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The dataset generation failed
Error code:   DatasetGenerationError
Exception:    TypeError
Message:      Couldn't cast array of type
struct<id: int64, from_id: int64, to_id: int64, type: string>
to
[{'id': Value(dtype='int64', id=None), 'from_id': Value(dtype='int64', id=None), 'to_id': Value(dtype='int64', id=None), 'type': Value(dtype='string', id=None)}]
Traceback:    Traceback (most recent call last):
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1870, in _prepare_split_single
                  writer.write_table(table)
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/arrow_writer.py", line 622, in write_table
                  pa_table = table_cast(pa_table, self._schema)
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2292, in table_cast
                  return cast_table_to_schema(table, schema)
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2245, in cast_table_to_schema
                  arrays = [
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2246, in <listcomp>
                  cast_array_to_feature(
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1795, in wrapper
                  return pa.chunked_array([func(chunk, *args, **kwargs) for chunk in array.chunks])
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1795, in <listcomp>
                  return pa.chunked_array([func(chunk, *args, **kwargs) for chunk in array.chunks])
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2108, in cast_array_to_feature
                  raise TypeError(f"Couldn't cast array of type\n{_short_str(array.type)}\nto\n{_short_str(feature)}")
              TypeError: Couldn't cast array of type
              struct<id: int64, from_id: int64, to_id: int64, type: string>
              to
              [{'id': Value(dtype='int64', id=None), 'from_id': Value(dtype='int64', id=None), 'to_id': Value(dtype='int64', id=None), 'type': Value(dtype='string', id=None)}]
              
              The above exception was the direct cause of the following exception:
              
              Traceback (most recent call last):
                File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1417, in compute_config_parquet_and_info_response
                  parquet_operations = convert_to_parquet(builder)
                File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1049, in convert_to_parquet
                  builder.download_and_prepare(
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 924, in download_and_prepare
                  self._download_and_prepare(
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1000, in _download_and_prepare
                  self._prepare_split(split_generator, **prepare_split_kwargs)
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1741, in _prepare_split
                  for job_id, done, content in self._prepare_split_single(
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1897, in _prepare_split_single
                  raise DatasetGenerationError("An error occurred while generating the dataset") from e
              datasets.exceptions.DatasetGenerationError: An error occurred while generating the dataset

