NLP-FBK/English_Relation_Extraction_Task · Datasets at Hugging Face

text_id stringclasses 37 values	sentence_id int64 1 43	text stringlengths 20 513	relations listlengths 0 13
100606	15	The rest of the systemic examination was within normal limits.	[ [ "normal limits", "examination" ] ]
100606	16	Considering this as a probable case of TB with COVID-19 he was advised a chest radiograph with sputum microscopy (Ziehl Neelsen (ZN) staining for acid-fast bacilli), Cartridge-based nucleic acid amplification test (CBNAAT) of the sputum and other routine investigations.	[]
100606	17	To check for the COVID-19 he was advised qualitative polymerase chain reaction (PCR) test from the oropharyngeal swab.	[]
100606	18	The results were surprising with Mycobacterium tuberculosis detected on sputum fluorescent microscopy and were also confirmed by the CBNAAT.	[]
100606	19	However, there was no resistance to Rifampicin.	[]
100606	20	The results of the PCR were positive for RNA specific to SARS-CoV-2.	[ [ "positive", "SARS-CoV-2" ] ]
100606	21	Besides, the chest radiograph PA-view was suggestive of bilateral consolidations on the middle lobes of lungs with ill-defined borders.	[]
100606	22	The other investigations revealed a low lymphocyte count (1x 10 9 /L) and increased levels of C-reactive protein (CRP) (57 mg/L), lactate dehydrogenase (LDH) (580 U/L), and erythrocyte sedimentation rate (ESR) (70 mm in the 1 st hour).	[ [ "1x 10 9 /L", "count" ], [ "57 mg/L", "CRP" ], [ "57 mg/L", "protein" ], [ "580 U/L", "dehydrogenase" ], [ "580 U/L", "LDH" ], [ "70 mm", "ESR" ], [ "70 mm", "rate" ] ]
100606	23	Also, a sample for liquid culture (MGIT BACTEC) was sent to the Intermediate Reference Laboratory (IRL) which revealed the growth of Mycobacterium tuberculosis.	[]
100606	24	Computed tomography was not performed as the diagnosis was established by other cheaper and faster methods and also the patient was unwilling for the same.	[]
100606	25	All the other routine investigations were within normal limits.	[ [ "normal limits", "investigations" ] ]
100606	26	He was referred to the nearest designated COVID-19 management center, where he was managed as per national guidelines.	[]
100606	27	Besides, he was also started on an antitubercular treatment of four drugs as per the National Tuberculosis Elimination Program (NTEP) guidelines.	[]
100606	28	He was advised follow-up post completion of his stay at the designated COVID-19 center, but he has not yet reported back for follow-up.	[]
100606	29	Written informed consent was obtained from the patient for using clinical data and images for publication in this study.	[]
100653	1	A 31-year-old woman with no pathological history was admitted to our hospital for chest pain, bone and joint pain, hair loss and asthenia for the last 3 months.	[]
100653	2	On physical examination, we found fever at 38°C, polypnea at 32 cycles/min, arterial hypertension at 160/90 mmHg, malar rash, synovitis of wrists, elbows and ankles, and edema on both legs.	[ [ "38°C", "fever" ], [ "32 cycles/min", "polypnea" ], [ "160/90 mmHg", "hypertension" ] ]
100653	3	Diagnostic assessment: laboratory tests disclosed the following values: Increase level of erythrocyte sedimentation rate 120 mm/1 st hour, C reactive protein was 20 mg/l.	[ [ "120 mm/1 st hour", "rate" ], [ "20 mg/l", "protein" ] ]
100653	4	The blood count showed hemoglobin at 9g/dl, MCV at 85 µ 3, lymphopenia at 400/mm 3, while platelets were normal 450 000/mm 3.	[ [ "9g/dl", "hemoglobin" ], [ "85 µ 3", "MCV" ], [ "400/mm 3", "lymphopenia" ], [ "450 000/mm 3", "platelets" ] ]
100653	5	Direct coombs test was negative.	[ [ "negative", "test" ] ]
100653	6	Serum Albumin was 25g/l; proteins level was low at 50g/l and proteinuria at 3.2g/day.	[ [ "25g/l", "Albumin" ], [ "low", "level" ], [ "50g/l", "level" ], [ "3.2g/day", "proteinuria" ] ]
100653	7	Creatinine was normal.	[ [ "normal", "Creatinine" ] ]
100653	8	Anti-nuclear antibody ANA were positive 1/320 with homogeneous pattern, anti-dsDNA level was 160U/ml.	[ [ "positive 1/320", "antibody" ], [ "positive 1/320", "ANA" ], [ "160U/ml", "level" ] ]
100653	9	Anti-cardiolipin IgG antibodies were positive 25UGPL.	[ [ "positive 25UGPL", "antibodies" ] ]
100653	10	Rheumatoid Factor was negative.	[ [ "negative", "Factor" ] ]
100653	11	C3 and C4 complement fractions were low (0.2 g/l and 0.05 g/l).	[ [ "low", "fractions" ], [ "0.2 g/l", "fractions" ], [ "0.05 g/l", "fractions" ] ]
100653	12	Chest x-ray, electrocardiogram and echocardiography were normal.	[ [ "normal", "electrocardiogram" ], [ "normal", "x-ray" ], [ "normal", "echocardiography" ] ]
