| [ |
| { |
| "index": 10, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 51-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had sudden, painful vision loss in his left eye for three days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His right eye visual acuity was 20/20.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His left eye visual acuity was hand movements.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed optic disc edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed subretinal elevation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed multiple subretinal fluid collections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed retinal pigment epithelial folds.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An MRI with contrast of the orbits and brain showed a small mass posterior to the globe at the optic nerve insertion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Serum testing for malignancy and autoimmune disease was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included oral high-dose prednisolone.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 51-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with acute painful visual loss of the left eye.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The visual loss started 3 days before presentation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The best-corrected distance visual acuity of the right eye was 20/20.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The best-corrected distance visual acuity of the left eye was hand motion.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed optic nerve head swelling.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed multiple patches of subretinal fluid accumulation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed retinal pigment epithelial corrugations.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Orbital and brain MRI showed a retrobulbar nodular mass with gadolinium enhancement.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The mass was located at the optic nerve and sclera junction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Oncology and rheumatology work-ups were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The clinical diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Oral prednisolone 50 mg/Kg was started.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 51-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had sudden, painful vision loss in his left eye for three days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His right eye visual acuity was 20/20.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His left eye visual acuity was hand movements.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed optic disc edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed subretinal elevation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed multiple subretinal fluid collections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus examination of the left eye showed retinal pigment epithelial folds.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An MRI with contrast of the orbits and brain showed a small mass posterior to the globe at the optic nerve insertion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Serum testing for malignancy and autoimmune disease was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment included oral high-dose prednisolone.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 0.9285714285714286, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 51-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 3 days of sudden, painful vision loss in the left eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Visual acuity was 20/20 in the right eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Visual acuity was hand motion in the left eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included optic nerve head swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included multiple areas of subretinal fluid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included RPE corrugations.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Orbital/brain MRI with gadolinium showed a retrobulbar nodular mass.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The mass enhanced at the junction of the optic nerve and sclera.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oncology and rheumatology evaluations were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clinical diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oral prednisolone was started.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 51-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with acute painful visual loss of the left eye.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The visual loss started 3 days before presentation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The best-corrected distance visual acuity of the right eye was 20/20.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The best-corrected distance visual acuity of the left eye was hand motion.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed optic nerve head swelling.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed multiple patches of subretinal fluid accumulation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed retinal pigment epithelial corrugations.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Orbital and brain MRI showed a retrobulbar nodular mass with gadolinium enhancement.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The mass was located at the optic nerve and sclera junction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Oncology and rheumatology work-ups were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The clinical diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Oral prednisolone 50 mg/Kg was started.", |
| "status": "not_supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 51-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had 3 days of sudden, painful vision loss in the left eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Visual acuity was 20/20 in the right eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Visual acuity was hand motion in the left eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included optic nerve head swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included multiple areas of subretinal fluid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left fundus findings included RPE corrugations.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Orbital/brain MRI with gadolinium showed a retrobulbar nodular mass.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The mass enhanced at the junction of the optic nerve and sclera.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oncology and rheumatology evaluations were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clinical diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oral prednisolone was started.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.96875, |
| "completeness": 1.0, |
| "conciseness": 0.5625 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 51-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with acute, painful visual loss of the left eye for 3 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Best-corrected distance visual acuity was 20/20 in the right eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Best-corrected distance visual acuity was hand motion in the left eye.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Ocular motility was unremarkable in both eyes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The anterior segment was unremarkable in both eyes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed optic nerve head swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed multiple patches of subretinal fluid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed retinal pigment epithelial corrugations.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right eye fundus was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "OCT demonstrated mild RPE and choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "OCT showed subretinal and intraretinal fluid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "OCT showed mild retinal thickening.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Indocyanine green angiography showed a geographic macular hypocyanescent area in the left eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blue-autofluorescence revealed a geographic macular area with speckled autofluorescence.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "B-scan ultrasonography showed optic nerve enlargement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fluorescein angiography demonstrated vascular leakage at the optic nerve head.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fluorescein angiography showed a geographic patchy hypofluorescent area with speckled hyperfluorescent margins.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Orbital and brain MRI with gadolinium revealed a retrobulbar nodular enhancing mass at the optic nerve\u2013sclera junction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient underwent transconjunctival lateral orbitotomy one week after presentation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperatively, a pink localized scleral nodule with edematous Tenon was identified.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The clinical diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Sub-Tenon triamcinolone acetonide was administered.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient declined admission and intravenous corticosteroids.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oral prednisolone 50 mg/Kg was initiated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Rheumatologic and infectious work-up was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At the one-week postoperative follow-up, best-corrected distance visual acuity was 20/20 in the right eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At the one-week postoperative follow-up, best-corrected distance visual acuity was counting fingers at 2 meters in the left eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Subretinal fluid had resolved at the one-week postoperative follow-up.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The macula was atrophic at the one-week postoperative follow-up.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Oral prednisolone was tapered over three months.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 51-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with acute painful visual loss of the left eye.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The visual loss started 3 days before presentation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The best-corrected distance visual acuity of the right eye was 20/20.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The best-corrected distance visual acuity of the left eye was hand motion.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed optic nerve head swelling.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed multiple patches of subretinal fluid accumulation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Fundus examination of the left eye showed retinal pigment epithelial corrugations.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Orbital and brain MRI showed a retrobulbar nodular mass with gadolinium enhancement.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The mass was located at the optic nerve and sclera junction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Oncology and rheumatology work-ups were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The clinical diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Oral prednisolone 50 mg/Kg was started.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 51-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with acute, painful visual loss of the left eye for 3 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Best-corrected distance visual acuity was 20/20 in the right eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Best-corrected distance visual acuity was hand motion in the left eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Ocular motility was unremarkable in both eyes.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The anterior segment was unremarkable in both eyes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed optic nerve head swelling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed multiple patches of subretinal fluid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fundus of the left eye showed retinal pigment epithelial corrugations.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right eye fundus was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "OCT demonstrated mild RPE and choroidal bulging.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "OCT showed subretinal and intraretinal fluid.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "OCT showed mild retinal thickening.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Indocyanine green angiography showed a geographic macular hypocyanescent area in the left eye.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Blue-autofluorescence revealed a geographic macular area with speckled autofluorescence.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "B-scan ultrasonography showed optic nerve enlargement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Fluorescein angiography demonstrated vascular leakage at the optic nerve head.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Fluorescein angiography showed a geographic patchy hypofluorescent area with speckled hyperfluorescent margins.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Orbital and brain MRI with gadolinium revealed a retrobulbar nodular enhancing mass at the optic nerve\u2013sclera junction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient underwent transconjunctival lateral orbitotomy one week after presentation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Intraoperatively, a pink localized scleral nodule with edematous Tenon was identified.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The clinical diagnosis was nodular posterior scleritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Sub-Tenon triamcinolone acetonide was administered.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient declined admission and intravenous corticosteroids.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Oral prednisolone 50 mg/Kg was initiated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Rheumatologic and infectious work-up was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At the one-week postoperative follow-up, best-corrected distance visual acuity was 20/20 in the right eye.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At the one-week postoperative follow-up, best-corrected distance visual acuity was counting fingers at 2 meters in the left eye.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Subretinal fluid had resolved at the one-week postoperative follow-up.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The macula was atrophic at the one-week postoperative follow-up.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Oral prednisolone was tapered over three months.", |
| "status": "not_supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 11, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.7083333333333334, |
| "completeness": 0.9615384615384616, |
| "conciseness": 0.9583333333333334 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 78-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient is from the Amhara region of Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had a permanent heart pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pacemaker was placed because of a complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was scheduled for prostate surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anesthesia and cardiology teams advised switching the pacemaker to a fixed rate.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient could not afford the pacemaker reprogramming.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient chose to proceed with the operation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient signed consent for the surgical plan.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient gave permission to share his case.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Anesthesia was provided via a combined spinal\u2013epidural block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The spinal injection used 2.5 ml of 0.5% bupivacaine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The spinal injection included 50 micrograms of fentanyl.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Standard monitors were used during the procedure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient\u2019s heart was closely monitored.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient\u2019s vital signs remained stable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient\u2019s blood pressure was maintained with intravenous saline.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient was transferred to the recovery room after surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received oral analgesia 4 hours after surgery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient received an epidural analgesic supplement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was moved to the ward 6 hours after surgery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The epidural analgesia was continued for 72 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient was discharged home in stable condition.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was discharged 88 hours after surgery.", |
| "status": "not_supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 78-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient is from the Amhara region of Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has a permanent pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The pacemaker was implanted for complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was scheduled for retropubic prostatectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Preoperative assessments were conducted by the anesthetist and cardiologist.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The team recommended reprogramming the pacemaker to asynchronous mode.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The recommendation was to reduce risks related to the dual-chamber, rate-modulated mode.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient could not afford pacemaker reprogramming.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient opted to proceed with the existing perioperative plan.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Informed consent was obtained.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Permission to publish the case report was obtained after the operation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received combined epidural-spinal anesthesia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia included 2.50 ml of 0.5% isobaric bupivacaine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia included 50 \u00b5g fentanyl.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia was administered at the L3-L4 interspace.", |
| "status": "not_supported" |
| }, |
| { |
