bims-librar Biomed News
on Biomedical librarianship
Issue of 2022–09–11
twenty-one papers selected by
Thomas Krichel, Open Library Society



  1. Journal of academic librarianship. 2022 Nov;48(6): 102595
      The COVID-19 pandemic presented instructors and learners with novel challenges related to the delivery and consumption of instructional content. Within academic libraries, these changes have resulted in an expanded reliance on asynchronous learning content delivered through a variety of instructional approaches. The study described herein was designed to evaluate the effectiveness of a blended and flipped program of information literacy (IL) instruction. Deploying a pre/post-test methodology within a quasi-experimental study of student learning outcomes, this research compares achievement across two cohorts of students receiving IL instruction as part of a first-year writing program (FYWP) requirement. While one cohort participated in a multi-shot, in-person, synchronous instructional program during the pre-pandemic period, another cohort participated in a blended and flipped instructional program delivered under pandemic-related restrictions. Comparative analysis revealed net positive achievement outcomes for both the pre-pandemic and pandemic cohorts, as well as interesting points of contrast between the two groups. In particular, students in the pandemic cohort arrived to their first year with less research experience than their pre-pandemic peers-signaling a gap in knowledge that pandemic-era library instruction must overcome. Fortunately, the blended and flipped instructional program experienced by the pandemic cohort proved successful in helping those students overcome their research experience gap, while delivering additional benefits that help confirm previous research in this area of practice.
    Keywords:  Blended instruction; Flipped classroom; Information literacy; Quantitative analysis
    DOI:  https://doi.org/10.1016/j.acalib.2022.102595
  2. Stud Health Technol Inform. 2022 Aug 31. 298 13-18
      NHS knowledge and library specialists have been shown to save the time of busy healthcare professionals through the range of services they provide. To ensure continued effectiveness it is vital that appropriate learning and development opportunities are provided to maintain and enhance the knowledge and skills of this highly specialist staff group. This paper outlines recent progress in developing accredited continuing professional development opportunities for NHS knowledge and library specialists with a focus on the development of digital and data skills.
    Keywords:  Knowledge managers; continuing professional development; digital skills; librarians
    DOI:  https://doi.org/10.3233/SHTI220899
  3. Brief Bioinform. 2022 Sep 05. pii: bbac383. [Epub ahead of print]
      Updated and expert-quality knowledge bases are fundamental to biomedical research. A knowledge base established with human participation and subject to multiple inspections is needed to support clinical decision making, especially in the growing field of precision oncology. The number of original publications in this field has risen dramatically with the advances in technology and the evolution of in-depth research. Consequently, the issue of how to gather and mine these articles accurately and efficiently now requires close consideration. In this study, we present OncoPubMiner (https://oncopubminer.chosenmedinfo.com), a free and powerful system that combines text mining, data structure customisation, publication search with online reading and project-centred and team-based data collection to form a one-stop 'keyword in-knowledge out' oncology publication mining platform. The platform was constructed by integrating all open-access abstracts from PubMed and full-text articles from PubMed Central, and it is updated daily. OncoPubMiner makes obtaining precision oncology knowledge from scientific articles straightforward and will assist researchers in efficiently developing structured knowledge base systems and bring us closer to achieving precision oncology goals.
    Keywords:  form customisation; knowledge base; oncology publication mining; one-stop workflow; precision oncology; team-based curation
    DOI:  https://doi.org/10.1093/bib/bbac383
  4. Transfusion. 2022 Sep 05.
       BACKGROUND: Stories are powerful in their ability to disseminate information in a meaningful way. We hypothesized that a stem cell donation story library optimized for social media could support the education and recruitment of committed unrelated hematopoietic stem cell donors from needed demographic groups.
    STUDY DESIGN AND METHODS: We developed Why We Swab, a library of stories on stem cell donation (facebook.com/WhyWeSwab; instagram.com/WhyWeSwab; twitter.com/WhyWeSwab), and evaluated its impact across social and traditional media as well as on eligible potential donors' knowledge and attitudes towards donation.
