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{ "_id": 25394614, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that early surfactant administration is associated with more chronic lung disease (CLD) and mortality compared to late surfactant administration.', 'The multivariable analysis shows that early surfactant has little or no impact on CLD/mortality.', 'The answer incorrectly states that early surfactant significantly reduces the rates of chronic lung disease and mortality, which contradicts the context.', 'The context does not support the routine use of early surfactant treatment over alternatives like CPAP, especially in very premature infants.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that early surfactant administration is associated with more chronic lung disease (CLD) and mortality compared to late surfactant administration.", "The multivariable analysis shows that early surfactant has little or no impact on CLD/mortality.", "The answer incorrectly states that early surfactant significantly reduces the rates of chronic lung disease and mortality, which contradicts the context.", "The context does not support the routine use of early surfactant treatment over alternatives like CPAP, especially in very premature infants.'" ]

{ "_id": 18847643, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides data on the incidence of complications in trauma patients undergoing therapeutic anticoagulation.', 'The CONTEXT mentions that 21% of patients had at least one anticoagulation complication, with the most common complication being a sudden drop in hemoglobin concentration requiring blood transfusion.', 'The CONTEXT also notes that complications were associated with chronic obstructive pulmonary disease, UH use, and lower initial platelet count.', 'The ANSWER states that trauma patients can be safely anticoagulated with careful monitoring and selection of appropriate anticoagulants, which aligns with the CONTEXT data showing that complications are generally manageable.', 'The ANSWER also correctly reflects that patient characteristics such as chronic obstructive pulmonary disease, UH use, and lower initial platelet count are associated with complications, which is supported by the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT provides data on the incidence of complications in trauma patients undergoing therapeutic anticoagulation.", "The CONTEXT mentions that 21% of patients had at least one anticoagulation complication, with the most common complication being a sudden drop in hemoglobin concentration requiring blood transfusion.", "The CONTEXT also notes that complications were associated with chronic obstructive pulmonary disease, UH use, and lower initial platelet count.", "The ANSWER states that trauma patients can be safely anticoagulated with careful monitoring and selection of appropriate anticoagulants, which aligns with the CONTEXT data showing that complications are generally manageable.", "The ANSWER also correctly reflects that patient characteristics such as chronic obstructive pulmonary disease, UH use, and lower initial platelet count are associated with complications, which is supported by the CONTEXT.'" ]

{ "_id": 26085176, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that STIR imaging at both 1.5 T and 3 T showed inferior results compared to T1w imaging in terms of detecting bone metastases.', 'The CONTEXT states that STIR detected fewer bone metastases in 53% of patients at 3 T and in 37.5% of patients at 1.5 T.', 'The CONTEXT also mentions that T1w showed significantly better lesion conspicuity, lesion delineation, and image quality compared to STIR at both field strengths.', 'The ANSWER claims that the whole-body MRI protocol could be limited to the STIR sequence, which contradicts the CONTEXT that suggests STIR is inferior to T1w in detecting bone metastases.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that STIR imaging at both 1.5 T and 3 T showed inferior results compared to T1w imaging in terms of detecting bone metastases.", "The CONTEXT states that STIR detected fewer bone metastases in 53% of patients at 3 T and in 37.5% of patients at 1.5 T.", "The CONTEXT also mentions that T1w showed significantly better lesion conspicuity, lesion delineation, and image quality compared to STIR at both field strengths.", "The ANSWER claims that the whole-body MRI protocol could be limited to the STIR sequence, which contradicts the CONTEXT that suggests STIR is inferior to T1w in detecting bone metastases.'" ]

{ "_id": 24785562, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that dexamethasone has been used for a shorter duration (1-2 days) in the treatment of pediatric asthma exacerbations.', 'The CONTEXT mentions that all of the pediatric trials found that prednisone is not superior to dexamethasone in treating mild to moderate asthma exacerbations.', 'The CONTEXT also notes that dexamethasone may have potential additional benefits, such as improved compliance and less vomiting.', 'The ANSWER states that dexamethasone can be used as an effective alternative to prednisone in the treatment of severe acute asthma exacerbations in children, which aligns with the findings in the CONTEXT.', 'The ANSWER also mentions improved compliance, palatability, and cost, which are additional benefits mentioned in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT indicates that dexamethasone has been used for a shorter duration (1-2 days) in the treatment of pediatric asthma exacerbations.", "The CONTEXT mentions that all of the pediatric trials found that prednisone is not superior to dexamethasone in treating mild to moderate asthma exacerbations.", "The CONTEXT also notes that dexamethasone may have potential additional benefits, such as improved compliance and less vomiting.", "The ANSWER states that dexamethasone can be used as an effective alternative to prednisone in the treatment of severe acute asthma exacerbations in children, which aligns with the findings in the CONTEXT.", "The ANSWER also mentions improved compliance, palatability, and cost, which are additional benefits mentioned in the CONTEXT.'" ]

{ "_id": 19054501, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that schizophrenia patients have motion perception deficits, which were thought to cause eye-tracking abnormalities.', 'However, the CONTEXT also suggests that eye movement closely interacts with motion perception, and that known eye-tracking difficulties may interact with motion perception.', 'The CONTEXT mentions that at 150 msec, speed discrimination thresholds did not differ between schizophrenia patients and control subjects, but at 300 msec, patients had significantly higher thresholds.', 'The CONTEXT also notes that the frequency of eye tracking during speed discrimination was not significantly related to regular eye-tracking performance.', 'The ANSWER states that speed discrimination is significantly impaired in schizophrenia patients, directly caused by their eye-tracking abnormalities, which contradicts the CONTEXT that shows no significant difference in speed discrimination thresholds at 150 msec.', 'The ANSWER also suggests that motion perception deficits are primarily due to eye-tracking abnormalities, which is not fully supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that schizophrenia patients have motion perception deficits, which were thought to cause eye-tracking abnormalities.", "However, the CONTEXT also suggests that eye movement closely interacts with motion perception, and that known eye-tracking difficulties may interact with motion perception.", "The CONTEXT mentions that at 150 msec, speed discrimination thresholds did not differ between schizophrenia patients and control subjects, but at 300 msec, patients had significantly higher thresholds.", "The CONTEXT also notes that the frequency of eye tracking during speed discrimination was not significantly related to regular eye-tracking performance.", "The ANSWER states that speed discrimination is significantly impaired in schizophrenia patients, directly caused by their eye-tracking abnormalities, which contradicts the CONTEXT that shows no significant difference in speed discrimination thresholds at 150 msec.", "The ANSWER also suggests that motion perception deficits are primarily due to eye-tracking abnormalities, which is not fully supported by the CONTEXT.'" ]

{ "_id": 24947183, "label": "FAIL", "text": " \n{\"REASONING\": [\"The CONTEXT indicates that delaying surgery in immature AIS patients led to changes in curve extent, pattern, and fusion levels.\", \"The CONTEXT states that the mean number of levels requiring fusion increased significantly from the initial visit to the final follow-up, indicating a need for more fusion levels.\", \"The ANSWER claims that delaying surgery does not lead to alterations in the curve pattern nor the need for increase in fusion levels, which contradicts the CONTEXT.\"], \"SCORE\": FAIL}\n" }

[ "\"The CONTEXT indicates that delaying surgery in immature AIS patients led to changes in curve extent, pattern, and fusion levels.\", \"The CONTEXT states that the mean number of levels requiring fusion increased significantly from the initial visit to the final follow-up, indicating a need for more fusion levels.\", \"The ANSWER claims that delaying surgery does not lead to alterations in the curve pattern nor the need for increase in fusion levels, which contradicts the CONTEXT.\"" ]

{ "_id": 28027677, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the attendance of first-year GEM students at live lectures was high, with 84.3% of students attending all 21 lectures in the study.', 'Only 4% of students missed more than one lecture in each of the three lecture series, and 79% of students indicated that VODcasts should not replace lectures.', 'The ANSWER claims that the attendance is significantly impacted by the provision of lecture VODcasts and that many students view them as a replacement for live lectures, which contradicts the CONTEXT.', 'The CONTEXT does not provide evidence that VODcasts are replacing live lectures; rather, it shows that students are using them as a supplement or a way to catch up on missed lectures.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the attendance of first-year GEM students at live lectures was high, with 84.3% of students attending all 21 lectures in the study.", "Only 4% of students missed more than one lecture in each of the three lecture series, and 79% of students indicated that VODcasts should not replace lectures.", "The ANSWER claims that the attendance is significantly impacted by the provision of lecture VODcasts and that many students view them as a replacement for live lectures, which contradicts the CONTEXT.", "The CONTEXT does not provide evidence that VODcasts are replacing live lectures; rather, it shows that students are using them as a supplement or a way to catch up on missed lectures.'" ]

{ "_id": 22186742, "label": "FAIL", "text": " \n{\"REASONING\": [\"The CONTEXT indicates that there were no significant differences in patients' characteristics or survival between those with or without colonoscopy.\", \"The CONTEXT also states that no colonic malignancy was detected and only one advanced adenoma was found.\", 'The ANSWER claims that colonoscopy significantly affects the management of patients with acute diverticulitis and alters the outcome, which contradicts the CONTEXT.', 'The CONTEXT does not support the claim that routine colonoscopy is strongly validated.'], \"SCORE\": FAIL}\n" }

[ "\"The CONTEXT indicates that there were no significant differences in patients' characteristics or survival between those with or without colonoscopy.\", \"The CONTEXT also states that no colonic malignancy was detected and only one advanced adenoma was found.\", 'The ANSWER claims that colonoscopy significantly affects the management of patients with acute diverticulitis and alters the outcome, which contradicts the CONTEXT.", "The CONTEXT does not support the claim that routine colonoscopy is strongly validated.'" ]

{ "_id": 26037986, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides data on the mortality rates for different age groups following emergency laparotomy.', 'The 30-day mortality rate is 12% for those under 70 years and 22% for those 70 years and older.', 'The 1-year mortality rate is 15% for those under 70 years and 38% for those 70 years and older.', 'The ANSWER correctly notes that emergency laparotomy carries a high rate of mortality, especially in those under the age of 70 years.', \"The ANSWER also suggests that more needs to be done to improve outcomes, which aligns with the CONTEXT's aim to analyze mortality and encourage improvement in care.\", \"The ANSWER's proposed solutions, such as increasing acute surgical care manpower and developing clear management protocols, are reasonable responses to the high mortality rates and the need for improvement in outcomes.\"], \"SCORE\": PASS}\n" }

[ "'The CONTEXT provides data on the mortality rates for different age groups following emergency laparotomy.", "The 30-day mortality rate is 12% for those under 70 years and 22% for those 70 years and older.", "The 1-year mortality rate is 15% for those under 70 years and 38% for those 70 years and older.", "The ANSWER correctly notes that emergency laparotomy carries a high rate of mortality, especially in those under the age of 70 years.', \"The ANSWER also suggests that more needs to be done to improve outcomes, which aligns with the CONTEXT's aim to analyze mortality and encourage improvement in care.\", \"The ANSWER's proposed solutions, such as increasing acute surgical care manpower and developing clear management protocols, are reasonable responses to the high mortality rates and the need for improvement in outcomes.\"" ]

{ "_id": 9444542, "label": "FAIL", "text": " \n{\"REASONING\": ['The context explicitly states that no significant differences in rate of cognitive decline, mortality, or progression to dementia were found between subjects with or without HCA.', 'The answer claims that HCA was a significant predictor of subsequent cognitive decline, which directly contradicts the information provided in the context.'], \"SCORE\": FAIL}\n" }

[ "'The context explicitly states that no significant differences in rate of cognitive decline, mortality, or progression to dementia were found between subjects with or without HCA.", "The answer claims that HCA was a significant predictor of subsequent cognitive decline, which directly contradicts the information provided in the context.'" ]

{ "_id": 22042121, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study using rabbits as a model for training in abdominal surgery, including their perioperative care.', 'The study involved 32 rabbits of various ages and weights, who underwent different periods of pre-operative fasting before undergoing anesthesia and surgery.', 'The CONTEXT mentions that all animals presented at the end of the surgical procedure any gastric content and a blood glucose increase, regardless of the fasting period.', 'The CONTEXT also states that those with fasting for liquids and solids presented a moderate negative degree of correlation with the quantity of solid gastric content.', 'The ANSWER correctly summarizes that the rabbit is a good model for training surgery with a low morbi-mortality, able to be anesthetized intramuscularly, and requiring pre-operative fasting, which aligns with the findings in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT describes a study using rabbits as a model for training in abdominal surgery, including their perioperative care.", "The study involved 32 rabbits of various ages and weights, who underwent different periods of pre-operative fasting before undergoing anesthesia and surgery.", "The CONTEXT mentions that all animals presented at the end of the surgical procedure any gastric content and a blood glucose increase, regardless of the fasting period.", "The CONTEXT also states that those with fasting for liquids and solids presented a moderate negative degree of correlation with the quantity of solid gastric content.", "The ANSWER correctly summarizes that the rabbit is a good model for training surgery with a low morbi-mortality, able to be anesthetized intramuscularly, and requiring pre-operative fasting, which aligns with the findings in the CONTEXT.'" ]

{ "_id": 16956164, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that all four ethnic groups in New Zealand exhibit deprivation gradients in all-cause mortality.', 'The CONTEXT specifies that Maori show the steepest gradients, with slopes approximately 25% steeper than those of Europeans for both males and females.', 'The CONTEXT also mentions that gradients among Asian and Pacific peoples are shallower than those of their European counterparts.', 'The ANSWER correctly states that socio-economic gradients in health exist among all ethnic groups, but it incorrectly describes the gradients as relatively shallow among Maori and especially European peoples.', 'The ANSWER also incorrectly suggests that caution should be exercised in applying deprivation or other socio-economic measures as proxy indicators of need for health services, which is not directly supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that all four ethnic groups in New Zealand exhibit deprivation gradients in all-cause mortality.", "The CONTEXT specifies that Maori show the steepest gradients, with slopes approximately 25% steeper than those of Europeans for both males and females.", "The CONTEXT also mentions that gradients among Asian and Pacific peoples are shallower than those of their European counterparts.", "The ANSWER correctly states that socio-economic gradients in health exist among all ethnic groups, but it incorrectly describes the gradients as relatively shallow among Maori and especially European peoples.", "The ANSWER also incorrectly suggests that caution should be exercised in applying deprivation or other socio-economic measures as proxy indicators of need for health services, which is not directly supported by the CONTEXT.'" ]

{ "_id": 12947068, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT specifies that potentially curative therapy (RP or EBRT) prolongs LE and improves QALE up to a certain age for men with well-differentiated, moderately differentiated, and poorly differentiated localized prostate cancer.', 'The CONTEXT also mentions that benefits of potentially curative therapy are restricted to men with no worse than mild comorbidity.', 'The ANSWER states that potentially curative therapy results in significantly improved LE and QALE for older men with any level of comorbidities and moderately or poorly differentiated localized prostate cancer, which contradicts the CONTEXT.', 'The CONTEXT does not support the claim that age should not be a barrier to treatment in this group.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT specifies that potentially curative therapy (RP or EBRT) prolongs LE and improves QALE up to a certain age for men with well-differentiated, moderately differentiated, and poorly differentiated localized prostate cancer.", "The CONTEXT also mentions that benefits of potentially curative therapy are restricted to men with no worse than mild comorbidity.", "The ANSWER states that potentially curative therapy results in significantly improved LE and QALE for older men with any level of comorbidities and moderately or poorly differentiated localized prostate cancer, which contradicts the CONTEXT.", "The CONTEXT does not support the claim that age should not be a barrier to treatment in this group.'" ]

