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ZfuerRheumatologie.80570335.eng.abstr
ZfuerRheumatologie.80570335.eng.abstr
[ { "id": "ZfuerRheumatologie.80570335.eng.abstr-passage-0", "type": "abstract", "text": [ "The meanings of the terms \" quality \" , \" quality of care \" , and \" quality management \" were clarified with common international definitions . Based on that , the basic ideas , concepts , and objectives of quality management in medicine were explained . Finally some future trends related to quality were viewed , which represent challenges for the medical profession and entire medicine ." ], "offsets": [ [ 0, 390 ] ] } ]
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ZfuerRheumatologie.80570340.eng.abstr
ZfuerRheumatologie.80570340.eng.abstr
[ { "id": "ZfuerRheumatologie.80570340.eng.abstr-passage-0", "type": "abstract", "text": [ "Although rationing is an important feature in the German health care system , this topic is not discussed in an explicit and structured way . Currently , most rationing decisions are not based on systematic data on costs and outcomes of diseases and medical interventions . A major task of future research will be to provide health policy makers with data on direct costs , indirect costs , effectiveness , and utility of medical interventions and to integrate these data into decision analysis models . Interdisciplinary workgroups should be set up , combining clinical and economic knowledge . On the other hand , official grants are needed to perform unbiased research in this field covering the various areas of medical care ." ], "offsets": [ [ 0, 730 ] ] } ]
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ZfuerRheumatologie.80570345.eng.abstr
ZfuerRheumatologie.80570345.eng.abstr
[ { "id": "ZfuerRheumatologie.80570345.eng.abstr-passage-0", "type": "abstract", "text": [ "In the context of the quality assurance program of the German pension insurance institutions , instruments and procedures have been developed in the past few years in order to assess the quality of structure , process , and results of inpatient rehabilitation , as well as patient satisfaction . The routine implementation of these procedures aims at providing rehabilitation hospitals with fast information on shortcomings in their current practice , so that concepts of treatment and - in the long run - effects of rehabilitation can be systematically improved . When the \" quality profiles \" of rehabilitation hospitals are compared ( \" benchmarking \" ) , paying institutions of rehabilitation could gain information on the cost-quality-ratio of particular hospitals as well as important leads for improving the steering processes of patients and hospitals . In the present article , results of a first \" field-run \" of the procedures for measuring patient satisfaction and quality of rehabilitation processes are reported . A comparative analysis of patient satisfaction in four orthopaedic/rheumatologic rehabilitation hospitals showed high degrees of overall satisfaction in all hospitals . In several subdimensions of patient satisfaction , however , significant differences between hospitals were found . Quality of rehabilitation processes - as assessed by a standardized peer-review - varied substantially between 36 hospitals . Problems of quality were found especially in some dimensions that must be considered as crucial for rehabilitation , e.g. , in the history and diagnosis of disabilities , in the consideration of psycho-social problems , or in the assessment of occupational capacities ." ], "offsets": [ [ 0, 1708 ] ] } ]
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[]
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ZfuerRheumatologie.80570375.eng.abstr
ZfuerRheumatologie.80570375.eng.abstr
[ { "id": "ZfuerRheumatologie.80570375.eng.abstr-passage-0", "type": "abstract", "text": [ "The human cartilage and bone is characterized by a remodeling during the life , well balanced by neosynthesis and degradation of matrix components . In different joint diseases , it becomes imbalanced and the destruction of the cartilage supersedes the repair . In tissue processes in disease and in normal turnover of the matrix , these molecules are fragmented and released into surrounding fluids , in the synovial fluid , and then in the blood and the urin , where they can be detected . The quantitative measurement in the synovial fluid is more specific than in the other body fluids . The research process in recent years has suggested that these molecular markers of cartilage and bone matrix metabolism can be used to determine diagnosis , the disease severity rather than its presence or absence , the prognosis , and the response to therapy . They should help to identify the disease mechanism in different joint diseases not only on the tissue but also on the molecular level . The specific cartilage matrix markers promise to become useful tools in the future in clinical use . The research in this area is still in the early stages , with most results dated from the end of the 1980s and the 1990s ." ], "offsets": [ [ 0, 1213 ] ] } ]
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ZfuerRheumatologie.80570392.eng.abstr
ZfuerRheumatologie.80570392.eng.abstr
[ { "id": "ZfuerRheumatologie.80570392.eng.abstr-passage-0", "type": "abstract", "text": [ "Objective : The clinical activity of rheumatoid arthritis ( RA ) is not reliably reflected by laboratory measures . Proteolytic enzymes involved in the cascade of joint destruction are potentially useful parameters to monitor the extent of joint inflammation in RA . This study compares the validity of two classes of proteolytic enzymes , matrix metalloproteinases ( MMP ) and lysosomal cysteine proteinases ( cathepsin B , H , and L ) as well as their respective inhibitors to serve as parameters of RA disease activity ." ], "offsets": [ [ 0, 523 ] ] } ]
[ { "id": "ZfuerRheumatologie.80570392.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Objective" ], "offsets": [ [ 0, 9 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018017" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "arthritis" ], "offsets": [ [ 48, 57 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003864" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "laboratory" ], "offsets": [ [ 94, 104 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022877" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "measures" ], "offsets": [ [ 105, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079809" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "rheumatoid arthritis" ], "offsets": [ [ 37, 57 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003873" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "enzymes" ], "offsets": [ [ 128, 135 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014442" }, { "db_name": "UMLS", "db_id": "C0014445" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 163, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 240, 245 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "inflammation" ], "offsets": [ [ 246, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021368" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "Proteolytic enzymes" ], "offsets": [ [ 116, 135 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030946" }, { "db_name": "UMLS", "db_id": "C0030940" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "joint inflammation" ], "offsets": [ [ 240, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003864" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "enzymes" ], "offsets": [ [ 330, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014442" }, { "db_name": "UMLS", "db_id": "C0014445" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "metalloproteinases" ], "offsets": [ [ 347, 365 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025543" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "cysteine" ], "offsets": [ [ 388, 396 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010654" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "proteinases" ], "offsets": [ [ 397, 408 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030946" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "cathepsin" ], "offsets": [ [ 411, 420 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007428" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "inhibitors" ], "offsets": [ [ 465, 475 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243077" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 505, 512 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "proteolytic enzymes" ], "offsets": [ [ 318, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030946" }, { "db_name": "UMLS", "db_id": "C0030940" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "matrix metalloproteinases" ], "offsets": [ [ 340, 365 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0623362" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "cysteine proteinases" ], "offsets": [ [ 388, 408 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010661" } ] }, { "id": "ZfuerRheumatologie.80570392.eng.abstr-s3-t11", "type": "umlsterm", "text": [ "cathepsin B" ], "offsets": [ [ 411, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0699919" } ] } ]
[]
[]
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ZfuerRheumatologie.80570399.eng.abstr
ZfuerRheumatologie.80570399.eng.abstr
[ { "id": "ZfuerRheumatologie.80570399.eng.abstr-passage-0", "type": "abstract", "text": [ "Pregnancy-induced algodystrophy is per se a rare , possibly too rarely diagnosed disease , since patients with algodystrophy may be misdiagnosed as having unspecific backache , musculoskeletal problems , and ligament pain associated with pregnancy . However , when clinical signs of beginning algodystrophia are present , immediate investigations and therapy are necessary for relief of pain and in order to prevent complications . The aim of this paper is to summarize our current knowledge on this disease . Furthermore , the clinical course and diagnostic evaluation are described in two cases with pregnancy-induced algodystrophy . The authors question the common distinction between pregnancy-induced and post-pregnancy algodystrophy , which result in a disturbed bone and calcium metabolism , but discuss both entities similary ." ], "offsets": [ [ 0, 835 ] ] } ]
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[]
[]
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ZfuerRheumatologie.80570410.eng.abstr
ZfuerRheumatologie.80570410.eng.abstr
[ { "id": "ZfuerRheumatologie.80570410.eng.abstr-passage-0", "type": "abstract", "text": [ "In recent years German authorities established a global budget for health care expenditures solely based on macroeconomic aspects . In the last year there have been attempts to define differentiated budgets for chronic diseases . These plans are mainly defined by quality aspects on the process level ( creating networks ) and under fiscal consideration ( savings ) . Legal and economic consequences for rheumatologists in private practice are demonstrated ." ], "offsets": [ [ 0, 458 ] ] } ]
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ZfuerRheumatologie.80570413.eng.abstr
ZfuerRheumatologie.80570413.eng.abstr
[ { "id": "ZfuerRheumatologie.80570413.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of quality management in rheumatology is to improve care and outcome in patients with rheumatic diseases . This can be achieved by means of prospective long-term observation of the patient with regular documentation of clinical , radiological , biochemical and functional data using certain validated scoring methods ( DAS , radiological score , ADL score Hanover or Health assessment questionnaire , SF36, etc. ) . Long-term observation and documentation including radiographs have been performed in the rheumatology hospital in Ratingen for 20 years without even knowing the term quality management . Quality management in a hospital for rheumatic diseases begins with certain structural prerequisites : possibility of direct admission of a patient to the hospital by the family physician , outpatient clinic to investigate and to follow patients over a long period of time , multidisciplinary team with specialists in rheumatology , orthopedic surgery , physiotherapy , ergotherapy , special care , psychological , and social services , close cooperation with specialists in neurology , dermatology , ophthalmology , etc. , department of radiology , special laboratory , facilities for internal diagnostics and treatment . The hospital needs a training program for the qualification of rheumatologists and orthopaedic surgeons . The hospital staff should closely cooperate with the doctors in private practice who admit patients and should continously support patient organizations . The quality of outcome is influenced by the process quality which depends on the following factors : selection , training and motivation of the hospital staff ; supervision of clinical assessment and documentation by senior physicians , daily x-ray demonstrations and case reports , interdisciplinary case demonstrations at least every week in addition to daily consultation , team reports , regular education including review of actual literature for physicians , education programs exchanging knowledge with physiotherapists and nurses , and regular education programs for patients . Process quality can only be achieved by an interdisciplinary approach and regular communication between all participants including the patient , whose opinion must be noted and regarded . As far as possible , the same doctor who treats the patient in the hospital should follow her/him in the outpatient clinic . The quality of outcome can be improved by regular reinvestigation of the patient with control of medication , side effects , efficacy , documentation of clinical , biochemical , radiological , and functional data . Decisions for further treatment have to be based on these follow-up data . A standardized follow up and documentation system for all rheumatology units with prompt feedback could definitely improve the quality of rheumatologic care in Germany ." ], "offsets": [ [ 0, 2853 ] ] } ]
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ZfuerRheumatologie.80570420.eng.abstr
ZfuerRheumatologie.80570420.eng.abstr
[ { "id": "ZfuerRheumatologie.80570420.eng.abstr-passage-0", "type": "abstract", "text": [ "Quality assurance in rehabilitation of rheumatic diseases follows two programs , one developed by VDR ( Verband Deutscher Rentenversicherungstraeger ) and the other developed by DGRh ( Deutsche Gesellschaft fuer Rheumatologie ) . After introducing Total Quality Management to a rehabilitation center quality measurably increased . This improvement has been achieved by goal-directed steps and modification of clinical structures . Up to now patients ' needs and the revision of in-patient treatment have been the central part af these activities . By organizing several special training courses staff has become more content and qualified . New forward-looking perspectives have been worked out in cooperation with other partners ." ], "offsets": [ [ 0, 731 ] ] } ]
[ { "id": "ZfuerRheumatologie.80570420.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "rehabilitation" ], "offsets": [ [ 21, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034991" }, { "db_name": "UMLS", "db_id": "C0034992" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 49, 57 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "programs" ], "offsets": [ [ 70, 78 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376691" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "rheumatic diseases" ], "offsets": [ [ 39, 57 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035435" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "rehabilitation" ], "offsets": [ [ 278, 292 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034991" }, { "db_name": "UMLS", "db_id": "C0034992" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "rehabilitation center" ], "offsets": [ [ 278, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034993" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "Total Quality Management" ], "offsets": [ [ 248, 272 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206210" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 441, 449 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "needs" ], "offsets": [ [ 452, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027552" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 489, 498 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "ZfuerRheumatologie.80570420.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "training" ], "offsets": [ [ 578, 586 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040607" }, { "db_name": "UMLS", "db_id": "C0220931" } ] } ]
[]
[]
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ZfuerRheumatologie.80570424.eng.abstr
ZfuerRheumatologie.80570424.eng.abstr
[ { "id": "ZfuerRheumatologie.80570424.eng.abstr-passage-0", "type": "abstract", "text": [ "The building-up of multipurpose arthritis centers in Germany led to a network including outpatient and inpatient services , primary care physicians , rheumatologists , physiotherapists , occupational therapists , psychologists , acute care clinics , and rehabilitation centers . The structural improvement in the care of patients with chronic inflammatory rheumatic diseases has to be followed by an improvement of processes in the care of these patients and by an improvement of outcome . Coordination offices can help not only to further improve cooperation between primary care physicians , specialized rheumatologists and hospitals but also to establish a comprehensive clinical quality management ." ], "offsets": [ [ 0, 703 ] ] } ]
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[]
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ZfuerRheumatologie.80570431.eng.abstr
ZfuerRheumatologie.80570431.eng.abstr
