基于LibQUAL和Ridit的广东省医学图书馆学科服务用户需求倾向分析

通过建立基于LibQual+的问卷,调查了广东省5所高校的医学图书馆学科服务的开展情况,建立学科服务质量评价体系,并使用Ridit和乘积标度对用户的服务需求倾向进行分析,结果显示,相对于“学科馆员”,用户更重视“服务效果”和“资源与信息控制”两个层面。     

基于语义网和SOA的医学图书馆信息服务模型设计

提出了基于语义网关联数据和本体技术的用户检索方式的转变及基于本体的学科馆员信息服务模型。该模型利用SOA技术为基于语义网的信息服务提供了开放的应用接口,通过建立基于关联数据技术的驱动引擎和知识库,使资源之间具有了语义上的可扩展的关联关系,并搭建了学科馆员平台、医学领域专家平台、学科专业用户平台,学科馆员在医学领域专家的协助下,应用本体模型为医学专业用户提供语义层面的智能化检索服务。     

“中医药+”视域下学科服务实践研究

阐述“中医药+学科服务”的内涵，从建设学科服务平台、特色定制服务、开展用户信息素养培训等方面，详述湖北中医药大学图书馆开展“中医药+学科服务”的实践，总结学科服务中存在的不足及改进方向。     

信息技术视域下高校学科服务创新发展研究

信息技术是支撑高校学科服务快速发展的基石,是解决用户学科服务多元化信息需求的关键,是推动学科服务向更快、更准、更智能化方向发展的动力。文章首先概述了信息技术融入高校学科服务的现状,分析了信息技术视域下学科服务创新发展存在的问题,如学科服务权责划分不清晰、资源配置不均衡、缺乏畅通的用户反馈渠道等,进而从政策引领、人才培养、模式优化等层面提出学科服务创新发展路径,为大数据背景下高校学科服务创新发展助力。     

高校图书馆"学科馆员"制度刍议

介绍高校图书馆信息服务的现状,阐述建立“学科馆员”制度的必要性和具体措施及“学科馆员”应具备的素质和职责。     

新型服务能力建设视域下图书馆学科服务转型与发展

随着学术环境的日益自由化和用户需求的日益专业化,提高图书馆新型服务能力建设已成为当代图书馆发展的主题。图书馆的新型服务能力建设不仅局限于文化理念的传承、空间架构的完善,更应注重信息资源的针对性整合,即提升学科服务质量。学科服务已成为衡量图书馆新型服务能力建设的重要指标,因此,应创新学科服务发展模式,调整学科服务发展战略,完善学科服务平台,建立联盟机制,使学科服务能够精准对接用户需求,促进学科内涵式发展,为实现学科服务持续发展提供动力。     

学科化信息服务：高校图书馆读者服务创新的生长点

论述现代信息环境对传统读者服务工作的挑战,提出学科化信息服务具体运作模式,包括建立学科化服务的管理体制、强化学科馆员制度、重视学科资源与服务项目的宣传推广、加强用户信息能力培养等.     

基于用户需求分析的学科信息服务实践探索

以问卷形式对首都医科大学公共卫生学院在职教师和学生进行学科信息需求调查,对调查结果进行分析,包括用户基本情况、用户对学科馆员的了解程度及建议、用户对学科信息服务内容和形式的了解程度及建议等,在此基础上提出学科信息服务的意见和建议.     

学科馆员嵌入医院科研学科化服务研究

学科馆员嵌入医院科研一线提供学科化服务是图书馆适应新形势和新需求而诞生的一种新型服务模式。通过对学科化服务背景的介绍,探讨了开展嵌入科研服务存在的问题,认为开展嵌入科研服务,应制定切实可行的服务计划与方案,开展科研用户信息需求调研,建立学科化服务网络交流平台,并针对用户需求设计学科化服务产品,同时开展面向科研用户的服务营销。     

基于学科化服务的图书馆学科资源建设

学科化服务,是一种基于馆藏物理资源和网络虚拟资源,以用户需求目标驱动的,面向知识内容的,融入用户决策过程并帮助用户找到或形成问题的解决方案的增值服务.学科化服务按照学科开展工作,而不再按照文献工作流程来组织科技信息工作,使服务方式学科化、服务内容知识化,从而提高信息服务对用户需求和用户任务的支持度[1].学科化服务的特点主要体现在研究性、学术性和知识性三方面.学科化服务的具体形式包括学科资源建设、学科资源导航、学科咨询、课题查新、学势分析、学科前沿跟踪等,而学科资源建设排在第一位,可见,学科资源建设在学科化服务中地位的重要性.学科化服务是当前国内图书馆一个新兴的服务模式,学科馆员服务方式是当前实现学科化信息服务的主要途径,而学科资源建设是学科化服务的文献信息资源保障.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…