    RESULTS: As of December 2021, the library included 28 story arcs featuring 45 storytellers from diverse ancestral backgrounds, including 8 donor-recipient stories. Overall, the stories reached >92,000 people across social media. Notably, stories were republished by 18 print/ broadcast media outlets in Canada and by major medical organizations. A series of stories shown to 33 eligible potential donors improved mean total scores on a donation knowledge test (64% to 85%, p < 0.001), reduced mean ambivalence scale scores (3.85 to 2.70, p < 0.001), and improved participants' willingness to register as donors (45% to 73%, p < 0.005). Data are also shown demonstrating that stakeholders valued the library and that its deployment was associated with improved donor recruitment outcomes in Canada.
    CONCLUSION: Why We Swab is accessible and relevant to a wide audience, including stem cell donor registries and recruitment organizations seeking to improve their recruitment efforts as well as to blood and organ & tissue donation organizations who can adapt the Why We Swab model to their audiences.
    Keywords:  allogeneic; donor; donor recruitment; education; social media; transplantation
    DOI:  https://doi.org/10.1111/trf.17087
  5. Arthroscopy. 2022 Sep;pii: S0749-8063(22)00418-2. [Epub ahead of print]38(9): 2589-2592
      Arthroscopy; Arthroscopy Techniques; and Arthroscopy, Sports Medicine, and Rehabilitation (ASMAR) websites include content that is available only online. Every time we visit the websites, we discover new content and educational features worth exploring. From meeting abstracts to multimedia, and from research pearls collections to world maps indicating the reach of our journals, a tour of our websites is enthralling. You can even take a bite of a hamburger.
    DOI:  https://doi.org/10.1016/j.arthro.2022.07.005
  6. Comput Intell Neurosci. 2022 ;2022 1366418
      At present, art education curriculum reform is in full swing. Art education in China started late but as an important element of quality education. Art education is particularly important today with rapid economic development and advanced technology. The art subject is the sum of the teaching content of the art subject and the execution of teaching activities expressed through the network, including two components: the teaching content organized according to specific teaching objectives and teaching strategies and the network teaching support environment. Unlike existing multimedia courseware, several features reflect the advantages of online education, unlike online courseware. Each school generates a large amount of student performance data every year, and existing systems only perform simple backups, queries, and statistics on these data, which do not reflect the weaknesses of education in a centralized and comprehensive manner. Data mining can extract valuable information hidden behind the data from a large amount of data and has been applied in more and more fields with good results, which helps people to make correct decisions. In this study, we propose a decision tree model-based repository and search platform for school art and painting education resources, briefly outline the decision tree model, and analyze the architecture and operation of the school art and painting education resources repository and search platform. The experimental results show that the Virginica accuracy of the decision tree model is 0.42 higher than that of C4.5, which greatly improves the accuracy of the preferred class and ensures the overall accuracy remains unchanged. Therefore, this system realizes the art education resource repository system and realizes the needs of college users to share art professional information and resources.
    DOI:  https://doi.org/10.1155/2022/1366418
  7. Am J Lifestyle Med. 2022 Sep-Oct;16(5):16(5): 641-654
      Online sources of health information are a significant means by which the public educates itself about health and wellness. The purpose of this study is to investigate how undergraduate students evaluate and assess health-related websites for accuracy, as well as the self-reported factors used in identifying whether a website is an accurate source of information. One hundred and fifty-seven students participated by reviewing a series of 10 health-related websites and indicated whether they believed the website to be an accurate source of health information. Students completed an open-ended question to self-report how they made this determination. Results indicate that students were not able to accurately distinguish between credible sources of web-based health information and those sources that were previously categorized as not being credible sources. Analysis of self-reported qualitative feedback gave rise to 6 factors used to determine the accuracy of the websites reviewed. While students report using these factors, and these factors are consistent with previous research, this does not appear then to be translating to successful determination of a source's accuracy. Educating students in proper fact-checking and evaluation skills may be warranted to develop a generation of individuals who can be said to have better health literacy.
    Keywords:  health information; health literacy; information sources; student perceptions
    DOI:  https://doi.org/10.1177/1559827621990574
  8. J Med Internet Res. 2022 Aug 03.
       BACKGROUND: Preventative health measures such as shelter in place and mask wearing have been widely encouraged to curb the spread of the COVID-19 disease. People's attitudes towards preventative behaviors may be dependent on their sources of information and trust in the information.
    OBJECTIVE: The aim of this study is to understand the relationship between trusting in COVID-19 information and preventative behavior in a racially and politically diverse metropolitan area in the United States.