[ { "id": "ZfuerRheumatologie.80570431.eng.abstr-passage-0", "type": "abstract", "text": [ "Limited resources in our health system require fast action to maintain sufficient health care . Improvements in the quality of standards and the processes involved are overcome more easily by the industry compared to human medicine . Can the heterogenous group of rheumatic patients be compared ? Can the demands of the individual groups be satisfied concerning their health care ? Coordination centers for rheumatic diseases can improve the quality of health care in conjunction with the infrastructure created by the patient support groups . These projects should not fail due to the financial crisis in our social system . It is about time to think about alternative financial models , such as foundations ." ], "offsets": [ [ 0, 710 ] ] } ]
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[]
[]
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ZfuerRheumatologie.80570434.eng.abstr
ZfuerRheumatologie.80570434.eng.abstr
[ { "id": "ZfuerRheumatologie.80570434.eng.abstr-passage-0", "type": "abstract", "text": [ "Self-management is described as a pattern of patient behavior dealing with chronic disease . It encompasses self-assessment , decision making , self-care and treatment as well as documentation . The self-management behavior has to be encouraged and supported by health care professionals ." ], "offsets": [ [ 0, 289 ] ] } ]
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[]
[]
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ZfuerRheumatologie.80570446.eng.abstr
ZfuerRheumatologie.80570446.eng.abstr
[ { "id": "ZfuerRheumatologie.80570446.eng.abstr-passage-0", "type": "abstract", "text": [ "Only during recent years have intensive attempts been made to install a program for more objectively based quality criteria instead of the traditional subjectively and empirically determined therapeutic decisions for the application of DMARDs . The optimized quality management for this treatment should focus on factors such as : diagnosis as early as possible ( basic for the introduction of DMARD therapy ) , reliable assessment of the individual long-term prognosis ( as an important aid in the choice of the appropriate drug ) , prompt determination and establishment of the chosen therapy , and an optimal long-term application of this treatment ( including competent control of effectiveness , tolerance , and compliance ) . Instrumentation for these purposes have been so far only partly available , e.g. , diagnostic criteria and control guidelines . Besides the partially missing appropriate measures , maximum quality management is presently opposed by insufficient rheumatological specialist care for many RA patients - caused by the lack of specialists and a dilatory attitude towards involving them , respectively . Nevertheless , there is hope that in the course of new developments the gap between needs and benefits of quality management will grow smaller ." ], "offsets": [ [ 0, 1274 ] ] } ]
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[]
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ZfuerRheumatologie.8057s001.eng.abstr
ZfuerRheumatologie.8057s001.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s001.eng.abstr-passage-0", "type": "abstract", "text": [ "Intergration of nociceptive signaling comprises peripheral , spinal , and supraspinal sites of the nervous system . Various excitatory or inhibitory neurotransmitter and -modulator systems participate in pain processing and modulation . Chronic pain states are associated with functional and structural alterations of nociceptive pathways . The numerous dynamic changes in the pharmacologically distinct systems offer novel targets for selective pharmacotherapy ." ], "offsets": [ [ 0, 463 ] ] } ]
[ { "id": "ZfuerRheumatologie.8057s001.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Intergration" ], "offsets": [ [ 0, 12 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022023" } ] }, { "id": "ZfuerRheumatologie.8057s001.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "nervous" ], "offsets": [ [ 99, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "ZfuerRheumatologie.8057s001.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "nervous system" ], "offsets": [ [ 99, 113 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027763" } ] }, { "id": "ZfuerRheumatologie.8057s001.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "neurotransmitter" ], "offsets": [ [ 149, 165 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027908" } ] }, { "id": "ZfuerRheumatologie.8057s001.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 204, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "ZfuerRheumatologie.8057s001.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 245, 249 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "ZfuerRheumatologie.8057s001.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "pharmacotherapy" ], "offsets": [ [ 446, 461 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013216" }, { "db_name": "UMLS", "db_id": "C0013217" } ] } ]
[]
[]
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ZfuerRheumatologie.8057s005.eng.abstr
ZfuerRheumatologie.8057s005.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s005.eng.abstr-passage-0", "type": "abstract", "text": [ "Depression and fibromyalgia ( FM ) share common symptoms , indicating a close relationship between both disorders . FM patients frequently present symptoms of major depression . Genetic epidemiological studies show that genetic transmission is one important component . Molecular genetic studies are on the way ; the serotonin transporter promoter gene seems to be associated with neurotic anxiety and FM . Biochemical studies related to the serotonin and norepinephrine neurotransmission are disturbed in both disorders . This view is supported by the response to treatment with antidepressants ." ], "offsets": [ [ 0, 597 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s008.eng.abstr
ZfuerRheumatologie.8057s008.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s008.eng.abstr-passage-0", "type": "abstract", "text": [ "C-fiber nociceptors not only serve afferent but also local efferent functions . The local efferent functions , such as vasodilatation , axon reflex flare reaction , plasma extravasation , and modulation of neuronal activity , are mediated via a local release of substance P , neurokinin A , and calcitonin gene-related peptide ( CGRP ) from the peripheral ending . CGRP is the main mediator of the capsaicin-induced flare reaction in the mammalian skin ( including humans ) . In the pig skin the vasodilatation is due to activation of specific heat nociceptors . In the pigeon , antidromic vasodilatation is markedly inhibited by intrinsic galanin . Plasma extravasation in the pig skin blister base or using microdialysis can be evoked by histamine , but not by electrical stimulation or capsaicin . The neurogenic component of the histamine response ( 64% ) appears to be mediated via NK2 receptors and can be modulated by CGRP . There is some evidence that the neuropeptides can also sensitize or stimulate nociceptors . Since in the fibromyalgia syndrome an increased sensitivity of the flare reaction has been observed , the hyperalgesia might be partly due to altered functions of C-fiber nociceptors ." ], "offsets": [ [ 0, 1208 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s014.eng.abstr
ZfuerRheumatologie.8057s014.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s014.eng.abstr-passage-0", "type": "abstract", "text": [ "Pain is the result of complex neuronal activities within the brain and not simply the result of peripheral activities of the nociceptive system . Pain results from an interaction of many neuronal modules located in different brain areas . This interaction is modified by anticipation , learning , and perception . Electrophysiological phenomena allow the characterization of the information processings associated with pain . This characterization is important for theoretical purposes and for the evaluation of different therapeutic strategies . Furthermore , electrophysiological phenomena support the investigation of functional plasticity in the brain as one of the consequences of chronic pain processing . It is expected that new methods of cortical source analysis will contribute considerably to our understanding of different aspects of pain processing and of the management of pain ." ], "offsets": [ [ 0, 893 ] ] } ]
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ZfuerRheumatologie.8057s019.eng.abstr
ZfuerRheumatologie.8057s019.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s019.eng.abstr-passage-0", "type": "abstract", "text": [ "Past research on the phenomenon of enhanced pain sensitivity in fibromyalgia syndome ( FS ) revealed evidence for both a higher pain magnitude in response to nociceptive stimuli ( hyperalgesia ) and a general perceptual amplification of sensations ( hypervigilance ) . In order to distinguish between these two aspects of disturbed sensory processing in FS , cerebral evoked potentials after brief painful laser and auditory stimuli were measured in 10 FS patients . Results were compared with those from age-matched painfree controls . Amplitudes of middle-latency ( N1) and long-latency ( P2) laser evoked potentials ( LEPs ) were significantly higher in FS than in controls . Furthermore , laser intensity at pain but not at sensation threshold was lower in FS than in controls . However , auditory evoked potentials ( AEPs ) did not differ between groups . Enhanced N1 and P2 amplitudes of LEPs suggest stronger sensory and attentional processing of nociceptive information in FS , respectively . The concept of hypervigilance is challenged by the failure to find differences in auditory perception among FS and control patients . Yet , the importance of unpleasant intensities of auditory stimulation , not applied in this study , to reveal abnormal non-nociceptive perceptual amplification in FS is discussed ." ], "offsets": [ [ 0, 1316 ] ] } ]
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[]
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ZfuerRheumatologie.8057s023.eng.abstr
ZfuerRheumatologie.8057s023.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s023.eng.abstr-passage-0", "type": "abstract", "text": [ "The hypothesis is discussed that a dysfunction of the descending antinociceptive system may underly the pain of fibromyalgia . Data from animal experimentation show that an interruption of the system by spinal cord cooling leads to ( 1 ) increase in ongoing activity , ( 2 ) lowering in stimulation threshold , and ( 3 ) increase in response magnitude in nociceptive dorsal horn neurons . The influence of the descending system was stronger on the responses to input from deep nociceptors than to input from cutaneous nociceptors . If similar changes occur also in patients , an impairment of the tonicly active descending system should be followed by ( 1 ) spontaneous pain ( ongoing activity ) , ( 2 ) tenderness ( lowering in mechanical threshold ) , and ( 3 ) hyperalgesia ( increased responses to noxious stimuli ) . These changes should affect mainly deep pain , because the antinociceptive system influences predominantly input from deep nociceptors ." ], "offsets": [ [ 0, 958 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s027.eng.abstr
ZfuerRheumatologie.8057s027.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s027.eng.abstr-passage-0", "type": "abstract", "text": [ "Patients with fibromyalgia sometimes have sign of a movement disorder in addition to sensory disturbances sometimes similar as those found in akinetic syndromes . Akinesia is due to disturbances in the functions of the cortico-thalamo-nigro-striatal system and associated areas . The reason of this dysfunction in Parkinson's disease is a decreased nigral dopaminergic efferent innervation due to a neuronal degeneration in the pars compacta of the substantia nigra . Changes in other neurotransmitters , like GABA or serotonin , and in receptors and second messengers also occur , with additional modulation due to therapy . The aetiology of nigral malfunction is in only rarely known . Drugs and mutations of some genes are examples which give much insight in the pathogenesis of movement disorders in general . In other akinetic disorders , like multisystem atrophy , corticobasal ganglionic degeneration , and progressive supranuclear palsy , more complex patterns of degeneration have been found . This pathological anatomical disturbances have typical clinical effects which can be studied physiologically and with imaging in vivo . Since basal ganglia play also a role in pain , a comparative study of their involvement in movement disorders and nociception seems to be fruitful , especially in devising new therapeutic strategies ." ], "offsets": [ [ 0, 1339 ] ] } ]
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[]
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ZfuerRheumatologie.8057s036.eng.abstr
ZfuerRheumatologie.8057s036.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s036.eng.abstr-passage-0", "type": "abstract", "text": [ "In fibromyalgia as well as in low back pain we frequently find disturbances of the posture of vertebral column clinically and radiologically . Also , reduction in the mobility of whole spine and localized movement impairments in both conditions was present . It is likely that the disturbances are responsible for the first manifestations of fibromyalgia in a single localization , especially in lumbar and cervical regions ." ], "offsets": [ [ 0, 425 ] ] } ]
[ { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 3, 15 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 39, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "posture" ], "offsets": [ [ 83, 90 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032818" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "back pain" ], "offsets": [ [ 34, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004604" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "vertebral column" ], "offsets": [ [ 94, 110 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037949" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "low back pain" ], "offsets": [ [ 30, 43 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024031" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "spine" ], "offsets": [ [ 185, 190 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037949" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "movement" ], "offsets": [ [ 205, 213 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026649" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 342, 354 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s036.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "single" ], "offsets": [ [ 360, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087136" } ] } ]
[]
[]
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ZfuerRheumatologie.8057s047.eng.abstr
ZfuerRheumatologie.8057s047.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s047.eng.abstr-passage-0", "type": "abstract", "text": [ "The most common morphological finding in muscle biopsis in longstanding fibromyalgia is type II fiber atrophy . This can be found in many other conditions such as disuse atrophy , affections of the corticospinal tracts , steroid atrophy , and other different neuromuscular disorders . An increase in lipid droplets and a slight proliferation of mitochondria in type I muscle fibers are correlated with the duration of fibromyalgia . In some cases we could find some ragged red fibers ( RRF ) which histochemically show a pronounced accumulation of lipids and mitochondria and single fiber defects of cytochrome-c-oxidase . In some fibromyalgia patients with RRF , we could find deletions of the mitochondrial genoma ." ], "offsets": [ [ 0, 717 ] ] } ]
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[]
[]
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"normalized": [] } ]
ZfuerRheumatologie.8057s052.eng.abstr
ZfuerRheumatologie.8057s052.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s052.eng.abstr-passage-0", "type": "abstract", "text": [ "Objective : The acceptance of fibromyalgia as a disease entity and its definitive diagnosis have been hampered by a dearth of knowledge concerning the underlying pathophysiology of this disease and the lack of specific biochemical markers applicable to its diagnosis . To determine whether abnormal collagen metabolism is a characteristic of fibromyalgia , we have analyzed collagen metabolites in the urine and serum of patients with fibromyalgia . Methods : The diagnosis of fibromyalgia was made according to the American College of Rheumatology criteria . Urine and serum were collected under standardized conditions from 39 patients and 55 age- and sex-matched controls . Pyridinoline ( Pyd ) and deoxypyridinoline ( Dpyd ) , which represent products of lysyl oxidase-mediated cross-linking in collagen and are indicators of connective tissue and bone degradation , respectively , were analyzed by ion-paired and gradient HPLC method with fluorescence detection ( HPLC ) . Levels of hydroxypyroline ( Hyp ) , a collagen turnover marker , were also measured . The findings were related to creatinine levels and the Pyd/Dpyd ratio determined . Results . The Pyd/Dpyd ratios in the urine and serum and the Hyp in the urine were significantly lower in patients with fibromyalgia than in healthy controls . Conclusion : Decreased levels of collagen cross-linking may contribute to remodeling of the extracellular matrix and collagen deposition around the nerve fibers in fibromyalgia and contribute to the lower pain threshold at the tender points . Analysis of altered collagen metabolism either by histologic examination on biopsy or , preferably , by HPLC analysis of collagen metabolites in urine or serum may aid to understand more about the pathogenesis of fibromyalgia ." ], "offsets": [ [ 0, 1777 ] ] } ]