| "source_fact": "Standard American Society of Anesthesiology monitoring was applied.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient remained stable with minimal vital sign fluctuations.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Adequate blood pressure was maintained using isotonic saline.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was transferred to the postanesthesia care unit after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Analgesia was provided after 4 hours postoperatively.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An epidural top-up was administered.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was transferred to the ward after 6 hours.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Epidural analgesia was continued for 72 hours.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged on the 88th postoperative hour.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged in stable condition.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 78-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient is from the Amhara region of Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had a permanent heart pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pacemaker was placed because of a complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was scheduled for prostate surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anesthesia and cardiology teams advised switching the pacemaker to a fixed rate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient could not afford the pacemaker reprogramming.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient chose to proceed with the operation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient signed consent for the surgical plan.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient gave permission to share his case.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Anesthesia was provided via a combined spinal\u2013epidural block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The spinal injection used 2.5 ml of 0.5% bupivacaine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The spinal injection included 50 micrograms of fentanyl.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Standard monitors were used during the procedure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient\u2019s heart was closely monitored.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient\u2019s vital signs remained stable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient\u2019s blood pressure was maintained with intravenous saline.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was transferred to the recovery room after surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received oral analgesia 4 hours after surgery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient received an epidural analgesic supplement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was moved to the ward 6 hours after surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The epidural analgesia was continued for 72 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was discharged home in stable condition.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was discharged 88 hours after surgery.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.6666666666666666, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 78-year-old man from the Amhara region, Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a permanent pacemaker placed for complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was scheduled for retropubic prostatectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The anesthesia and cardiology teams recommended switching his dual-chamber, rate-modulated pacemaker to an asynchronous mode perioperatively.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The recommendation was to reduce the risk of electromagnetic interference during surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He could not afford reprogramming of the pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He chose to proceed with the existing plan after informed consent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Permission to publish the case was obtained after the operation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He received combined spinal\u2013epidural anesthesia at L3\u2013L4.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The spinal\u2013epidural anesthesia used 0.5% isobaric bupivacaine 2.5 ml (12.5 mg) plus fentanyl 50 \u00b5g.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Standard ASA monitoring was applied with special attention to cardiac stability.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperatively, he remained stable with minimal changes in vital signs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood pressure was supported with isotonic saline as needed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Postoperatively, he was monitored in the PACU.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received analgesia at 4 hours with an epidural top-up.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was transferred to the ward about 6 hours after surgery in stable condition.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Epidural analgesia was continued for 72 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was discharged at the 88th postoperative hour in good condition.", |
| "status": "not_supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 78-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient is from the Amhara region of Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has a permanent pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The pacemaker was implanted for complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was scheduled for retropubic prostatectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Preoperative assessments were conducted by the anesthetist and cardiologist.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The team recommended reprogramming the pacemaker to asynchronous mode.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The recommendation was to reduce risks related to the dual-chamber, rate-modulated mode.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient could not afford pacemaker reprogramming.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient opted to proceed with the existing perioperative plan.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Informed consent was obtained.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Permission to publish the case report was obtained after the operation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received combined epidural-spinal anesthesia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia included 2.50 ml of 0.5% isobaric bupivacaine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia included 50 \u00b5g fentanyl.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia was administered at the L3-L4 interspace.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Standard American Society of Anesthesiology monitoring was applied.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient remained stable with minimal vital sign fluctuations.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Adequate blood pressure was maintained using isotonic saline.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was transferred to the postanesthesia care unit after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Analgesia was provided after 4 hours postoperatively.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An epidural top-up was administered.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was transferred to the ward after 6 hours.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Epidural analgesia was continued for 72 hours.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged on the 88th postoperative hour.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged in stable condition.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 78-year-old man from the Amhara region, Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a permanent pacemaker placed for complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was scheduled for retropubic prostatectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The anesthesia and cardiology teams recommended switching his dual-chamber, rate-modulated pacemaker to an asynchronous mode perioperatively.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The recommendation was to reduce the risk of electromagnetic interference during surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He could not afford reprogramming of the pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He chose to proceed with the existing plan after informed consent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Permission to publish the case was obtained after the operation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received combined spinal\u2013epidural anesthesia at L3\u2013L4.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The spinal\u2013epidural anesthesia used 0.5% isobaric bupivacaine 2.5 ml (12.5 mg) plus fentanyl 50 \u00b5g.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Standard ASA monitoring was applied with special attention to cardiac stability.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperatively, he remained stable with minimal changes in vital signs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood pressure was supported with isotonic saline as needed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Postoperatively, he was monitored in the PACU.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received analgesia at 4 hours with an epidural top-up.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was transferred to the ward about 6 hours after surgery in stable condition.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Epidural analgesia was continued for 72 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was discharged at the 88th postoperative hour in good condition.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8771929824561403, |
| "completeness": 1.0, |
| "conciseness": 0.45614035087719296 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 78-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is from the Amhara region of Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a 7-year history of a permanent pacemaker for complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was scheduled for retropubic prostatectomy for BPH.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a prior transurethral resection of the prostate 3 months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has long-standing hypertension.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He takes amlodipine 5 mg daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He takes enalapril 10 mg twice daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He takes atorvastatin 10 mg daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has type 2 diabetes mellitus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He takes metformin 500 mg twice daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He takes NPH insulin 20 IU in the morning and 10 IU in the evening.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Preoperative ECG showed complete bundle branch block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Electrophysiology assessment demonstrated left ventricular hypertrophy due to hypertensive heart disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ejection fraction was 62%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Abdominal ultrasound showed an 82-ml prostate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The chest X-ray showed a left-sided pacemaker in situ.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Electrolytes were normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Troponin was normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The frailty score was 5.5.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The metabolic equivalents (METs) were 3.4.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The Revised Cardiac Risk Index (RCRI) was class III.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The estimated 30-day risk of major adverse cardiac events was 10.1%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgical risk was classified as intermediate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pacemaker was dual-chamber and rate-modulated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The plan was to reprogram the pacemaker to an asynchronous mode.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Reprogramming was not performed due to financial and logistical constraints.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient consented to proceed without reprogramming.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Preoperative medications were continued.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The morning NPH insulin dose was reduced to two-thirds.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Diazepam 5 mg was given at midnight for anxiolysis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Random blood glucose was checked on the day of surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A sliding scale was used to manage blood glucose.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Team communication emphasized precautions for cardiac implantable electronic devices.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Electrosurgery pads were positioned away from the pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergency drugs and a defibrillator were immediately available.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Dexamethasone was given for postoperative nausea and vomiting prophylaxis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Paracetamol was given for preemptive analgesia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Standard American Society of Anesthesiologists monitoring was applied.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A combined epidural\u2013spinal anesthetic was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The anesthetic used 0.5% isobaric bupivacaine 12.5 mg and fentanyl 50 \u00b5g.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sensory level achieved was to T7.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The procedure used a midline infraumbilical incision.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Monopolar cautery was used at low voltage (20 mA).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Bipolar low-voltage cautery was used for hemostasis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Intraoperative hemodynamics remained within 10% of baseline.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no cardiorespiratory events during surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood pressure was maintained with isotonic saline.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient was transferred to the postanesthesia care unit.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Analgesia was administered at 4 hours with an epidural top-up.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was transferred to the ward approximately 6 hours after surgery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Epidural analgesia was continued for 72 hours.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient was discharged at the 88th postoperative hour.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient was in stable condition at discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cardiology follow-up was advised.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Informed consent was obtained.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Permission for case report publication was granted after the operation.", |
| "status": "not_supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 78-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient is from the Amhara region of Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has a permanent pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The pacemaker was implanted for complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was scheduled for retropubic prostatectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Preoperative assessments were conducted by the anesthetist and cardiologist.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The team recommended reprogramming the pacemaker to asynchronous mode.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The recommendation was to reduce risks related to the dual-chamber, rate-modulated mode.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient could not afford pacemaker reprogramming.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient opted to proceed with the existing perioperative plan.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Informed consent was obtained.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Permission to publish the case report was obtained after the operation.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient received combined epidural-spinal anesthesia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia included 2.50 ml of 0.5% isobaric bupivacaine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia included 50 \u00b5g fentanyl.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The epidural-spinal anesthesia was administered at the L3-L4 interspace.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Standard American Society of Anesthesiology monitoring was applied.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient remained stable with minimal vital sign fluctuations.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Adequate blood pressure was maintained using isotonic saline.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was transferred to the postanesthesia care unit after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Analgesia was provided after 4 hours postoperatively.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An epidural top-up was administered.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was transferred to the ward after 6 hours.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Epidural analgesia was continued for 72 hours.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged on the 88th postoperative hour.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was discharged in stable condition.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 78-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is from the Amhara region of Ethiopia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a 7-year history of a permanent pacemaker for complete heart block.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was scheduled for retropubic prostatectomy for BPH.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a prior transurethral resection of the prostate 3 months earlier.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He has long-standing hypertension.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He takes amlodipine 5 mg daily.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He takes enalapril 10 mg twice daily.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He takes atorvastatin 10 mg daily.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He has type 2 diabetes mellitus.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He takes metformin 500 mg twice daily.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He takes NPH insulin 20 IU in the morning and 10 IU in the evening.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Preoperative ECG showed complete bundle branch block.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Electrophysiology assessment demonstrated left ventricular hypertrophy due to hypertensive heart disease.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The ejection fraction was 62%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Abdominal ultrasound showed an 82-ml prostate.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The chest X-ray showed a left-sided pacemaker in situ.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Electrolytes were normal.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Troponin was normal.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The frailty score was 5.5.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The metabolic equivalents (METs) were 3.4.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The Revised Cardiac Risk Index (RCRI) was class III.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The estimated 30-day risk of major adverse cardiac events was 10.1%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The surgical risk was classified as intermediate.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The pacemaker was dual-chamber and rate-modulated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The plan was to reprogram the pacemaker to an asynchronous mode.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Reprogramming was not performed due to financial and logistical constraints.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient consented to proceed without reprogramming.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Preoperative medications were continued.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The morning NPH insulin dose was reduced to two-thirds.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Diazepam 5 mg was given at midnight for anxiolysis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Random blood glucose was checked on the day of surgery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A sliding scale was used to manage blood glucose.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Team communication emphasized precautions for cardiac implantable electronic devices.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Electrosurgery pads were positioned away from the pacemaker.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergency drugs and a defibrillator were immediately available.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Dexamethasone was given for postoperative nausea and vomiting prophylaxis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Paracetamol was given for preemptive analgesia.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Standard American Society of Anesthesiologists monitoring was applied.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A combined epidural\u2013spinal anesthetic was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The anesthetic used 0.5% isobaric bupivacaine 12.5 mg and fentanyl 50 \u00b5g.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The sensory level achieved was to T7.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The procedure used a midline infraumbilical incision.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Monopolar cautery was used at low voltage (20 mA).", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Bipolar low-voltage cautery was used for hemostasis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Intraoperative hemodynamics remained within 10% of baseline.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There were no cardiorespiratory events during surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood pressure was maintained with isotonic saline.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was transferred to the postanesthesia care unit.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Analgesia was administered at 4 hours with an epidural top-up.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was transferred to the ward approximately 6 hours after surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Epidural analgesia was continued for 72 hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was discharged at the 88th postoperative hour.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient was in stable condition at discharge.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cardiology follow-up was advised.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Informed consent was obtained.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Permission for case report publication was granted after the operation.