At nine months, Dynamed had cited 87% of the sampled reviews, while the other summaries had cited less than 50%.The updating speed of Dynamed clearly led the others.From an application point of view, it's not good to continuously ping the server, as it consumes a lot of battery, and let's assume your app updates the server every five seconds, what will you do if your app misses one or two update calls.You will have to write a mechanism to recover the missed update calls.
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In that case, i would say to keep the data in the text file, and make your app listen for events of device disconnection.
Once the device disconnects then just upload the whole text file to the server, and make your server read the text file line by line and update the database.
The cumulative updating rate was analysed with Kaplan-Meier curves.
Results From April to December 2009, 128 reviews were retrieved; 53% (68) from the literature surveillance journals and 47% (60) from the Cochrane Library.