anand-s/m_qalm huggingface dataset:
Question: What does orthodontic care involve for a cleft lip and cleft palate?
Answer: The purpose of this appointment is to assess facial growth, especially jaw development. After teeth erupt, an orthodontist can further assess a child's short and long-term dental needs. After the permanent teeth erupt, orthodontic treatment can be applied to align the teeth.
Question: What causes a cleft lip and cleft palate?
Answer: In most cases, the cause of cleft lip and cleft palate is unknown. These conditions cannot be prevented. Most scientists believe clefts are due to a combination of genetic and environmental factors. There appears to be a greater chance of clefting in a newborn if a sibling, parent, or relative has had the problem. Another potential cause may be related to a medication a mother may have taken during her pregnancy. Some drugs may cause cleft lip and cleft palate. Among them: anti-seizure/anticonvulsant drugs, acne drugs containing Accutane, and methotrexate, a drug commonly used for treating cancer, arthritis, and psoriasis. Cleft lip and cleft palate may also occur as a result of exposure to viruses or chemicals while the fetus is developing in the womb. In other situations, cleft lip and cleft palate may be part of another medical condition.
Question: What is a cleft palate?
Answer: A cleft palate can involve the hard palate (the bony front portion of the roof of the mouth), and/or the soft palate (the soft back portion of the roof of the mouth).
Question: What is the outlook for children with cleft lip and/or cleft palate?
Answer: Although treatment for a cleft lip and/or cleft palate may extend over several years and require several surgeries depending upon the involvement, most children affected by this condition can achieve normal appearance, speech, and eating.
Question: How are cleft lip and cleft palate diagnosed?
Answer: A cleft palate can involve the hard palate (the bony front portion of the roof of the mouth), and/or the soft palate (the soft back portion of the roof of the mouth). Because the lip and the palate develop separately, it is possible to have a cleft lip without a cleft palate, a cleft palate without a cleft lip, or both together. If the clefting has not been detected in an ultrasound prior to the baby's birth, a physical exam of the mouth, nose, and palate confirms the presence of cleft lip or cleft palate after a child's birth. Sometimes diagnostic testing may be conducted to determine or rule out the presence of other abnormalities.
Question: How can dental problems happen from a cleft lip and cleft palate?
Answer: This separation often extends beyond the base of the nose and includes the bones of the upper jaw and/or upper gum. A defect in the alveolus can (1) displace, tip, or rotate permanent teeth, (2) prevent permanent teeth from appearing, and (3) prevent the alveolar ridge from forming. These problems can usually be repaired through oral surgery. However, children with cleft lip and cleft palate may have special problems related to missing, malformed, or malpositioned teeth that require close monitoring.
Question: What does the treatment for cleft lip and cleft palate involve?
Answer: Cleft lip and cleft palate can occur on one or both sides of the mouth. Repair of a cleft palate often requires multiple surgeries over the course of 18 years. The first surgery to repair the palate usually occurs when the baby is between 6 and 12 months old. The initial surgery creates a functional palate, reduces the chances that fluid will develop in the middle ears, and aids in the proper development of the teeth and facial bones. Children with a cleft palate may also need a bone graft when they are about 8 years old to fill in the upper gum line so that it can support permanent teeth and stabilize the upper jaw. About 20% of children with a cleft palate require further surgeries to help improve their speech. Once the permanent teeth grow in, braces are often needed to straighten the teeth. Additional surgeries may be performed to improve the appearance of the lip and nose, close openings between the mouth and nose, help breathing, and stabilize and realign the jaw. Final repairs of the scars left by the initial surgery will probably not be performed until adolescence, when the facial structure is more fully developed.
Question: What does early dental care involve for a cleft lip and cleft palate?
Answer: However, children with cleft lip and cleft palate may have special problems related to missing, malformed, or malpositioned teeth that require close monitoring. Appropriate cleaning with a small, soft-bristled toothbrush should begin as soon as teeth erupt. If a soft children's toothbrush will not adequately clean the teeth because of the modified shape of the mouth and teeth, a toothette may be recommended by your dentist. A toothette is a soft, mouthwash-containing sponge on a handle that's used to swab teeth. Many dentists recommend that the first dental visit be scheduled at about 1 year of age or even earlier if there are special dental problems. Routine dental care can begin around 1 year of age.
