laomobai/llama3-1 huggingface dataset:
system: What's the difference between dissociative identity disorder and schizophrenia?
output: Dissociative identity disorder is characterized by the presence of two or more distinct or split identities or personality states that continually have power over the person's behavior. With dissociative identity disorder, there are also highly distinct memory variations, which fluctuate with the person's split personality. Sometimes the alters are imaginary people; sometimes they are animals. While unusual, there have been instances of dissociative identity disorder with more than 100 personalities.
system: Is dissociative identity disorder real?
output: Dissociative identity disorder is thought to stem from a combination of factors that may include trauma experienced by the person with the disorder. Amnesia. It's estimated that individuals with dissociative disorders have spent seven years in the mental health system prior to accurate diagnosis.
system: What is temporal arteritis?
output: It can start with a severe headache, pain when you chew, and tenderness in your temple. A few weeks later, you might have a sudden vision loss in one eye, followed quickly by the second. Other symptoms include joint pain, weight loss, and a low-grade fever. Doctors think a damaged immune system causes it. Early diagnosis and treatment with medication can help prevent vision loss. If you suddenly can't see, get to the doctor as soon as you can. It's an emergency.
system: How do you develop dry eyes?
output: It's rare, but if you don't take care of it, you could lose some vision. Your eye doctor may suggest a humidifier in your home or special eye drops that simulate tears. Doctors treat severe cases with tear duct plugs, prescription eye drops, or surgery. Tearing, when your eyes make too many tears, can happen if you're sensitive to light, wind, or temperature changes. It can make your eye burn and itch, tear up, look red, or feel like there's something in it.
system: Will my eyes change as I age?
output: Some problems become more common as you get older, although they can affect anyone at any age. If you notice a sudden change in the type or number of spots or flashes you see, visit your eye doctor as soon as you can.
system: How can medications lead to depression?
output: Certain medications prescribed for various medical conditions do cause such feelings as sadness, despair, and discouragement. And those are feelings that are often associated with depression. So have oral contraceptives, high blood pressure drugs, and even statins that treat high cholesterol. The best way to know if a drug could be affecting your mood in a negative way is to know which medicines commonly cause depression or mania.
system: What should I do if I think my medicine causes depression or mania?
output: Certain medications prescribed for various medical conditions do cause such feelings as sadness, despair, and discouragement. So have oral contraceptives, high blood pressure drugs, and even statins that treat high cholesterol. Then talk to your doctor to see if any of the medicines you are taking are likely causing or contributing to mood symptoms, and if so, discuss whether a different medication may be a better choice. When a medicine does produce symptoms of mania or depression, your doctor may recommend discontinuing the drug or reducing the dosage (if possible). If this is not possible, your doctor may treat the manic or depressive symptoms with other drugs. If you do experience depression or mania while taking one of these medications or any other, call your doctor immediately.
system: What are the goals of palliative care?
output: The goals are: Relieve pain and other symptoms Address your emotional and spiritual concerns, and those of your caregivers Coordinate your care Improve your quality of life during your illness For example, a palliative care doctor may prescribe medications and other therapies to treat pain, constipation, shortness of breath, and other symptoms.
system: What services can a palliative care team provide?
output: Your palliative care team can provide the following services: Expert treatment of pain and other symptoms Open discussion about treatment choices for your illness (including difficult and complex choices) and management of your symptoms Coordination of your care with all of your health care providers Help with navigating the health care system Help with making a smooth transition from the hospital to home care or a nursing home Emotional, spiritual, and practical support for you and your family Here are questions to ask your palliative care team, according to the Center to Advance Palliative Care: What can I expect from palliative care?
system: What are some questions to ask your palliative care team?
output: Your palliative care team can provide the following services: Expert treatment of pain and other symptoms Open discussion about treatment choices for your illness (including difficult and complex choices) and management of your symptoms Coordination of your care with all of your health care providers Help with navigating the health care system Help with making a smooth transition from the hospital to home care or a nursing home Emotional, spiritual, and practical support for you and your family Here are questions to ask your palliative care team, according to the Center to Advance Palliative Care: What can I expect from palliative care? Where will I receive my care (for example, in the hospital, home, nursing home, or hospice?) Who will be part of my palliative care team? What are your recommendations for my care? What will you do if I experience severe pain or uncomfortable symptoms? How will you communicate with my other doctors? What decisions will my family or I need to make? Will you be able to help explain the issues involved in making these decisions? Will you communicate candidly about my illness with me and my family?
system: Who is on a palliative care team?
output: In general, the interdisciplinary palliative care team includes a doctor, a nurse, and a social worker. But other experts often fill out the team, according to a patient's needs. These include chaplains, counselors, pharmacists, dietitians, rehabilitation specialists, physical therapists, music and art therapists, and home health aides.
system: What are examples of what a palliative care team might do?
