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<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"epinephrine"/ induces disease /"thrombosis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Effects of tetrandrine and fangchinoline on experimental /"thrombosis"/ in mice and human platelet aggregation. - Abstract: Tetrandrine (TET) and fangchinoline (FAN) are two naturally occurring analogues with a bisbenzylisoquinoline structure. The present study was undertaken to investigate the effects of TET and FAN on the experimental /"thrombosis"/ induced by collagen plus /"epinephrine"/ (/"EP"/) in mice, and platelet aggregation and blood coagulation in vitro. In the in vivo study, the administration (50 mg/kg, i.p.) of TET and FAN in mice showed the inhibition of /"thrombosis"/ by 55% and 35%, respectively, while acetylsalicylic acid (ASA, 50 mg/kg, i.p.), a positive control, showed only 30% inhibition. In the vitro human platelet aggregations induced by the agonists used in tests, TET and FAN showed the inhibitions dose dependently. In addition, neither TET nor FAN showed any anticoagulation activities in the measurement of the activated partial thromboplastin time (APTT), prothrombin time (PT) and thrombin time (TT) using human-citrated plasma. These results suggest that antithrombosis of TET and FAN in mice may be mainly related to the antiplatelet aggregation activities. Question: Does chemical /"epinephrine"/ induce disease /"thrombosis"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Effects of tetrandrine and fangchinoline on experimental /"thrombosis"/ in mice and human platelet aggregation.
Tetrandrine (TET) and fangchinoline (FAN) are two naturally occurring analogues with a bisbenzylisoquinoline structure. The present study was undertaken to investigate the effects of TET and FAN on the experimental /"thrombosis"/ induced by collagen plus /"epinephrine"/ (/"EP"/) in mice, and platelet aggregation and blood coagulation in vitro. In the in vivo study, the administration (50 mg/kg, i.p.) of TET and FAN in mice showed the inhibition of /"thrombosis"/ by 55% and 35%, respectively, while acetylsalicylic acid (ASA, 50 mg/kg, i.p.), a positive control, showed only 30% inhibition. In the vitro human platelet aggregations induced by the agonists used in tests, TET and FAN showed the inhibitions dose dependently. In addition, neither TET nor FAN showed any anticoagulation activities in the measurement of the activated partial thromboplastin time (APTT), prothrombin time (PT) and thrombin time (TT) using human-citrated plasma. These results suggest that antithrombosis of TET and FAN in mice may be mainly related to the antiplatelet aggregation activities.
epinephrine
{ "id": "2106", "normalized": [ { "db_id": "D004837", "db_name": "MESH" } ], "offsets": [ [ 359, 370 ] ], "text": [ "epinephrine" ], "type": "Chemical" }
thrombosis
{ "id": "2096", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 57, 67 ] ], "text": [ "thrombosis" ], "type": "Disease" }
[ { "id": "2094", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 11, 22 ] ], "text": [ "tetrandrine" ], "type": "Chemical" }, { "id": "2095", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 27, 40 ] ], "text": [ "fangchinoline" ], "type": "Chemical" }, { "id": "2098", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 108, 119 ] ], "text": [ "Tetrandrine" ], "type": "Chemical" }, { "id": "2099", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 121, 124 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2100", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 130, 143 ] ], "text": [ "fangchinoline" ], "type": "Chemical" }, { "id": "2101", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 145, 148 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2102", "normalized": [ { "db_id": "D044182", "db_name": "MESH" } ], "offsets": [ [ 195, 216 ] ], "text": [ "bisbenzylisoquinoline" ], "type": "Chemical" }, { "id": "2103", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 291, 294 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2104", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 299, 302 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2106", "normalized": [ { "db_id": "D004837", "db_name": "MESH" } ], "offsets": [ [ 359, 370 ] ], "text": [ "epinephrine" ], "type": "Chemical" }, { "id": "2107", "normalized": [ { "db_id": "D004837", "db_name": "MESH" } ], "offsets": [ [ 372, 374 ] ], "text": [ "EP" ], "type": "Chemical" }, { "id": "2110", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 503, 506 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2111", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 511, 514 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2113", "normalized": [ { "db_id": "D001241", "db_name": "MESH" } ], "offsets": [ [ 595, 615 ] ], "text": [ "acetylsalicylic acid" ], "type": "Chemical" }, { "id": "2114", "normalized": [ { "db_id": "D001241", "db_name": "MESH" } ], "offsets": [ [ 617, 620 ] ], "text": [ "ASA" ], "type": "Chemical" }, { "id": "2116", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 767, 770 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2117", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 775, 778 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2118", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 841, 844 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2119", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 849, 852 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2120", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 1082, 1085 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2121", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 1090, 1093 ] ], "text": [ "FAN" ], "type": "Chemical" } ]
[ { "id": "2096", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 57, 67 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "2097", "normalized": [ { "db_id": "D001791", "db_name": "MESH" } ], "offsets": [ [ 86, 106 ] ], "text": [ "platelet aggregation" ], "type": "Disease" }, { "id": "2105", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 323, 333 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "2108", "normalized": [ { "db_id": "D001791", "db_name": "MESH" } ], "offsets": [ [ 389, 409 ] ], "text": [ "platelet aggregation" ], "type": "Disease" }, { "id": "2109", "normalized": [ { "db_id": "D001778", "db_name": "MESH" } ], "offsets": [ [ 414, 431 ] ], "text": [ "blood coagulation" ], "type": "Disease" }, { "id": "2112", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 548, 558 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "2115", "normalized": [ { "db_id": "D001791", "db_name": "MESH" } ], "offsets": [ [ 706, 727 ] ], "text": [ "platelet aggregations" ], "type": "Disease" } ]
Effects of tetrandrine and fangchinoline on experimental thrombosis in mice and human platelet aggregation.
Tetrandrine (TET) and fangchinoline (FAN) are two naturally occurring analogues with a bisbenzylisoquinoline structure. The present study was undertaken to investigate the effects of TET and FAN on the experimental thrombosis induced by collagen plus epinephrine (EP) in mice, and platelet aggregation and blood coagulation in vitro. In the in vivo study, the administration (50 mg/kg, i.p.) of TET and FAN in mice showed the inhibition of thrombosis by 55% and 35%, respectively, while acetylsalicylic acid (ASA, 50 mg/kg, i.p.), a positive control, showed only 30% inhibition. In the vitro human platelet aggregations induced by the agonists used in tests, TET and FAN showed the inhibitions dose dependently. In addition, neither TET nor FAN showed any anticoagulation activities in the measurement of the activated partial thromboplastin time (APTT), prothrombin time (PT) and thrombin time (TT) using human-citrated plasma. These results suggest that antithrombosis of TET and FAN in mice may be mainly related to the antiplatelet aggregation activities.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fangchinoline"/ induces disease /"thrombosis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Effects of tetrandrine and /"fangchinoline"/ on experimental /"thrombosis"/ in mice and human platelet aggregation. - Abstract: Tetrandrine (TET) and /"fangchinoline"/ (/"FAN"/) are two naturally occurring analogues with a bisbenzylisoquinoline structure. The present study was undertaken to investigate the effects of TET and /"FAN"/ on the experimental /"thrombosis"/ induced by collagen plus epinephrine (EP) in mice, and platelet aggregation and blood coagulation in vitro. In the in vivo study, the administration (50 mg/kg, i.p.) of TET and /"FAN"/ in mice showed the inhibition of /"thrombosis"/ by 55% and 35%, respectively, while acetylsalicylic acid (ASA, 50 mg/kg, i.p.), a positive control, showed only 30% inhibition. In the vitro human platelet aggregations induced by the agonists used in tests, TET and /"FAN"/ showed the inhibitions dose dependently. In addition, neither TET nor /"FAN"/ showed any anticoagulation activities in the measurement of the activated partial thromboplastin time (APTT), prothrombin time (PT) and thrombin time (TT) using human-citrated plasma. These results suggest that antithrombosis of TET and /"FAN"/ in mice may be mainly related to the antiplatelet aggregation activities. Question: Does chemical /"fangchinoline"/ induce disease /"thrombosis"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Effects of tetrandrine and /"fangchinoline"/ on experimental /"thrombosis"/ in mice and human platelet aggregation.
Tetrandrine (TET) and /"fangchinoline"/ (/"FAN"/) are two naturally occurring analogues with a bisbenzylisoquinoline structure. The present study was undertaken to investigate the effects of TET and /"FAN"/ on the experimental /"thrombosis"/ induced by collagen plus epinephrine (EP) in mice, and platelet aggregation and blood coagulation in vitro. In the in vivo study, the administration (50 mg/kg, i.p.) of TET and /"FAN"/ in mice showed the inhibition of /"thrombosis"/ by 55% and 35%, respectively, while acetylsalicylic acid (ASA, 50 mg/kg, i.p.), a positive control, showed only 30% inhibition. In the vitro human platelet aggregations induced by the agonists used in tests, TET and /"FAN"/ showed the inhibitions dose dependently. In addition, neither TET nor /"FAN"/ showed any anticoagulation activities in the measurement of the activated partial thromboplastin time (APTT), prothrombin time (PT) and thrombin time (TT) using human-citrated plasma. These results suggest that antithrombosis of TET and /"FAN"/ in mice may be mainly related to the antiplatelet aggregation activities.
fangchinoline
{ "id": "2095", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 27, 40 ] ], "text": [ "fangchinoline" ], "type": "Chemical" }
thrombosis
{ "id": "2096", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 57, 67 ] ], "text": [ "thrombosis" ], "type": "Disease" }
[ { "id": "2094", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 11, 22 ] ], "text": [ "tetrandrine" ], "type": "Chemical" }, { "id": "2095", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 27, 40 ] ], "text": [ "fangchinoline" ], "type": "Chemical" }, { "id": "2098", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 108, 119 ] ], "text": [ "Tetrandrine" ], "type": "Chemical" }, { "id": "2099", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 121, 124 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2100", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 130, 143 ] ], "text": [ "fangchinoline" ], "type": "Chemical" }, { "id": "2101", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 145, 148 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2102", "normalized": [ { "db_id": "D044182", "db_name": "MESH" } ], "offsets": [ [ 195, 216 ] ], "text": [ "bisbenzylisoquinoline" ], "type": "Chemical" }, { "id": "2103", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 291, 294 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2104", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 299, 302 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2106", "normalized": [ { "db_id": "D004837", "db_name": "MESH" } ], "offsets": [ [ 359, 370 ] ], "text": [ "epinephrine" ], "type": "Chemical" }, { "id": "2107", "normalized": [ { "db_id": "D004837", "db_name": "MESH" } ], "offsets": [ [ 372, 374 ] ], "text": [ "EP" ], "type": "Chemical" }, { "id": "2110", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 503, 506 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2111", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 511, 514 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2113", "normalized": [ { "db_id": "D001241", "db_name": "MESH" } ], "offsets": [ [ 595, 615 ] ], "text": [ "acetylsalicylic acid" ], "type": "Chemical" }, { "id": "2114", "normalized": [ { "db_id": "D001241", "db_name": "MESH" } ], "offsets": [ [ 617, 620 ] ], "text": [ "ASA" ], "type": "Chemical" }, { "id": "2116", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 767, 770 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2117", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 775, 778 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2118", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 841, 844 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2119", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 849, 852 ] ], "text": [ "FAN" ], "type": "Chemical" }, { "id": "2120", "normalized": [ { "db_id": "C009438", "db_name": "MESH" } ], "offsets": [ [ 1082, 1085 ] ], "text": [ "TET" ], "type": "Chemical" }, { "id": "2121", "normalized": [ { "db_id": "C060802", "db_name": "MESH" } ], "offsets": [ [ 1090, 1093 ] ], "text": [ "FAN" ], "type": "Chemical" } ]
[ { "id": "2096", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 57, 67 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "2097", "normalized": [ { "db_id": "D001791", "db_name": "MESH" } ], "offsets": [ [ 86, 106 ] ], "text": [ "platelet aggregation" ], "type": "Disease" }, { "id": "2105", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 323, 333 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "2108", "normalized": [ { "db_id": "D001791", "db_name": "MESH" } ], "offsets": [ [ 389, 409 ] ], "text": [ "platelet aggregation" ], "type": "Disease" }, { "id": "2109", "normalized": [ { "db_id": "D001778", "db_name": "MESH" } ], "offsets": [ [ 414, 431 ] ], "text": [ "blood coagulation" ], "type": "Disease" }, { "id": "2112", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 548, 558 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "2115", "normalized": [ { "db_id": "D001791", "db_name": "MESH" } ], "offsets": [ [ 706, 727 ] ], "text": [ "platelet aggregations" ], "type": "Disease" } ]
Effects of tetrandrine and fangchinoline on experimental thrombosis in mice and human platelet aggregation.
Tetrandrine (TET) and fangchinoline (FAN) are two naturally occurring analogues with a bisbenzylisoquinoline structure. The present study was undertaken to investigate the effects of TET and FAN on the experimental thrombosis induced by collagen plus epinephrine (EP) in mice, and platelet aggregation and blood coagulation in vitro. In the in vivo study, the administration (50 mg/kg, i.p.) of TET and FAN in mice showed the inhibition of thrombosis by 55% and 35%, respectively, while acetylsalicylic acid (ASA, 50 mg/kg, i.p.), a positive control, showed only 30% inhibition. In the vitro human platelet aggregations induced by the agonists used in tests, TET and FAN showed the inhibitions dose dependently. In addition, neither TET nor FAN showed any anticoagulation activities in the measurement of the activated partial thromboplastin time (APTT), prothrombin time (PT) and thrombin time (TT) using human-citrated plasma. These results suggest that antithrombosis of TET and FAN in mice may be mainly related to the antiplatelet aggregation activities.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Gemcitabine"/ induces disease /"thrombocytopenia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 /"thrombocytopenia"/, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"Gemcitabine"/ induce disease /"thrombocytopenia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 /"thrombocytopenia"/, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
Gemcitabine
{ "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }
thrombocytopenia
{ "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"vinorelbine"/ induces disease /"thrombocytopenia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus /"vinorelbine"/ in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 /"thrombocytopenia"/, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"vinorelbine"/ induce disease /"thrombocytopenia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Gemcitabine plus /"vinorelbine"/ in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 /"thrombocytopenia"/, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
vinorelbine
{ "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }
thrombocytopenia
{ "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Gemcitabine"/ induces disease /"neurotoxicity"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 /"neurotoxicity"/. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"Gemcitabine"/ induce disease /"neurotoxicity"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 /"neurotoxicity"/. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
Gemcitabine
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neurotoxicity
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[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"vinorelbine"/ induces disease /"neutropenia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus /"vinorelbine"/ in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 /"neutropenia"/, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe /"neutropenia"/ (6%) died of sepsis. The median age of those patients developing Grade 3-4 /"neutropenia"/ was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"vinorelbine"/ induce disease /"neutropenia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Gemcitabine plus /"vinorelbine"/ in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 /"neutropenia"/, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe /"neutropenia"/ (6%) died of sepsis. The median age of those patients developing Grade 3-4 /"neutropenia"/ was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
vinorelbine
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neutropenia
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[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Gemcitabine"/ induces disease /"neutropenia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 /"neutropenia"/, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe /"neutropenia"/ (6%) died of sepsis. The median age of those patients developing Grade 3-4 /"neutropenia"/ was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"Gemcitabine"/ induce disease /"neutropenia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 /"neutropenia"/, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe /"neutropenia"/ (6%) died of sepsis. The median age of those patients developing Grade 3-4 /"neutropenia"/ was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
Gemcitabine
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neutropenia
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[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"vinorelbine"/ induces disease /"neurotoxicity"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus /"vinorelbine"/ in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 /"neurotoxicity"/. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"vinorelbine"/ induce disease /"neurotoxicity"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Gemcitabine plus /"vinorelbine"/ in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 /"neurotoxicity"/. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
vinorelbine
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neurotoxicity
{ "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"vinorelbine"/ induces disease /"nonsmall cell lung carcinoma"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus /"vinorelbine"/ in /"nonsmall cell lung carcinoma"/ patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of /"nonsmall cell lung carcinoma"/ (/"NSCLC"/) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced /"NSCLC"/ or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced /"NSCLC"/ were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced /"NSCLC"/. Question: Does chemical /"vinorelbine"/ induce disease /"nonsmall cell lung carcinoma"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Gemcitabine plus /"vinorelbine"/ in /"nonsmall cell lung carcinoma"/ patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of /"nonsmall cell lung carcinoma"/ (/"NSCLC"/) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with /"vinorelbine"/ (/"VNB"/) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and /"VNB"/ in elderly patients with advanced /"NSCLC"/ or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced /"NSCLC"/ were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of /"VNB"/, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and /"VNB"/ is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced /"NSCLC"/.
vinorelbine
{ "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }
nonsmall cell lung carcinoma
{ "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"cisplatin"/ induces disease /"myelosuppression"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of /"myelosuppression"/. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"cisplatin"/ induce disease /"myelosuppression"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of /"myelosuppression"/. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
cisplatin
{ "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }
myelosuppression
{ "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"cisplatin"/ induces disease /"thrombocytopenia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 /"thrombocytopenia"/, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"cisplatin"/ induce disease /"thrombocytopenia"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 /"thrombocytopenia"/, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
cisplatin
{ "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }
thrombocytopenia
{ "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"cisplatin"/ induces disease /"sepsis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of /"sepsis"/. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"cisplatin"/ induce disease /"sepsis"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of /"sepsis"/. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
cisplatin
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sepsis
{ "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }
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Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Gemcitabine"/ induces disease /"myelosuppression"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of /"myelosuppression"/. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC. Question: Does chemical /"Gemcitabine"/ induce disease /"myelosuppression"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
/"Gemcitabine"/ plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or /"gemcitabine"/ (/"GEM"/) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of /"GEM"/ and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus /"GEM"/, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of /"GEM"/ and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of /"myelosuppression"/. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
Gemcitabine
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myelosuppression
{ "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"cisplatin"/ induces disease /"toxicity"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group. - Abstract: BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and /"toxicity"/ of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable /"toxicity"/ and improvement in symptoms and quality of life. In the current study the efficacy and /"toxicity"/ of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and /"toxicity"/. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. /"Toxicity"/ was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower /"toxicity"/ are needed for elderly patients with advanced NSCLC. Question: Does chemical /"cisplatin"/ induce disease /"toxicity"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive /"cisplatin"/. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and /"toxicity"/ of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable /"toxicity"/ and improvement in symptoms and quality of life. In the current study the efficacy and /"toxicity"/ of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving /"cisplatin"/ were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving /"cisplatin"/. All patients were evaluable for response and /"toxicity"/. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. /"Toxicity"/ was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower /"toxicity"/ are needed for elderly patients with advanced NSCLC.
cisplatin
{ "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }
toxicity
{ "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }
[ { "id": "2131", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Gemcitabine" ], "type": "Chemical" }, { "id": "2132", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 17, 28 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2134", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 123, 132 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2138", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 426, 437 ] ], "text": [ "vinorelbine" ], "type": "Chemical" }, { "id": "2139", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 439, 442 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2140", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 447, 458 ] ], "text": [ "gemcitabine" ], "type": "Chemical" }, { "id": "2141", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2144", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 666, 669 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2145", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 674, 677 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2147", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 767, 776 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2149", "normalized": [ { "db_id": "D002945", "db_name": "MESH" } ], "offsets": [ [ 963, 972 ] ], "text": [ "cisplatin" ], "type": "Chemical" }, { "id": "2151", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 1056, 1059 ] ], "text": [ "VNB" ], "type": "Chemical" }, { "id": "2152", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 1078, 1081 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2160", "normalized": [ { "db_id": "C056507", "db_name": "MESH" } ], "offsets": [ [ 2236, 2239 ] ], "text": [ "GEM" ], "type": "Chemical" }, { "id": "2161", "normalized": [ { "db_id": "C030852", "db_name": "MESH" } ], "offsets": [ [ 2244, 2247 ] ], "text": [ "VNB" ], "type": "Chemical" } ]
[ { "id": "2133", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 32, 60 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2135", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 200, 228 ] ], "text": [ "nonsmall cell lung carcinoma" ], "type": "Disease" }, { "id": "2136", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 230, 235 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2137", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 319, 327 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2142", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 539, 547 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2143", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 635, 643 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2146", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 712, 717 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2148", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 835, 840 ] ], "text": [ "NSCLC" ], "type": "Disease" }, { "id": "2150", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1019, 1027 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2153", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1795, 1803 ] ], "text": [ "Toxicity" ], "type": "Disease" }, { "id": "2154", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 1873, 1884 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2155", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1916, 1932 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "2156", "normalized": [ { "db_id": "D020258", "db_name": "MESH" } ], "offsets": [ [ 1966, 1979 ] ], "text": [ "neurotoxicity" ], "type": "Disease" }, { "id": "2157", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2008, 2019 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2158", "normalized": [ { "db_id": "D018805", "db_name": "MESH" } ], "offsets": [ [ 2033, 2039 ] ], "text": [ "sepsis" ], "type": "Disease" }, { "id": "2159", "normalized": [ { "db_id": "D009503", "db_name": "MESH" } ], "offsets": [ [ 2095, 2106 ] ], "text": [ "neutropenia" ], "type": "Disease" }, { "id": "2162", "normalized": [ { "db_id": "D001855", "db_name": "MESH" } ], "offsets": [ [ 2365, 2381 ] ], "text": [ "myelosuppression" ], "type": "Disease" }, { "id": "2163", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 2558, 2566 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "2164", "normalized": [ { "db_id": "D002289", "db_name": "MESH" } ], "offsets": [ [ 2613, 2618 ] ], "text": [ "NSCLC" ], "type": "Disease" } ]
Gemcitabine plus vinorelbine in nonsmall cell lung carcinoma patients age 70 years or older or patients who cannot receive cisplatin. Oncopaz Cooperative Group.
BACKGROUND: Although the prevalence of nonsmall cell lung carcinoma (NSCLC) is high among elderly patients, few data are available regarding the efficacy and toxicity of chemotherapy in this group of patients. Recent reports indicate that single agent therapy with vinorelbine (VNB) or gemcitabine (GEM) may obtain a response rate of 20-30% in elderly patients, with acceptable toxicity and improvement in symptoms and quality of life. In the current study the efficacy and toxicity of the combination of GEM and VNB in elderly patients with advanced NSCLC or those with some contraindication to receiving cisplatin were assessed. METHODS: Forty-nine patients with advanced NSCLC were included, 38 of whom were age >/= 70 years and 11 were age < 70 years but who had some contraindication to receiving cisplatin. All patients were evaluable for response and toxicity. Treatment was comprised of VNB, 25 mg/m(2), plus GEM, 1000 mg/m(2), both on Days 1, 8, and 15 every 28 days. Patients received a minimum of three courses unless progressive disease was detected. RESULTS: One hundred sixty-five courses were administered, with a median of 3. 6 courses per patient. The overall response rate was 26% (95% confidence interval, 15-41%). Two patients attained a complete response (4%) and 11 patients (22%) achieved a partial response. Eastern Cooperative Oncology Group performance status improved in 35% of those patients with an initial value > 0, whereas relief of at least 1 symptom without worsening of other symptoms was noted in 27 patients (55%). The median time to progression was 16 weeks and the 1-year survival rate was 33%. Toxicity was mild. Six patients (12%) had World Health Organization Grade 3-4 neutropenia, 2 patients (4%) had Grade 3-4 thrombocytopenia, and 2 patients (4%) had Grade 3 neurotoxicity. Three patients with severe neutropenia (6%) died of sepsis. The median age of those patients developing Grade 3-4 neutropenia was significantly higher than that of the remaining patients (75 years vs. 72 years; P = 0.047). CONCLUSIONS: The combination of GEM and VNB is moderately active and well tolerated except in patients age >/= 75 years. This age group had an increased risk of myelosuppression. Therefore the prophylactic use of granulocyte-colony stimulating factor should be considered with this treatment. New chemotherapy combinations with higher activity and lower toxicity are needed for elderly patients with advanced NSCLC.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Warfarin"/ induces disease /"artery calcification"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Warfarin"/-induced /"artery calcification"/ is accelerated by growth and vitamin D. - Abstract: The present studies demonstrate that growth and vitamin D treatment enhance the extent of /"artery calcification"/ in rats given sufficient doses of /"Warfarin"/ to inhibit gamma-carboxylation of matrix Gla protein, a calcification inhibitor known to be expressed by smooth muscle cells and macrophages in the artery wall. The first series of experiments examined the influence of age and growth status on /"artery calcification"/ in /"Warfarin"/-treated rats. Treatment for 2 weeks with /"Warfarin"/ caused massive focal /"calcification of the artery"/ media in 20-day-old rats and less extensive focal calcification in 42-day-old rats. In contrast, no /"artery calcification"/ could be detected in 10-month-old adult rats even after 4 weeks of /"Warfarin"/ treatment. To directly examine the importance of growth to /"Warfarin"/-induced /"artery calcification"/ in animals of the same age, 20-day-old rats were fed for 2 weeks either an ad libitum diet or a 6-g/d restricted diet that maintains weight but prevents growth. Concurrent treatment of both dietary groups with /"Warfarin"/ produced massive focal /"calcification of the artery"/ media in the ad libitum-fed rats but no detectable /"artery calcification"/ in the restricted-diet, growth-inhibited group. Although the explanation for the association between /"artery calcification"/ and growth status cannot be determined from the present study, there was a relationship between higher serum phosphate and susceptibility to /"artery calcification"/, with 30% higher levels of serum phosphate in young, ad libitum-fed rats compared with either of the groups that was resistant to /"Warfarin"/-induced /"artery calcification"/, ie, the 10-month-old rats and the restricted-diet, growth-inhibited young rats. This observation suggests that increased susceptibility to /"Warfarin"/-induced /"artery calcification"/ could be related to higher serum phosphate levels. The second set of experiments examined the possible synergy between vitamin D and /"Warfarin"/ in /"artery calcification"/. High doses of vitamin D are known to cause /"calcification of the artery"/ media in as little as 3 to 4 days. High doses of the vitamin K antagonist /"Warfarin"/ are also known to cause /"calcification of the artery"/ media, but at treatment times of 2 weeks or longer yet not at 1 week. In the current study, we investigated the synergy between these 2 treatments and found that concurrent /"Warfarin"/ administration dramatically increased the extent of calcification in the media of vitamin D-treated rats at 3 and 4 days. There was a close parallel between the effect of vitamin D dose on /"artery calcification"/ and the effect of vitamin D dose on the elevation of serum calcium, which suggests that vitamin D may induce /"artery calcification"/ through its effect on serum calcium. Because /"Warfarin"/ treatment had no effect on the elevation in serum calcium produced by vitamin D, the synergy between /"Warfarin"/ and vitamin D is probably best explained by the hypothesis that /"Warfarin"/ inhibits the activity of matrix Gla protein as a calcification inhibitor. High levels of matrix Gla protein are found at sites of /"artery calcification"/ in rats treated with vitamin D plus /"Warfarin"/, and chemical analysis showed that the protein that accumulated was indeed not gamma-carboxylated. These observations indicate that although the gamma-carboxyglutamate residues of matrix Gla protein are apparently required for its function as a calcification inhibitor, they are not required for its accumulation at calcification sites. Question: Does chemical /"Warfarin"/ induce disease /"artery calcification"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Warfarin"/-induced /"artery calcification"/ is accelerated by growth and vitamin D.
The present studies demonstrate that growth and vitamin D treatment enhance the extent of /"artery calcification"/ in rats given sufficient doses of /"Warfarin"/ to inhibit gamma-carboxylation of matrix Gla protein, a calcification inhibitor known to be expressed by smooth muscle cells and macrophages in the artery wall. The first series of experiments examined the influence of age and growth status on /"artery calcification"/ in /"Warfarin"/-treated rats. Treatment for 2 weeks with /"Warfarin"/ caused massive focal /"calcification of the artery"/ media in 20-day-old rats and less extensive focal calcification in 42-day-old rats. In contrast, no /"artery calcification"/ could be detected in 10-month-old adult rats even after 4 weeks of /"Warfarin"/ treatment. To directly examine the importance of growth to /"Warfarin"/-induced /"artery calcification"/ in animals of the same age, 20-day-old rats were fed for 2 weeks either an ad libitum diet or a 6-g/d restricted diet that maintains weight but prevents growth. Concurrent treatment of both dietary groups with /"Warfarin"/ produced massive focal /"calcification of the artery"/ media in the ad libitum-fed rats but no detectable /"artery calcification"/ in the restricted-diet, growth-inhibited group. Although the explanation for the association between /"artery calcification"/ and growth status cannot be determined from the present study, there was a relationship between higher serum phosphate and susceptibility to /"artery calcification"/, with 30% higher levels of serum phosphate in young, ad libitum-fed rats compared with either of the groups that was resistant to /"Warfarin"/-induced /"artery calcification"/, ie, the 10-month-old rats and the restricted-diet, growth-inhibited young rats. This observation suggests that increased susceptibility to /"Warfarin"/-induced /"artery calcification"/ could be related to higher serum phosphate levels. The second set of experiments examined the possible synergy between vitamin D and /"Warfarin"/ in /"artery calcification"/. High doses of vitamin D are known to cause /"calcification of the artery"/ media in as little as 3 to 4 days. High doses of the vitamin K antagonist /"Warfarin"/ are also known to cause /"calcification of the artery"/ media, but at treatment times of 2 weeks or longer yet not at 1 week. In the current study, we investigated the synergy between these 2 treatments and found that concurrent /"Warfarin"/ administration dramatically increased the extent of calcification in the media of vitamin D-treated rats at 3 and 4 days. There was a close parallel between the effect of vitamin D dose on /"artery calcification"/ and the effect of vitamin D dose on the elevation of serum calcium, which suggests that vitamin D may induce /"artery calcification"/ through its effect on serum calcium. Because /"Warfarin"/ treatment had no effect on the elevation in serum calcium produced by vitamin D, the synergy between /"Warfarin"/ and vitamin D is probably best explained by the hypothesis that /"Warfarin"/ inhibits the activity of matrix Gla protein as a calcification inhibitor. High levels of matrix Gla protein are found at sites of /"artery calcification"/ in rats treated with vitamin D plus /"Warfarin"/, and chemical analysis showed that the protein that accumulated was indeed not gamma-carboxylated. These observations indicate that although the gamma-carboxyglutamate residues of matrix Gla protein are apparently required for its function as a calcification inhibitor, they are not required for its accumulation at calcification sites.
Warfarin
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artery calcification
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Warfarin-induced artery calcification is accelerated by growth and vitamin D.
The present studies demonstrate that growth and vitamin D treatment enhance the extent of artery calcification in rats given sufficient doses of Warfarin to inhibit gamma-carboxylation of matrix Gla protein, a calcification inhibitor known to be expressed by smooth muscle cells and macrophages in the artery wall. The first series of experiments examined the influence of age and growth status on artery calcification in Warfarin-treated rats. Treatment for 2 weeks with Warfarin caused massive focal calcification of the artery media in 20-day-old rats and less extensive focal calcification in 42-day-old rats. In contrast, no artery calcification could be detected in 10-month-old adult rats even after 4 weeks of Warfarin treatment. To directly examine the importance of growth to Warfarin-induced artery calcification in animals of the same age, 20-day-old rats were fed for 2 weeks either an ad libitum diet or a 6-g/d restricted diet that maintains weight but prevents growth. Concurrent treatment of both dietary groups with Warfarin produced massive focal calcification of the artery media in the ad libitum-fed rats but no detectable artery calcification in the restricted-diet, growth-inhibited group. Although the explanation for the association between artery calcification and growth status cannot be determined from the present study, there was a relationship between higher serum phosphate and susceptibility to artery calcification, with 30% higher levels of serum phosphate in young, ad libitum-fed rats compared with either of the groups that was resistant to Warfarin-induced artery calcification, ie, the 10-month-old rats and the restricted-diet, growth-inhibited young rats. This observation suggests that increased susceptibility to Warfarin-induced artery calcification could be related to higher serum phosphate levels. The second set of experiments examined the possible synergy between vitamin D and Warfarin in artery calcification. High doses of vitamin D are known to cause calcification of the artery media in as little as 3 to 4 days. High doses of the vitamin K antagonist Warfarin are also known to cause calcification of the artery media, but at treatment times of 2 weeks or longer yet not at 1 week. In the current study, we investigated the synergy between these 2 treatments and found that concurrent Warfarin administration dramatically increased the extent of calcification in the media of vitamin D-treated rats at 3 and 4 days. There was a close parallel between the effect of vitamin D dose on artery calcification and the effect of vitamin D dose on the elevation of serum calcium, which suggests that vitamin D may induce artery calcification through its effect on serum calcium. Because Warfarin treatment had no effect on the elevation in serum calcium produced by vitamin D, the synergy between Warfarin and vitamin D is probably best explained by the hypothesis that Warfarin inhibits the activity of matrix Gla protein as a calcification inhibitor. High levels of matrix Gla protein are found at sites of artery calcification in rats treated with vitamin D plus Warfarin, and chemical analysis showed that the protein that accumulated was indeed not gamma-carboxylated. These observations indicate that although the gamma-carboxyglutamate residues of matrix Gla protein are apparently required for its function as a calcification inhibitor, they are not required for its accumulation at calcification sites.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"phosphate"/ induces disease /"calcification"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Warfarin-induced artery calcification is accelerated by growth and vitamin D. - Abstract: The present studies demonstrate that growth and vitamin D treatment enhance the extent of artery calcification in rats given sufficient doses of Warfarin to inhibit gamma-carboxylation of matrix Gla protein, a /"calcification"/ inhibitor known to be expressed by smooth muscle cells and macrophages in the artery wall. The first series of experiments examined the influence of age and growth status on artery calcification in Warfarin-treated rats. Treatment for 2 weeks with Warfarin caused massive focal calcification of the artery media in 20-day-old rats and less extensive focal /"calcification"/ in 42-day-old rats. In contrast, no artery calcification could be detected in 10-month-old adult rats even after 4 weeks of Warfarin treatment. To directly examine the importance of growth to Warfarin-induced artery calcification in animals of the same age, 20-day-old rats were fed for 2 weeks either an ad libitum diet or a 6-g/d restricted diet that maintains weight but prevents growth. Concurrent treatment of both dietary groups with Warfarin produced massive focal calcification of the artery media in the ad libitum-fed rats but no detectable artery calcification in the restricted-diet, growth-inhibited group. Although the explanation for the association between artery calcification and growth status cannot be determined from the present study, there was a relationship between higher serum /"phosphate"/ and susceptibility to artery calcification, with 30% higher levels of serum /"phosphate"/ in young, ad libitum-fed rats compared with either of the groups that was resistant to Warfarin-induced artery calcification, ie, the 10-month-old rats and the restricted-diet, growth-inhibited young rats. This observation suggests that increased susceptibility to Warfarin-induced artery calcification could be related to higher serum /"phosphate"/ levels. The second set of experiments examined the possible synergy between vitamin D and Warfarin in artery calcification. High doses of vitamin D are known to cause calcification of the artery media in as little as 3 to 4 days. High doses of the vitamin K antagonist Warfarin are also known to cause calcification of the artery media, but at treatment times of 2 weeks or longer yet not at 1 week. In the current study, we investigated the synergy between these 2 treatments and found that concurrent Warfarin administration dramatically increased the extent of /"calcification"/ in the media of vitamin D-treated rats at 3 and 4 days. There was a close parallel between the effect of vitamin D dose on artery calcification and the effect of vitamin D dose on the elevation of serum calcium, which suggests that vitamin D may induce artery calcification through its effect on serum calcium. Because Warfarin treatment had no effect on the elevation in serum calcium produced by vitamin D, the synergy between Warfarin and vitamin D is probably best explained by the hypothesis that Warfarin inhibits the activity of matrix Gla protein as a /"calcification"/ inhibitor. High levels of matrix Gla protein are found at sites of artery calcification in rats treated with vitamin D plus Warfarin, and chemical analysis showed that the protein that accumulated was indeed not gamma-carboxylated. These observations indicate that although the gamma-carboxyglutamate residues of matrix Gla protein are apparently required for its function as a /"calcification"/ inhibitor, they are not required for its accumulation at /"calcification"/ sites. Question: Does chemical /"phosphate"/ induce disease /"calcification"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Warfarin-induced artery calcification is accelerated by growth and vitamin D.
The present studies demonstrate that growth and vitamin D treatment enhance the extent of artery calcification in rats given sufficient doses of Warfarin to inhibit gamma-carboxylation of matrix Gla protein, a /"calcification"/ inhibitor known to be expressed by smooth muscle cells and macrophages in the artery wall. The first series of experiments examined the influence of age and growth status on artery calcification in Warfarin-treated rats. Treatment for 2 weeks with Warfarin caused massive focal calcification of the artery media in 20-day-old rats and less extensive focal /"calcification"/ in 42-day-old rats. In contrast, no artery calcification could be detected in 10-month-old adult rats even after 4 weeks of Warfarin treatment. To directly examine the importance of growth to Warfarin-induced artery calcification in animals of the same age, 20-day-old rats were fed for 2 weeks either an ad libitum diet or a 6-g/d restricted diet that maintains weight but prevents growth. Concurrent treatment of both dietary groups with Warfarin produced massive focal calcification of the artery media in the ad libitum-fed rats but no detectable artery calcification in the restricted-diet, growth-inhibited group. Although the explanation for the association between artery calcification and growth status cannot be determined from the present study, there was a relationship between higher serum /"phosphate"/ and susceptibility to artery calcification, with 30% higher levels of serum /"phosphate"/ in young, ad libitum-fed rats compared with either of the groups that was resistant to Warfarin-induced artery calcification, ie, the 10-month-old rats and the restricted-diet, growth-inhibited young rats. This observation suggests that increased susceptibility to Warfarin-induced artery calcification could be related to higher serum /"phosphate"/ levels. The second set of experiments examined the possible synergy between vitamin D and Warfarin in artery calcification. High doses of vitamin D are known to cause calcification of the artery media in as little as 3 to 4 days. High doses of the vitamin K antagonist Warfarin are also known to cause calcification of the artery media, but at treatment times of 2 weeks or longer yet not at 1 week. In the current study, we investigated the synergy between these 2 treatments and found that concurrent Warfarin administration dramatically increased the extent of /"calcification"/ in the media of vitamin D-treated rats at 3 and 4 days. There was a close parallel between the effect of vitamin D dose on artery calcification and the effect of vitamin D dose on the elevation of serum calcium, which suggests that vitamin D may induce artery calcification through its effect on serum calcium. Because Warfarin treatment had no effect on the elevation in serum calcium produced by vitamin D, the synergy between Warfarin and vitamin D is probably best explained by the hypothesis that Warfarin inhibits the activity of matrix Gla protein as a /"calcification"/ inhibitor. High levels of matrix Gla protein are found at sites of artery calcification in rats treated with vitamin D plus Warfarin, and chemical analysis showed that the protein that accumulated was indeed not gamma-carboxylated. These observations indicate that although the gamma-carboxyglutamate residues of matrix Gla protein are apparently required for its function as a /"calcification"/ inhibitor, they are not required for its accumulation at /"calcification"/ sites.
phosphate
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calcification
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[ 796, 804 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2242", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 864, 872 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2244", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 1112, 1120 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2248", "normalized": [ { "db_id": "D010710", "db_name": "MESH" } ], "offsets": [ [ 1475, 1484 ] ], "text": [ "phosphate" ], "type": "Chemical" }, { "id": "2250", "normalized": [ { "db_id": "D010710", "db_name": "MESH" } ], "offsets": [ [ 1561, 1570 ] ], "text": [ "phosphate" ], "type": "Chemical" }, { "id": "2251", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 1658, 1666 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2253", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 1836, 1844 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2255", "normalized": [ { "db_id": "D010710", "db_name": "MESH" } ], "offsets": [ [ 1907, 1916 ] ], "text": [ "phosphate" ], "type": "Chemical" }, { "id": "2256", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 1993, 2002 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2257", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 2007, 2015 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2259", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 2055, 2064 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2261", "normalized": [ { "db_id": "D014812", "db_name": "MESH" } ], "offsets": [ [ 2165, 2174 ] ], "text": [ "vitamin K" ], "type": "Chemical" }, { "id": "2262", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 2186, 2194 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2264", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 2420, 2428 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2266", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 2511, 2520 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2267", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 2600, 2609 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2269", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 2657, 2666 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2270", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 2698, 2705 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "2271", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 2727, 2736 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2273", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 2797, 2804 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "2274", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 2814, 2822 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2275", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 2873, 2880 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "2276", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 2893, 2902 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2277", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 2924, 2932 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2278", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 2937, 2946 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2279", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 2997, 3005 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2282", "normalized": [ { "db_id": "D014807", "db_name": "MESH" } ], "offsets": [ [ 3178, 3187 ] ], "text": [ "vitamin D" ], "type": "Chemical" }, { "id": "2283", "normalized": [ { "db_id": "D014859", "db_name": "MESH" } ], "offsets": [ [ 3193, 3201 ] ], "text": [ "Warfarin" ], "type": "Chemical" }, { "id": "2284", "normalized": [ { "db_id": "D015055", "db_name": "MESH" } ], "offsets": [ [ 3281, 3299 ] ], "text": [ "gamma-carboxylated" ], "type": "Chemical" }, { "id": "2285", "normalized": [ { "db_id": "D015055", "db_name": "MESH" } ], "offsets": [ [ 3347, 3369 ] ], "text": [ "gamma-carboxyglutamate" ], "type": "Chemical" } ]
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Warfarin-induced artery calcification is accelerated by growth and vitamin D.
