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Christina R Vargas, Joseph A Ricci, Michelle Lee, Adam M Tobias, Daniel A Medalie, Bernard T Lee
BACKGROUND: The transgender population is disproportionally affected by health disparities related to access to care. In many communities, transgender specialists are geographically distant and locally available medical professionals may be unfamiliar with unique needs of transgender patients. As a result, use of Internet resources for information about gender affirming surgery is particularly important. This study simulates a patient search for online educational material about gender affirming surgery and evaluates the accessibility, readability, and quality of the information...
May 11, 2017: Journal of Surgical Research
Karan Kapoor, Praveen George, Matthew C Evans, Weldon J Miller, Stanley S Liu
OBJECTIVES: To determine whether the online patient education material offered by the American College of Cardiology (ACC) and the American Heart Association (AHA) is written at a higher level than the 6th-7th grade level recommended by the National Institute of Health (NIH). METHODS: Online patient education material from each website was subjected to reading grade level (RGL) analysis using the Readability Studio Professional Edition. One-sample t testing was used to compare the mean RGLs obtained from 8 formulas to the NIH-recommended 6...
June 2, 2017: Cardiology
W P Maksymowych, S Wichuk, P Chiowchanwisawakit, R G Lambert, S J Pedersen
OBJECTIVE: We tested the hypothesis that fat metaplasia on MRI of the sacroiliac joints (SIJ) increases the propensity for new bone formation in the spine of patients with spondyloarthritis. METHODS: We assessed baseline T1-weighted and short τ inversion recovery SIJ MRIs from patients in the Follow Up Research Cohort in Ankylosing Spondylitis (FORCAST). Radiographic progression was assessed using the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS). Structural and inflammatory lesions were scored using the Spondyloarthritis Research Consortium of Canada (SPARCC) SIJ structural and SPARCC SIJ inflammation scores, respectively...
2017: RMD Open
Michael Bobian, Aron Kandinov, Nour El-Kashlan, Peter F Svider, Adam J Folbe, Ross Mayerhoff, Jean Anderson Eloy, S Naweed Raza
OBJECTIVES/HYPOTHESIS: Despite the increasing role of mobile applications (apps) in patient education, there has been little inquiry evaluating the quality of these resources. Because poor health literacy has been associated with inferior health outcomes, evaluating the quality of patient education materials takes on great importance. Our objective was to employ validated readability tools for the evaluation of gastroesophageal reflux (GERD) mobile apps. METHODS: GERD-specific apps found in the Apple App Store (Apple Inc...
October 18, 2016: Laryngoscope
Stephen A Rosenberg, David Francis, Craig R Hullett, Zachary S Morris, Michael M Fisher, Jeffrey V Brower, Kristin A Bradley, Bethany M Anderson, Michael F Bassetti, Randall J Kimple
BACKGROUND: The NIH and Department of Health & Human Services recommend online patient information (OPI) be written at a sixth grade level. We used a panel of readability analyses to assess OPI from NCI-Designated Cancer Center (NCIDCC) Web sites. METHODS: was used to identify 68 NCIDCC Web sites from which we collected both general OPI and OPI specific to breast, prostate, lung, and colon cancers. This text was analyzed by 10 commonly used readability tests: the New Dale-Chall Readability Formula, Flesch Reading Ease scale, Flesch-Kinaid Grade Level, FORCAST scale, Fry Readability Graph, Simple Measure of Gobbledygook test, Gunning Frequency of Gobbledygook index, New Fog Count, Raygor Readability Estimate Graph, and Coleman-Liau Index...
June 2016: Journal of the National Comprehensive Cancer Network: JNCCN
William T N Hunt, Emily J McGrath
BACKGROUND: Postoperative patient information leaflets (PILs) provide important guidance to patients after skin surgery. Readability is a method of evaluating information for text comprehension. The recommended level for PIL readability is US grade ≤6. OBJECTIVE: To evaluate the readability of public English dermatological postoperative PILs. MATERIALS AND METHODS: All dermatology departments in England were requested to provide their postoperative PILs...
