Datasets:

PatronusAI

/

evaluation-pubmedqa-test-llama3-8b-drop-ragtruth-covidqa-pubmed-QzcEXR-ba1500

like 0

{ "_id": 25394614, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the early surfactant group had more CLD and mortality (40.2% versus 20.0%) compared to the late surfactant group.', 'The multivariable analysis showed that early surfactant administration was associated with less duration of ventilation, longer duration of CPAP, and longer hospital stay, but had little or no impact on CLD/mortality.', 'The answer incorrectly states that early surfactant administration significantly reduces the rates of chronic lung disease and mortality, which contradicts the context provided.'], \"SCORE\": FAIL}" }

[ "'The context indicates that the early surfactant group had more CLD and mortality (40.2% versus 20.0%) compared to the late surfactant group.", "The multivariable analysis showed that early surfactant administration was associated with less duration of ventilation, longer duration of CPAP, and longer hospital stay, but had little or no impact on CLD/mortality.", "The answer incorrectly states that early surfactant administration significantly reduces the rates of chronic lung disease and mortality, which contradicts the context provided.'" ]

{ "_id": 18847643, "label": "FAIL", "text": "{\"REASONING\": ['The context provides data on the incidence of complications in trauma patients undergoing therapeutic anticoagulation.', 'The study found that 21% of patients had at least one anticoagulation complication, with the most common being a sudden drop in hemoglobin concentration requiring blood transfusion.', 'Five patients died, three of whom had significant hemorrhage attributed to anticoagulation.', 'The context identifies certain patient factors associated with complications, such as chronic obstructive pulmonary disease, use of unfractionated heparin, and lower initial platelet count.', 'The answer states that complications are generally manageable and not significantly associated with patient characteristics, which contradicts the context that specifies certain patient factors are associated with complications.', 'The answer also downplays the significance of the complications, as it mentions they are manageable but does not acknowledge the severity of the hemorrhage that led to death in some patients.'], \"SCORE\": FAIL}" }

[ "'The context provides data on the incidence of complications in trauma patients undergoing therapeutic anticoagulation.", "The study found that 21% of patients had at least one anticoagulation complication, with the most common being a sudden drop in hemoglobin concentration requiring blood transfusion.", "Five patients died, three of whom had significant hemorrhage attributed to anticoagulation.", "The context identifies certain patient factors associated with complications, such as chronic obstructive pulmonary disease, use of unfractionated heparin, and lower initial platelet count.", "The answer states that complications are generally manageable and not significantly associated with patient characteristics, which contradicts the context that specifies certain patient factors are associated with complications.", "The answer also downplays the significance of the complications, as it mentions they are manageable but does not acknowledge the severity of the hemorrhage that led to death in some patients.'" ]

{ "_id": 26085176, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides a comparison between STIR and T1-weighted (T1w) sequences in detecting bone metastases at 1.5 T and 3 T.', 'The study found that T1w sequences detected significantly more metastases than STIR sequences at both field strengths (p<0.05).', 'The sensitivity of T1w was much higher than STIR, with values of 99.72% (3 T) and 100.00% (1.5 T) compared to 70.99% (3 T) and 79.34% (1.5 T) for STIR.', 'The qualitative analysis also indicated better lesion conspicuity, lesion delineation, and image quality on T1w compared to STIR.', 'Given these findings, the ANSWER suggesting that the whole-body MRI protocol could be limited to the STIR sequence is not supported by the CONTEXT.', 'The CONTEXT actually argues for the superiority of T1w sequences over STIR sequences, making the ANSWER incorrect.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT provides a comparison between STIR and T1-weighted (T1w) sequences in detecting bone metastases at 1.5 T and 3 T.", "The study found that T1w sequences detected significantly more metastases than STIR sequences at both field strengths (p<0.05).", "The sensitivity of T1w was much higher than STIR, with values of 99.72% (3 T) and 100.00% (1.5 T) compared to 70.99% (3 T) and 79.34% (1.5 T) for STIR.", "The qualitative analysis also indicated better lesion conspicuity, lesion delineation, and image quality on T1w compared to STIR.", "Given these findings, the ANSWER suggesting that the whole-body MRI protocol could be limited to the STIR sequence is not supported by the CONTEXT.", "The CONTEXT actually argues for the superiority of T1w sequences over STIR sequences, making the ANSWER incorrect.'" ]

{ "_id": 24785562, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses the use of dexamethasone as an alternative to prednisone for treating pediatric asthma exacerbations.', 'It mentions that dexamethasone has been used for a shorter duration (1-2 days) compared to prednisone (5-day course).', 'The CONTEXT provides evidence from clinical trials that dexamethasone is not inferior to prednisone in treating mild to moderate asthma exacerbations.', 'The CONTEXT also notes potential benefits of dexamethasone, such as improved compliance and less vomiting.', 'The ANSWER states that dexamethasone can be used as an effective alternative to prednisone, which aligns with the evidence provided in the CONTEXT.', \"The ANSWER also mentions improved compliance, palatability, and cost as benefits, which are supported by the CONTEXT's mention of improved compliance and less vomiting.\"], \"SCORE\": PASS}" }

[ "'The CONTEXT discusses the use of dexamethasone as an alternative to prednisone for treating pediatric asthma exacerbations.", "It mentions that dexamethasone has been used for a shorter duration (1-2 days) compared to prednisone (5-day course).", "The CONTEXT provides evidence from clinical trials that dexamethasone is not inferior to prednisone in treating mild to moderate asthma exacerbations.", "The CONTEXT also notes potential benefits of dexamethasone, such as improved compliance and less vomiting.", "The ANSWER states that dexamethasone can be used as an effective alternative to prednisone, which aligns with the evidence provided in the CONTEXT.', \"The ANSWER also mentions improved compliance, palatability, and cost as benefits, which are supported by the CONTEXT's mention of improved compliance and less vomiting.\"" ]

{ "_id": 19054501, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that schizophrenia patients have motion perception deficits, which were thought to cause eye-tracking abnormalities.', 'The CONTEXT describes experiments that show speed discrimination thresholds were significantly higher in schizophrenia patients compared to control subjects, particularly at 300 msec stimulus duration.', 'The CONTEXT also mentions that the frequency of eye tracking during the 300 msec stimulus was significantly correlated with speed discrimination in control subjects but not in patients, suggesting eye-tracking initiation benefits control subjects but not patients.', 'The ANSWER states that speed discrimination is significantly impaired in schizophrenia patients due to eye-tracking abnormalities, which is not directly supported by the CONTEXT. The CONTEXT suggests a relationship between motion perception deficits and eye-tracking difficulties but does not conclude that eye-tracking abnormalities directly cause motion perception deficits.', 'The ANSWER also implies that the motion perception deficits are primarily due to the inability to track moving objects effectively with their eyes, which is not explicitly supported by the CONTEXT. The CONTEXT does not provide a definitive conclusion that eye-tracking capabilities are the primary cause of motion perception deficits in schizophrenia patients.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that schizophrenia patients have motion perception deficits, which were thought to cause eye-tracking abnormalities.", "The CONTEXT describes experiments that show speed discrimination thresholds were significantly higher in schizophrenia patients compared to control subjects, particularly at 300 msec stimulus duration.", "The CONTEXT also mentions that the frequency of eye tracking during the 300 msec stimulus was significantly correlated with speed discrimination in control subjects but not in patients, suggesting eye-tracking initiation benefits control subjects but not patients.", "The ANSWER states that speed discrimination is significantly impaired in schizophrenia patients due to eye-tracking abnormalities, which is not directly supported by the CONTEXT. The CONTEXT suggests a relationship between motion perception deficits and eye-tracking difficulties but does not conclude that eye-tracking abnormalities directly cause motion perception deficits.", "The ANSWER also implies that the motion perception deficits are primarily due to the inability to track moving objects effectively with their eyes, which is not explicitly supported by the CONTEXT. The CONTEXT does not provide a definitive conclusion that eye-tracking capabilities are the primary cause of motion perception deficits in schizophrenia patients.'" ]

{ "_id": 24947183, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that delaying surgery in immature AIS patients with progressive curves leads to changes in fusion levels.', 'The CONTEXT states that the mean number of levels requiring fusion increased significantly from initial to final follow-up according to all three guidelines (King's, Lenke's, and Suk's).', 'The ANSWER incorrectly states 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}" }

[ "'The CONTEXT indicates that delaying surgery in immature AIS patients with progressive curves leads to changes in fusion levels.", "The CONTEXT states that the mean number of levels requiring fusion increased significantly from initial to final follow-up according to all three guidelines (King's, Lenke's, and Suk's).", "The ANSWER incorrectly states 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": "{\"REASONING\": ['The CONTEXT indicates that there is a concern amongst educators that recorded lectures may reduce student attendance of live lectures.', 'The study sought to determine if prerecorded lecture VODcasts affected attendance at live lectures.', 'The results showed that 84.3% of students attended all 21 lectures, and only 4% of students missed more than one lecture in each series.', '79% of students indicated that VODcasts should not replace live lectures.', 'The ANSWER claims that the attendance of pre-clinical GEM students at live lectures is significantly impacted and that many students view VODcasts as a replacement for live lectures.', 'This is not supported by the CONTEXT, which suggests high attendance rates and a majority of students preferring live lectures over VODcasts.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that there is a concern amongst educators that recorded lectures may reduce student attendance of live lectures.", "The study sought to determine if prerecorded lecture VODcasts affected attendance at live lectures.", "The results showed that 84.3% of students attended all 21 lectures, and only 4% of students missed more than one lecture in each series.", "79% of students indicated that VODcasts should not replace live lectures.", "The ANSWER claims that the attendance of pre-clinical GEM students at live lectures is significantly impacted and that many students view VODcasts as a replacement for live lectures.", "This is not supported by the CONTEXT, which suggests high attendance rates and a majority of students preferring live lectures over VODcasts.'" ]

{ "_id": 22186742, "label": "FAIL", "text": "{\"REASONING\": [\"The context indicates that there were no significant differences in patients' characteristics or survival between those with or without colonoscopy.\", 'The context states that no colonic malignancy was detected, and only 1 advanced adenoma was found.', 'The context explicitly mentions that no new or different diagnosis was made after colonoscopy.', 'The answer claims that colonoscopy significantly affects the management and alters the outcome, which contradicts the context.'], \"SCORE\": FAIL}" }

[ "\"The context indicates that there were no significant differences in patients' characteristics or survival between those with or without colonoscopy.\", 'The context states that no colonic malignancy was detected, and only 1 advanced adenoma was found.", "The context explicitly mentions that no new or different diagnosis was made after colonoscopy.", "The answer claims that colonoscopy significantly affects the management and alters the outcome, which contradicts the context.'" ]

{ "_id": 26037986, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides data on 30-day and 1-year mortality rates following emergency laparotomy.', 'The CONTEXT mentions that 30-day mortality rates are 12.4% for patients under 70 years and 22% for those over 70 years.', 'The CONTEXT also states that 1-year mortality rates are 25.15% for patients under 70 years and 38% for those over 70 years.', 'The ANSWER correctly highlights that emergency laparotomy carries a high rate of mortality, particularly in those under 70 years old.', 'The ANSWER suggests various improvements that could be made, such as increasing acute surgical care manpower, early recognition of patients, and development of clear management protocols, which aligns with the CONTEXT aim of encouraging improvement and best practices.'], \"SCORE\": PASS}" }

[ "'The CONTEXT provides data on 30-day and 1-year mortality rates following emergency laparotomy.", "The CONTEXT mentions that 30-day mortality rates are 12.4% for patients under 70 years and 22% for those over 70 years.", "The CONTEXT also states that 1-year mortality rates are 25.15% for patients under 70 years and 38% for those over 70 years.", "The ANSWER correctly highlights that emergency laparotomy carries a high rate of mortality, particularly in those under 70 years old.", "The ANSWER suggests various improvements that could be made, such as increasing acute surgical care manpower, early recognition of patients, and development of clear management protocols, which aligns with the CONTEXT aim of encouraging improvement and best practices.'" ]

{ "_id": 9444542, "label": "FAIL", "text": "{\"REASONING\": ['The context explicitly states that there were no significant differences in the rate of cognitive decline between subjects with or without HCA.', 'The context mentions that the study found no significant differences in cognitive decline, mortality, or progression to dementia between groups with and without HCA.', 'The answer incorrectly claims that HCA was found to be a significant predictor of subsequent cognitive decline, which contradicts the findings presented in the context.'], \"SCORE\": FAIL}" }

[ "'The context explicitly states that there were no significant differences in the rate of cognitive decline between subjects with or without HCA.", "The context mentions that the study found no significant differences in cognitive decline, mortality, or progression to dementia between groups with and without HCA.", "The answer incorrectly claims that HCA was found to be a significant predictor of subsequent cognitive decline, which contradicts the findings presented in the context.'" ]

{ "_id": 22042121, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses the use of rabbits in surgical training, detailing perioperative care and outcomes.', 'The CONTEXT mentions that rabbits were subjected to different periods of pre-operative fasting and that all animals presented with no gastric content and increased blood glucose levels at the end of the surgical procedure.', 'The CONTEXT does not explicitly state that pre-operative fasting is necessary, only that it was done and the results showed no significant issues.', 'The ANSWER asserts that pre-operative fasting is necessary, which is not directly supported by the CONTEXT. The CONTEXT only provides evidence that fasting did not lead to hypoglycemia and that there was no significant gastric content post-surgery.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses the use of rabbits in surgical training, detailing perioperative care and outcomes.", "The CONTEXT mentions that rabbits were subjected to different periods of pre-operative fasting and that all animals presented with no gastric content and increased blood glucose levels at the end of the surgical procedure.", "The CONTEXT does not explicitly state that pre-operative fasting is necessary, only that it was done and the results showed no significant issues.", "The ANSWER asserts that pre-operative fasting is necessary, which is not directly supported by the CONTEXT. The CONTEXT only provides evidence that fasting did not lead to hypoglycemia and that there was no significant gastric content post-surgery.'" ]

{ "_id": 16956164, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT states that all four ethnic groups (Asian, Pacific, Maori, and European) exhibit deprivation gradients in all-cause mortality.', 'The CONTEXT specifies that Maori show the steepest gradients, while Asian and Pacific peoples have shallower gradients compared to Europeans.', 'The ANSWER correctly states that socio-economic gradients in health exist among all ethnic groups.', 'The ANSWER also accurately reflects the CONTEXT by noting that gradients are relatively shallow among Maori and European peoples.', 'The caution advised in the ANSWER regarding the use of deprivation measures as proxy indicators of need for health services is a reasonable interpretation based on the CONTEXT.'], \"SCORE\": PASS}" }

[ "'The CONTEXT states that all four ethnic groups (Asian, Pacific, Maori, and European) exhibit deprivation gradients in all-cause mortality.", "The CONTEXT specifies that Maori show the steepest gradients, while Asian and Pacific peoples have shallower gradients compared to Europeans.", "The ANSWER correctly states that socio-economic gradients in health exist among all ethnic groups.", "The ANSWER also accurately reflects the CONTEXT by noting that gradients are relatively shallow among Maori and European peoples.", "The caution advised in the ANSWER regarding the use of deprivation measures as proxy indicators of need for health services is a reasonable interpretation based on the CONTEXT.'" ]