100653	13	Chest computed tomography (CT) scan showed proximal pulmonary embolism.	[]
100653	14	Renal ultrasound was normal.	[ [ "normal", "ultrasound" ] ]
100653	15	Renal biopsy reveals immunocomplex nephritis, lupus nephritis, segmental mesangial proliferation, mild activity lupus nephritis class III (A/C).	[]
100653	16	Before starting corticosteroids, we analyzed electrolytes.	[]
100653	17	Serum calcium was elevated 132 mg/l with hyper-calciuria 479 mg/24 h. 25 OHD was normal.	[ [ "elevated", "calcium" ], [ "132 mg/l", "calcium" ], [ "479 mg/24 h", "hyper-calciuria" ], [ "normal", "OHD" ] ]
100653	18	Alcaline phosphatase was 420 UI/l. the patient did not have any symptoms of hypercalcemia.	[ [ "420 UI/l", "phosphatase" ] ]
100653	19	Serum protein Electrophoresis showed polyclonal hypergammaglobulinaemia.	[]
100653	20	Serum and urine immunofixation as well as Bence-Jones proteinuria were negative.	[ [ "negative", "proteinuria" ], [ "negative", "immunofixation" ] ]
100653	21	Intact parathyroid hormone (iPTH) was high 628 pg/ml.	[ [ "high", "hormone" ], [ "high", "iPTH" ], [ "628 pg/ml", "hormone" ], [ "628 pg/ml", "iPTH" ] ]
100653	22	CT scan and ultrasound of parathyroid imaging revealed a lower left parathyroid nodule measuring 2cm x 1 cm.	[ [ "2cm x 1 cm", "measuring" ] ]
100653	23	Femoral and lumbar bone mineral density (BMD) showed osteoporosis (T-score: -2.6).	[ [ "2.6", "T-score" ] ]
100653	24	In addition, we found multiple pelvic osteolytic lesions at CT scan.	[]
100653	25	Other causes of hypercalcemia and bone lysis were excluded.	[]
100653	26	The diagnosis in this case was SLE with lupus nephritis class III and anti-phospholipid syndrome, complicated by pulmonary embolism associated to primary hyperparathyroidism causing severe hypercalcemia, osteoporosis.	[]
100653	27	Therapeutic intervention: the patient was given a pulse of methyl-prednisolone 15 mg/kg/day for 3 days followed by oral prednisone 1 mg/kg/day, associated with intravenous cyclophosphamide 750 mg/m 2 /month for 6 months.	[]
100653	28	Mycophenolate mofetil 2 g/day was prescribed as a maintenance therapy of lupus nephritis with hydroxychloroquine at a dose of 400 mg/day.	[]
100653	29	Treatment of pulmonary embolism was initiated with subcutaneous low molecular weight heparin (enoxaparin 0.1 ml/10 kg/12h) followed by antivitamin K.	[]
100653	30	For Hypercalcemia, patient has received intravenous fluid with furosemide.	[]
100653	31	She also required Alendronate 70 mg/week with Vitamin D 400u/day for osteoporosis.	[]
100653	32	The left parathyroid gland was surgically removed.	[]
100653	33	Histopathological examination revealed parathyroid adenoma.	[]
100653	34	Her immediate postoperative parathyroid hormone level was 64 pg/ml with a calcium level of 98 mg/l.	[ [ "64 pg/ml", "level" ], [ "98 mg/l", "level" ] ]
100653	35	Follow-up and outcomes: forty-eight hours after the surgery she developed oral paresthesia.	[ [ "72 mg/l", "hypocalcemia" ] ]
100653	36	She had hypocalcemia at 72 mg/l.	[]
100653	37	She required oral supplementation for few months.	[]
100653	38	Additional investigations for multiple endocrine neoplasia were negative.	[ [ "negative", "investigations" ] ]
100653	39	The patient remained asymptomatic.	[]
100653	40	Her SLE was calm without any relapse.	[ [ "negative", "Control" ] ]
100653	41	Control of proteinuria was negative.	[]
100653	42	Corticosteroids was dropped.	[]
100653	43	The follow-up was 4 years.	[]
100658	1	A 35-year-old mentally ill man was transferred from a local psychiatric hospital after attempted suicide by fire 3 days before admission.	[]
100658	2	He acquired full-and partial-thickness injury in approximately 38% of his TBSA, including face and neck (5%), both upper extremities (8%), right thigh (4%), left thigh and leg (3%), and most of his anterior and posterior trunk (16%).	[]
100658	3	The patient was hospitalized for 66 days and underwent five debridement surgeries.	[]
100658	4	The psychiatric diagnosis was schizophrenia type ICD 10 F20.3, treated with Haloperidol 1.5 mg and Diazepam 5 mg daily.	[]
100658	5	The patient was occasionally restrained due to rebellious and self-destruction behavior.	[]
100658	6	The nutrition management of this patient was started after a week of hospitalization, which is considered late.	[]
100658	7	In the initial nutrition assessment, the patient was 40 kg weight and 150 cm tall thus the body mass index (BMI) was 17,57 kg/m 2 or underweight.	[ [ "40 kg", "weight" ], [ "150 cm", "tall" ], [ "17,57 kg/m 2", "index" ], [ "17,57 kg/m 2", "BMI" ] ]
