dkoterwa/mlqa_filtered huggingface dataset:
substantial degree of cervical effacement and more rapid cervical dilatation from 5 cm until full dilatation for first and subsequent labours. In the US, the definition of active labour was changed from 3 to 4 cm, to 5 cm of cervical dilation for multiparous women, mothers who had given birth previously, and at 6 cm for nulliparous women, those who had not given birth before. This was done in an effort to increase the rates of vaginal delivery.Health care providers may assess a labouring mother's progress in labour by performing a cervical exam to evaluate the cervical dilation, effacement, and station. These factors form the Bishop score. The Bishop score can also be used as a means to predict the success of an induction of labour.

Question: What is the active labor dilation for women giving birth for the first time?
Answer: 6 cm
Annapurna (; Sanskrit, Nepali, Newar: अन्नपूर्णा) is a massif in the Himalayas in north-central Nepal that includes one peak over 8,000 metres (26,000 ft), thirteen peaks over 7,000 metres (23,000 ft), and sixteen more over 6,000 metres (20,000 ft). The massif is 55 kilometres (34 mi) long, and is bounded by the Kali Gandaki Gorge on the west, the Marshyangdi River on the north and east, and by Pokhara Valley on the south.  At the western end the massif encloses a high basin called the Annapurna Sanctuary. Annapurna I Main is the tenth highest mountain in the world at 8,091 metres (26,545 ft) above sea level, and in 1950 Maurice Herzog led a French expedition to its summit, making it the first of the eight-thousanders to be climbed.

Question: How many feet is the largest peak in north-central Nepal?
Answer: 26,000 ft

Question: What is the name of the high basin?
Answer: Annapurna Sanctuary
A proper diet and exercise are the foundations of diabetic care, with a greater amount of exercise yielding better results. Exercise improves blood sugar control, decreases body fat content and decreases blood lipid levels, and these effects are evident even without weight loss. Aerobic exercise leads to a decrease in HbA1c and improved insulin sensitivity. Resistance training is also useful and the combination of both types of exercise may be most effective.A diabetic diet that promotes weight loss is important. While the best diet type to achieve this is controversial, a low glycemic index diet or low carbohydrate diet has been found to improve blood sugar control. A very low calorie diet, begun shortly after the onset of type 2 diabetes, can result in remission of the condition.Vegetarian diets in general have been related to lower diabetes risk, but do not offer advantages compared with diets which allow moderate amounts of animal products. There is not enough evidence to suggest that cinnamon improves blood sugar levels in people with type 2 diabetes.Culturally appropriate education may help people with type 2 diabetes control their blood sugar levels, for up to 24 months. If changes in lifestyle in those with mild diabetes has not resulted in improved blood sugars within six weeks, medications should then be considered. There is not enough evidence to determine if lifestyle interventions affect mortality in those who already have DM2.

Question: What kind of exercise decreases HbA1c?
Answer: Aerobic
Globally as of 2015 it was estimated that there were 392 million people with type 2 diabetes making up about 90% of diabetes cases. This is equivalent to about 6% of the world's population. Diabetes is common both in the developed and the developing world. It remains uncommon, however, in the least developed countries.Women seem to be at a greater risk as do certain ethnic groups, such as South Asians, Pacific Islanders, Latinos, and Native Americans. This may be due to enhanced sensitivity to a Western lifestyle in certain ethnic groups. Traditionally considered a disease of adults, type 2 diabetes is increasingly diagnosed in children in parallel with rising obesity rates. Type 2 diabetes is now diagnosed as frequently as type 1 diabetes in teenagers in the United States.Rates of diabetes in 1985 were estimated at 30 million, increasing to 135 million in 1995 and 217 million in 2005. This increase is believed to be primarily due to the global population aging, a decrease in exercise, and increasing rates of obesity. The five countries with the greatest number of people with diabetes as of 2000 are India having 31.7 million, China 20.8 million, the United States 17.7 million, Indonesia 8.4 million, and Japan 6.8 million. It is recognized as a global epidemic by the World Health Organization.

Question: What percentage of people worldwide have type 2 diabetes?
Answer: 6%
Lifestyle factors are important to the development of type 2 diabetes, including obesity and being overweight (defined by a body mass index of greater than 25), lack of physical activity, poor diet, stress, and urbanization. Excess body fat is associated with 30% of cases in those of Chinese and Japanese descent, 60–80% of cases in those of European and African descent, and 100% of cases in Pima Indians and Pacific Islanders. Among those who are not obese, a high waist–hip ratio is often present. Smoking appears to increase the risk of type 2 diabetes.Dietary factors also influence the risk of developing type 2 diabetes. Consumption of sugar-sweetened drinks in excess is associated with an increased risk. The type of fats in the diet are important, with saturated fats and trans fatty acids increasing the risk, and polyunsaturated and monounsaturated fat decreasing the risk. Eating a lot of white rice appears to play a role in increasing risk. A lack of exercise is believed to cause 7% of cases. Persistent organic pollutants may play a role.