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}, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "pathophysiology" ], "offsets": [ [ 162, 177 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031847" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 186, 193 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "markers" ], "offsets": [ [ 231, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005516" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 257, 266 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "biochemical markers" ], "offsets": [ [ 219, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206015" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "collagen" ], "offsets": [ [ 299, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009325" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "metabolism" ], "offsets": [ [ 308, 318 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025519" }, { "db_name": "UMLS", "db_id": "C0025520" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 342, 354 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "collagen" ], "offsets": [ [ 374, 382 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009325" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "urine" ], "offsets": [ [ 402, 407 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042036" }, { "db_name": "UMLS", "db_id": "C0042037" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 421, 429 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 435, 447 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Methods" ], "offsets": [ [ 450, 457 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 464, 473 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 477, 489 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "Rheumatology" ], "offsets": [ [ 536, 548 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035452" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 549, 557 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Urine" ], "offsets": [ [ 560, 565 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042036" }, { "db_name": "UMLS", "db_id": "C0042037" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 629, 637 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": 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"ZfuerRheumatologie.8057s052.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "turnover" ], "offsets": [ [ 1025, 1033 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031227" }, { "db_name": "UMLS", "db_id": "C0243127" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "marker" ], "offsets": [ [ 1034, 1040 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005516" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 1068, 1076 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "creatinine" ], "offsets": [ [ 1093, 1103 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010294" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "urine" ], "offsets": [ [ 1184, 1189 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042036" }, { "db_name": "UMLS", "db_id": "C0042037" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "urine" ], "offsets": [ [ 1219, 1224 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042036" }, { "db_name": "UMLS", "db_id": "C0042037" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1253, 1261 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 1267, 1279 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s9-t5", "type": "umlsterm", "text": [ "controls" ], "offsets": [ [ 1296, 1304 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243148" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "collagen" ], "offsets": [ [ 1340, 1348 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009325" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "collagen" ], "offsets": [ [ 1424, 1432 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009325" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 1455, 1460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t4", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 1471, 1483 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t5", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 1512, 1516 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t6", "type": "umlsterm", "text": [ "extracellular matrix" ], "offsets": [ [ 1399, 1419 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015350" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t7", "type": "umlsterm", "text": [ "nerve fibers" ], "offsets": [ [ 1455, 1467 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027749" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s10-t8", "type": "umlsterm", "text": [ "pain threshold" ], "offsets": [ [ 1512, 1526 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162703" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s11-t1", "type": "umlsterm", "text": [ "Analysis" ], "offsets": [ [ 1550, 1558 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002778" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s11-t2", "type": "umlsterm", "text": [ "collagen" ], "offsets": [ [ 1570, 1578 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009325" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s11-t3", "type": "umlsterm", "text": [ "metabolism" ], "offsets": [ [ 1579, 1589 ] ], "normalized": [ { "db_name": 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"offsets": [ [ 1671, 1679 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009325" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s11-t9", "type": "umlsterm", "text": [ "urine" ], "offsets": [ [ 1695, 1700 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042036" }, { "db_name": "UMLS", "db_id": "C0042037" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s11-t10", "type": "umlsterm", "text": [ "pathogenesis" ], "offsets": [ [ 1747, 1759 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543483" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s11-t11", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 1763, 1775 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s052.eng.abstr-s11-t12", "type": "umlsterm", "text": [ "in urine" ], "offsets": [ [ 1692, 1700 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042037" } ] } ]
[]
[]
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ZfuerRheumatologie.8057s056.eng.abstr
ZfuerRheumatologie.8057s056.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s056.eng.abstr-passage-0", "type": "abstract", "text": [ "Several common chronic pain syndromes come to the attention of the rheumatologist demanding for differentiation from fibromyalgia ( FM ) , although they are often associated with it . They may mimick FM by ( 1 ) the occurance of wide spread pain , ( 2 ) the chronicity of complaints , ( 3 ) the preponderance of females in some of these , and ( 4 ) the lack of objective data to be derived from imaging techniques and laboratory tests . Pain is produced by the disturbance of normal function ( \" dysfunctional syndromes \" , MASI , ref . 6 ) . Recognition requires examination of the locomotor system under biomechanical auspices both at rest and during movement in order to diagnose hyper- and hypomobility syndromes ; treatment of these conditions is guided by principles to improve biomechanical function . In addition , the skin needs to be examined to detect panniculosis ( also called \" cellulitis \" ) , which may be mixed up with FM due to its preferential occurance in peri- or postmenopausal women . It is concluded that the aforementioned differential diagnosis needs to be considered appropriately in coinciding FM and all studies dealing with FM ." ], "offsets": [ [ 0, 1158 ] ] } ]
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ZfuerRheumatologie.8057s061.eng.abstr
ZfuerRheumatologie.8057s061.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s061.eng.abstr-passage-0", "type": "abstract", "text": [ "Although familial occurrence of fibromyalgia syndrome ( FMS ) has been commonly observed , data on a genetic role in this condition are limited . A few studies have reported familial aggregation and association with HLA . We have studied genetic linkage of FMS with HLA in multicase families , and found a rather weak linkage of FMS with HLA ( P 0.029 ) ." ], "offsets": [ [ 0, 355 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s063.eng.abstr
ZfuerRheumatologie.8057s063.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s063.eng.abstr-passage-0", "type": "abstract", "text": [ "In contrast with the situation just a few years ago , the most widely accepted model for the pathogenesis of FMS now invokes CNS mechanisms like nociception and allodynia rather than pathologically painful muscles . The levels of platelet serotonin and CSF substance P appear to be abnormal in directions that could logically amplify pain perception . The extent to which these mechanisms are unique to FMS will be critical in determining the direction that future research should take . Certainly , a better understanding of the cause of FMS could represent an important step toward the development of more effective therapy ." ], "offsets": [ [ 0, 627 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s067.eng.abstr
ZfuerRheumatologie.8057s067.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s067.eng.abstr-passage-0", "type": "abstract", "text": [ "HPA axis abnormalities in FM , CFS , and other stress-related disorders must be placed in a broad clinical context . We know that interventions providing symptomatic improvement in patients with FM and CFS can directly or indirectly affect the HPA axis . These interventions include exercise , tricyclic anti-depresssants , and serotonin reuptake inhibitors . There is little direct information as to how the specific HPA axis perturbations seen in FM can be related to the major symptomatic manifestations of pain , fatigue , sleep disturbance , and psychological distress . Since many of these somatic and psychological symptoms are present in other syndromes that exhibit HPA axis disturbances , it seems reasonable to suggest that there may be some relationship between basal and dynamic function of the HPA axis and clinical manifestations of FM and CFS ." ], "offsets": [ [ 0, 860 ] ] } ]
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"ZfuerRheumatologie.8057s067.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 181, 189 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "CFS" ], "offsets": [ [ 202, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015674" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "HPA" ], "offsets": [ [ 244, 247 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085355" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "axis" ], "offsets": [ [ 248, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004457" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "exercise" ], "offsets": [ [ 283, 291 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015259" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "serotonin" ], "offsets": [ [ 328, 337 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036751" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "inhibitors" ], "offsets": [ [ 347, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243077" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "serotonin reuptake inhibitors" ], "offsets": [ [ 328, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162758" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "direct" ], "offsets": [ [ 376, 382 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0700157" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "HPA" ], "offsets": [ [ 418, 421 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085355" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "axis" ], "offsets": [ [ 422, 426 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004457" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 510, 514 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "fatigue" ], "offsets": [ [ 517, 524 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015672" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "sleep" ], "offsets": [ [ 527, 532 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037313" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "sleep disturbance" ], "offsets": [ [ 527, 544 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037317" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 622, 630 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "syndromes" ], "offsets": [ [ 652, 661 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "exhibit" ], "offsets": [ [ 667, 674 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015272" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "HPA" ], "offsets": [ [ 675, 678 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085355" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "axis" ], "offsets": [ [ 679, 683 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004457" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 792, 800 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "HPA" ], "offsets": [ [ 808, 811 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085355" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "axis" ], "offsets": [ [ 812, 816 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004457" } ] }, { "id": "ZfuerRheumatologie.8057s067.eng.abstr-s5-t9", "type": "umlsterm", "text": [ "CFS" ], "offsets": [ [ 855, 858 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015674" } ] } ]
[]
[]
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ZfuerRheumatologie.8057s072.eng.abstr
ZfuerRheumatologie.8057s072.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s072.eng.abstr-passage-0", "type": "abstract", "text": [ "Growth hormone ( GH ) deficiency occurs in about 30% of fibromyalgia patients . Treatment of GH deficient fibromyalgia patients with recombinant growth hormone improves several clinical features , including the tender point count . Defective GH secretion in these patients appears to be due to increased somatostatin tone in the hypothalamus . An hypothesis is presented which relates dysfunctional GH secretion to the effects of intermittent hypercortisolemia on upregulating the density of -adrenergic receptors in the hypothalamus . The resulting augmentation of -adrenergic tone stimulates the release of somatostatin , thus , impairing GH secretion ." ], "offsets": [ [ 0, 655 ] ] } ]
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"id": "ZfuerRheumatologie.8057s072.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "Growth hormone" ], "offsets": [ [ 0, 14 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037663" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Treatment" ], "offsets": [ [ 80, 89 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "fibromyalgia" ], "offsets": [ [ 106, 118 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016053" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 119, 127 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "growth" ], "offsets": [ [ 145, 151 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018270" }, { "db_name": "UMLS", "db_id": "C0220844" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "hormone" ], "offsets": [ [ 152, 159 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019932" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "growth hormone" ], "offsets": [ [ 145, 159 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037663" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "recombinant growth hormone" ], "offsets": [ [ 133, 159 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376560" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "secretion" ], "offsets": [ [ 245, 254 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036537" }, { "db_name": "UMLS", "db_id": "C0036536" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 264, 272 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "somatostatin" ], "offsets": [ [ 304, 316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037659" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "hypothalamus" ], "offsets": [ [ 329, 341 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020663" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "secretion" ], "offsets": [ [ 402, 411 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036537" }, { "db_name": "UMLS", "db_id": "C0036536" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "-adrenergic" ], "offsets": [ [ 492, 503 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013089" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "hypothalamus" ], "offsets": [ [ 521, 533 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020663" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "-adrenergic receptors" ], "offsets": [ [ 492, 513 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034783" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "-adrenergic" ], "offsets": [ [ 566, 577 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013089" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "release" ], "offsets": [ [ 598, 605 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0541720" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "somatostatin" ], "offsets": [ [ 609, 621 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037659" } ] }, { "id": "ZfuerRheumatologie.8057s072.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "secretion" ], "offsets": [ [ 644, 653 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036537" }, { "db_name": "UMLS", "db_id": "C0036536" } ] } ]
[]
[]
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ZfuerRheumatologie.8057s081.eng.abstr