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id
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text
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entities
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relations
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Comments
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248
#Diagnosis - Abdominal Pain - MD81.4 Generally abdominal pain goes with time, but if the pain does not subside, then one should seek medical help: Abdominal discomfort that lasts 1 week or longer, Abdominal pain that does not improve in 24 - 48 hours, or becomes more severe and frequent and occurs with nausea and vomit...
[ { "id": 4907, "label": "Disease_E", "start_offset": 13, "end_offset": 27 }, { "id": 4910, "label": "Disease_E", "start_offset": 47, "end_offset": 61 }, { "id": 4913, "label": "Complication_E", "start_offset": 89, "end_offset": 94 }, { "id": 4926, "...
[ { "id": 1886, "from_id": 4910, "to_id": 4913, "type": "has_complication_R" }, { "id": 1889, "from_id": 4910, "to_id": 4926, "type": "has_symptom_R" }, { "id": 1890, "from_id": 4910, "to_id": 4930, "type": "has_symptom_R" }, { "id": 1891, "from_id":...
[]
249
#Overview - Abdominal Pain - MD81.4 Abdominal pain can be felt anywhere between thorax ( chest ) and pelvis. Pain could be mild, moderate or severe. It may be dull or acute. Almost everyone has experienced abdominal pain, one time or other. Most of the time, stomach pain is not serious, but severe abdominal pain is a...
[ { "id": 4900, "label": "Disease_E", "start_offset": 12, "end_offset": 26 }, { "id": 4902, "label": "Disease_E", "start_offset": 36, "end_offset": 50 }, { "id": 4905, "label": "Anatomy_E", "start_offset": 80, "end_offset": 96 }, { "id": 4906, "label...
[ { "id": 1875, "from_id": 4902, "to_id": 4905, "type": "affects_R" }, { "id": 1876, "from_id": 4902, "to_id": 4906, "type": "affects_R" } ]
[]
251
#Treatment - Abdominal Pain - MD81.4 Generally, treatment for abdominal pain depends upon its cause. Treatment usually is with medications for inflammation of Gastroesophageal reflux disease (GERD) or Ulcers, Use antibiotics in case of infections, Modify your eating habits, Surgical treatment is indicated in conditions...
[ { "id": 4921, "label": "Disease_E", "start_offset": 13, "end_offset": 27 }, { "id": 4922, "label": "Disease_E", "start_offset": 62, "end_offset": 76 }, { "id": 4923, "label": "Medicine_E", "start_offset": 127, "end_offset": 138 }, { "id": 4931, "la...
[ { "id": 1908, "from_id": 4923, "to_id": 4921, "type": "prescribed_for_R" }, { "id": 1909, "from_id": 4931, "to_id": 4921, "type": "prescribed_for_R" }, { "id": 1910, "from_id": 4937, "to_id": 4921, "type": "surgery_for_R" } ]
[]
252
#Causes - Abdominal Pain - MD81.4 Various conditions are associated with abdominal pain. Causes of abdominal pain include: Constipation, Irritable bowel syndrome, Food allergy, Food poisoning, Menstrual pain. Sudden, severe abdominal pain: Abdominal infection, Appendicitis, A perforated peptic ulcer, Gallstones, Kidney...
[ { "id": 4903, "label": "Disease_E", "start_offset": 73, "end_offset": 87 }, { "id": 4904, "label": "Disease_E", "start_offset": 99, "end_offset": 113 }, { "id": 4908, "label": "Cause_E", "start_offset": 123, "end_offset": 135 }, { "id": 4909, "labe...
[ { "id": 1878, "from_id": 4904, "to_id": 4908, "type": "caused_by_R" }, { "id": 1879, "from_id": 4904, "to_id": 4909, "type": "caused_by_R" }, { "id": 1880, "from_id": 4904, "to_id": 4911, "type": "caused_by_R" }, { "id": 1881, "from_id": 4904, ...
[]
253
#Symptoms - Abdominal Pain - MD81.4 Pain in abdomen can be of various intensities and nature. It can be: Sharp, stabbing cramp like pain, Brief pain that may come or go, Pain associated with vomiting.
[ { "id": 4894, "label": "Disease_E", "start_offset": 12, "end_offset": 26 }, { "id": 4895, "label": "Anatomy_E", "start_offset": 44, "end_offset": 51 }, { "id": 4896, "label": "Symptom_E", "start_offset": 105, "end_offset": 136 }, { "id": 4897, "lab...
[ { "id": 1871, "from_id": 4894, "to_id": 4895, "type": "affects_R" }, { "id": 1872, "from_id": 4897, "to_id": 4896, "type": "has_symptom_R" }, { "id": 1873, "from_id": 4897, "to_id": 4898, "type": "has_symptom_R" }, { "id": 1874, "from_id": 4897, ...
[]
426
#Causes - Abducens nerve Palsy - 9C81.2 The causes of Abducens nerve palsy are varied. Common aetiologies in children are Congenital, Raised intracranial pressure, Trauma, Tumour, Infection. In addition to the aetiologies seen in children, adults are affected by vasculopathies (most common acquired causes) also, such a...
[ { "id": 7628, "label": "Disease_E", "start_offset": 10, "end_offset": 30 }, { "id": 7629, "label": "Disease_E", "start_offset": 54, "end_offset": 74 }, { "id": 7631, "label": "Cause_E", "start_offset": 134, "end_offset": 162 }, { "id": 7633, "label...
[ { "id": 3339, "from_id": 7628, "to_id": 7635, "type": "caused_by_R" }, { "id": 3340, "from_id": 7628, "to_id": 7630, "type": "caused_by_R" }, { "id": 3343, "from_id": 7628, "to_id": 7633, "type": "caused_by_R" }, { "id": 3345, "from_id": 7628, ...
[]
427
#Diagnosis - Abducens nerve Palsy - 9C81.2 Patients with CN VI paresis present with esotropia (inward deviation) of the affected eye. Outward movement beyond primary position or midline is lost or reduced. Patients presenting with partial or mild palsy adopt posture with head turn toward the affected side to minimise d...
[ { "id": 7646, "label": "Complication_E", "start_offset": 231, "end_offset": 266 }, { "id": 7647, "label": "Complication_E", "start_offset": 475, "end_offset": 484 }, { "id": 7648, "label": "Disease_E", "start_offset": 486, "end_offset": 508 }, { "id": ...
[ { "id": 3352, "from_id": 7644, "to_id": 7645, "type": "has_complication_R" }, { "id": 3353, "from_id": 7648, "to_id": 7649, "type": "has_complication_R" }, { "id": 3354, "from_id": 7651, "to_id": 7653, "type": "has_complication_R" }, { "id": 3355, ...
[]
428
#Symptoms - Abducens nerve Palsy - 9C81.2 Symptoms include Diplopia (double vision), worse in the field of palsy, Esotropia (inward deviation of eyeball), Head turn towards the affected side to maintain fusion and thus to avoid diplopia in mild cases, Closure of one eye voluntarily to avoid diplopia in severe unilatera...
[ { "id": 7660, "label": "Symptom_E", "start_offset": 59, "end_offset": 83 }, { "id": 7661, "label": "Symptom_E", "start_offset": 85, "end_offset": 112 }, { "id": 7663, "label": "Symptom_E", "start_offset": 155, "end_offset": 209 }, { "id": 7659, "la...
[ { "id": 3357, "from_id": 7659, "to_id": 7660, "type": "has_symptom_R" }, { "id": 3358, "from_id": 7659, "to_id": 7661, "type": "has_symptom_R" }, { "id": 3360, "from_id": 7659, "to_id": 7663, "type": "has_symptom_R" }, { "id": 3359, "from_id": 7659...
[]
429
#Overview - Abducens nerve Palsy - 9C81.2 Abducens (or Abducent) nerve Palsy or Cranial nerve six palsy (CN VI) is a common neuro-ophthalmic disorder. Since CN VI has a long intracranial course, it may be affected by multiple aetiologies. It may be unilateral or bilateral condition. CN VI is a pure motor nerve that inn...
[ { "id": 7669, "label": "Disease_E", "start_offset": 12, "end_offset": 32 }, { "id": 7670, "label": "Disease_E", "start_offset": 42, "end_offset": 76 }, { "id": 7673, "label": "Complication_E", "start_offset": 124, "end_offset": 149 }, { "id": 7671, ...
[ { "id": 3371, "from_id": 7698, "to_id": 7697, "type": "influence_R" }, { "id": 3367, "from_id": 7688, "to_id": 7686, "type": "influence_R" }, { "id": 3369, "from_id": 7695, "to_id": 7696, "type": "influence_R" } ]
[]
430
#Treatment - Abducens nerve Palsy - 9C81.2 Like other cranial nerve palsies, root cause of palsy should be treated. Microvascular ischaemia/vasculopathy secondary to diabetes mellitus and hypertension may lead to Isolated CN VI palsy. Observation. Patient should be observed for three to six months. Most cases resolve o...
[ { "id": 7716, "label": "Disease_E", "start_offset": 54, "end_offset": 75 }, { "id": 7720, "label": "Cause_E", "start_offset": 140, "end_offset": 200 }, { "id": 7721, "label": "Disease_E", "start_offset": 222, "end_offset": 233 }, { "id": 7717, "lab...
[ { "id": 3389, "from_id": 7722, "to_id": 7714, "type": "prescribed_for_R" }, { "id": 3390, "from_id": 7727, "to_id": 7714, "type": "prescribed_for_R" }, { "id": 3393, "from_id": 7755, "to_id": 7714, "type": "prescribed_for_R" }, { "id": 3375, "from_...
[]
391
