Mathilde/NLI4PR huggingface dataset:
Patient case (clinical description): A 40-year-old woman comes to the clinic complaining of gritty sensation in her eyes. She also has difficulty swallowing dry foods with no pain or heartburn.  The patient is a schoolteacher and must drink water frequently during lectures due to her mouth dryness.  She also reports occasional joint pain.  Medical history is not significant other than the confirmed Sjogren disease with no other rheumatologic disease.  She is sexually active with her husband and has 2 children both delivered by natural vaginal delivery. She has no history of any kind of surgery. Physical examination shows conjunctival erythema and cracking of the lips. The remainder of the examination and history is normal. Her lab result shows elevated ESR (50 mm/h)

Patient's own account: I went to the clinic because I had a terrible gritty sensation in my eyes. It was also hard to swallow dry food, but it didn't burn, and there was no pain. I'm a 40-year-old female school teacher and I should drink water for the lectures because otherwise, my mouth gets really dry. I also have joint pain from time to time. I have been diagnosed with Sjogren disease but no other rheumatologic disease. I have a husband, we're sexually active, and I also have two lovely children that I delivered both naturally. I never undergone any surgery. Physical examination when I came to the clinic, and it showed cracking on my lips and a pink eye. The rest was fine. I also did some lab tests, and they came back with high ESR.

Clinical trial: An Examination of the Efficacy of a Self-Determination Theory and Motivational Interviewing Exercise Intervention

Eligibility criteria:
Inclusion Criteria:

          -  participants were were willing to attend an exercise class once a week for 12 weeks,
             were willing to complete questionnaires at baseline and 12 weeks, allowed the
             intervention staff to monitor their attendance at the YMCA for 6 months post
             intervention, and allowed the exercise instructor to create an audio recording of all
             of the intervention sessions.

        Exclusion Criteria:

          -  not have any illnesses that would prevent them from exercising once a week, not be
             pregnant or planning to get pregnant within the next 3 months
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 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: Study of Transverse Abdominis Plane (TAP) Block in Children Undergoing Hydrocelectomy and/or Hernia Repair Surgery

Eligibility criteria:
Inclusion Criteria:

          -  Children 2-8 years of age

          -  Elective inguinal hernia repair, inguinal hernia repair with peritoneoscopy and/or
             hydrocelectomy to be performed in the Center for Children's Surgery, Beaumont
             Hospital, Royal Oak

          -  American Society of Anesthesiologists physical status classification 1 and 2 (patients
             that have either no systemic illness, or mild systemic disease that is well
             controlled, eg. mild asthma)

        Exclusion Criteria:

          -  History of allergy to study medications

          -  Enrollment in concurrent research study

          -  Pregnant patients*

          -  Students/trainees/staff*

          -  Mentally disabled/cognitively impaired*
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 2 Years old.
Subject must be at most 8 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: Yoga as an Intervention for Women With Knee Osteoarthritis

Eligibility criteria:
Inclusion Criteria:

          -  Female - 50 years of age or older

          -  Knee pain on most days of the week

          -  Less than 30 minutes of morning stiffness

          -  Bony enlargement

          -  Bony tenderness to palpation

          -  Signs of inflammation

          -  Able to safely climb 2 flights of stairs without aid

          -  Visited a family physician within the last 12 months

        Exclusion Criteria:

          -  Any other forms of arthritis

          -  Osteoporosis

          -  History of patellofemoral symptoms

          -  Active non-arthritic knee disease

          -  Knee surgery

          -  Use of cane or walking aid

          -  Unstable heart condition

          -  Neurological conditions

          -  Skin allergy to medical tape

          -  Hip or ankle injuries in past 3 months

          -  Any injuries that would prohibit participation in yoga

          -  Ipsilateral hip or ankle conditions

          -  Currently receiving cancer treatment

          -  Currently pregnant
Female
No healthy subjects accepted to join the trial.
Subject must be at least 50 Years old.


