Readability levels of health pamphlets distributed in hospitals and health centres in Athens, Greece.

OBJECTIVES: Health literacy is important in the medical and social sciences due to its impact on behavioural and health outcomes. Nevertheless, little is known about it in Greece, including patients' level of understanding health brochures and pamphlets distributed in Greek hospitals and clinics. STUDY DESIGN: Observational study in the greater metropolitan area of Athens, Greece. METHODS: Pamphlets and brochures written in the Greek language were collected from 17 hospitals and healthcare centres between the spring and autumn of 2006. Readability of pamphlets using the Flesch-Kincaid, Simple Measure of Gobbledygook (SMOG) and Fog methods was calculated based on a Greek readability software. RESULTS: Out of 70 pamphlets collected from 17 hospitals, 37 pamphlets met the criteria for the study. The average readability level of all scanned pamphlets was ninth to 10th grade, corresponding to a readability level of 'average'. A highly significant difference (P<0.001) was found between private and public hospitals using the Flesch-Kincaid and SMOG readability scales. Pamphlets from private hospitals were one grade more difficult than those from public hospitals. CONCLUSION: Approximately 43.7% of the Greek population aged ≥20 years would not be able to comprehend the available pamphlets, which were found to have an average readability level of ninth to 10th grade. Further research examining readability levels in the context of health literacy in Greece is warranted. This effort paves the way for additional research in the field of readability levels of health pamphlets in the Greek language, the sources of health information, and the level of understanding of key health messages by the population.

Application of spectroscopic and computational methods in the study of the electronic excitations of partially silylated hydroxyquinones.

The silylation of hydroxynaphthoquinones and hydroxyanthraquinones with N-methyl-N-(tert-butyldimethylsilyl)-2,2,2-trifluoroacetamide, in one step reaction, under mild conditions, has led, in nearly quantitative yields, to the isolation of hydrolytically stable partially silylated products (only of the hydroxyl groups), which differ dramatically in color from the starting materials. The spectroscopic investigation of the silylated products in solution as well as the correlation of the observed data with computationally derived results have been carried out within a study aiming at the understanding of the visible maxima shift to either the ultraviolet or near-infrared region of the electromagnetic spectrum, which would imply availability of the silylated products in a variety of related applications.