scholarly journals Quality of information of websites dedicated to obesity: a systematic search to promote high level of information for Internet users and professionals

Author(s):  
Alessandra Perra ◽  
Antonio Preti ◽  
Valerio De Lorenzo ◽  
Antonio Egidio Nardi ◽  
Mauro G. Carta

Abstract Background The Internet is increasingly used as a source of information. This study investigates with a multidimensional methodology the quality of information of websites dedicated to obesity treatment and weight-loss interventions. We compared websites in English, a language that it is used for the international scientific divulgation, and in Italian, a popular local language. Methods Level of Evidence: Level I, systematic review search on four largely used search engines. Duplicated and unrelated websites were excluded. We checked: popularity with PageRank; technological quality with Nibbler; readability with the Flesch Reading Ease test or the Gulpease readability index; quality of information with the DISCERN scale, the JAMA benchmark criteria, and the adherence to the Health on the Net Code. Results 63 Italian websites and 41 English websites were evaluated. English websites invested more in the technological quality especially for the marketing, experience of the user, and mobile accessibility. Both the Italian and English websites were of poor quality and readability. Conclusions These results can inform guidelines for the improvement of health information and help Internet users to achieve a higher level of information. Users must find benefits of treatment, support to the shared decision-making, the sources used, the medical editor's supervision, and the risk of postponing the treatment.

2019 ◽  
Vol 49 (6) ◽  
pp. 1142-1152 ◽  
Author(s):  
Olivia Genevieve El Jassar ◽  
Isobel Nadia El Jassar ◽  
Evangelos I. Kritsotakis

Purpose This paper aims to assess the quality of health information available to patients seeking online advice about the vegan diet. Design/methodology/approach A cross-sectional sample of patient-oriented websites was selected by searching for “Vegan diet” in the three most popular search engines. The first 50 websites from each search were examined. Quality of information was assessed using the DISCERN instrument, a questionnaire tool designed to judge the quality of written information on treatment choices. Readability was determined with the Flesch Reading Ease score (FRES) and Flesch–Kincaid Grade Level (FKGL). Relevance to health and disease was assessed by counting the appearances of ten related keywords, generated by searching the query term “Vegan diet” into PubMed and recording the top ten health-related words. Findings Of 150 websites retrieved, 67 (44.7 per cent) met inclusion criteria. Of these, 42 (62.7 per cent) were non-pharmaceutical commercial, 7 (10.4 per cent) institutional, 6 (9.0 per cent) magazines or newspapers, 4 (6.0 per cent) support websites, 4 (6.0 per cent) charitable websites, 2 (3.0 per cent) encyclopedias and 2 (3.0 per cent) personal blogs. The overall DISCERN rating of the websites was fair (mean 41.6 ± 15.4 on an 80-point scale), but nearly half (31/67) of the websites were assessed as having “poor” or “very poor” quality of information. FRES and FKGL readability indices met the recommended standards on average (means 63.3 ± 9.6 and 6.6 ± 1.7, respectively), but did not correlate with high DISCERN ratings. Analysis of variance on DISCERN scores (F(6,60) = 6.536, p < 0.001) and FRES (F(6,60) = 2.733, p = 0.021) yielded significant variation according to website source type. Originality/value Quality standards of health information available on the internet about the vegan diet vary greatly. Patients are at risk of exposure to low quality and potentially misleading information over the internet and should be consulting dietitians or physicians to avoid being misled.


2020 ◽  
Author(s):  
Kitchai Luksameearunothai ◽  
Yash Paul Chaudhry ◽  
Sorawut Thamyongkit ◽  
Xiaofeng Jia ◽  
Erik A. Hasenboehler