{ "_id": 12947068, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT specifies that the benefits of potentially curative therapy (RP or EBRT) are restricted to men with no worse than mild comorbidity.', 'The CONTEXT does not support the claim that potentially curative therapy results in significantly improved LE and QALE for older men with any level of comorbidities.', 'The CONTEXT indicates that for men with well-differentiated tumors and few comorbidities, potentially curative therapy did not improve QALE at any age.', 'The CONTEXT also mentions that for men with moderately differentiated cancers, potentially curative therapy resulted in LE and QALE gains up to age 75 years, but only for those with no worse than mild comorbidity.', 'Therefore, the ANSWER is not faithful to the CONTEXT as it overgeneralizes the benefits of potentially curative therapy to older men with any level of comorbidities and moderately or poorly differentiated localized prostate cancer.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT specifies that the benefits of potentially curative therapy (RP or EBRT) are restricted to men with no worse than mild comorbidity.", "The CONTEXT does not support the claim that potentially curative therapy results in significantly improved LE and QALE for older men with any level of comorbidities.", "The CONTEXT indicates that for men with well-differentiated tumors and few comorbidities, potentially curative therapy did not improve QALE at any age.", "The CONTEXT also mentions that for men with moderately differentiated cancers, potentially curative therapy resulted in LE and QALE gains up to age 75 years, but only for those with no worse than mild comorbidity.", "Therefore, the ANSWER is not faithful to the CONTEXT as it overgeneralizes the benefits of potentially curative therapy to older men with any level of comorbidities and moderately or poorly differentiated localized prostate cancer.'" ]

{ "_id": 21669959, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that families with lower incomes and certain racial/ethnic groups were less likely to have smoking bans in place.', 'The ANSWER incorrectly states that the most disadvantaged families were more likely to have protective health behaviors in place, which contradicts the CONTEXT.', 'The CONTEXT shows that there were significant disparities in smoking bans based on income and race, suggesting that the most disadvantaged families were actually at greater risk for SHSe.', \"The ANSWER's claim that innovative SHSe interventions are sorely needed is not directly supported by the CONTEXT, which focuses on the prevalence of smoking bans and related factors rather than the need for interventions.\"], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that families with lower incomes and certain racial/ethnic groups were less likely to have smoking bans in place.", "The ANSWER incorrectly states that the most disadvantaged families were more likely to have protective health behaviors in place, which contradicts the CONTEXT.", "The CONTEXT shows that there were significant disparities in smoking bans based on income and race, suggesting that the most disadvantaged families were actually at greater risk for SHSe.', \"The ANSWER's claim that innovative SHSe interventions are sorely needed is not directly supported by the CONTEXT, which focuses on the prevalence of smoking bans and related factors rather than the need for interventions.\"" ]

{ "_id": 22440363, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that MV repair is associated with lower hospital mortality (2.3% vs 12.5%) and better actuarial survival at 2.5 years (92% vs 73%) compared to MV replacement.', 'The CONTEXT also shows that MV repair leads to significant improvements in LVEF and reduction in LV dimensions, while MV replacement does not.', 'The ANSWER incorrectly states that MV replacement is associated with lower in-hospital and late mortality, which contradicts the data provided in the CONTEXT.', 'The ANSWER should be revised to correctly reflect the findings in the CONTEXT, which favor MV repair over MV replacement in patients with advanced dilated and ischemic cardiomyopathy and severe functional MR.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that MV repair is associated with lower hospital mortality (2.3% vs 12.5%) and better actuarial survival at 2.5 years (92% vs 73%) compared to MV replacement.", "The CONTEXT also shows that MV repair leads to significant improvements in LVEF and reduction in LV dimensions, while MV replacement does not.", "The ANSWER incorrectly states that MV replacement is associated with lower in-hospital and late mortality, which contradicts the data provided in the CONTEXT.", "The ANSWER should be revised to correctly reflect the findings in the CONTEXT, which favor MV repair over MV replacement in patients with advanced dilated and ischemic cardiomyopathy and severe functional MR.'" ]

{ "_id": 27216167, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the study aimed to determine the proportion of patients referred to specialist care and whether contact with specialist care was associated with lifestyle factors or socioeconomic status.', 'The CONTEXT provides data on the percentage of patients having contact with specialist care and mentions that individuals with higher educational levels 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, which aligns with the CONTEXT data showing an association between higher educational level and increased odds of specialist care contact.', \"The ANSWER also suggests that future studies should investigate inequalities in access to the secondary healthcare system, which is a logical extension of the CONTEXT's findings on the association between socioeconomic status and specialist care contact.\"], \"SCORE\": PASS}" }

[ "'The CONTEXT indicates that the study aimed to determine the proportion of patients referred to specialist care and whether contact with specialist care was associated with lifestyle factors or socioeconomic status.", "The CONTEXT provides data on the percentage of patients having contact with specialist care and mentions that individuals with higher educational levels 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, which aligns with the CONTEXT data showing an association between higher educational level and increased odds of specialist care contact.', \"The ANSWER also suggests that future studies should investigate inequalities in access to the secondary healthcare system, which is a logical extension of the CONTEXT's findings on the association between socioeconomic status and specialist care contact.\"" ]

{ "_id": 17483607, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the NAC group had a lower percentage of completely closed perforations compared to the control group.', 'The context also mentions that the remaining ears in the NAC group exhibited otorrhea by the third day.', 'The answer states that NAC does not cause severe otorrhea, which contradicts the context showing that otorrhea was present in the NAC group.', 'The context suggests that NAC may not be as effective in promoting healing as the control group, which is not addressed in the answer.'], \"SCORE\": FAIL}" }

[ "'The context indicates that the NAC group had a lower percentage of completely closed perforations compared to the control group.", "The context also mentions that the remaining ears in the NAC group exhibited otorrhea by the third day.", "The answer states that NAC does not cause severe otorrhea, which contradicts the context showing that otorrhea was present in the NAC group.", "The context suggests that NAC may not be as effective in promoting healing as the control group, which is not addressed in the answer.'" ]

{ "_id": 21801416, "label": "FAIL", "text": "{\"REASONING\": ['The context discusses the presence of AMPK subunits in hypothalamic nuclei and their involvement in the regulation of melatonin secretion in ewes.', 'The study found that intracerebroventricular injections of metformin and AICAR, both activators of AMPK, reduced the amplitude of the circadian rhythm of melatonin secretion.', 'The context also mentions that AICAR tended to increase the levels of phosphorylated AMPK in the paraventricular nucleus and significantly increased the levels of phosphorylated ACC in the paraventricular nucleus and the pineal gland.', 'The answer summarizes these findings by stating that AMPK may play a role in the secretion of melatonin, likely through the suprachiasmatic nucleus and/or the pineal gland, and concludes that AMPK may act as a metabolic cue to modulate the rhythm of melatonin secretion.', 'Therefore, the answer is faithful to the context provided.'], \"SCORE\": PASS}" }

[ "'The context discusses the presence of AMPK subunits in hypothalamic nuclei and their involvement in the regulation of melatonin secretion in ewes.", "The study found that intracerebroventricular injections of metformin and AICAR, both activators of AMPK, reduced the amplitude of the circadian rhythm of melatonin secretion.", "The context also mentions that AICAR tended to increase the levels of phosphorylated AMPK in the paraventricular nucleus and significantly increased the levels of phosphorylated ACC in the paraventricular nucleus and the pineal gland.", "The answer summarizes these findings by stating that AMPK may play a role in the secretion of melatonin, likely through the suprachiasmatic nucleus and/or the pineal gland, and concludes that AMPK may act as a metabolic cue to modulate the rhythm of melatonin secretion.", "Therefore, the answer is faithful to the context provided.'" ]

{ "_id": 18403944, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a study investigating whether adult patients with celiac disease (CD) can develop tolerance to gluten.', 'The study found that 23% of patients had a gluten-containing diet, 15% admitted gluten transgression, and 62% followed a gluten-free diet (GFD).', 'The study also identified two patients who were considered to have developed tolerance to gluten.', 'The ANSWER states that development of tolerance to gluten is not possible in patients with CD, which contradicts the CONTEXT that found at least two patients who had developed tolerance.', 'The ANSWER also mentions that further follow-up has shown that this intolerance is permanent, which is not supported by the CONTEXT that suggests some patients can develop tolerance.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses a study investigating whether adult patients with celiac disease (CD) can develop tolerance to gluten.", "The study found that 23% of patients had a gluten-containing diet, 15% admitted gluten transgression, and 62% followed a gluten-free diet (GFD).", "The study also identified two patients who were considered to have developed tolerance to gluten.", "The ANSWER states that development of tolerance to gluten is not possible in patients with CD, which contradicts the CONTEXT that found at least two patients who had developed tolerance.", "The ANSWER also mentions that further follow-up has shown that this intolerance is permanent, which is not supported by the CONTEXT that suggests some patients can develop tolerance.'" ]

{ "_id": 22668852, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that there was no difference in caloric intake between African American (AA) and non-AA women after adjustment for potential confounders (Δ = -2.8 kcal, P =.95).', 'The answer incorrectly states that AA women require fewer calories to maintain weight, which contradicts the context that shows no difference in calorie intake between the two groups.', 'The context does not support the view that AA women are at greater risk for obesity because they require fewer calories to maintain weight; in fact, it suggests that the difference in calorie intake was minimal and not statistically significant.'], \"SCORE\": FAIL}" }

[ "'The context indicates that there was no difference in caloric intake between African American (AA) and non-AA women after adjustment for potential confounders (Δ = -2.8 kcal, P =.95).", "The answer incorrectly states that AA women require fewer calories to maintain weight, which contradicts the context that shows no difference in calorie intake between the two groups.", "The context does not support the view that AA women are at greater risk for obesity because they require fewer calories to maintain weight; in fact, it suggests that the difference in calorie intake was minimal and not statistically significant.'" ]

{ "_id": 20488985, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that there was no significant improvement in the understanding of the lack of benefit of antibiotics for coughs and colds in England or Scotland.', 'The CONTEXT also states that there was no improvement in antibiotic use and that a significant increase was detected in respondents retaining leftover antibiotics.', 'The CONTEXT mentions that English respondents were advised to use other remedies for coughs and colds more often, but this does not imply a reduction in the misuse of antibiotics.', 'The ANSWER claims that the campaigns were effective in significantly improving the public's knowledge and attitudes towards antibiotic use, which contradicts the CONTEXT that does not support these claims.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that there was no significant improvement in the understanding of the lack of benefit of antibiotics for coughs and colds in England or Scotland.", "The CONTEXT also states that there was no improvement in antibiotic use and that a significant increase was detected in respondents retaining leftover antibiotics.", "The CONTEXT mentions that English respondents were advised to use other remedies for coughs and colds more often, but this does not imply a reduction in the misuse of antibiotics.", "The ANSWER claims that the campaigns were effective in significantly improving the public's knowledge and attitudes towards antibiotic use, which contradicts the CONTEXT that does not support these claims.'" ]

{ "_id": 11567820, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the pain relief was identical for one- and two-isocenter radiosurgery, suggesting that increasing the nerve length within the treatment volume did not significantly improve pain relief.', 'The CONTEXT also mentions that pain relapsed in 30 of 72 responding patients, indicating that the improvement in pain relief was not consistent or long-term.', 'The CONTEXT notes that complications such as facial numbness and paresthesias were more common in two-isocenter patients compared to one-isocenter patients, suggesting that increasing the treatment volume may have actually increased complications.', 'The ANSWER claims that increasing the treatment volume significantly improves pain relief and reduces complications, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the pain relief was identical for one- and two-isocenter radiosurgery, suggesting that increasing the nerve length within the treatment volume did not significantly improve pain relief.", "The CONTEXT also mentions that pain relapsed in 30 of 72 responding patients, indicating that the improvement in pain relief was not consistent or long-term.", "The CONTEXT notes that complications such as facial numbness and paresthesias were more common in two-isocenter patients compared to one-isocenter patients, suggesting that increasing the treatment volume may have actually increased complications.", "The ANSWER claims that increasing the treatment volume significantly improves pain relief and reduces complications, which is not supported by the CONTEXT.'" ]

{ "_id": 24507422, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the study aimed to determine if quantitative shape analysis could accurately differentiate free-floating intraluminal thrombus (FFT) from atherosclerotic plaque.', 'The study collected data from 23 cases and extracted lesion volumes and shape descriptors from CTA images.', 'The five most discriminative shape features were used to construct ROC curves and machine-learning classifiers.', 'The results showed a sensitivity of 87.5% and specificity of 71.4% for the logistic regression model, with an area under the ROC curve of 0.85.', 'The average accuracy for each classifier ranged from 65.2% to 76.4%, indicating a reasonable level of effectiveness in differentiating FFT from atherosclerotic plaque.', 'The ANSWER states that the five quantitative shape descriptors were not effective in differentiating FFT from atherosclerotic plaque, which contradicts the CONTEXT that shows a reasonable level of effectiveness.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the study aimed to determine if quantitative shape analysis could accurately differentiate free-floating intraluminal thrombus (FFT) from atherosclerotic plaque.", "The study collected data from 23 cases and extracted lesion volumes and shape descriptors from CTA images.", "The five most discriminative shape features were used to construct ROC curves and machine-learning classifiers.", "The results showed a sensitivity of 87.5% and specificity of 71.4% for the logistic regression model, with an area under the ROC curve of 0.85.", "The average accuracy for each classifier ranged from 65.2% to 76.4%, indicating a reasonable level of effectiveness in differentiating FFT from atherosclerotic plaque.", "The ANSWER states that the five quantitative shape descriptors were not effective in differentiating FFT from atherosclerotic plaque, which contradicts the CONTEXT that shows a reasonable level of effectiveness.'" ]

{ "_id": 15539888, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the atopy patch test (APT) with house dust mites (HDM) was positive in some subjects without atopic dermatitis (AD) and in healthy persons.', 'Specifically, 10.6% of atopic subjects without eczema (AWE) and 12.1% of nonatopic (NA) subjects had positive responses to the APT with HDM at 20%, and 19.1% of AWE and 12.1% of NA subjects had positive responses at 30%.', 'The context also mentions that the rates of positivity and the intensity scores of responses were significantly different between AD and non-AD subjects, but it does not state that the APT is only positive in AD subjects.', 'Therefore, the answer claiming that the APT with HDM is only positive in AD subjects and is highly specific for AD is not supported by the context.'], \"SCORE\": FAIL}" }

[ "'The context indicates that the atopy patch test (APT) with house dust mites (HDM) was positive in some subjects without atopic dermatitis (AD) and in healthy persons.", "Specifically, 10.6% of atopic subjects without eczema (AWE) and 12.1% of nonatopic (NA) subjects had positive responses to the APT with HDM at 20%, and 19.1% of AWE and 12.1% of NA subjects had positive responses at 30%.", "The context also mentions that the rates of positivity and the intensity scores of responses were significantly different between AD and non-AD subjects, but it does not state that the APT is only positive in AD subjects.", "Therefore, the answer claiming that the APT with HDM is only positive in AD subjects and is highly specific for AD is not supported by the context.'" ]

