bims-librar 2023-05-21 papers

bims-librar

Biomed News

on Biomedical librarianship

Issue of 2023–05–21
twenty-one papers selected by
Thomas Krichel, Open Library Society

Medical students and residents appreciate ebooks' convenience, but prefer the print book reading experience.
Innovative public library services during the COVID-19 pandemic: Application and revision of social innovation typology.
The use of artificial intelligence for automating or semi-automating biomedical literature analyses: a scoping review.
Learning to rank query expansion terms for COVID-19 scholarly search.
Are COVID-19 systematic reviews up to date and can we tell? A cross-sectional study.
Developing a Comprehensive Search Strategy for the Systematic Review of Clinical Decision Support Systems for Nursing Practice.
Audit AI search tools now, before they skew research.
[An approach to the research of medical history : The publication of Index of Research on the History of Medicine in Chinese(1900s-2019)].
Supplementary strategies identified additional eligible studies in qualitative systematic reviews.
LADER: Log-Augmented DEnse Retrieval for Biomedical Literature Search.
Comparing the educational quality of free flap technique videos on public and paid platforms.
The quality and content of websites in the UK advertising aligner therapy: are standards being met?
The quality and content of hyperthermic intraperitoneal chemotherapy information available to patients: An evaluation of North American hyperthermic intraperitoneal chemotherapy websites.
Analysis of the quality, accuracy, and readability of patient information on polycystic ovarian syndrome (PCOS) on the internet available in English: a cross-sectional study.
The educational value of thyroidectomy YouTube videos for surgical trainees.
Systematic YouTube Review - Trigger Finger Release.
Reliability of Ahmed glaucoma valve surgical videos for educational purposes.
Quality and Reliability Analysis of YouTube Videos on Magnetic Resonance Imaging Claustrophobia.
[Erectile dysfunction and YouTube: Quality of videos in Spanish].
YouTube as a source of information on piriformis syndrome exercises.
A Comparison of Women's and Men's Web-Based Information-Seeking Behaviors About Gender-Related Health Information: Web-Based Survey Study of a Stratified German Sample.

Health Info Libr J. 2023 May 16.

Medical students and residents appreciate ebooks' convenience, but prefer the print book reading experience.

Erin M Watson.

   BACKGROUND: Increasingly, libraries buy medical monographs as ebooks, but that may not be what medical students and residents want. Some studies have shown that they prefer print books for some types of reading. On the other hand, for participants in distributed medical programs, ebooks are more accessible.
OBJECTIVES: To determine whether medical students and residents at an institution with a distributed medical education program prefer medical ebooks or print books.
METHODS: In February 2019, 844 medical students and residents were invited to complete an online questionnaire on their format preferences.
RESULTS: Two hundred thirty-two students and residents responded. Most preferred electronic format for reading a few pages, but print for entire books. Respondents preferred ebooks because they were immediately available, searchable and could be used on the go, and print books because they strained users' eyes less, facilitated absorption of the text and could be held in users' hands. The location of respondents and year of study had little effect on responses.
DISCUSSION: Libraries should consider buying quick reference and large, heavy textbooks as ebooks and pocket-sized or shorter, single-topic titles, in print format.
CONCLUSIONS: Libraries have a responsibility to make both print and ebooks available to their users.

Keywords:  Canada; collection development; electronic books (ebooks); libraries, medical; students, medical; surveys

DOI:  https://doi.org/10.1111/hir.12485
Libr Inf Sci Res. 2023 Jul;45(3): 101248

Innovative public library services during the COVID-19 pandemic: Application and revision of social innovation typology.

Sue Yeon Syn, Donghee Sinn, Sujin Kim.

  Public libraries needed to quickly address the new challenges brought by COVID-19 to continue their services. This study aimed to understand innovative public library services during the pandemic and provide a typology that represent their services. Twitter messages of 12 large public libraries were analyzed to identify library services. A total of 751 Tweets were coded with thematic tags by service types and innovative approaches. Using the social innovation typology by Winberry and Potnis (2021), their typology was revised to show public libraries' innovative services under the emergency circumstances. The findings suggested significant differences within social innovation categories and newly emerged themes. The revised social innovation typology developed from Twitter data during the pandemic includes nine major categories of public libraries' innovative service types and provides updated insights into how public libraries continue to serve as important community resources using innovative approaches. The revised typology will be useful for future research in describing future innovation and assessing the endurance of pandemic-era service innovations.

Keywords:  Innovation typology; Innovative public library services; Library innovation; Public library services; Twitter

DOI:  https://doi.org/10.1016/j.lisr.2023.101248
J Biomed Inform. 2023 May 13. pii: S1532-0464(23)00110-7. [Epub ahead of print] 104389

The use of artificial intelligence for automating or semi-automating biomedical literature analyses: a scoping review.

Álisson Oliveira Dos Santos, Eduardo Sergio da Silva, Letícia Machado Couto, Gustavo Valadares Labanca Reis, Vinícius Silva Belo.

