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bims-librar    Biomed News on Biomedical librarianship
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Issue of 2024‒03‒03          │ 
twenty-two papers selected by│
Thomas Krichel, Open Library │
 Society                     │
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 1. PubTator 3.0: an AI-powered Literature Resource for Unlocking 
     Biomedical Knowledge.
 2. An Organizational Model for Increasing Access to the Scholarly 
     Literature.
 3. ChatGPT: Game-changer or wildcard for systematic searching?
 4. What is the impact of artificial intelligence-based chatbots on 
     infodemic management?
 5. ChatGPT vs. web search for patient questions: what does ChatGPT do 
     better?
 6. ChatGPT as a Source of Patient Information for Lumbar Spinal Fusion 
     and Laminectomy: A Comparative Analysis Against Google Web Search.
 7. Taiyi: a bilingual fine-tuned large language model for diverse 
     biomedical tasks.
 8. A Readability Study of Carpal Tunnel Release in 2023.
 9. Assessment of the Readability and Quality of Online Information for 
     Patients and Their Families Regarding Schizophrenia.
10. Letter to the editor: "ChatGPT and most frequent urological diseases: 
     analysing the quality of information and potential risks for patients".
11. Readability of Patient Electronic Materials for Atopic Dermatitis in 
     23 Languages: Analysis and Implications for Dermatologists.
12. Both clinical trial register and electronic bibliographic database 
     searches were needed to identify RCTs for systematic reviews: an 
     evaluation study.
13. Assessment of the quality, content, and reliability of the 
     information in CoMICs videos in comparison to YouTube videos on diabetes 
     mellitus and PCOS.
14. YouTube as a Source of Patient and Trainee Education in Vascular 
     Surgery: A Systematic Review.
15. A Systematic Evaluation of the Quality of Health Information on Cleft 
     Lip and Palate in the Arabic Language.
16. YouTube as a Source of Information on Public Health Ethics.
17. The status quo of short videos as a source of health information 
     regarding bowel preparation before colonoscopy.
18. A content-quality and optimization analysis of YouTube as a source of 
     patient information for bipolar disorder.
19. Erratum: Quality and reliability of YouTube videos in Arabic as a 
     source of patient information on prostate cancer.
20. Validity of Material Related to the Anterior Cruciate Ligament on 
     TikTok.
21. Modern Internet Search Analytics and Osseointegration: What are 
     Patients Asking and Reading Online?
22. Impact of global public health days on online 
     health-information-seeking behavior related to substance use: An analysis 
     of five-year data.

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              ArXiv. 2024 Jan 19. pii: arXiv:2401.11048v1. [Epub ahead of print]
 1. PubTator 3.0: an AI-powered Literature Resource for Unlocking 
     Biomedical Knowledge.
   Chih-Hsuan Wei, Alexis Allot, Po-Ting Lai, Robert Leaman, Shubo Tian, Ling 
   Luo, Qiao Jin, Zhizheng Wang, Qingyu Chen, Zhiyong Lu
  PubTator 3.0 (https://www.ncbi.nlm.nih.gov/research/pubtator3/) is a 
  biomedical literature resource using state-of-the-art AI techniques to offer 
  semantic and relation searches for key concepts like proteins, genetic 
  variants, diseases, and chemicals. It currently provides over one billion 
  entity and relation annotations across approximately 36 million PubMed 
  abstracts and 6 million full-text articles from the PMC open access subset, 
  updated weekly. PubTator 3.0's online interface and API utilize these 
  precomputed entity relations and synonyms to provide advanced search 
  capabilities and enable large-scale analyses, streamlining many complex 
  information needs. We showcase the retrieval quality of PubTator 3.0 using a 
  series of entity pair queries, demonstrating that PubTator 3.0 retrieves a 
  greater number of articles than either PubMed or Google Scholar, with higher 
  precision in the top 20 results. We further show that integrating ChatGPT 
  (GPT-4) with PubTator APIs dramatically improves the factuality and 
  verifiability of its responses. In summary, PubTator 3.0 offers a 
  comprehensive set of features and tools that allow researchers to navigate 
  the ever-expanding wealth of biomedical literature, expediting research and 
  unlocking valuable insights for scientific discovery.
  URL: http://pubmed.ncbi.nlm.nih.gov/38410657

                                       Behav Anal Pract. 2024 Mar;17(1): 347-358
 2. An Organizational Model for Increasing Access to the Scholarly 
     Literature.
   Amber L Valentino, Jessica F Juanico, Ashley M Fuhrman, Aakshan Kaur Lidhar
  Incorporating literature into practice can help behavior analysts provide 
  better services and achieve better outcomes. In addition, behavior analysts 
  have an ethical obligation to remain current with the scholarly literature 
  and to use it to inform services. Despite the merits of maintaining regular 
  contact with the published literature, barriers exist to doing so. In this 
  tutorial, we present a system that was created for a human service agency to 
  increase practitioner access to the scholarly literature. The system 
  consisted of an electronic search request form, a literature team, and a 
  liaison. We present 7 years of data including the frequency of use, topics 
  of interest, and other noteworthy patterns of submitter responding. We 
  discuss the value of this type of system, limitations of its design, and 
  considerations for practitioners who may wish to implement a similar system 
  in their agency. We discuss modifications that could be made to fit 
  organizations of diverse sizes and with different resources, while 
  presenting ideas for improvement and expansion of the system.
   Keywords: Evidence-based practice; Information literacy; Literature 
    access; Research-to-practice gap; Scientist-practitioner model
  DOI: https://doi.org/10.1007/s40617-023-00887-w
  URL: http://pubmed.ncbi.nlm.nih.gov/38405287

