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· 0 checks — Desktop Lighthouse audit -- Performance, Accessibility, Best Practices, and SEO category breakdown.
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Detailed Report

Audit breakdown by category with detailed findings.

41

Performance

Insights

Remove large, duplicate JavaScript modules from bundles to reduce unnecessary bytes consumed by network activity.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Polyfills and transforms enable older browsers to use new JavaScript features. However, many aren't necessary for modern browsers. Consider modifying your JavaScript build process to not transpile Baseline features, unless you know you must support older browsers. Learn why most sites can deploy ES6+ code without transpiling

Why this matters

Performance issues directly impact user engagement and conversion rates.

3rd party code can significantly impact load performance. Reduce and defer loading of 3rd party code to prioritize your page's content.

Why this matters

Performance issues directly impact user engagement and conversion rates.

A long cache lifetime can speed up repeat visits to your page. Learn more about caching.

Why this matters

Performance issues directly impact user engagement and conversion rates.

RequestCache TTLTransfer Size
cdn.cookielaw.org/scripttemplates/202603.1.0/otBannerSdk.js86400.0 s129.9 KiB
cdnapisec.kaltura.com/p/1315631/thumbnail/entry_id/1_bi5kw76l/width/500/?hash=43600.0 s45.2 KiB
cdnapisec.kaltura.com/p/1315631/thumbnail/entry_id/1_37m0nd9t/width/500/?hash=43600.0 s45.1 KiB
cdnapisec.kaltura.com/p/1315631/thumbnail/entry_id/1_nfw1y4ov/width/500/?hash=43600.0 s45.1 KiB
cdn.wolterskluwer.io/wk/fundamentals/2.x.x/icons/assets/wk-icons.woff20.0 ms28.9 KiB
lww.com/cdn-cgi/challenge-platform/h/b/scripts/jsd/0b8fb825cb67/main.js?14400.0 s12.1 KiB
snap.licdn.com/li.lms-analytics/insight.min.js86400.0 s18.7 KiB
cdn.wolterskluwer.io/wk-logos/1.0.x/favicon.png?rev=430.0 ms4.3 KiB
/beacon.min.js/v8c78df7c7c0f484497ecbca7046644da177152312...86400.0 s10.7 KiB
cdn.cookielaw.org/scripttemplates/otSDKStub.js86400.0 s9.1 KiB
cdn.cookielaw.org/consent/7537629c-faa0-40ce-a837-f7b14c0d4e70/OtAutoBlock.js86400.0 s6.9 KiB
sb.scorecardresearch.com/internal-cs/default/beacon.js86400.0 s6.7 KiB
munchkin.marketo.net/munchkin.js0.0 ms1.2 KiB
/logos/2217e117-526b-4696-8a98-8c402f8f2b81/e9bcc9b6-6c71...86400.0 s2.7 KiB
cdn.cookielaw.org/logos/static/powered_by_logo.svg86400.0 s2.7 KiB
cdn.wolterskluwer.io/wk/fundamentals/1.x.x/logo/assets/wheel-medium.svg0.0 ms941 B
cdn.wolterskluwer.io/wk/fundamentals/1.x.x/typography/fira-sans/all.min.css0.0 ms586 B
/collect?v=2&fmt=js&pid=2194236&time=1776798756208&li_ads...0.0 ms453 B