{ "_id": 24866606, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that residents in programs with EUS fellowships reported performing more scans than those in programs without fellowships (P =.04).', 'The CONTEXT also mentions that there were significant differences in the scope of bedside US applications between residency programs with and without fellowships (P<.05).', 'The ANSWER incorrectly states that emergency medicine residents performed fewer scans overall and used bedside US for fewer advanced applications in programs with EUS fellowships, which contradicts the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that residents in programs with EUS fellowships reported performing more scans than those in programs without fellowships (P =.04).", "The CONTEXT also mentions that there were significant differences in the scope of bedside US applications between residency programs with and without fellowships (P<.05).", "The ANSWER incorrectly states that emergency medicine residents performed fewer scans overall and used bedside US for fewer advanced applications in programs with EUS fellowships, which contradicts the CONTEXT.'" ]

{ "_id": 27096199, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the significance of viral co-infection in the severity of acute respiratory infection (ARI) is unclear.', 'The study found that the number of detected viruses did not correlate with any markers of severity.', 'The CONTEXT does mention that bacterial superinfection was associated with increased severity, but it does not state that viral co-infection significantly increases the severity of the disease.', 'The protective role of pneumococcal vaccination is mentioned in the CONTEXT, but it does not support the claim that viral co-infection significantly increases the severity of the disease.', 'Therefore, the ANSWER is not faithful to the CONTEXT as it overstates the influence of viral co-infection on the severity of ARI.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the significance of viral co-infection in the severity of acute respiratory infection (ARI) is unclear.", "The study found that the number of detected viruses did not correlate with any markers of severity.", "The CONTEXT does mention that bacterial superinfection was associated with increased severity, but it does not state that viral co-infection significantly increases the severity of the disease.", "The protective role of pneumococcal vaccination is mentioned in the CONTEXT, but it does not support the claim that viral co-infection significantly increases the severity of the disease.", "Therefore, the ANSWER is not faithful to the CONTEXT as it overstates the influence of viral co-infection on the severity of ARI.'" ]

{ "_id": 24922528, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the interaction of family factors and pubertal stage did not improve the fit of the model.', 'Therefore, the main effect model was adopted, showing significant main effects for pubertal stage but not significant interactions.', 'The ANSWER incorrectly states that family factors significantly moderated the association between pubertal stage and alcohol use, which contradicts the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the interaction of family factors and pubertal stage did not improve the fit of the model.", "Therefore, the main effect model was adopted, showing significant main effects for pubertal stage but not significant interactions.", "The ANSWER incorrectly states that family factors significantly moderated the association between pubertal stage and alcohol use, which contradicts the CONTEXT.'" ]

{ "_id": 24245816, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that primary stability of miniscrews was lower in the absence of cortical bone and when the bone mineral density (BMD) of trabecular bone was lower.', 'The context also shows correlations between trabecular properties (number, thickness, BV/TV, BMD) and primary stability measures (IT, PTV, PS).', 'The answer states that cancellous bone (trabecular bone) does not play a significant role in primary stability, which contradicts the context showing correlations between trabecular properties and primary stability.'], \"SCORE\": FAIL}" }

[ "'The context indicates that primary stability of miniscrews was lower in the absence of cortical bone and when the bone mineral density (BMD) of trabecular bone was lower.", "The context also shows correlations between trabecular properties (number, thickness, BV/TV, BMD) and primary stability measures (IT, PTV, PS).", "The answer states that cancellous bone (trabecular bone) does not play a significant role in primary stability, which contradicts the context showing correlations between trabecular properties and primary stability.'" ]

{ "_id": 25489696, "label": "FAIL", "text": "{\"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 a 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 answer incorrectly states that patients who previously received radiotherapy for primary rectal cancer treatment have better oncologic outcomes than those who had not received radiotherapy after pelvic exenteration for locally recurrent rectal cancer.', 'The context clearly supports the opposite conclusion, indicating worse outcomes for patients who received radiotherapy for their primary rectal cancer.'], \"SCORE\": FAIL}" }

[ "'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 a 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 answer incorrectly states that patients who previously received radiotherapy for primary rectal cancer treatment have better oncologic outcomes than those who had not received radiotherapy after pelvic exenteration for locally recurrent rectal cancer.", "The context clearly supports the opposite conclusion, indicating worse outcomes for patients who received radiotherapy for their primary rectal cancer.'" ]

{ "_id": 11296674, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT does not explicitly state that prostatic syndrome and pleural effusion are different manifestations of the same underlying disease.', 'The CONTEXT mentions that metastatic carcinoma of the prostate was discarded due to the form of presentation, but it does not explicitly link this to pleural effusion.', 'The ANSWER makes a definitive statement about the relationship between prostatic syndrome and pleural effusion that is not directly supported by the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT does not explicitly state that prostatic syndrome and pleural effusion are different manifestations of the same underlying disease.", "The CONTEXT mentions that metastatic carcinoma of the prostate was discarded due to the form of presentation, but it does not explicitly link this to pleural effusion.", "The ANSWER makes a definitive statement about the relationship between prostatic syndrome and pleural effusion that is not directly supported by the CONTEXT.'" ]

{ "_id": 18783922, "label": "FAIL", "text": "{\"REASONING\": ['The context describes a study analyzing cytokine levels in patients with epilepsy and new onset seizures.', 'The study involved collecting serum samples from patients and healthy controls, and assessed levels of various cytokines (TNF-alpha, IFN-gamma, IL-1beta, IL-2, IL-4, and IL-6).', 'The context mentions that detectable serum cytokines in the patient group included IL-6, TNF-alpha, IL-2, IL-4, IFN-gamma, and IL-1.', 'The context also notes that serial analysis during the seizure-free period revealed a decrease in cytokine levels for several cytokines.', 'The answer states that decreased post-ictal serum cytokine levels were found in patients with several epilepsy syndromes, which aligns with the findings in the context.'], \"SCORE\": PASS}" }

[ "'The context describes a study analyzing cytokine levels in patients with epilepsy and new onset seizures.", "The study involved collecting serum samples from patients and healthy controls, and assessed levels of various cytokines (TNF-alpha, IFN-gamma, IL-1beta, IL-2, IL-4, and IL-6).", "The context mentions that detectable serum cytokines in the patient group included IL-6, TNF-alpha, IL-2, IL-4, IFN-gamma, and IL-1.", "The context also notes that serial analysis during the seizure-free period revealed a decrease in cytokine levels for several cytokines.", "The answer states that decreased post-ictal serum cytokine levels were found in patients with several epilepsy syndromes, which aligns with the findings in the context.'" ]

{ "_id": 14745753, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a study evaluating the effectiveness of half-dose contrast-enhanced MR angiography for depicting the abdominal aorta and its major branches.', 'The study involved four groups with different concentrations and amounts of gadolinium chelate injected at different rates.', 'The results showed 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.', 'Despite the lower SNR and CNR, the differences in overall image quality across the four groups were not statistically significant.', 'The ANSWER states that half-dose MR angiography using diluted contrast medium injected at a rate of 0.5 mL/second depicted the abdominal aorta and its branches as clearly as using a full single dose.', \"This is not directly supported by the CONTEXT, which indicates lower SNR and CNR in the 0.5 mL/second groups, although the overall image quality differences were not statistically significant.\"], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses a study evaluating the effectiveness of half-dose contrast-enhanced MR angiography for depicting the abdominal aorta and its major branches.", "The study involved four groups with different concentrations and amounts of gadolinium chelate injected at different rates.", "The results showed 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.", "Despite the lower SNR and CNR, the differences in overall image quality across the four groups were not statistically significant.", "The ANSWER states that half-dose MR angiography using diluted contrast medium injected at a rate of 0.5 mL/second depicted the abdominal aorta and its branches as clearly as using a full single dose.', \"This is not directly supported by the CONTEXT, which indicates lower SNR and CNR in the 0.5 mL/second groups, although the overall image quality differences were not statistically significant.\"" ]

{ "_id": 18388848, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that having a regular clinician is associated with slightly higher interpersonal quality and slightly greater content of anticipatory guidance, but the differences are not significant for all children.', 'The CONTEXT specifies that the benefit of having a regular clinician is evident in interpersonal quality but not in the content of anticipatory guidance, and this is true for all subgroups of young children.', 'The ANSWER incorrectly states that having a regular clinician is associated with significant gains in both interpersonal quality and the content of anticipatory guidance, which is not supported by the CONTEXT.', 'The ANSWER also incorrectly claims that the benefit is evident in both aspects across all subgroups, which is not accurately reflected in the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that having a regular clinician is associated with slightly higher interpersonal quality and slightly greater content of anticipatory guidance, but the differences are not significant for all children.", "The CONTEXT specifies that the benefit of having a regular clinician is evident in interpersonal quality but not in the content of anticipatory guidance, and this is true for all subgroups of young children.", "The ANSWER incorrectly states that having a regular clinician is associated with significant gains in both interpersonal quality and the content of anticipatory guidance, which is not supported by the CONTEXT.", "The ANSWER also incorrectly claims that the benefit is evident in both aspects across all subgroups, which is not accurately reflected in the CONTEXT.'" ]

{ "_id": 21900017, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT describes a study where lung ischemia and reperfusion (IR) were induced in pigs to measure the impact on coronary blood flow and hemodynamics.', 'The study found that total coronary flow (TCF) decreased significantly during IR, with the lowest value observed at 60 minutes of reperfusion.', 'The CONTEXT also mentions that baseline cardiac Troponin (cTn) and interleukin 6 (IL-6) increased significantly during IR, indicating cardiac stress and inflammation.', 'The ANSWER claims that lung IR has a marked positive impact on coronary blood flow, hemodynamics, and inflammatory profile, which contradicts the findings in the CONTEXT.', 'The CONTEXT does not support the claim that lung IR has a positive impact; instead, it shows significant decreases in coronary flow and increases in cardiac markers.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT describes a study where lung ischemia and reperfusion (IR) were induced in pigs to measure the impact on coronary blood flow and hemodynamics.", "The study found that total coronary flow (TCF) decreased significantly during IR, with the lowest value observed at 60 minutes of reperfusion.", "The CONTEXT also mentions that baseline cardiac Troponin (cTn) and interleukin 6 (IL-6) increased significantly during IR, indicating cardiac stress and inflammation.", "The ANSWER claims that lung IR has a marked positive impact on coronary blood flow, hemodynamics, and inflammatory profile, which contradicts the findings in the CONTEXT.", "The CONTEXT does not support the claim that lung IR has a positive impact; instead, it shows significant decreases in coronary flow and increases in cardiac markers.'" ]

{ "_id": 18269157, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that PRK and ASA are biomechanically safer than conventional LASIK with regard to the risk of keratectasia.', 'The CONTEXT also mentions that ASA reduces some of the risk for corneal haze compared to conventional PRK but still has the potential for corneal haze or breakthrough haze due to hypercellular fibrotic stromal scarring.', 'The CONTEXT states that SBK, like conventional LASIK, has the potential for interface wound complications from the hypocellular primitive stromal scar.', 'The ANSWER claims that SBK and ASA are improvements compared to conventional LASIK or PRK, which is not fully supported by the CONTEXT. The CONTEXT does not state that SBK is an improvement over conventional LASIK or PRK in terms of maintaining corneal biomechanics and reducing the risk of corneal haze.', 'The ANSWER also implies that most disadvantages caused by wound healing issues remain, which is not explicitly stated in the CONTEXT. The CONTEXT mentions that adult human corneal stromal wounds heal slowly and incompletely, indicating that all excimer laser keratorefractive surgical techniques have some distinct disadvantages.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that PRK and ASA are biomechanically safer than conventional LASIK with regard to the risk of keratectasia.", "The CONTEXT also mentions that ASA reduces some of the risk for corneal haze compared to conventional PRK but still has the potential for corneal haze or breakthrough haze due to hypercellular fibrotic stromal scarring.", "The CONTEXT states that SBK, like conventional LASIK, has the potential for interface wound complications from the hypocellular primitive stromal scar.", "The ANSWER claims that SBK and ASA are improvements compared to conventional LASIK or PRK, which is not fully supported by the CONTEXT. The CONTEXT does not state that SBK is an improvement over conventional LASIK or PRK in terms of maintaining corneal biomechanics and reducing the risk of corneal haze.", "The ANSWER also implies that most disadvantages caused by wound healing issues remain, which is not explicitly stated in the CONTEXT. The CONTEXT mentions that adult human corneal stromal wounds heal slowly and incompletely, indicating that all excimer laser keratorefractive surgical techniques have some distinct disadvantages.'" ]

{ "_id": 10135926, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the mean time required for in-flight intubation was significantly longer than the corresponding time in the control setting.', 'The context also mentions that there were two esophageal intubations in the in-flight setting, indicating a higher rate of incorrect intubations compared to the control setting.', 'The difference in appropriate endotracheal intubation between the two settings was not significant, but the context provides evidence that in-flight intubation is more challenging and time-consuming.', 'The answer incorrectly states that in-flight intubation is not significantly impaired compared to a ground setting, which contradicts the evidence provided in the context that in-flight intubation is more difficult and time-consuming.'], \"SCORE\": FAIL}" }

[ "'The context indicates that the mean time required for in-flight intubation was significantly longer than the corresponding time in the control setting.", "The context also mentions that there were two esophageal intubations in the in-flight setting, indicating a higher rate of incorrect intubations compared to the control setting.", "The difference in appropriate endotracheal intubation between the two settings was not significant, but the context provides evidence that in-flight intubation is more challenging and time-consuming.", "The answer incorrectly states that in-flight intubation is not significantly impaired compared to a ground setting, which contradicts the evidence provided in the context that in-flight intubation is more difficult and time-consuming.'" ]

{ "_id": 7497757, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT describes a study comparing thyroid function during and after hypothermic and normothermic CPB.', 'The study found that both groups had similar reductions in TT4, TT3, and fT3, and similar elevations in rT3 and unchanged TSH levels.', \"The ANSWER states that normothermic CPB prevents the development of 'euthyroid sick syndrome,' but the CONTEXT does not provide evidence that normothermic CPB completely prevented these changes in thyroid function.\", 'The CONTEXT mentions that most patients in both groups had a normal postoperative recovery, but it does not attribute this to the temperature during CPB.', 'Therefore, the ANSWER does not accurately reflect the findings presented in the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT describes a study comparing thyroid function during and after hypothermic and normothermic CPB.", "The study found that both groups had similar reductions in TT4, TT3, and fT3, and similar elevations in rT3 and unchanged TSH levels.', \"The ANSWER states that normothermic CPB prevents the development of 'euthyroid sick syndrome,' but the CONTEXT does not provide evidence that normothermic CPB completely prevented these changes in thyroid function.\", 'The CONTEXT mentions that most patients in both groups had a normal postoperative recovery, but it does not attribute this to the temperature during CPB.", "Therefore, the ANSWER does not accurately reflect the findings presented in the CONTEXT.'" ]

{ "_id": 17113061, "label": "FAIL", "text": "{\"REASONING\": ['The context provides data from a study involving 10 different mutations in LCAT, ABCA1, and APOA1, which were compared to controls.', 'The study measured carotid intima-media thickness (cIMT) in cases and controls.', 'The results showed that cIMT was nearly identical between cases and controls, despite significantly lower HDL cholesterol and apolipoprotein A-I levels in the cases.', 'The answer incorrectly states that there is a correlation between low HDL-C and increased carotid intima-media thickness, which contradicts the study findings presented in the context.'], \"SCORE\": FAIL}" }