#Diagnosis - Abnormal uterine bleeding - GA2Y Examination: Physical examination of the woman having AUB includes: Assessment of weight pallor thyroid breasts acne hirsutism scoring (if present), Abdominal palpation, Visualization of the cervix, Bimanual (internal) examination. Laboratory Testing: A complete blood count...
[ { "id": 7275, "label": "Diagnosis_E", "start_offset": 298, "end_offset": 326 }, { "id": 7276, "label": "Diagnosis_E", "start_offset": 328, "end_offset": 349 }, { "id": 7277, "label": "Complication_E", "start_offset": 404, "end_offset": 411 }, { "id": 7...
[ { "id": 3142, "from_id": 7269, "to_id": 7268, "type": "has_diagnosis_R" }, { "id": 3143, "from_id": 7269, "to_id": 7267, "type": "has_diagnosis_R" }, { "id": 3144, "from_id": 7269, "to_id": 7273, "type": "has_diagnosis_R" }, { "id": 3145, "from_id"...
[]
392
#Causes - Abnormal uterine bleeding - GA2Y The components of the PALM group are structural causes that can be located visually with imaging techniques and/or histopathology. These causes are polyp; adenomyosis; leiomyoma; malignancy and hyperplasia. Polyp (AUB-P): Uterine polyps are growths from endometrium, (inner lin...
[ { "id": 7363, "label": "Anatomy_E", "start_offset": 297, "end_offset": 308 }, { "id": 7364, "label": "Complication_E", "start_offset": 354, "end_offset": 368 }, { "id": 7365, "label": "Complication_E", "start_offset": 411, "end_offset": 424 }, { "id": ...
[ { "id": 3218, "from_id": 7348, "to_id": 7375, "type": "caused_by_R" }, { "id": 3221, "from_id": 7348, "to_id": 7422, "type": "caused_by_R" }, { "id": 3222, "from_id": 7348, "to_id": 7424, "type": "caused_by_R" }, { "id": 3223, "from_id": 7348, ...
[]
393
#Prevention - Abnormal uterine bleeding - GA2Y Though there are no specific measures to prevent abnormal uterine bleeding (AUB), but early diagnosis and treatment helps to prevent long-term complications, such as infertility, anaemia, hypovolemia. Sometimes AUB resulting from hormonal changes can be prevented/ reduced ...
[ { "id": 7435, "label": "Riskfactor_E", "start_offset": 277, "end_offset": 293 }, { "id": 7437, "label": "Precaution_E", "start_offset": 323, "end_offset": 347 }, { "id": 7439, "label": "Precaution_E", "start_offset": 356, "end_offset": 375 }, { "id": 7...
[ { "id": 3226, "from_id": 7428, "to_id": 7431, "type": "has_complication_R" }, { "id": 3227, "from_id": 7428, "to_id": 7432, "type": "has_complication_R" }, { "id": 3228, "from_id": 7434, "to_id": 7435, "type": "has_risk_factor_R" }, { "id": 3231, "...
[]
394
#Overview - Abnormal uterine bleeding - GA2Y Abnormal uterine bleeding (AUB) is a common problem among (non-pregnant) women in the reproductive age. Formerly, it was known as dysfunctional uterine bleeding (DUB). AUB is responsible for significant health problem and social embarrassment and it is one of the common reas...
[ { "id": 7446, "label": "Disease_E", "start_offset": 12, "end_offset": 37 }, { "id": 7447, "label": "Disease_E", "start_offset": 45, "end_offset": 76 }, { "id": 7448, "label": "Riskfactor_E", "start_offset": 118, "end_offset": 147 }, { "id": 7449, "...
[ { "id": 3234, "from_id": 7447, "to_id": 7448, "type": "has_risk_factor_R" }, { "id": 3235, "from_id": 7450, "to_id": 7451, "type": "has_complication_R" } ]
[]
395
#Treatment - Abnormal uterine bleeding - GA2Y Medical therapy is considered the preferred initial treatment. Conservative and uterine-preserving treatment options are used initially; however, ineffective medical treatment and certain situations need prompt surgical management. Surgery- When AUB does not respond to medi...
[ { "id": 7457, "label": "Disease_E", "start_offset": 13, "end_offset": 38 }, { "id": 7458, "label": "Medicine_E", "start_offset": 46, "end_offset": 61 }, { "id": 7501, "label": "Anatomy_E", "start_offset": 1017, "end_offset": 1030 }, { "id": 7502, "...
[ { "id": 3236, "from_id": 7458, "to_id": 7457, "type": "prescribed_for_R" }, { "id": 3237, "from_id": 7461, "to_id": 7457, "type": "surgery_for_R" }, { "id": 3238, "from_id": 7462, "to_id": 7463, "type": "surgery_for_R" }, { "id": 3239, "from_id": 7...
[]
396
#Symptoms - Abnormal uterine bleeding - GA2Y Abnormal uterine bleeding may present as any of the following symptoms: Bleeding or spotting between periods, Heavy bleeding during period, Menstrual cycles that are longer than 38 days or shorter than 24 days, Irregular periods in which cycle length varies by more than 7-9 ...
[ { "id": 7606, "label": "Symptom_E", "start_offset": 155, "end_offset": 183 }, { "id": 7607, "label": "Symptom_E", "start_offset": 185, "end_offset": 254 }, { "id": 7610, "label": "Symptom_E", "start_offset": 326, "end_offset": 356 }, { "id": 7611, ...
[ { "id": 3324, "from_id": 7592, "to_id": 7606, "type": "has_symptom_R" }, { "id": 3325, "from_id": 7592, "to_id": 7607, "type": "has_symptom_R" }, { "id": 3328, "from_id": 7592, "to_id": 7611, "type": "has_symptom_R" }, { "id": 3323, "from_id": 7592...
[]
241
#Treatment - Acquired Immuno Deficiency Syndrome (AIDS) - 1C62.3 Definitive cure for AIDS is yet to be discovered. However, some medicines, given at certain stage of the disease, depending upon CD4 count in the blood of the patient, can prolong life of HIV positive persons. Reverse transcriptase (RT) inhibitors - It in...
[ { "id": 4774, "label": "Disease_E", "start_offset": 13, "end_offset": 55 }, { "id": 4775, "label": "Disease_E", "start_offset": 85, "end_offset": 89 }, { "id": 4779, "label": "Medicine_E", "start_offset": 129, "end_offset": 138 }, { "id": 4797, "la...
[ { "id": 1818, "from_id": 4797, "to_id": 4774, "type": "prescribed_for_R" }, { "id": 1819, "from_id": 4803, "to_id": 4774, "type": "prescribed_for_R" }, { "id": 1820, "from_id": 4820, "to_id": 4774, "type": "prescribed_for_R" }, { "id": 1833, "from_...
[]
242
#Symptoms - Acquired Immuno Deficiency Syndrome (AIDS) - 1C62.3 There are 3 main stages of AIDS: Acute symptoms, clinical latency and severe symptoms. Acute symptoms: The majority of people infected by HIV develop Influenza (flu) like illness within a month or two, after the virus enters the body. This illness, known a...
[ { "id": 4773, "label": "Disease_E", "start_offset": 12, "end_offset": 54 }, { "id": 4776, "label": "Disease_E", "start_offset": 91, "end_offset": 95 }, { "id": 4777, "label": "Symptom_E", "start_offset": 151, "end_offset": 165 }, { "id": 4778, "lab...
[ { "id": 1805, "from_id": 4773, "to_id": 4777, "type": "has_symptom_R" }, { "id": 1806, "from_id": 4773, "to_id": 4778, "type": "has_symptom_R" }, { "id": 1807, "from_id": 4773, "to_id": 4784, "type": "has_symptom_R" }, { "id": 1809, "from_id": 4773...
[]
243
#Prevention - Acquired Immuno Deficiency Syndrome (AIDS) - 1C62.3 HIV prevention refers to practices done to prevent spread of HIV/AIDS. HIV prevention practices may be done by individuals to protect their own health: Spreading awareness among masses. Protected sexual contact through the use of condoms, reduces the ris...
[ { "id": 4830, "label": "Disease_E", "start_offset": 14, "end_offset": 56 }, { "id": 4832, "label": "Disease_E", "start_offset": 66, "end_offset": 69 }, { "id": 4834, "label": "Disease_E", "start_offset": 127, "end_offset": 135 }, { "id": 4836, "lab...
[ { "id": 1848, "from_id": 4844, "to_id": 4842, "type": "has_precaution_R" }, { "id": 1849, "from_id": 4848, "to_id": 4846, "type": "has_precaution_R" }, { "id": 1850, "from_id": 4830, "to_id": 4855, "type": "has_precaution_R" }, { "id": 1851, "from_...
[]
244
#Overview - Acquired Immuno Deficiency Syndrome (AIDS) - 1C62.3 AIDS is caused by human immunodeficiency virus (HIV). HIV kills or damages the body's immune system cells. There are two types of HIV. Type I and Type II. Type I is more common in India. AIDS is generally caused by unprotected sex with an infected partner....
[ { "id": 4825, "label": "Disease_E", "start_offset": 12, "end_offset": 54 }, { "id": 4826, "label": "Disease_E", "start_offset": 64, "end_offset": 69 }, { "id": 4827, "label": "Cause_E", "start_offset": 82, "end_offset": 116 }, { "id": 4828, "label"...
[ { "id": 1841, "from_id": 4826, "to_id": 4827, "type": "caused_by_R" }, { "id": 1842, "from_id": 4831, "to_id": 4828, "type": "affects_R" }, { "id": 1843, "from_id": 4839, "to_id": 4841, "type": "caused_by_R" }, { "id": 1844, "from_id": 4843, "t...
[]
245
#Causes - Acquired Immuno Deficiency Syndrome (AIDS) - 1C62.3 A person becomes infected with HIV/AIDS by several ways: Blood transfusions: In some cases, the virus may be transmitted through blood transfusions. Sharing infected needles: HIV can be transmitted through needles and syringes contaminated with infected bloo...
