| [ |
| { |
| "index": 0, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 0.9583333333333334 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a kidney problem since age eight.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The kidney problem caused protein to leak into her urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem first showed up when a large blood clot blocked veins in her brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A clot also went to her lungs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She took blood thinners.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She took steroid pills.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She later took a medicine that calms the immune system.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The immune-calming medicine helped her use fewer steroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests showed no inherited blood-clotting problem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had several flare-ups of the kidney problem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Steroid pills controlled the flare-ups until 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 2017, she had no relapses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her doctors stopped the blood thinner.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her doctors stopped the immune-calming medicine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One year later, she had sudden, very bad belly pain all over.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She vomited after eating.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Both legs were swollen.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests showed the kidney problem was back.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A CT scan showed a new clot in the main artery that feeds the small intestine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clot stopped blood from reaching the intestines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In surgery, most of her small intestine was dead.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Taking out that much bowel would not allow life.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She died 48 hours later.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a 12-year history of idiopathic nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was diagnosed after extensive cerebral venous thrombosis with pulmonary embolism.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She received anticoagulation therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She received oral corticosteroid therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with mycophenolate mofetil.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Thrombophilia assessment did not show any abnormalities.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had several nephrotic syndrome relapses controlled by oral corticosteroid therapy until 2017.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She did not have a relapse after 2017.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Anticoagulant treatment was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Mycophenolate mofetil was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "One year later, she presented with severe diffuse acute abdominal pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had postprandial vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had bilateral lower limb edema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory results confirmed a nephrotic syndrome relapse.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An abdominal CT scan revealed acute thrombosis of the superior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The CT scan showed acute mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intraoperative exploration showed mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was extensive necrosis of the small intestine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Resection of the small intestine was incompatible with life.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died after 48 hours.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a kidney problem since age eight.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The kidney problem caused protein to leak into her urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem first showed up when a large blood clot blocked veins in her brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A clot also went to her lungs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She took blood thinners.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She took steroid pills.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She later took a medicine that calms the immune system.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The immune-calming medicine helped her use fewer steroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests showed no inherited blood-clotting problem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had several flare-ups of the kidney problem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Steroid pills controlled the flare-ups until 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 2017, she had no relapses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her doctors stopped the blood thinner.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her doctors stopped the immune-calming medicine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One year later, she had sudden, very bad belly pain all over.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She vomited after eating.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Both legs were swollen.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests showed the kidney problem was back.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A CT scan showed a new clot in the main artery that feeds the small intestine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clot stopped blood from reaching the intestines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In surgery, most of her small intestine was dead.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Taking out that much bowel would not allow life.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She died 48 hours later.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient was a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a 12-year history of idiopathic nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The nephrotic syndrome initially presented with extensive cerebral venous thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The nephrotic syndrome initially presented with pulmonary embolism.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with anticoagulation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with oral corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with mycophenolate mofetil as a steroid-sparing agent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A comprehensive thrombophilia work-up was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She experienced multiple relapses of nephrotic syndrome controlled with steroids until 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She remained in remission after 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anticoagulation was discontinued after 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mycophenolate mofetil was discontinued after 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One year after discontinuation, she developed sudden diffuse abdominal pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had postprandial vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had bilateral leg edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory tests confirmed a relapse of nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Abdominal CT showed acute superior mesenteric artery thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Abdominal CT showed acute mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery revealed extensive small-bowel necrosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The small-bowel necrosis was not compatible with survival.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She died 48 hours after the surgery.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a 12-year history of idiopathic nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was diagnosed after extensive cerebral venous thrombosis with pulmonary embolism.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She received anticoagulation therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She received oral corticosteroid therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with mycophenolate mofetil.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Thrombophilia assessment did not show any abnormalities.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had several nephrotic syndrome relapses controlled by oral corticosteroid therapy until 2017.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She did not have a relapse after 2017.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Anticoagulant treatment was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Mycophenolate mofetil was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "One year later, she presented with severe diffuse acute abdominal pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had postprandial vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had bilateral lower limb edema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory results confirmed a nephrotic syndrome relapse.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An abdominal CT scan revealed acute thrombosis of the superior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The CT scan showed acute mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intraoperative exploration showed mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was extensive necrosis of the small intestine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Resection of the small intestine was incompatible with life.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died after 48 hours.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient was a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a 12-year history of idiopathic nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The nephrotic syndrome initially presented with extensive cerebral venous thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The nephrotic syndrome initially presented with pulmonary embolism.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with anticoagulation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with oral corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with mycophenolate mofetil as a steroid-sparing agent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A comprehensive thrombophilia work-up was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She experienced multiple relapses of nephrotic syndrome controlled with steroids until 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She remained in remission after 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anticoagulation was discontinued after 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mycophenolate mofetil was discontinued after 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One year after discontinuation, she developed sudden diffuse abdominal pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had postprandial vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had bilateral leg edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory tests confirmed a relapse of nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Abdominal CT showed acute superior mesenteric artery thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Abdominal CT showed acute mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery revealed extensive small-bowel necrosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The small-bowel necrosis was not compatible with survival.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She died 48 hours after the surgery.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9, |
| "completeness": 1.0, |
| "conciseness": 0.74 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had idiopathic nephrotic syndrome since age eight.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her nephrotic syndrome was inaugurated by cerebral venous thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The cerebral venous thrombosis extended to the right jugular vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a massive pulmonary embolism.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no sequelae from the thrombotic events.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no personal or family thrombotic history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Kidney biopsy was deferred at presentation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with an oral vitamin K antagonist.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with oral corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had multiple steroid-dependent relapses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was started on mycophenolate mofetil as background therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mycophenolate mofetil was used to spare corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An exhaustive thrombophilia assessment was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anticoagulation was stopped after nine years.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She remained in nephrotic syndrome remission from 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mycophenolate mofetil was gradually discontinued in 2019.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with acute intense diffuse abdominal pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had postprandial vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had bilateral lower-limb edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis detected proteinuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemogasanalysis showed metabolic acidosis with respiratory compensation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Labs revealed hypoalbuminemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Labs revealed hypercholesterolemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Prothrombin time was 90%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "D-dimer was elevated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "LDH was elevated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Creatine phosphokinase was elevated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "CRP was 37 mg/L.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Leukocytosis was present.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urgent abdominal ultrasound showed a low-to-moderate intra-abdominal effusion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Contrast-enhanced CT demonstrated acute thrombosis of the superior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The CT showed acute mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent emergency laparotomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative exploration confirmed mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was extensive necrosis of almost the entire small bowel.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Resection was incompatible with life.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She died 48 hours after presentation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This case illustrates catastrophic arterial thrombosis in the setting of nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is a hypercoagulable state.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome involves urinary loss of anticoagulant proteins.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with increased fibrinogen.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with hemoconcentration.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with dyslipidemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with systemic inflammation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Venous thromboembolism is more common in nephrotic syndrome.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Superior mesenteric artery thrombosis is rare in nephrotic syndrome.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Superior mesenteric artery thrombosis is often fatal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "High clinical suspicion is needed for acute abdominal pain in patients with active or relapsing nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Rapid imaging is needed for acute abdominal pain in patients with active or relapsing nephrotic syndrome.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a 12-year history of idiopathic nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was diagnosed after extensive cerebral venous thrombosis with pulmonary embolism.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She received anticoagulation therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She received oral corticosteroid therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with mycophenolate mofetil.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Thrombophilia assessment did not show any abnormalities.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had several nephrotic syndrome relapses controlled by oral corticosteroid therapy until 2017.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She did not have a relapse after 2017.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Anticoagulant treatment was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Mycophenolate mofetil was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "One year later, she presented with severe diffuse acute abdominal pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had postprandial vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had bilateral lower limb edema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory results confirmed a nephrotic syndrome relapse.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An abdominal CT scan revealed acute thrombosis of the superior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The CT scan showed acute mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intraoperative exploration showed mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was extensive necrosis of the small intestine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Resection of the small intestine was incompatible with life.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died after 48 hours.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 20-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had idiopathic nephrotic syndrome since age eight.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her nephrotic syndrome was inaugurated by cerebral venous thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The cerebral venous thrombosis extended to the right jugular vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a massive pulmonary embolism.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no sequelae from the thrombotic events.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There was no personal or family thrombotic history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Kidney biopsy was deferred at presentation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was treated with an oral vitamin K antagonist.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with oral corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had multiple steroid-dependent relapses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was started on mycophenolate mofetil as background therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mycophenolate mofetil was used to spare corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An exhaustive thrombophilia assessment was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anticoagulation was stopped after nine years.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She remained in nephrotic syndrome remission from 2017.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mycophenolate mofetil was gradually discontinued in 2019.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with acute intense diffuse abdominal pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had postprandial vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had bilateral lower-limb edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis detected proteinuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemogasanalysis showed metabolic acidosis with respiratory compensation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Labs revealed hypoalbuminemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Labs revealed hypercholesterolemia.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Prothrombin time was 90%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "D-dimer was elevated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "LDH was elevated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Creatine phosphokinase was elevated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "CRP was 37 mg/L.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Leukocytosis was present.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Urgent abdominal ultrasound showed a low-to-moderate intra-abdominal effusion.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Contrast-enhanced CT demonstrated acute thrombosis of the superior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The CT showed acute mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent emergency laparotomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative exploration confirmed mesenteric ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was extensive necrosis of almost the entire small bowel.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Resection was incompatible with life.