    METHODS: We conducted an online cross-sectional survey of residents in St. Louis City and County in Missouri. Individuals 18 years or older were eligible to participate. Participants were recruited using a convenience sampling approach through social media and email. The Health Belief Model (HBM) and the Socio-ecological Model informed instrument development, as well as COVID-19-related questions from the Centers for Disease Control and Prevention (CDC). We performed an ordinary least squares linear regression model to estimate social distancing practices, perceptions, and trust in COVID-19 information sources.
    RESULTS: Out of 1650 eligible participants, the majority (84%, n=1381) had sought or received COVID-19 related information from a public health agency (PHA), the CDC or both. Regression analysis showed a 1% increase in preventative behavior for every 12% increase in trust in governmental health agencies. At their lowest levels of trust, women were 68% more likely to engage in preventative behavior than men. Overall, 18-45 year-olds without vulnerable medical conditions were the least to engage in preventative behaviors.
    CONCLUSIONS: Trust in COVID-19 information increases an individual's likelihood of practicing preventative behaviors. Effective health communication strategies should be used to effectively disseminate health information in disease outbreaks.
    DOI:  https://doi.org/10.2196/37846
  9. Comput Intell Neurosci. 2022 ;2022 3582719
      In order to improve the Resource Recommendation and sharing ability of mobile library, an intelligent optimization model of Mobile Library Resource Recommendation Service Based on digital twin technology is proposed. Build the association rule feature distribution set of mobile library resource recommendation service, carry out text information retrieval in the process of Mobile Library Resource Recommendation and sharing, carry out semantic correlation feature registration according to the retrieval preference of mobile library reading user object, establish the association rule data set of mobile library reading user object preference for mobile library Resource Recommendation and sharing, carry out feature block processing, and analyze the library reader preference. Complete the collaborative filtering recommendation of Mobile Library Resource Recommendation sharing. The simulation results show that the collaborative recommendation under the intelligent optimization mode of mobile library resource recommendation service using this method has high accuracy and good confidence level, which improves the intelligent level of Mobile Library Resource Recommendation and user satisfaction.
    DOI:  https://doi.org/10.1155/2022/3582719
  10. Rev Port Cardiol. 2022 Jun;pii: S0870-2551(22)00102-0. [Epub ahead of print]41(6): 485-486
      
    DOI:  https://doi.org/10.1016/j.repc.2022.02.007
  11. Explor Res Clin Soc Pharm. 2022 Sep;7 100172
       Background: Medical Subject Headings (MeSH) thesaurus contribute towards efficient searching of biomedical information. However, insufficient coverage of specific fields and inaccuracies in the indexing of articles can lead to bias during literature retrieval.
    Objectives: This meta-research study aimed to assess the use of 'Pharmaceutical Services' MeSH terms in studies evaluating the effect of pharmacists' interventions.
    Methods: An updated systematic search (Jan-2022) to gather meta-analyses comparing pharmacists' interventions vs. other forms of care was performed. All MeSH terms allocated to the MEDLINE record of each primary study included in the selected meta-analyses were systematically extracted. Terms from the 'Pharmaceutical Services' branch, including its descendants, as well as other 26 pharmacy-specific MeSH terms were identified. The assignment of these terms as a 'Major MeSH' was also evaluated. Descriptive statistics and social network analyses to evaluate the co-occurrence of the MeSH terms in the articles were conducted. Sensitivity analyses including only meta-analyses with declared objectives mentioning the words 'pharmacist' or 'pharmacy' were performed (SPSS v.24.0).
    Results: Overall, 138 meta-analyses including 2012 primary articles were evaluated. A median of 15 [IQR 12-18] MeSH terms were assigned per article with a slight positive time-trend (Spearman rho = 0.193; p < 0.001). Only 36.6% (n = 736/2012) and 58.1% (n = 338/1099) of studies were indexed with one MeSH term from the 'Pharmaceutical Services' branch in the overall and sensitivity analyses, respectively. In <20% of cases, these terms were a 'Major MeSH'. The pharmacy-specific term 'Pharmacists' was the most frequently used, yet in only 27.8% and 47.7% of articles in the original and sensitivity analyses, respectively. Social networks showed a weak association between pharmacy-specific and 'Pharmaceutical services' branch MeSH terms.
    Conclusions: The availability of a 'Pharmaceutical services' branch hierarchic tree and further pharmacy-specific MeSH terms incorporated to the MeSH thesaurus in the past years is not related with accurate indexing of articles.