Question: What is the recommended dental care for children with a cleft lip and/or cleft palate?
Answer: Due to the number of oral health and medical problems associated with a cleft lip or cleft palate, a team of doctors and other specialists is usually involved in the care of these children. However, children with cleft lip and cleft palate may have special problems related to missing, malformed, or malpositioned teeth that require close monitoring.
Question: How are chronic obstructive pulmonary disease (COPD) and left-sided heart failure linked?
Answer: It's not directly related to COPD. But the two conditions may influence each other. For example, low oxygen in the blood from COPD may put extra strain on your heart, which worsens left-sided heart failure. And too much fluid in your lungs from heart failure can make breathing even harder if you have COPD.
Question: How can you tell if it is chronic obstructive pulmonary disease (COPD) or heart failure that is causing breathing problems?
Answer: Your doctor may give you: Physical examination: Listening to your lungs and heart, and looking at the veins in your neck, can help your doctor tell the difference between COPD and heart failure. Chest X-ray: Heart failure may cause fluid in your lungs to be visible on a chest X-ray. With COPD, your lungs are usually clear or may look like they're over-inflated. Brain natriuretic peptide ( BNP) test: This hormone is usually at high levels in your blood if you have heart failure, whether or not you also have COPD. Pulmonary function tests: Doctors can use breathing tests to diagnose COPD. Echocardiogram: An ultrasound test of your heart that can evaluate the heart chambers, valves, and pumping strength. Cardiac enzymes: This blood test can help diagnose a heart attack or too much strain on your heart. Every case is different. Some people have severe COPD and only mild heart failure. Others have severe heart failure and only mild COPD. In these cases, the more severe condition is more likely to be the cause of breathing symptoms. If COPD and heart failure are equally severe, doctors must make their best guess as to which condition is causing your symptoms. To make things even more complicated, COPD and heart failure can at times act up at the same time. For example, if you have worsening heart failure symptoms that cause rapid breathing, this can make COPD symptoms worse, as well. If your doctor can't tell which condition causes your shortness of breath, he'll probably treat both together.
Question: What are drugs associated with alcohol interactions?
Answer: Left-sided heart failure is most often caused by high blood pressure or coronary artery disease.
Question: What are treatments for severe shortness of breath from chronic obstructive pulmonary disease (COPD) or heart failure?
Answer: If your doctor can't tell which condition causes your shortness of breath, he'll probably treat both together. Treatments for COPD focus on your lungs and your airways, the branching network of tubes inside the lungs. The main treatments for COPD are bronchodilators, which are inhaled medicines that help open the airways. Heart failure treatments curb the workload on your heart and help prevent unhealthy growth of heart muscle. Several types of medicines do this. If you have severe shortness of breath from COPD and heart failure, you may get other treatments, as well: Corticosteroids, such as prednisone or methylprednisolone ( Solu- Medrol), which can improve breathing in people with COPD Antibiotics if any bacterial infection may be part of the problem Supplemental oxygen Non-invasive positive pressure ventilation, a form of machine-assisted breathing Mechanical ventilation, or temporary life support, through a breathing tube IV medicines to ease heart strain And, if you have either condition and smoke, quitting should be a top priority for your health. If you have both COPD and heart failure, a team of doctors will probably treat you, including a primary care physician, a cardiologist, and a pulmonologist, who is a doctor specializing in lung conditions.
Question: Mixing alcohol and medications can increase the risk of what complications?
Answer: If you have severe shortness of breath from COPD and heart failure, you may get other treatments, as well: Corticosteroids, such as prednisone or methylprednisolone ( Solu- Medrol), which can improve breathing in people with COPD Antibiotics if any bacterial infection may be part of the problem Supplemental oxygen Non-invasive positive pressure ventilation, a form of machine-assisted breathing Mechanical ventilation, or temporary life support, through a breathing tube IV medicines to ease heart strain And, if you have either condition and smoke, quitting should be a top priority for your health.
