Mathilde/NLI4PR huggingface dataset:
Patient case (clinical description): A 43-year-old woman, gravida 3 para 3, comes to the clinic complaining of recently painful menstrual cycles.  The patient's last menstrual period was 2 weeks ago. Urine β-hCG is negative. Menarche was at age 12, and menstrual periods occur every 28 days and lasts for 5 days.  She is sexually active with her husband and does not have pain with intercourse. BMI is 23 kg/m2 and Vital signs are normal.  On physical examination, the uterus is uniformly enlarged and tender. She is candidate for hysterectomy with the diagnosis of adenomyosis.

Patient's own account: I'm 43, and I paid a visit to my doctor because my last few periods were insanely painful. My last periods were 2 weeks ago. I already had three pregnancies that gave me the three lovely children. I did a urine test to check for potential pregnancy, and it came back negative. I started to have my periods at the age of 12, and I have been pretty regular with periods every 28 days for 5 days. I'm sexually active with my husband and I do not have any pain when we have sex. My BMI is 23 and my vitals were normal. The doctor performed a physical exam and found that my uterus was tender and enlarged. She proposed me a hysterectomy and diagnosed me with adenomyosis.

Clinical trial: Biomechanical Changes During Menstrual Cycle

Eligibility criteria:
Inclusion Criteria:

          -  Regular menstrual cycle lasting 28 days (+/- 5 days)

          -  A menstrual cycle that has been present for at least 2 years

          -  No hormonal contraception

          -  Lack of pain in the lower spine

          -  No restriction of mobility in the hip joint

        Exclusion Criteria:

          -  Irregular menstrual cycle

          -  BMI value below 18.5 and above 25

          -  Orthopedic disorders in the lower limb

          -  Neurological disorders

          -  Normal flexibility of the hamstring muscles
Female
Accepts Healthy Volunteers
Subject must be at least 20 Years old.
Subject must be at most 26 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 49-year-old man comes to the office because of the bulging in his groin.  Physical examination shows a swelling above the inguinal ligament. When the patient is asked to cough, the size of the bulge increases.  His medical history is significant for mild dyslipidemia, which is under control by lifestyle modifications. He does not smoke, but drinks alcohol occasionally. His vital signs and other physical examinations are unremarkable. He is referred to a surgeon and scheduled to undergo elective laparoscopic hernia repair.

Patient's own account: I'm a 49-year-old man and I went to my doctor the other day because I could not stand that sharp pain in my upper thigh, it was so swollen! The doctor told me that it was swollen right next to my ligament. It's even bigger when I'm coughing. I'm suffering from high cholesterol and I already had to adapt my lifestyle to keep the disease under control. I do not smoke but to be honest I still drink from time to time. The doctor found my vitals normal. She gave me a note to see a surgeon to get my mass removed and get a hernia repair.

Clinical trial: Different Methods of Mesh Fixation (Mechanical Versus Non Mechanical) in TAPP Inguinal Hernioplasty in Adults.

Eligibility criteria:
Inclusion Criteria:

          -  Age ranging from 20 to 50

          -  Both sex

          -  An uncomplicated oblique inguinal hernia.

          -  Unilateral hernia

        Exclusion Criteria:

          -  Patients younger than 20 or older than 50 year old

          -  Patients with complicated hernia

          -  Bilateral hernia

          -  Recurrent hernia

          -  Patients with previous lower abdominal surgery.
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 20 Years old.
Subject must be at most 50 Years

Eligibility (NLI label): Entailment
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: Transdisciplinary Program Against Childhood Obesity

Eligibility criteria:
Inclusion Criteria:

          -  To be eligible for the study, children should

               -  be overweight or obese in accordance with the definition given above6,

               -  be considered healthy by a physician after undergoing a clinical examination,

               -  attend the transdisciplinary intervention sessions once a week (minimum
                  attendance required: 90%)

               -  be authorized to participate by their parents or caretakers.

          -  The children in the control group were not submitted to the intervention and were not
             participating in any other program involving obesity control or supervised physical
             activity.

          -  All children (G1+G2) were instructed to maintain their habitual level of physical
             activity and attend the school's regular physical education classes.

          -  The latter were scheduled twice a month during the first term and four times a month
             during the second.

          -  The decision to increase the frequency was made by the school's director in
             acknowledgment of the importance of physical activity, but the change affected the two
             groups equally.