                                         Health Info Libr J. 2024 Mar;41(1): 1-3
 3. ChatGPT: Game-changer or wildcard for systematic searching?
   Anthea Sutton, Veronica Parisi
  In this editorial, Anthea Sutton and Veronica Parisi reflect on ChatGPT, how 
  it may contribute to systematic searching, and provide their overview of 
  some recent training they attended on ChatGPT, AI and systematic literature 
  reviews.
   Keywords: artificial intelligence; automation; database searching; 
    literature searching
  DOI: https://doi.org/10.1111/hir.12517
  URL: http://pubmed.ncbi.nlm.nih.gov/38418378

                                           Front Public Health. 2024 ;12 1310437
 4. What is the impact of artificial intelligence-based chatbots on 
     infodemic management?
   Plinio P Morita, Matheus Lotto, Jasleen Kaur, Dmytro Chumachenko, Arlene 
   Oetomo, Kristopher Dylan Espiritu, Irfhana Zakir Hussain
  Artificial intelligence (AI) chatbots have the potential to revolutionize 
  online health information-seeking behavior by delivering up-to-date 
  information on a wide range of health topics. They generate personalized 
  responses to user queries through their ability to process extensive amounts 
  of text, analyze trends, and generate natural language responses. Chatbots 
  can manage infodemic by debunking online health misinformation on a large 
  scale. Nevertheless, system accuracy remains technically challenging. 
  Chatbots require training on diverse and representative datasets, security 
  to protect against malicious actors, and updates to keep up-to-date on 
  scientific progress. Therefore, although AI chatbots hold significant 
  potential in assisting infodemic management, it is essential to approach 
  their outputs with caution due to their current limitations.
   Keywords: artificial intelligence; eHealth; health information management; 
    infodemic; misinformation
  DOI: https://doi.org/10.3389/fpubh.2024.1310437
  URL: http://pubmed.ncbi.nlm.nih.gov/38414895

                                         Eur Arch Otorhinolaryngol. 2024 Feb 28.
 5. ChatGPT vs. web search for patient questions: what does ChatGPT do 
     better?
   Sarek A Shen, Carlos A Perez-Heydrich, Deborah X Xie, Jason C Nellis
  PURPOSE: Chat generative pretrained transformer (ChatGPT) has the potential 
  to significantly impact how patients acquire medical information online. 
  Here, we characterize the readability and appropriateness of ChatGPT 
  responses to a range of patient questions compared to results from 
  traditional web searches.
   METHODS: Patient questions related to the published Clinical Practice 
  Guidelines by the American Academy of Otolaryngology-Head and Neck Surgery 
  were sourced from existing online posts. Questions were categorized using a 
  modified Rothwell classification system into (1) fact, (2) policy, and (3) 
  diagnosis and recommendations. These were queried using ChatGPT and 
  traditional web search. All results were evaluated on readability (Flesch 
  Reading Ease and Flesch-Kinkaid Grade Level) and understandability (Patient 
  Education Materials Assessment Tool). Accuracy was assessed by two blinded 
  clinical evaluators using a three-point ordinal scale.
   RESULTS: 54 questions were organized into fact (37.0%), policy (37.0%), and 
  diagnosis (25.8%). The average readability for ChatGPT responses was lower 
  than traditional web search (FRE: 42.3 ± 13.1 vs. 55.6 ± 10.5, p < 0.001), 
  while the PEMAT understandability was equivalent (93.8% vs. 93.5%, 
  p = 0.17). ChatGPT scored higher than web search for questions the 
  'Diagnosis' category (p < 0.01); there was no difference in questions 
  categorized as 'Fact' (p = 0.15) or 'Policy' (p = 0.22). Additional 
  prompting improved ChatGPT response readability (FRE 55.6 ± 13.6, p < 0.01).
   CONCLUSIONS: ChatGPT outperforms web search in answering patient questions 
  related to symptom-based diagnoses and is equivalent in providing medical 
  facts and established policy. Appropriate prompting can further improve 
  readability while maintaining accuracy. Further patient education is needed 
  to relay the benefits and limitations of this technology as a source of 
  medial information.
   Keywords: Accessibility; Accuracy; ChatGPT; Large language model; Patient 
    education; Patient questions; Readability
  DOI: https://doi.org/10.1007/s00405-024-08524-0
  URL: http://pubmed.ncbi.nlm.nih.gov/38416195