ZfuerRheumatologie.8057s081.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s081.eng.abstr-passage-0", "type": "abstract", "text": [ "To study the hormonal perturbations in FMS patients we injected sixteen FMS patients and seventeen controls a cocktail of the hypothalamic releasing hormones : Corticotropin-releasing hormone ( CRH ) , Thyrotropin-releasing hormone ( TRH ) , Growth hormone-releasing hormone ( GHRH ) , and Luteinizing hormone-releasing hormone ( LHRH ) and observed the hormonal secretion pattern of the pituitary together with the hormones of the peripheral endocrine glands . We found in FMS patients elevated basal values of ACTH and cortisol , lowered basal values of insulin-like growth factor I ( IGF-I ) and of triiodothyronine ( T3), elevated basal values of follicle-stimulating hormone ( FSH ) and lowered basal values of estrogen . Following injection of the four releasing-hormones , we found in FMS patients an augmented response of ACTH , a blunted response of TSH , while the prolactin response was exaggerated . The effects of LHRH stimulation were investigated in six FMS patients and six controls and disclosed a significantly blunted response of LH in FMS . We explain the deviations of hormonal secretion in FMS patients as being caused by chronic stress , which , after being perceived and processed by the central nervous system ( CNS ) , activates hypothalamic CRH neurons . CRH , on the one hand , activates the pituitary-adrenal axis , but also stimulates at the hypothalamic level somatostatin secretion which , in turn , causes inhibition of GH and TSH at the pituitary level . The suppression of gonadal function may also be attributed to elevated CRH by its ability to inhibit hypothalamic LHRH release , although it could act also directly on the ovary by inhibiting FSH-stimulated estrogen production . We conclude that the observed pattern of hormonal deviations in FMS patients is a CNS adjustment to chronic pain and stress , constitutes a specific entity of FMS , and is primarily evoked by activated CRH neurons ." ], "offsets": [ [ 0, 1933 ] ] } ]
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"ZfuerRheumatologie.8057s081.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "hormone" ], "offsets": [ [ 320, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019932" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "LHRH" ], "offsets": [ [ 330, 334 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023610" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s1-t13", "type": "umlsterm", "text": [ "secretion" ], "offsets": [ [ 363, 372 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036537" }, { "db_name": "UMLS", "db_id": "C0036536" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s1-t14", "type": "umlsterm", "text": [ "pituitary" ], "offsets": [ [ 388, 397 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032005" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s1-t15", "type": "umlsterm", "text": [ "hormones" ], "offsets": [ [ 416, 424 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019932" } ] }, { 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"ZfuerRheumatologie.8057s081.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "release" ], "offsets": [ [ 1608, 1615 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0541720" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s7-t6", "type": "umlsterm", "text": [ "ovary" ], "offsets": [ [ 1661, 1666 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029939" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s7-t7", "type": "umlsterm", "text": [ "estrogen" ], "offsets": [ [ 1696, 1704 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014939" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s7-t8", "type": "umlsterm", "text": [ "production" ], "offsets": [ [ 1705, 1715 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033268" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 1786, 1794 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "CNS" ], "offsets": [ [ 1800, 1803 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007679" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "adjustment" ], "offsets": [ [ 1804, 1814 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683269" }, { "db_name": "UMLS", "db_id": "C0376209" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s8-t4", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 1826, 1830 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s8-t5", "type": "umlsterm", "text": [ "stress" ], "offsets": [ [ 1835, 1841 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038435" } ] }, { "id": "ZfuerRheumatologie.8057s081.eng.abstr-s8-t6", "type": "umlsterm", "text": [ "CRH" ], "offsets": [ [ 1920, 1923 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010132" } ] }, { "id": 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[]
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ZfuerRheumatologie.8057s088.eng.abstr
ZfuerRheumatologie.8057s088.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s088.eng.abstr-passage-0", "type": "abstract", "text": [ "Psychosocial distress and psychological abnormality occurs frequently in fibromyalgia patients . Patterns of decreased levels of education , and increased rates of divorce , obesity , and smoking have been noted in clinical and epidemiological studies . Links to physical and sexual abuse have been noted as well . Major depression as well as increased rates of depression , anxiety , and somatization are also commonly found in fibromyalgia ." ], "offsets": [ [ 0, 443 ] ] } ]
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[]
[]
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"ZfuerRheumatologie.8057s088.eng.abstr-s4-t3", "normalized": [] }, { "id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-r18-t5.1-t4.1", "type": "degree_of", "arg1_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t5", "arg2_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t4", "normalized": [] }, { "id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-r19-t1.1-t3.1", "type": "associated_with", "arg1_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t1", "arg2_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t3", "normalized": [] }, { "id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-r20-t4.1-t3.1", "type": "associated_with", "arg1_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t4", "arg2_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t3", "normalized": [] }, { "id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-r21-t3.1-t1.1", "type": "result_of", "arg1_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t3", "arg2_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t1", "normalized": [] }, { "id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-r22-t3.1-t5.1", "type": "result_of", "arg1_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t3", "arg2_id": "ZfuerRheumatologie.8057s088.eng.abstr-s4-t5", "normalized": [] } ]
ZfuerRheumatologie.8057s094.eng.abstr
ZfuerRheumatologie.8057s094.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s094.eng.abstr-passage-0", "type": "abstract", "text": [ "The prevalence of FM in the general population is estimated at 2% . FM is among the three most common diagnoses in ambulatory adult rheumatology practice . To study the degree of depression , the familial history of depression and FM , as well as the psychological distress in our FM population , we mailed a standardized questionnaire to 304 FM patients . The response rate was 33% . We found BDI scores higher than 21 in 27% of the patients indicating clinical relevant depression . The patients had high levels of global distress measured with the SCL-90-R as well as elevated scores in the subscales . Twenty three percent had a familial history of depression , 46% a familial history of FM , and 46% had been diagnosed with depression in the past ." ], "offsets": [ [ 0, 753 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s097.eng.abstr
ZfuerRheumatologie.8057s097.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s097.eng.abstr-passage-0", "type": "abstract", "text": [ "Fibromyalgia patients hardly suffer from major psychiatric illnesses . Most often , persistent somatoform pain disorder ( ICD-10) and dysthymia are identified by psychiatric assessment . Features of \" pain proneness \" can also be found regularly , which can explain the elevated levels of stress observed in FMS . Repeated traumatic experiences during childhood and as adults can be discovered in many cases , which helps to understand some of the difficulties met in psychotherapy with FMS patients . Modified psychotherapy techniques are recommended using pain-centered behavioral methods initially , and progressing only later to an insight orientated approach ." ], "offsets": [ [ 0, 665 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s101.eng.abstr
ZfuerRheumatologie.8057s101.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s101.eng.abstr-passage-0", "type": "abstract", "text": [ "Objective : Comparison of low back pain ( LBP ) patients with and without fibromyalgia syndrome ( FMS ) with regard to affective distress . Methods : Patients with LBP who had been admitted to various clinics in Germany were examined upon admission . Comparisons were done by dividing the patients into groups with and without signs of FMS . Additionally , both groups were compared after being matched according to sex , age , and pain severity . Results : 15 out of 135 LBP patients met the American College of Rheumatology criteria for fibromyalgia . Patients with FMS showed remarkably higher levels of pain severity and affective distress . After controlling for different levels of pain severity , these pronounced differences disappeared . Conclusion : Affective distress is not a unique feature of FMS , but seem to be caused entirely by higher levels of pain severity ." ], "offsets": [ [ 0, 878 ] ] } ]
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[]
[]
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ZfuerRheumatologie.8057s105.eng.abstr
ZfuerRheumatologie.8057s105.eng.abstr
[ { "id": "ZfuerRheumatologie.8057s105.eng.abstr-passage-0", "type": "abstract", "text": [ "After elucidating the components and theory of neuroticism ( N ) as well as of psychosomatic complaints and their relationships to personality dimensions and to psychosomatic diseases , comparisons are performed between patients suffering from fibromyalgia syndrome ( FMS ) or related pain diseases with healthy subjects scoring high on personality dimensions related to neuroticism . FMS and pain patients score high on depression , anxiety , and experience of stress although questionnaire scores on depression are higher in subjects not exhibiting somatic features of the disease . High subjective pain sensitivity and low thresholds for pain perception are also common features in high N subjects and FMS patients . On the endocrinological level cortisol responses to challenge tests with CRH as well as prolactin responses to TRH are higher in FMS patients than in high N healthy subjects indicating an endocrinological difference . A common feature , however , is the lack of adapatability in the two groups , since neurotics are in particular characterized by a low capacity to shift their behavior from one state to the other ( waking-sleeping , working-relaxing ) , to re-adapt to baseline levels after endocrinological or physiological stress responses , or to adjust to conditions of shift work . This is reflected by chronobiological disturbances in FMS patients and could also explain their maintainance of pain perception , because they are incapable of correcting conditioned pain-producing muscle tension ." ], "offsets": [ [ 0, 1522 ] ] } ]
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"ZfuerRheumatologie.8057s105.eng.abstr-s6-t3", "normalized": [] }, { "id": "ZfuerRheumatologie.8057s105.eng.abstr-s6-r6-t3.1-t5.1", "type": "result_of", "arg1_id": "ZfuerRheumatologie.8057s105.eng.abstr-s6-t3", "arg2_id": "ZfuerRheumatologie.8057s105.eng.abstr-s6-t5", "normalized": [] } ]
ZfuerRheumatologie.90580013.eng.abstr
ZfuerRheumatologie.90580013.eng.abstr
[ { "id": "ZfuerRheumatologie.90580013.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : Results of animal experiments have demonstrated that the osseous integration of non-cemented prostheses can , at the very least temporarily , be impaired by the application of non-steroidal antiphlogistic agents ( such as diclofenac ) . It is the objective of this study to examine whether there is a direct influence of diclofenac used in usual clinical dosages ( 3 times 50 mg daily ) on bone cells and their progenitor cells which would explain the observed slow integration of the prostheses . Methods : To investigate this , cultivated human in vitro osteoblasts and stromal bone marrow cells were incubated with increasing doses of the medications . Our study focused on the effect of diclofenac application on proliferation and functional metabolism in both cell lines . The measurable maximal plasma concentration 2h after the application of one tablet Voltaren 50 reached 1.6µg/ml. This correlated with diclofenac concentrations between 1 and 10 ml found in our experiments . The detected values were correlated to the control group ( 0 µg/ml diclofenac ) . Results : The drug effect upon osteoblasts was higher than on progenitor cells . The proliferation of in vitro stromal bone marrow cells , compared to untreated cells , was found to be decreased . We observed a decrease to 82% at a diclofenac concentration of 1 µg/ml, Osteoblasts exhibited a decrease to 97,5% at the same concentration . The DNA synthesis increased to 118% in stromal bone marrow cells , in osteoblasts to 144% . In contrast , we detected a neglectible decrease to 92% in the collagen synthesis of osteoblasts compared to untreated cells . The synthesis of osteocalcin by osteoblasts increased to 119% . The alkaline phosphatase activity was found to be decreased to 88% in stromal bone marrow cells and increased in osteoblasts to 111% . Conclusion : Temporary inhibiting effects on osseous integration in non-cemented prosthesis by diclofenac could be caused by a disturbance in the anabolic bone metabolism , exhibited by an increase of osteoblastic osteocalcin expression . Osteocalcin as a known negative regulator of the osteoneogenesis is most likely inhibiting the collagen matrix deposition ." ], "offsets": [ [ 0, 2201 ] ] } ]
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[]
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"ZfuerRheumatologie.90580013.eng.abstr-s15-r2-t2.1-t1.1", "type": "interacts_with", "arg1_id": "ZfuerRheumatologie.90580013.eng.abstr-s15-t2", "arg2_id": "ZfuerRheumatologie.90580013.eng.abstr-s15-t1", "normalized": [] } ]
ZfuerRheumatologie.90580021.eng.abstr
ZfuerRheumatologie.90580021.eng.abstr
[ { "id": "ZfuerRheumatologie.90580021.eng.abstr-passage-0", "type": "abstract", "text": [ "A questionnaire with 78 questions concerning the situation of ankylosing spondylitis ( AS ) sufferers in Germany was distributed to a representative 3000 out of the more than 14000 patient members of the German AS society ; 1614 patients ( 54% ) responded . The age distribution of these patients roughly agrees with that expected due to the distribution of the age at diagnosis and the age distribution of the German population . The group of patients more than 65 years old is , however , under-represented ." ], "offsets": [ [ 0, 510 ] ] } ]
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[]
[]
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ZfuerRheumatologie.90580035.eng.abstr
ZfuerRheumatologie.90580035.eng.abstr
[ { "id": "ZfuerRheumatologie.90580035.eng.abstr-passage-0", "type": "abstract", "text": [ "The RS3PE syndrome ( Remitting Seronegative Symmetrical Synovitis with Pitting Edema ) is a manifestation of rheumatoid arthritis in the elderly with a good prognosis . It usually presents as an acute , symmetric polysynovitis with edema of the dorsum of the hands and feet . Anti-inflammatory treatment with corticosteroids leads to prompt improvement . We describe the case of an 81 year old man with a primarily unilateral manifestation involving the right hand . A thrombosis of the axillary vein was suspected . Within a few days he developed a pitting edema of the dorsum of the other hand . Movement of both shoulders and wrists was painful . Low-dose corticosteroid therapy resulted in a rapid improvement of the edema and the inflammatory symptoms ." ], "offsets": [ [ 0, 758 ] ] } ]
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"UMLS", "db_id": "C0024554" } ] }, { "id": "ZfuerRheumatologie.90580035.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "right" ], "offsets": [ [ 454, 459 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035621" } ] }, { "id": "ZfuerRheumatologie.90580035.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "hand" ], "offsets": [ [ 460, 464 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018563" } ] }, { "id": "ZfuerRheumatologie.90580035.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "thrombosis" ], "offsets": [ [ 469, 479 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040053" } ] }, { "id": "ZfuerRheumatologie.90580035.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 496, 500 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "ZfuerRheumatologie.90580035.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "axillary vein" ], "offsets": [ [ 487, 500 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004456" } ] }, { "id": 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[]
[]
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ZfuerRheumatologie.90580061.eng.abstr
ZfuerRheumatologie.90580061.eng.abstr
[ { "id": "ZfuerRheumatologie.90580061.eng.abstr-passage-0", "type": "abstract", "text": [ "Involvement of the sacroiliac joints is a hallmark of the spondyloarthropathies , especially in ankylosing spondylitis . The conventional diagnostic imaging of sacroiliitis in early stages might cause problems , because sensitivity of conventional radiographic methods is known to be too low in early stages of the disease . Magnetic resonance imaging of the sacroiliac joints certainly enables one to detect acute as well as chronic inflammatory changes in all stages of the disease . The potential disadvantages of this method are the dependency on the examiner , the lack of standardization , and the relatively high costs . Therefore , the \" Workgroup of Diagnostic Imaging in Rheumatology of the Regional Center of Rheumatology of Berlin \" including experienced rheumatologists , skeletal radiologists , and orthopedists acquired an imaging graduation for detection of sacroiliitis in consideration of the clinical background , the technical details of the methods , questions of ionizing radiation exposure , and cost effectiveness ." ], "offsets": [ [ 0, 1039 ] ] } ]
