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+ [
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 1,
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+ "text": "We report a case of a male near-term neonate with gestational age of 35 weeks.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 2,
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+ "text": "He was the third born child to a 27-year-old mother with no significant past history.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 3,
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+ "text": "He was derived from a third degree consanguineous marriage.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 4,
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+ "text": "He was born by means of normal vaginal delivery with a normal extra-uterine adaptation.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 5,
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+ "text": "Meconium-stained amniotic fluid was noted.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 6,
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+ "text": "His birth weight was 3030g (75 th Percentile).",
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+ "relations": [
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+ [
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+ "3030g",
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+ "weight"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 7,
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+ "text": "The baby had normal physical examination at birth aside transitory respiratory distress.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 8,
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+ "text": "He had been hospitalized for four days in a private clinic, for the suspicion of materno-foetal infection, where he had antibiotics for 48 hours.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 9,
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+ "text": "He had developed no symptoms during his hospitalization.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 10,
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+ "text": "The output's weight was 2400g which signify the loss of 630g.",
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+ "relations": [
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+ [
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+ "2400g",
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+ "weight"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 11,
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+ "text": "Back home, he received exclusive maternal breastfeeding.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 12,
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+ "text": "On his fifth day of life, he presented multiple yellowish-watery stools (ab 12 times) and refuse feeding with apyrexia context.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 13,
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+ "text": "He had clinical signs of severe dehydration without fever or vomiting.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 14,
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+ "text": "He lost 930g relative to the birth's weight.",
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+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 15,
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+ "text": "The abdomen appeared neither tender nor distended, and the rest of his physical examination was normal.",
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+ "relations": [
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+ [
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+ "normal",
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+ "examination"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 16,
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+ "text": "The laboratory findings revealed hypernatremia of 152mEq/L, hyperkalemia of 7,8mEq/L and severe metabolic acidosis: blood PH: 7,1, HCO3:4mEq/L.",
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+ "relations": [
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+ [
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+ "152mEq/L",
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+ "hypernatremia"
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+ ],
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+ [
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+ "7,8mEq/L",
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+ "hyperkalemia"
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+ ],
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+ [
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+ "7,1",
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+ "PH"
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+ ],
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+ [
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+ "4mEq/L",
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+ "HCO3"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 17,
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+ "text": "The osmotic gap was 45.",