                                                   Clin Spine Surg. 2024 Feb 20.
 6. ChatGPT as a Source of Patient Information for Lumbar Spinal Fusion 
     and Laminectomy: A Comparative Analysis Against Google Web Search.
   Patrick P Nian, Jayson Saleet, Matthew Magruder, Ian J Wellington, Jack 
   Choueka, John K Houten, Ahmed Saleh, Afshin E Razi, Mitchell K Ng
  STUDY DESIGN: Retrospective Observational Study.
   OBJECTIVE: The objective of this study was to assess the utility of ChatGPT, 
  an artificial intelligence chatbot, in providing patient information for 
  lumbar spinal fusion and lumbar laminectomy in comparison with the Google 
  search engine.
   SUMMARY OF BACKGROUND DATA: ChatGPT, an artificial intelligence chatbot with 
  seemingly unlimited functionality, may present an alternative to a Google 
  web search for patients seeking information about medical questions. With 
  widespread misinformation and suboptimal quality of online health 
  information, it is imperative to assess ChatGPT as a resource for this 
  purpose.
   METHODS: The first 10 frequently asked questions (FAQs) related to the 
  search terms "lumbar spinal fusion" and "lumbar laminectomy" were extracted 
  from Google and ChatGPT. Responses to shared questions were compared 
  regarding length and readability, using the Flesch Reading Ease score and 
  Flesch-Kincaid Grade Level. Numerical FAQs from Google were replicated in 
  ChatGPT.
   RESULTS: Two of 10 (20%) questions for both lumbar spinal fusion and lumbar 
  laminectomy were asked similarly between ChatGPT and Google. Compared with 
  Google, ChatGPT's responses were lengthier (340.0 vs. 159.3 words) and of 
  lower readability (Flesch Reading Ease score: 34.0 vs. 58.2; Flesch-Kincaid 
  grade level: 11.6 vs. 8.8). Subjectively, we evaluated these responses to be 
  accurate and adequately nonspecific. Each response concluded with a 
  recommendation to discuss further with a health care provider. Over half of 
  the numerical questions from Google produced a varying or nonnumerical 
  response in ChatGPT.
   CONCLUSIONS: FAQs and responses regarding lumbar spinal fusion and lumbar 
  laminectomy were highly variable between Google and ChatGPT. While ChatGPT 
  may be able to produce relatively accurate responses in select questions, 
  its role remains as a supplement or starting point to a consultation with a 
  physician, not as a replacement, and should be taken with caution until its 
  functionality can be validated.
  DOI: https://doi.org/10.1097/BSD.0000000000001582
  URL: http://pubmed.ncbi.nlm.nih.gov/38409676

         J Am Med Inform Assoc. 2024 Feb 29. pii: ocae037. [Epub ahead of print]
 7. Taiyi: a bilingual fine-tuned large language model for diverse 
     biomedical tasks.
   Ling Luo, Jinzhong Ning, Yingwen Zhao, Zhijun Wang, Zeyuan Ding, Peng Chen, 
   Weiru Fu, Qinyu Han, Guangtao Xu, Yunzhi Qiu, Dinghao Pan, Jiru Li, Hao Li, 
   Wenduo Feng, Senbo Tu, Yuqi Liu, Zhihao Yang, Jian Wang, Yuanyuan Sun, 
   Hongfei Lin
  OBJECTIVE: Most existing fine-tuned biomedical large language models (LLMs) 
  focus on enhancing performance in monolingual biomedical question answering 
  and conversation tasks. To investigate the effectiveness of the fine-tuned 
  LLMs on diverse biomedical natural language processing (NLP) tasks in 
  different languages, we present Taiyi, a bilingual fine-tuned LLM for 
  diverse biomedical NLP tasks.
   MATERIALS AND METHODS: We first curated a comprehensive collection of 140 
  existing biomedical text mining datasets (102 English and 38 Chinese 
  datasets) across over 10 task types. Subsequently, these corpora were 
  converted to the instruction data used to fine-tune the general LLM. During 
  the supervised fine-tuning phase, a 2-stage strategy is proposed to optimize 
  the model performance across various tasks.
   RESULTS: Experimental results on 13 test sets, which include named entity 
  recognition, relation extraction, text classification, and question 
  answering tasks, demonstrate that Taiyi achieves superior performance 
  compared to general LLMs. The case study involving additional biomedical NLP 
  tasks further shows Taiyi's considerable potential for bilingual biomedical 
  multitasking.
   CONCLUSION: Leveraging rich high-quality biomedical corpora and developing 
  effective fine-tuning strategies can significantly improve the performance 
  of LLMs within the biomedical domain. Taiyi shows the bilingual multitasking 
  capability through supervised fine-tuning. However, those tasks such as 
  information extraction that are not generation tasks in nature remain 
  challenging for LLM-based generative approaches, and they still underperform 
  the conventional discriminative approaches using smaller language models.
   Keywords: biomedical multitasking; large language model; natural language 
    processing; supervised fine-tuning
  DOI: https://doi.org/10.1093/jamia/ocae037
  URL: http://pubmed.ncbi.nlm.nih.gov/38422367

                                      Hand (N Y). 2024 Feb 27. 15589447241232095
 8. A Readability Study of Carpal Tunnel Release in 2023.
   Ankur Kayastha, Kirthika Lakshmanan, Michael J Valentine, Hunter D Kramer, 
   James Kim, Nicholas Pettinelli, Robert C Kramer
  BACKGROUND: The National Institutes of Health (NIH) and the American Medical 
  Association (AMA) recommend a sixth-grade reading level for patient-directed 
  content. This study aims to quantitatively evaluate the readability of 
  online information sources related to carpal tunnel surgery using 
  established readability indices.
   METHODS: Web searches for "carpal tunnel release" and "carpal tunnel 
  decompression surgery" queries were performed using Google, and the first 20 
  websites were identified per query. WebFX online software tools were 
  utilized to determine readability. Indices included Flesch Kincaid Reading 
  Ease, Flesch Kincaid Grade Level, Coleman Liau Index, Automated Readability 
  Index, Gunning Fog Score, and the Simple Measure of Gobbledygook Index. 
  Health-specific clickthrough rate (CTR) data were used in order to select 
  the first 20 search engine results page from each query.
   RESULTS: "Carpal tunnel release" had a mean readability of 8.46, and "carpal 
  tunnel decompression surgery" had a mean readability of 8.70. The range of 
  mean readability scores among the indices used for both search queries was 
  6.17 to 14.0. The total mean readability for carpal tunnel surgery 
  information was found to be 8.58. This corresponds to approximately a 
  ninth-grade reading level in the United States.
   CONCLUSION: The average readability of carpal tunnel surgery online content 
  is three grade levels above the recommended sixth-grade level for 
  patient-directed materials. This discrepancy indicates that existing online 
  materials related to carpal tunnel surgery are more difficult to understand 
  than the standards set by NIH and AMA.
   Keywords: carpal tunnel surgery; carpal tunnel syndrome; diagnosis; health 
    literacy; nerve; patient education; readability; research and health 
    outcomes; specialty; surgery
  DOI: https://doi.org/10.1177/15589447241232095
  URL: http://pubmed.ncbi.nlm.nih.gov/38414220

