Content Quality Research Articles

Evaluating the web as a source of information for patients with chest wall deformities: insights into engagement and disparities.

Recent data highlight the internet's pivotal role as the primary information source for patients. In this study, we emulate a patient's/caregiver's quest for online information concerning chest deformities and assess the quality of available information. We conducted an internet search using combination of the terms "pectus excavatum," "pectus excavatum surgery," "funnel chest," "pectus excavatum repair" and identified the first 100 relevant websites from the three most popular search engines: Google, Yahoo, and Bing. These websites were evaluated using the modified Ensuring Quality Information for Patients (EQIP) instrument. Of the 300 websites generated, 140 (46.7%) were included in our evaluation after elimination of duplicates, non-English websites, and those targeting medical professionals. The EQIP scores in the final sample ranged from 8 to 32/36, with a median score of 22. Most of the evaluated websites (32.8%) originated from hospitals, yet none met all 36 EQIP criteria. None of the evaluated websites pertaining to pectus excavatum achieved a flawless "content quality" score. The diverse array of websites potentially complicates patients' efforts to navigate toward high-quality resources. Barriers in accessing high-quality online patient information may contribute to disparities in referral, patient engagement, treatment satisfaction, and overall quality of life. IV.

Students attitudes on STACK content: A pilot study at the university of Trieste, Italy

Background: Online examinations are increasingly prevalent in educational settings, offering innovative assessment methods. Understanding student perceptions and experiences with such systems is essential for enhancing their effectiveness and acceptance in educational practice.Aims: This pilot study aimed to examine the impact of STACK-based online exams on various facets such as student comfort, perceived value for learning and exam preparation, preferences between pen-and-paper versus STACK formats, confidence in online math tests, readiness to adopt online assessment platforms, and overall perspectives on online evaluations.Method: An experimental within-subjects design and convenience sampling were used to involve 117 first-year biology students enrolled in a Probability and Statistics course, who were already familiar with the STACK system. Data were collected using pre- and post-exam online surveys featuring five-point Likert scale questions and an open-ended query.Results: The findings indicate that students felt more comfortable using the STACK system after the study and preferred it over traditional exams. Nevertheless, some students expressed uncertainty about using STACK content for final exams due to concerns about its effectiveness in evaluating critical thinking and potential technical difficulties. However, concerns regarding technical challenges decreased significantly post-exam, with no technical issues reported during the exam. Positive feedback highlighted STACK's benefits for formative assessment, easier learning, immediate feedback, and its practicality and innovation. Some students even suggested incorporating STACK into final exams for convenience and advocated for further investment in the STACK system, possibly with improved content. Conclusion: In summary, students preferred using STACK for exams, though concerns about technical glitches and the need to refine content for assessing critical thinking persist. Future efforts should focus on enhancing content quality, starting this summer.

The drivers of sharing willingness regarding sustainable fashion brand image based on commitment theory

PurposeSustainability is considered a core trend in the development of the fashion industry. Clarifying the driving factors of consumers’ sharing willingness regarding sustainable image from the perspective of psychology can help fashion brands implement sustainable management and deepen industrial sustainable development.Design/methodology/approachBased on commitment theory, this paper proposes a conceptual model that includes three antecedents: perception of greenwashing, environmental, social and governance (ESG) and social media content quality. These affect consumers’ sharing willingness regarding sustainable image through affective commitment, continuance commitment and normative commitment. Furthermore, 310 participants reported their tendencies in a formal empirical study.FindingsThe results show that unlike green perception, which has a significant negative effect, consumers have a significant positive commitment to high perceived levels of ESG and social media content quality. Besides, all three dimensions under the commitment theory play a partial mediating role between consumer perception and sharing willingness.Originality/valueThis study not only extends the research on the commitment theory to the field of fashion marketing and management but also enriches the research context of brand image sharing willingness, which explains the differential effects of different consumer commitments on their information sharing willingness. Moreover, several management implications applicable to the fashion industry have also been proposed based on the conclusion.

