anthonyyazdaniml/gliner-biomed-curated-corpus huggingface dataset:
Pain patients are defined as patients with a somatoform disorder due to DSM-IV, if chronic pain lasts for at least 6 months in several anatomical regions. Somatoform disorders (DSM-IV) have the presence of physical symptoms that suggest a general medical condition but that are not fully explained by a general medical condition, by the direct effects of a substance, or by another mental disorder. The symptoms must cause clinically significant distress or impairment in social, occupational, or other areas of functioning. The physical symptoms are not under voluntary control. Psychic factors exclusively or in combination with a medical disease factor influence onset, severity, exacerbation or maintenance of symptoms decisively. A subgroup of somatoform disorders, i.e., fibromyalgia, is a common nonarticular rheumatic syndrome characterized by myalgia and multiple points of focal muscle tenderness to palpation (trigger points). Muscle pain is typically aggravated by inactivity or exposure to cold. This condition is often associated with general symptoms, such as sleep disturbances, fatigue, stiffness, headaches, and occasionally depression. There is significant overlap between fibromyalgia and the chronic fatigue syndrome. Fibromyalgia may arise as a primary or secondary disease process. Interleukins IL-1ß, IL-6 und tumor necrosis factor-a have been detected in the skin of these patients. Blockade of the 5HT3 receptor has been reported to alleviate chronic pain in tendopathy, fibromyalgia and autoimmune diseases. However, only a subgroup of patients responds to this therapy. It is supposed that patients with somatoform disorders (DSM-IV) diagnosed according to clinical criteria consist of immunologically heterogenous groups. However, up to now, the immunologic and genetic background of patients with somatoform disorders classified via DSM-IV has not been systematically evaluated. The study concentrates on the psychometric characterization of patients with pain disorder focusing on depression, anxiety, coping behavior, psychic trauma, alexithymia and somatoform symptoms. The present study is performed to define subgroups of patients with somatoform disorders (DSM-IV) by immunological, pyschologic and genetic characterization which may benefit from potential 5HT3 receptor antagonists or anti-inflammatory therapy.
INTRODUCTION: Calcium hydroxide pastes (CHPs), commonly used for disinfecting root canals during endodontic treatment, are generally considered safe. However, accidental extrusions result in minimal injuries and little to no discomfort, except when extruded pastes come into contact with nerve bundles, such as the inferior alveolar nerve. Currently, there is a lack of information about the possible role of specific paste vehicles on the extent of nerve injury. The purpose of this study was to compare the role that paste vehicles, such as water or methylcellulose, may play when nerve fibers are exposed to CHP.
METHODS: Isolated sciatic nerves of Sprague-Dawley rats were exposed to either water-based or methylcellulose-based CHP for varying durations of time (30, 60, or 90 minutes). Histopathological changes, including axonal edema, myelin alterations, and loss of cellular outlines, were assessed, and the degrees of changes were compared using chi-square intraclass correlation coefficient tests.
RESULTS: Both groups exposed to the pastes demonstrated varying degrees of histopathologic changes, including axonal edema, myelin changes, and loss of cellular outlines, at different exposure times. The water-based calcium hydroxide paste induced these changes more rapidly than the methylcellulose-based paste. Similar patterns were observed in the scanning electron microscopic findings. Exposure time emerged as an important difference in the effects of the 2 pastes. In each of these tests, all observations of water-based paste exposure were rated as moderate to severe, whereas the observed cellular changes (axonal, myelin, and intact cellular outline) were rated as mild to moderate after exposure to methylcellulose-based paste for the same exposure durations. The chi-square tests indicated a statistically significant association between the material and each of the outcomes (axonal changes: χ²15 = 81.0, P < .001; myelin changes: χ²15 = 81.0, P < .001; intact cellular outline, χ²15 = 81.0, P < .001). The intraclass correlation coefficient value was 0.93.
CONCLUSIONS: The study demonstrates that axonal and myelin damage increase with longer exposure times, with water-based CHP causing more damage than methylcellulose-based CHP at each time point.