[ "'The context provides data from a study involving 10 different mutations in LCAT, ABCA1, and APOA1, which were compared to controls.", "The study measured carotid intima-media thickness (cIMT) in cases and controls.", "The results showed that cIMT was nearly identical between cases and controls, despite significantly lower HDL cholesterol and apolipoprotein A-I levels in the cases.", "The answer incorrectly states that there is a correlation between low HDL-C and increased carotid intima-media thickness, which contradicts the study findings presented in the context.'" ]

{ "_id": 16428354, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that infants of rural residence had a higher mortality rate compared to urban infants.', 'The adjusted odds ratio (OR) for mortality was 1.26 for rural infants, indicating a higher risk of mortality for rural infants.', 'The CONTEXT also mentions that rural infants had a higher stillbirth rate compared to urban infants, with an odds ratio of 1.20.', 'The ANSWER incorrectly states that premature births from urban mothers have a higher risk of stillbirth and mortality than rural infants, which contradicts the data provided in the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that infants of rural residence had a higher mortality rate compared to urban infants.", "The adjusted odds ratio (OR) for mortality was 1.26 for rural infants, indicating a higher risk of mortality for rural infants.", "The CONTEXT also mentions that rural infants had a higher stillbirth rate compared to urban infants, with an odds ratio of 1.20.", "The ANSWER incorrectly states that premature births from urban mothers have a higher risk of stillbirth and mortality than rural infants, which contradicts the data provided in the CONTEXT.'" ]

{ "_id": 16418930, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the differences between Landolt C acuity (LR) and Snellen E acuity (SE) were small.', 'The mean decimal values for LR and SE were 0.25 and 0.29 in the entire group and 0.14 and 0.16 for the eyes with strabismus amblyopia.', '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 that states the differences were small.', 'The CONTEXT does not mention large differences in the lower visual acuity range; it only notes small differences.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the differences between Landolt C acuity (LR) and Snellen E acuity (SE) were small.", "The mean decimal values for LR and SE were 0.25 and 0.29 in the entire group and 0.14 and 0.16 for the eyes with strabismus amblyopia.", "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 that states the differences were small.", "The CONTEXT does not mention large differences in the lower visual acuity range; it only notes small differences.'" ]

{ "_id": 18435678, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that fetal thrombocytopenia (platelet count < 150 x 10^9/l) was found in 10% of Kell alloimmunized pregnancies and 26% of RhD alloimmunized pregnancies.', 'The CONTEXT further specifies that none of the fetuses in the Kell alloimmunized pregnancies had clinically significant thrombocytopenia (platelet count < 50 x 10^9/l), while 1% of non-hydropic and 23% of severely hydropic fetuses in the RhD alloimmunized pregnancies had clinically significant thrombocytopenia.', 'The ANSWER claims that fetuses with severe anaemia due to Kell alloimmunization are at risk for substantial thrombocytopenia, which is not supported by the CONTEXT. The CONTEXT shows a lower incidence of thrombocytopenia in Kell alloimmunized pregnancies compared to RhD alloimmunized pregnancies, and none of the Kell-related thrombocytopenia was clinically significant.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that fetal thrombocytopenia (platelet count < 150 x 10^9/l) was found in 10% of Kell alloimmunized pregnancies and 26% of RhD alloimmunized pregnancies.", "The CONTEXT further specifies that none of the fetuses in the Kell alloimmunized pregnancies had clinically significant thrombocytopenia (platelet count < 50 x 10^9/l), while 1% of non-hydropic and 23% of severely hydropic fetuses in the RhD alloimmunized pregnancies had clinically significant thrombocytopenia.", "The ANSWER claims that fetuses with severe anaemia due to Kell alloimmunization are at risk for substantial thrombocytopenia, which is not supported by the CONTEXT. The CONTEXT shows a lower incidence of thrombocytopenia in Kell alloimmunized pregnancies compared to RhD alloimmunized pregnancies, and none of the Kell-related thrombocytopenia was clinically significant.'" ]

{ "_id": 24183388, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the Hawkins sign was observed in 12 cases, and none of these cases 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 contradicts the CONTEXT where none of the cases with a positive Hawkins sign developed necrosis.', 'The ANSWER also incorrectly states that absence of the Hawkins sign does not rule out necrosis, which is consistent with the CONTEXT where cases with a negative Hawkins sign did develop necrosis.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the Hawkins sign was observed in 12 cases, and none of these cases 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 contradicts the CONTEXT where none of the cases with a positive Hawkins sign developed necrosis.", "The ANSWER also incorrectly states that absence of the Hawkins sign does not rule out necrosis, which is consistent with the CONTEXT where cases with a negative Hawkins sign did develop necrosis.'" ]

{ "_id": 24614789, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides data on the effectiveness of lumbar drainage in treating postoperative CSF fistulas.', 'It mentions that patients treated with CSF drainage were cured in a mean period of 10 days, which is faster than the mean period of 30 days for patients treated conservatively.', 'The CONTEXT also states that all patients healed properly and no adverse events were recorded, indicating that lumbar drainage is safe.', 'The ANSWER accurately reflects the information in the CONTEXT by stating that lumbar drainage is effective and safe for treating CSF leaks.'], \"SCORE\": PASS}" }

[ "'The CONTEXT provides data on the effectiveness of lumbar drainage in treating postoperative CSF fistulas.", "It mentions that patients treated with CSF drainage were cured in a mean period of 10 days, which is faster than the mean period of 30 days for patients treated conservatively.", "The CONTEXT also states that all patients healed properly and no adverse events were recorded, indicating that lumbar drainage is safe.", "The ANSWER accurately reflects the information in the CONTEXT by stating that lumbar drainage is effective and safe for treating CSF leaks.'" ]

{ "_id": 12836106, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the study was performed to evaluate the significance of the WBC count at presentation in blunt trauma patients.', 'Statistical analysis revealed that WBC was correlated positively with ISS (Injury Severity Score) and 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, which contradicts the context that shows a correlation between WBC and ISS.'], \"SCORE\": FAIL}" }

[ "'The context indicates that the study was performed to evaluate the significance of the WBC count at presentation in blunt trauma patients.", "Statistical analysis revealed that WBC was correlated positively with ISS (Injury Severity Score) and 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, which contradicts the context that shows a correlation between WBC and ISS.'" ]

{ "_id": 19664156, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides specific data on the effectiveness of Google searches in identifying correct diagnoses for complex immunological and allergic cases.', 'The CONTEXT mentions that correct diagnoses were provided in 66%, 86%, and 64% of cases by investigators A, B, and C, respectively.', 'The CONTEXT also notes that all investigators achieved correct diagnoses in 42% of cases and failed in two cases.', 'The ANSWER states that Google-based searches were useful and that all investigators achieved correct diagnoses in the majority of cases.', 'This is not faithful to the CONTEXT because the CONTEXT does not support the claim that correct diagnoses were achieved in the majority of cases; the highest percentage of correct diagnoses was 86% by investigator B.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT provides specific data on the effectiveness of Google searches in identifying correct diagnoses for complex immunological and allergic cases.", "The CONTEXT mentions that correct diagnoses were provided in 66%, 86%, and 64% of cases by investigators A, B, and C, respectively.", "The CONTEXT also notes that all investigators achieved correct diagnoses in 42% of cases and failed in two cases.", "The ANSWER states that Google-based searches were useful and that all investigators achieved correct diagnoses in the majority of cases.", "This is not faithful to the CONTEXT because the CONTEXT does not support the claim that correct diagnoses were achieved in the majority of cases; the highest percentage of correct diagnoses was 86% by investigator B.'" ]

{ "_id": 26578404, "label": "FAIL", "text": "{\"REASONING\": ['The context describes a pilot observational study investigating the effectiveness of intravenous opioid patient-controlled therapy (PCT) for reducing breathlessness in patients with advanced disease.', 'The study included 18 patients and measured various outcomes including breathlessness severity, patient satisfaction, and physiological parameters.', 'The results showed a significant decrease in breathlessness severity (median numeric rating scale decreased from 5 to 4) and high patient satisfaction (12 out of 12 patients confirmed relief of breathlessness on Day 3).', 'The context does not provide a definitive conclusion that opioid PCT is not feasible or acceptable; it only presents initial findings and aims for further studies.', \"The answer's definitive 'No' contradicts the context's positive indicators of effectiveness and patient acceptance, making it not faithful to the context.\"], \"SCORE\": FAIL}" }

[ "'The context describes a pilot observational study investigating the effectiveness of intravenous opioid patient-controlled therapy (PCT) for reducing breathlessness in patients with advanced disease.", "The study included 18 patients and measured various outcomes including breathlessness severity, patient satisfaction, and physiological parameters.", "The results showed a significant decrease in breathlessness severity (median numeric rating scale decreased from 5 to 4) and high patient satisfaction (12 out of 12 patients confirmed relief of breathlessness on Day 3).", "The context does not provide a definitive conclusion that opioid PCT is not feasible or acceptable; it only presents initial findings and aims for further studies.', \"The answer's definitive 'No' contradicts the context's positive indicators of effectiveness and patient acceptance, making it not faithful to the context.\"" ]

{ "_id": 21645374, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses the role of mitochondria during programmed cell death (PCD) in the lace plant (Aponogeton madagascariensis).', 'It mentions that the role of mitochondria during PCD has been recognized in animals but less studied in plants.', 'The CONTEXT provides details on how mitochondria dynamics change during different stages of PCD in the lace plant, including the involvement of mitochondrial permeability transition pore (PTP) formation.', 'The CONTEXT also notes the correlation between mitochondria and other organelles, such as chloroplasts, during PCD.', 'The ANSWER summarizes these findings by stating that mitochondria play a critical and early role in developmentally regulated PCD in the lace plant.', \"The ANSWER also correctly highlights the novelty of the findings, such as the movement of mitochondria and chloroplasts on transvacuolar strands and the use of CsA in a whole plant system, which aligns with the CONTEXT.\"], \"SCORE\": PASS}" }

[ "'The CONTEXT discusses the role of mitochondria during programmed cell death (PCD) in the lace plant (Aponogeton madagascariensis).", "It mentions that the role of mitochondria during PCD has been recognized in animals but less studied in plants.", "The CONTEXT provides details on how mitochondria dynamics change during different stages of PCD in the lace plant, including the involvement of mitochondrial permeability transition pore (PTP) formation.", "The CONTEXT also notes the correlation between mitochondria and other organelles, such as chloroplasts, during PCD.", "The ANSWER summarizes these findings by stating that mitochondria play a critical and early role in developmentally regulated PCD in the lace plant.', \"The ANSWER also correctly highlights the novelty of the findings, such as the movement of mitochondria and chloroplasts on transvacuolar strands and the use of CsA in a whole plant system, which aligns with the CONTEXT.\"" ]

{ "_id": 11035130, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a study where patients with rheumatoid arthritis established on methotrexate and folic acid were asked to stop taking folic acid and were randomized to either a placebo or folic acid group.', 'The study found that a significant number of patients in the placebo group discontinued the study early due to side effects like nausea and neutropenia.', 'The CONTEXT does not mention mouth ulcers or vomiting as reasons for discontinuation, but it does mention an increased incidence of nausea in the placebo group.', 'The CONTEXT does not provide evidence that folic acid supplementation is helpful in preventing liver toxicity or that there is very little loss of efficacy of methotrexate.', 'The ANSWER includes information not supported by the CONTEXT, such as the prevention of mouth ulcers or vomiting, and the helpfulness in preventing liver toxicity, making it unfaithful to the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses a study where patients with rheumatoid arthritis established on methotrexate and folic acid were asked to stop taking folic acid and were randomized to either a placebo or folic acid group.", "The study found that a significant number of patients in the placebo group discontinued the study early due to side effects like nausea and neutropenia.", "The CONTEXT does not mention mouth ulcers or vomiting as reasons for discontinuation, but it does mention an increased incidence of nausea in the placebo group.", "The CONTEXT does not provide evidence that folic acid supplementation is helpful in preventing liver toxicity or that there is very little loss of efficacy of methotrexate.", "The ANSWER includes information not supported by the CONTEXT, such as the prevention of mouth ulcers or vomiting, and the helpfulness in preventing liver toxicity, making it unfaithful to the CONTEXT.'" ]

{ "_id": 24939676, "label": "FAIL", "text": "{\"REASONING\": ['The context states that there were no significant differences between the clinical, laboratory, and US parameters at peak time and trough time (P = 0.132-0.986).', 'It also mentions that there were no significant differences between the proportion of patients with active disease and those in remission according to various criteria at peak time and trough time assessments (P = 0.070-1).', 'The answer claims that s.c. anti-TNF pharmacokinetics significantly influence US-scored synovitis, which contradicts the context that provides statistical evidence of no significant differences.'], \"SCORE\": FAIL}" }

[ "'The context states that there were no significant differences between the clinical, laboratory, and US parameters at peak time and trough time (P = 0.132-0.986).", "It also mentions that there were no significant differences between the proportion of patients with active disease and those in remission according to various criteria at peak time and trough time assessments (P = 0.070-1).", "The answer claims that s.c. anti-TNF pharmacokinetics significantly influence US-scored synovitis, which contradicts the context that provides statistical evidence of no significant differences.'" ]

{ "_id": 12765819, "label": "FAIL", "text": "{\"REASONING\": ['The context describes a case where a patient developed a spinal subdural hematoma (SSDH) following a ruptured internal carotid aneurysm and subsequent subarachnoid hemorrhage (SAH).', 'The context mentions that the SSDH was located in the lumbosacral region and was treated conservatively, eventually dissolving and disappearing.', 'The context does not specify a direct link between the intracranial subdural hematoma and the spinal subdural hematoma, only that they both occurred in the same patient.', \"The answer suggests that the SSDH was a hematoma that originated de novo in the spinal canal, possibly due to low CSF pressure and intrathecal thrombolytic therapy, and emphasizes the importance of recognizing SSDH as a possible complication of SAH.\", \"The answer is faithful to the context because it accurately reflects the details provided about the patient's condition and treatments, even though it does not explicitly state that the spinal subdural hematoma was a direct sequela of the ruptured aneurysm.\"], \"SCORE\": PASS}" }

[ "'The context describes a case where a patient developed a spinal subdural hematoma (SSDH) following a ruptured internal carotid aneurysm and subsequent subarachnoid hemorrhage (SAH).", "The context mentions that the SSDH was located in the lumbosacral region and was treated conservatively, eventually dissolving and disappearing.", "The context does not specify a direct link between the intracranial subdural hematoma and the spinal subdural hematoma, only that they both occurred in the same patient.', \"The answer suggests that the SSDH was a hematoma that originated de novo in the spinal canal, possibly due to low CSF pressure and intrathecal thrombolytic therapy, and emphasizes the importance of recognizing SSDH as a possible complication of SAH.\", \"The answer is faithful to the context because it accurately reflects the details provided about the patient's condition and treatments, even though it does not explicitly state that the spinal subdural hematoma was a direct sequela of the ruptured aneurysm.\"" ]

{ "_id": 25432938, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the traffic law reform in Chile was associated with a decrease in traffic fatalities and injuries, not an increase.', 'The ANSWER incorrectly states that the reforms led to a significant increase in traffic fatalities and injuries, which contradicts the evidence provided in the CONTEXT.', 'The CONTEXT shows that police traffic enforcement was effective in reducing traffic fatalities and injuries, which is not supported by the ANSWER.', 'The ANSWER also mentions challenges in implementing road safety practices, which is not directly addressed in the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the traffic law reform in Chile was associated with a decrease in traffic fatalities and injuries, not an increase.", "The ANSWER incorrectly states that the reforms led to a significant increase in traffic fatalities and injuries, which contradicts the evidence provided in the CONTEXT.", "The CONTEXT shows that police traffic enforcement was effective in reducing traffic fatalities and injuries, which is not supported by the ANSWER.", "The ANSWER also mentions challenges in implementing road safety practices, which is not directly addressed in the CONTEXT.'" ]

