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I posted on this thread earlier with some more suggestions and questions, but it seems to have vanished into the ether. Most of the questions or suggestions have been posted by Brian, but one remains. Try doing File->Rebuild Database...

If you are running 10.6, the screen shots will be named "Screen shot <date and time>", not "Picture <number>" but that probably isn't too hard to figure out if you aren't a subscriber to the thousands of files on the desktop school of Mac operation.