                                                   J Nerv Ment Dis. 2024 Jan 25.
 9. Assessment of the Readability and Quality of Online Information for 
     Patients and Their Families Regarding Schizophrenia.
   Okan Ekinci, Alcin Naz Koyuncu
  ABSTRACT: To our knowledge, this is the first study that specifically aims 
  to assess the readability and quality of online information about 
  schizophrenia. The analysis is performed on 93 of 195 websites that appeared 
  in an advanced Google search of the term "schizophrenia" performed on a 
  single day. The websites were categorized as commercial, nonprofit, 
  professional, and government. The websites were evaluated using the Health 
  on the Net Foundation (HON) code certificate, DISCERN tool, and Journal of 
  the American Medical Association (JAMA) benchmark criteria for quality and 
  the Flesch Reading Ease Formula, Flesch-Kincaid Grade Level (FKGL) Formula, 
  Simple Measure of Gobbledygook, and Gunning Fog indices for readability. A 
  total of 21.5% of all websites had a HON code certificate, 50.5% were 
  accepted as high quality (JAMA score ≥3), and 25.8% reached the recommended 
  readability level (FKGL ≤8). Only three websites scored at a fifth- to 
  sixth-grade reading level. Commercial and government websites had 
  significantly lower DISCERN scores. Commercial websites had significantly 
  lower Flesch Reading Ease Score and FKGL score than nonprofit websites. In 
  conclusion, the current findings indicate that the quality of online 
  information on schizophrenia is generally acceptable, but the readability is 
  insufficient. Website creators, physicians, and health authorities should be 
  more sensitive to the readability of online information about schizophrenia, 
  considering the poor cognitive capacity of the patients and the unique 
  nature of the disease.
  DOI: https://doi.org/10.1097/NMD.0000000000001763
  URL: http://pubmed.ncbi.nlm.nih.gov/38416420

                                           World J Urol. 2024 Feb 26. 42(1): 102
10. Letter to the editor: "ChatGPT and most frequent urological diseases: 
     analysing the quality of information and potential risks for patients".
   Junjun Wang, Xing Yun
  DOI: https://doi.org/10.1007/s00345-024-04858-w
  URL: http://pubmed.ncbi.nlm.nih.gov/38407629

                                           Dermatol Ther (Heidelb). 2024 Feb 24.
11. Readability of Patient Electronic Materials for Atopic Dermatitis in 
     23 Languages: Analysis and Implications for Dermatologists.
   Tomasz Skrzypczak, Anna Skrzypczak, Jacek C Szepietowski
  INTRODUCTION: Patients search on the Internet for information about various 
  medical procedures and conditions. The main aim of this study was to 
  evaluate the readability of online health information related to atopic 
  dermatitis (AD). Online resources are becoming a standard in facilitating 
  shared decision-making processes. With a pipeline of new therapeutic options 
  like immunomodulators, understanding of the complexity of AD by the patients 
  is crucial.
   METHODS: The term "atopic dermatitis" translated into 23 official European 
  Union languages was searched using the Google search engine. The first 50 
  records in each language were evaluated for suitability. Included materials 
  were barrier-free, focused on patient education, and were not categorized as 
  advertisements. Article sources were classified into four categories: 
  non-profit, online shops, pharmaceutical companies, and dermatology clinic. 
  Readability was assessed with Lix score.
   RESULTS: A total of 615 articles in Swedish, Spanish, Slovenian, Slovak, 
  Romanian, Portuguese, Polish, Lithuanian, Latvian, Irish, Italian, 
  Hungarian, Greek, German, French, Finnish, Estonian, English, Dutch, Danish, 
  Czech, Croatian, and Bulgarian were evaluated. The overall mean Lix score 
  was 56 ± 8, which classified articles as very hard to comprehend. 
  Significant differences in mean Lix scores were observed across all included 
  languages (all P < 0.001). Articles released by non-profit organizations and 
  pharmaceutical companies had the highest readability (P < 0.001). Low 
  readability level was correlated with high article prevalence (R2 = 0.189, 
  P = 0.031).
   CONCLUSIONS: Although there was an abundance of online articles related to 
  AD, the readability of the available information was low. As online health 
  information has become essential in making shared decisions between patients 
  and physicians, an improvement in AD-related materials is needed.
   Keywords: Atopic dermatitis; Health information; Internet content; Patient 
    education
  DOI: https://doi.org/10.1007/s13555-024-01115-1
  URL: http://pubmed.ncbi.nlm.nih.gov/38402338