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ZfuerRheumatologie.90580071.eng.abstr
ZfuerRheumatologie.90580071.eng.abstr
[ { "id": "ZfuerRheumatologie.90580071.eng.abstr-passage-0", "type": "abstract", "text": [ "The effectiveness of radiosynoviorthesis in the local treatment of chronically inflammatory joint diseases , especially rheumatoid arthritis , was evaluated ." ], "offsets": [ [ 0, 158 ] ] } ]
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[]
[]
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ZfuerRheumatologie.90580088.eng.abstr
ZfuerRheumatologie.90580088.eng.abstr
[ { "id": "ZfuerRheumatologie.90580088.eng.abstr-passage-0", "type": "abstract", "text": [ "Objectives : The involvement of cytokines in degeneration and inflammation of human tissue is well established . Interleukin-1 ( IL-1) is a major agent in the pathophysiology of periarticular bone resorption in rheumatoid arthritis and in osteoporosis . Because the use of recombinant cytokines and growth factors is limited due to their short half lives , techniques are needed to get a permanent release of these therapeutic proteins . The rational of this study was to show that retroviral transduction of human osteoblastic cells is possible in vitro using the marker gene LacZ and the potentially therapeutic gene encoding for human interleukin-1 receptor antagonist protein ( IL-1Ra). Different transduction techniques were combined to improve the rate of transduction in vitro . Methods : Osteoblastic cells were isolated from human spongious bone and cultured in vitro . The -galactosidase ( LacZ ) gene and the cDNA of IL-1Ra were introduced into the isolated cells by retrovirus mediated gene transfer . LacZ activity was determined by Xgal staining , IL-1Ra was measured quantitatively by ELISA . Results : The transfer of retroviral IL-1Ra led to IL-1Ra expression of 8614 to 10089pg IRAP/50000 cells/48h. By combining different techniques to improve transduction , the X-gal staining established a rate of transduction of 60% . Conclusion : Our results demonstrate that retroviral transduction of human osteobalstic cells is possible in vitro , and leads to high levels of the synthesized transgene product . The rate of retroviral transduction can be accelerated in vitro ." ], "offsets": [ [ 0, 1587 ] ] } ]
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"ZfuerRheumatologie.90580088.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Interleukin-1" ], "offsets": [ [ 113, 126 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021755" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pathophysiology" ], "offsets": [ [ 159, 174 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031847" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 192, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "arthritis" ], "offsets": [ [ 222, 231 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003864" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "osteoporosis" ], "offsets": [ [ 239, 251 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029456" } ] }, { "id": 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"type": "umlsterm", "text": [ "transfer" ], "offsets": [ [ 1003, 1011 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040671" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "ELISA" ], "offsets": [ [ 1100, 1105 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014441" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "transfer" ], "offsets": [ [ 1122, 1130 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040671" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 1241, 1251 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "X-gal" ], "offsets": [ [ 1282, 1287 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0148927" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "human" ], "offsets": [ [ 1410, 1415 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020114" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "cells" ], "offsets": [ [ 1429, 1434 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "transgene" ], "offsets": [ [ 1502, 1511 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282641" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "in vitro" ], "offsets": [ [ 1447, 1455 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021135" } ] }, { "id": "ZfuerRheumatologie.90580088.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "in vitro" ], "offsets": [ [ 1577, 1585 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021135" } ] } ]
[]
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ZfuerRheumatologie.90580095.eng.abstr
ZfuerRheumatologie.90580095.eng.abstr
[ { "id": "ZfuerRheumatologie.90580095.eng.abstr-passage-0", "type": "abstract", "text": [ "Heberden nodes affect mainly middle-aged women . Inheritance is autosomal dominant in female and autosomal recessive in male patients . We report the case of a young man who presented already with 12 years of age with pain in the distal finger joints . There were no other clinical or serological signs for other rheumatoid diseases , like psoriatic or rheumatoid arthritis . Radiologic findings were consistent with Heberden's osteoarthritis of the finger joints . The joint changes remained clinically and radiologically stable during a time period of more than 15 years . The HLA typing revealed the haplotype HLA A1, B8 and DR4, in accordance with former studies which reported a higher frequency of HLA A1, B8 in families with primary osteoarthritis ( early onset osteoarthritis of the large joints in combination with Heberden nodes ) ." ], "offsets": [ [ 0, 842 ] ] } ]
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"normalized": [] }, { "id": "ZfuerRheumatologie.90580095.eng.abstr-s7-r42-t2.1-t8.1", "type": "associated_with", "arg1_id": "ZfuerRheumatologie.90580095.eng.abstr-s7-t2", "arg2_id": "ZfuerRheumatologie.90580095.eng.abstr-s7-t8", "normalized": [] } ]
ZfuerRheumatologie.90580100.eng.abstr
ZfuerRheumatologie.90580100.eng.abstr
[ { "id": "ZfuerRheumatologie.90580100.eng.abstr-passage-0", "type": "abstract", "text": [ "We describe the imaging procedures for the diagnosis of manubriosternal joint arthritis in a 64 years old man with psoriatic arthritis . Involvement of the manubriosternal joint ( synchondrosis sternalis ) in psoriatic arthritis is a rare manifestation . The findings of bone-scintigraphy , conventional radiography and arthrosonography of the manubriosternal joint arthritis are compared and discussed ." ], "offsets": [ [ 0, 404 ] ] } ]
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[]
[]
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ZfuerRheumatologie.90580125.eng.abstr
ZfuerRheumatologie.90580125.eng.abstr
[ { "id": "ZfuerRheumatologie.90580125.eng.abstr-passage-0", "type": "abstract", "text": [ "The present paper presents data obtained over a 12 year period , on the matrix synthesis and turnover in some 650 arthritic and 180 non-arthritic ( N ) human cartilages using a standardised in vitro method . When the relative metabolic ( synthetic/repair activity ) of these human cartilages was compared , it was demonstrated that in osteoarthritis ( OA ) and rheumatoid arthritis ( RA ) cartilages synthetic activity was diminished by approximately 50% as compared with N cartilages . However , the turnover rate of matrix was not significantly different between Non-arthritic and OA , but was very substantially increased in RA cartilages compatible with the activity of inflammatory cells and proteolytic enzymes released from pannus . The action of 13 NSAIDs was compared in terms of their effect on cartilage GAG synthesis . 3 of these NSAIDs were also studied in terms of their effect on cartilage collagen synthesis . Consideration of the results in this study and from published material , led to the suggestion that NSAIDs may be divided into 3 categories in respect of their in vitro action on the extracellular matrix of human arthritic cartilages : 1. Those such as Aceclofenac , Tenidap and Tolmetin which can stimulate matrix synthesis 2. Those such as Piroxicam , Tiaprofenic Acid and Aspirin which appear to be without significant effect on matrix synthesis and , 3. Those like Naproxen , Ibuprofen , Indomethacin , Nimezulide which significantly inhibit matrix synthesis . It is suggested that the stimulatory action of group 1 NSAID is due to inhibition of locally produced IL1 and consequent expression of growth factor activity . Other NSAIDs may also inhibit IL1 synthesis or release , but probably do not have a beneficial effect on chondrocyte synthetic activity as they have toxic effects on cartilage metabolism . These experiments led to the suggestion that NSAIDs such as Aceclofenac would be appropriate for long-term treatment of arthritic conditions provided that one is prepared to extrapolate between in vitro experiments on human cartilage and what may be happening in vivo ." ], "offsets": [ [ 0, 2109 ] ] } ]
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ZfuerRheumatologie.90580130.eng.abstr
ZfuerRheumatologie.90580130.eng.abstr
[ { "id": "ZfuerRheumatologie.90580130.eng.abstr-passage-0", "type": "abstract", "text": [ "The research field of tissue engineering combines cells biology , biomaterial science , and surgery . Major long-term goals are tissue and organ replacement therapies using the patients ' own cells . Our work is focused on the treatment of severe joint defects and on plastic surgery using in vitro engineered cartilage tissues . The practical approaches in cartilage engineering face problems with three-dimensional cell distribution or cell immobilization raising biocompatibility problems . The tissue engineering of cartilage is based on combining biocompatible cell embedding substances such as fibrin , agarose , alginate , hyaluronic acid and fiber fleece scaffolds of poly -hydroxy acids ( PLLA/PGLA ) . Different technical approaches were established : a ) three-dimensional in vitro cultures of chondrocytes for the development of vital tissue transplants and b ) interacting three-dimensional cultures consisting of different cell populations , such as BMP-transfected mesenchymal cells . The preshaped artificial tissue constructs were cultured in perfusion chambers to maintain a stable diffusion of nutrients during the in vitro pre-formation step . Subsequently , pre-formed tissues were implanted into nude mice and into 4mm articular joint defects of rabbits . Transplants were found to produce cartilage typic morphological patterns and matrix . 80% of the transplants remained stable in vivo . However , 20% of the tissues are resorbed or replaced by a fibrous tissue . These results demonstrate that current artificial cartilage transplants are already feasible for plastic reconstruction . The treatment of severe joint defects , however , faces additional problems which are addressed in ongoing studies : ( a ) the fixation of engineered cartilage in joints , ( b ) the protection against chronic inflammatory degradation , and ( c ) the required enormous mechanical stability ." ], "offsets": [ [ 0, 1901 ] ] } ]
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ZfuerRheumatologie.90580142.eng.abstr
ZfuerRheumatologie.90580142.eng.abstr
[ { "id": "ZfuerRheumatologie.90580142.eng.abstr-passage-0", "type": "abstract", "text": [ "Osteoarthritis can be viewed as the clinical and pathological outcome of a range of disorders that results in structural and functional failure of synovial joints . Osteoarthritis occurs when the dynamic equilibrium between the breakdown and repair of joint tissues is overwhelmed . Structural failure of articular cartilage can result from abnormal mechanical strains injuring healthy cartilage as well as from failure of pathologically impaired cartilage degenerating under the influence of physiological mechanical strains . Primary and secondary subsets of OA are defined but in the majority of cases the pathogenesis is multifactorial , involving environmental as well as genetic factors . The influence of occupational factors , body weight , trauma and recreational activities are briefly reviewed , as are the role of developmental abnormalities , collagen gene mutations , denervation of joints and inherited and acquired erros of metabolism ." ], "offsets": [ [ 0, 952 ] ] } ]
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[]
[]
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ZfuerRheumatologie.90580148.eng.abstr
ZfuerRheumatologie.90580148.eng.abstr
[ { "id": "ZfuerRheumatologie.90580148.eng.abstr-passage-0", "type": "abstract", "text": [ "In the present study we investigated the influence of an altered sensible joint innervation on the development of knee osteoarthritis in a wistar rat model of osteoarthritis . Capsaicin ( 8-methyl-N-vanillyl-6-noneamide) mediated partial sensible knee joint denervation was performed in a group of 16 male wistar rats . Twelve rats without alterations of the sensible knee joint innervation served as controls . In both groups , halft of the rats underwent strenuous running exercises ( total running load of 20km ) in a running wheel by intracranial self-stimulation , while the other half did not have any running load . In rats without running , there were no histological sings of knee osteoarthritis according to the Mankin score . In contrast , in rats running a total of 20km significant osteoarthritis changes were observed . Hereby , in rats without altered sensible knee joint innervation , osteoarthritis was mostly classified as mild or moderate , while severe osteoarthritis was the predominant finding in the knee joints of the rats with partial sensible knee joint denervation . In conclusion , our study gives strong evidence for the hypothesis that an altered sensible joint innervation works as a contributing factor in the development of osteoarthritis ." ], "offsets": [ [ 0, 1273 ] ] } ]
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[]
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ZfuerRheumatologie.90580173.eng.abstr
ZfuerRheumatologie.90580173.eng.abstr
[ { "id": "ZfuerRheumatologie.90580173.eng.abstr-passage-0", "type": "abstract", "text": [ "Gastropathies caused by treatment with non-steroidal-antiinflammatory drugs ( NSAIDs ) are a frequent problem in rheumatology . An increased risk for this complication has been established for patients older than 70 years , for those with a history of ulcer and those under concomittant steroid medication . Especially those patients should be treated with gastroprotective drugs . In differing intensity , protone pump inhibitors , prostaglandine analoga and H2 blockers are able to prevent such problems and give some symptomatic relief . Most complications can be prevented using omeprazol , the newest and most expensive drug , in a dosage of 20mg/day, a higher dosage is not more effective . This drug works also in many cases when the NSAID therapy has to be continued . A significant effect on the prevalence of serious GI effects was only shown for misoprostol in a dosage of 800µg/day to date . Some influence on the risk for GI events can also be taken by questioning the indication , choice of the NSAID and proper information of the patient . The development of COX-2-selective and even specific NSAIDs might solve some of these drug related GI problems in the near future ." ], "offsets": [ [ 0, 1186 ] ] } ]
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"ZfuerRheumatologie.90580173.eng.abstr-s9-t4", "normalized": [] }, { "id": "ZfuerRheumatologie.90580173.eng.abstr-s9-r1-t3.1-t1.1", "type": "affects", "arg1_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t3", "arg2_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t1", "normalized": [] }, { "id": "ZfuerRheumatologie.90580173.eng.abstr-s9-r2-t4.1-t1.1", "type": "result_of", "arg1_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t4", "arg2_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t1", "normalized": [] }, { "id": "ZfuerRheumatologie.90580173.eng.abstr-s9-r3-t1.1-t4.1", "type": "occurs_in", "arg1_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t1", "arg2_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t4", "normalized": [] }, { "id": "ZfuerRheumatologie.90580173.eng.abstr-s9-r4-t2.1-t1.1", "type": "affects", "arg1_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t2", "arg2_id": "ZfuerRheumatologie.90580173.eng.abstr-s9-t1", "normalized": [] } ]
ZfuerRheumatologie.90580185.eng.abstr
ZfuerRheumatologie.90580185.eng.abstr
[ { "id": "ZfuerRheumatologie.90580185.eng.abstr-passage-0", "type": "abstract", "text": [ "We describe a patient with chronic myelogenous leukemia ( CML ) and a patient with hairy cell leukemia being effectively treated with -interferon who developed a seropositive chronic polyarthritis formally fulfilling the ACR criteria for rheumatoid arthritis . Because of its efficacy , interferon was not discontinued , and the arthritis treated with low-dose prednisolone or NSAIDS . These are the 19th and 20th case of symmetrical polyarthritis during -interferon therapy fulfilling the criteria for RA . The possible mechanisms of the relatively frequent appearance of autoimmune diseases during interferon therapy are discussed ." ], "offsets": [ [ 0, 634 ] ] } ]