   OBJECTIVE: Evidence-based medicine (EBM) is a decision-making process based on the conscious and judicious use of the best available scientific evidence. However, the exponential increase in the amount of information currently available likely exceeds the capacity of human-only analysis. In this context, artificial intelligence (AI) and its branches such as machine learning (ML) can be used to facilitate human efforts in analyzing the literature to foster EBM. The present scoping review aimed to examine the use of AI in the automation of biomedical literature survey and analysis with a view to establishing the state-of-the-art and identifying knowledge gaps.
MATERIALS AND METHODS: Comprehensive searches of the main databases were performed for articles published up to June 2022 and studies were selected according to inclusion and exclusion criteria. Data were extracted from the included articles and the findings categorized.
RESULTS: The total number of records retrieved from the databases was 12,145, of which 273 were included in the review. Classification of the studies according to the use of AI in evaluating the biomedical literature revealed three main application groups, namely assembly of scientific evidence (n=127; 47%), mining the biomedical literature (n=112; 41%) and quality analysis (n=34; 12%). Most studies addressed the preparation of systematic reviews, while articles focusing on the development of guidelines and evidence synthesis were the least frequent. The biggest knowledge gap was identified within the quality analysis group, particularly regarding methods and tools that assess the strength of recommendation and consistency of evidence.
CONCLUSION: Our review shows that, despite significant progress in the automation of biomedical literature surveys and analyses in recent years, intense research is needed to fill knowledge gaps on more difficult aspects of ML, deep learning and natural language processing, and to consolidate the use of automation by end-users (biomedical researchers and healthcare professionals).

Keywords:  Deep learning; Evidence-based medicine; Machine learning; Natural language processing; Randomized controlled trials; Systematic reviews

DOI:  https://doi.org/10.1016/j.jbi.2023.104389
J Biomed Inform. 2023 May 12. pii: S1532-0464(23)00107-7. [Epub ahead of print]142 104386

Learning to rank query expansion terms for COVID-19 scholarly search.

Ayesha Khader, Faezeh Ensan.

   OBJECTIVE: With the onset of the Coronavirus Disease 2019 (COVID-19) pandemic, there has been a surge in the number of publicly available biomedical information sources, which makes it an increasingly challenging research goal to retrieve a relevant text to a topic of interest. In this paper, we propose a Contextual Query Expansion framework based on the clinical Domain knowledge (CQED) for formalizing an effective search over PubMed to retrieve relevant COVID-19 scholarly articles to a given information need.
MATERIALS AND METHODS: For the sake of training and evaluation, we use the widely adopted TREC-COVID benchmark. Given a query, the proposed framework utilizes a contextual and a domain-specific neural language model to generate a set of candidate query expansion terms that enrich the original query. Moreover, the framework includes a multi-head attention mechanism that is trained alongside a learning-to-rank model for re-ranking the list of generated expansion candidate terms. The original query and the top-ranked expansion terms are posed to the PubMed search engine for retrieving relevant scholarly articles to an information need. The framework, CQED, can have four different variations, depending upon the learning path adopted for training and re-ranking the candidate expansion terms.
RESULTS: The model drastically improves the search performance, when compared to the original query. The performance improvement in comparison to the original query, in terms of RECALL@1000 is 190.85% and in terms of NDCG@1000 is 343.55%. Additionally, the model outperforms all existing state-of-the-art baselines. In terms of P@10, the model that has been optimized based on Precision outperforms all baselines (0.7987). On the other hand, in terms of NDCG@10 (0.7986), MAP (0.3450) and bpref (0.4900), the CQED model that has been optimized based on an average of all retrieval measures outperforms all the baselines.
CONCLUSION: The proposed model successfully expands queries posed to PubMed, and improves search performance, as compared to all existing baselines. A success/failure analysis shows that the model improved the search performance of each of the evaluated queries. Moreover, an ablation study depicted that if ranking of generated candidate terms is not conducted, the overall performance decreases. For future work, we would like to explore the application of the presented query expansion framework in conducting technology-assisted Systematic Literature Reviews (SLR).

Keywords:  COVID-19 scholarly search; Contextual scholarly search; Query expansion; Semantic search

DOI:  https://doi.org/10.1016/j.jbi.2023.104386
Syst Rev. 2023 May 18. 12(1): 85

Are COVID-19 systematic reviews up to date and can we tell? A cross-sectional study.

Steve McDonald, Simon L Turner, Phi-Yen Nguyen, Matthew J Page, Tari Turner.

