Action Steps Research Articles

What Is It Like to Sound Like a Bot?

This article proposes that the rise of GPT technology presents an opportunity to initiate meaningful discussions in the postsecondary classroom about the connections between writing, language, and personal autonomy. Partly grounded on predictive text, GPT-produced language is often recognizable by its blandness and its proneness to the predictable turn of phrase—qualities that postsecondary students (among others!) often struggle to overcome in their own work. George Orwell famously described relying on cliché as akin to turning oneself into a machine. The analogy arises from the lack of relationality in cliché-riddled writing, a quality similarly found in AI-generated text. Rhetoric and composition theory provides insights into the relational nature of written discourse and, equally, into the places where GPT technology falls short of the profoundly intersubjective and interpersonal elements underlying written communication. Foregrounding these findings in class discussions of GPT tools is a central task in training students to engage critically with such tools. Assignments inviting students to contextualize themselves as writers—linguistically, culturally, discursively—represent an actionable step to help students identify the relational and interpersonal contexts to which GPT output cannot attend.

Building global public administration knowledge: Leveraging the power of collaboration

AbstractPublic administration has been seeking to develop a global knowledge base, dating back to the early days of the field. Despite expressed interest in building such a knowledge base, scholars continue to criticize overly narrowly public administration knowledge, which tends to favor developed countries and the Global North. This article applies principles from collaboration theory, which was developed for solving complex problems, to set a course for intentionally broadening the geographic scope and perceived validity of public administration theory. Five interconnected variables from collaboration theory are used to assess how members of the public administration epistemic community can build and facilitate collaboration to develop global public administration knowledge. Specific action steps are discussed to increase collaboration and, in turn, the inclusiveness of the global public administration knowledge base.

Aligning Prevention Evidence Gaps With Prevention Research

This Viewpoint describes the development of tools to communicate actionable steps to address research needs and gaps for USPSTF recommendations that have insufficient evidence to make definitive guidance.

Abstract 17944: Process Mapping Care of Patients With Lower Extremity Wounds Due to Chronic Limb Threatening Ischemia

Background: The care experience for patients with wounds due to chronic limb threatening ischemia (CLTI) is rarely understood. Quality improvement programs frequently fail to recognize the entire process involved in accessing care. We developed a process map for stakeholders to guide quality improvement for CLTI patients. Methods: We recruited a team of stakeholders, including nurses, providers, coordinators, and patients, and met through iterative meetings to create a process map. We categorized barriers, identified actors, and estimated wait times. Based on information gathered, targeted solutions to improve care were developed. Results: We mapped 2 pathways, inpatient hospitalization and outpatient evaluation, for CLTI patients seeking care. Within these 2 paths, we identified 25 action steps with 15 decision points. We identified a total of 105 barriers to patients accessing care in each pathway. These were mapped into 9 categories grouped into multiple patient factors, health systems resources, insurance, communications, and waiting. We also identified 40 actors whose role in the process could create barriers within the process, including family, translators, social services, insurance. Finally, we grouped solutions into 4 categories. Overall, the shortest time to treatment was mapped as 8 weeks with expedited care to over 1 year with care provided solely in clinic. Conclusion: Process mapping highlights the great lengths patients endure to get treatment as well as specific opportunities for improving care between systems, providers, patients, and families. This work should serve as the foundation for quality improvement programs for patients with CLTI.