Layout shifts occur when elements move absent any user interaction. Investigate the causes of layout shifts, such as elements being added, removed, or their fonts changing as the page loads.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:node label:Element subItemsHeading:map[key:extra] valueType:node] map[granularity:0.001 key:score label:Layout shift score subItemsHeading:map[key:cause valueType:text] valueType:numeric]]
items: [map[node:map[type:text value:Total] score:0.35292] map[node:map[boundingRect:map[bottom:3234 height:2677 left:48 right:1302 top:557 width:1254] lhId:page-16-DIV nodeLabel:Featured NURSING (SPECIALTY) Congenital Genu Recurvatum Report of Two Cases Ba… path:1,HTML,1,BODY,8,FORM,20,DIV,0,DIV,7,DIV,3,DIV,1,DIV,1,DIV,0,DIV selector:div#DeltaPlaceHolderMain > div.main-content > div#ctl00_PlaceHolderMain_ctl00_ctl02_row > div#ctl00_PlaceHolderMain_ctl00_ctl02_column snippet:<div id="ctl00_PlaceHolderMain_ctl00_ctl02_column" class="dpl-col" data-dpl-default-css-class="" data-dpl-default-zone-id="ROW7dc7da532a814e497d729cba1f74COL8977eee40bd746206b32018b1d19" data-dpl-column-id="8977eee40bd746206b32018b1d19" data-dpl-default-tag-name="div"> type:node] score:0.222147] map[node:map[boundingRect:map[bottom:1791 height:556 left:48 right:1302 top:1236 width:1254] lhId:page-19-DIV nodeLabel:  path:1,HTML,1,BODY,8,FORM,20,DIV,0,DIV,7,DIV,3,DIV,1,DIV,1,DIV,0,DIV,0,DIV,1,DIV selector:div#ctl00_PlaceHolderMain_ctl00_ctl02_row > div#ctl00_PlaceHolderMain_ctl00_ctl02_column > div.ms-webpart-zone > div#MSOZoneCell_WebPartWPQ8 snippet:<div id="MSOZoneCell_WebPartWPQ8" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table …"> type:node] score:0.118045] map[node:map[boundingRect:map[bottom:3234 height:2677 left:48 right:1302 top:557 width:1254] lhId:page-16-DIV nodeLabel:Featured NURSING (SPECIALTY) Congenital Genu Recurvatum Report of Two Cases Ba… path:1,HTML,1,BODY,8,FORM,20,DIV,0,DIV,7,DIV,3,DIV,1,DIV,1,DIV,0,DIV selector:div#DeltaPlaceHolderMain > div.main-content > div#ctl00_PlaceHolderMain_ctl00_ctl02_row > div#ctl00_PlaceHolderMain_ctl00_ctl02_column snippet:<div id="ctl00_PlaceHolderMain_ctl00_ctl02_column" class="dpl-col" data-dpl-default-css-class="" data-dpl-default-zone-id="ROW7dc7da532a814e497d729cba1f74COL8977eee40bd746206b32018b1d19" data-dpl-column-id="8977eee40bd746206b32018b1d19" data-dpl-default-tag-name="div"> type:node] score:0.012728 subItems:map[items:[map[cause:Unsized image element extra:map[boundingRect:map[bottom:58 height:26 left:48 right:74 top:32 width:26] lhId:page-22-IMG nodeLabel:div.lp-header__user-nav > a#ctl00_ctl52_logoLink > picture > img path:1,HTML,1,BODY,8,FORM,20,DIV,0,DIV,1,HEADER,4,DIV,0,DIV,0,DIV,0,A,0,PICTURE,2,IMG selector:div.lp-header__user-nav > a#ctl00_ctl52_logoLink > picture > img snippet:<img src="https://cdn.wolterskluwer.io/wk/fundamentals/1.x.x/logo/assets/wheel-mediu…" alt=""> type:node]] map[cause:Web font extra:map[type:url value:https://fonts.gstatic.com/s/firasans/v18/va9B4kDNxMZdWfMOD5VnSKzeRhf6Xl7Glw.woff2]]] type:subitems]]]

Your first network request is the most important. Reduce its latency by avoiding redirects, ensuring a fast server response, and enabling text compression.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Consider setting font-display to swap or optional to ensure text is consistently visible. swap can be further optimized to mitigate layout shifts with font metric overrides.

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLEst Savings
unpkg.com/font-awesome@4.4.0/fonts/fontawesome-webfont.woff2?v=4.4.025 ms
cdn.wolterskluwer.io/wk/fundamentals/2.x.x/icons/assets/wk-icons.woff215 ms

A forced reflow occurs when JavaScript queries geometric properties (such as offsetWidth) after styles have been invalidated by a change to the DOM state. This can result in poor performance. Learn more about forced reflows and possible mitigations.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:source label:Top function call valueType:source-location] map[granularity:1 key:reflowTime label:Total reflow time valueType:ms]]
items: [map[reflowTime:33.357 source:map[column:6745 line:2 type:source-location url:https://lww.com/_layouts/15/oaks.journals/core/lippincott.js?v=05.25.00.229 urlProvider:network]]]
headings: [map[key:source label:Source valueType:source-location] map[granularity:1 key:reflowTime label:Total reflow time valueType:ms]]
items: [map[reflowTime:64.736 source:map[type:text value:[unattributed]]] map[reflowTime:33.357 source:map[column:83550 line:1 type:source-location url:https://lww.com/_layouts/15/oaks.journals/core/ejp.js?v=05.25.00.229 urlProvider:network]]]

Reducing the download time of images can improve the perceived load time of the page and LCP. Learn more about optimizing image size