June 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Akhil K Seth, Christina R Vargas, Danielle J Chuang, Bernard T Lee
BACKGROUND: Patient use of online resources for health information is increasing, and access to appropriately written information has been associated with improved patient satisfaction and overall outcomes. The American Medical Association and the National Institutes of Health recommend that patient materials be written at a sixth-grade reading level. In this study, the authors simulated a patient search of online educational content for lymphedema and evaluated readability. METHODS: An online search for the term "lymphedema" was performed, and the first 12 hits were identified...
February 2016: Plastic and Reconstructive Surgery
Zhen Zhong, Yuhe Liu, Shuifang Xiao, Junbo Zhang, Xiao Zhang
OBJECTIVE: To evaluate the function of tubomanometry (TMM) in forcasting the progonosis of acute otitis media with effusion (OME). METHOD: We used the technique of TMM to quantify the degree of eustachian tube (ET) dysfunction in 65 patients with OME. The opening of the ET and the transportation of gas into the middle ear were registered by a pressure sensor in the occluded outer ear after applying the stimulus of a controlled gas bolus into the nasopharynx during swallowing...
March 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Joseph A Ricci, Christina R Vargas, Danielle J Chuang, Samuel J Lin, Bernard T Lee
BACKGROUND: Patients increasingly rely on Internet resources for medical information. Well-informed patients are more likely to be active participants in their health care, contributing to higher satisfaction and better overall outcomes. Access to online patient material, however, can be limited by inadequate functional health literacy. The National Institutes of Health and the American Medical Association recommend that educational content be written at a sixth-grade reading level. This study aims to assess the readability of online patient resources for breast augmentation surgery...
June 2015: Plastic and Reconstructive Surgery
Grace Huang, Christina H Fang, Nitin Agarwal, Neelakshi Bhagat, Jean Anderson Eloy, Paul D Langer
IMPORTANCE: Patients are increasingly using the Internet to supplement finding medical information, which can be complex and requires a high level of reading comprehension. Online ophthalmologic materials from major ophthalmologic associations should be written at an appropriate reading level. OBJECTIVES: To assess ophthalmologic online patient education materials (PEMs) on ophthalmologic association websites and to determine whether they are above the reading level recommended by the American Medical Association and National Institutes of Health...
April 2015: JAMA Ophthalmology
David R Hansberry, Nitin Agarwal, Stephen R Baker
OBJECTIVE: Given the increasing accessibility of material on the Internet and the use of these materials by patients as a source of health care information, the purpose of this study was to quantitatively evaluate the level of readability of resources made available on the European Society of Radiology website to determine whether these materials meet the health literacy needs of the general public as set forth by guidelines of the U.S. National Institutes of Health (NIH) and the American Medical Association (AMA)...
January 2015: AJR. American Journal of Roentgenology
Nicole A Phillips, Christina R Vargas, Danielle J Chuang, Bernard T Lee
BACKGROUND: Limited functional health literacy is recognized as an important contributor to health disparities in the United States. As internet access becomes more universal, there is increasing concern about whether patients with poor or marginal literacy can access understandable healthcare information. As such, the National Institutes of Health and American Medical Association recommend that patient information be written at a sixth grade level. This study identifies the most popular online resources for patient information about abdominoplasty and evaluates their readability in the context of average American literacy...
February 2015: Aesthetic Plastic Surgery
Christina R Vargas, Pieter G L Koolen, Danielle J Chuang, Oren Ganor, Bernard T Lee
BACKGROUND: Online resources for health information are commonly used by many patients. The discrepancy between functional health literacy and available patient information is recognized as an important contributor to health disparities. To provide understandable patient information, the National Institutes of Health and the American Medical Association have advised that health literature for patients be written at a sixth-grade reading level. This study identifies the most popular, online, patient-targeted resources for breast reconstruction information, and evaluates readability of these sites in the context of literacy in the United States...