Examining the Director of Nursing Role in Long-Term Care: An Integrative Review

Aim. To identify and examine the structures and processes that support the director of nursing role in long-term care homes. Background. The director of nursing in long-term care homes is central to overseeing and supporting the workforce and delivery of safe, quality resident care. With ongoing health human resource challenges and an aging population requiring care from long-term care homes, it is important to understand what individual and organizational factors support the director of nursing leadership in these settings. Evaluation. This review was guided by Cooper’s five stages of the integrative review process. Donabedian’s structure-process-outcome framework was applied to synthesize the literature. Key Issue(s). Five individual-level structures (years of experience, level of education, demonstrated leadership capabilities, completed certification and/or established linkages with a professional association, and completed continuing education); three organizational-level structures (physical presence of leadership across the organization, a clear job description, and salary); and four processes (nursing home administrators and the director of nursing relationship, availability of onsite continuing education opportunities targeting directors of nursing and support for continuing education, cultivating relationships and enhancing networks beyond the long-term care home, and orientation to the role) were identified across 11 articles to support the director of nursing role in long-term care homes. Conclusion(s). The findings indicate that there are individual characteristics that support the director of nursing in their role. Notably, there are organizational structures and processes that can be modified at the practice and policy level to better recruit, retain, and support the performance of directors of nursing. Implications for Nursing Management. There are actionable steps that leaders and decision-makers can take to support nursing leadership across long-term care homes and directly address health human resource challenges.

Training Psychology and Psychiatry Diversity Dialogue Facilitators.

This article describes a Diversity Dialogue Facilitator Training Program for Trainees, an innovative project that prepares psychology and psychiatry learners to facilitate diversity dialogues with healthcare professionals (i.e., clinical and research faculty, staff, and learners) in academic healthcare settings. Through participating in this program, trainees learn to facilitate discussions in which participants reflect upon oppression, discrimination, and disparities; explore their biases; connect and exchange views with colleagues regarding challenging societal events; and delineate action steps for advancing equity, inclusion, social responsivity, and justice in their professional and personal lives. After outlining contextual factors that informed project development, implementation, and dissemination, the iterative process of creating and implementing the training curriculum is detailed, with the aim of offering a model for other academic health center-based training programs interested in establishing a similar initiative. Lessons learned also are shared with the hope of contributing to future efforts to advance training in diversity dialogue facilitation and expand the role of psychologists in medical settings.

Pediatric nurse practitioner workforce shortage threatens child health equity: Key contributors and recommendations.

The pediatric nurse practitioner (PNP) workforce shortage has begun to limit access to providers participating in Medicaid and/or the Children's Health Insurance Program, threatening child health equity in the United States. The following are key contributors: an emphasis on adult-focused NP programs and subsequent reduction in undergraduate pediatric content, common practice of student advisement to choose family NP programs, decreased PNP student enrollment leading to nonurban pediatric program closures, an acute shortage of PNP preceptors, and invisibility of the PNP workforce in national workforce data and strategic planning. We outline feasible action steps that nurses, NPs, educators, physicians, and policymakers can take to support PNP workforce growth to advance child health equity in the United States.

14 Changes in Service Delivery Models for Children with Neurodevelopmental Disorders During the Covid-19 Pandemic

Objective:With the onset of the COVID-19 pandemic, many families face barriers in accessing critical services for their children. However, there is a disproportionate impact on families of children with Neurodevelopmental Disorders (NDDs), particularly those who are dependant on receiving regular services. The current study investigated how service delivery has changed for children and families with NDDs during the COVID-19 pandemic, to identify which groups are most at risk for service disruption and negative outcomes, and to provide actionable recommendations for community agencies that provide early interventions for future pandemics.Participants and Methods:Data was collected in the fall and winter of 2020/2021 during the Covid-19 pandemic. Families were recruited from a local service provider in British Columbia whose Early Years Support services delivery model was changed to online delivery during the pandemic. Children had a diagnosis of NDD or were on the waitlist for an assessment. Overall, 26 families participated in a semi-structured interview that asked about their experiences of receiving services for their children during the pandemic. Of these families, 20 subsequently completed online questionnaires that asked about their parenting stress levels and their children’s behaviour throughout the pandemic. Families of a range of compositions were drawn from different ethnicities (30% white, 25% South Asian, 20% Filipino, and the remaining 5% identified as Indigenous, African or East Asian). The mean age of children was 3.80 years (SD =0.72).Results:From the survey, we found that 58% of parents reported higher than average levels of mental health and behavioural challenges in their children during the Covid-19 pandemic. In addition, 45% of parents reported higher than average parenting stress levels. Qualitative interview data indicated that most parents reported positive experiences with receiving services during the Covid-19 pandemic and reported feeling supported even with social distancing measures. However, families also reported increased stress levels and isolation, particularly those who have children with Autism Spectrum Disorder, who rely on early funding (06 years) and early services. One of the themes that emerged from parents who were on the waitlist to receive an assessment was that wait times around assessments were very long, which contributed to parent stress levels. Parents also reported concerns around wait times to access services and difficulty of accessing online services due to internet and connection issues.Conclusions:The current study identified central themes of stressors and barriers experienced by families and children with NDDs in service delivery. Overall, parents reported satisfaction in changes in service delivery in most ways; however, they also reported stresses and barriers that included wait times, increased isolation, and accessing online services. Actionable steps to reduce family stress include better communication between service providers and families for wait times, and more variability in appointment times. Specific recommendations for current and future pandemics will be expanded on in the poster.