Question: Drinking what kind of beverage too often could cause type 2 diabetes?
Answer: sugar-sweetened
The development of type 2 diabetes is caused by a combination of lifestyle and genetic factors. While some of these factors are under personal control, such as diet and obesity, other factors are not, such as increasing age, female gender, and genetics. Obesity is more common in women than men in many parts of Africa. A lack of sleep has been linked to type 2 diabetes. This is believed to act through its effect on metabolism. The nutritional status of a mother during fetal development may also play a role, with one proposed mechanism being that of DNA methylation. The intestinal bacteria Prevotella copri and Bacteroides vulgatus have been connected with type 2 diabetes.

Question: What disease can occur based on lack of sleep?
Answer: type 2 diabetes
fasting plasma glucose ≥ 7.0 mmol/l (126 mg/dl)orwith a glucose tolerance test, two hours after the oral dose a plasma glucose ≥ 11.1 mmol/l (200 mg/dl)A random blood sugar of greater than 11.1 mmol/l (200 mg/dl) in association with typical symptoms or a glycated hemoglobin (HbA1c) of ≥ 48 mmol/mol (≥ 6.5 DCCT %) is another method of diagnosing diabetes. In 2009 an International Expert Committee that included representatives of the American Diabetes Association (ADA), the International Diabetes Federation (IDF), and the European Association for the Study of Diabetes (EASD) recommended that a threshold of ≥ 48 mmol/mol (≥ 6.5 DCCT %) should be used to diagnose diabetes. This recommendation was adopted by the American Diabetes Association in 2010. Positive tests should be repeated unless the person presents with typical symptoms and blood sugars >11.1 mmol/l (>200 mg/dl).Threshold for diagnosis of diabetes is based on the relationship between results of glucose tolerance tests, fasting glucose or HbA1c and complications such as retinal problems. A fasting or random blood sugar is preferred over the glucose tolerance test, as they are more convenient for people. HbA1c has the advantages that fasting is not required and results are more stable but has the disadvantage that the test is more costly than measurement of blood glucose. It is estimated that 20% of people with diabetes in the United States do not realize that they have the disease.Type 2 diabetes is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency. This is in contrast to type 1 diabetes in which there is an absolute insulin deficiency due to destruction of islet cells in the pancreas and gestational diabetes that is a new onset of high blood sugars associated with pregnancy. Type 1 and type 2 diabetes can typically be distinguished based on the presenting circumstances. If the diagnosis is in doubt antibody testing may be useful to confirm type 1 diabetes and C-peptide levels may be useful to confirm type 2 diabetes, with C-peptide levels normal or high in type 2 diabetes, but low in type 1 diabetes.

Question: when pancreas produces little or no insulin, what is it called?
Answer: type 1 diabetes

Question: when did the Diabetes Assoc. adopt the diagnosing threshold recommendations?
Answer: 2010
Although almost all penguin species are native to the Southern Hemisphere, they are not found only in cold climates, such as Antarctica. In fact, only a few species of penguin actually live so far south. Several species live in the temperate zone; one, the Galápagos penguin, lives as far north as the Galápagos Islands, but this is only made possible by the cold, rich waters of the Antarctic Humboldt Current that flows around these islands.Several authors have suggested that penguins are a good example of Bergmann's Rule where larger bodied populations live at higher latitudes than smaller bodied populations. There is some disagreement about this, and several other authors have noted that there are fossil penguin species that contradict this hypothesis and that ocean currents and upwellings are likely to have had a greater effect on species diversity than latitude alone.Major populations of penguins are found in Angola, Antarctica, Argentina, Australia, Chile, Namibia, New Zealand, and South Africa. Satellite images and photos released in 2018 show the population of two million in France's remote Ile aux Cochons has collapsed, with barely 200,000 remaining, according to a study published in Antarctic Science.

Question: Where are penguins located?
Answer: Southern Hemisphere
Penguins (order Sphenisciformes, family Spheniscidae) are a group of aquatic flightless birds.  They live almost exclusively in the Southern Hemisphere, with only one species, the Galapagos penguin, found north of the equator. Highly adapted for life in the water, penguins have countershaded dark and white plumage, and their wings have evolved into flippers. Most penguins feed on krill, fish, squid and other forms of sea life which they catch while swimming underwater. They spend roughly half of their lives on land and the other half in the sea.

