[Setting up of an automatic information system for medical science management in a branch].
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The use of evidence to inform the practice and policy of professional education in the health care sciences is taking on an increasingly important role alongside the use of more traditional types of knowledge. It is an addition to the repertoire in this and many professions that draw on social-science discipline knowledge. In the field of health care science professional education, the Best Evidence Medical Education Collaboration (BEME) leads the movement toward evidence-informed practice. It is a movement not without controversy, and lively debate on epistemological and practical issues is in progress. With publication of the first BEME Reviews in 2005, this debate will be extended. We can expect energetic and healthy commentaries on both the review process and the substantive findings. All this will make a valuable contribution to an important aspect of professional education practice and policy that is here to stay.
A decision support system can be approached from two major disciplinary perspectives, those of information systems science (IS) and artificial intelligence (AI). We present in this study an extended ontology for a decision support system in health informatics, which is founded on experience from related research fields as well as being informed by our case studies. The ontology emphasises the need to cover environmental and contextual variables as an integral part of a decision support systems development methodology. With the addition of these variables, the focus in decision support systems development shifts from a task ontology towards a domain ontology. The results of this study help the system developers to take the system's context into account through the set of defined variables that are linked to the application domain. These variables explicate relevant constructs and present a vocabulary for a decision support system. However, applying the ontology requires a more thorough analysis of the domain and therefore more qualified resources for systems development. This indicates the need to focus more on education and training in health informatics.
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Concurrent engineering is a new attempt to the theoretical and practical synthesis of human activities, especially of those ones focusing to industrial production or deep to influencing human society. Although its title sound near to technology terms, concurrent engineering does not miss medicine, ecology, social security and other disciplines. From the methodological viewpoint, concurrent engineering represents a synthesis of a wide spectrum of branches of sciences and technology; that synthesis is primarily stimulated by commercial aspects, supported by the interest coming from production, control of the society and business. But that synthesis leads to a rich process of discovering interdisciplinary relations at the theoretical level, supported by the powerful tools of modern information processing, knowledge representation and exact remote transfer of symbolic, graphic and acoustic information.
In an era of steady-state budgets many research and academic libraries must cancel a significant number of current serials to maintain acquisitions of monographs. Thus paper reviews several techniques that have been used or that are of potential use in a rational selection of titles for cancellation. The context of the proposed methodology involves a network of libraries rather than an individual library. The methodology was tested with specific health sciences serial titles held by University of California libraries and resource libraries in NLM Region XI. As a test for the proposed methodology, background data were collected on 600 current foreign language serial titles included in SERLINE and held by at least one of the libraries in the networks of interest. Price, major secondary service coverage with productivity/impact factors, extent of holdings, and average number of recorded circulations per year in several of the libraries were recorded for each title. With the use of several different rules, estimates were made of the subscription savings that might be realized. It seems feasible to extend the same methodology to other groups of serial titles.
In the last decade, cumulative trauma disorders have become a significant percentage of reported workplace injuries and litigated workers' compensation claims. Arising from the accumulated impact of daily work activities on the body, these injuries do not fall neatly within either the "accident" or "disease" categories which comprise workers' compensation laws. As a result, courts and legislatures have struggled to properly evaluate workers' compensation claims for these injuries. This Note looks at the legal treatment of cumulative trauma injuries in light of the "original bargain" of workers' compensation, where workers give up a tort remedy against their employers in exchange for guaranteed, but limited, compensation for work-related injuries. In doing so, this Note undertakes a comprehensive comparison of litigated cumulative trauma cases in the tort and workers' compensation systems. Ultimately, this Note argues that judges must use the original bargain as an interpretive less when deciding cumulative trauma cases, and points to ergonomics--the science of the workplace--as a significant new tool for determining whether such injuries are work-related.
The availability of biomedical information in the Netherlands is largely guaranteed by the libraries of the eight medical faculties and related university hospitals together with the Netherlands Institute for Scientific Information Services (Dutch acronym: NIWI). The acquisition of biomedical journals has always been coordinated at a national level. Up until now the NIWI has played a central role in filling in the gaps left by the other collections. It also functions as a national archive and a main document delivery centre. The NIWI receives financial support from the Dutch government to perform these tasks. Recently, NIWI announced that it intends to terminate its acquisition and document delivery service for the biomedical sciences. The remaining eight libraries foresee a number of negative effects if no alternatives to the present NIWI service are developed. We are of the opinion that this situation necessitates a national, biomedical information strategy.
This article discusses personal and organizational liability for the negligent provision of information by health science librarians providing information regarding patient diagnosis and treatment. It notes claims in the library literature that liability exists for providing faulty information, but these claims do not state or explain the legal basis for such liability. It identifies three basic information retrieval and communication services provided by reference librarians and characterizes the negligent provision of information as a failure to exercise care in one or more of the three. With regard to personal liability, it identifies the relevant law, the tort of negligent misrepresentation involving risk of physical harm, and outlines the elements that a plaintiff would have to establish to sue successfully. With regard to organizational liability, it notes that a plaintiff would use one of two common law theories: either the vicarious liability doctrine of respondeat superior or the direct liability negligent hire theory of recovery.
Planning for a new Health Sciences Library at the University of Maryland at Baltimore extended over more than 15 years. The program plan was created through an interactive process with the architects, involving all the staff from the library and computing/communications groups, now together in a umbrella organization known as Information Services. The layout for the new building was developed to promote interactions and to integrate staff and services on each floor.
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OBJECTIVE: The objective was to determine faculty's knowledge of electronic resources, access to a computer, use of electronic resources (both number and frequency) available at the Medical Sciences Library (MSL), and the areas of training needed and to identify areas for further research. METHODS: A survey was administered to faculty in medicine, pharmacy, dentistry, and veterinary sciences at The University of the West Indies. The questions covered computer literacy, computer access and location, knowledge and use of electronic resources, and training needs. RESULTS: The response rate was 70%, of whom 97% were computer users. Seventy-three percent used computers daily, and 82% felt that their computer literacy level was average or beyond. Overall, it was found that faculty had high awareness of the electronic resources made available by the MSL but low use of MSL-specific resources supporting the suggested problem of underutilization. Many respondents felt that e-resources were important, and, though many felt that they were competent users, 83% were self-taught and many still expressed a need for training. Over 60% felt that a workshop with a hands-on component was the preferred format for training. It was recommended that there be greater promotion of the library's e-resources.
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To examine the relationships between the inferred hemispheric thinking style, gender, and academic major, 190 undergraduate men and women in social science and applied science classes were administered the Your Style of Learning and Thinking to assess their thinking styles. Although endorsements of an integrated style were highest for all subjects, analysis indicated men tended to endorse the right-hemisphere style items in processing information more than women, while the latter tended to endorse items of an integrated style in processing information. Applied science majors appeared to endorse items of a more right-hemisphere style in processing information than social science majors. These results were discussed in view of contemporary biological, psychosocial, and educational perspectives.