The use of outcome data in patient consultations from the healthcare professionals’ and patients’ perspectives: A mixed methods study

ObjectivesTo gain insight into healthcare professionals’ (HCPs’) perspectives on the use of outcome data in consultations and to understand which aggregated outcomes patients find important. MethodsThis study had a mixed-methods design and consisted of two steps:1.HCPs (n = 11) were interviewed about the use of outcome data in consultations. Thematic analysis was used for data analysis.2.Patients with prostate cancer, lung cancer, and inflammatory bowel disease (IBD) completed questionnaires (n = 283) to identify important outcomes. Descriptive statistics were used for data analysis. ResultsHCPs indicated that aggregated outcome data are not routinely used in consultations. They pointed out various barriers to using outcome data, e.g., low response rates of PROMs, and suggested actions to address these barriers, including training of HCPs in outcome data usage. Patients rated the majority of aggregated outcomes as important, although preferences differed between the studied health conditions. ConclusionBoth HCPs and patients underscored the importance of discussing outcome data in consultations. Nevertheless, HCPs encountered several barriers to using outcome data. Furthermore, patients with different health conditions have somewhat different information needs. Practice implicationsThe study identified several actionable steps to enhance the collection and application of outcome data in consultations.

A personal reflection on challenges facing music therapy education, training and clinical practice

Music used in connection with health and wellness is not a new concept. Music therapy is one discipline that uses music and has developed at various speeds internationally. Since the day I first learned about music therapy I have been advocating further understanding of the discipline, and for its inclusion in multiple contexts. I situate myself in the paper with the start of my own journey into music therapy and provide a short personal reflective overview of three overarching issues I see impacting education, training, and clinical practice of music therapy and its continued development. The World Federation of Music Therapy and the International Association for Music and Medicine will be briefly described with respect to their impact as two large international organizations seeking to advance music therapy and music medicine in healthcare. The essay is offered as an opportunity for educators, practitioners, and researchers to consider and reflect on the factors they see impacting our profession to work towards advancing music therapy and actioning the challenges facing the discipline. Some action steps are offered such as ensuring ethical practice, continuing advocacy efforts, increasing opportunities and avenues of knowledge translation, and developing collaborations. It is hoped that reflecting on these experiences will further dialogue to advance different, non-Western perspectives of music therapy, and to learn how to honor multiple ways of supporting therapeutic music and healing experiences without centering Western approaches or perspectives.

