Mathilde/NLI4PR huggingface dataset:
Patient case (clinical description): A 50-year-old woman comes to the clinic with intermittent ear discharge and sense of hearing loss on her left ear.  Past medical history is significant for obesity, hyperlipidemia, and diabetes mellitus.  Her medications include Metformin, Atorvastatin and Vit D supplement. Vital signs are normal. BMI is 37. Otoscopy shows a small perforation in the left tympanic membrane and a pearly mass behind the membrane.  Conduction hearing loss is noted in the left ear.  The remainder of the ear, nose, and throat examination is normal.

Patient's own account: I went to the clinic the other day because I had some fluid in my ear and I felt like I could not hear as well as I used to in my left ear. I'm a 50-year-old woman, and I have been obese for a while now. I have diabetes and cholesterol. I take some medication. I take metformin, atorvastatin, and vitamin D supplements. When I was admitted, my vitals were normal. My BMI is 37. When they looked into my ears, they said that my left tympanic membrane was broken and there was some fluid behind the membrane. During the hearing test, they could assess that my left ear suffers from hearing loss. They also performed ear, nose, and throat examinations that turned out to be normal.

Clinical trial: Spectroscopic Evaluation of Middle Ear Infection (Withdrawn)

Eligibility criteria:
Inclusion Criteria:

          1. Male/ female at all age- newborn to adult.

          2. Non- pregnant woman.

          3. Diagnose of middle ear infection and plan for surgery procedure.

        Exclusion Criteria:

          1. Pregnant woman

          2. Incompetent adults (i.e. individuals with cognitive impairment)

          3. No diagnose of middle ear infection and no plan for surgery procedure.

          4. Adults with cognitive impairment and children of parents that are cognitively impaired
             and thus are unable to consent will be excluded from the study.
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.



Eligibility (NLI label): Contradiction
Patient case (clinical description): The patient is a 38-year-old man with cough and body ache that started 3 days ago.  He had fever and chills at the beginning and has low grade fever at the time of visit. He feels tired and sleepy. His body ache and myalgia get better after using Tylenol. The PCR test for Covid is positive. His vital signs are within normal limits with a body temperature of 37.9 C. There is no lymphadenopathy or white exudates in the pharynx.

Patient's own account: I was feeling really sick the other day, to the point that I showed up at the doctor's office. I was coughing, and my body was hurting for 3 days. I had a fever and chills and felt tired and sleepy. I got better after using Tylenol. They did a PCR Covid test on me, and it was positive! My vitals were normal, and my temperature was 37.9 C. I had no swelling around my neck or white spots on the back of my throat.

Clinical trial: Predictors of COVID-19 Infection and Disease Progression

Eligibility criteria:
Inclusion Criteria:

          -  All cases positive COVID 19 RT PCR

        Exclusion Criteria:

          -  cases with chronic diseases ( cancers, diabetes Liver or Kidney )
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers



Eligibility (NLI label): Entailment
Patient case (clinical description): A 50-year-old woman comes to the clinic with intermittent ear discharge and sense of hearing loss on her left ear.  Past medical history is significant for obesity, hyperlipidemia, and diabetes mellitus.  Her medications include Metformin, Atorvastatin and Vit D supplement. Vital signs are normal. BMI is 37. Otoscopy shows a small perforation in the left tympanic membrane and a pearly mass behind the membrane.  Conduction hearing loss is noted in the left ear.  The remainder of the ear, nose, and throat examination is normal.

Patient's own account: I went to the clinic the other day because I had some fluid in my ear and I felt like I could not hear as well as I used to in my left ear. I'm a 50-year-old woman, and I have been obese for a while now. I have diabetes and cholesterol. I take some medication. I take metformin, atorvastatin, and vitamin D supplements. When I was admitted, my vitals were normal. My BMI is 37. When they looked into my ears, they said that my left tympanic membrane was broken and there was some fluid behind the membrane. During the hearing test, they could assess that my left ear suffers from hearing loss. They also performed ear, nose, and throat examinations that turned out to be normal.

Clinical trial: Effect of PATient Education Related to CV Risk factOrs in Type 2 Diabetes Mellitus(Patrol).

Eligibility criteria:
Inclusion Criteria:

          -  Patients who had been diagnosed with type II diabetes mellitus

          -  Patients with hypertension and / or hyperlipidemia

          -  Patients who had agreed to Informed

        Exclusion Criteria:

          -  Patients who had been diagnosed with type I diabetes mellitus

          -  Patients with neither hypertension and hyperlipidemia
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.