PURPOSE:To obtain the titled remedy having low side effects, comprising a human gamma-globulin containing a Fc part as an active ingredient. CONSTITUTION:An inhibitor against abortion and still-birth comprising a human gamma-globulin (e.g. alkylated human immunoglobulin, dried sulfonated human immunoglobulin or dried plasmin treated human immunoglobulin) containing a Fc part as an active ingredient. An administration path is injection and intravenous injection is especially preferable. A dose is 100-1,000mg/kg/day calculated as gamma-globulin and intravenously administered for one - several days continuously. Administration period is preferably 6-20 weeks after pregnancy. An administration target is preferably patients having observed autoimmune aberration (eruption of specific autoantibody) as a cause of abortion or death of fetus in the uterus.
1,132,676. Anti-tumour preparation. CHUGAI SEIYAKU K.K. and KYOWA HAKKO KOGYO CO. Ltd. 3 March, 1967 [8 March, 1966], No. 10290/67. Heading A5B. An anti-tumour preparation containing the cells of Streptococcus hemolyticus having no virulence and no hemolytic activity but having anti-tumour activity is prepared by mixing penicillin and living cells of Streptococcus hemolyticus having anti-tumour activity in a suspension medium comprising an aqueous solution of salts, the amount of penicillin being such that the concentration of penicillin in the suspension medium exceeds 25,000 units per ml. of the total liquid in said mixture, and incubating the resulting mixture firstly at a temperature in the range of 30‹C to 38‹C and then at a temperature in the range of 38‹C to 50‹C so as to obtain the desired antitumour preparation in which the majority of the Streptococcus hemolyticus cells are dead. The first stage of incubation may be effected for 10 to 30 minutes and the second for 20 to 60 minutes. The concentration of penicillin in the suspension medium may be from 27,000 to 60,000 units/ml of the total liquid in the mixture. The suspension medium may be phosphate buffered saline or Bernheimer's basul medium composed of maltose, KH 2 PO 4 , MgSO 4 .7H 2 O, distilled water and having a pH of from 6.8 to 7.0. The cells of Streptococcus hemolyticus may be obtained by cultivating Streptococcus hemolyticus in a cultivating medium in which the main carbon source is one other than glucose e.g. meat infusion broth or a medium containing ribonucleic acid and/or ribonuclease core each present in an amount of from 0.5 to 1.0% w/v. Penicillin may be added to the suspension medium prior to or after suspension of Streptococcus hemolyticus cells therein. The resulting suspension of cocci may be aseptically diluted with a salt solution, preferably containing penicillin to obtain a form suitable for therapeutic administration e.g. injection.
Depression in long-term care facilities is a significant public health issue. Up to 50% of nursing home residents are affected by significant depressive symptoms. The decreased health and limited cognitive ability of many nursing home residents makes treatment and research extremely challenging. This study will attempt to identify and implement treatments for depressed nursing home residents.

Participants are randomly assigned to receive either an active intervention or treatment as usual for 6 weeks. The active intervention is followed by 4 weeks of maintenance. The intervention is implemented primarily by existing nursing facility staff and focuses on increasing opportunities for residents to experience pleasant events through increased levels of activity and positive affect. The maintenance treatment involves incorporation of protocol-based activities into patient care plans. Patients have a follow-up visit 12 weeks after the study. Psychiatric evaluations, depression and mood rating scales, observed affect and activity participation, behavior problems, and staff burden are assessed.
Participants randomized to the standard care group were treated with one, or a combination of selected medications to include oral Acetaminophen 500mg-1000mg, Diclofenac 50mg-75 mg orally, Diazepam 5mg-10 mg intravenous or oral, Hydrocodone 5mg/325mg-10mg/650mg mg oral, or intramuscular Ketorolac 30mg-60 mg, as deemed appropriate by the treating investigator (medical provider). Standard treatment was administered by the investigators based on the patient's presentation and driving status as many of the medications cannot be administered if the subject would operate a vehicle. No standardized algorithm was specified and the route and dose of medications was administered at the provider's discretion. After administration of the traditional standard care medications, if subjects felt their pain was not controlled based on verbal responses, rescue medication would be given to control pain to a more tolerable level for discharge.