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 12, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had burning when she peed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had to pee very often for a long time.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She tried many treatments for bladder infections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem did not go away.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Regular scans and lab tests looked normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A camera test showed the bladder lining was red and irritated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The camera test showed tiny bits floating in the urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lab found a live larva in her urine under the microscope.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The larva finding explained her symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was told to keep very clean.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was told to drink plenty of water every day.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had persistent dysuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had urinary frequency.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had multiple treatments for suspected infections.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Cystoscopy showed erythema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Cystoscopy showed debris.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Imaging tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A live larva was identified in urine analysis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was confirmed by identifying a live larva in urine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included improved hygiene.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included increased hydration.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had burning when she peed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had to pee very often for a long time.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She tried many treatments for bladder infections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem did not go away.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Regular scans and lab tests looked normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A camera test showed the bladder lining was red and irritated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The camera test showed tiny bits floating in the urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lab found a live larva in her urine under the microscope.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The larva finding explained her symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was told to keep very clean.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was told to drink plenty of water every day.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had ongoing dysuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had urinary frequency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had multiple treatments for presumed infections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed bladder redness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed debris in the bladder.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Routine lab tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A live larva was identified in the urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The larva confirmed the cause of her symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included better personal hygiene.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included increased fluid intake.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had persistent dysuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had urinary frequency.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had multiple treatments for suspected infections.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Cystoscopy showed erythema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Cystoscopy showed debris.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Imaging tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A live larva was identified in urine analysis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was confirmed by identifying a live larva in urine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included improved hygiene.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included increased hydration.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had ongoing dysuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had urinary frequency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had multiple treatments for presumed infections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed bladder redness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed debris in the bladder.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Routine lab tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A live larva was identified in the urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The larva confirmed the cause of her symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included better personal hygiene.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management included increased fluid intake.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 0.4117647058823529 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a three-year history of urinary frequency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a three-year history of dysuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a three-year history of dribbling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She intermittently passed red and black thread-like material in the urine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Episodes with these discharges were associated with headache.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Episodes with these discharges were associated with fever.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Episodes with these discharges were associated with chills.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She reported intermittent periurethral and genital pruritus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had been repeatedly treated for recurrent urinary tract infections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had no recent travel, camping, hiking, farming, swimming, or insect bites.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Past surgical history included pilonidal sinus surgery 8 years prior.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Past surgical history included hysterectomy 7 years prior.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Two years before the current visit, she was hospitalized for evaluation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Examination revealed a well-appearing patient with normal vital signs.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory testing, including complete blood count, urinalysis, and serum chemistries, was within normal limits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Abdominopelvic CT was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy demonstrated erythema and hyperemia of the bladder mucosa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed suspended intravesical debris.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed dilatation of the left ureteral orifice.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Schistosomiasis was suspected.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received praziquantel at appropriate dose and duration.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She did not improve after praziquantel.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A second infectious diseases consultation raised suspicion for urinary myiasis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was prescribed ivermectin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She did not benefit from ivermectin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent bladder irrigation with polyethylene glycol.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "No visible larvae were recovered from the washings.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She experienced self-limited hematuria for two days post-procedure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A subsequent random urinalysis was normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 24-hour urine collection demonstrated a live larva on light microscopy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The larva was identified morphologically by an entomologist as Sarcophaga spp.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Final management emphasized personal hygiene measures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Final management emphasized liberal oral hydration.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had persistent dysuria.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had urinary frequency.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had multiple treatments for suspected infections.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Cystoscopy showed erythema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Cystoscopy showed debris.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Imaging tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laboratory tests were unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A live larva was identified in urine analysis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The diagnosis was confirmed by identifying a live larva in urine.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included improved hygiene.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment included increased hydration.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 52-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a three-year history of urinary frequency.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a three-year history of dysuria.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a three-year history of dribbling.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She intermittently passed red and black thread-like material in the urine.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Episodes with these discharges were associated with headache.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Episodes with these discharges were associated with fever.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Episodes with these discharges were associated with chills.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She reported intermittent periurethral and genital pruritus.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had been repeatedly treated for recurrent urinary tract infections.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had no recent travel, camping, hiking, farming, swimming, or insect bites.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Past surgical history included pilonidal sinus surgery 8 years prior.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Past surgical history included hysterectomy 7 years prior.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Two years before the current visit, she was hospitalized for evaluation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Examination revealed a well-appearing patient with normal vital signs.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Laboratory testing, including complete blood count, urinalysis, and serum chemistries, was within normal limits.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Abdominopelvic CT was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy demonstrated erythema and hyperemia of the bladder mucosa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed suspended intravesical debris.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cystoscopy showed dilatation of the left ureteral orifice.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Schistosomiasis was suspected.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She received praziquantel at appropriate dose and duration.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She did not improve after praziquantel.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A second infectious diseases consultation raised suspicion for urinary myiasis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was prescribed ivermectin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She did not benefit from ivermectin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She underwent bladder irrigation with polyethylene glycol.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "No visible larvae were recovered from the washings.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She experienced self-limited hematuria for two days post-procedure.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A subsequent random urinalysis was normal.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A 24-hour urine collection demonstrated a live larva on light microscopy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The larva was identified morphologically by an entomologist as Sarcophaga spp.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Final management emphasized personal hygiene measures.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Final management emphasized liberal oral hydration.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 13, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9473684210526315, |
| "completeness": 1.0, |
| "conciseness": 0.8947368421052632 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with worsening chest pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had shortness of breath.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had sweating.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had nausea.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had fatigue for months.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had night sweats.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The EKG showed signs of an inferior myocardial infarction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Coronary angiography showed significant two-vessel coronary artery disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The most severely blocked coronary artery was treated with balloon angioplasty and stent placement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The team was concerned about aortic inflammation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed mild inflammation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A CT scan showed aortic wall thickening and scarring.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The CT scan showed focal stenoses in multiple arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings were consistent with Takayasu arteritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was started on prednisone and methotrexate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She later underwent coronary artery bypass surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a favorable response to treatment.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with progressive precordial pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had neurovegetative symptoms.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The electrocardiogram showed ST segment elevation in the inferior wall.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a history of fatigue.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a history of night sweats.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent coronary angiography.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The coronary angiography revealed severe disease in two coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Primary angioplasty of the culprit artery was successful.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Aortitis was suspected.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Computed tomographic angiography showed periaortic fibrotic thickening.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Computed tomographic angiography showed significant stenosis in multiple arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Takayasu arteritis was suggested.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with prednisone.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with methotrexate.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent delayed myocardial revascularization surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The surgery had good results.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with worsening chest pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had shortness of breath.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had sweating.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had nausea.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had fatigue for months.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had night sweats.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The EKG showed signs of an inferior myocardial infarction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Coronary angiography showed significant two-vessel coronary artery disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The most severely blocked coronary artery was treated with balloon angioplasty and stent placement.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The team was concerned about aortic inflammation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood tests showed mild inflammation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A CT scan showed aortic wall thickening and scarring.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The CT scan showed focal stenoses in multiple arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings were consistent with Takayasu arteritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was started on prednisone and methotrexate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She later underwent coronary artery bypass surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a favorable response to treatment.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.95, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a week of worsening chest pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had autonomic symptoms such as sweating and nausea.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Her electrocardiogram showed ST-segment elevation in the inferior leads.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ECG findings were consistent with an inferior-wall heart attack.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She reported several months of fatigue.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She reported several months of night sweats.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urgent coronary angiography found severe two-vessel coronary artery disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right coronary artery was the culprit lesion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right coronary artery was opened successfully with a stent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The interventional team suspected inflammation of the aorta (aortitis).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Inflammatory markers were mildly elevated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "CT angiography showed fibrotic thickening around the aorta.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "CT angiography showed significant narrowing in multiple arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings pointed to Takayasu arteritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She started treatment with prednisone.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She started treatment with methotrexate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent delayed coronary bypass surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She did well after the surgery.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with progressive precordial pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had neurovegetative symptoms.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The electrocardiogram showed ST segment elevation in the inferior wall.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a history of fatigue.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a history of night sweats.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent coronary angiography.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The coronary angiography revealed severe disease in two coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Primary angioplasty of the culprit artery was successful.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Aortitis was suspected.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Computed tomographic angiography showed periaortic fibrotic thickening.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Computed tomographic angiography showed significant stenosis in multiple arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Takayasu arteritis was suggested.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with prednisone.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with methotrexate.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent delayed myocardial revascularization surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The surgery had good results.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a week of worsening chest pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had autonomic symptoms such as sweating and nausea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her electrocardiogram showed ST-segment elevation in the inferior leads.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ECG findings were consistent with an inferior-wall heart attack.