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She died 48 hours after presentation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This case illustrates catastrophic arterial thrombosis in the setting of nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is a hypercoagulable state.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome involves urinary loss of anticoagulant proteins.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with increased fibrinogen.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with hemoconcentration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with dyslipidemia.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Nephrotic syndrome is associated with systemic inflammation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Venous thromboembolism is more common in nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Superior mesenteric artery thrombosis is rare in nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Superior mesenteric artery thrombosis is often fatal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "High clinical suspicion is needed for acute abdominal pain in patients with active or relapsing nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Rapid imaging is needed for acute abdominal pain in patients with active or relapsing nephrotic syndrome.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 1, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is 34 years old.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient is pregnant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had a seizure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had trouble speaking clearly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was sent for a head MRI scan.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI scan showed a pattern called the 'Medusa head.'", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The 'Medusa head' pattern indicates an unusual arrangement of veins in the brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was born with the unusual vein arrangement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There is a small blood clot at the outer part of the vein pattern.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Blood is moving slowly closer to the main vein.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 34-year-old pregnant woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with seizures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with dysarthria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was urgently referred for a cranial MRI.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The classic \u2018Medusa head\u2019 sign was seen on imaging.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was a venous anomaly of development.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The venous anomaly was associated with peripheral partial thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The venous anomaly was associated with proximal slow flow.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is 34 years old.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient is pregnant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had a seizure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had trouble speaking clearly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was sent for a head MRI scan.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI scan showed a pattern called the 'Medusa head.'", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The 'Medusa head' pattern indicates an unusual arrangement of veins in the brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was born with the unusual vein arrangement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There is a small blood clot at the outer part of the vein pattern.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood is moving slowly closer to the main vein.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is 8 weeks pregnant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a first-time generalized seizure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The seizure was associated with temporary slurred speech.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors obtained an urgent brain MRI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI showed the classic 'Medusa head' sign.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The 'Medusa head' sign indicates a developmental venous anomaly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A developmental venous anomaly is a vein pattern you are born with.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging suggested a partial clot along the peripheral portion of the draining system.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging showed slower blood flow closer to the main draining vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis is a developmental venous anomaly with peripheral partial thrombosis and proximal slow flow.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 34-year-old pregnant woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with seizures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with dysarthria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was urgently referred for a cranial MRI.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The classic \u2018Medusa head\u2019 sign was seen on imaging.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was a venous anomaly of development.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The venous anomaly was associated with peripheral partial thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The venous anomaly was associated with proximal slow flow.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is 8 weeks pregnant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a first-time generalized seizure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The seizure was associated with temporary slurred speech.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors obtained an urgent brain MRI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI showed the classic 'Medusa head' sign.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The 'Medusa head' sign indicates a developmental venous anomaly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A developmental venous anomaly is a vein pattern you are born with.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging suggested a partial clot along the peripheral portion of the draining system.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging showed slower blood flow closer to the main draining vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis is a developmental venous anomaly with peripheral partial thrombosis and proximal slow flow.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8928571428571429, |
| "completeness": 1.0, |
| "conciseness": 0.7142857142857143 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is 8 weeks pregnant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had generalized convulsions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postictal dysarthria resolved within two hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On examination, she was alert and oriented.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no focal language, motor, or sensory deficits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A right lateral tongue bite was noted.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An urgent cranial MRI was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI protocol included 3D T1 pre- and post-contrast sequences.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The MRI showed multiple venous cortico-medullary vascular structures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The structures converged centripetally to a large central draining vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The drainage vein emptied via the inferior anastomotic vein into the left transverse sinus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI findings formed the classic \u201cMedusa head\u201d sign.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On T1 post-contrast, the drainage vein showed increased signal with central hypointensity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The parenchyma surrounding the drainage vein was hyperintense on T2 and FLAIR.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no diffusion restriction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings are diagnostic of a developmental venous anomaly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The DVA showed signs of partial peripheral thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was more proximal slow flow.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Perilesional edema was present.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included clexane 60 mg every 12 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Levetiracetam 500 mg every 12 hours was started.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Symptomatic improvement and stability were noted after one week.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "DVAs are typically benign venous variants.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Pregnancy-associated hypercoagulability may predispose to thrombosis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Partial thrombosis and impaired outflow in a DVA can lead to venous congestion and edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Venous congestion and edema can manifest clinically with seizures.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 34-year-old pregnant woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with seizures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with dysarthria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was urgently referred for a cranial MRI.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The classic \u2018Medusa head\u2019 sign was seen on imaging.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was a venous anomaly of development.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The venous anomaly was associated with peripheral partial thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The venous anomaly was associated with proximal slow flow.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is 8 weeks pregnant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had generalized convulsions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postictal dysarthria resolved within two hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On examination, she was alert and oriented.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no focal language, motor, or sensory deficits.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A right lateral tongue bite was noted.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Laboratory tests were unremarkable.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "An urgent cranial MRI was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI protocol included 3D T1 pre- and post-contrast sequences.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The MRI showed multiple venous cortico-medullary vascular structures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The structures converged centripetally to a large central draining vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The drainage vein emptied via the inferior anastomotic vein into the left transverse sinus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The MRI findings formed the classic \u201cMedusa head\u201d sign.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On T1 post-contrast, the drainage vein showed increased signal with central hypointensity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The parenchyma surrounding the drainage vein was hyperintense on T2 and FLAIR.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no diffusion restriction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings are diagnostic of a developmental venous anomaly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The DVA showed signs of partial peripheral thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was more proximal slow flow.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Perilesional edema was present.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included clexane 60 mg every 12 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Levetiracetam 500 mg every 12 hours was started.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Symptomatic improvement and stability were noted after one week.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "DVAs are typically benign venous variants.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Pregnancy-associated hypercoagulability may predispose to thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Partial thrombosis and impaired outflow in a DVA can lead to venous congestion and edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Venous congestion and edema can manifest clinically with seizures.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 2, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had painful mouth sores.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sores made eating and drinking hard.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem started after a fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Small pimples showed up on her lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had been vaping for about one year.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The checkup found no spots on the rest of her body.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her lips had crusts with a little blood.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The corners of her mouth were raw and bled easily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Inside her mouth there were white sores with yellow edges.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sores were different shapes and sizes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sores were in several places.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A test for the cold-sore virus was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The doctor diagnosed oral erythema multiforme.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with salt-water compresses on the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She used a mouth rinse with dexamethasone mixed with hyaluronic acid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She applied 2% miconazole cream on the sores at the mouth corners.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She used petroleum jelly on her dry lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was told to stop vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her mouth got better after one week of treatment.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with stomatitis causing pain, eating, and drinking difficulty.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The symptoms started with fever and pimple-like lesions on the lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was an active vape user for one year.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Extraoral examination revealed no lesions on other body parts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Serosanguinolent crusts were present on the lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An erosive area was noted on the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intraoral examination revealed white ulcers with yellowish edges.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The ulcers were of irregular, varying sizes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The anti-HSV-1 IgG laboratory results were non-reactive.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was oral erythema multiforme.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Management included 0.9% NaCl compress.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Dexamethasone mouthwash was used.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Hyaluronic acid was applied.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "2% miconazole cream was applied on the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Vaseline album cream was applied on dry lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Vaping was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The oral condition improved in a week of therapy.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had painful mouth sores.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sores made eating and drinking hard.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem started after a fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Small pimples showed up on her lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had been vaping for about one year.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The checkup found no spots on the rest of her body.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her lips had crusts with a little blood.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The corners of her mouth were raw and bled easily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Inside her mouth there were white sores with yellow edges.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sores were different shapes and sizes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sores were in several places.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A test for the cold-sore virus was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The doctor diagnosed oral erythema multiforme.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with salt-water compresses on the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She used a mouth rinse with dexamethasone mixed with hyaluronic acid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She applied 2% miconazole cream on the sores at the mouth corners.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She used petroleum jelly on her dry lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was told to stop vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her mouth got better after one week of treatment.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a month of painful stomatitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The stomatitis made eating and drinking difficult.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The illness began with a fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The illness began with pimple-like lesions on the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had been vaping regularly for about one year.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Examination showed no skin lesions elsewhere.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lips had serosanguineous crusts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lips had erosions at the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The erosions tended to bleed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraorally, there were multiple irregular white ulcers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers had yellowish borders.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers were on several sites of the oral mucosa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti\u2013HSV-1 IgG was non-reactive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was oral erythema multiforme.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was likely related to vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included normal saline compresses to the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included a dexamethasone mouth rinse mixed with hyaluronic acid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included 2% miconazole cream applied to the lip corner.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included petroleum jelly for dry lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included stopping vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her oral condition improved within one week.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with stomatitis causing pain, eating, and drinking difficulty.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The symptoms started with fever and pimple-like lesions on the lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was an active vape user for one year.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Extraoral examination revealed no lesions on other body parts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Serosanguinolent crusts were present on the lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An erosive area was noted on the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intraoral examination revealed white ulcers with yellowish edges.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The ulcers were of irregular, varying sizes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The anti-HSV-1 IgG laboratory results were non-reactive.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was oral erythema multiforme.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Management included 0.9% NaCl compress.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Dexamethasone mouthwash was used.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Hyaluronic acid was applied.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "2% miconazole cream was applied on the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Vaseline album cream was applied on dry lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Vaping was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The oral condition improved in a week of therapy.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a month of painful stomatitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The stomatitis made eating and drinking difficult.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The illness began with a fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The illness began with pimple-like lesions on the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had been vaping regularly for about one year.