anand-s/m_qalm huggingface dataset:
Question: How much bread, cereal, rice, starchy vegetables, and pasta are in a serving?
Answer: 1/2 banana 1 small apple, orange, or pear 1/2 cup chopped, cooked, or canned fruit 1 cup raw leafy vegetables 1/2 cup other vegetables cooked, raw (chopped), or canned 1/2 cup vegetable juice 1 slice of bread 1/2 English muffin, bun, small bagel, or pita bread 1 6-inch tortilla 4-6 crackers 2 rice cakes 1 ounce ready-to-eat cereal 1/2 cup cooked cereal, pasta, or bulgur 1/3 cup cooked rice 1 small potato or 1/2 large potato 1/2 cup sweet potatoes or yams 1/2 cup corn kernels or other starchy vegetables such as winter squash, peas, or lima beans 2-3 ounces cooked lean beef, veal, pork, lamb, chicken, turkey, or fish 2-3 ounces low-fat natural cheese (such as Swiss, cheddar, Muenster, parmesan, mozzarella, and others) 1/2 cup cooked dry beans 1/4 cup tofu 1 egg (or an equal serving of egg substitute) 2 tablespoons peanut butter 2 ounces processed cheese ( American) 1/2 cup low-fat cottage cheese 1/2 cup canned tuna (packed in water) 1 cup low-fat milk 1 cup low-fat yogurt (unsweetened, or sweetened with aspartame or other artificial sweeteners)
Question: What is an example of one serving of milk and yogurt?
Answer: 1/2 banana 1 small apple, orange, or pear 1/2 cup chopped, cooked, or canned fruit 1 cup raw leafy vegetables 1/2 cup other vegetables cooked, raw (chopped), or canned 1/2 cup vegetable juice 1 slice of bread 1/2 English muffin, bun, small bagel, or pita bread 1 6-inch tortilla 4-6 crackers 2 rice cakes 1 ounce ready-to-eat cereal 1/2 cup cooked cereal, pasta, or bulgur 1/3 cup cooked rice 1 small potato or 1/2 large potato 1/2 cup sweet potatoes or yams 1/2 cup corn kernels or other starchy vegetables such as winter squash, peas, or lima beans 2-3 ounces cooked lean beef, veal, pork, lamb, chicken, turkey, or fish 2-3 ounces low-fat natural cheese (such as Swiss, cheddar, Muenster, parmesan, mozzarella, and others) 1/2 cup cooked dry beans 1/4 cup tofu 1 egg (or an equal serving of egg substitute) 2 tablespoons peanut butter 2 ounces processed cheese ( American) 1/2 cup low-fat cottage cheese 1/2 cup canned tuna (packed in water) 1 cup low-fat milk 1 cup low-fat yogurt (unsweetened, or sweetened with aspartame or other artificial sweeteners)
Question: What is recovery like from breast reduction surgery?
Answer: You will need to take at least one week off from work or school for breast reduction surgery. Some people need two weeks, but each situation varies. Your surgeon will instruct you on follow-up appointments for removing bandages and stitches. While you recover, you'll need to stop physical activity for at least one month after surgery. After breast reduction surgery, you should expect to feel tired and to have breast pain. This is normal. Your surgeon will give you an oral painkiller to ease you through the first few days after surgery. You should also avoid heavy lifting. Some people have an emotional reaction, such as feeling depressed, after the surgery. That can be normal, but make sure you tell your doctor about all your concerns.
Question: How can medications affect your daily life after a heart transplant?
Answer: As mentioned, after a heart transplant, patients must take several drugs. The most important are those to keep the body from rejecting the transplant. These drugs, which must be taken for life, can cause significant side effects, including high blood pressure, fluid retention, excessive hair growth, osteoporosis, and possible kidney damage. To combat these problems, additional drugs are often prescribed.
Question: Can a person lead a normal life after a heart transplant?
Answer: With the exception of having to take lifelong medication to keep the body from rejecting the donated heart, many heart transplant recipients lead active and productive lives.
Question: Will I need to follow a special diet after a heart transplant?