   BACKGROUND: COVID-19 led to a rapid acceleration in the number of systematic reviews. Readers need to know how up to date evidence is when selecting reviews to inform decisions. This cross-sectional study aimed to evaluate how easily the currency of COVID-19 systematic reviews published early in the pandemic could be determined and how up to date these reviews were at the time of publication.
METHODS: We searched for systematic reviews and meta-analyses relevant to COVID-19 added to PubMed in July 2020 and January 2021, including any that were first published as preprints. We extracted data on the date of search, number of included studies, and date first published online. For the search date, we noted the format of the date and where in the review this was reported. A sample of non-COVID-19 systematic reviews from November 2020 served as a comparator.
RESULTS: We identified 246 systematic reviews on COVID-19. In the abstract of these reviews, just over half (57%) reported the search date (day/month/year or month/year) while 43% failed to report any date. When the full text was considered, the search date was missing from 6% of reviews. The median time from last search to publication online was 91 days (IQR 63-130). Time from search to publication was similar for the subset of 15 rapid or living reviews (92 days) but shorter for the 29 reviews published as preprints (37 days). The median number of studies or publications included per review was 23 (IQR 12-40). In the sample of 290 non-COVID SRs, around two-thirds (65%) reported the search date while a third (34%) did not include any date in the abstract. The median time from search to publication online was 253 days (IQR 153-381) and each review included a median of 12 studies (IQR 8-21).
CONCLUSIONS: Despite the context of the pandemic and the need to easily ascertain the currency of systematic reviews, reporting of the search date information for COVID-19 reviews was inadequate. Adherence to reporting guidelines would improve the transparency and usefulness of systematic reviews to users.

Keywords:  COVID-19; Search reporting; Systematic reviews

DOI:  https://doi.org/10.1186/s13643-023-02253-x
Stud Health Technol Inform. 2023 May 18. 302 591-595

Developing a Comprehensive Search Strategy for the Systematic Review of Clinical Decision Support Systems for Nursing Practice.

Cynthia Abi Khalil, Antoine Saab, Jihane Rahme, Brigitte Seroussi.

  The search strategy of a literature review is of utmost importance as it impacts the validity of its findings. In order to build the best query to guide the literature search on clinical decision support systems applied to nursing clinical practice, we developed an iterative process capitalizing on previous systematic reviews published on similar topics. Three reviews were analyzed relatively to their detection performance. Errors in the choice of keywords and terms used in title and abstract (missing MeSH terms, failure to use common terms), may make relevant articles invisible.

Keywords:  Clinical decision support systems; Nursing informatics; Precision; Recall; Systematic reviews

DOI:  https://doi.org/10.3233/SHTI230211
Nature. 2023 May;617(7961): 439

Audit AI search tools now, before they skew research.

Michael Gusenbauer.



Keywords:  Machine learning; Research data; Research management; Scientific community

DOI:  https://doi.org/10.1038/d41586-023-01613-w
Zhonghua Yi Shi Za Zhi. 2023 Mar 28. 53(2): 124-128

[An approach to the research of medical history : The publication of Index of Research on the History of Medicine in Chinese(1900s-2019)].

G L Pi.

This paper introduced the content of the Index of Research on the History of Medicine in Chinese (1900s-2019), explained the compilation methods and their features and followed with comprehensive comments. The paper clarified the importance of this book for history research and the possible influence it might bring to practical research for medical history, with historical research method. It was found that the book failed to offer page numbers for some monographs, failed to sort alphabetically by authors' last names, and failed to compile chronologically according to the year of publication. However, this book integrated the research results of physicians, scientists, and historians in a variety of areas and fields, presented the century-old development of Chinese medical history and enabled readers to review the overall development trends of medicine. It might be helpful for readers to develop their own research proposals and methods by making use of this book with its databases.

DOI: https://doi.org/10.3760/cma.j.cn112155-20220613-00079
J Clin Epidemiol. 2023 May 16. pii: S0895-4356(23)00105-1. [Epub ahead of print]

Supplementary strategies identified additional eligible studies in qualitative systematic reviews.

Tove Faber Frandsen.

BACKGROUND: There is an increasing number of qualitative systematic reviews being produced. Searching for qualitative literature to include in these systematic reviews is, however, more challenging and may result in less than favorable recall. Database searches relying solely on key elements of the research question may not retrieve all relevant qualitative studies for synthesis, and supplementary searches may be pertinent to complement the searches. This study aimed to determine, if a) supplementary search strategies (citation searches and alternative search strategies) were able to identify relevant publications for qualitative systematic reviews that were non-retrievable, when conducting traditional database searches based on key elements; and b) to investigate the total number of identified publications when combining traditional database searches with these supplementary search strategies.
METHODS: From a previous study, a gold standard of 12 qualitative reviews including 101 PubMed-indexed publications were used. One of the reviews had only one included publication and in one review, the two included studies were identifiable in PubMed. In the remaining 10 reviews, 61 publications were retrievable through traditional database searches, and 37 were non-identifiable. The 61 publications were used as basis for possible identification of the 37 publications by using the supplementary search strategies: citations searches (review of reference lists, PubMed "Cited by" function; Scopus "Cited by" function, Citationchaser, CoCites plugin for PubMed) and alternative search strategies (PubMed "similar articles" function; Scopus "Related documents based on references"), RESULTS: Traditional database searches retrieved 62.4% of the 101 publications. Citations searches in Scopus, Citationchaser and CoCites identified 21 (56.8%) of the 37 remaining publications. The PubMed "Cited by" function did not identify any of the 37 publications. The alternative search strategies, the PubMed "Similar articles" together with Scopus "Related documents based on references"-function) identified 15 (40.5%) of the 37 publications. Together, these supplementary search strategies identified 25 (67.6%) of the 37 publications, resulting in an overall retrieval of 87.1%, when combining traditional database searches and supplementary search strategies.
CONCLUSION: The results of this study indicate that supplementary search strategies (citation searches and alternative search strategies) increase the retrieval potential, when searching for qualitative publications and should be included, when identifying literature for qualitative reviews.