100658	8	Gastrointestinal symptoms and signs were not found.	[]
100658	9	Information regarding the patient's dietary intake in the last two weeks and weight change within the last 6 months could not be obtained, but his mother claimed that the patient seemed to lose weight because he refused any food that had been offered to him; he only smoked and drank coffee.	[]
100658	10	Albumin level was 3.6 gr/L with imbalanced electrolyte levels.	[ [ "3.6 gr/L", "level" ] ]
100658	11	Signs of fluid accumulation were not found.	[]
100658	12	According to the subjective global assessment (SGA) tool, the patient belonged to group C (severely malnourished).	[]
100658	13	Energy and protein were given starting from 30 kcal/kg, increasing gradually to 50 kcal/kg, and 2 gp/kg divided into oral nutrition and oral nutrition supplements (ONS) with a 50:50 ratio.	[]
100658	14	The patient was also given micronutrient supplementations, specifically vitamin A 100,000 units for the first week, vitamin C 100 mg 3 times a day, and zinc 20 mg once a day.	[]
100658	15	During the early weeks of hospitalization, the patient's weight loss continued.	[]
100658	16	At the end of the second week, his body weight was 36 kilograms while his serum albumin level was 2.7 gr/L.	[ [ "36 kilograms", "weight" ], [ "2.7 gr/L", "level" ] ]
100658	17	On the 28 th day, the patient's body weight was 33 kilograms while his serum albumin level was 2.1 gr/L.	[ [ "33 kilograms", "weight" ], [ "2.1 gr/L", "level" ] ]
100658	18	Energy and protein intake was maintained, but the ratio of oral intake and ONS was modified to 70:30.	[]
100658	19	During the treatment, the patient's appetite was unstable.	[]
100658	20	The patient was also hardly cooperative with enteral access.	[]
100658	21	The patient often writhed in pain and became more aggressive.	[]
100658	22	The patient did not respond well to analgesics and sedations.	[]
100658	23	Partially parenteral nutrition (PN) enriched with branched-chain amino acid (BCAA) was administered to support protein needs.	[]
100658	24	However, his BMI continued to decline, and on the 42 nd day, his body weight dropped to 32 kilograms with a serum albumin level of 2 gr/L.	[ [ "32 kilograms", "weight" ], [ "2 gr/L", "level" ] ]
100658	25	On the 66 th day, granulation tissues appeared on the wound bed.	[]
100658	26	Considering the mental and nutrition status of the patient, it was decided not to continue with the skin graft surgery.	[]
100658	27	The patient had lost 24% of body weight (BMI 11.96 kg/m 2) and the serum albumin level was 2.5 gr/L.	[ [ "11.96 kg/m 2", "BMI" ], [ "2.5 gr/L", "level" ] ]
100658	28	The patient displayed severe muscle wasting and subcutaneous fat loss.	[]
100658	29	However, the general and mental condition was relatively better.	[]
100658	30	The patient was discharged from the hospital.	[]
100682	1	A 19-year-old healthy man was admitted to our cardiology department following a syncopal episode.	[]
100682	2	His past medical history was unremarkable.	[]
100682	3	He no family history of heart disease or sudden death.	[]
100682	4	Two-days prior the syncope, he developed chest pain and an influenza-like illness consisting of fevers, rhinorrhea, and sore throat.	[]
100682	5	At the physical exam, the patient was febrile at 39°C.	[ [ "39°C", "febrile" ] ]
100682	6	He had an inflamed throat, bradycardia at cardiac auscultation and there were no signs of heart failure.	[]
100682	7	The electrocardiogram (EKG) showed grade III atrioventricular (AV) bloc with a ventricular rate of 38 beats per minute.	[ [ "38 beats per minute", "rate" ] ]
100682	8	Laboratory studies were remarkable for a HS-troponin level 181ng/L, a white blood cell count of 14270/mm³ with 48% lymphocytes, and elevated C-reactive protein at 90mg/L.	[ [ "181ng/L", "level" ], [ "14270/mm³", "count" ], [ "48%", "lymphocytes" ], [ "90mg/L", "protein" ] ]
100682	9	Serum electrolytes, kidney and liver functions were within normal limits.	[ [ "normal limits", "functions" ] ]
100682	10	A chest X-ray showed an appropriate cardiac size.	[]
100682	11	The initial transthoracic echocardiography (TTE) showed a normal global left ventricular function (left ventricular ejection fraction (LVEF) 60%) and wall motion abnormalities (anteroseptal hypokinesia), with reduced left ventricular global longitudinal strain (LV GLS= -14.1%).	[ [ "60%", "LVEF" ], [ "60%", "fraction" ], [ "-14.1%", "GLS" ], [ "-14.1%", "strain" ] ]
100682	12	Cardiac magnetic resonance (CMR) showed increased signal intensity at the mid-lateral wall on T2-weighted images.	[]

