Mathilde/NLI4PR huggingface dataset:
Patient case (clinical description): A 47-year-old woman comes to the clinic complaining of dizziness.  She also has occasional nausea and ringing in her right ear.  The patient also has difficulty hearing while holding her phone to the left ear, although hearing in her right ear is normal.  The dizziness improves spontaneously, and she feels fine between episodes.  Past medical history is notable for hypothyroidism and low vit D level, for which she is using Levothyroxine and Vit D pearl.  She does not use tobacco or drink alcohol. Physical examination shows sensorineural hearing loss in the left ear. She has only one-man sexual partner and menopaused 2 years ago.

Patient's own account: The other day, I had to go to the clinic due to severe dizziness. I'm 47 years old, and I've been suffering from nausea and ringing in my right ear. I also have difficulty hearing in my left ear while I hold my phone, even if my hearing in my right ear is normal. The dizziness just gets me all of a sudden but I don't have any symptoms in between 2 episodes. I suffer from hypothyroidism and low vitamin D levels. So I take Levothyrox and vitamin D pearl. I don't smoke or drink. They conducted a physical exam and said I had hearing loss in my left ear. My only partner is my husband, and I'm menopause for 2 years now.

Clinical trial: Trental for the Treatment of Vertigo/Dizziness/Imbalance

Eligibility criteria:
Inclusion Criteria:

          1. Adults 40 years and older

          2. English as primary language

          3. Diagnosis of multisensory losses, presbystasis, bilateral vestibulopathy, central
             vascular insufficiency, small vessel circulatory disease, generalized imbalance, and
             idiopathic peripheral vertigo scoring at least 16 on the Dizziness Handicap Inventory

          4. Willingness to complete surveys and take medication as prescribed

        Exclusion Criteria:

          1. Diagnosis of the following: benign paroxysmal positional vertigo, Meniere's disease,
             vestibular migraine with headache, intracranial mass, perilymphatic fistula, or
             multiple sclerosis

          2. history of cholesteatoma

          3. Prior ear surgery other than myringotomy and tube placement

          4. Prior radiation to head or neck

          5. previous use of vestibulotoxic medications where the enrolling provider determines the
             drug exposure to be the cause of imbalance

          6. Use of blood thinning medications

          7. intolerance/allergy to pentoxifylline or methylxanthines, as well as recent cerebral
             or retinal hemorrhage (past 3 months)

          8. Pregnant or lactating females.
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 40 Years old.


Eligibility (NLI label): Entailment
Patient case (clinical description): A 61-year-old man comes to the clinic due to nonproductive cough and progressive dyspnea.  The patient's medical conditions include hypertension, hypercholesteremia and peptic ulcer disease.  He smokes 2 packs of cigarettes daily for the past 30 years.  On examination, there are decreased breath sounds and percussive dullness at the base of the left lung.  Other vital signs are normal. Abdomen is soft without tenderness. CT scan shows a left-sided pleural effusion and nodular thickening of the pleura. The plural fluid was bloody on thoracentesis. Biopsy shows proliferation of epithelioid-type cells with very long microvilli.

Patient's own account: I am 61 and I had to go to the clinic because I couldn't stop coughing and I experienced some breath shortness. I suffer from hypertension and cholesterol and I also have a stomach ulcer. I should admit that I've been smoking 2 packs of cigarettes every day for the past 30 years. My doctor told me that my breath in my left lung sounds bad. But he told me that my blood pressure, heart rate, breathing rate and temperature are normal. My belly is also normal. However my X-Rays show some liquid on the left side and a mass where the liquid got hard. The scary thing is that the liquid was bloody when they got it out. They did a biopsy and it showed that I have an increase of epithelioid-type cells with very long microvilli.

Clinical trial: CrYobiopsy With Radial UltraSound Guidance

Eligibility criteria:
Inclusion Criteria:

          1. Referral to interventional pulmonary services for diagnostic transbronchial cryobiopsy
             for diffuse parenchymal lung disease.

          2. Transbronchial cryobiopsy is determined to be appropriately indicated as determined by
             consulting interventional pulmonologist.