DOI: https://doi.org/10.1016/j.jclinepi.2023.04.017
ArXiv. 2023 Apr 10. pii: arXiv:2304.04590v1. [Epub ahead of print]

LADER: Log-Augmented DEnse Retrieval for Biomedical Literature Search.

Qiao Jin, Andrew Shin, Zhiyong Lu.

Queries with similar information needs tend to have similar document clicks, especially in biomedical literature search engines where queries are generally short and top documents account for most of the total clicks. Motivated by this, we present a novel architecture for biomedical literature search, namely Log-Augmented DEnse Retrieval (LADER), which is a simple plug-in module that augments a dense retriever with the click logs retrieved from similar training queries. Specifically, LADER finds both similar documents and queries to the given query by a dense retriever. Then, LADER scores relevant (clicked) documents of similar queries weighted by their similarity to the input query. The final document scores by LADER are the average of (1) the document similarity scores from the dense retriever and (2) the aggregated document scores from the click logs of similar queries. Despite its simplicity, LADER achieves new state-of-the-art (SOTA) performance on TripClick, a recently released benchmark for biomedical literature retrieval. On the frequent (HEAD) queries, LADER largely outperforms the best retrieval model by 39% relative NDCG@10 (0.338 v.s. 0.243). LADER also achieves better performance on the less frequent (TORSO) queries with 11% relative NDCG@10 improvement over the previous SOTA (0.303 v.s. 0.272). On the rare (TAIL) queries where similar queries are scarce, LADER still compares favorably to the previous SOTA method (NDCG@10: 0.310 v.s. 0.295). On all queries, LADER can improve the performance of a dense retriever by 24%-37% relative NDCG@10 while not requiring additional training, and further performance improvement is expected from more logs. Our regression analysis has shown that queries that are more frequent, have higher entropy of query similarity and lower entropy of document similarity, tend to benefit more from log augmentation.
Microsurgery. 2023 May 19.

Comparing the educational quality of free flap technique videos on public and paid platforms.

Ying C Ku, Lianne Mulvihill, Jacob Lammers, Mazen Al-Malak, Brian A Figueroa, Diane Jo, R'ay S Fodor, Antonio Rampazzo, Bahar Bassiri Gharb.

BACKGROUND: Surgical videos are reshaping the landscape for surgical education. As this form of education has rapidly grown and become a valuable resource for experienced surgeons, residents, and students, there is great variability in the presentation of what is offered. This study aimed to assess and compare the educational quality of free flap instructional videos on public and paid platforms.
METHODS: Free flap videos from public (YouTube) and paid (American Society of Plastic Surgeons Education Network and Plastic and Reconstructive Surgery Journal) sources were screened independently by three reviewers. Sample size was calculated to reach 80% power. The educational quality of the videos was determined using a modified version of Laparoscopic Surgery Video Educational Guidelines (0-6 low, 7-12 medium, 13-18 high). Professionally-made videos were identified per lighting, positioning, and video/imaging quality. Interrater reliability between the three reviewers was calculated. The educational quality of the videos was compared between public and paid sources using Mood's median test. Pearson's correlation coefficient was utilized to assess the correlation between video length and educational quality.
RESULTS: Seventy-six videos were included (40 public, 36 paid). The median video lengths for public and paid platforms were 9.43(IQR = 12.33) and 5.07(IQR = 6.4) min, respectively. There were 18 high, 16 medium, and 6 low-quality public videos, versus 13 high, 21 medium, and 2 low-quality paid videos. Four public and seven paid videos were identified as professionally made. Interrater reliability was high (α = .9). No differences in educational quality were identified between public and paid platforms. Video length was not correlated with quality (p = .15). A video library compiling public high-quality videos was created (https://www.youtube.com/playlist?list=PL-d5BBgQF75VWSkbvEq6mfYI--9579oPK).
CONCLUSIONS: Public and paid platforms may provide similar surgical education on free tissue transfer. Therefore, whether to subscribe to a paid video platform for supplemental free flap education should be determined on an individual basis.

DOI: https://doi.org/10.1002/micr.31059
Br Dent J. 2023 Apr 25.

The quality and content of websites in the UK advertising aligner therapy: are standards being met?

Farah Alsaqabi, Matin Ali Madadian, Nikolaos Pandis, Martyn T Cobourne, Jadbinder Seehra.