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Examination showed no skin lesions elsewhere.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lips had serosanguineous crusts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lips had erosions at the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The erosions tended to bleed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraorally, there were multiple irregular white ulcers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers had yellowish borders.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers were on several sites of the oral mucosa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti\u2013HSV-1 IgG was non-reactive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was oral erythema multiforme.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was likely related to vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included normal saline compresses to the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included a dexamethasone mouth rinse mixed with hyaluronic acid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included 2% miconazole cream applied to the lip corner.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included petroleum jelly for dry lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included stopping vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her oral condition improved within one week.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 0.9130434782608695 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a 1-month history of painful oral ulcers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers caused difficulty eating and drinking.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The episode began with fever followed by pimple-like lesions on the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had used pod-type vapes for approximately one year.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had never smoked conventional cigarettes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She reported no medication exposure prior to onset.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Extraorally, there were no lesions elsewhere on the body.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lips exhibited serosanguineous crusts with an erosive area at the right labial commissure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoral examination showed multiple painful white ulcers with yellowish edges.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers were on the labial and buccal mucosa, lateral and ventral tongue, and floor of mouth.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti-HSV-1 IgG was non-reactive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A diagnosis of vaping-related oral erythema multiforme, minor type, was established.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included 0.9% NaCl\u2013moistened gauze compresses to the lips three times daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A dexamethasone mouthrinse was used three times daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "2% miconazole cream was applied to the wound at the right labial commissure twice daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Vaseline album was used for dry lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was advised to cease vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 1-week follow-up, the oral condition had improved.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Written informed consent was obtained.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The case conformed to the Helsinki Declaration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Erythema multiforme is a mucocutaneous hypersensitivity reaction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In this case, vaping exposure and frequent e-liquid flavor changes were considered plausible triggers.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with stomatitis causing pain, eating, and drinking difficulty.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The symptoms started with fever and pimple-like lesions on the lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was an active vape user for one year.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Extraoral examination revealed no lesions on other body parts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Serosanguinolent crusts were present on the lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An erosive area was noted on the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intraoral examination revealed white ulcers with yellowish edges.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The ulcers were of irregular, varying sizes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The anti-HSV-1 IgG laboratory results were non-reactive.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was oral erythema multiforme.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Management included 0.9% NaCl compress.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Dexamethasone mouthwash was used.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Hyaluronic acid was applied.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "2% miconazole cream was applied on the labial commissures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Vaseline album cream was applied on dry lips.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Vaping was stopped.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The oral condition improved in a week of therapy.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 22-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a 1-month history of painful oral ulcers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers caused difficulty eating and drinking.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The episode began with fever followed by pimple-like lesions on the lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had used pod-type vapes for approximately one year.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had never smoked conventional cigarettes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She reported no medication exposure prior to onset.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Extraorally, there were no lesions elsewhere on the body.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lips exhibited serosanguineous crusts with an erosive area at the right labial commissure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoral examination showed multiple painful white ulcers with yellowish edges.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulcers were on the labial and buccal mucosa, lateral and ventral tongue, and floor of mouth.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti-HSV-1 IgG was non-reactive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A diagnosis of vaping-related oral erythema multiforme, minor type, was established.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included 0.9% NaCl\u2013moistened gauze compresses to the lips three times daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A dexamethasone mouthrinse was used three times daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "2% miconazole cream was applied to the wound at the right labial commissure twice daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Vaseline album was used for dry lips.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was advised to cease vaping.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 1-week follow-up, the oral condition had improved.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Written informed consent was obtained.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The case conformed to the Helsinki Declaration.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Erythema multiforme is a mucocutaneous hypersensitivity reaction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In this case, vaping exposure and frequent e-liquid flavor changes were considered plausible triggers.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 3, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.7777777777777778, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "A routine scan at 32 weeks of pregnancy found one small lump inside the baby\u2019s heart.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The heart lump caused no symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This was the only problem seen.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors watched the lump with clinic visits until 39 weeks plus 1 day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The baby was delivered by C-section at 39 weeks plus 1 day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After birth, the child had checkups on day 1, day 7, day 30, month 7, and month 12.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "At each visit, the child\u2019s growth and behavior were healthy for age.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The heart lump stayed the same size; it did not grow or shrink.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "By 1 year old, there were no signs of tuberous sclerosis complex.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "An isolated, asymptomatic fetal intra-cardiac mass was discovered at 32 weeks of gestation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The mass was followed as an outpatient until 39 weeks plus one day.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A cesarean section was performed at 39 weeks plus one day.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child underwent evaluations at the 1st day, 7th day, 30th day, 7th month, and 12th month of age.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child's anthropometric growth was healthy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child's neurobehavioral growth was healthy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The intra-cardiac mass was neither growing nor shrinking in size.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "None of the clinical diagnostic criteria for tuberous sclerosis complex were met for this child up to the age of one year.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "A routine scan at 32 weeks of pregnancy found one small lump inside the baby\u2019s heart.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The heart lump caused no symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This was the only problem seen.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors watched the lump with clinic visits until 39 weeks plus 1 day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The baby was delivered by C-section at 39 weeks plus 1 day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After birth, the child had checkups on day 1, day 7, day 30, month 7, and month 12.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At each visit, the child\u2019s growth and behavior were healthy for age.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The heart lump stayed the same size; it did not grow or shrink.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "By 1 year old, there were no signs of tuberous sclerosis complex.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.875, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The case describes an isolated, asymptomatic fetal cardiac rhabdomyoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The rhabdomyoma was first detected at 32 weeks\u2019 gestation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pregnancy was monitored as an outpatient.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Delivery occurred at 39 weeks plus one day by cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postnatal follow-up occurred at day 1, day 7, day 30, 7 months, and 12 months.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The child showed normal growth and neurodevelopment at all follow-up visits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The intracardiac mass remained stable in size across all visits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Up to one year of age, the child did not meet any clinical diagnostic criteria for tuberous sclerosis complex.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "An isolated, asymptomatic fetal intra-cardiac mass was discovered at 32 weeks of gestation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The mass was followed as an outpatient until 39 weeks plus one day.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A cesarean section was performed at 39 weeks plus one day.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child underwent evaluations at the 1st day, 7th day, 30th day, 7th month, and 12th month of age.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child's anthropometric growth was healthy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child's neurobehavioral growth was healthy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The intra-cardiac mass was neither growing nor shrinking in size.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "None of the clinical diagnostic criteria for tuberous sclerosis complex were met for this child up to the age of one year.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The case describes an isolated, asymptomatic fetal cardiac rhabdomyoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The rhabdomyoma was first detected at 32 weeks\u2019 gestation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pregnancy was monitored as an outpatient.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Delivery occurred at 39 weeks plus one day by cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postnatal follow-up occurred at day 1, day 7, day 30, 7 months, and 12 months.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The child showed normal growth and neurodevelopment at all follow-up visits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The intracardiac mass remained stable in size across all visits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Up to one year of age, the child did not meet any clinical diagnostic criteria for tuberous sclerosis complex.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9787234042553191, |
| "completeness": 1.0, |
| "conciseness": 0.7021276595744681 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 29-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is gravida V para IV.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had three spontaneous vaginal deliveries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a prior cesarean delivery for failed induction 4 years earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented for antenatal care at 32 weeks by last menstrual period.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Maternal VDRL was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Maternal HBsAg was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Maternal urinalysis was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Maternal CBC was within normal limits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Maternal blood group was A Rh-positive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Obstetric ultrasound showed normal fetal anatomy except the heart.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fetal echocardiography showed normal situs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fetal atria were of comparable size.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Atrioventricular and semilunar valves were normally positioned with normal motion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fetal ventricles were comparable in size and contractility.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left ventricle formed the apex.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no ventricular septal defect.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Two circumscribed, round, echogenic masses were noted on the left ventricular papillary muscles.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The masses measured 18.2 \u00d7 8.3 mm and 13.5 \u00d7 8.3 mm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "LVOT and RVOT anatomy and function were normal on 2D and color flow.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The impression was cardiac rhabdomyoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cardiac rhabdomyomas are associated with tuberous sclerosis complex.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Detailed neurosonography and systemic evaluation were performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Neurosonography and systemic evaluation were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She continued routine antenatal care without complications to 39 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 39 weeks + 1 day, a repeat cesarean section was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The cesarean was performed at the patient's request.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 3200 g female was delivered.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Apgar scores were 10 at 1 and 5 minutes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postoperative courses for mother and neonate were uneventful.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The mother and neonate were discharged on postoperative day 3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The neonate was evaluated on days 1, 7, and 30.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Physical examinations were normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no seizure activity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no new cutaneous lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mass dimensions were similar to the antenatal findings.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 7 months, development was age-appropriate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Pediatric echocardiography showed well-circumscribed hyperechoic masses on both left ventricular papillary muscles.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The masses measured 21.8 \u00d7 9.2 mm and 14.7 \u00d7 8.5 mm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no left ventricular inflow obstruction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 12 months, anthropometric and neurobehavioral development remained normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Echocardiography again showed well-circumscribed hyperechoic masses on both left ventricular papillary muscles.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no size increment of the masses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no left ventricular inflow obstruction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Up to one year of age, the child met none of the clinical diagnostic criteria for tuberous sclerosis complex.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Cardiac rhabdomyomas often regress spontaneously in infancy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "These lesions were stable through 12 months.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "An isolated, asymptomatic fetal intra-cardiac mass was discovered at 32 weeks of gestation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The mass was followed as an outpatient until 39 weeks plus one day.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A cesarean section was performed at 39 weeks plus one day.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child underwent evaluations at the 1st day, 7th day, 30th day, 7th month, and 12th month of age.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child's anthropometric growth was healthy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The child's neurobehavioral growth was healthy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The intra-cardiac mass was neither growing nor shrinking in size.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "None of the clinical diagnostic criteria for tuberous sclerosis complex were met for this child up to the age of one year.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 29-year-old woman.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She is gravida V para IV.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had three spontaneous vaginal deliveries.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had a prior cesarean delivery for failed induction 4 years earlier.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She presented for antenatal care at 32 weeks by last menstrual period.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Maternal VDRL was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Maternal HBsAg was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Maternal urinalysis was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Maternal CBC was within normal limits.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Maternal blood group was A Rh-positive.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Obstetric ultrasound showed normal fetal anatomy except the heart.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fetal echocardiography showed normal situs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fetal atria were of comparable size.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Atrioventricular and semilunar valves were normally positioned with normal motion.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Fetal ventricles were comparable in size and contractility.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left ventricle formed the apex.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no ventricular septal defect.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Two circumscribed, round, echogenic masses were noted on the left ventricular papillary muscles.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The masses measured 18.2 \u00d7 8.3 mm and 13.5 \u00d7 8.3 mm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "LVOT and RVOT anatomy and function were normal on 2D and color flow.