Abstract Background In biomedical research, level of evidence (LOE) indicates the quality of a study. Recent studies evaluating orthopaedic trauma literature between 1998-2013 have indicated that LOE in this field has improved. The objective of this study was to determine the validity of one such study by 1) comparing our results and how they relate to more recent years of publications; and 2) assessing how our findings may be used to estimate future changes. Methods A total of 3,449 articles published from 2013 to 2018 in The Journal of Orthopaedic Trauma (JOT); Journal of Bone and Joint Surgery, American Volume (JBJS-Am); and Clinical Orthopaedics and Related Research (CORR) were evaluated for their LOE. Articles published in JBJS-Am or CORR were classified as trauma or nontrauma studies; articles published in JOT were considered trauma studies. Articles were assigned a LOE using guidance published by JBJS-Am in 2015. Results The percentage of total high-level (level I or II) trauma and nontrauma articles published in JOT, JBJS-Am, and CORR decreased from 2013 to 2018 (trauma 23.1% to 19.2%, p = 0.190; nontrauma 28.8% to 24.9%, p = 0.037). JBJS-Am published the highest percentage of level-I trauma studies, and CORR published the lowest percentage of level-IV studies. JBJS-Am and CORR published higher percentages of level-I trauma studies and lower percentages of level-IV nontrauma studies than all trauma studies. Conclusions Based on our results we cannot validate the findings of previous studies as we found the overall LOE of both trauma and nontrauma orthopaedic literature has decreased in recent years. JBJS-Am published a greater percentage of high-level studies than did JOT and CORR. Although the number and percentage of high-level studies published in JOT increased during the study period, it still lagged behind JBJS-Am and CORR.


2021 ◽  
Vol 27 (8) ◽  
pp. 830-832
Author(s):  
Jing Tang

ABSTRACT Introduction: Difficulty falling asleep is connected to the malfunctioning of the sleep and wakefulness mechanism of the human body caused by various reasons. There are a series of adverse reactions resulting from abnormal or poor quality of sleep during sleep per se. This symptom severely affects an individual's physical condition and mental health. Objective: To explore the effect of physical exercise on patients with difficulty falling asleep. Methods: Mathematical statistics were used to analyze 60 patients with difficulty falling asleep. We divided the patients into a sports group and a control group. The patients in the sports group took sports training, while the control group did not. After two weeks of intervention and comparison, we used mathematical statistics to evaluate the groups’ cognitive function. Results: After physical exercise, the patient's sleep quality was higher and sleep disorders were reduced. Conclusion: Physical activity is a simple and popular way of exercising. It is effective in improving the cognitive function of patients with difficulty falling asleep. Level of evidence II; Therapeutic studies - investigation of treatment results.


2021 ◽  
Vol 2 (2) ◽  
pp. 119
Author(s):  
Anita Akhirruddin

high growth of online shopping in Indonesia gave rise to many onlien websites and platforms in Indonesia. Facebook, which is one of the social networks that many people use around the world, is one of the online selling media that is in great demand because it can reach more people. Shopping online on Facebook in addition to providing benefits for sellers and buyers. Online shopping on Facebook requires a high level of trust from buyers regarding the quality of products and serv ices, and ease in obtaining product information and payments because there are no guarantees such as online shop platforms such as shoope, tokopedia, lazada and others which before the goods are received by the customer, then the money from the buyer can not be disbursed. So researchers are interested in researching online shopping interests on the social media site facebook. The results obtained are variable trust, ease of transaction and quality of information positively affect the interest in buying online on facebook.


2020 ◽  
Vol 11 (04) ◽  
pp. 19-25
Author(s):  
Santosh B Sajjan ◽  

Introduction: The word orphan comes from the Greek word ‘Orfanos’ and refers to a child permanently bereaved of or abandoned by his or her parents. Methods: A non-experimental descriptive comparative design has been adopted for the present study. The sample of the present study comprises orphan children residing in an orphanage and non-orphan children residing in selected areas of Bagalkot. The sample comprised 30 orphans and 30 non-orphans aged between 10 and 16 years. The data were collected by using self-report, structured closed-ended questionnaires for socio-demographic variables of children, self-administered WHO Quality of life BREF scale, and PSS stress scale. The data obtained were analysed with the help of descriptive and inferential statistics. Result: Findings related to the comparison between the level of stress among the orphan and non-orphan children revealed that majority of orphan children (76.66%) had about moderate stress, 23.33% of the orphan children had high stress, and none of the children had a low level of stress, whereas among non-orphan children, majority (90%) had moderate stress, 10% had low level stress, and none of them had high level stress. The findings related to the comparison of levels of quality of life among the orphan and non-orphan children reveal that a high percentage of orphan children (66.66%) had a moderate quality of life and some of them (33.33%) had a poor quality of life, whereas a high number of non-orphan children (66.66%) had a very good quality of life and some (33.33%) had a good quality of life. No significant association was found between the quality of life and stress scores with the socio-demographic variables of orphan and non-orphan children. Conclusion: The study concluded that orphan children need to improve their quality of life and decrease their level of stress.