The present studies demonstrate that growth and vitamin D treatment enhance the extent of artery calcification in rats given sufficient doses of Warfarin to inhibit gamma-carboxylation of matrix Gla protein, a calcification inhibitor known to be expressed by smooth muscle cells and macrophages in the artery wall. The first series of experiments examined the influence of age and growth status on artery calcification in Warfarin-treated rats. Treatment for 2 weeks with Warfarin caused massive focal calcification of the artery media in 20-day-old rats and less extensive focal calcification in 42-day-old rats. In contrast, no artery calcification could be detected in 10-month-old adult rats even after 4 weeks of Warfarin treatment. To directly examine the importance of growth to Warfarin-induced artery calcification in animals of the same age, 20-day-old rats were fed for 2 weeks either an ad libitum diet or a 6-g/d restricted diet that maintains weight but prevents growth. Concurrent treatment of both dietary groups with Warfarin produced massive focal calcification of the artery media in the ad libitum-fed rats but no detectable artery calcification in the restricted-diet, growth-inhibited group. Although the explanation for the association between artery calcification and growth status cannot be determined from the present study, there was a relationship between higher serum phosphate and susceptibility to artery calcification, with 30% higher levels of serum phosphate in young, ad libitum-fed rats compared with either of the groups that was resistant to Warfarin-induced artery calcification, ie, the 10-month-old rats and the restricted-diet, growth-inhibited young rats. This observation suggests that increased susceptibility to Warfarin-induced artery calcification could be related to higher serum phosphate levels. The second set of experiments examined the possible synergy between vitamin D and Warfarin in artery calcification. High doses of vitamin D are known to cause calcification of the artery media in as little as 3 to 4 days. High doses of the vitamin K antagonist Warfarin are also known to cause calcification of the artery media, but at treatment times of 2 weeks or longer yet not at 1 week. In the current study, we investigated the synergy between these 2 treatments and found that concurrent Warfarin administration dramatically increased the extent of calcification in the media of vitamin D-treated rats at 3 and 4 days. There was a close parallel between the effect of vitamin D dose on artery calcification and the effect of vitamin D dose on the elevation of serum calcium, which suggests that vitamin D may induce artery calcification through its effect on serum calcium. Because Warfarin treatment had no effect on the elevation in serum calcium produced by vitamin D, the synergy between Warfarin and vitamin D is probably best explained by the hypothesis that Warfarin inhibits the activity of matrix Gla protein as a calcification inhibitor. High levels of matrix Gla protein are found at sites of artery calcification in rats treated with vitamin D plus Warfarin, and chemical analysis showed that the protein that accumulated was indeed not gamma-carboxylated. These observations indicate that although the gamma-carboxyglutamate residues of matrix Gla protein are apparently required for its function as a calcification inhibitor, they are not required for its accumulation at calcification sites.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Antidepressant"/ induces disease /"mania"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Antidepressant"/-induced /"mania"/ in /"bipolar"/ patients: identification of risk factors. - Abstract: BACKGROUND: Concerns about possible risks of switching to /"mania"/ associated with /"antidepressants"/ continue to interfere with the establishment of an optimal treatment paradigm for /"bipolar depression"/. METHOD: The response of 44 patients meeting DSM-IV criteria for /"bipolar disorder"/ to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a /"manic"/ or /"hypomanic"/ switch were compared with those who did not on several variables including age, sex, diagnosis (/"DSM-IV bipolar I"/ vs. /"bipolar II"/), number of previous /"manic"/ episodes, type of /"antidepressant"/ therapy used (electroconvulsive therapy vs. /"antidepressant"/ drugs and, more particularly, selective serotonin reuptake inhibitors [SSRIs]), use and type of mood stabilizers (lithium vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to /"hypomania"/ or /"mania"/ occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with SSRIs [8/33]); 16% (N = 7) experienced /"manic"/ episodes, and 11% (N = 5) experienced /"hypomanic"/ episodes. Sex, age, diagnosis (/"bipolar I"/ vs. /"bipolar II"/), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving lithium (15%, 4/26) than in patients not treated with lithium (44%, 8/18; p = .04). The number of previous /"manic"/ episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute /"antidepressant"/ therapy may be reduced by lithium treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches. Question: Does chemical /"Antidepressant"/ induce disease /"mania"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Antidepressant"/-induced /"mania"/ in /"bipolar"/ patients: identification of risk factors.
BACKGROUND: Concerns about possible risks of switching to /"mania"/ associated with /"antidepressants"/ continue to interfere with the establishment of an optimal treatment paradigm for /"bipolar depression"/. METHOD: The response of 44 patients meeting DSM-IV criteria for /"bipolar disorder"/ to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a /"manic"/ or /"hypomanic"/ switch were compared with those who did not on several variables including age, sex, diagnosis (/"DSM-IV bipolar I"/ vs. /"bipolar II"/), number of previous /"manic"/ episodes, type of /"antidepressant"/ therapy used (electroconvulsive therapy vs. /"antidepressant"/ drugs and, more particularly, selective serotonin reuptake inhibitors [SSRIs]), use and type of mood stabilizers (lithium vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to /"hypomania"/ or /"mania"/ occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with SSRIs [8/33]); 16% (N = 7) experienced /"manic"/ episodes, and 11% (N = 5) experienced /"hypomanic"/ episodes. Sex, age, diagnosis (/"bipolar I"/ vs. /"bipolar II"/), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving lithium (15%, 4/26) than in patients not treated with lithium (44%, 8/18; p = .04). The number of previous /"manic"/ episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute /"antidepressant"/ therapy may be reduced by lithium treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches.
Antidepressant
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mania
{ "id": "2580", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 23, 28 ] ], "text": [ "mania" ], "type": "Disease" }
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[ { "id": "2580", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 23, 28 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2581", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 32, 39 ] ], "text": [ "bipolar" ], "type": "Disease" }, { "id": "2582", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 140, 145 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2584", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 260, 278 ] ], "text": [ "bipolar depression" ], "type": "Disease" }, { "id": "2585", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 344, 360 ] ], "text": [ "bipolar disorder" ], "type": "Disease" }, { "id": "2586", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 543, 548 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2587", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 552, 561 ] ], "text": [ "hypomanic" ], "type": "Disease" }, { "id": "2588", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 658, 674 ] ], "text": [ "DSM-IV bipolar I" ], "type": "Disease" }, { "id": "2589", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 679, 689 ] ], "text": [ "bipolar II" ], "type": "Disease" }, { "id": "2590", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 711, 716 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2596", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1131, 1140 ] ], "text": [ "hypomania" ], "type": "Disease" }, { "id": "2597", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1144, 1149 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2599", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1283, 1288 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2600", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1327, 1336 ] ], "text": [ "hypomanic" ], "type": "Disease" }, { "id": "2601", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1368, 1377 ] ], "text": [ "bipolar I" ], "type": "Disease" }, { "id": "2602", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1382, 1392 ] ], "text": [ "bipolar II" ], "type": "Disease" }, { "id": "2605", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1770, 1775 ] ], "text": [ "manic" ], "type": "Disease" } ]
Antidepressant-induced mania in bipolar patients: identification of risk factors.
BACKGROUND: Concerns about possible risks of switching to mania associated with antidepressants continue to interfere with the establishment of an optimal treatment paradigm for bipolar depression. METHOD: The response of 44 patients meeting DSM-IV criteria for bipolar disorder to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a manic or hypomanic switch were compared with those who did not on several variables including age, sex, diagnosis (DSM-IV bipolar I vs. bipolar II), number of previous manic episodes, type of antidepressant therapy used (electroconvulsive therapy vs. antidepressant drugs and, more particularly, selective serotonin reuptake inhibitors [SSRIs]), use and type of mood stabilizers (lithium vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to hypomania or mania occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with SSRIs [8/33]); 16% (N = 7) experienced manic episodes, and 11% (N = 5) experienced hypomanic episodes. Sex, age, diagnosis (bipolar I vs. bipolar II), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving lithium (15%, 4/26) than in patients not treated with lithium (44%, 8/18; p = .04). The number of previous manic episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute antidepressant therapy may be reduced by lithium treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"serotonin reuptake inhibitors"/ induces disease /"mania"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Antidepressant-induced /"mania"/ in /"bipolar"/ patients: identification of risk factors. - Abstract: BACKGROUND: Concerns about possible risks of switching to /"mania"/ associated with antidepressants continue to interfere with the establishment of an optimal treatment paradigm for /"bipolar depression"/. METHOD: The response of 44 patients meeting DSM-IV criteria for /"bipolar disorder"/ to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a /"manic"/ or /"hypomanic"/ switch were compared with those who did not on several variables including age, sex, diagnosis (/"DSM-IV bipolar I"/ vs. /"bipolar II"/), number of previous /"manic"/ episodes, type of antidepressant therapy used (electroconvulsive therapy vs. antidepressant drugs and, more particularly, selective /"serotonin reuptake inhibitors"/ [/"SSRIs"/]), use and type of mood stabilizers (lithium vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to /"hypomania"/ or /"mania"/ occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with /"SSRIs"/ [8/33]); 16% (N = 7) experienced /"manic"/ episodes, and 11% (N = 5) experienced /"hypomanic"/ episodes. Sex, age, diagnosis (/"bipolar I"/ vs. /"bipolar II"/), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving lithium (15%, 4/26) than in patients not treated with lithium (44%, 8/18; p = .04). The number of previous /"manic"/ episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute antidepressant therapy may be reduced by lithium treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches. Question: Does chemical /"serotonin reuptake inhibitors"/ induce disease /"mania"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Antidepressant-induced /"mania"/ in /"bipolar"/ patients: identification of risk factors.
BACKGROUND: Concerns about possible risks of switching to /"mania"/ associated with antidepressants continue to interfere with the establishment of an optimal treatment paradigm for /"bipolar depression"/. METHOD: The response of 44 patients meeting DSM-IV criteria for /"bipolar disorder"/ to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a /"manic"/ or /"hypomanic"/ switch were compared with those who did not on several variables including age, sex, diagnosis (/"DSM-IV bipolar I"/ vs. /"bipolar II"/), number of previous /"manic"/ episodes, type of antidepressant therapy used (electroconvulsive therapy vs. antidepressant drugs and, more particularly, selective /"serotonin reuptake inhibitors"/ [/"SSRIs"/]), use and type of mood stabilizers (lithium vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to /"hypomania"/ or /"mania"/ occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with /"SSRIs"/ [8/33]); 16% (N = 7) experienced /"manic"/ episodes, and 11% (N = 5) experienced /"hypomanic"/ episodes. Sex, age, diagnosis (/"bipolar I"/ vs. /"bipolar II"/), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving lithium (15%, 4/26) than in patients not treated with lithium (44%, 8/18; p = .04). The number of previous /"manic"/ episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute antidepressant therapy may be reduced by lithium treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches.
serotonin reuptake inhibitors
{ "id": "2593", "normalized": [ { "db_id": "D017367", "db_name": "MESH" } ], "offsets": [ [ 849, 878 ] ], "text": [ "serotonin reuptake inhibitors" ], "type": "Chemical" }
mania
{ "id": "2580", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 23, 28 ] ], "text": [ "mania" ], "type": "Disease" }
[ { "id": "2579", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 0, 14 ] ], "text": [ "Antidepressant" ], "type": "Chemical" }, { "id": "2583", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 162, 177 ] ], "text": [ "antidepressants" ], "type": "Chemical" }, { "id": "2591", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 735, 749 ] ], "text": [ "antidepressant" ], "type": "Chemical" }, { "id": "2592", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 794, 808 ] ], "text": [ "antidepressant" ], "type": "Chemical" }, { "id": "2593", "normalized": [ { "db_id": "D017367", "db_name": "MESH" } ], "offsets": [ [ 849, 878 ] ], "text": [ "serotonin reuptake inhibitors" ], "type": "Chemical" }, { "id": "2594", "normalized": [ { "db_id": "D017367", "db_name": "MESH" } ], "offsets": [ [ 880, 885 ] ], "text": [ "SSRIs" ], "type": "Chemical" }, { "id": "2595", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 923, 930 ] ], "text": [ "lithium" ], "type": "Chemical" }, { "id": "2598", "normalized": [ { "db_id": "D017367", "db_name": "MESH" } ], "offsets": [ [ 1244, 1249 ] ], "text": [ "SSRIs" ], "type": "Chemical" }, { "id": "2603", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 1663, 1670 ] ], "text": [ "lithium" ], "type": "Chemical" }, { "id": "2604", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 1717, 1724 ] ], "text": [ "lithium" ], "type": "Chemical" }, { "id": "2606", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 2060, 2074 ] ], "text": [ "antidepressant" ], "type": "Chemical" }, { "id": "2607", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 2101, 2108 ] ], "text": [ "lithium" ], "type": "Chemical" } ]
[ { "id": "2580", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 23, 28 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2581", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 32, 39 ] ], "text": [ "bipolar" ], "type": "Disease" }, { "id": "2582", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 140, 145 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2584", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 260, 278 ] ], "text": [ "bipolar depression" ], "type": "Disease" }, { "id": "2585", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 344, 360 ] ], "text": [ "bipolar disorder" ], "type": "Disease" }, { "id": "2586", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 543, 548 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2587", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 552, 561 ] ], "text": [ "hypomanic" ], "type": "Disease" }, { "id": "2588", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 658, 674 ] ], "text": [ "DSM-IV bipolar I" ], "type": "Disease" }, { "id": "2589", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 679, 689 ] ], "text": [ "bipolar II" ], "type": "Disease" }, { "id": "2590", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 711, 716 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2596", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1131, 1140 ] ], "text": [ "hypomania" ], "type": "Disease" }, { "id": "2597", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1144, 1149 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2599", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1283, 1288 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2600", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1327, 1336 ] ], "text": [ "hypomanic" ], "type": "Disease" }, { "id": "2601", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1368, 1377 ] ], "text": [ "bipolar I" ], "type": "Disease" }, { "id": "2602", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1382, 1392 ] ], "text": [ "bipolar II" ], "type": "Disease" }, { "id": "2605", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1770, 1775 ] ], "text": [ "manic" ], "type": "Disease" } ]
Antidepressant-induced mania in bipolar patients: identification of risk factors.
BACKGROUND: Concerns about possible risks of switching to mania associated with antidepressants continue to interfere with the establishment of an optimal treatment paradigm for bipolar depression. METHOD: The response of 44 patients meeting DSM-IV criteria for bipolar disorder to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a manic or hypomanic switch were compared with those who did not on several variables including age, sex, diagnosis (DSM-IV bipolar I vs. bipolar II), number of previous manic episodes, type of antidepressant therapy used (electroconvulsive therapy vs. antidepressant drugs and, more particularly, selective serotonin reuptake inhibitors [SSRIs]), use and type of mood stabilizers (lithium vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to hypomania or mania occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with SSRIs [8/33]); 16% (N = 7) experienced manic episodes, and 11% (N = 5) experienced hypomanic episodes. Sex, age, diagnosis (bipolar I vs. bipolar II), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving lithium (15%, 4/26) than in patients not treated with lithium (44%, 8/18; p = .04). The number of previous manic episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute antidepressant therapy may be reduced by lithium treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"lithium"/ induces disease /"mania"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Antidepressant-induced /"mania"/ in /"bipolar"/ patients: identification of risk factors. - Abstract: BACKGROUND: Concerns about possible risks of switching to /"mania"/ associated with antidepressants continue to interfere with the establishment of an optimal treatment paradigm for /"bipolar depression"/. METHOD: The response of 44 patients meeting DSM-IV criteria for /"bipolar disorder"/ to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a /"manic"/ or /"hypomanic"/ switch were compared with those who did not on several variables including age, sex, diagnosis (/"DSM-IV bipolar I"/ vs. /"bipolar II"/), number of previous /"manic"/ episodes, type of antidepressant therapy used (electroconvulsive therapy vs. antidepressant drugs and, more particularly, selective serotonin reuptake inhibitors [SSRIs]), use and type of mood stabilizers (/"lithium"/ vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to /"hypomania"/ or /"mania"/ occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with SSRIs [8/33]); 16% (N = 7) experienced /"manic"/ episodes, and 11% (N = 5) experienced /"hypomanic"/ episodes. Sex, age, diagnosis (/"bipolar I"/ vs. /"bipolar II"/), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving /"lithium"/ (15%, 4/26) than in patients not treated with /"lithium"/ (44%, 8/18; p = .04). The number of previous /"manic"/ episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute antidepressant therapy may be reduced by /"lithium"/ treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches. Question: Does chemical /"lithium"/ induce disease /"mania"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Antidepressant-induced /"mania"/ in /"bipolar"/ patients: identification of risk factors.
BACKGROUND: Concerns about possible risks of switching to /"mania"/ associated with antidepressants continue to interfere with the establishment of an optimal treatment paradigm for /"bipolar depression"/. METHOD: The response of 44 patients meeting DSM-IV criteria for /"bipolar disorder"/ to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a /"manic"/ or /"hypomanic"/ switch were compared with those who did not on several variables including age, sex, diagnosis (/"DSM-IV bipolar I"/ vs. /"bipolar II"/), number of previous /"manic"/ episodes, type of antidepressant therapy used (electroconvulsive therapy vs. antidepressant drugs and, more particularly, selective serotonin reuptake inhibitors [SSRIs]), use and type of mood stabilizers (/"lithium"/ vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to /"hypomania"/ or /"mania"/ occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with SSRIs [8/33]); 16% (N = 7) experienced /"manic"/ episodes, and 11% (N = 5) experienced /"hypomanic"/ episodes. Sex, age, diagnosis (/"bipolar I"/ vs. /"bipolar II"/), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving /"lithium"/ (15%, 4/26) than in patients not treated with /"lithium"/ (44%, 8/18; p = .04). The number of previous /"manic"/ episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute antidepressant therapy may be reduced by /"lithium"/ treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches.
lithium
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mania
{ "id": "2580", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 23, 28 ] ], "text": [ "mania" ], "type": "Disease" }
[ { "id": "2579", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 0, 14 ] ], "text": [ "Antidepressant" ], "type": "Chemical" }, { "id": "2583", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 162, 177 ] ], "text": [ "antidepressants" ], "type": "Chemical" }, { "id": "2591", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 735, 749 ] ], "text": [ "antidepressant" ], "type": "Chemical" }, { "id": "2592", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 794, 808 ] ], "text": [ "antidepressant" ], "type": "Chemical" }, { "id": "2593", "normalized": [ { "db_id": "D017367", "db_name": "MESH" } ], "offsets": [ [ 849, 878 ] ], "text": [ "serotonin reuptake inhibitors" ], "type": "Chemical" }, { "id": "2594", "normalized": [ { "db_id": "D017367", "db_name": "MESH" } ], "offsets": [ [ 880, 885 ] ], "text": [ "SSRIs" ], "type": "Chemical" }, { "id": "2595", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 923, 930 ] ], "text": [ "lithium" ], "type": "Chemical" }, { "id": "2598", "normalized": [ { "db_id": "D017367", "db_name": "MESH" } ], "offsets": [ [ 1244, 1249 ] ], "text": [ "SSRIs" ], "type": "Chemical" }, { "id": "2603", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 1663, 1670 ] ], "text": [ "lithium" ], "type": "Chemical" }, { "id": "2604", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 1717, 1724 ] ], "text": [ "lithium" ], "type": "Chemical" }, { "id": "2606", "normalized": [ { "db_id": "D000928", "db_name": "MESH" } ], "offsets": [ [ 2060, 2074 ] ], "text": [ "antidepressant" ], "type": "Chemical" }, { "id": "2607", "normalized": [ { "db_id": "D008094", "db_name": "MESH" } ], "offsets": [ [ 2101, 2108 ] ], "text": [ "lithium" ], "type": "Chemical" } ]
[ { "id": "2580", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 23, 28 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2581", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 32, 39 ] ], "text": [ "bipolar" ], "type": "Disease" }, { "id": "2582", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 140, 145 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2584", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 260, 278 ] ], "text": [ "bipolar depression" ], "type": "Disease" }, { "id": "2585", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 344, 360 ] ], "text": [ "bipolar disorder" ], "type": "Disease" }, { "id": "2586", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 543, 548 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2587", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 552, 561 ] ], "text": [ "hypomanic" ], "type": "Disease" }, { "id": "2588", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 658, 674 ] ], "text": [ "DSM-IV bipolar I" ], "type": "Disease" }, { "id": "2589", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 679, 689 ] ], "text": [ "bipolar II" ], "type": "Disease" }, { "id": "2590", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 711, 716 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2596", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1131, 1140 ] ], "text": [ "hypomania" ], "type": "Disease" }, { "id": "2597", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1144, 1149 ] ], "text": [ "mania" ], "type": "Disease" }, { "id": "2599", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1283, 1288 ] ], "text": [ "manic" ], "type": "Disease" }, { "id": "2600", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1327, 1336 ] ], "text": [ "hypomanic" ], "type": "Disease" }, { "id": "2601", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1368, 1377 ] ], "text": [ "bipolar I" ], "type": "Disease" }, { "id": "2602", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1382, 1392 ] ], "text": [ "bipolar II" ], "type": "Disease" }, { "id": "2605", "normalized": [ { "db_id": "D001714", "db_name": "MESH" } ], "offsets": [ [ 1770, 1775 ] ], "text": [ "manic" ], "type": "Disease" } ]
Antidepressant-induced mania in bipolar patients: identification of risk factors.
BACKGROUND: Concerns about possible risks of switching to mania associated with antidepressants continue to interfere with the establishment of an optimal treatment paradigm for bipolar depression. METHOD: The response of 44 patients meeting DSM-IV criteria for bipolar disorder to naturalistic treatment was assessed for at least 6 weeks using the Montgomery-Asberg Depression Rating Scale and the Bech-Rafaelson Mania Rating Scale. Patients who experienced a manic or hypomanic switch were compared with those who did not on several variables including age, sex, diagnosis (DSM-IV bipolar I vs. bipolar II), number of previous manic episodes, type of antidepressant therapy used (electroconvulsive therapy vs. antidepressant drugs and, more particularly, selective serotonin reuptake inhibitors [SSRIs]), use and type of mood stabilizers (lithium vs. anticonvulsants), and temperament of the patient, assessed during a normothymic period using the hyperthymia component of the Semi-structured Affective Temperament Interview. RESULTS: Switches to hypomania or mania occurred in 27% of all patients (N = 12) (and in 24% of the subgroup of patients treated with SSRIs [8/33]); 16% (N = 7) experienced manic episodes, and 11% (N = 5) experienced hypomanic episodes. Sex, age, diagnosis (bipolar I vs. bipolar II), and additional treatment did not affect the risk of switching. The incidence of mood switches seemed not to differ between patients receiving an anticonvulsant and those receiving no mood stabilizer. In contrast, mood switches were less frequent in patients receiving lithium (15%, 4/26) than in patients not treated with lithium (44%, 8/18; p = .04). The number of previous manic episodes did not affect the probability of switching, whereas a high score on the hyperthymia component of the Semistructured Affective Temperament Interview was associated with a greater risk of switching (p = .008). CONCLUSION: The frequency of mood switching associated with acute antidepressant therapy may be reduced by lithium treatment. Particular attention should be paid to patients with a hyperthymic temperament, who have a greater risk of mood switches.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Caffeine"/ induces disease /"ventricular fibrillation"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Caffeine"/-induced cardiac arrhythmia: an unrecognised danger of healthfood products. - Abstract: We describe a 25-year-old woman with pre-existing mitral valve prolapse who developed intractable /"ventricular fibrillation"/ after consuming a "natural energy" guarana health drink containing a high concentration of /"caffeine"/. This case highlights the need for adequate labelling and regulation of such products. Question: Does chemical /"Caffeine"/ induce disease /"ventricular fibrillation"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Caffeine"/-induced cardiac arrhythmia: an unrecognised danger of healthfood products.
We describe a 25-year-old woman with pre-existing mitral valve prolapse who developed intractable /"ventricular fibrillation"/ after consuming a "natural energy" guarana health drink containing a high concentration of /"caffeine"/. This case highlights the need for adequate labelling and regulation of such products.
Caffeine
{ "id": "2747", "normalized": [ { "db_id": "D002110", "db_name": "MESH" } ], "offsets": [ [ 0, 8 ] ], "text": [ "Caffeine" ], "type": "Chemical" }
ventricular fibrillation
{ "id": "2750", "normalized": [ { "db_id": "D014693", "db_name": "MESH" } ], "offsets": [ [ 182, 206 ] ], "text": [ "ventricular fibrillation" ], "type": "Disease" }
[ { "id": "2747", "normalized": [ { "db_id": "D002110", "db_name": "MESH" } ], "offsets": [ [ 0, 8 ] ], "text": [ "Caffeine" ], "type": "Chemical" }, { "id": "2751", "normalized": [ { "db_id": "D002110", "db_name": "MESH" } ], "offsets": [ [ 298, 306 ] ], "text": [ "caffeine" ], "type": "Chemical" } ]
[ { "id": "2748", "normalized": [ { "db_id": "D001145", "db_name": "MESH" } ], "offsets": [ [ 17, 35 ] ], "text": [ "cardiac arrhythmia" ], "type": "Disease" }, { "id": "2749", "normalized": [ { "db_id": "D008945", "db_name": "MESH" } ], "offsets": [ [ 134, 155 ] ], "text": [ "mitral valve prolapse" ], "type": "Disease" }, { "id": "2750", "normalized": [ { "db_id": "D014693", "db_name": "MESH" } ], "offsets": [ [ 182, 206 ] ], "text": [ "ventricular fibrillation" ], "type": "Disease" } ]
Caffeine-induced cardiac arrhythmia: an unrecognised danger of healthfood products.
We describe a 25-year-old woman with pre-existing mitral valve prolapse who developed intractable ventricular fibrillation after consuming a "natural energy" guarana health drink containing a high concentration of caffeine. This case highlights the need for adequate labelling and regulation of such products.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Caffeine"/ induces disease /"mitral valve prolapse"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Caffeine"/-induced cardiac arrhythmia: an unrecognised danger of healthfood products. - Abstract: We describe a 25-year-old woman with pre-existing /"mitral valve prolapse"/ who developed intractable ventricular fibrillation after consuming a "natural energy" guarana health drink containing a high concentration of /"caffeine"/. This case highlights the need for adequate labelling and regulation of such products. Question: Does chemical /"Caffeine"/ induce disease /"mitral valve prolapse"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
/"Caffeine"/-induced cardiac arrhythmia: an unrecognised danger of healthfood products.
We describe a 25-year-old woman with pre-existing /"mitral valve prolapse"/ who developed intractable ventricular fibrillation after consuming a "natural energy" guarana health drink containing a high concentration of /"caffeine"/. This case highlights the need for adequate labelling and regulation of such products.
Caffeine
{ "id": "2747", "normalized": [ { "db_id": "D002110", "db_name": "MESH" } ], "offsets": [ [ 0, 8 ] ], "text": [ "Caffeine" ], "type": "Chemical" }
mitral valve prolapse
{ "id": "2749", "normalized": [ { "db_id": "D008945", "db_name": "MESH" } ], "offsets": [ [ 134, 155 ] ], "text": [ "mitral valve prolapse" ], "type": "Disease" }
[ { "id": "2747", "normalized": [ { "db_id": "D002110", "db_name": "MESH" } ], "offsets": [ [ 0, 8 ] ], "text": [ "Caffeine" ], "type": "Chemical" }, { "id": "2751", "normalized": [ { "db_id": "D002110", "db_name": "MESH" } ], "offsets": [ [ 298, 306 ] ], "text": [ "caffeine" ], "type": "Chemical" } ]
[ { "id": "2748", "normalized": [ { "db_id": "D001145", "db_name": "MESH" } ], "offsets": [ [ 17, 35 ] ], "text": [ "cardiac arrhythmia" ], "type": "Disease" }, { "id": "2749", "normalized": [ { "db_id": "D008945", "db_name": "MESH" } ], "offsets": [ [ 134, 155 ] ], "text": [ "mitral valve prolapse" ], "type": "Disease" }, { "id": "2750", "normalized": [ { "db_id": "D014693", "db_name": "MESH" } ], "offsets": [ [ 182, 206 ] ], "text": [ "ventricular fibrillation" ], "type": "Disease" } ]
Caffeine-induced cardiac arrhythmia: an unrecognised danger of healthfood products.
We describe a 25-year-old woman with pre-existing mitral valve prolapse who developed intractable ventricular fibrillation after consuming a "natural energy" guarana health drink containing a high concentration of caffeine. This case highlights the need for adequate labelling and regulation of such products.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"respiratory depression"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, /"respiratory depression"/, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"respiratory depression"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, /"respiratory depression"/, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
respiratory depression
{ "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"hypotension"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, /"hypotension"/, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"hypotension"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, /"hypotension"/, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
hypotension
{ "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"urinary bladder retention"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of /"urinary bladder retention"/ leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"urinary bladder retention"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of /"urinary bladder retention"/ leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
urinary bladder retention
{ "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"bradycardia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and /"bradycardia"/. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"bradycardia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and /"bradycardia"/. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
bradycardia
{ "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"retention of urine"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder /"retention of urine"/ as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"retention of urine"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Bladder /"retention of urine"/ as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
retention of urine
{ "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"chest wall rigidity"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include /"chest wall rigidity"/, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"chest wall rigidity"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include /"chest wall rigidity"/, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
chest wall rigidity
{ "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"hydronephrosis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking /"hydronephrosis"/ as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"hydronephrosis"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking /"hydronephrosis"/ as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
hydronephrosis
{ "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"fentanyl"/ induces disease /"pain"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports. - Abstract: Sedation has been commonly used in the neonate to decrease the stress and /"pain"/ from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported. Question: Does chemical /"fentanyl"/ induce disease /"pain"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Bladder retention of urine as a result of continuous intravenous infusion of /"fentanyl"/: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and /"pain"/ from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. /"Fentanyl"/, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of /"fentanyl"/ administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of /"fentanyl"/ are reported.
fentanyl
{ "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }
pain
{ "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }
[ { "id": "2758", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 77, 85 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2760", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 347, 355 ] ], "text": [ "Fentanyl" ], "type": "Chemical" }, { "id": "2761", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 499, 507 ] ], "text": [ "fentanyl" ], "type": "Chemical" }, { "id": "2768", "normalized": [ { "db_id": "D005283", "db_name": "MESH" } ], "offsets": [ [ 754, 762 ] ], "text": [ "fentanyl" ], "type": "Chemical" } ]
[ { "id": "2757", "normalized": [ { "db_id": "D016055", "db_name": "MESH" } ], "offsets": [ [ 8, 26 ] ], "text": [ "retention of urine" ], "type": "Disease" }, { "id": "2759", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 177, 181 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "2762", "normalized": [ { "db_id": "D009127", "db_name": "MESH" } ], "offsets": [ [ 531, 550 ] ], "text": [ "chest wall rigidity" ], "type": "Disease" }, { "id": "2763", "normalized": [ { "db_id": "D007022", "db_name": "MESH" } ], "offsets": [ [ 552, 563 ] ], "text": [ "hypotension" ], "type": "Disease" }, { "id": "2764", "normalized": [ { "db_id": "D012131", "db_name": "MESH" } ], "offsets": [ [ 565, 587 ] ], "text": [ "respiratory depression" ], "type": "Disease" }, { "id": "2765", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 593, 604 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "2766", "normalized": [ { "db_id": "D001745", "db_name": "MESH" } ], "offsets": [ [ 623, 648 ] ], "text": [ "urinary bladder retention" ], "type": "Disease" }, { "id": "2767", "normalized": [ { "db_id": "D006869", "db_name": "MESH" } ], "offsets": [ [ 701, 715 ] ], "text": [ "hydronephrosis" ], "type": "Disease" } ]
Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.
Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive care unit setting for these very purposes. Various reported side effects of fentanyl administration include chest wall rigidity, hypotension, respiratory depression, and bradycardia. Here, 2 cases of urinary bladder retention leading to renal pelvocalyceal dilatation mimicking hydronephrosis as a result of continuous infusion of fentanyl are reported.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"indinavir"/ induces disease /"cardiomyopathy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice. - Abstract: Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and /"indinavir"/ or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice. Question: Does chemical /"indinavir"/ induce disease /"cardiomyopathy"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and /"indinavir"/ or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice.
indinavir
{ "id": "2804", "normalized": [ { "db_id": "D019469", "db_name": "MESH" } ], "offsets": [ [ 507, 516 ] ], "text": [ "indinavir" ], "type": "Chemical" }
cardiomyopathy
{ "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }
[ { "id": "2793", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 74, 81 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2797", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 212, 219 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2798", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 221, 223 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2802", "normalized": [ { "db_id": "D015215", "db_name": "MESH" } ], "offsets": [ [ 479, 489 ] ], "text": [ "zidovudine" ], "type": "Chemical" }, { "id": "2803", "normalized": [ { "db_id": "D019259", "db_name": "MESH" } ], "offsets": [ [ 491, 501 ] ], "text": [ "lamivudine" ], "type": "Chemical" }, { "id": "2804", "normalized": [ { "db_id": "D019469", "db_name": "MESH" } ], "offsets": [ [ 507, 516 ] ], "text": [ "indinavir" ], "type": "Chemical" }, { "id": "2806", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 757, 764 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "2807", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 811, 813 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2808", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1124, 1126 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2810", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1507, 1509 ] ], "text": [ "LA" ], "type": "Chemical" } ]
[ { "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2794", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 96, 100 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2795", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 169, 183 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2796", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 185, 187 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2799", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 228, 232 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2800", "normalized": [ { "db_id": "D028361", "db_name": "MESH" } ], "offsets": [ [ 255, 280 ] ], "text": [ "mitochondrial dysfunction" ], "type": "Disease" }, { "id": "2801", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 369, 373 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2805", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 678, 680 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2809", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 1490, 1492 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2811", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 1513, 1517 ] ], "text": [ "AIDS" ], "type": "Disease" } ]
Combined antiretroviral therapy causes cardiomyopathy and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated LA in AIDS transgenic mice.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"lamivudine"/ induces disease /"cardiomyopathy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice. - Abstract: Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, /"lamivudine"/, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice. Question: Does chemical /"lamivudine"/ induce disease /"cardiomyopathy"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, /"lamivudine"/, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice.
lamivudine
{ "id": "2803", "normalized": [ { "db_id": "D019259", "db_name": "MESH" } ], "offsets": [ [ 491, 501 ] ], "text": [ "lamivudine" ], "type": "Chemical" }
cardiomyopathy
{ "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }
[ { "id": "2793", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 74, 81 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2797", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 212, 219 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2798", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 221, 223 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2802", "normalized": [ { "db_id": "D015215", "db_name": "MESH" } ], "offsets": [ [ 479, 489 ] ], "text": [ "zidovudine" ], "type": "Chemical" }, { "id": "2803", "normalized": [ { "db_id": "D019259", "db_name": "MESH" } ], "offsets": [ [ 491, 501 ] ], "text": [ "lamivudine" ], "type": "Chemical" }, { "id": "2804", "normalized": [ { "db_id": "D019469", "db_name": "MESH" } ], "offsets": [ [ 507, 516 ] ], "text": [ "indinavir" ], "type": "Chemical" }, { "id": "2806", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 757, 764 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "2807", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 811, 813 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2808", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1124, 1126 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2810", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1507, 1509 ] ], "text": [ "LA" ], "type": "Chemical" } ]
[ { "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2794", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 96, 100 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2795", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 169, 183 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2796", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 185, 187 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2799", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 228, 232 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2800", "normalized": [ { "db_id": "D028361", "db_name": "MESH" } ], "offsets": [ [ 255, 280 ] ], "text": [ "mitochondrial dysfunction" ], "type": "Disease" }, { "id": "2801", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 369, 373 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2805", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 678, 680 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2809", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 1490, 1492 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2811", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 1513, 1517 ] ], "text": [ "AIDS" ], "type": "Disease" } ]
Combined antiretroviral therapy causes cardiomyopathy and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated LA in AIDS transgenic mice.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"zidovudine"/ induces disease /"cardiomyopathy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice. - Abstract: Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of /"zidovudine"/, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice. Question: Does chemical /"zidovudine"/ induce disease /"cardiomyopathy"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of /"zidovudine"/, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice.
zidovudine
{ "id": "2802", "normalized": [ { "db_id": "D015215", "db_name": "MESH" } ], "offsets": [ [ 479, 489 ] ], "text": [ "zidovudine" ], "type": "Chemical" }
cardiomyopathy
{ "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }
[ { "id": "2793", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 74, 81 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2797", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 212, 219 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2798", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 221, 223 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2802", "normalized": [ { "db_id": "D015215", "db_name": "MESH" } ], "offsets": [ [ 479, 489 ] ], "text": [ "zidovudine" ], "type": "Chemical" }, { "id": "2803", "normalized": [ { "db_id": "D019259", "db_name": "MESH" } ], "offsets": [ [ 491, 501 ] ], "text": [ "lamivudine" ], "type": "Chemical" }, { "id": "2804", "normalized": [ { "db_id": "D019469", "db_name": "MESH" } ], "offsets": [ [ 507, 516 ] ], "text": [ "indinavir" ], "type": "Chemical" }, { "id": "2806", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 757, 764 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "2807", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 811, 813 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2808", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1124, 1126 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2810", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1507, 1509 ] ], "text": [ "LA" ], "type": "Chemical" } ]
[ { "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2794", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 96, 100 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2795", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 169, 183 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2796", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 185, 187 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2799", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 228, 232 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2800", "normalized": [ { "db_id": "D028361", "db_name": "MESH" } ], "offsets": [ [ 255, 280 ] ], "text": [ "mitochondrial dysfunction" ], "type": "Disease" }, { "id": "2801", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 369, 373 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2805", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 678, 680 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2809", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 1490, 1492 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2811", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 1513, 1517 ] ], "text": [ "AIDS" ], "type": "Disease" } ]
Combined antiretroviral therapy causes cardiomyopathy and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated LA in AIDS transgenic mice.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"lactate"/ induces disease /"cardiomyopathy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma /"lactate"/ in transgenic AIDS mice. - Abstract: Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma /"lactate"/ (/"LA"/) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma /"LA"/. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, /"LA"/ was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated /"LA"/ in AIDS transgenic mice. Question: Does chemical /"lactate"/ induce disease /"cardiomyopathy"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma /"lactate"/ in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma /"lactate"/ (/"LA"/) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma /"LA"/. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, /"LA"/ was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated /"LA"/ in AIDS transgenic mice.
lactate
{ "id": "2793", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 74, 81 ] ], "text": [ "lactate" ], "type": "Chemical" }
cardiomyopathy
{ "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }
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Combined antiretroviral therapy causes cardiomyopathy and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated LA in AIDS transgenic mice.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"lactate"/ induces disease /"AIDS"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Combined antiretroviral therapy causes cardiomyopathy and elevates plasma /"lactate"/ in transgenic /"AIDS"/ mice. - Abstract: Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma /"lactate"/ (/"LA"/) in /"AIDS"/ through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic /"AIDS"/ mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma /"LA"/. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, /"LA"/ was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated /"LA"/ in /"AIDS"/ transgenic mice. Question: Does chemical /"lactate"/ induce disease /"AIDS"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Combined antiretroviral therapy causes cardiomyopathy and elevates plasma /"lactate"/ in transgenic /"AIDS"/ mice.
Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma /"lactate"/ (/"LA"/) in /"AIDS"/ through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic /"AIDS"/ mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma /"LA"/. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, /"LA"/ was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated /"LA"/ in /"AIDS"/ transgenic mice.
lactate
{ "id": "2793", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 74, 81 ] ], "text": [ "lactate" ], "type": "Chemical" }
AIDS
{ "id": "2794", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 96, 100 ] ], "text": [ "AIDS" ], "type": "Disease" }
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[ { "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2794", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 96, 100 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2795", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 169, 183 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2796", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 185, 187 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2799", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 228, 232 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2800", "normalized": [ { "db_id": "D028361", "db_name": "MESH" } ], "offsets": [ [ 255, 280 ] ], "text": [ "mitochondrial dysfunction" ], "type": "Disease" }, { "id": "2801", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 369, 373 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2805", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 678, 680 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2809", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 1490, 1492 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2811", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 1513, 1517 ] ], "text": [ "AIDS" ], "type": "Disease" } ]
Combined antiretroviral therapy causes cardiomyopathy and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated LA in AIDS transgenic mice.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"calcium"/ induces disease /"cardiomyopathy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice. - Abstract: Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic /"calcium"/ ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice. Question: Does chemical /"calcium"/ induce disease /"cardiomyopathy"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Combined antiretroviral therapy causes /"cardiomyopathy"/ and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in /"cardiomyopathy"/ (/"CM"/) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of /"CM"/ (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic /"calcium"/ ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial /"CM"/ with elevated LA in AIDS transgenic mice.
calcium
{ "id": "2806", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 757, 764 ] ], "text": [ "calcium" ], "type": "Chemical" }
cardiomyopathy
{ "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }
[ { "id": "2793", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 74, 81 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2797", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 212, 219 ] ], "text": [ "lactate" ], "type": "Chemical" }, { "id": "2798", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 221, 223 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2802", "normalized": [ { "db_id": "D015215", "db_name": "MESH" } ], "offsets": [ [ 479, 489 ] ], "text": [ "zidovudine" ], "type": "Chemical" }, { "id": "2803", "normalized": [ { "db_id": "D019259", "db_name": "MESH" } ], "offsets": [ [ 491, 501 ] ], "text": [ "lamivudine" ], "type": "Chemical" }, { "id": "2804", "normalized": [ { "db_id": "D019469", "db_name": "MESH" } ], "offsets": [ [ 507, 516 ] ], "text": [ "indinavir" ], "type": "Chemical" }, { "id": "2806", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 757, 764 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "2807", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 811, 813 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2808", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1124, 1126 ] ], "text": [ "LA" ], "type": "Chemical" }, { "id": "2810", "normalized": [ { "db_id": "D019344", "db_name": "MESH" } ], "offsets": [ [ 1507, 1509 ] ], "text": [ "LA" ], "type": "Chemical" } ]
[ { "id": "2792", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 39, 53 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2794", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 96, 100 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2795", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 169, 183 ] ], "text": [ "cardiomyopathy" ], "type": "Disease" }, { "id": "2796", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 185, 187 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2799", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 228, 232 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2800", "normalized": [ { "db_id": "D028361", "db_name": "MESH" } ], "offsets": [ [ 255, 280 ] ], "text": [ "mitochondrial dysfunction" ], "type": "Disease" }, { "id": "2801", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 369, 373 ] ], "text": [ "AIDS" ], "type": "Disease" }, { "id": "2805", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 678, 680 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2809", "normalized": [ { "db_id": "D009202", "db_name": "MESH" } ], "offsets": [ [ 1490, 1492 ] ], "text": [ "CM" ], "type": "Disease" }, { "id": "2811", "normalized": [ { "db_id": "D000163", "db_name": "MESH" } ], "offsets": [ [ 1513, 1517 ] ], "text": [ "AIDS" ], "type": "Disease" } ]
Combined antiretroviral therapy causes cardiomyopathy and elevates plasma lactate in transgenic AIDS mice.
Highly active antiretroviral therapy (HAART) is implicated in cardiomyopathy (CM) and in elevated plasma lactate (LA) in AIDS through mechanisms of mitochondrial dysfunction. To determine mitochondrial events from HAART in vivo, 8-week-old hemizygous transgenic AIDS mice (NL4-3Delta gag/pol; TG) and wild-type FVB/n littermates were treated with the HAART combination of zidovudine, lamivudine, and indinavir or vehicle control for 10 days or 35 days. At termination of the experiments, mice underwent echocardiography, quantitation of abundance of molecular markers of CM (ventricular mRNA encoding atrial natriuretic factor [ANF] and sarcoplasmic calcium ATPase [SERCA2]), and determination of plasma LA. Myocardial histologic features were analyzed semiquantitatively and results were confirmed by transmission electron microscopy. After 35 days in the TG + HAART cohort, left ventricular mass increased 160% by echocardiography. Molecularly, ANF mRNA increased 250% and SERCA2 mRNA decreased 57%. Biochemically, LA was elevated (8.5 +/- 2.0 mM). Pathologically, granular cytoplasmic changes were found in cardiac myocytes, indicating enlarged, damaged mitochondria. Findings were confirmed ultrastructurally. No changes were found in other cohorts. After 10 days, only ANF was elevated, and only in the TG + HAART cohort. Results show that cumulative HAART caused mitochondrial CM with elevated LA in AIDS transgenic mice.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Oral contraceptives"/ induces disease /"myocardial infarction"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Oral contraceptives"/ and the risk of /"myocardial infarction"/. - Abstract: BACKGROUND: An association between the use of /"oral contraceptives"/ and the risk of /"myocardial infarction"/ has been found in some, but not all, studies. We investigated this association, according to the type of progestagen included in third-generation (i.e., desogestrel or gestodene) and second-generation (i.e., levonorgestrel) /"oral contraceptives"/, the dose of estrogen, and the presence or absence of prothrombotic mutations METHODS: In a nationwide, population-based, case-control study, we identified and enrolled 248 women 18 through 49 years of age who had had a first /"myocardial infarction"/ between 1990 and 1995 and 925 control women who had not had a /"myocardial infarction"/ and who were matched for age, calendar year of the index event, and area of residence. Subjects supplied information on /"oral-contraceptive"/ use and major cardiovascular risk factors. An analysis for factor V Leiden and the G20210A mutation in the prothrombin gene was conducted in 217 patients and 763 controls RESULTS: The odds ratio for /"myocardial infarction"/ among women who used any type of combined /"oral contraceptive"/, as compared with nonusers, was 2.0 (95 percent confidence interval, 1.5 to 2.8). The adjusted odds ratio was 2.5 (95 percent confidence interval, 1.5 to 4.1) among women who used second-generation /"oral contraceptives"/ and 1.3 (95 percent confidence interval, 0.7 to 2.5) among those who used third-generation /"oral contraceptives"/. Among women who used /"oral contraceptives"/, the odds ratio was 2.1 (95 percent confidence interval, 1.5 to 3.0) for those without a prothrombotic mutation and 1.9 (95 percent confidence interval, 0.6 to 5.5) for those with a mutation CONCLUSIONS: The risk of /"myocardial infarction"/ was increased among women who used second-generation /"oral contraceptives"/. The results with respect to the use of third-generation /"oral contraceptives"/ were inconclusive but suggested that the risk was lower than the risk associated with second-generation /"oral contraceptives"/. The risk of /"myocardial infarction"/ was similar among women who used /"oral contraceptives"/ whether or not they had a prothrombotic mutation. Question: Does chemical /"Oral contraceptives"/ induce disease /"myocardial infarction"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Oral contraceptives"/ and the risk of /"myocardial infarction"/.
BACKGROUND: An association between the use of /"oral contraceptives"/ and the risk of /"myocardial infarction"/ has been found in some, but not all, studies. We investigated this association, according to the type of progestagen included in third-generation (i.e., desogestrel or gestodene) and second-generation (i.e., levonorgestrel) /"oral contraceptives"/, the dose of estrogen, and the presence or absence of prothrombotic mutations METHODS: In a nationwide, population-based, case-control study, we identified and enrolled 248 women 18 through 49 years of age who had had a first /"myocardial infarction"/ between 1990 and 1995 and 925 control women who had not had a /"myocardial infarction"/ and who were matched for age, calendar year of the index event, and area of residence. Subjects supplied information on /"oral-contraceptive"/ use and major cardiovascular risk factors. An analysis for factor V Leiden and the G20210A mutation in the prothrombin gene was conducted in 217 patients and 763 controls RESULTS: The odds ratio for /"myocardial infarction"/ among women who used any type of combined /"oral contraceptive"/, as compared with nonusers, was 2.0 (95 percent confidence interval, 1.5 to 2.8). The adjusted odds ratio was 2.5 (95 percent confidence interval, 1.5 to 4.1) among women who used second-generation /"oral contraceptives"/ and 1.3 (95 percent confidence interval, 0.7 to 2.5) among those who used third-generation /"oral contraceptives"/. Among women who used /"oral contraceptives"/, the odds ratio was 2.1 (95 percent confidence interval, 1.5 to 3.0) for those without a prothrombotic mutation and 1.9 (95 percent confidence interval, 0.6 to 5.5) for those with a mutation CONCLUSIONS: The risk of /"myocardial infarction"/ was increased among women who used second-generation /"oral contraceptives"/. The results with respect to the use of third-generation /"oral contraceptives"/ were inconclusive but suggested that the risk was lower than the risk associated with second-generation /"oral contraceptives"/. The risk of /"myocardial infarction"/ was similar among women who used /"oral contraceptives"/ whether or not they had a prothrombotic mutation.
Oral contraceptives
{ "id": "2830", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 0, 19 ] ], "text": [ "Oral contraceptives" ], "type": "Chemical" }
myocardial infarction
{ "id": "2831", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 36, 57 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }
[ { "id": "2830", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 0, 19 ] ], "text": [ "Oral contraceptives" ], "type": "Chemical" }, { "id": "2832", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 105, 124 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2834", "normalized": [ { "db_id": "D011372", "db_name": "MESH" } ], "offsets": [ [ 268, 279 ] ], "text": [ "progestagen" ], "type": "Chemical" }, { "id": "2835", "normalized": [ { "db_id": "D017135", "db_name": "MESH" } ], "offsets": [ [ 316, 327 ] ], "text": [ "desogestrel" ], "type": "Chemical" }, { "id": "2836", "normalized": [ { "db_id": "C033273", "db_name": "MESH" } ], "offsets": [ [ 331, 340 ] ], "text": [ "gestodene" ], "type": "Chemical" }, { "id": "2837", "normalized": [ { "db_id": "D016912", "db_name": "MESH" } ], "offsets": [ [ 371, 385 ] ], "text": [ "levonorgestrel" ], "type": "Chemical" }, { "id": "2838", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 387, 406 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2839", "normalized": [ { "db_id": "D004967", "db_name": "MESH" } ], "offsets": [ [ 420, 428 ] ], "text": [ "estrogen" ], "type": "Chemical" }, { "id": "2842", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 859, 877 ] ], "text": [ "oral-contraceptive" ], "type": "Chemical" }, { "id": "2844", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1141, 1159 ] ], "text": [ "oral contraceptive" ], "type": "Chemical" }, { "id": "2845", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1358, 1377 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2846", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1469, 1488 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2847", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1511, 1530 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2849", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1822, 1841 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2850", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1899, 1918 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2851", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 2023, 2042 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2853", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 2111, 2130 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" } ]
[ { "id": "2831", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 36, 57 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2833", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 141, 162 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2840", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 633, 654 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2841", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 717, 738 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2843", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 1077, 1098 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2848", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 1747, 1768 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2852", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 2056, 2077 ] ], "text": [ "myocardial infarction" ], "type": "Disease" } ]
Oral contraceptives and the risk of myocardial infarction.
BACKGROUND: An association between the use of oral contraceptives and the risk of myocardial infarction has been found in some, but not all, studies. We investigated this association, according to the type of progestagen included in third-generation (i.e., desogestrel or gestodene) and second-generation (i.e., levonorgestrel) oral contraceptives, the dose of estrogen, and the presence or absence of prothrombotic mutations METHODS: In a nationwide, population-based, case-control study, we identified and enrolled 248 women 18 through 49 years of age who had had a first myocardial infarction between 1990 and 1995 and 925 control women who had not had a myocardial infarction and who were matched for age, calendar year of the index event, and area of residence. Subjects supplied information on oral-contraceptive use and major cardiovascular risk factors. An analysis for factor V Leiden and the G20210A mutation in the prothrombin gene was conducted in 217 patients and 763 controls RESULTS: The odds ratio for myocardial infarction among women who used any type of combined oral contraceptive, as compared with nonusers, was 2.0 (95 percent confidence interval, 1.5 to 2.8). The adjusted odds ratio was 2.5 (95 percent confidence interval, 1.5 to 4.1) among women who used second-generation oral contraceptives and 1.3 (95 percent confidence interval, 0.7 to 2.5) among those who used third-generation oral contraceptives. Among women who used oral contraceptives, the odds ratio was 2.1 (95 percent confidence interval, 1.5 to 3.0) for those without a prothrombotic mutation and 1.9 (95 percent confidence interval, 0.6 to 5.5) for those with a mutation CONCLUSIONS: The risk of myocardial infarction was increased among women who used second-generation oral contraceptives. The results with respect to the use of third-generation oral contraceptives were inconclusive but suggested that the risk was lower than the risk associated with second-generation oral contraceptives. The risk of myocardial infarction was similar among women who used oral contraceptives whether or not they had a prothrombotic mutation.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"gestodene"/ induces disease /"myocardial infarction"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Oral contraceptives and the risk of /"myocardial infarction"/. - Abstract: BACKGROUND: An association between the use of oral contraceptives and the risk of /"myocardial infarction"/ has been found in some, but not all, studies. We investigated this association, according to the type of progestagen included in third-generation (i.e., desogestrel or /"gestodene"/) and second-generation (i.e., levonorgestrel) oral contraceptives, the dose of estrogen, and the presence or absence of prothrombotic mutations METHODS: In a nationwide, population-based, case-control study, we identified and enrolled 248 women 18 through 49 years of age who had had a first /"myocardial infarction"/ between 1990 and 1995 and 925 control women who had not had a /"myocardial infarction"/ and who were matched for age, calendar year of the index event, and area of residence. Subjects supplied information on oral-contraceptive use and major cardiovascular risk factors. An analysis for factor V Leiden and the G20210A mutation in the prothrombin gene was conducted in 217 patients and 763 controls RESULTS: The odds ratio for /"myocardial infarction"/ among women who used any type of combined oral contraceptive, as compared with nonusers, was 2.0 (95 percent confidence interval, 1.5 to 2.8). The adjusted odds ratio was 2.5 (95 percent confidence interval, 1.5 to 4.1) among women who used second-generation oral contraceptives and 1.3 (95 percent confidence interval, 0.7 to 2.5) among those who used third-generation oral contraceptives. Among women who used oral contraceptives, the odds ratio was 2.1 (95 percent confidence interval, 1.5 to 3.0) for those without a prothrombotic mutation and 1.9 (95 percent confidence interval, 0.6 to 5.5) for those with a mutation CONCLUSIONS: The risk of /"myocardial infarction"/ was increased among women who used second-generation oral contraceptives. The results with respect to the use of third-generation oral contraceptives were inconclusive but suggested that the risk was lower than the risk associated with second-generation oral contraceptives. The risk of /"myocardial infarction"/ was similar among women who used oral contraceptives whether or not they had a prothrombotic mutation. Question: Does chemical /"gestodene"/ induce disease /"myocardial infarction"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Oral contraceptives and the risk of /"myocardial infarction"/.
BACKGROUND: An association between the use of oral contraceptives and the risk of /"myocardial infarction"/ has been found in some, but not all, studies. We investigated this association, according to the type of progestagen included in third-generation (i.e., desogestrel or /"gestodene"/) and second-generation (i.e., levonorgestrel) oral contraceptives, the dose of estrogen, and the presence or absence of prothrombotic mutations METHODS: In a nationwide, population-based, case-control study, we identified and enrolled 248 women 18 through 49 years of age who had had a first /"myocardial infarction"/ between 1990 and 1995 and 925 control women who had not had a /"myocardial infarction"/ and who were matched for age, calendar year of the index event, and area of residence. Subjects supplied information on oral-contraceptive use and major cardiovascular risk factors. An analysis for factor V Leiden and the G20210A mutation in the prothrombin gene was conducted in 217 patients and 763 controls RESULTS: The odds ratio for /"myocardial infarction"/ among women who used any type of combined oral contraceptive, as compared with nonusers, was 2.0 (95 percent confidence interval, 1.5 to 2.8). The adjusted odds ratio was 2.5 (95 percent confidence interval, 1.5 to 4.1) among women who used second-generation oral contraceptives and 1.3 (95 percent confidence interval, 0.7 to 2.5) among those who used third-generation oral contraceptives. Among women who used oral contraceptives, the odds ratio was 2.1 (95 percent confidence interval, 1.5 to 3.0) for those without a prothrombotic mutation and 1.9 (95 percent confidence interval, 0.6 to 5.5) for those with a mutation CONCLUSIONS: The risk of /"myocardial infarction"/ was increased among women who used second-generation oral contraceptives. The results with respect to the use of third-generation oral contraceptives were inconclusive but suggested that the risk was lower than the risk associated with second-generation oral contraceptives. The risk of /"myocardial infarction"/ was similar among women who used oral contraceptives whether or not they had a prothrombotic mutation.
gestodene
{ "id": "2836", "normalized": [ { "db_id": "C033273", "db_name": "MESH" } ], "offsets": [ [ 331, 340 ] ], "text": [ "gestodene" ], "type": "Chemical" }
myocardial infarction
{ "id": "2831", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 36, 57 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }
[ { "id": "2830", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 0, 19 ] ], "text": [ "Oral contraceptives" ], "type": "Chemical" }, { "id": "2832", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 105, 124 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2834", "normalized": [ { "db_id": "D011372", "db_name": "MESH" } ], "offsets": [ [ 268, 279 ] ], "text": [ "progestagen" ], "type": "Chemical" }, { "id": "2835", "normalized": [ { "db_id": "D017135", "db_name": "MESH" } ], "offsets": [ [ 316, 327 ] ], "text": [ "desogestrel" ], "type": "Chemical" }, { "id": "2836", "normalized": [ { "db_id": "C033273", "db_name": "MESH" } ], "offsets": [ [ 331, 340 ] ], "text": [ "gestodene" ], "type": "Chemical" }, { "id": "2837", "normalized": [ { "db_id": "D016912", "db_name": "MESH" } ], "offsets": [ [ 371, 385 ] ], "text": [ "levonorgestrel" ], "type": "Chemical" }, { "id": "2838", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 387, 406 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2839", "normalized": [ { "db_id": "D004967", "db_name": "MESH" } ], "offsets": [ [ 420, 428 ] ], "text": [ "estrogen" ], "type": "Chemical" }, { "id": "2842", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 859, 877 ] ], "text": [ "oral-contraceptive" ], "type": "Chemical" }, { "id": "2844", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1141, 1159 ] ], "text": [ "oral contraceptive" ], "type": "Chemical" }, { "id": "2845", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1358, 1377 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2846", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1469, 1488 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2847", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1511, 1530 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2849", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1822, 1841 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2850", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 1899, 1918 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2851", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 2023, 2042 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" }, { "id": "2853", "normalized": [ { "db_id": "D003276", "db_name": "MESH" } ], "offsets": [ [ 2111, 2130 ] ], "text": [ "oral contraceptives" ], "type": "Chemical" } ]
[ { "id": "2831", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 36, 57 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2833", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 141, 162 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2840", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 633, 654 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2841", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 717, 738 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2843", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 1077, 1098 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2848", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 1747, 1768 ] ], "text": [ "myocardial infarction" ], "type": "Disease" }, { "id": "2852", "normalized": [ { "db_id": "D009203", "db_name": "MESH" } ], "offsets": [ [ 2056, 2077 ] ], "text": [ "myocardial infarction" ], "type": "Disease" } ]
Oral contraceptives and the risk of myocardial infarction.
BACKGROUND: An association between the use of oral contraceptives and the risk of myocardial infarction has been found in some, but not all, studies. We investigated this association, according to the type of progestagen included in third-generation (i.e., desogestrel or gestodene) and second-generation (i.e., levonorgestrel) oral contraceptives, the dose of estrogen, and the presence or absence of prothrombotic mutations METHODS: In a nationwide, population-based, case-control study, we identified and enrolled 248 women 18 through 49 years of age who had had a first myocardial infarction between 1990 and 1995 and 925 control women who had not had a myocardial infarction and who were matched for age, calendar year of the index event, and area of residence. Subjects supplied information on oral-contraceptive use and major cardiovascular risk factors. An analysis for factor V Leiden and the G20210A mutation in the prothrombin gene was conducted in 217 patients and 763 controls RESULTS: The odds ratio for myocardial infarction among women who used any type of combined oral contraceptive, as compared with nonusers, was 2.0 (95 percent confidence interval, 1.5 to 2.8). The adjusted odds ratio was 2.5 (95 percent confidence interval, 1.5 to 4.1) among women who used second-generation oral contraceptives and 1.3 (95 percent confidence interval, 0.7 to 2.5) among those who used third-generation oral contraceptives. Among women who used oral contraceptives, the odds ratio was 2.1 (95 percent confidence interval, 1.5 to 3.0) for those without a prothrombotic mutation and 1.9 (95 percent confidence interval, 0.6 to 5.5) for those with a mutation CONCLUSIONS: The risk of myocardial infarction was increased among women who used second-generation oral contraceptives. The results with respect to the use of third-generation oral contraceptives were inconclusive but suggested that the risk was lower than the risk associated with second-generation oral contraceptives. The risk of myocardial infarction was similar among women who used oral contraceptives whether or not they had a prothrombotic mutation.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"cocaine"/ induces disease /"locomotor hyperactivity"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the /"cocaine"/-induced /"locomotor hyperactivity"/ in rats. - Abstract: The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the /"locomotor hyperactivity"/ induced by /"cocaine"/ in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with GR 55562 (an antagonist of 5-HT1B receptors) or CP 93129 (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, GR 55562 (0.1-10 microg/side) or CP 93129 (0.1-10 microg/side) did not change basal locomotor activity. Systemic /"cocaine"/ (10 mg/kg) significantly increased the locomotor activity of rats. GR 55562 (0.1-10 microg/side), administered intra-accumbens shell prior to /"cocaine"/, dose-dependently attenuated the psychostimulant-induced /"locomotor hyperactivity"/. Such attenuation was not found in animals which had been injected with GR 55562 into the accumbens core. When injected into the accumbens shell (but not the core) before /"cocaine"/, CP 93129 (0.1-10 microg/side) enhanced the locomotor response to /"cocaine"/; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with GR 55562 (1 microg/side). Our findings indicate that /"cocaine"/ induced /"hyperlocomotion"/ is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (GR 55562) and agonist (CP 93129), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant. Question: Does chemical /"cocaine"/ induce disease /"locomotor hyperactivity"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the /"cocaine"/-induced /"locomotor hyperactivity"/ in rats.
The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the /"locomotor hyperactivity"/ induced by /"cocaine"/ in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with GR 55562 (an antagonist of 5-HT1B receptors) or CP 93129 (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, GR 55562 (0.1-10 microg/side) or CP 93129 (0.1-10 microg/side) did not change basal locomotor activity. Systemic /"cocaine"/ (10 mg/kg) significantly increased the locomotor activity of rats. GR 55562 (0.1-10 microg/side), administered intra-accumbens shell prior to /"cocaine"/, dose-dependently attenuated the psychostimulant-induced /"locomotor hyperactivity"/. Such attenuation was not found in animals which had been injected with GR 55562 into the accumbens core. When injected into the accumbens shell (but not the core) before /"cocaine"/, CP 93129 (0.1-10 microg/side) enhanced the locomotor response to /"cocaine"/; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with GR 55562 (1 microg/side). Our findings indicate that /"cocaine"/ induced /"hyperlocomotion"/ is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (GR 55562) and agonist (CP 93129), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant.
cocaine
{ "id": "2941", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 88, 95 ] ], "text": [ "cocaine" ], "type": "Chemical" }
locomotor hyperactivity
{ "id": "2942", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 104, 127 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }
[ { "id": "2941", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 88, 95 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2944", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 343, 350 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2945", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 488, 496 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2946", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 536, 544 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2947", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 618, 626 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2948", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 651, 659 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2949", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 731, 738 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2950", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 806, 814 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2951", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 881, 888 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2953", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1042, 1050 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2954", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1141, 1148 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2955", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 1150, 1158 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2956", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1215, 1222 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2957", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1375, 1383 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2958", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1428, 1435 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2960", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1656, 1664 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2961", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 1679, 1687 ] ], "text": [ "CP 93129" ], "type": "Chemical" } ]
[ { "id": "2942", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 104, 127 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2943", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 308, 331 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2952", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 946, 969 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2959", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 1444, 1459 ] ], "text": [ "hyperlocomotion" ], "type": "Disease" } ]
Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the cocaine-induced locomotor hyperactivity in rats.
The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the locomotor hyperactivity induced by cocaine in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with GR 55562 (an antagonist of 5-HT1B receptors) or CP 93129 (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, GR 55562 (0.1-10 microg/side) or CP 93129 (0.1-10 microg/side) did not change basal locomotor activity. Systemic cocaine (10 mg/kg) significantly increased the locomotor activity of rats. GR 55562 (0.1-10 microg/side), administered intra-accumbens shell prior to cocaine, dose-dependently attenuated the psychostimulant-induced locomotor hyperactivity. Such attenuation was not found in animals which had been injected with GR 55562 into the accumbens core. When injected into the accumbens shell (but not the core) before cocaine, CP 93129 (0.1-10 microg/side) enhanced the locomotor response to cocaine; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with GR 55562 (1 microg/side). Our findings indicate that cocaine induced hyperlocomotion is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (GR 55562) and agonist (CP 93129), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"CP 93129"/ induces disease /"locomotor hyperactivity"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the cocaine-induced /"locomotor hyperactivity"/ in rats. - Abstract: The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the /"locomotor hyperactivity"/ induced by cocaine in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with GR 55562 (an antagonist of 5-HT1B receptors) or /"CP 93129"/ (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, GR 55562 (0.1-10 microg/side) or /"CP 93129"/ (0.1-10 microg/side) did not change basal locomotor activity. Systemic cocaine (10 mg/kg) significantly increased the locomotor activity of rats. GR 55562 (0.1-10 microg/side), administered intra-accumbens shell prior to cocaine, dose-dependently attenuated the psychostimulant-induced /"locomotor hyperactivity"/. Such attenuation was not found in animals which had been injected with GR 55562 into the accumbens core. When injected into the accumbens shell (but not the core) before cocaine, /"CP 93129"/ (0.1-10 microg/side) enhanced the locomotor response to cocaine; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with GR 55562 (1 microg/side). Our findings indicate that cocaine induced /"hyperlocomotion"/ is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (GR 55562) and agonist (/"CP 93129"/), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant. Question: Does chemical /"CP 93129"/ induce disease /"locomotor hyperactivity"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the cocaine-induced /"locomotor hyperactivity"/ in rats.
The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the /"locomotor hyperactivity"/ induced by cocaine in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with GR 55562 (an antagonist of 5-HT1B receptors) or /"CP 93129"/ (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, GR 55562 (0.1-10 microg/side) or /"CP 93129"/ (0.1-10 microg/side) did not change basal locomotor activity. Systemic cocaine (10 mg/kg) significantly increased the locomotor activity of rats. GR 55562 (0.1-10 microg/side), administered intra-accumbens shell prior to cocaine, dose-dependently attenuated the psychostimulant-induced /"locomotor hyperactivity"/. Such attenuation was not found in animals which had been injected with GR 55562 into the accumbens core. When injected into the accumbens shell (but not the core) before cocaine, /"CP 93129"/ (0.1-10 microg/side) enhanced the locomotor response to cocaine; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with GR 55562 (1 microg/side). Our findings indicate that cocaine induced /"hyperlocomotion"/ is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (GR 55562) and agonist (/"CP 93129"/), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant.
CP 93129
{ "id": "2946", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 536, 544 ] ], "text": [ "CP 93129" ], "type": "Chemical" }
locomotor hyperactivity
{ "id": "2942", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 104, 127 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }
[ { "id": "2941", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 88, 95 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2944", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 343, 350 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2945", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 488, 496 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2946", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 536, 544 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2947", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 618, 626 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2948", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 651, 659 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2949", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 731, 738 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2950", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 806, 814 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2951", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 881, 888 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2953", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1042, 1050 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2954", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1141, 1148 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2955", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 1150, 1158 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2956", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1215, 1222 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2957", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1375, 1383 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2958", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1428, 1435 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2960", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1656, 1664 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2961", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 1679, 1687 ] ], "text": [ "CP 93129" ], "type": "Chemical" } ]
[ { "id": "2942", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 104, 127 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2943", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 308, 331 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2952", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 946, 969 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2959", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 1444, 1459 ] ], "text": [ "hyperlocomotion" ], "type": "Disease" } ]
Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the cocaine-induced locomotor hyperactivity in rats.
The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the locomotor hyperactivity induced by cocaine in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with GR 55562 (an antagonist of 5-HT1B receptors) or CP 93129 (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, GR 55562 (0.1-10 microg/side) or CP 93129 (0.1-10 microg/side) did not change basal locomotor activity. Systemic cocaine (10 mg/kg) significantly increased the locomotor activity of rats. GR 55562 (0.1-10 microg/side), administered intra-accumbens shell prior to cocaine, dose-dependently attenuated the psychostimulant-induced locomotor hyperactivity. Such attenuation was not found in animals which had been injected with GR 55562 into the accumbens core. When injected into the accumbens shell (but not the core) before cocaine, CP 93129 (0.1-10 microg/side) enhanced the locomotor response to cocaine; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with GR 55562 (1 microg/side). Our findings indicate that cocaine induced hyperlocomotion is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (GR 55562) and agonist (CP 93129), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"GR 55562"/ induces disease /"locomotor hyperactivity"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the cocaine-induced /"locomotor hyperactivity"/ in rats. - Abstract: The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the /"locomotor hyperactivity"/ induced by cocaine in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with /"GR 55562"/ (an antagonist of 5-HT1B receptors) or CP 93129 (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, /"GR 55562"/ (0.1-10 microg/side) or CP 93129 (0.1-10 microg/side) did not change basal locomotor activity. Systemic cocaine (10 mg/kg) significantly increased the locomotor activity of rats. /"GR 55562"/ (0.1-10 microg/side), administered intra-accumbens shell prior to cocaine, dose-dependently attenuated the psychostimulant-induced /"locomotor hyperactivity"/. Such attenuation was not found in animals which had been injected with /"GR 55562"/ into the accumbens core. When injected into the accumbens shell (but not the core) before cocaine, CP 93129 (0.1-10 microg/side) enhanced the locomotor response to cocaine; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with /"GR 55562"/ (1 microg/side). Our findings indicate that cocaine induced /"hyperlocomotion"/ is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (/"GR 55562"/) and agonist (CP 93129), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant. Question: Does chemical /"GR 55562"/ induce disease /"locomotor hyperactivity"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the cocaine-induced /"locomotor hyperactivity"/ in rats.
The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the /"locomotor hyperactivity"/ induced by cocaine in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with /"GR 55562"/ (an antagonist of 5-HT1B receptors) or CP 93129 (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, /"GR 55562"/ (0.1-10 microg/side) or CP 93129 (0.1-10 microg/side) did not change basal locomotor activity. Systemic cocaine (10 mg/kg) significantly increased the locomotor activity of rats. /"GR 55562"/ (0.1-10 microg/side), administered intra-accumbens shell prior to cocaine, dose-dependently attenuated the psychostimulant-induced /"locomotor hyperactivity"/. Such attenuation was not found in animals which had been injected with /"GR 55562"/ into the accumbens core. When injected into the accumbens shell (but not the core) before cocaine, CP 93129 (0.1-10 microg/side) enhanced the locomotor response to cocaine; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with /"GR 55562"/ (1 microg/side). Our findings indicate that cocaine induced /"hyperlocomotion"/ is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (/"GR 55562"/) and agonist (CP 93129), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant.
GR 55562
{ "id": "2945", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 488, 496 ] ], "text": [ "GR 55562" ], "type": "Chemical" }
locomotor hyperactivity
{ "id": "2942", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 104, 127 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }
[ { "id": "2941", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 88, 95 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2944", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 343, 350 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2945", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 488, 496 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2946", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 536, 544 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2947", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 618, 626 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2948", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 651, 659 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2949", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 731, 738 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2950", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 806, 814 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2951", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 881, 888 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2953", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1042, 1050 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2954", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1141, 1148 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2955", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 1150, 1158 ] ], "text": [ "CP 93129" ], "type": "Chemical" }, { "id": "2956", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1215, 1222 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2957", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1375, 1383 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2958", "normalized": [ { "db_id": "D003042", "db_name": "MESH" } ], "offsets": [ [ 1428, 1435 ] ], "text": [ "cocaine" ], "type": "Chemical" }, { "id": "2960", "normalized": [ { "db_id": "C103477", "db_name": "MESH" } ], "offsets": [ [ 1656, 1664 ] ], "text": [ "GR 55562" ], "type": "Chemical" }, { "id": "2961", "normalized": [ { "db_id": "C065046", "db_name": "MESH" } ], "offsets": [ [ 1679, 1687 ] ], "text": [ "CP 93129" ], "type": "Chemical" } ]
[ { "id": "2942", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 104, 127 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2943", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 308, 331 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2952", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 946, 969 ] ], "text": [ "locomotor hyperactivity" ], "type": "Disease" }, { "id": "2959", "normalized": [ { "db_id": "D009069", "db_name": "MESH" } ], "offsets": [ [ 1444, 1459 ] ], "text": [ "hyperlocomotion" ], "type": "Disease" } ]
Effects of 5-HT1B receptor ligands microinjected into the accumbal shell or core on the cocaine-induced locomotor hyperactivity in rats.
The present study was designed to examine the effect of 5-HT1B receptor ligands microinjected into the subregions of the nucleus accumbens (the shell and the core) on the locomotor hyperactivity induced by cocaine in rats. Male Wistar rats were implanted bilaterally with cannulae into the accumbens shell or core, and then were locally injected with GR 55562 (an antagonist of 5-HT1B receptors) or CP 93129 (an agonist of 5-HT1B receptors). Given alone to any accumbal subregion, GR 55562 (0.1-10 microg/side) or CP 93129 (0.1-10 microg/side) did not change basal locomotor activity. Systemic cocaine (10 mg/kg) significantly increased the locomotor activity of rats. GR 55562 (0.1-10 microg/side), administered intra-accumbens shell prior to cocaine, dose-dependently attenuated the psychostimulant-induced locomotor hyperactivity. Such attenuation was not found in animals which had been injected with GR 55562 into the accumbens core. When injected into the accumbens shell (but not the core) before cocaine, CP 93129 (0.1-10 microg/side) enhanced the locomotor response to cocaine; the maximum effect being observed after 10 microg/side of the agonist. The later enhancement was attenuated after intra-accumbens shell treatment with GR 55562 (1 microg/side). Our findings indicate that cocaine induced hyperlocomotion is modified by 5-HT1B receptor ligands microinjected into the accumbens shell, but not core, this modification consisting in inhibitory and facilitatory effects of the 5-HT1B receptor antagonist (GR 55562) and agonist (CP 93129), respectively. In other words, the present results suggest that the accumbal shell 5-HT1B receptors play a permissive role in the behavioural response to the psychostimulant.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Ticlopidine"/ induces disease /"jaundice"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Ticlopidine"/-induced cholestatic hepatitis. - Abstract: OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed /"jaundice"/ following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel. Question: Does chemical /"Ticlopidine"/ induce disease /"jaundice"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Ticlopidine"/-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed /"jaundice"/ following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel.
Ticlopidine
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jaundice
{ "id": "3026", "normalized": [ { "db_id": "D007565", "db_name": "MESH" } ], "offsets": [ [ 745, 753 ] ], "text": [ "jaundice" ], "type": "Disease" }
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[ { "id": "3010", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 20, 41 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3011", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 20, 31 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3012", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 32, 41 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3014", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 95, 116 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3015", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 95, 106 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3016", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 107, 116 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3017", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 275, 296 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3018", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 275, 286 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3019", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 287, 296 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3022", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 570, 591 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3023", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 570, 581 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3024", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 582, 591 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3026", "normalized": [ { "db_id": "D007565", "db_name": "MESH" } ], "offsets": [ [ 745, 753 ] ], "text": [ "jaundice" ], "type": "Disease" }, { "id": "3028", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 849, 870 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3029", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 849, 860 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3030", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 861, 870 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3031", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 922, 931 ] ], "text": [ "Hepatitis" ], "type": "Disease" }, { "id": "3034", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1237, 1248 ] ], "text": [ "cholestasis" ], "type": "Disease" }, { "id": "3035", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1310, 1324 ] ], "text": [ "hepatotoxicity" ], "type": "Disease" }, { "id": "3036", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1399, 1420 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3037", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1399, 1410 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3038", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1411, 1420 ] ], "text": [ "hepatitis" ], "type": "Disease" } ]
Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Ticlopidine"/ induces disease /"cholestatic hepatitis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Ticlopidine"/-induced /"cholestatic hepatitis"/. - Abstract: OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced /"cholestatic hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic hepatitis"/ after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic hepatitis"/ is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of /"cholestatic hepatitis"/, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic hepatitis"/ is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel. Question: Does chemical /"Ticlopidine"/ induce disease /"cholestatic hepatitis"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Ticlopidine"/-induced /"cholestatic hepatitis"/.
OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced /"cholestatic hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic hepatitis"/ after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic hepatitis"/ is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of /"cholestatic hepatitis"/, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic hepatitis"/ is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel.
Ticlopidine
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cholestatic hepatitis
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Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Ticlopidine"/ induces disease /"cholestatic"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Ticlopidine"/-induced /"cholestatic"/ hepatitis. - Abstract: OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced /"cholestatic"/ hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic"/ hepatitis after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic"/ hepatitis is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of /"cholestatic"/ hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced /"cholestasis"/ are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic"/ hepatitis is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel. Question: Does chemical /"Ticlopidine"/ induce disease /"cholestatic"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Ticlopidine"/-induced /"cholestatic"/ hepatitis.
OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced /"cholestatic"/ hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic"/ hepatitis after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic"/ hepatitis is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of /"cholestatic"/ hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced /"cholestasis"/ are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic"/ hepatitis is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel.
Ticlopidine
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cholestatic
{ "id": "3011", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 20, 31 ] ], "text": [ "cholestatic" ], "type": "Disease" }
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[ { "id": "3010", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 20, 41 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3011", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 20, 31 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3012", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 32, 41 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3014", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 95, 116 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3015", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 95, 106 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3016", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 107, 116 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3017", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 275, 296 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3018", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 275, 286 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3019", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 287, 296 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3022", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 570, 591 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3023", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 570, 581 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3024", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 582, 591 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3026", "normalized": [ { "db_id": "D007565", "db_name": "MESH" } ], "offsets": [ [ 745, 753 ] ], "text": [ "jaundice" ], "type": "Disease" }, { "id": "3028", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 849, 870 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3029", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 849, 860 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3030", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 861, 870 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3031", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 922, 931 ] ], "text": [ "Hepatitis" ], "type": "Disease" }, { "id": "3034", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1237, 1248 ] ], "text": [ "cholestasis" ], "type": "Disease" }, { "id": "3035", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1310, 1324 ] ], "text": [ "hepatotoxicity" ], "type": "Disease" }, { "id": "3036", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1399, 1420 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3037", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1399, 1410 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3038", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1411, 1420 ] ], "text": [ "hepatitis" ], "type": "Disease" } ]
Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Ticlopidine"/ induces disease /"hepatitis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Ticlopidine"/-induced cholestatic /"hepatitis"/. - Abstract: OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced cholestatic /"hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic /"hepatitis"/ after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic /"hepatitis"/ is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of cholestatic /"hepatitis"/, which resolved after discontinuation of the drug. /"Hepatitis"/ may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's /"hepatotoxicity"/, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic /"hepatitis"/ is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel. Question: Does chemical /"Ticlopidine"/ induce disease /"hepatitis"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Ticlopidine"/-induced cholestatic /"hepatitis"/.
OBJECTIVE: To report 2 cases of /"ticlopidine"/-induced cholestatic /"hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic /"hepatitis"/ after receiving /"ticlopidine"/ following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of /"ticlopidine"/ was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic /"hepatitis"/ is a rare complication of the antiplatelet agent /"ticlopidine"/; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with /"ticlopidine"/ and showed the clinical and laboratory characteristics of cholestatic /"hepatitis"/, which resolved after discontinuation of the drug. /"Hepatitis"/ may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of /"ticlopidine"/. The mechanisms of this /"ticlopidine"/-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's /"hepatotoxicity"/, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic /"hepatitis"/ is a rare adverse effect of /"ticlopidine"/ that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as /"ticlopidine"/ is being replaced by the newer antiplatelet agent clopidogrel.
