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MEDLIB-L  January 2006, Week 1

MEDLIB-L January 2006, Week 1

Subject:

CHAT: How Google is changing medicine (BMJ Editorial 12/24/05)

From:

anna schnitzer <[log in to unmask]>

Reply-To:

anna schnitzer <[log in to unmask]>

Date:

Tue, 3 Jan 2006 11:30:45 -0500

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (185 lines)

How Google is changing medicine
-------------------------------
Editorial

A medical portal is the logical next step
BMJ 2005;331:1487-1488 (24 December),
doi:10.1136/bmj.331.7531.1487

What a remarkable year it has been for those of us monitoring
changes in the global information landscape. Since last Christ-
mas, there has been a flurry of activity: the digitisation of
the world's libraries began in earnest (despite the copyright
fracas); open access publishing gained much-needed support in-
ternationally (especially in science and medicine); and Google,
MSN Search, and Yahoo introduced a number of customisation tools
for desktops and mobiles, podcasts, blogs, and video searches.1
2

Google's influence and power is writ large in the search field
so large that librarians are asking themselves some difficult
questions. With all of this technology and freely available
digital information, what will happen to physical libraries?
Google's mission is to provide access to the world's informa-
tion but this is librarians' mission too. Will they be needed in
the new information age?3

For all the benefits technology provides, it does provoke anxi-
ety. In a recent letter in the New England Journal of Medicine,
a New York rheumatologist describes a scene at rounds where a
professor asked the presenting fellow to explain how he arrived
at his diagnosis.4 Matter of factly, the reply came: "I entered
the salient features into Google, and [the diagnosis] popped
right up." The attending doctor was taken aback by the Google
diagnosis. "Are we physicians no longer needed? Is an observer
who can accurately select the findings to be entered in a Google
search all we need for a diagnosis to appear as if by magic?" In
a post-Google world, where evidence based education is headed is
anyone's guess.5 Googling your diagnosis; Googling your treat-
ment where is all this leading us?

Google has won the battle of the search engines, at least for
the time being (see example in table), and its more serious
minded offspring, Google Scholar, is rapidly gaining ground.
Within a year of its release Google Scholar has led more visi-
tors to many biomedical journal websites than has PubMed (J
Sack, personal communication, 2005). Once they discover it, many
medical students and doctors prefer Google Scholar.6 Although
both tools benefit from Google's trademark simplicity, Google
Scholar indexes more peer reviewed research and is especially
quick in locating highly cited items and the proverbial needle
in a haystack. Doctors are encouraged to consult Google Scholar
for browsing and serendipitous discovery, not for literature re-
views; and they should use the advanced search page to find
words and names that occur often in the medical literature.


Scholar's mode of presentation hinders its usefulness and may
take up valuable time. Google's algorithm which weighs the sig-
nificance of articles may be partly to blame. The quantity of
search results is acceptable, but quality is often not. Using
some of the subject tags in advanced mode may offer some assis-
tance, and more precision. Because current articles are not dis-
played first, and cannot be sorted, downloaded, or emailed
expect to do a lot of sifting.

Still, Scholar does simplify basic searching for doctors, and
it's free, like PubMed (www.pubmed.gov). For anyone not affili-
ated with a large medical centre or university, the ability to
search for and access research material that is available free
on the web is a boon.

As scientific societies and associations consider moving their
journals to open access models, Google Scholar and Elsevier's
Scirus (www.scirus.com/srsapp/) will likely provide a reliable
gateway to this information. The most useful feature to come out
this year on Google Scholar is "cited by" referencing. This free
tool links searchers to other scholarly papers that have cited
the paper being viewed. Scholar also provides links to local li-
brary catalogues through its library link program and through an
international database called WorldCat.7

In searches for clinical trials and systematic reviews, Google
Scholar should of course never be used in isolation. However, it
is a useful addition to PubMed, Cochrane, and other trusted
sources of information, such as the TRIP or UpToDate databases,
or a good medical librarian. For hard to find government or con-
ference papers, don't forget to search regular Google in addi-
tion to Google Scholar.8

Some basic questions remain for Google Scholar. What does Google
consider "scholarly"? Will Google ever tell us exactly what is
in the database? Could the Google algorithm present the most
current research at the top of the results display? And how of-
ten will Google update the database?9 10