Exploration of TIK TOK's Contribution to the Communication of Huangmei Opera: An Analysis Based on the 5W Model

This study discusses the communication and inheritance of Huangmei Opera on TikTok. Adopting the 5W model comprehensively analyses five aspects: communication subject, content, object, medium, and effect. Huangmei opera, as a part of Chinese traditional opera, faces the challenge of a shrinking audience and market. However, TIK TOK, as a short video platform with wide influence, provides new opportunities for the dissemination of Huangmei opera.The study shows that vloggers at different levels play an important role on TIK TOK, especially high-influence professional actors and theatre troupes, who have effectively promoted Huangmei Opera by leveraging their large fan bases and high-quality content. Medium- to low-impact and emerging vloggers have also attracted a large number of viewers to Huangmei Opera through their diverse and interactive content. The findings show a significant positive correlation between viewers' interactive behaviours (e.g., liking, commenting, sharing) and viewing duration, suggesting that improving content quality and viewer engagement is crucial for communication effectiveness.This paper also explores the features of the TIK TOK, such as fragmented communication, interactive communication, precise pushing and community effect, which help Huangmei opera expand its influence among young audiences. Despite challenges such as differences in content quality and the short attention span of young audiences, the communication effect of Huangmei Opera on TikTok has been significantly improved through cooperation and innovation. The research in this paper provides new perspectives and practical suggestions for the communication strategy of Huangmei Opera in the digital era and further enriches the modern communication path of traditional art.

A comparative study of English and Japanese ChatGPT responses to anaesthesia-related medical questions

PurposeThe expansion of artificial intelligence (AI) within large language models (LLMs) has the potential to streamline healthcare delivery. Despite the increased use of LLMs, disparities in their performance particularly in different languages, remain underexplored. This study examines the quality of ChatGPT responses in English and Japanese, specifically to questions related to anaesthesiology. MethodAnaesthesiologists proficient in both languages were recruited as experts in this study. Ten Frequently asked Questions (FAQs) in anaesthesia were selected and translated for evaluation. Three non-sequential responses from ChatGPT were assessed for content quality (accuracy, comprehensiveness, and safety) and communication quality (understanding, empathy/tone, and ethics) by expert evaluators. ResultEight anaesthesiologists evaluated English and Japanese LLMs responses. The overall quality for all questions combined, was higher in the English responses compared to Japanese responses. Content and communication quality were significantly higher in the English compared to Japanese LLMs responses (both p<0.001) in all three responses. Comprehensiveness, safety and understanding were higher scores in English LLMs responses. In all 3 responses, more than half of evaluators marked overall English responses were better than Japanese response. ConclusionEnglish LLMs responses to anaesthesia related FAQs were superior in quality to Japanese responses when assessed by bilingual anaesthesia experts in this report. This study highlights the potential for language-related disparities in healthcare information and the need to improve the quality of AI responses in underrepresented languages. Future studies are needed to explore these disparities in other commonly spoken languages and to compare the performance of different LLMs.

Online video resources pertaining to cerebral palsy: A YouTube-based quality control study.

To assess the content and quality of YouTube videos related to cerebral palsy to provide insights into the online video resources available for individuals affected by cerebral palsy and suggest strategies for improvement. YouTube videos were analyzed based on interaction parameters, content characteristics/category, and video source. Video reliability and quality were assessed using the Journal of American Medical Association benchmark, Global Quality Scale, and cerebral palsy-specific score. Statistical analyses examined associations between video characteristics and reliability/quality scores. The average video (n = 48) length was 6.8 min, with 29 informational and 19 experiential videos. The mean Journal of American Medical Association score was 2.0, indicating moderate reliability. The Global Quality Scale suggested good quality content (average: 3.5), but only 14% were rated as good via cerebral palsy-specific score. Higher views were associated with higher Journal of American Medical Association score and cerebral palsy-specific score (p = 0.002 and p = 0.006), and nonphysician medical expert videos had lower Journal of American Medical Association scores than academic videos (p = 0.042). Video content was not significantly associated with either score. YouTube provides moderate to good quality information on cerebral palsy. Critical evaluation of video sources and content is essential. Findings can guide strategies to enhance the quality of cerebral palsy-related YouTube content, benefiting individuals with cerebral palsy, health care providers, and caregivers.

