 months old presenting to a PED was low. Most occurred in mobile children and in children with traumatic chief complaints. Younger, non-mobile children with oral injuries had a higher likelihood of having an abuse evaluation.  相似文献   

拉美特利人体哲学在医学中的历史地位     

王华生 《怀化学院学报》2011,30(4):42-43

拉美特利人体哲学在医学中的历史地位具有双重性.其历史进步性在于,为医学彻底摆脱宗教神学的束缚提供了理论基础,为突破自然哲学医学模式、实现医学思维方式的变革提供了方法论基础,是进化论的先声,具有一定的前瞻性.其历史局限性在于,将精神基质排除在医学视野之外,违反科学常识,误导医学,把心灵的运动还原为机械的运动,将理性消解于...  相似文献   

高血压病患者用药依从性影响因素及护理干预     

郭海丽 《泰州职业技术学院学报》2011,11(6):88-89,98

目的对高血压病患者用药依从性情况进行调查,根据调查结果制定相应的护理干预措施,为更好地治疗高血压病提供依据。方法对就诊于江苏省中医院被确诊为原发性高血压病的260例患者,通过问卷调查和问询,对其服药依从性情况进行调查。结果 260例高血压病患者中,服药依从性好的比例仅为22.7%,多数患者由于来自认知因素、年龄因素、治疗因素和经济因素等方面原因,导致服药依从性不高。结论通过加强健康教育、坚持个性化用药、构建伙伴式的护患关系、督导自测血压、争取家庭和社会的支持等途径,可以有效提高高血压病患者的服药依从性。  相似文献   

专业基础课在创新创业人才培养中的作用探索     

李升和  周金星  许雪萍  金光明  王珏  许万祥  宁康健 《安徽科技学院学报》2011,25(3):52-55

专业基础课是基础课与专业课间的桥梁和纽带,在整个大学教育中具有举足轻重的作用。动物医学和动物科学专业是理论与实践结合十分紧密的专业,其专业基础课在培养学生实践动手和创新创业能力,提高学生综合素质等方面具有重要作用。本文主要从教学内容、教师实践、教书育人、教学方法、教学手段和实践科研平台等方面对动物医学、动物科学专业基础课程的改革进行深入探讨,以充分发挥专业基础课在培养创新创业人才中的作用。  相似文献   

建立中国精准健康医学科研情报综合服务平台的思考          下载免费PDF全文

俞梦孙 《情报工程》2015,1(6):008-016

针对我国精准医学发展的现状,从加强科技情报意识、加强对美国科研发展的信息跟踪与了解、注重情报研究、建立中国精准医学科研情报平台和协调中心、重视事实型数据库、组织人才数据库、项目数据库以及专利专题数据库、建立科研情报机制、加大科技情报人才队伍的建设力度6个方面探讨了科研情报在精准医学行业中的重要性,旨在为相关企业和决策部门在精准医学发展中如何发挥科技情报的独特作用和价值提供可借鉴的思考。  相似文献   

精准医学相关的数据管理与知识服务          下载免费PDF全文

钱庆 《情报工程》2015,1(6):017-022

2015年初,美国精准医学计划的提出得到了学术界的广泛关注。本文介绍了美国精准医学计划提出的基础与背景,重点阐述该计划在数据采集、管理与整合等方面的挑战,介绍了精准医学相关知识库建设和知识服务实践探索。  相似文献