Encompassing potential preventive controls using GFSI, USDA National Organic Program, FSMA Preventive Controls for Human Food and FSMA Intentional Adulteration in ready-to-eat organic leafy green salad: A case study from Thailand

This qualitative research work continues from the previous research of Surareungchai S. et al. (2021 and 2022) Simplify product safety and quality risk analysis of raw materials for conventional, soilless culture and organic salads. The previous work focused on raw materials risk assessment and risk management for conventional, soilless culture and organic salads. This current work focuses on the complete processing of ready-to-eat organic leafy green salad from receiving until delivery, to develop practical guidance of product safety, product fraud and product quality issue risk analysis and produce preventive control plans by covering overall product integrity (product safety, product quality and product authenticity (non-fraudulent product or product fraud avoidance) together with product legality) as Global Food Safety Initiative (e.g. BRCGS Food Safety, International Featured Standard for Food, Safe Quality Food and Food Safety System Certification), USDA National Organic Program, FSMA Preventive Controls for Human Food and FSMA Intentional Adulteration Final Rule. The case study run in this research was a Thai volunteer ready-to-eat organic leafy green fresh cut multi-standard implementing small enterprise production scale validation and verification phase using the previous practical fruit and vegetable 4 × 4 risk matrix model, 4 × 4 fraud risk matrix model and 4 × 4 quality issue risk matrix model. The result showed that the previous risk matrix models can be used for fruit and vegetable raw materials. Some severity scores can be applied to other input materials apart from the fruit and vegetable group. Occurrence scores from the previous models were changed to be useable with other input materials and during in-processing steps, corresponding to lower score ranking scales from the risk matrix models. And preventive control plans were represented as critical control point, critical quality point, critical organic point and actionable process step by considering process, allergen, sanitation, supply chain and other controls e.g., organic product fraud or food defense preventive measures. The results show that the single format of risk assessment and preventive control plan from this work, can be helpful to entrepreneurs for multi-standard implementing for overall product integrity (product safety, product quality, and product authenticity (non-fraudulent product or product fraud avoidance) control.

Filling the evidence void: exploration of coach and healthcare provider experiences working with pregnant and postpartum elite athletes – a qualitative study

ObjectiveRecent research grounded in the experiences of elite female athletes has shed light on the complex challenges of navigating sport environments that do not support or value pregnant or postpartum...

Youth, Communication & Climate: A Pluridisciplinary Analysis of Distancing Strategies in Response to Climate Change among Belgian Youth

Our paper investigates Belgian young peoples’ discussions about climate change, specifically how they distance themselves from various dimensions related to climate issues. The study includes a pluridisciplinary analysis combining sociological, linguistic and semiotic approaches to process textual data collected in 2022 from six focus groups organised within local youth associations. This study focuses on 33 socially and economically diverse young people who joined a youth club. The paper explores the strategies employed by the respondents to distance themselves from climate change issues. It sheds light on various aspects related to climate distancing: How young people embody their vision of climate change through voice-switching, how societal norms and beliefs influence them, how they perceive the global impact of the changes, and how education plays a role in the issue of climate change. The study highlights the barriers, paradoxes and conflicts that hinder young people’s active involvement in addressing climate change. It goes on to propose a set of recommendations aimed at transforming these barriers into actionable steps that can drive positive change. By identifying and addressing the contributing factors to climate distancing, this research offers potential pathways for empowering young people to become more engaged in the fight against climate change.

Analyses of actions which cause anterior cruciate ligament injuries in the national basketball association players: YouTube-based video analyses