                     J Clin Epidemiol. 2024 Feb 23. pii: S0895-4356(24)00055-6. 
12. Both clinical trial register and electronic bibliographic database 
     searches were needed to identify RCTs for systematic reviews: an 
     evaluation study.
   Tabea Kaul, Julia Mt Colombijn, Robin Wm Vernooij, Rene Spijker, Demy L 
   Idema, Linde F Huis In 't Veld, Johanna Aa Damen, Lotty Hooft
  OBJECTIVE: To determine whether clinical trial register (CTR) searches can 
  accurately identify a greater number of completed randomized clinical trials 
  (RCTs) than electronic bibliographic database (EBD) searches for systematic 
  reviews of interventions, and to quantify the number of eligible ongoing 
  trials.
   STUDY DESIGN AND SETTING: We performed an evaluation study and based our 
  search for RCTs on the eligibility criteria of a systematic review that 
  focused on the underrepresentation of people with chronic kidney disease in 
  cardiovascular RCTs. We conducted a combined search of ClinicalTrials.gov 
  and the WHO International Clinical Trials Registry Platform (ICTRP) through 
  the Cochrane Central Register of Controlled Trials (CENTRAL) to identify 
  eligible RCTs registered up to June 1st, 2023. We searched Cochrane CENTRAL, 
  EMBASE, and MEDLINE for publications of eligible RCTs published up to June 
  5th, 2023. Finally, we compared the search results to determine the extent 
  to which the two sources identified the same RCTs.
   RESULTS: We included 92 completed RCTs. Of these, 81 had results available. 
  66 completed RCTs with available results were identified by both sources 
  (81% agreement [95% CI 71 - 88]). We identified seven completed RCTs with 
  results exclusively by CTR search (9% [95% CI 4 - 17]) and eight exclusively 
  by EBD search (10% [95% CI 5 - 18]). 11 RCTs were completed but lacked 
  results (four identified by both sources (36% [95% CI 15 - 65]), one 
  exclusively by EBD search (9% [95% CI 1 - 38]), and six exclusively by CTR 
  search (55% [95% CI 28 - 79]). Also, we identified 42 eligible ongoing RCTs: 
  16 by both sources (38% [95% CI 25 - 53]) and 26 exclusively by CTR search 
  (62% [95% CI 47 - 75]). Lastly, we identified four RCTs of unknown status by 
  both sources.
   CONCLUSION: CTR searches identify a greater number of completed RCTs than 
  EBD searches. Both searches missed some included RCTs. Based on our case 
  study, researchers (e.g. information specialists, systematic reviewers) 
  aiming to identify all available RCTs should continue to search both 
  sources. Once the barriers to performing CTR searches alone are targeted, 
  CTR searches may be a suitable alternative.
   Keywords: Clinical trial register search; clinical trial registry; 
    information retrieval; randomized clinical trials; randomized controlled 
    trials; systematic review
  DOI: https://doi.org/10.1016/j.jclinepi.2024.111300
  URL: http://pubmed.ncbi.nlm.nih.gov/38402998

                                      Future Healthc J. 2023 Nov;10(Suppl 3): 63
13. Assessment of the quality, content, and reliability of the 
     information in CoMICs videos in comparison to YouTube videos on diabetes 
     mellitus and PCOS.
   Shams Ali Baig, Anagh Josh Banerjee, Fazna Rahman, Syeda Sabbah Batul, 
   Mukunth Kowsik, Khushi Kumar, Mohammed Faraaz Saiyad, Vardhan Venkatesh, 
   Pranav Vishwanath Iyer, Punith Kempegowda
  DOI: https://doi.org/10.7861/fhj.10-3-s63
  URL: http://pubmed.ncbi.nlm.nih.gov/38406716

                                                EJVES Vasc Forum. 2024 ;61 62-76
14. YouTube as a Source of Patient and Trainee Education in Vascular 
     Surgery: A Systematic Review.
   Arshia Javidan, Muralie Vignarajah, Matthew W Nelms, Fangwen Zhou, Yung 
   Lee, Faysal Naji, Ahmed Kayssi
  Objective: Due to its video based approach, YouTube has become a widely 
  accessed educational resource for patients and trainees. This systematic 
  review characterised and evaluated the peer reviewed literature 
  investigating YouTube as a source of patient or trainee education in 
  vascular surgery.
   Data sources: A comprehensive literature search was conducted using EMBASE, 
  MEDLINE, and Ovid HealthStar from inception until 19 January 2023. All 
  primary studies and conference abstracts evaluating YouTube as a source of 
  vascular surgery education were included.
   Review methods: Video educational quality was analysed across several 
  factors, including pathology, video audience, and length.
   Results: Overall, 24 studies were identified examining 3 221 videos with 
  123.1 hours of content and 37.1 million views. Studies primarily examined 
  YouTube videos on diabetic foot care (7/24, 29%), peripheral arterial 
  disease (3/24, 13%), carotid artery stenosis (3/24, 13%), varicose veins 
  (3/24, 13%), and abdominal aortic aneurysm (2/24, 8%). Video educational 
  quality was analysed using standardised assessment tools, author generated 
  scoring systems, or global author reported assessment of quality. Six 
  studies assessed videos for trainee education, while 18 studies evaluated 
  videos for patient education. Among the 20 studies which reported on the 
  overall quality of educational content, 10/20 studies deemed it poor, and 
  10/20 studies considered it fair, with 53% of studies noting poor 
  educational quality for videos intended for patients and 40% of studies 
  noting poor educational quality in videos intended for trainees. Poor 
  quality videos had more views than fair quality videos (mean 27 348, 95% CI 
  15 154-39 543 views vs. 11 372, 95% CI 3 115-19 629 views, p = .030).
   Conclusion: The overall educational quality of YouTube videos for vascular 
  surgery patient and trainee education is suboptimal. There is significant 
  heterogeneity in the quality assessment tools used in their evaluation. A 
  standardised approach to online education with a consistent quality 
  assessment tool is required to better support online patient and trainee 
  education in vascular surgery.
   Keywords: Education; Systematic Review; Vascular Surgery; YouTube
  DOI: https://doi.org/10.1016/j.ejvsvf.2024.01.054
  URL: http://pubmed.ncbi.nlm.nih.gov/38414727

