laomobai/llama3-1 huggingface dataset:
system: I'm pregnant. When should I get medical attention about my asthma symptoms?
output: Symptoms of an acute asthma attack in pregnancy include: Shortnes of breath Wheezing with fluids or mucus. Difficulty talking, walking, or thinking because of shortness of breath Neck and ribs moving in during breathing Blue- or gray-looking skin Peak flow reading below 60% of personal best Decrease in fetal kick count if the baby is in distress 2.
system: What are the first drugs commonly used to treat children with ADHD and how do they work?
output: The first drugs doctors commonly used to treat children with ADHD are stimulant medicines such as: Dexmethylphenidate ( Focalin) Dextroamphetamine ( Adderall) Lisdexamfetamine ( Vyvanse) Methylphenidate ( Concerta, Quillivant, Ritalin) It is thought that these medicines improve ADHD symptoms by making more of the chemical dopamine available to the brain. Dopamine is found in areas of the brain that control mood and attention.
system: Which nonstimulants are used to treat attention deficit hyperactivity disorder in children?
output: Doctors may also consider prescribing a nonstimulant drug such as atomoxetine ( Strattera), clonidine ( Kapvay), or guanfacine ( Intuniv). They mainly affect a different chemical, norepinephrine, which is also involved in attention, mood, and impulse control. Other ADHD drugs include: Armodafinil ( Nuvigil). A drug that promotes wakefulness and can improve attention, but carries a potential risk for serious skin rashes in children. Bupropion ( Wellbutrin). An antidepressant that may help attention. Clonidine ( Kapvay). A high blood pressure medicine that can improve attention. Guanfacine ( Intuniv). A high blood pressure medicine that can improve attention. Venlafaxine ( Effexor). An antidepressant that has been shown to improve attention in small studies.
system: What are the side effects of titration for attention deficit hyperactivity disorder?
output: They can depend on the medication your child is prescribed. Stimulant medications are the ones most often prescribed. Common side effects of these can include: Less appetite Weight loss Trouble sleeping Stomachache Headache Dizziness Personality changes (seems sad, too quiet, or zombie-like or irritable) Always call your child's doctor right away if you're concerned or worried about side effects.
system: What are other attention deficit hyperactivity disorder drugs are used for treatment?
output: Other ADHD drugs include: Armodafinil ( Nuvigil). A drug that promotes wakefulness and can improve attention, but carries a potential risk for serious skin rashes in children. Bupropion ( Wellbutrin). An antidepressant that may help attention. Clonidine ( Kapvay). A high blood pressure medicine that can improve attention. Guanfacine ( Intuniv). A high blood pressure medicine that can improve attention. Venlafaxine ( Effexor). An antidepressant that has been shown to improve attention in small studies. Each of these drugs can have side effects. Some of these can take up to 6 weeks to start working.
system: How can monitoring your child help with titration for attention deficit hyperactivity disorder?
output: ADHD medications affect every child differently. That's why it's important to watch your child for improvements and side effects during titration.
system: What are the rare side effects of titration for attention deficit hyperactivity disorder?
output: Heart problems, liver problems, hallucinations (like seeing small bugs, hearing things, becoming suspicious, or having strange feelings on their skin), agitation, and suicidal thoughts can happen, rarely, with some ADHD medications.
system: When should you call your doctor about the side effects of titration for attention deficit hyperactivity disorder?
output: Common side effects of these can include: Less appetite Weight loss Trouble sleeping Stomachache Headache Dizziness Personality changes (seems sad, too quiet, or zombie-like or irritable) Always call your child's doctor right away if you're concerned or worried about side effects. One example could be that your child develops tics. These can be small repetitive body motions like blinking or grimacing. Call especially if a side effect is getting worse. Do this instead of trying to take them off a medication yourself. If you stop medications suddenly, it can have dangerous side effects. Your child's doctor can usually fix side effects. She can lower the dose, change the times they are taken, or even switch medicines.