    Keywords:  Bibliometrics; MEDLINE; Medical subject headings; Periodicals as topic; Pharmaceutical services; Pharmacists
    DOI:  https://doi.org/10.1016/j.rcsop.2022.100172
  12. Pan Afr Med J. 2022 ;42 124
       Introduction: online health information-seeking behaviour has been on the increase and patients are seeking more responsibility in decisions about their health. Previous studies have mostly predicted online health information-seeking behaviour with demographic characteristics and not current behaviours driven by improving online information. The study attempts to bridge the gap between fast-developing patient online health information-seeking behaviour and health behaviour research.
    Methods: a cross-sectional survey was conducted in the Ghanaian city of Accra. Descriptive statistical analysis was used to reveal frequencies and range of scores on measurement scales. All measurement scales used in the study were tested for reliability. Univariate analysis was used to find correlations and key properties of the dependent and independent variables. Multivariate analysis was used to test hypotheses.
    Results: one hundred and eighteen (118) adults were surveyed. Cronbach alpha reliabilities of measurement scales ranged from .71 to .91. The hypothesis that care seeking behaviour and patient communication pattern predict online health information seeking behaviour, was supported (r = .45, standard error = 5.84) by a multiple linear regression.
    Conclusion: patients are engaged in online health information seeking because they want to be more active in decisions about their health. Findings further suggest that patients rely on online information to direct communications with their caregivers.
    Keywords:  Information-seeking behaviour; care-seeking behaviour; eHealth; health care surveys; patients; statistical models; surveys
    DOI:  https://doi.org/10.11604/pamj.2022.42.124.33623
  13. J Stomatol Oral Maxillofac Surg. 2022 Sep 01. pii: S2468-7855(22)00243-9. [Epub ahead of print]
       STATEMENT OF PROBLEM: . Nowadays, masseter botulinum toxin injections are frequently used to treat bruxism. People first search for social media resources for their health-related problems. However, the quality of the information on Instagram about masseter botox injection for bruxism is unknown.
    PURPOSE: . The aim of this study was to evaluate the quality ant content of the Instagram posts shared publicly about masseter botox. The hashtag #masseterbotox was searched on Instagram.
    MATERIALS AND METHODS: A total of 1000 posts were scanned. Unrelated posts were excluded from the study. The video posts were evaluated by using Global Quality Scale (GQS) and reliability of information toolkits.
    RESULTS: . One-hundred seventy-nine photograph and 65 video posts that met the criteria were analyzed. Most of the posts were posted by doctors and healthcare professionals (151 posts), followed by clinics (87 posts) and patients (6 posts). The information reliability scores of Instagram video posts about #masseterbotox were found to be very low (1.34±1.28). Number of views, reliability of information and GQS scores were not statistically significant between groups according to the source of the video posts (p>0.05). GQS scores was higher in experience videos than information and advertisement videos (p<0.05). The information reliability scores of Instagram video posts about #masseterbotox were found to be very low (1.34±1.28).
    CONCLUSIONS: . Clinicians should warn their patients about the reliability of information on Instagram and should guide them to the right social media resources.
    CLINICAL IMPLICATIONS: Dental professionals should direct their patients about masseter botox injections to the right resources on social media platforms.
    Keywords:  Botox; Bruxism; Dentistry; Instagram; social media
    DOI:  https://doi.org/10.1016/j.jormas.2022.08.022
  14. J Perinat Med. 2022 Sep 05.
       OBJECTIVES: To assess the quality and content of information regarding external cephalic version on YouTube.
    METHODS: YouTube was searched using the phrase "external cephalic version" (ECV) to identify informative videos by two independent reviewers. Videos were included if: (1) in English; (2) available November 20, 2021; (3) related to ECV. Videos were excluded if: (1) duration exceeded 15 min; (2) target audience was not patients or the general public; (3) not in English; (4) were advertisements or news clips; (5) did not relate to ECV. The Global Quality Scale was used to assess overall quality of selected videos. A content score was developed based on guidelines from the American College of Obstetricians and Gynecologists. Video quality was also categorized as "slightly useful", "useful" and "very useful". The Patient Education Materials Assessment Tool (PEMAT) for audiovisual materials was used to score understandability and actionability.