Analysis of Popular Gastroesophageal Reflux Disease Content on TikTok.

Researchers used the TikTok platform to investigate the quality of select TikTokeducational content regarding gastroesophageal reflux disease (GERD). One hundred TikTok videos that fit the inclusion criteria were analyzed using DISCERN, a tool that evaluates the quality of consumer health information on the internet. There was no substantial difference in DISCERN scores between physicians and non-physician content creators. Nevertheless, both groups consistently scored low (<3) in areas such as providing sources of information, indicating the publication date of their sources, discussing treatment risks, and outlining potential consequences if no treatment is pursued.

YouTube™ Videos as a Source of Information on Necrotizing Gingivitis: A Content-Quality Analysis.

Background This study aimsto evaluate the quality, reliability, and content of the information provided in YouTube™ videos on necrotizing gingivitis (NG), demonstrate the effectiveness of the videos for patients, and help dentists use this platform as a resource to properly guide their patients. Methodology This cross-sectional study was conducted by two experienced periodontologists. They began the study by searching for YouTube™ videos using the keywords "necrotizing gingivitis" and "trench mouth."Descriptive parameters such as the source of upload, country of origin, duration, upload date, number of likes, dislikes, views, and comments were evaluated. After this initial evaluation, the viewing rate and interaction index were calculated. Videos were categorized into high content (HC) and low content (LC) based on a 7-point scale. The quality of video content was assessed using the Global Quality Scale (GQS) and the Video Information and Quality Index (VIQI). The data were analyzed using various statistical tests, with a significance level set at p<0.05. Results Initially, 148 videos were screened, and 50 videos on NG that met the inclusion criteria were included in the study. Out of the 50 videos, 28 (56%) were uploaded by healthcare professionals. Overall, 68% of videos (n=34) were classified as HCand 32% (n=16) as LC. The most common topic was clinical symptoms and signs of NG, with 86% (n=43), while NG prevention was the least common topic, with 26% (n=13). Statistically significant differences were found between video duration, time since upload, and VIQI scores according to TCS scores (p<0.05). Video duration and VIQI scores were higher for HC videos compared to LC videos. The time since upload for LC videos was higher than for HC videos. Positive correlations were observed between TCS scores, video duration, and VIQI, as well as between GQS scores, video duration, viewing rate, and VIQI. Conclusions The majority of NG videos on YouTube™ are useful and comprehensive, but their number is insufficient. Poor-quality and inadequate videos may mislead practitioners and patients. However, this also presents an opportunity for healthcare professionals to leverage YouTube™ as an educational tool. Periodontologists should upload more comprehensive videos and play a more active role in providing high-quality information.

In-situ growth of MoSe2 on N-doped Ti3C2Tx for electrocatalytic hydrogen evolution in alkaline media

Abstract Serious environmental contamination and the energy crisis have heightened public desire for new renewable energy sources. Because of its high energy content and non-polluting qualities, hydrogen energy has emerged as a viable alternative to fossil fuels. Currently, high-purity hydrogen is typically produced through water electrolysis. The sensible use of electrocatalysts in this process can significantly minimize power usage in the electrolysis of water, which is of great significance to industrial production. However, the electrocatalyst that is inexpensive, has abundant reserves and performs well has yet to be discovered, severely restricting the promotion and application of hydrogen energy. In this paper, a MoSe2/N-doped Ti3C2TX heterostructure with notable electrocatalytic hydrogen evolution activity in an alkaline environment was fabricated via nitrogen doping and in-situ growth of molybdenum selenide. When the current density is 10 mA·cm-2, its overpotential and Tafel slope are 321.87 mV and 139.97 mV·dec-1, respectively. This work serves as a valuable experimental reference for the development of non-noble metal electrocatalysts based on two-dimensional materials.