                            Plast Reconstr Surg Glob Open. 2024 Feb;12(2): e5604
15. A Systematic Evaluation of the Quality of Health Information on Cleft 
     Lip and Palate in the Arabic Language.
   Abdullah A Al Qurashi, Qutaiba N M Shah Mardan, Tala N Mawad, Razan Omar 
   Alsubhi, Abdulah Bokhari, Ghadeer Daghistani, Rena Y Abualjamal, Amal 
   Mohammed Alharbi, Mohammed D Al Qarni, Abdullah Alhuzali, Mohamed Amir Mrad
  Background: The internet serves as a vital health information resource, yet 
  the quality of data on specific health conditions, especially in Arabic, is 
  often overlooked. This research assesses the quality of Arabic online 
  information about cleft lip and palate (CLP) and proposes avenues for 
  enhancement.
   Methods: From July to August 2022, a systematic evaluation of Arabic 
  articles on CLP was performed using the DISCERN tool for quality assessment. 
  Searches on Google and Bing resulted in 119 articles that met the study's 
  criteria.
   Results: The quality of available Arabic information on CLP displayed 
  substantial gaps. Commercial sources dominated (49.6%), followed by private 
  (32.8%) and nonprofit entities (17.6%). The average DISCERN score was 2.26 
  of 5 (SD = 1.06), indicating the need for enhanced content, particularly 
  concerning treatment risks.
   Conclusions: The study underscores the subpar quality of Arabic CLP 
  information online, which might mislead patients and impede access to 
  accurate advice. Nonprofit organizations should bolster their online 
  footprint, offering refined health content. A deep dive into DISCERN scores 
  reveals pinpointed improvement areas. Clinicians should direct patients and 
  their families to reliable information sources. Addressing these gaps 
  promises improved CLP knowledge in Arabic, fostering superior patient 
  education and outcomes for those with this condition.
  DOI: https://doi.org/10.1097/GOX.0000000000005604
  URL: http://pubmed.ncbi.nlm.nih.gov/38415101

                                       J Korean Med Sci. 2024 Feb 26. 39(7): e61
16. YouTube as a Source of Information on Public Health Ethics.
   Alikhan Zhaksylyk, Marlen Yessirkepov, Ahmet Akyol, Burhan Fatih Kocyigit
  BACKGROUND: Public health ethics (PHE) is a dynamic area within bioethics 
  that addresses the complex moral implications of public health measures in 
  the face of growing health threats. YouTube is a powerful and widely used 
  platform for disseminating health-related information. The primary objective 
  of this study is to assess videos related to PHE on YouTube. The aim is to 
  gauge the extent of misinformation in collecting PHE videos on the platform.
   METHODS: On October 25, 2023, a thorough investigation on YouTube was 
  undertaken, employing pre-determined search phrases involving 'public 
  health,' 'healthcare,' 'health services administration,' and 'health policy 
  and ethics.' The research encompassed a total of 137 videos that were 
  selected according to strict inclusion and exclusion criteria. The videos 
  were evaluated using the Global Quality Scale to measure quality and the 
  modified DISCERN tool to evaluate reliability. The researchers identified 
  video sources and compared several video attributes across different quality 
  groups.
   RESULTS: A total of 137 videos were analyzed, and 65 (47.45%) were 
  classified as high quality, 52 (37.23%) as moderate quality, and 21 (15.32%) 
  as low quality. In high-quality videos, academic, government, physician, and 
  university-hospital sources predominated, whereas Internet users and news 
  sources were connected with low-quality videos. Significant differences in 
  DISCERN score, per day views, likes, and comments were seen across the 
  quality groups (P = 0.001 for views per day and P = 0.001 for other 
  characteristics). According to the findings, low-quality videos had higher 
  median values for daily views, likes, and comments.
   CONCLUSION: Although nearly half of the videos were high-quality, 
  low-quality videos attracted greater attention. Critical contributors to 
  high-quality videos included academic, government, physician, and 
  university-hospital sources. The findings highlight the importance of 
  quality control methods on social media platforms and strategies to direct 
  users to trustworthy health information. Authors should prioritize 
  appropriate citations and evaluate YouTube and other comparable platforms 
  for potential promotional low-quality information.
   Keywords: Ethics; Information Science; Internet; Public Health; Social 
    Media
  DOI: https://doi.org/10.3346/jkms.2024.39.e61
  URL: http://pubmed.ncbi.nlm.nih.gov/38412608

                                           Front Public Health. 2024 ;12 1309632
17. The status quo of short videos as a source of health information 
     regarding bowel preparation before colonoscopy.
   Foqiang Liao, Yunfeng Huang, Yongkang Lai, Junfeng Xie
  Background: For high-quality colonoscopies, adequate bowel preparation is a 
  prerequisite, closely associated with the diagnostic accuracy and 
  therapeutic safety of colonoscopy. Although popular-science short videos can 
  help people quickly access health information, the overall quality of such 
  short videos as a source of health information regarding bowel preparation 
  before colonoscopy is unclear. Therefore, we intend to conduct a 
  cross-sectional study to investigate the quality of bowel preparation 
  information before colonoscopy through short videos taken on TikTok and 
  Bilibili.
   Methods: The Chinese phrases "colonoscopy" and "bowel preparation" were used 
  as keywords to search for and screen the top 100 videos in the comprehensive 
  rankings on TikTok and Bilibili. The Global Quality Score (GQS) and the 
  modified DISCERN score were used to assess the quality of the information 
  provided in these short videos.
   Results: A total of 186 short videos were included in this study; 56.5% of 
  them were posted by health professionals, whereas 43.5% of them were posted 
  by nonhealth professionals. The overall quality of these videos was 
  unsatisfactory, with a median DISCERN score of 3 (2-4) and a median GQS of 3 
  (3-4). The radar maps showed that videos posted by gastroenterologists had 
  higher completeness scores regarding outcomes, management, and risk factors, 
  while nongastroenterologists had higher completeness scores concerning 
  adverse effects, symptoms, and definitions of bowel preparation. 
  Additionally, the median DISCERN score and GQS of the videos posted by 
  gastroenterologists were 3 (3-4) and 3 (3-4), respectively, whereas the 
  quality of the videos posted by patients was the worst, with a median 
  DISCERN score of 2 (1-2) and a median GQS of 2 (1.25-3).
   Conclusion: In conclusion, the overall quality of health information-related 
  videos on bowel preparation before colonoscopy posted on specified short 
  video platforms was not satisfactory. Gastroenterologists provide more 
  information on the outcomes, management, and risk factors for bowel 
  preparation before colonoscopy, while nongastroenterologists focus on 
  adverse effects, symptoms, and definitions of bowel preparation.
   Keywords: bowel preparation; colonoscopy; health information; overall 
    quality; short videos
  DOI: https://doi.org/10.3389/fpubh.2024.1309632
  URL: http://pubmed.ncbi.nlm.nih.gov/38414898