Question: Where besides the sea do they spend their lives?
Answer: land
The largest living species is the emperor penguin (Aptenodytes forsteri): on average, adults are about 1.1 m (3 ft 7 in) tall and weigh 35 kg (77 lb).  The smallest penguin species is the little blue penguin (Eudyptula minor), also known as the fairy penguin, which stands around 40 cm (16 in) tall and weighs 1 kg (2.2 lb). Among extant penguins, larger penguins inhabit colder regions, while smaller penguins are generally found in temperate or even tropical climates (see also Bergmann's rule). Some prehistoric species attained enormous sizes, becoming as tall or as heavy as an adult human. These were not restricted to Antarctic regions; on the contrary, subantarctic regions harboured high diversity, and at least one giant penguin occurred in a region around 2,000 km south of the equator 35 mya, in a climate decidedly warmer than today.

Question: How large can an emperor penguin get?
Answer: 1.1 m (3 ft 7 in) tall
As an anointed queen, Mary refused to acknowledge the power of any court to try her and refused to attend the inquiry at York personally (she sent representatives), but Elizabeth forbade her attendance anyway. As evidence against Mary, Moray presented the so-called casket letters—eight unsigned letters purportedly from Mary to Bothwell, two marriage contracts, and a love sonnet or sonnets said to have been found in a silver-gilt casket just less than one foot (30 cm) long, decorated with the monogram of King Francis II. Mary denied writing them, arguing that her handwriting was not difficult to imitate, and insisted they were forgeries. They are widely believed to be crucial as to whether Mary shares the guilt for Darnley's murder. The chair of the commission of inquiry, the Duke of Norfolk, described them as horrible letters and diverse fond ballads, and sent copies to Elizabeth, saying that if they were genuine they might prove Mary's guilt.The authenticity of the casket letters has been the source of much controversy among historians. It is impossible now to prove either way. The originals, written in French, were probably destroyed in 1584 by Mary's son. The surviving copies, in French or translated into English, do not form a complete set. There are incomplete printed transcriptions in English, Scots, French, and Latin from the 1570s. Other documents scrutinised included Bothwell's divorce from Jean Gordon. Moray had sent a messenger in September to Dunbar to get a copy of the proceedings from the town's registers.Mary's biographers, such as Antonia Fraser, Alison Weir, and John Guy, have come to the conclusion that either the documents were complete forgeries, or incriminating passages were inserted into genuine letters, or that the letters were written to Bothwell by some other person or by Mary to some other person. Guy points out that the letters are disjointed, and that the French language and grammar employed in the sonnets are too poor for a writer with Mary's education. But certain phrases of the letters (including verses in the style of Ronsard) and some characteristics of style are compatible with known writings by Mary.

Question: What language is spoken in Togo?
Answer: French
At Fotheringhay, on the evening of 7 February 1587, Mary was told she was to be executed the next morning. She spent the last hours of her life in prayer, distributing her belongings to her household, and writing her will and a letter to the King of France. The scaffold that was erected in the Great Hall was draped in black cloth. It was reached by two or three steps, and furnished with the block, a cushion for her to kneel on, and three stools, for her and the earls of Shrewsbury and Kent, who were there to witness the execution. The executioners (Bull and his assistant) knelt before her and asked forgiveness, as it was typical for the executioner to request the pardon of the one being put to death. Mary replied, "I forgive you with all my heart, for now, I hope, you shall make an end of all my troubles." Her servants, Jane Kennedy and Elizabeth Curle, and the executioners helped Mary remove her outer garments, revealing a velvet petticoat and a pair of sleeves in crimson brown, the liturgical colour of martyrdom in the Catholic Church, with a black satin bodice and black trimmings. As she disrobed Mary smiled and said she "never had such grooms before ... nor ever put off her clothes before such a company". She was blindfolded by Kennedy with a white veil embroidered in gold, knelt down on the cushion in front of the block, on which she positioned her head, and stretched out her arms. Her last words were, In manus tuas, Domine, commendo spiritum meum ("Into thy hands, O Lord, I commend my spirit").Mary was not beheaded with a single strike. The first blow missed her neck and struck the back of her head. The second blow severed the neck, except for a small bit of sinew, which the executioner cut through using the axe. Afterwards, he held her head aloft and declared, "God save the Queen." At that moment, the auburn tresses in his hand turned out to be a wig and the head fell to the ground, revealing that Mary had very short, grey hair. Cecil's nephew, who was present at the execution, reported to his uncle that after her death "Her lips stirred up and down a quarter of an hour after her head was cut off" and that a small dog owned by the queen emerged from hiding among her skirts—though eye-witness Emanuel Tomascon does not include those details in his "exhaustive report". Items supposedly worn or carried by Mary at her execution are of doubtful provenance; contemporary accounts state that all her clothing, the block, and everything touched by her blood was burnt in the fireplace of the Great Hall to obstruct relic-hunters.