Aims To evaluate the quality of information and compliance with General Dental Council (GDC) ethical advertising guidelines for English-language orthodontic websites providing orthodontic treatment with aligners in the United Kingdom (UK).Materials and methods The term 'orthodontic aligners or braces' was entered into the Google online search engine. The first 100 English language orthodontic websites (practice or company) were pooled. Both the quality (DISCERN instrument) and compliance with GDC ethical advertising guidelines were assessed. Frequency distributions and the overall summative DISCERN score for each website were calculated.Results The overall mean DISCERN score was 42.9 (SD = 9.4). The quality of information was only rated as good-excellent for 16% of websites and only 11% of websites showed full compliance with GDC guidelines on ethical advertising. A link to the GDC/authority website (75%), the date when the website was last updated (72%), and the practice complaints policy (66%) were not commonly provided. The country of qualification, a statement of whether practices provide NHS or private treatment or a combination of both, and the date when the website was last updated, were significant predictors for the overall quality based on DISCERN score.Conclusions The quality of information provided on websites providing aligner therapy and their compliance with GDC guidelines on ethical advertising was suboptimal. An improvement in both areas is required.

DOI: https://doi.org/10.1038/s41415-023-5740-x
Surgery. 2023 May 13. pii: S0039-6060(23)00171-X. [Epub ahead of print]

The quality and content of hyperthermic intraperitoneal chemotherapy information available to patients: An evaluation of North American hyperthermic intraperitoneal chemotherapy websites.

Sarah L Remer, Tara M Connelly, Cillian Clancy, Robert DeBernardo, Daniel Joyce, Scott R Steele, Michael A Valente.

BACKGROUND: Patients commonly use the internet to obtain medical information. Patients in our outpatient setting frequently have incomplete or even incorrect information about hyperthermic intraperitoneal chemotherapy that they have found on the internet. We aimed to assess the quality and content of Web-based information on hyperthermic intraperitoneal chemotherapy using validated and novel scoring systems.
METHODS: The keywords "HIPEC" and "hyperthermic intraperitoneal chemotherapy" were entered into the most commonly used internet search engines (Google, Bing, and Yahoo). The first 10 websites from each search were analyzed. Website quality was assessed using the validated Journal of the American Medical Association benchmark criteria and DISCERN scoring systems. We created a novel hyperthermic intraperitoneal chemotherapy-specific score with surgeon experts in the field.
RESULTS: Eighteen unique websites were identified. The majority (78%) were from academic institutions. The mean total DISCERN score for all websites was 41.8 ± 8.4 (maximum possible points = 75). The mean Journal of the American Medical Association and hyperthermic intraperitoneal chemotherapy-specific scores were 1.72 ± 1.13 (maximum possible score = 4) and 11.5 ± 4.5 (maximum possible score = 31), respectively. The lowest Journal of the American Medical Association scores were in the category of authorship. In total, 78% of websites omitted author details; 83% and 78% included the temperature and duration of hyperthermic intraperitoneal chemotherapy, respectively. Only 39% of websites mentioned complications of hyperthermic intraperitoneal chemotherapy.
CONCLUSION: Web-based information on hyperthermic intraperitoneal chemotherapy is of variable content and quality. None of the websites achieved maximum scores using any of the scoring tools. Less than half of the websites provided any information on possible complications of the procedure. These findings should be highlighted to patients using the internet to obtain information about hyperthermic intraperitoneal chemotherapy.

DOI: https://doi.org/10.1016/j.surg.2023.03.025
Reprod Biol Endocrinol. 2023 May 15. 21(1): 44

Analysis of the quality, accuracy, and readability of patient information on polycystic ovarian syndrome (PCOS) on the internet available in English: a cross-sectional study.

Helene Vågenes, Shelly Melissa Pranić.

   BACKGROUND: Online information about PCOS lacks reliability for patients seeking information about the disease. Thus, we aimed to perform an updated analysis of the quality, accuracy, and readability of patient information on PCOS available online.
METHODS: We conducted a cross-sectional study using the top five Google Trends search terms in English associated with PCOS, including "symptoms," "treatment," "test," "pregnancy," and "causes." Five separate searches in Bing, Yahoo, and Google were performed to obtain the first 10 unique webpages for each term that was categorized as commercial, non-profit organization, scientific resources, or private foundation. We used the 16-item DISCERN with Likert-responses (minimum 1, maximum 5) where the total is 80 and lowest is 16, clarity with the 32-item EQIP, where responses of no = 0 and yes = 1 (minimum 0, maximum 32), and accuracy scores with 1 denoting poor and 5 completely accurate information; low scores of each corresponded to poorly reported information. We assessed readability with Flesch-Kincaid reading ease index, where higher scores correspond to reading ease, and lower grades correspond to easier readability with Flesch-Kincaid grade level, Gunning-Fog, Coleman-Liau index, automated readability index, New Dale-Chall Readability, and simple measure of gobbledygook. We additionally assessed word and sentence characteristics. We used Kruskal-Wallis test to compare scores according to webpage categories.
RESULTS: Out of 150 webpages, most were commercial (n = 85, 57%), followed by non-profit organizations (n = 44, 29%), scientific resources (n = 13, 9%) and private foundations (n = 6, 4%). Google webpages had higher median DISCERN score ([Md] = 47.0) than Bing ([Md] = 42.0) and Yahoo ([Md] = 43.0) webpages; P = 0.023. No difference in EQIP scores according to search engine was found (P = 0.524). Predominantly, webpages from private foundations had higher DISCERN and EQIP scores, although comparisons were not statistically significant (P = 0.456) and P = 0.653.). Accuracy and readability were similar across search engines and webpage categories (P = 0.915, range 5.0-5.0) and (P = 0.208, range 4.0-5.0).
CONCLUSIONS: Quality and clarity of the data were fair according to search engine and category. Accuracy of information was high, showing that the public may encounter accurate information about PCOS. However, the readability of the information was high, reflecting a need for more readable resources about PCOS.