Question: What is the similarities and differences between chronic obstructive pulmonary disease (COPD) and heart failure?
Answer: Breathing problems happen for different reasons with these conditions. But when you're active, your breath starts coming in before air from your last exhale goes out. That causes shortness of breath. If you have heart failure, your heart doesn't pump blood efficiently. As with COPD, if you have heart failure, you can probably breathe easily when at rest. With activity, blood flow must increase, and your heart must pump harder and faster. If your heart can't keep up, blood âbacks upâ into your lungs. This fluid congestion causes shortness of breath. If you have both COPD and heart failure and find yourself short of breath, it can be hard to tell which condition is causing your breathing problems.
Question: What are commonly used drugs associated with serious alcohol interactions?
Answer: If you have both COPD and heart failure and find yourself short of breath, it can be hard to tell which condition is causing your breathing problems. In these cases, the more severe condition is more likely to be the cause of breathing symptoms.
Question: Why are older Americans at special risk of alcohol interactions with medication?
Answer: Breathing problems happen for different reasons with these conditions. It's not directly related to COPD. Many conditions other than COPD also cause right-sided heart failure.
Question: How are chronic obstructive pulmonary disease (COPD) and right-sided heart failure linked?
Answer: Severe COPD can cause heart failure in your heart's lower right chamber, or ventricle. Many conditions other than COPD also cause right-sided heart failure.
Question: Can alcohol alter the effectiveness of medication?
Answer: Your doctor may give you: Physical examination: Listening to your lungs and heart, and looking at the veins in your neck, can help your doctor tell the difference between COPD and heart failure. In these cases, the more severe condition is more likely to be the cause of breathing symptoms.
Question: What is the difference between multifocal motor neuropathy (MMN) and amyotrophic lateral sclerosis (ALS)?
Answer: Multifocal motor neuropathy ( MMN) is a disease that affects your body's motor nerves. Doctors often mistake MMN for amyotrophic lateral sclerosis ( ALS), also known as Lou Gehrig's disease. They have similar symptoms, like twitching. Unlike ALS, though, MMN is treatable.
Question: What is motor neuropathy (MMN)?
Answer: Multifocal motor neuropathy ( MMN) is a disease that affects your body's motor nerves. The condition makes it hard for them to send the electrical signals that move your body, which makes your hands and arms feel weak. They'll also twitch and cramp. MMN is not life-threatening, and, in most cases, treatments can make the muscles stronger. The disease can get worse slowly, and after a while, you may have a hard time doing daily tasks, like typing or getting dressed. But for many people, symptoms may be so mild that they don't need treatment at all. Most people are diagnosed with MMN in their 40s and 50s, although adults from ages 20 to 80 can find out they have the disease.
Question: What causes motor neuropathy (MMN)?
Answer: Multifocal motor neuropathy ( MMN) is a disease that affects your body's motor nerves. No one knows what causes MMN. Scientists do know it's an autoimmune disease, meaning your immune system mistakenly attacks your nerve cells as if they were invaders. Researchers are studying the disease to try to find out why it happens.
Question: What should I expect if I have multifocal motor neuropathy (MMN)?
Answer: Multifocal motor neuropathy ( MMN) is a disease that affects your body's motor nerves. If you get treatment for MMN early, you're more likely to have few symptoms or long-term problems. If you have trouble with certain activities, you may want to see an occupational or physical therapist. They can help you keep your muscles strong and show you how to do daily tasks more easily if your muscles are bothering you. Many people with MMN can continue most or at least some of their normal activities. If your hand muscles are weak, you may have trouble eating, typing, writing, or buttoning clothes. If your leg muscles are affected, you could have trouble walking. Some people with severe MMN have trouble in all these areas.
Question: How is phototherapy used to treat palmoplantar pustulosis (PPP)?
Answer: This treatment uses medication along with ultraviolet light to slow down skin growth and help with symptoms for long periods of time.
Question: Who gets palmoplantar pustulosis (PPP)?
Answer: Any adult can get the condition. But more women have it than men, and it's most often found in people between 40 and 60.
Question: Who can get palmoplantar pustulosis (PPP)?