Eligibility (NLI label): Entailment
Patient case (clinical description): A 50-year-old woman comes to the clinic with intermittent ear discharge and sense of hearing loss on her left ear.  Past medical history is significant for obesity, hyperlipidemia, and diabetes mellitus.  Her medications include Metformin, Atorvastatin and Vit D supplement. Vital signs are normal. BMI is 37. Otoscopy shows a small perforation in the left tympanic membrane and a pearly mass behind the membrane.  Conduction hearing loss is noted in the left ear.  The remainder of the ear, nose, and throat examination is normal.

Patient's own account: I went to the clinic the other day because I had some fluid in my ear and I felt like I could not hear as well as I used to in my left ear. I'm a 50-year-old woman, and I have been obese for a while now. I have diabetes and cholesterol. I take some medication. I take metformin, atorvastatin, and vitamin D supplements. When I was admitted, my vitals were normal. My BMI is 37. When they looked into my ears, they said that my left tympanic membrane was broken and there was some fluid behind the membrane. During the hearing test, they could assess that my left ear suffers from hearing loss. They also performed ear, nose, and throat examinations that turned out to be normal.

Clinical trial: The Effect of Sound Stimulation on Pure-tone Hearing Threshold

Eligibility criteria:
Inclusion Criteria:

          -  You are a male or female aged between 18 and 70 years

          -  You have 25~70 dB HL hearing loss at any frequency above 1.5 kHz

          -  You are able to use an mp3 player

          -  You are able to read English

        Exclusion Criteria:

          -  Under the medications that could cause hearing loss (such as gentamicin, aspirin,
             ibuprofen, or acetaminophen)

          -  Chronic disease that could affect hearing (such as diabetes or high blood pressure)

          -  Temporal hearing loss

          -  Hearing loss more than 75 dB HL at any frequency

          -  Ear infections, chronic middle ear disease or any abnormality of the ear canal or ear
             drum

          -  Hearing aid user

          -  Pregnant females
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.
Subject must be at most 70 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 19-year-old girl comes to the clinic due to a left wrist mass.  She noticed swelling on the top of her wrist about 4 months ago and came to the clinic due to cosmetic concerns.  Examination shows a nontender, rounded mass on the dorsal wrist that transilluminates with a penlight. Vital signs are normal. The patient needs to type on her computer almost all day. She is left-handed. She does not smoke or use illicit drugs. She is in sexual relationship with two male partners and uses condoms.

Patient's own account: I'm a 19-year-old girl and I went to see my doctor because of a mass on my left wrist. I noticed a swelling on top of my wrist, like 4 months ago, and I went the first time to the doctor because it was pretty ugly! My wrist was not tender, and the mass was round and let the light go through when the doctor used a penlight. My blood pressure, breathing and temperature were normal. I'm left-handed and I need to be on my PC all day. I don't smoke or do drugs. I'm sexually active and I have 2 male partners but they all use condoms.

Clinical trial: Kinesiotaping Versus Pilate Exercises

Eligibility criteria:
Inclusion Criteria:

          -  Their ages ranged from 14 to 20 years old

          -  their body mass index (BMI) would be less than 25 Kg/m2

          -  having primary dysmenorrhoea

        Exclusion Criteria:

          -  skin diseases or cardiac diseases

          -  irregular or infrequent menstrual cycles

          -  previous abdominal or back operations
Female
Accepts Healthy Volunteers
Subject must be at least 14 Years old.
Subject must be at most 20 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 67-year-old woman comes to the clinic due to recent episode of choking, dysphagia, and cough.  Her other medical problems include hypertension, dyslipidemia, and osteoarthritis.  She does not smoke or use alcohol. She lives with her husband and she is able to do her own daily activities. She used to teach elementary school. Blood pressure is 135/80 mm Hg.  The patient's breath smells bad. Other physical examinations are normal.  A barium swallow study reveals an abnormality in the upper esophagus with an outpouching at the junction of the lower part of the throat and the upper portion of the esophagus.

Patient's own account: I'm a 67-year-old lady, and I went to the clinic due to nonstop choking, difficulty swallowing, and coughing. I also suffer from hypertension, cholesterol, and osteoarthritis. I do not smoke or drink alcohol. I live with my husband, and we are independent retired elementary school teachers. During the exam, my blood pressure was 135/80 mm Hg. The doctor told me I had a smelly breath. How embarrassing! The rest of my physical exam was normal. I did a barium swallow test, which is an X-ray of my throat, which revealed a problem in the upper part of my esophagus, where there's a small pouch or bulge at the spot where my throat meets the esophagus.

Clinical trial: Minimally Invasive Endoscopic Treatment of Zenker's Diverticulum Comparing LigaSureTM vs SB-Knife.

Eligibility criteria:
Inclusion Criteria:

          -  Patients with endoscopically confirmed Zenker's diverticulum and presenting symptoms
             related to it.

          -  Those who complete the symptom and quality of life questionnaires.

          -  They must sign informed consent.