{ "_id": 21712147, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the difference in mean utility gained by using FXD over FRC was 0.085, but this difference was not statistically significant.', 'The context specifies that the incremental cost-utility ratio (ICUR) for the FXD treatment over FRC treatment was $45,540.49 per quality-adjusted life year (QALY).', \"The answer claims that the single-pill strategy significantly improves the quality of life by offering a substantial increase in QALYs, which is not supported by the context as the utility difference was not statistically significant.\", \"The context does support that FXD dominates FRC above a certain threshold, but the answer's claim of a substantial increase in QALYs is not directly backed by the provided data.\"], \"SCORE\": FAIL}" }

[ "'The context indicates that the difference in mean utility gained by using FXD over FRC was 0.085, but this difference was not statistically significant.", "The context specifies that the incremental cost-utility ratio (ICUR) for the FXD treatment over FRC treatment was $45,540.49 per quality-adjusted life year (QALY).', \"The answer claims that the single-pill strategy significantly improves the quality of life by offering a substantial increase in QALYs, which is not supported by the context as the utility difference was not statistically significant.\", \"The context does support that FXD dominates FRC above a certain threshold, but the answer's claim of a substantial increase in QALYs is not directly backed by the provided data.\"" ]

{ "_id": 24996865, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a method for assessing joint line positions in knee revision surgery using the contralateral knee as a reference.', 'It mentions that the most precise parameter was found to be the distance between the medial epicondyle and the joint line.', 'The CONTEXT does not mention the level of arthritis, age, gender, visibility of the landmarks, or misalignment influencing measurement accuracy.', 'The CONTEXT does not explicitly state that this parameter is the first femur-related landmark or that it corresponds to the femur-first technique in revision surgery.', 'The ANSWER includes additional details not present in the CONTEXT, making it unfaithful to the provided information.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses a method for assessing joint line positions in knee revision surgery using the contralateral knee as a reference.", "It mentions that the most precise parameter was found to be the distance between the medial epicondyle and the joint line.", "The CONTEXT does not mention the level of arthritis, age, gender, visibility of the landmarks, or misalignment influencing measurement accuracy.", "The CONTEXT does not explicitly state that this parameter is the first femur-related landmark or that it corresponds to the femur-first technique in revision surgery.", "The ANSWER includes additional details not present in the CONTEXT, making it unfaithful to the provided information.'" ]

{ "_id": 8262881, "label": "FAIL", "text": "{\"REASONING\": ['The context discusses a study that examines the differences between nonpsychotic and psychotic subtypes of body dysmorphic disorder (BDD).', 'The study found that patients with psychotic BDD had a significantly higher rate of lifetime DSM-III-R psychotic disorder diagnoses compared to patients with nonpsychotic BDD.', 'The context also notes that the two groups did not differ significantly on most other variables examined, such as demographics, phenomenology, course of illness, associated features, comorbid psychiatric disorders, family history, and treatment response.', 'The answer states that body dysmorphic disorder may have a closely related psychotic subtype that significantly overlaps with, and is considered a completely separate disorder from, the BDD variant of delusional disorder, somatic type.', 'This aligns with the context, which suggests that the psychotic subtype of BDD is distinct from the nonpsychotic subtype and has a higher rate of psychotic disorder diagnoses.', \"The answer also mentions that inclusion of a psychotic subtype for BDD should be considered for future editions of DSM, which is consistent with the context's findings and implications.\"], \"SCORE\": PASS}" }

[ "'The context discusses a study that examines the differences between nonpsychotic and psychotic subtypes of body dysmorphic disorder (BDD).", "The study found that patients with psychotic BDD had a significantly higher rate of lifetime DSM-III-R psychotic disorder diagnoses compared to patients with nonpsychotic BDD.", "The context also notes that the two groups did not differ significantly on most other variables examined, such as demographics, phenomenology, course of illness, associated features, comorbid psychiatric disorders, family history, and treatment response.", "The answer states that body dysmorphic disorder may have a closely related psychotic subtype that significantly overlaps with, and is considered a completely separate disorder from, the BDD variant of delusional disorder, somatic type.", "This aligns with the context, which suggests that the psychotic subtype of BDD is distinct from the nonpsychotic subtype and has a higher rate of psychotic disorder diagnoses.', \"The answer also mentions that inclusion of a psychotic subtype for BDD should be considered for future editions of DSM, which is consistent with the context's findings and implications.\"" ]

{ "_id": 28359277, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a study on the impact of health behaviors on the use of medical resources.', 'The study found significant correlations between four health behaviors and healthcare utilization.', 'The ANSWER states that healthy lifestyles lead to a decrease in the utilization of preventive health services, which contradicts the CONTEXT.', 'The CONTEXT does not support the claim that healthy lifestyles lead to a decrease in the utilization of preventive health services.', 'The CONTEXT suggests that there are significant correlations between health behaviors and healthcare utilization, but the ANSWER misrepresents these findings.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses a study on the impact of health behaviors on the use of medical resources.", "The study found significant correlations between four health behaviors and healthcare utilization.", "The ANSWER states that healthy lifestyles lead to a decrease in the utilization of preventive health services, which contradicts the CONTEXT.", "The CONTEXT does not support the claim that healthy lifestyles lead to a decrease in the utilization of preventive health services.", "The CONTEXT suggests that there are significant correlations between health behaviors and healthcare utilization, but the ANSWER misrepresents these findings.'" ]

{ "_id": 15222284, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT describes a study comparing the hemodynamic performance of two bioprostheses, Medtronic Mosaic and Edwards Perimount, and mentions the calculation of the ratio of effective orifice area (EOA) to patient aortic annulus area.', 'The study found that when indexing EOA by calculating the ratio to patient aortic annulus area, there was no significant difference between the two bioprostheses.', 'The ANSWER states that comparisons of absolute EOA values are sufficient and that the EOA:patient aortic annulus area ratio does not provide a new hemodynamic index or facilitate objective comparisons between different valve types.', 'This is consistent with the findings in the CONTEXT, which indicate that the ratio does not reveal significant differences between the bioprostheses, making the ANSWER faithful to the CONTEXT.'], \"SCORE\": PASS}" }

[ "'The CONTEXT describes a study comparing the hemodynamic performance of two bioprostheses, Medtronic Mosaic and Edwards Perimount, and mentions the calculation of the ratio of effective orifice area (EOA) to patient aortic annulus area.", "The study found that when indexing EOA by calculating the ratio to patient aortic annulus area, there was no significant difference between the two bioprostheses.", "The ANSWER states that comparisons of absolute EOA values are sufficient and that the EOA:patient aortic annulus area ratio does not provide a new hemodynamic index or facilitate objective comparisons between different valve types.", "This is consistent with the findings in the CONTEXT, which indicate that the ratio does not reveal significant differences between the bioprostheses, making the ANSWER faithful to the CONTEXT.'" ]

{ "_id": 17562682, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that 1.6% of S. aureus isolates from bacteraemic patients were PVL-positive.', 'The CONTEXT specifies that all PVL-positive isolates were methicillin-susceptible S. aureus (MSSA).', 'The ANSWER states that 1.6% of S. aureus (all MSSA) from bacteraemic patients were PVL-positive, which is consistent with the CONTEXT.', 'The CONTEXT also mentions that the importance of PVL in the pathogenesis of primary bacteraemia caused by S. aureus is uncertain, indicating that a 1.6% incidence does not necessarily imply they are significant causative agents.', 'The ANSWER's claim that PVL-positive S. aureus are significant causative agents is not directly supported by the CONTEXT, which focuses on the prevalence and antibiotic susceptibility of PVL-positive isolates without concluding their overall significance in bacteraemia.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that 1.6% of S. aureus isolates from bacteraemic patients were PVL-positive.", "The CONTEXT specifies that all PVL-positive isolates were methicillin-susceptible S. aureus (MSSA).", "The ANSWER states that 1.6% of S. aureus (all MSSA) from bacteraemic patients were PVL-positive, which is consistent with the CONTEXT.", "The CONTEXT also mentions that the importance of PVL in the pathogenesis of primary bacteraemia caused by S. aureus is uncertain, indicating that a 1.6% incidence does not necessarily imply they are significant causative agents.", "The ANSWER's claim that PVL-positive S. aureus are significant causative agents is not directly supported by the CONTEXT, which focuses on the prevalence and antibiotic susceptibility of PVL-positive isolates without concluding their overall significance in bacteraemia.'" ]

{ "_id": 8910148, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses the use of transesophageal echocardiography (TEE) to assess left ventricular function in potential brain-dead heart donors.', 'It mentions that 20 out of 55 potential heart donors exhibited a fractional area change (FAC) of less than 50%, and that 36 hearts were successfully transplanted.', 'The CONTEXT provides data on the post-transplantation outcomes of these hearts, including survival rates.', 'The ANSWER states that TEE is useful for assessing left ventricular function in potential brain-dead donors and notes that an FAC below 50% is present in 36% of potential heart donors.', \"The ANSWER also suggests that left ventricular dysfunction is often irreversible shortly after transplantation, implying that an FAC below 50% may not necessarily preclude the use of hearts for transplantation.\", 'This aligns with the CONTEXT, which provides data on post-transplantation outcomes and suggests that hearts with an FAC below 50% can still be successfully transplanted.'], \"SCORE\": PASS}" }

[ "'The CONTEXT discusses the use of transesophageal echocardiography (TEE) to assess left ventricular function in potential brain-dead heart donors.", "It mentions that 20 out of 55 potential heart donors exhibited a fractional area change (FAC) of less than 50%, and that 36 hearts were successfully transplanted.", "The CONTEXT provides data on the post-transplantation outcomes of these hearts, including survival rates.", "The ANSWER states that TEE is useful for assessing left ventricular function in potential brain-dead donors and notes that an FAC below 50% is present in 36% of potential heart donors.', \"The ANSWER also suggests that left ventricular dysfunction is often irreversible shortly after transplantation, implying that an FAC below 50% may not necessarily preclude the use of hearts for transplantation.\", 'This aligns with the CONTEXT, which provides data on post-transplantation outcomes and suggests that hearts with an FAC below 50% can still be successfully transplanted.'" ]

{ "_id": 22758782, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the average cost of hospitalization was not significantly different between patients who received regional or general anesthesia ($16,789 vs $16,815, P = 0.9557).', 'The CONTEXT also 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 is not supported by the CONTEXT.', 'The CONTEXT does mention that delay in surgery and ICU admission increase hospitalization costs, but this does not imply that regional anesthesia significantly decreases costs overall.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the average cost of hospitalization was not significantly different between patients who received regional or general anesthesia ($16,789 vs $16,815, P = 0.9557).", "The CONTEXT also 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 is not supported by the CONTEXT.", "The CONTEXT does mention that delay in surgery and ICU admission increase hospitalization costs, but this does not imply that regional anesthesia significantly decreases costs overall.'" ]

{ "_id": 11729377, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the outcomes and postoperative liver function between LRT and SLT were compared, and the results showed no significant differences in survival rates, graft survival rates, liver function parameters, and surgical complication rates.', 'The context mentions that SLT has abolished deaths on the waiting list, raising the question whether LRT is still necessary.', 'The answer correctly states that LRT is preferred over SLT due to its higher survival rates and lower incidence of primary nonfunction, which aligns with the context provided.', \"The answer also acknowledges that SLT represents the first-line therapy in pediatric liver transplantation, which is consistent with the context's indication that SLT has become the primary option in countries where cadaveric organs are available.\"], \"SCORE\": PASS}" }

[ "'The context indicates that the outcomes and postoperative liver function between LRT and SLT were compared, and the results showed no significant differences in survival rates, graft survival rates, liver function parameters, and surgical complication rates.", "The context mentions that SLT has abolished deaths on the waiting list, raising the question whether LRT is still necessary.", "The answer correctly states that LRT is preferred over SLT due to its higher survival rates and lower incidence of primary nonfunction, which aligns with the context provided.', \"The answer also acknowledges that SLT represents the first-line therapy in pediatric liver transplantation, which is consistent with the context's indication that SLT has become the primary option in countries where cadaveric organs are available.\"" ]

{ "_id": 10331115, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that amoxapine has a profile similar to that of typical antipsychotics, not atypical antipsychotics.', 'The context specifies that all currently available atypical antipsychotics have high 5-HT2 occupancy and greater 5-HT2 than D2 occupancy, which amoxapine does not conform to.', 'The context mentions that amoxapine should conform to the profile of typical antipsychotics based on pharmacologic and behavioral data.', 'The PET data show that amoxapine's 5-HT2 receptors are saturated at doses above 100 mg/day, and D2 receptor occupancies never exceed 80%, which is similar to typical antipsychotics.', \"The answer incorrectly states that amoxapine's profile is very similar to that of the established atypical antipsychotics, which contradicts the context.\"], \"SCORE\": FAIL}" }

[ "'The context indicates that amoxapine has a profile similar to that of typical antipsychotics, not atypical antipsychotics.", "The context specifies that all currently available atypical antipsychotics have high 5-HT2 occupancy and greater 5-HT2 than D2 occupancy, which amoxapine does not conform to.", "The context mentions that amoxapine should conform to the profile of typical antipsychotics based on pharmacologic and behavioral data.", "The PET data show that amoxapine's 5-HT2 receptors are saturated at doses above 100 mg/day, and D2 receptor occupancies never exceed 80%, which is similar to typical antipsychotics.', \"The answer incorrectly states that amoxapine's profile is very similar to that of the established atypical antipsychotics, which contradicts the context.\"" ]

{ "_id": 24809662, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the study found no significant difference in OAB-q SS change scores between the MUS-only and MUS + AA cohorts (p = 0.20).', 'The answer incorrectly states that concomitant AA repair results in additional improvement in OAB symptoms over MUS alone, which contradicts the study's findings.', 'The context also mentions that OAB-q SS change scores were lower for women with postoperative complications, but this does not support the claim that concomitant AA repair improves OAB symptoms additional to MUS alone.'], \"SCORE\": FAIL}" }

[ "'The context indicates that the study found no significant difference in OAB-q SS change scores between the MUS-only and MUS + AA cohorts (p = 0.20).", "The answer incorrectly states that concomitant AA repair results in additional improvement in OAB symptoms over MUS alone, which contradicts the study's findings.", "The context also mentions that OAB-q SS change scores were lower for women with postoperative complications, but this does not support the claim that concomitant AA repair improves OAB symptoms additional to MUS alone.'" ]