Answer: After a heart transplant, the patient may need to follow a special diet, which may involve many of the same dietary changes made prior to surgery. A low-sodium diet will decrease the risk of high blood pressure and fluid retention. Your doctor will discuss your specific dietary needs, and a registered dietitian can help you understand specific dietary guidelines.
Question: What should you consider before deciding if a heart transplant may be right for you?
Answer: The following basic questions should be considered by you, your doctor, and your family to determine if heart transplantation is right for you: Have all other therapies been tried or excluded? Are you likely to die in the near future without the transplant? Are you in generally good health other than the heart or heart and lung disease? Can you adhere to the lifestyle changes, including complex drug treatments and frequent exams, required after a transplant? If you answered "no" to any of the above questions, heart transplantation may not be for you.
Question: How is organ rejection avoided?
Answer: Rejection occurs when the body's immune cells recognize the transplanted heart as different from the rest of the body and attempt to destroy it. If left alone, the immune system would damage the cells of a new heart and eventually destroy it.
Question: How can a heart transplant affect how you exercise?
Answer: Heart transplant recipients can exercise and are encouraged to exercise to improve the function of the heart and to avoid weight gain. However, due to changes in the heart related to the transplant, patients should speak to their doctor or cardiac rehabilitation specialist before beginning an exercise program. Because the nerves leading to the heart are cut during the operation, the transplanted heart beats faster (about 100 to 110 beats per minute) than the normal heart (about 70 beats per minute). The new heart also responds more slowly to exercise and doesn't increase its rate as quickly as before.
Question: What are the risks of a heart transplant?
Answer: The most common causes of death following a heart transplant are infection and rejection. Patients on drugs to prevent rejection of the new heart are at risk for developing kidney damage, high blood pressure, osteoporosis (a severe thinning of the bones, which can cause fractures), and lymphoma (a type of cancer that affects cells of the immune system). Atherosclerosis of the heart's arteries or coronary artery disease develops in almost half the patients who receive transplants. And many of them have no symptoms, such as angina (chest pain), because they have no sensations in their new hearts.
Question: How many people are in need of a heart transplant?
Answer: At any given time, almost 3,500 to 4,000 people are waiting for a heart or heart-lung transplant. A person may wait months for a transplant and more than 25% do not live long enough to receive a new heart. Many people who are waiting for transplantation have mixed feelings, because they are aware that someone must die before an organ becomes available. It may help to know that many donor families feel a sense of peace knowing that some good has come from their loved one's death.
Question: How are heart transplant recipients monitored?
Answer: Heart transplant recipients are carefully monitored for signs of rejection. Doctors frequently take samples of small pieces of the transplanted heart to inspect under a microscope. Called a biopsy, this procedure involves advancing a thin tube called a catheter through a vein to the heart. At the end of the catheter is a bioptome, a tiny instrument used to snip off a piece of tissue. If the biopsy shows damaged cells, the dose and kind of immunosuppressive drug may be changed. Biopsies of the heart muscle are usually performed weekly for the first three to six weeks after surgery, then every three months for the first year, and then yearly thereafter. It is vital for you to be aware of the possible signs of rejection and infection so you can report them to your doctors and be treated immediately.
Question: What is organ rejection in a heart transplant?
Answer: Normally, the body's immune system protects the body from infection. This occurs when cells of the immune system move around the body, checking for anything that looks foreign or different from the body's own cells. Rejection occurs when the body's immune cells recognize the transplanted heart as different from the rest of the body and attempt to destroy it. If left alone, the immune system would damage the cells of a new heart and eventually destroy it.
Question: What is the process for getting a heart transplant?
Answer: In order to get a heart transplant, you must first be placed on a transplant list. But, before you can be placed on the transplant list, you must go through a careful screening process. A team of heart doctors, nurses, social workers, and bioethicists review your medical history, diagnostic test results, social history, and psychological test results to see if you are able to survive the procedure and then comply with the continuous care needed to live a healthy life. Once you are approved, you must wait for a donor to become available. This process can be long and stressful. A supportive network of family and friends is needed to help you through this time. The health care team will monitor you closely to keep your heart failure in control until a donor heart is found. The hospital must know where to contact you at all times should a heart become available.