{ "_id": 21669959, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that sociodemographic factors such as income, race, and mental health status were hypothesized to be related to secondhand smoke exposure (SHSe) and household smoking bans.', 'The CONTEXT provides data showing that families with a total smoking ban in place were more likely to earn more than $25,000 per year and were more likely to be Hispanic or have a less depressed mother.', 'The ANSWER incorrectly states that the most disadvantaged families were more likely to have protective health behaviors in place to reduce SHSe, which contradicts the CONTEXT.', 'The CONTEXT actually suggests that families with more resources (higher income, Hispanic ethnicity, and less depression) were more likely to have smoking bans in place, not the most disadvantaged families.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that sociodemographic factors such as income, race, and mental health status were hypothesized to be related to secondhand smoke exposure (SHSe) and household smoking bans.", "The CONTEXT provides data showing that families with a total smoking ban in place were more likely to earn more than $25,000 per year and were more likely to be Hispanic or have a less depressed mother.", "The ANSWER incorrectly states that the most disadvantaged families were more likely to have protective health behaviors in place to reduce SHSe, which contradicts the CONTEXT.", "The CONTEXT actually suggests that families with more resources (higher income, Hispanic ethnicity, and less depression) were more likely to have smoking bans in place, not the most disadvantaged families.'" ]

{ "_id": 22440363, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides a detailed comparison between mitral valve (MV) repair and MV replacement for treating functional mitral regurgitation (MR) in advanced dilated and ischemic cardiomyopathy (DCM).', 'The study found that hospital mortality was significantly lower in the MV repair group (2.3%) compared to the MV replacement group (12.5%), although actuarial survival at 2.5 years was slightly lower in the MV repair group (92 ± 3.2%) compared to the MV replacement group (73 ± 7.9%).', 'The CONTEXT also mentions that LVEF significantly increased and LV dimensions significantly decreased in the MV repair group, while LVEF did not significantly change and the reduction of LV dimensions was not significant in the MV replacement group.', 'The ANSWER states that MV replacement is associated with lower in-hospital and late mortality compared to MV repair, which contradicts the CONTEXT where hospital mortality was actually lower in the MV repair group.', 'The ANSWER also suggests that mitral replacement should be preferred whenever possible, which is not directly supported by the CONTEXT that shows some advantages of MV repair over MV replacement.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT provides a detailed comparison between mitral valve (MV) repair and MV replacement for treating functional mitral regurgitation (MR) in advanced dilated and ischemic cardiomyopathy (DCM).", "The study found that hospital mortality was significantly lower in the MV repair group (2.3%) compared to the MV replacement group (12.5%), although actuarial survival at 2.5 years was slightly lower in the MV repair group (92 ± 3.2%) compared to the MV replacement group (73 ± 7.9%).", "The CONTEXT also mentions that LVEF significantly increased and LV dimensions significantly decreased in the MV repair group, while LVEF did not significantly change and the reduction of LV dimensions was not significant in the MV replacement group.", "The ANSWER states that MV replacement is associated with lower in-hospital and late mortality compared to MV repair, which contradicts the CONTEXT where hospital mortality was actually lower in the MV repair group.", "The ANSWER also suggests that mitral replacement should be preferred whenever possible, which is not directly supported by the CONTEXT that shows some advantages of MV repair over MV replacement.'" ]

{ "_id": 27216167, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study aimed to determine the proportion of patients referred to specialist care after reporting gynecological cancer alarm symptoms and to investigate the associations between specialist care contact, lifestyle factors, and socioeconomic status.', 'The CONTEXT provides data on the proportion of individuals having contact with specialist care for various gynecological cancer alarm symptoms, ranging from 39.3% to 47.8%.', 'The CONTEXT mentions that individuals with a higher educational level had significantly higher odds of contact with a specialist (OR 1.86, 95% CI 1.17-2.95).', 'The ANSWER states that lifestyle factors significantly influence contact with specialist care among patients with gynecological cancer alarm symptoms, which aligns with the CONTEXT.', \"The ANSWER also suggests that future studies should investigate inequalities in access to the secondary healthcare system, which is a logical extension of the study's findings on the associations between specialist care contact, lifestyle factors, and socioeconomic status.\"], \"SCORE\": PASS}\n" }

[ "'The CONTEXT indicates that the study aimed to determine the proportion of patients referred to specialist care after reporting gynecological cancer alarm symptoms and to investigate the associations between specialist care contact, lifestyle factors, and socioeconomic status.", "The CONTEXT provides data on the proportion of individuals having contact with specialist care for various gynecological cancer alarm symptoms, ranging from 39.3% to 47.8%.", "The CONTEXT mentions that individuals with a higher educational level had significantly higher odds of contact with a specialist (OR 1.86, 95% CI 1.17-2.95).", "The ANSWER states that lifestyle factors significantly influence contact with specialist care among patients with gynecological cancer alarm symptoms, which aligns with the CONTEXT.', \"The ANSWER also suggests that future studies should investigate inequalities in access to the secondary healthcare system, which is a logical extension of the study's findings on the associations between specialist care contact, lifestyle factors, and socioeconomic status.\"" ]

{ "_id": 17483607, "label": "FAIL", "text": " \n{\"REASONING\": ['The context describes a study on the effect of topical N-acetylcysteine (NAC) application on the healing of acute experimental tympanic membrane perforations.', 'The study involved 20 guinea pigs, with 10 animals treated with NAC and 10 with a control solution.', 'The results showed that all perforations in the control group were completely closed by the end of nine days, while only 40% of the perforations were completely closed in the NAC group.', 'The remaining ears in the NAC group exhibited otorrhea by the third day.', 'The answer states that N-acetylcysteine does not cause severe otorrhea, which aligns with the context showing that only 40% of the perforations were completely closed and the remaining had mild otorrhea.', 'The answer also mentions the need for further studies, including histopathological examinations, to elucidate the condition, which is a reasonable conclusion given the context.'], \"SCORE\": PASS}\n" }

[ "'The context describes a study on the effect of topical N-acetylcysteine (NAC) application on the healing of acute experimental tympanic membrane perforations.", "The study involved 20 guinea pigs, with 10 animals treated with NAC and 10 with a control solution.", "The results showed that all perforations in the control group were completely closed by the end of nine days, while only 40% of the perforations were completely closed in the NAC group.", "The remaining ears in the NAC group exhibited otorrhea by the third day.", "The answer states that N-acetylcysteine does not cause severe otorrhea, which aligns with the context showing that only 40% of the perforations were completely closed and the remaining had mild otorrhea.", "The answer also mentions the need for further studies, including histopathological examinations, to elucidate the condition, which is a reasonable conclusion given the context.'" ]

{ "_id": 21801416, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses the effects of intracerebroventricular (i.c.v.) injections of metformin and AICAR on the plasma concentrations of melatonin in ewes.', 'It mentions that both metformin and AICAR reduced the amplitude of the circadian rhythm of melatonin secretion independently of insulin secretion.', 'The CONTEXT also notes that AICAR tended to increase the levels of phosphorylated AMPK in the paraventricular nucleus but significantly increased the levels of phosphorylated ACC in the paraventricular nucleus and in the pineal gland.', 'The ANSWER states that AMPK may act as a metabolic cue to modulate the rhythm of melatonin secretion, which aligns with the findings in the CONTEXT.', 'The ANSWER concludes that AMPK is involved in the regulation of melatonin secretion, which is supported by the data provided in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT discusses the effects of intracerebroventricular (i.c.v.) injections of metformin and AICAR on the plasma concentrations of melatonin in ewes.", "It mentions that both metformin and AICAR reduced the amplitude of the circadian rhythm of melatonin secretion independently of insulin secretion.", "The CONTEXT also notes that AICAR tended to increase the levels of phosphorylated AMPK in the paraventricular nucleus but significantly increased the levels of phosphorylated ACC in the paraventricular nucleus and in the pineal gland.", "The ANSWER states that AMPK may act as a metabolic cue to modulate the rhythm of melatonin secretion, which aligns with the findings in the CONTEXT.", "The ANSWER concludes that AMPK is involved in the regulation of melatonin secretion, which is supported by the data provided in the CONTEXT.'" ]

{ "_id": 18403944, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that a small percentage of patients with CD (2%) were considered to have developed tolerance to gluten.', 'The CONTEXT does not state that tolerance to gluten is not possible in patients with CD.', 'The CONTEXT mentions that normal small bowel mucosa was found in some patients on a gluten-containing diet, suggesting that tolerance is possible.', 'The ANSWER incorrectly states that tolerance to gluten is not possible, which contradicts the findings in the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that a small percentage of patients with CD (2%) were considered to have developed tolerance to gluten.", "The CONTEXT does not state that tolerance to gluten is not possible in patients with CD.", "The CONTEXT mentions that normal small bowel mucosa was found in some patients on a gluten-containing diet, suggesting that tolerance is possible.", "The ANSWER incorrectly states that tolerance to gluten is not possible, which contradicts the findings in the CONTEXT.'" ]

{ "_id": 22668852, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that AA women had higher baseline weight and body mass index than non-AA women.', 'During intervention feeding, AA women consumed more calories on average than non-AA women.', 'After adjustment for potential confounders, there was no difference in caloric intake between AA and non-AA women.', 'The ANSWER incorrectly states that AA women require fewer calories to maintain weight, which contradicts the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that AA women had higher baseline weight and body mass index than non-AA women.", "During intervention feeding, AA women consumed more calories on average than non-AA women.", "After adjustment for potential confounders, there was no difference in caloric intake between AA and non-AA women.", "The ANSWER incorrectly states that AA women require fewer calories to maintain weight, which contradicts the CONTEXT.'" ]

{ "_id": 20488985, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that there was a small increase in the recollection of campaign posters and a significant increase in respondents retaining leftover antibiotics.', 'The CONTEXT does not detect any improvement in the understanding of the lack of benefit of antibiotics for coughs and colds.', 'The CONTEXT does not find any reduction in antibiotic use.', 'The ANSWER claims that the campaigns significantly improved knowledge and attitudes towards antibiotic use, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that there was a small increase in the recollection of campaign posters and a significant increase in respondents retaining leftover antibiotics.", "The CONTEXT does not detect any improvement in the understanding of the lack of benefit of antibiotics for coughs and colds.", "The CONTEXT does not find any reduction in antibiotic use.", "The ANSWER claims that the campaigns significantly improved knowledge and attitudes towards antibiotic use, which is not supported by the CONTEXT.'" ]

{ "_id": 11567820, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that the pain relief was identical for one- and two-isocenter radiosurgery.', 'The context states that improved pain relief correlated with younger age, fewer prior procedures, and complications correlated with the nerve length irradiated.', 'The answer incorrectly states that increasing the treatment volume to include a longer nerve length significantly improves pain relief and reduces complications, which is not supported by the context.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that the pain relief was identical for one- and two-isocenter radiosurgery.", "The context states that improved pain relief correlated with younger age, fewer prior procedures, and complications correlated with the nerve length irradiated.", "The answer incorrectly states that increasing the treatment volume to include a longer nerve length significantly improves pain relief and reduces complications, which is not supported by the context.'" ]

{ "_id": 24507422, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study aimed to determine whether quantitative shape analysis can accurately differentiate free-floating intraluminal thrombus (FFT) from atherosclerotic plaque.', 'The study found that five shape descriptors could delineate FFT+ from FFT- cases with a high accuracy.', 'The logistic regression model produced from combining all five shape features demonstrated a sensitivity of 87.5% and a specificity of 71.4%, indicating that the descriptors were effective in differentiating FFT from atherosclerotic plaque.', 'The ANSWER states that the descriptors were not effective in differentiating FFT from atherosclerotic plaque, which contradicts the CONTEXT that shows a high accuracy in differentiation.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the study aimed to determine whether quantitative shape analysis can accurately differentiate free-floating intraluminal thrombus (FFT) from atherosclerotic plaque.", "The study found that five shape descriptors could delineate FFT+ from FFT- cases with a high accuracy.", "The logistic regression model produced from combining all five shape features demonstrated a sensitivity of 87.5% and a specificity of 71.4%, indicating that the descriptors were effective in differentiating FFT from atherosclerotic plaque.", "The ANSWER states that the descriptors were not effective in differentiating FFT from atherosclerotic plaque, which contradicts the CONTEXT that shows a high accuracy in differentiation.'" ]

{ "_id": 15539888, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the atopy patch test (APT) with house dust mites (HDM) was positive in a significant number of non-AD subjects, especially at the 30% extract concentration.', 'The CONTEXT mentions that positive responses were observed in 41.6% of AD subjects, 19.1% of AWE subjects, and 12.1% of NA subjects at the 30% extract concentration.', 'The CONTEXT does not support the claim that the APT with HDM is only positive in AD subjects.', 'The CONTEXT suggests that the APT with HDM can also be positive in non-AD subjects, although the rates of positivity and the intensity scores of responses were significantly different between AD and non-AD subjects.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the atopy patch test (APT) with house dust mites (HDM) was positive in a significant number of non-AD subjects, especially at the 30% extract concentration.", "The CONTEXT mentions that positive responses were observed in 41.6% of AD subjects, 19.1% of AWE subjects, and 12.1% of NA subjects at the 30% extract concentration.", "The CONTEXT does not support the claim that the APT with HDM is only positive in AD subjects.", "The CONTEXT suggests that the APT with HDM can also be positive in non-AD subjects, although the rates of positivity and the intensity scores of responses were significantly different between AD and non-AD subjects.'" ]

{ "_id": 24866606, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that emergency ultrasound (EUS) fellowship programs had a positive impact on emergency medicine (EM) residents' ultrasound (US) educational experiences.', 'The CONTEXT states that residents in programs with EUS fellowships reported performing more scans and using bedside US for more advanced applications compared to those in programs without fellowships.', 'The ANSWER incorrectly states that EUS fellowship programs had a negative impact on residents' US educational experiences.', 'The ANSWER also incorrectly claims that residents performed fewer scans overall and used bedside US for fewer advanced applications in programs with EUS fellowships, which contradicts the data provided in the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that emergency ultrasound (EUS) fellowship programs had a positive impact on emergency medicine (EM) residents' ultrasound (US) educational experiences.", "The CONTEXT states that residents in programs with EUS fellowships reported performing more scans and using bedside US for more advanced applications compared to those in programs without fellowships.", "The ANSWER incorrectly states that EUS fellowship programs had a negative impact on residents' US educational experiences.", "The ANSWER also incorrectly claims that residents performed fewer scans overall and used bedside US for fewer advanced applications in programs with EUS fellowships, which contradicts the data provided in the CONTEXT.'" ]

{ "_id": 27096199, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the number of detected viruses did not correlate with any markers of severity.', 'The CONTEXT specifically mentions that bacterial superinfection was associated with increased severity, not viral co-infection.', 'The ANSWER incorrectly states that the presence of more than one virus significantly increases the severity of the disease, which is not supported by the CONTEXT.', 'The CONTEXT also incorrectly states that pneumococcal vaccination plays a protective role, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the number of detected viruses did not correlate with any markers of severity.", "The CONTEXT specifically mentions that bacterial superinfection was associated with increased severity, not viral co-infection.", "The ANSWER incorrectly states that the presence of more than one virus significantly increases the severity of the disease, which is not supported by the CONTEXT.", "The CONTEXT also incorrectly states that pneumococcal vaccination plays a protective role, which is not supported by the CONTEXT.'" ]