output: The goals are: Relieve pain and other symptoms Address your emotional and spiritual concerns, and those of your caregivers Coordinate your care Improve your quality of life during your illness For example, a palliative care doctor may prescribe medications and other therapies to treat pain, constipation, shortness of breath, and other symptoms. A social worker may coordinate your care and serve as an advocate on behalf of you and your family. A chaplain may offer spiritual support and help you to explore your beliefs and values. The palliative care team can also help your family by offering medical information, emotional support, and home care assistance.
system: What over-the-counter medicines help for a cough?
output: You have two main choices in the cold-and-flu aisle: Cough suppressants , like dextromethorphan, can provide relief for a short time. They work on the part of your brain that controls the process. Expectorants, like guaifenesin, can break up congestion in your chest by thinning the mucus in your airways. This way, when you do cough, you can get rid of phlegm more easily. Drink plenty of water if you take this medicine.
system: Can over-the-counter medicines cure a cold?
output: Over-the-counter medicines won't cure your cold, but they might make you feel better, so you can rest as it runs its course.
system: Can I take over-the-counter medicines for fever, aches, and a sore throat?
output: These symptoms are usually mild with a cold compared to a more serious illness, like the flu. Still, if you feel bad and can't rest, most experts agree it's OK to take something to ease pain and lower a fever, like acetaminophen or ibuprofen. Always check drug labels for side effects, and follow the instructions for taking the medicine. Make sure it won't mix poorly with any other medications you're taking or health problems you have -- ask your doctor or pharmacist if you're not sure.
system: What kind of over-the-counter medicine helps with congestion?
output: Decongestants can curb swelling inside your nose and sinuses, and help you breathe more easily. If you see the letter " D" at the end of a medicine's name, it means it includes a decongestant. Look for products with phenylephrine or pseudoephedrine. ( You may have to ask for these. They're still considered over-the-counter but are often stored behind the counter.) Nasal sprays. Products with oxymetazoline and phenylephrine may work faster than pills or syrups. But if you use them for more than 2-3 days in a row, your congestion could get worse. Don't take both types of decongestant at the same time. Start with a nasal spray for the first couple of days, and switch to a pill or syrup if you still need it.
system: What do over-the-counter antihistamines do?
output: They're still considered over-the-counter but are often stored behind the counter.) When you have a cold, your body makes chemicals called histamines. They can also make you sleepy and dry out your eyes, nose, and mouth.
system: What does sexual orientation mean?
output: Sexual orientation is usually divided into three categories: Heterosexual: attracted to individuals of the opposite sex Bisexual: attracted to members of either sex Homosexual: attracted to individuals of one's own sex Sexual orientation involves a person's feelings and sense of identity; it may or may not be evident in the person's appearance or behavior. People may have attractions to people of the same or opposite sex, but may elect not to act on these feelings.
system: How can a person's sexual orientation be changed?
output: Most experts agree that sexual orientation is not a choice and, therefore, cannot be changed. Some people who are homosexual or bisexual may hide their sexual orientation and live as heterosexuals to avoid prejudice against people who are homosexual and bisexual.
system: What are the categories of sexual orientation?
output: Sexual orientation is usually divided into three categories: Heterosexual: attracted to individuals of the opposite sex Bisexual: attracted to members of either sex Homosexual: attracted to individuals of one's own sex Sexual orientation involves a person's feelings and sense of identity; it may or may not be evident in the person's appearance or behavior.
system: Why are some people homosexual or bisexual?
output: Most scientists today agree that sexual orientation (including homosexuality and bisexuality) is the result of a combination of environmental, emotional, hormonal, and biological factors. In other words, there are many factors that contribute to a person's sexual orientation, and the factors may be different for different people. However, homosexuality and bisexuality are not caused by the way a child was reared by his or her parents, or by having a sexual experience with someone of the same sex when the person was young. Also, being homosexual or bisexual does not mean the person is mentally ill or abnormal in some way, although there may be social problems that result from prejudicial attitudes or misinformation.
system: How do people know their sexual orientation?
output: In other words, there are many factors that contribute to a person's sexual orientation, and the factors may be different for different people. For example, homosexuals become aware that their sexual thoughts and activities focus on people of the same sex. It is possible, however, to have fantasies or to be curious about people of the same sex without being homosexual or bisexual, or choosing to act on these impulses/attractions.
system: How can zinc be used as a treatment?
output: In addition, zinc has also been studied as a treatment for herpes, high cholesterol, rheumatoid arthritis, HIV, and more. However, the evidence of zinc's benefit for these conditions is inconclusive. Zinc may be part of an effective treatment for age-related macular degeneration, but more proof is needed.
system: What are the goals of treatment for juvenile rheumatoid arthritis?
output: Treatment usually includes medications along with exercise. The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation.