Keywords:  Anovulation; Health information online; Hyperandrogenism; Infertility; Obesity; Oligomennorhea; PCOS; Patient information; Polycystic ovarian syndrome; Stein-Leventhal syndrome

DOI:  https://doi.org/10.1186/s12958-023-01100-x
Am J Otolaryngol. 2023 Mar-Apr;44(2):pii: S0196-0709(23)00013-3. [Epub ahead of print]44(2): 103799

The educational value of thyroidectomy YouTube videos for surgical trainees.

Saud Sunba, Marc Levin, Vincent Wu, Paolo Campisi.

   OBJECTIVE: To evaluate the usefulness of thyroidectomy videos posted on YouTube for surgical training.
METHODS: The following keywords were searched on YouTube: "thyroidectomy", "conventional thyroidectomy", "hemithyroidectomy", and "thyroid lobectomy". The first 30 videos from each search were selected for a total of 120 videos. Included videos were those displaying a conventional approach to thyroidectomy and real, non-animated patient surgery. Two independent reviewers assessed each video using the LAParoscopic surgery Video Educational Guidelines (LAP-VEGaS) and a thyroidectomy-specific grading score (TSS).
RESULTS: The search yielded 22 videos that met the selection criteria. The inter-rater agreement was excellent for the grading systems (ICC = 0.910). The average LAP-VEGaS score was of medium quality (8.82 ± 3.56 standard deviation (SD)). The highest average score (11.00 ± 1.68 SD) was assigned to videos published from academic institutions. There was no statistically significant difference in LAP-VEGaS scores when comparing the type of publisher between videos (p = 0.132). The majority of the videos (12/22, 55 %) did not include all hallmarks of thyroidectomy according to the novel TSS score. There was a significant positive correlation between TSS markers and the overall LAP-VEGaS score (r = 0.577, p = 0.005).
CONCLUSION: YouTube videos as an educational resource for thyroidectomy instructions vary in quality. Most of the thyroidectomy videos were medium quality according to the LAP-VEGaS score. YouTube sourced thyroidectomy videos should be used to supplement traditional educational methods.

Keywords:  Head and neck surgery; Otolaryngology; Surgery; Thyroidectomy; YouTube

DOI:  https://doi.org/10.1016/j.amjoto.2023.103799
J Hand Surg Asian Pac Vol. 2023 May 05.

Systematic YouTube Review - Trigger Finger Release.

Jarod T Olson, Oscar Covarrubias, Kevin C Mo, Jessica Schmerler, Shyam J Kurian, Dawn Laporte.

  Background: With lack of regulation and incentivisation on YouTube for high-quality healthcare information, it is important to objectively evaluate the quality of information on trigger finger - a common condition for hand surgeon referral. Methods: YouTube was queried (11/21/2021) for videos on trigger finger release surgery. Videos were excluded if they were about unrelated topics or not in English. The most viewed 59 videos were categorised by source as physician or non-physician. Two independent reviewers quantified the reliability, quality and content of each video, with inter-rater reliability assessed using Kohen's Kappa test. Reliability was assessed using the Journal of the American Medical Association (JAMA) score. Quality was assessed using the DISCERN score with high-quality videos defined as those with scores in the sample upper 25th percentile. Content was assessed using the informational content score (ICS) with scores in the sample upper 25th percentile indicating more complete information. Two-sample t-tests and logistic regression were used to assess variations between sources. Results: Videos by physicians had higher DISCERN quality (42.6 ± 7.9, 36.4 ± 10.3; p = 0.02) and informational content (5.8 ± 2.6, 4.0 ± 1.7; p = 0.01) scores compared to those by non-physician sources. Videos by physicians were associated with increased odds of high-quality (Odds Ratio [OR] 5.7, 95% Confidence Interval [95% CI] 1.3-41.3) and provided more complete patient information (OR 6.3, 95% CI 1.4-48.9). The lowest DISCERN sub-scores for all videos were discussion of the uncertainties and risks associated with surgery. The lowest ICS for all videos were in the diagnosis of trigger finger (11.9%) and non-surgical prognosis (15.3%). Conclusions: Physician videos have more complete and higher quality information on trigger finger release. Additionally, discussion of treatment risks, areas of uncertainty, the diagnostic process, non-surgical prognosis and transparency on references used were identified as lacking content. Level of Evidence: Level III (Therapeutic).