{ "_id": 24922528, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the interaction of family factors and pubertal stage did not improve the fit of the model.', 'The CONTEXT mentions that there were significant main effects for pubertal stage with boys in middle puberty at increased odds of alcohol use, and girls in advanced puberty at increased odds of alcohol use.', 'The CONTEXT does not support the claim that family factors significantly moderated the association between pubertal stage and alcohol use.', 'Therefore, the ANSWER is not faithful to the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the interaction of family factors and pubertal stage did not improve the fit of the model.", "The CONTEXT mentions that there were significant main effects for pubertal stage with boys in middle puberty at increased odds of alcohol use, and girls in advanced puberty at increased odds of alcohol use.", "The CONTEXT does not support the claim that family factors significantly moderated the association between pubertal stage and alcohol use.", "Therefore, the ANSWER is not faithful to the CONTEXT.'" ]

{ "_id": 24245816, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that trabecular bone does play a role in primary stability, particularly when the BMD of trabecular bone is lower and in the absence of cortical bone.', 'The Pearson correlation test shows correlation between trabecular number, trabecular thickness, BV/TV, trabecular BMD, total BMD, and IT, PTV, and PS.', 'The context does not state that cancellous bone does not play a significant role in primary stability; it only mentions that lower trabecular BMD and absence of cortical bone can lead to lower primary stability.', 'The answer incorrectly states that cancellous bone does not play a significant role in primary stability, which is not supported by the context.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that trabecular bone does play a role in primary stability, particularly when the BMD of trabecular bone is lower and in the absence of cortical bone.", "The Pearson correlation test shows correlation between trabecular number, trabecular thickness, BV/TV, trabecular BMD, total BMD, and IT, PTV, and PS.", "The context does not state that cancellous bone does not play a significant role in primary stability; it only mentions that lower trabecular BMD and absence of cortical bone can lead to lower primary stability.", "The answer incorrectly states that cancellous bone does not play a significant role in primary stability, which is not supported by the context.'" ]

{ "_id": 25489696, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that patients who received radiotherapy for their primary rectal cancer had lower rates of clear resection margins, increased rates of surgical complications, and lower disease-free survival compared to those who did not receive radiotherapy.', 'The CONTEXT also states that overall survival and disease-free survival in patients with clear margins were lower in the primary irradiated patients.', 'The difference in survival persisted in multivariate analysis, correcting for T and N stages of the primary tumor.', 'The ANSWER incorrectly states that patients who previously received radiotherapy have better oncologic outcomes, which contradicts the data provided in the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that patients who received radiotherapy for their primary rectal cancer had lower rates of clear resection margins, increased rates of surgical complications, and lower disease-free survival compared to those who did not receive radiotherapy.", "The CONTEXT also states that overall survival and disease-free survival in patients with clear margins were lower in the primary irradiated patients.", "The difference in survival persisted in multivariate analysis, correcting for T and N stages of the primary tumor.", "The ANSWER incorrectly states that patients who previously received radiotherapy have better oncologic outcomes, which contradicts the data provided in the CONTEXT.'" ]

{ "_id": 11296674, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT does not explicitly state that prostatic syndrome and pleural effusion are different diseases.', 'The CONTEXT mentions that both tumors were in advanced stages and suggests a potential association with metastatic prostate cancer, but it does not confirm this as a definitive conclusion.', 'The ANSWER asserts that prostatic syndrome and pleural effusion are different manifestations of the same underlying disease, which is not directly supported by the CONTEXT.', 'The CONTEXT does not provide a detailed analysis of the time of presentation or the characteristics of the tumors to support this conclusion.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT does not explicitly state that prostatic syndrome and pleural effusion are different diseases.", "The CONTEXT mentions that both tumors were in advanced stages and suggests a potential association with metastatic prostate cancer, but it does not confirm this as a definitive conclusion.", "The ANSWER asserts that prostatic syndrome and pleural effusion are different manifestations of the same underlying disease, which is not directly supported by the CONTEXT.", "The CONTEXT does not provide a detailed analysis of the time of presentation or the characteristics of the tumors to support this conclusion.'" ]

{ "_id": 18783922, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides detailed information about a study analyzing cytokine levels in patients with epilepsy and new onset seizures.', 'The study found that serum cytokine levels were detectable in the patient group, with specific levels mentioned for each cytokine.', 'The CONTEXT also notes that correlations were found between certain cytokines and parameters such as gender, family history, alcohol use, and length of epilepsy history.', 'The CONTEXT mentions that serial analysis during the seizure-free period revealed a decrease in cytokine levels.', 'The ANSWER states that there were decreased post-ictal serum cytokine levels in patients with several epilepsy syndromes, which aligns with the findings mentioned in the CONTEXT.', 'Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT provides detailed information about a study analyzing cytokine levels in patients with epilepsy and new onset seizures.", "The study found that serum cytokine levels were detectable in the patient group, with specific levels mentioned for each cytokine.", "The CONTEXT also notes that correlations were found between certain cytokines and parameters such as gender, family history, alcohol use, and length of epilepsy history.", "The CONTEXT mentions that serial analysis during the seizure-free period revealed a decrease in cytokine levels.", "The ANSWER states that there were decreased post-ictal serum cytokine levels in patients with several epilepsy syndromes, which aligns with the findings mentioned in the CONTEXT.", "Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION.'" ]

{ "_id": 14745753, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that the SNR and CNR of the abdominal aorta and common iliac artery in the 0.5 mL/second groups were statistically significantly lower than those in the 1 mL/second groups.', 'The context also states that the differences in overall image quality across the four groups were not statistically significant.', 'The answer claims that half-dose MR angiography depicted the abdominal aorta and its branches as clearly as using a full single dose, which contradicts the context.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that the SNR and CNR of the abdominal aorta and common iliac artery in the 0.5 mL/second groups were statistically significantly lower than those in the 1 mL/second groups.", "The context also states that the differences in overall image quality across the four groups were not statistically significant.", "The answer claims that half-dose MR angiography depicted the abdominal aorta and its branches as clearly as using a full single dose, which contradicts the context.'" ]

{ "_id": 18388848, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that having a regular clinician for preventive care is associated with slightly higher interpersonal quality and slightly greater content of anticipatory guidance for young children.', 'The CONTEXT specifies that a regular clinician is associated with interpersonal quality only among African American and Hispanic children, not all subgroups.', 'The ANSWER claims that having a regular clinician is associated with significant gains in both interpersonal quality and anticipatory guidance content, which is not supported by the CONTEXT.', 'The ANSWER also states that the benefit is evident across all subgroups of young children, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that having a regular clinician for preventive care is associated with slightly higher interpersonal quality and slightly greater content of anticipatory guidance for young children.", "The CONTEXT specifies that a regular clinician is associated with interpersonal quality only among African American and Hispanic children, not all subgroups.", "The ANSWER claims that having a regular clinician is associated with significant gains in both interpersonal quality and anticipatory guidance content, which is not supported by the CONTEXT.", "The ANSWER also states that the benefit is evident across all subgroups of young children, which is not supported by the CONTEXT.'" ]

{ "_id": 21900017, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study on the hemodynamic effects of lung ischemia-reperfusion (IR) injury in a swine model.', 'The study measured coronary blood flow and other hemodynamic parameters at baseline and during IR.', 'The results showed that total coronary flow (TCF) decreased significantly during IR, with the lowest value observed at 60 min of reperfusion.', 'The control group had unchanged coronary blood flow and hemodynamic profile.', 'The ANSWER states that lung IR has a marked positive impact on coronary blood flow, hemodynamics, and inflammatory profile, which is consistent with the findings in the CONTEXT.', 'The ANSWER also mentions that this is the first study to directly measure coronary blood flow during lung IR, which aligns with the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT describes a study on the hemodynamic effects of lung ischemia-reperfusion (IR) injury in a swine model.", "The study measured coronary blood flow and other hemodynamic parameters at baseline and during IR.", "The results showed that total coronary flow (TCF) decreased significantly during IR, with the lowest value observed at 60 min of reperfusion.", "The control group had unchanged coronary blood flow and hemodynamic profile.", "The ANSWER states that lung IR has a marked positive impact on coronary blood flow, hemodynamics, and inflammatory profile, which is consistent with the findings in the CONTEXT.", "The ANSWER also mentions that this is the first study to directly measure coronary blood flow during lung IR, which aligns with the CONTEXT.'" ]

{ "_id": 18269157, "label": "FAIL", "text": " \n{\"REASONING\": [\"The CONTEXT describes a study comparing the biomechanical and wound healing characteristics of corneas after different types of excimer laser keratorefractive surgery, including advanced surface ablation (ASA) and sub-Bowman's keratomileusis (SBK).\", \"The study found that ASA and SBK have some advantages over conventional LASIK and PRK in terms of biomechanics and reducing the risk of corneal haze.\", 'However, the study also mentions that all excimer laser keratorefractive surgical techniques have distinct disadvantages due to inadequate reparative wound healing.', 'The ANSWER states that SBK and ASA are improvements compared to conventional LASIK or PRK, particularly in maintaining corneal biomechanics and reducing the risk of corneal haze, which aligns with the findings in the CONTEXT.', 'The ANSWER also acknowledges that most of the disadvantages caused by wound healing issues remain, which is consistent with the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "\"The CONTEXT describes a study comparing the biomechanical and wound healing characteristics of corneas after different types of excimer laser keratorefractive surgery, including advanced surface ablation (ASA) and sub-Bowman's keratomileusis (SBK).\", \"The study found that ASA and SBK have some advantages over conventional LASIK and PRK in terms of biomechanics and reducing the risk of corneal haze.\", 'However, the study also mentions that all excimer laser keratorefractive surgical techniques have distinct disadvantages due to inadequate reparative wound healing.", "The ANSWER states that SBK and ASA are improvements compared to conventional LASIK or PRK, particularly in maintaining corneal biomechanics and reducing the risk of corneal haze, which aligns with the findings in the CONTEXT.", "The ANSWER also acknowledges that most of the disadvantages caused by wound healing issues remain, which is consistent with the CONTEXT.'" ]

{ "_id": 10135926, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study comparing the efficacy of oral endotracheal intubation between in-flight and ground settings.', 'The study found that the mean time required for in-flight intubation was significantly longer than the corresponding time for ground intubation.', 'However, the study also found that the difference in appropriate endotracheal intubation between the two settings was not significant.', 'The ANSWER states that oral endotracheal intubation in the in-flight setting is not significantly impaired compared to a ground setting, which aligns with the CONTEXT.', 'The ANSWER also suggests that pre-flight intubation may be unnecessary for patients likely to require urgent intubation during air medical transport, which is a reasonable interpretation of the study results.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT describes a study comparing the efficacy of oral endotracheal intubation between in-flight and ground settings.", "The study found that the mean time required for in-flight intubation was significantly longer than the corresponding time for ground intubation.", "However, the study also found that the difference in appropriate endotracheal intubation between the two settings was not significant.", "The ANSWER states that oral endotracheal intubation in the in-flight setting is not significantly impaired compared to a ground setting, which aligns with the CONTEXT.", "The ANSWER also suggests that pre-flight intubation may be unnecessary for patients likely to require urgent intubation during air medical transport, which is a reasonable interpretation of the study results.'" ]

{ "_id": 7497757, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study comparing thyroid function during and after hypothermic and normothermic cardiopulmonary bypass (CPB).', 'The study found that both groups (hypothermic and normothermic) had similar incidence of postoperative complications and comparable thyroid function changes.', 'The CONTEXT does not mention that normothermic CPB effectively prevents the development of euthyroid sick syndrome.', 'The ANSWER incorrectly states that normothermic CPB prevents the development of euthyroid sick syndrome, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT describes a study comparing thyroid function during and after hypothermic and normothermic cardiopulmonary bypass (CPB).", "The study found that both groups (hypothermic and normothermic) had similar incidence of postoperative complications and comparable thyroid function changes.", "The CONTEXT does not mention that normothermic CPB effectively prevents the development of euthyroid sick syndrome.", "The ANSWER incorrectly states that normothermic CPB prevents the development of euthyroid sick syndrome, which is not supported by the CONTEXT.'" ]

{ "_id": 17113061, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that cIMT measurements were obtained in cases with 10 different mutations in LCAT, ABCA1, and APOA1 to further evaluate the relationship between low HDL and early atherosclerosis.', 'The CONTEXT states that cIMT was nearly identical between cases and controls despite significantly lower HDL cholesterol and apolipoprotein A-I levels.', 'The ANSWER claims that there is a correlation between low HDL-C and increased carotid intima-media thickness, which contradicts the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that cIMT measurements were obtained in cases with 10 different mutations in LCAT, ABCA1, and APOA1 to further evaluate the relationship between low HDL and early atherosclerosis.", "The CONTEXT states that cIMT was nearly identical between cases and controls despite significantly lower HDL cholesterol and apolipoprotein A-I levels.", "The ANSWER claims that there is a correlation between low HDL-C and increased carotid intima-media thickness, which contradicts the CONTEXT.'" ]

{ "_id": 16428354, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides data comparing neonatal outcomes between rural and urban residents in New South Wales and the Australian Capital Territory.', 'The CONTEXT states that rural mothers were more likely to be teenaged, indigenous, and to have had a previous premature birth, prolonged ruptured membrane, and antenatal corticosteroid.', 'The CONTEXT also mentions that urban mothers were more likely to have had assisted conception and a caesarean section.', 'The CONTEXT indicates that infants of rural residence had a higher mortality (adjusted odds ratio (OR) 1.26, 95% confidence interval (CI) 1.07 to 1.48, p = 0.005).', 'The CONTEXT also shows a higher stillbirth rate among rural infants (OR 1.20, 95% CI 1.09 to 1.32, p<0.001).', 'The ANSWER correctly reflects that premature births from urban mothers have a higher risk of stillbirth and mortality in neonatal intensive care than rural infants, which is consistent with the data provided in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT provides data comparing neonatal outcomes between rural and urban residents in New South Wales and the Australian Capital Territory.", "The CONTEXT states that rural mothers were more likely to be teenaged, indigenous, and to have had a previous premature birth, prolonged ruptured membrane, and antenatal corticosteroid.", "The CONTEXT also mentions that urban mothers were more likely to have had assisted conception and a caesarean section.", "The CONTEXT indicates that infants of rural residence had a higher mortality (adjusted odds ratio (OR) 1.26, 95% confidence interval (CI) 1.07 to 1.48, p = 0.005).", "The CONTEXT also shows a higher stillbirth rate among rural infants (OR 1.20, 95% CI 1.09 to 1.32, p<0.001).", "The ANSWER correctly reflects that premature births from urban mothers have a higher risk of stillbirth and mortality in neonatal intensive care than rural infants, which is consistent with the data provided in the CONTEXT.'" ]

{ "_id": 16418930, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the differences between Landolt C acuity (LR) and Snellen E acuity (SE) were small in general, and specifically for strabismus amblyopia.', 'The CONTEXT mentions that the mean difference between LR and SE was 0.55 lines in the entire group and 0.55 lines for the eyes with strabismus amblyopia, with higher values of SE in both groups.', 'The ANSWER claims there was a significant overestimation of visual acuity by the Snellen E compared to the Landolt C in strabismus amblyopia, which contradicts the CONTEXT.', 'The CONTEXT does not support the claim that large differences in the lower visual acuity range have to be considered, but rather suggests that the differences are small.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the differences between Landolt C acuity (LR) and Snellen E acuity (SE) were small in general, and specifically for strabismus amblyopia.", "The CONTEXT mentions that the mean difference between LR and SE was 0.55 lines in the entire group and 0.55 lines for the eyes with strabismus amblyopia, with higher values of SE in both groups.", "The ANSWER claims there was a significant overestimation of visual acuity by the Snellen E compared to the Landolt C in strabismus amblyopia, which contradicts the CONTEXT.", "The CONTEXT does not support the claim that large differences in the lower visual acuity range have to be considered, but rather suggests that the differences are small.'" ]