Question: What are the signs of organ rejection in a heart transplant?
Answer: Signs of organ rejection include: Fever over 100.4 ° F (38 ° C) " Flu-like" symptoms such as chills, aches, headaches, dizziness, nausea, and/or vomiting Shortness of breath New chest pain or tenderness Fatigue or generally feeling "lousy" Elevation in blood pressure With too much immunosuppression, the immune system can become sluggish, and a patient can easily develop severe infections.
Question: Who may not be considered for a heart transplant?
Answer: Also, if you have additional medical problems, such as other severe diseases, active infections, or severe obesity, you most likely will not be considered a candidate for transplant.
Question: What is a heart transplant?
Answer: It may help to know that many donor families feel a sense of peace knowing that some good has come from their loved one's death. Once a donor heart becomes available, a surgeon from the transplant center goes to harvest the donor heart.
Question: Is a heart transplant covered by insurance?
Answer: In most cases, the costs related to a heart transplant are covered by health insurance. It is important to do your own research and find out if your specific health insurance provider covers this treatment and if you will be responsible for any costs.
Question: What happens during a heart transplant?
Answer: During a heart transplant, the patient is placed on a heart-lung machine. This machine allows the body to receive vital oxygen and nutrients from the blood even though the heart is being operated on. Surgeons then remove the patient's heart except for the back walls of the atria, the heart's upper chambers. The backs of the atria on the new heart are opened and the heart is sewn into place. Surgeons then connect the blood vessels, allowing blood to flow through the heart and lungs. As the heart warms up, it begins beating. Surgeons check all the connected blood vessels and heart chambers for leaks before removing the patient from the heart-lung machine. It is a complicated operation that lasts from four to 10 hours.
Question: What are the warning signs of infection in a heart transplant?
Answer: Signs of organ rejection include: Fever over 100.4 ° F (38 ° C) " Flu-like" symptoms such as chills, aches, headaches, dizziness, nausea, and/or vomiting Shortness of breath New chest pain or tenderness Fatigue or generally feeling "lousy" Elevation in blood pressure With too much immunosuppression, the immune system can become sluggish, and a patient can easily develop severe infections. For this reason, drugs are also prescribed to fight infections. It is vital for you to be aware of the possible signs of rejection and infection so you can report them to your doctors and be treated immediately. Warning signs of infection include: Fever over 100.4 ° F (38 ° C) Sweats or chills Skin rash Pain, tenderness, redness, or swelling Wound or cut that won't heal Red, warm, or draining sore Sore throat, scratchy throat, or pain when swallowing Sinus drainage, nasal congestion, headaches, or tenderness along upper cheekbones Persistent dry or moist cough that lasts more than two days White patches in your mouth or on your tongue Nausea, vomiting, or diarrhea Flu-like symptoms (chills, aches, headache, or fatigue) or generally feeling "lousy" Trouble urinating: pain or burning, constant urge or frequent urination Bloody, cloudy or foul-smelling urine If you have any of these symptoms of organ rejection or infection, notify your doctor right away.
Question: How are organ donors for heart transplants found?
Answer: Donors for heart transplants are individuals who may have recently died or become brain dead, which means that although their body is being kept alive by machines, the brain has no sign of life. Many times, these donors died as a result of a car accident, severe head injury, or a gunshot wound. Donors generally give their permission for organ donation before their death. The donor's family must also give consent for organ donation at the time of the donor's death. Donor organs are located through the United Network for Organ Sharing's ( UNOS) computerized national waiting list. This waiting list assures equal access and fair distribution of organs when they become available. When a heart becomes available for transplantation, it is given to the best possible match, based on blood type, body size, UNOS status (based on the recipient's medical condition) and the length of time the recipient has been waiting. The race and gender of the donor have no bearing on the match.
Question: Who is considered a candidate for a heart transplant?