                                           Saudi Pharm J. 2024 Apr;32(4): 101997
18. A content-quality and optimization analysis of YouTube as a source of 
     patient information for bipolar disorder.
   Jawza F Alsabhan, Haya M Almalag, Norah O Abanmy, Yara I Aljadeed, Reema H 
   Alhassan, Awatif B Albaker
  Background: The goal of this study was to identify and evaluate the use of 
  Arabic YouTube videos on BD as a resource for patient education.
   Methods: A cross-sectional evaluation of YouTube videos as a source of 
  information for patients with BD in Arabic was performed. The study was 
  observational and, because it did not involve human subjects, it followed 
  the STROBE guidelines whenever possible. The quality of the videos was 
  assessed using the validated DISCERN instrument. The search strategy 
  involved entering the term "bipolar disorder" in the YouTube search bar, and 
  only YouTube videos in Arabic were included.
   Results: A total of 58 videos were included in this study after removing 
  duplicates and videos unrelated to BD (Figure 1). The most common source of 
  videos was others (38%), followed by physician (33%), educational (26%), and 
  hospital (3%). Resources covering symptoms and prognosis were mostly in the 
  "others" category (41%). The resources or videos that covered treatment 
  options were mainly created by physicians (41%). However, resources or 
  videos that included a personal story mainly belonged to the "others" 
  category (67%).
   Conclusion: Visual health-related instructional resources still have a 
  significant shortage. This study highlights the poor quality of videos about 
  serious illnesses like BD. Evaluation and promotion of the creation of 
  visual health-related educational resources should be the primary goal of 
  future study.
   Keywords: Bipolar disorder; DISCERN instrument; Educational material; 
    Educational videos; YouTube
  DOI: https://doi.org/10.1016/j.jsps.2024.101997
  URL: http://pubmed.ncbi.nlm.nih.gov/38426034

                                            Ecancermedicalscience. 2023 ;17 1646
19. Erratum: Quality and reliability of YouTube videos in Arabic as a 
     source of patient information on prostate cancer.
   Laith Baqain, Deborah Mukherji, Humaid O Al-Shamsi, Ibrahim Abu-Gheida, 
   Akram Al-Ibraheem, Kamal Al Rabii, Ala'a Farkouh, Mohammed Shahait
  [This corrects the article DOI: 10.3332/ecancer.2023.1573.].
   Keywords: Arabic; YouTube; misinformation; prostate cancer; social media; 
    videos
  DOI: https://doi.org/10.3332/ecancer.2023.1646
  URL: http://pubmed.ncbi.nlm.nih.gov/38414928

                          Orthop J Sports Med. 2024 Feb;12(2): 23259671241228543
20. Validity of Material Related to the Anterior Cruciate Ligament on 
     TikTok.
   Riccardo D'Ambrosi, Timothy E Hewett
  Background: Video material is one of the most common types of digital 
  information on social media platforms.
   Purpose: To assess the validity and informational value of TikTok videos 
  with regard to the anterior cruciate ligament (ACL).
   Study Design: Cross-sectional study.
   Methods: Using the terms "anterior cruciate ligament" AND/OR "ACL," 420 
  TikTok videos were retrieved, of which 100 videos were included in the 
  analysis. The video duration and the number of likes, shares, and views were 
  recorded. Videos were categorized based on the source (private user, 
  physical therapist, surgeon, and researcher), subject type (patient 
  experience, physical therapy, injury mechanism, anatomy, clinical test, and 
  surgical technique), content (patient experience/testimony, education, and 
  rehabilitation), and any background audio (music or voice). Video quality 
  assessments were conducted using the DISCERN instrument, The Journal of the 
  American Medical Association (JAMA) benchmark criteria, and the Global 
  Quality Score (GQS). Associations between quantitative variables were tested 
  using the Spearman rank correlation. One-way analysis of variance or 
  Mann-Whitney test was performed to assess whether video quality differed by 
  video characteristics.
   Results: A total of 41 videos were published by private users (41%), 34 by 
  physical therapists (34%), 23 by surgeons (23%), and 2 by researchers (2%). 
  Most of the information regarded patient experience (34%), followed by 
  physical therapy (20%), injury mechanism (19%), anatomy (11%), clinical test 
  (9%), and surgical technique (7%). The mean video length was 40.55 ± 41.58 
  seconds. The mean number of views was 151,084.39 ± 487,150.02, while the 
  mean numbers of comments, likes, and shares were 72.80 ± 249.68, 6781.49 ± 
  29,163.96, and 98.71 ± 307.76, respectively. The mean DISCERN, JAMA, and GQS 
  scores were 15.73 ± 1.44, 0.19 ± 0.39, and 1.16 ± 0.37, respectively, 
  indicating the poorest quality on all 3 indices. The number of views, likes, 
  shares, comments, and video lengths were all positively correlated with 
  DISCERN (except the number of shares), JAMA, and GQS scores (P < .05). A 
  significant difference was found in DISCERN scores between videos by private 
  users and those by surgeons (15.37 ± 0.98 vs 16.22 ± 1.57; P = .007).
   Conclusion: Our analysis has demonstrated that the educational value of 
  these videos on the ACL on TikTok is poor. Given the rapid growth of TikTok, 
  further research is needed.
   Keywords: TikTok; anterior cruciate ligament; arthroscopy; knee; reels; 
    rehabilitation; return to sport; social media
  DOI: https://doi.org/10.1177/23259671241228543
  URL: http://pubmed.ncbi.nlm.nih.gov/38405012

