医学图书馆参考咨询服务发展历程及未来趋势

回顾医学图书馆参考咨询服务发展历程,从传统、数字、联合参考咨询模式逐渐向知识咨询、智慧参考咨询阶段迈进。随着大数据、云计算、人工智能等信息技术发展,医学图书馆参考咨询服务呈现出精准化与主动性、泛在化与多样性、智慧化与知识性趋势。     

新时期职业院校图书馆的参考咨询工作

知识经济时代的到来,因特网和数字图书馆的出现,教育创新、素质教育的蓬勃兴起,使职业院校图书馆工作发生了根本性的变化,这些都对处于科技服务第一线的参考咨询提出了更新更高的要求。新时期职业院校图书馆的参考咨询服务工作要结合学校的教育、教学、科研及社会对人才的需求,有针对性地做好参考咨询服务。1参考咨询服务的概念新时期的参考咨询服务是指图书馆工作人员辅导读者查找有关图书资料,向读者提供帮助解答咨询问题,提供参考书目等服务。新时期的图书馆参考咨询服务的要素是:利用特定的工作环境,通过参考咨询馆员与读者的交流,了解…     

中小型高校图书馆参考咨询工作新议

参考咨询是图书馆的一项核心业务工作。现分别就参考咨询的服务目标、服务手段、服务内容等6个方面进行讨论,重新认识现阶段开展参考咨询工作的重点,论述中小型高校图书馆如何根据自己的特点,充分发挥网络优势,实现参考咨询服务的创新和提高。     

区域图书馆联盟协同视域下信息援助模式研究

本文从区域图书馆联盟与信息援助模式的概念出发,分析了区域图书馆联盟协同视域下信息援助的优势,包括具有完善的联盟资源体系、先进的现代信息技术、创新的协同服务及跨区域的合作;也提出了信息安全存在隐患、联盟协同发展分散及资源管理有待提升等当前存在的问题;阐述了应从联盟内服务发展、联盟外多方合作和联盟线上平台发展3个方面入手,不断完善图书馆联盟体系,以促进区域图书馆联盟协同视域下信息援助模式的构建。     

高职高专院校图书馆参考咨询服务工作的现状及对策

现论述现阶段高职高专院校图书馆参考咨询服务工作的发展现状及面临的形势与任务,从馆藏结构、工作机制、资源共享、优化服务等几个方面提出开展好图书馆参考咨询服务工作的对策与方法,并对高职高专院校图书馆实现网络参考咨询服务进行探讨。     

网络环境下医院图书馆参考咨询工作

阐述网络环境下医院图书馆参考咨询服务的特点,从参考咨询服务系统软硬件建设、网上参考咨询工作的多元化服务方式、将“威客模式”引入网上参考咨询、提高参考咨询馆员素质等几个方面对如何实现图书馆高品质参考咨询服务进行探讨。     

基于Lib3.0的图书馆虚拟参考咨询服务模式的创新与发展

将Lib3.0引入到图书馆虚拟参考咨询服务,有利于提高非工作时段用户满意度、用户自我搜索能力,改良用户信息素养。Web3.0提供了咨询服务创新发展的环境,政策环境引领了咨询服务创新发展的方向,外界竞争形成咨询服务创新发展的动力。本文从服务观念、服务产品、服务技术手段3个方面论述了基于Lib3.0的图书馆虚拟参考咨询服务模式的创新内容,并探讨了其未来的发展方向。     

网络环境下医学专业图书馆参考咨询服务探讨

针对医学专业图书馆参考咨询服务与管理现状，分析其困境与发展，并结合湖北省疾病预防控制中心预防医学信息研究所开展参考咨询服务的实践，探讨医学专业图书馆网络环境下拓展参考咨询服务工作的措施，包括找准定位，扩展参考信息源，基于网络开展多种方式服务等。     

新时期基层医院图书馆的参考咨询工作

介绍新时期基层医院图书馆参考咨询服务的模式、内容、特色及发展对策,包括建立特色资源、提高馆员素质、开展网络咨询和信息导航、建立合作式数字参考咨询等,为基层医院图书馆的参考咨询工作提供借鉴.     

虚拟参考咨询服务的评价标准

参考咨询服务一直是图书馆的重要业务之一，随着信息技术的不断发展，参考咨询服务将向虚拟参考咨询服务转型。本文分析了虚拟参考咨询服务的现状，着重探讨了虚拟参考咨询服务的评价标准。     

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…