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+ "relations": [
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+ [
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+ "45",
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+ "gap"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 18,
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+ "text": "There was no leukocytosis, and the serum level of C-reactive protein was normal.",
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+ "relations": [
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+ [
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+ "normal",
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+ "level"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 19,
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+ "text": "The infant was treated with intravenous fluids and electrolytes as well as antibiotics after obtaining blood and stool cultures, assuming an infectious etiology.",
156
+ "relations": []
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+ },
158
+ {
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+ "text_id": "100376",
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+ "sentence_id": 20,
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+ "text": "After 26 hours of rehydration therapy, the dehydration resolved, however, a functional acute renal failure complicated by acidosis and hyperkalemia appeared.",
162
+ "relations": []
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 21,
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+ "text": "The chest radiograph showed \"bat wings\" pattern and the cardiothoracic index was 0, 45.",
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+ "relations": [
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+ [
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+ "0, 45",
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+ "index"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 22,
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+ "text": "The renal ultrasound showed discretely hyperechoic kidneys cortex and the absence of renal malformations.",
179
+ "relations": []
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+ },
181
+ {
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+ "text_id": "100376",
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+ "sentence_id": 23,
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+ "text": "On the 11 th day of life, he was transferred to the pediatric intensive care unit.",
185
+ "relations": []
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+ },
187
+ {
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+ "text_id": "100376",
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+ "sentence_id": 24,
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+ "text": "He needed mechanical ventilation for three days and exclusive parenteral feeding by central catheter.",
191
+ "relations": []
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+ },
193
+ {
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+ "text_id": "100376",
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+ "sentence_id": 25,
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+ "text": "The evolution was burdened by cholestasis due to the prolonged parenteral feeding and nosocomial infection by staphylococcus epidermidis.",
197
+ "relations": []
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+ },
199
+ {
200
+ "text_id": "100376",
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+ "sentence_id": 26,
202
+ "text": "Since his admission, he had developed a slimy diarrhea with 3 to 4 stools per day.",
203
+ "relations": []
204
+ },
205
+ {
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+ "text_id": "100376",
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+ "sentence_id": 27,
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+ "text": "He presented a profuse diarrhea during each attempt to introduce enteral feeding by hydrolyzed milk formula.",
209
+ "relations": []
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+ },
211
+ {
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+ "text_id": "100376",
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+ "sentence_id": 28,
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+ "text": "He was discharged after 32 days with output's weight 3250g.",
215
+ "relations": [
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+ [
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+ "3250g",
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+ "weight"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 29,
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+ "text": "The oesophago-gastro-duodenoscopy and duodenal biopsy showed partial villous atrophy associated to the brush border abnormalities.",
226
+ "relations": []
227
+ },
228
+ {
229
+ "text_id": "100376",
230
+ "sentence_id": 30,
231
+ "text": "The periodic acid Schiff (PAS) stain revealed abnormalities in the brush border characterized by loss of the linear part of enterocytes with the presence of intra-cytoplasmic PAS + band in the apical pole of enterocytes uneven thickness and sometimes with double contours pattern.",
