21世纪医学图书馆员在不断实现知识管理中的导航作用

二十世纪九十年代以来,伴随者全球网络化、信息化而来的知识管理热潮方兴未艾.知识管理与知识经济并行发展,形成了知识为核心管理即知识驱动下的管理革命,已经成为各部门行业的管理者、管理界学者、图书馆专家、信息专家所讨论与研究的热门课题.医学图书馆知识管理的研究与实践,对于创建医学图书馆学习型组织和提升医学图书馆的核心竞争力有着重要的意义.     

大庆市市级医学图书馆十年状况对比调查及分析

在当今知识经济大环境下，信息技术作为其三大支柱产业之一，越来越被世人瞩目。信息技术主要指信息的收集、加工、处理、传输，直至应用技术，而图书馆作为“知识工程”中的主阵地，将不可替代的成为高效信息服务中心。知识经济时代既给图书馆界带来危机，同时也带来了生存机遇。尤其近些年医学界循证医学的出现，给医学图节馆界带来了新的挑战，医学图书馆界同仁们要不断认清形势、更新意识，注重图书馆的软、硬件的发展，提高医学图书馆文献信息管理、服务质量，促进信息资源的利用，只有这样才能给馆内不断注入新鲜血液，使医学图书馆持久保持应有的活力和优势。     

医学知识工作者在知识管理中的作用

知识管理是以“知识为基础”的管理，管理的对象是各种知识和与知识有关的技术，组织结构及其它各种资源，其中知识工作者是最活跃的因素。医学图书馆员成为知识资源与需要知识的用户之间的桥梁。通过医学知识工作者的知识服务使医学图书馆功能得以扩大和增强。     

网络环境下医学馆员应具备的基本素质

新的网络环境给医学图书馆带来了良好的发展机遇,医学图书馆员在这一环境下应该具备良好的职业道德、良好的知识技能和信息管理意识,还应该具备知识管理和WTO的相关知识和能力     

大庆市市级医学图书馆对比调查及开展信息服务的初想

在当今知识经济大环境下，信息技术作为其三大支柱产业之一，越来越被世人瞩目。信息技术主要指信息的收集、加工、处理、传输，直至应用技术，而图书馆作为“知识工程”中的主阵地，将不可替代的成为高效信息服务中心。知识经济时代既给图书馆界带来危机，同时也带来了生存机遇。尤其近些年医学界循证医学的出现，给医学图书馆界带来了新的挑战，医学图书馆界同仁们要不断认清形势、更新意识，注重图书馆的软、硬件的发展，提高医学图书馆文献信息管理、     

知识模式转换在医学科技创新中的作用

医学科技创新是医院赖以生存与发展的动力,医学科技创新的过程也是医学知识模式不断转换的过程,本文从知识模式转换的视角,探讨知识管理对医学科技创新的意义与作用     

医院图书馆实施为患者服务的意义

随着社会的不断进步和医学技术的快速发展,使得医院不再只是对患者进行单纯的救死扶伤工作的场所,它应更多的体现人性化的服务,起到正确传播医疗知识的作用。如今广大人民群众自我保健意识不断增强,越来越多的人们希望了解到更多的健康知识来保卫自己的健康,所以医院图书馆应相     

以循证医学为契机开展信息服务

“追求知识资源的最大利用”越来越深入的成为图书馆人的生存理念，以知识为中心的信息时代，信息管理的宗旨和目的正由信息服务向知识服务过渡，近些年来循证医学的出现，给医学图书馆界带来了新的挑战的同时，也带来了生存、发展的契机。现代医学图书馆的中心任务是为读者提供以网络为基础的全方位的知识服务，这就要求医学图书馆人必须提高自身的综合素养，全面、准确的掌握相关知识，提供高质量的信息服务、知识服务。     