The synergistic effects of organic composts and microelements co-application in enhancing potato productivity in saline soils

Soil salinity is a major threat hindering the optimum growth, yield, and nutritional value of potato. The application of organic composts and micronutrients can effectively ameliorate the salinity-deleterious effects on potato growth and productivity. Herein, the combined effect of banana and soybean composts (BCo and SCo) application alongside foliar supplementation of boron (B), selenium (Se), cobalt (Co), and titanium (Ti) were investigated for improving growth, physiology, and agronomical attributes of potato plants grown in saline alluvial soil. Salinity stress significantly reduced biomass accumulation, chlorophyll content, NPK concentrations, yield attributes, and tuber quality, while inducing malondialdehyde and antioxidant enzymes. Co-application of either BCo or SCo with trace elements markedly alleviated salinity-adverse effects on potato growth and productivity. These promotive effects were also associated with a significant reduction in malondialdehyde content and activities of peroxidase and superoxide dismutase enzymes. The co-application of BCo and B/Se was the most effective among other treatments. Principle component analysis and heatmap also highlighted the efficacy of the co-application of organic composts and micronutrients in improving the salinity tolerance of potato plants. In essence, the co-application of BCo with B and Se can be adopted as a promising strategy for enhancing the productivity of potato crops in salt-affected soils.

Enhancing Readability of Online Patient-Facing Content: The Role of AI Chatbots in Improving Cancer Information Accessibility.

Internet-based health education is increasingly vital in patient care. However, the readability of online information often exceeds the average reading level of the US population, limiting accessibility and comprehension. This study investigates the use of chatbot artificial intelligence to improve the readability of cancer-related patient-facing content. We used ChatGPT 4.0 to rewrite content about breast, colon, lung, prostate, and pancreas cancer across 34 websites associated with NCCN Member Institutions. Readability was analyzed using Fry Readability Score, Flesch-Kincaid Grade Level, Gunning Fog Index, and Simple Measure of Gobbledygook. The primary outcome was the mean readability score for the original and artificial intelligence (AI)-generated content. As secondary outcomes, we assessed the accuracy, similarity, and quality using F1 scores, cosine similarity scores, and section 2 of the DISCERN instrument, respectively. The mean readability level across the 34 websites was equivalent to a university freshman level (grade 13±1.5). However, after ChatGPT's intervention, the AI-generated outputs had a mean readability score equivalent to a high school freshman education level (grade 9±0.8). The overall F1 score for the rewritten content was 0.87, the precision score was 0.934, and the recall score was 0.814. Compared with their original counterparts, the AI-rewritten content had a cosine similarity score of 0.915 (95% CI, 0.908-0.922). The improved readability was attributed to simpler words and shorter sentences. The mean DISCERN score of the random sample of AI-generated content was equivalent to "good" (28.5±5), with no significant differences compared with their original counterparts. Our study demonstrates the potential of AI chatbots to improve the readability of patient-facing content while maintaining content quality. The decrease in requisite literacy after AI revision emphasizes the potential of this technology to reduce health care disparities caused by a mismatch between educational resources available to a patient and their health literacy.

Freely available, online videos to support neurological physiotherapists and students in task-specific training skill acquisition: a scoping review