        Exclusion Criteria:

          -  Previous treatment of Zenker's Diverticulum

          -  Those for whom Zenker's diverticulum is ruled out at endoscopy.

          -  Chewing disorders and/or dysphagia secondary to neurological pathology and Oesophageal
             motility disorders

          -  Those who do not want to participate in the study and/or who do not sign the informed
             consent.
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.
Subject must be at most 110 Years

Eligibility (NLI label): Entailment
Patient case (clinical description): A 23-year-old woman comes to the emergency department with a history of nosebleeds lasting for 1 hour. She has a history of heavy menses as well as occasional gum bleeding following dental procedures. Her mother also has a history of menorrhagia. Laboratory tests reveal increased bleeding time and slightly increased partial thromboplastin time. She has no other medical conditions and is otherwise healthy. Her coagulation study shows CB = 0.30 IU/mL and FVIII:C = 0.37 IU/mL. She is not smoking or using any kind of illicit drugs. She uses alcohol occasionally and is in ra elationship with her boyfriend for the past 2 years.

Patient's own account: I had to rush to the ER because of a non-stop nosebleed that had been on for 1 hour. As a 23-year-old, I always had heavy periods, and sometimes, my gums would bleed after going to the dentist or brushing my teeth. I thought that it was not very alarming since my mom also had heavy periods. I did some lab tests that showed that I had increased bleeding time and long clotting time. Otherwise, I'm pretty healthy, and I don't smoke or take any kind of drugs. I drink only at parties from time to time. I have been with my boyfriend for the last 2 years. I did a coagulation study and I got the following results: CB = 0.30 IU/mL and FVIII:C = 0.37 IU/mL.

Clinical trial: Comparative Analysis of PCM With ROTEM in the Measurement of Viscoelastic Coagulation Parameters

Eligibility criteria:
Inclusion Criteria:

          -  Age 18 years or older

          -  In opinion of investigator, absence of anything that precludes subject from being good
             study candidate

          -  Informed consent

          -  Order for measurement of hemostasis status of patients who are at risk for being
             hyper-coagulable or hypo-coagulable due to clinical diagnosis or medical need

        Exclusion Criteria:

          -  Previous enrollment in study

          -  Incarcerated

          -  Heparin infusion in prior 24 hours
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.


Eligibility (NLI label): Entailment
Patient case (clinical description): A 63-year-old man comes to the clinic for recent unintentional weight loss. The patient also has epigastric discomfort after meals. He has no known medical problems and takes no medications. His blood pressure is 130/75 and pulse rate is 88/min. He is not febrile. Upper endoscopy shows a lesion in the stomach that shows typical features of diffuse-type adenocarcinoma presenting with signet ring cells that do not form glands.

Patient's own account: I went to the clinic because I had been losing so much weight that it was concerning. I'm a 63-year-old guy, and it is something rather unusual. I'm always suffering from stomachache after every meal. I've never been sick, and I don't take any medicine. The doctor took my blood pressure and told me it was 130/75, and my pulse rate was 88/min. I'm not febrile! I also had to do an endoscopy, and they found a lesion in my stomach that shows typical features of stomach cancer. I'm totally devastated...

Clinical trial: Novel Approach to Surveillance of Gastric Lesions

Eligibility criteria:
Inclusion Criteria:

          -  Individuals with a known history of gastric precursor lesions (atrophic gastritis,
             intestinal metaplasia, history of dysplasia) who are presenting for routine
             surveillance endoscopy

        Exclusion Criteria:

          -  Personal history of gastric cancer

          -  Personal history of irritable bowel disease
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.


Eligibility (NLI label): Contradiction
Patient case (clinical description): A 9-year-old girl is brought to the office for evaluation of short stature and overweight body habitus. The patient's mother and father are 170 cm and 181 cm tall, respectively.  On physical examination, the patient's height is in the 5th percentile of her age.  Other findings include low-set ears, a high arched palate, a webbed neck, and cubitus valgus.  Chromosomal analysis reveals a 45, XO karyotype.

Patient's own account: I took my 9-year-old daughter to the doctor because my mother-in-law kept saying she seemed small and overweight. My husband and I are 170 cm and 181 cm tall, respectively. The physical health highlighted that she is in the 5th percentile of her age. The doctor said that she has low-set ears, a high-arched palate, a webbed neck, and cubitus valgus. She also did a chromosomal analysis, which revealed a 45, XO karyotype.

Clinical trial: Efficiency and Safety Study of Pegylated Somatropin to Treat Growth Hormone Deficiency Children

Eligibility criteria:
Inclusion Criteria:

          -  have a height less than two standard deviations (SD) below the median height for
             individuals of the same age or height, a growth velocity (GV) ≤4 cm/yr, a GH peak
             concentration <7 ng/ml in two different provocative tests, a bone age (BA; ≤9 years in
             girls and ≤10 years in boys) at least 2 years less than his/her chronological age
             (CA);

          -  be in preadolescence (Tanner stage 1) and have a CA >3 years;

          -  have a height value recorded 3 months before the start of GH treatment to calculate
             pre-treatment GV;

          -  receive no prior GH treatment.