system: What medications can stop juvenile rheumatoid arthritis from getting worse?
output: Meds That Stop the Condition From Getting Worse Your doctor may prescribe â DMARDs,â which stands for Disease- Modifying Antirheumatic Drugs. They also help with joint stiffness, pain, and swelling. Examples include hydroxychloroquine ( Plaquenil), methotrexate, and sulfasalazine ( Azulfidine). It may take about 3 to 6 months for these medicines to work.
system: Do hot and cold treatments help treat juvenile arthritis?
output: It can help to use hot and cold treatments. For instance, a warm compress can loosen up a stiff muscle and an ice pack often reduces swelling and inflammation.
system: How are nonsteroidal anti-inflammatory drugs taken to treat juvenile rheumatoid arthritis?
output: They come as a liquid or a pill. People usually take them from one to 4 times a day. Some common NSAIDs are aspirin, ibuprofen, naproxen, and tolmetin.
system: Do children with juvenile rheumatoid arthritis recover?
output: Adults who have it usually have symptoms all their lives. But studies show that by adulthood, children with juvenile rheumatoid arthritis don't have symptoms anymore. They simply outgrow it.
system: What biologic drugs are used to treat juvenile rheumatoid arthritis?
output: â Biologicâ Drugs for Your Immune System These drugs are genetically engineered to work on the immune system. They include adalimumab ( Humira), adalimumab-atto ( Amjevita), a biosimilar to Humira, anakinra ( Kineret), etanercept ( Enbrel), etanercept-szzs ( Ereizi), a biosimilar to Enbrel, infliximab ( Remicade), and infliximab-dyyb ( Inflectra), a biosimilar to Remicade.
system: Are eye problems linked to juvenile arthritis?
output: Eye problems are linked to some forms of juvenile rheumatoid arthritis, so keep up with your child's eye tests.
system: What are corticosteroids and how do they treat juvenile arthritis?
output: If You Need Corticosteroids These are strong, anti-inflammatory drugs. Doctors usually prescribe them only if other treatments don't work, or if the condition is severe. This type of steroid isn't the kind that bulks up your muscles.
system: How do nonsteroidal anti-inflammatory drugs treat juvenile rheumatoid arthritis?
output: The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation.
system: What are the symptoms of flare-ups of juvenile rheumatoid arthritis?
output: Flare-ups, times when it gets worse, can last for several weeks. Later on, symptoms may lessen. They include: Fevers of 103 F or higher Pink rash that comes and goes Eye inflammation Joint pain or stiffness Limping Swelling in joints Being less active Trouble with movements of hands or fingers, affecting things like handwriting or coloring Problems with bone development and growth There are three kinds.
system: What is systemic juvenile rheumatoid arthritis?
output: It affects much of the body. Doctors may call this form âsystemic.â Signs of this include joint swelling, fever, and a light pink rash. It may involve the heart, liver, spleen, and lymph nodes. A small percentage of children who have it develop arthritis in their joints. They may have severe arthritis that lasts into adulthood.
system: What medications are used for juvenile rheumatoid arthritis?
output: The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation. They come as a liquid or a pill. People usually take them from one to 4 times a day. Some common NSAIDs are aspirin, ibuprofen, naproxen, and tolmetin.
system: How is juvenile rheumatoid arthritis different from adult rheumatoid arthritis?
output: Adults who have it usually have symptoms all their lives. But studies show that by adulthood, children with juvenile rheumatoid arthritis don't have symptoms anymore. They simply outgrow it.
system: Should children with juvenile arthritis be active?
output: If your child has juvenile rheumatoid arthritis, encourage her to get out there and be active. Avoid contact sports and instead go for things that are not stressful on the joints, like swimming.
system: What are the treatment goals of juvenile rheumatoid arthritis?
output: Treatment usually includes medications along with exercise. The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation.
system: What are the side effects of disease-modifying antirheumatic drugs used to treat juvenile arthritis?
output: Because these are strong drugs, your child will need frequent tests to check for side effects. They can include anemia, low blood count, and kidney and liver problems. Other possible problems could be stomach aches, diarrhea, vomiting, nausea, headaches, rashes, loss of appetite, and weakness.
system: What are the side effects of nonsteroidal anti-inflammatory drugs for juvenile rheumatoid arthritis?
output: While NSAIDs ease pain and inflammation, they also have side effects. These include stomach pain, nausea, vomiting, headache, and anemia. Sometimes your doctor will give you another stomach-protecting medication to take with the NSAIDs. This will make stomach bleeding less likely.
system: What other drugs can be used for juvenile rheumatoid arthritis?
output: If you child does not respond well to NSAIDS, the doctor may prescribe a new drug called Xatmep. Xatmep is the first ready-to-use oral solution formulation of methotrexate to be approved for use in children with polyarticular juvenile idiopathic arthritis. An aggressive therapy, this medicine helps reduce further joint damage and helps preserve joint function. Side effects can include dizziness, fatigue, chills and fever.
