scholarly journals Editorial Commentary: The Number of Cartilage Treatment Options Continues to Grow, Despite the Lack of High-Quality Comparative Studies?

2021 ◽  
Vol 37 (6) ◽  
pp. 1900-1901
Author(s):  
Jay R. Ebert
Keyword(s):  
Comparative Studies ◽  
Treatment Options ◽  
High Quality ◽  
Cartilage Treatment ◽  
Editorial Commentary

scholarly journals Evaluation of Quality and Readability of Online Health Information on High Blood Pressure Using DISCERN and Flesch-Kincaid Tools

2020 ◽  
Vol 10 (9) ◽  
pp. 3214
Author(s):  
Muhammad Tahir ◽  
Muhammad Usman ◽  
Fazal Muhammad ◽  
Shams ur Rehman ◽  
Imran Khan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Information ◽  
High Blood Pressure ◽  
Statistical Significance ◽  
Treatment Options ◽  
Online Health Information ◽  
High Quality ◽  
Average Value ◽  
Pertinent Data

High Blood Pressure (BP) is a vital factor in the development of cardiovascular diseases worldwide. For more than a decade now, patients search for quality and easy-to-read Online Health Information (OHI) for symptoms, preventions, therapy and other medical conditions. In this paper, we evaluate the quality and readability of OHI about high BP. In order that the first 20 clicks of three top-rated search engines have been used to collect the pertinent data. Using the exclusion criteria, 25 unique websites are selected for evaluation. The quality of all included links is evaluated through DISCERN checklist, a questionnaire for assessing the quality of written information for a health problem. To enhance the reliability of evaluation, all links are separately assessed by two different groups—a group of Health Professional (HPs) and a group of Lay Subjects (LS). A readability test is performed using Flesch-Kincaid tool. Fleiss’ kappa has been calculated before considering average value of each group. After evaluation, the average DISCERN value of HPs is 49.43 ± 14.0 (fair quality) while for LS, it is 48.7 ± 12.2; the mean Flesch-Reading Ease Score (FRES) is 58.5 ± 11.1, which is fairly difficult to read and the Average Grade Level (AGL) is 8.8 ± 1.9. None of the websites scored more than 73 (90%). In both groups, only 4 (16%) websites achieved DISCERN score over 80%. Mann-Whitney and Cronbach’s alpha have been computed to check the statistical significance of the difference between two groups and internal consistency of DISCERN checklist, respectively. Normality and homoscedasticity tests have been performed to check the distribution of scores of both evaluating groups. In both groups, information category websites achieved high DISCERN score but their readability level is worse. Highest scoring websites have clear aim, succinct source and high quality of information on treatment options. High BP is a pervasive disease, yet most of the websites did not produce precise or high-quality information on treatment options.

Quality and reliability of online video information of breast cancer in Spanish.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 11039-11039
Author(s):  
Fernando Cristobal Diaz ◽  
Ismael Pavel Polo Perez ◽  
Dailis Barbara Corria Cedeno ◽  
Michael LaPelusa ◽  
Dave Patel ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Treatment Options ◽  
Reliable Information ◽  
Cáncer De Mama ◽  
P Value ◽  
High Quality ◽  
Spanish Speaking ◽  
Significant Difference ◽  
The Us ◽  
Quality And Reliability