100606

15

The rest of the systemic examination was within normal limits.

[ [ "normal limits", "examination" ] ]

100606

16

Considering this as a probable case of TB with COVID-19 he was advised a chest radiograph with sputum microscopy (Ziehl Neelsen (ZN) staining for acid-fast bacilli), Cartridge-based nucleic acid amplification test (CBNAAT) of the sputum and other routine investigations.

[]

100606

17

To check for the COVID-19 he was advised qualitative polymerase chain reaction (PCR) test from the oropharyngeal swab.

[]

100606

18

The results were surprising with Mycobacterium tuberculosis detected on sputum fluorescent microscopy and were also confirmed by the CBNAAT.

[]

100606

19

However, there was no resistance to Rifampicin.

[]

100606

20

The results of the PCR were positive for RNA specific to SARS-CoV-2.

[ [ "positive", "SARS-CoV-2" ] ]

100606

21

Besides, the chest radiograph PA-view was suggestive of bilateral consolidations on the middle lobes of lungs with ill-defined borders.

[]

100606

22

The other investigations revealed a low lymphocyte count (1x 10 9 /L) and increased levels of C-reactive protein (CRP) (57 mg/L), lactate dehydrogenase (LDH) (580 U/L), and erythrocyte sedimentation rate (ESR) (70 mm in the 1 st hour).

[ [ "1x 10 9 /L", "count" ], [ "57 mg/L", "CRP" ], [ "57 mg/L", "protein" ], [ "580 U/L", "dehydrogenase" ], [ "580 U/L", "LDH" ], [ "70 mm", "ESR" ], [ "70 mm", "rate" ] ]

100606

23

Also, a sample for liquid culture (MGIT BACTEC) was sent to the Intermediate Reference Laboratory (IRL) which revealed the growth of Mycobacterium tuberculosis.

[]

100606

24

Computed tomography was not performed as the diagnosis was established by other cheaper and faster methods and also the patient was unwilling for the same.

[]

100606

25

All the other routine investigations were within normal limits.