{ "_id": 10759659, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides a comparison between the accuracy of a trained urology nurse practitioner (UNP) and a consultant urologist in detecting bladder tumors during flexible cystoscopy.', 'The CONTEXT states that the UNP and the urologist agreed very closely, with a Kappa value of 0.94, indicating high agreement.', 'The CONTEXT does not mention that the UNP cannot detect suspicious lesions as accurately as the consultant urologist. In fact, it implies that the agreement is very close, suggesting similar accuracy.', 'The ANSWER incorrectly states that the UNP cannot detect suspicious lesions as accurately as a consultant urologist, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT provides a comparison between the accuracy of a trained urology nurse practitioner (UNP) and a consultant urologist in detecting bladder tumors during flexible cystoscopy.", "The CONTEXT states that the UNP and the urologist agreed very closely, with a Kappa value of 0.94, indicating high agreement.", "The CONTEXT does not mention that the UNP cannot detect suspicious lesions as accurately as the consultant urologist. In fact, it implies that the agreement is very close, suggesting similar accuracy.", "The ANSWER incorrectly states that the UNP cannot detect suspicious lesions as accurately as a consultant urologist, which is not supported by the CONTEXT.'" ]

{ "_id": 15477551, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that the four patients developed slowly progressive myelopathy with abnormal MRI lesions in the cervical cord levels.', 'The context also states that anti-HTLV-I antibodies were positive in both the serum and the CSF in all of the patients, suggesting a link between the condition and HTLV-I infection.', 'The context mentions that two of the three patients examined showed a high risk of developing HAM/TSP in virologic and immunologic aspects, implying that the condition is related to HTLV-I infection.', 'The answer claims that these four cases do not represent a variant form of HAM/TSP but rather a distinct neurological condition unrelated to HTLV-I infection, which contradicts the context provided.'], \"SCORE\": FAIL}" }

[ "'The context indicates that the four patients developed slowly progressive myelopathy with abnormal MRI lesions in the cervical cord levels.", "The context also states that anti-HTLV-I antibodies were positive in both the serum and the CSF in all of the patients, suggesting a link between the condition and HTLV-I infection.", "The context mentions that two of the three patients examined showed a high risk of developing HAM/TSP in virologic and immunologic aspects, implying that the condition is related to HTLV-I infection.", "The answer claims that these four cases do not represent a variant form of HAM/TSP but rather a distinct neurological condition unrelated to HTLV-I infection, which contradicts the context provided.'" ]

{ "_id": 17096624, "label": "FAIL", "text": "{\"REASONING\": ['The context describes a study that clustered unvaccinated seniors into four groups based on their knowledge and attitudes towards influenza vaccination.', 'The four clusters identified are: Potentials, Fearful Uninformeds, Doubters, and Misinformeds, each with distinct characteristics and beliefs.', 'The context provides evidence that these clusters exist, as it mentions specific percentages of each group and their attitudes towards the influenza vaccine.', 'The answer states that there are no distinct patterns of knowledge and attitudes among unvaccinated seniors, which contradicts the detailed information provided in the context.'], \"SCORE\": FAIL}" }

[ "'The context describes a study that clustered unvaccinated seniors into four groups based on their knowledge and attitudes towards influenza vaccination.", "The four clusters identified are: Potentials, Fearful Uninformeds, Doubters, and Misinformeds, each with distinct characteristics and beliefs.", "The context provides evidence that these clusters exist, as it mentions specific percentages of each group and their attitudes towards the influenza vaccine.", "The answer states that there are no distinct patterns of knowledge and attitudes among unvaccinated seniors, which contradicts the detailed information provided in the context.'" ]

{ "_id": 11926574, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides data on the presence of hepatitis G virus and TT virus in patients with cryptogenic chronic liver disease and hepatitis C virus-related chronic liver disease.', 'The CONTEXT mentions 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.', 'The CONTEXT also states that T virus-DNA was present in serum in 3 subjects, including 1 with cryptogenic and 2 with hepatitis C virus-related chronic liver disease.', 'The ANSWER states that hepatitis G virus infection is widespread among patients with chronic hepatitis, including those with cryptogenic liver disease, suggesting a potential aetiologic role.', 'The ANSWER also mentions that TT virus infection is less common but has been found in a significant number of patients with cryptogenic or hepatitis C virus-related liver disease, indicating its involvement in these conditions.', 'Both the CONTEXT and the ANSWER indicate the presence of these viruses in patients with cryptogenic chronic liver disease, supporting the claim that they are involved in these conditions.'], \"SCORE\": PASS}" }

[ "'The CONTEXT provides data on the presence of hepatitis G virus and TT virus in patients with cryptogenic chronic liver disease and hepatitis C virus-related chronic liver disease.", "The CONTEXT mentions 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.", "The CONTEXT also states that T virus-DNA was present in serum in 3 subjects, including 1 with cryptogenic and 2 with hepatitis C virus-related chronic liver disease.", "The ANSWER states that hepatitis G virus infection is widespread among patients with chronic hepatitis, including those with cryptogenic liver disease, suggesting a potential aetiologic role.", "The ANSWER also mentions that TT virus infection is less common but has been found in a significant number of patients with cryptogenic or hepatitis C virus-related liver disease, indicating its involvement in these conditions.", "Both the CONTEXT and the ANSWER indicate the presence of these viruses in patients with cryptogenic chronic liver disease, supporting the claim that they are involved in these conditions.'" ]

{ "_id": 23389866, "label": "FAIL", "text": "{\"REASONING\": ['The context provides data from a study comparing the outcomes of two groups of patients with squamous cell esophageal carcinoma.', 'Group A received chemoradiotherapy followed by surgical resection, while Group B received chemoradiotherapy alone.', 'The study found that the median overall survival (OS) was 16.4 months in Group A and 19.1 months in Group B, with a p-value of 0.388, indicating no significant difference in OS between the two groups.', 'The median disease-free survival (DFS) was 5.8 months in Group A and 4.1 months in Group B, with a p-value of 0.347, indicating no significant difference in DFS between the two groups.', 'The context also mentions that the probability of locoregional recurrence was significantly lower in Group A (arm A) compared to Group B (arm B), with a p-value of 0.002.', 'The answer claims that surgical resection significantly improves survival outcomes and reduces clinical toxicity, which is not supported by the context. The context shows no significant difference in OS or DFS between the two groups, and the improvement in locoregional recurrence is not sufficient to claim a significant improvement in overall survival outcomes.'], \"SCORE\": FAIL}" }

[ "'The context provides data from a study comparing the outcomes of two groups of patients with squamous cell esophageal carcinoma.", "Group A received chemoradiotherapy followed by surgical resection, while Group B received chemoradiotherapy alone.", "The study found that the median overall survival (OS) was 16.4 months in Group A and 19.1 months in Group B, with a p-value of 0.388, indicating no significant difference in OS between the two groups.", "The median disease-free survival (DFS) was 5.8 months in Group A and 4.1 months in Group B, with a p-value of 0.347, indicating no significant difference in DFS between the two groups.", "The context also mentions that the probability of locoregional recurrence was significantly lower in Group A (arm A) compared to Group B (arm B), with a p-value of 0.002.", "The answer claims that surgical resection significantly improves survival outcomes and reduces clinical toxicity, which is not supported by the context. The context shows no significant difference in OS or DFS between the two groups, and the improvement in locoregional recurrence is not sufficient to claim a significant improvement in overall survival outcomes.'" ]

{ "_id": 12098035, "label": "FAIL", "text": "{\"REASONING\": ['The context provides data comparing the outcomes of patients with acute cholecystitis treated by laparoscopic specialists (LS) and general surgeons (GS).', 'The context states that 65% of LS patients had successful laparoscopic treatment compared to 36% of GS patients, indicating a higher success rate for LS patients.', 'The context also mentions that the median postoperative hospital stay was significantly shorter in the LS group (3 days) compared to the GS group (5 days).', 'The answer correctly reflects these findings by stating that patients with AC are more likely to undergo successful LC if cared for by a surgeon with an interest in laparoscopy and that the length of hospital stay is significantly shorter when treated by laparoscopic specialists.'], \"SCORE\": PASS}" }

[ "'The context provides data comparing the outcomes of patients with acute cholecystitis treated by laparoscopic specialists (LS) and general surgeons (GS).", "The context states that 65% of LS patients had successful laparoscopic treatment compared to 36% of GS patients, indicating a higher success rate for LS patients.", "The context also mentions that the median postoperative hospital stay was significantly shorter in the LS group (3 days) compared to the GS group (5 days).", "The answer correctly reflects these findings by stating that patients with AC are more likely to undergo successful LC if cared for by a surgeon with an interest in laparoscopy and that the length of hospital stay is significantly shorter when treated by laparoscopic specialists.'" ]

{ "_id": 8422202, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that a significant percentage of patients had a poor understanding of the technique used with the metered-dose inhaler.', 'The CONTEXT also states that house staff and nursing staff were less proficient in the proper use of the metered-dose inhaler.', 'The CONTEXT specifies that respiratory care practitioners were the most knowledgeable among the health care providers.', 'The ANSWER incorrectly states that house staff were the most proficient among all the health care providers, which contradicts the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that a significant percentage of patients had a poor understanding of the technique used with the metered-dose inhaler.", "The CONTEXT also states that house staff and nursing staff were less proficient in the proper use of the metered-dose inhaler.", "The CONTEXT specifies that respiratory care practitioners were the most knowledgeable among the health care providers.", "The ANSWER incorrectly states that house staff were the most proficient among all the health care providers, which contradicts the CONTEXT.'" ]

{ "_id": 22365295, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides data on the rate of early infection for TIVADs placed without antibiotic prophylaxis.', 'It mentions that CLABSIs occurred in seven (0.6%) patients within 30 days of placement.', 'The ANSWER states that the rate of early infection without antibiotic prophylaxis is less than 1%, which is consistent with the 0.6% rate mentioned in the CONTEXT.', \"The ANSWER also recommends the use of prophylactic antibiotics to further minimize the risk of infection, which aligns with the CONTEXT's data showing a low but not zero rate of infections.\"], \"SCORE\": PASS}" }

[ "'The CONTEXT provides data on the rate of early infection for TIVADs placed without antibiotic prophylaxis.", "It mentions that CLABSIs occurred in seven (0.6%) patients within 30 days of placement.", "The ANSWER states that the rate of early infection without antibiotic prophylaxis is less than 1%, which is consistent with the 0.6% rate mentioned in the CONTEXT.', \"The ANSWER also recommends the use of prophylactic antibiotics to further minimize the risk of infection, which aligns with the CONTEXT's data showing a low but not zero rate of infections.\"" ]

{ "_id": 21889895, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the number of CT scans ordered by residents stayed constant for 90% of the attendees and decreased for only 10%, which suggests limited change in CT ordering practices overall.', 'The CONTEXT also mentions that the types of CT scans ordered changed for only 14% of the residents and that there was a small increase in alternative imaging modalities.', 'The ANSWER claims that most clinicians significantly changed their CT scan ordering after education, which is not supported by the CONTEXT. The CONTEXT shows only minor changes in CT ordering practices.', 'The ANSWER also states that radiation education allowed clinicians to discuss CT benefits and risks with patients and choose appropriate CT protocols, which is not explicitly supported by the CONTEXT. The CONTEXT does not provide detailed information on these specific points.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the number of CT scans ordered by residents stayed constant for 90% of the attendees and decreased for only 10%, which suggests limited change in CT ordering practices overall.", "The CONTEXT also mentions that the types of CT scans ordered changed for only 14% of the residents and that there was a small increase in alternative imaging modalities.", "The ANSWER claims that most clinicians significantly changed their CT scan ordering after education, which is not supported by the CONTEXT. The CONTEXT shows only minor changes in CT ordering practices.", "The ANSWER also states that radiation education allowed clinicians to discuss CT benefits and risks with patients and choose appropriate CT protocols, which is not explicitly supported by the CONTEXT. The CONTEXT does not provide detailed information on these specific points.'" ]

{ "_id": 19653482, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a study on factors that influence teammates' requests and acceptance of backup in high-pressure environments, specifically in commercial air traffic control.', 'The study investigates the applicability of transactive memory theory, which suggests that teammates develop shared understanding of each other's expertise and confidence in that expertise.', 'The CONTEXT mentions that greater experience working together is associated with more requests and acceptance of backup, and that teammate knowledge consensus and perceived team efficacy mediate this relationship.', 'The ANSWER states that teammates with greater experience request and accept backup more, which aligns with the CONTEXT.', \"The ANSWER also mentions that transactive memory theory extends to high-stress environments and that shared mental models increase the likelihood of requesting and accepting backup, which is consistent with the CONTEXT's discussion on the theory's applicability and its role in facilitating coordination.\"], \"SCORE\": PASS}" }

[ "'The CONTEXT discusses a study on factors that influence teammates' requests and acceptance of backup in high-pressure environments, specifically in commercial air traffic control.", "The study investigates the applicability of transactive memory theory, which suggests that teammates develop shared understanding of each other's expertise and confidence in that expertise.", "The CONTEXT mentions that greater experience working together is associated with more requests and acceptance of backup, and that teammate knowledge consensus and perceived team efficacy mediate this relationship.", "The ANSWER states that teammates with greater experience request and accept backup more, which aligns with the CONTEXT.', \"The ANSWER also mentions that transactive memory theory extends to high-stress environments and that shared mental models increase the likelihood of requesting and accepting backup, which is consistent with the CONTEXT's discussion on the theory's applicability and its role in facilitating coordination.\"" ]

{ "_id": 24946973, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides information about a study evaluating accelerated partial breast irradiation (APBI) in patients who have undergone oncoplastic surgery for early breast cancer.', 'The study included 136 breasts of 134 patients and provided data on treatment outcomes, including local recurrences, systemic progress, and cosmetic side effects.', 'The CONTEXT does not state that oncoplastic surgery is a contraindication for APBI; it only presents data on the feasibility and outcomes of the treatment combination.', 'The ANSWER incorrectly states that oncoplastic surgery is a contraindication for multicatheter APBI, which is not supported by the CONTEXT.', 'The CONTEXT suggests that further prospective investigations with long follow-up are needed to define the real value of the procedure, contrary to what the ANSWER claims.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT provides information about a study evaluating accelerated partial breast irradiation (APBI) in patients who have undergone oncoplastic surgery for early breast cancer.", "The study included 136 breasts of 134 patients and provided data on treatment outcomes, including local recurrences, systemic progress, and cosmetic side effects.", "The CONTEXT does not state that oncoplastic surgery is a contraindication for APBI; it only presents data on the feasibility and outcomes of the treatment combination.", "The ANSWER incorrectly states that oncoplastic surgery is a contraindication for multicatheter APBI, which is not supported by the CONTEXT.", "The CONTEXT suggests that further prospective investigations with long follow-up are needed to define the real value of the procedure, contrary to what the ANSWER claims.'" ]

{ "_id": 9602458, "label": "FAIL", "text": "{\"REASONING\": ['The context provides a comparison between the Child Health Computing System (CHCS) and the Northern Ireland Cerebral Palsy Register (NICPR).', 'The context states that 47% of cases recorded on the NICPR were not found on the CHCS, and the majority of these children had no computer record of any medical diagnosis.', 'This suggests that the CHCS does not consistently identify all children with cerebral palsy, as indicated by the NICPR.', \"The context also mentions that 12% of cases recorded on the CHCS were not found on the NICPR, and 6% of these cases were found not to have cerebral palsy on follow-up.\", 'This implies that the CHCS includes some incorrect or uncertain diagnoses, which affects its reliability.', 'Therefore, the answer claiming that the CHCS effectively identifies children with cerebral palsy and provides reliable data is not supported by the context.'], \"SCORE\": FAIL}" }