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLResource SizeEst Savings
HeroImage section.ejp-topic-section > div.ejp-topic-section__wrapper > div.ejp-topic-section__media-container > img.ejp-topic-section__media-image
/LWW/IssueSamplePreview.00003086-202604000-00029.feature....98.1 KiB75.6 KiB
Strategic approach to combat Kyasanur Forest Disease in India: insights into th… div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/ijsgh/IssueSamplePreview.02054256-202505000-00005.F1.jpe...69.9 KiB59.7 KiB
Congenital Genu Recurvatum div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.00149525-202604000-00005.feature....52.2 KiB40.4 KiB
A Roadmap to Neurologic Health Equity div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.00006114-202603100-00027.feature....50.6 KiB39.2 KiB
A Journal Is Proof That a Specialty Exists - Interview with Dr. Jaffe div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
cdnapisec.kaltura.com/p/1315631/thumbnail/entry_id/1_bi5kw76l/width/500/?hash=444.8 KiB36.6 KiB
We Don’t Talk Enough About Late-Career Transitions - Interview with Dr. Jaffe div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
cdnapisec.kaltura.com/p/1315631/thumbnail/entry_id/1_37m0nd9t/width/500/?hash=444.8 KiB36.6 KiB
Reach for Something Big - That Matters - Interview with Dr. Jaffe div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
cdnapisec.kaltura.com/p/1315631/thumbnail/entry_id/1_nfw1y4ov/width/500/?hash=444.8 KiB36.6 KiB
Adult Heart Transplant Survival in the United States: Regional and Racial Dispa… div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.00007890-202603000-00030.feature....45.0 KiB35.6 KiB
Castroviejo's Square Graft After Six Decades div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.02273826-202603000-00001.feature....43.2 KiB32.2 KiB
Radiation-Induced Side Effects to the Skin Due to <sup xmlns:mrws="http://webse… div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.00003072-202605000-00011.feature....40.1 KiB30.5 KiB
Quantitative CT and Artificial Intelligence in Chronic Lung Disease div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.00005382-202603000-00003.feature....35.4 KiB21.5 KiB
Cardiovascular Digital Health Equity Among Immigrant Populations div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.00005082-990000000-00356.feature....27.2 KiB17.1 KiB
Depression Symptoms in Patients With COPD: A Randomized Study of Home-Based Pul… div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/LWW/IssueSamplePreview.01273116-202603000-00007.feature....25.1 KiB16.2 KiB
Demographic trends and mortality disparities in emphysema across the United Sta… div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/annals-of-medicine-and-surgery/IssueSamplePreview.018452...24.2 KiB15.8 KiB
A Qualitative Study of the Lived Transition in Care Experiences of Patients Wit… div.ejp-uc__article-media-wrapper > a.ejp-uc__article-image-container > div.ejp-uc__article-image > img.ejp-uc__article-image-img
/jncqjournal/IssueSamplePreview.00001786-202604000-00013....29.1 KiB6.3 KiB
lww.com - make it yours div#ctl00_ctl30_g_ddf6b053_214d_41cd_ae7a_6a36cd1ad7bc > div.lp-banner-new__desktop > a.lp-banner-new__link > img.lp-banner-new__img
lww.com/PublishingImages/osm-lww-content-desktop.jpg50.8 KiB5.5 KiB

Each subpart has specific improvement strategies. Ideally, most of the LCP time should be spent on loading the resources, not within delays.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:label label:Subpart valueType:text] map[key:duration label:Duration valueType:ms]]
items: [map[duration:1539.168 label:Time to first byte subpart:timeToFirstByte] map[duration:317.759 label:Resource load delay subpart:resourceLoadDelay] map[duration:519.119 label:Resource load duration subpart:resourceLoadDuration] map[duration:948.079 label:Element render delay subpart:elementRenderDelay]]
lhId: page-15-IMG
nodeLabel: lww.com - make it yours
path: 1,HTML,1,BODY,8,FORM,20,DIV,0,DIV,7,DIV,3,DIV,1,DIV,1,DIV,0,DIV,0,DIV,1,DIV,0,DIV,0,DIV,0,DIV,3,DIV,0,A,0,IMG
selector: div#ctl00_ctl30_g_ddf6b053_214d_41cd_ae7a_6a36cd1ad7bc > div.lp-banner-new__desktop > a.lp-banner-new__link > img.lp-banner-new__img
snippet: <img class="lp-banner-new__img" src="/PublishingImages/osm-lww-content-desktop.jpg" alt="lww.com - make it yours">

Optimize LCP by making the LCP image discoverable from the HTML immediately, and avoiding lazy-loading

Why this matters

Performance issues directly impact user engagement and conversion rates.

lhId: page-15-IMG
nodeLabel: lww.com - make it yours
path: 1,HTML,1,BODY,8,FORM,20,DIV,0,DIV,7,DIV,3,DIV,1,DIV,1,DIV,0,DIV,0,DIV,1,DIV,0,DIV,0,DIV,0,DIV,3,DIV,0,A,0,IMG
selector: div#ctl00_ctl30_g_ddf6b053_214d_41cd_ae7a_6a36cd1ad7bc > div.lp-banner-new__desktop > a.lp-banner-new__link > img.lp-banner-new__img
snippet: <img class="lp-banner-new__img" src="/PublishingImages/osm-lww-content-desktop.jpg" alt="lww.com - make it yours">

Avoid chaining critical requests by reducing the length of chains, reducing the download size of resources, or deferring the download of unnecessary resources to improve page load.

Why this matters

Performance issues directly impact user engagement and conversion rates.

description: [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints help the browser establish a connection earlier in the page load, saving time when the first request for that origin is made. The following are the origins that the page preconnected to.
title: Preconnected origins
value: no origins were preconnected
description: Add [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints to your most important origins, but try to use no more than 4.
title: Preconnect candidates

Requests are blocking the page's initial render, which may delay LCP. Deferring or inlining can move these network requests out of the critical path.