[ { "id": 4795, "label": "Disease_E", "start_offset": 10, "end_offset": 52 }, { "id": 4796, "label": "Disease_E", "start_offset": 93, "end_offset": 101 }, { "id": 4798, "label": "Cause_E", "start_offset": 119, "end_offset": 137 }, { "id": 4800, "labe...
[ { "id": 1822, "from_id": 4796, "to_id": 4798, "type": "caused_by_R" }, { "id": 1825, "from_id": 4796, "to_id": 4800, "type": "caused_by_R" }, { "id": 1828, "from_id": 4802, "to_id": 4801, "type": "caused_by_R" }, { "id": 1830, "from_id": 4814, ...
[]
246
#Diagnosis - Acquired Immuno Deficiency Syndrome (AIDS) - 1C62.3 HIV test is done to detect human immunodeficiency virus in saliva, serum or urine. The conduct of HIV testing of individuals must address: Confidentiality: The entire process of testing and results are kept confidential to give boost to individuals, coupl...
[ { "id": 4866, "label": "Disease_E", "start_offset": 13, "end_offset": 55 }, { "id": 4867, "label": "Diagnosis_E", "start_offset": 65, "end_offset": 73 }, { "id": 4868, "label": "Disease_E", "start_offset": 92, "end_offset": 120 }, { "id": 4870, "la...
[ { "id": 1854, "from_id": 4868, "to_id": 4867, "type": "has_diagnosis_R" }, { "id": 1855, "from_id": 4874, "to_id": 4873, "type": "has_diagnosis_R" }, { "id": 1856, "from_id": 4874, "to_id": 4872, "type": "has_diagnosis_R" }, { "id": 1857, "from_id"...
[]
443
#Causes - Acute encephalitis syndrome - 1D00.Z Acute Encephalitis Syndrome (AES) has a very complex etiology. Causative agents of AES include a wide variety of viruses, bacteria, protozoa, fungi, and non- infectious agents. While Japanese encephalitis virus (JEV) is a leading cause of acute encephalitis syndrome in Ind...
[ { "id": 7879, "label": "Disease_E", "start_offset": 10, "end_offset": 37 }, { "id": 7880, "label": "Disease_E", "start_offset": 47, "end_offset": 80 }, { "id": 7881, "label": "Disease_E", "start_offset": 130, "end_offset": 133 }, { "id": 7882, "lab...
[ { "id": 3472, "from_id": 7889, "to_id": 7888, "type": "caused_by_R" }, { "id": 3473, "from_id": 7890, "to_id": 7891, "type": "caused_by_R" }, { "id": 3474, "from_id": 7904, "to_id": 7903, "type": "caused_by_R" }, { "id": 3475, "from_id": 7904, ...
[]
444
#Complications - Acute encephalitis syndrome - 1D00.Z The disease affects the central nervous system and can cause severe complications, seizures and even death. The Case Fatality Rate (CFR) of this disease is very high and those who survive may suffer from various degrees of neurological sequeale. (An estimated 25% of...
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#Overview - Acute encephalitis syndrome - 1D00.Z Acute encephalitis syndrome (AES) is a serious public health problem in India. It is characterized as acute-onset of fever and a change in mental status (mental confusion, disorientation, delirium, or coma) and/or new-onset of seizures in a person of any age at any time ...
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#Diagnosis - Acute encephalitis syndrome - 1D00.Z The National Vector Borne Disease Control Programme in India has set up country wide surveillance for AES through sentinel sites with a focus on detecting Japanese encephalitis (JEV). In the sentinel surveillance network, AES/JE is diagnosed by lgM Capture ELISA, and vi...
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#Prevention - Acute encephalitis syndrome - 1D00.Z National Programme for Prevention and Control of Japanese Encephalitis(JE)/ Acute Encephalitis Syndrome (NPPCJA): Considering the complexity of AES problem and to reduce morbidity, mortality and disability in children due to JE/AES, Government of India has developed a ...
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#Symptoms - Acute encephalitis syndrome - 1D00.Z Acute Encephalitis Syndrome (AES) is a general description of the clinical presentation of a disease characterized by high fever altered consciousness mostly in children below 15 years of age. Clinically, a case of AES is defined as a person of any age, at any time of ye...
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#Treatment - Acute encephalitis syndrome - 1D00.Z Management of AES is essentially symptomatic. First line of management should be started at grass root level. To reduce severe morbidity and mortality it is important to identify early warning signs and refer patient to higher health facility. Danger Signs- Fever with a...
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#Complications - Adult Inclusion Conjunctivitis - 1D84.0 Complications of adult inclusion conjunctivititis may be: Systemic complications: Urethritis, vaginitis and mucopurulent cervicitis in females. Pelvic inflammatory disease (PID). Perihepatitis (Fitz-Hugh-Curtis syndrome) in women with PID. Urethritis in males. Ep...
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[ { "id": 2421, "from_id": 5885, "to_id": 5889, "type": "has_complication_R" }, { "id": 2422, "from_id": 5885, "to_id": 5891, "type": "has_complication_R" }, { "id": 2423, "from_id": 5885, "to_id": 5892, "type": "has_complication_R" }, { "id": 2424, ...
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#Causes - Adult Inclusion Conjunctivitis - 1D84.0 Chlamydia trachomatis causes trachoma (serotypes A, B, Ba and C) and also genital infections (serotypes D to K) and disease Lymphogranuloma venereum (serotypes L1 to L3). Infection with genital serotypes D to K can cause isolated episodes of ophthalmia neonatorum in inf...
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#Diagnosis - Adult Inclusion Conjunctivitis - 1D84.0 Physical Exam. Physical examination may show weak or absent pulse (e.g. in leg or foot). A weak or Diagnosis of adult inclusion conjunctivitis depends upon clinical presentation and laboratory diagnosis. Women with chlamydial infection often have a concomitant urethr...
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#Overview - Adult Inclusion Conjunctivitis - 1D84.0 Adult inclusion conjunctivitis or Paratrachoma results due to infection by obligate intracellular bacterium, Chlamydia trachomatis (serotypes D to K), which causes chronic follicular conjunctivitis (follicular conjunctivitis lasting for more than 16- 28 days). These o...
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#Symptoms - Adult Inclusion Conjunctivitis - 1D84.0 Adult inclusion conjunctivitis presents as a unilateral (less commonly bilateral) affliction of eye. Symptoms do not always exist with adult inclusion conjunctivitis in large number of patients and is often transmitted unknowingly. Almost half of patients with adult i...
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[ { "id": 2454, "from_id": 5935, "to_id": 5940, "type": "influence_R" }, { "id": 2455, "from_id": 5935, "to_id": 5941, "type": "influence_R" }, { "id": 2456, "from_id": 5935, "to_id": 5942, "type": "influence_R" }, { "id": 2458, "from_id": 5924, ...
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#Prevention - Adult Inclusion Conjunctivitis - 1D84.0 To prevent adult inclusion conjunctivitis, patients should follow safe sexual practices. Patients should be educated about the risks of sexually transmitted diseases.
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#Treatment - Adult Inclusion Conjunctivitis - 1D84.0 Management should be carried out under medical supervision. Adult inclusion conjunctivitis is usually self-limiting. To prevent re-infection, all sexual partners should be treated simultaneously. All sexual partners should also be examined for other sexually transmit...
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#Overview - Alcohol Abuse and Alcoholism - 6C40.1Z Alcoholism is a condition when a person have signs of physical addiction to alcohol and continues to drink , despite problems with physical and psychological health. Alcohol abuse is when person's drinking habits leads to problems, but not physical addiction. These pr...
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#Diagnosis - Alcohol Abuse and Alcoholism - 6C40.1Z The medical professional will perform a physical examination and ask questions about person's medical and family history, including use of alcohol. Tests to rule out, if a person is alcoholic or not: Blood alcohol level, Complete blood count, Liver function test, Magn...
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#Treatment - Alcohol Abuse and Alcoholism - 6C40.1Z Treating alcoholism depends on how much a person drinks. Further treatment options are: Detoxification - It involves a nurse or doctor supporting the person to safely give up drinking. It can be done by helping the person to slowly reduce the alcohol intake over time ...
