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.     

Measurement of three-dimensional hand kinematics during swimming with a motion capture system: a feasibility study

Current trends in swimming biomechanics are focused on accurate measurements. Nowadays, reliable calibration methods have been proposed to reach an accuracy of about 1 mm on rigid structure. But the question remains about the final accuracy for three-dimensional hand kinematics measurement during the underwater phase of front crawl swimming. Furthermore, most research is based on manual tracking with two or more cameras. In this paper we propose a protocol to acquire three-dimensional hand kinematics when swimming in a specific pool with a motion analysis system behind windows. Results highlight the benefits of using such a system in terms of accuracy and feasibility: the time allowed for post-processing is ten times lower and the quantified improved accuracy is better than with manual tracking.     

A study of results overlap and uniqueness among major Web search engines

The performance and capabilities of Web search engines is an important and significant area of research. Millions of people world wide use Web search engines very day. This paper reports the results of a major study examining the overlap among results retrieved by multiple Web search engines for a large set of more than 10,000 queries. Previous smaller studies have discussed a lack of overlap in results returned by Web search engines for the same queries. The goal of the current study was to conduct a large-scale study to measure the overlap of search results on the first result page (both non-sponsored and sponsored) across the four most popular Web search engines, at specific points in time using a large number of queries. The Web search engines included in the study were MSN Search, Google, Yahoo! and Ask Jeeves. Our study then compares these results with the first page results retrieved for the same queries by the metasearch engine Dogpile.com. Two sets of randomly selected user-entered queries, one set was 10,316 queries and the other 12,570 queries, from Infospace’s Dogpile.com search engine (the first set was from Dogpile, the second was from across the Infospace Network of search properties were submitted to the four single Web search engines). Findings show that the percent of total results unique to only one of the four Web search engines was 84.9%, shared by two of the three Web search engines was 11.4%, shared by three of the Web search engines was 2.6%, and shared by all four Web search engines was 1.1%. This small degree of overlap shows the significant difference in the way major Web search engines retrieve and rank results in response to given queries. Results point to the value of metasearch engines in Web retrieval to overcome the biases of individual search engines.     

Medical students' attitudes toward the anatomy dissection room in relation to personality

Assessment of the personalities of medical students could enable medical educators to formulate strategies for the best development of academic and clinical competencies. In this article, we focus on the experience of students in the anatomy dissecting room. While there have been many attempts to evaluate the emotional responses of medical students to human cadaveric dissection, there has been no investigation into how different personality traits affect the responses. The main hypothesis tested was that there is a relationship between personality traits and attitudes toward the dissection room. For the present study, a group of French medical students (n = 403; mean age 21.3 ± 1.6; 65.3% female) completed a "Big Five" personality inventory and a questionnaire to assess their attitudes in regard to human dissection. The findings are consistent with our hypothesis, in that we found a relationship between reporting anxiety and four of the "Big Five" dimensions (all except openness). The rated level of anxiety was positively correlated with negative affectivity, more strongly at the beginning than at the end of the course. There were significant gender differences in attitudes toward dissection. The findings are discussed in relation to the possibility of preparing students for the dissecting room experience and also in relation to the students' understanding of mortality issues.