[ [ "normal limits", "investigations" ] ]

100606

26

He was referred to the nearest designated COVID-19 management center, where he was managed as per national guidelines.

[]

100606

27

Besides, he was also started on an antitubercular treatment of four drugs as per the National Tuberculosis Elimination Program (NTEP) guidelines.

[]

100606

28

He was advised follow-up post completion of his stay at the designated COVID-19 center, but he has not yet reported back for follow-up.

[]

100606

29

Written informed consent was obtained from the patient for using clinical data and images for publication in this study.

[]

100653

1

A 31-year-old woman with no pathological history was admitted to our hospital for chest pain, bone and joint pain, hair loss and asthenia for the last 3 months.

[]

100653

2

On physical examination, we found fever at 38°C, polypnea at 32 cycles/min, arterial hypertension at 160/90 mmHg, malar rash, synovitis of wrists, elbows and ankles, and edema on both legs.

[ [ "38°C", "fever" ], [ "32 cycles/min", "polypnea" ], [ "160/90 mmHg", "hypertension" ] ]

100653

3

Diagnostic assessment: laboratory tests disclosed the following values: Increase level of erythrocyte sedimentation rate 120 mm/1 st hour, C reactive protein was 20 mg/l.

[ [ "120 mm/1 st hour", "rate" ], [ "20 mg/l", "protein" ] ]

100653

4

The blood count showed hemoglobin at 9g/dl, MCV at 85 µ 3, lymphopenia at 400/mm 3, while platelets were normal 450 000/mm 3.

[ [ "9g/dl", "hemoglobin" ], [ "85 µ 3", "MCV" ], [ "400/mm 3", "lymphopenia" ], [ "450 000/mm 3", "platelets" ] ]

100653

5

Direct coombs test was negative.

[ [ "negative", "test" ] ]

100653

6

Serum Albumin was 25g/l; proteins level was low at 50g/l and proteinuria at 3.2g/day.

[ [ "25g/l", "Albumin" ], [ "low", "level" ], [ "50g/l", "level" ], [ "3.2g/day", "proteinuria" ] ]

100653

7

Creatinine was normal.

[ [ "normal", "Creatinine" ] ]

100653

8

Anti-nuclear antibody ANA were positive 1/320 with homogeneous pattern, anti-dsDNA level was 160U/ml.

[ [ "positive 1/320", "antibody" ], [ "positive 1/320", "ANA" ], [ "160U/ml", "level" ] ]

100653

9

Anti-cardiolipin IgG antibodies were positive 25UGPL.

[ [ "positive 25UGPL", "antibodies" ] ]

100653

10

Rheumatoid Factor was negative.

[ [ "negative", "Factor" ] ]

100653

11

C3 and C4 complement fractions were low (0.2 g/l and 0.05 g/l).

[ [ "low", "fractions" ], [ "0.2 g/l", "fractions" ], [ "0.05 g/l", "fractions" ] ]

100653

12

Chest x-ray, electrocardiogram and echocardiography were normal.

[ [ "normal", "electrocardiogram" ], [ "normal", "x-ray" ], [ "normal", "echocardiography" ] ]

100653

13

Chest computed tomography (CT) scan showed proximal pulmonary embolism.

[]

100653

14

Renal ultrasound was normal.

[ [ "normal", "ultrasound" ] ]

100653

15

Renal biopsy reveals immunocomplex nephritis, lupus nephritis, segmental mesangial proliferation, mild activity lupus nephritis class III (A/C).

[]

100653

16

Before starting corticosteroids, we analyzed electrolytes.

[]

100653

17

Serum calcium was elevated 132 mg/l with hyper-calciuria 479 mg/24 h. 25 OHD was normal.

[ [ "elevated", "calcium" ], [ "132 mg/l", "calcium" ], [ "479 mg/24 h", "hyper-calciuria" ], [ "normal", "OHD" ] ]

100653

18

Alcaline phosphatase was 420 UI/l. the patient did not have any symptoms of hypercalcemia.

[ [ "420 UI/l", "phosphatase" ] ]

100653

19

Serum protein Electrophoresis showed polyclonal hypergammaglobulinaemia.

[]

100653

20

Serum and urine immunofixation as well as Bence-Jones proteinuria were negative.

[ [ "negative", "proteinuria" ], [ "negative", "immunofixation" ] ]

100653

21

Intact parathyroid hormone (iPTH) was high 628 pg/ml.