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[ { "id": 1911, "from_id": 4974, "to_id": 4972, "type": "prescribed_for_R" }, { "id": 1912, "from_id": 4976, "to_id": 4972, "type": "prescribed_for_R" }, { "id": 1913, "from_id": 4981, "to_id": 4972, "type": "prescribed_for_R" }, { "id": 1914, "from_...
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#Symptoms - Alcohol Abuse and Alcoholism - 6C40.1Z People who have alcoholism or alcohol abuse often: Continue to drink, even after knowing the ill effects of drinking, Drink alone, Become hostile when asked about drinking, Unable to control drinking, Make excuses to drink, Miss work or school, or have a decrease in pe...
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[ { "id": 1919, "from_id": 4964, "to_id": 4975, "type": "has_symptom_R" }, { "id": 1921, "from_id": 4964, "to_id": 4970, "type": "has_symptom_R" }, { "id": 1923, "from_id": 4964, "to_id": 4977, "type": "has_symptom_R" }, { "id": 1924, "from_id": 4964...
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#Causes - Alopecia (hair loss) - ED70.Z There are many reasons for hair loss. It include following reasons: Hair Disorders. Hereditary thinning or baldness, Alopecia areata, Cicatricial (scarring) alopecia. Disease. Underlying medical condition, Some cancer treatments, Ringworm of the scalp, Trichotillomania. Stress an...
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#Diagnosis - Alopecia (hair loss) - ED70.Z Dermatologists can diagnose hair loss by asking questions about medical history, family history. A dermatologist may also carefully look at the scalp to know the condition of scalp.
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[ { "id": 1935, "from_id": 5000, "to_id": 5001, "type": "has_diagnosis_R" } ]
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#Overview - Alopecia (hair loss) - ED70.Z Partial or complete loss of hair is called alopecia. Hair loss usually develops gradually and may be patchy or diffuse (all over). One loses up to 100 hair from the scalp everyday. Baldness is not usually caused by disease. It is also related to aging, heredity or changes in th...
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#Treatment - Alopecia (hair loss) - ED70.Z Treatment of hair loss depends upon the cause of disease. Treatment available without a prescription. Minoxidil: This medicine is applied to the scalp. It can stop hair from getting thinner and also stimulate hair growth on the top of the scalp. Laser devices: Brushes, combs, ...
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#Diagnosis - Alzheimer Disease - 8A20 Early, accurate diagnosis is crucial for several reasons. It can tell people whether their symptoms are due to Alzheimer’s disease or another cause, such as stroke, tumour, Parkinson’s disease, sleep disturbances, side effects of medications, or other conditions that may be treatab...
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#Causes - Alzheimer Disease - 8A20 Scientists have not yet understood the exact cause of Alzheimer's disease. It is postulated to have multifactorial etiology like: Genetic: The Apolipoprotein E (ApoE) gene is implicated in Alzheimer’s Disease. This gene has several forms. One of them, ApoE ε4, seems to increase a pers...
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[ { "id": 2135, "from_id": 5348, "to_id": 5342, "type": "has_complication_R" }, { "id": 2134, "from_id": 5348, "to_id": 5343, "type": "has_complication_R" }, { "id": 2133, "from_id": 5348, "to_id": 5344, "type": "has_complication_R" }, { "id": 2132, ...
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#Prevention - Alzheimer Disease - 8A20 There is no definitive evidence to support that any particular measure is effective in preventing. However, there are certain steps that could be taken which may help to delay the onset of dementia. Staying mentally healthy by: Reading, Writing for pleasure, Playing musical inst...
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#Overview - Alzheimer Disease - 8A20 Dementia is a disorder characterized by serious loss of cognitive ability in a previously unimpaired person, beyond what might be expected from normal ageing. Alzheimer's Disease is the most common form of dementia. It is more common in older individuals. Alzheimer’s disease is an i...
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#Treatment - Alzheimer Disease - 8A20 There is no cure for Alzheimer's disease; though symptomatic relief can be provided. Current treatments can be divided into Medical, Psychosocial and Care giving. Various medications to treat Alzheimer's are: Donepezil, Rivastigmine, Galantamine. Psychosocial interventions are used...
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#Symptoms - Alzheimer Disease - 8A20 Common symptoms of Alzheimers Disease are: Forgetfulness, Language difficulties including difficulty in remembering names, Difficulty in planning and problem solving, Difficulty in doing previously familiar tasks, Difficulty in concentration, Difficulty in spatial relationships like...
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#Diagnosis - Amaurosis Fugax - 8B10.0 Diagnosis depends upon clinical history and examination. Patients present with sudden monocular loss of vision that usually is less than fifteen minutes, and it rarely exceeds thirty minutes. Vision loss may be complete or partial. It is described as a curtain falling down in front...
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#Causes - Amaurosis Fugax - 8B10.0 The causes of Amaurosis fugax are divided into five groups Embolic, Haemodynamic, Neurologic, Ocular, Idiopathic. Usually Amaurosis fugax is typically used to refer to transient visual loss of embolic origin. Episodic attacks of blindness occur as arteriosclerotic plaques progressivel...
[ { "id": 7166, "label": "Disease_E", "start_offset": 49, "end_offset": 64 }, { "id": 7167, "label": "Cause_E", "start_offset": 94, "end_offset": 101 }, { "id": 7168, "label": "Cause_E", "start_offset": 103, "end_offset": 115 }, { "id": 7169, "label"...
[ { "id": 3102, "from_id": 7166, "to_id": 7167, "type": "caused_by_R" }, { "id": 3103, "from_id": 7166, "to_id": 7168, "type": "caused_by_R" }, { "id": 3104, "from_id": 7166, "to_id": 7169, "type": "caused_by_R" }, { "id": 3105, "from_id": 7166, ...
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#Symptoms - Amaurosis Fugax - 8B10.0 Symptoms vary according to the type of Amaurosis depending upon visual loss occurrence: Type I: It is characterised by sudden brief attack of partial or complete diminution or obscuration of vision, lasting for seconds to minutes, followed by total recovery. Partial impairment prese...
[ { "id": 7191, "label": "Disease_E", "start_offset": 12, "end_offset": 27 }, { "id": 7192, "label": "Disease_E", "start_offset": 76, "end_offset": 85 }, { "id": 7193, "label": "Complication_E", "start_offset": 101, "end_offset": 112 }, { "id": 7194, ...
[ { "id": 3117, "from_id": 7191, "to_id": 7194, "type": "has_symptom_R" }, { "id": 3118, "from_id": 7191, "to_id": 7195, "type": "has_symptom_R" }, { "id": 3119, "from_id": 7191, "to_id": 7199, "type": "has_symptom_R" }, { "id": 3120, "from_id": 7191...
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#Overview - Amaurosis Fugax - 8B10.0 Amaurosis Fugax or transient monocular blindness (TMB) refers to transient brief blindness, blurring, fogging, or dimming of vision, varying in duration from few seconds to minutes or even hours in some cases. The duration of visual impairment is brief usually less than fifteen minu...
[ { "id": 7221, "label": "Disease_E", "start_offset": 12, "end_offset": 27 }, { "id": 7222, "label": "Disease_E", "start_offset": 37, "end_offset": 52 }, { "id": 7224, "label": "Complication_E", "start_offset": 102, "end_offset": 127 }, { "id": 7228, ...
[ { "id": 3127, "from_id": 7222, "to_id": 7224, "type": "has_complication_R" }, { "id": 3128, "from_id": 7222, "to_id": 7225, "type": "has_complication_R" }, { "id": 3129, "from_id": 7222, "to_id": 7227, "type": "has_complication_R" }, { "id": 3130, ...
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#Treatment - Amaurosis Fugax - 8B10.0 Management. Treatment of amaurosis fugax may help in prevention of ischaemic attacks. Systemic diseases such as hypertension, diabetes mellitus, cardiac arrhythmias, and hyperlipidaemia state should be managed with appropriate treatment. Medical therapy. It may include Aspirin: Asp...