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLTransfer SizeDuration
lww.com/Style%20Library/journal.css?v=05.25.00.2290 B
/ScriptResource.axd?d=gyl6EYYZcAcANIvD7erpDmXCkKLAzVN19Te...1.4 KiB
/ScriptResource.axd?d=9grdVY1n85qYllHZzxmBIEinNNFfD1JoEUZ...4.1 KiB
/ScriptResource.axd?d=N4X2edrK9jBczDDKYHPLJwhjMXliwzgK7Pf...4.1 KiB
lww.com/_layouts/15/oaks.journals/core/lww-core.js?v=05.25.00.229289.6 KiB450 ms
/ScriptResource.axd?d=2dBsVOk9qijZleidN59upQOovDBCwEGLYoR...705 B
/ScriptResource.axd?d=-i8TkaG8UrmkzQbsZvdXTKrlDn9_DIMXlLt...9.9 KiB
/ScriptResource.axd?d=g-JZQVA64jIfb8vuRCs3LwyB3Kyz38BoPe-...25.2 KiB
/ScriptResource.axd?d=8vu8GHAdgumB9xOBFWyxgqoc7ghJ96Togk7...3.4 KiB
/ScriptResource.axd?d=9JGQpJAmu1NkV0uurqvuMsKDaqBQlEluMPI...1.2 KiB
/ScriptResource.axd?d=xo5XgUzVh13Mc3KfYWjuXEWCm-oSACXyxN9...5.8 KiB
/ScriptResource.axd?d=AA5Fuzj1zFjivRbjdyfDvURfVKXDjSUHPiV...1.7 KiB
lww.com/_layouts/15/1033/strings.js?rev=9xQH1OfeylBi9JTCbkHLUQ%3D%3DTAG049.3 KiB82 ms
/ScriptResource.axd?d=q5FWzRDsR0VbVfW4JnLChTiNQ_ZQgsrHXAQ...2.1 KiB
lww.com/_layouts/15/oaks.journals/core/jquery.js?v=05.25.00.22932.5 KiB82 ms
lww.com/_layouts/15/oaks.journals/core/jqueryui.js?v=05.25.00.22966.6 KiB164 ms
lww.com/_layouts/15/init.js?rev=TzY%2Fm%2FOoPnHW9OQ41OjrYQ%3D%3DTAG082.2 KiB164 ms
lww.com/Style%20Library/custom.journal.css?v=05.25.00.2291.5 KiB
lww.com/_layouts/15/oaks.journals/core/lippincott.css?v=05.25.00.22912.3 KiB
/_layouts/15/1033/styles/oaks.journals/bootstrap-overwrit...1.5 KiB
cdn.cookielaw.org/consent/7537629c-faa0-40ce-a837-f7b14c0d4e70/OtAutoBlock.js6.9 KiB223 ms
lww.com/_layouts/15/ie55up.js?rev=6RyxdcQW5933aizLDnwv%2BA%3D%3DTAG019.4 KiB
lww.com/_layouts/15/1033/styles/Themable/corev15.css?v=05.25.00.22948.3 KiB164 ms
lww.com/_layouts/15/oaks.journals/core/lww-core.css?v=05.25.00.22933.6 KiB82 ms
lww.com/_layouts/15/oaks.journals/core/bootstrap.min.css?v=05.25.00.22922.5 KiB123 ms
lww.com/_layouts/15/1033/styles/oaks.journals/tachyons.css?v=05.25.00.22919.1 KiB
/_layouts/15/1033/styles/oaks.journals/base-main-header.c...3.1 KiB
lww.com/_layouts/15/1033/initstrings.js?rev=GAkoVg6Sl%2Bo2hXf%2BWL1ISg%3D%3DTAG06.8 KiB
lww.com/_layouts/15/theming.js?rev=SuLUbbwTXcxFWOWLFUsOkw%3D%3DTAG012.3 KiB
lww.com/_layouts/15/blank.js?rev=whhv86DINHGWQe4GPtKl0A%3D%3DTAG0470 B
lww.com/_layouts/15/oaks.journals/core/jqueryui.css?v=05.25.00.2297.8 KiB
lww.com/_layouts/15/oaks.journals/core/ejp.css?v=05.25.00.229109.2 KiB205 ms
unpkg.com/font-awesome@4.4.0/css/font-awesome.min.css6.3 KiB246 ms
/css?family=Arvo:400,400i,700|Fira+Sans:300,300i,400,400i...1.7 KiB213 ms
lww.com/_layouts/15/oaks.journals/core/lww-cookiepro.js?v=05.25.00.2291.4 KiB
cdn.cookielaw.org/scripttemplates/otSDKStub.js9.1 KiB
cdn.wolterskluwer.io/wk/fundamentals/1.x.x/typography/fira-sans/all.min.css586 B

These insights are also available in the Chrome DevTools Performance Panel - record a trace to view more detailed information.

