“…Analysis of these additional educational resources, as well as medical students' Internet use patterns, is beyond the scope of this study and may warrant future investigation. Recent studies have warned that YouTube videos vary widely in their educational utility and medical accuracy in a number of clinical domains (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24), yet no studies have assessed the quality of psychiatric content on the Web site.…”
Section: Discussionmentioning
confidence: 99%
“…For each YouTube search, the first 200 videos (ten pages) were assessed against predefined eligibility criteria (N=4,200). The search was restricted to the first ten pages, similar to the methodology of comparable studies, because it was deemed unlikely that medical students would continue searching after that point (14,22).…”
“…Analysis of these additional educational resources, as well as medical students' Internet use patterns, is beyond the scope of this study and may warrant future investigation. Recent studies have warned that YouTube videos vary widely in their educational utility and medical accuracy in a number of clinical domains (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24), yet no studies have assessed the quality of psychiatric content on the Web site.…”
Section: Discussionmentioning
confidence: 99%
“…For each YouTube search, the first 200 videos (ten pages) were assessed against predefined eligibility criteria (N=4,200). The search was restricted to the first ten pages, similar to the methodology of comparable studies, because it was deemed unlikely that medical students would continue searching after that point (14,22).…”
“…To our knowledge we performed the first YouTube video study on CCs to utilize the advantages of the public video‐sharing website, namely the large number of obtainable videos with a wider range of sports‐related concussions. Although previous studies discussed the reliability of seizure‐displaying YouTube videos when used as a learning tool, to our knowledge we are the first to perform a scientific research on semiology based on YouTube videos displaying seizure‐like phenomena. This fast‐growing database with a large number and wide spectrum of seizure‐displaying videos could underlie further epilepsy research.…”
SUMMARYObjective: To analyze seizure-like motor phenomena immediately occurring after concussion (concussive convulsions). Methods: Twenty-five videos of concussive convulsions were obtained from YouTube as a result of numerous sports-related search terms. The videos were analyzed by four independent observers, documenting observations of the casualty, the head injury, motor symptoms of the concussive convulsions, the postictal period, and the outcome. Results: Immediate responses included the fencing response, bear hug position, and bilateral leg extension. Fencing response was the most common. The side of the hit (p = 0.039) and the head turning (p = 0.0002) was ipsilateral to the extended arm. There was a tendency that if the blow had only a vertical component, the bear hug position appeared more frequently (p = 0.12). The motor symptom that appeared with latency of 6 AE 3 s was clonus, sometimes superimposed with tonic motor phenomena. Clonus was focal, focally evolving bilateral or bilateral, with a duration of 27 AE 19 s (5-72 s). Where lateralization of clonus could be determined, the side of clonus and the side of hit were contralateral (p = 0.039). Significance: Concussive convulsions consist of two phases. The short-latency first phase encompasses motor phenomena resembling neonatal reflexes and may be of brainstem origin. The long-latency second phase consists of clonus. We hypothesize that the motor symptoms of the long-latency phase are attributed to cortical structures; however, they are probably not epileptic in origin but rather a result of a transient cortical neuronal disturbance induced by mechanical forces.
“…Hand is placed at the small of the back, palm out Hand on belly with wrist extended and elbow held anterior to mid-axillary line Action: Patient presses hand against belly without flexing the wrist and allowing the elbows to shift posterior to mid-axillary line Interpretation: Positive test when patient must flex wrist to press on belly Neer impingement test [22] Arm positioning:…”
Background: The internet has an increasing role in both patient and physician education. While several recent studies critically appraised the quality and accuracy of webbased written information available to patients, no studies have evaluated such parameters for open-access video content designed for provider use. Questions/Purposes: The primary goal of the study was to determine the accuracy of internet-based instructional videos featuring the shoulder physical examination. Methods: An assessment of quality and accuracy of said video content was performed using the basic shoulder examination as a surrogate for the Bbest-case scenario^due to its widely accepted components that are stable over time. Three search terms (Bshoulder,B examination,^and Bshoulder exam^) were entered into the four online video resources most commonly accessed by orthopaedic surgery residents (VuMedi, G9MD, Orthobullets, and YouTube). Videos were captured and independently reviewed by three orthopaedic surgeons. Quality and accuracy were assessed in accordance with previously published standards. Results: Of the 39 video tutorials reviewed, 61% were rated as fair or poor. Specific maneuvers such as the Hawkins test, O'Brien sign, and Neer impingement test were accurately demonstrated in 50, 36, and 27% of videos, respectively. Inter-rater reliability was excellent (mean kappa 0.80, range 0.79-0.81). Conclusion: Our results suggest that information presented in open-access video tutorials featuring the physical examination of the shoulder is inconsistent. Trainee exposure to such potentially inaccurate information may have a significant impact on trainee education.
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