[ { "id": 7243, "label": "Disease_E", "start_offset": 13, "end_offset": 28 }, { "id": 7244, "label": "Disease_E", "start_offset": 63, "end_offset": 78 }, { "id": 7245, "label": "Complication_E", "start_offset": 105, "end_offset": 122 }, { "id": 7246, ...
[ { "id": 3133, "from_id": 7244, "to_id": 7245, "type": "has_complication_R" }, { "id": 3134, "from_id": 7250, "to_id": 7243, "type": "prescribed_for_R" }, { "id": 3135, "from_id": 7251, "to_id": 7243, "type": "prescribed_for_R" }, { "id": 3136, "fro...
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#Causes - Amblyopia - 9D46 A distinction must be made between potentially reversible functional amblyopia and irreversible organic amblyopia. Organic amblyopia is a term used to describe visual impairment due to obvious or non obvious ocular pathology, commonly affecting retina or optic nerve. Examples of organic ambly...
[ { "id": 7593, "label": "Disease_E", "start_offset": 10, "end_offset": 20 }, { "id": 7594, "label": "Disease_E", "start_offset": 74, "end_offset": 105 }, { "id": 7595, "label": "Disease_E", "start_offset": 110, "end_offset": 140 }, { "id": 7921, "la...
[ { "id": 3531, "from_id": 7921, "to_id": 7923, "type": "affects_R" }, { "id": 3532, "from_id": 7927, "to_id": 7932, "type": "has_complication_R" }, { "id": 3533, "from_id": 7927, "to_id": 7933, "type": "has_complication_R" }, { "id": 3534, "from_id"...
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#Symptoms - Amblyopia - 9D46 The main symptom of amblyopia is decreased foveal visual acuity. Commonly used diagnostic criteria, is the loss of visual acuity of two or more lines on the Snellen vision chart. Amblyopic eye presents an abnormal contour interaction which shows decrease in acuity for objects placed in a ro...
[ { "id": 7597, "label": "Disease_E", "start_offset": 49, "end_offset": 59 }, { "id": 7599, "label": "Symptom_E", "start_offset": 208, "end_offset": 402 }, { "id": 7602, "label": "Symptom_E", "start_offset": 456, "end_offset": 502 }, { "id": 7603, "l...
[ { "id": 3317, "from_id": 7596, "to_id": 7599, "type": "has_symptom_R" }, { "id": 3318, "from_id": 7596, "to_id": 7600, "type": "has_symptom_R" }, { "id": 3320, "from_id": 7596, "to_id": 7602, "type": "has_symptom_R" }, { "id": 3319, "from_id": 7596...
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#Overview - Amblyopia - 9D46 Amblyopia is often defined as a difference in visual acuity of two lines or more on Snellen or equivalent chart in a child with, otherwise, healthy eyes. Amblyopia may be present any time visual acuity is reduced, and the reduction of acuity cannot be explained by findings on clinical exami...
[ { "id": 7608, "label": "Disease_E", "start_offset": 12, "end_offset": 22 }, { "id": 7617, "label": "Disease_E", "start_offset": 183, "end_offset": 193 }, { "id": 7612, "label": "Disease_E", "start_offset": 29, "end_offset": 39 }, { "id": 7622, "lab...
[ { "id": 3539, "from_id": 7999, "to_id": 8000, "type": "caused_by_R" } ]
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#Treatment - Amblyopia - 9D46 Early management of amblyopia is critical for best visual acuity results. The basic strategy for treating amblyopia is to first provide a clear retinal image, and then correct ocular dominance if ocular dominance is present, as early as possible during the period of visual plasticity (birt...
[ { "id": 8002, "label": "Disease_E", "start_offset": 13, "end_offset": 23 }, { "id": 8003, "label": "Disease_E", "start_offset": 50, "end_offset": 60 }, { "id": 8004, "label": "Disease_E", "start_offset": 136, "end_offset": 146 }, { "id": 8005, "lab...
[ { "id": 3544, "from_id": 8002, "to_id": 8009, "type": "has_diagnosis_R" }, { "id": 3545, "from_id": 8002, "to_id": 8010, "type": "has_diagnosis_R" }, { "id": 3546, "from_id": 8013, "to_id": 8002, "type": "prescribed_for_R" }, { "id": 3547, "from_id...
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#Diagnosis - Amblyopia - 9D46 Diagnosis of amblyopia is based mainly on measurement of visual acuity. Visual acuity measurement: Subjective and objective methods to test visual acuity have been proposed. Optical grating: The different stimuli consist of repetitive gratings of predictable and precise luminance variation...
[ { "id": 8051, "label": "Disease_E", "start_offset": 13, "end_offset": 23 }, { "id": 8052, "label": "Disease_E", "start_offset": 43, "end_offset": 53 }, { "id": 8053, "label": "Diagnosis_E", "start_offset": 204, "end_offset": 219 }, { "id": 8054, "l...
[ { "id": 3564, "from_id": 8051, "to_id": 8053, "type": "has_diagnosis_R" }, { "id": 3565, "from_id": 8051, "to_id": 8054, "type": "has_diagnosis_R" }, { "id": 3566, "from_id": 8051, "to_id": 8055, "type": "has_diagnosis_R" }, { "id": 3567, "from_id"...
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#Complication - Amoebiasis - 1A36.Z Complications of amoebic colitis include the following: Fulminant or necrotizing colitis, Toxic megacolon, Amoeboma, Recto vaginal fistula. Complications of amoebic liver abscess include the following: Intraperitoneal, intrathoracic, or intrapericardial rupture, with or without secon...
[ { "id": 5684, "label": "Complication_E", "start_offset": 238, "end_offset": 344 }, { "id": 5690, "label": "Complication_E", "start_offset": 515, "end_offset": 540 }, { "id": 5691, "label": "Complication_E", "start_offset": 542, "end_offset": 561 }, { "...
[ { "id": 2318, "from_id": 5667, "to_id": 5671, "type": "has_complication_R" }, { "id": 2319, "from_id": 5667, "to_id": 5672, "type": "has_complication_R" }, { "id": 2320, "from_id": 5667, "to_id": 5674, "type": "has_complication_R" }, { "id": 2321, ...
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#Causes - Amoebiasis - 1A36.Z Amoebiasis is caused by parasite Entamoeba histolytica. Several protozoan species in the genus Entamoeba colonize humans, but not all of them are associated with disease. Transmission occurs via: Faecal–oral route, either directly by person-to-person contact or indirectly by eating or drin...
[ { "id": 5705, "label": "Disease_E", "start_offset": 30, "end_offset": 41 }, { "id": 5706, "label": "Cause_E", "start_offset": 54, "end_offset": 84 }, { "id": 5711, "label": "Cause_E", "start_offset": 362, "end_offset": 404 }, { "id": 5704, "label":...
[ { "id": 2336, "from_id": 5705, "to_id": 5706, "type": "caused_by_R" }, { "id": 2337, "from_id": 5704, "to_id": 5710, "type": "caused_by_R" }, { "id": 2338, "from_id": 5704, "to_id": 5711, "type": "caused_by_R" }, { "id": 2374, "from_id": 5704, ...
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#Overview - Amoebiasis - 1A36.Z Amoebiasis is a disease caused by the parasite Entamoeba histolytica. Only about 10% to 20% of people who are infected with E. histolytica become sick from the infection. Amoebiasis is a common infection of the human gastro-intestinal tract. Amoebiasis is more closely related to poor sa...
[ { "id": 5688, "label": "Disease_E", "start_offset": 275, "end_offset": 285 }, { "id": 5692, "label": "Cause_E", "start_offset": 313, "end_offset": 328 }, { "id": 5697, "label": "Complication_E", "start_offset": 406, "end_offset": 420 }, { "id": 5699, ...
[ { "id": 2331, "from_id": 5699, "to_id": 5700, "type": "has_risk_factor_R" }, { "id": 2332, "from_id": 5699, "to_id": 5701, "type": "has_risk_factor_R" }, { "id": 2333, "from_id": 5699, "to_id": 5702, "type": "has_risk_factor_R" }, { "id": 2334, "fr...
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#Diagnosis - Amoebiasis - 1A36.Z Entamoeba histolytica must be differentiated from other intestinal protozoa. Microscopic identification of cysts and trophozoites in the stool is the common method for diagnosing E. histolytica. In addition, E. histolytica trophozoites can also be identified in aspirates or biopsy sampl...
[ { "id": 5766, "label": "Diagnosis_E", "start_offset": 363, "end_offset": 399 }, { "id": 5767, "label": "Diagnosis_E", "start_offset": 404, "end_offset": 428 }, { "id": 5768, "label": "Complication_E", "start_offset": 461, "end_offset": 515 }, { "id": 5...
[ { "id": 2361, "from_id": 5759, "to_id": 5761, "type": "has_diagnosis_R" }, { "id": 2362, "from_id": 5759, "to_id": 5763, "type": "has_diagnosis_R" }, { "id": 2364, "from_id": 5759, "to_id": 5766, "type": "has_diagnosis_R" }, { "id": 2365, "from_id"...
