bims-librar Biomed News
on Biomedical librarianship
Issue of 2022‒08‒21
twenty-one papers selected by
Thomas Krichel
Open Library Society
  1. Assessment of combined exposure to intermediate-frequency electromagnetic fields and pulsed electromagnetic fields among library workers in Japan.
  2. Exploring the Expectations and Preferences of Health Sciences Library Subject Guides Users.
  3. Trends in… Modernization at the Nation's Medical Library.
  4. Hospital Libraries: Past, Present and Future.
  5. A Self-Paced Online Library Orientation: Development, Implementation, and Assessment.
  6. Medical Residency Milestones: Competencies in Informatics, Library, and Evidence-Based Practice.
  7. Looking at Library Resource Usage Trends in Medical Residents & Fellows: Survey Results from 2006-2021.
  8. Reducing systematic review burden using Deduklick: a novel, automated, reliable, and explainable deduplication algorithm to foster medical research.
  9. Evaluation of Open Access Websites for Anesthesia Education.
  10. Community Conversations About COVID-19.
  11. An analysis of COVID-19 information sources.
  12. Insuring Good Health: A Consumer Health Resource.
  13. Readability of online patient education materials for Merkel cell carcinoma.
  14. Onychomycosis on YouTube: A Cross-Sectional Analysis.
  15. YouTube as a source for information on newborn male circumcision: Is YouTube a reliable patient resource?
  16. YouTube English videos as a source of information on arm and shoulder exercise after breast cancer surgery.
  17. YouTube as a source of information on pediatric scoliosis: a reliability and educational quality analysis.
  18. YouTube videos provide low-quality educational content about rotator cuff disease.
  19. Evaluation of the Reliability and Quality of Information in Carpal Tunnel Syndrome Shared on YouTube.
  20. Informatics in Transit: Review of Columns - 2019-2022.
  21. The Human Need for Equilibrium: Qualitative Study on the Ingenuity, Technical Competency, and Changing Strategies of People With Dementia Seeking Health Information.
  1. Front Public Health. 2022 ;10 870784
    Assessment of combined exposure to intermediate-frequency electromagnetic fields and pulsed electromagnetic fields among library workers in Japan.
    Sachiko Yamaguchi-Sekino, Masao Taki, Miwa Ikuyo, Kaoru Esaki, Atsuko Aimoto, Kanako Wake, Noriko Kojimahara.
      Objective: To assess exposure levels to electromagnetic fields (EMFs) among library workers in Japan, focusing on co-exposure to intermediate-frequency EMF (IF-EMF) and pulsed EMF, to propose a new epidemiological research methodology.Methods: The evaluated exposure sources were an electromagnetic type-electronic article surveillance gate (EM-EAS, IF-EMF (operating frequency 220 Hz-14 kHz)) and an activator/deactivator of anti-theft tags termed as "book check unit" (BCU, pulsed EMF). Short-term exposures were: (E1) whole-body exposure from the EAS gate when sitting within 3 m; (E2) local exposure to transient IF-EMF while passing through or beside the EAS gate; and (E3) local exposure to a pulsed magnetic field on BCU use. E1-E3 were evaluated based on exposure levels relative to magnetic flux density at the occupational reference level (RL; E1) or as per occupational basic restrictions (BR; E2 and E3) delineated by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) 2010 guidelines. Exposure indices based on mid-term exposure (D1-D3), assuming exposure according to employment on a weekly basis, were used to assess exposure in actual working conditions. D1 represents continuous exposure from an EAS gate when sitting within 3 m of the gate. D2 and D3 represent repeated transient exposures occurring during gate pass or on the operation of a BCU. A link to a web-based questionnaire was distributed to librarians working at all libraries where the authors had mailed institutional questionnaires (4,073 libraries). Four exposure patterns were defined according to various exposure scenarios.
    Results: We obtained information on exposure parameters and working conditions from the 548 completed questionnaires. The ICNIRP guideline levels were not exceeded in any of the E1-E3 scenarios. Median of the D1 (% ICNIRP RL × hour/week) was 1, and >85% respondents had values <10. However, the maximum value was 513. Altogether, these results indicate that continuous exposure was low in most cases. The same tendency was observed regarding repeated transient exposure from EM-EAS gates (i.e., the median value for D2 (% ICNIRP BR × gate pass) was 5). However, there were several cases in which D1 and D2 values were >10 times the median. The median of D3 (% ICNIRP BR × BCU operation) was 10, and most respondents' D3 values were greater than their D2 values, although the derived results depended on the assumptions made for the estimation.