          -  sign informed consent

        Exclusion Criteria:

          -  patients with severe cardiopulmonary

          -  patients with hematological diseases

          -  a current or past history of malignant tumors

          -  immunodeficiency diseases

          -  mental diseases

          -  patients positive for hepatitis B e-antibody (HBeAb)

          -  hepatitis B surface antigen (HBsAg)

          -  hepatitis B e antigen (HBeAg)

          -  patients with other growth disorders, such as Turner syndrome

          -  constitutional delay of growth and puberty, and Laron syndrome
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.



Eligibility (NLI label): Contradiction
Patient case (clinical description): A 15-year-old boy with mild intellectual disability is brought to the office by his parents for a routine physical examination.  The boy is going to a school for students with learning disabilities.  The patient was adopted, and his immunizations are up to date.  Review of the patient's medical records is notable for cytogenetic studies that showed a small gap near the tip of the long arm of the X chromosome, which is consistent with fragile X syndrome, an X-linked disorder. The defect is an unstable expansion of trinucleotide repeats (CGG) in the fragile X mental retardation 1 (FMR1) gene, located on the long arm of the X chromosome. He is not using any medications and vital signs are within normal levels. His blood chemistry analysis as bellow:
Blood Chemistry Value      Normal Range     Patient Value
Glucose                    90-120 mg/dl     95 mg/dl
BUN (Blood Urea Nitrogen)  7-24 mg/dl       10 mg/dl
Creatinine                 0.7-1.4 mg/dl    0.8 mg/dl
Calcium                    8.5-10.5 mg/dl   9 mg/dl
Sodium                     134-143 mEq/L    135 mEq/L
Potassium                  3.5-4.5 mEq/L    3.7 mEq/L
Chloride                   95-108 mEq/L     98 mEq/L
CO2                        20-30 mEq/L      25 mEq/L
Blood pH                   7.38-7.42        7. 39

Patient's own account: My husband and I brought our 15-year-old son to the clinic for his routine exam. My son is going to school for special needs students. We adopted him a few years ago. His vaccinations are up to date. He already passed some chromosome testing and they found that he has a fragile X syndrome. The doctor told us that it comes from repeats in the fragile X chromosome. My son is not using any medication and his blood pressure temperature and breathing were normal during the exam. He also did a blood test. The results came back and showed that his blood sugar urea creatinine calcium sodium potassium chloride CO2 and blood pH were all within the normal range.

Clinical trial: Examining Physiology and Brain Function in People With the Fragile X Premutation

Eligibility criteria:
Inclusion Criteria:

          -  Possesses FMR1 premutation or is part of the general population control group

          -  Normal or corrected vision

          -  Speaks English

        Exclusion Criteria:

          -  Presence of contraindication for brain MRI, such as having metal in the body

          -  Presence of a major medical condition, such as kidney, heart, or liver disease

          -  Presence of a neurological disorder

          -  Current alcohol or drug abuse or dependence

          -  History of head trauma

          -  History of brain infection

          -  Medication affecting cerebral blood flow
Male
Accepts Healthy Volunteers
Subject must be at least 18 Years old.
Subject must be at most 45 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): The patient is a 38-year-old man with cough and body ache that started 3 days ago.  He had fever and chills at the beginning and has low grade fever at the time of visit. He feels tired and sleepy. His body ache and myalgia get better after using Tylenol. The PCR test for Covid is positive. His vital signs are within normal limits with a body temperature of 37.9 C. There is no lymphadenopathy or white exudates in the pharynx.

Patient's own account: I was feeling really sick the other day, to the point that I showed up at the doctor's office. I was coughing, and my body was hurting for 3 days. I had a fever and chills and felt tired and sleepy. I got better after using Tylenol. They did a PCR Covid test on me, and it was positive! My vitals were normal, and my temperature was 37.9 C. I had no swelling around my neck or white spots on the back of my throat.

Clinical trial: NO Prevention of COVID-19 for Healthcare Providers

Eligibility criteria:
Inclusion Criteria:

          1. Age ≥18 years

          2. Scheduled to work with SARS-CoV-2 infected patients for at least 3 days in a week.

        Exclusion Criteria:

          1. Previous documented SARS-CoV-2 infections and subsequent negative SARS-CoV-2 rt-PCR
             test.

          2. Pregnancy

          3. Known hemoglobinopathies.

          4. Known anemia
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 18 Years old.
Subject must be at most 99 Years

Eligibility (NLI label): Contradiction