Ticlopidine
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hepatitis
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Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clopidogrel"/ induces disease /"hepatitis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Ticlopidine-induced cholestatic /"hepatitis"/. - Abstract: OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic /"hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic /"hepatitis"/ after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic /"hepatitis"/ is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic /"hepatitis"/, which resolved after discontinuation of the drug. /"Hepatitis"/ may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's /"hepatotoxicity"/, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic /"hepatitis"/ is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/. Question: Does chemical /"clopidogrel"/ induce disease /"hepatitis"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Ticlopidine-induced cholestatic /"hepatitis"/.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic /"hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic /"hepatitis"/ after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic /"hepatitis"/ is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic /"hepatitis"/, which resolved after discontinuation of the drug. /"Hepatitis"/ may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's /"hepatotoxicity"/, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic /"hepatitis"/ is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/.
clopidogrel
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hepatitis
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[ { "id": "3010", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 20, 41 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3011", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 20, 31 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3012", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 32, 41 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3014", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 95, 116 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3015", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 95, 106 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3016", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 107, 116 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3017", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 275, 296 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3018", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 275, 286 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3019", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 287, 296 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3022", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 570, 591 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3023", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 570, 581 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3024", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 582, 591 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3026", "normalized": [ { "db_id": "D007565", "db_name": "MESH" } ], "offsets": [ [ 745, 753 ] ], "text": [ "jaundice" ], "type": "Disease" }, { "id": "3028", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 849, 870 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3029", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 849, 860 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3030", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 861, 870 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3031", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 922, 931 ] ], "text": [ "Hepatitis" ], "type": "Disease" }, { "id": "3034", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1237, 1248 ] ], "text": [ "cholestasis" ], "type": "Disease" }, { "id": "3035", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1310, 1324 ] ], "text": [ "hepatotoxicity" ], "type": "Disease" }, { "id": "3036", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1399, 1420 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3037", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1399, 1410 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3038", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1411, 1420 ] ], "text": [ "hepatitis" ], "type": "Disease" } ]
Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clopidogrel"/ induces disease /"cholestatic"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Ticlopidine-induced /"cholestatic"/ hepatitis. - Abstract: OBJECTIVE: To report 2 cases of ticlopidine-induced /"cholestatic"/ hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic"/ hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic"/ hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of /"cholestatic"/ hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced /"cholestasis"/ are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic"/ hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/. Question: Does chemical /"clopidogrel"/ induce disease /"cholestatic"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Ticlopidine-induced /"cholestatic"/ hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced /"cholestatic"/ hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic"/ hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic"/ hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of /"cholestatic"/ hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced /"cholestasis"/ are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic"/ hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/.
clopidogrel
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cholestatic
{ "id": "3011", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 20, 31 ] ], "text": [ "cholestatic" ], "type": "Disease" }
[ { "id": "3009", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Ticlopidine" ], "type": "Chemical" }, { "id": "3013", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 75, 86 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3020", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 313, 324 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3021", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 474, 485 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3025", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 641, 652 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3027", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 779, 790 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3032", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1181, 1192 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3033", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1217, 1228 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3039", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1449, 1460 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3040", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1671, 1682 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3041", "normalized": [ { "db_id": "C055162", "db_name": "MESH" } ], "offsets": [ [ 1733, 1744 ] ], "text": [ "clopidogrel" ], "type": "Chemical" } ]
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Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clopidogrel"/ induces disease /"cholestatic hepatitis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Ticlopidine-induced /"cholestatic hepatitis"/. - Abstract: OBJECTIVE: To report 2 cases of ticlopidine-induced /"cholestatic hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic hepatitis"/ after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic hepatitis"/ is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of /"cholestatic hepatitis"/, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic hepatitis"/ is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/. Question: Does chemical /"clopidogrel"/ induce disease /"cholestatic hepatitis"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Ticlopidine-induced /"cholestatic hepatitis"/.
OBJECTIVE: To report 2 cases of ticlopidine-induced /"cholestatic hepatitis"/, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged /"cholestatic hepatitis"/ after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: /"Cholestatic hepatitis"/ is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of /"cholestatic hepatitis"/, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: /"Cholestatic hepatitis"/ is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/.
clopidogrel
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cholestatic hepatitis
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Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clopidogrel"/ induces disease /"jaundice"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Ticlopidine-induced cholestatic hepatitis. - Abstract: OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed /"jaundice"/ following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/. Question: Does chemical /"clopidogrel"/ induce disease /"jaundice"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed /"jaundice"/ following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent /"clopidogrel"/.
clopidogrel
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jaundice
{ "id": "3026", "normalized": [ { "db_id": "D007565", "db_name": "MESH" } ], "offsets": [ [ 745, 753 ] ], "text": [ "jaundice" ], "type": "Disease" }
[ { "id": "3009", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Ticlopidine" ], "type": "Chemical" }, { "id": "3013", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 75, 86 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3020", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 313, 324 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3021", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 474, 485 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3025", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 641, 652 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3027", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 779, 790 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3032", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1181, 1192 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3033", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1217, 1228 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3039", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1449, 1460 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3040", "normalized": [ { "db_id": "D013988", "db_name": "MESH" } ], "offsets": [ [ 1671, 1682 ] ], "text": [ "ticlopidine" ], "type": "Chemical" }, { "id": "3041", "normalized": [ { "db_id": "C055162", "db_name": "MESH" } ], "offsets": [ [ 1733, 1744 ] ], "text": [ "clopidogrel" ], "type": "Chemical" } ]
[ { "id": "3010", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 20, 41 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3011", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 20, 31 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3012", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 32, 41 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3014", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 95, 116 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3015", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 95, 106 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3016", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 107, 116 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3017", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 275, 296 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3018", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 275, 286 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3019", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 287, 296 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3022", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 570, 591 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3023", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 570, 581 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3024", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 582, 591 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3026", "normalized": [ { "db_id": "D007565", "db_name": "MESH" } ], "offsets": [ [ 745, 753 ] ], "text": [ "jaundice" ], "type": "Disease" }, { "id": "3028", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 849, 870 ] ], "text": [ "cholestatic hepatitis" ], "type": "Disease" }, { "id": "3029", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 849, 860 ] ], "text": [ "cholestatic" ], "type": "Disease" }, { "id": "3030", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 861, 870 ] ], "text": [ "hepatitis" ], "type": "Disease" }, { "id": "3031", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 922, 931 ] ], "text": [ "Hepatitis" ], "type": "Disease" }, { "id": "3034", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1237, 1248 ] ], "text": [ "cholestasis" ], "type": "Disease" }, { "id": "3035", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1310, 1324 ] ], "text": [ "hepatotoxicity" ], "type": "Disease" }, { "id": "3036", "normalized": [ { "db_id": "D002779", "db_name": "MESH" }, { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1399, 1420 ] ], "text": [ "Cholestatic hepatitis" ], "type": "Disease" }, { "id": "3037", "normalized": [ { "db_id": "D002779", "db_name": "MESH" } ], "offsets": [ [ 1399, 1410 ] ], "text": [ "Cholestatic" ], "type": "Disease" }, { "id": "3038", "normalized": [ { "db_id": "D056486", "db_name": "MESH" } ], "offsets": [ [ 1411, 1420 ] ], "text": [ "hepatitis" ], "type": "Disease" } ]
Ticlopidine-induced cholestatic hepatitis.
OBJECTIVE: To report 2 cases of ticlopidine-induced cholestatic hepatitis, investigate its mechanism, and compare the observed main characteristics with those of the published cases. CASE SUMMARIES: Two patients developed prolonged cholestatic hepatitis after receiving ticlopidine following percutaneous coronary angioplasty, with complete remission during the follow-up period. T-cell stimulation by therapeutic concentration of ticlopidine was demonstrated in vitro in the patients, but not in healthy controls. DISCUSSION: Cholestatic hepatitis is a rare complication of the antiplatelet agent ticlopidine; several cases have been reported but few in the English literature. Our patients developed jaundice following treatment with ticlopidine and showed the clinical and laboratory characteristics of cholestatic hepatitis, which resolved after discontinuation of the drug. Hepatitis may develop weeks after discontinuation of the drug and may run a prolonged course, but complete remission was observed in all reported cases. An objective causality assessment revealed that the adverse drug event was probably related to the use of ticlopidine. The mechanisms of this ticlopidine-induced cholestasis are unclear. Immune mechanisms may be involved in the drug's hepatotoxicity, as suggested by the T-cell stimulation study reported here. CONCLUSIONS: Cholestatic hepatitis is a rare adverse effect of ticlopidine that may be immune mediated. Patients receiving the drug should be monitored with liver function tests along with complete blood cell counts. This complication will be observed even less often in the future as ticlopidine is being replaced by the newer antiplatelet agent clopidogrel.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"puromycin aminonucleoside"/ induces disease /"proteinuria"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with /"puromycin aminonucleoside"/-induced nephrotic syndrome. - Abstract: In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in /"puromycin aminonucleoside"/ (/"PAN"/)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma aldosterone concentration and /"proteinuria"/ were studied in male Sprague-Dawley rats treated with a single dose of either /"PAN"/ or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of /"proteinuria"/ were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after /"PAN"/ injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during /"PAN"/-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of /"PAN"/-induced nephrotic syndrome in rats, but appears to escape from the regulation by aldosterone after day 3. Question: Does chemical /"puromycin aminonucleoside"/ induce disease /"proteinuria"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with /"puromycin aminonucleoside"/-induced nephrotic syndrome.
In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in /"puromycin aminonucleoside"/ (/"PAN"/)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma aldosterone concentration and /"proteinuria"/ were studied in male Sprague-Dawley rats treated with a single dose of either /"PAN"/ or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of /"proteinuria"/ were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after /"PAN"/ injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during /"PAN"/-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of /"PAN"/-induced nephrotic syndrome in rats, but appears to escape from the regulation by aldosterone after day 3.
puromycin aminonucleoside
{ "id": "3326", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 82, 107 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }
proteinuria
{ "id": "3337", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 652, 663 ] ], "text": [ "proteinuria" ], "type": "Disease" }
[ { "id": "3325", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 11, 17 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3326", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 82, 107 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }, { "id": "3329", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 180, 186 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3330", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 387, 393 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3331", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 422, 428 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3332", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 509, 534 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }, { "id": "3333", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 536, 539 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3335", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 597, 603 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3336", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 622, 633 ] ], "text": [ "aldosterone" ], "type": "Chemical" }, { "id": "3338", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 742, 745 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3339", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 972, 978 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3341", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1071, 1077 ] ], "text": [ "Sodium" ], "type": "Chemical" }, { "id": "3342", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1122, 1125 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3343", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1231, 1237 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3344", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 1388, 1399 ] ], "text": [ "aldosterone" ], "type": "Chemical" }, { "id": "3345", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1448, 1454 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3346", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1568, 1571 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3347", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1580, 1586 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3348", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1723, 1726 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3350", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 1808, 1819 ] ], "text": [ "aldosterone" ], "type": "Chemical" } ]
[ { "id": "3327", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 116, 134 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3328", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 152, 170 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3334", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 549, 567 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3337", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 652, 663 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3340", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1011, 1022 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3349", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 1735, 1753 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" } ]
Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced nephrotic syndrome.
In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of proteinuria were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced nephrotic syndrome in rats, but appears to escape from the regulation by aldosterone after day 3.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"puromycin aminonucleoside"/ induces disease /"nephrotic syndrome"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with /"puromycin aminonucleoside"/-induced /"nephrotic syndrome"/. - Abstract: In experimental /"nephrotic syndrome"/, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in /"puromycin aminonucleoside"/ (/"PAN"/)-induced /"nephrotic syndrome"/. The time courses of urinary sodium excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either /"PAN"/ or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of proteinuria were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after /"PAN"/ injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during /"PAN"/-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of /"PAN"/-induced /"nephrotic syndrome"/ in rats, but appears to escape from the regulation by aldosterone after day 3. Question: Does chemical /"puromycin aminonucleoside"/ induce disease /"nephrotic syndrome"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with /"puromycin aminonucleoside"/-induced /"nephrotic syndrome"/.
In experimental /"nephrotic syndrome"/, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in /"puromycin aminonucleoside"/ (/"PAN"/)-induced /"nephrotic syndrome"/. The time courses of urinary sodium excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either /"PAN"/ or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of proteinuria were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after /"PAN"/ injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during /"PAN"/-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of /"PAN"/-induced /"nephrotic syndrome"/ in rats, but appears to escape from the regulation by aldosterone after day 3.
puromycin aminonucleoside
{ "id": "3326", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 82, 107 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }
nephrotic syndrome
{ "id": "3327", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 116, 134 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }
[ { "id": "3325", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 11, 17 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3326", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 82, 107 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }, { "id": "3329", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 180, 186 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3330", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 387, 393 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3331", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 422, 428 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3332", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 509, 534 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }, { "id": "3333", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 536, 539 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3335", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 597, 603 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3336", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 622, 633 ] ], "text": [ "aldosterone" ], "type": "Chemical" }, { "id": "3338", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 742, 745 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3339", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 972, 978 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3341", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1071, 1077 ] ], "text": [ "Sodium" ], "type": "Chemical" }, { "id": "3342", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1122, 1125 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3343", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1231, 1237 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3344", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 1388, 1399 ] ], "text": [ "aldosterone" ], "type": "Chemical" }, { "id": "3345", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1448, 1454 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3346", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1568, 1571 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3347", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1580, 1586 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3348", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1723, 1726 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3350", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 1808, 1819 ] ], "text": [ "aldosterone" ], "type": "Chemical" } ]
[ { "id": "3327", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 116, 134 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3328", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 152, 170 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3334", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 549, 567 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3337", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 652, 663 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3340", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1011, 1022 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3349", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 1735, 1753 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" } ]
Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced nephrotic syndrome.
In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of proteinuria were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced nephrotic syndrome in rats, but appears to escape from the regulation by aldosterone after day 3.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"aldosterone"/ induces disease /"proteinuria"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced nephrotic syndrome. - Abstract: In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma /"aldosterone"/ concentration and /"proteinuria"/ were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of /"proteinuria"/ were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high /"aldosterone"/ concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced nephrotic syndrome in rats, but appears to escape from the regulation by /"aldosterone"/ after day 3. Question: Does chemical /"aldosterone"/ induce disease /"proteinuria"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced nephrotic syndrome.
In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma /"aldosterone"/ concentration and /"proteinuria"/ were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of /"proteinuria"/ were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high /"aldosterone"/ concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced nephrotic syndrome in rats, but appears to escape from the regulation by /"aldosterone"/ after day 3.
aldosterone
{ "id": "3336", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 622, 633 ] ], "text": [ "aldosterone" ], "type": "Chemical" }
proteinuria
{ "id": "3337", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 652, 663 ] ], "text": [ "proteinuria" ], "type": "Disease" }
[ { "id": "3325", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 11, 17 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3326", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 82, 107 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }, { "id": "3329", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 180, 186 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3330", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 387, 393 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3331", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 422, 428 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3332", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 509, 534 ] ], "text": [ "puromycin aminonucleoside" ], "type": "Chemical" }, { "id": "3333", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 536, 539 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3335", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 597, 603 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3336", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 622, 633 ] ], "text": [ "aldosterone" ], "type": "Chemical" }, { "id": "3338", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 742, 745 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3339", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 972, 978 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3341", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1071, 1077 ] ], "text": [ "Sodium" ], "type": "Chemical" }, { "id": "3342", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1122, 1125 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3343", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1231, 1237 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3344", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 1388, 1399 ] ], "text": [ "aldosterone" ], "type": "Chemical" }, { "id": "3345", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1448, 1454 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3346", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1568, 1571 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3347", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 1580, 1586 ] ], "text": [ "sodium" ], "type": "Chemical" }, { "id": "3348", "normalized": [ { "db_id": "D011692", "db_name": "MESH" } ], "offsets": [ [ 1723, 1726 ] ], "text": [ "PAN" ], "type": "Chemical" }, { "id": "3350", "normalized": [ { "db_id": "D000450", "db_name": "MESH" } ], "offsets": [ [ 1808, 1819 ] ], "text": [ "aldosterone" ], "type": "Chemical" } ]
[ { "id": "3327", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 116, 134 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3328", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 152, 170 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3334", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 549, 567 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3337", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 652, 663 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3340", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1011, 1022 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3349", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 1735, 1753 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" } ]
Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced nephrotic syndrome.
In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of proteinuria were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced nephrotic syndrome in rats, but appears to escape from the regulation by aldosterone after day 3.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"sodium"/ induces disease /"nephrotic syndrome"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Epithelial /"sodium"/ channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced /"nephrotic syndrome"/. - Abstract: In experimental /"nephrotic syndrome"/, urinary /"sodium"/ excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct /"sodium"/ transport is the epithelial /"sodium"/ channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced /"nephrotic syndrome"/. The time courses of urinary /"sodium"/ excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary /"sodium"/ excretion and the appearance of proteinuria were comparable with those reported previously. /"Sodium"/ retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded /"sodium"/ retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of /"sodium"/ excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced /"sodium"/ retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced /"nephrotic syndrome"/ in rats, but appears to escape from the regulation by aldosterone after day 3. Question: Does chemical /"sodium"/ induce disease /"nephrotic syndrome"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Epithelial /"sodium"/ channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced /"nephrotic syndrome"/.
In experimental /"nephrotic syndrome"/, urinary /"sodium"/ excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct /"sodium"/ transport is the epithelial /"sodium"/ channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced /"nephrotic syndrome"/. The time courses of urinary /"sodium"/ excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary /"sodium"/ excretion and the appearance of proteinuria were comparable with those reported previously. /"Sodium"/ retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded /"sodium"/ retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of /"sodium"/ excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced /"sodium"/ retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced /"nephrotic syndrome"/ in rats, but appears to escape from the regulation by aldosterone after day 3.
sodium
{ "id": "3325", "normalized": [ { "db_id": "D012964", "db_name": "MESH" } ], "offsets": [ [ 11, 17 ] ], "text": [ "sodium" ], "type": "Chemical" }
nephrotic syndrome
{ "id": "3327", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 116, 134 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }
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[ { "id": "3327", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 116, 134 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3328", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 152, 170 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3334", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 549, 567 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" }, { "id": "3337", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 652, 663 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3340", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1011, 1022 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3349", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 1735, 1753 ] ], "text": [ "nephrotic syndrome" ], "type": "Disease" } ]
Epithelial sodium channel (ENaC) subunit mRNA and protein expression in rats with puromycin aminonucleoside-induced nephrotic syndrome.
In experimental nephrotic syndrome, urinary sodium excretion is decreased during the early phase of the disease. The molecular mechanism(s) leading to salt retention has not been completely elucidated. The rate-limiting constituent of collecting duct sodium transport is the epithelial sodium channel (ENaC). We examined the abundance of ENaC subunit mRNAs and proteins in puromycin aminonucleoside (PAN)-induced nephrotic syndrome. The time courses of urinary sodium excretion, plasma aldosterone concentration and proteinuria were studied in male Sprague-Dawley rats treated with a single dose of either PAN or vehicle. The relative amounts of alphaENaC, betaENaC and gammaENaC mRNAs were determined in kidneys from these rats by real-time quantitative TaqMan PCR, and the amounts of proteins by Western blot. The kinetics of urinary sodium excretion and the appearance of proteinuria were comparable with those reported previously. Sodium retention occurred on days 2, 3 and 6 after PAN injection. A significant up-regulation of alphaENaC and betaENaC mRNA abundance on days 1 and 2 preceded sodium retention on days 2 and 3. Conversely, down-regulation of alphaENaC, betaENaC and gammaENaC mRNA expression on day 3 occurred in the presence of high aldosterone concentrations, and was followed by a return of sodium excretion to control values. The amounts of alphaENaC, betaENaC and gammaENaC proteins were not increased during PAN-induced sodium retention. In conclusion, ENaC mRNA expression, especially alphaENaC, is increased in the very early phase of the experimental model of PAN-induced nephrotic syndrome in rats, but appears to escape from the regulation by aldosterone after day 3.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"nitroglycerin"/ induces disease /"migraineurs (without aura)"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: NO-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release. - Abstract: The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by /"nitroglycerin"/. Fifteen female /"migraineurs (without aura)"/ and eight controls participated in the study. Sublingual /"nitroglycerin"/ (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the /"nitroglycerin"/ application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after /"nitroglycerin"/ in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model. Question: Does chemical /"nitroglycerin"/ induce disease /"migraineurs (without aura)"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
NO-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by /"nitroglycerin"/. Fifteen female /"migraineurs (without aura)"/ and eight controls participated in the study. Sublingual /"nitroglycerin"/ (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the /"nitroglycerin"/ application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after /"nitroglycerin"/ in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model.
nitroglycerin
{ "id": "3408", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 429, 442 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }
migraineurs (without aura)
{ "id": "3409", "normalized": [ { "db_id": "D020326", "db_name": "MESH" } ], "offsets": [ [ 459, 485 ] ], "text": [ "migraineurs (without aura)" ], "type": "Disease" }
[ { "id": "3396", "normalized": [ { "db_id": "D009569", "db_name": "MESH" } ], "offsets": [ [ 0, 2 ] ], "text": [ "NO" ], "type": "Chemical" }, { "id": "3398", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 54, 85 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3399", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 87, 91 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3400", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 146, 155 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3401", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 235, 266 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3402", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 268, 272 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3403", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 301, 310 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3404", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 312, 331 ] ], "text": [ "5-hydroxytriptamine" ], "type": "Chemical" }, { "id": "3405", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 333, 337 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3408", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 429, 442 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3410", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 543, 556 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3411", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 670, 683 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3414", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 896, 900 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3419", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1173, 1177 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3422", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1287, 1291 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3423", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1344, 1348 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3425", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1432, 1441 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3426", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 1489, 1502 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3429", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1647, 1651 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3432", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1768, 1772 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3434", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1800, 1809 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3437", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1916, 1920 ] ], "text": [ "CGRP" ], "type": "Chemical" } ]
[ { "id": "3397", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 11, 19 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3406", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 368, 376 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3407", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 401, 409 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3409", "normalized": [ { "db_id": "D020326", "db_name": "MESH" } ], "offsets": [ [ 459, 485 ] ], "text": [ "migraineurs (without aura)" ], "type": "Disease" }, { "id": "3412", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 743, 751 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3413", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 825, 833 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3415", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 959, 967 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3416", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1027, 1035 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3417", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1118, 1126 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3418", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1127, 1135 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3420", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1227, 1235 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3421", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1264, 1272 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3424", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1406, 1414 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3427", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1523, 1531 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3428", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1594, 1602 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3430", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1711, 1719 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3431", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1720, 1728 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3433", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1777, 1785 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3435", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1850, 1858 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3436", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1887, 1895 ] ], "text": [ "headache" ], "type": "Disease" } ]
NO-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female migraineurs (without aura) and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"NO"/ induces disease /"migraineurs (without aura)"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"NO"/-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release. - Abstract: The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female /"migraineurs (without aura)"/ and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model. Question: Does chemical /"NO"/ induce disease /"migraineurs (without aura)"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"NO"/-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female /"migraineurs (without aura)"/ and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model.
NO
{ "id": "3396", "normalized": [ { "db_id": "D009569", "db_name": "MESH" } ], "offsets": [ [ 0, 2 ] ], "text": [ "NO" ], "type": "Chemical" }
migraineurs (without aura)
{ "id": "3409", "normalized": [ { "db_id": "D020326", "db_name": "MESH" } ], "offsets": [ [ 459, 485 ] ], "text": [ "migraineurs (without aura)" ], "type": "Disease" }
[ { "id": "3396", "normalized": [ { "db_id": "D009569", "db_name": "MESH" } ], "offsets": [ [ 0, 2 ] ], "text": [ "NO" ], "type": "Chemical" }, { "id": "3398", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 54, 85 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3399", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 87, 91 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3400", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 146, 155 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3401", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 235, 266 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3402", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 268, 272 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3403", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 301, 310 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3404", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 312, 331 ] ], "text": [ "5-hydroxytriptamine" ], "type": "Chemical" }, { "id": "3405", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 333, 337 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3408", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 429, 442 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3410", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 543, 556 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3411", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 670, 683 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3414", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 896, 900 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3419", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1173, 1177 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3422", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1287, 1291 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3423", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1344, 1348 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3425", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1432, 1441 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3426", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 1489, 1502 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3429", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1647, 1651 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3432", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1768, 1772 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3434", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1800, 1809 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3437", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1916, 1920 ] ], "text": [ "CGRP" ], "type": "Chemical" } ]
[ { "id": "3397", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 11, 19 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3406", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 368, 376 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3407", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 401, 409 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3409", "normalized": [ { "db_id": "D020326", "db_name": "MESH" } ], "offsets": [ [ 459, 485 ] ], "text": [ "migraineurs (without aura)" ], "type": "Disease" }, { "id": "3412", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 743, 751 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3413", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 825, 833 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3415", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 959, 967 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3416", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1027, 1035 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3417", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1118, 1126 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3418", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1127, 1135 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3420", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1227, 1235 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3421", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1264, 1272 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3424", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1406, 1414 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3427", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1523, 1531 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3428", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1594, 1602 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3430", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1711, 1719 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3431", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1720, 1728 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3433", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1777, 1785 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3435", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1850, 1858 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3436", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1887, 1895 ] ], "text": [ "headache" ], "type": "Disease" } ]
NO-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female migraineurs (without aura) and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"calcitonin gene-related peptide"/ induces disease /"migraineurs (without aura)"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: NO-induced migraine attack: strong increase in plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and negative correlation with platelet serotonin release. - Abstract: The aim of the present study was to investigate changes in the plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female /"migraineurs (without aura)"/ and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma /"CGRP"/ concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma /"CGRP"/ concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal /"CGRP"/ concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma /"CGRP"/ concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between /"CGRP"/ and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant /"CGRP"/ release in this model. Question: Does chemical /"calcitonin gene-related peptide"/ induce disease /"migraineurs (without aura)"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
NO-induced migraine attack: strong increase in plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female /"migraineurs (without aura)"/ and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma /"CGRP"/ concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma /"CGRP"/ concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal /"CGRP"/ concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma /"CGRP"/ concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between /"CGRP"/ and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant /"CGRP"/ release in this model.
calcitonin gene-related peptide
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migraineurs (without aura)
{ "id": "3409", "normalized": [ { "db_id": "D020326", "db_name": "MESH" } ], "offsets": [ [ 459, 485 ] ], "text": [ "migraineurs (without aura)" ], "type": "Disease" }
[ { "id": "3396", "normalized": [ { "db_id": "D009569", "db_name": "MESH" } ], "offsets": [ [ 0, 2 ] ], "text": [ "NO" ], "type": "Chemical" }, { "id": "3398", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 54, 85 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3399", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 87, 91 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3400", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 146, 155 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3401", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 235, 266 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3402", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 268, 272 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3403", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 301, 310 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3404", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 312, 331 ] ], "text": [ "5-hydroxytriptamine" ], "type": "Chemical" }, { "id": "3405", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 333, 337 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3408", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 429, 442 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3410", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 543, 556 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3411", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 670, 683 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3414", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 896, 900 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3419", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1173, 1177 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3422", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1287, 1291 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3423", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1344, 1348 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3425", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1432, 1441 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3426", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 1489, 1502 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3429", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1647, 1651 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3432", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1768, 1772 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3434", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1800, 1809 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3437", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1916, 1920 ] ], "text": [ "CGRP" ], "type": "Chemical" } ]
[ { "id": "3397", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 11, 19 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3406", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 368, 376 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3407", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 401, 409 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3409", "normalized": [ { "db_id": "D020326", "db_name": "MESH" } ], "offsets": [ [ 459, 485 ] ], "text": [ "migraineurs (without aura)" ], "type": "Disease" }, { "id": "3412", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 743, 751 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3413", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 825, 833 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3415", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 959, 967 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3416", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1027, 1035 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3417", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1118, 1126 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3418", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1127, 1135 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3420", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1227, 1235 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3421", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1264, 1272 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3424", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1406, 1414 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3427", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1523, 1531 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3428", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1594, 1602 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3430", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1711, 1719 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3431", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1720, 1728 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3433", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1777, 1785 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3435", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1850, 1858 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3436", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1887, 1895 ] ], "text": [ "headache" ], "type": "Disease" } ]
NO-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female migraineurs (without aura) and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"calcitonin gene-related peptide"/ induces disease /"headache"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: NO-induced migraine attack: strong increase in plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and negative correlation with platelet serotonin release. - Abstract: The aim of the present study was to investigate changes in the plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate /"headache"/ and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female migraineurs (without aura) and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma /"CGRP"/ concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine /"headache"/ intensity (P<0.001). However, plasma /"CGRP"/ concentrations failed to change during immediate /"headache"/ and in the subjects with no migraine attack. Basal /"CGRP"/ concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma /"CGRP"/ concentration correlates with the timing and severity of a migraine /"headache"/ suggests a direct relationship between /"CGRP"/ and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the /"headache"/ and the concomitant /"CGRP"/ release in this model. Question: Does chemical /"calcitonin gene-related peptide"/ induce disease /"headache"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
NO-induced migraine attack: strong increase in plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma /"calcitonin gene-related peptide"/ (/"CGRP"/) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate /"headache"/ and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female migraineurs (without aura) and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma /"CGRP"/ concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine /"headache"/ intensity (P<0.001). However, plasma /"CGRP"/ concentrations failed to change during immediate /"headache"/ and in the subjects with no migraine attack. Basal /"CGRP"/ concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma /"CGRP"/ concentration correlates with the timing and severity of a migraine /"headache"/ suggests a direct relationship between /"CGRP"/ and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the /"headache"/ and the concomitant /"CGRP"/ release in this model.
calcitonin gene-related peptide
{ "id": "3398", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 54, 85 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }
headache
{ "id": "3406", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 368, 376 ] ], "text": [ "headache" ], "type": "Disease" }
[ { "id": "3396", "normalized": [ { "db_id": "D009569", "db_name": "MESH" } ], "offsets": [ [ 0, 2 ] ], "text": [ "NO" ], "type": "Chemical" }, { "id": "3398", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 54, 85 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3399", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 87, 91 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3400", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 146, 155 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3401", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 235, 266 ] ], "text": [ "calcitonin gene-related peptide" ], "type": "Chemical" }, { "id": "3402", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 268, 272 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3403", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 301, 310 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3404", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 312, 331 ] ], "text": [ "5-hydroxytriptamine" ], "type": "Chemical" }, { "id": "3405", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 333, 337 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3408", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 429, 442 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3410", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 543, 556 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3411", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 670, 683 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3414", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 896, 900 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3419", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1173, 1177 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3422", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1287, 1291 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3423", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1344, 1348 ] ], "text": [ "5-HT" ], "type": "Chemical" }, { "id": "3425", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1432, 1441 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3426", "normalized": [ { "db_id": "D005996", "db_name": "MESH" } ], "offsets": [ [ 1489, 1502 ] ], "text": [ "nitroglycerin" ], "type": "Chemical" }, { "id": "3429", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1647, 1651 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3432", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1768, 1772 ] ], "text": [ "CGRP" ], "type": "Chemical" }, { "id": "3434", "normalized": [ { "db_id": "D012701", "db_name": "MESH" } ], "offsets": [ [ 1800, 1809 ] ], "text": [ "serotonin" ], "type": "Chemical" }, { "id": "3437", "normalized": [ { "db_id": "D015740", "db_name": "MESH" } ], "offsets": [ [ 1916, 1920 ] ], "text": [ "CGRP" ], "type": "Chemical" } ]
[ { "id": "3397", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 11, 19 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3406", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 368, 376 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3407", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 401, 409 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3409", "normalized": [ { "db_id": "D020326", "db_name": "MESH" } ], "offsets": [ [ 459, 485 ] ], "text": [ "migraineurs (without aura)" ], "type": "Disease" }, { "id": "3412", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 743, 751 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3413", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 825, 833 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3415", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 959, 967 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3416", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1027, 1035 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3417", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1118, 1126 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3418", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1127, 1135 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3420", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1227, 1235 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3421", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1264, 1272 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3424", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1406, 1414 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3427", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1523, 1531 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3428", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1594, 1602 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3430", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1711, 1719 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3431", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1720, 1728 ] ], "text": [ "headache" ], "type": "Disease" }, { "id": "3433", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1777, 1785 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3435", "normalized": [ { "db_id": "D008881", "db_name": "MESH" } ], "offsets": [ [ 1850, 1858 ] ], "text": [ "migraine" ], "type": "Disease" }, { "id": "3436", "normalized": [ { "db_id": "D006261", "db_name": "MESH" } ], "offsets": [ [ 1887, 1895 ] ], "text": [ "headache" ], "type": "Disease" } ]
NO-induced migraine attack: strong increase in plasma calcitonin gene-related peptide (CGRP) concentration and negative correlation with platelet serotonin release.
The aim of the present study was to investigate changes in the plasma calcitonin gene-related peptide (CGRP) concentration and platelet serotonin (5-hydroxytriptamine, 5-HT) content during the immediate headache and the delayed genuine migraine attack provoked by nitroglycerin. Fifteen female migraineurs (without aura) and eight controls participated in the study. Sublingual nitroglycerin (0.5 mg) was administered. Blood was collected from the antecubital vein four times: 60 min before and after the nitroglycerin application, and 60 and 120 min after the beginning of the migraine attack (mean 344 and 404 min; 12 subjects). In those subjects who had no migraine attack (11 subjects) a similar time schedule was used. Plasma CGRP concentration increased significantly (P<0.01) during the migraine attack and returned to baseline after the cessation of the migraine. In addition, both change and peak, showed significant positive correlations with migraine headache intensity (P<0.001). However, plasma CGRP concentrations failed to change during immediate headache and in the subjects with no migraine attack. Basal CGRP concentration was significantly higher and platelet 5-HT content tended to be lower in subjects who experienced a migraine attack. Platelet serotonin content decreased significantly (P<0.01) after nitroglycerin in subjects with no migraine attack but no consistent change was observed in patients with migraine attack. In conclusion, the fact that plasma CGRP concentration correlates with the timing and severity of a migraine headache suggests a direct relationship between CGRP and migraine. In contrast, serotonin release from platelets does not provoke migraine, it may even counteract the headache and the concomitant CGRP release in this model.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"paclitaxel"/ induces disease /"Coronary aneurysm"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Coronary aneurysm"/ after implantation of a /"paclitaxel"/-eluting stent. - Abstract: Formation of /"coronary aneurysm"/ is a rare complication of stenting with bare metal stents, but based on experimental studies drug-eluting stents may induce toxic effects on the vessel wall with incomplete stent apposition, aneurysm formation and with the potential of stent thrombosis or vessel rupture. We present a 43-year-old man who developed a /"coronary aneurysm"/ in the right coronary artery 6 months after receiving a /"paclitaxel"/-eluting stent. The patient was asymptomatic and the aneurysm was detected in a routine control. Angiography and intracoronary ultrasound demonstrated lack of contact between stent and vessel wall in a 15-mm long segment with maximal aneurysm diameter of 6.0 mm. The patient was successfully treated with a graft stent. Question: Does chemical /"paclitaxel"/ induce disease /"Coronary aneurysm"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Coronary aneurysm"/ after implantation of a /"paclitaxel"/-eluting stent.
Formation of /"coronary aneurysm"/ is a rare complication of stenting with bare metal stents, but based on experimental studies drug-eluting stents may induce toxic effects on the vessel wall with incomplete stent apposition, aneurysm formation and with the potential of stent thrombosis or vessel rupture. We present a 43-year-old man who developed a /"coronary aneurysm"/ in the right coronary artery 6 months after receiving a /"paclitaxel"/-eluting stent. The patient was asymptomatic and the aneurysm was detected in a routine control. Angiography and intracoronary ultrasound demonstrated lack of contact between stent and vessel wall in a 15-mm long segment with maximal aneurysm diameter of 6.0 mm. The patient was successfully treated with a graft stent.
paclitaxel
{ "id": "3447", "normalized": [ { "db_id": "D017239", "db_name": "MESH" } ], "offsets": [ [ 42, 52 ] ], "text": [ "paclitaxel" ], "type": "Chemical" }
Coronary aneurysm
{ "id": "3446", "normalized": [ { "db_id": "D003323", "db_name": "MESH" } ], "offsets": [ [ 0, 17 ] ], "text": [ "Coronary aneurysm" ], "type": "Disease" }
[ { "id": "3447", "normalized": [ { "db_id": "D017239", "db_name": "MESH" } ], "offsets": [ [ 42, 52 ] ], "text": [ "paclitaxel" ], "type": "Chemical" }, { "id": "3453", "normalized": [ { "db_id": "D017239", "db_name": "MESH" } ], "offsets": [ [ 490, 500 ] ], "text": [ "paclitaxel" ], "type": "Chemical" } ]
[ { "id": "3446", "normalized": [ { "db_id": "D003323", "db_name": "MESH" } ], "offsets": [ [ 0, 17 ] ], "text": [ "Coronary aneurysm" ], "type": "Disease" }, { "id": "3448", "normalized": [ { "db_id": "D003323", "db_name": "MESH" } ], "offsets": [ [ 81, 98 ] ], "text": [ "coronary aneurysm" ], "type": "Disease" }, { "id": "3449", "normalized": [ { "db_id": "D000783", "db_name": "MESH" } ], "offsets": [ [ 290, 298 ] ], "text": [ "aneurysm" ], "type": "Disease" }, { "id": "3450", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 341, 351 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3452", "normalized": [ { "db_id": "D003323", "db_name": "MESH" } ], "offsets": [ [ 416, 433 ] ], "text": [ "coronary aneurysm" ], "type": "Disease" }, { "id": "3454", "normalized": [ { "db_id": "D000783", "db_name": "MESH" } ], "offsets": [ [ 553, 561 ] ], "text": [ "aneurysm" ], "type": "Disease" }, { "id": "3455", "normalized": [ { "db_id": "D000783", "db_name": "MESH" } ], "offsets": [ [ 734, 742 ] ], "text": [ "aneurysm" ], "type": "Disease" } ]
Coronary aneurysm after implantation of a paclitaxel-eluting stent.
Formation of coronary aneurysm is a rare complication of stenting with bare metal stents, but based on experimental studies drug-eluting stents may induce toxic effects on the vessel wall with incomplete stent apposition, aneurysm formation and with the potential of stent thrombosis or vessel rupture. We present a 43-year-old man who developed a coronary aneurysm in the right coronary artery 6 months after receiving a paclitaxel-eluting stent. The patient was asymptomatic and the aneurysm was detected in a routine control. Angiography and intracoronary ultrasound demonstrated lack of contact between stent and vessel wall in a 15-mm long segment with maximal aneurysm diameter of 6.0 mm. The patient was successfully treated with a graft stent.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"paclitaxel"/ induces disease /"aneurysm"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Coronary aneurysm after implantation of a /"paclitaxel"/-eluting stent. - Abstract: Formation of coronary aneurysm is a rare complication of stenting with bare metal stents, but based on experimental studies drug-eluting stents may induce toxic effects on the vessel wall with incomplete stent apposition, /"aneurysm"/ formation and with the potential of stent thrombosis or vessel rupture. We present a 43-year-old man who developed a coronary aneurysm in the right coronary artery 6 months after receiving a /"paclitaxel"/-eluting stent. The patient was asymptomatic and the /"aneurysm"/ was detected in a routine control. Angiography and intracoronary ultrasound demonstrated lack of contact between stent and vessel wall in a 15-mm long segment with maximal /"aneurysm"/ diameter of 6.0 mm. The patient was successfully treated with a graft stent. Question: Does chemical /"paclitaxel"/ induce disease /"aneurysm"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Coronary aneurysm after implantation of a /"paclitaxel"/-eluting stent.
Formation of coronary aneurysm is a rare complication of stenting with bare metal stents, but based on experimental studies drug-eluting stents may induce toxic effects on the vessel wall with incomplete stent apposition, /"aneurysm"/ formation and with the potential of stent thrombosis or vessel rupture. We present a 43-year-old man who developed a coronary aneurysm in the right coronary artery 6 months after receiving a /"paclitaxel"/-eluting stent. The patient was asymptomatic and the /"aneurysm"/ was detected in a routine control. Angiography and intracoronary ultrasound demonstrated lack of contact between stent and vessel wall in a 15-mm long segment with maximal /"aneurysm"/ diameter of 6.0 mm. The patient was successfully treated with a graft stent.
paclitaxel
{ "id": "3447", "normalized": [ { "db_id": "D017239", "db_name": "MESH" } ], "offsets": [ [ 42, 52 ] ], "text": [ "paclitaxel" ], "type": "Chemical" }
aneurysm
{ "id": "3449", "normalized": [ { "db_id": "D000783", "db_name": "MESH" } ], "offsets": [ [ 290, 298 ] ], "text": [ "aneurysm" ], "type": "Disease" }
[ { "id": "3447", "normalized": [ { "db_id": "D017239", "db_name": "MESH" } ], "offsets": [ [ 42, 52 ] ], "text": [ "paclitaxel" ], "type": "Chemical" }, { "id": "3453", "normalized": [ { "db_id": "D017239", "db_name": "MESH" } ], "offsets": [ [ 490, 500 ] ], "text": [ "paclitaxel" ], "type": "Chemical" } ]
[ { "id": "3446", "normalized": [ { "db_id": "D003323", "db_name": "MESH" } ], "offsets": [ [ 0, 17 ] ], "text": [ "Coronary aneurysm" ], "type": "Disease" }, { "id": "3448", "normalized": [ { "db_id": "D003323", "db_name": "MESH" } ], "offsets": [ [ 81, 98 ] ], "text": [ "coronary aneurysm" ], "type": "Disease" }, { "id": "3449", "normalized": [ { "db_id": "D000783", "db_name": "MESH" } ], "offsets": [ [ 290, 298 ] ], "text": [ "aneurysm" ], "type": "Disease" }, { "id": "3450", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 341, 351 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3452", "normalized": [ { "db_id": "D003323", "db_name": "MESH" } ], "offsets": [ [ 416, 433 ] ], "text": [ "coronary aneurysm" ], "type": "Disease" }, { "id": "3454", "normalized": [ { "db_id": "D000783", "db_name": "MESH" } ], "offsets": [ [ 553, 561 ] ], "text": [ "aneurysm" ], "type": "Disease" }, { "id": "3455", "normalized": [ { "db_id": "D000783", "db_name": "MESH" } ], "offsets": [ [ 734, 742 ] ], "text": [ "aneurysm" ], "type": "Disease" } ]
Coronary aneurysm after implantation of a paclitaxel-eluting stent.