    Conclusion: We conducted an assessment of combined exposures to IF-EMF and pulsed EMF among library workers in Japan by evaluating both short-term exposures (E1-E3) and exposure indices based on mid-term exposures (D1-D3) assuming actual working conditions per questionnaire results. These results provide useful information for future epidemiological studies.
    Keywords:  EAS; IF-EMF; library workers; occupational exposure; pulsed EMF
    DOI:  https://doi.org/10.3389/fpubh.2022.870784
  2. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 259-279
    Exploring the Expectations and Preferences of Health Sciences Library Subject Guides Users.
    Anna Biszaha.
      Using survey methodology, this study aimed to explore and describe health sciences library users' subject guide expectations and preferences. Respondents showed an overwhelming lack of familiarity with the guides and expressed a preference for quick and easy access links as the most important feature. Most respondents also appeared to want some guidance about which resources to use within the guides, but less extensive learning or instructional content. The results of this study will inform both future guide development and research on best practices.
    Keywords:  Academic libraries; health sciences libraries; subject guides; user research
    DOI:  https://doi.org/10.1080/02763869.2022.2093544
  3. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 310-327
    Trends in… Modernization at the Nation's Medical Library.
    Dianne Babski, Carl Leubsdorf, Barton W Trawick.
      This manuscript describes the ongoing efforts to meet ever-changing patron needs by modernizing operations, infrastructure, workforce, and customer service at the National Library of Medicine (NLM). Charged with collecting, organizing, preserving, and disseminating biomedical and life sciences information to the public, the NLM constantly adapts to evolving technologies and scientific advancements in order to better fulfill its mission. Historical context and an overview of operational decision-making offer a window into the workings of our nation's medical library.
    Keywords:  Agile development; MEDLINE; PubMed; automation; data driven changes; library resources; national Library of Medicine; operational advancement; user driven growth; user experience
    DOI:  https://doi.org/10.1080/02763869.2022.2095821
  4. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 296-303
    Hospital Libraries: Past, Present and Future.
    Deborah J Rhue.
      Hospital libraries have a long and storied history in the United States. Since the 1700 s, they have provided vital resources to the medical community. Over time, hospital libraries have evolved regarding staffing, resources, and access, yet their mission has remained the same-they are expected to provide the best possible medical information to support patient care. Hospital librarians need to appreciate the history of their profession and the services they have provided in the past in order to sustain the value of their contributions well into the future. Looking at the history, as well as the present state of hospital libraries, helps hospital librarians shape their future. Advocacy is vital in a time when hospitals stretch their budgets as far as possible, hospitals consolidate and hospital libraries close.
    Keywords:  Data management; future; history; hospital library; interlibrary loan; literature search; virtual service
    DOI:  https://doi.org/10.1080/02763869.2022.2097850
  5. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 248-258
    A Self-Paced Online Library Orientation: Development, Implementation, and Assessment.
    Hannah M Schilperoort, Amy J Chatfield, Jennifer E Dinalo, Karin J Saric, Holly J Thompson, Annie M Thompson.
      Health sciences librarians may find it difficult to meet demands for in-person or online synchronous library orientations for various reasons, including short-staffing of librarians, expansion of online programs, and temporary campus closures caused by emergencies, such as the COVID-19 pandemic. The authors discuss the development, implementation, and assessment of an asynchronous online orientation tutorial created for use across various health sciences degree, certificate, and training programs. The tutorial can either replace or supplement synchronous orientations, and the original tutorial can be copied and customized for specific programs.
    Keywords:  Asynchronous; health sciences; instruction; library orientation; tutorial
    DOI:  https://doi.org/10.1080/02763869.2022.2093546
  6. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 236-247
    Medical Residency Milestones: Competencies in Informatics, Library, and Evidence-Based Practice.
    Deborah J Rhue, Jonathan D Eldredge.
      The Accreditation Council for Graduate Medical Education (ACGME) sets standards known as Milestones and monitors the progress of medical residents as they advance toward medical practice in their specialties. Health sciences librarians need to train medical residents in certain competency areas to help reach the Milestone standards. This project analyzed the Milestones related to informatics, library, and evidence-based practice (EBP) skills to identify core and optional library-related curricular elements that can be integrated into different medical specialty residencies. The authors collected key competency documents from ACGME and from those specialties representing 2% or more of the residencies in the United States. Then, they compared and contrasted those Milestones related to informatics, library, and EBP competency skills. Most relevant Milestones were categorized under the fifth broad ACGME competency area of "Practice Based Learning and Improvement." The Milestones followed developmental patterns, reflecting residents' increased sophistication in meeting these competencies as they advanced in their specialties. The curriculum was designed to meet the residents' learning needs at each progressive Milestone.