Eligibility (NLI label): Contradiction
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: Randomized Controlled Trial of a Community Health Worker Program on Hearing Loss (Oyendo Bien)

Eligibility criteria:
Inclusion Criteria:

          -  Minimum age: 50 years

          -  Audiometrically-confirmed hearing loss

          -  Availability of a communication partner to attend the program with the participant

          -  Be Spanish speaking and able to sign written informed consent

        Exclusion Criteria:

          -  Cognitive impairment
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 50 Years old.


Eligibility (NLI label): Entailment
Patient case (clinical description): A 20-year-old man comes to the emergency due to bleeding after a tooth extraction.  The bleeding has persisted for approximately 30 minutes despite constant direct pressure.  He is a known case of Hemophilia type A treated with FVIII. Blood pressure is 95/60 mm Hg and pulse is 105/min. His weight is 70 Kg. Family history is positive for Hemophilia type A in his maternal uncle. He also has a lipoma on his left arm which he plans to remove surgically. His FVIII activity is 40%.

Patient's own account: I got my tooth extracted and I could not stop bleeding for 30 min. I'm a 20 yo dude but I have Hemophilia type A treated with FVIII. My blood pressure was 95/60 and my pulse 105/min. I'm 70 kg. My uncle on my mom's side also has type A hemophilia. I also have a fatty swelling on my left arm and I was supposed to remove it. My FVIII activity was 40%.

Clinical trial: Association of Beta-2 Adrenergic Agonist and Corticosteroid Injection in the Treatment of Lipomas

Eligibility criteria:
Inclusion Criteria:

          -  You are a man or a woman between the ages of 18-60, inclusive.

          -  You have a body mass index (BMI) between 20 and less than 40 kg/m2. BMI is a number
             calculated from your height and weight.

          -  You have a lipoma (a benign fatty tumor) that is 1 inch or more in diameter under the
             skin of your abdomen or on another area of your body that is easily accessible to
             study (such as the thigh).

          -  You have not gained or lost more than 11 pounds in the last 3 months.

          -  Your exercise routine has been stable for the last 3 months or you are sedentary.
             Sedentary means you do less than 60 minutes of exercise per week.

        Exclusion Criteria:

          -  You have a history of heart or blood vessel disease.

          -  Your blood pressure is above 140/90 mmHg.

          -  You have type 1 diabetes.

          -  You have a history of kidney or liver disease.

          -  You have thyroid disease that has not been treated.

          -  You are a smoker.

          -  You use a Beta-2 (B2) adrenergic stimulator (a type of drug used to treat asthma), a
             beta adrenergic blocker (a type of drug used to treat blood pressure) or
             glucocorticoid medications (a type of drug used to treat immune system disease).

          -  You have a problem with alcoholism or other substance abuse.

          -  You are pregnant or breast feeding.
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 60 Years

Eligibility (NLI label): Entailment
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: The Effect of Yoga Asana 'Vrksasana (Tree Pose)' on Balance in the Patients With Osteoporosis

Eligibility criteria:
Inclusion Criteria:

          -  Patients with T score of bone mineral densitometry lower than -2.5.

        Exclusion Criteria:

          -  Neurological or vestibule dysfunctions which may affect balance

          -  Severe mental disturbances effecting communication

          -  Locomotor dysfunction which prevents patient to perform balance tests

          -  Active musculoskeletal pathology which disrupt performing exercises.
Female
No healthy subjects accepted to join the trial.
Subject must be at least 35 Years old.
Subject must be at most 85 Years

Eligibility (NLI label): Entailment
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: Bone Health in Adolescents and Young Adults With Oral Macro-progestin Treatment

Eligibility criteria:
Inclusion Criteria:

          -  Patients aged 16 to 25 years old

          -  Patients followed at Necker-Enfants Malades hospital

          -  Patients who have taken or taking macro-progestins treatment by oral route (Luteran,
             Lutenyl, Surgestone) for at least 6 months between the age of 16 and 25 years