Answer: Approximately 2,300 heart transplants are performed each year in the U. S. People who have advanced (end stage) heart failure, but are otherwise healthy, may be considered for a heart transplant. The following basic questions should be considered by you, your doctor, and your family to determine if heart transplantation is right for you: Have all other therapies been tried or excluded? Are you likely to die in the near future without the transplant? Are you in generally good health other than the heart or heart and lung disease? Can you adhere to the lifestyle changes, including complex drug treatments and frequent exams, required after a transplant? If you answered "no" to any of the above questions, heart transplantation may not be for you. Also, if you have additional medical problems, such as other severe diseases, active infections, or severe obesity, you most likely will not be considered a candidate for transplant.
Question: What are warning signs of infection after a heart transplant?
Answer: Warning signs of infection include: Fever over 100.4 ° F (38 ° C) Sweats or chills Skin rash Pain, tenderness, redness, or swelling Wound or cut that won't heal Red, warm, or draining sore Sore throat, scratchy throat, or pain when swallowing Sinus drainage, nasal congestion, headaches, or tenderness along upper cheekbones Persistent dry or moist cough that lasts more than two days White patches in your mouth or on your tongue Nausea, vomiting, or diarrhea Flu-like symptoms (chills, aches, headache, or fatigue) or generally feeling "lousy" Trouble urinating: pain or burning, constant urge or frequent urination Bloody, cloudy or foul-smelling urine If you have any of these symptoms of organ rejection or infection, notify your doctor right away.
Question: What are warning signs of rejection after a heart transplant?
Answer: It is vital for you to be aware of the possible signs of rejection and infection so you can report them to your doctors and be treated immediately. Signs of organ rejection include: Fever over 100.4 ° F (38 ° C) " Flu-like" symptoms such as chills, aches, headaches, dizziness, nausea, and/or vomiting Shortness of breath New chest pain or tenderness Fatigue or generally feeling "lousy" Elevation in blood pressure With too much immunosuppression, the immune system can become sluggish, and a patient can easily develop severe infections.
Question: Why does organ rejection happen?
Answer: Normally, the body's immune system protects the body from infection. This occurs when cells of the immune system move around the body, checking for anything that looks foreign or different from the body's own cells. Rejection occurs when the body's immune cells recognize the transplanted heart as different from the rest of the body and attempt to destroy it.
Question: Where do donor organs come from?
Answer: Donor organs are located through the United Network for Organ Sharing's ( UNOS) computerized national waiting list. This waiting list assures equal access and fair distribution of organs when they become available. When a heart becomes available for transplantation, it is given to the best possible match, based on blood type, body size, UNOS status (based on the recipient's medical condition) and the length of time the recipient has been waiting. The race and gender of the donor have no bearing on the match.
Question: Can you exercise after getting a heart transplant?
Answer: Heart transplant recipients can exercise and are encouraged to exercise to improve the function of the heart and to avoid weight gain. However, due to changes in the heart related to the transplant, patients should speak to their doctor or cardiac rehabilitation specialist before beginning an exercise program.
Question: Who is considered for a heart transplant?
Answer: Approximately 2,300 heart transplants are performed each year in the U. S. People who have advanced (end stage) heart failure, but are otherwise healthy, may be considered for a heart transplant.
Question: Can you live normally after a heart transplant?
Answer: With the exception of having to take lifelong medication to keep the body from rejecting the donated heart, many heart transplant recipients lead active and productive lives.
Question: How can a heart transplant affect your diet?
Answer: Diet. Your doctor will discuss your specific dietary needs, and a registered dietitian can help you understand specific dietary guidelines.
Question: How long can a person live after a heart transplant?
Answer: Can you adhere to the lifestyle changes, including complex drug treatments and frequent exams, required after a transplant? Recent figures show that 75% of heart transplant patients live at least five years after surgery. Nearly 85% return to work or other activities they previously enjoyed. Many patients enjoy swimming, cycling, running, or other sports.
Question: How long can you live after a heart transplant?
Answer: Can you adhere to the lifestyle changes, including complex drug treatments and frequent exams, required after a transplant? Recent figures show that 75% of heart transplant patients live at least five years after surgery. Nearly 85% return to work or other activities they previously enjoyed. Many patients enjoy swimming, cycling, running, or other sports.