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She reported several months of fatigue.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She reported several months of night sweats.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Urgent coronary angiography found severe two-vessel coronary artery disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right coronary artery was the culprit lesion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right coronary artery was opened successfully with a stent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The interventional team suspected inflammation of the aorta (aortitis).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Inflammatory markers were mildly elevated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "CT angiography showed fibrotic thickening around the aorta.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "CT angiography showed significant narrowing in multiple arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The findings pointed to Takayasu arteritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She started treatment with prednisone.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She started treatment with methotrexate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent delayed coronary bypass surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She did well after the surgery.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 0.7692307692307693 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 36-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is taking sulfasalazine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is taking ferrous fumarate.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She takes intermittent prednisone for flares.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with 1 week of progressive oppressive precordial pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ECG showed ST-segment elevation in the inferior wall.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergency coronary angiography demonstrated a 90% ostial lesion in the left coronary trunk.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Primary angioplasty of the right coronary artery was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A drug-eluting stent was successfully placed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The hemodynamicist noted possible aortitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory testing showed an elevated ESR of 42 mm/h.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The CRP was 4.9 mg/L.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The high-sensitivity troponin was elevated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cardiac MRI showed acute non-transmural infarction of the left ventricular inferior wall.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Computed tomographic angiography showed periaortic fibrotic wall thickening.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The differential included IgG4-related disease versus Takayasu arteritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Takayasu arteritis was diagnosed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Immunosuppression was initiated with prednisone 60 mg daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Methotrexate 20 mg weekly was started.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 3 weeks of therapy, she underwent myocardial revascularization surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A left internal mammary artery graft was used to the descending anterior artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An aortocoronary bypass was performed to the circumflex artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The staged approach included urgent culprit-vessel PCI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The staged approach included immunosuppression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The staged approach included delayed CABG.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She presented with progressive precordial pain.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had neurovegetative symptoms.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The electrocardiogram showed ST segment elevation in the inferior wall.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a history of fatigue.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a history of night sweats.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent coronary angiography.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The coronary angiography revealed severe disease in two coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Primary angioplasty of the culprit artery was successful.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Aortitis was suspected.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Computed tomographic angiography showed periaortic fibrotic thickening.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Computed tomographic angiography showed significant stenosis in multiple arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Takayasu arteritis was suggested.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with prednisone.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was treated with methotrexate.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent delayed myocardial revascularization surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The surgery had good results.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 36-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has ulcerative colitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She is taking sulfasalazine.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She is taking ferrous fumarate.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She takes intermittent prednisone for flares.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with 1 week of progressive oppressive precordial pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ECG showed ST-segment elevation in the inferior wall.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergency coronary angiography demonstrated a 90% ostial lesion in the left coronary trunk.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Primary angioplasty of the right coronary artery was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A drug-eluting stent was successfully placed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The hemodynamicist noted possible aortitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laboratory testing showed an elevated ESR of 42 mm/h.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The CRP was 4.9 mg/L.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The high-sensitivity troponin was elevated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cardiac MRI showed acute non-transmural infarction of the left ventricular inferior wall.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Computed tomographic angiography showed periaortic fibrotic wall thickening.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The differential included IgG4-related disease versus Takayasu arteritis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Takayasu arteritis was diagnosed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Immunosuppression was initiated with prednisone 60 mg daily.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Methotrexate 20 mg weekly was started.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 3 weeks of therapy, she underwent myocardial revascularization surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A left internal mammary artery graft was used to the descending anterior artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "An aortocoronary bypass was performed to the circumflex artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The staged approach included urgent culprit-vessel PCI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The staged approach included immunosuppression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The staged approach included delayed CABG.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 14, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.7333333333333333, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had trouble swallowing.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests found she was born with an unusual shape of the main body artery in her chest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The artery curves to the right in a mirror-image pattern.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The artery wraps around a main branch of the airway.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The side branches of the artery come off in the reverse order from normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Most people with this condition have no symptoms.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Problems occur only if the artery squeezes the space in the middle of the chest.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "This can press on the food pipe or the windpipe.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery may be needed if there is strong pressure on these tubes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery may be needed if there is a bulge or a tear in the chest artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Surgery may be needed if there is a pouch on the artery bigger than 2 cm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There is no one-size-fits-all treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Care is tailored to the person\u2019s symptoms and body anatomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This patient did not receive any treatment.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 36-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had dysphagia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a congenital anomaly of the thoracic aorta.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The anomaly was a right aortic arch with mirror image.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A right aortic arch with mirror image is a rare anomaly of embryonic development.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "In this anomaly, the aorta winds around the right stem bronchus.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The supra-aortic trunks emerge from the crown in the reverse and opposite order to normal.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The vast majority of patients are asymptomatic unless there is compression of mediastinal structures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Major compression of the esophagus or trachea may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Thoracic aortic dissection may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The presence of a Kommerell diverticulum of more than 2 cm may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There is no standard treatment for this condition.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment must be adapted to the clinical presentation and anatomical configuration of the patient.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient did not receive any treatment for her condition.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had trouble swallowing.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Tests found she was born with an unusual shape of the main body artery in her chest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The artery curves to the right in a mirror-image pattern.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The artery wraps around a main branch of the airway.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The side branches of the artery come off in the reverse order from normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Most people with this condition have no symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Problems occur only if the artery squeezes the space in the middle of the chest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This can press on the food pipe or the windpipe.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery may be needed if there is strong pressure on these tubes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery may be needed if there is a bulge or a tear in the chest artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery may be needed if there is a pouch on the artery bigger than 2 cm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There is no one-size-fits-all treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Care is tailored to the person\u2019s symptoms and body anatomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This patient did not receive any treatment.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.6470588235294118, |
| "completeness": 1.0, |
| "conciseness": 0.8823529411764706 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had dysphagia due to a congenital right aortic arch with mirror-image branching.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In this condition, the aorta runs to the right.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aorta wraps around the right main bronchus.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The head-and-arm arteries branch in the reverse order of normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Most people with this condition have no symptoms.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Symptoms occur if the aorta or an associated bulge compresses the esophagus or trachea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for major airway or esophageal compression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for aneurysmal disease.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for thoracic aortic dissection.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for a Kommerell diverticulum larger than 2 cm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There is no standard operation for this condition.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Treatment is tailored to the person\u2019s anatomy and symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging showed external compression of the upper esophagus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging showed a small Kommerell diverticulum of about 1.3 cm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "No intervention was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her symptoms improved.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 36-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had dysphagia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a congenital anomaly of the thoracic aorta.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The anomaly was a right aortic arch with mirror image.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A right aortic arch with mirror image is a rare anomaly of embryonic development.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "In this anomaly, the aorta winds around the right stem bronchus.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The supra-aortic trunks emerge from the crown in the reverse and opposite order to normal.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The vast majority of patients are asymptomatic unless there is compression of mediastinal structures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Major compression of the esophagus or trachea may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Thoracic aortic dissection may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The presence of a Kommerell diverticulum of more than 2 cm may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There is no standard treatment for this condition.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment must be adapted to the clinical presentation and anatomical configuration of the patient.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient did not receive any treatment for her condition.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 36-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had dysphagia due to a congenital right aortic arch with mirror-image branching.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In this condition, the aorta runs to the right.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aorta wraps around the right main bronchus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The head-and-arm arteries branch in the reverse order of normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Most people with this condition have no symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Symptoms occur if the aorta or an associated bulge compresses the esophagus or trachea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for major airway or esophageal compression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for aneurysmal disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for thoracic aortic dissection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery is considered for a Kommerell diverticulum larger than 2 cm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There is no standard operation for this condition.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Treatment is tailored to the person\u2019s anatomy and symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging showed external compression of the upper esophagus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Imaging showed a small Kommerell diverticulum of about 1.3 cm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "No intervention was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her symptoms improved.", |
| "status": "not_supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8181818181818182, |
| "completeness": 0.9285714285714286, |
| "conciseness": 0.6363636363636364 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 36-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with dysphagia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had longstanding cervical and upper thoracic pain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a multinodular goiter.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Esophagogastroduodenal transit after barium ingestion showed a posterior and lateral right impression on the proximal esophagus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The impression extended 3.5 cm craniocaudally.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The estimated maximal esophageal stenosis was 60%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Cervical and thoracic CT revealed a right aortic arch with mirror-image branching.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch originated from the aortic root.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch coursed above the right stem bronchus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch gave rise to three supra-aortic trunks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The first trunk was the left brachiocephalic artery, giving rise to the left common carotid artery and the left subclavian artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The second trunk was the right common carotid artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The third trunk was the right subclavian artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch passed posterior to the esophagus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch exhibited a small anterior saccule measuring 1.3 cm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The saccule was consistent with a Kommerell diverticulum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The configuration formed a vascular ring around the tracheo-esophageal pair.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ring was bounded posterolaterally on the right by the aortic arch.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ring was bounded posterolaterally on the left by the Kommerell diverticulum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ring was bounded laterally on the left by the arteriosum ligamentum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ring was bounded anteriorly by the left brachiocephalic artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Gastroscopy confirmed endoluminal impact of extrinsic compression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "No surgical cure was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient reported spontaneous amelioration of symptoms.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Right aortic arch with mirror-image branching is a rare anomaly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Most patients are asymptomatic unless mediastinal structures are compressed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include major compression of the esophagus or trachea.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include aneurysmal disease.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include thoracic aortic dissection.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include a Kommerell diverticulum larger than 2 cm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There is no standardized treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management is individualized according to clinical presentation and anatomic configuration.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 36-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had dysphagia.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had a congenital anomaly of the thoracic aorta.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The anomaly was a right aortic arch with mirror image.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A right aortic arch with mirror image is a rare anomaly of embryonic development.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "In this anomaly, the aorta winds around the right stem bronchus.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The supra-aortic trunks emerge from the crown in the reverse and opposite order to normal.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The vast majority of patients are asymptomatic unless there is compression of mediastinal structures.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Major compression of the esophagus or trachea may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Thoracic aortic dissection may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The presence of a Kommerell diverticulum of more than 2 cm may warrant surgical intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "There is no standard treatment for this condition.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Treatment must be adapted to the clinical presentation and anatomical configuration of the patient.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient did not receive any treatment for her condition.", |