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#Symptoms - Amoebiasis - 1A36.Z The clinical spectrum ranges from asymptomatic infection, diarrhoea and dysentery to fulminant colitis and peritonitis as well as extra-intestinal amoebiasis. Acute amoebiasis can present as diarrhoea or dysentery with frequent, small and often bloody stools. Chronic amoebiasis can prese...
[ { "id": 5719, "label": "Disease_E", "start_offset": 12, "end_offset": 23 }, { "id": 5721, "label": "Symptom_E", "start_offset": 90, "end_offset": 113 }, { "id": 5723, "label": "Complication_E", "start_offset": 66, "end_offset": 88 }, { "id": 5739, ...
[ { "id": 2353, "from_id": 5734, "to_id": 5738, "type": "has_symptom_R" }, { "id": 2354, "from_id": 5739, "to_id": 5744, "type": "has_symptom_R" }, { "id": 2355, "from_id": 5739, "to_id": 5745, "type": "has_symptom_R" }, { "id": 2356, "from_id": 5739...
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#Prevention - Amoebiasis - 1A36.Z Amoebiasis can be prevented and controlled both by non-specific and specific measures. Non-specific measures are concerned with- Improved water supply, Sanitation, Food safety, Health education of the public as well as health personnel at all levels about sanitation and food hygiene, G...
[ { "id": 5709, "label": "Disease_E", "start_offset": 34, "end_offset": 44 }, { "id": 5714, "label": "Precaution_E", "start_offset": 163, "end_offset": 184 }, { "id": 5715, "label": "Precaution_E", "start_offset": 186, "end_offset": 196 }, { "id": 5716, ...
[ { "id": 2340, "from_id": 5708, "to_id": 5714, "type": "has_precaution_R" }, { "id": 2341, "from_id": 5708, "to_id": 5715, "type": "has_precaution_R" }, { "id": 2342, "from_id": 5708, "to_id": 5716, "type": "has_precaution_R" }, { "id": 2343, "from_...
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#Treatment - Amoebiasis - 1A36.Z For symptomatic intestinal infection and extra intestinal disease, treatment with antiamoebic drugs should be taken with consultation of a physician. Asymptomatic patients infected with E. histolytica should also be treated with antiamoebic drugs, because they can infect others and beca...
[ { "id": 5740, "label": "Medicine_E", "start_offset": 380, "end_offset": 396 }, { "id": 5741, "label": "Complication_E", "start_offset": 436, "end_offset": 465 }, { "id": 5742, "label": "Complication_E", "start_offset": 467, "end_offset": 494 }, { "id":...
[ { "id": 2350, "from_id": 5731, "to_id": 5728, "type": "prescribed_for_R" }, { "id": 2351, "from_id": 5733, "to_id": 5728, "type": "prescribed_for_R" }, { "id": 2352, "from_id": 5740, "to_id": 5728, "type": "prescribed_for_R" } ]
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#Causes - Anaemia - 3A9Z Three main cause of anaemia are: Blood loss, Lack of red cell production, High rates of red blood cell destruction. 1) Blood loss: Blood loss is the most common cause of anaemia, especially in iron-deficiency anaemia. Blood loss can be short term or long term depending upon the conditions. Blee...
[ { "id": 5390, "label": "Disease_E", "start_offset": 10, "end_offset": 17 }, { "id": 5391, "label": "Disease_E", "start_offset": 45, "end_offset": 52 }, { "id": 5392, "label": "Cause_E", "start_offset": 58, "end_offset": 68 }, { "id": 5395, "label":...
[ { "id": 2151, "from_id": 5391, "to_id": 5392, "type": "caused_by_R" }, { "id": 2152, "from_id": 5391, "to_id": 5395, "type": "caused_by_R" }, { "id": 2153, "from_id": 5391, "to_id": 5396, "type": "caused_by_R" }, { "id": 2157, "from_id": 5397, ...
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#Overview - Anaemia - 3A9Z The condition of having a lower-than-normal number of red blood cells or quantity of hemoglobin. Normal results vary. Anaemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction. Conditions that may lead to anaemia include Heavy p...
[ { "id": 5360, "label": "Disease_E", "start_offset": 12, "end_offset": 19 }, { "id": 5366, "label": "Disease_E", "start_offset": 145, "end_offset": 152 }, { "id": 5367, "label": "Complication_E", "start_offset": 176, "end_offset": 186 }, { "id": 5368, ...
[ { "id": 2142, "from_id": 5366, "to_id": 5367, "type": "has_complication_R" }, { "id": 2143, "from_id": 5366, "to_id": 5368, "type": "has_complication_R" }, { "id": 2144, "from_id": 5366, "to_id": 5385, "type": "has_complication_R" }, { "id": 2145, ...
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#Diagnosis - Anaemia - 3A9Z Medical History: Signs and symptoms like weakness, malaise or body aches. Blood tests: To check for the levels of hemoglobin (it is a protein that transports oxygen). Red blood cells (cells that contain hemoglobin)is lower than normal. Physical examination: Rapid or irregular heartbeat, Rapi...
[ { "id": 5439, "label": "Disease_E", "start_offset": 13, "end_offset": 20 }, { "id": 5440, "label": "Diagnosis_E", "start_offset": 102, "end_offset": 113 }, { "id": 5441, "label": "Anatomy_E", "start_offset": 142, "end_offset": 152 }, { "id": 5442, ...
[ { "id": 2187, "from_id": 5440, "to_id": 5441, "type": "diagnosis_on_R" }, { "id": 2188, "from_id": 5439, "to_id": 5440, "type": "has_diagnosis_R" }, { "id": 2189, "from_id": 5439, "to_id": 5445, "type": "has_diagnosis_R" }, { "id": 2190, "from_id":...
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#Treatment - Anaemia - 3A9Z Iron supplements: The most commonly prescribed supplement is ferrous sulphate, taken orally (by mouth) two or three times a day. Dietary supplements: Iron-rich foods include: Dark-green leafy vegetables, such as spinach, Iron-fortified cereals Whole grains, such as brown rice, Beans, Nuts M...
[ { "id": 5388, "label": "Disease_E", "start_offset": 13, "end_offset": 20 }, { "id": 5389, "label": "Medicine_E", "start_offset": 28, "end_offset": 44 }, { "id": 5393, "label": "Medicine_E", "start_offset": 90, "end_offset": 106 }, { "id": 5394, "la...
[ { "id": 2154, "from_id": 5389, "to_id": 5388, "type": "prescribed_for_R" }, { "id": 2155, "from_id": 5393, "to_id": 5388, "type": "prescribed_for_R" }, { "id": 2156, "from_id": 5394, "to_id": 5388, "type": "prescribed_for_R" } ]
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#Symptoms - Anaemia - 3A9Z The most common symptom of anaemia is fatigue or weakness. Other signs and symptoms of anaemia include: Shortness of breath, Dizziness, Headache Coldness in the hands and feet, Pale skin, Chest pain.
[ { "id": 5357, "label": "Disease_E", "start_offset": 12, "end_offset": 19 }, { "id": 5358, "label": "Disease_E", "start_offset": 54, "end_offset": 61 }, { "id": 5359, "label": "Symptom_E", "start_offset": 65, "end_offset": 84 }, { "id": 5361, "label...
[ { "id": 2136, "from_id": 5358, "to_id": 5359, "type": "has_symptom_R" }, { "id": 2137, "from_id": 5357, "to_id": 5361, "type": "has_symptom_R" }, { "id": 2138, "from_id": 5357, "to_id": 5362, "type": "has_symptom_R" }, { "id": 2139, "from_id": 5357...
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#Complications - Anaemia - 3A9Z Iron deficiency anaemia rarely causes any serious or long-term complications. However, some of the complications are listed below: Tiredness. Iron deficiency anaemia can leave a person tired and lethargic (lacking in energy), as a result person may be less productive and active at work....
[ { "id": 5407, "label": "Disease_E", "start_offset": 17, "end_offset": 24 }, { "id": 5409, "label": "Disease_E", "start_offset": 32, "end_offset": 55 }, { "id": 5410, "label": "Complication_E", "start_offset": 164, "end_offset": 173 }, { "id": 5411, ...
[ { "id": 2158, "from_id": 5411, "to_id": 5412, "type": "has_complication_R" }, { "id": 2159, "from_id": 5407, "to_id": 5410, "type": "has_complication_R" }, { "id": 2160, "from_id": 5407, "to_id": 5413, "type": "has_complication_R" }, { "id": 2161, ...
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#Causes - Aniseikonia - 9D00.5 Aniseikonia may occur naturally or is produced secondary to correction of refractive error. Up to 7% of aniseikonia between two eyes is usually tolerated well, and it corresponds to about 3 dioptres (D) of anisometropia. The measuring unit for refractive error is dioptre (D), which is def...
[ { "id": 7303, "label": "Disease_E", "start_offset": 10, "end_offset": 22 }, { "id": 7308, "label": "Complication_E", "start_offset": 275, "end_offset": 291 }, { "id": 7309, "label": "Cause_E", "start_offset": 394, "end_offset": 401 }, { "id": 7310, ...
[ { "id": 3160, "from_id": 7304, "to_id": 7305, "type": "caused_by_R" }, { "id": 3161, "from_id": 7306, "to_id": 7307, "type": "has_complication_R" }, { "id": 3162, "from_id": 7303, "to_id": 7309, "type": "caused_by_R" }, { "id": 3163, "from_id": 730...
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Disease A-Z Datasets