    Keywords:  Educational measurement; evidence-based practice; graduate medical education; informatics; milestones; professional competence
    DOI:  https://doi.org/10.1080/02763869.2022.2093545
  7. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 280-295
    Looking at Library Resource Usage Trends in Medical Residents & Fellows: Survey Results from 2006-2021.
    David Petersen, Martha Earl, Alexandria Q Wilson.
      Since 2006, the University of Tennessee's Preston Medical Library has collected survey feedback from exiting residents through targeted emails or at the required exit process in the library. Questions ask residents which types of articles or sources they use to find information and address the resident's use of the library's physical space. Survey results from 2006 to 2021 were examined for trends and changes in resident utilization of resources to better inform future library decisions on instruction and marketing. Resident resource usage varied over time and demonstrated an encouraging increase in attention to evidence-based tools. UpToDate's consistent popularity shows the durability of the product. A reported increase in use of reviews, randomized controlled trials, case reports, and practice guidelines reflects greater employment of more in-depth resources than merely expert opinion. At the same time, residents clearly valued the library's physical space. Survey results will inform future outreach focus.
    Keywords:  Graduate medical education; hospital library; librarians; medical library; medical residents; resource usage; surveys and questionnaires
    DOI:  https://doi.org/10.1080/02763869.2022.2095817
  8. Syst Rev. 2022 Aug 17. 11(1): 172
    Reducing systematic review burden using Deduklick: a novel, automated, reliable, and explainable deduplication algorithm to foster medical research.
    Nikolay Borissov, Quentin Haas, Beatrice Minder, Doris Kopp-Heim, Marc von Gernler, Heidrun Janka, Douglas Teodoro, Poorya Amini.
      BACKGROUND: Identifying and removing reference duplicates when conducting systematic reviews (SRs) remain a major, time-consuming issue for authors who manually check for duplicates using built-in features in citation managers. To address issues related to manual deduplication, we developed an automated, efficient, and rapid artificial intelligence-based algorithm named Deduklick. Deduklick combines natural language processing algorithms with a set of rules created by expert information specialists.METHODS: Deduklick's deduplication uses a multistep algorithm of data normalization, calculates a similarity score, and identifies unique and duplicate references based on metadata fields, such as title, authors, journal, DOI, year, issue, volume, and page number range. We measured and compared Deduklick's capacity to accurately detect duplicates with the information specialists' standard, manual duplicate removal process using EndNote on eight existing heterogeneous datasets. Using a sensitivity analysis, we manually cross-compared the efficiency and noise of both methods.
    DISCUSSION: Deduklick achieved average recall of 99.51%, average precision of 100.00%, and average F1 score of 99.75%. In contrast, the manual deduplication process achieved average recall of 88.65%, average precision of 99.95%, and average F1 score of 91.98%. Deduklick achieved equal to higher expert-level performance on duplicate removal. It also preserved high metadata quality and drastically reduced time spent on analysis. Deduklick represents an efficient, transparent, ergonomic, and time-saving solution for identifying and removing duplicates in SRs searches. Deduklick could therefore simplify SRs production and represent important advantages for scientists, including saving time, increasing accuracy, reducing costs, and contributing to quality SRs.
    Keywords:  Artificial intelligence; Bibliographic databases; Deduplication; Duplicate references; Risklick; Systematic review; Systematic review software
    DOI:  https://doi.org/10.1186/s13643-022-02045-9
  9. Anesth Analg. 2022 Aug 18.
    Evaluation of Open Access Websites for Anesthesia Education.
    Faye M Evans, Anna A Krotinger, Maytinee Lilaonitkul, Hiba F Khaled, Gretchen A Pereira, Steven J Staffa, Traci A Wolbrink.