232
+ "relations": []
233
+ },
234
+ {
235
+ "text_id": "100376",
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+ "sentence_id": 31,
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+ "text": "In the submucosa, there were numerous Brunner glands.",
238
+ "relations": []
239
+ },
240
+ {
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+ "text_id": "100376",
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+ "sentence_id": 32,
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+ "text": "We find the existence of numerous hemorrhagic suffusions.",
244
+ "relations": [
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+ [
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+ "positive",
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+ "immunostain"
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+ ]
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+ ]
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+ },
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+ {
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+ "text_id": "100376",
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+ "sentence_id": 33,
254
+ "text": "The CD10 immunostain was positive.",
255
+ "relations": []
256
+ },
257
+ {
258
+ "text_id": "100376",
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+ "sentence_id": 34,
260
+ "text": "Thus, a diagnosis hypothesis of MVID was raised.",
261
+ "relations": []
262
+ },
263
+ {
264
+ "text_id": "100376",
265
+ "sentence_id": 35,
266
+ "text": "The electron microscopic examination confirmed the diagnosis.",
267
+ "relations": []
268
+ },
269
+ {
270
+ "text_id": "100376",
271
+ "sentence_id": 36,
272
+ "text": "Mutation analysis of peripheral blood samples of the neonate revealed a mutation at the homozygous status of MYO5B gene.",
273
+ "relations": []
274
+ },
275
+ {
276
+ "text_id": "100376",
277
+ "sentence_id": 37,
278
+ "text": "The baby died, after 97 days of life, of septic shock and multiple organ failure.",
279
+ "relations": []
280
+ },
281
+ {
282
+ "text_id": "100506",
283
+ "sentence_id": 1,
284
+ "text": "The patient was a 35-year old female who presented with urinary frequency for 2 months.",
285
+ "relations": []
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+ },
287
+ {
288
+ "text_id": "100506",
289
+ "sentence_id": 2,
290
+ "text": "Her past medical history showed a nonsmoking history and no significant family history.",
291
+ "relations": []
292
+ },
293
+ {
294
+ "text_id": "100506",
295
+ "sentence_id": 3,
296
+ "text": "The physical examination was unremarkable.",
297
+ "relations": []
298
+ },
299
+ {
300
+ "text_id": "100506",
301
+ "sentence_id": 4,
302
+ "text": "She was treated as urinary tract infection, but there was no improvement in her symptoms.",
303
+ "relations": []
304
+ },
305
+ {
306
+ "text_id": "100506",
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+ "sentence_id": 5,
308
+ "text": "Urine analysis and culture were performed several times that was negative for infection.",
309
+ "relations": [
310
+ [
311
+ "negative",
312
+ "infection"
313
+ ]
314
+ ]
315
+ },
316
+ {
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+ "text_id": "100506",
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+ "sentence_id": 6,
319
+ "text": "Other laboratory data were also insignificant.",
320
+ "relations": []
321
+ },
322
+ {
323
+ "text_id": "100506",
324
+ "sentence_id": 7,
325
+ "text": "Through a routine evaluation, urinary system ultrasonography (US) revealed a bladder lesion measuring 7 mm.",
326
+ "relations": [
327
+ [
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+ "7 mm",
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+ "measuring"
330
+ ]
331
+ ]
332
+ },
333
+ {
334
+ "text_id": "100506",
335
+ "sentence_id": 8,
336
+ "text": "In order to confirm the diagnosis, magnetic resonance imaging (MRI) of the abdomen and pelvic cavity was done; it revealed a lesion in the dome of the bladder.",
337
+ "relations": []
338
+ },
339
+ {
340
+ "text_id": "100506",
341
+ "sentence_id": 9,
342
+ "text": "To confirm the diagnosis and for histopathological examination, the patient underwent Transurethral Resection of Bladder Tumor (TURBT) in April 2018.",
343
+ "relations": []
344
+ },
345
+ {
346
+ "text_id": "100506",
347
+ "sentence_id": 10,
348
+ "text": "Before starting the procedure, the urethra was dilated till Fr: 28; at first, the tumor location was specified by cystoscopy.",
349
+ "relations": []
350
+ },
351
+ {
352
+ "text_id": "100506",
353
+ "sentence_id": 11,
354
+ "text": "Then, it was resected by monopolar cautery from superficial to deeper parts with removal of the muscle layers.",
355
+ "relations": []
356
+ },
357
+ {
358
+ "text_id": "100506",
359
+ "sentence_id": 12,
360
+ "text": "Proper bleeders were taken and three way Foley catheter was applied for a continuous irrigation.",
361
+ "relations": []
362
+ },
363
+ {
364
+ "text_id": "100506",
365
+ "sentence_id": 13,
366
+ "text": "The patient was transferred to the recovery room with complete stability.",
367
+ "relations": []
368
+ },
369
+ {
370