Evaluation Data

To address data sparsity via enrichment during data integration, our intrinsic evaluation accounts for a wide variety of entity types and a complex schema (Fig. Schema). For our comparative evaluation, we utilize the TEST portion of our annotated text dataset (refer to Table: Annotated Text Dataset Statistics). The task-specific fine-tuning employs the structured data for LM-SD, and the same data is used to build patterns for the Baseline and to fine-tune the embedding vector in our approach, THOR. The LM-Human is fine-tuned with a contextualized training set from the annotated text. For both language models, the validation data is used to learn optimal hyperparameters.

The text dataset is split based on the Diseases files, aiming to distribute the total number of entities into approximately 70% for training, 20% for validation, and 10% for testing. There are some deviations in the entity counts due to the difficulty in splitting them exactly into 70/20/10 percentages.

Annotated Text Dataset (Disease A-Z) Statistics

# Training Validation Test Total
Disease 240 61 13 314
Documents 1438 366 90 1894
Entities 18539 3989 2222 24750
Relations 10269 2145 867 13281
Tokens 168816 38722 19237 226775

The following is the individual class-wise statistics of our TEST data:


*Figure: Individual Class-wise Statistics of Annotated Test Data.*

Statistics of Structured Data

Sources Concepts Subject Instances Instances
10 11 284 4,706

Disease A-Z Dataset Description

We consider a health-related data scenario containing Disease A-Z information with Conditions. The following sections describe the data sources and schema used.

Structured Data Sources and Integrated Schema

Our structured data sources contain disease and condition information in tabular format (CSVs), following the integrated schema (Fig. Schema). Each structured data source contains two columns relating concepts such as Disease and Anatomy or Surgery and Anatomy. We have 10 structured sources containing instances of 11 concepts.


*Figure: The Integrated Schema for our Use Case Datasets.*


Text Data Sources

We annotated a text dataset with concepts and relations shown in our schema (Fig. Schema). The dataset aggregates Disease/Conditions A-Z information from major health portals like WHO, NHS, and CDC. We manually collected texts about 1100+ diseases, out of which 314 diseases were annotated. Each disease information is organized into up to eight different text documents indicating major aspects (conditions) of those diseases such as - Overview, Causes, Symptoms, Complications, Diagnosis, Treatment, Prevention, and Risk-factors. Each text file has been named according to the corresponding ICD-11 disease code and name, adhering to the latest 11th edition of International Classification of Diseases (ICD), which can be found at ICD-11. This gives a 360º view of the diseases, making it a good candidate for Information Extraction and NLP related tasks. A sample disease data source from one of the portal looks like this: NHS.

Text Data Annotation Guidelines:

The following guidelines pertain specifically to the Text Data Annotation portion of our dataset. To facilitate Named Entity Recognition and Relation Extraction, we have compiled a comprehensive health dataset encompassing detailed information on individual diseases. From an initial collection of 1100+ diseases, a total of 314 diseases have been meticulously annotated. Our annotation efforts have been focused on ensuring the highest quality of data. The guidelines adhered to in the annotation process are as follows:

  • Development of a specialized schema tailored for the annotation task, serving as a structured guideline.
  • Adhering to the Entity labels and Relation labels defined in the schema for the manual annotation process.
  • Incorporating several pre-processing such as punctuation corrections, adding abbreviations, processing of bullet points, and integration of disease codes.
  • Marking the span of words followed by the selection of appropriate labels from the predefined set of entities, ensuring correct entity annotation.
  • Identification and establishment of dependencies between entities, followed by connecting these into corresponding relations, chosen from a list of available relation labels.
  • Introduction of global entity type corresponding to the name of the disease to mark implicit relations in text.
  • Rigorous validation of chosen entity and relations against the schema to ensuring consistency and accuracy.

By strictly following these guidelines, we aim to create a dataset that is not only precise but also aligns with the intended use-case scenarios.

Annotation Tool and Sample:

We utilized the open-source tool doccano to annotate our dataset. The annotation process involves identifying and labeling entities such as diseases, symptoms, and anatomy, as well as the relations between them, such as causality and symptoms association.

The following image represents a snippet of our annotated text, showcasing how entities and relations are structured within the dataset:


*Figure: A snippet of the annotated text showing entities and relations for Tuberculosis.*

Entities are denoted with suffix _E and relations with _R, allowing for a clear and concise representation of complex medical information. This structured annotation facilitates the training of models for Named Entity Recognition and Relation Extraction tasks.

Manual Annotation Process (Labeling):

The annotation process requires meticulous attention to two types of labeling: Entity Labeling and Relation Labeling (Entity Linking).

  • Entity Labeling: Entities within the text are labeled by selecting one or multiple contiguous words that represent a coherent concept or category.

    1. Begin annotating the text data by selecting the appropriate label for each entity from the list provided in Doccano's interface.
    2. Highlight and label the relevant text segments. This process is repeated for each document within the dataset.
    3. Conduct periodic reviews of the annotated data to identify and rectify any errors or inconsistencies.
    4. Utilize Doccano's functionality to modify or delete incorrect annotations, ensuring the high quality and precision of the dataset.
    5. Recognize that annotation is an iterative process; repeat the review and correction steps as necessary to refine the annotations.
  • Relationship Labeling: Relationships are established by linking two appropriately labeled entities and specifying the nature of their relationship.

    1. Upon completion of entity annotation, examine the text to determine if there are any logical relationships between the entities.
    2. Select the first entity and then the second, noting that the order of selection implies the directionality of the relation.
    3. After both entities are selected, choose the appropriate relation label that accurately describes their interaction.
    4. Review the relationships to ensure they are consistent with the predefined schema and accurately reflect the text's content.

Annotation Agreement and Efforts

Three annotators, each with specialized knowledge, annotated the dataset individually. In cases of disagreement, a separate expert with linguistic expertise ensured the accuracy of the annotations (please check the Annotation_Agreement.xlsx file). Thus we ensured 100% Annotation Agreement. Each annotator dedicated between 3 to 6 hours per day to this task, spanning over a period of more than 3 months. Another 1 month is spend for the Agreement and Validation process. Collecting and pre-processing the texts from the sources took about 2 months. Thus the whole process took over 6 months. The table below shows the minimum and maximum time taken for annotating an instances of disease, document, and tokens. It also indicates the approximate total duration of hours it took to annotate the entire dataset by a single annotator.

Annotation Efforts In Terms of Minimum and Maximum Time

Single Disease (min-max) Single Document (min-max) Single Token (min-max) Total Duration (Hours)
80m – 150m 7m – 25m 8s – 13s 600+

Cite the THOR Paper:

@inproceedings{rahman2024mitigating,
 title={Mitigating Data Sparsity in Integrated Data through Text Conceptualization},
 author={Rahman, Md Ataur and Nadal, Sergi and Romero, Oscar and Sacharidis, Dimitris},
 booktitle={2024 IEEE 40th International Conference on Data Engineering (ICDE)},
 pages={3490--3504},
 year={2024},
 organization={IEEE}
}
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