      BACKGROUND: While the prevalence of free, open access medical education resources for health professionals has expanded over the past 10 years, many educational resources for health care professionals are not publicly available or require fees for access. This lack of open access creates global inequities in the availability and sharing of information and may have the most significant impact on health care providers with the greatest need. The extent of open access online educational websites aimed for clinicians and trainees in anesthesiology worldwide is unknown. In this study, we aimed to identify and evaluate the quality of websites designed to provide open access educational resources for anesthesia trainees and clinicians.METHODS: A PubMed search of articles published between 2009 and 2020, and a Startpage search engine web search was conducted in May 2021 to identify websites using the following inclusion criteria: (1) contain educational content relevant for anesthesia providers or trainees, (2) offer content free of charge, and (3) are written in the English language. Websites were each scored by 2 independent reviewers using a website quality evaluation tool with previous validity evidence that was modified for anesthesia (the Anesthesia Medical Education Website Quality Evaluation Tool).
    RESULTS: Seventy-five articles and 175 websites were identified; 37 websites met inclusion criteria. The most common types of educational content contained in the websites included videos (66%, 25/37), text-based resources (51%, 19/37), podcasts (35%, 13/37), and interactive learning resources (32%, 12/37). Few websites described an editorial review process (24%, 9/37) or included opportunities for active engagement or interaction by learners (30%,11/37). Scores by tertile differed significantly across multiple domains, including disclosure of author/webmaster/website institution; description of an editorial review process; relevancy to residents, fellows, and faculty; comprehensiveness; accuracy; disclosure of content creation or revision; ease of access to information; interactivity; clear and professional presentation of information; and links to external information.
    CONCLUSIONS: We found 37 open access websites for anesthesia education available on the Internet. Many of these websites may serve as a valuable resource for anesthesia clinicians looking for self-directed learning resources and for educators seeking to curate resources into thoughtfully integrated learning experiences. Ongoing efforts are needed to expand the number and improve the existing open access websites, especially with interactivity, to support the education and training of anesthesia providers in even the most resource-limited areas of the world. Our findings may provide recommendations for those educators and organizations seeking to fill this needed gap to create new high-quality educational websites.
    DOI:  https://doi.org/10.1213/ANE.0000000000006183
  10. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 223-235
    Community Conversations About COVID-19.
    Yamila El-Khayat, Nora Franco, Lara Miller.
      "Community Conversations About COVID-19" was a multi-group program designed to address the need for culturally sensitive health information about COVID-19 for Latinx and Native American communities. Three medical librarians worked closely with Latinx and/or Spanish-speaking promotores, also known as community health workers (CHWs), and native patient navigators (NPNs) from Native American communities in Tucson, Arizona. In addition, the librarians collaborated with second-year medical students from the University of Arizona College of Medicine - Phoenix. The focus was to train the CHWs, NPNs, and students on how to access health information resources from the National Library of Medicine, National Institutes of Health, Centers for Disease Control and Prevention, and other reliable agencies. The second segment of the program provided the opportunity for the groups to learn from each other's experiences working with health information through this pandemic, which is especially important given the fact the CHWs and NPNs live in, care for, and were brought up in these communities.
    Keywords:  Bilingual health information; COVID-19; LatinX; Native American; Spanish; community health workers; cultural sensitivity
    DOI:  https://doi.org/10.1080/02763869.2022.2095815
  11. J Pharm Policy Pract. 2022 Aug 17. 15(1): 49
    An analysis of COVID-19 information sources.
    Belachew Umeta, Temesgen Mulugeta, Girma Mamo, Sintayehu Alemu, Nimona Berhanu, Gudina Milkessa, Birhanu Mengistu, Tsegaye Melaku.
      BACKGROUND: The COVID-19 pandemic has brought new situations that require the effective delivery of health information across the world and it's important to offer clear, consistent, and credible information on the pandemic to mitigate and control the outbreak.AIM: To assess COVID-19 information source, need and trust among the rural community of southwest Ethiopia.
    METHODS: A community-based cross-sectional study design was conducted among 634 rural communities of southwest Ethiopia. The data were collected by interviewing individuals from selected households and analyzed by SPSS version 26. A multivariable logistic regression model was used to assess factors affecting information needs.
    RESULTS: Radio 484 (76.3%) was mostly used as a source of information for COVID-19, and government 404 (63.7%) and health professionals 345 (57.7%) were trusted. However, only 10 (1.6%) of the participants acquired information from health professionals. Around 395 (62.3%) of the participants needed additional information on COVID-19. Around 230 (58.2%) and 186 (47.1%) of the participants required additional information on cause and sign and symptoms, respectively. Age of < 45 years old (AOR: 2.11, 95% CI: 1.43, 3.12, P < 0.001), and absence of formal education (AOR: 2.00, 95% CI: 1.35, 2.95, P: 0.001) were factors positively affecting the information needs of the participants on COVID-19. Church goers (AOR: 3.24; 95% CI: 2.03, 5.19; P < 0.001), television (AOR: 2.39; 95% CI: 1.63, 3.49; P < 0.001) and social media users (AOR: 4.52; 95% CI: 2.26, 9.04; P < 0.001) as source of information required additional information on COVID-19, and the participants that trusted social media (AOR: 2.52; 95% CI: 1.64, 3.87; P < 0.001) and friends/relatives (AOR: 2.95: 95% CI: 1.51, 5.76; P < 0.001) were also required additional information on COVID-19.