Redirects introduce additional delays before the page can be loaded. Learn how to avoid page redirects.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 250 ms
URLTime Spent
lww.com/250 ms
lww.com/pages/default.aspx0.0 ms

Keep the server response time for the main document short because all other requests depend on it. Learn more about the Time to First Byte metric.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 1.1 s
URLTime Spent
lww.com/pages/default.aspx1.2 s

These are the largest layout shifts observed on the page. Each table item represents a single layout shift, and shows the element that shifted the most. Below each item are possible root causes that led to the layout shift. Some of these layout shifts may not be included in the CLS metric value due to windowing. Learn how to improve CLS

Why this matters

Performance issues directly impact user engagement and conversion rates.

ElementLayout shift score
Featured NURSING (SPECIALTY) Congenital Genu Recurvatum Report of Two Cases Ba… div#DeltaPlaceHolderMain > div.main-content > div#ctl00_PlaceHolderMain_ctl00_ctl02_row > div#ctl00_PlaceHolderMain_ctl00_ctl02_column
0.222
  div#ctl00_PlaceHolderMain_ctl00_ctl02_row > div#ctl00_PlaceHolderMain_ctl00_ctl02_column > div.ms-webpart-zone > div#MSOZoneCell_WebPartWPQ8
0.118
Featured NURSING (SPECIALTY) Congenital Genu Recurvatum Report of Two Cases Ba… div#DeltaPlaceHolderMain > div.main-content > div#ctl00_PlaceHolderMain_ctl00_ctl02_row > div#ctl00_PlaceHolderMain_ctl00_ctl02_column
0.013

Time to Interactive is the amount of time it takes for the page to become fully interactive. Learn more about the Time to Interactive metric.

Why this matters

Performance issues directly impact user engagement and conversion rates.

TTI

The maximum potential First Input Delay that your users could experience is the duration of the longest task. Learn more about the Maximum Potential First Input Delay metric.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Diagnostics

Reduce unused rules from stylesheets and defer CSS not used for above-the-fold content to decrease bytes consumed by network activity. Learn how to reduce unused CSS.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 250 ms 255.7 KiB
URLTransfer SizeEst Savings
lww.com/_layouts/15/oaks.journals/core/ejp.css?v=05.25.00.229109.0 KiB104.6 KiB
lww.com/_layouts/15/1033/styles/Themable/corev15.css?v=05.25.00.22948.1 KiB47.5 KiB
lww.com/_layouts/15/oaks.journals/core/lww-core.css?v=05.25.00.22933.5 KiB32.2 KiB
lww.com/_layouts/15/oaks.journals/core/bootstrap.min.css?v=05.25.00.22922.3 KiB21.9 KiB
23.3 KiB19.9 KiB
lww.com/_layouts/15/1033/styles/oaks.journals/tachyons.css?v=05.25.00.22918.8 KiB18.6 KiB
lww.com/_layouts/15/oaks.journals/core/lippincott.css?v=05.25.00.22912.2 KiB10.9 KiB

Reduce unused JavaScript and defer loading scripts until they are required to decrease bytes consumed by network activity. Learn how to reduce unused JavaScript.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 660 ms 962.1 KiB
URLTransfer SizeEst Savings
lww.com/_layouts/15/oaks.journals/core/lww-core.js?v=05.25.00.229280.6 KiB262.4 KiB
lww.com/_layouts/15/oaks.journals/core/ejp.js?v=05.25.00.229246.9 KiB152.6 KiB
lww.com/_layouts/15/core.js?rev=ZDqG1yirPiaXxf0KNWhHeQ%3D%3DTAG0129.4 KiB117.8 KiB
lww.com/_layouts/15/oaks.journals/core/lippincott.js?v=05.25.00.229154.7 KiB112.3 KiB
cdn.cookielaw.org/scripttemplates/202603.1.0/otBannerSdk.js129.7 KiB68.5 KiB
lww.com/_layouts/15/oaks.journals/core/jqueryui.js?v=05.25.00.22966.5 KiB59.4 KiB
www.googletagmanager.com/gtm.js?id=GTM-NLR6H6W178.0 KiB59.0 KiB
lww.com/_layouts/15/init.js?rev=TzY%2Fm%2FOoPnHW9OQ41OjrYQ%3D%3DTAG082.1 KiB57.4 KiB
www.googletagmanager.com/gtag/js?id=G-EWR3H13LQT118.7 KiB47.9 KiB
lww.com/_layouts/15/oaks.journals/core/react-redux-vendors.js?v=05.25.00.22962.2 KiB24.9 KiB

Many navigations are performed by going back to a previous page, or forwards again. The back/forward cache (bfcache) can speed up these return navigations. Learn more about the bfcache

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failure reasonFailure type
The page has an unload handler in the main frame.Actionable

Minifying CSS files can reduce network payload sizes. Learn how to minify CSS.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 0.0 ms 11.0 KiB
URLTransfer SizeEst Savings
lww.com/_layouts/15/1033/styles/Themable/corev15.css?v=05.25.00.22948.3 KiB11.0 KiB

Minifying JavaScript files can reduce payload sizes and script parse time. Learn how to minify JavaScript.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 0.0 ms 5.8 KiB
URLTransfer SizeEst Savings
lww.com/_layouts/15/oaks.journals/core/jquery.js?v=05.25.00.22932.3 KiB5.8 KiB

Large network payloads cost users real money and are highly correlated with long load times. Learn how to reduce payload sizes.

