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: Non-linear Frequency Compared to Conventional Processing in Patients With and Without Cochlear Dead Regions.

Eligibility criteria:
Inclusion Criteria:

          -  Aged 45 years and above.

          -  Bilateral moderate to severe symmetrical sensorineural hearing loss, defined as PTA
             thresholds from 0.5- 4kHz falling between 40dB and 85dB.

          -  Normal otoscopic examination and normal middle ear function.

          -  Currently wears bilateral hearing aids.

          -  Good hearing aid user >5 hours a day bilaterally, assessed by data logging.

          -  English as a first language, due to the speech testing material

        Exclusion Criteria:

          -  Under 45 years old

          -  Asymmetrical, mixed or conductive hearing loss,

          -  Recent history (<1 year) of otalgia, otitis externa, otitis media with effusion.

          -  Current or recent (<12 months ago) exposure to ototoxic medication e.g. cisplatin (or
             other platinum-containing chemotherapy drugs) or amikacin (or other aminoglycoside
             antibiotics), as stable hearing thresholds are required for the duration of the study.

          -  Poor hearing aid user with data logging <5 hours a day.

          -  English as a foreign language, illiterate or unable to read due to poor eyesight.

          -  Diagnosis of conditions such as muscular dystrophies or chronic fatigue syndrome that
             may cause tiring during testing.

          -  Diagnosis of dementia or a neurological condition that would suggest poor cognitive
             function.

          -  Identification of a significant cochlear dead region (< 3kHz) in one ear only.
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 44 Years old.


Eligibility (NLI label): Contradiction
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: Acquisition of Blood and Tumor Tissue Samples From Patients With Gastrointestinal Cancer

Eligibility criteria:
-  INCLUSION CRITERIA:

          -  Patients 18 years of age and older

          -  Patients with a diagnosis of cancer

          -  Patients must be able to understand and willing to sign a written informed consent
             document

        EXCLUSION CRITERIA:

        None
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: Thai-version Five Minute Hearing Test

Eligibility criteria:
Inclusion Criteria:

          -  18 years old or older

        Exclusion Criteria:

          -  having aphasia, or severe mental disability, or other conditions which can not
             accommodate audiometry.
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 18 Years old.


Eligibility (NLI label): Entailment
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: Effects of Core Stabilization Approach on Patients With Upper Extremity Injuries

Eligibility criteria:
Inclusion Criteria:

          -  Traumatic distal segment injuries (elbow and wrist)

          -  Patients in their subacute stage.

        Exclusion Criteria:

          -  Multiple joint problems

          -  Bilateral extremity problems

          -  Reflex sympathetic dystrophy

          -  Trunk and lower extremity problems

          -  Non-union fractures

          -  Malignant ans systemic diseases
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 25 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: Fitness Level in Short Stature Children and After Growth Hormone Treatment

Eligibility criteria:
Inclusion Criteria:

          -  short stature

          -  Physical healthy

          -  Mental healthy

          -  Capable to perform fitness test

        Exclusion Criteria:

          -  Cardiac disease that interfere or risk the child during physical activity

          -  Respiratory disease that interfere or risk the child during physical activity

          -  Musculoskeletal disease interfering physical preformance.

          -  Family history of death for unknown reasons at an early age.

          -  Uncontroled thyroid diseae
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 5 Years old.
Subject must be at most 17 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 55-year-old white woman comes for a routine checkup.  She has no significant medical history and does not use tobacco, alcohol, or illicit drugs.  The patient's only medication is an over-the-counter multivitamin.  Family history is notable for a hip fracture in her mother.  Blood pressure is 130/80 mm Hg and pulse is 112/min. She has occasional back pain and lives a sedentary lifestyle with the BMI of 24 Kg/m2. Plain X-ray of the spine shows mild compression fracture at the level of T10. X-ray absorptiometry studies demonstrate abnormally low bone density in the lumbar vertebrae and T-score values below -2.5, which confirms the diagnosis of osteoporosis.