    CONCLUSIONS: The popular sources of COVID-19-related information were radio and television. The participants trusted the government and health professionals on COVID-19. However, less than 2% of the participants had information from health professionals. The majority of the participants wanted to learn more about COVID-19. The areas the participants required additional information include cause and signs and symptoms. Age, educational status, trust in social media, trust in friends, using the church, television and social media as a source were factors associated with information needs.
    Keywords:  COVID-19; COVID-19 information gaps; COVID-19 information source; COVID-19 information trust
    DOI:  https://doi.org/10.1186/s40545-022-00446-8
  12. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 304-309
    Insuring Good Health: A Consumer Health Resource.
    Emily Vardell.
      Choosing and using health insurance is a complicated task for anyone, and there are limited resources available to assist users during this process. Insuring Good Health is an online resource that was developed out of a community-based participatory research partnership to address this need. This column will provide an overview of the resources available from Insuring Good Health and outline how the website and videos can support patrons' health insurance-related information needs.
    Keywords:  Community-based participatory research; graphic medicine; health insurance; medical care; online database; review
    DOI:  https://doi.org/10.1080/02763869.2022.2093553
  13. Arch Dermatol Res. 2022 Aug 17.
    Readability of online patient education materials for Merkel cell carcinoma.
    Yue Zhang, Catherine C Nguyen, Karl Y Bilimoria, Ryan P Merkow.
      The Internet is a significant source of information for patients. According to the National Institutes of Health, patient education materials (PEMs) should be at or below an eighth-grade reading level. Merkel cell carcinoma (MCC) is a rare and aggressive skin cancer that affects patients over 50 with rising incidence. Unfortunately, US adults aged 65 + have the least proficiency in health literacy. This study assessed the readability of online PEMs and factors that contribute to readability. We retrieved 50 PEM websites and extracted primary content. A readability software package calculated six readability statistics and generated a consensus standard readability. Overall, only eight articles had a standard reading level of eighth-grade level or below (16%). The median standard reading level was at the 11th-grade level. We also examined MCC PEMs from cancer treatment institution websites (N = 20). We determined whether they contained institution-specific information, meaning they contained text information about the institution-specific expertise and specialist team. Websites containing this information (N = 13) had a significantly higher reading level than websites that did not (N = 7) in five of six readability metrics (p < 0.05). We concluded that MCC PEMs with institution-specific information led to significantly higher reading level scores. We propose that such information may increase cognitive load, as patients are learning about their disease and treatment and contending with the institution-specific information. The Cognitive Load Theory principles of intrinsic load (learning the material relevant to the disease and treatment) and extraneous load (institution-specific information and increased reading level) are constrained by limited working memory. Working memory decreases with age; hence, the patient demographic most sensitive to increased extraneous load tends to overlap with that of MCC. As patients typically read pages linked from their search engine, we suggest moving institution-specific information to another page, separate from the PEMs.
    Keywords:  Cancer center; Merkel cell carcinoma; PEM; Patient education materials; Readability; Website
    DOI:  https://doi.org/10.1007/s00403-022-02381-9
  14. Skin Appendage Disord. 2022 Jul;8(4): 307-311
    Onychomycosis on YouTube: A Cross-Sectional Analysis.
    Melissa A Nickles, Meghan Pavelka, Julie E Mervak.
      Background: While the Internet remains a popular source of health information, YouTube may contain bias and incomplete information regarding common dermatological conditions.Objective: Our objective was to quantify onychomycosis treatment recommendations on YouTube.
    Methods: We searched YouTube for "nail fungus," "toenail fungus," "onychomycosis treatment," "onychomycosis," and "nail fungus treatment" in separate searches. The top 30 videos meeting inclusion criteria in each search were viewed for video demographics and treatment recommendations.