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"type": "umlsterm", "text": [ "leukemia" ], "offsets": [ [ 94, 102 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023418" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "-interferon" ], "offsets": [ [ 134, 145 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021747" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "polyarthritis" ], "offsets": [ [ 183, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162323" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 225, 233 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "arthritis" ], "offsets": [ [ 249, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003864" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "myelogenous leukemia" ], "offsets": [ [ 35, 55 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023470" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "rheumatoid arthritis" ], "offsets": [ [ 238, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003873" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t13", "type": "umlsterm", "text": [ "chronic myelogenous leukemia" ], "offsets": [ [ 27, 55 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023473" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s1-t14", "type": "umlsterm", "text": [ "hairy cell leukemia" ], "offsets": [ [ 83, 102 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023443" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "interferon" ], "offsets": [ [ 287, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021747" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "arthritis" ], "offsets": [ [ 329, 338 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003864" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "prednisolone" ], "offsets": [ [ 361, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032950" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "NSAIDS" ], "offsets": [ [ 377, 383 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003211" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "polyarthritis" ], "offsets": [ [ 434, 447 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162323" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "-interferon" ], "offsets": [ [ 455, 466 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021747" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 467, 474 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "criteria" ], "offsets": [ [ 490, 498 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243161" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 584, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "interferon" ], "offsets": [ [ 600, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021747" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 611, 618 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "ZfuerRheumatologie.90580185.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "autoimmune diseases" ], "offsets": [ [ 573, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004364" } ] } ]
[]
[]
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ZfuerRheumatologie.90580201.eng.abstr
ZfuerRheumatologie.90580201.eng.abstr
[ { "id": "ZfuerRheumatologie.90580201.eng.abstr-passage-0", "type": "abstract", "text": [ "Open synovectomy of the knee in early cases has become a standard procedure in rheumatoid patients . Therefore , this study was performed to evaluate long-term results of open knee synovectomy in later cases of rheumatoid arthritis . Clinical findings in 93 knees after late open synovectomy are presented . The average follow-up was 10.1 ( 6.4-12.7) years . The failure rate was 39.8 per cent and so in 60.2 per cent ( 56 knees ) no further operation was necessary . In 12 of 37 cases the revision was done by resynovectomy and reconstructive surgery . Thus during the follow-up period ( 10.1 years ) in 73.1 ( n=68) per cent of knee synovectomy no knee arthroplasty was performed . Patients reported as well reduction of pain and swelling with a high grade of satisfaction . Despite these reasonable functional results , radiographic progression of disease ( Larsen stage 2.2 to 3.7 ) is common after synovectomy . Our study shows that late open synovectomy can delay the need for definite replacement surgery in nearly three-quarters of the patients ." ], "offsets": [ [ 0, 1054 ] ] } ]
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[]
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ZfuerRheumatologie.90580207.eng.abstr
ZfuerRheumatologie.90580207.eng.abstr
[ { "id": "ZfuerRheumatologie.90580207.eng.abstr-passage-0", "type": "abstract", "text": [ "In rheumatic diseases , radiation synovectomy is a reliable method . Meanwhile , radiation synovectomy is an outpatient therapy . In addition , combination with arthroscopic synovectomy is an increasing therapeutic modality . In comparison to the hitherto inpatient modality , a greater lymphatic emigration of the radionuclide and , therefore , a higher radiation exposure is possible . In 35 patients we found radionuclide emigration in 17 cases by whole body scintigraphy , resulting in a 50%-percentile with 68.27%-confidence interval of 1.8 ( 0.45-4.78)% of the injected yttrium-90-activity. Comparison of 3 groups with the above mentioned therapy modalitites resulted in no statistical difference ( p > 0.05 ) . Because of the found radionuclide emigration , a radiation dose of 0.1 ( 0.05-0,18) mSv in women and 0.2 ( 0.1-0.38) mSv in men was calculated . For lymph nodes , liver , spleen and whole body radiation doses of 619 ( 154-1644 ) mSv , 62 ( 15-165 ) mSv , 62 ( 15-165 ) mSv and 37 ( 9-99 ) mSv were calculated . Gonadal radiation dose can be neglected and the morbidity rate for tumors bacause of the whole body radiation dose is low with a value of 0.4 per thousand . Therefore , radiation synovectomy can be used unlimited by patients age and independent of the therapeutic modality ." ], "offsets": [ [ 0, 1303 ] ] } ]
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[]
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ZfuerRheumatologie.90580213.eng.abstr
ZfuerRheumatologie.90580213.eng.abstr
[ { "id": "ZfuerRheumatologie.90580213.eng.abstr-passage-0", "type": "abstract", "text": [ "We describe an HLA-B27 positive patient in whom posttraumatic pyogenic sacroilitis led to complete unilateral sacroiliac joint ankylosis in the absence of any signs indicative of HLA-B27 associated spondyloarthropathy ." ], "offsets": [ [ 0, 219 ] ] } ]
[ { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "HLA-B27" ], "offsets": [ [ 15, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019740" } ] }, { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 32, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 121, 126 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "ankylosis" ], "offsets": [ [ 127, 136 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003090" } ] }, { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 159, 164 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "HLA-B27" ], "offsets": [ [ 179, 186 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019740" } ] }, { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "sacroiliac joint" ], "offsets": [ [ 110, 126 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036036" } ] }, { "id": "ZfuerRheumatologie.90580213.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "joint ankylosis" ], "offsets": [ [ 121, 136 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003090" } ] } ]
[]
[]
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ZfuerRheumatologie.90580218.eng.abstr
ZfuerRheumatologie.90580218.eng.abstr
[ { "id": "ZfuerRheumatologie.90580218.eng.abstr-passage-0", "type": "abstract", "text": [ "Objective : Transcultural adaption of the two most widely used and accepted functional indices in ankylosing spondylitis , the Bath Ankylosing Spondylitis Functional Index ( BASFI ) and Dougados Functional Index ( D-FI ) . Methods : The instruments were translated and tested for internal consistency ( Cronbach's coefficient alpha ) , test-retest reliability ( intraclass correlation coefficient , ICC ) , construct validity ( testing for association with Schober's test , finger floor distance , occiput wall distance , frequency and duration of awakenings at night , and a visual analog scale pain ) , and responsiveness ( standardized response mean , SRM ) . Results : The study sample consisted of 72 patients of a randomized , controlled clinical trial receiving either Diclofenac or placebo . Visual assessment of distribution patterns revealed a ceiling effect of both instruments . Both questionnaires had a high internal consistency ( Cronbach alpha : 0.81 [ BASFI ] , 0.85 [ D-FI ] and a high test-retest reliability ( ICC : 0.92 [ BASFI ] , 0.89 [ D-FI ] ) . The limited responsiveness to Diclofenac treatment ( SRM : 0.46 [ BASFI ] , 0.33 [ D-FI ] ) may be related to the selected study sample . The BASFI was significantly correlated with all tested validation parameters . The D-FI was only significantly correlated with finger floor distance , occiput wall distance , and duration of awakenings at night . Conclusion : The transculturally adapted version of both functional indices are valid , reliable , and internally consistent . Because of psychometric advantages , the BASFI may be preferred in clinical trial settings ." ], "offsets": [ [ 0, 1641 ] ] } ]
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[]
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ZfuerRheumatologie.90580277.eng.abstr
ZfuerRheumatologie.90580277.eng.abstr
[ { "id": "ZfuerRheumatologie.90580277.eng.abstr-passage-0", "type": "abstract", "text": [ "Objectives : To assess complaints and clinical findings of rheumatoid hand flexor tendon disease in relationship to the anatomical site and the type of lesion in order to improve the diagnosis and enable early operative treatment with preservation of hand function ." ], "offsets": [ [ 0, 266 ] ] } ]
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[]
[]
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ZfuerRheumatologie.90580283.eng.abstr
ZfuerRheumatologie.90580283.eng.abstr
[ { "id": "ZfuerRheumatologie.90580283.eng.abstr-passage-0", "type": "abstract", "text": [ "Precision of osteodensitometric measurements using dual energy X-ray absorptiometry ( DEXA ) depends on various known factors , such as positioning , aortic calcification or vertebral fractures . The purpose of this study was to investigate the influence of various diseases or bone density on the reproducibility of measurements in the lumbar spine and the proximal femur . Measurements in the LWS p.a. , LWS lat . and at Ward's triangle were made in a total of 100 patients . The subjects were repositioned between measurements . In order to be able to determine the influence of various diseases , four groups of 25 patients each were formed : three with the diagnosis osteoarthrosis , osteoporosis and rheumatoid arthritis and one control group . The mean percentual difference and coefficient of variation were calculated as the measure for reproducibility . Mean percentual differences of 0.18 to 2.6% were found in the four groups at the three measurements sites . After calculation of coefficient of variation , a value between 1.2 and 2.7% was found for LWS p.a. , between 7.1 and 15.7% for LWS lat . and between 4.1 and 9.9% at Ward's triangle . It was also conspicuous that the difference in coefficient of variation in osteoporosis patients was nearly double that in the control group in all measured areas . Conclusion : Lateral lumbar spinal measurements using DEXA cannot presently be recommended . LWS p.a. measurements and , with limitations , measurements at Ward's triangle have good precision and could be used for course documentation of bone density ." ], "offsets": [ [ 0, 1573 ] ] } ]
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ZfuerRheumatologie.90580333.eng.abstr
ZfuerRheumatologie.90580333.eng.abstr
[ { "id": "ZfuerRheumatologie.90580333.eng.abstr-passage-0", "type": "abstract", "text": [ "The original structure of the synovial membrane is completely destroyed in the rheumatoid synovium and is characterized by mononuclear cell infiltration , synoviocyte proliferation , neo-vascularization , and deposition of extracellular matrix proteins . Adhesion molecules play an important role in the development of these pathologic changes . In this review we discuss the role of the adhesion receptors of the selectin , integrin and immunglobulin families and of the CD44 molecule in the cell-cell and cell-matrix interaction in the pathogenesis of the inflammatory changes in rheumatoid arthritis ." ], "offsets": [ [ 0, 604 ] ] } ]
[ { "id": "ZfuerRheumatologie.90580333.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "membrane" ], "offsets": [ [ 39, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025255" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "synovium" ], "offsets": [ [ 90, 98 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039099" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "cell" ], "offsets": [ [ 135, 139 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "proteins" ], "offsets": [ [ 244, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033684" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "synovial membrane" ], "offsets": [ [ 30, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039099" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "extracellular matrix" ], "offsets": [ [ 223, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015350" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "extracellular matrix proteins" ], "offsets": [ [ 223, 252 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0079323" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Adhesion" ], "offsets": [ [ 255, 263 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001511" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "role" ], "offsets": [ [ 292, 296 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035820" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "development" ], "offsets": [ [ 304, 315 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243107" }, { "db_name": "UMLS", "db_id": "C0020119" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "pathologic" ], "offsets": [ [ 325, 335 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0205469" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "Adhesion molecules" ], "offsets": [ [ 255, 273 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007578" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "role" ], "offsets": [ [ 376, 380 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035820" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "adhesion" ], "offsets": [ [ 388, 396 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001511" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "selectin" ], "offsets": [ [ 414, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282651" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "integrin" ], "offsets": [ [ 425, 433 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021701" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "families" ], "offsets": [ [ 452, 460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015576" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "CD44" ], "offsets": [ [ 472, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243982" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "cell-cell" ], "offsets": [ [ 493, 502 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "cell-cell" ], "offsets": [ [ 493, 502 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "cell-matrix" ], "offsets": [ [ 507, 518 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "interaction" ], "offsets": [ [ 519, 530 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037420" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t11", "type": "umlsterm", "text": [ "pathogenesis" ], "offsets": [ [ 538, 550 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543483" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t12", "type": "umlsterm", "text": [ "arthritis" ], "offsets": [ [ 593, 602 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003864" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t13", "type": "umlsterm", "text": [ "adhesion receptors" ], "offsets": [ [ 388, 406 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0300500" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t14", "type": "umlsterm", "text": [ "CD44 molecule" ], "offsets": [ [ 472, 485 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243982" } ] }, { "id": "ZfuerRheumatologie.90580333.eng.abstr-s3-t15", "type": "umlsterm", "text": [ "rheumatoid arthritis" ], "offsets": [ [ 582, 602 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003873" } ] } ]
[]
[]
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ZfuerRheumatologie.90580345.eng.abstr
ZfuerRheumatologie.90580345.eng.abstr
[ { "id": "ZfuerRheumatologie.90580345.eng.abstr-passage-0", "type": "abstract", "text": [ "Heavy physical work load is a known determinant of osteoarthritis of the hip , which may account for the high risk observed among farmers . On the other hand , the data on influence of heavy manual work in the pathogenesis of hand osteoarthritis are still controversial . We examined 25 retired farm laborers who strenously worked for more than 50 years . The investigation included a history of professional activity , clinical and radiological examination of the hands , hips and knees , MRI of hand and laboratory evaluation of 4 participants . Interestingly , the farm laborers with osteoarthritis of the hands , hardly complained . In many of the proximal interphalangeal joints , a discrepancy was observed between the clinical hypertrophic changes and the radiological osteoarthritis which was weak or absent . This difference was less pronounced in the distal interphalangeal joints . Furthermore the distribution pattern of the osteoarthritis of the hand was striking with an overproportional involvement of the metacarpophalangeal joints and less pronounced of the intercarpal joints . Most often both hands have been affected and the typical localization of the metacarphophalangeal joint osteoarthritis was the first , second and third finger . In all but one participant we found at least unilateral osteoarthritis of the hip and compared to the hands , complaints were more severe . Our findings support the hypothesis that the distribution of osteoarthritis in the hand is affected by lifelong farming . As shown by the data on proximal interphalangeal joints , the periarticular tissue can adapt to the mechanical load in the strength grip ." ], "offsets": [ [ 0, 1657 ] ] } ]