        Exclusion Criteria:

          -  Children were ineligible if they had chronic diseases (defined as diseases requiring
             continuous therapy), mental disorders or cognitive impairments which might interfere
             with communication, or used a pacemaker, or declined participation.

          -  Children in G1 missing more than 10% of the total intervention sessions were excluded
             from the sample.
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 7 Years old.
Subject must be at most 11 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 66-year-old woman comes to the office due to joint pain in the hands and periodic morning stiffness that lasts less than 15 minutes.  The pain is moderately severe and worsens with daily activity. The patient used Tylenol with minimal relief.  Past medical history is notable for hypertension and hypercholesteremia.  Physical examination shows firm nodules over the distal interphalangeal joints, bilaterally. The patient has pain in her knees as well. The knees are stiff in the morning for less than 30 minutes and become worse with climbing stairs. She has some sensation of bone friction during activity. X-ray shows narrowing of the joint space, subchondral bone sclerosis and osteophyte formation along the joints.

Patient's own account: I'm a 66-year-old woman and I went to my doctor's office because of a bloody joint pain in my hands that has been lasting for a while. The pain comes and go in the morning usually. I feel like a stiffness that last less than 15 minutes. The pain is moderately severe but it gets worse when I'm using my hands. I used Tylenol which helped a little. Apart from that, I suffer from hypertension and high cholesterol. The doctor made me notice that I have bumps around both of my hand joints. I also suffer from my knees and they are also stiff in the morning for around 30 min. It's even worse when I climb up the stairs! I also feel like my bones are rubbing against each other when I'm moving. The X-ray showed that I have narrow joint space, I have sclerosis, and abnormal growths of bone along my joints.

Clinical trial: Arthritis in Assiut University Children Hospital

Eligibility criteria:
Inclusion Criteria:

        All patients Attending Rheumatology clinic and unit whom diagnosed as arthritis below the
        age of 18 years at the onset of presentation who have 1 or more of the following symptoms:
        swelling or limitation of motion of a joint , morning stiffness and arthralgia during the
        day, joint pain or abnormal joint use, history of school absences or limited ability to
        participate in physical education.

        Exclusion Criteria:

          -  Bone or joint trauma

          -  Hematological disorder (Leukemia, sickle cell disease, thalassemia or hemophilia).

          -  Patients with chronic diseases (Renal and hepatic diseases).
No condition on gender to be admitted to the trial.

Subject must be at least 3 Months old.
Subject must be at most 18 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 17-year-old male comes to the office due to several months of right elbow pain.  The pain is worse with activity and limits his workouts and activities.  He has tried over-the-counter medications with limited relief.  Medical history is notable for eczema, and current medications include a topical hydrocortisone ointment.  He is sexually active with his girlfriend and uses condoms. He does not smoke or drink alcohol. He plays tennis most of the days of the week. The comprehensive evaluation shows pain on the lateral side of the elbow, made worse by pressure applied on the lateral epicondyle of the humerus and when making a fist with the elbow joint straightened. The patient has this pain since last year and had several courses of physical therapy.

Patient's own account: I'm 17, and I had to go to the doctor because I've been suffering from my right elbow for several months. The pain is even worse when I do sports and it kind of limits me for my workouts and activities. I tried over-the-counter medications but it didn't work much. I had eczema before and my medication is ointments that contain cortisone. I am sexually active as a 17-year-old guy, and I have a girlfriend, and we use condoms. I don't smoke or drink. I play tennis most days of the week. I did an exam that showed pain on the side of my elbow and it was worse when they applied some pressure on it and when I was putting my hand as a fist. I have had this pain since last year, and I had several sessions of physical therapy already.

Clinical trial: Tissue Flossing in Tennis Elbow Patients

Eligibility criteria:
Inclusion Criteria:

          -  Elbow pain for at least 6 weeks and satisfy the widely accepted diagnostic criteria of
             lateral epicondylalgia.

          -  Diagnostic criteria are pain over the lateral humeral epicondyle that is provoked by
             gripping activities.

          -  Reduced grip strength and increased sensitivity to manual palpation over the lateral
             epicondyle.

          -  Pain with stretching or contraction of the wrist extensor muscles.

        Exclusion Criteria:

          -  Upper limb fractures, surgery or concomitant disease.

          -  Red flags presence.