What do we make of Google's future? Google's past success seems
predicated on a simple business principle: do no evil. Founders
Sergey Brin and Larry Page are said to be interested in using
Google's computers to advance the cause of medical science. Ap-
parently, Google's data mining techniques are well suited to
analysing gene sequences in the human genome project. It may
even be possible for patients to "google their own genes" one
day.11

But "do no evil" is a far cry from "do what's best for human-
ity." Google is still a business. However, if it wishes to do
something for medicine, Google should consider creating a medi-
cal portal. Call it Google Medicine; design an interface with
medical filters and better algorithms; lead to the best evidence
(just don't forget to consult with librarians about where the
evidence is located). This kind of all purpose tool is badly
needed in medicine, particularly for developing countries.

Build Google Medicine. The benefits to human health would be im-
measurable.

Dean Giustini, UBC biomedical branch librarian

University of British Columbia, Vancouver, BC, Canada V6T 1Z1
([log in to unmask])


Competing interests: None declared.
References

Price G. A look back as Google's Library project passes the one
year mark. Search Engine Watch. 13 Dec 2005.
http://blog.searchenginewatch.com/blog/051213-155047 (accessed
14 Dec 2005).

Dimov V. Text-to-speech programs and continuous medical educa-
tion. Computers and Internet. Jan 2004.
http://net7.blogspot.com/2004/01/text-to-speech-programs-and-
continuous.html (accessed 14 Dec 2005).

Lindberg DAB, Humphreys BL. 2015 the future of medical librar-
ies. N Engl J Med 2005;352: 1067-70.[Free Full Text]

Greenwald R. And a diagnostic test was performed. N Engl J Med
2005;353: 2089-90.[Free Full Text]

Green ML, Ruff TR. Why do residents fail to answer their clini-
cal questions? A qualitative study of barriers to practicing
evidence-based medicine. Acad Med 2005;80: 176-82.[Abstract/Free
Full Text]

Dimov V. How doctors use Google. Clinical Cases and Images Blog.
15 Jun 2005. http://casesblog.blogspot.com/2005/06/how-doctors-
use-google.html (accessed 14 Dec 2005).

Giustini D, Barsky E. A look at Google Scholar, PubMed and
Scirus. J Can Health Libraries Assoc 2005;26: 85-9.

Giustini D. University of British Columbia Library. Searching
for grey literature.
http://toby.library.ubc.ca/subjects/subjpage2.cfm?id=877
(accessed 5 Dec 2005).

Jacso P. Peter's digital reference shelf: Google Scholar beta.
Dec 2004.
www.galegroup.com/servlet/HTMLFileServlet?imprint=9999&region=7&
fileName=/reference/archive/200412/googlescholar.html
(accessed 14 Dec 2005).

Henderson J. Google Scholar: a source for clinicians. CMAJ
2005;172:1549-50. www.cmaj.ca/cgi/content/full/172/12/1549 (ac-
cessed 14 Dec 2005).

Vise D. The Google story: an excerpt. Chapter 26: Google your
genes. 14 November 2005. www.washingtonpost.com/wp-
dyn/content/article/2005/11/11/AR2005111100674.html
(accessed 14 Dec 2005).

Anna Ercoli Schnitzer

Information Services Librarian

Taubman Medical Library

University of Michigan

Ann Arbor MI 48109

[log in to unmask]