[ [ "high", "hormone" ], [ "high", "iPTH" ], [ "628 pg/ml", "hormone" ], [ "628 pg/ml", "iPTH" ] ]

100653

22

CT scan and ultrasound of parathyroid imaging revealed a lower left parathyroid nodule measuring 2cm x 1 cm.

[ [ "2cm x 1 cm", "measuring" ] ]

100653

23

Femoral and lumbar bone mineral density (BMD) showed osteoporosis (T-score: -2.6).

[ [ "2.6", "T-score" ] ]

100653

24

In addition, we found multiple pelvic osteolytic lesions at CT scan.

[]

100653

25

Other causes of hypercalcemia and bone lysis were excluded.

[]

100653

26

The diagnosis in this case was SLE with lupus nephritis class III and anti-phospholipid syndrome, complicated by pulmonary embolism associated to primary hyperparathyroidism causing severe hypercalcemia, osteoporosis.

[]

100653

27

Therapeutic intervention: the patient was given a pulse of methyl-prednisolone 15 mg/kg/day for 3 days followed by oral prednisone 1 mg/kg/day, associated with intravenous cyclophosphamide 750 mg/m 2 /month for 6 months.

[]

100653

28

Mycophenolate mofetil 2 g/day was prescribed as a maintenance therapy of lupus nephritis with hydroxychloroquine at a dose of 400 mg/day.

[]

100653

29

Treatment of pulmonary embolism was initiated with subcutaneous low molecular weight heparin (enoxaparin 0.1 ml/10 kg/12h) followed by antivitamin K.

[]

100653

30

For Hypercalcemia, patient has received intravenous fluid with furosemide.

[]

100653

31

She also required Alendronate 70 mg/week with Vitamin D 400u/day for osteoporosis.

[]

100653

32

The left parathyroid gland was surgically removed.

[]

100653

33

Histopathological examination revealed parathyroid adenoma.

[]

100653

34

Her immediate postoperative parathyroid hormone level was 64 pg/ml with a calcium level of 98 mg/l.

[ [ "64 pg/ml", "level" ], [ "98 mg/l", "level" ] ]

100653

35

Follow-up and outcomes: forty-eight hours after the surgery she developed oral paresthesia.

[ [ "72 mg/l", "hypocalcemia" ] ]

100653

36

She had hypocalcemia at 72 mg/l.

[]

100653

37

She required oral supplementation for few months.

[]

100653

38

Additional investigations for multiple endocrine neoplasia were negative.

[ [ "negative", "investigations" ] ]

100653

39

The patient remained asymptomatic.

[]

100653

40

Her SLE was calm without any relapse.

[ [ "negative", "Control" ] ]

100653

41

Control of proteinuria was negative.

[]

100653

42

Corticosteroids was dropped.

[]

100653

43

The follow-up was 4 years.

[]

100658

1

A 35-year-old mentally ill man was transferred from a local psychiatric hospital after attempted suicide by fire 3 days before admission.

[]

100658

2

He acquired full-and partial-thickness injury in approximately 38% of his TBSA, including face and neck (5%), both upper extremities (8%), right thigh (4%), left thigh and leg (3%), and most of his anterior and posterior trunk (16%).

[]

100658

3

The patient was hospitalized for 66 days and underwent five debridement surgeries.

[]

100658

4

The psychiatric diagnosis was schizophrenia type ICD 10 F20.3, treated with Haloperidol 1.5 mg and Diazepam 5 mg daily.

[]

100658

5

The patient was occasionally restrained due to rebellious and self-destruction behavior.

[]

100658

6

The nutrition management of this patient was started after a week of hospitalization, which is considered late.

[]

100658

7

In the initial nutrition assessment, the patient was 40 kg weight and 150 cm tall thus the body mass index (BMI) was 17,57 kg/m 2 or underweight.

[ [ "40 kg", "weight" ], [ "150 cm", "tall" ], [ "17,57 kg/m 2", "index" ], [ "17,57 kg/m 2", "BMI" ] ]

100658

8

Gastrointestinal symptoms and signs were not found.

[]

100658

9

Information regarding the patient's dietary intake in the last two weeks and weight change within the last 6 months could not be obtained, but his mother claimed that the patient seemed to lose weight because he refused any food that had been offered to him; he only smoked and drank coffee.

[]

100658

10

Albumin level was 3.6 gr/L with imbalanced electrolyte levels.