11039 Background: Online health information is a central part of how patients learn about a cancer diagnosis. Involving patients in shared decision making is associated with better outcomes. Previous studies have identified a lack of high-quality, reliable online material related to cancer in English using validated tools. As the number of Spanish speaking people in the US, and globally, continues to grow, it is important that high-quality, reliable information is available in Spanish. No studies have evaluated online breast cancer informational videos in Spanish. Methods: A search using the phrase “cancer de mama” (translation: “breast cancer”) was conducted on YouTube. The first 200 video URLs were included for study with duplicates, non-Spanish, and non-informational videos excluded. The videos were characterized by several variables, including year of upload, country of origin, content discussed, views, likes, dislikes, and typology group (“Personal”, “Professional”, “Health Portal”, etc.). The quality and reliability of these videos were examined by measuring Global Quality Scale (GQS), a 5-point DISCERN score, and JAMA scores. Results: 173 videos met inclusion criteria in the study. The majority of the videos which discussed signs and symptoms were uploaded by a ‘commercial’ typology, risk factors mainly uploaded by ‘health portals’ (21%), and treatment options by ‘professionals’ (50%). Relatively few videos have discussed reconstruction, survivorship, and breast cancer in men. 57% of these videos were uploaded prior to 2017, 36% by different personnel followed by government/news agency (25%), and professionals (23%). There was no significant difference between number of views (p-value: 0.526) and likes (p-value: 0.122) among the five typology groups. Professional videos had the highest average GQS (2.55), DISCERN score (1.90), and JAMA score (2.05). Personal videos had the lowest average GQS (1.98) and DISCERN score (1.06). GQS, DISCERN, and JAMA scores were all statistically significantly different between each typology. Conclusions: The majority of online breast cancer videos in Spanish are older than 3 years and produced outside the US. They are generally of poor quality and reliability, although higher in professional videos. Given the lack of current, high-quality, and reliable informational videos available, needs assessments should be conducted to identify the most useful learning resources for Spanish-speaking patients. Specialists should consider uploading educational videos to improve the paucity of high-quality, reliable information online.

scholarly journals ИССЛЕДОВАНИЯ ПРОТРАВЛИВАТЕЛЯ MOBITOX SUPER, ОСНАЩЕННОГО ДВУХДИСКОВЫМ РАСПРЕДЕЛЯЮЩИМ УСТРОЙСТВОМ И ДВУХУРОВНЕВЫМ ОТРАЖАЮЩИМ УСТРОЙСТВОМ

2019 ◽  
pp. 129-133
Author(s):  
A.V. Machnev ◽  
O.N. Kukharev ◽  
O.Yu. Machneva ◽  
V.A. Machnev ◽  
P.N. Horev ◽  
...  
Keyword(s):  
Moisture Content ◽  
Rigid Body ◽  
Comparative Studies ◽  
Root Rot ◽  
Consumption Rate ◽  
The Self ◽  
High Quality ◽  
Seed Dressing ◽  
Basic Version

Применение протравливателей семян способствует повышению их полевой всхожести, снижению головневых заболеваний и корневых гнилей. Опыт эксплуатации протравливателей в зерносеющих хозяйствах показал, что в Российской Федерации наибольшее распространение получили самоходные протравливатели камерного типа ПС-20АМ01, Mobitox Super, ПСК-15. Недостатки этих машин выражаются в невозможности проведения качественного протравливания на площадках с углом наклона более 7 градусов и при работе машины при производительности в диапазоне от 60 до 100 от базовой. Кроме того, повышенные влажность семян после протравливания (по агротехническим требованиям АТТ не более 1 ) и дробление семян несколько снижают эффективность применения камерных протравливателей. Целью исследований являлось повышение качества протравливания семян за счет применения двухдискового распределяющего и двухуровневого отражающего устройств. Для чего сравнительные исследования протравливателя Mobitox Super, оснащенного двухдисковым распределяющим устройством и двухуровневым отражающим устройством семян, проводили с базовым вариантом Mobitox Super в ООО Русское поле Сердобского района Пензенской области на обработке семян озимой пшеницы Бирюза комбинированным инсектофунгицидным протравителем семян Селект Макс с нормой расхода препарата 1,7 л/т. Установлено, что в диапазоне от 30 до 150 мм открытия заслонки лепесткового дозатора разработанного камерного самоходного протравливателя качество протравливания семян значительно увеличивается в сравнении с серийно-выпускаемым Mobitox Super и увеличивается его производительность до 2,1 т/ч.The use of seed dressers improves their field germination, reduces smut diseases and root rot. The experience of the use of dressing agents in grain-sowing farms showed that the self-propelled seed dressers PS-20AM01, Mobitox Super, PSK-15 are most widely used in the Russian Federation.The disadvantages of these machines are expressed in the impossibility of conducting high-quality dressing on sites with an inclination angle of more than 7 degrees and when the machine is operating at a capacity in the range from 60 to 100 of the base. In addition, the increased moisture content of the seeds after dressing (according to the agrotechnical requirements of perfectly rigid body (PRB) - no more than 1 ) and the crushing of seeds somewhat reduce the effectiveness of using chamber dressers. The aim of the research was to improve the quality of seed dressing through the use of a two-disk distributing and a two-level reflecting devices. We conducted comparative studies of the Mobitox Super seed dresser, equipped with a two-disk distributor and a two-level seed reflector, with the basic version of Mobitox Super. The studies were carried out in the OOO Russkoye Polye of Serdobsky district of the Penza region on the treatment of winter wheat Biryuza seeds with a combined insectofungic seed dresser Select Max with a consumption rate of 1.7 l/t. It was established that in the range from 30 to 150 mm of opening the spade-type dispenser flap of the developed chamber self-propelled seed dresser, the quality of seed dressing significantly increased and its productivity increased to 2.1 t/h in comparison with the commercially available Mobitox Super.