The hypertrophic cardiomyopathy was diagnosed by left ventricular hypertrophy via echocardiography (wall thickness \>15 mm) with either genetic determination of a pathogenic mutation or ) left ventricular hypertrophy (LVH) (end-diastolic wall thickness \>15 mm) with resting left ventricular outflow tract obstruction or hypertrophy in a recognisable pattern, i.e., ventricular bulge in apical-variant HCM. And then patients with hypertrophic cardiomyopathy were evaluated by the predetermined differentiating formula.
The present invention relates to a composition for controlling release of drugs. Specifically, in the composition for controlling release of drugs, matrix type polymers for controlled-release make a base skeleton and release control function of the polymers for controlled-release can be obtained by carbomers in which sol-gel transition is generated by pH. The present invention includes a solubilizing agent in order to be suitable when target drugs to be released is high refractory and additionally includes a disintegrating agent in order for sufficient initial releases. The composition for controlling release of drugs in the present invention keeps controlled-release in the existing matrix structure which is possessed by the controlled-release polymers while introducing carbomers having sol-gel transition properties so that rapid release of drugs caused by destruction of the matrix structure in a postscript of elusion can be prevented. Also, the present invention solves problems that high refractory drugs are not dissolved even after being released by introducing the solubilizing agent and enhances initial release rate, which is a limitation of the controlled-release drugs, by introducing the disintegrating agent. [Reference numerals] (AA) Average (n=6);(BB) Plasma level (ng/mL);(CC) Control substance;(DD) Example 2;(EE) Time (hour)
Exergames are games that require physical movements and are used with a therapeutic purpose, e.g. to improve strength, balance or flexibility. Exergames rely on technologies that track body movements and reaction, to perform exercises in a persuasive environment. Exergames are increasingly used in rehabilitation to improve motor function and independence of patients. In the Rehabilitation Center Valens, the exergames of 'MindMotion GO' (MMGO) are used to improve balance in patients with neurological diseases such as multiple sclerosis and stroke. Patients' movements are captured by a Kinect camera. With their body movements, patients control an avatar that has to be moved goal directed. Several games are available and during rehabilitation therapists select games and adapt the exercise program according to patients' progress. In this way, trunk control and balance can be trained in sitting and standing.

Rehabilitation is effective to improve independence in activities of daily living (ADL) for patients with Multiple Sclerosis and Stroke. Higher levels of mobility and balance are associated with better outcomes regarding ADL independence. Higher treatment dose is positively associated with ADL and balance improvement. Self-regulated exercise, whereby patients perform given exercises independently, is recommended. Exergames are increasingly used for self-regulated exercise. However, usability of the MMGO is reduced by the fact that 1) therapists are needed to choose exercises and 2) adapt the exercise program depending on patients' ability level, and 3) patients' motivation reduces after about 5 sessions if exercises are not adapted and variation of exercises is low.

The planned study aims to overcome the given limitations and thus improve usability. Using routine data of patients exercising with MMGO and clinical outcome measures this study will investigate the relationship between scores on the MMGO and on clinical outcome measures and how these scores change over time. In addition, researchers will determine the relative difficulty levels of each exercise and its difficulty level in relation to participants' balance ability.
The invention relates to a preparation and application method of a traditional Chinese herbal composition capable of removing abscess and promoting tissue regeneration, and belongs to the technical field of hygiene and medicine. The provided traditional Chinese herbal composition has a special effect on promoting tissue regeneration and incrustation forming. The traditional Chinese herbal composition is composed of an external medicinal liquor, external medicinal powder, and external washing liquid. The external medicinal liquor is prepared by the following steps: mixing sargentgloryvine stem, bauhinia championii, ardisia crenata, Iodes vitiginea, kadsura oblongifolia, shantonglou, frankincense, myrrh, and huoshuo vine, grinding the raw materials mentioned above into powder, filling the powder into a cloth bag, sealing the opening, placing the cloth bag into a vertical wine jar, adding high quality rice wine, and soaking. The external medicinal powder is prepared by grinding dry cicada slough, chicken's gizzard-membrane, fructus cnidii, mawen, shantonglou peel, and phoenix tail into powder. The external washing liquid is prepared by grinding shantonglou peel, qiuliang tree bark, herba pteridis multifidae, camphor tree, and maoya tree into powder. The application method comprises the following steps: filling the medicinal powder into a cloth bag, sealing the opening, soaking the cloth bag in boiled water for 15 to 20 minutes, and then using the warm water to wash the affected part, wherein the water temperature can be modulated by adding boiling water and the boiling water should be carefully added to avoid burning.