system: How can taking notes help with titration for attention deficit hyperactivity disorder?
output: After your child has been taking the ADHD medicine for at least 1 week, you and your child's teachers should track ADHD symptoms. Your doctor may even give you special forms, called rating scales, to help with this. You and the teachers should be alert for and report any side effects that happen during treatment.
system: How long does it take to find the right dosage balance for ADHD medication?
output: It can take time to find the right balance -- sometimes many weeks. But it is worth it. The doctor will usually tell you to give your child slightly more medicine every 1 to 3 weeks. They will continue this until your child's ADHD symptoms are controlled or they get side effects. ADHD medication dosages should always be planned just for the needs of your child. There's no blanket treatment plan that works for everyone with ADHD.
system: How does medication titration for ADHD work?
output: The doctor will start your child on a low dose of medicine. He will need to be on each medication dose for about a week. That will give you and your doctor a good idea of whether it's working. If your child starts feeling side effects, it can help you figure out how bad they might be. Some side effects slowly get better over time.
system: How often should I visit my doctor if an ADHD medication titration is going well?
output: If there aren't any problems after a month of treatment, see your child's doctor again. At that time, the doctor can make sure that: The medicine is working. The dosage is correct. The side effects are acceptable to you and your child. Once the proper dosage is found, experts recommend visiting the doctor regularly -- about every three months. The doctor will check whether your child's medication plan is still right and works.
system: Does ADHD medication work?
output: Medication is an important part of the overall treatment plan for children with ADHD. Doctors often prescribe stimulant medications or other drugs to control ADHD symptoms like: Hyperactivity Impulsivity Inattention When on a proper dose, you may begin to see some of these get better.
system: How can your doctor help with titration for attention deficit hyperactivity disorder?
output: That will give you and your doctor a good idea of whether it's working. If there aren't any problems after a month of treatment, see your child's doctor again. At that time, the doctor can make sure that: The medicine is working. The dosage is correct. The side effects are acceptable to you and your child.
system: What should you expect in an attention deficit hyperactivity disorder medication titration process?
output: Like any medicine, ADHD drugs can have side effects. And they don't work in exactly the same way for every child. It can take time to find the right balance -- sometimes many weeks. But it is worth it. The doctor will usually tell you to give your child slightly more medicine every 1 to 3 weeks. They will continue this until your child's ADHD symptoms are controlled or they get side effects. The doctor will start your child on a low dose of medicine. The doctor will check whether your child's medication plan is still right and works.
system: Can ADHD prescription dosages vary?
output: Medication is an important part of the overall treatment plan for children with ADHD. It can sometimes take weeks or months to arrive at the right dose for your child.
system: How can you get better sleep?
output: Follow these tips to get better sleep: Go to bed and wake up at the same time every day. Create a relaxing bedtime routine. Make your bedroom cool, dark, and comfortable. Avoid caffeine in the evenings. Use your bed only for sleep and sex.
system: Why is it important to see your doctor regularly if you have chronic obstructive pulmonary disease (COPD)?
output: It's important for your doctor to see how well your lungs are working. Bring a list of all your medicines to each visit. Make a note of any changes, and call if your symptoms get worse or if you have any new ones.
system: How can exercise help with chronic obstructive pulmonary disease (COPD)?
output: But regular exercise can improve your endurance and strengthen the muscles that help you breathe. Ask your doctor which exercises are right for you.
system: How can stopping smoking help with chronic obstructive pulmonary disease (COPD)?
output: It's also key to avoid secondhand smoke. Ask your doctor which exercises are right for you. That makes it harder for your body and your organs to do their jobs. When you use extra oxygen, breathing is easier and you're able to do more every day.
system: How can getting good sleep help with chronic obstructive pulmonary disease (COPD)?
output: It's also key to avoid secondhand smoke. Your doctor can suggest supplements if a healthy diet doesn't help you get to a good weight. Talk to your doctor about treatments you can get. Some drugs that can help you sleep might make your breathing worse. The flu and other respiratory infections can cause serious problems for people with COPD.