September 2014: Plastic and Reconstructive Surgery
Christina R Vargas, Danielle J Chuang, Oren Ganor, Bernard T Lee
BACKGROUND: Increasing use of Internet resources for health information is important in promoting patient involvement in medical care and decision-making. The National Institutes of Health and American Medical Association have recommended that patient health information should be written at a sixth-grade reading level. This study evaluates the readability of the most commonly used Internet resources for the operative treatment of breast cancer in the context of average American literacy...
August 2014: Surgery
D R Hansberry, N Agarwal, S F Gonzales, S R Baker
BACKGROUND AND PURPOSE: The ubiquitous use of the Internet by the public in an attempt to better understand their health care requires the on-line resources written at an appropriate level to maximize comprehension for the average user. The National Institutes of Health and the American Medical Association recommend on-line patient education resources written at a third-to-seventh grade level. We evaluated the readability of the patient education resources provided on the Web site of the American Society of Neuroradiology (http://www...
July 2014: AJNR. American Journal of Neuroradiology
David R Hansberry, Ann John, Elizabeth John, Nitin Agarwal, Sharon F Gonzales, Stephen R Baker
OBJECTIVE: Health consumers and their families rely on the Internet as a source of authoritative information regarding the procedures used to reach a diagnosis, effect treatment, and influence prognosis. In radiology, online materials can be a means by which to offer patients comprehensible explanations of the capabilities, the risks and rewards, and the techniques under our purview. Consequently, estimations of health literacy should take into account the reading level of the average American when composing and transmitting such information to the lay public without the mediation of a referring physician...
March 2014: AJR. American Journal of Roentgenology
David R Hansberry, Carl Kraus, Nitin Agarwal, Stephen R Baker, Sharon F Gonzales
PURPOSE: The Internet is frequently accessed by patients as a resource for medical knowledge. However, the provided material is typically written at a level well above the recommended 7th grade level. A clear understanding of the capabilities, limitations, risks, and benefits of interventional radiology by patients, both current and prospective, is hindered when the textual information offered to the public is pitched at a level of sophistication too high for general comprehension. METHODS: In January 2013, all 25 patient education resources from the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) Web site ( http://www...
August 2014: Cardiovascular and Interventional Radiology
Douglas J Mar, Jasmina P Marsh, Casey P Deen, Hao Ling, Hosung Choo, Daniel T Jaffe
We demonstrate the successful fabrication of large format (approximately 50 mm × 50 mm) gratings in monolithic silicon for use as high-efficiency grisms at infrared wavelengths. The substrates for the grisms were thick (8-16 mm) disks of precisely oriented single-crystal silicon (refractive index, n ~ 3.42). We used microlithography and chemical wet etching techniques to produce the diffraction gratings on one side of these substrates. These techniques permitted the manufacture of coarse grooves (as few as 7 grooves/mm) with precise control of the blaze angle and groove profile and resulted in excellent groove surface quality...
February 20, 2009: Applied Optics
Nathalie Charpak, Juan Gabriel Ruiz, Sylvia Motta
OBJECTIVE: Documenting the clinical course and forecast for a concurrent cohort of discharged preterm infants who received home oxygen in Bogota, Colombia. METHODS: This was a prospective study of a concurrent cohort of 194 newborn infants having 34 weeks gestational age (GA) or less at birth who were born in 12 institutions and followed up for one year of corrected age to assess mortality, morbidity, growth and development. RESULTS: Oxygen dependency was mild in 49 infants (25...
January 2012: Revista de Salud Pública
H Shonna Yin, Ruchi S Gupta, Suzy Tomopoulos, Michael S Wolf, Alan L Mendelsohn, Lauren Antler, Dayana C Sanchez, Claudia Hillam Lau, Benard P Dreyer
OBJECTIVE: Recognition of the complexity of asthma management has led to the development of asthma treatment guidelines that include the recommendation that all pediatric asthma patients receive a written asthma action plan. We assessed the readability, suitability, and characteristics of asthma action plans, elements that contribute to the effectiveness of action plan use, particularly for those with limited literacy. METHODS: This was a descriptive study of 30 asthma action plans (27 state Department of Health (DOH)-endorsed, 3 national action plans endorsed by 6 states)...
January 2013: Pediatrics
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