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June 2007, Week 2
June 2007, Week 1
May 2007, Week 5
May 2007, Week 4
May 2007, Week 3
May 2007, Week 2
May 2007, Week 1
April 2007, Week 4
April 2007, Week 3
April 2007, Week 2
April 2007, Week 1
March 2007, Week 5
March 2007, Week 4
March 2007, Week 3
March 2007, Week 2
March 2007, Week 1
February 2007, Week 4
February 2007, Week 3
February 2007, Week 2
February 2007, Week 1
January 2007, Week 5
January 2007, Week 4
January 2007, Week 3
January 2007, Week 2
January 2007, Week 1
December 2006, Week 5
December 2006, Week 4
December 2006, Week 3
December 2006, Week 2
December 2006, Week 1
November 2006, Week 5
November 2006, Week 4
November 2006, Week 3
November 2006, Week 2
November 2006, Week 1
October 2006, Week 5
October 2006, Week 4
October 2006, Week 3
October 2006, Week 2
October 2006, Week 1
September 2006, Week 5
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September 2006, Week 3
September 2006, Week 2
September 2006, Week 1
August 2006, Week 5
August 2006, Week 4
August 2006, Week 3
August 2006, Week 2
August 2006, Week 1
July 2006, Week 5
July 2006, Week 4
July 2006, Week 3
July 2006, Week 2
July 2006, Week 1
June 2006, Week 5
June 2006, Week 4
June 2006, Week 3
June 2006, Week 2
June 2006, Week 1
May 2006, Week 5
May 2006, Week 4
May 2006, Week 3
May 2006, Week 2
May 2006, Week 1
April 2006, Week 4
April 2006, Week 3
April 2006, Week 2
April 2006, Week 1
March 2006, Week 5
March 2006, Week 4
March 2006, Week 3
March 2006, Week 2
March 2006, Week 1
February 2006, Week 4
February 2006, Week 3
February 2006, Week 2
February 2006, Week 1
January 2006, Week 5
January 2006, Week 4
January 2006, Week 3
January 2006, Week 2
January 2006, Week 1
December 2005, Week 5
December 2005, Week 4
December 2005, Week 3
December 2005, Week 2
December 2005, Week 1
November 2005, Week 5
November 2005, Week 4
November 2005, Week 3
November 2005, Week 2
November 2005, Week 1
October 2005, Week 5
October 2005, Week 4
October 2005, Week 3
October 2005, Week 2
October 2005, Week 1
September 2005, Week 5
September 2005, Week 4
September 2005, Week 3
September 2005, Week 2
September 2005, Week 1
August 2005, Week 5
August 2005, Week 4
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July 2005, Week 1
June 2005, Week 5
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June 2005, Week 3
June 2005, Week 2
June 2005, Week 1
May 2005, Week 5
May 2005, Week 4
May 2005, Week 3
May 2005, Week 2
May 2005, Week 1
April 2005, Week 5
April 2005, Week 4
April 2005, Week 3
April 2005, Week 2
April 2005, Week 1
March 2005, Week 5
March 2005, Week 4
March 2005, Week 3
March 2005, Week 2
March 2005, Week 1
February 2005, Week 4
February 2005, Week 3
February 2005, Week 2
February 2005, Week 1
January 2005, Week 5
January 2005, Week 4
January 2005, Week 3
January 2005, Week 2
January 2005, Week 1
December 2004, Week 5
December 2004, Week 4
December 2004, Week 3
December 2004, Week 2
December 2004, Week 1
November 2004, Week 5
November 2004, Week 4
November 2004, Week 3
November 2004, Week 2
November 2004, Week 1
October 2004, Week 5
October 2004, Week 4
October 2004, Week 3
October 2004, Week 2
October 2004, Week 1
September 2004, Week 5
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September 2004, Week 3
September 2004, Week 2
September 2004, Week 1
August 2004, Week 5
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August 2004, Week 3
August 2004, Week 2
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July 2004, Week 5
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July 2004, Week 3
July 2004, Week 2
July 2004, Week 1
June 2004, Week 5
June 2004, Week 4
June 2004, Week 3
June 2004, Week 2
June 2004, Week 1
May 2004, Week 4
May 2004, Week 3
May 2004, Week 2
May 2004, Week 1
April 2004, Week 5
April 2004, Week 4
April 2004, Week 3
April 2004, Week 2
April 2004, Week 1
March 2004, Week 5
March 2004, Week 4
March 2004, Week 3
March 2004, Week 2
March 2004, Week 1
February 2004, Week 5
February 2004, Week 4
February 2004, Week 3
February 2004, Week 2
February 2004, Week 1
January 2004, Week 5
January 2004, Week 4
January 2004, Week 3
January 2004, Week 2
January 2004, Week 1
December 2003, Week 5
December 2003, Week 4
December 2003, Week 3
December 2003, Week 2
December 2003, Week 1
November 2003, Week 5
November 2003, Week 4
November 2003, Week 3
November 2003, Week 2
November 2003, Week 1
October 2003, Week 5
October 2003, Week 4
