Mathilde/NLI4PR huggingface dataset:
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: Lateral Quadratus Lumborum Block Versus Transversus Abdominis Plane Block in Laparoscopic Surgery

Eligibility criteria:
Inclusion Criteria:

          -  Patients scheduled for elective laparoscopic abdominal surgeries (inguinal hernia
             repair-missed IUCD extraction-appendectomy-ovarian vein ligation)

          -  Patient aged 18-60 years

          -  American Society of Anesthesiologists Physical Status I or II.

        Exclusion Criteria:

          -  Patient refusal

          -  Body mass index (BMI) > 40 kilogram/square meter

          -  Contraindication to regional anesthesia (coagulopathy, allergy to local anesthetic,
             sever thrombocytopenia or infection at puncture site)

          -  Sepsis

          -  Chronic pain condition requiring the intake of opioids at home

          -  Any significant neurological, cardiovascular or respiratory 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.
Subject must be at most 60 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: Program to Prevent Osteoporosis in Girls

Eligibility criteria:
Inclusion Criteria

          -  Member of a Girl Scout troop with at least eight 5th grade girls

          -  Member of the Greater Minneapolis or St. Croix Valley Girl Scout organization

          -  Only troops with unanimous parental consent will be included in the trial
Female
Accepts Healthy Volunteers
Subject must be at least 9 Years old.
Subject must be at most 11 Years

Eligibility (NLI label): Contradiction
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: Von Willebrand Disease in the Netherlands

Eligibility criteria:
Inclusion Criteria:

          -  Historically lowest VWF:Ag and/or VWF:RCo and/or VWF:CB ≤ 0.30 IU/mL and/or FVIII:C ≤
             0.40 IU/mL

          -  Treatment at a Hemophilia treatment center in the Netherlands

          -  All types of VWD

          -  All ages

        Exclusion Criteria:

        - Other known bleeding disorders present.
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.



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: Ilioinguinal Block in Laparoscopic Inguinal Hernia Repair

Eligibility criteria:
Inclusion Criteria:

          1. Age ≥ 18 year

          2. Informed consent

          3. a diagnosis of an inguinal hernia

          4. ASA group ≤ 3

          5. BMI ≤ 35

        Exclusion Criteria:

          1. Communication problems

          2. No consent

          3. Open procedure (not laparoscopic)

          4. ASA-group 4

          5. Use of Steroid or immunosuppressive tretament

          6. Regular morphine use.
Male
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 67-year-old man comes to the clinic with slowly worsening vision in both eyes.  He is not able to drive at night, as the symptoms are worse at night. His pupils are normal in diameter both in the light and darkness. Other medical history is unremarkable.  Ocular examination shows loss of the red reflex and blurry vision.  Acuity testing shows 50/100 vision in both eyes with normal visual field testing. His blood pressure is 130/70 and pulse is 68/min. the other physical examinations are normal.

Patient's own account: I am a 67 years-old man, and I haven't been able to drive at night due to my vision getting worse. My vision is not the best in general, but night makes it even worse. The ophthalmologist told me that my pupils were normal. However, I have slow reflexes and blurry vision. My acuity test came back with 50/100 vision in both of my eyes. They also took my blood pressure, which was 130/70 with a 68 pulse. My other exams came back just fine.

Clinical trial: Screening for Glaucoma in Namil Area, South Korea

Eligibility criteria:
Inclusion Criteria:

          -  All residents aged over 40 in Namil area

        Exclusion Criteria:

          -  Individuals registered but not actually living in this area
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 40 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: Endoscopic Findings in Patients With Typical Gastroesophageal Reflux Disease (GERD) Symptoms

Eligibility criteria:
Inclusion Criteria:

          -  outpatients

          -  chief complaints of characteristic GERD symptoms (heart burn or acid regurgitation),
             evaluated by standard questionnaire

          -  undergo upper digestive endoscopy

        Exclusion Criteria:

          -  age less than 18 years old or more than 90 years old

          -  unable to complete upper endoscopy

          -  known diagnosis of gastroesophageal malignancy

          -  follow-up visit for known gastroesophageal lesion identified by previous upper
             endoscopy

          -  failure to obtain 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 90 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: Psychological Strengths and Burden Among Osteoarthritis Patient

Eligibility criteria:
Inclusion Criteria:

          -  all new patient present to AHNH clinic referred for osteoarthritis for considering
             joint replacement

          -  Present with knee pain (unilateral or bilateral) contributed by osteoarthritis

        Exclusion Criteria:

          -  mentally unsound

          -  dialectic speaker that difficult to communicate
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 65 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: Correlation of Endoscopic Findings and Symptoms in Patients Undergoing the First Upper Gastrointestinal Endoscopy

Eligibility criteria:
Inclusion Criteria:

          -  Patients undergoing the first upper gastrointestinal endoscopy.