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The impression was cardiac rhabdomyoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cardiac rhabdomyomas are associated with tuberous sclerosis complex.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Detailed neurosonography and systemic evaluation were performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Neurosonography and systemic evaluation were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She continued routine antenatal care without complications to 39 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 39 weeks + 1 day, a repeat cesarean section was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The cesarean was performed at the patient's request.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A 3200 g female was delivered.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Apgar scores were 10 at 1 and 5 minutes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postoperative courses for mother and neonate were uneventful.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The mother and neonate were discharged on postoperative day 3.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The neonate was evaluated on days 1, 7, and 30.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Physical examinations were normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no seizure activity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no new cutaneous lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mass dimensions were similar to the antenatal findings.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 7 months, development was age-appropriate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Pediatric echocardiography showed well-circumscribed hyperechoic masses on both left ventricular papillary muscles.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The masses measured 21.8 \u00d7 9.2 mm and 14.7 \u00d7 8.5 mm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no left ventricular inflow obstruction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 12 months, anthropometric and neurobehavioral development remained normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Echocardiography again showed well-circumscribed hyperechoic masses on both left ventricular papillary muscles.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no size increment of the masses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no left ventricular inflow obstruction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Up to one year of age, the child met none of the clinical diagnostic criteria for tuberous sclerosis complex.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cardiac rhabdomyomas often regress spontaneously in infancy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "These lesions were stable through 12 months.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 4, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9090909090909091, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 13-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has had small growths in his throat since he was two years old.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The growths were in his voice box and windpipe.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The growths narrowed his breathing tube.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A chest scan showed several small cysts in his lungs.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Doctors removed the throat growths.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They placed a breathing tube through a small hole in his neck.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received one dose of bevacizumab (400 mg) through a vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had breathing therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He got better.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem has not come back during follow-up.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 13-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He has a history of laryngeal papillomatosis since the age of two years.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with respiratory distress.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Multiple stenosing nodules were found in the larynx and trachea.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Chest tomography showed several pulmonary cysts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent exeresis of the papillomatosis lesions.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent tracheostomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He received a single dose of 400 mg bevacizumab intravenously.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He received respiratory therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He had a favorable clinical evolution.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was no recurrence in the follow-up.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 13-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has had small growths in his throat since he was two years old.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The growths were in his voice box and windpipe.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The growths narrowed his breathing tube.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A chest scan showed several small cysts in his lungs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors removed the throat growths.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They placed a breathing tube through a small hole in his neck.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received one dose of bevacizumab (400 mg) through a vein.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had breathing therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He got better.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem has not come back during follow-up.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9285714285714286, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 13-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has had recurrent respiratory papillomatosis since age two.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with breathing difficulty.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had noisy breathing (stridor).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had hoarseness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Airway evaluation showed multiple nodules narrowing the larynx.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Airway evaluation showed multiple nodules narrowing the trachea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest CT revealed several pulmonary cysts.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He underwent surgical removal of the papillomatosis lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a tracheostomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received a single 400 mg intravenous dose of bevacizumab.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received respiratory therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He recovered well.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There has been no recurrence on follow-up.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 13-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He has a history of laryngeal papillomatosis since the age of two years.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with respiratory distress.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Multiple stenosing nodules were found in the larynx and trachea.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Chest tomography showed several pulmonary cysts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent exeresis of the papillomatosis lesions.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent tracheostomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He received a single dose of 400 mg bevacizumab intravenously.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He received respiratory therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He had a favorable clinical evolution.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was no recurrence in the follow-up.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 13-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has had recurrent respiratory papillomatosis since age two.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with breathing difficulty.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had noisy breathing (stridor).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had hoarseness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Airway evaluation showed multiple nodules narrowing the larynx.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Airway evaluation showed multiple nodules narrowing the trachea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest CT revealed several pulmonary cysts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He underwent surgical removal of the papillomatosis lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a tracheostomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received a single 400 mg intravenous dose of bevacizumab.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received respiratory therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He recovered well.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There has been no recurrence on follow-up.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9772727272727273, |
| "completeness": 1.0, |
| "conciseness": 0.6363636363636364 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 13-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient is from Cusco.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient has had recurrent respiratory papillomatosis since age two.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had a tracheostomy at age three.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had a maternal history of genital papilloma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient presented after 16 days of predominantly nocturnal respiratory difficulty.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had inspiratory laryngeal stridor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had moderate dysphonia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had previously received azithromycin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had previously received supplemental oxygen.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had no improvement with azithromycin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had no improvement with supplemental oxygen.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On exam, there was mild subcostal retraction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest tomography visualized several pulmonary cysts.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Forty-eight hours after admission, the patient developed worsening stridor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Forty-eight hours after admission, the patient developed respiratory distress.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergent OR transfer was performed for tracheostomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergent OR transfer was performed for microlaryngoscopy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergent OR transfer was performed for excision of papillomatous lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings demonstrated extensive papillomatous disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed appendicular tumor-like lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the epiglottis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the glottic surface.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the vocal cords.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the subglottis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the trachea to ring 5.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Histopathology showed koilocytotic atypia consistent with HPV.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Histopathology showed mild focal dysplasia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was managed in the PICU postoperatively.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was weaned off oxygen within 48 hours postoperatively.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received a single intravenous dose of bevacizumab 400 mg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient showed prompt clinical improvement after bevacizumab.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient completed a seven-day hospitalization.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oxygen saturation normalized by the end of the hospitalization.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was transferred for ongoing care.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received respiratory therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On telemonitoring at eight months, there was no evidence of recurrence.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On telemonitoring at eight months, there were no intercurrent events.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Recurrent respiratory papillomatosis is typically HPV-related.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Recurrent respiratory papillomatosis can cause multifocal papillomas.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Recurrent respiratory papillomatosis can lead to airway stenosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti-VEGF therapy such as bevacizumab is used off-label to reduce angiogenesis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti-VEGF therapy such as bevacizumab is used off-label to reduce disease recurrence.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In this case, bevacizumab was associated with a favorable short- to mid-term outcome.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 13-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He has a history of laryngeal papillomatosis since the age of two years.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with respiratory distress.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Multiple stenosing nodules were found in the larynx and trachea.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Chest tomography showed several pulmonary cysts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent exeresis of the papillomatosis lesions.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent tracheostomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He received a single dose of 400 mg bevacizumab intravenously.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He received respiratory therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He had a favorable clinical evolution.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was no recurrence in the follow-up.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 13-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient is from Cusco.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient has had recurrent respiratory papillomatosis since age two.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had a tracheostomy at age three.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient had a maternal history of genital papilloma.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient presented after 16 days of predominantly nocturnal respiratory difficulty.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had inspiratory laryngeal stridor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had moderate dysphonia.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient had previously received azithromycin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient had previously received supplemental oxygen.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had no improvement with azithromycin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient had no improvement with supplemental oxygen.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "On exam, there was mild subcostal retraction.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Chest tomography visualized several pulmonary cysts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Forty-eight hours after admission, the patient developed worsening stridor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Forty-eight hours after admission, the patient developed respiratory distress.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergent OR transfer was performed for tracheostomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergent OR transfer was performed for microlaryngoscopy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergent OR transfer was performed for excision of papillomatous lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings demonstrated extensive papillomatous disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed appendicular tumor-like lesions.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the epiglottis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the glottic surface.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the vocal cords.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the subglottis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Intraoperative findings showed ventricular bands involving the trachea to ring 5.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Histopathology showed koilocytotic atypia consistent with HPV.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Histopathology showed mild focal dysplasia.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient was managed in the PICU postoperatively.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was weaned off oxygen within 48 hours postoperatively.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received a single intravenous dose of bevacizumab 400 mg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient showed prompt clinical improvement after bevacizumab.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient completed a seven-day hospitalization.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oxygen saturation normalized by the end of the hospitalization.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was transferred for ongoing care.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received respiratory therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On telemonitoring at eight months, there was no evidence of recurrence.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On telemonitoring at eight months, there were no intercurrent events.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Recurrent respiratory papillomatosis is typically HPV-related.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Recurrent respiratory papillomatosis can cause multifocal papillomas.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Recurrent respiratory papillomatosis can lead to airway stenosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti-VEGF therapy such as bevacizumab is used off-label to reduce angiogenesis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anti-VEGF therapy such as bevacizumab is used off-label to reduce disease recurrence.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In this case, bevacizumab was associated with a favorable short- to mid-term outcome.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 5, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 54-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had long-term kidney disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He took steroids and other immunosuppressive medications.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented to the pulmonary department with fever, productive cough, and dyspnea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A chest imaging showed bilateral ground-glass opacities.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed elevated inflammatory markers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clinical presentation suggested a bacterial, viral, or fungal infection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A blood test was positive for RSV antibodies.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Testing for other pathogens was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient had immunosuppression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His IgG antibody level was low.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "His CD4 and CD8 T cell counts were low.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was treated with broad-spectrum antibiotics and supportive care.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His clinical condition deteriorated rapidly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died from respiratory failure.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 54-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has chronic nephropathy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received long-term immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was admitted to the Department of Respiratory Medicine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had symptoms of fever, cough, expectoration, and dyspnea.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Pulmonary radiology revealed multiple bilateral ground-glass opacity.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed elevated inflammation indicators.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was positive for RSV antibodies.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was negative for other pathogens.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was immunocompromised due to long-term corticosteroids and immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had decreased total IgG levels.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had reduced CD4 and CD8 T-lymphocyte counts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received intensive anti-infection treatment.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received respiratory support.