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLTransfer Size
lww.com/_layouts/15/oaks.journals/core/lww-core.js?v=05.25.00.229289.6 KiB
lww.com/_layouts/15/oaks.journals/core/ejp.js?v=05.25.00.229255.6 KiB
www.googletagmanager.com/gtm.js?id=GTM-NLR6H6W178.4 KiB
www.googletagmanager.com/gtag/js?id=G-EWR3H13LQT158.7 KiB
lww.com/_layouts/15/oaks.journals/core/lippincott.js?v=05.25.00.229154.9 KiB
/wk/fundamentals/1.20.17/typography/assets/FiraSans-Mediu...137.3 KiB
/wk/fundamentals/1.20.17/typography/assets/FiraSans-Mediu...130.3 KiB
cdn.cookielaw.org/scripttemplates/202603.1.0/otBannerSdk.js129.9 KiB
lww.com/_layouts/15/core.js?rev=ZDqG1yirPiaXxf0KNWhHeQ%3D%3DTAG0129.6 KiB
/wk/fundamentals/1.20.17/typography/assets/FiraSans-Light...127.3 KiB

Set an explicit width and height on image elements to reduce layout shifts and improve CLS. Learn how to set image dimensions

Why this matters

Performance issues directly impact user engagement and conversion rates.

URL
lww.com - make it yours div#ctl00_ctl30_g_ddf6b053_214d_41cd_ae7a_6a36cd1ad7bc > div.lp-banner-new__desktop > a.lp-banner-new__link > img.lp-banner-new__img
lww.com/PublishingImages/osm-lww-content-desktop.jpg
HeroImage section.ejp-topic-section > div.ejp-topic-section__wrapper > div.ejp-topic-section__media-container > img.ejp-topic-section__media-image
/LWW/IssueSamplePreview.00003086-202604000-00029.feature....
div.lp-header__user-nav > a#ctl00_ctl52_logoLink > picture > img div.lp-header__user-nav > a#ctl00_ctl52_logoLink > picture > img
cdn.wolterskluwer.io/wk/fundamentals/1.x.x/logo/assets/wheel-medium.svg

More information about the performance of your application. These numbers don't directly affect the Performance score.

●Optimize DOM size
●Modern HTTP
●Optimize viewport for mobile
●User Timing marks and measures 5 user timings
●JavaScript execution time 1.0 s
●Minimizes main-thread work 1.9 s
●Avoid long main-thread tasks 5 long tasks found
●Network Requests
●Network Round Trip Times 10 ms
●Server Backend Latencies 520 ms
●Tasks
●Diagnostics
●Metrics
●Screenshot Thumbnails
●Final Screenshot
●Script Treemap Data
●Resources Summary
○INP breakdown
○Avoid non-composited animations
87

Accessibility

These checks highlight opportunities to improve the accessibility of your web app. Automatic detection can only detect a subset of issues and does not guarantee the accessibility of your web app, so manual testing is also encouraged.

ARIA

Some ARIA parent roles must contain specific child roles to perform their intended accessibility functions. Learn more about roles and required children elements.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
div.lp-header__user-nav-login-controls > div#ctl00_ctl52_userLoginContainer > section.user-action-toolbar > ul.user-menu
NURSING (SPECIALTY) Congenital Genu Recurvatum Report of Two Cases Background:… div.js-ejp-universal-content-webpart > section.ejp-uc > div > ul.ejp-uc__list
SURGERY (GENERAL) Demographic trends and mortality disparities in emphysema acr… div.js-ejp-universal-content-webpart > section.ejp-uc > div > ul.ejp-uc__list
TRANSPLANTATION Adult Heart Transplant Survival in the United States: Regional … div.js-ejp-universal-content-webpart > section.ejp-uc > div > ul.ejp-uc__list
7:34 OPHTHALMOLOGY/OPTOMETRY IMPACT OF SLEEP APNEA ON RETINAL VEIN OCCLUSION IN… div.js-ejp-multimedia-webpart > section.ejp-uc > div > ul.ejp-uc__list

These are opportunities to improve the usage of ARIA in your application which may enhance the experience for users of assistive technology, like a screen reader.

Navigation

Properly ordered headings that do not skip levels convey the semantic structure of the page, making it easier to navigate and understand when using assistive technologies. Learn more about heading order.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Follow Us div.lp-page-container > div.lp-footer__wrapper > div#ctl00_ctl57_footerSocialDiv > h4.lp-footer__social-title

These are opportunities to improve keyboard navigation in your application.