BackgroundVideos to support learning of clinical skills are effective; however, little is known about the scope and educational quality of the content of freely available online videos demonstrating task-specific training (TST). This review aimed to determine the extent, characteristics of freely available online videos, and whether the content is suitable to guide skill acquisition of task-specific training for neurological physiotherapists and students.MethodsA scoping review was conducted. Google video and YouTube were searched in December 2022. Videos that met our eligibility criteria and were explicitly designed for (TST) skill acquisition were included in the report.ResultsTen videos met the inclusion criteria and were difficult to find amongst the range of videos available. Most were presented by physiotherapists or occupational therapists, originated from the USA, featured stroke as the condition of the person being treated, and involved a range of interventions (upper limb, constraint induced movement therapy, balance, bicycling). Most videos were created by universities or private practices and only two used people with a neurological condition as the participant. When the content of videos and their presentation (instruction and/or demonstration), was assessed against each key component of TST (practice structure, specificity, repetition, modification, progression, feedback), five of the videos were rated very suitable and five moderately suitable to guide skill acquisition. Most videos failed to demonstrate and provide instruction on each key component of TST and were missing at least one component, with feedback most frequently omitted.ConclusionsThere are many freely available online videos which could be described as demonstrating TST; very few are suitable to guide skill acquisition. The development of a standardised and validated assessment tool, that is easy to use and assesses the content of TST videos is required to support learners to critically evaluate the educational quality of video content. Guidelines based on sound teaching theory and practice are required to assist creators of online videos to provide suitable resources that meet the learning needs of neurological physiotherapists and students.

Profiling of m6A methylation in porcine intramuscular adipocytes and unravelling PHKG1 represses porcine intramuscular lipid deposition in an m6A-dependent manner

Intramuscular fat (IMF) content is mainly determined by intramuscular preadipocyte adipogenesis. Epigenetic modifications are known to have a regulatory effect on IMF. As N6-methyladenosine (m6A) is the most abundant epigenetic modification in eukaryotic RNAs. In the present study, we used m6A methylation and RNA sequencing (seq) to identify the m6A-modified RNAs associated with the adipogenic differentiation of intramuscular preadipocytes. Among them, the expression and m6A level of phosphorylase kinase subunit G1 (PHKG1) were found to be significantly changed during adipogenesis. Further studies revealed that knockdown of the methylase METTL3 decreased the m6A methylation of PHKG1 and led to a reduction in PHKG1. Moreover, knockdown of PHKG1 promoted adipogenic differentiation by upregulating the expression of adipogenic genes. In addition, we found that the IMF content in the longissimus thoracis (LT) of Bamei (BM) pigs was greater than that in Large White (LW) pigs, whereas the m6A and PHKG1 expression levels were lower in BM pigs. These findings indicate that the m6A level and expression of PHKG1 were significantly correlated with IMF content and meat quality. In conclusion, this study sheds light on the mechanism by which m6A modification regulates IMF deposition.

Research on content analysis and quality evaluation for online reviews of new energy vehicles

The development of China's new energy vehicle industry has been gradually transformed from past policy support to the survival of enterprises determined by the market, which forces the new energy vehicle industry to accelerate towards the market-oriented direction. We collected review data from online automotive forums and generated a corpus after pre-processing. Next, we extracted the statistical and topic semantic features of online reviews for new energy vehicles and clarified the quality evaluation indicators for online reviews. Then, the entropy weight-TOPSIS method was used to determine the indicators’ weights and assign values to the quality of online reviews. Finally, the quality scoring rules of online reviews were sorted out from multidimensional perspectives. The research results have shown that the statistical features and topic semantic features of online reviews on new energy vehicles can be used as evaluation indicators to construct a quality evaluation system. It was also found that the quality scores of lower-priced vehicle reviews tend to be consistent in different price groups, while the quality scores of mid-priced vehicle reviews are the most dispersed. The quality of online reviews varies significantly among other groups or models. The study results provide a simple criterion for consumers’ cognition of the value of online reviews. The results will enhance the ability of new energy vehicle companies to carry out online marketing with the help of online reviews and transform the purchase intention of potential consumers into actual purchase behavior.

Language-Agnostic Modeling of Wikipedia Articles for Content Quality Assessment across Languages

Language-Agnostic Modeling of Wikipedia Articles for Content Quality Assessment across Languages

Design of High-Energy HMX-Based Composite ink and Research on Micro-Detonation Performance