system: How will a doctor diagnose symptoms of juvenile rheumatoid arthritis?
output: If a doctor thinks a child may have juvenile rheumatoid arthritis, she will ask about symptoms and the family's medical history. She will give the child a physical exam to look for joint swelling, rashes, signs of internal organ inflammation, and eye problems. She may also take samples of the child's blood and joint fluid, and use X-rays or other tests.
system: What are the signs of systemic juvenile arthritis?
output: Doctors may call this form âsystemic.â Signs of this include joint swelling, fever, and a light pink rash. It may involve the heart, liver, spleen, and lymph nodes. A small percentage of children who have it develop arthritis in their joints. They may have severe arthritis that lasts into adulthood.
system: Are biologic drugs used to treat juvenile arthritis?
output: â Biologicâ Drugs for Your Immune System These drugs are genetically engineered to work on the immune system. They include adalimumab ( Humira), adalimumab-atto ( Amjevita), a biosimilar to Humira, anakinra ( Kineret), etanercept ( Enbrel), etanercept-szzs ( Ereizi), a biosimilar to Enbrel, infliximab ( Remicade), and infliximab-dyyb ( Inflectra), a biosimilar to Remicade.
system: How is juvenile rheumatoid arthritis diagnosed?
output: Juvenile rheumatoid arthritis is often hard to diagnose. Sometimes children who have it do not complain of pain. In fact, parents may not be aware of symptoms.
system: Is polyarticular juvenile rheumatoid arthritis symmetrical?
output: This type of juvenile rheumatoid arthritis is usually symmetrical. That means it affects the same joints on both sides of the body.
system: Are there various medications for juvenile rheumatoid arthritis?
output: If You Need Corticosteroids These are strong, anti-inflammatory drugs.
system: What is the treatment for juvenile arthritis if my child doesn't respond to nonsteroidal anti-inflammatory drugs?
output: If you child does not respond well to NSAIDS, the doctor may prescribe a new drug called Xatmep. Xatmep is the first ready-to-use oral solution formulation of methotrexate to be approved for use in children with polyarticular juvenile idiopathic arthritis. An aggressive therapy, this medicine helps reduce further joint damage and helps preserve joint function. Side effects can include dizziness, fatigue, chills and fever.
system: How is juvenile rheumatoid arthritis different than adult rheumatoid arthritis?
output: Adults who have it usually have symptoms all their lives. But studies show that by adulthood, children with juvenile rheumatoid arthritis don't have symptoms anymore. They simply outgrow it.
system: Are there side effects of nonsteroidal anti-inflammatory drugs used to treat juvenile rheumatoid arthritis?
output: While NSAIDs ease pain and inflammation, they also have side effects. These include stomach pain, nausea, vomiting, headache, and anemia. Sometimes your doctor will give you another stomach-protecting medication to take with the NSAIDs. This will make stomach bleeding less likely.
system: What percentage of children with juvenile rheumatoid arthritis have polyarticular JRA?
output: About 30% of all children with juvenile rheumatoid arthritis have this type. It usually affects the small joints, like those in the hands and feet, but it can sometimes involve the large joints.
system: How are corticosteroids used to treat juvenile rheumatoid arthritis?
output: They include: Fevers of 103 F or higher Pink rash that comes and goes Eye inflammation Joint pain or stiffness Limping Swelling in joints Being less active Trouble with movements of hands or fingers, affecting things like handwriting or coloring Problems with bone development and growth There are three kinds. Side effects can include dizziness, fatigue, chills and fever. If You Need Corticosteroids These are strong, anti-inflammatory drugs. Doctors usually prescribe them only if other treatments don't work, or if the condition is severe. Examples of steroids include dexamethasone, hydrocortisone, methylprednisolone, prednisolone, and prednisone.
system: Do children with rheumatoid arthritis fully recover?
output: About 30% of all children with juvenile rheumatoid arthritis have this type. Treatment usually includes medications along with exercise.
system: What is pauciarticular juvenile rheumatoid arthritis?
output: Four or fewer joints are involved. About half of all children with juvenile rheumatoid arthritis have this type. It usually affects large joints like the knees. Girls under age 8 are most likely to get it. Lots of children with this condition will outgrow it by adulthood.
system: What is the cause of juvenile rheumatoid arthritis?
output: The inflammation can cause redness, swelling, warmth, and soreness in the joints. Researchers don't know exactly why it happens. But they think it's a two-step process. First, something in a child's genes makes them more likely to get it. Then something else, like a virus, triggers the arthritis itself. This type of juvenile rheumatoid arthritis is usually symmetrical. â Biologicâ Drugs for Your Immune System These drugs are genetically engineered to work on the immune system.