| "status": "not_supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 36-year-old female.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She presented with dysphagia.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had longstanding cervical and upper thoracic pain.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had a multinodular goiter.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Esophagogastroduodenal transit after barium ingestion showed a posterior and lateral right impression on the proximal esophagus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The impression extended 3.5 cm craniocaudally.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The estimated maximal esophageal stenosis was 60%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Cervical and thoracic CT revealed a right aortic arch with mirror-image branching.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch originated from the aortic root.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch coursed above the right stem bronchus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch gave rise to three supra-aortic trunks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The first trunk was the left brachiocephalic artery, giving rise to the left common carotid artery and the left subclavian artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The second trunk was the right common carotid artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The third trunk was the right subclavian artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The aortic arch passed posterior to the esophagus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic arch exhibited a small anterior saccule measuring 1.3 cm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The saccule was consistent with a Kommerell diverticulum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The configuration formed a vascular ring around the tracheo-esophageal pair.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ring was bounded posterolaterally on the right by the aortic arch.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ring was bounded posterolaterally on the left by the Kommerell diverticulum.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The ring was bounded laterally on the left by the arteriosum ligamentum.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The ring was bounded anteriorly by the left brachiocephalic artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Gastroscopy confirmed endoluminal impact of extrinsic compression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "No surgical cure was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient reported spontaneous amelioration of symptoms.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Right aortic arch with mirror-image branching is a rare anomaly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Most patients are asymptomatic unless mediastinal structures are compressed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include major compression of the esophagus or trachea.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include aneurysmal disease.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include thoracic aortic dissection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Indications for surgery include a Kommerell diverticulum larger than 2 cm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There is no standardized treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Management is individualized according to clinical presentation and anatomic configuration.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 15, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9375, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 62-year-old white North African woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was diagnosed with Von Hippel\u2013Lindau disease in 2021.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a tumor in a bone near her left ear.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a tumor in the left adrenal gland.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had cancer in her left kidney.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her right kidney had many cysts.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had growths in her pancreas.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received radiation treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had surgery to remove the left adrenal gland.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had surgery to remove the left kidney.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had major surgery on the pancreas and nearby small intestine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Ultrasound and MRI scans showed a lump with both fluid and solid parts near the left ovary and tube.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Keyhole surgery found cyst-type tumors in the thin support tissue next to both fallopian tubes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors removed the uterus and both ovaries and tubes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lab showed tumors of the same type on both sides in the thin support tissue around the tubes and the uterus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "These findings fit with Von Hippel\u2013Lindau disease.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 62-year-old white North African woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was diagnosed with Von Hippel-Lindau disease in 2021.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a left petrous bone tumor.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a left pheochromocytoma.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had left renal cell carcinoma.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a multi-cystic right kidney.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had pancreatic masses.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent radiotherapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent adrenalectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent nephrectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent cephalic duodenopancreatectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Ultrasonographic and magnetic resonance imaging showed a solid cystic mass in the left adnexal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laparoscopy identified cystic tumors in the right and left mesosalpinx.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a hysterectomy with bilateral adnexectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Histological examination revealed bilateral clear-cell papillary cystadenomas of the mesosalpinx.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The tumors were consistent with Von Hippel-Lindau disease.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 62-year-old white North African woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was diagnosed with Von Hippel\u2013Lindau disease in 2021.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a tumor in a bone near her left ear.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a tumor in the left adrenal gland.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had cancer in her left kidney.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Her right kidney had many cysts.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had growths in her pancreas.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received radiation treatment.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had surgery to remove the left adrenal gland.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had surgery to remove the left kidney.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had major surgery on the pancreas and nearby small intestine.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Ultrasound and MRI scans showed a lump with both fluid and solid parts near the left ovary and tube.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Keyhole surgery found cyst-type tumors in the thin support tissue next to both fallopian tubes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Doctors removed the uterus and both ovaries and tubes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The lab showed tumors of the same type on both sides in the thin support tissue around the tubes and the uterus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "These findings fit with Von Hippel\u2013Lindau disease.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.875, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 62-year-old white North African woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has Von Hippel\u2013Lindau (VHL) disease diagnosed in 2021.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed a left petrous bone tumor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed a left pheochromocytoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed left renal cell carcinoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a multicystic right kidney.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She had pancreatic masses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received radiotherapy to the petrous bone lesion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent left adrenalectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent left nephrectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a cephalic duodenopancreatectomy for the pancreatic tumors.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "During surveillance, ultrasound and MRI showed a solid\u2013cystic mass in the left adnexal region.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laparoscopy identified cystic tumors in the mesosalpinx on both the right and left sides.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She underwent hysterectomy with removal of both adnexa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Pathology confirmed bilateral clear-cell papillary cystadenomas of the mesosalpinx and broad ligament.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pattern of the tumors was consistent with Von Hippel\u2013Lindau disease.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 62-year-old white North African woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was diagnosed with Von Hippel-Lindau disease in 2021.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a left petrous bone tumor.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a left pheochromocytoma.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had left renal cell carcinoma.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a multi-cystic right kidney.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had pancreatic masses.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent radiotherapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent adrenalectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent nephrectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent cephalic duodenopancreatectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Ultrasonographic and magnetic resonance imaging showed a solid cystic mass in the left adnexal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laparoscopy identified cystic tumors in the right and left mesosalpinx.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a hysterectomy with bilateral adnexectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Histological examination revealed bilateral clear-cell papillary cystadenomas of the mesosalpinx.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The tumors were consistent with Von Hippel-Lindau disease.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 62-year-old white North African woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has Von Hippel\u2013Lindau (VHL) disease diagnosed in 2021.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed a left petrous bone tumor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed a left pheochromocytoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She developed left renal cell carcinoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a multicystic right kidney.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had pancreatic masses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She received radiotherapy to the petrous bone lesion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent left adrenalectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent left nephrectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had a cephalic duodenopancreatectomy for the pancreatic tumors.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "During surveillance, ultrasound and MRI showed a solid\u2013cystic mass in the left adnexal region.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Laparoscopy identified cystic tumors in the mesosalpinx on both the right and left sides.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent hysterectomy with removal of both adnexa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Pathology confirmed bilateral clear-cell papillary cystadenomas of the mesosalpinx and broad ligament.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pattern of the tumors was consistent with Von Hippel\u2013Lindau disease.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 0.9375, |
| "conciseness": 0.6451612903225806 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 62-year-old Tunisian Arab postmenopausal woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has Von Hippel\u2013Lindau (VHL) disease, diagnosed in 2021.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2021, she had a 6 cm left petrous bone endolymphatic sac tumor managed with radiotherapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2021, she had a 6 cm left pheochromocytoma treated with left adrenalectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pathology of the left pheochromocytoma was confirmed as pheochromocytoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2021, she had a ruptured left renal mass treated with left nephrectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left renal mass was diagnosed as multifocal clear-cell renal cell carcinoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The renal tumor had nuclear grade 2.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2022, she underwent cephalic duodenopancreatectomy for a pancreatic mass.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pancreatic mass histology showed three serous cystadenomas.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pancreatic mass histology also showed two well-differentiated neuroendocrine tumors.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In January 2021, surveillance abdominal\u2013pelvic CT incidentally identified a 4 cm solid\u2013cystic left adnexal mass.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left adnexal mass was suspected to be malignant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left adnexal mass was classified as O-RADS 5.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Gynecologic exam was unremarkable.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At laparotomy, a well-defined solid\u2013cystic mass was found in the left adnexa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no ascites.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no peritoneal carcinomatosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right adnexa appeared grossly normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Left adnexectomy was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The frozen section of the left adnexal mass was inconclusive.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The differential diagnosis included a borderline tumor versus a VHL-associated tumor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Total hysterectomy with right adnexectomy was completed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Final histology demonstrated bilateral clear-cell papillary cystadenomas of the Fallopian tubes and broad ligament.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left tumor measured 4 cm.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The tumors were composed of tightly packed papillae with fibrous cores lined by monolayered epithelium.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The tumors were consistent with VHL-associated mesosalpinx/broad ligament lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One-month postoperative evaluation was normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has been followed every 4 months with normal pelvic ultrasound for 2 years.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She was recently readmitted to neurosurgery for recurrence of a brain tumor.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 62-year-old white North African woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She was diagnosed with Von Hippel-Lindau disease in 2021.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a left petrous bone tumor.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a left pheochromocytoma.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had left renal cell carcinoma.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a multi-cystic right kidney.", |
| "status": "not_supported" |
| }, |
| { |
| "source_fact": "She had pancreatic masses.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent radiotherapy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent adrenalectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent nephrectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent cephalic duodenopancreatectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Ultrasonographic and magnetic resonance imaging showed a solid cystic mass in the left adnexal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Laparoscopy identified cystic tumors in the right and left mesosalpinx.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She had a hysterectomy with bilateral adnexectomy.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Histological examination revealed bilateral clear-cell papillary cystadenomas of the mesosalpinx.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The tumors were consistent with Von Hippel-Lindau disease.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 62-year-old Tunisian Arab postmenopausal woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has Von Hippel\u2013Lindau (VHL) disease, diagnosed in 2021.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2021, she had a 6 cm left petrous bone endolymphatic sac tumor managed with radiotherapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2021, she had a 6 cm left pheochromocytoma treated with left adrenalectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pathology of the left pheochromocytoma was confirmed as pheochromocytoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2021, she had a ruptured left renal mass treated with left nephrectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left renal mass was diagnosed as multifocal clear-cell renal cell carcinoma.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The renal tumor had nuclear grade 2.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In 2022, she underwent cephalic duodenopancreatectomy for a pancreatic mass.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pancreatic mass histology showed three serous cystadenomas.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pancreatic mass histology also showed two well-differentiated neuroendocrine tumors.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In January 2021, surveillance abdominal\u2013pelvic CT incidentally identified a 4 cm solid\u2013cystic left adnexal mass.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The left adnexal mass was suspected to be malignant.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left adnexal mass was classified as O-RADS 5.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Gynecologic exam was unremarkable.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "At laparotomy, a well-defined solid\u2013cystic mass was found in the left adnexa.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was no ascites.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There was no peritoneal carcinomatosis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The right adnexa appeared grossly normal.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Left adnexectomy was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The frozen section of the left adnexal mass was inconclusive.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The differential diagnosis included a borderline tumor versus a VHL-associated tumor.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Total hysterectomy with right adnexectomy was completed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Final histology demonstrated bilateral clear-cell papillary cystadenomas of the Fallopian tubes and broad ligament.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The left tumor measured 4 cm.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The tumors were composed of tightly packed papillae with fibrous cores lined by monolayered epithelium.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The tumors were consistent with VHL-associated mesosalpinx/broad ligament lesions.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One-month postoperative evaluation was normal.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She has been followed every 4 months with normal pelvic ultrasound for 2 years.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "She was recently readmitted to neurosurgery for recurrence of a brain tumor.", |
