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4 results

  • A content analysis of online videos containing dietary recommendations for gout and their alignment with evidence-based dietary guidelines

  • Kirstie Louise Lamb, Margo E Barker, Anthony Lynn
  • Journal:
    Public Health Nutrition / Volume 26 / Issue 10 / October 2023
    Published online by Cambridge University Press:
    14 August 2023, pp. 2014-2025
    • Article
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  • Objective:

    To assess the alignment of YouTube® videos providing dietary recommendations for gout with evidence-based guidelines targeted at the United Kingdom (UK) population and to establish their quality.

    Design:

    A content analysis of YouTube® videos providing dietary recommendations for gout was undertaken. Videos were categorised by video source. Each video’s dietary recommendations for gout were compared with three evidence-based guidelines for gout, producing a compliance score. Presence of non-guideline advice was assessed. Understandability and actionability were evaluated using the Patient Education Material Assessment Tool for Audio-Visual Materials. Reliability was assessed using an adapted-DISCERN tool and educational quality using the Global Quality Score Five-Point Scale. Differences between video source and continuous variables were assessed using one-way Kruskal–Wallis H tests. For categorical variables, associations were investigated using Fisher–Freeman–Halton tests.

    Setting:

    Online, May–June 2020.

    Participants:

    One-hundred thirty-one videos.

    Results:

    Alignment of videos with evidence-based guidelines was poor (median compliance score 27 % (interquartile range 17–37 %)). Additionally, 57 % of videos contained non-guideline advice. The health professional source group had the fewest videos containing non-guideline advice, but this was only significantly lower than the naturopath group (31 % v. 81 %, P = 0·009). Almost 70 % of videos were considered poorly actionable and 50 % poorly understandable. Most videos were rated poor for reliability (79 %) and poor to generally poor for educational quality (49 %).

    Conclusions:

    YouTube® videos providing dietary recommendations for gout frequently fail to conform to evidence-based guidelines, and their educational quality, reliability, understandability and actionability are often poor. More high-quality, comprehensive, evidence-based YouTube® videos are required for UK gout patients.

  • Chapter 2 - Context and Prehistory of the Elegiac Grotesque

  • Mariapia Pietropaolo, McMaster University, Ontario
  • Book:
    The Grotesque in Roman Love Elegy
    Published online:
    10 September 2020
    Print publication:
    17 September 2020, pp 31-58

  • Summary

    The primary purpose of this chapter is to show that, in the philosophical and literary discourse that immediately preceded the development of Roman love elegy, there exists a context conducive to the grotesque figuration of the sublimity of love and lovers. In Roman culture the philosophical discourse was dominated by Lucretius, who developed his views in dialogue with the poetry and natural philosophy of the centuries that preceded him, especially in the expository genres that united poetry and philosophy. The literary discourse is focused on Catullus, whose use of metaphors as instances of material identification shock the reader with the violation of logic and the transgression of nature. In the elegiac libellus Catullus resorts frequently to such violations, extending them to the human body, to social conduct, and to love itself. Indeed, Catullus makes bold use of the grotesque to show that beneath the flimsy surface of elegance, urbanity, and sentiment expected of the poetic discourse on love, there lurks a reality that is both defiled and defiling. By using images and evocations of this reality, Catullus admits into the domain of love poetry thematic materials and language that transgress the expectations of works meant to foreground love and beauty.

  • Tophaceous gout presenting as a dorsal nasal lump

  • J P Hughes, Silvana Di Palma, J Rowe-Jones
  • Journal:
    The Journal of Laryngology & Otology / Volume 119 / Issue 6 / June 2005
    Published online by Cambridge University Press:
    08 March 2006, pp. 492-494
    Print publication:
    June 2005

  • A literature review reveals that gout has been described as affecting many sites in the head and neck region, both in the arthritic and tophaceous form. Gout can often mimic malignancy or infection, and has been described as causing acute airway problems requiring emergency tracheotomy. Here we describe the first published case of tophaceous gout affecting the soft tissues overlying the nasal bones. The patient presented with a bony, hard, dorsal hump and requested aesthetic rhinoplasty.

    We also describe an endoscopic technique for removal of tophi using a powered microdebrider system with a protected burr head. Endoscopic powered microdebrider blade excision of tophi affecting the limbs has already been described, with reduced complications when compared with conventional curettage and debridement techniques. This is the first such application to the nose.

  • Laryngeal gout

  • A. Tsikoudas, A. P. Coatesworth, D. P. Martin-Hirsch
  • Journal:
    The Journal of Laryngology & Otology / Volume 116 / Issue 2 / February 2002
    Published online by Cambridge University Press:
    08 March 2006, pp. 140-142
    Print publication:
    February 2002

  • A review of the literature reveals only 12 reported cases of laryngeal gout. We describe three further cases of laryngeal gout, the largest series ever published. The first case is previously undescribed acute gouty cricoarytenoiditis resulting in acute airway embarrassment requiring tracheotomy, and then we describe two cases of chronic tophaceous involvement of the thyroid lamina with computed tomography (CT) images of this process. The paucity of literature on this subject may not only be due to rarity but also lack of clinical awareness. Gouty involvement of the larynx must be considered in any patient with a history of gout who presents with hoarseness, odynophagia, dysphagia, stridor or neck lump.

    Acute airway compromise may require tracheotomy, whereas chronic airway problems may necessitate endoscopic tophi removal, lateralization procedures or even permanent tracheostomy.