        Exclusion Criteria:

          -  The patients had previously performed endoscopy and any esophageal, gastric or
             duodenal surgery.

          -  The patients couldn't complete the questionnaire survey under the guidance of
             physicians at the appointment of the upper gastrointestinal endoscopy.
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers



Eligibility (NLI label): Contradiction
Patient case (clinical description): A 61-year-old man comes to the emergency department complaining of an acute vision disturbance. He had an episode of vision disturbance in the right eye that occurred suddenly and resolved spontaneously in 15 minutes. He also has right jaw pain while chewing.  He also complains of fatigue and hip muscle aches over the last several months.  The patient has a history of mild hyperlipidemia that has been controlled by diet and lifestyle modifications.  On examination, his blood pressure is 130/70 mm Hg and pulse is 66/min.  Neurological examination is unremarkable.  Visual examination is also normal. ESR is 103 mm/h. Temporal artery biopsy shows multinuclear giant cells and internal elastic membrane fragmentation.

Patient's own account: I’m a 61-year-old man and I came to the ER because I had a sudden episode where I couldn’t see out of my right eye. It only lasted about 15 minutes and went away on its own but it really scared me. I’ve also been having pain in my right jaw when I chew. For the past few months I’ve felt really tired and noticed my hips ache a lot. I have a history of mild cholesterol issues but I’ve been managing that with my diet and lifestyle. When the doctors checked me my blood pressure and pulse were normal and my vision and neurological exams didn’t show anything wrong. However they ran some tests and said my ESR levels were very high and a biopsy of my temporal artery showed some inflammation and damage.

Clinical trial: Prospective Follow-up Study of the Aortic Diameter in Patients With Giant Cell Arteritis

Eligibility criteria:
Inclusion Criteria:

          -  patients with a first episode of biopsy and/or scintigraphy proven giant cell
             arteritis

          -  patients with a previous diagnosis of giant cell arteritis, in whom a yearly computed
             tomography of the aorta is available can opt to participate in this study

          -  informed consent form has to be signed by all patients

        Exclusion Criteria:

          -  patients already treated with steroids before performance of PET-scintigraphy

          -  earlier episodes of giant cell arteritis, without documentation of the aortic diameter
             at that moment
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.


Eligibility (NLI label): Entailment
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: Comparative Study Between Minidose Long Protocol and Microdose Flare Protocol in Controlled Ovarian Hyperstimulation

Eligibility criteria:
Inclusion Criteria:

          -  Age > 35 years

          -  Day 3 serum FSH level > 10m IU/ml

          -  Number of antral follicles measuring 4-8mm during the early phase < 6

          -  Small ovarian volume

          -  AMH < 1

          -  Prior poor ovarian response to COH (oocytes < 5)

        Exclusion Criteria:

          -  Polycystic ovarian syndrome patients

          -  Patients with Endometriosis

          -  Normal responders to ovulation induction

          -  Patients having ovarian cyst

          -  Patients receiving ovulation induction in the preceding cycle
Female
No healthy subjects accepted to join the trial.
Subject must be at least 35 Years old.
Subject must be at most 42 Years

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: The Predictive Value of Alarm Symptoms in Patients With Dyspepsia Based on Roman IV

Eligibility criteria:
Inclusion criteria:

          1. Aged 18 years and older;

          2. Presence of dyspeptic symptoms according with Rome IV criteria (Discomfort was
             characterized by the presence of one or more symptoms that included bothersome
             postprandial fullness, bothersome early satiation, bothersome epigastric pain,
             bothersome epigastric burning, Symptoms had to be present for at least 3 months within
             the preceding 6 months);

          3. From March 2018 to January 2019, patient went to the Gastroenterology clinics of the
             second affiliated hospital of xi'an jiaotong university, Xijing Hospital, Tangdu
             Hospital, Xi'an No.3 Hospital, and received gastroscopy;

          4. Upper abdominal ultrasonography, blood routine examination, liver function test were
             conducted within six months.

        Exclusion criteria:

          1. History of esophagitis or ulcer disease or other organic upper gastrointestinal
             disease, pancreaticobiliary disease, metabolic disease(abnormal thyroid function,
             diabetes );

          2. Were pregnant, might become pregnant, or were lactating;

          3. Major abdominal surgery;

          4. Severe neurological disorder, psychological diseases; or with severe hepatic, renal or
             respiratory dysfunction;

          5. Known or suspected liver dysfunction, including NASH, HBV or HCV-related hepatitis;

          6. History of gastroscope within 1 year;

        (6) Current antidepressant, steroids or NSAID use; (7) Patients who had only reflux-related
        symptoms or who had predominantly reflux-related symptoms; (8) Not willing to participate
        in the study.
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