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died of respiratory failure.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 54-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had long-term kidney disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He took steroids and other immunosuppressive medications.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented to the pulmonary department with fever, productive cough, and dyspnea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A chest imaging showed bilateral ground-glass opacities.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed elevated inflammatory markers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clinical presentation suggested a bacterial, viral, or fungal infection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A blood test was positive for RSV antibodies.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Testing for other pathogens was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had immunosuppression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His IgG antibody level was low.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His CD4 and CD8 T cell counts were low.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was treated with broad-spectrum antibiotics and supportive care.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His clinical condition deteriorated rapidly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died from respiratory failure.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.7894736842105263, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient was a 54-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had chronic kidney disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was on long-term corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was on immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was admitted to respiratory medicine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had cough with sputum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had shortness of breath.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest CT showed multiple bilateral ground-glass opacities.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory studies showed elevated inflammatory markers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "RSV antibodies were positive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests for other pathogens were negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was immunocompromised.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had low total IgG.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had reduced CD4 T-lymphocyte counts.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had reduced CD8 T-lymphocyte counts.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received anti-infective therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received escalating respiratory support.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died from respiratory failure.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 54-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has chronic nephropathy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received long-term immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was admitted to the Department of Respiratory Medicine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had symptoms of fever, cough, expectoration, and dyspnea.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Pulmonary radiology revealed multiple bilateral ground-glass opacity.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed elevated inflammation indicators.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was positive for RSV antibodies.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was negative for other pathogens.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was immunocompromised due to long-term corticosteroids and immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had decreased total IgG levels.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had reduced CD4 and CD8 T-lymphocyte counts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received intensive anti-infection treatment.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received respiratory support.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died of respiratory failure.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient was a 54-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had chronic kidney disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was on long-term corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was on immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was admitted to respiratory medicine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had cough with sputum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had shortness of breath.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest CT showed multiple bilateral ground-glass opacities.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory studies showed elevated inflammatory markers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "RSV antibodies were positive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests for other pathogens were negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was immunocompromised.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had low total IgG.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had reduced CD4 T-lymphocyte counts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had reduced CD8 T-lymphocyte counts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received anti-infective therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received escalating respiratory support.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died from respiratory failure.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9130434782608695, |
| "completeness": 1.0, |
| "conciseness": 0.8260869565217391 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 54-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has membranous nephropathy II.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is on long-term oral glucocorticoids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is on immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is immunocompromised.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of cough.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of expectoration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with progressive dyspnea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a 20 pack-year smoking history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A chest x-ray one month prior was normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On admission, his temperature was 39.0\u00b0C.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On admission, his respiratory rate was 35 breaths per minute.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On admission, his oxygen saturation was 86%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest CT showed multiple bilateral ground-glass opacities.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Serology was positive for RSV antibodies on hospital day 4.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Other pathogen testing was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had decreased total IgG.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had reduced CD4 T-lymphocyte counts.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had reduced CD8 T-lymphocyte counts.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was started on moxifloxacin for 4 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was started on cefminoxine for 8 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was started on voriconazole for 10 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was transferred to the Emergency ICU.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received noninvasive mechanical ventilation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received i.v. meropenem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received oral moxifloxacin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received cotrimoxazole.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received micafungin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received methylprednisolone 40 mg twice daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Ganciclovir was added for possible viral coinfection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest x-ray showed further aggravation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received invasive ventilator-assisted ventilation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received higher-dose methylprednisolone (80 mg twice daily).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received cefoperazone-sulbactam.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received tigecycline.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received continued micafungin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed respiratory failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died two days after escalation of treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The presentation is consistent with severe viral pneumonia due to RSV.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Elevated (1\u21923)-\u03b2-D-glucan prompted antifungal coverage.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Profound immunosuppression likely contributed to rapid deterioration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had refractory hypoxemic respiratory failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received advanced respiratory support.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received intensive anti-infective therapy.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 54-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has chronic nephropathy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received long-term immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was admitted to the Department of Respiratory Medicine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had symptoms of fever, cough, expectoration, and dyspnea.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Pulmonary radiology revealed multiple bilateral ground-glass opacity.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed elevated inflammation indicators.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was positive for RSV antibodies.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was negative for other pathogens.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was immunocompromised due to long-term corticosteroids and immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had decreased total IgG levels.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had reduced CD4 and CD8 T-lymphocyte counts.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received intensive anti-infection treatment.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received respiratory support.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died of respiratory failure.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 54-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has membranous nephropathy II.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has nephrotic syndrome.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is on long-term oral glucocorticoids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is on immunosuppressants.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is immunocompromised.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of cough.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of expectoration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with progressive dyspnea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a 20 pack-year smoking history.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A chest x-ray one month prior was normal.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "On admission, his temperature was 39.0\u00b0C.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On admission, his respiratory rate was 35 breaths per minute.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On admission, his oxygen saturation was 86%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chest CT showed multiple bilateral ground-glass opacities.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Serology was positive for RSV antibodies on hospital day 4.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Other pathogen testing was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had decreased total IgG.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had reduced CD4 T-lymphocyte counts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had reduced CD8 T-lymphocyte counts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was started on moxifloxacin for 4 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was started on cefminoxine for 8 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was started on voriconazole for 10 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was transferred to the Emergency ICU.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received noninvasive mechanical ventilation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received i.v. meropenem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received oral moxifloxacin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received cotrimoxazole.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received micafungin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received methylprednisolone 40 mg twice daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Ganciclovir was added for possible viral coinfection.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Chest x-ray showed further aggravation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received invasive ventilator-assisted ventilation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received higher-dose methylprednisolone (80 mg twice daily).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received cefoperazone-sulbactam.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received tigecycline.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received continued micafungin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed respiratory failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died two days after escalation of treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The presentation is consistent with severe viral pneumonia due to RSV.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Elevated (1\u21923)-\u03b2-D-glucan prompted antifungal coverage.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Profound immunosuppression likely contributed to rapid deterioration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had refractory hypoxemic respiratory failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received advanced respiratory support.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received intensive anti-infective therapy.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 6, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had new lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She saw blood in her urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a big bruise under the skin on her right buttock.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had never had bleeding problems before.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was sent to the emergency room.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors did blood-clotting tests.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One test mixed her blood with normal blood to see how it clotted.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Another test looked for a blocker against factor eight.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "These tests confirmed the diagnosis.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 34-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had haematuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a haematoma in the right gluteal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no previous history of bleeding.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was transferred to the emergency department.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The coagulation profile was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A mixing test was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Factor VIII inhibitor titres were measured.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was confirmed.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had new lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She saw blood in her urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a big bruise under the skin on her right buttock.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had never had bleeding problems before.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was sent to the emergency room.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors did blood-clotting tests.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One test mixed her blood with normal blood to see how it clotted.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Another test looked for a blocker against factor eight.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "These tests confirmed the diagnosis.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 0.631578947368421 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had no prior bleeding history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She passed a kidney stone.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had three days of haematuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed painful thigh and right gluteal bruising after an intramuscular injection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was transferred to the emergency department due to extensive bleeding.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her coagulation work-up showed a markedly prolonged aPTT.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A mixing study only partially corrected the aPTT.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Factor VIII activity was very low.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A factor VIII inhibitor was detected at 8.64 BU/mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was acquired haemophilia A.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The acquired haemophilia A was likely postpartum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with prednisone.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was treated with cyclophosphamide.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received bypassing therapy with FEIBA initially.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was switched to recombinant factor VIIa due to side effects.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her bleeding improved.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was discharged from the hospital.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 34-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had haematuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a haematoma in the right gluteal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no previous history of bleeding.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was transferred to the emergency department.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The coagulation profile was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A mixing test was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Factor VIII inhibitor titres were measured.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was confirmed.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 34-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had no prior bleeding history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She passed a kidney stone.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had three days of haematuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed painful thigh and right gluteal bruising after an intramuscular injection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was transferred to the emergency department due to extensive bleeding.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her coagulation work-up showed a markedly prolonged aPTT.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A mixing study only partially corrected the aPTT.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Factor VIII activity was very low.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A factor VIII inhibitor was detected at 8.64 BU/mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was acquired haemophilia A.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The acquired haemophilia A was likely postpartum.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was treated with prednisone.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was treated with cyclophosphamide.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She received bypassing therapy with FEIBA initially.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was switched to recombinant factor VIIa due to side effects.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Her bleeding improved.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was discharged from the hospital.", |
| "status": "not_supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9830508474576272, |
| "completeness": 1.0, |