Answer: But more women have it than men, and it's most often found in people between 40 and 60. As many as 24% of people with PPP also have psoriasis. Psoriasis happens when skin cells build up rapidly with thick, silvery scales and itchy, dry, red patches.
Question: What causes palmoplantar pustulosis (PPP)?
Answer: The cause is unclear, but there's a known link between PPP and smoking. Studies show that up to 90% of people with the skin condition smoke or once did. Nicotine in tobacco products can affect your skin cells and cause inflammation in your sweat glands, especially on your hands and feet. If you stop smoking, your symptoms may get better.
Question: What can you do to manage palmoplantar pustulosis (PPP)?
Answer: Here are some tips to help you feel better: If you smoke, stop. Don't use bubble bath or shower gel. Do use a soap with moisturizer. Protect your skin. Wear vinyl gloves when you work with water, use household cleaners, or work in your garden. Wear 100% cotton socks, and avoid shoes made from man-made products. Be careful. Any injuries, even minor ones, can be hard on your skin. If you have an injury, use waterproof bandages. Keep the affected areas clean. Rest your hands and feet often.
Question: How are topical steroids used to treat palmoplantar pustulosis (PPP)?
Answer: These creams, used with a sterile bandage or vinyl dressing, are anti-inflammatory treatments. They can help with inflammation, swelling, tenderness, and pain.
Question: Is there a link beteween palmoplantar pustolisis and smoking?
Answer: The cause is unclear, but there's a known link between PPP and smoking. Studies show that up to 90% of people with the skin condition smoke or once did. Nicotine in tobacco products can affect your skin cells and cause inflammation in your sweat glands, especially on your hands and feet. If you stop smoking, your symptoms may get better.
Question: What things can I do to treat palmoplantar pustulosis (PPP)?
Answer: Here are some tips to help you feel better: If you smoke, stop. Don't use bubble bath or shower gel. Do use a soap with moisturizer. Protect your skin. Wear vinyl gloves when you work with water, use household cleaners, or work in your garden. Wear 100% cotton socks, and avoid shoes made from man-made products. Be careful. Any injuries, even minor ones, can be hard on your skin. If you have an injury, use waterproof bandages. Keep the affected areas clean. Rest your hands and feet often.
Question: How is palmoplantar pustulosis (PPP) diagnosed?
Answer: To see if you have PPP, your doctor will check your skin. Most often, they'll take a painless scrape or swab of the area. Sometimes, they'll need to remove a small piece of skin to confirm PPP. The area will be numbed, and you may need a few stitches afterward. Your doctor will look at the tissue under a microscope to see if you have PPP.
Question: How are acitretin tablets used to treat palmoplantar pustulosis (PPP)?
Answer: Made from , these can help you manage PPP. But acitretin can have strong side effects, so it's not for everyone. Women who are pregnant or may become pregnant shouldn't use it. Men who want to have children should talk to their doctor before taking it.
Question: Is there a link between palmoplantar pustulosis (PPP) and psoriasis?
Answer: As many as 24% of people with PPP also have psoriasis. Psoriasis happens when skin cells build up rapidly with thick, silvery scales and itchy, dry, red patches.
Question: What are the treatments for palmoplantar pustulosis (PPP)?
Answer: The blisters and sores can make it hard for you to walk comfortably or to use your hands without pain. Though nothing will cure PPP, treatment can help. Yours may include: Topical steroids . These creams, used with a sterile bandage or vinyl dressing, are anti-inflammatory treatments. They can help with inflammation, swelling, tenderness, and pain. Coal tar also slows the production of your skin cells and helps shed cells so your skin doesn't become thick. Acitretin tablets. Made from , these can help you manage PPP. But acitretin can have strong side effects, so it's not for everyone. Women who are pregnant or may become pregnant shouldn't use it. Men who want to have children should talk to their doctor before taking it. Photo therapy or PUVA. This treatment uses medication along with ultraviolet light to slow down skin growth and help with symptoms for long periods of time.
Question: What should I do if I have blisters or cracks on the palms of my hands or soles of my feet?
Answer: Palmoplantar pustulosis is an autoimmune disorder that causes blister-like sores to show up on the palms of your hands and the soles of your feet. To see if you have PPP, your doctor will check your skin.