Introduction: Adequate blood pressure control is necessary to reduce the risk of mortality from cardiovascular events. The effects of aerobic exercise on systemic arterial hypertension are already well known, however, to date, there is little evidence regarding the effect of an isometric exercise session for the lower limbs on blood pressure levels, especially when performed in elderly hypertensive individuals. Objective: To verify the effect of an isometric or aerobic exercise protocol for the lower limbs on 24-hour ambulatory blood pressure in elderly hypertensive individuals.

Methods: Thirty-six controlled hypertensive volunteers, aged ≥ 60 years, of both sexes, will be randomly selected based on their medical records. Volunteers will be randomized to perform an isometric wall squat exercise session (n=12 - 4 repetitions of 2 minutes of execution and 2 minutes of rest, performed at a specific angle of the volunteer\'s knee joint - Borg scale of 11 to 13 points - moderate intensity) or an aerobic exercise session on a stationary bike (n=12 - 40 minutes and at moderate intensity stipulated between the range of 50% to 60% of HR reserve and Borg scale of 11 to 13 points - moderate intensity) or a control session without exercise, 40 minutes per session (n=12). 24-hour Ambulatory Blood Pressure Monitoring will be performed pre- and post-session. Statistical analyzes will be performed using the ANOVA test (one way), power of 80% and alpha 95%, SPSS-26.0.
Ultrasound device will be used; The probe is placed in the mid-axillary line cranially to the iliac crest to identify the three muscles of the anterior abdominal wall Then, scan dorsally keeping the transverse orientation until observing that the transverse abdominus muscle becomes aponeurotic, and this aponeurosis is followed until the QL muscle is clearly visualized with its attachment to the lateral edge of the transverse process of the L2 vertebral body and visualize the thoracolumbar fascia The needle (20G spinal needle) is inserted in-plane from posterior to anterior and the tip of the needle is advanced towards then through the QL muscle, penetrating the ventral proper fascia of the QL muscle. The target site for injection is the plane between quadratus lumborum and psoas major. This will be followed by injection of Bupivacaine 0.5 % (0.25ml/kg) and lidocaine 2% (0.15ml/kg) mixed together.
AIM: Bradyarrhythmias result from inhibition of automaticity, prolonged repolarization, or slow conduction in the heart. The ERG channels mediate the repolarizing current IKr in the cardiac action potential, whereas T-type calcium channels (TTCC) are involved in the sinoatrial pacemaker and atrioventricular conduction in mammals. Zebrafish have become a valuable research model for human cardiac electrophysiology and disease. Here, we investigate the contribution of ERG channels and TTCCs to the pacemaker and atrioventricular conduction in zebrafish larvae and determine the mechanisms causing atrioventricular block.
METHODS: Zebrafish larvae expressing ratiometric fluorescent Ca2+ biosensors in the heart were used to measure Ca2+ levels and rhythm in beating hearts in vivo, concurrently with contraction and hemodynamics. The atrioventricular delay (the time between the start of atrial and ventricular Ca2+ transients) was used to measure impulse conduction velocity and distinguished between slow conduction and prolonged refractoriness as the cause of the conduction block.
RESULTS: ERG blockers caused bradycardia and atrioventricular block by prolonging the refractory period in the atrioventricular canal and in working ventricular myocytes. In contrast, inhibition of TTCCs caused bradycardia and second-degree block (Mobitz type I) by slowing atrioventricular conduction. TTCC block did not affect ventricular contractility, despite being highly expressed in cardiomyocytes. Concomitant measurement of Ca2+ levels and ventricular size showed mechano-mechanical coupling: increased preload resulted in a stronger heart contraction in vivo.