          3. Age > 18 years

        Exclusion Criteria:

          1. Inability to provide informed consent

          2. Study subject has any condition that interferes with safe completion of the study
             including:

               1. Coagulopathy, with criteria left at the discretion of the operator

               2. Respiratory insufficiency with DLCO < 30% or baseline requirements of oxygen >2
                  liters

               3. Hemodynamic instability with systolic blood pressure <90 mmHg or heart rate > 120
                  beats/min, unless deemed to be stable with these values by the attending
                  physicians

          3. Patients representing vulnerable populations (prisoners, pregnant women, etc.)
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: Management of RPOC After Induced Abortion

Eligibility criteria:
Inclusion Criteria:

          -  18 < age < 45 year old

          -  Thick irregular endometrium >12 mm on trans-vaginal ultrasound

        Exclusion Criteria:

          -  Endometritis

          -  Cervical opening > 1 cm

          -  Uterine abnormalities

          -  Contraindication to Misoprostol treatment
Female
Accepts Healthy Volunteers
Subject must be at least 18 Years old.
Subject must be at most 45 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 41-year-old woman comes to the dermatology clinic complaining of facial redness, especially on her forehead and cheeks. She noticed that the redness gets worse in the summer and after sun exposure. She is otherwise healthy. On physical examination, she has multiple papules and pustules present on her forehead, cheeks, and nose on a background of erythema and telangiectasias. There are no other lesions or nodules. The patient is married and has 2 children who are 5 and 9 years old. She has IUD and doesn't wish to have more kids. She does not smoke or drink alcohol. Her vital signs are normal, and BMI is 21.

Patient's own account: I'm 41, married with 2 lovely kids who are 5 and 9 years old. I have an IUD and I don't want to have more kids. I don't smoke or drink alcohol. I had to go to the dermatology clinic because I had terrible redness on my face, especially on my forehead and cheeks. It got worse in the summer and after being under the sun. I'm usually healthy. They conducted a physical exam and they found several lesions and pustules on my forehead, cheeks and nose and they also found some signs of erythema and telangiectasia. My vitals were normal, and my BMI is 21.

Clinical trial: Linking Epidermal Barrier Function With Anti-Oxidant Defense Mechanisms in Skin Conditions

Eligibility criteria:
Inclusion Criteria:

        Male and female 18 to 99 years of age. Chronic skin conditions (including but not limited
        to atopic dermatitis, contact dermatitis, hidradenitis suppurativa, and psoriasis) with at
        least one active skin lesion Healthy skin (defined no clinical evidence or diagnosis of
        inflammatory skin conditions)

        Exclusion Criteria:

        Subjects who are unable to comply with study procedures.
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers
Subject must be at least 18 Years old.
Subject must be at most 99 Years

Eligibility (NLI label): 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: The Use of a Point-of-care Thoracic Ultrasound Protocol for Hospital Medical Emergency Teams

Eligibility criteria:
Inclusion Criteria:

          -  Adult patients on the general wards in need of treatment by the MET team.

        Exclusion Criteria:

          -  age (<18 years),

          -  pregnancy:
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 100 Years

Eligibility (NLI label): Contradiction
Patient case (clinical description): A 61-year-old man comes to the clinic due to nonproductive cough and progressive dyspnea.  The patient's medical conditions include hypertension, hypercholesteremia and peptic ulcer disease.  He smokes 2 packs of cigarettes daily for the past 30 years.  On examination, there are decreased breath sounds and percussive dullness at the base of the left lung.  Other vital signs are normal. Abdomen is soft without tenderness. CT scan shows a left-sided pleural effusion and nodular thickening of the pleura. The plural fluid was bloody on thoracentesis. Biopsy shows proliferation of epithelioid-type cells with very long microvilli.

Patient's own account: I am 61 and I had to go to the clinic because I couldn't stop coughing and I experienced some breath shortness. I suffer from hypertension and cholesterol and I also have a stomach ulcer. I should admit that I've been smoking 2 packs of cigarettes every day for the past 30 years. My doctor told me that my breath in my left lung sounds bad. But he told me that my blood pressure, heart rate, breathing rate and temperature are normal. My belly is also normal. However my X-Rays show some liquid on the left side and a mass where the liquid got hard. The scary thing is that the liquid was bloody when they got it out. They did a biopsy and it showed that I have an increase of epithelioid-type cells with very long microvilli.