    RESULTS: Of 60 videos screened, 31 met inclusion criteria. They were classified as People or Blogs (n=19, 61%) or Education (n=12, 39%). Videos were calculated to be "slightly useful" (n=10, 32%), "useful" (n=18, 58%), or "very useful" (n = 3, 10%). The PEMAT - understandability was less in the "slightly useful" compared to the combined "useful" and "very useful" groups, p<0.01. No differences existed between total usefulness score and category, p=0.6.
    CONCLUSIONS: Most videos were useful, but few were very useful. These results highlight the importance of thorough counseling regarding this procedure.
    Keywords:  breech; cesarean; education; external cephalic version; video; youtube
    DOI:  https://doi.org/10.1515/jpm-2022-0344
  15. Diabet Med. 2022 Aug 18. e14936
       INTRODUCTION: Foot ulcers and amputations are common conditions in people with diabetes and can considerably impact quality of life, necessitate a lengthy hospital stay and increase mortality. Preventative foot care and examination can prevent or delay ulceration, and individuals may seek information from publicly available social media resources such as YouTube. Therefore, the purpose of this study is to evaluate the educational quality and reliability of publicly available YouTube videos on diabetes foot examinations.
    METHOD: A YouTube search for "diabetic foot examination" was conducted, and the first 100 relevant English videos focused on examining the diabetic foot were included for evaluation. The Journal of the American Medical Association (JAMA) standards were used to measure video reliability. The Global Quality Score (GQS) and the Diabetes UK Annual Foot Check (DUK-C) checklist were used to assess video educational quality. Differences in JAMA, GQS, and DUK-C ratings were analysed after videos were sorted by topic and source.
    RESULTS: The mean number of views per video was 101,311.9 ± 348,383.6, and the mean video power index was 41.6 ± 170.0. The most common upload source was from physicians (28%) and, the most popular material category was diabetes foot examination (58 videos). In terms of video reliability, 36% of videos scored 0. According to the GQS standards, only 5% of the videos are of excellent quality, while 34% are of poor quality, with 24 videos scoring between 0 and 1 on the DUK-C scale.
    CONCLUSION: While foot care examination videos have a substantial audience, the majority are considered low in quality and reliability. Videos on comprehensive diabetic foot examination should be accessed on reputable sources that guarantee standardisations of video quality and take into account the simplification of information transmission in order to reach lay audiences.
    Keywords:  YouTube; diabetic foot; education; video
    DOI:  https://doi.org/10.1111/dme.14936
  16. J Surg Res. 2022 Sep 05. pii: S0022-4804(22)00474-7. [Epub ahead of print]280 510-514
       INTRODUCTION: The Internet is an extensively used source of medical education by the public. In particular, YouTube is a valuable source of information which can be used to improve patient education. However, there is no quality assurance regime for YouTube videos pertaining to medical education. In this study, we aimed to evaluate the quality and accuracy of videos regarding inguinal hernia repair.
    METHODS: Two hundred videos were searched for and viewed on YouTube from the phrases: 'inguinal hernia repair,' 'patient information for inguinal hernia repair,' and 'hernia operation.' After the application of predefined exclusion criteria, 23 videos were selected and the following data were collected: number of views, duration since video was posted, and the number of likes, dislikes, and comments. The educational quality was rated using three scoring systems: Health on the Net code, Journal of the American Medical Association, and DISCERN scoring systems. All three scoring systems have been previously used to evaluate online videos; however, they have not been formally validated.
    RESULTS: The videos were of low quality when using the Health on the Net code, Journal of the American Medical Association, and DISCERN scoring systems. There was no association between video quality as measured by any of the scoring systems and the number of views. The number of days online was independently predictive of the number of views (P = 0.044) and explained 18% of the variance in views. Likewise, there was no significant association between video quality and video length.
    CONCLUSIONS: YouTube videos on inguinal hernia repair are of low quality and accuracy. However, the potential of using YouTube to educate patients cannot be ignored.
    Keywords:  General surgery; Inguinal hernia; Patient education; YouTube
    DOI:  https://doi.org/10.1016/j.jss.2022.07.024
  17. J Stomatol Oral Maxillofac Surg. 2022 Sep 03. pii: S2468-7855(22)00248-8. [Epub ahead of print]
       PURPOSE: YouTubeTM has become a widely used resource of information about health-related topics nowadays. This cross-sectional study has aimed to analyze the content and quality of YouTubeTM videos on orthognathic surgery.