谈跨世纪医院图书馆人员的继续教育

21世纪是充满竞争的时代 ,当代国际的竞争 ,归根到底是综合国力的竞争 ,实质是知识总量、人才素质和科技实力的竞争。我国全面实施科教兴国战略 ,正是适应世界科技的经济发展潮流而做出的必然选择 ,而科技储备、提高劳动者素质都与图书馆事业有着密不可分的关系。因此 ,提高馆员的素质 ,是发展图书馆事业的当务之急。1　继续教育是提高医院图书馆员素质的重要途径随着社会科学技术的迅速发展 ,医学模式已由传统的生物医学向现代的生物—社会—心理医学模式转变。传统的医学图书馆也向电子图书馆、数字图书馆和虚拟图书馆发展。现代科技成果…     

浅谈医院图书馆的发展

医学是一门应用学科，它与多种学科相互渗透，广为交叉。医院图书馆馆藏文献不仅要有医学学科的文献资料，而且还要有涉及与医学相关的学科文献，如：生物学、化学、物理学等学科。医院图书馆作为医学文献信息的收藏中心和中介机构，为医务人员获取最新的医学信息，更快地掌握先进的医疗技术，更好地为病人提供优质服务，为医院的可持续发展、不断取得最佳的社会效益和经济效益，发挥着重要作用。但是，随着社会的发展和时代的进步，医院图书馆的传统服务理念和管理模式也应与时俱进，更新观念，建立现代化医院图书馆。     

The primary interpretation workstation: Information beyond image data

With the advent of picture archival and communication systems (PACS), the importance of design surrounding primary review workstations has become apparent. To help acceptance of filmless medical imaging, workstations must be developed that serve the needs of both radiologists and referring clinicians. This report will discuss integral requirements of workstation design, including information creation, medical management, medical knowledge, and enabling technologies.     

发挥医院图书馆教育职能作用

随着知识经济时代的发展，医院图书馆针对医院学生，医疗、科研人员的教育内容发生的变化分别进行了阐述，同时将其服务范围拓展到社区，进行医学知识普及；并为病人开放服务，充分发挥医院图书馆的教育职能。     

探析划分医学图书馆类型的要素

本文首先阐明了划分医学图书馆类型的意义，然后详细分析了划分医学图书馆类型的五个要素：职能、读者、馆藏、管理体制和组织结构，并据此把我国的医学图书馆划分为医学科研系统图书馆、医学高校系统图书馆和医院系统图书馆三大类。     

基于CUDA的医学图像处理算法平台的设计与初步实现

目的:本文介绍了所开发的医学图像处理算法平台(cudaGIL),设计平台主要是为医学图像处理算法的开发和测试提供一个简洁的框架。方法:该平台封装了cudpp,cufft,thrust等第三方库,并提供简洁的算法接口,使得并行算法能在该平台上高效执行;采用了优化的迭代器模式和数据分页方法,用以降低数据索引的时间消耗;组件管理模式被用于该平台中,用户可以新建组件扩展自定义算法;使用建立在OpenGL与CUDA基础上的异步操作实时显示图像。结果:通过与已有平台的比较,结果显示该平台在算法效率和显示速度上有了较大的提升。结论:本文设计的医学图像处理算法平台可作为医学图像算法的开发工具。     

人工智能在医学领域的应用综述

本文在概述人工智能相关知识的前提下，以患者就诊流程为线索，在整个医院管理为基础的大环境中从就医前的智能诊断，到就医时使用的医疗设备，再到就医后的健康管理进行概述。分析目前我国人工智能在医学领域中存在的技术、人才、管理标准、政策伦理问题，并给出符合未来医学领域人工智能发展的建议。     