Formation of coronary aneurysm is a rare complication of stenting with bare metal stents, but based on experimental studies drug-eluting stents may induce toxic effects on the vessel wall with incomplete stent apposition, aneurysm formation and with the potential of stent thrombosis or vessel rupture. We present a 43-year-old man who developed a coronary aneurysm in the right coronary artery 6 months after receiving a paclitaxel-eluting stent. The patient was asymptomatic and the aneurysm was detected in a routine control. Angiography and intracoronary ultrasound demonstrated lack of contact between stent and vessel wall in a 15-mm long segment with maximal aneurysm diameter of 6.0 mm. The patient was successfully treated with a graft stent.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"apomorphine"/ induces disease /"penile erection"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Behavioral effects of urotensin-II centrally administered in mice. - Abstract: Urotensin-II (U-II) receptors are widely distributed in the central nervous system. Intracerebroventricular (i.c.v.) injection of U-II causes hypertension and bradycardia and stimulates prolactin and thyrotropin secretion. However, the behavioral effects of centrally administered U-II have received little attention. In the present study, we tested the effects of i.c.v. injections of U-II on behavioral, metabolic, and endocrine responses in mice. Administration of graded doses of U-II (1-10,000 ng/mouse) provoked: (1) a dose-dependent reduction in the number of head dips in the hole-board test; (2) a dose-dependent reduction in the number of entries in the white chamber in the black-and-white compartment test, and in the number of entries in the central platform and open arms in the plus-maze test; and (3) a dose-dependent increase in the duration of immobility in the forced-swimming test and tail suspension test. Intracerebroventricular injection of U-II also caused an increase in: food intake at doses of 100 and 1,000 ng/mouse, water intake at doses of 100-10,000 ng/mouse, and horizontal locomotion activity at a dose of 10,000 ng/mouse. Whatever was the dose, the central administration of U-II had no effect on body temperature, nociception, /"apomorphine"/-induced /"penile erection"/ and climbing behavior, and stress-induced plasma corticosterone level. Taken together, the present study demonstrates that the central injection of U-II at doses of 1-10,000 ng/mouse induces anxiogenic- and depressant-like effects in mouse. These data suggest that U-II may be involved in some aspects of psychiatric disorders. Question: Does chemical /"apomorphine"/ induce disease /"penile erection"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Behavioral effects of urotensin-II centrally administered in mice.
Urotensin-II (U-II) receptors are widely distributed in the central nervous system. Intracerebroventricular (i.c.v.) injection of U-II causes hypertension and bradycardia and stimulates prolactin and thyrotropin secretion. However, the behavioral effects of centrally administered U-II have received little attention. In the present study, we tested the effects of i.c.v. injections of U-II on behavioral, metabolic, and endocrine responses in mice. Administration of graded doses of U-II (1-10,000 ng/mouse) provoked: (1) a dose-dependent reduction in the number of head dips in the hole-board test; (2) a dose-dependent reduction in the number of entries in the white chamber in the black-and-white compartment test, and in the number of entries in the central platform and open arms in the plus-maze test; and (3) a dose-dependent increase in the duration of immobility in the forced-swimming test and tail suspension test. Intracerebroventricular injection of U-II also caused an increase in: food intake at doses of 100 and 1,000 ng/mouse, water intake at doses of 100-10,000 ng/mouse, and horizontal locomotion activity at a dose of 10,000 ng/mouse. Whatever was the dose, the central administration of U-II had no effect on body temperature, nociception, /"apomorphine"/-induced /"penile erection"/ and climbing behavior, and stress-induced plasma corticosterone level. Taken together, the present study demonstrates that the central injection of U-II at doses of 1-10,000 ng/mouse induces anxiogenic- and depressant-like effects in mouse. These data suggest that U-II may be involved in some aspects of psychiatric disorders.
apomorphine
{ "id": "3476", "normalized": [ { "db_id": "D001058", "db_name": "MESH" } ], "offsets": [ [ 1329, 1340 ] ], "text": [ "apomorphine" ], "type": "Chemical" }
penile erection
{ "id": "3477", "normalized": [ { "db_id": "D010409", "db_name": "MESH" } ], "offsets": [ [ 1349, 1364 ] ], "text": [ "penile erection" ], "type": "Disease" }
[ { "id": "3465", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 22, 34 ] ], "text": [ "urotensin-II" ], "type": "Chemical" }, { "id": "3466", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 67, 79 ] ], "text": [ "Urotensin-II" ], "type": "Chemical" }, { "id": "3467", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 81, 85 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3468", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 197, 201 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3471", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 348, 352 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3472", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 453, 457 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3473", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 551, 555 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3474", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1031, 1035 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3475", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1276, 1280 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3476", "normalized": [ { "db_id": "D001058", "db_name": "MESH" } ], "offsets": [ [ 1329, 1340 ] ], "text": [ "apomorphine" ], "type": "Chemical" }, { "id": "3478", "normalized": [ { "db_id": "D003345", "db_name": "MESH" } ], "offsets": [ [ 1414, 1428 ] ], "text": [ "corticosterone" ], "type": "Chemical" }, { "id": "3479", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1513, 1517 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3480", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1630, 1634 ] ], "text": [ "U-II" ], "type": "Chemical" } ]
[ { "id": "3469", "normalized": [ { "db_id": "D006973", "db_name": "MESH" } ], "offsets": [ [ 209, 221 ] ], "text": [ "hypertension" ], "type": "Disease" }, { "id": "3470", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 226, 237 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "3477", "normalized": [ { "db_id": "D010409", "db_name": "MESH" } ], "offsets": [ [ 1349, 1364 ] ], "text": [ "penile erection" ], "type": "Disease" }, { "id": "3481", "normalized": [ { "db_id": "D001523", "db_name": "MESH" } ], "offsets": [ [ 1670, 1691 ] ], "text": [ "psychiatric disorders" ], "type": "Disease" } ]
Behavioral effects of urotensin-II centrally administered in mice.
Urotensin-II (U-II) receptors are widely distributed in the central nervous system. Intracerebroventricular (i.c.v.) injection of U-II causes hypertension and bradycardia and stimulates prolactin and thyrotropin secretion. However, the behavioral effects of centrally administered U-II have received little attention. In the present study, we tested the effects of i.c.v. injections of U-II on behavioral, metabolic, and endocrine responses in mice. Administration of graded doses of U-II (1-10,000 ng/mouse) provoked: (1) a dose-dependent reduction in the number of head dips in the hole-board test; (2) a dose-dependent reduction in the number of entries in the white chamber in the black-and-white compartment test, and in the number of entries in the central platform and open arms in the plus-maze test; and (3) a dose-dependent increase in the duration of immobility in the forced-swimming test and tail suspension test. Intracerebroventricular injection of U-II also caused an increase in: food intake at doses of 100 and 1,000 ng/mouse, water intake at doses of 100-10,000 ng/mouse, and horizontal locomotion activity at a dose of 10,000 ng/mouse. Whatever was the dose, the central administration of U-II had no effect on body temperature, nociception, apomorphine-induced penile erection and climbing behavior, and stress-induced plasma corticosterone level. Taken together, the present study demonstrates that the central injection of U-II at doses of 1-10,000 ng/mouse induces anxiogenic- and depressant-like effects in mouse. These data suggest that U-II may be involved in some aspects of psychiatric disorders.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"corticosterone"/ induces disease /"bradycardia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Behavioral effects of urotensin-II centrally administered in mice. - Abstract: Urotensin-II (U-II) receptors are widely distributed in the central nervous system. Intracerebroventricular (i.c.v.) injection of U-II causes hypertension and /"bradycardia"/ and stimulates prolactin and thyrotropin secretion. However, the behavioral effects of centrally administered U-II have received little attention. In the present study, we tested the effects of i.c.v. injections of U-II on behavioral, metabolic, and endocrine responses in mice. Administration of graded doses of U-II (1-10,000 ng/mouse) provoked: (1) a dose-dependent reduction in the number of head dips in the hole-board test; (2) a dose-dependent reduction in the number of entries in the white chamber in the black-and-white compartment test, and in the number of entries in the central platform and open arms in the plus-maze test; and (3) a dose-dependent increase in the duration of immobility in the forced-swimming test and tail suspension test. Intracerebroventricular injection of U-II also caused an increase in: food intake at doses of 100 and 1,000 ng/mouse, water intake at doses of 100-10,000 ng/mouse, and horizontal locomotion activity at a dose of 10,000 ng/mouse. Whatever was the dose, the central administration of U-II had no effect on body temperature, nociception, apomorphine-induced penile erection and climbing behavior, and stress-induced plasma /"corticosterone"/ level. Taken together, the present study demonstrates that the central injection of U-II at doses of 1-10,000 ng/mouse induces anxiogenic- and depressant-like effects in mouse. These data suggest that U-II may be involved in some aspects of psychiatric disorders. Question: Does chemical /"corticosterone"/ induce disease /"bradycardia"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Behavioral effects of urotensin-II centrally administered in mice.
Urotensin-II (U-II) receptors are widely distributed in the central nervous system. Intracerebroventricular (i.c.v.) injection of U-II causes hypertension and /"bradycardia"/ and stimulates prolactin and thyrotropin secretion. However, the behavioral effects of centrally administered U-II have received little attention. In the present study, we tested the effects of i.c.v. injections of U-II on behavioral, metabolic, and endocrine responses in mice. Administration of graded doses of U-II (1-10,000 ng/mouse) provoked: (1) a dose-dependent reduction in the number of head dips in the hole-board test; (2) a dose-dependent reduction in the number of entries in the white chamber in the black-and-white compartment test, and in the number of entries in the central platform and open arms in the plus-maze test; and (3) a dose-dependent increase in the duration of immobility in the forced-swimming test and tail suspension test. Intracerebroventricular injection of U-II also caused an increase in: food intake at doses of 100 and 1,000 ng/mouse, water intake at doses of 100-10,000 ng/mouse, and horizontal locomotion activity at a dose of 10,000 ng/mouse. Whatever was the dose, the central administration of U-II had no effect on body temperature, nociception, apomorphine-induced penile erection and climbing behavior, and stress-induced plasma /"corticosterone"/ level. Taken together, the present study demonstrates that the central injection of U-II at doses of 1-10,000 ng/mouse induces anxiogenic- and depressant-like effects in mouse. These data suggest that U-II may be involved in some aspects of psychiatric disorders.
corticosterone
{ "id": "3478", "normalized": [ { "db_id": "D003345", "db_name": "MESH" } ], "offsets": [ [ 1414, 1428 ] ], "text": [ "corticosterone" ], "type": "Chemical" }
bradycardia
{ "id": "3470", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 226, 237 ] ], "text": [ "bradycardia" ], "type": "Disease" }
[ { "id": "3465", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 22, 34 ] ], "text": [ "urotensin-II" ], "type": "Chemical" }, { "id": "3466", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 67, 79 ] ], "text": [ "Urotensin-II" ], "type": "Chemical" }, { "id": "3467", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 81, 85 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3468", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 197, 201 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3471", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 348, 352 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3472", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 453, 457 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3473", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 551, 555 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3474", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1031, 1035 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3475", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1276, 1280 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3476", "normalized": [ { "db_id": "D001058", "db_name": "MESH" } ], "offsets": [ [ 1329, 1340 ] ], "text": [ "apomorphine" ], "type": "Chemical" }, { "id": "3478", "normalized": [ { "db_id": "D003345", "db_name": "MESH" } ], "offsets": [ [ 1414, 1428 ] ], "text": [ "corticosterone" ], "type": "Chemical" }, { "id": "3479", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1513, 1517 ] ], "text": [ "U-II" ], "type": "Chemical" }, { "id": "3480", "normalized": [ { "db_id": "D014579", "db_name": "MESH" } ], "offsets": [ [ 1630, 1634 ] ], "text": [ "U-II" ], "type": "Chemical" } ]
[ { "id": "3469", "normalized": [ { "db_id": "D006973", "db_name": "MESH" } ], "offsets": [ [ 209, 221 ] ], "text": [ "hypertension" ], "type": "Disease" }, { "id": "3470", "normalized": [ { "db_id": "D001919", "db_name": "MESH" } ], "offsets": [ [ 226, 237 ] ], "text": [ "bradycardia" ], "type": "Disease" }, { "id": "3477", "normalized": [ { "db_id": "D010409", "db_name": "MESH" } ], "offsets": [ [ 1349, 1364 ] ], "text": [ "penile erection" ], "type": "Disease" }, { "id": "3481", "normalized": [ { "db_id": "D001523", "db_name": "MESH" } ], "offsets": [ [ 1670, 1691 ] ], "text": [ "psychiatric disorders" ], "type": "Disease" } ]
Behavioral effects of urotensin-II centrally administered in mice.
Urotensin-II (U-II) receptors are widely distributed in the central nervous system. Intracerebroventricular (i.c.v.) injection of U-II causes hypertension and bradycardia and stimulates prolactin and thyrotropin secretion. However, the behavioral effects of centrally administered U-II have received little attention. In the present study, we tested the effects of i.c.v. injections of U-II on behavioral, metabolic, and endocrine responses in mice. Administration of graded doses of U-II (1-10,000 ng/mouse) provoked: (1) a dose-dependent reduction in the number of head dips in the hole-board test; (2) a dose-dependent reduction in the number of entries in the white chamber in the black-and-white compartment test, and in the number of entries in the central platform and open arms in the plus-maze test; and (3) a dose-dependent increase in the duration of immobility in the forced-swimming test and tail suspension test. Intracerebroventricular injection of U-II also caused an increase in: food intake at doses of 100 and 1,000 ng/mouse, water intake at doses of 100-10,000 ng/mouse, and horizontal locomotion activity at a dose of 10,000 ng/mouse. Whatever was the dose, the central administration of U-II had no effect on body temperature, nociception, apomorphine-induced penile erection and climbing behavior, and stress-induced plasma corticosterone level. Taken together, the present study demonstrates that the central injection of U-II at doses of 1-10,000 ng/mouse induces anxiogenic- and depressant-like effects in mouse. These data suggest that U-II may be involved in some aspects of psychiatric disorders.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"acitretin"/ induces disease /"dysphonia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Recurrent /"dysphonia"/ and /"acitretin"/. - Abstract: We report the case of a woman complaining of /"dysphonia"/ while she was treated by /"acitretin"/. Her symptoms totally regressed after drug withdrawal and reappeared when /"acitretin"/ was reintroduced. To our knowledge, this is the first case of /"acitretin"/-induced /"dysphonia"/. This effect may be related to the pharmacological effect of this drug on mucous membranes. Question: Does chemical /"acitretin"/ induce disease /"dysphonia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Recurrent /"dysphonia"/ and /"acitretin"/.
We report the case of a woman complaining of /"dysphonia"/ while she was treated by /"acitretin"/. Her symptoms totally regressed after drug withdrawal and reappeared when /"acitretin"/ was reintroduced. To our knowledge, this is the first case of /"acitretin"/-induced /"dysphonia"/. This effect may be related to the pharmacological effect of this drug on mucous membranes.
acitretin
{ "id": "3487", "normalized": [ { "db_id": "D017255", "db_name": "MESH" } ], "offsets": [ [ 24, 33 ] ], "text": [ "acitretin" ], "type": "Chemical" }
dysphonia
{ "id": "3486", "normalized": [ { "db_id": "D055154", "db_name": "MESH" } ], "offsets": [ [ 10, 19 ] ], "text": [ "dysphonia" ], "type": "Disease" }
[ { "id": "3487", "normalized": [ { "db_id": "D017255", "db_name": "MESH" } ], "offsets": [ [ 24, 33 ] ], "text": [ "acitretin" ], "type": "Chemical" }, { "id": "3489", "normalized": [ { "db_id": "D017255", "db_name": "MESH" } ], "offsets": [ [ 115, 124 ] ], "text": [ "acitretin" ], "type": "Chemical" }, { "id": "3490", "normalized": [ { "db_id": "D017255", "db_name": "MESH" } ], "offsets": [ [ 199, 208 ] ], "text": [ "acitretin" ], "type": "Chemical" }, { "id": "3491", "normalized": [ { "db_id": "D017255", "db_name": "MESH" } ], "offsets": [ [ 271, 280 ] ], "text": [ "acitretin" ], "type": "Chemical" } ]
[ { "id": "3486", "normalized": [ { "db_id": "D055154", "db_name": "MESH" } ], "offsets": [ [ 10, 19 ] ], "text": [ "dysphonia" ], "type": "Disease" }, { "id": "3488", "normalized": [ { "db_id": "D055154", "db_name": "MESH" } ], "offsets": [ [ 80, 89 ] ], "text": [ "dysphonia" ], "type": "Disease" }, { "id": "3492", "normalized": [ { "db_id": "D055154", "db_name": "MESH" } ], "offsets": [ [ 289, 298 ] ], "text": [ "dysphonia" ], "type": "Disease" } ]
Recurrent dysphonia and acitretin.
We report the case of a woman complaining of dysphonia while she was treated by acitretin. Her symptoms totally regressed after drug withdrawal and reappeared when acitretin was reintroduced. To our knowledge, this is the first case of acitretin-induced dysphonia. This effect may be related to the pharmacological effect of this drug on mucous membranes.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"capsaicin"/ induces disease /"secondary hyperalgesia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Pharmacological modulation of pain-related brain activity during normal and central sensitization states in humans. - Abstract: Abnormal processing of somatosensory inputs in the central nervous system (central sensitization) is the mechanism accounting for the enhanced pain sensitivity in the skin surrounding tissue injury (/"secondary hyperalgesia"/). /"Secondary hyperalgesia"/ shares clinical characteristics with /"neurogenic hyperalgesia"/ in patients with neuropathic pain. Abnormal brain responses to somatosensory stimuli have been found in patients with /"hyperalgesia"/ as well as in normal subjects during experimental central sensitization. The aim of this study was to assess the effects of gabapentin, a drug effective in neuropathic pain patients, on brain processing of nociceptive information in normal and central sensitization states. Using functional magnetic resonance imaging (fMRI) in normal volunteers, we studied the gabapentin-induced modulation of brain activity in response to nociceptive mechanical stimulation of normal skin and /"capsaicin"/-induced /"secondary hyperalgesia"/. The dose of gabapentin was 1,800 mg per os, in a single administration. We found that (i) gabapentin reduced the activations in the bilateral operculoinsular cortex, independently of the presence of central sensitization; (ii) gabapentin reduced the activation in the brainstem, only during central sensitization; (iii) gabapentin suppressed stimulus-induced deactivations, only during central sensitization; this effect was more robust than the effect on brain activation. The observed drug-induced effects were not due to changes in the baseline fMRI signal. These findings indicate that gabapentin has a measurable antinociceptive effect and a stronger antihyperalgesic effect most evident in the brain areas undergoing deactivation, thus supporting the concept that gabapentin is more effective in modulating nociceptive transmission when central sensitization is present. Question: Does chemical /"capsaicin"/ induce disease /"secondary hyperalgesia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Pharmacological modulation of pain-related brain activity during normal and central sensitization states in humans.
Abnormal processing of somatosensory inputs in the central nervous system (central sensitization) is the mechanism accounting for the enhanced pain sensitivity in the skin surrounding tissue injury (/"secondary hyperalgesia"/). /"Secondary hyperalgesia"/ shares clinical characteristics with /"neurogenic hyperalgesia"/ in patients with neuropathic pain. Abnormal brain responses to somatosensory stimuli have been found in patients with /"hyperalgesia"/ as well as in normal subjects during experimental central sensitization. The aim of this study was to assess the effects of gabapentin, a drug effective in neuropathic pain patients, on brain processing of nociceptive information in normal and central sensitization states. Using functional magnetic resonance imaging (fMRI) in normal volunteers, we studied the gabapentin-induced modulation of brain activity in response to nociceptive mechanical stimulation of normal skin and /"capsaicin"/-induced /"secondary hyperalgesia"/. The dose of gabapentin was 1,800 mg per os, in a single administration. We found that (i) gabapentin reduced the activations in the bilateral operculoinsular cortex, independently of the presence of central sensitization; (ii) gabapentin reduced the activation in the brainstem, only during central sensitization; (iii) gabapentin suppressed stimulus-induced deactivations, only during central sensitization; this effect was more robust than the effect on brain activation. The observed drug-induced effects were not due to changes in the baseline fMRI signal. These findings indicate that gabapentin has a measurable antinociceptive effect and a stronger antihyperalgesic effect most evident in the brain areas undergoing deactivation, thus supporting the concept that gabapentin is more effective in modulating nociceptive transmission when central sensitization is present.
capsaicin
{ "id": "3519", "normalized": [ { "db_id": "D002211", "db_name": "MESH" } ], "offsets": [ [ 1034, 1043 ] ], "text": [ "capsaicin" ], "type": "Chemical" }
secondary hyperalgesia
{ "id": "3511", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 315, 337 ] ], "text": [ "secondary hyperalgesia" ], "type": "Disease" }
[ { "id": "3516", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 679, 689 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3518", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 917, 927 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3519", "normalized": [ { "db_id": "D002211", "db_name": "MESH" } ], "offsets": [ [ 1034, 1043 ] ], "text": [ "capsaicin" ], "type": "Chemical" }, { "id": "3521", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1088, 1098 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3522", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1166, 1176 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3523", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1303, 1313 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3524", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1396, 1406 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3525", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1666, 1676 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3526", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1846, 1856 ] ], "text": [ "gabapentin" ], "type": "Chemical" } ]
[ { "id": "3508", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 30, 34 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3509", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 259, 263 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3510", "normalized": [ { "db_id": "D017695", "db_name": "MESH" } ], "offsets": [ [ 300, 313 ] ], "text": [ "tissue injury" ], "type": "Disease" }, { "id": "3511", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 315, 337 ] ], "text": [ "secondary hyperalgesia" ], "type": "Disease" }, { "id": "3512", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 340, 362 ] ], "text": [ "Secondary hyperalgesia" ], "type": "Disease" }, { "id": "3513", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 400, 423 ] ], "text": [ "neurogenic hyperalgesia" ], "type": "Disease" }, { "id": "3514", "normalized": [ { "db_id": "D009437", "db_name": "MESH" } ], "offsets": [ [ 441, 457 ] ], "text": [ "neuropathic pain" ], "type": "Disease" }, { "id": "3515", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 542, 554 ] ], "text": [ "hyperalgesia" ], "type": "Disease" }, { "id": "3517", "normalized": [ { "db_id": "D009437", "db_name": "MESH" } ], "offsets": [ [ 711, 727 ] ], "text": [ "neuropathic pain" ], "type": "Disease" }, { "id": "3520", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 1052, 1074 ] ], "text": [ "secondary hyperalgesia" ], "type": "Disease" } ]
Pharmacological modulation of pain-related brain activity during normal and central sensitization states in humans.
Abnormal processing of somatosensory inputs in the central nervous system (central sensitization) is the mechanism accounting for the enhanced pain sensitivity in the skin surrounding tissue injury (secondary hyperalgesia). Secondary hyperalgesia shares clinical characteristics with neurogenic hyperalgesia in patients with neuropathic pain. Abnormal brain responses to somatosensory stimuli have been found in patients with hyperalgesia as well as in normal subjects during experimental central sensitization. The aim of this study was to assess the effects of gabapentin, a drug effective in neuropathic pain patients, on brain processing of nociceptive information in normal and central sensitization states. Using functional magnetic resonance imaging (fMRI) in normal volunteers, we studied the gabapentin-induced modulation of brain activity in response to nociceptive mechanical stimulation of normal skin and capsaicin-induced secondary hyperalgesia. The dose of gabapentin was 1,800 mg per os, in a single administration. We found that (i) gabapentin reduced the activations in the bilateral operculoinsular cortex, independently of the presence of central sensitization; (ii) gabapentin reduced the activation in the brainstem, only during central sensitization; (iii) gabapentin suppressed stimulus-induced deactivations, only during central sensitization; this effect was more robust than the effect on brain activation. The observed drug-induced effects were not due to changes in the baseline fMRI signal. These findings indicate that gabapentin has a measurable antinociceptive effect and a stronger antihyperalgesic effect most evident in the brain areas undergoing deactivation, thus supporting the concept that gabapentin is more effective in modulating nociceptive transmission when central sensitization is present.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"gabapentin"/ induces disease /"neuropathic pain"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Pharmacological modulation of pain-related brain activity during normal and central sensitization states in humans. - Abstract: Abnormal processing of somatosensory inputs in the central nervous system (central sensitization) is the mechanism accounting for the enhanced pain sensitivity in the skin surrounding tissue injury (secondary hyperalgesia). Secondary hyperalgesia shares clinical characteristics with neurogenic hyperalgesia in patients with /"neuropathic pain"/. Abnormal brain responses to somatosensory stimuli have been found in patients with hyperalgesia as well as in normal subjects during experimental central sensitization. The aim of this study was to assess the effects of /"gabapentin"/, a drug effective in /"neuropathic pain"/ patients, on brain processing of nociceptive information in normal and central sensitization states. Using functional magnetic resonance imaging (fMRI) in normal volunteers, we studied the /"gabapentin"/-induced modulation of brain activity in response to nociceptive mechanical stimulation of normal skin and capsaicin-induced secondary hyperalgesia. The dose of /"gabapentin"/ was 1,800 mg per os, in a single administration. We found that (i) /"gabapentin"/ reduced the activations in the bilateral operculoinsular cortex, independently of the presence of central sensitization; (ii) /"gabapentin"/ reduced the activation in the brainstem, only during central sensitization; (iii) /"gabapentin"/ suppressed stimulus-induced deactivations, only during central sensitization; this effect was more robust than the effect on brain activation. The observed drug-induced effects were not due to changes in the baseline fMRI signal. These findings indicate that /"gabapentin"/ has a measurable antinociceptive effect and a stronger antihyperalgesic effect most evident in the brain areas undergoing deactivation, thus supporting the concept that /"gabapentin"/ is more effective in modulating nociceptive transmission when central sensitization is present. Question: Does chemical /"gabapentin"/ induce disease /"neuropathic pain"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Pharmacological modulation of pain-related brain activity during normal and central sensitization states in humans.
Abnormal processing of somatosensory inputs in the central nervous system (central sensitization) is the mechanism accounting for the enhanced pain sensitivity in the skin surrounding tissue injury (secondary hyperalgesia). Secondary hyperalgesia shares clinical characteristics with neurogenic hyperalgesia in patients with /"neuropathic pain"/. Abnormal brain responses to somatosensory stimuli have been found in patients with hyperalgesia as well as in normal subjects during experimental central sensitization. The aim of this study was to assess the effects of /"gabapentin"/, a drug effective in /"neuropathic pain"/ patients, on brain processing of nociceptive information in normal and central sensitization states. Using functional magnetic resonance imaging (fMRI) in normal volunteers, we studied the /"gabapentin"/-induced modulation of brain activity in response to nociceptive mechanical stimulation of normal skin and capsaicin-induced secondary hyperalgesia. The dose of /"gabapentin"/ was 1,800 mg per os, in a single administration. We found that (i) /"gabapentin"/ reduced the activations in the bilateral operculoinsular cortex, independently of the presence of central sensitization; (ii) /"gabapentin"/ reduced the activation in the brainstem, only during central sensitization; (iii) /"gabapentin"/ suppressed stimulus-induced deactivations, only during central sensitization; this effect was more robust than the effect on brain activation. The observed drug-induced effects were not due to changes in the baseline fMRI signal. These findings indicate that /"gabapentin"/ has a measurable antinociceptive effect and a stronger antihyperalgesic effect most evident in the brain areas undergoing deactivation, thus supporting the concept that /"gabapentin"/ is more effective in modulating nociceptive transmission when central sensitization is present.
gabapentin
{ "id": "3516", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 679, 689 ] ], "text": [ "gabapentin" ], "type": "Chemical" }
neuropathic pain
{ "id": "3514", "normalized": [ { "db_id": "D009437", "db_name": "MESH" } ], "offsets": [ [ 441, 457 ] ], "text": [ "neuropathic pain" ], "type": "Disease" }
[ { "id": "3516", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 679, 689 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3518", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 917, 927 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3519", "normalized": [ { "db_id": "D002211", "db_name": "MESH" } ], "offsets": [ [ 1034, 1043 ] ], "text": [ "capsaicin" ], "type": "Chemical" }, { "id": "3521", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1088, 1098 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3522", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1166, 1176 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3523", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1303, 1313 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3524", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1396, 1406 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3525", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1666, 1676 ] ], "text": [ "gabapentin" ], "type": "Chemical" }, { "id": "3526", "normalized": [ { "db_id": "C040029", "db_name": "MESH" } ], "offsets": [ [ 1846, 1856 ] ], "text": [ "gabapentin" ], "type": "Chemical" } ]
[ { "id": "3508", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 30, 34 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3509", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 259, 263 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3510", "normalized": [ { "db_id": "D017695", "db_name": "MESH" } ], "offsets": [ [ 300, 313 ] ], "text": [ "tissue injury" ], "type": "Disease" }, { "id": "3511", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 315, 337 ] ], "text": [ "secondary hyperalgesia" ], "type": "Disease" }, { "id": "3512", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 340, 362 ] ], "text": [ "Secondary hyperalgesia" ], "type": "Disease" }, { "id": "3513", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 400, 423 ] ], "text": [ "neurogenic hyperalgesia" ], "type": "Disease" }, { "id": "3514", "normalized": [ { "db_id": "D009437", "db_name": "MESH" } ], "offsets": [ [ 441, 457 ] ], "text": [ "neuropathic pain" ], "type": "Disease" }, { "id": "3515", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 542, 554 ] ], "text": [ "hyperalgesia" ], "type": "Disease" }, { "id": "3517", "normalized": [ { "db_id": "D009437", "db_name": "MESH" } ], "offsets": [ [ 711, 727 ] ], "text": [ "neuropathic pain" ], "type": "Disease" }, { "id": "3520", "normalized": [ { "db_id": "D006930", "db_name": "MESH" } ], "offsets": [ [ 1052, 1074 ] ], "text": [ "secondary hyperalgesia" ], "type": "Disease" } ]
Pharmacological modulation of pain-related brain activity during normal and central sensitization states in humans.
Abnormal processing of somatosensory inputs in the central nervous system (central sensitization) is the mechanism accounting for the enhanced pain sensitivity in the skin surrounding tissue injury (secondary hyperalgesia). Secondary hyperalgesia shares clinical characteristics with neurogenic hyperalgesia in patients with neuropathic pain. Abnormal brain responses to somatosensory stimuli have been found in patients with hyperalgesia as well as in normal subjects during experimental central sensitization. The aim of this study was to assess the effects of gabapentin, a drug effective in neuropathic pain patients, on brain processing of nociceptive information in normal and central sensitization states. Using functional magnetic resonance imaging (fMRI) in normal volunteers, we studied the gabapentin-induced modulation of brain activity in response to nociceptive mechanical stimulation of normal skin and capsaicin-induced secondary hyperalgesia. The dose of gabapentin was 1,800 mg per os, in a single administration. We found that (i) gabapentin reduced the activations in the bilateral operculoinsular cortex, independently of the presence of central sensitization; (ii) gabapentin reduced the activation in the brainstem, only during central sensitization; (iii) gabapentin suppressed stimulus-induced deactivations, only during central sensitization; this effect was more robust than the effect on brain activation. The observed drug-induced effects were not due to changes in the baseline fMRI signal. These findings indicate that gabapentin has a measurable antinociceptive effect and a stronger antihyperalgesic effect most evident in the brain areas undergoing deactivation, thus supporting the concept that gabapentin is more effective in modulating nociceptive transmission when central sensitization is present.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"MDMA"/ induces disease /"impaired social and emotional judgement processes"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"MDMA"/ polydrug users show process-specific central executive impairments coupled with /"impaired social and emotional judgement processes"/. - Abstract: In recent years working memory deficits have been reported in users of /"MDMA"/ (/"3,4-methylenedioxymethamphetamine"/, /"ecstasy"/). The current study aimed to assess the impact of /"MDMA"/ use on three separate central executive processes (set shifting, inhibition and memory updating) and also on "prefrontal" mediated social and emotional judgement processes. Fifteen polydrug /"ecstasy"/ users and 15 polydrug non-/"ecstasy"/ user controls completed a general drug use questionnaire, the Brixton Spatial Anticipation task (set shifting), Backward Digit Span procedure (memory updating), Inhibition of Return (inhibition), an emotional intelligence scale, the Tromso Social Intelligence Scale and the Dysexecutive Questionnaire (DEX). Compared with /"MDMA"/-free polydrug controls, /"MDMA"/ polydrug users showed impairments in set shifting and memory updating, and also in social and emotional judgement processes. The latter two deficits remained significant after controlling for other drug use. These data lend further support to the proposal that cognitive processes mediated by the prefrontal cortex may be impaired by recreational /"ecstasy"/ use. Question: Does chemical /"MDMA"/ induce disease /"impaired social and emotional judgement processes"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"MDMA"/ polydrug users show process-specific central executive impairments coupled with /"impaired social and emotional judgement processes"/.
In recent years working memory deficits have been reported in users of /"MDMA"/ (/"3,4-methylenedioxymethamphetamine"/, /"ecstasy"/). The current study aimed to assess the impact of /"MDMA"/ use on three separate central executive processes (set shifting, inhibition and memory updating) and also on "prefrontal" mediated social and emotional judgement processes. Fifteen polydrug /"ecstasy"/ users and 15 polydrug non-/"ecstasy"/ user controls completed a general drug use questionnaire, the Brixton Spatial Anticipation task (set shifting), Backward Digit Span procedure (memory updating), Inhibition of Return (inhibition), an emotional intelligence scale, the Tromso Social Intelligence Scale and the Dysexecutive Questionnaire (DEX). Compared with /"MDMA"/-free polydrug controls, /"MDMA"/ polydrug users showed impairments in set shifting and memory updating, and also in social and emotional judgement processes. The latter two deficits remained significant after controlling for other drug use. These data lend further support to the proposal that cognitive processes mediated by the prefrontal cortex may be impaired by recreational /"ecstasy"/ use.
MDMA
{ "id": "3535", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 0, 4 ] ], "text": [ "MDMA" ], "type": "Chemical" }
impaired social and emotional judgement processes
{ "id": "3536", "normalized": [ { "db_id": "D003072", "db_name": "MESH" } ], "offsets": [ [ 85, 134 ] ], "text": [ "impaired social and emotional judgement processes" ], "type": "Disease" }
[ { "id": "3535", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 0, 4 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3538", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 207, 211 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3539", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 213, 246 ] ], "text": [ "3,4-methylenedioxymethamphetamine" ], "type": "Chemical" }, { "id": "3540", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 248, 255 ] ], "text": [ "ecstasy" ], "type": "Chemical" }, { "id": "3541", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 306, 310 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3542", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 501, 508 ] ], "text": [ "ecstasy" ], "type": "Chemical" }, { "id": "3543", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 535, 542 ] ], "text": [ "ecstasy" ], "type": "Chemical" }, { "id": "3544", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 865, 869 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3545", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 894, 898 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3546", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 1246, 1253 ] ], "text": [ "ecstasy" ], "type": "Chemical" } ]
[ { "id": "3536", "normalized": [ { "db_id": "D003072", "db_name": "MESH" } ], "offsets": [ [ 85, 134 ] ], "text": [ "impaired social and emotional judgement processes" ], "type": "Disease" }, { "id": "3537", "normalized": [ { "db_id": "D008569", "db_name": "MESH" } ], "offsets": [ [ 160, 175 ] ], "text": [ "memory deficits" ], "type": "Disease" } ]
MDMA polydrug users show process-specific central executive impairments coupled with impaired social and emotional judgement processes.
In recent years working memory deficits have been reported in users of MDMA (3,4-methylenedioxymethamphetamine, ecstasy). The current study aimed to assess the impact of MDMA use on three separate central executive processes (set shifting, inhibition and memory updating) and also on "prefrontal" mediated social and emotional judgement processes. Fifteen polydrug ecstasy users and 15 polydrug non-ecstasy user controls completed a general drug use questionnaire, the Brixton Spatial Anticipation task (set shifting), Backward Digit Span procedure (memory updating), Inhibition of Return (inhibition), an emotional intelligence scale, the Tromso Social Intelligence Scale and the Dysexecutive Questionnaire (DEX). Compared with MDMA-free polydrug controls, MDMA polydrug users showed impairments in set shifting and memory updating, and also in social and emotional judgement processes. The latter two deficits remained significant after controlling for other drug use. These data lend further support to the proposal that cognitive processes mediated by the prefrontal cortex may be impaired by recreational ecstasy use.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"MDMA"/ induces disease /"memory deficits"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"MDMA"/ polydrug users show process-specific central executive impairments coupled with impaired social and emotional judgement processes. - Abstract: In recent years working /"memory deficits"/ have been reported in users of /"MDMA"/ (/"3,4-methylenedioxymethamphetamine"/, /"ecstasy"/). The current study aimed to assess the impact of /"MDMA"/ use on three separate central executive processes (set shifting, inhibition and memory updating) and also on "prefrontal" mediated social and emotional judgement processes. Fifteen polydrug /"ecstasy"/ users and 15 polydrug non-/"ecstasy"/ user controls completed a general drug use questionnaire, the Brixton Spatial Anticipation task (set shifting), Backward Digit Span procedure (memory updating), Inhibition of Return (inhibition), an emotional intelligence scale, the Tromso Social Intelligence Scale and the Dysexecutive Questionnaire (DEX). Compared with /"MDMA"/-free polydrug controls, /"MDMA"/ polydrug users showed impairments in set shifting and memory updating, and also in social and emotional judgement processes. The latter two deficits remained significant after controlling for other drug use. These data lend further support to the proposal that cognitive processes mediated by the prefrontal cortex may be impaired by recreational /"ecstasy"/ use. Question: Does chemical /"MDMA"/ induce disease /"memory deficits"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
/"MDMA"/ polydrug users show process-specific central executive impairments coupled with impaired social and emotional judgement processes.
In recent years working /"memory deficits"/ have been reported in users of /"MDMA"/ (/"3,4-methylenedioxymethamphetamine"/, /"ecstasy"/). The current study aimed to assess the impact of /"MDMA"/ use on three separate central executive processes (set shifting, inhibition and memory updating) and also on "prefrontal" mediated social and emotional judgement processes. Fifteen polydrug /"ecstasy"/ users and 15 polydrug non-/"ecstasy"/ user controls completed a general drug use questionnaire, the Brixton Spatial Anticipation task (set shifting), Backward Digit Span procedure (memory updating), Inhibition of Return (inhibition), an emotional intelligence scale, the Tromso Social Intelligence Scale and the Dysexecutive Questionnaire (DEX). Compared with /"MDMA"/-free polydrug controls, /"MDMA"/ polydrug users showed impairments in set shifting and memory updating, and also in social and emotional judgement processes. The latter two deficits remained significant after controlling for other drug use. These data lend further support to the proposal that cognitive processes mediated by the prefrontal cortex may be impaired by recreational /"ecstasy"/ use.
MDMA
{ "id": "3535", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 0, 4 ] ], "text": [ "MDMA" ], "type": "Chemical" }
memory deficits
{ "id": "3537", "normalized": [ { "db_id": "D008569", "db_name": "MESH" } ], "offsets": [ [ 160, 175 ] ], "text": [ "memory deficits" ], "type": "Disease" }
[ { "id": "3535", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 0, 4 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3538", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 207, 211 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3539", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 213, 246 ] ], "text": [ "3,4-methylenedioxymethamphetamine" ], "type": "Chemical" }, { "id": "3540", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 248, 255 ] ], "text": [ "ecstasy" ], "type": "Chemical" }, { "id": "3541", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 306, 310 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3542", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 501, 508 ] ], "text": [ "ecstasy" ], "type": "Chemical" }, { "id": "3543", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 535, 542 ] ], "text": [ "ecstasy" ], "type": "Chemical" }, { "id": "3544", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 865, 869 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3545", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 894, 898 ] ], "text": [ "MDMA" ], "type": "Chemical" }, { "id": "3546", "normalized": [ { "db_id": "D018817", "db_name": "MESH" } ], "offsets": [ [ 1246, 1253 ] ], "text": [ "ecstasy" ], "type": "Chemical" } ]
[ { "id": "3536", "normalized": [ { "db_id": "D003072", "db_name": "MESH" } ], "offsets": [ [ 85, 134 ] ], "text": [ "impaired social and emotional judgement processes" ], "type": "Disease" }, { "id": "3537", "normalized": [ { "db_id": "D008569", "db_name": "MESH" } ], "offsets": [ [ 160, 175 ] ], "text": [ "memory deficits" ], "type": "Disease" } ]
MDMA polydrug users show process-specific central executive impairments coupled with impaired social and emotional judgement processes.