    Results: Analysis was performed on 102 videos. The majority of videos (81.3%) were intended for patient education. Analyzing videos by speaker, 50.0% featured a podiatrist, 13.7% a nondermatologist physician or other medical professional, 10.8% a patient or blogger, 6.9% a dermatologist, and 2.0% a nail technician. Videos recommended FDA-approved therapies, as well as OTC products. The most recommended medical therapies included oral terbinafine and laser therapy, mentioned in 29 and 28 videos, respectively. Various natural remedies were recommended, with tea tree oil being endorsed in 23 videos.
    Conclusion: YouTube offers patient education on a range of treatment options for onychomycosis. We caution patients against starting treatments based on social media recommendations and encourage dermatologists to utilize social media to educate the public on common dermatological conditions.
    Keywords:  Complementary and alternative medicine; Nail fungus; Onychomycosis; Social media; YouTube
    DOI:  https://doi.org/10.1159/000521909
  15. J Pediatr Urol. 2022 Jul 20. pii: S1477-5131(22)00315-1. [Epub ahead of print]
    YouTube as a source for information on newborn male circumcision: Is YouTube a reliable patient resource?
    Michael Zaliznyak, John M Masterson, Barry Duel.
      INTRODUCTION: YouTube is the most popular open access media-sharing platform and is the second most visited websites worldwide. However, due to a lack of peer-review, YouTube is largely unregulated and can be susceptible to the spread of biased or misleading information.OBJECTIVE: To evaluate the quality and potential bias of videos pertaining to newborn male circumcision (NMC) on YouTube.
    MATERIALS & METHODS: A YouTube search was performed on August 27, 2021 using the search term 'circumcision', and the top 100 videos were analyzed by two independent reviewers. Videos were categorized into groupings based on their source, and each video was evaluated for bias and was determined to be either pro-circumcision, anti-circumcision or neutral. Video quality was assessed using the DISCERN instrument (1-5 scale) and the Global Quality Scale (GQS) (1-5 scale). Video popularity was measured using the video power index (VPI).
    RESULTS: We found that the overall quality of videos on YouTube pertaining to NMC is generally low (DISCERN: 2.9 ± 0.7, GQS: 2.9 ± 1.1). When describing potential bias, 56% of videos were neutral and 44% were biased, of which 30% being anti-circumcision and 14% being pro-circumcision. Videos which were neutral, produced by health channels, or which featured physicians were associated with the highest quality ratings. However, when correlating total video views and likes with our quality assessments, we observed a significant negative correlation between the overall popularity of a video and its DISCERN (ρ = -0.297, p = 0.031) and GQS quality ratings (ρ = -0.274, p = 0.048).
    CONCLUSION: Information pertaining to NMC on YouTube is generally of low quality and has a high potential for bias. Lower quality content is overrepresented on YouTube and tended to be more popular than higher quality content. Patients and their families should be cautious when accessing YouTube for health information pertaining to NMC.
    Keywords:  Circumcision; Internet; Online health; Pediatric urology; YouTube
    DOI:  https://doi.org/10.1016/j.jpurol.2022.07.011
  16. Eur J Cancer Care (Engl). 2022 Aug 15. e13685
    YouTube English videos as a source of information on arm and shoulder exercise after breast cancer surgery.
    Selen Güloğlu, Yunus Özdemir, Pelin Basim, Sena Tolu.
      PURPOSE: To examine the reliability, quality and content of YouTube videos on exercises that can be performed after breast cancer (BC) surgery.METHODS: Videos selected from YouTube using the search terms 'shoulder exercise and BC surgery', 'arm exercise and BC surgery' and 'physiotherapy/physical therapy and BC surgery' were categorised as useful or misleading by a surgeon and a physiotherapist. The videos were analysed using the 5-point DISCERN scale for reliability, the Global Quality Scale for quality and a 10-item scale for comprehensiveness.
    RESULTS: Of the 180 videos initially analysed, 82 were included in the study, and 42 (51.2%) were classified as having misleading information and 40(48.8%) as having useful information. The reliability, quality and content scores of the videos containing useful information were higher (p < 0.001). Most of the videos in the useful information group (80%) were uploaded by universities/professional organisations/physicians/physiotherapists, while the majority of those in the misleading information group (47.6%) were uploaded by websites providing independent healthcare information.
    CONCLUSION: YouTube can be an important instrument to protect patients from musculoskeletal system complications after BC treatment and improve existing complications. Universities, physicians and physiotherapists should be encouraged to prepare more videos containing full and accurate information on this subject.