Clinical trial: Safety of Thoracoscopy in Patients With High Risk

Eligibility criteria:
Inclusion Criteria:

          -  Patients with exudative pleural effusion

        Exclusion Criteria:

          -  Patients without pleural effusion
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 85 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: Eastbourne Syncope Assessment Study II

Eligibility criteria:
Inclusion Criteria:

          -  Age > = 16 yrs

          -  Acute syncope presentation to MAU or A+E

          -  2 or more unexplained syncopes within the past 24 months including index episode

          -  Normal baseline ECG

          -  Absence of co - existing pathology requiring admission

        Exclusion Criteria:

          -  Suspected or known heart disease

          -  ECG abnormalities suspected of arrhythmic syncope listed in Table 1

          -  Syncope occurring during exercise

          -  Syncope causing severe injury

          -  Family history of sudden death

          -  Sudden onset palpitations prior to syncope

        Table 1: ECG Abnormalities:

          -  Bifascicular block (defined as LBBB or RBBB combined with left anterior or left
             posterior fascicular block)

          -  Other intraventricular abnormalities (QRS duration >= 0.12s)

          -  Mobitz 1 second degree AV block (Wenckebach)

          -  Asymptomatic sinus bradycardia (<50 bpm), SA node or sinus pause >= 3s in the absence
             of negatively chronotropic medications

          -  Pre-excited QRS with short PR interval (WPW)

          -  Significantly Prolonged QT interval

          -  RBBB pattern with ST elevation in V1 - V3 (Brugada Syndrome)

          -  Negative T waves with ST segment elevation in right precordial leads suggestive of
             arrythmogenic right ventricular dysplasia

          -  Significant Q waves (>= 0.02s) suggestive of MI
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 16 Years old.


Eligibility (NLI label): Contradiction
Patient case (clinical description): A 60-year-old man comes to the clinic complaining of hand tremor that started few months ago.  It is most bothering when he wants to drink from a glass or pour from a bottle. He does not smoke, but drinks occasionally. He recently started consuming more alcohol as his tremor subsides somewhat when he drinks small amounts of alcohol.  Family history is significant for similar problems in his mother.  Vital signs are normal and the patient has no other medical conditions.  Neurologic examination shows bilateral tremor in the upper extremities. The diagnosis of essential tremor is confirmed.

Patient's own account: I'm only a 60 years old man but I already suffer from shaky hands. It started a few months ago, and it really bothers me when I want to pour myself a glass or even while drinking. I don't smoke, but I drink alcohol from time to time. To be honest, I've been drinking a little more lately since it helps me with the shaking. My mom had the same issue when she was my age. The doctor took my vitals, and they were normal. I don't have any other medical issues. I underwent neurological exams and it showed that I’m shaky from both sides. The doctor diagnosed me with essential tremor.

Clinical trial: Evaluation of Botulinum Toxin Injection Efficacy in the Treatment of Head Essential Tremor

Eligibility criteria:
Inclusion Criteria:

          -  Patients suffering from a head tremor without (isolated) or with associated

          -  tremor in any other body parts.

          -  The HT must be troublesome for the patients (TRS 2 for the head tremor

          -  severity item).

          -  Patients never treated with botulinum toxin or not treated with botulinum toxin for
             this indication for at least 4 months.

          -  Men or women aged from 18 to 80 years old.

          -  Social security coverage.

          -  Ability to provide informed consent.

        Exclusion Criteria:

          -  Patients with tremor from cerebellar syndrome (multiple sclerosis, etc.).

          -  Patients with a predominant dystonic jerky or myoclonic head tremor using

          -  the Tsui scale (>1).

          -  Oral treatments for HT are allowed but must be stable during the study.

          -  Any contra-indication to Botulinum toxin.

          -  Women without efficient contraception.

          -  Patients under supervision or (legal) guardianship.
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 80 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: Saline Lavage X Saline Lavage and Osteonil® Mini in Rizarthritis

Eligibility criteria:
Inclusion Criteria:

          -  Men and women diagnosed with multiple arthritis (including CMC OA of the thumb) with
             comorbidities (metabolic syndrome, i.e., OA and overweight / obesity, and/or
             hyperglycemia, and/or dyslipidemia, and/or hyperuricemia, and/or hypertension).

          -  CMC OA joint of the thumb stages I to III as classified by Eaton et al. (4)

        Exclusion Criteria:

          -  Missing classes or functional evaluations

          -  Not performing the exercises as instructed
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 40 Years old.
Subject must be at most 75 Years

Eligibility (NLI label): Entailment