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Thepractice of evidence-based health care requires that information on methodology be identifiedfrom databases such as MEDLINE. Up until this year there have been no designated medicalsubject headings (MeSH) for evidence-based health care. ‘EVIDENCE-BASEDMEDICINE’ appears as a MeSH term from 1997. The absence of designated MeSH forthis concept prior to 1997 provides a challenge to the searcher. This paper describes the creationof a MEDLINE search strategy to retrieve articles on the methods of evidence-based health carepublished prior to the introduction of the new term, where an optimal combination of free-textand MeSH terms is required to identify relevant material. The study examines both free-text andsubject heading searching and attempts an optimal balance of sensitivity and specificity. It beginsby examining separate free-text and subject heading searches. Sensitivity of the subject headingsearch was 33% and specificity 80%, while the free-text search produced asensitivity of 50% and a specificity of 67%. The final strategy, combining bothapproaches, was more successful with sensitivity reaching between 82 and 90% andspecificity 83%. It is therefore possible to devise a search strategy to retrieve articles on themethods of evidence-based health care with relatively successful rates of sensitivity andspecificity. The limitations of MEDLINE, however, necessitate the use of additional approachesin identifying articles on the methods of evidence-based health care.  相似文献   
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This paper addresses several misunderstandings about the nature of the FBI's Central Records System. Although depicted in popular culture and much of FBI historiography as a tool for the Cold War suppression of American radicals, the FBI's records system grew out of Department of Justice systems already in place before J. Edgar Hoover became Director in 1924. The system grew in size and complexity according to the demands placed on it by the changing priorities of the FBI's criminal and intelligence missions, guided by a “progressive” drive for efficiency through centralization.  相似文献   
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This introductory article to the combined special issue of Journalism Studies and Journalism Practice provides an overview of some of the key contemporary approaches to studying journalism and social order. It argues the need to step beyond a functionalist framework when considering the news media’s central role in shaping social connections, community and cohesion. To advance our understandings of social order, our paper suggests a greater emphasis of the significance of journalism’s relationship to the wider social sphere along with three other key considerations, including (1) a critical focus on the relationship between media, politics and social order, especially in defining and/or negotiating “anti-social” practices and social disintegration; (2) a more refined focus on the “imagined” and geographic boundaries of news audiences in digital spaces; and (3) the changing relationship to norms and conventions of journalism practice from trust and legitimacy to the role of journalists as arbiters and connectors across social spaces.  相似文献   
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