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[]
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0
11069677-3
[ { "id": "1", "type": "<BB_NULL_STR>", "text": [ "In vivo studies of the activity of four of the kinases, KinA, KinC, KinD (ykvD) and KinE (ykrQ), using abrB transcription as an indicator of Spo0A~P level, revealed that KinC and KinD were responsible for Spo0A~P production during the exponential phase of growth in the absence of KinA and KinB." ], "offsets": [ [ 0, 295 ] ] } ]
[ { "id": "0-agent-29", "type": "agent", "text": [ "KinC" ], "offsets": [ [ 170, 174 ] ], "normalized": [] }, { "id": "0-agent-31", "type": "agent", "text": [ "KinD" ], "offsets": [ [ 179, 183 ] ], "normalized": [] }, { "id": "0-target-35", "type": "target", "text": [ "Spo0A~P" ], "offsets": [ [ 205, 212 ] ], "normalized": [] } ]
[]
[]
[ { "id": "2", "type": "genic_interaction", "arg1_id": "0-agent-29", "arg2_id": "0-target-35", "normalized": [] }, { "id": "3", "type": "genic_interaction", "arg1_id": "0-agent-31", "arg2_id": "0-target-35", "normalized": [] } ]
4
11064201-3
[ { "id": "5", "type": "<BB_NULL_STR>", "text": [ "In this mutant, expression of the spoIIG gene, whose transcription depends on both sigma(A) and the phosphorylated Spo0A protein, Spo0A~P, a major transcription factor during early stages of sporulation, was greatly reduced at 43 degrees C." ], "offsets": [ [ 0, 240 ] ] } ]
[ { "id": "4-agent-13", "type": "agent", "text": [ "sigma(A)" ], "offsets": [ [ 83, 91 ] ], "normalized": [] }, { "id": "4-agent-17", "type": "agent", "text": [ "Spo0A" ], "offsets": [ [ 115, 120 ] ], "normalized": [] }, { "id": "4-target-6", "type": "target", "text": [ "spoIIG" ], "offsets": [ [ 34, 40 ] ], "normalized": [] } ]
[]
[]
[ { "id": "6", "type": "genic_interaction", "arg1_id": "4-agent-13", "arg2_id": "4-target-6", "normalized": [] }, { "id": "7", "type": "genic_interaction", "arg1_id": "4-agent-17", "arg2_id": "4-target-6", "normalized": [] } ]
8
11011148-3
[ { "id": "9", "type": "<BB_NULL_STR>", "text": [ "Transcription of ydhD was dependent on SigE, and the mRNA was detectable from 2 h after the cessation of logarithmic growth (T2 of sporulation)." ], "offsets": [ [ 0, 144 ] ] } ]
[ { "id": "8-agent-6", "type": "agent", "text": [ "SigE" ], "offsets": [ [ 39, 43 ] ], "normalized": [] }, { "id": "8-target-2", "type": "target", "text": [ "ydhD" ], "offsets": [ [ 17, 21 ] ], "normalized": [] } ]
[]
[]
[ { "id": "10", "type": "genic_interaction", "arg1_id": "8-agent-6", "arg2_id": "8-target-2", "normalized": [] } ]
11
11011148-4
[ { "id": "12", "type": "<BB_NULL_STR>", "text": [ "ykuD was transcribed by SigK RNA polymerase from T4 of sporulation." ], "offsets": [ [ 0, 67 ] ] } ]
[ { "id": "11-agent-4", "type": "agent", "text": [ "SigK" ], "offsets": [ [ 24, 28 ] ], "normalized": [] }, { "id": "11-target-0", "type": "target", "text": [ "ykuD" ], "offsets": [ [ 0, 4 ] ], "normalized": [] } ]
[]
[]
[ { "id": "13", "type": "genic_interaction", "arg1_id": "11-agent-4", "arg2_id": "11-target-0", "normalized": [] } ]
14
11011148-5
[ { "id": "15", "type": "<BB_NULL_STR>", "text": [ "Both SigK and GerE were essential for ykvP expression, and this gene was transcribed from T5 of sporulation." ], "offsets": [ [ 0, 108 ] ] } ]
[ { "id": "14-agent-1", "type": "agent", "text": [ "SigK" ], "offsets": [ [ 5, 9 ] ], "normalized": [] }, { "id": "14-agent-3", "type": "agent", "text": [ "GerE" ], "offsets": [ [ 14, 18 ] ], "normalized": [] }, { "id": "14-target-7", "type": "target", "text": [ "ykvP" ], "offsets": [ [ 38, 42 ] ], "normalized": [] } ]
[]
[]
[ { "id": "16", "type": "genic_interaction", "arg1_id": "14-agent-1", "arg2_id": "14-target-7", "normalized": [] }, { "id": "17", "type": "genic_interaction", "arg1_id": "14-agent-3", "arg2_id": "14-target-7", "normalized": [] } ]
18
10767540-2
[ { "id": "19", "type": "<BB_NULL_STR>", "text": [ "Analysis of the expression of a translational ywhE-lacZ fusion showed that ywhE expression is sporulation-specific, and is controlled predominantly by the forespore-specific sigma factor sigma(F), and to a lesser extent by sigma(G)." ], "offsets": [ [ 0, 232 ] ] } ]
[ { "id": "18-agent-25", "type": "agent", "text": [ "sigma(F)" ], "offsets": [ [ 187, 195 ] ], "normalized": [] }, { "id": "18-agent-32", "type": "agent", "text": [ "sigma(G)" ], "offsets": [ [ 223, 231 ] ], "normalized": [] }, { "id": "18-target-12", "type": "target", "text": [ "ywhE" ], "offsets": [ [ 75, 79 ] ], "normalized": [] } ]
[]
[]
[ { "id": "20", "type": "genic_interaction", "arg1_id": "18-agent-25", "arg2_id": "18-target-12", "normalized": [] }, { "id": "21", "type": "genic_interaction", "arg1_id": "18-agent-32", "arg2_id": "18-target-12", "normalized": [] } ]
22
10747015-3
[ { "id": "23", "type": "<BB_NULL_STR>", "text": [ "Secondly, SpoIIE is essential for the activation of the first compartment-specific transcription factor sigma(F) in the prespore." ], "offsets": [ [ 0, 129 ] ] } ]
[ { "id": "22-agent-1", "type": "agent", "text": [ "SpoIIE" ], "offsets": [ [ 10, 16 ] ], "normalized": [] }, { "id": "22-target-13", "type": "target", "text": [ "sigma(F)" ], "offsets": [ [ 104, 112 ] ], "normalized": [] } ]
[]
[]
[ { "id": "24", "type": "genic_interaction", "arg1_id": "22-agent-1", "arg2_id": "22-target-13", "normalized": [] } ]
25
10648512-3
[ { "id": "26", "type": "<BB_NULL_STR>", "text": [ "In the shaA mutant, sigma(H)-dependent expression of spo0A and spoVG at an early stage of sporulation was sensitive to external NaCl." ], "offsets": [ [ 0, 133 ] ] } ]
[ { "id": "25-agent-4", "type": "agent", "text": [ "sigma(H)" ], "offsets": [ [ 20, 28 ] ], "normalized": [] }, { "id": "25-target-8", "type": "target", "text": [ "spo0A" ], "offsets": [ [ 53, 58 ] ], "normalized": [] }, { "id": "25-target-10", "type": "target", "text": [ "spoVG" ], "offsets": [ [ 63, 68 ] ], "normalized": [] } ]
[]
[]
[ { "id": "27", "type": "genic_interaction", "arg1_id": "25-agent-4", "arg2_id": "25-target-8", "normalized": [] }, { "id": "28", "type": "genic_interaction", "arg1_id": "25-agent-4", "arg2_id": "25-target-10", "normalized": [] } ]
29
10629188-5
[ { "id": "30", "type": "<BB_NULL_STR>", "text": [ "The expression of rsfA is under the control of both sigma(F) and sigma(G)." ], "offsets": [ [ 0, 74 ] ] } ]
[ { "id": "29-agent-10", "type": "agent", "text": [ "sigma(F)" ], "offsets": [ [ 52, 60 ] ], "normalized": [] }, { "id": "29-agent-12", "type": "agent", "text": [ "sigma(G)" ], "offsets": [ [ 65, 73 ] ], "normalized": [] }, { "id": "29-target-3", "type": "target", "text": [ "rsfA" ], "offsets": [ [ 18, 22 ] ], "normalized": [] } ]
[]
[]
[ { "id": "31", "type": "genic_interaction", "arg1_id": "29-agent-10", "arg2_id": "29-target-3", "normalized": [] }, { "id": "32", "type": "genic_interaction", "arg1_id": "29-agent-12", "arg2_id": "29-target-3", "normalized": [] } ]
33
10515909-4
[ { "id": "34", "type": "<BB_NULL_STR>", "text": [ "Expression of the sigma(K)-dependent cwlH gene depended on gerE." ], "offsets": [ [ 0, 64 ] ] } ]
[ { "id": "33-agent-3", "type": "agent", "text": [ "sigma(K)" ], "offsets": [ [ 18, 26 ] ], "normalized": [] }, { "id": "33-agent-9", "type": "agent", "text": [ "gerE" ], "offsets": [ [ 59, 63 ] ], "normalized": [] }, { "id": "33-target-5", "type": "target", "text": [ "cwlH" ], "offsets": [ [ 37, 41 ] ], "normalized": [] } ]
[]
[]
[ { "id": "35", "type": "genic_interaction", "arg1_id": "33-agent-3", "arg2_id": "33-target-5", "normalized": [] }, { "id": "36", "type": "genic_interaction", "arg1_id": "33-agent-9", "arg2_id": "33-target-5", "normalized": [] } ]
37
10503549-5
[ { "id": "38", "type": "<BB_NULL_STR>", "text": [ "Our results indicate that the level of KatX level in outgrowing spores depends mainly on EsigmaF, because sigB mutants show normal KatX activity in dormant and outgrowing spores." ], "offsets": [ [ 0, 178 ] ] } ]
[ { "id": "37-agent-15", "type": "agent", "text": [ "EsigmaF" ], "offsets": [ [ 89, 96 ] ], "normalized": [] }, { "id": "37-target-7", "type": "target", "text": [ "KatX" ], "offsets": [ [ 39, 43 ] ], "normalized": [] } ]
[]
[]
[ { "id": "39", "type": "genic_interaction", "arg1_id": "37-agent-15", "arg2_id": "37-target-7", "normalized": [] } ]
40
10503549-7
[ { "id": "41", "type": "<BB_NULL_STR>", "text": [ "Therefore, the physiological role of sigmaB-dependent katX expression remains obscure." ], "offsets": [ [ 0, 86 ] ] } ]
[ { "id": "40-agent-5", "type": "agent", "text": [ "sigmaB" ], "offsets": [ [ 37, 43 ] ], "normalized": [] }, { "id": "40-target-7", "type": "target", "text": [ "katX" ], "offsets": [ [ 54, 58 ] ], "normalized": [] } ]
[]
[]
[ { "id": "42", "type": "genic_interaction", "arg1_id": "40-agent-5", "arg2_id": "40-target-7", "normalized": [] } ]
43
10476035-10
[ { "id": "44", "type": "<BB_NULL_STR>", "text": [ "Taken together, the results support the idea that sequestration of SpoIIE protein into the prespore plays an important role in the control of sigmaF activation and in coupling this activation to septation." ], "offsets": [ [ 0, 205 ] ] } ]
[ { "id": "43-agent-10", "type": "agent", "text": [ "SpoIIE" ], "offsets": [ [ 67, 73 ] ], "normalized": [] }, { "id": "43-target-23", "type": "target", "text": [ "sigmaF" ], "offsets": [ [ 142, 148 ] ], "normalized": [] } ]
[]
[]
[ { "id": "45", "type": "genic_interaction", "arg1_id": "43-agent-10", "arg2_id": "43-target-23", "normalized": [] } ]
46
10468601-1
[ { "id": "47", "type": "<BB_NULL_STR>", "text": [ "The rocG gene of Bacillus subtilis, encoding a catabolic glutamate dehydrogenase, is transcribed by SigL-containing RNA polymerase and requires for its expression RocR, a member of the NtrC/NifA family of proteins that bind to enhancer-like elements, called upstream activating sequences (UAS)." ], "offsets": [ [ 0, 294 ] ] } ]
[ { "id": "46-agent-13", "type": "agent", "text": [ "SigL" ], "offsets": [ [ 100, 104 ] ], "normalized": [] }, { "id": "46-agent-22", "type": "agent", "text": [ "RocR" ], "offsets": [ [ 163, 167 ] ], "normalized": [] }, { "id": "46-target-1", "type": "target", "text": [ "rocG" ], "offsets": [ [ 4, 8 ] ], "normalized": [] } ]
[]
[]
[ { "id": "48", "type": "genic_interaction", "arg1_id": "46-agent-13", "arg2_id": "46-target-1", "normalized": [] }, { "id": "49", "type": "genic_interaction", "arg1_id": "46-agent-22", "arg2_id": "46-target-1", "normalized": [] } ]
50
10464187-11
[ { "id": "51", "type": "<BB_NULL_STR>", "text": [ "In addition to controlling transcription of phrC, sigmaH appears to control expression of at least one other gene required for production of CSF." ], "offsets": [ [ 0, 145 ] ] } ]
[ { "id": "50-agent-7", "type": "agent", "text": [ "sigmaH" ], "offsets": [ [ 50, 56 ] ], "normalized": [] }, { "id": "50-target-6", "type": "target", "text": [ "phrC" ], "offsets": [ [ 44, 48 ] ], "normalized": [] } ]
[]
[]
[ { "id": "52", "type": "genic_interaction", "arg1_id": "50-agent-7", "arg2_id": "50-target-6", "normalized": [] } ]
53
10463184-4
[ { "id": "54", "type": "<BB_NULL_STR>", "text": [ "Northern blot and primer extension analyses indicated that yfhS is transcribed by E sigma E during sporulation." ], "offsets": [ [ 0, 111 ] ] } ]
[ { "id": "53-agent-12", "type": "agent", "text": [ "E sigma E" ], "offsets": [ [ 82, 91 ] ], "normalized": [] }, { "id": "53-target-8", "type": "target", "text": [ "yfhS" ], "offsets": [ [ 59, 63 ] ], "normalized": [] } ]
[]
[]
[ { "id": "55", "type": "genic_interaction", "arg1_id": "53-agent-12", "arg2_id": "53-target-8", "normalized": [] } ]
56
10463184-8
[ { "id": "57", "type": "<BB_NULL_STR>", "text": [ "These results suggest that YfhP may act as a negative regulator for the transcription of yfhQ, yfhR, sspE and yfhP." ], "offsets": [ [ 0, 115 ] ] } ]
[ { "id": "56-agent-4", "type": "agent", "text": [ "YfhP" ], "offsets": [ [ 27, 31 ] ], "normalized": [] }, { "id": "56-target-15", "type": "target", "text": [ "yfhQ" ], "offsets": [ [ 89, 93 ] ], "normalized": [] }, { "id": "56-target-16", "type": "target", "text": [ "yfhR" ], "offsets": [ [ 95, 99 ] ], "normalized": [] }, { "id": "56-target-17", "type": "target", "text": [ "sspE" ], "offsets": [ [ 101, 105 ] ], "normalized": [] }, { "id": "56-target-19", "type": "target", "text": [ "yfhP" ], "offsets": [ [ 110, 114 ] ], "normalized": [] } ]
[]
[]
[ { "id": "58", "type": "genic_interaction", "arg1_id": "56-agent-4", "arg2_id": "56-target-15", "normalized": [] }, { "id": "59", "type": "genic_interaction", "arg1_id": "56-agent-4", "arg2_id": "56-target-16", "normalized": [] }, { "id": "60", "type": "genic_interaction", "arg1_id": "56-agent-4", "arg2_id": "56-target-17", "normalized": [] }, { "id": "61", "type": "genic_interaction", "arg1_id": "56-agent-4", "arg2_id": "56-target-19", "normalized": [] } ]
62
10383978-4
[ { "id": "63", "type": "<BB_NULL_STR>", "text": [ "Production of sigmaK about 1 h earlier than normal does affect Spo0A, which when phosphorylated is an activator of sigE transcription." ], "offsets": [ [ 0, 134 ] ] } ]
[ { "id": "62-agent-2", "type": "agent", "text": [ "sigmaK" ], "offsets": [ [ 14, 20 ] ], "normalized": [] }, { "id": "62-agent-11", "type": "agent", "text": [ "Spo0A" ], "offsets": [ [ 63, 68 ] ], "normalized": [] }, { "id": "62-target-11", "type": "target", "text": [ "Spo0A" ], "offsets": [ [ 63, 68 ] ], "normalized": [] }, { "id": "62-target-19", "type": "target", "text": [ "sigE" ], "offsets": [ [ 115, 119 ] ], "normalized": [] } ]
[]
[]
[ { "id": "64", "type": "genic_interaction", "arg1_id": "62-agent-2", "arg2_id": "62-target-11", "normalized": [] }, { "id": "65", "type": "genic_interaction", "arg1_id": "62-agent-11", "arg2_id": "62-target-19", "normalized": [] } ]
66
10323866-7
[ { "id": "67", "type": "<BB_NULL_STR>", "text": [ "The first stage, which involves the phosphatase function of SpoIIE, depends on the cell division protein FtsZ and could correspond to the FtsZ-dependent assembly of SpoIIE into E-rings." ], "offsets": [ [ 0, 185 ] ] } ]
[ { "id": "66-agent-16", "type": "agent", "text": [ "FtsZ" ], "offsets": [ [ 105, 109 ] ], "normalized": [] }, { "id": "66-agent-22", "type": "agent", "text": [ "FtsZ" ], "offsets": [ [ 138, 142 ] ], "normalized": [] }, { "id": "66-target-9", "type": "target", "text": [ "SpoIIE" ], "offsets": [ [ 60, 66 ] ], "normalized": [] }, { "id": "66-target-26", "type": "target", "text": [ "SpoIIE" ], "offsets": [ [ 165, 171 ] ], "normalized": [] } ]
[]
[]
[ { "id": "68", "type": "genic_interaction", "arg1_id": "66-agent-16", "arg2_id": "66-target-9", "normalized": [] }, { "id": "69", "type": "genic_interaction", "arg1_id": "66-agent-22", "arg2_id": "66-target-26", "normalized": [] } ]
70
10323866-9
[ { "id": "71", "type": "<BB_NULL_STR>", "text": [ "Evidence based on the use of modified and mutant forms of the phosphatase protein indicates that SpoIIE blocks the capacity of unphosphorylated SpoIIAA to activate sigmaF until formation of the polar septum is completed." ], "offsets": [ [ 0, 220 ] ] } ]
[ { "id": "70-agent-16", "type": "agent", "text": [ "SpoIIE" ], "offsets": [ [ 97, 103 ] ], "normalized": [] }, { "id": "70-agent-22", "type": "agent", "text": [ "SpoIIAA" ], "offsets": [ [ 144, 151 ] ], "normalized": [] }, { "id": "70-target-22", "type": "target", "text": [ "SpoIIAA" ], "offsets": [ [ 144, 151 ] ], "normalized": [] }, { "id": "70-target-25", "type": "target", "text": [ "sigmaF" ], "offsets": [ [ 164, 170 ] ], "normalized": [] } ]
[]
[]
[ { "id": "72", "type": "genic_interaction", "arg1_id": "70-agent-16", "arg2_id": "70-target-22", "normalized": [] }, { "id": "73", "type": "genic_interaction", "arg1_id": "70-agent-22", "arg2_id": "70-target-25", "normalized": [] } ]
74
10234829-1
[ { "id": "75", "type": "<BB_NULL_STR>", "text": [ "Dephosphorylation of SpoIIAA-P by SpoIIE is strictly dependent on the presence of the bivalent metal ions Mn2+ or Mg2+." ], "offsets": [ [ 0, 119 ] ] } ]
[ { "id": "74-agent-4", "type": "agent", "text": [ "SpoIIE" ], "offsets": [ [ 34, 40 ] ], "normalized": [] }, { "id": "74-target-2", "type": "target", "text": [ "SpoIIAA-P" ], "offsets": [ [ 21, 30 ] ], "normalized": [] } ]
[]
[]
[ { "id": "76", "type": "genic_interaction", "arg1_id": "74-agent-4", "arg2_id": "74-target-2", "normalized": [] } ]
77
10220166-7
[ { "id": "78", "type": "<BB_NULL_STR>", "text": [ "(i) The finding that the bmrUR operon is under sigmaB control indicates that the elimination of multidrug compounds might be a new function in multiple stress resistance." ], "offsets": [ [ 0, 170 ] ] } ]
[ { "id": "77-agent-9", "type": "agent", "text": [ "sigmaB" ], "offsets": [ [ 47, 53 ] ], "normalized": [] }, { "id": "77-target-5", "type": "target", "text": [ "bmrUR" ], "offsets": [ [ 25, 30 ] ], "normalized": [] } ]
[]
[]
[ { "id": "79", "type": "genic_interaction", "arg1_id": "77-agent-9", "arg2_id": "77-target-5", "normalized": [] } ]
80
10200961-2
[ { "id": "81", "type": "<BB_NULL_STR>", "text": [ "Cell specificity is first established in the forespore under the control of the sigma F factor, which is itself activated through the action of the SpoIIE serine phosphatase, an enzyme targeted to the septum between the two cells." ], "offsets": [ [ 0, 230 ] ] } ]
[ { "id": "80-agent-24", "type": "agent", "text": [ "SpoIIE" ], "offsets": [ [ 148, 154 ] ], "normalized": [] }, { "id": "80-target-13", "type": "target", "text": [ "sigma F" ], "offsets": [ [ 80, 87 ] ], "normalized": [] } ]
[]
[]
[ { "id": "82", "type": "genic_interaction", "arg1_id": "80-agent-24", "arg2_id": "80-target-13", "normalized": [] } ]
83
10075739-3
[ { "id": "84", "type": "<BB_NULL_STR>", "text": [ "Most cot genes, and the gerE gene, are transcribed by sigmaK RNA polymerase." ], "offsets": [ [ 0, 76 ] ] } ]