October 2003, Week 3
October 2003, Week 2
October 2003, Week 1
September 2003, Week 5
September 2003, Week 4
September 2003, Week 3
September 2003, Week 2
September 2003, Week 1
August 2003, Week 5
August 2003, Week 4
August 2003, Week 3
August 2003, Week 2
August 2003, Week 1
July 2003, Week 5
July 2003, Week 4
July 2003, Week 3
July 2003, Week 2
July 2003, Week 1
June 2003, Week 5
June 2003, Week 4
June 2003, Week 3
June 2003, Week 2
June 2003, Week 1
May 2003, Week 5
May 2003, Week 4
May 2003, Week 3
May 2003, Week 2
May 2003, Week 1
April 2003, Week 5
April 2003, Week 4
April 2003, Week 3
April 2003, Week 2
April 2003, Week 1
March 2003, Week 5
March 2003, Week 4
March 2003, Week 3
March 2003, Week 2
March 2003, Week 1
February 2003, Week 4
February 2003, Week 3
February 2003, Week 2
February 2003, Week 1
January 2003, Week 5
January 2003, Week 4
January 2003, Week 3
January 2003, Week 2
January 2003, Week 1
December 2002, Week 5
December 2002, Week 4
December 2002, Week 3
December 2002, Week 2
December 2002, Week 1
November 2002, Week 5
November 2002, Week 4
November 2002, Week 3
November 2002, Week 2
November 2002, Week 1
October 2002, Week 5
October 2002, Week 4
October 2002, Week 3
October 2002, Week 2
October 2002, Week 1
September 2002, Week 5
September 2002, Week 4
September 2002, Week 3
September 2002, Week 2
September 2002, Week 1
August 2002, Week 5
August 2002, Week 4
August 2002, Week 3
August 2002, Week 2
August 2002, Week 1
July 2002, Week 5
July 2002, Week 4
July 2002, Week 3
July 2002, Week 2
July 2002, Week 1
June 2002, Week 5
June 2002, Week 4
June 2002, Week 3
June 2002, Week 2
June 2002, Week 1
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May 2002, Week 4
May 2002, Week 3
May 2002, Week 2
May 2002, Week 1
April 2002, Week 5
April 2002, Week 4
April 2002, Week 3
April 2002, Week 2
April 2002, Week 1
March 2002, Week 5
March 2002, Week 4
March 2002, Week 3
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February 2002, Week 4
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February 2002, Week 1
January 2002, Week 5
January 2002, Week 4
January 2002, Week 3
January 2002, Week 2
January 2002, Week 1
December 2001, Week 5
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December 2001, Week 3
December 2001, Week 2
December 2001, Week 1
November 2001, Week 5
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November 2001, Week 3
November 2001, Week 2
November 2001, Week 1
October 2001, Week 5
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October 2001, Week 3
October 2001, Week 2
October 2001, Week 1
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July 2001, Week 1
June 2001, Week 5
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June 2001, Week 3
June 2001, Week 2
June 2001, Week 1
May 2001, Week 5
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May 2001, Week 3
May 2001, Week 2
May 2001, Week 1
April 2001, Week 5
April 2001, Week 4
April 2001, Week 3
April 2001, Week 2
April 2001, Week 1
March 2001, Week 5
March 2001, Week 4
March 2001, Week 3
March 2001, Week 2
March 2001, Week 1
February 2001, Week 4
February 2001, Week 3
February 2001, Week 2
February 2001, Week 1
January 2001, Week 5
January 2001, Week 4
January 2001, Week 3
January 2001, Week 2
January 2001, Week 1
December 2000, Week 5
December 2000, Week 4
December 2000, Week 3
December 2000, Week 2
December 2000, Week 1
November 2000, Week 5
November 2000, Week 4
November 2000, Week 3
November 2000, Week 2
November 2000, Week 1
October 2000, Week 5
October 2000, Week 4
October 2000, Week 3
October 2000, Week 2
October 2000, Week 1
September 2000, Week 5
September 2000, Week 4
September 2000, Week 3
September 2000, Week 2
September 2000, Week 1
August 2000, Week 5
August 2000, Week 4
August 2000, Week 3
August 2000, Week 2
August 2000, Week 1
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June 2000, Week 5
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May 2000, Week 1
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April 2000, Week 3
April 2000, Week 2
April 2000, Week 1
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March 2000, Week 4
March 2000, Week 3
March 2000, Week 2
March 2000, Week 1
February 2000, Week 5
February 2000, Week 4
February 2000, Week 3
February 2000, Week 2
February 2000, Week 1
January 2000, Week 5
January 2000, Week 4
January 2000, Week 3
January 2000, Week 2
January 2000, Week 1
December 1999, Week 5
December 1999, Week 4