Neurosurgery ◽  
2019 ◽  
Vol 86 (1) ◽  
pp. 30-45 ◽  
Author(s):  
Ketan Yerneni ◽  
John F Burke ◽  
Pranathi Chunduru ◽  
Annette M Molinaro ◽  
K Daniel Riew ◽  
...  

ABSTRACT BACKGROUND Anterior cervical discectomy and fusion (ACDF) is being increasingly offered on an outpatient basis. However, the safety profile of outpatient ACDF remains poorly defined. OBJECTIVE To review the medical literature on the safety of outpatient ACDF. METHODS We systematically reviewed the literature for articles published before April 1, 2018, describing outpatient ACDF and associated complications, including incidence of reoperation, stroke, thrombolytic events, dysphagia, hematoma, and mortality. A random-effects analysis was performed comparing complications between the inpatient and outpatient groups. RESULTS We identified 21 articles that satisfied the selection criteria, of which 15 were comparative studies. Most of the existing studies were retrospective, with a lack of level I or II studies on this topic. We found no statistically significant difference between inpatient and outpatient ACDF in overall complications, incidence of stroke, thrombolytic events, dysphagia, and hematoma development. However, patients undergoing outpatient ACDF had lower reported reoperation rates (P &lt; .001), mortality (P &lt; .001), and hospitalization duration (P &lt; .001). CONCLUSION Our meta-analysis indicates that there is a lack of high level of evidence studies regarding the safety of outpatient ACDF. However, the existing literature suggests that outpatient ACDF can be safe, with low complication rates comparable to inpatient ACDF in well-selected patients. Patients with advanced age and comorbidities such as obesity and significant myelopathy are likely not suitable for outpatient ACDF. Spine surgeons must carefully evaluate each patient to decide whether outpatient ACDF is a safe option. Higher quality, large prospective randomized control trials are needed to accurately demonstrate the safety profile of outpatient ACDF.


2011 ◽  
Vol 126 (2) ◽  
pp. 116-119 ◽  
Author(s):  
S Muthukumarasamy ◽  
Z Osmani ◽  
A Sharpe ◽  
R J A England

AbstractIntroduction:This study aimed to assess the quality of information available on the World Wide Web for patients undergoing thyroidectomy.Methods:The first 50 web-links generated by internet searches using the five most popular search engines and the key word ‘thyroidectomy’ were evaluated using the Lida website validation instrument (assessing accessibility, usability and reliability) and the Flesch Reading Ease Score.Results:We evaluated 103 of a possible 250 websites. Mean scores (ranges) were: Lida accessibility, 48/63 (27–59); Lida usability, 36/54 (21–50); Lida reliability, 21/51 (4–38); and Flesch Reading Ease, 43.9 (2.6–77.6).Conclusion:The quality of internet health information regarding thyroidectomy is variable. High ranking and popularity are not good indicators of website quality. Overall, none of the websites assessed achieved high Lida scores. In order to prevent the dissemination of inaccurate or commercially motivated information, we recommend independent labelling of medical information available on the World Wide Web.


2008 ◽  
Vol 65 (7) ◽  
pp. 1334-1345 ◽  
Author(s):  
H. Dobby ◽  
L. Allan ◽  
M. Harding ◽  
C. H. Laurenson ◽  
H. A. McLay