| "conciseness": 0.3050847457627119 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 34-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is 2 months post\u2013cesarean section at 37 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had persistent postoperative wound bleeding.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had no childhood or adolescent bleeding history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a 4-week illness before presentation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clinical course began with lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The back pain was attributed to bilateral renal lithiasis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She spontaneously passed a stone.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had 3 days of haematuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was given tranexamic acid every 12 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Three weeks later she developed progressive pain and induration of the left distal thigh.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received intramuscular diclofenac for persistent pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed ecchymosis and ongoing bleeding in the gluteal area despite compression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An outside Doppler ultrasound reportedly showed deep venous thrombosis in the left lower limb.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was started on enoxaparin 30 mg subcutaneously every 24 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was hospitalized.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The next day she developed epigastralgia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had blurred vision.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her heart rate was 117 bpm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her blood pressure was 113/85 mmHg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her SpO2 was 93%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Enoxaparin was discontinued.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her hemoglobin fell from 10.4 g/dL to 6.4 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received 2 units of packed red cells.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The working diagnosis was vasculitis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Methylprednisolone was started.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was referred for further evaluation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On admission she had severe pallor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had extensive ecchymosis of the left thigh and lateral knee.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a right thigh haematoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemogram showed Hb 9.8 g/dL, normocytic, normochromic.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Chemistry showed glucose 160 mg/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "AST was 52 U/L.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "ALT was 86 U/L.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Coagulation profile showed isolated prolongation of the activated partial thromboplastin time to 91.2 seconds.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Soft-tissue ultrasound of the right gluteal region revealed a subcutaneous collection with oedema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Repeat Doppler ultrasound of the left lower limb showed normal flow without thrombosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood and urine cultures were negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "ANA, C3, C4, and ferritin were within reference ranges.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A mixing test demonstrated partial correction of the aPTT.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Factor VIII activity was <1.0 U/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A factor VIII inhibitor was detected at 8.64 Bethesda units/mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was acquired haemophilia A.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The haemophilia was likely postpartum in onset.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Therapy included prednisone 50 mg PO at breakfast and 10 mg at lunch.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cyclophosphamide 50 mg PO every 24 hours was started.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "FEIBA was used for haemostasis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 5 days, FEIBA was discontinued due to chest tightness, dyspnoea, and nausea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "FEIBA was replaced with activated recombinant factor VII.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Clinical evolution was favourable with decreasing ecchymoses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was discharged.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postpartum acquired haemophilia A is mediated by autoantibodies to factor VIII.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "It typically presents with isolated aPTT prolongation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "It typically presents with low FVIII activity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An inhibitor measured in Bethesda units is characteristic.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Partial correction on mixing supports an inhibitor pattern.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "First-line immunosuppression includes prednisone with or without cyclophosphamide.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Bypassing agents like FEIBA or rFVIIa are standard to control bleeding.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The goal is to eradicate the inhibitor.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 34-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had haematuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a haematoma in the right gluteal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no previous history of bleeding.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was transferred to the emergency department.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The coagulation profile was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A mixing test was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Factor VIII inhibitor titres were measured.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was confirmed.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 34-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is 2 months post\u2013cesarean section at 37 weeks.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had persistent postoperative wound bleeding.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had no childhood or adolescent bleeding history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a 4-week illness before presentation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The clinical course began with lower back pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The back pain was attributed to bilateral renal lithiasis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She spontaneously passed a stone.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had 3 days of haematuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was given tranexamic acid every 12 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Three weeks later she developed progressive pain and induration of the left distal thigh.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She received intramuscular diclofenac for persistent pain.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She developed ecchymosis and ongoing bleeding in the gluteal area despite compression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An outside Doppler ultrasound reportedly showed deep venous thrombosis in the left lower limb.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was started on enoxaparin 30 mg subcutaneously every 24 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was hospitalized.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The next day she developed epigastralgia.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had blurred vision.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Her heart rate was 117 bpm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Her blood pressure was 113/85 mmHg.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Her SpO2 was 93%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Enoxaparin was discontinued.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Her hemoglobin fell from 10.4 g/dL to 6.4 g/dL.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She received 2 units of packed red cells.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The working diagnosis was vasculitis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Methylprednisolone was started.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was referred for further evaluation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On admission she had severe pallor.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had extensive ecchymosis of the left thigh and lateral knee.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had a right thigh haematoma.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Hemogram showed Hb 9.8 g/dL, normocytic, normochromic.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Chemistry showed glucose 160 mg/dL.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "AST was 52 U/L.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "ALT was 86 U/L.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Coagulation profile showed isolated prolongation of the activated partial thromboplastin time to 91.2 seconds.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Soft-tissue ultrasound of the right gluteal region revealed a subcutaneous collection with oedema.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Repeat Doppler ultrasound of the left lower limb showed normal flow without thrombosis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Blood and urine cultures were negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "ANA, C3, C4, and ferritin were within reference ranges.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A mixing test demonstrated partial correction of the aPTT.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Factor VIII activity was <1.0 U/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A factor VIII inhibitor was detected at 8.64 Bethesda units/mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was acquired haemophilia A.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The haemophilia was likely postpartum in onset.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Therapy included prednisone 50 mg PO at breakfast and 10 mg at lunch.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Cyclophosphamide 50 mg PO every 24 hours was started.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "FEIBA was used for haemostasis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 5 days, FEIBA was discontinued due to chest tightness, dyspnoea, and nausea.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "FEIBA was replaced with activated recombinant factor VII.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Clinical evolution was favourable with decreasing ecchymoses.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was discharged.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Postpartum acquired haemophilia A is mediated by autoantibodies to factor VIII.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "It typically presents with isolated aPTT prolongation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "It typically presents with low FVIII activity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An inhibitor measured in Bethesda units is characteristic.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Partial correction on mixing supports an inhibitor pattern.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "First-line immunosuppression includes prednisone with or without cyclophosphamide.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Bypassing agents like FEIBA or rFVIIa are standard to control bleeding.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The goal is to eradicate the inhibitor.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 7, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 2-day-old newborn boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was born at full term by C-section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was born at a private hospital.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was transferred to the children\u2019s hospital because the right side of his scrotum was swollen since birth.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In the emergency room, he looked well.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His skin was pink and warm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His blood flow looked good.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testicle was big and tight.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testicle was not sore when touched.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The skin over the right testicle was red and looked rubbed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A light test did not shine through the right side.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A light test did shine through the left side.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no signs of a hernia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An urgent ultrasound scan was done.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ultrasound showed the right testicle was larger and looked uneven inside.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ultrasound showed no blood was flowing to the right testicle.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The doctors took him quickly to surgery to look inside the scrotum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In surgery, the right testicle was dead because it had twisted.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was a small amount of fluid in the scrotum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testicle was removed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left testicle was fixed in place to help prevent twisting.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a two-day old neonate.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The neonate had a right scrotal swelling.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The neonate was born at term via cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The right testis was enlarged, tense, non-tender, and visibly reddish.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Trans-illumination was negative in the right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Trans-illumination was positive in the contralateral testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Doppler ultrasound showed the right testis to be enlarged (15.6*9.4 mm).", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Doppler ultrasound showed no flow on color doppler analysis of the right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An urgent scrotal exploration was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intra-operatively, there was frank necrotic right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A right orchidectomy was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A contralateral orchidopexy was performed.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 2-day-old newborn boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was born at full term by C-section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was born at a private hospital.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was transferred to the children\u2019s hospital because the right side of his scrotum was swollen since birth.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In the emergency room, he looked well.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His skin was pink and warm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His blood flow looked good.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testicle was big and tight.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testicle was not sore when touched.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The skin over the right testicle was red and looked rubbed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A light test did not shine through the right side.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A light test did shine through the left side.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no signs of a hernia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An urgent ultrasound scan was done.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ultrasound showed the right testicle was larger and looked uneven inside.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ultrasound showed no blood was flowing to the right testicle.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The doctors took him quickly to surgery to look inside the scrotum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In surgery, the right testicle was dead because it had twisted.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was a small amount of fluid in the scrotum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testicle was removed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left testicle was fixed in place to help prevent twisting.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The newborn was 2 days old.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The newborn was delivered by cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The newborn had a congenital right scrotal swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was enlarged.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was tense.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was non-tender.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis had a reddish appearance.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transillumination was negative on the right.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doppler ultrasound showed no detectable blood flow in the right testis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was nonviable due to intravaginal torsion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was surgically removed (orchidectomy).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left testis was fixed in place (contralateral orchidopexy).", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a two-day old neonate.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The neonate had a right scrotal swelling.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The neonate was born at term via cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The right testis was enlarged, tense, non-tender, and visibly reddish.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Trans-illumination was negative in the right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Trans-illumination was positive in the contralateral testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Doppler ultrasound showed the right testis to be enlarged (15.6*9.4 mm).", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Doppler ultrasound showed no flow on color doppler analysis of the right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An urgent scrotal exploration was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intra-operatively, there was frank necrotic right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A right orchidectomy was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A contralateral orchidopexy was performed.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The newborn was 2 days old.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The newborn was delivered by cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The newborn had a congenital right scrotal swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was enlarged.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was tense.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was non-tender.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis had a reddish appearance.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transillumination was negative on the right.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doppler ultrasound showed no detectable blood flow in the right testis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was nonviable due to intravaginal torsion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis was surgically removed (orchidectomy).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left testis was fixed in place (contralateral orchidopexy).", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8888888888888888, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 2-day-old term male neonate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The neonate was delivered by cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The neonate was referred for a congenital right scrotal swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On arrival, the neonate was well hydrated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right hemiscrotum had an enlarged, tense, non-tender, visibly reddish testis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transillumination was negative on the right and positive on the left.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urgent inguinoscrotal Doppler ultrasonography showed an enlarged right testis measuring 15.6 \u00d7 9.4 mm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis had heterogeneous hypoechoic echotexture.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intratesticular color Doppler flow was absent in the right testis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left testis was normal in size, shape, and echotexture.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient underwent urgent scrotal exploration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intra-operatively, there was frank necrosis of the right testis secondary to intravaginal testicular torsion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A right orchidectomy was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A contralateral orchidopexy was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Perinatal testicular torsion often presents at or shortly after birth.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doppler evidence of absent flow with heterogeneous hypoechoic parenchyma correlates with nonviability.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Salvage rates are low when presentation is delayed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Contralateral orchidopexy is commonly performed to mitigate future torsion risk.", |