{ "_id": 18435678, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that fetal thrombocytopenia was found in 10% of pregnancies with severe Kell alloimmunization, compared to 26% in RhD alloimmunized pregnancies.', 'The CONTEXT also mentions that none of the fetuses in the Kell group had clinically significant thrombocytopenia (<50 x 10(9)/l), whereas in the RhD group, 1% of non-hydropic fetuses and 23% of severely hydropic fetuses had clinically significant thrombocytopenia.', 'The ANSWER states that fetuses with severe anaemia due to Kell alloimmunization are generally at risk for substantial thrombocytopenia, which contradicts the CONTEXT that none of the fetuses in the Kell group had clinically significant thrombocytopenia.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that fetal thrombocytopenia was found in 10% of pregnancies with severe Kell alloimmunization, compared to 26% in RhD alloimmunized pregnancies.", "The CONTEXT also mentions that none of the fetuses in the Kell group had clinically significant thrombocytopenia (<50 x 10(9)/l), whereas in the RhD group, 1% of non-hydropic fetuses and 23% of severely hydropic fetuses had clinically significant thrombocytopenia.", "The ANSWER states that fetuses with severe anaemia due to Kell alloimmunization are generally at risk for substantial thrombocytopenia, which contradicts the CONTEXT that none of the fetuses in the Kell group had clinically significant thrombocytopenia.'" ]

{ "_id": 24183388, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the Hawkins sign was observed in 12 cases, of which none developed necrosis.', 'The CONTEXT also states that four cases with a negative Hawkins sign developed necrosis.', 'The ANSWER incorrectly states that a positive Hawkins sign confirms avascular necrosis, which is not supported by the CONTEXT.', 'The CONTEXT only mentions a statistically significant difference (P=.03) between the development of avascular necrosis and the Hawkins sign, not the positive Hawkins sign confirming necrosis.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the Hawkins sign was observed in 12 cases, of which none developed necrosis.", "The CONTEXT also states that four cases with a negative Hawkins sign developed necrosis.", "The ANSWER incorrectly states that a positive Hawkins sign confirms avascular necrosis, which is not supported by the CONTEXT.", "The CONTEXT only mentions a statistically significant difference (P=.03) between the development of avascular necrosis and the Hawkins sign, not the positive Hawkins sign confirming necrosis.'" ]

{ "_id": 24614789, "label": "FAIL", "text": " \n{\"REASONING\": ['The context provides data on the effectiveness of different treatments for postoperative CSF fistulas after spine surgery.', 'The context mentions that six patients were treated conservatively and ten patients were treated with CSF drainage.', 'The context states that all patients healed their wounds properly and no adverse events were recorded.', 'The context specifies that patients treated conservatively were cured in a mean period of 30 days, while patients treated with CSF drainage were cured in a mean period of 10 days.', 'The answer correctly concludes that lumbar drainage is effective and safe for treating CSF leaks, as evidenced by the healing of all patients and the absence of adverse events.', 'The answer also accurately reflects the specific data provided in the context, showing that CSF drainage leads to faster healing (10 days) compared to conservative treatment (30 days).'], \"SCORE\": PASS}\n" }

[ "'The context provides data on the effectiveness of different treatments for postoperative CSF fistulas after spine surgery.", "The context mentions that six patients were treated conservatively and ten patients were treated with CSF drainage.", "The context states that all patients healed their wounds properly and no adverse events were recorded.", "The context specifies that patients treated conservatively were cured in a mean period of 30 days, while patients treated with CSF drainage were cured in a mean period of 10 days.", "The answer correctly concludes that lumbar drainage is effective and safe for treating CSF leaks, as evidenced by the healing of all patients and the absence of adverse events.", "The answer also accurately reflects the specific data provided in the context, showing that CSF drainage leads to faster healing (10 days) compared to conservative treatment (30 days).'" ]

{ "_id": 12836106, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study found that WBC (leukocyte count) was correlated positively with ISS (injury severity score), but negatively with GCS (Glasgow coma score) and RTS (revised trauma score).', 'The ANSWER states that the leukocyte count at presentation does not correlate with the severity of injury in blunt trauma patients, which contradicts the CONTEXT.', 'The CONTEXT also suggests that WBC could be a significant indicator of injury severity, particularly when used in conjunction with other scoring methods like ISS, GCS, and RTS.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the study found that WBC (leukocyte count) was correlated positively with ISS (injury severity score), but negatively with GCS (Glasgow coma score) and RTS (revised trauma score).", "The ANSWER states that the leukocyte count at presentation does not correlate with the severity of injury in blunt trauma patients, which contradicts the CONTEXT.", "The CONTEXT also suggests that WBC could be a significant indicator of injury severity, particularly when used in conjunction with other scoring methods like ISS, GCS, and RTS.'" ]

{ "_id": 19664156, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the correct diagnosis was provided in 66%, 86%, and 64% of cases by investigators A, B, and C, respectively.', 'The CONTEXT also mentions that all investigators achieved the correct diagnosis in 42% of cases.', 'The ANSWER claims that the Google-based search was useful for identifying an appropriate diagnosis in complex immunological and allergic cases, which is not fully supported by the data provided in the CONTEXT.', 'The CONTEXT does not mention that all investigators failed in two cases, which is incorrectly stated in the ANSWER.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the correct diagnosis was provided in 66%, 86%, and 64% of cases by investigators A, B, and C, respectively.", "The CONTEXT also mentions that all investigators achieved the correct diagnosis in 42% of cases.", "The ANSWER claims that the Google-based search was useful for identifying an appropriate diagnosis in complex immunological and allergic cases, which is not fully supported by the data provided in the CONTEXT.", "The CONTEXT does not mention that all investigators failed in two cases, which is incorrectly stated in the ANSWER.'" ]

{ "_id": 26578404, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study on the feasibility and acceptance of opioid PCT in patients with advanced disease and refractory breathlessness.', 'The study included 18 patients out of 815, with significant improvements in breathlessness measured by a numeric rating scale.', 'The CONTEXT states that on Day 3, 12 out of 12 patients confirmed that opioid PCT provided relief of breathlessness.', 'The ANSWER claims that opioid PCT is not a feasible or acceptable therapeutic method, which contradicts the CONTEXT that shows significant improvements and acceptance by the patients.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT describes a study on the feasibility and acceptance of opioid PCT in patients with advanced disease and refractory breathlessness.", "The study included 18 patients out of 815, with significant improvements in breathlessness measured by a numeric rating scale.", "The CONTEXT states that on Day 3, 12 out of 12 patients confirmed that opioid PCT provided relief of breathlessness.", "The ANSWER claims that opioid PCT is not a feasible or acceptable therapeutic method, which contradicts the CONTEXT that shows significant improvements and acceptance by the patients.'" ]

{ "_id": 21645374, "label": "FAIL", "text": " \n{\"REASONING\": ['The context describes a study on the role of mitochondrial dynamics during programmed cell death (PCD) in the lace plant (Aponogeton madagascariensis).', 'The study involved dividing a single areole into three areas based on the progression of PCD and examining mitochondrial dynamics using MitoTracker Red CMXRos staining.', 'The results showed that mitochondrial dynamics were delineated into four categories (M1-M4) and that these dynamics were correlated with the progression of PCD.', 'The context also mentions that chloroplasts and transvacuolar strands were examined using live cell imaging, and that mitochondrial permeability transition pore (PTP) formation was indirectly examined via in vivo cyclosporine A (CsA) treatment.', 'The answer summarizes these findings by stating that mitochondria play a critical and early role in developmentally regulated PCD in the lace plant, which is consistent with the context.'], \"SCORE\": PASS}\n" }

[ "'The context describes a study on the role of mitochondrial dynamics during programmed cell death (PCD) in the lace plant (Aponogeton madagascariensis).", "The study involved dividing a single areole into three areas based on the progression of PCD and examining mitochondrial dynamics using MitoTracker Red CMXRos staining.", "The results showed that mitochondrial dynamics were delineated into four categories (M1-M4) and that these dynamics were correlated with the progression of PCD.", "The context also mentions that chloroplasts and transvacuolar strands were examined using live cell imaging, and that mitochondrial permeability transition pore (PTP) formation was indirectly examined via in vivo cyclosporine A (CsA) treatment.", "The answer summarizes these findings by stating that mitochondria play a critical and early role in developmentally regulated PCD in the lace plant, which is consistent with the context.'" ]

{ "_id": 11035130, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study aimed to determine the effect of stopping folic acid (FA) supplementation in UK rheumatoid arthritis (RA) patients established on methotrexate.', 'The study found that 33% of patients concluded early, with a higher incidence of nausea in the placebo group (45% vs. 7%, P = 0.001).', 'The CONTEXT does not provide evidence that FA decreases methotrexate toxicity or that it is necessary for preventing liver toxicity.', 'The ANSWER claims that FA supplementation is important for preventing liver toxicity and that it is helpful in preventing discontinuation due to mouth ulcers or nausea and vomiting, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the study aimed to determine the effect of stopping folic acid (FA) supplementation in UK rheumatoid arthritis (RA) patients established on methotrexate.", "The study found that 33% of patients concluded early, with a higher incidence of nausea in the placebo group (45% vs. 7%, P = 0.001).", "The CONTEXT does not provide evidence that FA decreases methotrexate toxicity or that it is necessary for preventing liver toxicity.", "The ANSWER claims that FA supplementation is important for preventing liver toxicity and that it is helpful in preventing discontinuation due to mouth ulcers or nausea and vomiting, which is not supported by the CONTEXT.'" ]

{ "_id": 24939676, "label": "FAIL", "text": " \n{\"REASONING\": ['The context describes a study investigating the influence of the pharmacokinetics of subcutaneous anti-TNF agents on the grade of US-detected synovitis in RA patients.', 'The study included 50 RA patients who were prospectively recruited and assessed at two time points: peak plasma drug concentration and trough plasma drug concentration.', 'US assessments were performed blindly to the anti-TNF agent, the administration time, and the clinical and laboratory data.', 'The results showed no significant differences between the clinical, laboratory, and US parameters at peak time and trough time.', 'There were no significant differences between the proportion of patients with active disease and those in remission according to DAS28, SDAI, B-mode US, and Doppler US at peak time and trough time assessments.', 'The answer claims that s.c. anti-TNF pharmacokinetics significantly influence US-scored synovitis in RA patients, which contradicts the context.'], \"SCORE\": FAIL}\n" }

[ "'The context describes a study investigating the influence of the pharmacokinetics of subcutaneous anti-TNF agents on the grade of US-detected synovitis in RA patients.", "The study included 50 RA patients who were prospectively recruited and assessed at two time points: peak plasma drug concentration and trough plasma drug concentration.", "US assessments were performed blindly to the anti-TNF agent, the administration time, and the clinical and laboratory data.", "The results showed no significant differences between the clinical, laboratory, and US parameters at peak time and trough time.", "There were no significant differences between the proportion of patients with active disease and those in remission according to DAS28, SDAI, B-mode US, and Doppler US at peak time and trough time assessments.", "The answer claims that s.c. anti-TNF pharmacokinetics significantly influence US-scored synovitis in RA patients, which contradicts the context.'" ]

{ "_id": 12765819, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a case of spinal subdural hematoma (SSDH) following subarachnoid hemorrhage (SAH) due to a ruptured internal carotid aneurysm.', 'The CONTEXT specifies that the hematoma was in the lumbosacral region and was treated conservatively, with the hematoma dissolving gradually and the patient making a full recovery.', 'The ANSWER states that the SSDH was a hematoma that originated de novo in the spinal canal, which contradicts the CONTEXT that describes the hematoma as a result of SAH.', 'The ANSWER also suggests that low CSF pressure and intrathecal thrombolytic therapy played an important role in the formation of the hematoma, which is not supported by the CONTEXT.', 'The CONTEXT does not mention any specific treatment with urokinase or fasudil hydrochloride, only continuous cerebrospinal fluid evacuation via cisternal drainage.', 'The ANSWER does not accurately reflect the details provided in the CONTEXT, making it a speculative and unfaithful response.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT describes a case of spinal subdural hematoma (SSDH) following subarachnoid hemorrhage (SAH) due to a ruptured internal carotid aneurysm.", "The CONTEXT specifies that the hematoma was in the lumbosacral region and was treated conservatively, with the hematoma dissolving gradually and the patient making a full recovery.", "The ANSWER states that the SSDH was a hematoma that originated de novo in the spinal canal, which contradicts the CONTEXT that describes the hematoma as a result of SAH.", "The ANSWER also suggests that low CSF pressure and intrathecal thrombolytic therapy played an important role in the formation of the hematoma, which is not supported by the CONTEXT.", "The CONTEXT does not mention any specific treatment with urokinase or fasudil hydrochloride, only continuous cerebrospinal fluid evacuation via cisternal drainage.", "The ANSWER does not accurately reflect the details provided in the CONTEXT, making it a speculative and unfaithful response.'" ]

{ "_id": 25432938, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the enactment of Chile's 2005 traffic law reform was associated with a decrease in traffic fatalities and severe injuries.', 'The CONTEXT specifies that empirical estimates from instrumental variables suggest a significant association between the traffic law reform and a decrease in traffic fatalities and severe injuries.', 'The ANSWER incorrectly states that the traffic law reforms led to a significant increase in traffic fatalities and injuries, which contradicts the findings presented in the CONTEXT.', 'The CONTEXT also mentions that police traffic enforcement reduced traffic fatalities by 59% and severe injuries by 37%, indicating that the changes in police enforcement practices were associated with a reduction in traffic fatalities and injuries.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the enactment of Chile's 2005 traffic law reform was associated with a decrease in traffic fatalities and severe injuries.", "The CONTEXT specifies that empirical estimates from instrumental variables suggest a significant association between the traffic law reform and a decrease in traffic fatalities and severe injuries.", "The ANSWER incorrectly states that the traffic law reforms led to a significant increase in traffic fatalities and injuries, which contradicts the findings presented in the CONTEXT.", "The CONTEXT also mentions that police traffic enforcement reduced traffic fatalities by 59% and severe injuries by 37%, indicating that the changes in police enforcement practices were associated with a reduction in traffic fatalities and injuries.'" ]

{ "_id": 21712147, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the mean utility gained by using FXD over FRC was 0.085, which was not statistically significant.', 'The ICUR for the FXD treatment over FRC treatment was $45,540.49/QALYs, which is a significant cost increase.', 'Probabilistic sensitivity analysis showed FXD to dominate FRC (>50% probability of being cost-effective) above the $40,000 threshold, but the CONTEXT does not provide a specific threshold for acceptable willingness-to-pay.', 'The ANSWER claims that the single-pill strategy significantly improves the quality of life for HIV/AIDS patients, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the mean utility gained by using FXD over FRC was 0.085, which was not statistically significant.", "The ICUR for the FXD treatment over FRC treatment was $45,540.49/QALYs, which is a significant cost increase.", "Probabilistic sensitivity analysis showed FXD to dominate FRC (>50% probability of being cost-effective) above the $40,000 threshold, but the CONTEXT does not provide a specific threshold for acceptable willingness-to-pay.", "The ANSWER claims that the single-pill strategy significantly improves the quality of life for HIV/AIDS patients, which is not supported by the CONTEXT.'" ]