Question: What can you do to prevent and avoid organ rejection in a heart transplant?
Answer: Donors generally give their permission for organ donation before their death. If left alone, the immune system would damage the cells of a new heart and eventually destroy it. As mentioned, after a heart transplant, patients must take several drugs.
Question: What happens if you are exposed to an allergen or asthma trigger?
Answer: Late Phase Response If you are exposed to an allergen or asthma trigger, the chances are great that airway obstruction or allergic asthma will occur shortly afterward. This acute asthma attack ends within one hour. About 50% of those who experience an immediate reaction also have a second phase of airway obstruction within three to eight hours of exposure to the allergen. This phase is called the late phase response, and it is characterized by an increase in airway responsiveness, development of bronchial inflammation, and a more prolonged period of airway obstruction. Many studies report that when allergen exposure occurs in the evening instead of in the morning, you are more susceptible to having a late phase response and are more likely to have one of greater severity.
Question: When are asthma symptoms at their worst?
Answer: Nocturnal wheezing, cough, and trouble breathing are common yet potentially dangerous. Many doctors often underestimate nocturnal asthma or nighttime asthma. Studies show that most deaths related to asthma symptoms such as wheezing happen at night. According to your type of asthma and asthma severity (mild, moderate, or severe), your doctor can prescribe treatment to help you resolve your nighttime asthma symptoms so you can sleep like a baby.
Question: How does acid reflux affect night-time asthma?
Answer: Nocturnal asthma, with symptoms like chest tightness, shortness of breath, cough, and wheezing at night, can make sleep impossible and leave you feeling tired and irritable during the day. GERD If you are frequently bothered with heartburn, the reflux of stomach acid up through the esophagus to the larynx may stimulate a bronchial spasm. It's worse when lying down or if you take medications for asthma that relax the valve between the stomach and esophagus. Sometimes, acid from the stomach will irritate the lower esophagus and lead to constriction of your airways. If stomach acid backs up to your throat, it may drip down to the trachea, airways and lungs, leading to a severe reaction. Taking care of GERD and asthma with appropriate medications can often stop nighttime asthma.
Question: Why is asthma worse during sleep?
Answer: Many doctors often underestimate nocturnal asthma or nighttime asthma. Studies show that most deaths related to asthma symptoms such as wheezing happen at night. The exact reason that asthma is worse during sleep are not known, but there are explanations that include increased exposure to allergens; cooling of the airways; being in a reclining position; and hormone secretions that follow a circadian pattern. Sleep itself may even cause changes in bronchial function. According to your type of asthma and asthma severity (mild, moderate, or severe), your doctor can prescribe treatment to help you resolve your nighttime asthma symptoms so you can sleep like a baby.
Question: What role does epinephrine play in asthma?
Answer: Epinephrine is one such hormone, which exerts important influences on the bronchial tubes. This hormone helps keep the muscle in the walls of bronchi relaxed so the airway remains wide. Epinephrine also suppresses the release of other substances, such as histamines, which cause mucus secretion and bronchospasm. Your epinephrine levels and peak expiratory flow rates are lowest at about 4:00 a.m., while histamine levels tend to peak at this same time. Since nocturnal asthma or nighttime asthma may occur anytime during the sleep period, asthma treatment must be sufficient to cover these hours.
Question: Does cranberry have antioxidants?
Answer: Cranberry is an antioxidant, a substance that could protect cells from damage. Some lab studies show that cranberries might have an anticancer effects on cells. It isn't known if it might help people with cancer.
Question: Why do people take cranberry?
Answer: A number of studies, many sponsored by juice manufacturer Ocean Spray, show that cranberry juice helps prevent urinary tract infections ( UTIs) in people who repeatedly have them. Some studies of cranberry supplements have had similar results. Cranberries might stop bacteria from sticking to the sides of the urinary tract. Studies have not shown that cranberries are effective treatments for UTIs once you have an infection.
Question: What are side effects of taking cranberry?
Answer: Pregnant women might suffer these side effects at lower doses. While cranberry juice is generally safe, children or women who are pregnant or breastfeeding should not take cranberry for medical purposes unless a doctor recommends it.