Abstract Dobby, H., Allan, L., Harding, M., Laurenson, C. H., and McLay, H. A. 2008. Improving the quality of information on Scottish anglerfish fisheries: making use of fishers’ data. – ICES Journal of Marine Science, 65: 1334–1345. In recent years, the International Council for the Exploration of the Sea (ICES) Working Group on the Assessment of Northern Shelf Demersal Stocks has been unable to provide an analytical assessment for anglerfish. One of the reasons for this has been the poor quality of the commercial catch-and-effort data, with ICES and the European Commission’s Scientific, Technical, and Economic Committee for Fisheries (STECF) stressing the need for reliable information on which to base estimates of stock status. In response, and following consultation with the fishing industry, an anglerfish tallybook project was implemented in Scotland as part of a long-term approach to providing better data. Tallybooks are completed on a haul-by-haul basis. Skippers record catches of anglerfish (by size category) and other species where possible, together with information on haul location, duration, and depth. Individual vessel catch rates are calculated and used to provide insights into temporal trends in the stock and the spatial distribution of the fishery. The history of the fishery and management advice are summarized, and an overview of the tallybook project is provided. Catch rates are analysed using a generalized additive modelling approach which incorporates seasonal, annual, spatial, and vessel-dependent effects. The results show increased catch rates between 2006 and 2007.


2012 ◽  
Vol 33 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Heather L. Barske ◽  
Judith Baumhauer

Background: The quality of research and evidence to support medical treatments is under scrutiny from the medical profession and the public. This study examined the current quality of research and level of evidence (LOE) of foot and ankle surgery papers published in orthopedic and podiatric medical journals. Methods: Two independent evaluators performed a blinded assessment of all foot and ankle clinical research articles (January 2010 to June 2010) from seven North American orthopedic and podiatric journals. JBJS-A grading system was used for LOE. Articles were assessed for indicators of study quality. The data was stratified by journal and medical credentials. Results: A total of 245 articles were published, 128 were excluded based on study design, leaving 117 clinical research articles. Seven (6%) were Level I, 14 (12%) Level II, 18 (15%) Level III, and 78 (67%) Level IV. The orthopedic journals published 78 studies on foot and ankle topics. Of the podiatric journals, the Journal of the American Podiatric Medical Association (JAPMA) published 12 clinical studies and the Journal of Foot and Ankle Surgery (JFAS) published 27, 21 (78%) of which were Level IV studies. When the quality of research was examined, few therapeutic studies used validated outcome measures and only 38 of 96 (40%) gathered data prospectively. Thirty (31%) studies used a comparison group. Eighty-seven articles (74%) were authored by a MD and 22 (19%) by a DPM. Conclusion: Foot & Ankle International (FAI) published higher quality studies with a higher LOE as compared to podiatry journals. Regardless of the journal, MDs produced the majority of published clinical foot and ankle research. Although improvements have been made in the quality of some clinical research, this study highlights the need for continued improvement in methodology within foot and ankle literature.


1948 ◽  
Vol 38 (3) ◽  
pp. 323-331 ◽  
Author(s):  
T. Mann

SUMMARY1. A method is described whereby fructose content and fructolysis can be assayed accurately in small samples of semen. The advantages of this method lie in its simplicity, accuracy and practical convenience as a tool for the assessment of semen quality, applicable also under field conditions.2. The content of fructose in fresh semen depends upon the secretory function of accessory glands which is influenced directly by the activity of the male sex hormone. A low level of seminal fructose may coincide with other symptoms of hormonal malfunction and poor quality of spermatozoa. A high level of seminal fructose indicates satisfactory functional ability of the accessory glands, but it does not necessarily coincide with high quality of spermatozoa as expressed in terms of density and motility.3. The normal level of fructose in fresh semen undergoes frequent fluctuations which can be observed if semen collections are made from the same individual at different times. Considerable variations in the sperm/fructose ratio may also occur in the semen of the same individual as illustrated by the results of an ‘exhaustion test’.4. Fructose disappears from semen incubated in vitro. The rate of fructose disappearance forms a convenient measure of sperm fructolysis. The normal rate of fructolysis in bull semen is 1·4–2 mg. fructose per 109 sperm cells in 1 hr. at 37° C. At this high level it can be maintained until almost the whole reserve of fructose has been exhausted. Azoospermic and necrospennic semen, as well as that from vasectomized animals, are unable to utilize fructose. A reduced rate of fructolysis is found in low quality semen of subfertile and infertile animals.5. The conditions of sperm survival in semen incubated in narrow tubes as used for the fructolysis test as well as for storage of semen in the practice of artificial insemination, are almost purely anaerobic. Under such conditions the survival of spermatozoa must largely depend upon fructolysis and not upon respiration.


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