    Keywords:  YouTube; breast cancer; exercise; patient education; physical therapy
    DOI:  https://doi.org/10.1111/ecc.13685
  17. Spine Deform. 2022 Aug 20.
    YouTube as a source of information on pediatric scoliosis: a reliability and educational quality analysis.
    Samuel S Rudisill, Nour Z Saleh, Alexander L Hornung, Shadi Zbeidi, Roohi M Ali, Zakariah K Siyaji, Junyoung Ahn, Michael T Nolte, Gregory D Lopez, Arash J Sayari.
      PURPOSE: To assess the reliability and educational quality of YouTube videos related to pediatric scoliosis.METHODS: In December 2020, searches of "pediatric scoliosis", "idiopathic scoliosis", "scoliosis in children", and "curved spine in children" were conducted using YouTube. The first 50 results of each search were analyzed according to upload source and content. The Journal of the American Medical Association (JAMA) Benchmark Criteria were used to assess reliability (score 0-4), and educational quality was evaluated using the Global Quality Score (GQS; score 0-5) and Pediatric Scoliosis-Specific Score (PSS; score 0-15). Differences in scores based on upload source and content were determined by Analysis of Variance (ANOVA) or Kruskal-Wallis tests. Multivariate linear regressions identified any independent predictors of reliability and educational quality.
    RESULTS: After eliminating duplicates, 153 videos were analyzed. Videos were viewed 28.5 million times in total, averaging 186,160.3 ± 1,012,485.0 views per video. Physicians (54.2%) and medical sources (19.0%) were the most common upload sources, and content was primarily categorized as disease-specific (50.0%) and patient experience (25.5%). Videos uploaded by patients achieved significantly lower JAMA scores (p = 0.004). Conversely, academic or physician-uploaded videos scored higher on PSS (p = 0.003) and demonstrated a trend towards improved GQS (p = 0.051). Multivariate analysis determined longer video duration predicted higher scores on all measures. However, there were no independent associations between upload source or content and assessment scores.
    CONCLUSION: YouTube contains a large repository of videos concerning pediatric scoliosis; however, the reliability and educational quality of these videos were low.
    LEVEL OF EVIDENCE: V.
    Keywords:  Content analysis; Health education; Internet; Pediatric scoliosis; YouTube
    DOI:  https://doi.org/10.1007/s43390-022-00569-7
  18. Clin Shoulder Elb. 2022 Jul 18.
    YouTube videos provide low-quality educational content about rotator cuff disease.
    Kyle N Kunze, Kevin H Alter, Matthew R Cohn, Amar S Vadhera, Nikhil N Verma, Adam B Yanke, Jorge Chahla.
      Background: YouTube has become a popular source of healthcare information in orthopedic surgery. Although quality-based studies of YouTube content have been performed for information concerning many orthopedic pathologies, the quality and accuracy of information on the rotator cuff have yet to be evaluated. The purpose of the current study was to evaluate the reliability and educational content of YouTube videos concerning the rotator cuff.Methods: YouTube was queried for the term "rotator cuff." The first 50 videos from this search were evaluated. Video reliability was assessed using the Journal of the American Medical Association (JAMA) benchmark criteria (range, 0-5). Educational content was assessed using the global quality score (GQS; range, 0-4) and the rotator cuff-specific score (RCSS; range, 0-22).
    Results: The mean number of views was 317,500.7±538,585.3. The mean JAMA, GQS, and RCSS scores were 2.7±2.0, 3.7±1.0, and 5.6±3.6, respectively. Non-surgical intervention content was independently associated with a lower GQS (β=-2.19, p=0.019). Disease-specific video content (β=4.01, p=0.045) was the only independent predictor of RCSS.
    Conclusions: The overall quality and educational content of YouTube videos concerned with the rotator cuff were low. Physicians should caution patients in using such videos as resources for decision-making and should counsel them appropriately.
    Keywords:  Patient education; Patient resources; Quality; Reliability; Rotator cuff; YouTube
    DOI:  https://doi.org/10.5397/cise.2022.00927
  19. J Wrist Surg. 2022 Aug;11(4): 295-301
    Evaluation of the Reliability and Quality of Information in Carpal Tunnel Syndrome Shared on YouTube.
    Emre Anıl Özbek, Mehmet Armangil, Mustafa Onur Karaca, Abdullah Merter, Merve Dursun, Hakan Kocaoğlu.