| "status": "not_supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 16, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8333333333333334, |
| "completeness": 1.0, |
| "conciseness": 0.9166666666666666 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 59-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient has type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient came to the hospital with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A heart ultrasound showed big clumps of germs stuck to the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient's blood test grew Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a kind of staph that usually lives on the skin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is normally harmless.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient had native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had surgery to replace both the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Small lab changes and weight loss began about four months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had not been on immune-weakening medicines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient did not have any implanted medical devices.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 59-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Echocardiography showed large vegetations on the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Blood bacterial culture was positive for Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Staphylococcus warneri is a coagulase-negative staphylococcus.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was diagnosed with native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent double valve replacement.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no history of immunosuppressive therapies.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no history of medical device implantation.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 59-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient has type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient came to the hospital with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A heart ultrasound showed big clumps of germs stuck to the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient's blood test grew Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a kind of staph that usually lives on the skin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is normally harmless.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient had native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had surgery to replace both the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Small lab changes and weight loss began about four months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had not been on immune-weakening medicines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient did not have any implanted medical devices.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8461538461538461, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 59-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has long-standing type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with acute heart failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An echocardiogram showed large vegetations on the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood cultures were positive for Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a coagulase-negative staphylococcus.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is commonly found on the skin.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was diagnosed with native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He underwent replacement of both the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mild laboratory abnormalities were present.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had several months of weight loss beginning about four months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no history of immunosuppressive therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no implanted medical devices.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 59-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Echocardiography showed large vegetations on the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Blood bacterial culture was positive for Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Staphylococcus warneri is a coagulase-negative staphylococcus.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was diagnosed with native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent double valve replacement.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no history of immunosuppressive therapies.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no history of medical device implantation.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 59-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has long-standing type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with acute heart failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An echocardiogram showed large vegetations on the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood cultures were positive for Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a coagulase-negative staphylococcus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is commonly found on the skin.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was diagnosed with native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He underwent replacement of both the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Mild laboratory abnormalities were present.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had several months of weight loss beginning about four months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no history of immunosuppressive therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no implanted medical devices.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9090909090909091, |
| "completeness": 1.0, |
| "conciseness": 0.509090909090909 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 59-year-old Japanese man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a 28-year history of type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is on intensive multiple-dose insulin therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His BMI is 18.4 kg/m2.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has undetectable C-peptide.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His HbA1c is approximately 9.0%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has chronic severe (grade III) aortic regurgitation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The aortic regurgitation was diagnosed 16 years earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no prior follow-up for the aortic regurgitation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with acute decompensated heart failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had never undergone surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no history of immunosuppressive therapies.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Eight days before presentation, he developed dyspnea and fever greater than 38\u00b0C.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "On arrival, his blood pressure was 192/82 mmHg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On arrival, his heart rate was 118 beats per minute.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On arrival, his oxygen saturation was 80%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The exam revealed a 3/6 systolic murmur.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The white blood cell count was 20,800/\u03bcL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The C-reactive protein was 6.06 mg/dL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The creatine kinase-MB was 6.0 IU/L.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The troponin T was negative.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The chest X-ray showed pulmonary congestion.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The chest X-ray showed cardiomegaly with a cardiothoracic ratio of 55%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The ECG showed ST elevation in leads V1\u2013V4.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Emergent echocardiography showed no systolic dysfunction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transthoracic echocardiography demonstrated severe aortic regurgitation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transthoracic echocardiography demonstrated severe mitral regurgitation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transthoracic echocardiography showed a mobile mitral vegetation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transesophageal echocardiography identified a 16.5\u00d76-mm mobile vegetation on the anterior leaflet of the mitral valve.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transesophageal echocardiography identified an 11.2\u00d75-mm nonmobile vegetation on the noncoronary cusp of the aortic valve.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The diagnosis was native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Head CT and MRI showed no cerebral infarction or hemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Retrospective review revealed subtle abnormalities starting four months before admission.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The white blood cell count was mildly elevated four months before admission.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The albumin decreased to 3.0 g/dL the month after the elevated white blood cell count.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There was a gradual hemoglobin decline over two months.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "There was a 4-kg weight loss.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Empiric antibiotics were initiated with ampicillin\u2013sulbactam 12 g/day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Empiric antibiotics were initiated with gentamicin 120 mg/day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Three admission blood culture sets grew Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a coagulase-negative staphylococcus.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a resident skin flora.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The antibiotics were narrowed to cefazolin 6 g/day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Dental evaluation showed no periodontitis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After four weeks of antibiotics, surgery was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery revealed a bicuspid aortic valve.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Large vegetations were exenterated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Both valves were replaced with mechanical prostheses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was discharged on postoperative day 22.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has remained recurrence-free for over two years.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "This case represents native valve endocarditis due to Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had no prosthetic material.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had no immunosuppression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Prodromal laboratory abnormalities were evident up to four months before presentation.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 59-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient has type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with heart failure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Echocardiography showed large vegetations on the mitral and aortic valves.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Blood bacterial culture was positive for Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Staphylococcus warneri is a coagulase-negative staphylococcus.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was diagnosed with native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent double valve replacement.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no history of immunosuppressive therapies.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had no history of medical device implantation.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 59-year-old Japanese man.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He has a 28-year history of type 1 diabetes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He is on intensive multiple-dose insulin therapy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His BMI is 18.4 kg/m2.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He has undetectable C-peptide.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His HbA1c is approximately 9.0%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He has chronic severe (grade III) aortic regurgitation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The aortic regurgitation was diagnosed 16 years earlier.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He had no prior follow-up for the aortic regurgitation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He presented with acute decompensated heart failure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had never undergone surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had no history of immunosuppressive therapies.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Eight days before presentation, he developed dyspnea and fever greater than 38\u00b0C.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On arrival, his blood pressure was 192/82 mmHg.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "On arrival, his heart rate was 118 beats per minute.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "On arrival, his oxygen saturation was 80%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The exam revealed a 3/6 systolic murmur.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The white blood cell count was 20,800/\u03bcL.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The C-reactive protein was 6.06 mg/dL.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The creatine kinase-MB was 6.0 IU/L.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The troponin T was negative.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The chest X-ray showed pulmonary congestion.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The chest X-ray showed cardiomegaly with a cardiothoracic ratio of 55%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The ECG showed ST elevation in leads V1\u2013V4.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Emergent echocardiography showed no systolic dysfunction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transthoracic echocardiography demonstrated severe aortic regurgitation.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Transthoracic echocardiography demonstrated severe mitral regurgitation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transthoracic echocardiography showed a mobile mitral vegetation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transesophageal echocardiography identified a 16.5\u00d76-mm mobile vegetation on the anterior leaflet of the mitral valve.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transesophageal echocardiography identified an 11.2\u00d75-mm nonmobile vegetation on the noncoronary cusp of the aortic valve.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The diagnosis was native valve endocarditis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Head CT and MRI showed no cerebral infarction or hemorrhage.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Retrospective review revealed subtle abnormalities starting four months before admission.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The white blood cell count was mildly elevated four months before admission.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The albumin decreased to 3.0 g/dL the month after the elevated white blood cell count.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There was a gradual hemoglobin decline over two months.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "There was a 4-kg weight loss.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Empiric antibiotics were initiated with ampicillin\u2013sulbactam 12 g/day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Empiric antibiotics were initiated with gentamicin 120 mg/day.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Three admission blood culture sets grew Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a coagulase-negative staphylococcus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Staphylococcus warneri is a resident skin flora.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The antibiotics were narrowed to cefazolin 6 g/day.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Dental evaluation showed no periodontitis.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "After four weeks of antibiotics, surgery was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Surgery revealed a bicuspid aortic valve.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Large vegetations were exenterated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Both valves were replaced with mechanical prostheses.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was discharged on postoperative day 22.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He has remained recurrence-free for over two years.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "This case represents native valve endocarditis due to Staphylococcus warneri.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had no prosthetic material.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient had no immunosuppression.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Prodromal laboratory abnormalities were evident up to four months before presentation.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 17, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9444444444444444, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had multiple cancers in her large intestine and rectum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had an inherited condition that causes multiple polyps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent robot-assisted surgery to remove the entire colon and rectum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgical team removed lymph nodes from the entire area.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgical robot used was called Hugo RAS.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The robot-assisted surgery had three steps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 1, the team removed the right side of the colon with its nearby tissue.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 2, the team removed the left side of the colon with its nearby tissue.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 2, the team also removed the rectum with the tissue around it.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 2, they removed deeper lymph nodes.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "In step 3, the team tied off the main blood vessels along the main artery that feeds the intestines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After the robot-assisted part, the removed bowel was taken out through the anus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A pouch was made from the small intestine through a small cut at the belly button.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pouch was connected to the anus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery took about 10 and a half hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood loss during the surgery was very small.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Recovery after surgery went smoothly.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has multiple colorectal cancers.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has a background of familial adenomatous polyposis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent robot-assisted total proctocolectomy (TPC).", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The procedure included lymph node dissection of the entire colorectal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The Hugo RAS system was used.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The robotic procedure was divided into 3 steps.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The first step was Trendelenburg position to perform ascending colon complete mesocolic excision to the hepatic flexure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The second step was descending colon complete mesocolic excision and total mesorectal excision with D3 lymph node dissection.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The third step was central vessel ligation along the superior mesenteric artery in the flat position.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The specimen was extracted transanally after undocking.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An ileal pouch was constructed from a small laparotomy at the umbilical incision.