The authors created two tools to achieve the goals of providing physicians with a way to review alternative diagnoses and improving access to relevant evidence-based library resources without disrupting established workflows. The “diagnostic decision support tool” lifted terms from standard, coded fields in the electronic health record and sent them to Isabel, which produced a list of possible diagnoses. The physicians chose their diagnoses and were presented with the “knowledge page,” a collection of evidence-based library resources. Each resource was automatically populated with search results based on the chosen diagnosis. Physicians responded positively to the “knowledge page.”

State, public, academic, and special libraries are conducting and publishing the results of studies aimed at showing the value of their services and resources. Librarians must be prepared and proactive so when asked to justify budget allocations they have the tools to show their library's value and understand the importance of expressing value in terms familiar to the administrators. By identifying stakeholders and obtaining their buy in, librarians can turn data into evidence of the organization's return on investment (ROI) in the library. ROI is a powerful tool to use when establishing credibility, accountability, and evidence demonstrating the library's value.

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were mamed in May 1975. Betsy attended the State Uniuersity College at Potsdam and is a certified English teacher. She is interested in humanistic education and how humanistic principles could be used in public school settings. She is a natioe of Norfolk, in upstate New York, and has a special love for the Adirondack mountains and lakes, where the Kellys spend part of their summers. Betsy and G a y have cooperated on seueral writing projects and in the presentation of programs for young people and adults on mam'age and sexuality. Their home is in Canton, New York.ost of the first drafts of articles for this Special Issue arrived soon M after our return from our honeymoon. After three and a half years of growing closer and more loving, and after making a new commitment to one another through marriage, we sorted through the articles, discussing their impact on us and their potential impact on readers of this journal. Discussing sexuality was not new for us, yet the articles stimulated our further exploration of the place of sexuality in our professional and personal lives.When the basic structure of this issue had taken shape, we looked at it carefully and felt as if we both wanted to say just a bit more through this epilogue. It is so easy to lose sight of the human relations context into which human sexuality must fit. Sex is rarely an act in and of itself; it is instead one aspect of a shared human experience, often a complex one.n the course of our loving relationship, we have both grown as loving persons I and as sexual persons. Part of our development as loving persons has been to define love for our lives and to determine its place in our marriage. Our development as sexual persons has involved an emerging awareness of each other's needs and our own, attempts at understanding our differences as sexual people, and our working at the compromises necessary for a fulfilling sexual relationship. At times there is a degree of separateness between these two areas of growth, as there is a degree of separateness in our lives within marriage. Yet at other times in our relationship the two areas have merged and become almost inseparable for us, just as we sometimes relinquish our identities in a loving sexual encounter. As we continue to grow, we find it constantly necessary to redefine love and sex as they relate to our lives.This process takes work. It is sometimes painful; it is always worthwhile. It seems to us extremely important that counselors not lose sight of the human relations context of sexuality. Difficulties in sexual functioning can rarely be separated from difficulties in loving and communication; problems in sexual identity usually affect the tone of a relationship: the struggle to find a meaningful and satisfying sexuality can rarely be accomplished alone.uring our relatively new relationship, we have many times had to D face our doubts and fears about sex and love. We hope that counselors will begin to find the courage to move with their clients into these realms. MARCH 1976 395