system: How can oxygen therapy help with chronic obstructive pulmonary disease (COPD)?
output: If you're overweight, losing extra pounds can make your breathing easier. They might not bother your breathing as much. That makes it harder for your body and your organs to do their jobs. When you use extra oxygen, breathing is easier and you're able to do more every day.
system: What topics might my dentist discuss with me during my child's first dental visit?
output: If indicated, the dentist or hygienist will clean any teeth and assess the need for fluoride. He or she will also educate parents about oral health care basics for children and discuss dental developmental issues and answer any questions. Topics your dentist may discuss with you might include: Good oral hygiene practices for your child's teeth and gums and cavity prevention Fluoride needs Oral habits (thumb sucking, tongue thrusting, lip sucking) Developmental milestones Teething Proper nutrition Schedule of dental checkups. Many dentists like to see children every 6 months to build up the child's comfort and confidence level in visiting the dentist, to monitor the development of the teeth, and promptly treat any developing problems.
system: What happens during a child's first visit to the dentist?
output: The first dental visit is usually short and involves very little treatment. This visit gives your child an opportunity to meet the dentist in a non-threatening and friendly way. Some dentists may ask the parent to sit in the dental chair and hold their child during the exam. The parent may also be asked to wait in the reception area during part of the visit so that a relationship can be built between your child and your dentist.
system: What is the difference between a pediatric dentist and a regular dentist?
output: A pediatric dentist has at least two additional years of training beyond dental school. The additional training focuses on management and treatment of a child's developing teeth, child behavior, physical growth and development, and the special needs of children's dentistry. Although either type of dentist is capable of addressing your child's oral health care needs, a pediatric dentist, his or her staff, and even the office dÃ©cor are all geared to care for children and to put them at ease. If your child has special needs, care from a pediatric dentist should be considered. Ask your dentist or your child's doctor what he or she recommends for your child.
system: When should children visit the dentist?
output: It is generally recommended that a child be seen by a dentist by the age of 1 or within 6 months after his or her first tooth comes in.
system: What happens during gamete intrafallopian transfer (GIFT)?
output: The eggs and sperm are collected just as they would be in an IVF procedure, but after that, the two techniques differ. In IVF, the embryo is placed into the uterus at 3-5 days with a catheter inserted into the vagina in a quick and simple procedure. In GIFT, an incision has to be made in the abdomen and the eggs and sperm are immediately placed in the fallopian tubes using a laparoscope, a small telescope-like instrument. A laparoscopy requires general anesthesia, although it can still usually be performed as an outpatient procedure. If all goes well, once the eggs are in the fallopian tubes, at least one will become fertilized by the sperm and move on to the uterus, where it will mature.
system: What types of infertility can gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT) treat?
output: GIFT and ZIFT can be used to treat many types of infertility, except in cases where there is damage to or abnormalities of the fallopian tubes. These techniques can also be used in cases of mild male infertility, as long as the sperm is capable of fertilizing an egg.
system: What is involved in gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT)?
output: While in traditional IVF the embryos are observed and raised in a laboratory for 3 to 5 days, in ZIFT, the fertilized eggs -- at this stage called zygotes -- are placed in the fallopian tubes within 24 hours. In GIFT, the sperm and eggs are just mixed together before being inserted and, with luck, one of the eggs will become fertilized inside the fallopian tubes. In GIFT, an incision has to be made in the abdomen and the eggs and sperm are immediately placed in the fallopian tubes using a laparoscope, a small telescope-like instrument.
system: What are the advantages of gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT)?
output: For some women who haven't been able to get pregnant with normal in vitro fertilization, GIFT or ZIFT may be a good idea. The processes used in GIFT and ZIFT are closer to natural conception. However, in vitro fertilization techniques have become more refined. And since GIFT and ZIFT both require a surgical procedure that IVF does not, IVF is almost always the preferred choice in clinics.