In recent years working memory deficits have been reported in users of MDMA (3,4-methylenedioxymethamphetamine, ecstasy). The current study aimed to assess the impact of MDMA use on three separate central executive processes (set shifting, inhibition and memory updating) and also on "prefrontal" mediated social and emotional judgement processes. Fifteen polydrug ecstasy users and 15 polydrug non-ecstasy user controls completed a general drug use questionnaire, the Brixton Spatial Anticipation task (set shifting), Backward Digit Span procedure (memory updating), Inhibition of Return (inhibition), an emotional intelligence scale, the Tromso Social Intelligence Scale and the Dysexecutive Questionnaire (DEX). Compared with MDMA-free polydrug controls, MDMA polydrug users showed impairments in set shifting and memory updating, and also in social and emotional judgement processes. The latter two deficits remained significant after controlling for other drug use. These data lend further support to the proposal that cognitive processes mediated by the prefrontal cortex may be impaired by recreational ecstasy use.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"citrate"/ induces disease /"hypocalcemia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Severe /"citrate"/ toxicity complicating volunteer apheresis platelet donation. - Abstract: We report a case of severe /"citrate"/ toxicity during volunteer donor apheresis platelet collection. The donor was a 40-year-old female, first-time apheresis platelet donor. Past medical history was remarkable for hypertension, hyperlipidemia, and depression. Reported medications included bumetanide, pravastatin, and paroxetine. Thirty minutes from the start of the procedure, the donor noted tingling around the mouth, hands, and feet. She then very rapidly developed acute onset of severe facial and extremity tetany. Empirical treatment with intravenous calcium gluconate was initiated, and muscle contractions slowly subsided over approximately 10 to 15 minutes. The events are consistent with a severe reaction to calcium chelation by /"sodium citrate"/ anticoagulant resulting in symptomatic systemic /"hypocalcemia"/. Upon additional retrospective analysis, it was noted that bumetanide is a loop diuretic that may cause significant /"hypocalcemia"/. We conclude that careful screening for medications and underlying conditions predisposing to /"hypocalcemia"/ is recommended to help prevent severe reactions due to /"citrate"/ toxicity. Laboratory measurement of pre-procedure serum calcium levels in selected donors may identify cases requiring heightened vigilance. The case also illustrates the importance of maintaining preparedness for managing rare but serious reactions in volunteer apheresis blood donors. Question: Does chemical /"citrate"/ induce disease /"hypocalcemia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Severe /"citrate"/ toxicity complicating volunteer apheresis platelet donation.
We report a case of severe /"citrate"/ toxicity during volunteer donor apheresis platelet collection. The donor was a 40-year-old female, first-time apheresis platelet donor. Past medical history was remarkable for hypertension, hyperlipidemia, and depression. Reported medications included bumetanide, pravastatin, and paroxetine. Thirty minutes from the start of the procedure, the donor noted tingling around the mouth, hands, and feet. She then very rapidly developed acute onset of severe facial and extremity tetany. Empirical treatment with intravenous calcium gluconate was initiated, and muscle contractions slowly subsided over approximately 10 to 15 minutes. The events are consistent with a severe reaction to calcium chelation by /"sodium citrate"/ anticoagulant resulting in symptomatic systemic /"hypocalcemia"/. Upon additional retrospective analysis, it was noted that bumetanide is a loop diuretic that may cause significant /"hypocalcemia"/. We conclude that careful screening for medications and underlying conditions predisposing to /"hypocalcemia"/ is recommended to help prevent severe reactions due to /"citrate"/ toxicity. Laboratory measurement of pre-procedure serum calcium levels in selected donors may identify cases requiring heightened vigilance. The case also illustrates the importance of maintaining preparedness for managing rare but serious reactions in volunteer apheresis blood donors.
citrate
{ "id": "3560", "normalized": [ { "db_id": "C102006", "db_name": "MESH" } ], "offsets": [ [ 7, 14 ] ], "text": [ "citrate" ], "type": "Chemical" }
hypocalcemia
{ "id": "3575", "normalized": [ { "db_id": "D006996", "db_name": "MESH" } ], "offsets": [ [ 878, 890 ] ], "text": [ "hypocalcemia" ], "type": "Disease" }
[ { "id": "3560", "normalized": [ { "db_id": "C102006", "db_name": "MESH" } ], "offsets": [ [ 7, 14 ] ], "text": [ "citrate" ], "type": "Chemical" }, { "id": "3562", "normalized": [ { "db_id": "C102006", "db_name": "MESH" } ], "offsets": [ [ 103, 110 ] ], "text": [ "citrate" ], "type": "Chemical" }, { "id": "3567", "normalized": [ { "db_id": "D002034", "db_name": "MESH" } ], "offsets": [ [ 363, 373 ] ], "text": [ "bumetanide" ], "type": "Chemical" }, { "id": "3568", "normalized": [ { "db_id": "D017035", "db_name": "MESH" } ], "offsets": [ [ 375, 386 ] ], "text": [ "pravastatin" ], "type": "Chemical" }, { "id": "3569", "normalized": [ { "db_id": "D017374", "db_name": "MESH" } ], "offsets": [ [ 392, 402 ] ], "text": [ "paroxetine" ], "type": "Chemical" }, { "id": "3571", "normalized": [ { "db_id": "D002125", "db_name": "MESH" } ], "offsets": [ [ 632, 649 ] ], "text": [ "calcium gluconate" ], "type": "Chemical" }, { "id": "3573", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 794, 801 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "3574", "normalized": [ { "db_id": "C102006", "db_name": "MESH" } ], "offsets": [ [ 815, 829 ] ], "text": [ "sodium citrate" ], "type": "Chemical" }, { "id": "3576", "normalized": [ { "db_id": "D002034", "db_name": "MESH" } ], "offsets": [ [ 950, 960 ] ], "text": [ "bumetanide" ], "type": "Chemical" }, { "id": "3577", "normalized": [ { "db_id": "D049994", "db_name": "MESH" } ], "offsets": [ [ 966, 979 ] ], "text": [ "loop diuretic" ], "type": "Chemical" }, { "id": "3580", "normalized": [ { "db_id": "C102006", "db_name": "MESH" } ], "offsets": [ [ 1182, 1189 ] ], "text": [ "citrate" ], "type": "Chemical" }, { "id": "3582", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 1246, 1253 ] ], "text": [ "calcium" ], "type": "Chemical" } ]
[ { "id": "3561", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 15, 23 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "3563", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "3564", "normalized": [ { "db_id": "D006973", "db_name": "MESH" } ], "offsets": [ [ 287, 299 ] ], "text": [ "hypertension" ], "type": "Disease" }, { "id": "3565", "normalized": [ { "db_id": "D006949", "db_name": "MESH" } ], "offsets": [ [ 301, 315 ] ], "text": [ "hyperlipidemia" ], "type": "Disease" }, { "id": "3566", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 321, 331 ] ], "text": [ "depression" ], "type": "Disease" }, { "id": "3570", "normalized": [ { "db_id": "D013746", "db_name": "MESH" } ], "offsets": [ [ 587, 593 ] ], "text": [ "tetany" ], "type": "Disease" }, { "id": "3572", "normalized": [ { "db_id": "C536214", "db_name": "MESH" } ], "offsets": [ [ 669, 688 ] ], "text": [ "muscle contractions" ], "type": "Disease" }, { "id": "3575", "normalized": [ { "db_id": "D006996", "db_name": "MESH" } ], "offsets": [ [ 878, 890 ] ], "text": [ "hypocalcemia" ], "type": "Disease" }, { "id": "3578", "normalized": [ { "db_id": "D006996", "db_name": "MESH" } ], "offsets": [ [ 1007, 1019 ] ], "text": [ "hypocalcemia" ], "type": "Disease" }, { "id": "3579", "normalized": [ { "db_id": "D006996", "db_name": "MESH" } ], "offsets": [ [ 1114, 1126 ] ], "text": [ "hypocalcemia" ], "type": "Disease" }, { "id": "3581", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1190, 1198 ] ], "text": [ "toxicity" ], "type": "Disease" } ]
Severe citrate toxicity complicating volunteer apheresis platelet donation.
We report a case of severe citrate toxicity during volunteer donor apheresis platelet collection. The donor was a 40-year-old female, first-time apheresis platelet donor. Past medical history was remarkable for hypertension, hyperlipidemia, and depression. Reported medications included bumetanide, pravastatin, and paroxetine. Thirty minutes from the start of the procedure, the donor noted tingling around the mouth, hands, and feet. She then very rapidly developed acute onset of severe facial and extremity tetany. Empirical treatment with intravenous calcium gluconate was initiated, and muscle contractions slowly subsided over approximately 10 to 15 minutes. The events are consistent with a severe reaction to calcium chelation by sodium citrate anticoagulant resulting in symptomatic systemic hypocalcemia. Upon additional retrospective analysis, it was noted that bumetanide is a loop diuretic that may cause significant hypocalcemia. We conclude that careful screening for medications and underlying conditions predisposing to hypocalcemia is recommended to help prevent severe reactions due to citrate toxicity. Laboratory measurement of pre-procedure serum calcium levels in selected donors may identify cases requiring heightened vigilance. The case also illustrates the importance of maintaining preparedness for managing rare but serious reactions in volunteer apheresis blood donors.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"calcium"/ induces disease /"muscle contractions"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Severe citrate toxicity complicating volunteer apheresis platelet donation. - Abstract: We report a case of severe citrate toxicity during volunteer donor apheresis platelet collection. The donor was a 40-year-old female, first-time apheresis platelet donor. Past medical history was remarkable for hypertension, hyperlipidemia, and depression. Reported medications included bumetanide, pravastatin, and paroxetine. Thirty minutes from the start of the procedure, the donor noted tingling around the mouth, hands, and feet. She then very rapidly developed acute onset of severe facial and extremity tetany. Empirical treatment with intravenous calcium gluconate was initiated, and /"muscle contractions"/ slowly subsided over approximately 10 to 15 minutes. The events are consistent with a severe reaction to /"calcium"/ chelation by sodium citrate anticoagulant resulting in symptomatic systemic hypocalcemia. Upon additional retrospective analysis, it was noted that bumetanide is a loop diuretic that may cause significant hypocalcemia. We conclude that careful screening for medications and underlying conditions predisposing to hypocalcemia is recommended to help prevent severe reactions due to citrate toxicity. Laboratory measurement of pre-procedure serum /"calcium"/ levels in selected donors may identify cases requiring heightened vigilance. The case also illustrates the importance of maintaining preparedness for managing rare but serious reactions in volunteer apheresis blood donors. Question: Does chemical /"calcium"/ induce disease /"muscle contractions"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Severe citrate toxicity complicating volunteer apheresis platelet donation.
We report a case of severe citrate toxicity during volunteer donor apheresis platelet collection. The donor was a 40-year-old female, first-time apheresis platelet donor. Past medical history was remarkable for hypertension, hyperlipidemia, and depression. Reported medications included bumetanide, pravastatin, and paroxetine. Thirty minutes from the start of the procedure, the donor noted tingling around the mouth, hands, and feet. She then very rapidly developed acute onset of severe facial and extremity tetany. Empirical treatment with intravenous calcium gluconate was initiated, and /"muscle contractions"/ slowly subsided over approximately 10 to 15 minutes. The events are consistent with a severe reaction to /"calcium"/ chelation by sodium citrate anticoagulant resulting in symptomatic systemic hypocalcemia. Upon additional retrospective analysis, it was noted that bumetanide is a loop diuretic that may cause significant hypocalcemia. We conclude that careful screening for medications and underlying conditions predisposing to hypocalcemia is recommended to help prevent severe reactions due to citrate toxicity. Laboratory measurement of pre-procedure serum /"calcium"/ levels in selected donors may identify cases requiring heightened vigilance. The case also illustrates the importance of maintaining preparedness for managing rare but serious reactions in volunteer apheresis blood donors.
calcium
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muscle contractions
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[ { "id": "3561", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 15, 23 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "3563", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "toxicity" ], "type": "Disease" }, { "id": "3564", "normalized": [ { "db_id": "D006973", "db_name": "MESH" } ], "offsets": [ [ 287, 299 ] ], "text": [ "hypertension" ], "type": "Disease" }, { "id": "3565", "normalized": [ { "db_id": "D006949", "db_name": "MESH" } ], "offsets": [ [ 301, 315 ] ], "text": [ "hyperlipidemia" ], "type": "Disease" }, { "id": "3566", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 321, 331 ] ], "text": [ "depression" ], "type": "Disease" }, { "id": "3570", "normalized": [ { "db_id": "D013746", "db_name": "MESH" } ], "offsets": [ [ 587, 593 ] ], "text": [ "tetany" ], "type": "Disease" }, { "id": "3572", "normalized": [ { "db_id": "C536214", "db_name": "MESH" } ], "offsets": [ [ 669, 688 ] ], "text": [ "muscle contractions" ], "type": "Disease" }, { "id": "3575", "normalized": [ { "db_id": "D006996", "db_name": "MESH" } ], "offsets": [ [ 878, 890 ] ], "text": [ "hypocalcemia" ], "type": "Disease" }, { "id": "3578", "normalized": [ { "db_id": "D006996", "db_name": "MESH" } ], "offsets": [ [ 1007, 1019 ] ], "text": [ "hypocalcemia" ], "type": "Disease" }, { "id": "3579", "normalized": [ { "db_id": "D006996", "db_name": "MESH" } ], "offsets": [ [ 1114, 1126 ] ], "text": [ "hypocalcemia" ], "type": "Disease" }, { "id": "3581", "normalized": [ { "db_id": "D064420", "db_name": "MESH" } ], "offsets": [ [ 1190, 1198 ] ], "text": [ "toxicity" ], "type": "Disease" } ]
Severe citrate toxicity complicating volunteer apheresis platelet donation.
We report a case of severe citrate toxicity during volunteer donor apheresis platelet collection. The donor was a 40-year-old female, first-time apheresis platelet donor. Past medical history was remarkable for hypertension, hyperlipidemia, and depression. Reported medications included bumetanide, pravastatin, and paroxetine. Thirty minutes from the start of the procedure, the donor noted tingling around the mouth, hands, and feet. She then very rapidly developed acute onset of severe facial and extremity tetany. Empirical treatment with intravenous calcium gluconate was initiated, and muscle contractions slowly subsided over approximately 10 to 15 minutes. The events are consistent with a severe reaction to calcium chelation by sodium citrate anticoagulant resulting in symptomatic systemic hypocalcemia. Upon additional retrospective analysis, it was noted that bumetanide is a loop diuretic that may cause significant hypocalcemia. We conclude that careful screening for medications and underlying conditions predisposing to hypocalcemia is recommended to help prevent severe reactions due to citrate toxicity. Laboratory measurement of pre-procedure serum calcium levels in selected donors may identify cases requiring heightened vigilance. The case also illustrates the importance of maintaining preparedness for managing rare but serious reactions in volunteer apheresis blood donors.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"sirolimus"/ induces disease /"Proteinuria"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Proteinuria"/ after conversion to /"sirolimus"/ in renal transplant recipients. - Abstract: /"Sirolimus"/ (/"SRL"/) is a new, potent immunosuppressive agent. More recently, /"proteinuria"/ has been reported as a consequence of /"sirolimus"/ therapy, although the mechanism has remained unclear. We retrospectively examined the records of 25 renal transplant patients, who developed or displayed increased /"proteinuria"/ after /"SRL"/ conversion. The patient cohort (14 men, 11 women) was treated with /"SRL"/ as conversion therapy, due to chronic allograft nephropathy (CAN) (n = 15) neoplasia (n = 8); Kaposi's sarcoma, Four skin cancers, One intestinal tumors, One renal cell carsinom) or BK virus nephropathy (n = 2). /"SRL"/ was started at a mean of 78 +/- 42 (15 to 163) months after transplantation. Mean follow-up on /"SRL"/ therapy was 20 +/- 12 (6 to 43) months. /"Proteinuria"/ increased from 0.445 (0 to 1.5) g/d before conversion to 3.2 g/dL (0.2 to 12) after conversion (P = 0.001). Before conversion 8 (32%) patients had no /"proteinuria"/, whereas afterwards all patients had /"proteinuria"/. In 28% of patients /"proteinuria"/ remained unchanged, whereas it increased in 68% of patients. In 40% it increased by more than 100%. Twenty-eight percent of patients showed increased /"proteinuria"/ to the nephrotic range. Biopsies performed in five patients revealed new pathological changes: One membranoproliferative glomerulopathy and interstitial nephritis. These patients showed persistently good graft function. Serum creatinine values did not change significantly: 1.98 +/- 0.8 mg/dL before /"SRL"/ therapy and 2.53 +/- 1.9 mg/dL at last follow-up (P = .14). Five grafts were lost and the patients returned to dialysis. Five patients displayed CAN and Kaposi's sarcoma. Mean urinary protein of patients who returned to dialysis was 1.26 (0.5 to 3.5) g/d before and 4.7 (3 to 12) g/d after conversion (P = .01). Mean serum creatinine level before conversion was 2.21 mg/dL and thereafter, 4.93 mg/dL (P = .02). Heavy /"proteinuria"/ was common after the use of /"SRL"/ as rescue therapy for renal transplantation. Therefore, conversion should be considered for patients who have not developed advanced CAN and /"proteinuria"/. The possibility of de novo glomerular pathology under /"SRL"/ treatment requires further investigation by renal biopsy. Question: Does chemical /"sirolimus"/ induce disease /"Proteinuria"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Proteinuria"/ after conversion to /"sirolimus"/ in renal transplant recipients.
/"Sirolimus"/ (/"SRL"/) is a new, potent immunosuppressive agent. More recently, /"proteinuria"/ has been reported as a consequence of /"sirolimus"/ therapy, although the mechanism has remained unclear. We retrospectively examined the records of 25 renal transplant patients, who developed or displayed increased /"proteinuria"/ after /"SRL"/ conversion. The patient cohort (14 men, 11 women) was treated with /"SRL"/ as conversion therapy, due to chronic allograft nephropathy (CAN) (n = 15) neoplasia (n = 8); Kaposi's sarcoma, Four skin cancers, One intestinal tumors, One renal cell carsinom) or BK virus nephropathy (n = 2). /"SRL"/ was started at a mean of 78 +/- 42 (15 to 163) months after transplantation. Mean follow-up on /"SRL"/ therapy was 20 +/- 12 (6 to 43) months. /"Proteinuria"/ increased from 0.445 (0 to 1.5) g/d before conversion to 3.2 g/dL (0.2 to 12) after conversion (P = 0.001). Before conversion 8 (32%) patients had no /"proteinuria"/, whereas afterwards all patients had /"proteinuria"/. In 28% of patients /"proteinuria"/ remained unchanged, whereas it increased in 68% of patients. In 40% it increased by more than 100%. Twenty-eight percent of patients showed increased /"proteinuria"/ to the nephrotic range. Biopsies performed in five patients revealed new pathological changes: One membranoproliferative glomerulopathy and interstitial nephritis. These patients showed persistently good graft function. Serum creatinine values did not change significantly: 1.98 +/- 0.8 mg/dL before /"SRL"/ therapy and 2.53 +/- 1.9 mg/dL at last follow-up (P = .14). Five grafts were lost and the patients returned to dialysis. Five patients displayed CAN and Kaposi's sarcoma. Mean urinary protein of patients who returned to dialysis was 1.26 (0.5 to 3.5) g/d before and 4.7 (3 to 12) g/d after conversion (P = .01). Mean serum creatinine level before conversion was 2.21 mg/dL and thereafter, 4.93 mg/dL (P = .02). Heavy /"proteinuria"/ was common after the use of /"SRL"/ as rescue therapy for renal transplantation. Therefore, conversion should be considered for patients who have not developed advanced CAN and /"proteinuria"/. The possibility of de novo glomerular pathology under /"SRL"/ treatment requires further investigation by renal biopsy.
sirolimus
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Proteinuria
{ "id": "3598", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Proteinuria" ], "type": "Disease" }
[ { "id": "3599", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 32, 41 ] ], "text": [ "sirolimus" ], "type": "Chemical" }, { "id": "3600", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 74, 83 ] ], "text": [ "Sirolimus" ], "type": "Chemical" }, { "id": "3601", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 85, 88 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3603", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 197, 206 ] ], "text": [ "sirolimus" ], "type": "Chemical" }, { "id": "3605", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 389, 392 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3606", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3615", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 676, 679 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3616", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 775, 778 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3625", "normalized": [ { "db_id": "D003404", "db_name": "MESH" } ], "offsets": [ [ 1462, 1472 ] ], "text": [ "creatinine" ], "type": "Chemical" }, { "id": "3626", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 1536, 1539 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3629", "normalized": [ { "db_id": "D003404", "db_name": "MESH" } ], "offsets": [ [ 1863, 1873 ] ], "text": [ "creatinine" ], "type": "Chemical" }, { "id": "3631", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 1997, 2000 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3634", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 2209, 2212 ] ], "text": [ "SRL" ], "type": "Chemical" } ]
[ { "id": "3598", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Proteinuria" ], "type": "Disease" }, { "id": "3602", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 147, 158 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3604", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 371, 382 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3607", "normalized": [ { "db_id": "D051436", "db_name": "MESH" } ], "offsets": [ [ 494, 523 ] ], "text": [ "chronic allograft nephropathy" ], "type": "Disease" }, { "id": "3608", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 525, 528 ] ], "text": [ "CAN" ], "type": "Disease" }, { "id": "3609", "normalized": [ { "db_id": "D009369", "db_name": "MESH" } ], "offsets": [ [ 539, 548 ] ], "text": [ "neoplasia" ], "type": "Disease" }, { "id": "3610", "normalized": [ { "db_id": "D012514", "db_name": "MESH" } ], "offsets": [ [ 558, 574 ] ], "text": [ "Kaposi's sarcoma" ], "type": "Disease" }, { "id": "3611", "normalized": [ { "db_id": "D012878", "db_name": "MESH" } ], "offsets": [ [ 581, 593 ] ], "text": [ "skin cancers" ], "type": "Disease" }, { "id": "3612", "normalized": [ { "db_id": "D007414", "db_name": "MESH" } ], "offsets": [ [ 599, 616 ] ], "text": [ "intestinal tumors" ], "type": "Disease" }, { "id": "3613", "normalized": [ { "db_id": "D002292", "db_name": "MESH" } ], "offsets": [ [ 622, 641 ] ], "text": [ "renal cell carsinom" ], "type": "Disease" }, { "id": "3614", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 655, 666 ] ], "text": [ "nephropathy" ], "type": "Disease" }, { "id": "3617", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 819, 830 ] ], "text": [ "Proteinuria" ], "type": "Disease" }, { "id": "3618", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 981, 992 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3619", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1030, 1041 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3620", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1062, 1073 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3621", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1224, 1235 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3622", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 1243, 1252 ] ], "text": [ "nephrotic" ], "type": "Disease" }, { "id": "3623", "normalized": [ { "db_id": "D015433", "db_name": "MESH" } ], "offsets": [ [ 1335, 1371 ] ], "text": [ "membranoproliferative glomerulopathy" ], "type": "Disease" }, { "id": "3624", "normalized": [ { "db_id": "D009395", "db_name": "MESH" } ], "offsets": [ [ 1376, 1398 ] ], "text": [ "interstitial nephritis" ], "type": "Disease" }, { "id": "3627", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 1685, 1688 ] ], "text": [ "CAN" ], "type": "Disease" }, { "id": "3628", "normalized": [ { "db_id": "D012514", "db_name": "MESH" } ], "offsets": [ [ 1693, 1709 ] ], "text": [ "Kaposi's sarcoma" ], "type": "Disease" }, { "id": "3630", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1957, 1968 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3632", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 2134, 2137 ] ], "text": [ "CAN" ], "type": "Disease" }, { "id": "3633", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 2142, 2153 ] ], "text": [ "proteinuria" ], "type": "Disease" } ]
Proteinuria after conversion to sirolimus in renal transplant recipients.
Sirolimus (SRL) is a new, potent immunosuppressive agent. More recently, proteinuria has been reported as a consequence of sirolimus therapy, although the mechanism has remained unclear. We retrospectively examined the records of 25 renal transplant patients, who developed or displayed increased proteinuria after SRL conversion. The patient cohort (14 men, 11 women) was treated with SRL as conversion therapy, due to chronic allograft nephropathy (CAN) (n = 15) neoplasia (n = 8); Kaposi's sarcoma, Four skin cancers, One intestinal tumors, One renal cell carsinom) or BK virus nephropathy (n = 2). SRL was started at a mean of 78 +/- 42 (15 to 163) months after transplantation. Mean follow-up on SRL therapy was 20 +/- 12 (6 to 43) months. Proteinuria increased from 0.445 (0 to 1.5) g/d before conversion to 3.2 g/dL (0.2 to 12) after conversion (P = 0.001). Before conversion 8 (32%) patients had no proteinuria, whereas afterwards all patients had proteinuria. In 28% of patients proteinuria remained unchanged, whereas it increased in 68% of patients. In 40% it increased by more than 100%. Twenty-eight percent of patients showed increased proteinuria to the nephrotic range. Biopsies performed in five patients revealed new pathological changes: One membranoproliferative glomerulopathy and interstitial nephritis. These patients showed persistently good graft function. Serum creatinine values did not change significantly: 1.98 +/- 0.8 mg/dL before SRL therapy and 2.53 +/- 1.9 mg/dL at last follow-up (P = .14). Five grafts were lost and the patients returned to dialysis. Five patients displayed CAN and Kaposi's sarcoma. Mean urinary protein of patients who returned to dialysis was 1.26 (0.5 to 3.5) g/d before and 4.7 (3 to 12) g/d after conversion (P = .01). Mean serum creatinine level before conversion was 2.21 mg/dL and thereafter, 4.93 mg/dL (P = .02). Heavy proteinuria was common after the use of SRL as rescue therapy for renal transplantation. Therefore, conversion should be considered for patients who have not developed advanced CAN and proteinuria. The possibility of de novo glomerular pathology under SRL treatment requires further investigation by renal biopsy.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"sirolimus"/ induces disease /"nephrotic"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Proteinuria after conversion to /"sirolimus"/ in renal transplant recipients. - Abstract: /"Sirolimus"/ (/"SRL"/) is a new, potent immunosuppressive agent. More recently, proteinuria has been reported as a consequence of /"sirolimus"/ therapy, although the mechanism has remained unclear. We retrospectively examined the records of 25 renal transplant patients, who developed or displayed increased proteinuria after /"SRL"/ conversion. The patient cohort (14 men, 11 women) was treated with /"SRL"/ as conversion therapy, due to chronic allograft nephropathy (CAN) (n = 15) neoplasia (n = 8); Kaposi's sarcoma, Four skin cancers, One intestinal tumors, One renal cell carsinom) or BK virus nephropathy (n = 2). /"SRL"/ was started at a mean of 78 +/- 42 (15 to 163) months after transplantation. Mean follow-up on /"SRL"/ therapy was 20 +/- 12 (6 to 43) months. Proteinuria increased from 0.445 (0 to 1.5) g/d before conversion to 3.2 g/dL (0.2 to 12) after conversion (P = 0.001). Before conversion 8 (32%) patients had no proteinuria, whereas afterwards all patients had proteinuria. In 28% of patients proteinuria remained unchanged, whereas it increased in 68% of patients. In 40% it increased by more than 100%. Twenty-eight percent of patients showed increased proteinuria to the /"nephrotic"/ range. Biopsies performed in five patients revealed new pathological changes: One membranoproliferative glomerulopathy and interstitial nephritis. These patients showed persistently good graft function. Serum creatinine values did not change significantly: 1.98 +/- 0.8 mg/dL before /"SRL"/ therapy and 2.53 +/- 1.9 mg/dL at last follow-up (P = .14). Five grafts were lost and the patients returned to dialysis. Five patients displayed CAN and Kaposi's sarcoma. Mean urinary protein of patients who returned to dialysis was 1.26 (0.5 to 3.5) g/d before and 4.7 (3 to 12) g/d after conversion (P = .01). Mean serum creatinine level before conversion was 2.21 mg/dL and thereafter, 4.93 mg/dL (P = .02). Heavy proteinuria was common after the use of /"SRL"/ as rescue therapy for renal transplantation. Therefore, conversion should be considered for patients who have not developed advanced CAN and proteinuria. The possibility of de novo glomerular pathology under /"SRL"/ treatment requires further investigation by renal biopsy. Question: Does chemical /"sirolimus"/ induce disease /"nephrotic"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Proteinuria after conversion to /"sirolimus"/ in renal transplant recipients.
/"Sirolimus"/ (/"SRL"/) is a new, potent immunosuppressive agent. More recently, proteinuria has been reported as a consequence of /"sirolimus"/ therapy, although the mechanism has remained unclear. We retrospectively examined the records of 25 renal transplant patients, who developed or displayed increased proteinuria after /"SRL"/ conversion. The patient cohort (14 men, 11 women) was treated with /"SRL"/ as conversion therapy, due to chronic allograft nephropathy (CAN) (n = 15) neoplasia (n = 8); Kaposi's sarcoma, Four skin cancers, One intestinal tumors, One renal cell carsinom) or BK virus nephropathy (n = 2). /"SRL"/ was started at a mean of 78 +/- 42 (15 to 163) months after transplantation. Mean follow-up on /"SRL"/ therapy was 20 +/- 12 (6 to 43) months. Proteinuria increased from 0.445 (0 to 1.5) g/d before conversion to 3.2 g/dL (0.2 to 12) after conversion (P = 0.001). Before conversion 8 (32%) patients had no proteinuria, whereas afterwards all patients had proteinuria. In 28% of patients proteinuria remained unchanged, whereas it increased in 68% of patients. In 40% it increased by more than 100%. Twenty-eight percent of patients showed increased proteinuria to the /"nephrotic"/ range. Biopsies performed in five patients revealed new pathological changes: One membranoproliferative glomerulopathy and interstitial nephritis. These patients showed persistently good graft function. Serum creatinine values did not change significantly: 1.98 +/- 0.8 mg/dL before /"SRL"/ therapy and 2.53 +/- 1.9 mg/dL at last follow-up (P = .14). Five grafts were lost and the patients returned to dialysis. Five patients displayed CAN and Kaposi's sarcoma. Mean urinary protein of patients who returned to dialysis was 1.26 (0.5 to 3.5) g/d before and 4.7 (3 to 12) g/d after conversion (P = .01). Mean serum creatinine level before conversion was 2.21 mg/dL and thereafter, 4.93 mg/dL (P = .02). Heavy proteinuria was common after the use of /"SRL"/ as rescue therapy for renal transplantation. Therefore, conversion should be considered for patients who have not developed advanced CAN and proteinuria. The possibility of de novo glomerular pathology under /"SRL"/ treatment requires further investigation by renal biopsy.
sirolimus
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nephrotic
{ "id": "3622", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 1243, 1252 ] ], "text": [ "nephrotic" ], "type": "Disease" }
[ { "id": "3599", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 32, 41 ] ], "text": [ "sirolimus" ], "type": "Chemical" }, { "id": "3600", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 74, 83 ] ], "text": [ "Sirolimus" ], "type": "Chemical" }, { "id": "3601", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 85, 88 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3603", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 197, 206 ] ], "text": [ "sirolimus" ], "type": "Chemical" }, { "id": "3605", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 389, 392 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3606", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 460, 463 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3615", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 676, 679 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3616", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 775, 778 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3625", "normalized": [ { "db_id": "D003404", "db_name": "MESH" } ], "offsets": [ [ 1462, 1472 ] ], "text": [ "creatinine" ], "type": "Chemical" }, { "id": "3626", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 1536, 1539 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3629", "normalized": [ { "db_id": "D003404", "db_name": "MESH" } ], "offsets": [ [ 1863, 1873 ] ], "text": [ "creatinine" ], "type": "Chemical" }, { "id": "3631", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 1997, 2000 ] ], "text": [ "SRL" ], "type": "Chemical" }, { "id": "3634", "normalized": [ { "db_id": "D020123", "db_name": "MESH" } ], "offsets": [ [ 2209, 2212 ] ], "text": [ "SRL" ], "type": "Chemical" } ]
[ { "id": "3598", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 0, 11 ] ], "text": [ "Proteinuria" ], "type": "Disease" }, { "id": "3602", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 147, 158 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3604", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 371, 382 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3607", "normalized": [ { "db_id": "D051436", "db_name": "MESH" } ], "offsets": [ [ 494, 523 ] ], "text": [ "chronic allograft nephropathy" ], "type": "Disease" }, { "id": "3608", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 525, 528 ] ], "text": [ "CAN" ], "type": "Disease" }, { "id": "3609", "normalized": [ { "db_id": "D009369", "db_name": "MESH" } ], "offsets": [ [ 539, 548 ] ], "text": [ "neoplasia" ], "type": "Disease" }, { "id": "3610", "normalized": [ { "db_id": "D012514", "db_name": "MESH" } ], "offsets": [ [ 558, 574 ] ], "text": [ "Kaposi's sarcoma" ], "type": "Disease" }, { "id": "3611", "normalized": [ { "db_id": "D012878", "db_name": "MESH" } ], "offsets": [ [ 581, 593 ] ], "text": [ "skin cancers" ], "type": "Disease" }, { "id": "3612", "normalized": [ { "db_id": "D007414", "db_name": "MESH" } ], "offsets": [ [ 599, 616 ] ], "text": [ "intestinal tumors" ], "type": "Disease" }, { "id": "3613", "normalized": [ { "db_id": "D002292", "db_name": "MESH" } ], "offsets": [ [ 622, 641 ] ], "text": [ "renal cell carsinom" ], "type": "Disease" }, { "id": "3614", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 655, 666 ] ], "text": [ "nephropathy" ], "type": "Disease" }, { "id": "3617", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 819, 830 ] ], "text": [ "Proteinuria" ], "type": "Disease" }, { "id": "3618", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 981, 992 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3619", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1030, 1041 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3620", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1062, 1073 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3621", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1224, 1235 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3622", "normalized": [ { "db_id": "D009404", "db_name": "MESH" } ], "offsets": [ [ 1243, 1252 ] ], "text": [ "nephrotic" ], "type": "Disease" }, { "id": "3623", "normalized": [ { "db_id": "D015433", "db_name": "MESH" } ], "offsets": [ [ 1335, 1371 ] ], "text": [ "membranoproliferative glomerulopathy" ], "type": "Disease" }, { "id": "3624", "normalized": [ { "db_id": "D009395", "db_name": "MESH" } ], "offsets": [ [ 1376, 1398 ] ], "text": [ "interstitial nephritis" ], "type": "Disease" }, { "id": "3627", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 1685, 1688 ] ], "text": [ "CAN" ], "type": "Disease" }, { "id": "3628", "normalized": [ { "db_id": "D012514", "db_name": "MESH" } ], "offsets": [ [ 1693, 1709 ] ], "text": [ "Kaposi's sarcoma" ], "type": "Disease" }, { "id": "3630", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 1957, 1968 ] ], "text": [ "proteinuria" ], "type": "Disease" }, { "id": "3632", "normalized": [ { "db_id": "D007674", "db_name": "MESH" } ], "offsets": [ [ 2134, 2137 ] ], "text": [ "CAN" ], "type": "Disease" }, { "id": "3633", "normalized": [ { "db_id": "D011507", "db_name": "MESH" } ], "offsets": [ [ 2142, 2153 ] ], "text": [ "proteinuria" ], "type": "Disease" } ]
Proteinuria after conversion to sirolimus in renal transplant recipients.
Sirolimus (SRL) is a new, potent immunosuppressive agent. More recently, proteinuria has been reported as a consequence of sirolimus therapy, although the mechanism has remained unclear. We retrospectively examined the records of 25 renal transplant patients, who developed or displayed increased proteinuria after SRL conversion. The patient cohort (14 men, 11 women) was treated with SRL as conversion therapy, due to chronic allograft nephropathy (CAN) (n = 15) neoplasia (n = 8); Kaposi's sarcoma, Four skin cancers, One intestinal tumors, One renal cell carsinom) or BK virus nephropathy (n = 2). SRL was started at a mean of 78 +/- 42 (15 to 163) months after transplantation. Mean follow-up on SRL therapy was 20 +/- 12 (6 to 43) months. Proteinuria increased from 0.445 (0 to 1.5) g/d before conversion to 3.2 g/dL (0.2 to 12) after conversion (P = 0.001). Before conversion 8 (32%) patients had no proteinuria, whereas afterwards all patients had proteinuria. In 28% of patients proteinuria remained unchanged, whereas it increased in 68% of patients. In 40% it increased by more than 100%. Twenty-eight percent of patients showed increased proteinuria to the nephrotic range. Biopsies performed in five patients revealed new pathological changes: One membranoproliferative glomerulopathy and interstitial nephritis. These patients showed persistently good graft function. Serum creatinine values did not change significantly: 1.98 +/- 0.8 mg/dL before SRL therapy and 2.53 +/- 1.9 mg/dL at last follow-up (P = .14). Five grafts were lost and the patients returned to dialysis. Five patients displayed CAN and Kaposi's sarcoma. Mean urinary protein of patients who returned to dialysis was 1.26 (0.5 to 3.5) g/d before and 4.7 (3 to 12) g/d after conversion (P = .01). Mean serum creatinine level before conversion was 2.21 mg/dL and thereafter, 4.93 mg/dL (P = .02). Heavy proteinuria was common after the use of SRL as rescue therapy for renal transplantation. Therefore, conversion should be considered for patients who have not developed advanced CAN and proteinuria. The possibility of de novo glomerular pathology under SRL treatment requires further investigation by renal biopsy.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"cyclophosphamide"/ induces disease /"cystitis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: In vitro characterization of parasympathetic and sympathetic responses in /"cyclophosphamide"/-induced /"cystitis"/ in the rat. - Abstract: In /"cyclophosphamide"/-induced /"cystitis"/ in the rat, detrusor function is impaired and the expression and effects of muscarinic receptors altered. Whether or not the neuronal transmission may be affected by /"cystitis"/ was presently investigated. Responses of urinary strip preparations from control and /"cyclophosphamide"/-pretreated rats to electrical field stimulation and to agonists were assessed in the absence and presence of muscarinic, adrenergic and purinergic receptor antagonists. Generally, atropine reduced contractions, but in contrast to controls, it also reduced responses to low electrical field stimulation intensity (1-5 Hz) in inflamed preparations. In both types, purinoceptor desensitization with alpha,beta-methylene adenosine-5'-triphosphate (alpha,beta-meATP) caused further reductions at low frequencies (<10 Hz). The muscarinic receptor antagonists atropine, 4-diphenylacetoxy-N-methylpiperidine (4-DAMP) ('M(1)/M(3)/M(5)-selective'), methoctramine ('M(2)-selective') and pirenzepine ('M(1)-selective') antagonized the tonic component of the electrical field stimulation-evoked contractile response more potently than the phasic component. 4-DAMP inhibited the tonic contractions in controls more potently than methoctramine and pirenzepine. In inflamed preparations, the muscarinic receptor antagonism on the phasic component of the electrical field stimulation-evoked contraction was decreased and the pirenzepine and 4-DAMP antagonism on the tonic component was much less efficient than in controls. In contrast to controls, methoctramine increased -- instead of decreased -- the tonic responses at high frequencies. While contractions to carbachol and ATP were the same in inflamed and in control strips when related to a reference potassium response, isoprenaline-induced relaxations were smaller in inflamed strips. Thus, in /"cystitis"/ substantial changes of the efferent functional responses occur. While postjunctional beta-adrenoceptor-mediated relaxations are reduced, effects by prejunctional inhibitory muscarinic receptors may be increased. Question: Does chemical /"cyclophosphamide"/ induce disease /"cystitis"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
In vitro characterization of parasympathetic and sympathetic responses in /"cyclophosphamide"/-induced /"cystitis"/ in the rat.