Tables and lists

Screen readers require list items (`<li>`) to be contained within a parent `<ul>`, `<ol>` or `<menu>` to be announced properly. Learn more about proper list structure.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
div#ctl00_ctl52_userLoginContainer > section.user-action-toolbar > ul.user-menu > li#ctl00_ctl52_UserActionTools_liLogin div#ctl00_ctl52_userLoginContainer > section.user-action-toolbar > ul.user-menu > li#ctl00_ctl52_UserActionTools_liLogin
div#ctl00_ctl52_userLoginContainer > section.user-action-toolbar > ul.user-menu > li#ctl00_ctl52_UserActionTools_liRegister2 div#ctl00_ctl52_userLoginContainer > section.user-action-toolbar > ul.user-menu > li#ctl00_ctl52_UserActionTools_liRegister2
NURSING (SPECIALTY) Congenital Genu Recurvatum Report of Two Cases Background:… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
RADIOLOGY Radiation-Induced Side Effects to the Skin Due to 177Lu-PSMA Extravas… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
OPHTHALMOLOGY/OPTOMETRY Castroviejo's Square Graft After Six Decades Abstract:… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
PUBLIC HEALTH Strategic approach to combat Kyasanur Forest Disease in India: in… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
SURGERY (GENERAL) Demographic trends and mortality disparities in emphysema acr… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
RADIOLOGY Quantitative CT and Artificial Intelligence in Chronic Lung Disease … section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
NURSING (GENERAL) A Qualitative Study of the Lived Transition in Care Experienc… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
CARDIOLOGY Depression Symptoms in Patients With COPD: A Randomized Study of Hom… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
TRANSPLANTATION Adult Heart Transplant Survival in the United States: Regional … section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
NURSING (SPECIALTY) Cardiovascular Digital Health Equity Among Immigrant Popula… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
NEUROLOGY A Roadmap to Neurologic Health Equity An AAN Position Statement Neur… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
ANESTHESIOLOGY/PAIN MEDICINE Taking the Assault on Health Equity Personally Th… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
7:34 OPHTHALMOLOGY/OPTOMETRY IMPACT OF SLEEP APNEA ON RETINAL VEIN OCCLUSION IN… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
3:33 EMERGENCY MEDICINE We Don’t Talk Enough About Late-Career Transitions - In… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
1:56 EMERGENCY MEDICINE A Journal Is Proof That a Specialty Exists - Interview … section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item
1:16 EMERGENCY MEDICINE Reach for Something Big - That Matters - Interview with… section.ejp-uc > div > ul.ejp-uc__list > li.ejp-uc__list-item

These are opportunities to improve the experience of reading tabular or list data using assistive technology, like a screen reader.

Best practices

Touch targets with sufficient size and spacing help users who may have difficulty targeting small controls to activate the targets. Learn more about touch targets.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
© 2026 div.lp-page-container > ul > li.lp-footer__copyright-link > a

These items highlight common accessibility best practices.

Visible text labels that do not match the accessible name can result in a confusing experience for screen reader users. Learn more about accessible names.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Privacy & Cookie Notice div#onetrust-group-container > div#onetrust-policy > div#onetrust-policy-text > a.ot-cookie-policy-link
○Interactive controls are keyboard focusable
○Interactive elements indicate their purpose and state
○The page has a logical tab order
○Visual order on the page follows DOM order
○User focus is not accidentally trapped in a region
○The user's focus is directed to new content added to the page
○HTML5 landmark elements are used to improve navigation
○Offscreen content is hidden from assistive technology
○Custom controls have associated labels
○Custom controls have ARIA roles
●`[aria-*]` attributes match their roles
●`[aria-hidden="true"]` is not present on the document `<body>`
●`[role]`s have all required `[aria-*]` attributes
●`[role]` values are valid
●`[aria-*]` attributes have valid values
●`[aria-*]` attributes are valid and not misspelled
●Buttons have an accessible name
●Image elements have `[alt]` attributes
●Form elements have associated labels
●`[user-scalable="no"]` is not used in the `<meta name="viewport">` element and the `[maximum-scale]` attribute is not less than 5.
●ARIA attributes are used as specified for the element's role
●Elements with `role="dialog"` or `role="alertdialog"` have accessible names.
●`[aria-hidden="true"]` elements do not contain focusable descendents
●Elements use only permitted ARIA attributes
●Background and foreground colors have a sufficient contrast ratio
●Document has a `<title>` element
●`<html>` element has a `[lang]` attribute
●`<html>` element has a valid value for its `[lang]` attribute
●Links are distinguishable without relying on color.
●Links have a discernible name
●Lists contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
●No element has a `[tabindex]` value greater than 0
●Document has a main landmark.
●Deprecated ARIA roles were not used
●Uses ARIA roles only on compatible elements
○`[accesskey]` values are unique
○`button`, `link`, and `menuitem` elements have accessible names
○ARIA input fields have accessible names
○ARIA `meter` elements have accessible names
○ARIA `progressbar` elements have accessible names
○`[role]`s are contained by their required parent element
○Elements with the `role=text` attribute do not have focusable descendents.
○ARIA toggle fields have accessible names
○ARIA `tooltip` elements have accessible names
○ARIA `treeitem` elements have accessible names
○The page contains a heading, skip link, or landmark region
○`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
○Definition list items are wrapped in `<dl>` elements
○ARIA IDs are unique
○No form fields have multiple labels
○`<frame>` or `<iframe>` elements have a title
○`<html>` element has an `[xml:lang]` attribute with the same base language as the `[lang]` attribute.
○Input buttons have discernible text.
○`<input type="image">` elements have `[alt]` text
○The document does not use `<meta http-equiv="refresh">`
○`<object>` elements have alternate text
○Select elements have associated label elements.
○Skip links are focusable.
○Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
○`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
○`[lang]` attributes have a valid value
○`<video>` elements contain a `<track>` element with `[kind="captions"]`
○Tables have different content in the summary attribute and `<caption>`.
○All heading elements contain content.
○Image elements do not have `[alt]` attributes that are redundant text.
○Identical links have the same purpose.
○Tables use `<caption>` instead of cells with the `[colspan]` attribute to indicate a caption.
○`<td>` elements in a large `<table>` have one or more table headers.
77