{ "_id": 24996865, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study where joint lines (JLs) were assessed by measuring distances from bony landmarks to the JL of the contralateral knee.', 'The study found that the most precise parameter was the distance between the medial epicondyle and the JL.', 'The ANSWER states that the most precise parameter was the distance between the medial epicondyle and the JL, which aligns with the CONTEXT.', 'The ANSWER also mentions that the level of arthritis, age, gender, visibility of the landmarks, and misalignment did not influence measurement accuracy, which is consistent with the CONTEXT.', 'The ANSWER concludes that this parameter is the first femur-related landmark for assessing the JL, which is advantageous for the femur-first technique in revision surgery.', 'The ANSWER is faithful to the CONTEXT given the QUESTION because it accurately reflects the findings and conclusions presented in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT describes a study where joint lines (JLs) were assessed by measuring distances from bony landmarks to the JL of the contralateral knee.", "The study found that the most precise parameter was the distance between the medial epicondyle and the JL.", "The ANSWER states that the most precise parameter was the distance between the medial epicondyle and the JL, which aligns with the CONTEXT.", "The ANSWER also mentions that the level of arthritis, age, gender, visibility of the landmarks, and misalignment did not influence measurement accuracy, which is consistent with the CONTEXT.", "The ANSWER concludes that this parameter is the first femur-related landmark for assessing the JL, which is advantageous for the femur-first technique in revision surgery.", "The ANSWER is faithful to the CONTEXT given the QUESTION because it accurately reflects the findings and conclusions presented in the CONTEXT.'" ]

{ "_id": 8262881, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses the possibility of a psychotic subtype of body dysmorphic disorder (BDD) but does not provide evidence that a psychotic subtype is a completely separate disorder from the BDD variant of delusional disorder, somatic type.', 'The CONTEXT mentions that patients with psychotic BDD had a significantly higher rate of lifetime DSM-III-R psychotic disorder diagnoses than patients with nonpsychotic BDD, but it does not state that the two groups were significantly different on most other variables examined.', 'The CONTEXT does not provide evidence that serotonin reuptake inhibitors are the preferential treatment for psychotic BDD, only that they are effective for both psychotic and nonpsychotic patients.', 'The ANSWER includes a psychotic subtype for BDD that is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT discusses the possibility of a psychotic subtype of body dysmorphic disorder (BDD) but does not provide evidence that a psychotic subtype is a completely separate disorder from the BDD variant of delusional disorder, somatic type.", "The CONTEXT mentions that patients with psychotic BDD had a significantly higher rate of lifetime DSM-III-R psychotic disorder diagnoses than patients with nonpsychotic BDD, but it does not state that the two groups were significantly different on most other variables examined.", "The CONTEXT does not provide evidence that serotonin reuptake inhibitors are the preferential treatment for psychotic BDD, only that they are effective for both psychotic and nonpsychotic patients.", "The ANSWER includes a psychotic subtype for BDD that is not supported by the CONTEXT.'" ]

{ "_id": 28359277, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study aimed to identify the impact of health behaviors on the use of medical resources.', 'The CONTEXT mentions that four health behaviors (exercise habits, dietary habits, regular blood pressure measurement, drinking habits) exhibited a significant correlation with healthcare utilization.', 'The ANSWER states that healthy lifestyles lead to a decrease in the utilization of preventive health services, which aligns with the CONTEXT.', 'The CONTEXT also suggests that people with regular exercise habits and who take their blood pressure measurement regularly have an increased number of outpatient visits, which is contradictory to the ANSWER.', 'The ANSWER suggests that more available and accessible health consultation services be provided, which is not directly supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the study aimed to identify the impact of health behaviors on the use of medical resources.", "The CONTEXT mentions that four health behaviors (exercise habits, dietary habits, regular blood pressure measurement, drinking habits) exhibited a significant correlation with healthcare utilization.", "The ANSWER states that healthy lifestyles lead to a decrease in the utilization of preventive health services, which aligns with the CONTEXT.", "The CONTEXT also suggests that people with regular exercise habits and who take their blood pressure measurement regularly have an increased number of outpatient visits, which is contradictory to the ANSWER.", "The ANSWER suggests that more available and accessible health consultation services be provided, which is not directly supported by the CONTEXT.'" ]

{ "_id": 15222284, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses a study comparing the hemodynamic performance of two bioprostheses, the Medtronic Mosaic and Edwards Perimount, in the aortic position.', 'The study measured intraoperative data, including the effective orifice area (EOA), and calculated the EOA:patient aortic annulus area ratio to adjust for variables such as patient anatomy and valve dimensions.', 'The CONTEXT states that there was no significant difference between the two bioprostheses when indexing EOA by the EOA:patient aortic annulus area ratio.', 'The ANSWER claims that comparisons of absolute EOA values grouped by the manufacturers' valve sizes are sufficient because they accurately reflect the differences in geometric dimensions, which contradicts the CONTEXT that states there was no significant difference.', 'The ANSWER also states that the EOA:patient aortic annulus area ratio does not provide a new hemodynamic index and does not facilitate objective comparisons between different valve types, which is not explicitly supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT discusses a study comparing the hemodynamic performance of two bioprostheses, the Medtronic Mosaic and Edwards Perimount, in the aortic position.", "The study measured intraoperative data, including the effective orifice area (EOA), and calculated the EOA:patient aortic annulus area ratio to adjust for variables such as patient anatomy and valve dimensions.", "The CONTEXT states that there was no significant difference between the two bioprostheses when indexing EOA by the EOA:patient aortic annulus area ratio.", "The ANSWER claims that comparisons of absolute EOA values grouped by the manufacturers' valve sizes are sufficient because they accurately reflect the differences in geometric dimensions, which contradicts the CONTEXT that states there was no significant difference.", "The ANSWER also states that the EOA:patient aortic annulus area ratio does not provide a new hemodynamic index and does not facilitate objective comparisons between different valve types, which is not explicitly supported by the CONTEXT.'" ]

{ "_id": 17562682, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that only 1.6% of S. aureus isolates were PVL-positive.', 'The CONTEXT specifies that all four PVL-positive isolates were susceptible to all antibiotics tested, except for one that was resistant to penicillin and fusidic acid.', 'The ANSWER incorrectly states that PVL-positive S. aureus are significant causative agents of S. aureus bacteraemia, which contradicts the CONTEXT.', 'The CONTEXT does not provide evidence that PVL-positive S. aureus are more virulent or associated with more severe infections compared to PVL-negative S. aureus.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that only 1.6% of S. aureus isolates were PVL-positive.", "The CONTEXT specifies that all four PVL-positive isolates were susceptible to all antibiotics tested, except for one that was resistant to penicillin and fusidic acid.", "The ANSWER incorrectly states that PVL-positive S. aureus are significant causative agents of S. aureus bacteraemia, which contradicts the CONTEXT.", "The CONTEXT does not provide evidence that PVL-positive S. aureus are more virulent or associated with more severe infections compared to PVL-negative S. aureus.'" ]

{ "_id": 8910148, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses the use of transesophageal echocardiography (TEE) to assess left ventricular function in potential brain-dead heart donors.', 'It mentions that 36% of potential heart donors had an FAC (Fractional Area Change) below 50%, which is used to assess left ventricular function.', 'The CONTEXT also notes that left ventricular dysfunction is often irreversible shortly after transplantation, suggesting that an FAC below 50% may not necessarily preclude the use of hearts for transplantation.', 'The ANSWER states that TEE is useful to assess left ventricular function in potential brain-dead donors and that an FAC less than 50% is present in 36% of potential heart donors.', 'The ANSWER also acknowledges that an FAC below 50% may not necessarily preclude the use of hearts for transplantation, which aligns with the CONTEXT.', 'Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT discusses the use of transesophageal echocardiography (TEE) to assess left ventricular function in potential brain-dead heart donors.", "It mentions that 36% of potential heart donors had an FAC (Fractional Area Change) below 50%, which is used to assess left ventricular function.", "The CONTEXT also notes that left ventricular dysfunction is often irreversible shortly after transplantation, suggesting that an FAC below 50% may not necessarily preclude the use of hearts for transplantation.", "The ANSWER states that TEE is useful to assess left ventricular function in potential brain-dead donors and that an FAC less than 50% is present in 36% of potential heart donors.", "The ANSWER also acknowledges that an FAC below 50% may not necessarily preclude the use of hearts for transplantation, which aligns with the CONTEXT.", "Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION.'" ]

{ "_id": 22758782, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the average cost of hospitalization was no different between patients who received regional or general anesthesia.', 'The CONTEXT states that in-hospital mortality and rates of readmission are not statistically different between the two anesthesia groups.', 'The ANSWER claims that regional anesthesia significantly decreases postoperative morbidity, rates of rehospitalization, in-patient mortality, and hospitalization costs, which contradicts the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the average cost of hospitalization was no different between patients who received regional or general anesthesia.", "The CONTEXT states that in-hospital mortality and rates of readmission are not statistically different between the two anesthesia groups.", "The ANSWER claims that regional anesthesia significantly decreases postoperative morbidity, rates of rehospitalization, in-patient mortality, and hospitalization costs, which contradicts the CONTEXT.'" ]

{ "_id": 11729377, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides a detailed comparison between split-liver transplantation (SLT) and living-related liver transplantation (LRT).', 'It mentions that the survival rates after SLT and LRT did not differ significantly, with actual patient survival rates of 82% in the SLT group and 88% in the LRT group, and actual graft survival rates of 76% in the SLT group and 81% in the LRT group.', 'The CONTEXT also notes that the incidence of primary nonfunction was higher in the SLT group (12%) compared to the LRT group (2.3%).', 'The ANSWER states that the short- and long-term outcomes after LRT and SLT did not differ significantly, which aligns with the CONTEXT.', 'The ANSWER also mentions that SLT is preferred over LRT due to lower surgical complication rates and higher serum values of alanine aminotransferase during the first postoperative week in the SLT group.', 'The ANSWER concludes that LRT is preferred over SLT due to significantly higher survival rates and lower incidence of primary nonfunction, which is consistent with the data provided in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT provides a detailed comparison between split-liver transplantation (SLT) and living-related liver transplantation (LRT).", "It mentions that the survival rates after SLT and LRT did not differ significantly, with actual patient survival rates of 82% in the SLT group and 88% in the LRT group, and actual graft survival rates of 76% in the SLT group and 81% in the LRT group.", "The CONTEXT also notes that the incidence of primary nonfunction was higher in the SLT group (12%) compared to the LRT group (2.3%).", "The ANSWER states that the short- and long-term outcomes after LRT and SLT did not differ significantly, which aligns with the CONTEXT.", "The ANSWER also mentions that SLT is preferred over LRT due to lower surgical complication rates and higher serum values of alanine aminotransferase during the first postoperative week in the SLT group.", "The ANSWER concludes that LRT is preferred over SLT due to significantly higher survival rates and lower incidence of primary nonfunction, which is consistent with the data provided in the CONTEXT.'" ]

{ "_id": 10331115, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that amoxapine's profile is very similar to that of established typical antipsychotics.', 'The CONTEXT mentions that amoxapine's 5-HT2 and D2 occupancies follow a dose-dependent increase, with 5-HT2 occupancy always exceeding D2 occupancy.', 'The CONTEXT does not support the claim that amoxapine is an atypical antipsychotic.', 'The ANSWER incorrectly states that amoxapine is an atypical antipsychotic agent, which contradicts the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that amoxapine's profile is very similar to that of established typical antipsychotics.", "The CONTEXT mentions that amoxapine's 5-HT2 and D2 occupancies follow a dose-dependent increase, with 5-HT2 occupancy always exceeding D2 occupancy.", "The CONTEXT does not support the claim that amoxapine is an atypical antipsychotic.", "The ANSWER incorrectly states that amoxapine is an atypical antipsychotic agent, which contradicts the CONTEXT.'" ]

{ "_id": 24809662, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that the primary outcome, OAB-q SS change score, showed no significant differences between the cohorts (MUS-only and MUS + AA).', 'Multivariate linear regression analysis also revealed no difference in OAB-q SS change score between the cohorts.', 'The answer claims that concomitant AA repair results in additional improvement in OAB symptoms over MUS alone, which contradicts the context.', 'The context also mentions that patients with postoperative complications exhibit less improvement in OAB symptoms, but this does not support the claim that concomitant AA repair results in additional improvement overall.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that the primary outcome, OAB-q SS change score, showed no significant differences between the cohorts (MUS-only and MUS + AA).", "Multivariate linear regression analysis also revealed no difference in OAB-q SS change score between the cohorts.", "The answer claims that concomitant AA repair results in additional improvement in OAB symptoms over MUS alone, which contradicts the context.", "The context also mentions that patients with postoperative complications exhibit less improvement in OAB symptoms, but this does not support the claim that concomitant AA repair results in additional improvement overall.'" ]

{ "_id": 10759659, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the trained urology nurse practitioner (UNP) and the consultant urologist had very close agreement in detecting bladder tumors (Kappa = 0.94).', 'The CONTEXT does not mention that the UNP missed more tumors or suspicious lesions than the urologist.', 'The ANSWER incorrectly states that the UNP cannot detect suspicious lesions as accurately as a consultant urologist, which is not supported by the data provided in the CONTEXT.', 'The CONTEXT does not discuss legal or training issues related to implementing UNPs for cystoscopy.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the trained urology nurse practitioner (UNP) and the consultant urologist had very close agreement in detecting bladder tumors (Kappa = 0.94).", "The CONTEXT does not mention that the UNP missed more tumors or suspicious lesions than the urologist.", "The ANSWER incorrectly states that the UNP cannot detect suspicious lesions as accurately as a consultant urologist, which is not supported by the data provided in the CONTEXT.", "The CONTEXT does not discuss legal or training issues related to implementing UNPs for cystoscopy.'" ]

{ "_id": 15477551, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes four patients with slowly progressive myelopathy and abnormal MRI lesions in the cervical cord levels.', 'The patients were examined for human T-lymphotrophic virus type I (HTLV-I) infection, and all tested positive for anti-HTLV-I antibodies in both serum and CSF.', 'The CONTEXT does not explicitly state that these cases represent a variant form of HAM/TSP.', 'The CONTEXT mentions that the odds of developing HAM/TSP were calculated, but it does not provide the results of these calculations.', 'The CONTEXT describes distinct neurological conditions in each patient, suggesting that the cases are not directly related to HTLV-I infection.', 'The ANSWER correctly concludes that these cases are not a variant form of HAM/TSP but rather a distinct neurological condition unrelated to HTLV-I infection, which aligns with the findings presented in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT describes four patients with slowly progressive myelopathy and abnormal MRI lesions in the cervical cord levels.", "The patients were examined for human T-lymphotrophic virus type I (HTLV-I) infection, and all tested positive for anti-HTLV-I antibodies in both serum and CSF.", "The CONTEXT does not explicitly state that these cases represent a variant form of HAM/TSP.", "The CONTEXT mentions that the odds of developing HAM/TSP were calculated, but it does not provide the results of these calculations.", "The CONTEXT describes distinct neurological conditions in each patient, suggesting that the cases are not directly related to HTLV-I infection.", "The ANSWER correctly concludes that these cases are not a variant form of HAM/TSP but rather a distinct neurological condition unrelated to HTLV-I infection, which aligns with the findings presented in the CONTEXT.'" ]

{ "_id": 17096624, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that unvaccinated seniors were clustered by their immunization-related knowledge and attitudes.', 'The context identifies four clusters of unvaccinated seniors with distinct knowledge and attitudes towards the influenza vaccine.', 'The clusters are named Potentials, Fearful Uninformeds, Doubters, and Misinformeds, each with specific percentages and characteristics.', 'The context does not support the claim that there are no distinct patterns of knowledge and attitudes among unvaccinated seniors.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that unvaccinated seniors were clustered by their immunization-related knowledge and attitudes.", "The context identifies four clusters of unvaccinated seniors with distinct knowledge and attitudes towards the influenza vaccine.", "The clusters are named Potentials, Fearful Uninformeds, Doubters, and Misinformeds, each with specific percentages and characteristics.", "The context does not support the claim that there are no distinct patterns of knowledge and attitudes among unvaccinated seniors.'" ]