system: What are the success rates of gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT)?
output: The Centers for Disease Control groups together all procedures that constitute assisted reproduction technology ( ART), including in vitro fertilization, GIFT, and ZIFT. So there's no way to know the success rates of each technique. Combined, however, the most recent report based on data from 2015 and published in 2017 found: 29.3% of all cycles that used the woman's own eggs or embryos led to successful pregnancies. Single-fetus pregnancy accounted for about 70% of the pregnancies. About 82% of pregnancies resulted in a live birth.
system: Do you need to call 911 if your heart skips a beat?
output: The answer is yes when you're also having shortness of breath, severe chest pain, heavy sweating, and dizziness, or you feel like you're going to pass out. You might be having a heart attack. Don't drive yourself to the hospital. Let an ambulance come to you. Paramedics can begin treatment as soon as they arrive. You'll get help sooner than if you go to the ER on your own.
system: What does it mean when my heart skips a beat?
output: Most of the time, there's no reason to worry. But sometimes palpitations can be signs of trouble. Many say a palpitation feels like a heaviness in the chest, head, or even the neck.
system: When is skipping a heart beat a warning sign of something serious?
output: It could be a warning sign of something serious. Call 911 if you also have: Shortness of breath Chest pain Extreme lightheadedness Caffeine: It's what doctors call a stimulant.
system: Do you need to see a doctor if your heart skips a beat?
output: Yes, if your pulse is more than 100 beats per minute and you've not been exercising and don't have a fever. Yes, too, if you have: Palpitations coming in groups of three or more, or if they keep happening High cholesterol, diabetes, or high blood pressure -- you're at risk for heart disease New or different palpitations Stress Exercise Caffeine Alcohol Hormones How does each of these contribute to heart palpitations?
system: How can you know what's causing your heart to skip a beat?
output: Bring the notes with you to your doctor's appointment. He may suggest you have an electrocardiogram (also called an EKG). This test shows the electric activity in your heart and its rhythm. This information can help your doctor understand what might be going on. Having extra, early beats usually isn't dangerous, but it can be frustrating. It affects some people's quality of life. But once you know what triggers it, you can take steps to treat it and feel better.
system: How does exercise cause your hear to skip a beat?
output: Exercise: Your heart rate rises when you work out hard. So you might feel palpitations before and after exercising, but not during -- that's because you won't notice the extra heartbeats when your heart rate is up. When you stop working out, your heart rate slows down again, but your adrenaline level stays high.
system: How do you know if you have premature ventricular contractions (PVCs) if your heart skips a beat?
output: Sometimes there's a flip-flopping in the chest or the throat, or the heart may stop or skip for a brief second. So you might feel palpitations before and after exercising, but not during -- that's because you won't notice the extra heartbeats when your heart rate is up. This information can help your doctor understand what might be going on. This will trigger an arrhythmia, and your doctor will identify the area and send energy to cause scars and stop the irregular beat. Caffeine, nicotine, certain cold medicines, and even energy drinks can cause an irregular heartbeat.
system: How does caffeine cause your heart to skip a beat?
output: Exercise: Your heart rate rises when you work out hard. You'll find caffeine not only in coffee and tea, but also in: Coffee drinks like lattes and cappuccinos Sodas (even some non-cola ones) Energy drinks Chocolate Some over-the-counter cold medications -- often the "non-drowsy" formulas Caffeine causes your brain to release adrenaline, and that speeds up your heart rate. Some people are more sensitive to it than others. But if you had a lot of caffeinated drinks in one day -- and you're also feeling tired and stressed out -- you could end up with heart palpitations and extra, early beats.
system: How do you know if you have atrial fibrillation (AFib) if your heart skips a beat?