Best Practices

General

Deprecated APIs will eventually be removed from the browser. Learn more about deprecated APIs.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Deprecation / WarningSource
Unload event listeners are deprecated and will be removed.
lww.com/pages/default.aspx line 23, col 8711
SharedStorage
lww.com/cdn-cgi/challenge-platform/scripts/jsd/main.js
StorageType.persistent is deprecated. Please use standardized navigator.storage instead.
lww.com/cdn-cgi/challenge-platform/scripts/jsd/main.js
Fledge
lww.com/cdn-cgi/challenge-platform/scripts/jsd/main.js
AttributionReporting
snap.licdn.com/li.lms-analytics/insight.min.js

Errors logged to the console indicate unresolved problems. They can come from network request failures and other browser concerns. Learn more about this errors in console diagnostic audit

Why this matters

Performance issues directly impact user engagement and conversion rates.

SourceDescription
publishingimages/WKfavicon.ico
Failed to load resource: net::ERR_NAME_NOT_RESOLVED
lww.com/pages/default.aspx
Refused to apply style from 'https://lww.com/Style%20Library/journal.css?v=05.25.00.229' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.

Source maps translate minified code to the original source code. This helps developers debug in production. In addition, Lighthouse is able to provide further insights. Consider deploying source maps to take advantage of these benefits. Learn more about source maps.

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLMap URL
lww.com/_layouts/15/oaks.journals/core/lww-core.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/lww-core.js.map
lww.com/_layouts/15/oaks.journals/core/lippincott.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/lippincott.js.map
lww.com/_layouts/15/oaks.journals/core/ejp.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/ejp.js.map
lww.com/_layouts/15/1033/Scripts/wk/journals_master.min.js?v=05.25.00.229
lww.com/_layouts/15/oaks.journals/core/react-redux-vendors.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/react-redux-vendors.js.map
lww.com/_layouts/15/oaks.journals/core/manifest.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/manifest.js.map
lww.com/_layouts/15/oaks.journals/core/lww-cookiepro.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/lww-cookiepro.js.map
lww.com/_layouts/15/oaks.journals/core/ee.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/ee.js.map
lww.com/_layouts/15/oaks.journals/core/bootstrap.bundle.min.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/bootstrap.bundle.min.js.map
lww.com/_layouts/15/oaks.journals/core/ads.js?v=05.25.00.229lww.com/_layouts/15/oaks.journals/core/ads.js.map
●Uses HTTPS
●Avoids third-party cookies
●Allows users to paste into input fields
●Avoids requesting the geolocation permission on page load
●Avoids requesting the notification permission on page load
●Displays images with correct aspect ratio
●Serves images with appropriate resolution
●Page has the HTML doctype
●Properly defines charset
●No issues in the `Issues` panel in Chrome Devtools
●Ensure CSP is effective against XSS attacks
●Use a strong HSTS policy
●Ensure proper origin isolation with COOP
●Mitigate DOM-based XSS with Trusted Types
●Detected JavaScript libraries
○Redirects HTTP traffic to HTTPS
○Mitigate clickjacking with XFO or CSP
92

SEO

These checks ensure that your page is following basic search engine optimization advice. There are many additional factors Lighthouse does not score here that may affect your search ranking, including performance on Core Web Vitals. Learn more about Google Search Essentials.

Content Best Practices

Meta descriptions may be included in search results to concisely summarize page content. Learn more about the meta description.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Format your HTML in a way that enables crawlers to better understand your app’s content.

○Structured data is valid
●Page isn’t blocked from indexing
●Document has a `<title>` element
●Page has successful HTTP status code
●Links have descriptive text
●Links are crawlable
●Image elements have `[alt]` attributes
●Document has a valid `hreflang`
●Document has a valid `rel=canonical`
○robots.txt is valid

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