[ [ "3.6 gr/L", "level" ] ]

100658

11

Signs of fluid accumulation were not found.

[]

100658

12

According to the subjective global assessment (SGA) tool, the patient belonged to group C (severely malnourished).

[]

100658

13

Energy and protein were given starting from 30 kcal/kg, increasing gradually to 50 kcal/kg, and 2 gp/kg divided into oral nutrition and oral nutrition supplements (ONS) with a 50:50 ratio.

[]

100658

14

The patient was also given micronutrient supplementations, specifically vitamin A 100,000 units for the first week, vitamin C 100 mg 3 times a day, and zinc 20 mg once a day.

[]

100658

15

During the early weeks of hospitalization, the patient's weight loss continued.

[]

100658

16

At the end of the second week, his body weight was 36 kilograms while his serum albumin level was 2.7 gr/L.

[ [ "36 kilograms", "weight" ], [ "2.7 gr/L", "level" ] ]

100658

17

On the 28 th day, the patient's body weight was 33 kilograms while his serum albumin level was 2.1 gr/L.

[ [ "33 kilograms", "weight" ], [ "2.1 gr/L", "level" ] ]

100658

18

Energy and protein intake was maintained, but the ratio of oral intake and ONS was modified to 70:30.

[]

100658

19

During the treatment, the patient's appetite was unstable.

[]

100658

20

The patient was also hardly cooperative with enteral access.

[]

100658

21

The patient often writhed in pain and became more aggressive.

[]

100658

22

The patient did not respond well to analgesics and sedations.

[]

100658

23

Partially parenteral nutrition (PN) enriched with branched-chain amino acid (BCAA) was administered to support protein needs.

[]

100658

24

However, his BMI continued to decline, and on the 42 nd day, his body weight dropped to 32 kilograms with a serum albumin level of 2 gr/L.

[ [ "32 kilograms", "weight" ], [ "2 gr/L", "level" ] ]

100658

25

On the 66 th day, granulation tissues appeared on the wound bed.

[]

100658

26

Considering the mental and nutrition status of the patient, it was decided not to continue with the skin graft surgery.

[]

100658

27

The patient had lost 24% of body weight (BMI 11.96 kg/m 2) and the serum albumin level was 2.5 gr/L.

[ [ "11.96 kg/m 2", "BMI" ], [ "2.5 gr/L", "level" ] ]

100658

28

The patient displayed severe muscle wasting and subcutaneous fat loss.

[]

100658

29

However, the general and mental condition was relatively better.

[]

100658

30

The patient was discharged from the hospital.

[]

100682

1

A 19-year-old healthy man was admitted to our cardiology department following a syncopal episode.

[]

100682

2

His past medical history was unremarkable.

[]

100682

3

He no family history of heart disease or sudden death.

[]

100682

4

Two-days prior the syncope, he developed chest pain and an influenza-like illness consisting of fevers, rhinorrhea, and sore throat.

[]

100682

5

At the physical exam, the patient was febrile at 39°C.

[ [ "39°C", "febrile" ] ]

100682

6

He had an inflamed throat, bradycardia at cardiac auscultation and there were no signs of heart failure.

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7

The electrocardiogram (EKG) showed grade III atrioventricular (AV) bloc with a ventricular rate of 38 beats per minute.

[ [ "38 beats per minute", "rate" ] ]

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8

Laboratory studies were remarkable for a HS-troponin level 181ng/L, a white blood cell count of 14270/mm³ with 48% lymphocytes, and elevated C-reactive protein at 90mg/L.

[ [ "181ng/L", "level" ], [ "14270/mm³", "count" ], [ "48%", "lymphocytes" ], [ "90mg/L", "protein" ] ]

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9

Serum electrolytes, kidney and liver functions were within normal limits.

[ [ "normal limits", "functions" ] ]

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10

A chest X-ray showed an appropriate cardiac size.

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11

The initial transthoracic echocardiography (TTE) showed a normal global left ventricular function (left ventricular ejection fraction (LVEF) 60%) and wall motion abnormalities (anteroseptal hypokinesia), with reduced left ventricular global longitudinal strain (LV GLS= -14.1%).

[ [ "60%", "LVEF" ], [ "60%", "fraction" ], [ "-14.1%", "GLS" ], [ "-14.1%", "strain" ] ]

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12

Cardiac magnetic resonance (CMR) showed increased signal intensity at the mid-lateral wall on T2-weighted images.

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