How much effort is needed to keep up with the literature relevant for primary care?

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.     

Interaction of wrestling shoe and competition surface: effects on coefficient of friction with implications for injury

The purpose of this study was to determine whether there is a significant difference in the co-efficient of friction (Fc) between old versus new wrestling shoes and mats and to investigate the effect of perspiration. Fc was measured by dragging a weighted shoe over a wrestling mat surface and measuring the vertical and horizontal forces produced. Three different shoe conditions were assessed over two mat types for both wet and dry conditions for a total of 12 conditions. To simulate the wet condition, saline solution was smeared over the surface of the mat. There was a significant effect of shoe, mat, and wet/dry conditions. In addition, significant interactions of shoe by mat, shoe by dry/wet, and mat by dry/wet were observed. Overall, Fc was 36% higher for the new wrestling mat compared to the old wrestling mat. Application of the saline solution reduced Fc by 14% compared to the dry condition. Comparison of the mean Fc for all three shoe types revealed the Fc for the older design shoe was 23% to 28% lower than the brand new shoe and the worn newer design, respectively. A high Fc, such as in the new mat/new shoe combination, has the potential to increase the risk of knee and ankle injuries by fixing the foot more securely to the ground.     

新编八段锦及其创编理论探讨

本文以保留了历史原貌的“张氏拳法”核心功法“三元吞气法”为基础,依据中医脏腑经络气机理论创编了一套既符合传统养生理论、富有传统韵味,又适合广大人民群众应用的“新编八段锦”养生法,对挖掘整理、继承发扬中国传统体育养生文化进行了有益探讨。     

Perceptual judgments for stair climbing as a function of pitch angle

Two experiments explored perception and action for stair climbing, with manipulations to the stair dimensions. In Experiment 1, a custom-built apparatus manipulated the stair dimensions, while three groups of participants made perceptual judgments of climbability. The groups differed significantly for absolute leg length (p < .0001), but there was no significant difference between the groups when stair dimensions were calculated relative to leg length. The selected tread depths and riser heights reflected constant proportions of participants' leg length. Using the pitch angles formed as a composite metric, the results revealed that all groups selected 60 degrees as the limit for climbability. Experiment 2 scaled pitch angle systematically from 20 degrees to 80 degrees, and participants judged 65 degrees and beyond to be unclimbable. These results provided evidence that pitch angle might be used in perceptual judgments for stair climbability.     

AI for Science：智能化科学设施变革基础研究

近年来，人工智能（AI）在前沿科技领域取得了诸如AlphaFold2、核聚变智能控制、新冠药物设计等诸多令人瞩目成果，表明AI for Science正在成为一种新的研究范式。实现智能时代的基础科学源头创新及其下游重大技术创新，需破解2个方面的核心问题：（1）如何利用新一代AI（特别是生成式AI及大模型）的通用性和创造性推动新范式的形成；（2）如何利用AI实现对传统科学设施的赋能与改造。文章提出一种智能化科学设施的建设构想，兼顾“高度智能化的科学新设施”和“AI赋能已有科学大设施”2个层面的需求，构筑AI for Science的科学设施体系，形成科学领域大模型、生成式模拟与反演、自主智能无人实验及大规模可信科研协作等创新功能，加速重大科学发现、变革性物质合成，以及重大工程技术应用。     

Title IX and Retaliation: The Impact of Jackson v. Birmingham Board of Education on Higher Education

In 2005, the United States Supreme Court rendered a closely divided opinion that extends the protections against discrimination provided by Title IX of the Education Amendments of 1972 to include a private cause of action for retaliation in Jackson v. Birmingham Board of Education. Therefore, “whistleblowers,” or employees who report allegedly discriminatory practices, can file suit against employers who retaliate against them on the basis of their complaints under the auspices of Title IX, which prohibits discrimination “on the basis of sex” by recipients of federal education funds. Unlike other federal anti-discrimination laws such as Title VII of the Civil Rights Act of 1964, retaliation is not expressly mentioned within the text of Title IX, and the Supreme Court reasoned that the broad language of the statute encompasses implied protections against retaliation, regardless of the gender of the employee who alleges retaliatory action. As a result of Jackson, the first generation of litigation against colleges and universities under this expanded standard has begun to navigate the federal courts. This article analyzes the Supreme Court’s opinion in Jackson and the related cases representing the first application of the retaliation standard articulated therein to colleges and universities. The article concludes with suggestions for insulation from liability associated with alleged retaliation claims against administrators and educational institutions.     

自由式滑雪空中技巧项目备战2006年冬奥会综合攻关研究

自由式滑雪空中技巧项目备战2006年冬奥会综合攻关研究，是根据自由式滑雪空中技巧国家队备战第20届冬季奥运会的实际需要出发，对自由式滑雪空中技巧备战训练进行全方位跟踪服务。历经19个月的时间，为国家队提供了各种比赛、裁判、国外运动员信息，以及各种参赛动作方案。完成生物学监测30余次，近300人次。科研人员跟队进行研究与服务工作1000余人日，采录技术动作近百小时，建立助滑距离与速度控制模型，为实现该项目冲击金牌的备战目标提供科技保障。