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91.
OBJECTIVES: Medicine must keep current with the research literature, and keeping current requires continuously updating the clinical knowledge base (i.e., references that provide answers to clinical questions). The authors estimated the volume of medical literature potentially relevant to primary care published in a month and the time required for physicians trained in medical epidemiology to evaluate it for updating a clinical knowledge base. METHODS: We included journals listed in five primary care journal review services (ACP Journal Club, DynaMed, Evidence-Based Practice, Journal Watch, and QuickScan Reviews). Finding little overlap, we added the 2001 "Brandon/Hill Selected List of Print Books and Journals for the Small Medical Library." We counted articles (including letters, editorials, and other commentaries) published in March 2002, using bibliographic software where possible and hand counting when necessary. For journals not published in March 2002, we reviewed the nearest issue. Five primary care physicians independently evaluated fifty randomly selected articles and timed the process. RESULTS: The combined list contained 341 currently active journals with 8,265 articles. Adjusting for publication frequency, we estimate 7,287 articles are published monthly in this set of journals. Physicians trained in epidemiology would take an estimated 627.5 hours per month to evaluate these articles. CONCLUSIONS: To provide practicing clinicians with the best current evidence, more comprehensive and systematic literature surveillance efforts are needed.  相似文献   
92.
This study examined age-related differences in the role of visual proprioception during a lower limb interceptive action and how this varies as a function of skill and practice. In Experiment 1, skilled and less-skilled 8-, 10-, and 12-year-old boys controlled a soccer ball using their preferred foot under full vision and when sight of the effector was occluded. With the exception of the high-skilled 12-year-olds and low-skilled 8-year-olds, participants showed a decrement in peformance when denied access to visual proprioception. In Experiment 2, the effect of practicing under different informational constraints was examined for 12 year-old boys. Children performed varying amounts of practice under full vision, or in a condition where sight of the foot was occluded, before being transferred to the alternative viewing condition. Participants who practiced under occluded viewing conditions showed greater relative improvement in performance over practice and transfer sessions compared with a full vision control group. Some support is provided for the manipulation of visual informational constraints as an effective pedagogical approach to motor learning.  相似文献   
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A mathematical model relating power output of rower to stroke rate on an ergometer (the Concept II Indoor Rower TM, Model C) is studied. The model is used to analyse the ergometer performance of a particular rower. It is determined that he can be more efficient (i.e. decrease power output while maintaining fixed velocity) by decreasing stroke rate, but at the expense of increasing force during the drive. It is also shown that he can be more efficient by increasing the drag factor (using higher vent setting) without increasing force. Dependence of power output on rowing style (the shape of the force curve) is also examined. It is shown that variation of force during the drive has little effect on efficiency, but efficiency is reduced by asymmetry of the force curve that favours the legs.  相似文献   
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Other Index

Index to Volume XLI  相似文献   
95.
In order to evaluate the gender differences on the experience of aging, 142 individuals 50 years of age and older completed an interview regarding experiences with another individual conveying the message that they were “old.” Interviewees were asked about the type of situation, the age and gender of the response person, and the perceived intent and feelings associated with the experience. Results showed that 72.3% of the experiences could be classified into one of three categories: discount/benefit, physical features/appearance, and performance. While no gender differences were found in the location/setting of the incident, the response person, or the age of the response person, findings indicated that for men, the incident was classified as a “benefit/discount,” while for women it was classified as “physical features/appearance.” In addition, the presumed intent of the situation was viewed as negative and hurtful by women, and both genders reported that the incident made them feel self-conscious and/or elicited a negative self-assessment. These results illustrate that the self-reported experiences that make one feel old and potentially change an individual's identity are important to understand in the context of growing older as a gendered experience.  相似文献   
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