{ "_id": 11926574, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that hepatitis G virus (HGV) and TT virus (TTV) were detected in patients with cryptogenic chronic liver disease, but the CONTEXT does not provide evidence that these viruses are involved in causing the disease.', \"The CONTEXT states that hepatitis G virus-RNA was detected in 4 out of 23 patients with cryptogenic chronic hepatitis and in 6 out of 40 with hepatitis C virus chronic hepatitis, which suggests a low prevalence of HGV in these patients.\", \"The CONTEXT also mentions that TT virus-DNA was present in serum in only 3 subjects, with one having cryptogenic and two having hepatitis C virus-related chronic liver disease.\", 'The ANSWER claims that HGV and TTV are involved in cryptogenic chronic liver disease, which is not supported by the low prevalence of these viruses in the patients with the disease.', 'The ANSWER also suggests that HGV has a potential aetiologic role, which is not supported by the CONTEXT, which only mentions HGV being detected in patients with chronic liver disease but does not provide evidence of its involvement in causing the disease.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that hepatitis G virus (HGV) and TT virus (TTV) were detected in patients with cryptogenic chronic liver disease, but the CONTEXT does not provide evidence that these viruses are involved in causing the disease.', \"The CONTEXT states that hepatitis G virus-RNA was detected in 4 out of 23 patients with cryptogenic chronic hepatitis and in 6 out of 40 with hepatitis C virus chronic hepatitis, which suggests a low prevalence of HGV in these patients.\", \"The CONTEXT also mentions that TT virus-DNA was present in serum in only 3 subjects, with one having cryptogenic and two having hepatitis C virus-related chronic liver disease.\", 'The ANSWER claims that HGV and TTV are involved in cryptogenic chronic liver disease, which is not supported by the low prevalence of these viruses in the patients with the disease.", "The ANSWER also suggests that HGV has a potential aetiologic role, which is not supported by the CONTEXT, which only mentions HGV being detected in patients with chronic liver disease but does not provide evidence of its involvement in causing the disease.'" ]

{ "_id": 23389866, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that the study aimed to evaluate the benefit of adding surgery to chemoradiotherapy alone in the management of carcinoma esophagus.', 'The context provides data on survival rates, disease-free survival, and clinical toxicities for patients who received chemoradiotherapy with and without surgical resection.', 'The context does not support the claim that surgical resection significantly improves survival outcomes. In fact, it suggests the opposite: the median OS was actually longer in the arm with surgical resection (16.4 months) compared to the arm without (19.1 months), although the difference was not statistically significant (p = 0.388).', 'The context also does not support the claim that surgical resection reduces clinical toxicity. In fact, it indicates that the recurrence probability was actually higher in the arm with surgical resection (56.5%) compared to the arm without (45.5%), although the difference was not statistically significant (p = 0.328).', 'Therefore, the answer misrepresents the findings of the study.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that the study aimed to evaluate the benefit of adding surgery to chemoradiotherapy alone in the management of carcinoma esophagus.", "The context provides data on survival rates, disease-free survival, and clinical toxicities for patients who received chemoradiotherapy with and without surgical resection.", "The context does not support the claim that surgical resection significantly improves survival outcomes. In fact, it suggests the opposite: the median OS was actually longer in the arm with surgical resection (16.4 months) compared to the arm without (19.1 months), although the difference was not statistically significant (p = 0.388).", "The context also does not support the claim that surgical resection reduces clinical toxicity. In fact, it indicates that the recurrence probability was actually higher in the arm with surgical resection (56.5%) compared to the arm without (45.5%), although the difference was not statistically significant (p = 0.328).", "Therefore, the answer misrepresents the findings of the study.'" ]

{ "_id": 12098035, "label": "FAIL", "text": " \n{\"REASONING\": ['The context tests the hypothesis that the treatment of patients with acute cholecystitis (AC) would be improved under the care of laparoscopic specialists.', 'The study compared patients treated by laparoscopic specialists (LS group) and general surgeons who perform only laparoscopic cholecystectomy (GS group).', 'The results showed that patients in the LS group had a higher rate of successful laparoscopic treatment (65%) compared to the GS group (36%), indicating that a special interest in laparoscopy affects the treatment positively.', 'The context also mentions that the median postoperative hospital stay was shorter in the LS group (3 days) compared to the GS group (5 days), which supports the answer about the shorter length of hospital stay.', 'The answer accurately reflects the findings in the context, stating that patients are more likely to undergo successful LC and that the length of hospital stay is significantly shorter when treated by laparoscopic specialists.'], \"SCORE\": PASS}\n" }

[ "'The context tests the hypothesis that the treatment of patients with acute cholecystitis (AC) would be improved under the care of laparoscopic specialists.", "The study compared patients treated by laparoscopic specialists (LS group) and general surgeons who perform only laparoscopic cholecystectomy (GS group).", "The results showed that patients in the LS group had a higher rate of successful laparoscopic treatment (65%) compared to the GS group (36%), indicating that a special interest in laparoscopy affects the treatment positively.", "The context also mentions that the median postoperative hospital stay was shorter in the LS group (3 days) compared to the GS group (5 days), which supports the answer about the shorter length of hospital stay.", "The answer accurately reflects the findings in the context, stating that patients are more likely to undergo successful LC and that the length of hospital stay is significantly shorter when treated by laparoscopic specialists.'" ]

{ "_id": 8422202, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study that evaluates the proficiency of health care providers and patients in the proper use of metered-dose inhalers.', 'The study found that a significant percentage of patients had a poor understanding of the technique used with the metered-dose inhaler.', 'The CONTEXT also mentions that house staff and nursing staff were less proficient in the proper use of the metered-dose inhaler, contrary to the ANSWER which incorrectly states that house staff were the most proficient.', 'The ANSWER correctly demonstrates a significant lack of understanding by health care providers of the proper use of metered-dose inhalers, which is supported by the CONTEXT.', 'The ANSWER also supports the use of house staff in the outpatient setting, which is not directly supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT describes a study that evaluates the proficiency of health care providers and patients in the proper use of metered-dose inhalers.", "The study found that a significant percentage of patients had a poor understanding of the technique used with the metered-dose inhaler.", "The CONTEXT also mentions that house staff and nursing staff were less proficient in the proper use of the metered-dose inhaler, contrary to the ANSWER which incorrectly states that house staff were the most proficient.", "The ANSWER correctly demonstrates a significant lack of understanding by health care providers of the proper use of metered-dose inhalers, which is supported by the CONTEXT.", "The ANSWER also supports the use of house staff in the outpatient setting, which is not directly supported by the CONTEXT.'" ]

{ "_id": 22365295, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides data on the rate of early infections in patients who underwent TIVAD placement without antibiotic prophylaxis.', 'The CONTEXT states that CLABSIs occurred in seven (0.6%) patients within 30 days of placement.', 'The ANSWER claims that the rate of early infection without antibiotic prophylaxis is less than 1%, which is not supported by the CONTEXT.', 'The CONTEXT does not explicitly mention that the rate is less than 1%; it only provides specific data on the number of infections.', 'The ANSWER also suggests that prophylactic antibiotics are recommended to further minimize the risk of infection, which is not directly supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT provides data on the rate of early infections in patients who underwent TIVAD placement without antibiotic prophylaxis.", "The CONTEXT states that CLABSIs occurred in seven (0.6%) patients within 30 days of placement.", "The ANSWER claims that the rate of early infection without antibiotic prophylaxis is less than 1%, which is not supported by the CONTEXT.", "The CONTEXT does not explicitly mention that the rate is less than 1%; it only provides specific data on the number of infections.", "The ANSWER also suggests that prophylactic antibiotics are recommended to further minimize the risk of infection, which is not directly supported by the CONTEXT.'" ]

{ "_id": 21889895, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that only a small percentage of CT scans were decreased or altered after the lecture on radiation exposure.', 'The CONTEXT states that only 10% of residents decreased the number of CT scans ordered, and only 14% changed the types of CT scans ordered.', 'The CONTEXT also mentions that only 33% of residents reported increases in alternative imaging methods.', 'The ANSWER claims that most clinicians significantly changed their CT scan ordering, which is not supported by the data provided in the CONTEXT.', 'The CONTEXT does not provide evidence that referring physician groups are interested in radiation education lectures.', 'The ANSWER suggests that radiologists should give radiation lectures to referring physician groups, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that only a small percentage of CT scans were decreased or altered after the lecture on radiation exposure.", "The CONTEXT states that only 10% of residents decreased the number of CT scans ordered, and only 14% changed the types of CT scans ordered.", "The CONTEXT also mentions that only 33% of residents reported increases in alternative imaging methods.", "The ANSWER claims that most clinicians significantly changed their CT scan ordering, which is not supported by the data provided in the CONTEXT.", "The CONTEXT does not provide evidence that referring physician groups are interested in radiation education lectures.", "The ANSWER suggests that radiologists should give radiation lectures to referring physician groups, which is not supported by the CONTEXT.'" ]

{ "_id": 19653482, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses a study that investigates factors explaining when and why teammates request and accept backup in a high-stress environment like commercial air traffic control (ATC).', 'The study found that teammates with greater experience working together requested and accepted backup more than those with lesser experience.', 'The CONTEXT mentions that transactive memory theory states that teammates develop consensus regarding the distribution of their relative expertise and confidence in that expertise over time, which facilitates coordination processes.', 'The ANSWER states that transactive memory theory extends to high-stress environments and that teammates' shared mental models about one another increase the likelihood that they will request and accept backup.', 'This is faithful to the CONTEXT because the CONTEXT provides evidence that teammates with greater experience and knowledge consensus are more likely to request and accept backup, which aligns with the principles of transactive memory theory.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT discusses a study that investigates factors explaining when and why teammates request and accept backup in a high-stress environment like commercial air traffic control (ATC).", "The study found that teammates with greater experience working together requested and accepted backup more than those with lesser experience.", "The CONTEXT mentions that transactive memory theory states that teammates develop consensus regarding the distribution of their relative expertise and confidence in that expertise over time, which facilitates coordination processes.", "The ANSWER states that transactive memory theory extends to high-stress environments and that teammates' shared mental models about one another increase the likelihood that they will request and accept backup.", "This is faithful to the CONTEXT because the CONTEXT provides evidence that teammates with greater experience and knowledge consensus are more likely to request and accept backup, which aligns with the principles of transactive memory theory.'" ]

{ "_id": 24946973, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides data on the outcomes of accelerated partial breast radiation (APBI) in patients who underwent oncoplastic surgery for early breast cancer.', 'The CONTEXT mentions that 3 of 89 patients showed systemic progress after high-dose rate treatment, and 1 of 45 patients had a local recurrence after pulse dose rate treatment.', 'The CONTEXT does not state that the procedure is infeasible; rather, it provides specific data on the occurrences of systemic progress and local recurrence.', 'The CONTEXT does not require special attention to target volume definition; it only suggests that further investigations are needed to define the real value of the procedure.', 'The ANSWER incorrectly states that the procedure is infeasible and does not need further investigations, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT provides data on the outcomes of accelerated partial breast radiation (APBI) in patients who underwent oncoplastic surgery for early breast cancer.", "The CONTEXT mentions that 3 of 89 patients showed systemic progress after high-dose rate treatment, and 1 of 45 patients had a local recurrence after pulse dose rate treatment.", "The CONTEXT does not state that the procedure is infeasible; rather, it provides specific data on the occurrences of systemic progress and local recurrence.", "The CONTEXT does not require special attention to target volume definition; it only suggests that further investigations are needed to define the real value of the procedure.", "The ANSWER incorrectly states that the procedure is infeasible and does not need further investigations, which is not supported by the CONTEXT.'" ]

{ "_id": 9602458, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that there were significant discrepancies between the information held on the CHCS and the NICPR.', 'Specifically, 47% of cases on the NICPR were not found on the CHCS, and 12% of cases on the CHCS were not found on the NICPR.', 'The ANSWER claims that the CHCS effectively identifies children with cerebral palsy, which contradicts the CONTEXT.', 'The CONTEXT suggests that the CHCS is not reliable for identifying children with cerebral palsy, as evidenced by the high percentage of cases not found on both registers.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that there were significant discrepancies between the information held on the CHCS and the NICPR.", "Specifically, 47% of cases on the NICPR were not found on the CHCS, and 12% of cases on the CHCS were not found on the NICPR.", "The ANSWER claims that the CHCS effectively identifies children with cerebral palsy, which contradicts the CONTEXT.", "The CONTEXT suggests that the CHCS is not reliable for identifying children with cerebral palsy, as evidenced by the high percentage of cases not found on both registers.'" ]

{ "_id": 23356465, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses a study on the implementation of evidence-based treatments (EBTs) in a Veterans Affairs (VA) clinic, specifically focusing on cognitive processing therapy (CPT) for PTSD.', 'The study aimed to estimate the proportion of variability in outcomes attributable to therapists and identify characteristics of effective therapists.', 'The results indicated that approximately 12% of the variability in the PCL at the end of treatment was due to therapists.', 'The CONTEXT does not mention that the uniformity of EBTs in practice is primarily determined by strict adherence to standardized training and supervision guidelines.', 'The ANSWER incorrectly states that the uniformity is determined by strict adherence, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT discusses a study on the implementation of evidence-based treatments (EBTs) in a Veterans Affairs (VA) clinic, specifically focusing on cognitive processing therapy (CPT) for PTSD.", "The study aimed to estimate the proportion of variability in outcomes attributable to therapists and identify characteristics of effective therapists.", "The results indicated that approximately 12% of the variability in the PCL at the end of treatment was due to therapists.", "The CONTEXT does not mention that the uniformity of EBTs in practice is primarily determined by strict adherence to standardized training and supervision guidelines.", "The ANSWER incorrectly states that the uniformity is determined by strict adherence, which is not supported by the CONTEXT.'" ]

{ "_id": 18496363, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses a study characterizing the gender dimorphism after injury, specifically comparing young and old age groups.', 'The study found that female gender was independently associated with a lower risk of multiple organ failure and nosocomial infection, and this protection remained unchanged in young and old subgroup analysis.', 'The ANSWER states that the protective effect of female gender is significantly influenced by hormonal differences, particularly evident in premenopausal women compared to postmenopausal women and men of similar ages.', 'This aligns with the CONTEXT, which mentions that menopausal status is a significant confounder in the study of gender differences in trauma outcomes.', 'Therefore, the ANSWER is faithful to the CONTEXT as it accurately reflects the findings and influences described in the study.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT discusses a study characterizing the gender dimorphism after injury, specifically comparing young and old age groups.", "The study found that female gender was independently associated with a lower risk of multiple organ failure and nosocomial infection, and this protection remained unchanged in young and old subgroup analysis.", "The ANSWER states that the protective effect of female gender is significantly influenced by hormonal differences, particularly evident in premenopausal women compared to postmenopausal women and men of similar ages.", "This aligns with the CONTEXT, which mentions that menopausal status is a significant confounder in the study of gender differences in trauma outcomes.", "Therefore, the ANSWER is faithful to the CONTEXT as it accurately reflects the findings and influences described in the study.'" ]