Knowledge management system for laboratory work and clinical decision support

This paper discusses a knowledge management system for clinical laboratories. In the clinical laboratory of Toranomon Hospital, we receive about 20 questions relevant to laboratory tests per day from medical doctors or co-medical staff. These questions mostly involve the essence to appropriately accomplish laboratory tests. We have to answer them carefully and suitably because an incorrect answer may cause a medical accident. Up to now, no method has been in place to achieve a rapid response and standardized answers. For this reason, the laboratory staff have responded to various questions based on their individual knowledge. We began to develop a knowledge management system to promote the knowledge of staff working for the laboratory. This system is a type of knowledge base for assisting the work, such as inquiry management, laboratory consultation, process management, and clinical support. It consists of several functions: guiding laboratory test information, managing inquiries from medical staff, reporting results of patient consultation, distributing laboratory staffs notes, and recording guidelines for laboratory medicine. The laboratory test information guide has 2,000 records of medical test information registered in the database with flexible retrieval. The inquiry management tool provides a methos to record all questions, answer easily, and retrieve cases. It helps staff to respond appropriately in a short period of time. The consulting report system treats patients' claims regarding medical tests. The laboratory staffs notes enter a file management system so they can be accessed to aid in clinical support. Knowledge sharing using this function can achieve the transition from individual to organizational learning. Storing guidelines for laboratory medicine will support EBM. Finally, it is expected that this system will support intellectual activity concerning laboratory work and contribute to the practice of knowledge management for clinical work support.     

约翰霍普金斯大学Welch医学图书馆资源建设研究

数字环境下,信息的载体形式得到了极大的丰富,信息量越来越大,用户希望能够快速、直接、有效的获取信息,这都促使图书馆必须调整资源建设的策略,逐渐适应内外部环境的变化,由单一的物理馆藏转变为物理馆藏与电子馆藏并进。本文以美国约翰霍普斯金大学Welch医学图书馆为例,研究其21世纪以来资源建设的概况、资源建设策略、资源建设实践等,为我国医学图书馆资源建设研究提供参考。     

The impact of E-learning in medical education.

The authors provide an introduction to e-learning and its role in medical education by outlining key terms, the components of e-learning, the evidence for its effectiveness, faculty development needs for implementation, evaluation strategies for e-learning and its technology, and how e-learning might be considered evidence of academic scholarship. E-learning is the use of Internet technologies to enhance knowledge and performance. E-learning technologies offer learners control over content, learning sequence, pace of learning, time, and often media, allowing them to tailor their experiences to meet their personal learning objectives. In diverse medical education contexts, e-learning appears to be at least as effective as traditional instructor-led methods such as lectures. Students do not see e-learning as replacing traditional instructor-led training but as a complement to it, forming part of a blended-learning strategy. A developing infrastructure to support e-learning within medical education includes repositories, or digital libraries, to manage access to e-learning materials, consensus on technical standardization, and methods for peer review of these resources. E-learning presents numerous research opportunities for faculty, along with continuing challenges for documenting scholarship. Innovations in e-learning technologies point toward a revolution in education, allowing learning to be individualized (adaptive learning), enhancing learners' interactions with others (collaborative learning), and transforming the role of the teacher. The integration of e-learning into medical education can catalyze the shift toward applying adult learning theory, where educators will no longer serve mainly as the distributors of content, but will become more involved as facilitators of learning and assessors of competency.     

Developing a Medical Image Content Repository for E-Learning

The integration of medical informatics and e-learning systems could provide many advanced applications including training, knowledge management, telemedicine, etc. Currently, both the domains of e-learning and medical image have sophisticated specifications and standards. It is a great challenge to bring about integration. In this paper, we describe the development of a Web interface for searching and viewing medical images that are stored in standard medical image servers. With the creation of a Web solution, we have reduced the overheads of integration. We have packaged Digital Imaging and Communications in Medicine (DICOM) network services as a component that can be used via a Web server. The Web server constitutes a content repository for searching, editing, and storing Web-based medical image content. This is a simple method by which the use of Picture Archiving and Communication System (PACS) can be extended. We show that the content repository can easily interact and integrate with a learning system. With the integration, the user can easily generate and assign medical image content for e-learning. A Web solution might be the simplest way for system integration. The demonstration in this paper should be useful as a method of expanding the usage of medical information. The construction of a Web-based repository and integrated with a learning system may be also applicable to other domains.