output: The answer is yes when you're also having shortness of breath, severe chest pain, heavy sweating, and dizziness, or you feel like you're going to pass out. You might be having a heart attack. You'll get help sooner than if you go to the ER on your own. That's when you may feel your ticker beating extra-fast. You may have more of it in your system than you think. You'll find caffeine not only in coffee and tea, but also in: Coffee drinks like lattes and cappuccinos Sodas (even some non-cola ones) Energy drinks Chocolate Some over-the-counter cold medications -- often the "non-drowsy" formulas Caffeine causes your brain to release adrenaline, and that speeds up your heart rate. Alcohol: Drinking raises your odds of having an irregular heartbeat.
system: Can people recover from mental illness?
output: With early diagnosis and treatment, many people fully recover from their mental illness or can manage their symptoms. Although some people become disabled because of a chronic or severe mental illness, many others are able to live full and productive lives. The key is to get help as soon as the symptoms start and to keep up with treatment.
system: What is mental illness?
output: Many people have had one or know someone who has. Symptoms can range from mild to severe. They can also vary from person to person. In many cases, it makes daily life hard to handle. But when an expert diagnoses you and helps you get treatment, you can often get your life back on track. Some common symptoms include: Problems with thinking (like being confused, suspicious, or unusually angry or sad) Keeping to themselves Mood swings Relationship problems Hallucinations (seeing or hearing things that aren't there) Abusing alcohol or drugs Feeling low on hope and not enjoying things that they used to like Thoughts of suicide or harming themselves or others Sleep problems (too much or too little) If you've had symptoms like these, talk to your doctor or a counselor to find out what's going on and what would help you. It's more common than cancer, diabetes, or heart disease.
system: How common is mental illness?
output: They are very common. Some mental illnesses may be triggered or worsened by psychological trauma that happens when you're a child or teenager, such as: Severe emotional, physical, or sexual abuse A major loss, such as the death of a parent, early in life Neglect Major sources of stress, such as a death or divorce, problems in family relationships, job loss, school, and substance abuse, can trigger or aggravate some mental disorders in some people. In many cases, people get one or more of these treatments: Medication.
system: How do I use a peak flow meter?
output: Here's what you do: Stand up or sit up straight. Make sure the indicator is at the bottom of the meter (zero). Take a deep breath in, filling the lungs completely. Place the mouthpiece in your mouth; lightly bite with your teeth and close your lips on it. Be sure your tongue is away from the mouthpiece. Blast the air out as hard and as fast as possible in a single blow. Remove the meter from your mouth. Record the number that appears on the meter and then repeat steps one through seven two more times. Record the highest of the three readings in an asthma diary.
system: Why should I use a peak flow meter?
output: Readings from a peak flow meter can help you or your child recognize early changes that may be signs of worsening asthma. During an asthma attack, the smooth muscles that surround the airways tighten and cause the airways to narrow. The peak flow meter alerts you to the tightening of the airways often hours or even days before you have any asthma symptoms. By using your PEF with your asthma action plan, you will know when to take your rescue (quick acting) asthma inhaler or other asthma medicine.
system: How do you determine your personal best peak flow number?
output: To find your personal best peak flow number, take peak flow readings: Twice a day for two to three weeks when asthma is in good control At the same time in the morning and in the early evening As instructed by your doctor or asthma care provider You should always use the same meter.
system: Why should I use my peak flow meter every day?
output: Daily readings will help you: Recognize early drops in airflow Know when your child's personal best improves naturally as he or she grows If your PEF drops below 80% of your personal best, follow your asthma action plan and check PEF more frequently that day or as directed by your doctor.
system: Who should use a peak flow meter?
output: Peak flow meters are very helpful if you or your child have moderate to severe asthma and require daily asthma medications. Even most children ages 6 and up should be able to use a peak flow meter with good results. People with moderate-to-severe asthma should have a peak flow meter at home.
system: What should you do once you figure out your personal best peak expiratory flow (PEF)?
output: Once you have determined your or your child's personal best PEF, work with your asthma care provider to determine at what point you should start taking quick-relief drugs to relieve an asthma attack or seek emergency medical attention. These are called your asthma peak flow zones. All of this information should be recorded in your personal asthma action plan.