[Show abstract][Hide abstract] ABSTRACT: Background: Numerous clinical practices and professional societies provide Internet based patient education materials (PEMs) to the general public, but not all of this information is written at a reading level appropriate for the average patient. The National Institutes of Health and US Department of Health and Human Services recommend that PEMs be written at a fourth-to-sixth grade level.
Objectives: Our purpose was to assess the readability of Rhinoplasty-related PEMs available on the Internet with a subgrouping based on whether they were authored by either clinical practices or professional societies.
Methods: A correlational design was used in this study. The readability of 20 Rhinoplasty-related PEMs was assessed with 4 different readability indexes: Flesch-Kincaid Grade Level (FKGL), Flesch Reading Ease Score (FRES), Simple Measure of Gobbledygook (SMOG), and Gunning Frequency of Gobbledygook (Gunning FOG). The scores for each PEM were evaluated against the national recommendations using t-tests. The 20 PEMs were then grouped into two sub-categories, based on authorship, and evaluated for any differences.
Results: All of the PEMs analyzed were written above the national recommendation of fourth-to-sixth grade level, based on both the FRES and the FKGL. The mean readability scores were FRES 50.10 (+/- 6.56), FKGL 10.40 (+/- 1.26), SMOG 13.07 (+/- 0.92), and Gunning FOG 13.31 (+/- 1.17).
Conclusions: Current Internet-based PEMs related to Rhinoplasty, regardless of authorship, were written well above the recommended fourth-to-sixth grade level. Material written at too high reading levels may significantly hinder the ability of average Americans to fully understand complex medical procedures, like Rhinoplasty. As such, we encourage authors to revise their PEMs according to national guidelines and make them easily comprehensible for patients, thereby effectively increasing both understanding and informed decision-making.
[Show abstract][Hide abstract] ABSTRACT: Introduction
Patients frequently turn to the Internet when seeking answers to healthcare related inquiries including questions about the effects of radiation when undergoing radiologic studies. We investigate the readability of online patient education materials concerning radiation safety from multiple Internet resources.
Patient education material regarding radiation safety was downloaded from 8 different websites encompassing: 1) the Centers for Disease Control and Prevention, 2) the Environmental Protection Agency, 3) the European Society of Radiology, 4) the Food and Drug Administration, 5) the Mayo Clinic, 6) MedlinePlus, 7) the Nuclear Regulatory Commission, and 8) the Society of Pediatric Radiology. From these 8 resources, a total of 45 articles were analyzed for their level of readability using 10 different readability scales.
The 45 articles had a level of readability ranging from 9.4 to the 17.2 grade level. Only 3/45 (6.7%) were written below the 10th grade level. No statistical difference was seen between the readability level of the 8 different websites.
All 45 articles from all 8 websites failed to meet the recommendations set forth by the National Institutes of Health and American Medical Association that patient education resources be written between the 3rd and 7th grade level. Rewriting the patient education resources on radiation safety from each of these 8 websites would help many consumers of healthcare information adequately comprehend such material.
No preview · Article · Sep 2014 · European Journal of Radiology
[Show abstract][Hide abstract] ABSTRACT: Osteoid osteomas are benign bone lesions that present with bone pain in children and young adults. Over the last 2 decades, radiofrequency ablation has become the mainstay of treatment and is now preferred over surgical resection. Major complications of the procedure are very rare, consisting mostly of local skin burns. We present a case of a child presenting with a gluteal pseudoaneursym following CT-guided radiofrequency ablation of an acetabular osteoid osteoma, which was then treated successfully with percutaneous thrombin injection.
No preview · Article · Jul 2014 · Skeletal Radiology
[Show abstract][Hide abstract] ABSTRACT: Fractures of the hyoid bone are rare occurrences. They are mainly caused by strangulation/asphyxiation injuries, trauma to the neck, and motor vehicle accidents (MVAs). As a result of their rarity, proper treatment guidelines are not in place for dealing with these injuries. In this study, a systematic literature review was conducted with the goal of identifying optimal management for patients with fracture of the hyoid bone.
MEDLINE and PubMed databases.
The MEDLINE and PubMed databases were searched for patients diagnosed with hyoid bone fracture. Further cases were obtained from the bibliographies of relevant articles. Full-text articles were obtained. Patient presentation, method of diagnosis, treatment regimen, and outcomes are discussed.
Forty-six cases were collected from 36 articles. No randomized controlled trials regarding treatment of hyoid fractures were found. The most common etiologies were MVA, assault, and neck trauma during athletic activities. Most common presenting symptoms included dysphagia, odynophagia, and pain upon neck rotation. Most frequent presenting signs included anterior neck tenderness and swelling. Five cases out of 46 had surgical repair of the fractured hyoid bone. In the remaining 41 cases, 26 were treated with conservative management, which included rest/observation, diet changes, and analgesia, while the other 15 cases required tracheotomy or surgical treatment for related injuries. All patients survived and had excellent outcomes with resolution of symptoms.
This review shows that direct surgical treatment of hyoid fractures was performed in only 10.9% of cases. Both conservative and surgical management yielded positive outcomes.
No preview · Article · Jun 2012 · Otolaryngology Head and Neck Surgery
[Show abstract][Hide abstract] ABSTRACT: Prepontine epidural abscesses are extremely rare disease entities. To our knowledge, only 2 previous cases have been reported in the literature, neither of which was attributed to rhinosinusitis. Although the precise incidence of intracranial complications of rhinosinusitis is unknown, it is estimated that 3% to 4% of patients who are hospitalized for sinusitis develop central nervous system involvement. Suppurative intracranial complications of acute bacterial rhinosinusitis (ABRS) include subdural empyema, epidural and intraparenchymal abscesses, meningitis, thrombosis of the dural sinuses, and cavernous sinus thrombosis. We report an unusual case of a prepontine epidural abscess that developed from ethmoid and sphenoid bacterial sinusitis and resulted in right sixth nerve palsy. Institutional review board approval was obtained from the University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark.
No preview · Article · May 2012 · Archives of otolaryngology--head & neck surgery
[Show abstract][Hide abstract] ABSTRACT: Miller Fisher syndrome (MFS), a variant of Guillain-Barré syndrome, is a rare disorder typically characterized by a triad of ataxia, areflexia, and ophthalmoplegia, which may have a highly variable clinical presentation. We report a case of MFS in a 45-year-old female presenting with sphenoid sinusitis and sixth nerve palsy. She underwent endoscopic sphenoid sinusotomy without improvement, had postoperative deterioration, was diagnosed with MFS, and was treated with intravenous immunoglobulin with complete response. Because of the potential severity of Guillain-Barré syndrome, great vigilance should be taken when examining sixth nerve palsies to prevent misdiagnosis and delay in treatment of the MFS variant of this disease.
No preview · Article · May 2012 · The Laryngoscope