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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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The most frequently requested accommodation among students with learning disabilities (LD) in postsecondary settings is extended test time. The frequency with which this accommodation is requested and granted compels disability service providers to become knowledgeable about the factors that influence the need for, and appropriateness of, the accommodation. Moreover, the synthesis of these factors becomes the basis for determining if the accommodation is reasonable under federal law. The purpose of this article is to present a step‐by‐step model to be used as a decision‐making process when considering the accommodation of extended test time for postsecondary students with LD. The model is designed to assist disability service providers in the analysis and synthesis of information collected from (1) the student's diagnostic evaluation, (2) the course or classroom test to be accommodated, and (3) student interviews. A list of diagnostic tests from the four most frequently administered test batteries used with adults is provided, along with a concise explanation of how characteristics of LD impact reading, writing, and math, and relate to the need for extended time. This information can be used to determine if extended test time is a reasonable accommodation and to estimate how much additional time to provide.  相似文献   
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Policies for responding to allegations of fraud in research   总被引:1,自引:0,他引:1  
Greene PJ  Durch JS  Horwitz W  Hooper VS 《Minerva》1985,23(2):203-215
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Last year 1279 professional authors completed a lengthy questionnaire on their use of, and attitudes towards, technological tools for writing and publishing. The data were analysed quantitatively, by examining the most frequent responses to items on the questionnaire, and qualitatively, by looking closely at details illuminating the relationship between authors and publishers. The results, for present purposes, are divided into three broad bands of interest: first, what types of writing software authors are currently using; second, what the implications of using authors' disks in the publication chain are; and third, how technology alters perceptions of the copy as a unit of sale. Findings suggest that though authors are operating at basic levels, they have embraced technology with more enthusiasm than their publishers. The challenge facing those involved in books is to make provision for presenting and displaying work in electronic form: to improve contracts and licensing agreements, and to disseminate information on technology to authors.Funded by the British National Bibliography Reseach Fund.© Jane Dorner, 1991  相似文献   
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