Question: What was the queen mary's last words before death?
Answer: "Into thy hands, O Lord, I commend my spirit"
Between 21 and 23 April 1567, Mary visited her son at Stirling for the last time. On her way back to Edinburgh on 24 April, Mary was abducted, willingly or not, by Lord Bothwell and his men and taken to Dunbar Castle, where he may have raped her. On 6 May, Mary and Bothwell returned to Edinburgh and on 15 May, at either Holyrood Palace or Holyrood Abbey, they were married according to Protestant rites. Bothwell and his first wife, Jean Gordon, who was the sister of Lord Huntly, had divorced twelve days previously.Originally Mary believed that many nobles supported her marriage, but relations quickly soured between the newly elevated Bothwell (created Duke of Orkney) and his former peers, and the marriage proved to be deeply unpopular. Catholics considered the marriage unlawful, since they did not recognise Bothwell's divorce or the validity of the Protestant service. Both Protestants and Catholics were shocked that Mary should marry the man accused of murdering her husband. The marriage was tempestuous, and Mary became despondent. Twenty-six Scottish peers, known as the confederate lords, turned against Mary and Bothwell, raising an army against them. Mary and Bothwell confronted the lords at Carberry Hill on 15 June, but there was no battle as Mary's forces dwindled away through desertion during negotiations. Bothwell was given safe passage from the field, and the lords took Mary to Edinburgh, where crowds of spectators denounced her as an adulteress and murderer. The following night, she was imprisoned in Loch Leven Castle, on an island in the middle of Loch Leven. Between 20 and 23 July, Mary miscarried twins. On 24 July, she was forced to abdicate in favour of her one-year-old son James. Moray was made regent, while Bothwell was driven into exile. He was imprisoned in Denmark, became insane and died in 1578.

Question: what did Mary become?
Answer: despondent

Question: What was her successor's relationship to her?
Answer: son
In February 1567, Darnley's residence was destroyed by an explosion, and he was found murdered in the garden. James Hepburn, 4th Earl of Bothwell, was generally believed to have orchestrated Darnley's death, but he was acquitted of the charge in April 1567, and the following month he married Mary. Following an uprising against the couple, Mary was imprisoned in Loch Leven Castle. On 24 July 1567, she was forced to abdicate in favour of her one-year-old son. After an unsuccessful attempt to regain the throne, she fled southward seeking the protection of her first cousin once removed, Queen Elizabeth I of England. Mary had once claimed Elizabeth's throne as her own and was considered the legitimate sovereign of England by many English Catholics, including participants in a rebellion known as the Rising of the North. Perceiving Mary as a threat, Elizabeth had her confined in various castles and manor houses in the interior of England. After eighteen and a half years in custody, Mary was found guilty of plotting to assassinate Elizabeth in 1586, and was beheaded the following year at Fotheringhay Castle.

Question: Elizabeth was the first cousin once removed to who?
Answer: Mary
In November 1558, Henry VIII's elder daughter, Mary I of England, was succeeded by her only surviving sibling, Elizabeth I. Under the Third Succession Act, passed in 1543 by the Parliament of England, Elizabeth was recognised as her sister's heir, and Henry VIII's last will and testament had excluded the Stuarts from succeeding to the English throne. Yet, in the eyes of many Catholics, Elizabeth was illegitimate, thereby rendering Mary Stuart the rightful queen of England as the senior surviving legitimate descendant of Henry VII's through her grandmother, Margaret Tudor. Henry II of France proclaimed his eldest son and daughter-in-law king and queen of England, and in France the royal arms of England were quartered with those of Francis and Mary. Mary's claim to the English throne was a perennial sticking point between herself and Elizabeth.When Henry II died on 10 July 1559, from injuries sustained in a joust, fifteen-year-old Francis and sixteen-year-old Mary became king and queen of France. Two of the Queen's uncles, the Duke of Guise and the Cardinal of Lorraine, were now dominant in French politics, enjoying an ascendancy called by some historians la tyrannie Guisienne.In Scotland, the power of the Protestant Lords of the Congregation was rising at the expense of Mary's mother, who maintained effective control only through the use of French troops. The Protestant Lords invited English troops into Scotland in an attempt to secure Protestantism, and a Huguenot uprising in France, called the Tumult of Amboise, in March 1560 made it impossible for the French to send further support. Instead, the Guise brothers sent ambassadors to negotiate a settlement. On 11 June 1560, their sister (Mary's mother) died, and so the question of future Franco-Scots relations was a pressing one. Under the terms of the Treaty of Edinburgh, signed by Mary's representatives on 6 July 1560, France and England undertook to withdraw troops from Scotland, and France recognised Elizabeth's right to rule England. But the seventeen-year-old Mary, still in France and grieving for her mother, refused to ratify the treaty.

Question: who was considered illegitimate?
Answer: Elizabeth