              Strategies Trauma Limb Reconstr. 2023 Sep-Dec;18(3):18(3): 163-168
21. Modern Internet Search Analytics and Osseointegration: What are 
     Patients Asking and Reading Online?
   Evelyn P Murphy, Gerard A Sheridan, Brian J Page, Michael D Greenstein, 
   Jason S Hoellwarth, Austin T Fragomen, S Robert Rozbruch
  Background: Osseointegration (OI) limb has been performed for over 30 years 
  and is an example of an advance in technology and surgical technique which 
  has led to improvements in patient mobility and quality of life. An 
  increasing number of patients seek information about osseointegration. The 
  aim of this study was to categorise the most frequently asked questions by 
  patients using the Google search engine and the most frequently accessed 
  websites with the highest return on answers. The secondary aims of this 
  study were to assess the quality of the information provided on those 
  websites and to stratify, by category, which websites provide the best 
  quality information.
   Materials and methods: Ten permutations and conjugations of the word 
  'osseointegration' were entered into Google. The first fifty 'People also 
  ask' and associated websites by Google's machine learning and natural 
  language processing engine were collected for each search term. The Rothwell 
  classification system of questions by topic (Fact, Value, Policy) and 
  websites by category was used (Commercial, Academic, Medical Practice, 
  Single Surgeon Personal, Government, Social Media). Website quality was 
  assessed using the Journal of the American Medical Association (JAMA) 
  benchmark criteria (Likert-style rating 0-4). Pearson's Chi-squared and 
  Student's t-tests were performed for statistical analysis as appropriate 
  (significance, p < 0.05).
   Results: The 10 search terms generated 454 questions and referenced 408 
  websites. Of the 454 questions generated, the most common question 
  categories were fact (70.8%), value (19.2%), and policy (10%). The most 
  common website type was social media (37.4%). The most common question types 
  were technical details (30.4%), specific activity (20.6%), and cost (14.1%). 
  Only 1.6% of questions related to risks and complications. Generally, 
  website quality was poor with 64.1% having a JAMA score of 0 or 1. Websites 
  that were categorised as 'Government' had the highest overall JAMA scores: 
  71.4% had a score of 4.
   Conclusion: Based on Google search engine's results, the most commonly asked 
  questions about osteointegration related to technical details, specific 
  activities and cost; only 1.6% related to risks and complications. 
  Interestingly, social media websites represented the highest volume of 
  search result referrals. Overall, the quality of websites was poor with the 
  most factual information coming from governmental websites.
   How to cite this article: Murphy EP, Sheridan GA, Page BJ, et al. Modern 
  Internet Search Analytics and Osseointegration: What Are Patients Asking and 
  Reading Online? Strategies Trauma Limb Reconstr 2023;18(3):163-168.
   Keywords: Cost; Google; Online health information; Osseointegration; 
    Prosthesis; Search analytics
  DOI: https://doi.org/10.5005/jp-journals-10080-1603
  URL: http://pubmed.ncbi.nlm.nih.gov/38404563

                                    Indian J Psychiatry. 2024 Jan;66(1): 111-115
22. Impact of global public health days on online 
     health-information-seeking behavior related to substance use: An analysis 
     of five-year data.
   Swarndeep Singh, Yatan Pal Singh Balhara
  The United Nations Organizations observe various global public health days 
  (GPHDs) (also known as world days) throughout the year. We aimed to assess 
  the impact of GPSDs on online health information-seeking behavior related to 
  substance use in the Indian context. We used the Google Trends data for this 
  study using standard guidelines. We conducted a topic search for the query 
  "Substance abuse" to capture online information-seeking behavior (OHISB) for 
  substance use disorder-related searches. The data were analyzed using the 
  Joinpoint Regression software. Joinpoint regression model analysis was 
  conducted to determine the statistically significant daily percent change 
  (DPC) in the RSV trend. We found that there were significant changes in 
  OHISB for substance use-related disorders on the International Day Against 
  Drug Abuse and Illicit Trafficking over the last five years. The increase in 
  the pattern of online search for substance use-related information was not 
  observed around the World No Tobacco Day, World Mental Health Day, and World 
  Suicide Prevention Day. Since most of these world health days are likely to 
  continue to be observed in the coming years, it is important to regularly 
  assess their impact as well as make the necessary modifications to make them 
  more effective in achieving the desired objectives.
   Keywords: Health days; internet; online health behavior; trends
  DOI: https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_473_23
  URL: http://pubmed.ncbi.nlm.nih.gov/38419939

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