Green Journal Update: reVITALize Definitions and Introducing a More Responsive Website

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In this issue, Sharp, Johnson, Lemieux, and Currigan (see page 603) report the results of the reVITALize for gynecology process, initiated by the American College of Obstetricians and Gynecologists and the Women's Health Registry Alliance.1 This parallels the process used for reVITALize for obstetrics, reported by Menard et al in this journal in 2014.2 Both of these sets of definitions have been accepted by a large number of organizations as the definitions they will use, including the American College of Obstetricians and Gynecologists and Obstetrics & Gynecology. The article in this issue includes a detailed description of the process used to develop these terms and lists the 118 data element definitions in Appendix 3, available online at and also at Some of these definitions will require us to change the words we currently use—for instance, “menorrhagia” is replaced by “heavy menstrual bleeding”—while other common terms remain unchanged. We encourage you to find these new official terms and update your own vocabulary if needed. Here at the journal, we will be transitioning as much as possible to use of the reVITALize definitions.
We also want to use this editorial to highlight that, in January, the digital mobile presence for Obstetrics & Gynecology expanded to include all platforms, by the introduction of responsive design by our publisher, Wolters Kluwer. Dr. Fischer explains this below:
I spent many hours in the library during residency and fellowship tracking down articles from print journals to learn more about a patient's condition or a surgical procedure. We were fortunate to have PubMed to make finding articles relatively easy, but we still had to go to the stacks to pull down large bound volumes of journals to find the information we needed. When journals moved to publishing an electronic version in addition to the print edition, it became possible to do extensive literature searches from a desktop computer, eliminating the need for large files of photocopied articles.
Apple introduced the iPhone in 2007 and the iPad in 2010. These devices used the proprietary iOS platform, which quickly became dominant in the United States, although Android devices are also popular and have a substantial U.S. market share.3 As mobile technology matured, many journals introduced apps that allowed the reader to view the latest edition of the journal on their tablets. Wolters Kluwer introduced the Green Journal app for the iPad in 2012. Although it initially enjoyed some success, usage has declined over the past few years, and many users requested an Android device option.
Wolters Kluwer has been working on a responsive design platform for its many journals, and it is now available. Responsive design is an approach to web design that allows desktop web pages to adapt to the screen size or web browser being used. This has become increasingly necessary as smart phones and mobile technology become even more important in our lives. Current and previous editions of Obstetrics & Gynecology are now accessible regardless of the platform used, greatly increasing availability of the information without being tied to a desktop. Searching the stacks for journals and articles is its own unique experience. However, responsive design for Obstetrics & Gynecology will make life easier on rounds, when seeing patients or trying to answer a research question.
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