BackgroundAnterior cruciate ligament (ACL) injuries are among the most common injuries in the National Basketball Association (NBA), and it is important to investigate the actual nature of the injury because it can impair a player’s performance after returning to the game. Although the moment of injury has been investigated, the details of the movements and circumstances leading to injury in basketball games are unknown. This study aimed to clarify the actions leading to ACL injuries and to investigate their characteristics, based on YouTube video analyses of the NBA players.MethodsPlayers with ACL injuries in the NBA were identified through web-based research over 10 seasons (2011/2012–2021/2022, through October 2021), with 29 recorded videos of ACL injuries in the NBA. Actions were categorized based on basketball-specific gestures, and determined whether the player was in contact with an opponent or not and, if so, the location of the contact was analyzed focusing on two time points: at the injury frame (IF) and one step before the injury frame (IF-1). The “injury leg” timing was counted for each of the first and second steps after ball possession.ResultsThe majority (68.2%) of ACL injury occurred during the 2 steps phase (only two steps can proceed after ball retention in basketball, so we defined them as two steps) in the offense action, and most notably during the first step (80.0%). 73.3% of players who were injured during the 2 steps phase got contact to an area other than the knee (Indirect contact) at the IF-1, with 81.8% of contact being located in the upper body contralateral to the respective knee injury. The probability of players with ACL injuries during the 2 steps at the IF-1 who got Indirect contact was statistically significantly greater than those who got no contact with other players (p = 0.042).ConclusionsWe argue that including pre-injury play and contact falls into the novelty category. Through YouTube-based video analyses, this study revealed that ACL injuries tend to be characterized by specific types of actions, the timing of contact, and the location of contact in NBA players.

Addressing the challenges and leveraging the opportunities of automation and robotics technologies adoption in agriculture: The case of Ontario, Canada

This paper seeks to advance understanding of the barriers that constrain and the drivers that promote the adoption of automation and robotics in agriculture. The paper focuses on Ontario, Canada, as the case study. The choice of the province is informed by the fact that it is generally considered one of Canada's leading agriculture powerhouses. The paper employed a mixed-methods approach consisting of survey questionnaires and in-depth focus group discussions. The article sheds light on the complex and context-specific factors determining farmers’ adoption of automation and robotics technology. Principally, adopters and non-adopters of automation robotics technology agree that government has a critical role in accelerating the adoption of automation and robotics technology. More importantly, the paper spells out the various facets of that role and the contexts within which they can be most effective and impactful. The discussion explores the significance of the results in relation to the relevant extant literature and highlights the key implications of our findings for future policy and practice. It also offers some solutions in the form of policy recommendations and suggested action steps for removing barriers and exploiting opportunities associated with adopting technology. While empirically focusing on Ontario, the findings and analysis have implications for all of Canada and other industrialized countries .

Experiences With and Access to Evidence-Based Health Promotion Programs for Older American Indian, Alaska Native, and Native Hawaiian Peoples.

Evidence-based programs (EBPs) work effectively for participants whose characteristics match those of the EBP research participants. However, EBPs have been almost exclusively developed and evaluated for the general U.S. population with limited American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) community engagement. Thus, an AI/AN/NH Evidence-Based Program Advisory Council sought to identify AI/AN/NH peoples' experiences with and access to EBPs. We held 20 listening sessions with AI/AN/NH Elder services program staff (n = 118) and with AI/AN/NH Elders (n = 82) and conducted a self-administered online survey with Title VI Directors (n = 63). The six themes that emerged from the listening sessions with staff included misunderstanding community engagement, valuing fidelity over flexibility, lack of cultural awareness, assumptions about available infrastructure, unrealistic implementation timelines, and funding restrictions. Listening session themes with Elders included definitions of aging well, participation motivators, preferred activities, participation barriers, and unmet needs. Survey data indicated that programming of greatest interest for Elders as identified by Title VI Directors and staff included and/or addressed cultural activities (81%), socialization (75%), diabetes (73%), caregiving (68%), and nutrition (68%). Seventy-six percent of survey respondents had heard of EBPs and 24% indicated that EBPs were not being implemented in their community. The Advisory Council developed specific action steps with the goal of improving AI/AN/NH communities' access to culturally appropriate and feasible EBPs. The steps require collective action from federal agencies, national partners, EBP program developers and administrators, local organizations, and Elders to ensure EBPs are accessible and culturally appropriate for AI/AN/NH Elders.