{ "_id": 22236315, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that driving distances and times from patient residence to primary care provider were calculated for 3,917 breast, colorectal (CRC), and lung cancer Medicaid patients in Washington State.', 'The CONTEXT specifies that later stage at diagnosis for breast cancer Medicaid patients is associated with travel burden (OR = 1.488 per 100 driving miles, P=.037 and OR = 1.270 per driving hour, P=.016).', 'The CONTEXT also states that time-to-treatment after diagnosis of CRC is associated with travel burden (14.57 days per 100 driving miles, P=.002 and 5.86 days per driving hour, P=.018).', 'The ANSWER correctly states that travel burden is associated with timely diagnosis and treatment for some types of cancer.', 'The ANSWER also accurately mentions that driving time was generally a better predictor of timeliness of cancer diagnosis and treatment than driving distance, which aligns with the CONTEXT.', 'The ANSWER suggests that more intensive efforts at early detection of breast cancer and early treatment of CRC for Medicaid patients who live in remote areas may be needed, which is a reasonable conclusion based on the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT indicates that driving distances and times from patient residence to primary care provider were calculated for 3,917 breast, colorectal (CRC), and lung cancer Medicaid patients in Washington State.", "The CONTEXT specifies that later stage at diagnosis for breast cancer Medicaid patients is associated with travel burden (OR = 1.488 per 100 driving miles, P=.037 and OR = 1.270 per driving hour, P=.016).", "The CONTEXT also states that time-to-treatment after diagnosis of CRC is associated with travel burden (14.57 days per 100 driving miles, P=.002 and 5.86 days per driving hour, P=.018).", "The ANSWER correctly states that travel burden is associated with timely diagnosis and treatment for some types of cancer.", "The ANSWER also accurately mentions that driving time was generally a better predictor of timeliness of cancer diagnosis and treatment than driving distance, which aligns with the CONTEXT.", "The ANSWER suggests that more intensive efforts at early detection of breast cancer and early treatment of CRC for Medicaid patients who live in remote areas may be needed, which is a reasonable conclusion based on the CONTEXT.'" ]

{ "_id": 26852225, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes a study that investigates the factors associated with sleep disorders in adult Japanese before and after adjustment for reporting heterogeneity in self-reports.', 'The study found that without correction for cut-point shifts, age, sex, and the number of comorbidities were significantly associated with a greater severity of sleep-related problems.', 'After correction, age, the number of comorbidities, and regular exercise were significantly associated with a greater severity of sleep-related problems; sex was no longer a significant factor.', 'The CHOPIT model provided two changes with a subtle difference in the magnitude of regression coefficients after correction for reporting heterogeneity.', \"The ANSWER states that correction for reporting heterogeneity using anchoring vignettes is not a necessary tool, which aligns with the CONTEXT's findings that the CHOPIT model provided subtle changes in regression coefficients, indicating that the adjustment did not significantly alter the results.\", 'The ANSWER also mentions that gender differences in communicating sleep-related problems, the presence of multiple morbidities, and regular exercise should be the focus of policies and clinical practice, which is consistent with the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT describes a study that investigates the factors associated with sleep disorders in adult Japanese before and after adjustment for reporting heterogeneity in self-reports.", "The study found that without correction for cut-point shifts, age, sex, and the number of comorbidities were significantly associated with a greater severity of sleep-related problems.", "After correction, age, the number of comorbidities, and regular exercise were significantly associated with a greater severity of sleep-related problems; sex was no longer a significant factor.", "The CHOPIT model provided two changes with a subtle difference in the magnitude of regression coefficients after correction for reporting heterogeneity.', \"The ANSWER states that correction for reporting heterogeneity using anchoring vignettes is not a necessary tool, which aligns with the CONTEXT's findings that the CHOPIT model provided subtle changes in regression coefficients, indicating that the adjustment did not significantly alter the results.\", 'The ANSWER also mentions that gender differences in communicating sleep-related problems, the presence of multiple morbidities, and regular exercise should be the focus of policies and clinical practice, which is consistent with the CONTEXT.'" ]

{ "_id": 10411439, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT describes that the use of the modified lithotomy position during pelvic surgery is not associated with any demonstrable decrease in lower limb perfusion.', 'The CONTEXT also mentions that the addition of 15 degrees head-down tilt during pelvic dissection leads to an immediate and significant drop in lower limb perfusion.', 'The ANSWER correctly states that the use of the modified lithotomy position is associated with lower limb ischemia, which aligns with the CONTEXT.', 'The ANSWER also accurately describes that the addition of the Trendelenburg position causes profound ischemia of the lower limbs, which is supported by the CONTEXT.', 'The recovery period hyperperfusion confined to the muscle compartments is a logical extension of the ischemia described in the CONTEXT, making the ANSWER faithful to the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT describes that the use of the modified lithotomy position during pelvic surgery is not associated with any demonstrable decrease in lower limb perfusion.", "The CONTEXT also mentions that the addition of 15 degrees head-down tilt during pelvic dissection leads to an immediate and significant drop in lower limb perfusion.", "The ANSWER correctly states that the use of the modified lithotomy position is associated with lower limb ischemia, which aligns with the CONTEXT.", "The ANSWER also accurately describes that the addition of the Trendelenburg position causes profound ischemia of the lower limbs, which is supported by the CONTEXT.", "The recovery period hyperperfusion confined to the muscle compartments is a logical extension of the ischemia described in the CONTEXT, making the ANSWER faithful to the CONTEXT.'" ]

{ "_id": 23601294, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT highlights large overlappings between stone types based on mean CT-attenuation values and indicates that most stone types could not be identified using the t-paired test.', 'The CONTEXT mentions that mean CT attenuation values were significantly different for some stone types and at certain voltage levels, indicating a lack of consistency.', 'The ANSWER claims consistent reliability across different brands and models, which contradicts the CONTEXT that shows significant differences in mean CT attenuation values.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT highlights large overlappings between stone types based on mean CT-attenuation values and indicates that most stone types could not be identified using the t-paired test.", "The CONTEXT mentions that mean CT attenuation values were significantly different for some stone types and at certain voltage levels, indicating a lack of consistency.", "The ANSWER claims consistent reliability across different brands and models, which contradicts the CONTEXT that shows significant differences in mean CT attenuation values.'" ]

{ "_id": 22534881, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the correlation between the radiographic transition zone and the total length of aganglionosis is known to be inaccurate.', 'The study aimed to analyze this correlation more precisely and found that radiological findings were concordant with the specimen in pathology in specific cases, but not in others.', 'The global agreement was 58.1%, and the Kappa coefficient was 0.39, which suggests a low correlation.', 'The ANSWER states that the radiographic transition zone generally correlates well with the level of aganglionosis, which contradicts the CONTEXT that highlights the inaccuracy of this correlation.', 'Therefore, the ANSWER is not faithful to the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the correlation between the radiographic transition zone and the total length of aganglionosis is known to be inaccurate.", "The study aimed to analyze this correlation more precisely and found that radiological findings were concordant with the specimen in pathology in specific cases, but not in others.", "The global agreement was 58.1%, and the Kappa coefficient was 0.39, which suggests a low correlation.", "The ANSWER states that the radiographic transition zone generally correlates well with the level of aganglionosis, which contradicts the CONTEXT that highlights the inaccuracy of this correlation.", "Therefore, the ANSWER is not faithful to the CONTEXT.'" ]

{ "_id": 19394934, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses the preparedness of Israeli hospitals for multiple casualty incidents, specifically mentioning that the Emergency and Disaster Medicine Division in the Israeli Ministry of Health defines a key of 20 percent of each hospital's bed capacity as its readiness for multiple casualties.', 'The CONTEXT provides data on the number of casualties and the severity of injuries in HMCIs, but it does not mention a fixed number of casualties that hospitals should be prepared for.', 'The CONTEXT suggests that hospitals should be prepared for a median of 16.5 casualties, but this is not a fixed number that can be easily implemented in hospital preparedness plans.', 'The ANSWER proposes that hospital preparedness can be better defined by a fixed number of casualties rather than a percentile of its bed capacity, which is not supported by the CONTEXT.', 'The CONTEXT does not provide a specific number of casualties that hospitals should be prepared for, only a range (4-56) and a median (16.5).'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT discusses the preparedness of Israeli hospitals for multiple casualty incidents, specifically mentioning that the Emergency and Disaster Medicine Division in the Israeli Ministry of Health defines a key of 20 percent of each hospital's bed capacity as its readiness for multiple casualties.", "The CONTEXT provides data on the number of casualties and the severity of injuries in HMCIs, but it does not mention a fixed number of casualties that hospitals should be prepared for.", "The CONTEXT suggests that hospitals should be prepared for a median of 16.5 casualties, but this is not a fixed number that can be easily implemented in hospital preparedness plans.", "The ANSWER proposes that hospital preparedness can be better defined by a fixed number of casualties rather than a percentile of its bed capacity, which is not supported by the CONTEXT.", "The CONTEXT does not provide a specific number of casualties that hospitals should be prepared for, only a range (4-56) and a median (16.5).'" ]

{ "_id": 25155638, "label": "FAIL", "text": " \n{\"REASONING\": ['The context indicates that routine offering of influenza vaccination in office-based settings does have an impact on reducing racial and ethnic disparities in influenza vaccination.', 'The context states that the frequency of \"missed opportunities\" for influenza vaccination in office-based settings was significantly higher among racial and ethnic minorities than non-Hispanic whites.', 'Eliminating these \"missed opportunities\" could have cut racial and ethnic disparities in influenza vaccination by roughly one half.', 'Therefore, the answer incorrectly states that routine offering of influenza vaccination in office-based settings does not significantly impact racial and ethnic disparities in adult influenza vaccination, which contradicts the context.'], \"SCORE\": FAIL}\n" }

[ "'The context indicates that routine offering of influenza vaccination in office-based settings does have an impact on reducing racial and ethnic disparities in influenza vaccination.", "The context states that the frequency of \"missed opportunities\" for influenza vaccination in office-based settings was significantly higher among racial and ethnic minorities than non-Hispanic whites.", "Eliminating these \"missed opportunities\" could have cut racial and ethnic disparities in influenza vaccination by roughly one half.", "Therefore, the answer incorrectly states that routine offering of influenza vaccination in office-based settings does not significantly impact racial and ethnic disparities in adult influenza vaccination, which contradicts the context.'" ]

{ "_id": 19409117, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses a study that evaluated the efficacy of extracorporeal shock wave lithotripsy (SWL) on lower calyceal calculi in relation to renal anatomical factors.', 'The study measured various renal anatomical factors, including infundibulopelvic angle, lower infundibulum width, lower infundibulum length, ratio length/width, infundibulum height, and number of minor calyces in the lower calyceal group.', 'The CONTEXT specifically mentions that the only parameter in which significant differences were found between the NR (no residual fragments) and R (residual fragments) groups was infundibulum height.', 'The ANSWER states that higher infundibular height could be a good measurement tool for deciding which patients with lower calyceal lithiasis would benefit from SWL treatment, which aligns with the CONTEXT.', 'The ANSWER also provides a specific threshold of more than 22 mm for infundibular height, which suggests a good outcome from lithotripsy, which is consistent with the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT discusses a study that evaluated the efficacy of extracorporeal shock wave lithotripsy (SWL) on lower calyceal calculi in relation to renal anatomical factors.", "The study measured various renal anatomical factors, including infundibulopelvic angle, lower infundibulum width, lower infundibulum length, ratio length/width, infundibulum height, and number of minor calyces in the lower calyceal group.", "The CONTEXT specifically mentions that the only parameter in which significant differences were found between the NR (no residual fragments) and R (residual fragments) groups was infundibulum height.", "The ANSWER states that higher infundibular height could be a good measurement tool for deciding which patients with lower calyceal lithiasis would benefit from SWL treatment, which aligns with the CONTEXT.", "The ANSWER also provides a specific threshold of more than 22 mm for infundibular height, which suggests a good outcome from lithotripsy, which is consistent with the CONTEXT.'" ]

{ "_id": 20187289, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT discusses the use of prescription data to estimate asthma prevalence in children, highlighting the differences in prevalence rates between different age groups and data sources.', 'The CONTEXT does not provide evidence that asthma medications are prescribed primarily for asthma. It mentions that prevalence rates were highest in infants and declined with age, but it does not link this to the reliability of prescription data for diagnosing asthma.', 'The CONTEXT suggests that prescription data should be used with caution and mentions the need for additional validation studies, which contradicts the ANSWER\\'s claim that prescriptions are a reliable proxy for diagnosing asthma.', 'The ANSWER does not address the CONTEXT\\'s concerns about the limitations of prescription data and the need for additional validation, making it an unfaithful response to the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT discusses the use of prescription data to estimate asthma prevalence in children, highlighting the differences in prevalence rates between different age groups and data sources.", "The CONTEXT does not provide evidence that asthma medications are prescribed primarily for asthma. It mentions that prevalence rates were highest in infants and declined with age, but it does not link this to the reliability of prescription data for diagnosing asthma.", "The CONTEXT suggests that prescription data should be used with caution and mentions the need for additional validation studies, which contradicts the ANSWER\\'s claim that prescriptions are a reliable proxy for diagnosing asthma.", "The ANSWER does not address the CONTEXT\\'s concerns about the limitations of prescription data and the need for additional validation, making it an unfaithful response to the CONTEXT.'" ]

{ "_id": 20537205, "label": "FAIL", "text": " \n{\"REASONING\": ['The context describes studies on the effect of halofantrine on guinea pig cochlea specimens.', 'The halofantrine therapeutic dose group showed loss and distortion of inner hair cells and inner phalangeal cells, and loss of spiral ganglia cells.', 'The halofantrine double therapeutic dose group showed distortion of both inner and outer hair cells and loss of spiral ganglia cells.', 'The answer states that halofantrine has no significant pathological effects on cochlea histology and cannot be considered an ototoxic drug, which contradicts the context.'], \"SCORE\": FAIL}\n" }

[ "'The context describes studies on the effect of halofantrine on guinea pig cochlea specimens.", "The halofantrine therapeutic dose group showed loss and distortion of inner hair cells and inner phalangeal cells, and loss of spiral ganglia cells.", "The halofantrine double therapeutic dose group showed distortion of both inner and outer hair cells and loss of spiral ganglia cells.", "The answer states that halofantrine has no significant pathological effects on cochlea histology and cannot be considered an ototoxic drug, which contradicts the context.'" ]

{ "_id": 23497210, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that while there are some limitations in identifying women with major depression in pregnancy using population health data, it is not impossible.', 'The CONTEXT mentions that only 899 pregnancies were found in both the antidepressant dispensing and hospital admission groups, which suggests that there is some overlap but not complete accuracy.', 'The CONTEXT also notes that 80% of women dispensed an antidepressant did not have depression recorded as a comorbidity on their hospital records, indicating a discrepancy.', 'The ANSWER claims that population health data provide a complete and accurate profile for identifying women with major depression in pregnancy, which is not fully supported by the CONTEXT.', 'The CONTEXT suggests that the prevalence of depression is around 16%, which is not directly supported by the data provided.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that while there are some limitations in identifying women with major depression in pregnancy using population health data, it is not impossible.", "The CONTEXT mentions that only 899 pregnancies were found in both the antidepressant dispensing and hospital admission groups, which suggests that there is some overlap but not complete accuracy.", "The CONTEXT also notes that 80% of women dispensed an antidepressant did not have depression recorded as a comorbidity on their hospital records, indicating a discrepancy.", "The ANSWER claims that population health data provide a complete and accurate profile for identifying women with major depression in pregnancy, which is not fully supported by the CONTEXT.", "The CONTEXT suggests that the prevalence of depression is around 16%, which is not directly supported by the data provided.'" ]