    METHODS: In our study, six orthognathic surgery-related keywords (Le Fort I osteotomy, sagittal split osteotomy, jaw surgery, jaw correction surgery, orthodontic surgery, and orthognathic surgery) were used to search on YouTubeTM. Only the videos in English, which had visually and audibly acceptable quality and were mainly about orthognathic surgery, were chosen from the videos. A total of 360 videos were selected, the top 60 videos for each search term, and sorted according to view count. Of these videos, the first 60 videos were analyzed. Video source (independent or educational), duration, number of views, likes, and dislikes were recorded for each video. Moreover, two impartial observers evaluated the visibility, popularity, quality, usefulness, and reliability of the videos.
    RESULTS: 41 of 60 videos were of independent sources while 19 of them were of educational origin. Information content of the videos was found to be insufficient. No significant difference was determined between independent and educational videos in terms of popularity, visibility, usefulness and quality analysis of the videos (p>0.05), but a significant difference was found in terms of reliability values (p<0.05).
    CONCLUSION: It can be said that YouTubeTM videos were not a reliable and accurate enough source of information when evaluated in terms of orthognathic surgery-related content and quality. Therefore, the information content provided by specialists and health institutions, in particular, should be increased in number, thereby making access to better quality information on orthognathic surgery easy for patients.
    Keywords:  Jaw correction; Jaw surgery; Orthognathic surgery; Quality; Usefulness; YouTube™
    DOI:  https://doi.org/10.1016/j.jormas.2022.09.001
  18. Anat Histol Embryol. 2022 Sep 08.
      The use of YouTube videos for educational purposes has been increasingly popular. The quality and accuracy of the information level of these videos should be checked by expert trainers. This study aims to evaluate the content, quality and functionality of YouTube videos on Histology and Embryology and to measure their educational usefulness. In the study, searches were performed using the keywords "Histology" and "Embryology" in the YouTube search tab. Quality and content were evaluated using the Video Power Index (VPI), modified DISCERN scale, JAMA and the Global Quality Scale (GQS). Videos were categorized by educational usefulness. SPSS software was used for statistical analysis. A statistically significant high correlation was observed between modified DISCERN scores and JAMA scores (r = 0.757, p < 0.001) and between modified DISCERN scores and GQS scores (r = 0.743, p < 0.001). A statistically significant high correlation was also determined between JAMA and GQS scores (r = 0.632, p < 0.001). GQS scores were weakly, negatively and significantly correlated with the number of comments (r = -0.302, p < 0.05) and dislikes (r = -0.325, p < 0.05). Based on GQS, the useful and non-useful videos differed significantly in terms of views, likes, dislikes, comments counts and days since upload (p < 0.05). Modified DISCERN and JAMA scores also differed significantly between the useful and non-useful videos (p < 0.001). Educational videos published for Histology and Embryology education on the internet will be more beneficial if they are prepared by expert educators from reliable information sources, by the current literature, and by scoring systems such as DISCERN, JAMA and GQS.
    Keywords:  YouTube; embryology; histology; medical education; quality of videos
    DOI:  https://doi.org/10.1111/ahe.12859
  19. Pan Afr Med J. 2022 ;42 121
       Introduction: access to COVID-19 related information is fundamental to making accurate decisions and performing evidence-based actions aimed to control its spread and improve health. This study assessed pattern and perceived benefits of COVID-19 related information in Nigeria.
    Methods: a descriptive cross-sectional survey was carried out among adult Nigerian residents aged 18-years and above in the geopolitical zones using multistage sampling strategy. Questionnaire developed by World Health Organization (WHO) was adapted and pretested. Descriptive statistics were carried on the data and presented in frequencies, percentages, mean and standard deviation. Inferential statistics (Chi-square) was used to test differences between some categorical variables. Data obtained were analysed using statistical package for the social sciences (SPSS) software version 22.
    Results: from responses, 498 (47.9%) of participants highly desired information on COVID-19, while 311 (29.9%) frequently sought COVID-19 information. Majority 647 (62.3%) were interested in getting information on treatment protocols/home remedies for COVID-19 prevention. Also, 934 (89.9%) found information on COVID-19 beneficial. A significant difference existed between male and female respondents regarding government guidelines on public interaction (p=0.026) and home remedies to prevent COVID-19 infection (p=0.013). Consistently, more urban residents than rural sought information on majority of the COVID-19 related information.