CONCLUSION: ERG channels and TTCCs influence the heart rate and atrioventricular conduction in zebrafish larvae. The zebrafish lines expressing Ca2+ biosensors in the heart allow us to investigate physiological feedback mechanisms and complex arrhythmias.
The invention belongs to the fields of microbes, food preservation and animal feed, and particularly relates to a Lactobacillus plantarum UCN-11 strain, and a composition and application thereof. The new strain has the functions of food preservation and animal health care, and can ensure the shelf life of food and high-efficiency healthy cultivation of animals. The collection number of the new strain at China General Microbiological Culture Collection Center is CGMCC No.9480. The strain, fermentation nutrient material, fermentation liquid or thallus obtained by centrifugating the fermentation nutrient material, and the dried substance of the fermentation liquid or thallus are effective constituents for preparing food. The preparation process does not need to add any chemical preservative or perform irradiation treatment, maintains the original freshness of the meat food and obviously enhances the quality. The shelf life can exceed 6 months. The strain can remove the peculiar smell in the meat product and improve the flavor. The food can be eaten for a long time, and can increase the quantity of probiotics in the human body. No antibiotics are added in the whole animal feeding process, thereby obviously promoting healthy growth of animals, lowering the cost and enhancing the economic benefit.
The integration of large language models (LLMs) into healthcare, particularly in nephrology, represents a significant advancement in applying advanced technology to patient care, medical research, and education. These advanced models have progressed from simple text processors to tools capable of deep language understanding, offering innovative ways to handle health-related data, thus improving medical practice efficiency and effectiveness. A significant challenge in medical applications of LLMs is their imperfect accuracy and/or tendency to produce hallucinations-outputs that are factually incorrect or irrelevant. This issue is particularly critical in healthcare, where precision is essential, as inaccuracies can undermine the reliability of these models in crucial decision-making processes. To overcome these challenges, various strategies have been developed. One such strategy is prompt engineering, like the chain-of-thought approach, which directs LLMs towards more accurate responses by breaking down the problem into intermediate steps or reasoning sequences. Another one is the retrieval-augmented generation (RAG) strategy, which helps address hallucinations by integrating external data, enhancing output accuracy and relevance. Hence, RAG is favored for tasks requiring up-to-date, comprehensive information, such as in clinical decision making or educational applications. In this article, we showcase the creation of a specialized ChatGPT model integrated with a RAG system, tailored to align with the KDIGO 2023 guidelines for chronic kidney disease. This example demonstrates its potential in providing specialized, accurate medical advice, marking a step towards more reliable and efficient nephrology practices.
BACKGROUND: One potential cause of comorbidity is the direct causal effect of one disorder - A - on risk for subsequent onset of disorder B. Could genetic risk scores be utilized to test for such an effect? If disorder A causally impacts on risk for disorder B, then genetic risk for disorder A should be lower in cases of disorder A with v. without a prior onset of B.
METHODS: In all individuals (n = 905 736) born in Sweden from 1980 to 1990, from six psychiatric and drug use disorders (major depression, anxiety disorders, alcohol use disorder, drug use disorder, bipolar disorder, and schizophrenia), we formed 14 pairs of disorders A and B. In these pairs, we compared, using Cox proportional hazards models, the predictive effect of the familial-genetic risk score (FGRS) for disorder B in those who had v. had not had a prior onset of disorder A.
RESULTS: In all pairs, the impact of the FGRS for disorder B was significantly stronger in cases without v. with a prior history of disorder A. These effects were similar across sex, stable across levels of FGRS and not likely due to clinician bias. In many of our disorder pairs, previous clinical studies suggest a mechanism for a causal effect of disorder A on B.
CONCLUSIONS: Our findings provide indirect evidence that the occurrence of one psychiatric or substance use disorder often has a causal effect on risk for subsequent disorders. This mechanism may substantially contribute to the widespread comorbidity among psychiatric conditions.