+ "text_id": "100506",
371
+ "sentence_id": 14,
372
+ "text": "The histopathology slides show a well-defined mass composed of bland looking spindle cells.",
373
+ "relations": []
374
+ },
375
+ {
376
+ "text_id": "100506",
377
+ "sentence_id": 15,
378
+ "text": "Subsequent immunohistochemistry (IHC) was done which showed diffuse immunoreactivity for S100, but other markers including smooth muscle actin (SMA), desmin, cytokeratin, CD34 and beta catenin were negative.",
379
+ "relations": [
380
+ [
381
+ "negative",
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+ "markers"
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+ ],
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+ [
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+ "negative",
386
+ "actin"
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+ ],
388
+ [
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+ "negative",
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+ "CD34"
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+ ],
392
+ [
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+ "negative",
394
+ "desmin"
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+ ],
396
+ [
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+ "negative",
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+ "SMA"
399
+ ],
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+ [
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+ "negative",
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+ "cytokeratin"
403
+ ],
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+ [
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+ "negative",
406
+ "catenin"
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+ ],
408
+ [
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+ "2-3%",
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+ "Ki67"
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+ ]
412
+ ]
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+ },
414
+ {
415
+ "text_id": "100506",
416
+ "sentence_id": 16,
417
+ "text": "Ki67 was 2-3%, so the diagnosis of schwannoma was confirmed.",
418
+ "relations": []
419
+ },
420
+ {
421
+ "text_id": "100506",
422
+ "sentence_id": 17,
423
+ "text": "Then, the neck, abdomen, pelvic and chest computed tomography (CT) scans were done that were normal.",
424
+ "relations": [
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+ [
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+ "normal",
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+ "scans"
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+ ]
429
+ ]
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+ },
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+ {
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+ "text_id": "100506",
433
+ "sentence_id": 18,
434
+ "text": "Brain and spine MRI and physical examination showed no evidence of other schwannoma or evidence of neurofibromatosis.",
435
+ "relations": []
436
+ },
437
+ {
438
+ "text_id": "100506",
439
+ "sentence_id": 19,
440
+ "text": "She had no history of neurofibromatosis in her family.",
441
+ "relations": []
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+ },
443
+ {
444
+ "text_id": "100506",
445
+ "sentence_id": 20,
446
+ "text": "Skin examination was normal and had no café au lait spot.",
447
+ "relations": [
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+ [
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+ "normal",
450
+ "examination"
451
+ ]
452
+ ]
453
+ },
454
+ {
455
+ "text_id": "100506",
456
+ "sentence_id": 21,
457
+ "text": "She was not a case of von Recklinghausen disease.",
458
+ "relations": []
459
+ },
460
+ {
461
+ "text_id": "100543",
462
+ "sentence_id": 1,
463
+ "text": "A 12-year-old girl presented an abdominal pain, high persistent fever of (40°C) and severe fatigue.",
464
+ "relations": [
465
+ [
466
+ "40°C",
467
+ "fever"
468
+ ]
469
+ ]
470
+ },
471
+ {
472
+ "text_id": "100543",
473
+ "sentence_id": 2,
474
+ "text": "The physical exam revealed pallor, hepatomegaly, and grade III splenomegaly.",
475
+ "relations": []
476
+ },
477
+ {
478
+ "text_id": "100543",
479
+ "sentence_id": 3,
480
+ "text": "The investigation revealed an elevated white blood cell count (WBC): 545,000/mm³.",
481
+ "relations": [
482
+ [
483
+ "545,000/mm³",
484
+ "count"
485
+ ],
486
+ [
487
+ "545,000/mm³",
488
+ "WBC"
489
+ ]
490
+ ]
491
+ },
492
+ {
493
+ "text_id": "100543",
494
+ "sentence_id": 4,
495
+ "text": "PNN: 49,050/mm³, hemoglobin: 11.6g/dl, platelets: 328,000/mm³.",
496
+ "relations": [
497
+ [
498
+ "49,050/mm³",
499
+ "PNN"
500
+ ],
501
+ [
502
+ "11.6g/dl",
503
+ "hemoglobin"
504
+ ],
505
+ [
506
+ "328,000/mm³",
507
+ "platelets"
508
+ ]
509
+ ]
510
+ },
511
+ {
512
+ "text_id": "100543",
513
+ "sentence_id": 5,
514
+ "text": "The patient's peripheral blood smear revealed marked leukocytosis with a significant number of immature myeloid precursors and 21% blasts.",
515
+ "relations": []
516
+ },
517
+ {
518
+ "text_id": "100543",
519
+ "sentence_id": 6,
520
+ "text": "The analysis of the BCR-ABL shows 94% in the peripheral blood.",
521
+ "relations": [
522
+ [
523
+ "94%",
524
+ "BCR-ABL"
525
+ ]
526
+ ]
527
+ },
528
+ {
529