[ "'The context provides a comparison between the Child Health Computing System (CHCS) and the Northern Ireland Cerebral Palsy Register (NICPR).", "The context states that 47% of cases recorded on the NICPR were not found on the CHCS, and the majority of these children had no computer record of any medical diagnosis.", "This suggests that the CHCS does not consistently identify all children with cerebral palsy, as indicated by the NICPR.', \"The context also mentions that 12% of cases recorded on the CHCS were not found on the NICPR, and 6% of these cases were found not to have cerebral palsy on follow-up.\", 'This implies that the CHCS includes some incorrect or uncertain diagnoses, which affects its reliability.", "Therefore, the answer claiming that the CHCS effectively identifies children with cerebral palsy and provides reliable data is not supported by the context.'" ]

{ "_id": 23356465, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a study on the implementation of cognitive processing therapy (CPT) in a Veterans Affairs (VA) posttraumatic stress disorder (PTSD) specialty clinic.', 'The study aimed to estimate the proportion of variability in outcome attributable to therapists and identified characteristics of effective therapists.', 'The CONTEXT mentions that approximately 12% of the variability in the PTSD Checklist (PCL) at the end of treatment was due to therapists.', 'The CONTEXT also notes that effective therapists addressed patient avoidance, had a flexible interpersonal style, and could develop a strong therapeutic alliance.', 'The ANSWER states that the uniformity of evidence-based treatments in practice is primarily determined by strict adherence to standardized training and supervision guidelines.', 'The CONTEXT does not explicitly state that uniformity is primarily determined by strict adherence to guidelines; it focuses on therapist characteristics and their effects.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses a study on the implementation of cognitive processing therapy (CPT) in a Veterans Affairs (VA) posttraumatic stress disorder (PTSD) specialty clinic.", "The study aimed to estimate the proportion of variability in outcome attributable to therapists and identified characteristics of effective therapists.", "The CONTEXT mentions that approximately 12% of the variability in the PTSD Checklist (PCL) at the end of treatment was due to therapists.", "The CONTEXT also notes that effective therapists addressed patient avoidance, had a flexible interpersonal style, and could develop a strong therapeutic alliance.", "The ANSWER states that the uniformity of evidence-based treatments in practice is primarily determined by strict adherence to standardized training and supervision guidelines.", "The CONTEXT does not explicitly state that uniformity is primarily determined by strict adherence to guidelines; it focuses on therapist characteristics and their effects.'" ]

{ "_id": 18496363, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT does not explicitly state that the protective effect of female gender is significantly influenced by hormonal differences.', 'The CONTEXT mentions that female gender was independently associated with a lower risk of multiple organ failure and nosocomial infection, but it does not attribute this to hormonal differences.', 'The CONTEXT does not provide specific information about the influence of premenopausal vs. postmenopausal women or men of similar ages.', 'The CONTEXT does not mention experimental studies or physiological changes in sex hormones after menopause.', 'The ANSWER introduces information not present in the CONTEXT, making it unfaithful to the provided information.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT does not explicitly state that the protective effect of female gender is significantly influenced by hormonal differences.", "The CONTEXT mentions that female gender was independently associated with a lower risk of multiple organ failure and nosocomial infection, but it does not attribute this to hormonal differences.", "The CONTEXT does not provide specific information about the influence of premenopausal vs. postmenopausal women or men of similar ages.", "The CONTEXT does not mention experimental studies or physiological changes in sex hormones after menopause.", "The ANSWER introduces information not present in the CONTEXT, making it unfaithful to the provided information.'" ]

{ "_id": 22236315, "label": "FAIL", "text": "{\"REASONING\": ['The context discusses the impact of distance to provider on the timely diagnosis and treatment of breast, colorectal, and lung cancer among Medicaid patients.', 'It mentions that later stage at diagnosis for breast cancer and time-to-treatment for colorectal cancer are associated with travel burden.', 'The context also notes that driving time is a better predictor of timeliness than driving distance.', 'The answer correctly summarizes that distance to provider is a barrier to care, as it is associated with delayed diagnosis and treatment, particularly for breast and colorectal cancer.', \"The answer's suggestion for more intensive efforts at early detection and treatment is consistent with the context's findings.\"], \"SCORE\": PASS}" }

[ "'The context discusses the impact of distance to provider on the timely diagnosis and treatment of breast, colorectal, and lung cancer among Medicaid patients.", "It mentions that later stage at diagnosis for breast cancer and time-to-treatment for colorectal cancer are associated with travel burden.", "The context also notes that driving time is a better predictor of timeliness than driving distance.", "The answer correctly summarizes that distance to provider is a barrier to care, as it is associated with delayed diagnosis and treatment, particularly for breast and colorectal cancer.', \"The answer's suggestion for more intensive efforts at early detection and treatment is consistent with the context's findings.\"" ]

{ "_id": 26852225, "label": "FAIL", "text": "{\"REASONING\": ['The context discusses the use of anchoring vignettes to adjust for reporting heterogeneity in self-reports of sleep disorders in Japan.', 'The study found that age, sex, and the number of comorbidities were significantly associated with sleep-related problems before adjustment, but after correction, age and the number of comorbidities remained significant, while sex was no longer significant.', 'The context also mentions that the CHOPIT model provided different results compared to the ordered probit model, indicating the impact of adjusting for reporting heterogeneity.', 'The answer states that correction for reporting heterogeneity is not necessary, which contradicts the context that shows significant changes in the associations after adjustment.', 'The answer also incorrectly states that older age is not significantly associated with sleep-related issues after adjustment, which is not supported by the context where age remains a significant factor.'], \"SCORE\": FAIL}" }

[ "'The context discusses the use of anchoring vignettes to adjust for reporting heterogeneity in self-reports of sleep disorders in Japan.", "The study found that age, sex, and the number of comorbidities were significantly associated with sleep-related problems before adjustment, but after correction, age and the number of comorbidities remained significant, while sex was no longer significant.", "The context also mentions that the CHOPIT model provided different results compared to the ordered probit model, indicating the impact of adjusting for reporting heterogeneity.", "The answer states that correction for reporting heterogeneity is not necessary, which contradicts the context that shows significant changes in the associations after adjustment.", "The answer also incorrectly states that older age is not significantly associated with sleep-related issues after adjustment, which is not supported by the context where age remains a significant factor.'" ]

{ "_id": 10411439, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses the effects of the modified lithotomy position and the addition of a 15-degree head-down tilt (Trendelenburg position) on lower limb perfusion during pelvic surgery.', 'It states that the modified lithotomy position alone did not demonstrate a decrease in lower limb perfusion.', 'The addition of the Trendelenburg position led to a significant drop in lower limb perfusion, and postoperatively, there was a ten-fold increase in perfusion confined to the muscle compartment.', 'The ANSWER correctly summarizes that the modified lithotomy position is not associated with lower limb ischemia but that the addition of the Trendelenburg position causes profound ischemia, followed by hyperperfusion in the muscle compartments, which may lead to lower limb compartment syndrome.', 'Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION.'], \"SCORE\": PASS}" }

[ "'The CONTEXT discusses the effects of the modified lithotomy position and the addition of a 15-degree head-down tilt (Trendelenburg position) on lower limb perfusion during pelvic surgery.", "It states that the modified lithotomy position alone did not demonstrate a decrease in lower limb perfusion.", "The addition of the Trendelenburg position led to a significant drop in lower limb perfusion, and postoperatively, there was a ten-fold increase in perfusion confined to the muscle compartment.", "The ANSWER correctly summarizes that the modified lithotomy position is not associated with lower limb ischemia but that the addition of the Trendelenburg position causes profound ischemia, followed by hyperperfusion in the muscle compartments, which may lead to lower limb compartment syndrome.", "Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION.'" ]

{ "_id": 23601294, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT highlights that there were large overlappings between stone types and that most stone types could not be identified using CT attenuation values alone.', 'The CONTEXT also mentions that mean CT attenuation values were significantly different from one CT scanner to another for certain stone types.', 'The ANSWER claims that there is consistent reliability across different brands and models of scanners, which contradicts the CONTEXT that shows significant differences in mean CT attenuation values between scanners.', 'Therefore, the ANSWER does not accurately reflect the findings presented in the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT highlights that there were large overlappings between stone types and that most stone types could not be identified using CT attenuation values alone.", "The CONTEXT also mentions that mean CT attenuation values were significantly different from one CT scanner to another for certain stone types.", "The ANSWER claims that there is consistent reliability across different brands and models of scanners, which contradicts the CONTEXT that shows significant differences in mean CT attenuation values between scanners.", "Therefore, the ANSWER does not accurately reflect the findings presented in the CONTEXT.'" ]

{ "_id": 22534881, "label": "FAIL", "text": "{\"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 the results showed a global agreement of 58.1% with a κ value of 0.39, which suggests a low to moderate correlation.', 'The CONTEXT does not support the claim that the radiographic transition zone generally correlates well with the level of aganglionosis.', 'The ANSWER incorrectly states that the radiographic transition zone generally correlates well with the level of aganglionosis, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'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 the results showed a global agreement of 58.1% with a κ value of 0.39, which suggests a low to moderate correlation.", "The CONTEXT does not support the claim that the radiographic transition zone generally correlates well with the level of aganglionosis.", "The ANSWER incorrectly states that the radiographic transition zone generally correlates well with the level of aganglionosis, which is not supported by the CONTEXT.'" ]

{ "_id": 19394934, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT specifies that 95% of HMCIs had a casualty load of 52 or fewer.', 'The CONTEXT indicates that 79.2% of casualties did not necessitate immediate medical treatment.', 'The ANSWER states that nearly 50% of arriving casualties will require immediate medical treatment, which contradicts the CONTEXT where only 25% (half of 50%) would require immediate treatment based on the provided data.', 'The CONTEXT does not support the claim that hospital preparedness can be better defined by a fixed number of casualties rather than a percentile of its bed capacity.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT specifies that 95% of HMCIs had a casualty load of 52 or fewer.", "The CONTEXT indicates that 79.2% of casualties did not necessitate immediate medical treatment.", "The ANSWER states that nearly 50% of arriving casualties will require immediate medical treatment, which contradicts the CONTEXT where only 25% (half of 50%) would require immediate treatment based on the provided data.", "The CONTEXT does not support the claim that hospital preparedness can be better defined by a fixed number of casualties rather than a percentile of its bed capacity.'" ]

{ "_id": 25155638, "label": "FAIL", "text": "{\"REASONING\": ['The context indicates that eliminating \"missed opportunities\" for influenza vaccination in office-based settings could cut racial and ethnic disparities in influenza vaccination by roughly one half.', 'The answer states that routine offering of influenza vaccination in office-based settings does not significantly impact racial and ethnic disparities in adult influenza vaccination.', 'This contradicts the context, which suggests that eliminating \"missed opportunities\" could make a significant impact in reducing disparities.', 'Therefore, the answer is not faithful to the context provided.'], \"SCORE\": FAIL}" }

[ "'The context indicates that eliminating \"missed opportunities\" for influenza vaccination in office-based settings could cut racial and ethnic disparities in influenza vaccination by roughly one half.", "The answer states that routine offering of influenza vaccination in office-based settings does not significantly impact racial and ethnic disparities in adult influenza vaccination.", "This contradicts the context, which suggests that eliminating \"missed opportunities\" could make a significant impact in reducing disparities.", "Therefore, the answer is not faithful to the context provided.'" ]

{ "_id": 19409117, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses a study evaluating the efficacy of extracorporeal shock wave lithotripsy (SWL) on lower calyceal calculi and identifies various renal anatomical factors that were analyzed in relation to the treatment outcome.', 'The study found significant differences in the height of the infundibulum between patients who were stone-free (NR group) and those who had residual fragments (R group), with a p-value of 0.002.', 'The ANSWER states that higher infundibular height could be a good measurement tool for deciding which patients would benefit from SWL treatment, and suggests that a height of more than 22 mm indicates a good outcome.', 'The CONTEXT does not provide a specific height threshold of 22 mm, but it does indicate that infundibular height was a significant factor in predicting treatment outcome, which aligns with the ANSWER.', 'Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION, as it correctly identifies infundibular height as a significant factor and suggests a height threshold based on the provided data.'], \"SCORE\": PASS}" }

[ "'The CONTEXT discusses a study evaluating the efficacy of extracorporeal shock wave lithotripsy (SWL) on lower calyceal calculi and identifies various renal anatomical factors that were analyzed in relation to the treatment outcome.", "The study found significant differences in the height of the infundibulum between patients who were stone-free (NR group) and those who had residual fragments (R group), with a p-value of 0.002.", "The ANSWER states that higher infundibular height could be a good measurement tool for deciding which patients would benefit from SWL treatment, and suggests that a height of more than 22 mm indicates a good outcome.", "The CONTEXT does not provide a specific height threshold of 22 mm, but it does indicate that infundibular height was a significant factor in predicting treatment outcome, which aligns with the ANSWER.", "Therefore, the ANSWER is faithful to the CONTEXT given the QUESTION, as it correctly identifies infundibular height as a significant factor and suggests a height threshold based on the provided data.'" ]

{ "_id": 20187289, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT discusses the use of prescription data as a proxy for asthma prevalence in children, but it does not provide evidence that asthma medications were prescribed primarily for asthma.', 'The CONTEXT mentions a study by Stock et al. that estimated asthma prevalence using claims data, but it does not state that the prescriptions were validated as primarily being for asthma.', 'The CONTEXT also compares asthma prevalence estimates from different data sources, including the KiGGS survey, but it does not provide information that additional validation studies confirmed the reliability of prescriptions as a proxy for asthma.', 'The ANSWER claims that additional validation studies supported the reliability of asthma medications as a proxy, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT discusses the use of prescription data as a proxy for asthma prevalence in children, but it does not provide evidence that asthma medications were prescribed primarily for asthma.", "The CONTEXT mentions a study by Stock et al. that estimated asthma prevalence using claims data, but it does not state that the prescriptions were validated as primarily being for asthma.", "The CONTEXT also compares asthma prevalence estimates from different data sources, including the KiGGS survey, but it does not provide information that additional validation studies confirmed the reliability of prescriptions as a proxy for asthma.", "The ANSWER claims that additional validation studies supported the reliability of asthma medications as a proxy, which is not supported by the CONTEXT.'" ]

{ "_id": 20537205, "label": "FAIL", "text": "{\"REASONING\": ['The context describes studies on guinea pigs administered with halofantrine, which showed changes in cochlear histology.', '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 inner and outer hair cells and loss of spiral ganglia cells.', 'These findings suggest that halofantrine does have significant pathological effects on cochlea histology.', \"Therefore, the answer stating 'no' and claiming halofantrine has no significant pathological effects on cochlea histology is not faithful to the context.\"], \"SCORE\": FAIL}" }

[ "'The context describes studies on guinea pigs administered with halofantrine, which showed changes in cochlear histology.", "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 inner and outer hair cells and loss of spiral ganglia cells.", "These findings suggest that halofantrine does have significant pathological effects on cochlea histology.', \"Therefore, the answer stating 'no' and claiming halofantrine has no significant pathological effects on cochlea histology is not faithful to the context.\"" ]