| "status": "not_supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a two-day old neonate.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The neonate had a right scrotal swelling.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The neonate was born at term via cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The right testis was enlarged, tense, non-tender, and visibly reddish.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Trans-illumination was negative in the right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Trans-illumination was positive in the contralateral testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Doppler ultrasound showed the right testis to be enlarged (15.6*9.4 mm).", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Doppler ultrasound showed no flow on color doppler analysis of the right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An urgent scrotal exploration was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Intra-operatively, there was frank necrotic right testis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A right orchidectomy was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A contralateral orchidopexy was performed.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 2-day-old term male neonate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The neonate was delivered by cesarean section.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The neonate was referred for a congenital right scrotal swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On arrival, the neonate was well hydrated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right hemiscrotum had an enlarged, tense, non-tender, visibly reddish testis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transillumination was negative on the right and positive on the left.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urgent inguinoscrotal Doppler ultrasonography showed an enlarged right testis measuring 15.6 \u00d7 9.4 mm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right testis had heterogeneous hypoechoic echotexture.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intratesticular color Doppler flow was absent in the right testis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left testis was normal in size, shape, and echotexture.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient underwent urgent scrotal exploration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intra-operatively, there was frank necrosis of the right testis secondary to intravaginal testicular torsion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A right orchidectomy was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A contralateral orchidopexy was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Perinatal testicular torsion often presents at or shortly after birth.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doppler evidence of absent flow with heterogeneous hypoechoic parenchyma correlates with nonviability.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Salvage rates are low when presentation is delayed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Contralateral orchidopexy is commonly performed to mitigate future torsion risk.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 8, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9411764705882353, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 4-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had blood in his urine and swelling for 5 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had headaches, nausea, and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had seizures and very high blood pressure when he came to the hospital.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed a low level of C3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed signs of a recent strep infection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His kidney filters were inflamed after strep.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His brain was affected by very high blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors suspected PRES, which is brain swelling from high pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A brain MRI confirmed PRES.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His immune system attacked his red blood cells.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "His hemoglobin level dropped to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was treated with medicines to lower his blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received steps to protect his brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was treated with steroid medicines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was hospitalized for 31 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Six months later, he had no symptoms.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 4-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had 5 days of haematuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had oedema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had headaches.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient entered a convulsive state.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a hypertensive crisis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed hypocomplementemia C3.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed elevated Anti-Streptolysin O titers.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was interpreted as GNAPE.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient developed encephalopathy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was suspicion of secondary PRES due to hypertensive emergency.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Magnetic resonance of the brain confirmed PRES.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient developed autoimmune haemolytic anaemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's haemoglobin was up to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included antihypertensive therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included neuroprotection measures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included steroid treatment.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged after 31 days of hospitalisation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was asymptomatic 6 months after discharge.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 4-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had blood in his urine and swelling for 5 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had headaches, nausea, and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had seizures and very high blood pressure when he came to the hospital.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed a low level of C3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed signs of a recent strep infection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His kidney filters were inflamed after strep.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His brain was affected by very high blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors suspected PRES, which is brain swelling from high pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A brain MRI confirmed PRES.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His immune system attacked his red blood cells.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His hemoglobin level dropped to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was treated with medicines to lower his blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received steps to protect his brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was treated with steroid medicines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was hospitalized for 31 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Six months later, he had no symptoms.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.95, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 4-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 5 days of visible blood in the urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had leg swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had new headaches.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nausea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed seizures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a hypertensive emergency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Labs showed low complement C3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Labs showed a high anti-streptolysin O (ASO) titer.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings were consistent with acute post-streptococcal glomerulonephritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "MRI confirmed posterior reversible encephalopathy syndrome (PRES).", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The PRES was secondary to the hypertensive crisis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed autoimmune hemolytic anemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemoglobin fell to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included antihypertensive therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included neuroprotective measures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was discharged after 31 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He remained asymptomatic at 6-month follow-up.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 4-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had 5 days of haematuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had oedema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had headaches.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient entered a convulsive state.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a hypertensive crisis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed hypocomplementemia C3.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed elevated Anti-Streptolysin O titers.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was interpreted as GNAPE.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient developed encephalopathy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was suspicion of secondary PRES due to hypertensive emergency.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Magnetic resonance of the brain confirmed PRES.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient developed autoimmune haemolytic anaemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's haemoglobin was up to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included antihypertensive therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included neuroprotection measures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included steroid treatment.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged after 31 days of hospitalisation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was asymptomatic 6 months after discharge.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 4-year-old boy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 5 days of visible blood in the urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had leg swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had new headaches.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nausea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed seizures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a hypertensive emergency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Labs showed low complement C3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Labs showed a high anti-streptolysin O (ASO) titer.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings were consistent with acute post-streptococcal glomerulonephritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "MRI confirmed posterior reversible encephalopathy syndrome (PRES).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The PRES was secondary to the hypertensive crisis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed autoimmune hemolytic anemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemoglobin fell to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included antihypertensive therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included neuroprotective measures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was discharged after 31 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He remained asymptomatic at 6-month follow-up.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9523809523809523, |
| "completeness": 1.0, |
| "conciseness": 0.5238095238095238 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 4-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nasal impetigo two weeks prior.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was treated with topical mupirocin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was treated with oral cefadroxil.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The dose, duration, and adherence of cefadroxil were unknown.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of macroscopic glomerular haematuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had lower-extremity oedema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 12 hours of headache, nausea, and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He arrived in convulsive status after 20 minutes of generalized tonic\u2013clonic seizures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On ED arrival, he was afebrile.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His blood pressure was non-evaluable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had depressed consciousness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had generalized hypertonia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had bilateral pretibial oedema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was intubated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received phenobarbital 10 mg/kg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In the ICU, his blood pressure was 134/94 mmHg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This was consistent with hypertensive emergency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis showed haematuria (>100 RBC/hpf).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis showed proteinuria 3+.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis showed leucocyturia 10\u201325/hpf.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Creatinine was 0.3 mg/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hematocrit was 21%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemoglobin was 7 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Indices were normocytic and normochromic.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "White blood cell count was 23,900/mm3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Platelet count was 756,000/mm3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "C3 was 25 mg/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Throat rapid antigen for group A Streptococcus was positive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "ASO was positive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Non-contrast head CT was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Renal ultrasound showed bilateral nephromegaly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The working diagnosis was nephritic syndrome due to complicated GNAPE.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He required mechanical ventilation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received cefotaxime.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received furosemide.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "By day 2, he developed AKI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "24-hour proteinuria was 36.6 mg/m2/h.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Antihypertensive therapy included amlodipine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Antihypertensive therapy included IV labetalol.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was extubated at 48 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He deteriorated neurologically within 24 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was reintubated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received sodium nitroprusside.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "PRES was suspected.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Brain MRI showed increased subcortical T2/FLAIR signal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "MRI was consistent with vasogenic edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemoglobin fell to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemolytic anemia was diagnosed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received two packed RBC transfusions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received methylprednisolone.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Stool culture for Streptococcus pneumoniae was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinary antigen for Streptococcus pneumoniae was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Serologies for EBV and Parvovirus B19 were negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "ANA was positive at 1:160.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was discharged on day 31.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was normotensive at discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had preserved renal function.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no proteinuria.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had no haematuria.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "C3 normalized.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was asymptomatic neurologically.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He remained asymptomatic with no recurrence at 6 months.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 4-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had 5 days of haematuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had oedema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had headaches.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient entered a convulsive state.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a hypertensive crisis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed hypocomplementemia C3.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests showed elevated Anti-Streptolysin O titers.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was interpreted as GNAPE.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient developed encephalopathy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There was suspicion of secondary PRES due to hypertensive emergency.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Magnetic resonance of the brain confirmed PRES.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient developed autoimmune haemolytic anaemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's haemoglobin was up to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included antihypertensive therapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included neuroprotection measures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included steroid treatment.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged after 31 days of hospitalisation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was asymptomatic 6 months after discharge.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 4-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nasal impetigo two weeks prior.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was treated with topical mupirocin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was treated with oral cefadroxil.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The dose, duration, and adherence of cefadroxil were unknown.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He presented with 5 days of macroscopic glomerular haematuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had lower-extremity oedema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 12 hours of headache, nausea, and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He arrived in convulsive status after 20 minutes of generalized tonic\u2013clonic seizures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On ED arrival, he was afebrile.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "His blood pressure was non-evaluable.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had depressed consciousness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had generalized hypertonia.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had bilateral pretibial oedema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was intubated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received phenobarbital 10 mg/kg.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "In the ICU, his blood pressure was 134/94 mmHg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This was consistent with hypertensive emergency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis showed haematuria (>100 RBC/hpf).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis showed proteinuria 3+.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urinalysis showed leucocyturia 10\u201325/hpf.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Creatinine was 0.3 mg/dL.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Hematocrit was 21%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Hemoglobin was 7 g/dL.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Indices were normocytic and normochromic.