+ "text_id": "100543",
530
+ "sentence_id": 7,
531
+ "text": "The patient was diagnosed with CML.",
532
+ "relations": []
533
+ },
534
+ {
535
+ "text_id": "100543",
536
+ "sentence_id": 8,
537
+ "text": "She received a chemotherapy protocol made of hyperalkalinisation, allopurinol, hydroxyurea and a treatment based on imatinib at the dose of 400mg per day.",
538
+ "relations": []
539
+ },
540
+ {
541
+ "text_id": "100543",
542
+ "sentence_id": 9,
543
+ "text": "Patient achieved complete hematological remission at three months and complete cytogenetic remission at 12 months.",
544
+ "relations": []
545
+ },
546
+ {
547
+ "text_id": "100543",
548
+ "sentence_id": 10,
549
+ "text": "The patient was readmitted into our pediatric department with complains of severe headache, vomiting, pain and bilateral visual loss since three days.",
550
+ "relations": []
551
+ },
552
+ {
553
+ "text_id": "100543",
554
+ "sentence_id": 11,
555
+ "text": "On examination, patient was afebrile and appeared pale.",
556
+ "relations": []
557
+ },
558
+ {
559
+ "text_id": "100543",
560
+ "sentence_id": 12,
561
+ "text": "Blood pressure was 100/60mm/hg and the heart rate 98 beat/minute.",
562
+ "relations": [
563
+ [
564
+ "100/60mm/hg",
565
+ "pressure"
566
+ ],
567
+ [
568
+ "98 beat/minute",
569
+ "rate"
570
+ ]
571
+ ]
572
+ },
573
+ {
574
+ "text_id": "100543",
575
+ "sentence_id": 13,
576
+ "text": "There was no lymphadenopathy and the nervous system examination was normal.",
577
+ "relations": [
578
+ [
579
+ "normal",
580
+ "examination"
581
+ ]
582
+ ]
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+ },
584
+ {
585
+ "text_id": "100543",
586
+ "sentence_id": 14,
587
+ "text": "Intraocular muscle testing was normal; however, there was an exophthalmia in both eyes.",
588
+ "relations": [
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+ [
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+ "normal",
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+ ]
593
+ ]
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+ },
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+ {
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+ "text_id": "100543",
597
+ "sentence_id": 15,
598
+ "text": "The pupil was sluggish to react to light.",
599
+ "relations": []
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+ },
601
+ {
602
+ "text_id": "100543",
603
+ "sentence_id": 16,
604
+ "text": "Fundoscopy revealed bilateral stade III disc edema and hemorrhages of the retina.",
605
+ "relations": []
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+ },
607
+ {
608
+ "text_id": "100543",
609
+ "sentence_id": 17,
610
+ "text": "She underwent a brain computed tomography (CT) scan with the suspicion of leukemic involvement or any other intracranial event (cerebral edema); however, nothing was found.",
611
+ "relations": []
612
+ },
613
+ {
614
+ "text_id": "100543",
615
+ "sentence_id": 18,
616
+ "text": "A subsequent bone marrow exam showed no morphologic or molecular evidence of CML or acute leukemia.",
617
+ "relations": []
618
+ },
619
+ {
620
+ "text_id": "100543",
621
+ "sentence_id": 19,
622
+ "text": "Cytological evaluation of cerebrospinal fluid (CSF) was also negative.",
623
+ "relations": [
624
+ [
625
+ "negative",
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+ "evaluation"
627
+ ]
628
+ ]
629
+ },
630
+ {
631
+ "text_id": "100543",
632
+ "sentence_id": 20,
633
+ "text": "The patient had no other known pathology that could be held responsible for retina edema.",
634
+ "relations": []
635
+ },
636
+ {
637
+ "text_id": "100543",
638
+ "sentence_id": 21,
639
+ "text": "We suggested that it was a side effect of imatinib so its administration was temporary interrupted.",
640
+ "relations": []
641
+ },
642
+ {
643
+ "text_id": "100543",
644
+ "sentence_id": 22,
645
+ "text": "The patient was put on an anti-edema therapy (mannitol, dexamethasone).",
646
+ "relations": []
647
+ },
648
+ {
649
+ "text_id": "100543",
650
+ "sentence_id": 23,
651
+ "text": "However, few months later, the patient presented in the emergency room with a headache and severe vomiting.",
652
+ "relations": []
653
+ },
654
+ {
655
+ "text_id": "100543",
656
+ "sentence_id": 24,
657
+ "text": "She described a recurrence of the same character of headaches accompanied with weakness of extremities and seizures.",
658
+ "relations": []
659
+ },
660
+ {
661
+ "text_id": "100543",
662
+ "sentence_id": 25,
663
+ "text": "Nervous system examination revealed neck rigidity, presence of meningeal signs and lower limb paraplegia.",
664
+ "relations": []
665
+ },
666
+ {
667
+ "text_id": "100543",
668
+ "sentence_id": 26,
669
+ "text": "CT of the brain revealed subdural chronic hematoma and a serpenginous gyriform enhancement around the contusion in the right parietal and occipital lobes.",
670
+ "relations": []
671
+ },
672
+ {
673
+ "text_id": "100543",
674
+ "sentence_id": 27,
675
+ "text": "Analysis of the CSF collected showed lymphoblasts in a WBC count of 11000cells/ml.",
676
+ "relations": [
677
+ [
678
+ "11000cells/ml",
679
+ "lymphoblasts"
680
+ ],
681
+ [
682
+ "11000cells/ml",
683
+ "count"
684
+ ]
685
+ ]
686
+ },
687
+ {
688
+ "text_id": "100543",
689