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An ileal pouch-anal anastomosis was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The operative time was 632 minutes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The estimated blood loss was minimal.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The postoperative period was uneventful.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had multiple cancers in her large intestine and rectum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She had an inherited condition that causes multiple polyps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent robot-assisted surgery to remove the entire colon and rectum.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgical team removed lymph nodes from the entire area.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgical robot used was called Hugo RAS.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The robot-assisted surgery had three steps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 1, the team removed the right side of the colon with its nearby tissue.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 2, the team removed the left side of the colon with its nearby tissue.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 2, the team also removed the rectum with the tissue around it.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 2, they removed deeper lymph nodes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "In step 3, the team tied off the main blood vessels along the main artery that feeds the intestines.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After the robot-assisted part, the removed bowel was taken out through the anus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A pouch was made from the small intestine through a small cut at the belly button.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The pouch was connected to the anus.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery took about 10 and a half hours.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Blood loss during the surgery was very small.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Recovery after surgery went smoothly.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9333333333333333, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has familial adenomatous polyposis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has multiple colorectal cancers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent robot-assisted total proctocolectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery included complete lymph node dissection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The Hugo RAS system was used.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The robotic work was organized into three steps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The first step was ascending colon complete mesocolic excision up to the hepatic flexure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The second step was descending colon complete mesocolic excision and total mesorectal excision with D3 lymph node dissection.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The third step was central vessel ligation along the superior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The specimen was removed transanally.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An ileal pouch was created through a small umbilical incision.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ileal pouch was connected to the anus (ileal pouch\u2013anal anastomosis).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The operation lasted 632 minutes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has multiple colorectal cancers.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has a background of familial adenomatous polyposis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent robot-assisted total proctocolectomy (TPC).", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The procedure included lymph node dissection of the entire colorectal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The Hugo RAS system was used.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The robotic procedure was divided into 3 steps.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The first step was Trendelenburg position to perform ascending colon complete mesocolic excision to the hepatic flexure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The second step was descending colon complete mesocolic excision and total mesorectal excision with D3 lymph node dissection.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The third step was central vessel ligation along the superior mesenteric artery in the flat position.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The specimen was extracted transanally after undocking.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An ileal pouch was constructed from a small laparotomy at the umbilical incision.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An ileal pouch-anal anastomosis was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The operative time was 632 minutes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The estimated blood loss was minimal.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The postoperative period was uneventful.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has familial adenomatous polyposis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has multiple colorectal cancers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent robot-assisted total proctocolectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery included complete lymph node dissection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The Hugo RAS system was used.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The robotic work was organized into three steps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The first step was ascending colon complete mesocolic excision up to the hepatic flexure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The second step was descending colon complete mesocolic excision and total mesorectal excision with D3 lymph node dissection.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The third step was central vessel ligation along the superior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The specimen was removed transanally.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An ileal pouch was created through a small umbilical incision.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ileal pouch was connected to the anus (ileal pouch\u2013anal anastomosis).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The operation lasted 632 minutes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.9666666666666667, |
| "completeness": 1.0, |
| "conciseness": 0.5333333333333333 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has multiple colorectal cancers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has familial adenomatous polyposis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent robot-assisted total proctocolectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery was performed using the Hugo RAS system.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Preoperative CT showed multiple nodal swellings along the inferior mesenteric artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Preoperative CT showed multiple nodal swellings along the middle colic artery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Preoperative CT showed no distant metastases.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery was approved by the Evaluating Committee for Highly Difficult New Medical Technologies.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery was approved by the Kyoto University IRB.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 5-cm vertical umbilical incision was made.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A wound protector was placed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Pneumoperitoneum was established.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Four robotic trocars were inserted.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Two assistant trocars were inserted.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The robotic procedure comprised three steps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transanal specimen extraction was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An ileal pouch was constructed via a small umbilical laparotomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An ileal pouch\u2013anal anastomosis was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "No diverting ileostomy was created.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The total operative time was 632 minutes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Estimated blood loss was 20 mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Flatus and initiation of liquids occurred on postoperative day 1.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Advancement to a solid diet occurred on postoperative day 3.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Final pathology identified two sigmoid cancers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Final pathology identified one rectal cancer.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Lymph node status showed 18 out of 89 positive nodes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "All positive lymph nodes were in the sigmoid/rectosigmoid stations.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The UICC stage was pT1bN2b.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has multiple colorectal cancers.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She has a background of familial adenomatous polyposis.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "She underwent robot-assisted total proctocolectomy (TPC).", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The procedure included lymph node dissection of the entire colorectal region.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The Hugo RAS system was used.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The robotic procedure was divided into 3 steps.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The first step was Trendelenburg position to perform ascending colon complete mesocolic excision to the hepatic flexure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The second step was descending colon complete mesocolic excision and total mesorectal excision with D3 lymph node dissection.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The third step was central vessel ligation along the superior mesenteric artery in the flat position.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The specimen was extracted transanally after undocking.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An ileal pouch was constructed from a small laparotomy at the umbilical incision.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An ileal pouch-anal anastomosis was performed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The operative time was 632 minutes.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The estimated blood loss was minimal.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The postoperative period was uneventful.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 27-year-old woman.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has multiple colorectal cancers.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She has familial adenomatous polyposis.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "She underwent robot-assisted total proctocolectomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The surgery was performed using the Hugo RAS system.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Preoperative CT showed multiple nodal swellings along the inferior mesenteric artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Preoperative CT showed multiple nodal swellings along the middle colic artery.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Preoperative CT showed no distant metastases.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The surgery was approved by the Evaluating Committee for Highly Difficult New Medical Technologies.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The surgery was approved by the Kyoto University IRB.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A 5-cm vertical umbilical incision was made.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A wound protector was placed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Pneumoperitoneum was established.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Four robotic trocars were inserted.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Two assistant trocars were inserted.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The robotic procedure comprised three steps.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Transanal specimen extraction was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An ileal pouch was constructed via a small umbilical laparotomy.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An ileal pouch\u2013anal anastomosis was performed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "No diverting ileostomy was created.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The total operative time was 632 minutes.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Estimated blood loss was 20 mL.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The postoperative course was uneventful.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Flatus and initiation of liquids occurred on postoperative day 1.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Advancement to a solid diet occurred on postoperative day 3.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Final pathology identified two sigmoid cancers.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Final pathology identified one rectal cancer.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Lymph node status showed 18 out of 89 positive nodes.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "All positive lymph nodes were in the sigmoid/rectosigmoid stations.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The UICC stage was pT1bN2b.", |
| "status": "not_supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 18, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.8666666666666667, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 65-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a swollen right middle finger after a motorcycle crash 6 months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The middle joint of the finger stayed bent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The fingertip bent backward.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He could not fully straighten the finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An X-ray showed no broken bones.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem was in the soft tissues and tendon on top of the finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Before surgery, the middle joint could bend from 45 to 110 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The middle joint could not straighten before surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The doctors repaired the top tendon using a small strip from another tendon in the same finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They put the middle joint in a straight splint for 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 2 weeks, he started gentle bending and straightening exercises for that joint.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One month after surgery, the middle joint moved from 0 to 90 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Two months after surgery, movement went back to normal.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "His hand function score (DASH) improved from 50 to 4.2.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 65-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with swelling and boutonniere deformity on the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The boutonniere deformity was on the right hand.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had previously fallen from a motorcycle.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right middle finger was injured six months ago.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right middle finger could not be fully extended after the injury.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The right hand showed edema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The interphalangeal (PIP) joint was flexed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The distal interphalangeal (DIP) joint was hyperextended.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The range of motion of the PIP joint of the right middle finger was 45-110 degrees.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The X-ray of the right hand showed no bone involvement in the deformity.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent central slip defect reconstruction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The reconstruction used the partial ulnar side of the flexor digitorum superficial tendon.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A PIP joint extension splint was applied for 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Active and passive exercise of the PIP joint range of motion began after 2 weeks of splinting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's PIP joint range of motion improved to 0-90 degrees 1 month after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's PIP joint range of motion returned to normal 2 months after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right hand function was evaluated with the DASH score.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The DASH score improved significantly from 50 to 4.2.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 65-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a swollen right middle finger after a motorcycle crash 6 months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The middle joint of the finger stayed bent.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The fingertip bent backward.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He could not fully straighten the finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An X-ray showed no broken bones.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem was in the soft tissues and tendon on top of the finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Before surgery, the middle joint could bend from 45 to 110 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The middle joint could not straighten before surgery.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The doctors repaired the top tendon using a small strip from another tendon in the same finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "They put the middle joint in a straight splint for 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 2 weeks, he started gentle bending and straightening exercises for that joint.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One month after surgery, the middle joint moved from 0 to 90 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Two months after surgery, movement went back to normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His hand function score (DASH) improved from 50 to 4.2.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.85, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 65-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a motorcycle fall six months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed persistent swelling of the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a boutonniere deformity of the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He could not fully extend the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On exam, the finger showed edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The finger had flexion at the proximal interphalangeal (PIP) joint.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The finger had hyperextension at the distal interphalangeal (DIP) joint.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Active PIP range of motion was 45\u2013110 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "X-rays of the right hand showed no bone injury.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The X-rays indicated a soft-tissue problem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem was consistent with a central slip injury.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient underwent reconstruction of the central slip.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The reconstruction used a partial ulnar slip of the flexor digitorum superficialis (FDS) tendon.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A PIP extension splint was used for 2 weeks.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Active and passive PIP ROM exercises began after 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One month after surgery, PIP ROM improved to 0\u201390 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "By 2 months after surgery, PIP ROM returned to normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hand function improved markedly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The DASH score improved from 50 to 4.2.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 65-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with swelling and boutonniere deformity on the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The boutonniere deformity was on the right hand.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had previously fallen from a motorcycle.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right middle finger was injured six months ago.