ABSTRACT Using hydroxypropyl methylcellulose (HPMC) aqueous solution and polyethyleneimine (PEI) ethanol solution as the composite bonding system, adding a certain amount of silicone defoamer and toluene diisocyanate (TDI), studied the micro-size charge forming effect of sub-micron Octogen (HMX)-based composite ink under the 3D direct writing printing process and the detonation performance and safety of sub-micron Octogen (HMX) under micro-size charges. The results show that the explosive ink with a solid content (quality score) of 90% has the best rheological properties, excellent printability, and the surface of the molded sample is smooth. The impact energy and friction of the molded sample are 7 J and 324 N, respectively, which are lower than those of the raw material HMX 100% and 237.5%, showing excellent mechanical sensitivity safety performance. In addition, XRD and FTIR show that the HMX crystal form in the composite ink remains β-type, the measured density of the molded sample is 1.432 g·cm−1, the detonation velocity is 6982 m·s−1, and the critical detonation size is 1 × 0.0771 mm, showing excellent microchannel detonation performance.

Innovate plant-based burger patties using defatted sesame cake flour, chickpea flour, coffee silver skin and pomegranate juice as natural colorant: effects on nutritional and acceptability aspect

PurposeThis study aims to evaluate the nutrient content and acceptable qualities of plant-based burger patties (PBBP) formulated with chickpea flour, defatted sesame cake (DSC) flour, coffee silver skin and pomegranate juice as colorant.Design/methodology/approachThe chemical composition, energy value, cholesterol content, amino acid composition, cooking loss, pH, color characteristics and sensory attributes of PBBP were analyzed using official procedures and compared to beef burger. FindingsPBBP had a protein value of 16.0 g/100g, which is nearly close to the protein content of the beef burger (18.1 g/100g). The fat content of the PBBP was approximately three times lower than that of the beef burger. The fiber content in PBBP was approximately 23 times as high as that in beef burgers samples (p = 0.05). The raw PBBP samples supplies 178 Kcal/100g, whereas beef burger possessed 259 Kcal/100g. Neither the raw nor the cooked PBBP samples contained any cholesterol. Both the beef and PBBP displayed acceptability scores higher than 7.0, which suggests that PBBP was well accepted.Originality/valueIt is concluded that the PBBP sample exhibited a protein value of 16.0 g/100g, which is comparable to the protein level of beef burgers (18.1 g/100g). The fat level of the PBBP samples was significantly lower than that of the beef burger samples. Uncooked PBBP samples contained significantly higher fiber content compared to beef burger samples. No cholesterol was found in raw or cooked PBBP samples. Overall acceptance scores for both beef and PBBP samples exceeded 7.0, suggesting that the proposed product (PBBP) was received favorably.

How useful are YouTube videos of pacemaker implantation? An objective study to assess quality of information content

Abstract Background Permanent pacemakers (PPM) are a commonly performed, life-saving cardiac procedure. Patients often seek further information on medical interventions beyond traditional consultation spaces via the Internet, but such resources can contain varying amounts of procedure-critical information. This has not been previously assessed for PPM implantation. Objective To assess the level of patient-relevant information content in videos of PPM implantation on YouTube. Methods We performed searches on YouTube using the search terms "Pacemaker" and "PPM implantation". Both searches were performed twice for reproducibility. The first 100 results from each search were screened for inclusion. All English language videos covering transvenous pacemaker implantation were included. A list of key information criteria encompassing several domains (explanation of the procedure, indications, pre-operative considerations, operative details, post-operative care, risks of the procedure, aspects of daily life affected by PPM implantation, prognosis, and alternative treatment options) was generated from existing text resources, supplemented by expert opinion. Two authors (RDS, SR) independently assessed the videos for presence of the predefined information criteria. Results Of 196 unique results, 33 videos uploaded by 32 users met inclusion criteria (Figure 1). No single video contained all essential information criteria. The mean number of criteria covered in the videos was 8/32 (standard deviation 4.8), with a range of 0/32 to 17/32. Three criteria were not covered in any videos. Most videos discussed elements of the PPM implantation procedure, the components of a PPM, and the reasons for implantation. However, key aspects of pre-operative (need for pre-operative tests, medication management) and post-discharge (limiting arm movements on the side of implant, need to keep PPM identity card and contact details of department, driving restrictions, need for generator replacement and likely battery longevity) patient care were rarely discussed (Figure 2). There was also limited discussion of the potential risks of PPM implantation. Furthermore, three videos contained out-of-date information, giving explicit advice to avoid all magnetic resonance imaging. Conclusion Videos on YouTube on PPM implantation do not contain sufficient information to give patients sufficient overview of the procedure. In some cases, they contain out-of-date information that may adversely affect the decision to implant and deprive patients of important diagnostic tests. They lack key patient-centric information on the practicalities of care around the procedure, which is probably the information most relevant to and desired by patients. There is a need for a professionally regulated, exhaustive audio-visual resource for patients seeking further information on PPM implantation. Furthermore, there is a need for increased oversight of patient information material uploaded on the Internet.