In /"cyclophosphamide"/-induced /"cystitis"/ in the rat, detrusor function is impaired and the expression and effects of muscarinic receptors altered. Whether or not the neuronal transmission may be affected by /"cystitis"/ was presently investigated. Responses of urinary strip preparations from control and /"cyclophosphamide"/-pretreated rats to electrical field stimulation and to agonists were assessed in the absence and presence of muscarinic, adrenergic and purinergic receptor antagonists. Generally, atropine reduced contractions, but in contrast to controls, it also reduced responses to low electrical field stimulation intensity (1-5 Hz) in inflamed preparations. In both types, purinoceptor desensitization with alpha,beta-methylene adenosine-5'-triphosphate (alpha,beta-meATP) caused further reductions at low frequencies (<10 Hz). The muscarinic receptor antagonists atropine, 4-diphenylacetoxy-N-methylpiperidine (4-DAMP) ('M(1)/M(3)/M(5)-selective'), methoctramine ('M(2)-selective') and pirenzepine ('M(1)-selective') antagonized the tonic component of the electrical field stimulation-evoked contractile response more potently than the phasic component. 4-DAMP inhibited the tonic contractions in controls more potently than methoctramine and pirenzepine. In inflamed preparations, the muscarinic receptor antagonism on the phasic component of the electrical field stimulation-evoked contraction was decreased and the pirenzepine and 4-DAMP antagonism on the tonic component was much less efficient than in controls. In contrast to controls, methoctramine increased -- instead of decreased -- the tonic responses at high frequencies. While contractions to carbachol and ATP were the same in inflamed and in control strips when related to a reference potassium response, isoprenaline-induced relaxations were smaller in inflamed strips. Thus, in /"cystitis"/ substantial changes of the efferent functional responses occur. While postjunctional beta-adrenoceptor-mediated relaxations are reduced, effects by prejunctional inhibitory muscarinic receptors may be increased.
cyclophosphamide
{ "id": "3748", "normalized": [ { "db_id": "D003520", "db_name": "MESH" } ], "offsets": [ [ 74, 90 ] ], "text": [ "cyclophosphamide" ], "type": "Chemical" }
cystitis
{ "id": "3749", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 99, 107 ] ], "text": [ "cystitis" ], "type": "Disease" }
[ { "id": "3748", "normalized": [ { "db_id": "D003520", "db_name": "MESH" } ], "offsets": [ [ 74, 90 ] ], "text": [ "cyclophosphamide" ], "type": "Chemical" }, { "id": "3750", "normalized": [ { "db_id": "D003520", "db_name": "MESH" } ], "offsets": [ [ 123, 139 ] ], "text": [ "cyclophosphamide" ], "type": "Chemical" }, { "id": "3753", "normalized": [ { "db_id": "D003520", "db_name": "MESH" } ], "offsets": [ [ 417, 433 ] ], "text": [ "cyclophosphamide" ], "type": "Chemical" }, { "id": "3754", "normalized": [ { "db_id": "D001285", "db_name": "MESH" } ], "offsets": [ [ 614, 622 ] ], "text": [ "atropine" ], "type": "Chemical" }, { "id": "3755", "normalized": [ { "db_id": "C002630", "db_name": "MESH" } ], "offsets": [ [ 830, 876 ] ], "text": [ "alpha,beta-methylene adenosine-5'-triphosphate" ], "type": "Chemical" }, { "id": "3756", "normalized": [ { "db_id": "C002630", "db_name": "MESH" } ], "offsets": [ [ 878, 894 ] ], "text": [ "alpha,beta-meATP" ], "type": "Chemical" }, { "id": "3757", "normalized": [ { "db_id": "D001285", "db_name": "MESH" } ], "offsets": [ [ 987, 995 ] ], "text": [ "atropine" ], "type": "Chemical" }, { "id": "3758", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 997, 1033 ] ], "text": [ "4-diphenylacetoxy-N-methylpiperidine" ], "type": "Chemical" }, { "id": "3759", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 1035, 1041 ] ], "text": [ "4-DAMP" ], "type": "Chemical" }, { "id": "3760", "normalized": [ { "db_id": "C054938", "db_name": "MESH" } ], "offsets": [ [ 1073, 1086 ] ], "text": [ "methoctramine" ], "type": "Chemical" }, { "id": "3761", "normalized": [ { "db_id": "D010890", "db_name": "MESH" } ], "offsets": [ [ 1110, 1121 ] ], "text": [ "pirenzepine" ], "type": "Chemical" }, { "id": "3762", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 1278, 1284 ] ], "text": [ "4-DAMP" ], "type": "Chemical" }, { "id": "3763", "normalized": [ { "db_id": "C054938", "db_name": "MESH" } ], "offsets": [ [ 1349, 1362 ] ], "text": [ "methoctramine" ], "type": "Chemical" }, { "id": "3764", "normalized": [ { "db_id": "D010890", "db_name": "MESH" } ], "offsets": [ [ 1367, 1378 ] ], "text": [ "pirenzepine" ], "type": "Chemical" }, { "id": "3765", "normalized": [ { "db_id": "D010890", "db_name": "MESH" } ], "offsets": [ [ 1542, 1553 ] ], "text": [ "pirenzepine" ], "type": "Chemical" }, { "id": "3766", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 1558, 1564 ] ], "text": [ "4-DAMP" ], "type": "Chemical" }, { "id": "3767", "normalized": [ { "db_id": "C054938", "db_name": "MESH" } ], "offsets": [ [ 1666, 1679 ] ], "text": [ "methoctramine" ], "type": "Chemical" }, { "id": "3768", "normalized": [ { "db_id": "D002217", "db_name": "MESH" } ], "offsets": [ [ 1780, 1789 ] ], "text": [ "carbachol" ], "type": "Chemical" }, { "id": "3769", "normalized": [ { "db_id": "D000255", "db_name": "MESH" } ], "offsets": [ [ 1794, 1797 ] ], "text": [ "ATP" ], "type": "Chemical" }, { "id": "3770", "normalized": [ { "db_id": "D011188", "db_name": "MESH" } ], "offsets": [ [ 1874, 1883 ] ], "text": [ "potassium" ], "type": "Chemical" }, { "id": "3771", "normalized": [ { "db_id": "D007545", "db_name": "MESH" } ], "offsets": [ [ 1894, 1906 ] ], "text": [ "isoprenaline" ], "type": "Chemical" } ]
[ { "id": "3749", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 99, 107 ] ], "text": [ "cystitis" ], "type": "Disease" }, { "id": "3751", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 148, 156 ] ], "text": [ "cystitis" ], "type": "Disease" }, { "id": "3752", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 323, 331 ] ], "text": [ "cystitis" ], "type": "Disease" }, { "id": "3772", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 1969, 1977 ] ], "text": [ "cystitis" ], "type": "Disease" } ]
In vitro characterization of parasympathetic and sympathetic responses in cyclophosphamide-induced cystitis in the rat.
In cyclophosphamide-induced cystitis in the rat, detrusor function is impaired and the expression and effects of muscarinic receptors altered. Whether or not the neuronal transmission may be affected by cystitis was presently investigated. Responses of urinary strip preparations from control and cyclophosphamide-pretreated rats to electrical field stimulation and to agonists were assessed in the absence and presence of muscarinic, adrenergic and purinergic receptor antagonists. Generally, atropine reduced contractions, but in contrast to controls, it also reduced responses to low electrical field stimulation intensity (1-5 Hz) in inflamed preparations. In both types, purinoceptor desensitization with alpha,beta-methylene adenosine-5'-triphosphate (alpha,beta-meATP) caused further reductions at low frequencies (<10 Hz). The muscarinic receptor antagonists atropine, 4-diphenylacetoxy-N-methylpiperidine (4-DAMP) ('M(1)/M(3)/M(5)-selective'), methoctramine ('M(2)-selective') and pirenzepine ('M(1)-selective') antagonized the tonic component of the electrical field stimulation-evoked contractile response more potently than the phasic component. 4-DAMP inhibited the tonic contractions in controls more potently than methoctramine and pirenzepine. In inflamed preparations, the muscarinic receptor antagonism on the phasic component of the electrical field stimulation-evoked contraction was decreased and the pirenzepine and 4-DAMP antagonism on the tonic component was much less efficient than in controls. In contrast to controls, methoctramine increased -- instead of decreased -- the tonic responses at high frequencies. While contractions to carbachol and ATP were the same in inflamed and in control strips when related to a reference potassium response, isoprenaline-induced relaxations were smaller in inflamed strips. Thus, in cystitis substantial changes of the efferent functional responses occur. While postjunctional beta-adrenoceptor-mediated relaxations are reduced, effects by prejunctional inhibitory muscarinic receptors may be increased.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"atropine"/ induces disease /"cystitis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: In vitro characterization of parasympathetic and sympathetic responses in cyclophosphamide-induced /"cystitis"/ in the rat. - Abstract: In cyclophosphamide-induced /"cystitis"/ in the rat, detrusor function is impaired and the expression and effects of muscarinic receptors altered. Whether or not the neuronal transmission may be affected by /"cystitis"/ was presently investigated. Responses of urinary strip preparations from control and cyclophosphamide-pretreated rats to electrical field stimulation and to agonists were assessed in the absence and presence of muscarinic, adrenergic and purinergic receptor antagonists. Generally, /"atropine"/ reduced contractions, but in contrast to controls, it also reduced responses to low electrical field stimulation intensity (1-5 Hz) in inflamed preparations. In both types, purinoceptor desensitization with alpha,beta-methylene adenosine-5'-triphosphate (alpha,beta-meATP) caused further reductions at low frequencies (<10 Hz). The muscarinic receptor antagonists /"atropine"/, 4-diphenylacetoxy-N-methylpiperidine (4-DAMP) ('M(1)/M(3)/M(5)-selective'), methoctramine ('M(2)-selective') and pirenzepine ('M(1)-selective') antagonized the tonic component of the electrical field stimulation-evoked contractile response more potently than the phasic component. 4-DAMP inhibited the tonic contractions in controls more potently than methoctramine and pirenzepine. In inflamed preparations, the muscarinic receptor antagonism on the phasic component of the electrical field stimulation-evoked contraction was decreased and the pirenzepine and 4-DAMP antagonism on the tonic component was much less efficient than in controls. In contrast to controls, methoctramine increased -- instead of decreased -- the tonic responses at high frequencies. While contractions to carbachol and ATP were the same in inflamed and in control strips when related to a reference potassium response, isoprenaline-induced relaxations were smaller in inflamed strips. Thus, in /"cystitis"/ substantial changes of the efferent functional responses occur. While postjunctional beta-adrenoceptor-mediated relaxations are reduced, effects by prejunctional inhibitory muscarinic receptors may be increased. Question: Does chemical /"atropine"/ induce disease /"cystitis"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
In vitro characterization of parasympathetic and sympathetic responses in cyclophosphamide-induced /"cystitis"/ in the rat.
In cyclophosphamide-induced /"cystitis"/ in the rat, detrusor function is impaired and the expression and effects of muscarinic receptors altered. Whether or not the neuronal transmission may be affected by /"cystitis"/ was presently investigated. Responses of urinary strip preparations from control and cyclophosphamide-pretreated rats to electrical field stimulation and to agonists were assessed in the absence and presence of muscarinic, adrenergic and purinergic receptor antagonists. Generally, /"atropine"/ reduced contractions, but in contrast to controls, it also reduced responses to low electrical field stimulation intensity (1-5 Hz) in inflamed preparations. In both types, purinoceptor desensitization with alpha,beta-methylene adenosine-5'-triphosphate (alpha,beta-meATP) caused further reductions at low frequencies (<10 Hz). The muscarinic receptor antagonists /"atropine"/, 4-diphenylacetoxy-N-methylpiperidine (4-DAMP) ('M(1)/M(3)/M(5)-selective'), methoctramine ('M(2)-selective') and pirenzepine ('M(1)-selective') antagonized the tonic component of the electrical field stimulation-evoked contractile response more potently than the phasic component. 4-DAMP inhibited the tonic contractions in controls more potently than methoctramine and pirenzepine. In inflamed preparations, the muscarinic receptor antagonism on the phasic component of the electrical field stimulation-evoked contraction was decreased and the pirenzepine and 4-DAMP antagonism on the tonic component was much less efficient than in controls. In contrast to controls, methoctramine increased -- instead of decreased -- the tonic responses at high frequencies. While contractions to carbachol and ATP were the same in inflamed and in control strips when related to a reference potassium response, isoprenaline-induced relaxations were smaller in inflamed strips. Thus, in /"cystitis"/ substantial changes of the efferent functional responses occur. While postjunctional beta-adrenoceptor-mediated relaxations are reduced, effects by prejunctional inhibitory muscarinic receptors may be increased.
atropine
{ "id": "3754", "normalized": [ { "db_id": "D001285", "db_name": "MESH" } ], "offsets": [ [ 614, 622 ] ], "text": [ "atropine" ], "type": "Chemical" }
cystitis
{ "id": "3749", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 99, 107 ] ], "text": [ "cystitis" ], "type": "Disease" }
[ { "id": "3748", "normalized": [ { "db_id": "D003520", "db_name": "MESH" } ], "offsets": [ [ 74, 90 ] ], "text": [ "cyclophosphamide" ], "type": "Chemical" }, { "id": "3750", "normalized": [ { "db_id": "D003520", "db_name": "MESH" } ], "offsets": [ [ 123, 139 ] ], "text": [ "cyclophosphamide" ], "type": "Chemical" }, { "id": "3753", "normalized": [ { "db_id": "D003520", "db_name": "MESH" } ], "offsets": [ [ 417, 433 ] ], "text": [ "cyclophosphamide" ], "type": "Chemical" }, { "id": "3754", "normalized": [ { "db_id": "D001285", "db_name": "MESH" } ], "offsets": [ [ 614, 622 ] ], "text": [ "atropine" ], "type": "Chemical" }, { "id": "3755", "normalized": [ { "db_id": "C002630", "db_name": "MESH" } ], "offsets": [ [ 830, 876 ] ], "text": [ "alpha,beta-methylene adenosine-5'-triphosphate" ], "type": "Chemical" }, { "id": "3756", "normalized": [ { "db_id": "C002630", "db_name": "MESH" } ], "offsets": [ [ 878, 894 ] ], "text": [ "alpha,beta-meATP" ], "type": "Chemical" }, { "id": "3757", "normalized": [ { "db_id": "D001285", "db_name": "MESH" } ], "offsets": [ [ 987, 995 ] ], "text": [ "atropine" ], "type": "Chemical" }, { "id": "3758", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 997, 1033 ] ], "text": [ "4-diphenylacetoxy-N-methylpiperidine" ], "type": "Chemical" }, { "id": "3759", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 1035, 1041 ] ], "text": [ "4-DAMP" ], "type": "Chemical" }, { "id": "3760", "normalized": [ { "db_id": "C054938", "db_name": "MESH" } ], "offsets": [ [ 1073, 1086 ] ], "text": [ "methoctramine" ], "type": "Chemical" }, { "id": "3761", "normalized": [ { "db_id": "D010890", "db_name": "MESH" } ], "offsets": [ [ 1110, 1121 ] ], "text": [ "pirenzepine" ], "type": "Chemical" }, { "id": "3762", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 1278, 1284 ] ], "text": [ "4-DAMP" ], "type": "Chemical" }, { "id": "3763", "normalized": [ { "db_id": "C054938", "db_name": "MESH" } ], "offsets": [ [ 1349, 1362 ] ], "text": [ "methoctramine" ], "type": "Chemical" }, { "id": "3764", "normalized": [ { "db_id": "D010890", "db_name": "MESH" } ], "offsets": [ [ 1367, 1378 ] ], "text": [ "pirenzepine" ], "type": "Chemical" }, { "id": "3765", "normalized": [ { "db_id": "D010890", "db_name": "MESH" } ], "offsets": [ [ 1542, 1553 ] ], "text": [ "pirenzepine" ], "type": "Chemical" }, { "id": "3766", "normalized": [ { "db_id": "C042375", "db_name": "MESH" } ], "offsets": [ [ 1558, 1564 ] ], "text": [ "4-DAMP" ], "type": "Chemical" }, { "id": "3767", "normalized": [ { "db_id": "C054938", "db_name": "MESH" } ], "offsets": [ [ 1666, 1679 ] ], "text": [ "methoctramine" ], "type": "Chemical" }, { "id": "3768", "normalized": [ { "db_id": "D002217", "db_name": "MESH" } ], "offsets": [ [ 1780, 1789 ] ], "text": [ "carbachol" ], "type": "Chemical" }, { "id": "3769", "normalized": [ { "db_id": "D000255", "db_name": "MESH" } ], "offsets": [ [ 1794, 1797 ] ], "text": [ "ATP" ], "type": "Chemical" }, { "id": "3770", "normalized": [ { "db_id": "D011188", "db_name": "MESH" } ], "offsets": [ [ 1874, 1883 ] ], "text": [ "potassium" ], "type": "Chemical" }, { "id": "3771", "normalized": [ { "db_id": "D007545", "db_name": "MESH" } ], "offsets": [ [ 1894, 1906 ] ], "text": [ "isoprenaline" ], "type": "Chemical" } ]
[ { "id": "3749", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 99, 107 ] ], "text": [ "cystitis" ], "type": "Disease" }, { "id": "3751", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 148, 156 ] ], "text": [ "cystitis" ], "type": "Disease" }, { "id": "3752", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 323, 331 ] ], "text": [ "cystitis" ], "type": "Disease" }, { "id": "3772", "normalized": [ { "db_id": "D003556", "db_name": "MESH" } ], "offsets": [ [ 1969, 1977 ] ], "text": [ "cystitis" ], "type": "Disease" } ]
In vitro characterization of parasympathetic and sympathetic responses in cyclophosphamide-induced cystitis in the rat.
In cyclophosphamide-induced cystitis in the rat, detrusor function is impaired and the expression and effects of muscarinic receptors altered. Whether or not the neuronal transmission may be affected by cystitis was presently investigated. Responses of urinary strip preparations from control and cyclophosphamide-pretreated rats to electrical field stimulation and to agonists were assessed in the absence and presence of muscarinic, adrenergic and purinergic receptor antagonists. Generally, atropine reduced contractions, but in contrast to controls, it also reduced responses to low electrical field stimulation intensity (1-5 Hz) in inflamed preparations. In both types, purinoceptor desensitization with alpha,beta-methylene adenosine-5'-triphosphate (alpha,beta-meATP) caused further reductions at low frequencies (<10 Hz). The muscarinic receptor antagonists atropine, 4-diphenylacetoxy-N-methylpiperidine (4-DAMP) ('M(1)/M(3)/M(5)-selective'), methoctramine ('M(2)-selective') and pirenzepine ('M(1)-selective') antagonized the tonic component of the electrical field stimulation-evoked contractile response more potently than the phasic component. 4-DAMP inhibited the tonic contractions in controls more potently than methoctramine and pirenzepine. In inflamed preparations, the muscarinic receptor antagonism on the phasic component of the electrical field stimulation-evoked contraction was decreased and the pirenzepine and 4-DAMP antagonism on the tonic component was much less efficient than in controls. In contrast to controls, methoctramine increased -- instead of decreased -- the tonic responses at high frequencies. While contractions to carbachol and ATP were the same in inflamed and in control strips when related to a reference potassium response, isoprenaline-induced relaxations were smaller in inflamed strips. Thus, in cystitis substantial changes of the efferent functional responses occur. While postjunctional beta-adrenoceptor-mediated relaxations are reduced, effects by prejunctional inhibitory muscarinic receptors may be increased.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"benzodiazepines"/ induces disease /"tiredness"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with dizziness, inability to sleep after awaking at night and /"tiredness"/ in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"benzodiazepines"/ induce disease /"tiredness"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with dizziness, inability to sleep after awaking at night and /"tiredness"/ in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
benzodiazepines
{ "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }
tiredness
{ "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"benzodiazepines"/ induces disease /"depressive symptoms"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger /"depressive symptoms"/ measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"benzodiazepines"/ induce disease /"depressive symptoms"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger /"depressive symptoms"/ measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
benzodiazepines
{ "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }
depressive symptoms
{ "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"benzodiazepines"/ induces disease /"inability to sleep"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with dizziness, /"inability to sleep"/ after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"benzodiazepines"/ induce disease /"inability to sleep"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with dizziness, /"inability to sleep"/ after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
benzodiazepines
{ "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }
inability to sleep
{ "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"benzodiazepines"/ induces disease /"dizziness"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with /"dizziness"/, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"benzodiazepines"/ induce disease /"dizziness"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Associations between use of /"benzodiazepines"/ or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of /"benzodiazepines"/ or related drugs (/"BZDs"//RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used /"BZDs"//RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of /"BZDs"//RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three /"BZDs"//RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of /"BZDs"//RDs was not associated with cognitive function as measured by the MMSE. However, use of /"BZDs"//RDs was associated with /"dizziness"/, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of /"BZDs"//RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
benzodiazepines
{ "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }
dizziness
{ "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"oxazepam"/ induces disease /"dementia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of /"oxazepam"/, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed /"dementia"/. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"oxazepam"/ induce disease /"dementia"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of /"oxazepam"/, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed /"dementia"/. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
oxazepam
{ "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }
dementia
{ "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"temazepam"/ induces disease /"inability to sleep"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, /"temazepam"/ and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, /"inability to sleep"/ after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of /"temazepam"/ correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"temazepam"/ induce disease /"inability to sleep"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, /"temazepam"/ and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, /"inability to sleep"/ after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of /"temazepam"/ correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
temazepam
{ "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }
inability to sleep
{ "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"temazepam"/ induces disease /"dizziness"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, /"temazepam"/ and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with /"dizziness"/, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of /"temazepam"/ correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"temazepam"/ induce disease /"dizziness"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, /"temazepam"/ and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with /"dizziness"/, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of /"temazepam"/ correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
temazepam
{ "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }
dizziness
{ "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"zopiclone"/ induces disease /"depressive symptoms"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly. - Abstract: OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and /"zopiclone"/ were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger /"depressive symptoms"/ measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs. Question: Does chemical /"zopiclone"/ induce disease /"depressive symptoms"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and /"zopiclone"/ were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger /"depressive symptoms"/ measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
zopiclone
{ "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }
depressive symptoms
{ "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" }
[ { "id": "3788", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 28, 43 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3789", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 219, 234 ] ], "text": [ "benzodiazepines" ], "type": "Chemical" }, { "id": "3790", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 253, 257 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3791", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 583, 587 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3792", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 907, 911 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3793", "normalized": [ { "db_id": "D010076", "db_name": "MESH" } ], "offsets": [ [ 1205, 1213 ] ], "text": [ "oxazepam" ], "type": "Chemical" }, { "id": "3794", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 1215, 1224 ] ], "text": [ "temazepam" ], "type": "Chemical" }, { "id": "3795", "normalized": [ { "db_id": "C515050", "db_name": "MESH" } ], "offsets": [ [ 1229, 1238 ] ], "text": [ "zopiclone" ], "type": "Chemical" }, { "id": "3796", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1347, 1351 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3798", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1638, 1642 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3799", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1731, 1735 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3804", "normalized": [ { "db_id": "D001569", "db_name": "MESH" } ], "offsets": [ [ 1971, 1975 ] ], "text": [ "BZDs" ], "type": "Chemical" }, { "id": "3805", "normalized": [ { "db_id": "D013693", "db_name": "MESH" } ], "offsets": [ [ 2141, 2150 ] ], "text": [ "temazepam" ], "type": "Chemical" } ]
[ { "id": "3797", "normalized": [ { "db_id": "D003704", "db_name": "MESH" } ], "offsets": [ [ 1568, 1576 ] ], "text": [ "dementia" ], "type": "Disease" }, { "id": "3800", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 1760, 1769 ] ], "text": [ "dizziness" ], "type": "Disease" }, { "id": "3801", "normalized": [ { "db_id": "D007319", "db_name": "MESH" } ], "offsets": [ [ 1771, 1789 ] ], "text": [ "inability to sleep" ], "type": "Disease" }, { "id": "3802", "normalized": [ { "db_id": "D005221", "db_name": "MESH" } ], "offsets": [ [ 1817, 1826 ] ], "text": [ "tiredness" ], "type": "Disease" }, { "id": "3803", "normalized": [ { "db_id": "D003866", "db_name": "MESH" } ], "offsets": [ [ 1896, 1915 ] ], "text": [ "depressive symptoms" ], "type": "Disease" } ]
Associations between use of benzodiazepines or related drugs and health, physical abilities and cognitive function: a non-randomised clinical study in the elderly.
OBJECTIVE: To describe associations between the use of benzodiazepines or related drugs (BZDs/RDs) and health, functional abilities and cognitive function in the elderly. METHODS: A non-randomised clinical study of patients aged > or =65 years admitted to acute hospital wards during 1 month. 164 patients (mean age +/- standard deviation [SD] 81.6 +/- 6.8 years) were admitted. Of these, nearly half (n = 78) had used BZDs/RDs before admission, and the remainder (n = 86) were non-users. Cognitive ability was assessed by the Mini-Mental State Examination (MMSE). Patients scoring > or =20 MMSE sum points were interviewed (n = 79) and questioned regarding symptoms and functional abilities during the week prior to admission. Data on use of BZDs/RDs before admission, current medications and discharge diagnoses were collected from medical records. Health, physical abilities and cognitive function were compared between BZD/RD users and non-users, and adjustments were made for confounding variables. The residual serum concentrations of oxazepam, temazepam and zopiclone were analysed. RESULTS: The mean +/- SD duration of BZD/RD use was 7 +/- 7 years (range 1-31). Two or three BZDs/RDs were concomitantly taken by 26% of users (n = 20). Long-term use of these drugs was associated with female sex and use of a higher number of drugs with effects on the CNS, which tended to be related to diagnosed dementia. After adjustment for these variables as confounders, use of BZDs/RDs was not associated with cognitive function as measured by the MMSE. However, use of BZDs/RDs was associated with dizziness, inability to sleep after awaking at night and tiredness in the mornings during the week prior to admission and with stronger depressive symptoms measured at the beginning of the hospital stay. Use of BZDs/RDs tended to be associated with a reduced ability to walk and shorter night-time sleep during the week prior to admission. A higher residual serum concentration of temazepam correlated with a lower MMSE sum score after adjustment for confounding variables. CONCLUSIONS: Long-term use and concomitant use of more than one BZD/RD were common in elderly patients hospitalised because of acute illnesses. Long-term use was associated with daytime and night-time symptoms indicative of poorer health and potentially caused by the adverse effects of these drugs.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"paresthesia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute /"disulfiram"/ intoxication. - Abstract: Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and /"paresthesia"/ of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"paresthesia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Acute vocal fold palsy after acute /"disulfiram"/ intoxication.
Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and /"paresthesia"/ of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
paresthesia
{ "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"quadriparesis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute /"disulfiram"/ intoxication. - Abstract: Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of /"quadriparesis"/, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"quadriparesis"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Acute vocal fold palsy after acute /"disulfiram"/ intoxication.
Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of /"quadriparesis"/, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
quadriparesis
{ "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"pain"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute /"disulfiram"/ intoxication. - Abstract: Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating /"pain"/, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"pain"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Acute vocal fold palsy after acute /"disulfiram"/ intoxication.
Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating /"pain"/, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
pain
{ "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"peripheral neuropathy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute /"disulfiram"/ intoxication. - Abstract: Acute /"peripheral neuropathy"/ caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"peripheral neuropathy"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Acute vocal fold palsy after acute /"disulfiram"/ intoxication.
Acute /"peripheral neuropathy"/ caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
peripheral neuropathy
{ "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"ataxia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute /"disulfiram"/ intoxication. - Abstract: Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate /"ataxia"/ and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"ataxia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Acute vocal fold palsy after acute /"disulfiram"/ intoxication.
Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate /"ataxia"/ and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
ataxia
{ "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"vocal fold palsy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute /"vocal fold palsy"/ after acute /"disulfiram"/ intoxication. - Abstract: Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to /"vocal fold palsy"/. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"vocal fold palsy"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Acute /"vocal fold palsy"/ after acute /"disulfiram"/ intoxication.
Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to /"vocal fold palsy"/. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
vocal fold palsy
{ "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"overdose"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute /"disulfiram"/ intoxication. - Abstract: Acute peripheral neuropathy caused by a /"disulfiram"/ /"overdose"/ is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"overdose"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Acute vocal fold palsy after acute /"disulfiram"/ intoxication.
Acute peripheral neuropathy caused by a /"disulfiram"/ /"overdose"/ is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
overdose
{ "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"disulfiram"/ induces disease /"polyneuropathy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute /"disulfiram"/ intoxication. - Abstract: Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal /"polyneuropathy"/. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal /"polyneuropathy"/ caused by high-dose /"disulfiram"/ intoxication. Question: Does chemical /"disulfiram"/ induce disease /"polyneuropathy"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Acute vocal fold palsy after acute /"disulfiram"/ intoxication.
Acute peripheral neuropathy caused by a /"disulfiram"/ overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of /"disulfiram"/ (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal /"polyneuropathy"/. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal /"polyneuropathy"/ caused by high-dose /"disulfiram"/ intoxication.
disulfiram
{ "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }
polyneuropathy
{ "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"ALCOHOL"/ induces disease /"ataxia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute disulfiram intoxication. - Abstract: Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate /"ataxia"/ and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication. Question: Does chemical /"ALCOHOL"/ induce disease /"ataxia"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate /"ataxia"/ and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
ALCOHOL
{ "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }
ataxia
{ "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"ALCOHOL"/ induces disease /"hoarseness"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute disulfiram intoxication. - Abstract: Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed /"hoarseness"/ and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication. Question: Does chemical /"ALCOHOL"/ induce disease /"hoarseness"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed /"hoarseness"/ and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
ALCOHOL
{ "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }
hoarseness
{ "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"ALCOHOL"/ induces disease /"vocal fold palsy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute /"vocal fold palsy"/ after acute disulfiram intoxication. - Abstract: Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to /"vocal fold palsy"/. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication. Question: Does chemical /"ALCOHOL"/ induce disease /"vocal fold palsy"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Acute /"vocal fold palsy"/ after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to /"vocal fold palsy"/. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
ALCOHOL
{ "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }
vocal fold palsy
{ "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"ALCOHOL"/ induces disease /"palsy"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Acute vocal fold palsy after acute disulfiram intoxication. - Abstract: Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute /"palsy"/ of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication. Question: Does chemical /"ALCOHOL"/ induce disease /"palsy"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of /"ALCOHOL"/ STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute /"palsy"/ of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
ALCOHOL
{ "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }
palsy
{ "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }
[ { "id": "3846", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 35, 45 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3848", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 100, 110 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3855", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 398, 408 ] ], "text": [ "disulfiram" ], "type": "Chemical" }, { "id": "3856", "normalized": [ { "db_id": "D000431", "db_name": "MESH" } ], "offsets": [ [ 425, 432 ] ], "text": [ "ALCOHOL" ], "type": "Chemical" }, { "id": "3863", "normalized": [ { "db_id": "D004221", "db_name": "MESH" } ], "offsets": [ [ 1250, 1260 ] ], "text": [ "disulfiram" ], "type": "Chemical" } ]
[ { "id": "3845", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 6, 22 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3847", "normalized": [ { "db_id": "D010523", "db_name": "MESH" } ], "offsets": [ [ 66, 87 ] ], "text": [ "peripheral neuropathy" ], "type": "Disease" }, { "id": "3849", "normalized": [ { "db_id": "D062787", "db_name": "MESH" } ], "offsets": [ [ 111, 119 ] ], "text": [ "overdose" ], "type": "Disease" }, { "id": "3850", "normalized": [ { "db_id": "D014826", "db_name": "MESH" } ], "offsets": [ [ 173, 189 ] ], "text": [ "vocal fold palsy" ], "type": "Disease" }, { "id": "3851", "normalized": [ { "db_id": "D011782", "db_name": "MESH" } ], "offsets": [ [ 256, 269 ] ], "text": [ "quadriparesis" ], "type": "Disease" }, { "id": "3852", "normalized": [ { "db_id": "D010146", "db_name": "MESH" } ], "offsets": [ [ 283, 287 ] ], "text": [ "pain" ], "type": "Disease" }, { "id": "3853", "normalized": [ { "db_id": "C580162", "db_name": "MESH" } ], "offsets": [ [ 289, 301 ] ], "text": [ "sensory loss" ], "type": "Disease" }, { "id": "3854", "normalized": [ { "db_id": "D010292", "db_name": "MESH" } ], "offsets": [ [ 307, 318 ] ], "text": [ "paresthesia" ], "type": "Disease" }, { "id": "3857", "normalized": [ { "db_id": "D001259", "db_name": "MESH" } ], "offsets": [ [ 621, 627 ] ], "text": [ "ataxia" ], "type": "Disease" }, { "id": "3858", "normalized": [ { "db_id": "D004244", "db_name": "MESH" } ], "offsets": [ [ 632, 641 ] ], "text": [ "giddiness" ], "type": "Disease" }, { "id": "3859", "normalized": [ { "db_id": "D006685", "db_name": "MESH" } ], "offsets": [ [ 655, 665 ] ], "text": [ "hoarseness" ], "type": "Disease" }, { "id": "3860", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 834, 848 ] ], "text": [ "polyneuropathy" ], "type": "Disease" }, { "id": "3861", "normalized": [ { "db_id": "D010243", "db_name": "MESH" } ], "offsets": [ [ 1126, 1131 ] ], "text": [ "palsy" ], "type": "Disease" }, { "id": "3862", "normalized": [ { "db_id": "D011115", "db_name": "MESH" } ], "offsets": [ [ 1215, 1229 ] ], "text": [ "polyneuropathy" ], "type": "Disease" } ]
Acute vocal fold palsy after acute disulfiram intoxication.
Acute peripheral neuropathy caused by a disulfiram overdose is very rare and there is no report of it leading to vocal fold palsy. A 49-year-old woman was transferred to our department because of quadriparesis, lancinating pain, sensory loss, and paresthesia of the distal limbs. One month previously, she had taken a single high dose of disulfiram (130 tablets of ALCOHOL STOP TAB, Shin-Poong Pharm. Co., Ansan, Korea) in a suicide attempt. She was not an alcoholic. For the first few days after ingestion, she was in a confused state and had mild to moderate ataxia and giddiness. She noticed hoarseness and distally accentuated motor and sensory dysfunction after she had recovered from this state. A nerve conduction study was consistent with severe sensorimotor axonal polyneuropathy. Laryngeal electromyography (thyroarytenoid muscle) showed ample denervation potentials. Laryngoscopy revealed asymmetric vocal fold movements during phonation. Her vocal change and weakness began to improve spontaneously about 3 weeks after transfer. This was a case of acute palsy of the recurrent laryngeal nerve and superimposed severe acute sensorimotor axonal polyneuropathy caused by high-dose disulfiram intoxication.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"heparin"/ induces disease /"thrombosis"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Higher optical density of an antigen assay predicts /"thrombosis"/ in patients with /"heparin"/-induced thrombocytopenia. - Abstract: OBJECTIVES: To correlate optical density and percent inhibition of a two-step /"heparin"/-induced thrombocytopenia (HIT) antigen assay with /"thrombosis"/; the assay utilizes reaction inhibition characteristics of a high /"heparin"/ concentration. PATIENTS AND METHODS: Patients with more than 50% decrease in platelet count or thrombocytopenia (<150 x 10(9)/L) after exposure to /"heparin"/, who had a positive two-step antigen assay [optical density (OD) >0.4 and >50 inhibition with high concentration of /"heparin"/] were included in the study. RESULTS: Forty of 94 HIT patients had /"thrombosis"/ at diagnosis; 54/94 had isolated-HIT without /"thrombosis"/. Eight of the isolated-HIT patients developed /"thrombosis"/ within the next 30 d; thus, a total of 48 patients had /"thrombosis"/ at day 30. At diagnosis there was no significant difference in OD between HIT patients with /"thrombosis"/ and those with isolated-HIT. However, OD was significantly higher in all patients with /"thrombosis"/ (n = 48, 1.34 +/- 0.89), including isolated-HIT patients who later developed /"thrombosis"/ within 30 d (n = 8, 1.84 +/- 0.64) as compared to isolated-HIT patients who did not develop /"thrombosis"/ (0.96 +/- 0.75; P = 0.011 and P = 0.008). The Receiver Operative Characteristic Curve showed that OD >1.27 in the isolated-HIT group had a significantly higher chance of developing /"thrombosis"/ by day 30. None of these groups showed significant difference in percent inhibition. Multivariate analysis showed a 2.8-fold increased risk of /"thrombosis"/ in females. Similarly, /"thrombotic"/ risk increased with age and OD values. CONCLUSION: Higher OD is associated with significant risk of subsequent /"thrombosis"/ in patients with isolated-HIT; percent inhibition, however, was not predictive. Question: Does chemical /"heparin"/ induce disease /"thrombosis"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Higher optical density of an antigen assay predicts /"thrombosis"/ in patients with /"heparin"/-induced thrombocytopenia.
OBJECTIVES: To correlate optical density and percent inhibition of a two-step /"heparin"/-induced thrombocytopenia (HIT) antigen assay with /"thrombosis"/; the assay utilizes reaction inhibition characteristics of a high /"heparin"/ concentration. PATIENTS AND METHODS: Patients with more than 50% decrease in platelet count or thrombocytopenia (<150 x 10(9)/L) after exposure to /"heparin"/, who had a positive two-step antigen assay [optical density (OD) >0.4 and >50 inhibition with high concentration of /"heparin"/] were included in the study. RESULTS: Forty of 94 HIT patients had /"thrombosis"/ at diagnosis; 54/94 had isolated-HIT without /"thrombosis"/. Eight of the isolated-HIT patients developed /"thrombosis"/ within the next 30 d; thus, a total of 48 patients had /"thrombosis"/ at day 30. At diagnosis there was no significant difference in OD between HIT patients with /"thrombosis"/ and those with isolated-HIT. However, OD was significantly higher in all patients with /"thrombosis"/ (n = 48, 1.34 +/- 0.89), including isolated-HIT patients who later developed /"thrombosis"/ within 30 d (n = 8, 1.84 +/- 0.64) as compared to isolated-HIT patients who did not develop /"thrombosis"/ (0.96 +/- 0.75; P = 0.011 and P = 0.008). The Receiver Operative Characteristic Curve showed that OD >1.27 in the isolated-HIT group had a significantly higher chance of developing /"thrombosis"/ by day 30. None of these groups showed significant difference in percent inhibition. Multivariate analysis showed a 2.8-fold increased risk of /"thrombosis"/ in females. Similarly, /"thrombotic"/ risk increased with age and OD values. CONCLUSION: Higher OD is associated with significant risk of subsequent /"thrombosis"/ in patients with isolated-HIT; percent inhibition, however, was not predictive.
heparin
{ "id": "3896", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 80, 87 ] ], "text": [ "heparin" ], "type": "Chemical" }
thrombosis
{ "id": "3895", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 52, 62 ] ], "text": [ "thrombosis" ], "type": "Disease" }
[ { "id": "3896", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 80, 87 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3898", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 192, 199 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3902", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 327, 334 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3904", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 482, 489 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3905", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 606, 613 ] ], "text": [ "heparin" ], "type": "Chemical" } ]
[ { "id": "3895", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 52, 62 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3897", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 96, 112 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "3899", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 208, 224 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "3900", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 226, 229 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3901", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 250, 260 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3903", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 430, 446 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "3906", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 664, 667 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3907", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 681, 691 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3908", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 725, 728 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3909", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 737, 747 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3910", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 771, 774 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3911", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 794, 804 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3912", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 860, 870 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3913", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 945, 948 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3914", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 963, 973 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3915", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 998, 1001 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3916", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1061, 1071 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3917", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1116, 1119 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3918", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1149, 1159 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3919", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1219, 1222 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3920", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1252, 1262 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3921", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1386, 1389 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3922", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1444, 1454 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3923", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1598, 1608 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3924", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1632, 1642 ] ], "text": [ "thrombotic" ], "type": "Disease" }, { "id": "3925", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1754, 1764 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3926", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1791, 1794 ] ], "text": [ "HIT" ], "type": "Disease" } ]
Higher optical density of an antigen assay predicts thrombosis in patients with heparin-induced thrombocytopenia.