Patient's own account: I'm a 55-year-old white woman and I recently visited my family doctor. I don't smoke anything or drink. I don't have any remarkable medical history. I only use over-the-counter multivitamins to keep myself fresh and energized. My mom had a hip fracture. The doctor took my blood pressure and it was 130/80 and my pulse was 112/min. I have annoying back pain from time to time and to be honest I don't exercise much or move much. My BMI is 24. I did a spine X-ray a while ago and my doctor showed me that I have a fracture on one of my vertebrae. I also have a low bone density in my lumbar vertebrae and T-score values below -2.5. The doctor diagnosed me with osteoporosis.

Clinical trial: BETA Study: Improving Balance Function in Elderly by Progressive and Specific Training and Physical Activity

Eligibility criteria:
-  Osteoporosis: To be included the candidate must: be >65 years with osteoporosis
             objectively verified by Dual energy X-ray absorptiometry (DXA) in the hip and lumbar
             back,be an independent ambulator, have experienced at least one fall in the last 12
             months and have an adequate medical treatment for their osteoporosis.

          -  Parkinson's disease: All PD subjects will have a clinical diagnosis of -idiopathic‖ PD
             (Hoehn &Yahr scores 2-3), > 60 years of age and no other existing neuromuscular
             disorders, including severely flexed posture. In addition, the subjects will have no
             history suggesting -atypical‖ PD symptoms.

        Exclusion criteria's for all subjects are:

          -  moderate-severe dementia (Mini-Mental score <24)

          -  respiratory, cardiovascular, musculoskeletal or neurological (except PD) disorders
             that may interfere with participation in the exercise program
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 60 Years old.


Eligibility (NLI label): Contradiction
Patient case (clinical description): A 30-year-old man who is a computer scientist came to the clinic with the lab result stating azoospermia.  The patient is sexually active with his wife and does not use any contraception methods.  They have been trying to conceive for the past year with no success.  The patient has a past medical history of recurrent pneumonia, shortness of breath, and  persistent cough that produces large amounts of thick sputum. The patient had multiple lung infections during childhood. He does not smoke, use illicit drugs or alcohol.  The patient has no history of other medical conditions including allergies or any kind of surgery.  On physical examination, the digits show clubbing.  An ultrasound shows bilateral absence of the vas deferens, and FEV1 was 75% on the respiratory function test.

Patient's own account: I'm a 30-year-old computer scientist. I did some lab tests that came back quite alarming, stating that I have azoospermia?! I'm sexually active with my wife and we don't use contraception. We've been trying to have a child for the past year. I have a medical history of pneumonia and shortness of breath and regular wet cough. I had several lung infections when I was a kid. That's why I'm very careful and don't smoke, do drugs, or drink. I don't have other medical conditions including allergies or any kind of surgery. The doctor did the clubbing test on my fingers, which was positive. I also did an ultrasound and it showed that I'm missing the tubes that carry sperm around. I also had a 75% for my respiratory function test.

Clinical trial: Acoustic Analytic Apps for Smart Telehealth Screening - Creating a Big Data

Eligibility criteria:
Inclusion Criteria:

          -  Cough arm 1.Children age 16 years old and below with cough at presentation- Patients
             presenting with active or chronic or residual cough

        Well arm

        1.Children age 16 years old and below and Well with no cough presentation.

        Exclusion Criteria:

          1. Children with severe behavioral

          2. Droplet isloated cases as determined by protocol of hospital
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers

Subject must be at most 16 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 47-year-old woman comes to the office complaining of pain in the calf and knee when she bends down. The pain limits her activity. Her medical history is significant for osteoarthritis, for which she uses nonsteroidal anti-inflammatory drugs (NSAIDs) for the past two years. She is living with her husband and has 3 children. She doesn't smoke but drinks alcohol occasionally. Her vital signs are normal. On physical examination, there is a small effusion in the right knee. The effusion grew a little larger and she developed a tender swelling in the popliteal fossa and calf. Both the pain and swelling worsened as she bent and straightened her knee.