          -  Mental disorders.
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 60 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 43-year-old woman, gravida 3 para 3, comes to the clinic complaining of recently painful menstrual cycles.  The patient's last menstrual period was 2 weeks ago. Urine β-hCG is negative. Menarche was at age 12, and menstrual periods occur every 28 days and lasts for 5 days.  She is sexually active with her husband and does not have pain with intercourse. BMI is 23 kg/m2 and Vital signs are normal.  On physical examination, the uterus is uniformly enlarged and tender. She is candidate for hysterectomy with the diagnosis of adenomyosis.

Patient's own account: I'm 43, and I paid a visit to my doctor because my last few periods were insanely painful. My last periods were 2 weeks ago. I already had three pregnancies that gave me the three lovely children. I did a urine test to check for potential pregnancy, and it came back negative. I started to have my periods at the age of 12, and I have been pretty regular with periods every 28 days for 5 days. I'm sexually active with my husband and I do not have any pain when we have sex. My BMI is 23 and my vitals were normal. The doctor performed a physical exam and found that my uterus was tender and enlarged. She proposed me a hysterectomy and diagnosed me with adenomyosis.

Clinical trial: S Ketamine Use in Total Abdominal Hysterectomy

Eligibility criteria:
Inclusion Criteria:

          -  Females above the age of 21 years old scheduled undergoing open abdominal hysterectomy
             with remifentanil-propofol TCI in KKH for benign condition (fibroids, adenomyosis),

          -  Be willing and able to give written informed consent for participation in this study

          -  ASA I/II patient's.

        Exclusion Criteria:

          -  Patient with contraindications to the use of S+ketamine, as listed in the product
             label e.g. untreated or insufficiently treated thyroid hyperfunction, unstable angina
             pectoris or myocardial infarction within the last 6 months, diseases of the CNS,
             increased intraocular pressure and perforating ocular injuries, surgical procedures in
             the upper respiratory tract, etc

          -  Patients with a h/o drug or alcohol abuse

          -  Regular use of analgesics, or use of opioids within 12 hours of surgery

          -  Patient on chronic use of benzodiazepine or neurololeptics

          -  Patient on thyroid replacement hormone

          -  H/o IHD,HTN,Thyroid disorder.

          -  BMI> 30kg/m2.

          -  H/o Psychiatric disorder.

          -  Laproscopic surgery converted to open surgery.

          -  Pregnant or breast feeding female's.
Female
No healthy subjects accepted to join the trial.
Subject must be at least 21 Years old.


Eligibility (NLI label): Entailment
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: Evaluate the Effect of Growth Hormone (GH) Treatment on Fibroblast Growth Factor 23, a Known Phosphaturic Agent

Eligibility criteria:
Inclusion Criteria:

          -  Twenty children with significant short stature < 3rd percentile, ages 3-14 years, and
             referred to Children's Hospital of Alabama

          -  Normal healthy volunteer children 3-18 years with normal stature

        Exclusion Criteria:

          -  Patients on medication including GH

          -  Patients with concomitant hormonal abnormalities

          -  Patients with disorders of calcium and phosphate metabolism

          -  Active neoplasms

          -  Closed epiphysis

          -  Known bone disorders
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 3 Years old.
Subject must be at most 14 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 48-year-old man comes to the office complaining of heartburn and acid reflux.  He has taken over-the-counter antacids but sees no relief.  Other medical history is unremarkable.  The patient does not use tobacco, alcohol, or illicit drugs.  Vital signs are within normal limits.  BMI is 31 kg/m2.  Physical examination is  positive for mild tenderness in upper stomach. Chest x-ray shows an air-fluid opacity behind the heart.  A barium swallow study reveals approximately 1/3 of the stomach herniating through the esophageal hiatus.

Patient's own account: I went to my doctor's office because of a non-stop heartburn and some acid reflux. I took over-the-counter medications, but it keeps going strong! I don't smoke, take drugs or drink alcohol, I'm healthy! The doctor took my vitals, which turned out normal. My BMI is 31, which might be a bit too much for a 48-year-old guy like me. They examined my stomach and found a mild tenderness in the upper part. I also did some X-rays, and they found out that I have an air-fluid opacity behind my heart. I did another X-ray, and it turns out that a part of my stomach went up my chest through a hole in my diaphragm!