      Purpose  Most of the internet users search online on YouTube for their health problems and the treatments. The purpose of this study is to evaluate the quality and the reliability of the videos on YouTube for Carpal tunnel syndrome (CTS). Methods  The search was made by typing the keywords "Carpal tunnel syndrome" and/or "CTS" into the YouTube search engine, the first 50 videos on the first three pages of YouTube were evaluated. Of these videos, title, duration, number of views, days since uploaded, view ratio (view per day), number of likes, number of dislikes, video power index (VPI), video source, and video content data were recorded. The Journal of the American Medical Association (JAMA) benchmark criteria were used to evaluate the reliability of videos, where the Global Quality Score (GQS) and Carpal tunnel syndrome-specific score (CTS-SS) were used to evaluate the quality of the videos. Results  The mean duration of the videos was 364.12 seconds (min 57, max 1,638) and the total duration of videos was 18,206 seconds. The mean number of views was 140,916.1 (min 10,543, max 1,271,040) and total number of views was 7,045,804. The mean JAMA score was 1.8 (min 1, max 4), the mean GQS was 2.72 (min 1, max 5), and the mean CTS-SS was 4.74 (min 1, max 14). There was no significant effect of video content on VPI, JAMA, GQS, or CTS-SS ( p >0.05). The JAMA, GQS, CT-SS scores of the videos from physicians and academic sources were significantly higher compared with other sources ( p <0.05). Conclusion  YouTube is one of the most frequently used resource for patients to get information about their diagnosis and treatment methods and it consists of videos with low reliability and quality for CTS. We believe that the creation of an internet-based information resource, which the patients can refer to is one of the current social responsibilities of the physicians and the academicians. Level of Evidence  This is a Level V study.
    Keywords:  Carpal tunnel syndrome; Internet; YouTube; education; quality; reliability
    DOI:  https://doi.org/10.1055/s-0041-1735231
  20. Med Ref Serv Q. 2022 Jul-Sep;41(3):41(3): 338-346
    Informatics in Transit: Review of Columns - 2019-2022.
    Catherine Pepper.
      This column reviews publications in this column from 2019 through 2022. It identifies key themes and provides resources for informatics instructors.
    Keywords:  Data literacy; informatics instruction; information literacy; pedagogy; review; teaching
    DOI:  https://doi.org/10.1080/02763869.2022.2095822
  21. J Med Internet Res. 2022 Aug 11. 24(8): e35072
    The Human Need for Equilibrium: Qualitative Study on the Ingenuity, Technical Competency, and Changing Strategies of People With Dementia Seeking Health Information.
    Emma Dixon, Jesse Anderson, Diana C Blackwelder, Mary L Radnofsky, Amanda Lazar.
      BACKGROUND: Prior research on health information behaviors of people with dementia has primarily focused on examining the types of information exchanged by people with dementia using various web-based platforms. A previous study investigated the information behaviors of people with dementia within a month of their diagnosis. There is an empirical gap in the literature regarding the evolution of health information needs and behaviors of people with dementia as their condition progresses.OBJECTIVE: Our work primarily investigated the information behaviors of people with dementia who have been living with the condition for several (4 to 26) years. We also aimed to identify their motivations for changing their information behaviors over time. Our primary research questions were as follows: how do people with dementia get informed about their condition, and why do people with dementia seek information about their condition?
    METHODS: We adopted an action research approach by including 2 people with dementia as members of our research team. Collaboratively, we conducted 16 remote 1-hour contextual inquiry sessions with people living with mild to moderate dementia. During the study sessions, the first 40 minutes included semistructured interviews with participants concerning their information behaviors, followed by a 20-minute demonstration of their information-seeking strategies. Data from these interviews were analyzed using a constructivist grounded theory approach.
    RESULTS: Participants described their information needs in terms of managing the disrupted physiological, emotional, and social aspects of their lives following a diagnosis of dementia. They used various information behaviors, including active search, ongoing search, monitoring, proxy search, information avoidance, and selective exposure. These information behaviors were not stagnant; however, they were adapted to accommodate the changing circumstances of their dementia and their lives as they worked to re-establish equilibrium to continue to engage in life while living with a degenerative neurological condition.
    CONCLUSIONS: Our research revealed the motivations, changing abilities, and chosen strategies of people with dementia in their search for information as their condition evolves. This knowledge can be used to develop and improve person-centered information and support services for people with dementia so that they can more easily re-establish equilibrium and continue to engage in life.
    Keywords:  action research; dementia; equilibrium; health information behavior; mobile phone; postdiagnostic experience
    DOI:  https://doi.org/10.2196/35072
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