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "White blood cell count was 23,900/mm3.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Platelet count was 756,000/mm3.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "C3 was 25 mg/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Throat rapid antigen for group A Streptococcus was positive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "ASO was positive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Non-contrast head CT was unremarkable.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Renal ultrasound showed bilateral nephromegaly.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The working diagnosis was nephritic syndrome due to complicated GNAPE.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He required mechanical ventilation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received cefotaxime.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received furosemide.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "By day 2, he developed AKI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "24-hour proteinuria was 36.6 mg/m2/h.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Antihypertensive therapy included amlodipine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Antihypertensive therapy included IV labetalol.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was extubated at 48 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He deteriorated neurologically within 24 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was reintubated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received sodium nitroprusside.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "PRES was suspected.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Brain MRI showed increased subcortical T2/FLAIR signal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "MRI was consistent with vasogenic edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemoglobin fell to 5 g/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hemolytic anemia was diagnosed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received two packed RBC transfusions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received methylprednisolone.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Stool culture for Streptococcus pneumoniae was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Urinary antigen for Streptococcus pneumoniae was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Serologies for EBV and Parvovirus B19 were negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "ANA was positive at 1:160.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was discharged on day 31.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was normotensive at discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had preserved renal function.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no proteinuria.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had no haematuria.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "C3 normalized.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was asymptomatic neurologically.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He remained asymptomatic with no recurrence at 6 months.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 9, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.875, |
| "completeness": 0.8947368421052632, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 69-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had heart bypass surgery in the past.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had shortness of breath with light activity for 2 months.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests showed heart failure from poor blood flow after a bypass vein to the right heart artery failed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors first opened a totally blocked artery on the left side of his heart.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "They used tiny natural detours between heart arteries to reach the right heart artery from the far end and open it.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His breathing was better when he left the hospital.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Six months later, his shortness of breath had not come back.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 69-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has a prior history of coronary artery bypass grafting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with severe dyspnea at mild exertion.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The dyspnea had been present for 2 months.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The dyspnea was classified as NYHA class III.", |
| "status": "not_supported" |
| }, |
| { |
| "source_fact": "The patient was diagnosed with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The heart failure was caused by ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The ischemia was due to SVG failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The SVG was to the right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on electrocardiogram findings.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on plasma N-terminal pro-B-type natriuretic peptide levels.", |
| "status": "not_supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on coronary angiogram findings.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The native right coronary artery chronic total occlusion was recanalized.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The recanalization was performed using a retrograde approach.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The retrograde approach used septal collaterals.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The surfing technique was used during the procedure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The totally occluded left coronary artery was recanalized.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Dyspnea was relieved at discharge.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "At 6-month follow-up, the patient had no recurrence of dyspnea.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 69-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had heart bypass surgery in the past.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had shortness of breath with light activity for 2 months.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests showed heart failure from poor blood flow after a bypass vein to the right heart artery failed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors first opened a totally blocked artery on the left side of his heart.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They used tiny natural detours between heart arteries to reach the right heart artery from the far end and open it.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His breathing was better when he left the hospital.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Six months later, his shortness of breath had not come back.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9285714285714286, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 69-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a history of prior coronary bypass surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had two months of severe shortness of breath with mild activity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was diagnosed with heart failure due to ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The cause was failure of a saphenous vein graft to the right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An abnormal ECG supported the diagnosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Elevated NT-proBNP supported the diagnosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A coronary angiogram was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Echocardiography showed reduced pumping function.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The team reopened a chronic total occlusion in the native right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They used a retrograde approach through septal channels.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They first re-opened the totally occluded left coronary artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "After the procedure, his dyspnea improved before discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 6 months, he had no recurrence of shortness of breath.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 69-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has a prior history of coronary artery bypass grafting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with severe dyspnea at mild exertion.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The dyspnea had been present for 2 months.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The dyspnea was classified as NYHA class III.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was diagnosed with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The heart failure was caused by ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The ischemia was due to SVG failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The SVG was to the right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on electrocardiogram findings.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on plasma N-terminal pro-B-type natriuretic peptide levels.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on coronary angiogram findings.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The native right coronary artery chronic total occlusion was recanalized.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The recanalization was performed using a retrograde approach.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The retrograde approach used septal collaterals.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The surfing technique was used during the procedure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The totally occluded left coronary artery was recanalized.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Dyspnea was relieved at discharge.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "At 6-month follow-up, the patient had no recurrence of dyspnea.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 69-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a history of prior coronary bypass surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had two months of severe shortness of breath with mild activity.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was diagnosed with heart failure due to ischemia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The cause was failure of a saphenous vein graft to the right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An abnormal ECG supported the diagnosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Elevated NT-proBNP supported the diagnosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A coronary angiogram was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Echocardiography showed reduced pumping function.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The team reopened a chronic total occlusion in the native right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They used a retrograde approach through septal channels.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They first re-opened the totally occluded left coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After the procedure, his dyspnea improved before discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 6 months, he had no recurrence of shortness of breath.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9459459459459459, |
| "completeness": 1.0, |
| "conciseness": 0.5945945945945946 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 69-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had prior coronary artery bypass grafting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 2 months of severe dyspnea on mild exertion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His dyspnea was classified as NYHA class III.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "ECG showed ST depression in leads II, III, aVF, and V4\u20136.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "NT-proBNP was 2640 pg/mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Echocardiography showed left ventricular systolic dysfunction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left ventricular ejection fraction was 30%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a history of inferior ST-elevation myocardial infarction in 2009.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had severe three-vessel coronary artery disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The native left anterior descending artery had chronic total occlusion.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The native left circumflex artery had 90% mid/distal stenoses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The native right coronary artery had 95% mid stenosis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had CABG with left internal mammary artery to left anterior descending artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had sequential saphenous vein grafts to obtuse marginal 1, obtuse marginal 2, and posterior lateral branches.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Current angiography showed patent left internal mammary artery to left anterior descending artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Current angiography showed patent saphenous vein graft to obtuse marginal 1 and obtuse marginal 2.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Current angiography showed complete occlusion of the sequential saphenous vein graft to posterior lateral branch.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The native left main coronary artery was occluded at the ostium.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The native right coronary artery was occluded in the mid segment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The team planned to treat the native right coronary artery chronic total occlusion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Dual arterial access was obtained.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 6 Fr right femoral sheath was used.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An antegrade approach from the left radial artery failed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A retrograde approach via septal channels from the left anterior descending artery was used.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Gaia 3 wire crossed the occluded left main and left anterior descending artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Sion wire was advanced into the distal left anterior descending artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left main and proximal left anterior descending artery were dilated with a 2.0 \u00d7 15 mm balloon.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A septal surfing technique was used to identify a viable septal channel.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Sion wire was advanced retrogradely through a distal septal branch into the distal right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Gaia 3 wire traversed the right coronary artery chronic total occlusion retrogradely.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The chronic total occlusion segment was predilated with a 2.0 \u00d7 15 mm balloon.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Two overlapping drug-eluting stents were placed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The stents were 2.5 \u00d7 38 mm and 3.0 \u00d7 38 mm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "TIMI 3 flow was achieved in all distal branches.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Dyspnea was relieved at discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 6-month follow-up, there was no recurrence of dyspnea.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 69-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has a prior history of coronary artery bypass grafting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with severe dyspnea at mild exertion.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The dyspnea had been present for 2 months.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The dyspnea was classified as NYHA class III.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was diagnosed with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The heart failure was caused by ischemia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The ischemia was due to SVG failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The SVG was to the right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on electrocardiogram findings.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on plasma N-terminal pro-B-type natriuretic peptide levels.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was based on coronary angiogram findings.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The native right coronary artery chronic total occlusion was recanalized.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The recanalization was performed using a retrograde approach.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The retrograde approach used septal collaterals.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The surfing technique was used during the procedure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The totally occluded left coronary artery was recanalized.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Dyspnea was relieved at discharge.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "At 6-month follow-up, the patient had no recurrence of dyspnea.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 69-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had prior coronary artery bypass grafting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 2 months of severe dyspnea on mild exertion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His dyspnea was classified as NYHA class III.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "ECG showed ST depression in leads II, III, aVF, and V4\u20136.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "NT-proBNP was 2640 pg/mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Echocardiography showed left ventricular systolic dysfunction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left ventricular ejection fraction was 30%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had a history of inferior ST-elevation myocardial infarction in 2009.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had severe three-vessel coronary artery disease.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The native left anterior descending artery had chronic total occlusion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The native left circumflex artery had 90% mid/distal stenoses.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The native right coronary artery had 95% mid stenosis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had CABG with left internal mammary artery to left anterior descending artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had sequential saphenous vein grafts to obtuse marginal 1, obtuse marginal 2, and posterior lateral branches.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Current angiography showed patent left internal mammary artery to left anterior descending artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Current angiography showed patent saphenous vein graft to obtuse marginal 1 and obtuse marginal 2.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Current angiography showed complete occlusion of the sequential saphenous vein graft to posterior lateral branch.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The native left main coronary artery was occluded at the ostium.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The native right coronary artery was occluded in the mid segment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The team planned to treat the native right coronary artery chronic total occlusion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Dual arterial access was obtained.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A 6 Fr right femoral sheath was used.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "An antegrade approach from the left radial artery failed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A retrograde approach via septal channels from the left anterior descending artery was used.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Gaia 3 wire crossed the occluded left main and left anterior descending artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Sion wire was advanced into the distal left anterior descending artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The left main and proximal left anterior descending artery were dilated with a 2.0 \u00d7 15 mm balloon.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A septal surfing technique was used to identify a viable septal channel.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Sion wire was advanced retrogradely through a distal septal branch into the distal right coronary artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Gaia 3 wire traversed the right coronary artery chronic total occlusion retrogradely.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The chronic total occlusion segment was predilated with a 2.0 \u00d7 15 mm balloon.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Two overlapping drug-eluting stents were placed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The stents were 2.5 \u00d7 38 mm and 3.0 \u00d7 38 mm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "TIMI 3 flow was achieved in all distal branches.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Dyspnea was relieved at discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 6-month follow-up, there was no recurrence of dyspnea.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| } |
| ] |