OR14-04 Musashi-1 Is A Cell-type Specific Regulator Of Type 2 Deiodinase-mediated Thyroid Hormone Activation

Abstract Disclosure: P. Mohacsik: None. E. Halmos: None. Y. Ruska: None. C. Fekete: None. B. Gereben: None. Thyroid hormone (TH) exerts a profound effect on the regulation of energy homeostasis, metabolism, brain development and the determination of cell fate in various tissues. Type 2 deiodinase enzyme (D2) is the crucial regulator of TH activation by converting the prohormone thyroxine to T3 that can bind the TH receptor. This represents a fundamental step of cell-type specific TH action. D2 regulation is tightly controlled at various molecular levels to allow quick adaptation of TH action to specific challenges. Within the brain, D2 is expressed in hypothalamic tanycytes that play a crucial role in the regulation of the hypothalamo-pituitary-thyroid (HPT) axis and in astrocytes of extrahypothalamic brain regions. Under changing TH economy, D2 activity undergoes homeostatic alteration in astrocytes while remains largely unaffected in hypothalamic tanycytes. Our aim was to identify regulators that could underlie this phenomenon as a cell-type specific regulator of D2-dependent TH action. Musashi (Msi)-1 is a highly conserved RNA-binding protein that regulates cell cycle and play a crucial role during brain development. We found, that Msi-1 was co-expressed with D2 both in hypothalamic tanycytes and cortical astrocytes in mice and T3 treatment (24h T3 1µg/bwg, i.p.) increased Msi-1 protein level in both cell types indicating its TH-dependent regulation. Then we identified multiple potential Msi-1 binding sites in the extremely long 3’UTR both of the human, mouse, rat and chicken D2 mRNA and used RNA electromobility shift assay that revealed direct binding of Msi-1 to the 3’UTR of the D2 mRNA. Studies on the impact of Msi-1 level on D2 activity showed, that Msi-1 overexpression decreased D2 activity in HEK293 cells while this effect was abolished by the deletion of a 3 kb region of the 3’UTR of D2 containing the Msi-1 binding sites. Furthermore, Msi-1 knock down by shRNA in H4 glioma cells increased endogenous D2 activity. A mouse model, lacking Msi-1 protein exclusively in the brain and pituitary, showed increased D2 activity in the cortex accompanied with a slightly decreased serum fT4 and decreased liver dio1 expression. Increased cortical D2 activity was not a consequence of the mildly hypothyroid periphery since cortical expression of dio3, the T3-regulated T3-degrading enzyme remained unchanged along with enpp2, another T3-regulated gene. In contrast, D2 activity remained unchanged in hypothalamic tanycytes. Our results identify Msi-1 as a TH-dependent cell-type specific regulator of D2 activity in the mouse brain that acts via direct binding to the 3’UTR of the D2 mRNA. In summary, Msi-1 regulates D2 activity cell type specifically and may contribute to the homeostatic regulation of cortical D2 while at the same time allows TH-resistant D2 function in tanycytes that is required by proper HPT function. Presentation: Friday, June 16, 2023

Decision making in clinical trials: Interim analyses, innovative design, and biomarkers.

The efficient and accurate execution of clinical trials testing novel treatments for Alzheimer's disease (AD) is a critical component of the field's collective efforts to develop effective disease-modifying treatments for AD. The lengthy and heterogeneous nature of clinical progression in AD contributes to the challenges inherent in demonstrating a clinically meaningful benefit of any potential new AD therapy. The failure of many large and expensive clinical trials to date has prompted a focus on optimizing all aspects of decision making, to not only expedite the development of new treatments, but also maximize the value of the information that each clinical trial yields, so that all future clinical trials (including those that are negative) will contribute toward advancing the field. To address this important topic the Alzheimer's Association Research Roundtable convened December 1-2, 2020. The goals focused around identifying new directions and actionable steps to enhance clinical trial decision making in planned future studies.