OBJECTIVES: To correlate optical density and percent inhibition of a two-step heparin-induced thrombocytopenia (HIT) antigen assay with thrombosis; the assay utilizes reaction inhibition characteristics of a high heparin concentration. PATIENTS AND METHODS: Patients with more than 50% decrease in platelet count or thrombocytopenia (<150 x 10(9)/L) after exposure to heparin, who had a positive two-step antigen assay [optical density (OD) >0.4 and >50 inhibition with high concentration of heparin] were included in the study. RESULTS: Forty of 94 HIT patients had thrombosis at diagnosis; 54/94 had isolated-HIT without thrombosis. Eight of the isolated-HIT patients developed thrombosis within the next 30 d; thus, a total of 48 patients had thrombosis at day 30. At diagnosis there was no significant difference in OD between HIT patients with thrombosis and those with isolated-HIT. However, OD was significantly higher in all patients with thrombosis (n = 48, 1.34 +/- 0.89), including isolated-HIT patients who later developed thrombosis within 30 d (n = 8, 1.84 +/- 0.64) as compared to isolated-HIT patients who did not develop thrombosis (0.96 +/- 0.75; P = 0.011 and P = 0.008). The Receiver Operative Characteristic Curve showed that OD >1.27 in the isolated-HIT group had a significantly higher chance of developing thrombosis by day 30. None of these groups showed significant difference in percent inhibition. Multivariate analysis showed a 2.8-fold increased risk of thrombosis in females. Similarly, thrombotic risk increased with age and OD values. CONCLUSION: Higher OD is associated with significant risk of subsequent thrombosis in patients with isolated-HIT; percent inhibition, however, was not predictive.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"heparin"/ induces disease /"thrombocytopenia"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Higher optical density of an antigen assay predicts thrombosis in patients with /"heparin"/-induced /"thrombocytopenia"/. - Abstract: OBJECTIVES: To correlate optical density and percent inhibition of a two-step /"heparin"/-induced /"thrombocytopenia"/ (/"HIT"/) antigen assay with thrombosis; the assay utilizes reaction inhibition characteristics of a high /"heparin"/ concentration. PATIENTS AND METHODS: Patients with more than 50% decrease in platelet count or /"thrombocytopenia"/ (<150 x 10(9)/L) after exposure to /"heparin"/, who had a positive two-step antigen assay [optical density (OD) >0.4 and >50 inhibition with high concentration of /"heparin"/] were included in the study. RESULTS: Forty of 94 /"HIT"/ patients had thrombosis at diagnosis; 54/94 had isolated-/"HIT"/ without thrombosis. Eight of the isolated-/"HIT"/ patients developed thrombosis within the next 30 d; thus, a total of 48 patients had thrombosis at day 30. At diagnosis there was no significant difference in OD between /"HIT"/ patients with thrombosis and those with isolated-/"HIT"/. However, OD was significantly higher in all patients with thrombosis (n = 48, 1.34 +/- 0.89), including isolated-/"HIT"/ patients who later developed thrombosis within 30 d (n = 8, 1.84 +/- 0.64) as compared to isolated-/"HIT"/ patients who did not develop thrombosis (0.96 +/- 0.75; P = 0.011 and P = 0.008). The Receiver Operative Characteristic Curve showed that OD >1.27 in the isolated-/"HIT"/ group had a significantly higher chance of developing thrombosis by day 30. None of these groups showed significant difference in percent inhibition. Multivariate analysis showed a 2.8-fold increased risk of thrombosis in females. Similarly, thrombotic risk increased with age and OD values. CONCLUSION: Higher OD is associated with significant risk of subsequent thrombosis in patients with isolated-/"HIT"/; percent inhibition, however, was not predictive. Question: Does chemical /"heparin"/ induce disease /"thrombocytopenia"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Higher optical density of an antigen assay predicts thrombosis in patients with /"heparin"/-induced /"thrombocytopenia"/.
OBJECTIVES: To correlate optical density and percent inhibition of a two-step /"heparin"/-induced /"thrombocytopenia"/ (/"HIT"/) antigen assay with thrombosis; the assay utilizes reaction inhibition characteristics of a high /"heparin"/ concentration. PATIENTS AND METHODS: Patients with more than 50% decrease in platelet count or /"thrombocytopenia"/ (<150 x 10(9)/L) after exposure to /"heparin"/, who had a positive two-step antigen assay [optical density (OD) >0.4 and >50 inhibition with high concentration of /"heparin"/] were included in the study. RESULTS: Forty of 94 /"HIT"/ patients had thrombosis at diagnosis; 54/94 had isolated-/"HIT"/ without thrombosis. Eight of the isolated-/"HIT"/ patients developed thrombosis within the next 30 d; thus, a total of 48 patients had thrombosis at day 30. At diagnosis there was no significant difference in OD between /"HIT"/ patients with thrombosis and those with isolated-/"HIT"/. However, OD was significantly higher in all patients with thrombosis (n = 48, 1.34 +/- 0.89), including isolated-/"HIT"/ patients who later developed thrombosis within 30 d (n = 8, 1.84 +/- 0.64) as compared to isolated-/"HIT"/ patients who did not develop thrombosis (0.96 +/- 0.75; P = 0.011 and P = 0.008). The Receiver Operative Characteristic Curve showed that OD >1.27 in the isolated-/"HIT"/ group had a significantly higher chance of developing thrombosis by day 30. None of these groups showed significant difference in percent inhibition. Multivariate analysis showed a 2.8-fold increased risk of thrombosis in females. Similarly, thrombotic risk increased with age and OD values. CONCLUSION: Higher OD is associated with significant risk of subsequent thrombosis in patients with isolated-/"HIT"/; percent inhibition, however, was not predictive.
heparin
{ "id": "3896", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 80, 87 ] ], "text": [ "heparin" ], "type": "Chemical" }
thrombocytopenia
{ "id": "3897", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 96, 112 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }
[ { "id": "3896", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 80, 87 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3898", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 192, 199 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3902", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 327, 334 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3904", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 482, 489 ] ], "text": [ "heparin" ], "type": "Chemical" }, { "id": "3905", "normalized": [ { "db_id": "D006493", "db_name": "MESH" } ], "offsets": [ [ 606, 613 ] ], "text": [ "heparin" ], "type": "Chemical" } ]
[ { "id": "3895", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 52, 62 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3897", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 96, 112 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "3899", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 208, 224 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "3900", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 226, 229 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3901", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 250, 260 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3903", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 430, 446 ] ], "text": [ "thrombocytopenia" ], "type": "Disease" }, { "id": "3906", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 664, 667 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3907", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 681, 691 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3908", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 725, 728 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3909", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 737, 747 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3910", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 771, 774 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3911", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 794, 804 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3912", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 860, 870 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3913", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 945, 948 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3914", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 963, 973 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3915", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 998, 1001 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3916", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1061, 1071 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3917", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1116, 1119 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3918", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1149, 1159 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3919", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1219, 1222 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3920", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1252, 1262 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3921", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1386, 1389 ] ], "text": [ "HIT" ], "type": "Disease" }, { "id": "3922", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1444, 1454 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3923", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1598, 1608 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3924", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1632, 1642 ] ], "text": [ "thrombotic" ], "type": "Disease" }, { "id": "3925", "normalized": [ { "db_id": "D013927", "db_name": "MESH" } ], "offsets": [ [ 1754, 1764 ] ], "text": [ "thrombosis" ], "type": "Disease" }, { "id": "3926", "normalized": [ { "db_id": "D013921", "db_name": "MESH" } ], "offsets": [ [ 1791, 1794 ] ], "text": [ "HIT" ], "type": "Disease" } ]
Higher optical density of an antigen assay predicts thrombosis in patients with heparin-induced thrombocytopenia.
OBJECTIVES: To correlate optical density and percent inhibition of a two-step heparin-induced thrombocytopenia (HIT) antigen assay with thrombosis; the assay utilizes reaction inhibition characteristics of a high heparin concentration. PATIENTS AND METHODS: Patients with more than 50% decrease in platelet count or thrombocytopenia (<150 x 10(9)/L) after exposure to heparin, who had a positive two-step antigen assay [optical density (OD) >0.4 and >50 inhibition with high concentration of heparin] were included in the study. RESULTS: Forty of 94 HIT patients had thrombosis at diagnosis; 54/94 had isolated-HIT without thrombosis. Eight of the isolated-HIT patients developed thrombosis within the next 30 d; thus, a total of 48 patients had thrombosis at day 30. At diagnosis there was no significant difference in OD between HIT patients with thrombosis and those with isolated-HIT. However, OD was significantly higher in all patients with thrombosis (n = 48, 1.34 +/- 0.89), including isolated-HIT patients who later developed thrombosis within 30 d (n = 8, 1.84 +/- 0.64) as compared to isolated-HIT patients who did not develop thrombosis (0.96 +/- 0.75; P = 0.011 and P = 0.008). The Receiver Operative Characteristic Curve showed that OD >1.27 in the isolated-HIT group had a significantly higher chance of developing thrombosis by day 30. None of these groups showed significant difference in percent inhibition. Multivariate analysis showed a 2.8-fold increased risk of thrombosis in females. Similarly, thrombotic risk increased with age and OD values. CONCLUSION: Higher OD is associated with significant risk of subsequent thrombosis in patients with isolated-HIT; percent inhibition, however, was not predictive.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clomiphene"/ induces disease /"retinal vein occlusion"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Central /"retinal vein occlusion"/ associated with /"clomiphene"/-induced ovulation. - Abstract: OBJECTIVE: To report a case of central /"retinal vein occlusion"/ associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central /"retinal vein occlusion"/ after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central /"retinal vein occlusion"/ after eight courses of /"CC"/. A search of the literature on the thromboembolic complications of /"CC"/ does not include this severe ophthalmic complication, although mild visual disturbance after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central /"retinal vein occlusion"/ after treatment with /"CC"/. Extra caution is warranted in treating infertility patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy. Question: Does chemical /"clomiphene"/ induce disease /"retinal vein occlusion"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Central /"retinal vein occlusion"/ associated with /"clomiphene"/-induced ovulation.
OBJECTIVE: To report a case of central /"retinal vein occlusion"/ associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central /"retinal vein occlusion"/ after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central /"retinal vein occlusion"/ after eight courses of /"CC"/. A search of the literature on the thromboembolic complications of /"CC"/ does not include this severe ophthalmic complication, although mild visual disturbance after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central /"retinal vein occlusion"/ after treatment with /"CC"/. Extra caution is warranted in treating infertility patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy.
clomiphene
{ "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }
retinal vein occlusion
{ "id": "4065", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 8, 30 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }
[ { "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }, { "id": "4068", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 155, 173 ] ], "text": [ "clomiphene citrate" ], "type": "Chemical" }, { "id": "4069", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 175, 177 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4072", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 390, 392 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4074", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 489, 491 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4076", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 596, 598 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4078", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 666, 668 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4080", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 762, 764 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4082", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 891, 893 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4084", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 960, 962 ] ], "text": [ "CC" ], "type": "Chemical" } ]
[ { "id": "4065", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 8, 30 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4067", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 116, 138 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4070", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 305, 316 ] ], "text": [ "infertility" ], "type": "Disease" }, { "id": "4071", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 328, 342 ] ], "text": [ "blurred vision" ], "type": "Disease" }, { "id": "4073", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 435, 457 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4075", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 550, 572 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4077", "normalized": [ { "db_id": "D013923", "db_name": "MESH" } ], "offsets": [ [ 634, 648 ] ], "text": [ "thromboembolic" ], "type": "Disease" }, { "id": "4079", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 737, 755 ] ], "text": [ "visual disturbance" ], "type": "Disease" }, { "id": "4081", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 847, 869 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4083", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 934, 945 ] ], "text": [ "infertility" ], "type": "Disease" } ]
Central retinal vein occlusion associated with clomiphene-induced ovulation.
OBJECTIVE: To report a case of central retinal vein occlusion associated with clomiphene citrate (CC). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after CC therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with CC. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of CC. A search of the literature on the thromboembolic complications of CC does not include this severe ophthalmic complication, although mild visual disturbance after CC intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with CC. Extra caution is warranted in treating infertility patients with CC, and patients should be well informed of this side effect before commencement of therapy.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clomiphene"/ induces disease /"blurred vision"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Central retinal vein occlusion associated with /"clomiphene"/-induced ovulation. - Abstract: OBJECTIVE: To report a case of central retinal vein occlusion associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for /"blurred vision"/. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of /"CC"/. A search of the literature on the thromboembolic complications of /"CC"/ does not include this severe ophthalmic complication, although mild /"visual disturbance"/ after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with /"CC"/. Extra caution is warranted in treating infertility patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy. Question: Does chemical /"clomiphene"/ induce disease /"blurred vision"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Central retinal vein occlusion associated with /"clomiphene"/-induced ovulation.
OBJECTIVE: To report a case of central retinal vein occlusion associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for /"blurred vision"/. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of /"CC"/. A search of the literature on the thromboembolic complications of /"CC"/ does not include this severe ophthalmic complication, although mild /"visual disturbance"/ after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with /"CC"/. Extra caution is warranted in treating infertility patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy.
clomiphene
{ "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }
blurred vision
{ "id": "4071", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 328, 342 ] ], "text": [ "blurred vision" ], "type": "Disease" }
[ { "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }, { "id": "4068", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 155, 173 ] ], "text": [ "clomiphene citrate" ], "type": "Chemical" }, { "id": "4069", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 175, 177 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4072", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 390, 392 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4074", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 489, 491 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4076", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 596, 598 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4078", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 666, 668 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4080", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 762, 764 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4082", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 891, 893 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4084", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 960, 962 ] ], "text": [ "CC" ], "type": "Chemical" } ]
[ { "id": "4065", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 8, 30 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4067", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 116, 138 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4070", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 305, 316 ] ], "text": [ "infertility" ], "type": "Disease" }, { "id": "4071", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 328, 342 ] ], "text": [ "blurred vision" ], "type": "Disease" }, { "id": "4073", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 435, 457 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4075", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 550, 572 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4077", "normalized": [ { "db_id": "D013923", "db_name": "MESH" } ], "offsets": [ [ 634, 648 ] ], "text": [ "thromboembolic" ], "type": "Disease" }, { "id": "4079", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 737, 755 ] ], "text": [ "visual disturbance" ], "type": "Disease" }, { "id": "4081", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 847, 869 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4083", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 934, 945 ] ], "text": [ "infertility" ], "type": "Disease" } ]
Central retinal vein occlusion associated with clomiphene-induced ovulation.
OBJECTIVE: To report a case of central retinal vein occlusion associated with clomiphene citrate (CC). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after CC therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with CC. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of CC. A search of the literature on the thromboembolic complications of CC does not include this severe ophthalmic complication, although mild visual disturbance after CC intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with CC. Extra caution is warranted in treating infertility patients with CC, and patients should be well informed of this side effect before commencement of therapy.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clomiphene"/ induces disease /"thromboembolic"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Central retinal vein occlusion associated with /"clomiphene"/-induced ovulation. - Abstract: OBJECTIVE: To report a case of central retinal vein occlusion associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of /"CC"/. A search of the literature on the /"thromboembolic"/ complications of /"CC"/ does not include this severe ophthalmic complication, although mild visual disturbance after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with /"CC"/. Extra caution is warranted in treating infertility patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy. Question: Does chemical /"clomiphene"/ induce disease /"thromboembolic"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Central retinal vein occlusion associated with /"clomiphene"/-induced ovulation.
OBJECTIVE: To report a case of central retinal vein occlusion associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of /"CC"/. A search of the literature on the /"thromboembolic"/ complications of /"CC"/ does not include this severe ophthalmic complication, although mild visual disturbance after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with /"CC"/. Extra caution is warranted in treating infertility patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy.
clomiphene
{ "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }
thromboembolic
{ "id": "4077", "normalized": [ { "db_id": "D013923", "db_name": "MESH" } ], "offsets": [ [ 634, 648 ] ], "text": [ "thromboembolic" ], "type": "Disease" }
[ { "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }, { "id": "4068", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 155, 173 ] ], "text": [ "clomiphene citrate" ], "type": "Chemical" }, { "id": "4069", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 175, 177 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4072", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 390, 392 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4074", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 489, 491 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4076", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 596, 598 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4078", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 666, 668 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4080", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 762, 764 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4082", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 891, 893 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4084", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 960, 962 ] ], "text": [ "CC" ], "type": "Chemical" } ]
[ { "id": "4065", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 8, 30 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4067", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 116, 138 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4070", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 305, 316 ] ], "text": [ "infertility" ], "type": "Disease" }, { "id": "4071", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 328, 342 ] ], "text": [ "blurred vision" ], "type": "Disease" }, { "id": "4073", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 435, 457 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4075", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 550, 572 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4077", "normalized": [ { "db_id": "D013923", "db_name": "MESH" } ], "offsets": [ [ 634, 648 ] ], "text": [ "thromboembolic" ], "type": "Disease" }, { "id": "4079", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 737, 755 ] ], "text": [ "visual disturbance" ], "type": "Disease" }, { "id": "4081", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 847, 869 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4083", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 934, 945 ] ], "text": [ "infertility" ], "type": "Disease" } ]
Central retinal vein occlusion associated with clomiphene-induced ovulation.
OBJECTIVE: To report a case of central retinal vein occlusion associated with clomiphene citrate (CC). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after CC therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with CC. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of CC. A search of the literature on the thromboembolic complications of CC does not include this severe ophthalmic complication, although mild visual disturbance after CC intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with CC. Extra caution is warranted in treating infertility patients with CC, and patients should be well informed of this side effect before commencement of therapy.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"clomiphene"/ induces disease /"infertility"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Central retinal vein occlusion associated with /"clomiphene"/-induced ovulation. - Abstract: OBJECTIVE: To report a case of central retinal vein occlusion associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the /"infertility"/ clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of /"CC"/. A search of the literature on the thromboembolic complications of /"CC"/ does not include this severe ophthalmic complication, although mild visual disturbance after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with /"CC"/. Extra caution is warranted in treating /"infertility"/ patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy. Question: Does chemical /"clomiphene"/ induce disease /"infertility"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Central retinal vein occlusion associated with /"clomiphene"/-induced ovulation.
OBJECTIVE: To report a case of central retinal vein occlusion associated with /"clomiphene citrate"/ (/"CC"/). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the /"infertility"/ clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after /"CC"/ therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with /"CC"/. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of /"CC"/. A search of the literature on the thromboembolic complications of /"CC"/ does not include this severe ophthalmic complication, although mild visual disturbance after /"CC"/ intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with /"CC"/. Extra caution is warranted in treating /"infertility"/ patients with /"CC"/, and patients should be well informed of this side effect before commencement of therapy.
clomiphene
{ "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }
infertility
{ "id": "4070", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 305, 316 ] ], "text": [ "infertility" ], "type": "Disease" }
[ { "id": "4066", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 47, 57 ] ], "text": [ "clomiphene" ], "type": "Chemical" }, { "id": "4068", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 155, 173 ] ], "text": [ "clomiphene citrate" ], "type": "Chemical" }, { "id": "4069", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 175, 177 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4072", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 390, 392 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4074", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 489, 491 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4076", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 596, 598 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4078", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 666, 668 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4080", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 762, 764 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4082", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 891, 893 ] ], "text": [ "CC" ], "type": "Chemical" }, { "id": "4084", "normalized": [ { "db_id": "D002996", "db_name": "MESH" } ], "offsets": [ [ 960, 962 ] ], "text": [ "CC" ], "type": "Chemical" } ]
[ { "id": "4065", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 8, 30 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4067", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 116, 138 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4070", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 305, 316 ] ], "text": [ "infertility" ], "type": "Disease" }, { "id": "4071", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 328, 342 ] ], "text": [ "blurred vision" ], "type": "Disease" }, { "id": "4073", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 435, 457 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4075", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 550, 572 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4077", "normalized": [ { "db_id": "D013923", "db_name": "MESH" } ], "offsets": [ [ 634, 648 ] ], "text": [ "thromboembolic" ], "type": "Disease" }, { "id": "4079", "normalized": [ { "db_id": "D014786", "db_name": "MESH" } ], "offsets": [ [ 737, 755 ] ], "text": [ "visual disturbance" ], "type": "Disease" }, { "id": "4081", "normalized": [ { "db_id": "D012170", "db_name": "MESH" } ], "offsets": [ [ 847, 869 ] ], "text": [ "retinal vein occlusion" ], "type": "Disease" }, { "id": "4083", "normalized": [ { "db_id": "D007247", "db_name": "MESH" } ], "offsets": [ [ 934, 945 ] ], "text": [ "infertility" ], "type": "Disease" } ]
Central retinal vein occlusion associated with clomiphene-induced ovulation.
OBJECTIVE: To report a case of central retinal vein occlusion associated with clomiphene citrate (CC). DESIGN: Case study. SETTING: Ophthalmology clinic of an academic hospital. PATIENT(S): A 36-year-old woman referred from the infertility clinic for blurred vision. INTERVENTION(S): Ophthalmic examination after CC therapy. MAIN OUTCOME MEASURE(S): Central retinal vein occlusion after ovulation induction with CC. RESULT(S): A 36-year-old Chinese woman developed central retinal vein occlusion after eight courses of CC. A search of the literature on the thromboembolic complications of CC does not include this severe ophthalmic complication, although mild visual disturbance after CC intake is not uncommon. CONCLUSION(S): This is the first reported case of central retinal vein occlusion after treatment with CC. Extra caution is warranted in treating infertility patients with CC, and patients should be well informed of this side effect before commencement of therapy.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"Nicotine"/ induces disease /"nystagmus"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: /"Nicotine"/-induced /"nystagmus"/ correlates with midpontine activation. - Abstract: The pathomechanism of /"nicotine"/-induced /"nystagmus"/ (/"NIN"/) is unknown. The aim of this study was to delineate brain structures that are involved in /"NIN"/ generation. Eight healthy volunteers inhaled /"nicotine"/ in darkness during a functional magnetic resonance imaging (fMRI) experiment; eye movements were registered using video-oculography. /"NIN"/ correlated with blood oxygen level-dependent (BOLD) activity levels in a midpontine site in the posterior basis pontis. /"NIN"/-induced midpontine activation may correspond to activation of the dorsomedial pontine nuclei and the nucleus reticularis tegmenti pontis, structures known to participate in the generation of multidirectional saccades and smooth pursuit eye movements. Question: Does chemical /"Nicotine"/ induce disease /"nystagmus"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
/"Nicotine"/-induced /"nystagmus"/ correlates with midpontine activation.
The pathomechanism of /"nicotine"/-induced /"nystagmus"/ (/"NIN"/) is unknown. The aim of this study was to delineate brain structures that are involved in /"NIN"/ generation. Eight healthy volunteers inhaled /"nicotine"/ in darkness during a functional magnetic resonance imaging (fMRI) experiment; eye movements were registered using video-oculography. /"NIN"/ correlated with blood oxygen level-dependent (BOLD) activity levels in a midpontine site in the posterior basis pontis. /"NIN"/-induced midpontine activation may correspond to activation of the dorsomedial pontine nuclei and the nucleus reticularis tegmenti pontis, structures known to participate in the generation of multidirectional saccades and smooth pursuit eye movements.
Nicotine
{ "id": "4158", "normalized": [ { "db_id": "D009538", "db_name": "MESH" } ], "offsets": [ [ 0, 8 ] ], "text": [ "Nicotine" ], "type": "Chemical" }
nystagmus
{ "id": "4159", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 17, 26 ] ], "text": [ "nystagmus" ], "type": "Disease" }
[ { "id": "4158", "normalized": [ { "db_id": "D009538", "db_name": "MESH" } ], "offsets": [ [ 0, 8 ] ], "text": [ "Nicotine" ], "type": "Chemical" }, { "id": "4160", "normalized": [ { "db_id": "D009538", "db_name": "MESH" } ], "offsets": [ [ 88, 96 ] ], "text": [ "nicotine" ], "type": "Chemical" }, { "id": "4164", "normalized": [ { "db_id": "D009538", "db_name": "MESH" } ], "offsets": [ [ 259, 267 ] ], "text": [ "nicotine" ], "type": "Chemical" }, { "id": "4166", "normalized": [ { "db_id": "D010100", "db_name": "MESH" } ], "offsets": [ [ 427, 433 ] ], "text": [ "oxygen" ], "type": "Chemical" } ]
[ { "id": "4159", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 17, 26 ] ], "text": [ "nystagmus" ], "type": "Disease" }, { "id": "4161", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 105, 114 ] ], "text": [ "nystagmus" ], "type": "Disease" }, { "id": "4162", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 116, 119 ] ], "text": [ "NIN" ], "type": "Disease" }, { "id": "4163", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 210, 213 ] ], "text": [ "NIN" ], "type": "Disease" }, { "id": "4165", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 401, 404 ] ], "text": [ "NIN" ], "type": "Disease" }, { "id": "4167", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 525, 528 ] ], "text": [ "NIN" ], "type": "Disease" } ]
Nicotine-induced nystagmus correlates with midpontine activation.
The pathomechanism of nicotine-induced nystagmus (NIN) is unknown. The aim of this study was to delineate brain structures that are involved in NIN generation. Eight healthy volunteers inhaled nicotine in darkness during a functional magnetic resonance imaging (fMRI) experiment; eye movements were registered using video-oculography. NIN correlated with blood oxygen level-dependent (BOLD) activity levels in a midpontine site in the posterior basis pontis. NIN-induced midpontine activation may correspond to activation of the dorsomedial pontine nuclei and the nucleus reticularis tegmenti pontis, structures known to participate in the generation of multidirectional saccades and smooth pursuit eye movements.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"oxygen"/ induces disease /"nystagmus"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Nicotine-induced /"nystagmus"/ correlates with midpontine activation. - Abstract: The pathomechanism of nicotine-induced /"nystagmus"/ (/"NIN"/) is unknown. The aim of this study was to delineate brain structures that are involved in /"NIN"/ generation. Eight healthy volunteers inhaled nicotine in darkness during a functional magnetic resonance imaging (fMRI) experiment; eye movements were registered using video-oculography. /"NIN"/ correlated with blood /"oxygen"/ level-dependent (BOLD) activity levels in a midpontine site in the posterior basis pontis. /"NIN"/-induced midpontine activation may correspond to activation of the dorsomedial pontine nuclei and the nucleus reticularis tegmenti pontis, structures known to participate in the generation of multidirectional saccades and smooth pursuit eye movements. Question: Does chemical /"oxygen"/ induce disease /"nystagmus"/ according to this article? Respond with "Yes" or "No" only. [/INST] No. </s>
No
Nicotine-induced /"nystagmus"/ correlates with midpontine activation.
The pathomechanism of nicotine-induced /"nystagmus"/ (/"NIN"/) is unknown. The aim of this study was to delineate brain structures that are involved in /"NIN"/ generation. Eight healthy volunteers inhaled nicotine in darkness during a functional magnetic resonance imaging (fMRI) experiment; eye movements were registered using video-oculography. /"NIN"/ correlated with blood /"oxygen"/ level-dependent (BOLD) activity levels in a midpontine site in the posterior basis pontis. /"NIN"/-induced midpontine activation may correspond to activation of the dorsomedial pontine nuclei and the nucleus reticularis tegmenti pontis, structures known to participate in the generation of multidirectional saccades and smooth pursuit eye movements.
oxygen
{ "id": "4166", "normalized": [ { "db_id": "D010100", "db_name": "MESH" } ], "offsets": [ [ 427, 433 ] ], "text": [ "oxygen" ], "type": "Chemical" }
nystagmus
{ "id": "4159", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 17, 26 ] ], "text": [ "nystagmus" ], "type": "Disease" }
[ { "id": "4158", "normalized": [ { "db_id": "D009538", "db_name": "MESH" } ], "offsets": [ [ 0, 8 ] ], "text": [ "Nicotine" ], "type": "Chemical" }, { "id": "4160", "normalized": [ { "db_id": "D009538", "db_name": "MESH" } ], "offsets": [ [ 88, 96 ] ], "text": [ "nicotine" ], "type": "Chemical" }, { "id": "4164", "normalized": [ { "db_id": "D009538", "db_name": "MESH" } ], "offsets": [ [ 259, 267 ] ], "text": [ "nicotine" ], "type": "Chemical" }, { "id": "4166", "normalized": [ { "db_id": "D010100", "db_name": "MESH" } ], "offsets": [ [ 427, 433 ] ], "text": [ "oxygen" ], "type": "Chemical" } ]
[ { "id": "4159", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 17, 26 ] ], "text": [ "nystagmus" ], "type": "Disease" }, { "id": "4161", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 105, 114 ] ], "text": [ "nystagmus" ], "type": "Disease" }, { "id": "4162", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 116, 119 ] ], "text": [ "NIN" ], "type": "Disease" }, { "id": "4163", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 210, 213 ] ], "text": [ "NIN" ], "type": "Disease" }, { "id": "4165", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 401, 404 ] ], "text": [ "NIN" ], "type": "Disease" }, { "id": "4167", "normalized": [ { "db_id": "D009759", "db_name": "MESH" } ], "offsets": [ [ 525, 528 ] ], "text": [ "NIN" ], "type": "Disease" } ]
Nicotine-induced nystagmus correlates with midpontine activation.
The pathomechanism of nicotine-induced nystagmus (NIN) is unknown. The aim of this study was to delineate brain structures that are involved in NIN generation. Eight healthy volunteers inhaled nicotine in darkness during a functional magnetic resonance imaging (fMRI) experiment; eye movements were registered using video-oculography. NIN correlated with blood oxygen level-dependent (BOLD) activity levels in a midpontine site in the posterior basis pontis. NIN-induced midpontine activation may correspond to activation of the dorsomedial pontine nuclei and the nucleus reticularis tegmenti pontis, structures known to participate in the generation of multidirectional saccades and smooth pursuit eye movements.
<s> [INST] <<SYS>> Your task is to analyse the following medical article to determine whether chemical /"vitamin D2"/ induces disease /"gastric hemorrhagic"/. You only need to answer Yes or No, nothing else. <</SYS>> - Title: Protective effect of verapamil on /"gastric hemorrhagic"/ ulcers in severe atherosclerotic rats. - Abstract: Studies concerning with pathogenesis of /"gastric hemorrhage"/ and mucosal ulceration produced in atherosclerotic rats are lacking. The aim of this study is to examine the role of gastric acid back-diffusion, mast cell histamine release, lipid peroxide (LPO) generation and mucosal microvascular permeability in modulating /"gastric hemorrhage"/ and ulcer in rats with atherosclerosis induced by coadministration of /"vitamin D2"/ and cholesterol. Additionally, the protective effect of verapamil on this ulcer model was evaluated. Male Wistar rats were challenged intragastrically once daily for 9 days with 1.0 ml/kg of corn oil containing /"vitamin D2"/ and cholesterol to induce atherosclerosis. Control rats received corn oil only. After gastric surgery, rat stomachs were irrigated for 3 h with either simulated gastric juice or normal saline. Gastric acid back-diffusion, mucosal LPO generation, histamine concentration, microvascular permeability, luminal hemoglobin content and ulcer areas were determined. Elevated atherosclerotic parameters, such as serum calcium, total cholesterol and low-density lipoprotein concentration were obtained in atherosclerotic rats. Severe gastric ulcers accompanied with increased ulcerogenic factors, including gastric acid back-diffusion, histamine release, LPO generation and luminal hemoglobin content were also observed in these rats. Moreover, a positive correlation of histamine to /"gastric hemorrhage"/ and to ulcer was found in those atherosclerotic rats. This /"hemorrhagic"/ ulcer and various ulcerogenic parameters were dose-dependently ameliorated by daily intragastric verapamil. Atherosclerosis could produce /"gastric hemorrhagic"/ ulcer via aggravation of gastric acid back-diffusion, LPO generation, histamine release and microvascular permeability that could be ameliorated by verapamil in rats. Question: Does chemical /"vitamin D2"/ induce disease /"gastric hemorrhagic"/ according to this article? Respond with "Yes" or "No" only. [/INST] Yes. </s>
Yes
Protective effect of verapamil on /"gastric hemorrhagic"/ ulcers in severe atherosclerotic rats.
Studies concerning with pathogenesis of /"gastric hemorrhage"/ and mucosal ulceration produced in atherosclerotic rats are lacking. The aim of this study is to examine the role of gastric acid back-diffusion, mast cell histamine release, lipid peroxide (LPO) generation and mucosal microvascular permeability in modulating /"gastric hemorrhage"/ and ulcer in rats with atherosclerosis induced by coadministration of /"vitamin D2"/ and cholesterol. Additionally, the protective effect of verapamil on this ulcer model was evaluated. Male Wistar rats were challenged intragastrically once daily for 9 days with 1.0 ml/kg of corn oil containing /"vitamin D2"/ and cholesterol to induce atherosclerosis. Control rats received corn oil only. After gastric surgery, rat stomachs were irrigated for 3 h with either simulated gastric juice or normal saline. Gastric acid back-diffusion, mucosal LPO generation, histamine concentration, microvascular permeability, luminal hemoglobin content and ulcer areas were determined. Elevated atherosclerotic parameters, such as serum calcium, total cholesterol and low-density lipoprotein concentration were obtained in atherosclerotic rats. Severe gastric ulcers accompanied with increased ulcerogenic factors, including gastric acid back-diffusion, histamine release, LPO generation and luminal hemoglobin content were also observed in these rats. Moreover, a positive correlation of histamine to /"gastric hemorrhage"/ and to ulcer was found in those atherosclerotic rats. This /"hemorrhagic"/ ulcer and various ulcerogenic parameters were dose-dependently ameliorated by daily intragastric verapamil. Atherosclerosis could produce /"gastric hemorrhagic"/ ulcer via aggravation of gastric acid back-diffusion, LPO generation, histamine release and microvascular permeability that could be ameliorated by verapamil in rats.
vitamin D2
{ "id": "4199", "normalized": [ { "db_id": "D004872", "db_name": "MESH" } ], "offsets": [ [ 501, 511 ] ], "text": [ "vitamin D2" ], "type": "Chemical" }
gastric hemorrhagic
{ "id": "4190", "normalized": [ { "db_id": "D006471", "db_name": "MESH" } ], "offsets": [ [ 34, 53 ] ], "text": [ "gastric hemorrhagic" ], "type": "Disease" }
[ { "id": "4189", "normalized": [ { "db_id": "D014700", "db_name": "MESH" } ], "offsets": [ [ 21, 30 ] ], "text": [ "verapamil" ], "type": "Chemical" }, { "id": "4195", "normalized": [ { "db_id": "D006632", "db_name": "MESH" } ], "offsets": [ [ 308, 317 ] ], "text": [ "histamine" ], "type": "Chemical" }, { "id": "4199", "normalized": [ { "db_id": "D004872", "db_name": "MESH" } ], "offsets": [ [ 501, 511 ] ], "text": [ "vitamin D2" ], "type": "Chemical" }, { "id": "4200", "normalized": [ { "db_id": "D002784", "db_name": "MESH" } ], "offsets": [ [ 516, 527 ] ], "text": [ "cholesterol" ], "type": "Chemical" }, { "id": "4201", "normalized": [ { "db_id": "D014700", "db_name": "MESH" } ], "offsets": [ [ 568, 577 ] ], "text": [ "verapamil" ], "type": "Chemical" }, { "id": "4203", "normalized": [ { "db_id": "D004872", "db_name": "MESH" } ], "offsets": [ [ 723, 733 ] ], "text": [ "vitamin D2" ], "type": "Chemical" }, { "id": "4204", "normalized": [ { "db_id": "D002784", "db_name": "MESH" } ], "offsets": [ [ 738, 749 ] ], "text": [ "cholesterol" ], "type": "Chemical" }, { "id": "4206", "normalized": [ { "db_id": "D006632", "db_name": "MESH" } ], "offsets": [ [ 980, 989 ] ], "text": [ "histamine" ], "type": "Chemical" }, { "id": "4207", "normalized": [ { "db_id": "D010634", "db_name": "MESH" } ], "offsets": [ [ 1033, 1040 ] ], "text": [ "luminal" ], "type": "Chemical" }, { "id": "4210", "normalized": [ { "db_id": "D002118", "db_name": "MESH" } ], "offsets": [ [ 1144, 1151 ] ], "text": [ "calcium" ], "type": "Chemical" }, { "id": "4211", "normalized": [ { "db_id": "D002784", "db_name": "MESH" } ], "offsets": [ [ 1159, 1170 ] ], "text": [ "cholesterol" ], "type": "Chemical" }, { "id": "4214", "normalized": [ { "db_id": "D006632", "db_name": "MESH" } ], "offsets": [ [ 1361, 1370 ] ], "text": [ "histamine" ], "type": "Chemical" }, { "id": "4215", "normalized": [ { "db_id": "D010634", "db_name": "MESH" } ], "offsets": [ [ 1399, 1406 ] ], "text": [ "luminal" ], "type": "Chemical" }, { "id": "4216", "normalized": [ { "db_id": "D006632", "db_name": "MESH" } ], "offsets": [ [ 1496, 1505 ] ], "text": [ "histamine" ], "type": "Chemical" }, { "id": "4222", "normalized": [ { "db_id": "D014700", "db_name": "MESH" } ], "offsets": [ [ 1696, 1705 ] ], "text": [ "verapamil" ], "type": "Chemical" }, { "id": "4226", "normalized": [ { "db_id": "D006632", "db_name": "MESH" } ], "offsets": [ [ 1827, 1836 ] ], "text": [ "histamine" ], "type": "Chemical" }, { "id": "4227", "normalized": [ { "db_id": "D014700", "db_name": "MESH" } ], "offsets": [ [ 1905, 1914 ] ], "text": [ "verapamil" ], "type": "Chemical" } ]
[ { "id": "4190", "normalized": [ { "db_id": "D006471", "db_name": "MESH" } ], "offsets": [ [ 34, 53 ] ], "text": [ "gastric hemorrhagic" ], "type": "Disease" }, { "id": "4191", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 54, 60 ] ], "text": [ "ulcers" ], "type": "Disease" }, { "id": "4192", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 71, 86 ] ], "text": [ "atherosclerotic" ], "type": "Disease" }, { "id": "4193", "normalized": [ { "db_id": "D006471", "db_name": "MESH" } ], "offsets": [ [ 133, 151 ] ], "text": [ "gastric hemorrhage" ], "type": "Disease" }, { "id": "4194", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 187, 202 ] ], "text": [ "atherosclerotic" ], "type": "Disease" }, { "id": "4196", "normalized": [ { "db_id": "D006471", "db_name": "MESH" } ], "offsets": [ [ 412, 430 ] ], "text": [ "gastric hemorrhage" ], "type": "Disease" }, { "id": "4197", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 435, 440 ] ], "text": [ "ulcer" ], "type": "Disease" }, { "id": "4198", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 454, 469 ] ], "text": [ "atherosclerosis" ], "type": "Disease" }, { "id": "4202", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 586, 591 ] ], "text": [ "ulcer" ], "type": "Disease" }, { "id": "4205", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 760, 775 ] ], "text": [ "atherosclerosis" ], "type": "Disease" }, { "id": "4208", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 1064, 1069 ] ], "text": [ "ulcer" ], "type": "Disease" }, { "id": "4209", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 1102, 1117 ] ], "text": [ "atherosclerotic" ], "type": "Disease" }, { "id": "4212", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 1230, 1245 ] ], "text": [ "atherosclerotic" ], "type": "Disease" }, { "id": "4213", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 1267, 1273 ] ], "text": [ "ulcers" ], "type": "Disease" }, { "id": "4217", "normalized": [ { "db_id": "D006471", "db_name": "MESH" } ], "offsets": [ [ 1509, 1527 ] ], "text": [ "gastric hemorrhage" ], "type": "Disease" }, { "id": "4218", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 1535, 1540 ] ], "text": [ "ulcer" ], "type": "Disease" }, { "id": "4219", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 1560, 1575 ] ], "text": [ "atherosclerotic" ], "type": "Disease" }, { "id": "4220", "normalized": [ { "db_id": "D006471", "db_name": "MESH" } ], "offsets": [ [ 1587, 1598 ] ], "text": [ "hemorrhagic" ], "type": "Disease" }, { "id": "4221", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 1599, 1604 ] ], "text": [ "ulcer" ], "type": "Disease" }, { "id": "4223", "normalized": [ { "db_id": "D050197", "db_name": "MESH" } ], "offsets": [ [ 1707, 1722 ] ], "text": [ "Atherosclerosis" ], "type": "Disease" }, { "id": "4224", "normalized": [ { "db_id": "D006471", "db_name": "MESH" } ], "offsets": [ [ 1737, 1756 ] ], "text": [ "gastric hemorrhagic" ], "type": "Disease" }, { "id": "4225", "normalized": [ { "db_id": "D014456", "db_name": "MESH" } ], "offsets": [ [ 1757, 1762 ] ], "text": [ "ulcer" ], "type": "Disease" } ]
Protective effect of verapamil on gastric hemorrhagic ulcers in severe atherosclerotic rats.
Studies concerning with pathogenesis of gastric hemorrhage and mucosal ulceration produced in atherosclerotic rats are lacking. The aim of this study is to examine the role of gastric acid back-diffusion, mast cell histamine release, lipid peroxide (LPO) generation and mucosal microvascular permeability in modulating gastric hemorrhage and ulcer in rats with atherosclerosis induced by coadministration of vitamin D2 and cholesterol. Additionally, the protective effect of verapamil on this ulcer model was evaluated. Male Wistar rats were challenged intragastrically once daily for 9 days with 1.0 ml/kg of corn oil containing vitamin D2 and cholesterol to induce atherosclerosis. Control rats received corn oil only. After gastric surgery, rat stomachs were irrigated for 3 h with either simulated gastric juice or normal saline. Gastric acid back-diffusion, mucosal LPO generation, histamine concentration, microvascular permeability, luminal hemoglobin content and ulcer areas were determined. Elevated atherosclerotic parameters, such as serum calcium, total cholesterol and low-density lipoprotein concentration were obtained in atherosclerotic rats. Severe gastric ulcers accompanied with increased ulcerogenic factors, including gastric acid back-diffusion, histamine release, LPO generation and luminal hemoglobin content were also observed in these rats. Moreover, a positive correlation of histamine to gastric hemorrhage and to ulcer was found in those atherosclerotic rats. This hemorrhagic ulcer and various ulcerogenic parameters were dose-dependently ameliorated by daily intragastric verapamil. Atherosclerosis could produce gastric hemorrhagic ulcer via aggravation of gastric acid back-diffusion, LPO generation, histamine release and microvascular permeability that could be ameliorated by verapamil in rats.