Blepharoplasty Online: Critical Analysis of Content and Patient Comprehensibility

IntroductionPatients frequently turn to online information for decision-making factors about aesthetic procedures. The quality of online medical content is an essential supplement to clinical education. These resources assist patients in understanding the risks, benefits, and appropriateness of their desired procedure. This study examines the breadth and readability of online blepharoplasty information, elucidating its educational utility.MethodsA depersonalized Google search was conducted using the Startpage Search Engine, investigating key phrases, “blepharoplasty decision making factors”, “eye lift decision making factors”, and “eyelid lift decision making factors”. The first three pages of results for each search term, totaling 90 links were screened. Data were extracted for various decision-making factors, subspecialty, gender, and readability.ResultsTwenty-six websites met inclusion for analysis. Thirteen websites were plastic surgery based, five otolaryngology (ENT), five ophthalmology/oculoplastic, one oral-maxillofacial (OMFS), and two mixed-based practices. Most blepharoplasty webpages identified were that of private practice and male surgeons. Half were subspecialties other than plastic surgery. Thirteen common decision-making factors were identified. The most common factors addressed across all texts were recovery followed by cosmetic and functional goals. The least discussed were genetic factors. Average Readability exceeded the 12th grade. There were no significant differences in readability means among subspecialties.ConclusionThis study examines the online blepharoplasty sphere among US-based practices providing clinical education to patients. No appreciable differences among gender, subspecialty, and readability on decision-making factors were found, highlighting a consistency among surgeons. Most websites fell short of readability standards, however, emphasizing a need for clearer information to patients.No Level AssignedThis journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

The role of microbial coagulants on the physicochemical, proteolysis, microstructure and sensory properties of low-fat Edam cheese manufactured from ultrafiltered buffalo milk

This work investigates the influence of using microbial coagulants, including Rhizomucor miehei (MCR) protease and Cryphonectria parasitica (MCC) protease, on the quality characteristics of low-fat Edam cheese made from ultrafiltered buffalo milk (LFUE). Concurrently, a benchmark with calf rennet (CR) has been also performed. Throughout a 90-day ripening period, the cheeses were assessed for their physicochemical features, proteolysis, texture, free amino acid and free fatty acid content, microstructure, and sensory attributes. The study revealed that both microbial coagulants had no significant impact on the physicochemical composition and firmness of the cheeses while slightly affected the free fatty acids. Cheeses made with microbial coagulants displayed higher proteolysis, with MCR and MCC cheeses exhibiting greater levels of water-soluble nitrogen and 12% trichloroacetic acid-soluble nitrogen than CR cheese. MCR and MCC cheeses exhibited more extensive breakdown of αs- and β-caseins, as indicated by the SDS-PAGE electrophoretogram, compared to CR cheese during ripening. As for the proteolytic activity, the microbial coagulant contributed to shaping the free amino acid content, microstructure, and sensory qualities of the cheeses. Notably, MCC cheese outperformed MCR or CR cheeses in terms of free amino acid levels. MCR and MCC cheeses resulted in smooth microstructures with uniform protein networks as observed by microscopy, while CR cheese displayed rough, granular surfaces. With the highest scores for appearance, body, texture, and flavor, MCC cheese demonstrated superior sensory properties compared with MCR and CR cheeses.