THE ROLE OF SUSTAINABLE TOURISM IN THE DEVELOPMENT OF THE REGIONAL ECONOMY

The subject of sustainable tourism is being increasingly discussed in recent years because there is a growing recognition of the intricate connection between the environment and the economy. It is crucial to integrate these two components in order to establish a foundation for long-term development that has a positive impact on society as a whole. The tourism industry is experiencing a paradigm shift and this presents challenges that need to be addressed by the relevant authorities and economic stakeholders. It is imperative to guide the industry towards sustainable development in order to tackle these challenges. Based on these findings, our research aims to emphasize the role of tourism in regional development, as well as to measure the impact of intensive and extensive tourism on environmental factors. This will be done through the use of qualitative and quantitative indicators, highlighting the fact that environmental damage ultimately hampers economic growth. The results of our research will enable us to propose several actions that should be taken by both developed and less developed regions to enhance tourism activity while respecting the environment. In conclusion, sustainable tourism is an important topic that requires attention due to the intertwined relationship between the environment and the economy. The tourism industry is undergoing changes that necessitate the implementation of sustainable practices. Our research will analyze the role of tourism in regional development and assess its impact on the environment. These findings will then be used to formulate actionable steps to promote tourism while protecting the environment.

Evaluating the Quality, Readability, and Activity of Online Information on Brain Arteriovenous Malformations.

Introduction Brain arteriovenous malformations (AVMs) are vascular deformities created by improper connections between arteries and veins, most commonly in the brain and spinal cord. The management is complex and patient-dependent; further understanding of patient education activities is imperative. Internet access has become more ubiquitous, allowing patients to utilize a large database of medical information online. Using Google Trends (GT) (Google LLC, Mountain View, CA, USA), one can see the public interest in a particular topic over time. Further, when presented with numerous search results, patients may not be able to identify the highest-yielding resources, making objective measures of information quality and readability imperative. Methods A GT analysis was conducted for "hereditary hemorrhagic telangiectasia," "cerebral aneurysm," and "arteriovenous malformation".These relative search volumes (RSV) were compared with the2017 to 2019 annual USA AVM diagnosis quantityfor correlation. These RSVs were also compared with the2017 to 2019 annual USA deaths due to cerebral hemorrhagic conditions.One search was conducted for "brain arteriovenous malformation". Since most users looking for health information online use only the first page of sources, the quality and readability analyses were limited to the first page of results on Google search. Five quality tools and six readability formulas were used. Results Pearson's correlation coefficients showed positive correlations between USA AVM RSVs and annual AVM deaths per capita from 2017 to 2019 (R2=0.932). The AVM annual diagnosis quantity and AVM RSVs showed a strong positive correlation as well (R2=0.998). Hereditaryhemorrhagic telangiectasiaand cerebral aneurysms had strong positive correlations between their RSVs and their corresponding annual diagnoses in the 2017 to 2019 time period (R2=0.982, R2=0.709). One-way ANOVA, for USA's 2004 to 2021 AVM RSVs and 2004 to 2019 deaths per capita, displayed no month-specific statistically significant repeating pattern (all p>0.483). The DISCERN tool had four websites that qualified as "poor" and five as "good." The average score for the tool was "good." The Journal of the American Medical Association (JAMA) benchmark scores were very low on average, as four websites achieved zero points. There was a wide variance in the currency, relevance, authority, accuracy, and purpose (CRAAP) scores, indicating an inconsistent level of webpage reliability across results. The patient education materials assessment tool (PEMAT) understandability (86.6%) showed much higher scores than the PEMAT actionability (54.6%). No readability score averaged at or below the American Medical Association (AMA)-recommended sixth-grade reading level. Conclusion These GT correlations may be due to patients and families with new diagnoses researching those same conditions online. The seasonality results reflect that no prior research has detected seasonality for AVM diagnosis or presentation. The quality study showed a wide variance in website ethics, treatment information quality, website/author qualifications, and actionable next steps regarding AVMs. Overall, this study showed that patients are routinely attempting to access information regarding these intracranial conditions, but the information available, specifically regarding AVMs, is not routinely reliable and the reading level required to understand them is too high.