Keywords:  Patient education; Stenosing flexor tenosynovitis; Trigger finger; Trigger finger release; YouTube

DOI:  https://doi.org/10.1142/S2424835523500315
Int Ophthalmol. 2023 May 16.

Reliability of Ahmed glaucoma valve surgical videos for educational purposes.

Uday Pratap Singh Parmar, Parul Ichhpujani, Rutvi Chahal, Rohan Bir Singh.

   PURPOSE: The use of video-based social media platforms is increasing among trainee residents, fellows, and practicing ophthalmologists. In this study, we objectively evaluate the quality of Ahmed glaucoma valve (AGV) implantation videos on open access, video-based internet platforms.
DESIGN: Internet-based cross-sectional study.
PARTICIPANTS: Not applicable.
METHODS: In this cross-sectional study, 23 websites publishing medical surgery training video content were queried using the keyword "Ahmed glaucoma valve implantation".
MAIN OUTCOME MEASURES: The descriptive statistics of video parameters were noted, and the videos were assessed using established scoring systems-Sandvik, Health on the Net Foundation Code of Conduct (HON code), mDISCERN, and Global Quality Score (GQS) scores. Video Quality Score (VQS) was determined based on the 14 steps per the AGV implantation rubric.
RESULTS: One hundred and nineteen videos were evaluated, and 35 were excluded. The total quality of all 84 videos according to their Sandvik, HON Code, GQS, DISCERN, and VQS scores was 11.79 ± 1.70 (excellent quality), 6.86 ± 0.75 (excellent quality), 3.97 ± 0.93 (good quality), 3.26 ± 0.66 (fair quality) and 11.45 ± 2.67 (good quality), respectively. No significant correlation was found between the descriptive parameters and video quality score. However, no significant correlation was found between the descriptive parameters and video quality score.
CONCLUSIONS: The objective analysis showed that the video quality ranged from good to excellent. AGV implantation videos were sparse on exclusive ophthalmology surgical video portals. Therefore, more peer-reviewed videos following standardized rubric are needed on open-access surgical video platforms.

Keywords:  Ahmed glaucoma valve; Glaucoma; Social media; YouTube

DOI:  https://doi.org/10.1007/s10792-023-02734-x
Cureus. 2023 Apr;15(4): e37648

Quality and Reliability Analysis of YouTube Videos on Magnetic Resonance Imaging Claustrophobia.

Fuldem Mutlu, Erbil Arik.

  Aim Magnetic resonance imaging (MRI)-induced anxiety is not infrequent with a reported incidence as high as 37% and the rate of failed MRI imaging due to claustrophobia ranges between 0.5% and 14.5%. The objective of this study was to evaluate the quality and reliability of YouTubeTM videos on MRI claustrophobia. Methods Sixty-five videos were included in the final analysis. Video information analyzed included video length (minutes), video content, qualification of the video uploaders, time of upload, time since upload, the number of total views and the mean daily views, and like counts. We divided the videos according to the uploaders into professional and non-professional groups and further grouped the videos as useful and misleading. Data obtained from the videos were evaluated with three tools including subjective evaluation, Quality Criteria for Consumer Health Information (DISCERN), and Global Quality Scale (GQS) tools. Results The mean video duration was found as 4.14±4.45 minutes. The mean view count was 104.59±408,788.68 and the mean like count was found as 272.55±1096.25. Seventeen (26.15%) videos were uploaded by professionals and 48 (73.85%) by non-professionals. Twenty-eight (43.08%) of the videos were useful and 37 (56.92%) were useless. The mean DISCERN and GQS scores were statistically significantly higher in the professional videos compared to the non-professional videos and in useful videos compared to non-useful videos (for all, p<0.001). Conclusion A majority of the YouTubeTM videos concerning MRI claustrophobia were uploaded by non-professionals. Physicians and other healthcare personnel should be encouraged to provide useful and accurate videos and to direct patients appropriately.

Keywords:  claustrophobia; discern; gqs; magnetic resonance imaging; mri

DOI:  https://doi.org/10.7759/cureus.37648
Rev Int Androl. 2023 May 12. pii: S1698-031X(23)00011-0. [Epub ahead of print]21(3): 100351

[Erectile dysfunction and YouTube: Quality of videos in Spanish].

Juliusz Jan Szczesniewski Dudzik, Percy Miguel Rodríguez Castro, Juan Boronat Catalá, Alba María García-Cano Fernández, Ana García Tello, Luis Llanes González.