scholarly journals Needs Around Dialysis Treatment from Different Perspectives (NADIP): Results of the Exploratory German Multicenter Survey

2019 ◽  
Vol 44 (5) ◽  
pp. 1233-1246 ◽  
Author(s):  
Patrick Biggar ◽  
Dennis Hidde ◽  
Markus Ketteler
Keyword(s):  
Information Exchange ◽  
Short Form ◽  
Treatment Options ◽  
Well Being ◽  
Subjective Well Being ◽  
High Quality ◽  
Technical Standards ◽  
Cross Sectional ◽  
Dialysis Treatment ◽  
Multicenter Survey

Background/Aims: In 2015, approximately 70,000 patients with end-stage renal disease were treated chronically with dialysis in Germany. However, there is only sparse information regarding subjective appreciation of the different aspects of extracorporeal renal replacement therapies. This study was performed to gain insight into the needs and appreciation of services in dialysis centers in Germany including the views not only of the patients but also of the caregivers, physicians, and nurses. Methods: A cross-sectional written voluntary questionnaire survey based on the international RAND Kidney Disease Quality of Life Short Form (version 1.3) comprising 510 adult dialysis patients, 274 caregivers, 29 physicians, and 60 nurses in 30 dialysis centers across Germany. Results: Although patients were mostly satisfied with present treatment options, room for improvement exists. Patients were less critical of services than doctors and nurses. Factors such as trustworthy contact with staff at the centers as well as information exchange with other patients and among caregivers play a significant role in the patients’ perception of a high-quality dialysis treatment facility. Therefore, continued cost saving, in particular regarding personnel, may subjectively counteract the objective technical improvements of dialysis. Conclusions: High-quality technical standards are essential for successful dialysis therapy; however, additionally, we recommend an array of communicative and social tools employed by all stakeholders to convey and exchange information and also support subjective well-being. This survey represents one of the largest evaluations to date. The data are also of potential international relevance for non-German health management systems.

Challenging the dogma: severely angulated neck fractures of the fifth metacarpal must be treated surgically

2020 ◽  
Vol 46 (1) ◽  
pp. 30-36
Author(s):  
Michel E. H. Boeckstyns
Keyword(s):  
Systematic Review ◽  
Conservative Treatment ◽  
Internal Fixation ◽  
Comparative Studies ◽  
Closed Reduction ◽  
Treatment Options ◽  
Clinical Results ◽  
Threshold Values ◽  
Angulated Neck ◽  
Angular Deformities