Question: What is palmoplantar pustulosis (PPP)?
Answer: Palmoplantar pustulosis is an autoimmune disorder that causes blister-like sores to show up on the palms of your hands and the soles of your feet. Sometimes it comes back. But it could go away and never return. To see if you have PPP, your doctor will check your skin.
Question: Which adults should get the MMR vaccine?
Answer: The CDC says most adults born in 1957 or later should get at least one dose of the MMR vaccine. Because of the risk of birth defects, all women of childbearing age should have the MMR vaccine unless they're pregnant or have proof of immunity, or proof of already being vaccinated for rubella.
Question: Should someone ever get more than one dose of the MMR vaccine?
Answer: The CDC says adults at greater risk of measles or mumps should get two doses of MMR vaccine, the second one 4 weeks after the first. This includes adults who: Have been exposed to measles or mumps or live in an area where an outbreak has happened Are students in colleges or trade schools Travel internationally Work in health care For measles, the CDC advises a second dose for adults who: Were previously given a vaccine made with "killed" measles (instead of the live-type of vaccine used today) Were given an MMR vaccine between 1963 and 1967, but there's no record of what type.
Question: What's in the MMR vaccine?
Answer: Adults should talk with their doctor if they: Have HIV Have any other immune system disorder Have cancer or are being given cancer drugs or X-rays Are taking steroids or other drugs that affect the immune system Have had a low platelet count (a blood disorder) Have had a blood transfusion or took blood products Have a moderate or severe illness As with many vaccines, the MMR vaccine works with the immune system to build up protection by putting a small amount of the virus into the body. The safest and most effective ingredients in the MMR vaccine used today include "attenuated" forms of each virus, which means they're live forms of the virus that have been made weak in medical labs.
Question: What side effects can the MMR vaccine cause?
Answer: A few people develop a short-term mild rash, fever, swollen glands, or pain and stiffness in the joints after getting the shot. More serious, and rare, side effects include a temporary low platelet count or serious allergic reaction. Call your doctor if you have trouble breathing, dizziness, rapid heartbeat, hives, weakness, or other problems after vaccination.
Question: Who should avoid the MMR vaccine?
Answer: Adults who have had a life-threatening allergic reaction to gelatin, a previous MMR vaccine, or a medication called neomycin should not get the vaccine. Medical conditions. Adults should talk with their doctor if they: Have HIV Have any other immune system disorder Have cancer or are being given cancer drugs or X-rays Are taking steroids or other drugs that affect the immune system Have had a low platelet count (a blood disorder) Have had a blood transfusion or took blood products Have a moderate or severe illness As with many vaccines, the MMR vaccine works with the immune system to build up protection by putting a small amount of the virus into the body.
Question: Which diseases are covered by the MMR  vaccine?
Answer: The MMR vaccine protects against measles, mumps, and rubella ( German measles). They can pass from person to person through coughing, sneezing, or just breathing. Because of the risk of birth defects, all women of childbearing age should have the MMR vaccine unless they're pregnant or have proof of immunity, or proof of already being vaccinated for rubella.
Question: Who does not need to get the MMR vaccine?
Answer: The CDC advises most adults born in 1957 or afterward who can't show that they've had all 3 diseases get an MMR vaccine, whether they had one as a child or not. Because of the risk of birth defects, all women of childbearing age should have the MMR vaccine unless they're pregnant or have proof of immunity, or proof of already being vaccinated for rubella.
Question: Why do adults need the MMR vaccine?
Answer: And not everyone gets vaccinated as a child. Many adults move to the U. S. from countries without immunization programs. World travel increases the chances of these diseases spreading. Rubella ( German measles).
Question: Do spermicides help prevent HIV and other STDs?
Answer: This can make it easier for you to get HIV and other STDs. If your penis or vagina gets irritated, stop using the spermicide and see your doctor. Other than not having sex, condoms are the best way to prevent STDs.
Question: What are spermicides?
Answer: Spermicide is a chemical that prevents pregnancy by killing sperm so they can't fertilize an egg. The only spermicide available in the U. S. is nonoxynol-9 ( N-9).