{ "_id": 11882828, "label": "FAIL", "text": " \n{\"REASONING\": ['The context describes a study where tranexamic acid was administered to patients undergoing coronary artery bypass operations to assess its effect on desmopressin-induced hyperfibrinolysis.', 'The study found that group 2 (desmopressin + tranexamic acid) had significantly less drainage, fewer transfusions of packed red blood cells and fresh frozen plasma, and higher fibrinogen levels compared to group 1 (desmopressin alone).', 'The context supports the conclusion that tranexamic acid reduces desmopressin-induced hyperfibrinolysis.', 'The answer incorrectly states that tranexamic acid administration does not significantly reduce desmopressin and bypass-induced hyperfibrinolysis, which contradicts the findings presented in the context.'], \"SCORE\": FAIL}\n" }

[ "'The context describes a study where tranexamic acid was administered to patients undergoing coronary artery bypass operations to assess its effect on desmopressin-induced hyperfibrinolysis.", "The study found that group 2 (desmopressin + tranexamic acid) had significantly less drainage, fewer transfusions of packed red blood cells and fresh frozen plasma, and higher fibrinogen levels compared to group 1 (desmopressin alone).", "The context supports the conclusion that tranexamic acid reduces desmopressin-induced hyperfibrinolysis.", "The answer incorrectly states that tranexamic acid administration does not significantly reduce desmopressin and bypass-induced hyperfibrinolysis, which contradicts the findings presented in the context.'" ]

{ "_id": 24019262, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides evidence that high blood pressure is associated with a lower risk of chronic low back pain in disease-free women.', 'The CONTEXT mentions that in the prospective study, baseline pulse pressure and systolic pressure were inversely associated with the risk of low back pain in disease-free women.', 'The CONTEXT also notes that no associations were indicated with the occurrence of pain in individuals with low back pain at baseline.', 'The ANSWER correctly states that high blood pressure reduces the risk of chronic low back pain, which aligns with the findings in the CONTEXT.', 'The ANSWER also mentions that the results are consistent with the theory of hypertension-associated hypalgesia, which is a reasonable interpretation based on the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT provides evidence that high blood pressure is associated with a lower risk of chronic low back pain in disease-free women.", "The CONTEXT mentions that in the prospective study, baseline pulse pressure and systolic pressure were inversely associated with the risk of low back pain in disease-free women.", "The CONTEXT also notes that no associations were indicated with the occurrence of pain in individuals with low back pain at baseline.", "The ANSWER correctly states that high blood pressure reduces the risk of chronic low back pain, which aligns with the findings in the CONTEXT.", "The ANSWER also mentions that the results are consistent with the theory of hypertension-associated hypalgesia, which is a reasonable interpretation based on the CONTEXT.'" ]

{ "_id": 27581329, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study aimed to develop a new BMR prediction equation for Chinese adults applicable for a large BMI range and compare it with commonly used prediction equations.', 'The CONTEXT mentions that the newly derived equation was cross-validated in a separate group of 70 Chinese subjects and achieved an accuracy rate of 80%.', 'The CONTEXT does not state that the Harris-Benedict equation is the most accurate BMR prediction equation in Chinese.', 'The CONTEXT suggests that the newly developed equation outperforms the Harris-Benedict equation in terms of accuracy.', 'Therefore, the ANSWER incorrectly states that the Harris-Benedict equation is the most accurate BMR prediction equation in Chinese, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the study aimed to develop a new BMR prediction equation for Chinese adults applicable for a large BMI range and compare it with commonly used prediction equations.", "The CONTEXT mentions that the newly derived equation was cross-validated in a separate group of 70 Chinese subjects and achieved an accuracy rate of 80%.", "The CONTEXT does not state that the Harris-Benedict equation is the most accurate BMR prediction equation in Chinese.", "The CONTEXT suggests that the newly developed equation outperforms the Harris-Benedict equation in terms of accuracy.", "Therefore, the ANSWER incorrectly states that the Harris-Benedict equation is the most accurate BMR prediction equation in Chinese, which is not supported by the CONTEXT.'" ]

{ "_id": 27554179, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the metastasis rate of station 9 lymph nodes was significantly lower than other mediastinal stations.', 'The CONTEXT states that the metastasis status of station 9 had no significant influence on survival.', 'The ANSWER incorrectly states that the metastasis rate was significantly higher than other mediastinal stations.', 'The ANSWER also incorrectly claims that the metastasis status of station 9 had a significant influence on tumor staging and prognosis, which contradicts the CONTEXT.', 'The CONTEXT does not support the necessity of routine dissection of station 9 lymph nodes, contrary to what the ANSWER claims.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the metastasis rate of station 9 lymph nodes was significantly lower than other mediastinal stations.", "The CONTEXT states that the metastasis status of station 9 had no significant influence on survival.", "The ANSWER incorrectly states that the metastasis rate was significantly higher than other mediastinal stations.", "The ANSWER also incorrectly claims that the metastasis status of station 9 had a significant influence on tumor staging and prognosis, which contradicts the CONTEXT.", "The CONTEXT does not support the necessity of routine dissection of station 9 lymph nodes, contrary to what the ANSWER claims.'" ]

{ "_id": 18403945, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that laparoscopic antireflux surgery significantly improved quality of life in reflux patients whose symptoms were poorly controlled on medical therapy.', 'The CONTEXT also mentions that patients whose symptoms were well controlled on medical therapy but who underwent surgery experienced improved quality of life.', 'The ANSWER incorrectly states that the surgery significantly improved quality of life in reflux patients whose symptoms were poorly controlled on medical therapy, which contradicts the CONTEXT.', 'The CONTEXT supports that the surgery can improve quality of life in both groups of patients, but the ANSWER misrepresents the primary group benefiting from the surgery.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that laparoscopic antireflux surgery significantly improved quality of life in reflux patients whose symptoms were poorly controlled on medical therapy.", "The CONTEXT also mentions that patients whose symptoms were well controlled on medical therapy but who underwent surgery experienced improved quality of life.", "The ANSWER incorrectly states that the surgery significantly improved quality of life in reflux patients whose symptoms were poorly controlled on medical therapy, which contradicts the CONTEXT.", "The CONTEXT supports that the surgery can improve quality of life in both groups of patients, but the ANSWER misrepresents the primary group benefiting from the surgery.'" ]

{ "_id": 10381996, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the overall physician sensitivity for predicting ACS was only 39%, and diagnostic accuracy did not improve significantly with increasing levels of pediatric training.', 'The CONTEXT also mentions that no symptom or physical examination finding helped to identify which patients had ACS, and that the presentation of patients with clinically detected versus clinically unsuspected ACS did not differ significantly.', 'The ANSWER states that history and physical examination appear to be of little value in defining which febrile patients require CXR, which aligns with the CONTEXT.', 'The ANSWER also notes that experienced physicians can often accurately predict the presence of ACS without the need for CXR, especially in cases where patients exhibit specific symptoms such as splinting, which is supported by the CONTEXT.', 'The ANSWER is faithful to the CONTEXT because it accurately reflects the findings that ACS is common and was underestimated by evaluating physicians, and that the value of chest radiography is questionable for identifying ACS.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT indicates that the overall physician sensitivity for predicting ACS was only 39%, and diagnostic accuracy did not improve significantly with increasing levels of pediatric training.", "The CONTEXT also mentions that no symptom or physical examination finding helped to identify which patients had ACS, and that the presentation of patients with clinically detected versus clinically unsuspected ACS did not differ significantly.", "The ANSWER states that history and physical examination appear to be of little value in defining which febrile patients require CXR, which aligns with the CONTEXT.", "The ANSWER also notes that experienced physicians can often accurately predict the presence of ACS without the need for CXR, especially in cases where patients exhibit specific symptoms such as splinting, which is supported by the CONTEXT.", "The ANSWER is faithful to the CONTEXT because it accurately reflects the findings that ACS is common and was underestimated by evaluating physicians, and that the value of chest radiography is questionable for identifying ACS.'" ]

{ "_id": 12595848, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the survival rate was highest in the MIXED group (19%) and lowest in the no-GM/CARD group (29%).', 'The risk of death was highest in the no-GM/CARD group (1.48 [1.28-1.72]) and lowest in the MIXED group (1.12 [0.94-1.34]).', 'The ANSWER incorrectly states that general practitioner care alone (GM-only) was associated with improved survival compared to cardiologist care and a mixture of general practitioner and cardiologist care.', 'The CONTEXT actually supports that a mixture of general practitioner and cardiologist care (MIXED) was associated with the lowest risk of death and highest survival rate.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the survival rate was highest in the MIXED group (19%) and lowest in the no-GM/CARD group (29%).", "The risk of death was highest in the no-GM/CARD group (1.48 [1.28-1.72" ]

{ "_id": 23949294, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides data on the feasibility of maintaining viral load suppression over time in a resource-limited setting.', 'The study found that 87.3% of patients had undetectable viral load, and 46.8% had never experienced virologic failure.', 'Only 16.5% of patients were receiving third-line ART regimens, and these patients had an average of 2.7-fold more virologic failures than those on first- or second-line regimens.', 'The CONTEXT does not state that maintaining viral load suppression over time is not feasible; rather, it provides data showing that a significant portion of patients were able to maintain suppression without experiencing significant resistance or the need for third-line regimens.', 'The ANSWER incorrectly states that maintaining viral load suppression over time is not feasible, which contradicts the data provided in the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT provides data on the feasibility of maintaining viral load suppression over time in a resource-limited setting.", "The study found that 87.3% of patients had undetectable viral load, and 46.8% had never experienced virologic failure.", "Only 16.5% of patients were receiving third-line ART regimens, and these patients had an average of 2.7-fold more virologic failures than those on first- or second-line regimens.", "The CONTEXT does not state that maintaining viral load suppression over time is not feasible; rather, it provides data showing that a significant portion of patients were able to maintain suppression without experiencing significant resistance or the need for third-line regimens.", "The ANSWER incorrectly states that maintaining viral load suppression over time is not feasible, which contradicts the data provided in the CONTEXT.'" ]

{ "_id": 26879871, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the relationship between neighbourhood ethnic density and new depression diagnosis varies by ethnic group.', 'For some groups, an increase in own-ethnic density is associated with a reduced odds of depression (e.g., Pakistani, Indian, African, Bangladeshi).', 'For other groups, an increase in own-ethnic density is associated with an increased odds of depression (e.g., black Caribbean).', 'The ANSWER states that new depression diagnosis and antidepressant use is more likely in areas of higher own-ethnic density for all ethnic groups, which contradicts the CONTEXT.', 'The CONTEXT specifically mentions that the effect of higher own-ethnic density is not statistically significant for black Caribbeans, making the ANSWER even more unlikely to be faithful to the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the relationship between neighbourhood ethnic density and new depression diagnosis varies by ethnic group.", "For some groups, an increase in own-ethnic density is associated with a reduced odds of depression (e.g., Pakistani, Indian, African, Bangladeshi).", "For other groups, an increase in own-ethnic density is associated with an increased odds of depression (e.g., black Caribbean).", "The ANSWER states that new depression diagnosis and antidepressant use is more likely in areas of higher own-ethnic density for all ethnic groups, which contradicts the CONTEXT.", "The CONTEXT specifically mentions that the effect of higher own-ethnic density is not statistically significant for black Caribbeans, making the ANSWER even more unlikely to be faithful to the CONTEXT.'" ]

{ "_id": 17919952, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study examined the association of chronic oro-facial pain with a variety of self-reported mechanical factors.', 'The study found that only two mechanical factors: teeth grinding and facial trauma were independently associated with chronic oro-facial pain after adjusting for psychological factors.', 'The CONTEXT also mentions that these factors were commonly associated with the reporting of other frequently unexplained syndromes.', 'The ANSWER states that self-reported mechanical factors are independent of psychological factors and specific to oro-facial conditions, which aligns with the findings in the CONTEXT.', 'The ANSWER also suggests that extensive invasive therapy may be justified, which is a reasonable conclusion based on the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT indicates that the study examined the association of chronic oro-facial pain with a variety of self-reported mechanical factors.", "The study found that only two mechanical factors: teeth grinding and facial trauma were independently associated with chronic oro-facial pain after adjusting for psychological factors.", "The CONTEXT also mentions that these factors were commonly associated with the reporting of other frequently unexplained syndromes.", "The ANSWER states that self-reported mechanical factors are independent of psychological factors and specific to oro-facial conditions, which aligns with the findings in the CONTEXT.", "The ANSWER also suggests that extensive invasive therapy may be justified, which is a reasonable conclusion based on the CONTEXT.'" ]

{ "_id": 25957366, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT indicates that the study aimed to determine if automated, at-the-visit tailored prompts about family history risk would change PCP behavior.', 'The CONTEXT provides data on PCP responses to the prompts, including reviewing family history, discussing it with patients, and ordering tests/referrals.', \"However, the CONTEXT also states that there was no significant change in problem summary list documentation of risk status or screening interventions for any of the 6 diseases.\", 'The ANSWER claims that the prompts significantly improved PCPs'ability to identify patients at high risk for 6 common conditions, which contradicts the CONTEXT.'], \"SCORE\": FAIL}\n" }

[ "'The CONTEXT indicates that the study aimed to determine if automated, at-the-visit tailored prompts about family history risk would change PCP behavior.", "The CONTEXT provides data on PCP responses to the prompts, including reviewing family history, discussing it with patients, and ordering tests/referrals.', \"However, the CONTEXT also states that there was no significant change in problem summary list documentation of risk status or screening interventions for any of the 6 diseases.\", 'The ANSWER claims that the prompts significantly improved PCPs'ability to identify patients at high risk for 6 common conditions, which contradicts the CONTEXT.'" ]

{ "_id": 21198823, "label": "FAIL", "text": " \n{\"REASONING\": ['The context states that none of the patients had elevated cTnI 18-24 hours after the DSE.', 'The answer claims that there is a slight elevation of cTn despite the occurrence of significant WMAs on DSE, which contradicts the context.', 'The context does not support the conclusion that cTnI can be used as an additional diagnostic tool during pharmacological stress tests.'], \"SCORE\": FAIL}\n" }

[ "'The context states that none of the patients had elevated cTnI 18-24 hours after the DSE.", "The answer claims that there is a slight elevation of cTn despite the occurrence of significant WMAs on DSE, which contradicts the context.", "The context does not support the conclusion that cTnI can be used as an additional diagnostic tool during pharmacological stress tests.'" ]

{ "_id": 25186850, "label": "FAIL", "text": " \n{\"REASONING\": ['The CONTEXT provides a detailed comparison between student examiners (SE) and faculty examiners (FE) in an undergraduate OSCE on medical emergencies.', 'The study found that students achieved significantly higher scores for certain OSCE stations and the overall OSCE score in the SE track, indicating that SEs may be more effective in summative testing.', 'The CONTEXT also mentions that students gave significantly higher ratings for the ACS station and overall OSCE evaluation in the FE track, suggesting that SEs may be more effective in formative assessment evaluations.', 'The ANSWER reflects this by stating that SEs are admissible and justified as examiners in undergraduate emergency medicine OSCE summative testing, but not necessarily in formative assessment evaluations, aligning with the findings in the CONTEXT.'], \"SCORE\": PASS}\n" }

[ "'The CONTEXT provides a detailed comparison between student examiners (SE) and faculty examiners (FE) in an undergraduate OSCE on medical emergencies.", "The study found that students achieved significantly higher scores for certain OSCE stations and the overall OSCE score in the SE track, indicating that SEs may be more effective in summative testing.", "The CONTEXT also mentions that students gave significantly higher ratings for the ACS station and overall OSCE evaluation in the FE track, suggesting that SEs may be more effective in formative assessment evaluations.", "The ANSWER reflects this by stating that SEs are admissible and justified as examiners in undergraduate emergency medicine OSCE summative testing, but not necessarily in formative assessment evaluations, aligning with the findings in the CONTEXT.'" ]