        Exclusion Criteria:

          -  Patients with a pathology or treatment that can alter bone mineral density
Female
No healthy subjects accepted to join the trial.
Subject must be at least 16 Years old.
Subject must be at most 25 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: Thales Thermography Triage (3T) - Pilot Project

Eligibility criteria:
Inclusion Criteria:

          -  Patients ≥ 16 years old with no upper age limit

          -  Patients able to read and understand English

          -  Patients able to give informed consent

          -  Patients being triaged through ED for any complaint, not necessarily COVID-19 QEUH ED
             staff

        Exclusion Criteria:

          -  Patients not meeting the inclusion criteria

          -  Patients who do not have capacity to consent

          -  Patients attending ED who are fast-tracked without triage
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 16 Years old.


Eligibility (NLI label): Entailment
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: Intra-articular Hyaluronic Acid in Mild to Moderate Knee Osteoarthritis

Eligibility criteria:
Inclusion Criteria:

          -  History of mild to moderate OA

          -  OA grade II

        Exclusion Criteria:

          -  Intraarticular injections in the affected knee

          -  Oral application of glucosamine and chondroitin sulphate during the last 6 months
             prior to the beginning of the study

          -  Clinically significant knee joint effusion

          -  Neoplasm

          -  Diabetes mellitus

          -  Osteonecrosis

          -  Rheumatoid arthritis or any other inflammatory arthritis diagnosed by American College
             of Rheumatology criteria.
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 95 Years

Eligibility (NLI label): Entailment
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: Prevention of Syncope by Cardiac Pacing in Patients With Bifascicular Block

Eligibility criteria:
Inclusion Criteria:

          -  Evidence of Bifascicular block

          -  At least one episode of syncope during last 6 months from the enrollment

        Exclusion Criteria:

          -  Patients with Brady-tachy syndrome that needs of pacemaker to prevent the symptomatic
             bradycardia o symptomatic tachycardia arrhythmia

          -  Patients with vasovagal syndrome by positive TTT or carotid sinus syndrome

          -  Patients with Chronic Atrial Fibrillation

          -  Patients with Atrial Ventricular Block induces at EPS
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 32-year-old woman comes to the hospital with vaginal spotting.  Her last menstrual period was 10 weeks ago. She has regular menses lasting for 6 days and repeating every 29 days. Medical history is significant for appendectomy and several complicated UTIs. She has multiple male partners, and she is inconsistent with using barrier contraceptives. Vital signs are normal.  Serum β-hCG level is 1800 mIU/mL, and a repeat level after 2 days shows an abnormal rise to 2100 mIU/mL.  Pelvic ultrasound reveals a thin endometrium with no gestational sac in the uterus.

Patient's own account: I just turned 32 and last morning I woke up with strange blood stains on my underwear. My last periods were more than 2 months ago, which is unusual for me because I used to have regular periods lasting for 6 days every 29 days, more or less. I had several UTIs in the past. I also had appendicitis. I'm currently seeing several men and, to be honest, some of them do struggle to wear a condom. I went to the hospital to check myself up and they told me that my vitals were normal. I also had a blood test on Monday, and my β-hCG level was 1800 mIU/mL, and then on Wednesday, it went up to 2100 mIU/mL. The gynecologist also did an ultrasound and she told me that, hopefully, there was no ovule.

Clinical trial: PregSource: Crowdsourcing to Understand Pregnancy

Eligibility criteria:
Inclusion Criteria:

          -  Women who are pregnant

        Exclusion Criteria:

          -  Males

          -  Women who are not pregnant

          -  Women under 18 years of age or older than 70 years of age

          -  Women who are unable to provide consent for themselves, and for whom a parent, legal
             guardian, or legally authorized representative does not provide consent
Female
Accepts Healthy Volunteers
Subject must be at least 18 Years old.
Subject must be at most 70 Years

Eligibility (NLI label): Entailment