Online Information on Dysmenorrhea: An Evaluation of Readability, Credibility, Quality, and Usability

Aims and objectives To evaluate online information on dysmenorrhoea, including readability, credibility, quality and usability. Background Menstrual pain impacts 45%–95% of women of reproductive age globally and is the leading cause of school and work absences among women. Women often seek online information on dysmenorrhoea; however, little is known about the information quality. Design This was a descriptive study to evaluate online information on dysmenorrhoea. Methods We imitated search strategies of the general public. Specifically, we employed the three most popular search engines worldwide—Google, Yahoo and Bing—and used lay search terms, “period pain” and “menstrual cramps.” We screened 60 web pages. Following removal of duplicates and irrelevant web pages, 25 met the eligibility criteria. Two team members independently evaluated the included web pages using standardised tools. Readability was evaluated with the Flesch–Kincaid Reading Ease and Flesch–Kincaid Grade formulas; credibility, quality and usability were evaluated with established tools. We followed the STROBE checklist for reporting this study. Results For readability, the mean Flesch–Kincaid level was 10th grade. For credibility, 8% of web pages referenced scientific literature and 28% stated the author's name and qualifications. For quality, no web page employed user‐driven content production; 8% of web pages referenced evidence‐based guidelines, 32% of web pages had accurate content, and 4% of web pages recommended shared decision‐making. Most web pages were interactive and included nontextual information. Some nontextual information was inaccurate. Conclusion Online information on dysmenorrhoea has generally low readability, mixed credibility and variable quality. Relevance to clinical practice Strategies to improve health information on dysmenorrhoea include avoiding complex terms, incorporating visual aids, presenting evidence‐based information and developing a decision aid to support shared decision‐making. Healthcare providers should be aware of the problematic health information that individuals are exposed to and provide education about how to navigate online health information

Application of carrying capacity management in Vietnamese national parks

Implementing carrying capacity is a prerequisite for national parks (NPs) striving to meet the three mandates of park management, namely, recreational use, conservation, and economic value. This study attempts to investigate the application of carrying capacity management in Vietnam’s park system and to assess its application for further development of the concept. Findings show that there are three different approaches to the implementation of carrying capacity in Vietnamese parks, including (1) a laissez-faire approach, (2) a relaxed approach, and (3) a strict approach. It is suggested that economic consideration is one of the major constraints to the implementation in developing countries such as Vietnam. This study not only contributes to the literature on capacity management in NPs, especially in the context of developing countries, but its findings are also valuable for park authorities to achieve the triple mandates of park management

Dear Friend: Letters from Elizabeth Ott to Alton Easton

This is the culmination of a class project created by students in Dr. Elizabeth Fleitz\u27s English 36500: Digital Humanities course during Fall semester 2020. This site collects the letters of Elizabeth Ott, Lindenwood College teacher, written to her fiancé Alton Easton, in 1847-1848. Her letters are long, chatty, and give insight on people and events in the St. Charles area at the time, as well as illuminate the personality of Ott herself. We have transcribed each of these letters, and briefly summarize and annotate them to guide the reader in their exploration