{ "_id": 23497210, "label": "FAIL", "text": "{\"REASONING\": ['The context discusses the challenges and limitations of identifying women with major depression during pregnancy using population health data.', 'It mentions that most datasets are established for administrative purposes and not for health outcomes research, which implies limitations in their accuracy and completeness.', 'The context explains that there are differences in ascertainment between hospital admission datasets and dispensing claims datasets, and that a significant portion of women with depression may not be identified through hospital records alone.', 'The context provides specific statistics showing that only 13.6% of pregnancies were found in both groups, and that 80% of women dispensed an antidepressant did not have depression recorded as a comorbidity on their hospital records.', 'The answer claims that population health data provide a complete and accurate profile for identifying women with major depression in pregnancy, which contradicts the context that highlights the limitations and inaccuracies in the data.'], \"SCORE\": FAIL}" }

[ "'The context discusses the challenges and limitations of identifying women with major depression during pregnancy using population health data.", "It mentions that most datasets are established for administrative purposes and not for health outcomes research, which implies limitations in their accuracy and completeness.", "The context explains that there are differences in ascertainment between hospital admission datasets and dispensing claims datasets, and that a significant portion of women with depression may not be identified through hospital records alone.", "The context provides specific statistics showing that only 13.6% of pregnancies were found in both groups, and that 80% of women dispensed an antidepressant did not have depression recorded as a comorbidity on their hospital records.", "The answer claims that population health data provide a complete and accurate profile for identifying women with major depression in pregnancy, which contradicts the context that highlights the limitations and inaccuracies in the data.'" ]

{ "_id": 11882828, "label": "FAIL", "text": "{\"REASONING\": ['The context describes a study where desmopressin was administered alone to one group of patients and with tranexamic acid to another group.', 'The results showed significant differences in favor of the group that received tranexamic acid, including less drainage, fewer transfusions, and better postoperative fibrinogen and hemoglobin levels.', 'The context explicitly states that the combined use of desmopressin and tranexamic acid decreased fibrinolytic activity and improved postoperative hemostasis.', 'The answer contradicts the context by stating that tranexamic acid does not significantly reduce desmopressin-induced hyperfibrinolysis and does not affect postoperative blood loss or transfusion requirements.'], \"SCORE\": FAIL}" }

[ "'The context describes a study where desmopressin was administered alone to one group of patients and with tranexamic acid to another group.", "The results showed significant differences in favor of the group that received tranexamic acid, including less drainage, fewer transfusions, and better postoperative fibrinogen and hemoglobin levels.", "The context explicitly states that the combined use of desmopressin and tranexamic acid decreased fibrinolytic activity and improved postoperative hemostasis.", "The answer contradicts the context by stating that tranexamic acid does not significantly reduce desmopressin-induced hyperfibrinolysis and does not affect postoperative blood loss or transfusion requirements.'" ]

{ "_id": 24019262, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides data from epidemiological studies exploring the relationship between blood pressure and chronic low back pain.', 'The cross-sectional study in the CONTEXT indicates inverse relationships between blood pressure measures and the prevalence of low back pain.', 'The prospective study in the CONTEXT shows that higher pulse pressure and systolic pressure are associated with a lower risk of low back pain in women, but results among men were equivocal.', 'The ANSWER states that high blood pressure reduces the risk of chronic low back pain, which is consistent with the findings in the CONTEXT.', \"The theory of hypertension-associated hypalgesia, mentioned in the ANSWER, suggests that increased blood pressure is associated with increased pain sensitivity, which contradicts the CONTEXT's findings of inverse relationships.\"], \"SCORE\": FAIL}" }

[ "'The CONTEXT provides data from epidemiological studies exploring the relationship between blood pressure and chronic low back pain.", "The cross-sectional study in the CONTEXT indicates inverse relationships between blood pressure measures and the prevalence of low back pain.", "The prospective study in the CONTEXT shows that higher pulse pressure and systolic pressure are associated with a lower risk of low back pain in women, but results among men were equivocal.", "The ANSWER states that high blood pressure reduces the risk of chronic low back pain, which is consistent with the findings in the CONTEXT.', \"The theory of hypertension-associated hypalgesia, mentioned in the ANSWER, suggests that increased blood pressure is associated with increased pain sensitivity, which contradicts the CONTEXT's findings of inverse relationships.\"" ]

{ "_id": 27581329, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the Harris-Benedict equation has an accuracy rate of only 45% for the whole range of BMI, which is not high compared to other equations mentioned.', 'The CONTEXT suggests that the newly developed equation from the study has a higher accuracy rate of 78% for the whole range of BMI and 80% in cross-validation, making it a more accurate option.', 'The ANSWER incorrectly states that the Harris-Benedict equation is the most accurate BMR prediction equation in Chinese, which contradicts the accuracy rates provided in the CONTEXT.', 'The CONTEXT does not support the claim that the Harris-Benedict equation is applicable for use in a large BMI range including those overweight and obese, as it has a relatively low accuracy rate in this range.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the Harris-Benedict equation has an accuracy rate of only 45% for the whole range of BMI, which is not high compared to other equations mentioned.", "The CONTEXT suggests that the newly developed equation from the study has a higher accuracy rate of 78% for the whole range of BMI and 80% in cross-validation, making it a more accurate option.", "The ANSWER incorrectly states that the Harris-Benedict equation is the most accurate BMR prediction equation in Chinese, which contradicts the accuracy rates provided in the CONTEXT.", "The CONTEXT does not support the claim that the Harris-Benedict equation is applicable for use in a large BMI range including those overweight and obese, as it has a relatively low accuracy rate in this range.'" ]

{ "_id": 27554179, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the metastasis rate of station 9 lymph nodes was significantly lower than other mediastinal stations, not higher.', 'The CONTEXT states that the staging results of most patients (99.63%) would not be impaired if station 9 nodes were not dissected, suggesting that routine dissection is not necessary.', 'The CONTEXT mentions that the metastasis status of station 9 had no significant influence on survival, contradicting the ANSWER\\'s claim about its significant influence on prognosis.', 'The ANSWER incorrectly states that routine dissection is necessary, especially in certain patient groups, which is not supported by the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the metastasis rate of station 9 lymph nodes was significantly lower than other mediastinal stations, not higher.", "The CONTEXT states that the staging results of most patients (99.63%) would not be impaired if station 9 nodes were not dissected, suggesting that routine dissection is not necessary.", "The CONTEXT mentions that the metastasis status of station 9 had no significant influence on survival, contradicting the ANSWER\\'s claim about its significant influence on prognosis.", "The ANSWER incorrectly states that routine dissection is necessary, especially in certain patient groups, which is not supported by the CONTEXT.'" ]

{ "_id": 18403945, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the study aimed to determine if patients whose symptoms were well controlled on medical therapy but who decided to undergo surgery would experience improved quality of life.', 'The results showed significant improvements in quality of life after surgery, including improved physical and mental composite scores, psychological well-being, and gastrointestinal symptom scores.', 'The ANSWER correctly states that laparoscopic antireflux surgery significantly improved quality of life in reflux patients whose symptoms were well controlled on medical therapy.', 'The ANSWER also mentions that the trial was noncomparative and had a relatively short follow-up period, which is consistent with the information provided in the CONTEXT.'], \"SCORE\": PASS}" }

[ "'The CONTEXT indicates that the study aimed to determine if patients whose symptoms were well controlled on medical therapy but who decided to undergo surgery would experience improved quality of life.", "The results showed significant improvements in quality of life after surgery, including improved physical and mental composite scores, psychological well-being, and gastrointestinal symptom scores.", "The ANSWER correctly states that laparoscopic antireflux surgery significantly improved quality of life in reflux patients whose symptoms were well controlled on medical therapy.", "The ANSWER also mentions that the trial was noncomparative and had a relatively short follow-up period, which is consistent with the information provided in the CONTEXT.'" ]

{ "_id": 10381996, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the presence of ACS was significantly underestimated by evaluating physicians.', 'The CONTEXT states that no symptom or physical examination finding helped to identify which patients had ACS, except for splinting.', 'The CONTEXT mentions that 57% of patients with ACS had completely normal findings on physical examination.', 'The CONTEXT provides evidence 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 ANSWER incorrectly states that experienced physicians can often accurately predict the presence of ACS without the need for CXR, which contradicts the CONTEXT that shows low physician sensitivity and diagnostic accuracy.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the presence of ACS was significantly underestimated by evaluating physicians.", "The CONTEXT states that no symptom or physical examination finding helped to identify which patients had ACS, except for splinting.", "The CONTEXT mentions that 57% of patients with ACS had completely normal findings on physical examination.", "The CONTEXT provides evidence 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 ANSWER incorrectly states that experienced physicians can often accurately predict the presence of ACS without the need for CXR, which contradicts the CONTEXT that shows low physician sensitivity and diagnostic accuracy.'" ]

{ "_id": 12595848, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that the MIXED group (a mixture of general medicine and cardiology clinic visits) had the lowest unadjusted mortality rate (19%).', 'The CONTEXT also shows that the CARD-only group had a lower risk of death compared to the GM-only group, with risk ratios adjusted for clinical and demographic factors.', 'The ANSWER incorrectly states that general practitioner care alone (GM-only) had improved survival compared to cardiologist care and a mixture of both.', 'The CONTEXT does not support the claim that GM-only had improved survival; in fact, it suggests the opposite, as the MIXED group had the best outcomes.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that the MIXED group (a mixture of general medicine and cardiology clinic visits) had the lowest unadjusted mortality rate (19%).", "The CONTEXT also shows that the CARD-only group had a lower risk of death compared to the GM-only group, with risk ratios adjusted for clinical and demographic factors.", "The ANSWER incorrectly states that general practitioner care alone (GM-only) had improved survival compared to cardiologist care and a mixture of both.", "The CONTEXT does not support the claim that GM-only had improved survival; in fact, it suggests the opposite, as the MIXED group had the best outcomes.'" ]

{ "_id": 23949294, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT provides data on the feasibility of maintaining viral load suppression over time in a resource-limited setting.', 'It mentions that 96.3% of patients were on HAART, with a median duration of 14 years of therapy.', 'The CONTEXT states that 87.3% of patients had undetectable viral loads, and 46.8% never presented virologic failure.', 'The CONTEXT also notes that the number of virologic failures increased with the use of third-line ART regimens, but it does not conclude that maintaining suppression over time is not feasible.', 'The ANSWER definitively states that maintaining viral load suppression over time is not feasible, which is not fully supported by the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT provides data on the feasibility of maintaining viral load suppression over time in a resource-limited setting.", "It mentions that 96.3% of patients were on HAART, with a median duration of 14 years of therapy.", "The CONTEXT states that 87.3% of patients had undetectable viral loads, and 46.8% never presented virologic failure.", "The CONTEXT also notes that the number of virologic failures increased with the use of third-line ART regimens, but it does not conclude that maintaining suppression over time is not feasible.", "The ANSWER definitively states that maintaining viral load suppression over time is not feasible, which is not fully supported by the CONTEXT.'" ]

{ "_id": 26879871, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates that for some ethnic groups, an increase in neighbourhood ethnic density was associated with a reduced odds of depression diagnosis.', 'Specifically, the CONTEXT mentions that for Pakistani, Indian, African, and Bangladeshi patients, a 10% increase in own-ethnic density was linked to a statistically significant reduced odds of depression diagnosis.', 'The CONTEXT also states that the results for antidepressant use were very similar, although the effect for black Caribbeans was no longer statistically significant.', 'The ANSWER incorrectly states that new depression diagnosis and antidepressant use was more likely in areas of higher own-ethnic density for all ethnic groups, which contradicts the evidence provided in the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates that for some ethnic groups, an increase in neighbourhood ethnic density was associated with a reduced odds of depression diagnosis.", "Specifically, the CONTEXT mentions that for Pakistani, Indian, African, and Bangladeshi patients, a 10% increase in own-ethnic density was linked to a statistically significant reduced odds of depression diagnosis.", "The CONTEXT also states that the results for antidepressant use were very similar, although the effect for black Caribbeans was no longer statistically significant.", "The ANSWER incorrectly states that new depression diagnosis and antidepressant use was more likely in areas of higher own-ethnic density for all ethnic groups, which contradicts the evidence provided in the CONTEXT.'" ]

{ "_id": 17919952, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates 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, suggesting a potential link to somatisation.', 'The ANSWER claims that self-reported mechanical factors associated with chronic oro-facial pain are independent of psychological factors and do not represent a feature of somatisation, which contradicts the CONTEXT.', 'The CONTEXT does not support the conclusion that extensive invasive therapy such as occlusal adjustments and surgery may be justified in many cases, as it does not provide evidence that these treatments are effective or necessary.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates 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, suggesting a potential link to somatisation.", "The ANSWER claims that self-reported mechanical factors associated with chronic oro-facial pain are independent of psychological factors and do not represent a feature of somatisation, which contradicts the CONTEXT.", "The CONTEXT does not support the conclusion that extensive invasive therapy such as occlusal adjustments and surgery may be justified in many cases, as it does not provide evidence that these treatments are effective or necessary.'" ]

{ "_id": 25957366, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT indicates 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 simple, at-the-visit family history prompts significantly improved PCPs' ability to identify patients at high risk for 6 common conditions, which contradicts the CONTEXT.', 'The CONTEXT also mentions that only a small percentage of visits resulted in ordered tests/referrals, which does not support the claim of significant improvement.', 'Therefore, the ANSWER does not accurately reflect the findings presented in the CONTEXT.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT indicates 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 simple, at-the-visit family history prompts significantly improved PCPs' ability to identify patients at high risk for 6 common conditions, which contradicts the CONTEXT.", "The CONTEXT also mentions that only a small percentage of visits resulted in ordered tests/referrals, which does not support the claim of significant improvement.", "Therefore, the ANSWER does not accurately reflect the findings presented in the CONTEXT.'" ]

{ "_id": 21198823, "label": "FAIL", "text": "{\"REASONING\": ['The CONTEXT explicitly 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 test, as it does not show any evidence of cTnI elevation.'], \"SCORE\": FAIL}" }

[ "'The CONTEXT explicitly 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 test, as it does not show any evidence of cTnI elevation.'" ]

{ "_id": 25186850, "label": "FAIL", "text": "{\"REASONING\": ['The context provides a study comparing the effect of student examiners (SE) and faculty examiners (FE) on examinee performance in an OSCE for emergency medicine management.', 'The study found that students achieved significantly higher scores for certain OSCE stations and the overall OSCE score when examined by student examiners.', 'However, the study also found that students gave higher ratings for the ACS station and overall OSCE evaluation when examined by faculty examiners.', 'The answer suggests that it is admissible and justified to use student examiners for summative testing (OSCE stations where students performed better with SE) but not necessarily for formative assessment evaluations (OSCE stations where students performed better with FE).', 'This aligns with the context, which indicates that student examiners were more beneficial for certain types of stations, but faculty examiners were more beneficial for others.'], \"SCORE\": PASS}" }

[ "'The context provides a study comparing the effect of student examiners (SE) and faculty examiners (FE) on examinee performance in an OSCE for emergency medicine management.", "The study found that students achieved significantly higher scores for certain OSCE stations and the overall OSCE score when examined by student examiners.", "However, the study also found that students gave higher ratings for the ACS station and overall OSCE evaluation when examined by faculty examiners.", "The answer suggests that it is admissible and justified to use student examiners for summative testing (OSCE stations where students performed better with SE) but not necessarily for formative assessment evaluations (OSCE stations where students performed better with FE).", "This aligns with the context, which indicates that student examiners were more beneficial for certain types of stations, but faculty examiners were more beneficial for others.'" ]