Clinical trial: Determinants of Efficacy of EsophyX Treatment in Gastro-Esophageal Reflux Disease

Eligibility criteria:
Inclusion Criteria:

          -  Patients being considered for EsophyX treatment of GERD
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 75 Years

Eligibility (NLI label): Entailment
Patient case (clinical description): A 43-year-old woman, gravida 3 para 3, comes to the clinic complaining of recently painful menstrual cycles.  The patient's last menstrual period was 2 weeks ago. Urine β-hCG is negative. Menarche was at age 12, and menstrual periods occur every 28 days and lasts for 5 days.  She is sexually active with her husband and does not have pain with intercourse. BMI is 23 kg/m2 and Vital signs are normal.  On physical examination, the uterus is uniformly enlarged and tender. She is candidate for hysterectomy with the diagnosis of adenomyosis.

Patient's own account: I'm 43, and I paid a visit to my doctor because my last few periods were insanely painful. My last periods were 2 weeks ago. I already had three pregnancies that gave me the three lovely children. I did a urine test to check for potential pregnancy, and it came back negative. I started to have my periods at the age of 12, and I have been pretty regular with periods every 28 days for 5 days. I'm sexually active with my husband and I do not have any pain when we have sex. My BMI is 23 and my vitals were normal. The doctor performed a physical exam and found that my uterus was tender and enlarged. She proposed me a hysterectomy and diagnosed me with adenomyosis.

Clinical trial: Effect of Exercise on Spread of the Miconozole Nitrate OVULE in the Vagina

Eligibility criteria:
Inclusion Criteria:

          -  Not at risk for pregnancy

          -  Willing to abstain from intercourse 24 hours prior to MRI

          -  Regular menstrual cycles (every 23-38 days)

          -  At least 10 weeks from most recent pregnancy outcome and had 2 spontaneous menstrual
             cycles since

          -  Normal pap smear within previous 12 months

          -  Negative test for yeast, bacterial vaginosis and trichomonas

          -  Not allergic to any component of the formulation

          -  No contraindications to MRI

          -  Not participated in another investigational trial within 30 days

          -  No history of condition, or finding on exam, that, in the opinion of the investigator,
             would make participation unsafe for the volunteer or complicate interpretation of the
             data
Female
Accepts Healthy Volunteers
Subject must be at least 18 Years old.
Subject must be at most 45 Years

Eligibility (NLI label): Entailment
Patient case (clinical description): A 66-year-old woman comes to the office due to joint pain in the hands and periodic morning stiffness that lasts less than 15 minutes.  The pain is moderately severe and worsens with daily activity. The patient used Tylenol with minimal relief.  Past medical history is notable for hypertension and hypercholesteremia.  Physical examination shows firm nodules over the distal interphalangeal joints, bilaterally. The patient has pain in her knees as well. The knees are stiff in the morning for less than 30 minutes and become worse with climbing stairs. She has some sensation of bone friction during activity. X-ray shows narrowing of the joint space, subchondral bone sclerosis and osteophyte formation along the joints.

Patient's own account: I'm a 66-year-old woman and I went to my doctor's office because of a bloody joint pain in my hands that has been lasting for a while. The pain comes and go in the morning usually. I feel like a stiffness that last less than 15 minutes. The pain is moderately severe but it gets worse when I'm using my hands. I used Tylenol which helped a little. Apart from that, I suffer from hypertension and high cholesterol. The doctor made me notice that I have bumps around both of my hand joints. I also suffer from my knees and they are also stiff in the morning for around 30 min. It's even worse when I climb up the stairs! I also feel like my bones are rubbing against each other when I'm moving. The X-ray showed that I have narrow joint space, I have sclerosis, and abnormal growths of bone along my joints.

Clinical trial: Traditional Chinese Medicine Formula in the Treatment of Osteoarthritis of Knees or Hips.

Eligibility criteria:
Inclusion Criteria:

          -  1. Age ≥20 years old 2. Written informed consent obtained 3. Been diagnosed with knee
             or hip osteoarthritis 4. The physician interpretation of X-ray identification and
             joint space narrowing or bone spurs confirmed 5. In randomized trials before entering
             if used steroids or non-steroid medications osteoarthritis stable doses required at
             least one week 6. The WOMAC osteoarthritis index of the degree of pain assessment in
             the past two weeks at least> 4ppm pain

        Exclusion Criteria:

          -  1. Pregnant or breast-feeding women. 2. Chemotherapy or radiation therapy in cancer
             patients
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 20 Years old.
Subject must be at most 80 Years

Eligibility (NLI label): Entailment