[ { "id": "83-agent-10", "type": "agent", "text": [ "sigmaK" ], "offsets": [ [ 54, 60 ] ], "normalized": [] }, { "id": "83-target-1", "type": "target", "text": [ "cot" ], "offsets": [ [ 5, 8 ] ], "normalized": [] }, { "id": "83-target-5", "type": "target", "text": [ "gerE" ], "offsets": [ [ 24, 28 ] ], "normalized": [] } ]
[]
[]
[ { "id": "85", "type": "genic_interaction", "arg1_id": "83-agent-10", "arg2_id": "83-target-1", "normalized": [] }, { "id": "86", "type": "genic_interaction", "arg1_id": "83-agent-10", "arg2_id": "83-target-5", "normalized": [] } ]
87
10075739-4
[ { "id": "88", "type": "<BB_NULL_STR>", "text": [ "Previously, it was shown that the GerE protein inhibits transcription in vitro of the sigK gene encoding sigmaK." ], "offsets": [ [ 0, 112 ] ] } ]
[ { "id": "87-agent-6", "type": "agent", "text": [ "GerE" ], "offsets": [ [ 34, 38 ] ], "normalized": [] }, { "id": "87-target-14", "type": "target", "text": [ "sigK" ], "offsets": [ [ 86, 90 ] ], "normalized": [] } ]
[]
[]
[ { "id": "89", "type": "genic_interaction", "arg1_id": "87-agent-6", "arg2_id": "87-target-14", "normalized": [] } ]
90
10075739-8
[ { "id": "91", "type": "<BB_NULL_STR>", "text": [ "These results demonstrate that sigmaK-dependent transcription of gerE initiates a negative feedback loop in which GerE acts as a repressor to limit production of sigmaK." ], "offsets": [ [ 0, 169 ] ] } ]
[ { "id": "90-agent-4", "type": "agent", "text": [ "sigmaK" ], "offsets": [ [ 31, 37 ] ], "normalized": [] }, { "id": "90-agent-16", "type": "agent", "text": [ "GerE" ], "offsets": [ [ 114, 118 ] ], "normalized": [] }, { "id": "90-target-8", "type": "target", "text": [ "gerE" ], "offsets": [ [ 65, 69 ] ], "normalized": [] }, { "id": "90-target-25", "type": "target", "text": [ "sigmaK" ], "offsets": [ [ 162, 168 ] ], "normalized": [] } ]
[]
[]
[ { "id": "92", "type": "genic_interaction", "arg1_id": "90-agent-4", "arg2_id": "90-target-8", "normalized": [] }, { "id": "93", "type": "genic_interaction", "arg1_id": "90-agent-16", "arg2_id": "90-target-25", "normalized": [] } ]
94
10075739-11
[ { "id": "95", "type": "<BB_NULL_STR>", "text": [ "A low level of GerE activated transcription of cotD by sigmaK RNA polymerase in vitro, but a higher level of GerE repressed cotD transcription." ], "offsets": [ [ 0, 143 ] ] } ]
[ { "id": "94-agent-4", "type": "agent", "text": [ "GerE" ], "offsets": [ [ 15, 19 ] ], "normalized": [] }, { "id": "94-agent-10", "type": "agent", "text": [ "sigmaK" ], "offsets": [ [ 55, 61 ] ], "normalized": [] }, { "id": "94-agent-20", "type": "agent", "text": [ "GerE" ], "offsets": [ [ 109, 113 ] ], "normalized": [] }, { "id": "94-target-8", "type": "target", "text": [ "cotD" ], "offsets": [ [ 47, 51 ] ], "normalized": [] }, { "id": "94-target-10", "type": "target", "text": [ "sigmaK" ], "offsets": [ [ 55, 61 ] ], "normalized": [] }, { "id": "94-target-22", "type": "target", "text": [ "cotD" ], "offsets": [ [ 124, 128 ] ], "normalized": [] } ]
[]
[]
[ { "id": "96", "type": "genic_interaction", "arg1_id": "94-agent-4", "arg2_id": "94-target-8", "normalized": [] }, { "id": "97", "type": "genic_interaction", "arg1_id": "94-agent-4", "arg2_id": "94-target-10", "normalized": [] }, { "id": "98", "type": "genic_interaction", "arg1_id": "94-agent-10", "arg2_id": "94-target-8", "normalized": [] }, { "id": "99", "type": "genic_interaction", "arg1_id": "94-agent-20", "arg2_id": "94-target-22", "normalized": [] } ]
100
9852018-5
[ { "id": "101", "type": "<BB_NULL_STR>", "text": [ "sspG transcription also requires the DNA binding protein GerE." ], "offsets": [ [ 0, 62 ] ] } ]
[ { "id": "100-agent-8", "type": "agent", "text": [ "GerE" ], "offsets": [ [ 57, 61 ] ], "normalized": [] }, { "id": "100-target-0", "type": "target", "text": [ "sspG" ], "offsets": [ [ 0, 4 ] ], "normalized": [] } ]
[]
[]
[ { "id": "102", "type": "genic_interaction", "arg1_id": "100-agent-8", "arg2_id": "100-target-0", "normalized": [] } ]
103
9852018-6
[ { "id": "104", "type": "<BB_NULL_STR>", "text": [ "In contrast, sspJ is transcribed in the forespore compartment by RNA polymerase with the forespore-specific sigmaG and appears to give a monocistronic transcript." ], "offsets": [ [ 0, 162 ] ] } ]
[ { "id": "103-agent-15", "type": "agent", "text": [ "sigmaG" ], "offsets": [ [ 108, 114 ] ], "normalized": [] }, { "id": "103-target-2", "type": "target", "text": [ "sspJ" ], "offsets": [ [ 13, 17 ] ], "normalized": [] } ]
[]
[]
[ { "id": "105", "type": "genic_interaction", "arg1_id": "103-agent-15", "arg2_id": "103-target-2", "normalized": [] } ]
106
9696775-12
[ { "id": "107", "type": "<BB_NULL_STR>", "text": [ "ComK negatively controls the transcription of hag by stimulating the transcription of comF-flgM, thereby increasing the production of the FlgM antisigma factor that inhibits sigmaD activity." ], "offsets": [ [ 0, 190 ] ] } ]
[ { "id": "106-agent-0", "type": "agent", "text": [ "ComK" ], "offsets": [ [ 0, 4 ] ], "normalized": [] }, { "id": "106-agent-20", "type": "agent", "text": [ "FlgM" ], "offsets": [ [ 138, 142 ] ], "normalized": [] }, { "id": "106-target-6", "type": "target", "text": [ "hag" ], "offsets": [ [ 46, 49 ] ], "normalized": [] }, { "id": "106-target-12", "type": "target", "text": [ "comF" ], "offsets": [ [ 86, 90 ] ], "normalized": [] }, { "id": "106-target-13", "type": "target", "text": [ "flgM" ], "offsets": [ [ 91, 95 ] ], "normalized": [] }, { "id": "106-target-20", "type": "target", "text": [ "FlgM" ], "offsets": [ [ 138, 142 ] ], "normalized": [] }, { "id": "106-target-25", "type": "target", "text": [ "sigmaD" ], "offsets": [ [ 174, 180 ] ], "normalized": [] } ]
[]
[]
[ { "id": "108", "type": "genic_interaction", "arg1_id": "106-agent-0", "arg2_id": "106-target-6", "normalized": [] }, { "id": "109", "type": "genic_interaction", "arg1_id": "106-agent-0", "arg2_id": "106-target-12", "normalized": [] }, { "id": "110", "type": "genic_interaction", "arg1_id": "106-agent-0", "arg2_id": "106-target-13", "normalized": [] }, { "id": "111", "type": "genic_interaction", "arg1_id": "106-agent-0", "arg2_id": "106-target-20", "normalized": [] }, { "id": "112", "type": "genic_interaction", "arg1_id": "106-agent-20", "arg2_id": "106-target-25", "normalized": [] } ]
113
9696771-4
[ { "id": "114", "type": "<BB_NULL_STR>", "text": [ "This stress-induced increase in ykzA expression is absolutely dependent on the alternative sigma factor sigmaB, which controls a large stationary-phase and stress regulon." ], "offsets": [ [ 0, 171 ] ] } ]
[ { "id": "113-agent-14", "type": "agent", "text": [ "sigmaB" ], "offsets": [ [ 104, 110 ] ], "normalized": [] }, { "id": "113-target-4", "type": "target", "text": [ "ykzA" ], "offsets": [ [ 32, 36 ] ], "normalized": [] } ]
[]
[]
[ { "id": "115", "type": "genic_interaction", "arg1_id": "113-agent-14", "arg2_id": "113-target-4", "normalized": [] } ]
116
9636707-8
[ { "id": "117", "type": "<BB_NULL_STR>", "text": [ "sigma X also contributes to the expression of CsbB, a putative membrane-bound glucosyl transferase that is partially controlled by the sigma B stress response sigma factor." ], "offsets": [ [ 0, 172 ] ] } ]
[ { "id": "116-agent-0", "type": "agent", "text": [ "sigma X" ], "offsets": [ [ 0, 7 ] ], "normalized": [] }, { "id": "116-agent-19", "type": "agent", "text": [ "sigma B" ], "offsets": [ [ 135, 142 ] ], "normalized": [] }, { "id": "116-target-7", "type": "target", "text": [ "CsbB" ], "offsets": [ [ 46, 50 ] ], "normalized": [] } ]
[]
[]
[ { "id": "118", "type": "genic_interaction", "arg1_id": "116-agent-0", "arg2_id": "116-target-7", "normalized": [] }, { "id": "119", "type": "genic_interaction", "arg1_id": "116-agent-19", "arg2_id": "116-target-7", "normalized": [] } ]
120
9271869-4
[ { "id": "121", "type": "<BB_NULL_STR>", "text": [ "Transcriptional studies showed that nadE is strongly induced in response to heat, ethanol and salt stress or after starvation for glucose in a sigma B-dependent manner." ], "offsets": [ [ 0, 168 ] ] } ]
[ { "id": "120-agent-23", "type": "agent", "text": [ "sigma B" ], "offsets": [ [ 143, 150 ] ], "normalized": [] }, { "id": "120-target-4", "type": "target", "text": [ "nadE" ], "offsets": [ [ 36, 40 ] ], "normalized": [] } ]
[]
[]
[ { "id": "122", "type": "genic_interaction", "arg1_id": "120-agent-23", "arg2_id": "120-target-4", "normalized": [] } ]
123
10913081-11
[ { "id": "124", "type": "<BB_NULL_STR>", "text": [ "Furthermore, YtxH and YvyD seemed to be induced after phosphate starvation in the wild type in a sigma(B)-dependent manner and in the sigB mutant probably via sigma(H)." ], "offsets": [ [ 0, 168 ] ] } ]
[ { "id": "123-agent-17", "type": "agent", "text": [ "sigma(B)" ], "offsets": [ [ 97, 105 ] ], "normalized": [] }, { "id": "123-agent-27", "type": "agent", "text": [ "sigma(H)" ], "offsets": [ [ 159, 167 ] ], "normalized": [] }, { "id": "123-target-1", "type": "target", "text": [ "YtxH" ], "offsets": [ [ 13, 17 ] ], "normalized": [] }, { "id": "123-target-3", "type": "target", "text": [ "YvyD" ], "offsets": [ [ 22, 26 ] ], "normalized": [] } ]
[]
[]
[ { "id": "125", "type": "genic_interaction", "arg1_id": "123-agent-17", "arg2_id": "123-target-1", "normalized": [] }, { "id": "126", "type": "genic_interaction", "arg1_id": "123-agent-17", "arg2_id": "123-target-3", "normalized": [] }, { "id": "127", "type": "genic_interaction", "arg1_id": "123-agent-27", "arg2_id": "123-target-1", "normalized": [] }, { "id": "128", "type": "genic_interaction", "arg1_id": "123-agent-27", "arg2_id": "123-target-3", "normalized": [] } ]
129
10747015-5
[ { "id": "130", "type": "<BB_NULL_STR>", "text": [ "Localization of SpoIIE was shown to be dependent on the essential cell division protein FtsZ." ], "offsets": [ [ 0, 93 ] ] } ]
[ { "id": "129-agent-14", "type": "agent", "text": [ "FtsZ" ], "offsets": [ [ 88, 92 ] ], "normalized": [] }, { "id": "129-target-2", "type": "target", "text": [ "SpoIIE" ], "offsets": [ [ 16, 22 ] ], "normalized": [] } ]
[]
[]
[ { "id": "131", "type": "genic_interaction", "arg1_id": "129-agent-14", "arg2_id": "129-target-2", "normalized": [] } ]
132
10094682-7
[ { "id": "133", "type": "<BB_NULL_STR>", "text": [ "The expression of the bkd operon was induced by the presence of isoleucine or valine in the growth medium and depended upon the presence of the sigma factor SigL, a member of the sigma 54 family." ], "offsets": [ [ 0, 195 ] ] } ]
[ { "id": "132-agent-28", "type": "agent", "text": [ "SigL" ], "offsets": [ [ 157, 161 ] ], "normalized": [] }, { "id": "132-target-4", "type": "target", "text": [ "bkd" ], "offsets": [ [ 22, 25 ] ], "normalized": [] } ]
[]
[]
[ { "id": "134", "type": "genic_interaction", "arg1_id": "132-agent-28", "arg2_id": "132-target-4", "normalized": [] } ]
135
9108277-9
[ { "id": "136", "type": "<BB_NULL_STR>", "text": [ "From these results we conclude that ComK negatively regulates degR expression by preventing sigmaD-driven transcription of degR, possibly through interaction with the control region." ], "offsets": [ [ 0, 182 ] ] } ]
[ { "id": "135-agent-6", "type": "agent", "text": [ "ComK" ], "offsets": [ [ 36, 40 ] ], "normalized": [] }, { "id": "135-agent-13", "type": "agent", "text": [ "sigmaD" ], "offsets": [ [ 92, 98 ] ], "normalized": [] }, { "id": "135-target-9", "type": "target", "text": [ "degR" ], "offsets": [ [ 62, 66 ] ], "normalized": [] }, { "id": "135-target-13", "type": "target", "text": [ "sigmaD" ], "offsets": [ [ 92, 98 ] ], "normalized": [] }, { "id": "135-target-17", "type": "target", "text": [ "degR" ], "offsets": [ [ 123, 127 ] ], "normalized": [] } ]
[]
[]
[ { "id": "137", "type": "genic_interaction", "arg1_id": "135-agent-6", "arg2_id": "135-target-9", "normalized": [] }, { "id": "138", "type": "genic_interaction", "arg1_id": "135-agent-6", "arg2_id": "135-target-13", "normalized": [] }, { "id": "139", "type": "genic_interaction", "arg1_id": "135-agent-13", "arg2_id": "135-target-17", "normalized": [] }, { "id": "140", "type": "genic_interaction", "arg1_id": "135-agent-6", "arg2_id": "135-target-17", "normalized": [] } ]
141
9139908-4
[ { "id": "142", "type": "<BB_NULL_STR>", "text": [ "We overproduced and purified sigma(X) from Escherichia coli and demonstrate that in vitro, both sigma(A) and sigma(X) holoenzymes recognize promoter elements within the sigX-ypuN control region." ], "offsets": [ [ 0, 194 ] ] } ]
[ { "id": "141-agent-13", "type": "agent", "text": [ "sigma(A)" ], "offsets": [ [ 96, 104 ] ], "normalized": [] }, { "id": "141-agent-15", "type": "agent", "text": [ "sigma(X)" ], "offsets": [ [ 109, 117 ] ], "normalized": [] }, { "id": "141-target-22", "type": "target", "text": [ "sigX" ], "offsets": [ [ 169, 173 ] ], "normalized": [] }, { "id": "141-target-23", "type": "target", "text": [ "ypuN" ], "offsets": [ [ 174, 178 ] ], "normalized": [] } ]
[]
[]
[ { "id": "143", "type": "genic_interaction", "arg1_id": "141-agent-13", "arg2_id": "141-target-22", "normalized": [] }, { "id": "144", "type": "genic_interaction", "arg1_id": "141-agent-15", "arg2_id": "141-target-22", "normalized": [] }, { "id": "145", "type": "genic_interaction", "arg1_id": "141-agent-13", "arg2_id": "141-target-23", "normalized": [] }, { "id": "146", "type": "genic_interaction", "arg1_id": "141-agent-15", "arg2_id": "141-target-23", "normalized": [] } ]
147
9401028-7
[ { "id": "148", "type": "<BB_NULL_STR>", "text": [ "Transcriptional studies demonstrated that the expression from the araE promoter is induced by L-arabinose, repressed by glucose, and negatively regulated by AraR." ], "offsets": [ [ 0, 162 ] ] } ]
[ { "id": "147-agent-21", "type": "agent", "text": [ "AraR" ], "offsets": [ [ 157, 161 ] ], "normalized": [] }, { "id": "147-target-8", "type": "target", "text": [ "araE" ], "offsets": [ [ 66, 70 ] ], "normalized": [] } ]
[]
[]
[ { "id": "149", "type": "genic_interaction", "arg1_id": "147-agent-21", "arg2_id": "147-target-8", "normalized": [] } ]
150
9683469-3
[ { "id": "151", "type": "<BB_NULL_STR>", "text": [ "A sigmaW-dependent promoter (PW) precedes sigW, demonstrating that this transcription factor is positively autoregulated." ], "offsets": [ [ 0, 121 ] ] } ]
[ { "id": "150-agent-1", "type": "agent", "text": [ "sigmaW" ], "offsets": [ [ 2, 8 ] ], "normalized": [] }, { "id": "150-target-6", "type": "target", "text": [ "sigW" ], "offsets": [ [ 42, 46 ] ], "normalized": [] } ]
[]
[]
[ { "id": "152", "type": "genic_interaction", "arg1_id": "150-agent-1", "arg2_id": "150-target-6", "normalized": [] } ]
153
9683503-1
[ { "id": "154", "type": "<BB_NULL_STR>", "text": [ "The results indicate that PhoP~P is sufficient to repress the transcription of the tagA and tagD promoters and also to activate the transcription of the tuaA promoter." ], "offsets": [ [ 0, 167 ] ] } ]
[ { "id": "153-agent-4", "type": "agent", "text": [ "PhoP~P" ], "offsets": [ [ 26, 32 ] ], "normalized": [] }, { "id": "153-target-13", "type": "target", "text": [ "tagA" ], "offsets": [ [ 83, 87 ] ], "normalized": [] }, { "id": "153-target-15", "type": "target", "text": [ "tagD" ], "offsets": [ [ 92, 96 ] ], "normalized": [] }, { "id": "153-target-25", "type": "target", "text": [ "tuaA" ], "offsets": [ [ 153, 157 ] ], "normalized": [] } ]
[]
[]
[ { "id": "155", "type": "genic_interaction", "arg1_id": "153-agent-4", "arg2_id": "153-target-13", "normalized": [] }, { "id": "156", "type": "genic_interaction", "arg1_id": "153-agent-4", "arg2_id": "153-target-15", "normalized": [] }, { "id": "157", "type": "genic_interaction", "arg1_id": "153-agent-4", "arg2_id": "153-target-25", "normalized": [] } ]
158
9846747-4
[ { "id": "159", "type": "<BB_NULL_STR>", "text": [ "Primer extension experiments and Northern blot analysis show that an active sigmaA-dependent promoter precedes kdgR and transcription is terminated at the putative p-independent terminator downstream of kdgT." ], "offsets": [ [ 0, 208 ] ] } ]
[ { "id": "158-agent-11", "type": "agent", "text": [ "sigmaA" ], "offsets": [ [ 76, 82 ] ], "normalized": [] }, { "id": "158-target-15", "type": "target", "text": [ "kdgR" ], "offsets": [ [ 111, 115 ] ], "normalized": [] } ]
[]
[]
[ { "id": "160", "type": "genic_interaction", "arg1_id": "158-agent-11", "arg2_id": "158-target-15", "normalized": [] } ]
161
9852014-4
[ { "id": "162", "type": "<BB_NULL_STR>", "text": [ "The sigmaB-dependent promoter drives expression of yvyD under stress conditions and after glucose starvation, whereas a sigmaH-dependent promoter is responsible for yvyD transcription following amino acid limitation." ], "offsets": [ [ 0, 216 ] ] } ]
[ { "id": "161-agent-1", "type": "agent", "text": [ "sigmaB" ], "offsets": [ [ 4, 10 ] ], "normalized": [] }, { "id": "161-agent-17", "type": "agent", "text": [ "sigmaH" ], "offsets": [ [ 120, 126 ] ], "normalized": [] }, { "id": "161-target-7", "type": "target", "text": [ "yvyD" ], "offsets": [ [ 51, 55 ] ], "normalized": [] }, { "id": "161-target-23", "type": "target", "text": [ "yvyD" ], "offsets": [ [ 165, 169 ] ], "normalized": [] } ]
[]
[]
[ { "id": "163", "type": "genic_interaction", "arg1_id": "161-agent-1", "arg2_id": "161-target-7", "normalized": [] }, { "id": "164", "type": "genic_interaction", "arg1_id": "161-agent-17", "arg2_id": "161-target-23", "normalized": [] } ]
165
9852015-1
[ { "id": "166", "type": "<BB_NULL_STR>", "text": [ "The Bacillus subtilis clpC operon is regulated by two stress induction pathways relying on either sigmaB or a class III stress induction mechanism acting at a sigmaA-like promoter." ], "offsets": [ [ 0, 180 ] ] } ]
[ { "id": "165-agent-14", "type": "agent", "text": [ "sigmaB" ], "offsets": [ [ 98, 104 ] ], "normalized": [] }, { "id": "165-agent-25", "type": "agent", "text": [ "sigmaA" ], "offsets": [ [ 159, 165 ] ], "normalized": [] }, { "id": "165-target-2", "type": "target", "text": [ "clpC" ], "offsets": [ [ 22, 26 ] ], "normalized": [] } ]
[]
[]
[ { "id": "167", "type": "genic_interaction", "arg1_id": "165-agent-14", "arg2_id": "165-target-2", "normalized": [] }, { "id": "168", "type": "genic_interaction", "arg1_id": "165-agent-25", "arg2_id": "165-target-2", "normalized": [] } ]