December 1999, Week 3
December 1999, Week 2
December 1999, Week 1
November 1999, Week 5
November 1999, Week 4
November 1999, Week 3
November 1999, Week 2
November 1999, Week 1
October 1999, Week 5
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October 1999, Week 3
October 1999, Week 2
October 1999, Week 1
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April 1999, Week 1
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March 1999, Week 3
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January 1999, Week 5
January 1999, Week 4
January 1999, Week 3
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January 1999, Week 1
December 1998, Week 5
December 1998, Week 4
December 1998, Week 3
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December 1998, Week 1
November 1998, Week 5
November 1998, Week 4
November 1998, Week 3
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November 1998, Week 1
October 1998, Week 5
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October 1998, Week 3
October 1998, Week 2
October 1998, Week 1
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July 1998, Week 1
June 1998, Week 5
June 1998, Week 4
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May 1998, Week 3
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May 1998, Week 1
April 1998, Week 5
April 1998, Week 4
April 1998, Week 3
April 1998, Week 2
April 1998, Week 1
March 1998, Week 5
March 1998, Week 4
March 1998, Week 3
March 1998, Week 2
March 1998, Week 1
February 1998, Week 4
February 1998, Week 3
February 1998, Week 2
February 1998, Week 1
January 1998, Week 5
January 1998, Week 4
January 1998, Week 3
January 1998, Week 2
January 1998, Week 1
December 1997, Week 5
December 1997, Week 4
December 1997, Week 3
December 1997, Week 2
December 1997, Week 1
November 1997, Week 5
November 1997, Week 4
November 1997, Week 3
November 1997, Week 2
November 1997, Week 1
October 1997, Week 5
October 1997, Week 4
October 1997, Week 3
October 1997, Week 2
October 1997, Week 1
September 1997, Week 5
September 1997, Week 4
September 1997, Week 3
September 1997, Week 2
September 1997, Week 1
August 1997, Week 5
August 1997, Week 4
August 1997, Week 3
August 1997, Week 2
August 1997, Week 1
July 1997, Week 5
July 1997, Week 4
July 1997, Week 3
July 1997, Week 2
July 1997, Week 1
June 1997, Week 5
June 1997, Week 4
June 1997, Week 3
June 1997, Week 2
June 1997, Week 1
May 1997, Week 5
May 1997, Week 4
May 1997, Week 3
May 1997, Week 2
May 1997, Week 1
April 1997, Week 5
April 1997, Week 4
April 1997, Week 3
April 1997, Week 2
April 1997, Week 1
March 1997, Week 5
March 1997, Week 4
March 1997, Week 3
March 1997, Week 2
March 1997, Week 1
February 1997, Week 4
February 1997, Week 3
February 1997, Week 2
February 1997, Week 1
January 1997, Week 5
January 1997, Week 4
January 1997, Week 3
January 1997, Week 2
January 1997, Week 1
December 1996, Week 5
December 1996, Week 4
December 1996, Week 3
December 1996, Week 2
December 1996, Week 1
November 1996, Week 5
November 1996, Week 4
November 1996, Week 3
November 1996, Week 2
November 1996, Week 1
October 1996, Week 5
October 1996, Week 4
October 1996, Week 3
October 1996, Week 2
October 1996, Week 1
September 1996, Week 5
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September 1996, Week 1
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May 1996, Week 1
April 1996, Week 5
April 1996, Week 4
April 1996, Week 3
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April 1996, Week 1
March 1996, Week 5
March 1996, Week 4
March 1996, Week 3
March 1996, Week 2
March 1996, Week 1
February 1996, Week 5
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February 1996, Week 2
February 1996, Week 1
January 1996, Week 5
January 1996, Week 4
January 1996, Week 3
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January 1996, Week 1
December 1995, Week 5
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December 1995, Week 3
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June 1995, Week 5
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May 1995, Week 1
April 1995, Week 5
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April 1995, Week 1
March 1995, Week 5
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February 1995, Week 1
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December 1994, Week 5
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December 1994, Week 1
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