    Conclusion: information on COVID-19 is highly sought by Nigerian residents and such should be widely disseminated regularly through authentic and verified social media channels. Nigerians are highly desirous of information on treatment protocols and home remedies to prevent COVID-19. Adequate provision of accurate and timely information by authorities through trusted sources will improve health literacy and help curb the spread of COVID-19.
    Keywords:  COVID-19; Nigeria; adults; pattern; perceived benefits
    DOI:  https://doi.org/10.11604/pamj.2022.42.121.33350
  20. PLoS One. 2022 ;17(9): e0273650
       BACKGROUND: The purpose of this cross-sectional study was to determine the extent to which Congolese refugees seek health information, to identify and assess the resources used while exercising Health Information-Seeking Behavior (HISB), and to identify individual determinants that affect their HISB.
    METHODOLOGY: Building Bridges program participants who resided in Texas between 2017-2020, reported country of origin as Democratic Republic of Congo, and responded to HISB questions were included in this study. Four HISB questions asked about frequency seeking health information, preferred source and perceived trustworthiness of source, and frequency worrying about their health. Associations between HISB and sociodemographic factors (age, gender, education years, years in US, proficiency speaking English, marital status) were tested using Pearson chi-square or Fisher's exact tests (α≤0.05).
    RESULTS: Most participants (59%) reported seeking health information sometimes. Less than half (44%) of participants identified doctors as their preferred source of health information, Twenty-five percent relied on family, friends, and community leaders, and 23% used media sources. Doctors were identified as the most trustworthy source (71%), family and friends were the second highest trusted source (25%), whereas media sources were the least trusted (4%). Sociodemographic factors age (p = .02), gender (p < .01), and education years (p < .01) were the only significant predictors of preferred information sources. Conversely, those residing in US <5 years were more likely to seek health information more frequently (p = .01). The majority of participants did not worry about their health, and it was not significantly associated with source or frequency of seeking health information.
    CONCLUSIONS: The high trust in doctors represents an opportunity for healthcare professionals to educate and address individual barriers contributing to refugees' underutilization of preventive care services such as routine immunizations and preventive health screenings.
    DOI:  https://doi.org/10.1371/journal.pone.0273650
  21. J Am Acad Orthop Surg. 2022 Aug 15. 30(16): 780-788
       BACKGROUND: Search engines generate lists of the most relevant websites using a keyword or phrase query and are integral in guiding consumer preferences. Digital information is important in the field of medicine, influencing what patients learn about their conditions and who they choose as providers. When two types of healthcare providers, such as podiatry and foot and ankle orthopaedic surgeons (FAOSs), share an overlapping consumer market, whichever group has a larger digital footprint receives increased digital engagement.
    METHODS: The Google search engine was used to query nine common foot and ankle-associated terms using a "search term + zip code" format for 150 zip codes divided into urban, suburban, and rural population densities. The first 10 results of each search were classified into one of five categories. Site content was classified as podiatry-oriented, other MD/DO-oriented, or FAOS-oriented. Separately, a ratio between podiatrists and FAOSs was calculated for each population density group. Data were then normalized using this ratio and reanalyzed with the Wilcoxon signed-rank test with significance at P < 0.05.
    RESULTS: Of 13,500 total search results, 4,992 (36.9%) were podiatry-oriented, 2,109 (15.6%) were other MD/DO-oriented, and 436 (3.2%) were FAOS-oriented. All geographic areas featured a higher number of podiatry than FAOS-oriented sites. FAOSs have more results per provider in urban areas (P < 0.001), although podiatrists had more in suburban and rural areas (P < 0.001, P < 0.001). Podiatrists have greater digital engagement in descriptive search terms. "Ankle replacement" has greater FAOS engagement in all three geographic areas.
    DISCUSSION: Foot and ankle-related Internet search terms results are overwhelmingly composed of podiatry-oriented sites. Per provider, regional differences are demonstrated, with FAOS having more sites in urban areas only. FAOS scope-of-practice terms such as "ankle replacement" still retain greater engagement by FAOSs. Search engine optimization and saturation strategies should be considered.
    LEVEL OF EVIDENCE: Level 3 (observational study).
    DOI:  https://doi.org/10.5435/JAAOS-D-22-00189