Cadaveric studies suggest that the acceptable deformity in fifth metacarpal neck fractures is maximally 30° palmar angulation. This systematic review verifies the validity of these threshold values. Eighteen prospective comparative studies on operative and/or conservative treatment options in adults were included. None of the studies demonstrated any correlation between the residual or initial angulation and the clinical results despite accepting more severe angular deformities. Closed reduction and immobilization without internal fixation improved the palmar angle by 5° to 9° in three studies and 29° in a fourth. Operative treatments compared with non-reducing conservative treatments showed no benefit of the surgery other than aesthetic issues. The synthesis of this review indicates that 90% of fractures of the metacarpal neck with apex angulation up to 70° can be treated successfully with a functional metacarpal brace without reduction. Disability of the Arm, Shoulder and Hand questionnaire scores <10 are uniformly reported. I modified my own practice accordingly a decade ago to treating these fractures conservatively regardless of the palmar angulation, except in patients with exceptional demands or other fracture deformities.

scholarly journals Akut és szubakut klinikai állapotok radiológiai intervenciója: fókuszban a nem vascularis intervenciók és a haemoptysis kezelése

2015 ◽  
Vol 156 (17) ◽  
pp. 687-695
Author(s):  
Balázs Nemes ◽  
Attila Doros
Keyword(s):  
Interventional Radiology ◽  
Treatment Options ◽  
Medical Problems ◽  
High Quality ◽  
Structured Education ◽  
Trained Personnel ◽  
Fluid Collections ◽  
Multidisciplinary Teamwork

Interventional radiology provides fast, straightforward and tolerable solutions for many medical problems including acute and subacute situations. Aspiration and drainage of fluid collections, biliary and endourologic interventions and gastrointestinal interventions are parts of non-vascular interventions. In addition, the authors discuss in detail interventional radiological treatment options in patients with hemoptysis. In acute cases interventions must be performed within 12–24 hours. For background, an everyday 24 hours service should be provided with well-trained personnel, high quality equipment and devices, and a reasonable financial reimbursement should be included, too. Multidisciplinary teamwork, consultations, consensus in indications and structured education should make these centers function most effectively. Orv. Hetil., 2015, 156(17), 687–695.

scholarly journals Health on the Net: Do Website Searches Return Reliable Health Information on Hemorrhoids and Their Treatment?

2017 ◽  
Vol 102 (5-6) ◽  
pp. 216-221 ◽  
Author(s):  
Matthew W. Ng ◽  
Riley Smith ◽  
Nilmini Wickramesinghe ◽  
Philip J. Smart ◽  
Nathan Lawrentschuk
Keyword(s):  
Health Information ◽  
Web Search ◽  
Search Algorithm ◽  
Treatment Options ◽  
World Health ◽  
The Internet ◽  
Quality Information ◽  
High Quality ◽  
High Quality Information ◽  
Google Search

Objective: To analyze the quality of health information on the Internet on hemorrhoids across 5 Western languages and perform a comparative analysis of website sponsors. Summary of background data: Hemorrhoids are a common condition affecting the hemorrhoid cushions of the anal canal. Many treatment options are available. Information on the Internet on hemorrhoids is considered variable, but there is little data analysis to support this. The World Health Organization's Health On the Net (HON) accredits medical and health websites based on a code of conduct and publishes a toolbar that aids identification of such accredited websites. Methods: Using the Google search engine (http://www.google.com, Google, Mountain View, California), searches were performed using 11 keywords related to hemorrhoids in English, French, German, Italian, and Spanish. Health On the Net accreditation was determined to assess quality website information. The first 150 websites in each language had their adherence to the HON principles analyzed, and English websites were analyzed to determine sponsorship source. Results: Of the 8250 websites analysed, 586 (7.1%) were found to HON-accredited. The rate of HON accreditation ranged from 2.0% (piles) to 10.0% (hemorrhoids), with higher-ranking results having higher rates of HON accreditation (P &lt; 0.001). Conclusion: There is a paucity of high-quality information on the Internet; however, the Google search algorithm prioritizes high-quality information in its web search results.

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