+ "sentence_id": 28,
690
+ "text": "Flow cytometry of the CSF showed that blast cells were positive for a cluster of differentiation markers (CD) (CD34, CD19, CD10, CD22 and partially positive for CD45) confirming CNS extramedullary lymphoid blast infiltration.",
691
+ "relations": [
692
+ [
693
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694
+ "markers"
695
+ ],
696
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697
+ "partially positive",
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699
+ ]
700
+ ]
701
+ },
702
+ {
703
+ "text_id": "100543",
704
+ "sentence_id": 29,
705
+ "text": "A bone marrow aspiration was done to evaluate the status of her chronic myelogenous leukemia and result was consistent with a chronic phase.",
706
+ "relations": []
707
+ },
708
+ {
709
+ "text_id": "100543",
710
+ "sentence_id": 30,
711
+ "text": "Fundus examination showed bilateral optic atrophy.",
712
+ "relations": []
713
+ },
714
+ {
715
+ "text_id": "100543",
716
+ "sentence_id": 31,
717
+ "text": "The diagnosis of extramedullary isolated CNS blast crises (lymphoid type) was based on the presence of blasts in CSF (confirmed by flow cytometry).",
718
+ "relations": []
719
+ },
720
+ {
721
+ "text_id": "100543",
722
+ "sentence_id": 32,
723
+ "text": "The patient received a high-dose systemic induction chemotherapy and intrathecal therapy (methotrexate, arabinoside and dexamethasone).",
724
+ "relations": []
725
+ },
726
+ {
727
+ "text_id": "100543",
728
+ "sentence_id": 33,
729
+ "text": "The imatinib was replaced by dasatinib at the dose of 100 mg per day.",
730
+ "relations": []
731
+ },
732
+ {
733
+ "text_id": "100543",
734
+ "sentence_id": 34,
735
+ "text": "She was treated with 24 Gy of whole-brain radiation therapy.",
736
+ "relations": []
737
+ },
738
+ {
739
+ "text_id": "100543",
740
+ "sentence_id": 35,
741
+ "text": "Allogenic stem cell transplantation was not feasible.",
742
+ "relations": []
743
+ },
744
+ {
745
+ "text_id": "100543",
746
+ "sentence_id": 36,
747
+ "text": "We noticed a rapidly progressive amelioration in her neurological status after finishing systemic chemotherapy and physical therapy; however, the patient's visual loss showed no signs of improvement.",
748
+ "relations": []
749
+ },
750
+ {
751
+ "text_id": "108798",
752
+ "sentence_id": 1,
753
+ "text": "We report a case of a 63-year-old woman with a minute ampullary carcinoid tumor that was 7 mm in diameter, but was associated with 2 peripancreatic lymph node metastases.",
754
+ "relations": [
755
+ [
756
+ "7 mm",
757
+ "diameter"
758
+ ]
759
+ ]
760
+ },
761
+ {
762
+ "text_id": "108798",
763
+ "sentence_id": 2,
764
+ "text": "Mild elevation of liver enzymes was found at her regular medical check-up.",
765
+ "relations": []
766
+ },
767
+ {
768
+ "text_id": "108798",
769
+ "sentence_id": 3,
770
+ "text": "Computed tomography (CT) revealed a markedly dilated common bile duct (CBD) and two enlarged peripancreatic lymph nodes.",
771
+ "relations": []
772
+ },
773
+ {
774
+ "text_id": "108798",
775
+ "sentence_id": 4,
776
+ "text": "Endoscopy showed that the ampulla was slightly enlarged by a submucosal tumor.",
777
+ "relations": []
778
+ },
779
+ {
780
+ "text_id": "108798",
781
+ "sentence_id": 5,
782
+ "text": "The biopsy specimen revealed tumor cells that showed monotonous proliferation suggestive of a carcinoid tumor.",
783
+ "relations": []
784
+ },
785
+ {
786
+ "text_id": "108798",
787
+ "sentence_id": 6,
788
+ "text": "She underwent a pylorus-preserving whipple resection with lymph node dissection.",
789
+ "relations": []
790
+ },
791
+ {
792
+ "text_id": "108798",
793
+ "sentence_id": 7,
794
+ "text": "The resected lesion was a small submucosal tumor (7 mm in diameter) at the ampulla, with metastasis to 2 peripancreatic lymph nodes, and it was diagnosed as a malignant carcinoid tumor.",
795
+ "relations": [
796
+ [
797
+ "7 mm in diameter",
798
+ "tumor"
799
+ ]
800
+ ]
801
+ },
802
+ {
803
+ "text_id": "101318",
804
+ "sentence_id": 1,
805
+ "text": "We observed a 29 y.o. female proband with the episode of venous thrombosis at the age of 18 and family history of thrombosis.",
806
+ "relations": []
807
+ },
808
+ {
809
+ "text_id": "101318",
810
+ "sentence_id": 2,
811
+ "text": "The antithrombin level in our patient was low, 44-48% (AT deficiency type I).",
812
+ "relations": [
813
+ [
814
+ "low",
815
+ "level"
816
+ ],
817
+ [
818
+ "44-48%",
819
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+ ]
821
+ ]
822
+ },
823
+ {
824
+ "text_id": "101318",
825
+ "sentence_id": 3,
826
+ "text": "A new genetic variant c.662G > C (p.W221S) in the SERPINC1 gene was detected in proband and affected father but was absent in healthy sister.",
827
+ "relations": []
828
+ },
829
+ {
830
+ "text_id": "101318",
831
+ "sentence_id": 4,
832
+ "text": "We used in silico tools to evaluate the possible impact of p.W221S variant on protein structure and function.",
833
+ "relations": []
834
+ },
835
+ {
836
+ "text_id": "101318",
837
+ "sentence_id": 5,
838
+ "text": "In mutated SERPINC1 protein a new N-linked glycosylation site is formed, however, it is unclear if the glycosylation at 219-221 site is possible.",
839
+ "relations": []
840
+ }
841
+ ]