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right middle finger could not be fully extended after the injury.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The right hand showed edema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The interphalangeal (PIP) joint was flexed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The distal interphalangeal (DIP) joint was hyperextended.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The range of motion of the PIP joint of the right middle finger was 45-110 degrees.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The X-ray of the right hand showed no bone involvement in the deformity.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent central slip defect reconstruction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The reconstruction used the partial ulnar side of the flexor digitorum superficial tendon.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A PIP joint extension splint was applied for 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Active and passive exercise of the PIP joint range of motion began after 2 weeks of splinting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's PIP joint range of motion improved to 0-90 degrees 1 month after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's PIP joint range of motion returned to normal 2 months after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right hand function was evaluated with the DASH score.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The DASH score improved significantly from 50 to 4.2.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 65-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a motorcycle fall six months earlier.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He developed persistent swelling of the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a boutonniere deformity of the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He could not fully extend the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On exam, the finger showed edema.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The finger had flexion at the proximal interphalangeal (PIP) joint.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The finger had hyperextension at the distal interphalangeal (DIP) joint.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Active PIP range of motion was 45\u2013110 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "X-rays of the right hand showed no bone injury.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The X-rays indicated a soft-tissue problem.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The problem was consistent with a central slip injury.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient underwent reconstruction of the central slip.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The reconstruction used a partial ulnar slip of the flexor digitorum superficialis (FDS) tendon.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A PIP extension splint was used for 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Active and passive PIP ROM exercises began after 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "One month after surgery, PIP ROM improved to 0\u201390 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "By 2 months after surgery, PIP ROM returned to normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Hand function improved markedly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The DASH score improved from 50 to 4.2.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 0.6842105263157895 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 65-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had swelling and boutonniere deformity of the right digit III.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The boutonniere deformity was due to a central slip injury.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Radiographs showed no osseous pathology.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The central slip was not amenable to primary repair.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulnar slip of the flexor digitorum superficialis (FDS) was used for reconstruction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 2\u20130 non-absorbable monofilament suture was placed around the ulnar FDS slip.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 2.8-mm bone tunnel was drilled at the base of the middle phalanx.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The FDS slip was passed through the tunnel and routed through the intact proximal segment of the central slip/extensor tendon.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Pulvertaft weave was completed under appropriate tension.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A sterile dressing and a PIP extension splint were applied.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received meloxicam 7.5 mg PO BID.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received doxycycline 100 mg PO BID for 3 days.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 2 weeks, the back slab and external sutures were removed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Active and passive PIP ROM exercises were initiated at 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "By 3 weeks, the wound had healed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "At 1 month, PIP ROM improved to 0\u2013100 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 7 weeks of rehabilitation, he returned to work.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The DASH score decreased from 50 to 4.2.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient is a 65-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient presented with swelling and boutonniere deformity on the right middle finger.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The boutonniere deformity was on the right hand.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient had previously fallen from a motorcycle.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right middle finger was injured six months ago.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right middle finger could not be fully extended after the injury.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The right hand showed edema.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The interphalangeal (PIP) joint was flexed.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The distal interphalangeal (DIP) joint was hyperextended.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The range of motion of the PIP joint of the right middle finger was 45-110 degrees.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The X-ray of the right hand showed no bone involvement in the deformity.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient underwent central slip defect reconstruction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The reconstruction used the partial ulnar side of the flexor digitorum superficial tendon.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A PIP joint extension splint was applied for 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Active and passive exercise of the PIP joint range of motion began after 2 weeks of splinting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's PIP joint range of motion improved to 0-90 degrees 1 month after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's PIP joint range of motion returned to normal 2 months after surgery.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's right hand function was evaluated with the DASH score.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The DASH score improved significantly from 50 to 4.2.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 65-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had swelling and boutonniere deformity of the right digit III.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The boutonniere deformity was due to a central slip injury.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Radiographs showed no osseous pathology.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The central slip was not amenable to primary repair.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ulnar slip of the flexor digitorum superficialis (FDS) was used for reconstruction.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 2\u20130 non-absorbable monofilament suture was placed around the ulnar FDS slip.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A 2.8-mm bone tunnel was drilled at the base of the middle phalanx.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The FDS slip was passed through the tunnel and routed through the intact proximal segment of the central slip/extensor tendon.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A Pulvertaft weave was completed under appropriate tension.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "A sterile dressing and a PIP extension splint were applied.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The patient received meloxicam 7.5 mg PO BID.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The patient received doxycycline 100 mg PO BID for 3 days.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "At 2 weeks, the back slab and external sutures were removed.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Active and passive PIP ROM exercises were initiated at 2 weeks.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "By 3 weeks, the wound had healed.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "At 1 month, PIP ROM improved to 0\u2013100 degrees.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After 7 weeks of rehabilitation, he returned to work.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The DASH score decreased from 50 to 4.2.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| }, |
| { |
| "index": 19, |
| "literacy_levels": { |
| "low_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient was a 23-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He came to the emergency room with a sudden, very bad headache.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He felt sick and vomited.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He felt heavy pressure in his chest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His blood pressure was high.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was breathing fast.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A quick heart test looked like a major heart attack.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was rushed for a procedure to check and open the heart arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The heart arteries looked normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A head CT scan showed bleeding in the space around his brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A team of specialists cared for him.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He got worse quickly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He went into cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 23-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with a sudden severe headache.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He reported chest heaviness.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Initial evaluation showed elevated blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An emergency ECG indicated ST-segment elevation myocardial infarction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was referred for percutaneous coronary intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Percutaneous coronary intervention revealed normal coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A CT brain scan identified a cisternal subarachnoid haemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's condition rapidly deteriorated.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient experienced cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient was a 23-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He came to the emergency room with a sudden, very bad headache.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He felt sick and vomited.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He felt heavy pressure in his chest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His blood pressure was high.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was breathing fast.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A quick heart test looked like a major heart attack.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was rushed for a procedure to check and open the heart arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The heart arteries looked normal.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A head CT scan showed bleeding in the space around his brain.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A team of specialists cared for him.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He got worse quickly.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He went into cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "intermediate_health_literacy": { |
| "scores": { |
| "factual_attribution": 1.0, |
| "completeness": 1.0, |
| "conciseness": 1.0 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient was a 23-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with a sudden severe headache.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He reported chest heaviness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His initial vital signs showed high blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An emergency ECG showed a heart attack pattern (STEMI).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was urgently sent for percutaneous coronary intervention.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The angiogram revealed normal coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A brain CT identified a cisternal subarachnoid hemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His condition rapidly worsened.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 23-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with a sudden severe headache.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He reported chest heaviness.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Initial evaluation showed elevated blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An emergency ECG indicated ST-segment elevation myocardial infarction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was referred for percutaneous coronary intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Percutaneous coronary intervention revealed normal coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A CT brain scan identified a cisternal subarachnoid haemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's condition rapidly deteriorated.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient experienced cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient was a 23-year-old man.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He presented with a sudden severe headache.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He reported chest heaviness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His initial vital signs showed high blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "An emergency ECG showed a heart attack pattern (STEMI).", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was urgently sent for percutaneous coronary intervention.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The angiogram revealed normal coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "A brain CT identified a cisternal subarachnoid hemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His condition rapidly worsened.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had a cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He died.", |
| "status": "supported" |
| } |
| ] |
| } |
| }, |
| "proficient_health_literacy": { |
| "scores": { |
| "factual_attribution": 0.92, |
| "completeness": 1.0, |
| "conciseness": 0.68 |
| }, |
| "details": { |
| "attribution": [ |
| { |
| "subclaim": "The patient is a 23-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a 23 pack-year smoking history.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He reported 2 hours of sudden severe frontal headache.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had chest heaviness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His blood pressure was 178/103 mmHg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His respiratory rate was 26/min.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His temperature was 38.9\u00b0C.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His oxygen saturation was 94%.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ECG showed ST-segment elevation >2 mm in V2\u2013V5.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ECG findings were consistent with STEMI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received a 300 mg aspirin load.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was urgently transferred for PCI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Troponin was elevated at 1.48 mg/dl.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Femoral-access coronary angiography demonstrated normal coronary arteries with TIMI 3 flow.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Non-contrast CT brain demonstrated a cisternal subarachnoid haemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The subarachnoid haemorrhage extended anterior to the right temporal lobe.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Nimodipine 60 mg q4h was initiated.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The BP target was 160/100 mmHg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On day 2, he acutely deteriorated with cardiac arrest.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "After CPR, his GCS was 6.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was intubated and mechanically ventilated in the ICU.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On day 8, he developed ventricular fibrillation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Despite CPR and more than five defibrillation attempts, he could not be resuscitated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He died.", |
| "status": "supported" |
| } |
| ], |
| "completeness": [ |
| { |
| "source_fact": "The patient was a 23-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He presented with a sudden severe headache.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "He reported chest heaviness.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Initial evaluation showed elevated blood pressure.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "An emergency ECG indicated ST-segment elevation myocardial infarction.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient was referred for percutaneous coronary intervention.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "Percutaneous coronary intervention revealed normal coronary arteries.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "A CT brain scan identified a cisternal subarachnoid haemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient's condition rapidly deteriorated.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient experienced cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "source_fact": "The patient died.", |
| "status": "supported" |
| } |
| ], |
| "conciseness": [ |
| { |
| "subclaim": "The patient is a 23-year-old male.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He has a 23 pack-year smoking history.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He reported 2 hours of sudden severe frontal headache.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had nausea and vomiting.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He had chest heaviness.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His blood pressure was 178/103 mmHg.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His respiratory rate was 26/min.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "His temperature was 38.9\u00b0C.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "His oxygen saturation was 94%.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The ECG showed ST-segment elevation >2 mm in V2\u2013V5.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The ECG findings were consistent with STEMI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He received a 300 mg aspirin load.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "He was urgently transferred for PCI.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Troponin was elevated at 1.48 mg/dl.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Femoral-access coronary angiography demonstrated normal coronary arteries with TIMI 3 flow.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Non-contrast CT brain demonstrated a cisternal subarachnoid haemorrhage.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "The subarachnoid haemorrhage extended anterior to the right temporal lobe.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "Nimodipine 60 mg q4h was initiated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "The BP target was 160/100 mmHg.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "On day 2, he acutely deteriorated with cardiac arrest.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "After CPR, his GCS was 6.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He was intubated and mechanically ventilated in the ICU.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "On day 8, he developed ventricular fibrillation.", |
| "status": "supported" |
| }, |
| { |
| "subclaim": "Despite CPR and more than five defibrillation attempts, he could not be resuscitated.", |
| "status": "not_supported" |
| }, |
| { |
| "subclaim": "He died.", |
| "status": "supported" |
| } |
| ] |
| } |
| } |
| } |
| } |
| ] |