   INTRODUCTION: Erectile dysfunction (ED) is one of the most prevalent urological diseases, but there is limited data about the quality of its information in social networks. The aim of our study was to assess the quality of ED information contained in YouTube videos.
MATERIAL AND METHODS: Descriptive study of the first 50 Spanish-language videos, published on YouTube, evaluated by three urologists. We used two validated questionnaires: PEMAT (Patient Education Materials Assessment Tool) and DISCERN. Videos were classified according to DISCERN score into poor or moderate-good quality.
RESULTS: The median time duration was 2.42minutes (0.15-3.58), 94,197 views (2,313-3,027,890), 682.5 «likes» (0-54,020) and 39 «dislikes» (0-2843). The median of PEMAT score was 29% (9%-95.5%) in understandability and 29% (0-95.5%) in actionability. According to DISCERN score 27 videos (57.4%) had poor quality and 20 (42.6%) moderate-good quality. There were no significant differences between the two groups in time duration, views, «likes» or «dislikes». There were differences in PEMAT score in understandability and actionability. The 86.7% of the moderate-good quality videos were starred by health care provider (P=.001). Also, the 85.7% of videos that describes treatment had moderate-good quality (P=.001). The 84% of the non-medical videos had a poor quality (P=.001).
CONCLUSION: Most ED videos on YouTube have poor quality. The highest quality videos are those made by professionals, although they are not the most viewed. It would be important to develop measures to prevent the spread of misinformation among social network users.

Keywords:  Calidad; Disfunción eréctil; Erectile dysfunction; Quality; YouTube

DOI:  https://doi.org/10.1016/j.androl.2023.100351
Turk J Phys Med Rehabil. 2023 Mar;69(1): 15-22

YouTube as a source of information on piriformis syndrome exercises.

Uğur Ertem, Süheda Özçakır, Fatma Jale İrdesel, Selim Mahmut Günay.

   Objectives: This study aimed to evaluate the quality and reliability of the most viewed YouTube videos on piriformis syndrome (PS) exercises and identify criteria that may be important for selecting high-quality and reliable videos.
Materials and methods: We searched for the keywords "piriformis syndrome exercise," "piriformis syndrome rehabilitation," "piriformis syndrome physical therapy," and "piriformis syndrome physiotherapy" on November 28, 2021. The modified DISCERN (mDISCERN), and the Global Quality Score were used to evaluate the quality and reliability of the videos.
Results: Of the 92 videos evaluated, most (58.7%) of the videos were shared by healthcare professionals. The median mDISCERN score was 3, and most of the videos were found to be medium or low quality. Videos with more subscribers (p=0.001), a shorter upload duration (p=0.001), videos uploaded by physicians (p=0.004), and videos uploaded by other healthcare professionals (p=0.001) were found to have high reliability. Conversely, videos uploaded by independent users were found to have low reliability (p<0.001). When the parameters of the videos were compared among the quality groups, significant differences were found in all video features (p<0.05), some upload sources (other healthcare professionals and independent users; p=0.001), and mDISCERN scores (p<0.001).
Conclusion: It is beneficial for physicians and other health professionals to upload more videos about health to increase the amount of reliable and high-quality information.

Keywords:  Health education; piriformis muscle syndrome; social media.

DOI:  https://doi.org/10.5606/tftrd.2022.10459
J Med Internet Res. 2023 May 17. 25 e43897

A Comparison of Women's and Men's Web-Based Information-Seeking Behaviors About Gender-Related Health Information: Web-Based Survey Study of a Stratified German Sample.

Elena Link, Eva Baumann.

   BACKGROUND: Gender-sensitive approaches to health communication aim to integrate gender perspectives at all levels of communication, as an individual's biological sex and socially assigned gender identity have an impact on whether and how one acquires what type of health information. Due to the fast and low-cost opportunity to search for a wide range of information, the internet seems to be a particularly suitable place for gender-related health information about diseases of sex-specific organs and diseases where biological differences are associated with different health risks.
OBJECTIVE: This study aims to inform gender-related information provision and acquisition in 2 ways. The first objective was to provide a theory-driven analysis of web-based health information-seeking behavior (HISB) regarding gender-related issues. Therefore, the Planned Risk Information Seeking Model (PRISM), which is one of the most integrative models of HISB, was adapted and applied. Second, we asked for gender-specific motivational determinants of gender-related web-based HISB comparing the predictors in the groups of women and men.
METHODS: Data from a stratified web-based survey of the German population (N=3000) explained gender-related web-based HISB and influencing patterns comparing women and men. The applicability of PRISM to gender-related web-based HISB was tested using structural equation modeling and a multigroup comparison.
RESULTS: The results revealed PRISM as an effective framework for explaining gender-related web-based HISB. The model accounted for 28.8% of the variance in gender-related web-based HISB. Gender-related subjective norms provided the most crucial explanatory power, followed by perceived seeking control. The multigroup comparison revealed differences in the model's explanatory power and the relevance of predictors of gender-related web-based HISB. The share of explained variances of web-based HISB is higher in men than in women. For men, norms were a more relevant promoting factor, whereas web-based HISB of women was more strongly associated with perceived seeking control.
CONCLUSIONS: The results are crucial for gender-sensitive targeting strategies and suggest gender-related health information interventions that address gender-related subjective norms. Furthermore, programs (eg, web-based learning units) should be developed and offered to improve individuals' (perceived) abilities to perform web-based searches for health information, as those with higher control beliefs are more likely to access web-based information.

Keywords:  HISB; affective risk responses; attitudes toward seeking; gender; health information-seeking behavior; perceived seeking control; planned risk information seeking model; risk perceptions; sex; subjective norms

DOI:  https://doi.org/10.2196/43897