Patient's own account: I'm a 47-year-old woman, married with 3 kids. I don't smoke and I drink occasionally. I went to the doctor because of pain in my calf and knee when I was bending down. This has been limiting my daily activities. I have been diagnosed with osteoarthritis for which I have taken anti-inflammatory drugs for the past 2 years. The doctor saw a small fluid buildup in my right knee. This buildup became a bit bigger and I have a swollen calf. The pain is worse when I bend and straighten my knee.

Clinical trial: Effectiveness of Curcumin-based Food Supplement in Reducing Pain and Inflammatory Component in Osteoarthritis

Eligibility criteria:
Inclusion Criteria:

          -  Presence of osteoarthritis of the knee. Traditional American College of Rheumatology
             criteria, which are based on the presence of pain (gonalgia) plus at least three of
             the following characteristics, will be used for the diagnosis of osteoarthritis of the
             knee:

          -  Age > 50 years

          -  Stiffness in the morning < 30 minutes

          -  Presence of articular rusting

          -  Painfulness of the bones

          -  Tumefaction of the bones

          -  Absence of palpable heat

        Exclusion Criteria:

          -  - pregnancy and breastfeeding (if the potential participant does not declare to be in
             a menopausal state)

          -  other specific contraindications/intolerances to the compounds contained in the
             supplement (e.g. celiac disease, allergy)

          -  simultaneous intake of other supplements

          -  to be at the time of enrolment for treatment with anti-inflammatory or pain-relieving
             treatment for other clinical conditions

          -  Participation in other clinical studies

          -  State of inability to understand or desire
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 50 Years old.
Subject must be at most 100 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 23-year-old man comes to the emergency department following an episode of syncope.  He was working out when he felt dizzy and passed out without head injury.  He has had 3 other episodes of light-headedness over the last year, all happening during physical activity. He never had this experience while resting. He has no other medical conditions.  The patient does not use tobacco, alcohol, or illicit drugs.  His father died suddenly at age 35.  Vital signs are within normal limits.  On physical examination, the patient has a harsh systolic murmur.  The lungs are clear with no peripheral edema. Echocardiography shows asymmetric interventricular septal hypertrophy.

Patient's own account: I'm 23, and I got admitted to the ER because I fainted all of a sudden. I was in the gym, working out, when all of a sudden, I just got dizzy and passed out. Hopefully, I didn't hit my head. It's not my first time having that kind of dizziness at the gym, never when I'm chilling at home tho. I don't have any special medical conditions and I'm not even smoking, drinking or doing drugs! My dad died suddenly when he was 35, so I'm kind of scared. My vitals were normal while at the ER and they did a physical exam and they told me my heart sounds abnormal. My lungs are ok, but I had to do an echography of my heart, and they told me it is bigger than average.

Clinical trial: Implementation of CSRS Based Practice Recommendations for Emergency Department Syncope Management

Eligibility criteria:
1. Physician: physicians involved in ED syncope care

          2. Patients:

               -  Inclusion Criteria: adult (aged > 18 years) patients who present within 24 hours
                  of syncope

               -  Exclusion Criteria:

                    -  non-syncope (prolonged LOC >5 minutes, change in the mental status from
                       baseline, patients with witnessed obvious seizure, or head trauma preceding
                       the LOC),

                    -  those unable to provide proper details - e.g., intoxication, and those with
                       significant trauma requiring admission as per international consensus.

                    -  patients who had a serious underlying condition identified during the index
                       ED evaluation.
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 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: Does Oral Intake Decreases Postoperative Pain Score in Children

Eligibility criteria:
Inclusion Criteria:

          -  18 month to 12 years old children undergoing elective unilateral inguinal hernia
             repair surgery

        Exclusion Criteria:

          -  neurological disease, developmental delay
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Months old.
Subject must be at most 12 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: Efficacy and Safety of Guduchi Ghan Vati for Covid-19 Asymptomatic Patients

Eligibility criteria:
Inclusion Criteria:

          -  Age over 18

          -  A person diagnosed with COVID-19

          -  Asymptomatic at the time of admission

        Exclusion Criteria:

          -  Patients over 75 years

          -  Taking antibiotics or antiretroviral for any reason

          -  Mild to Moderate symptoms at the time of hospital admission
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): Contradiction