laomobai/llama3-1 huggingface dataset:
system: What does therapy and other behavioral treatments for adult attention deficit hyperactivity disorder involve?
output: They are: Atomoxetine ( Strattera) Guanfacine ( Intuniv) Clonidine ( Kapvay) You may want to ask about making these part of your treatment plan, too: Cognitive and behavioral therapy. It can help with self-esteem. Relaxation training and stress management. These can lower anxiety and stress. Life coaching. It may help you set goals. Plus, it can help you learn new ways to stay organized at home and work. Job coaching or mentoring. This can help support you at work. It can help you have better working relationships and improve on-the-job performance. Family education and therapy. This can help you and loved ones understand ADHD better. It can also help you all find ways to lessen how much it affects everyone's life.
system: How can adults with ADHD manage continuous disruptive thoughts or behaviors?
output: Ask for help. We all need help from time to time, and it's important to not be afraid to ask for it. If you have disruptive thoughts or behaviors, ask a counselor if they have any ideas you can try that could help you control them.
system: What problems at work do adults with attention deficit hyperactivity disorder have?
output: Adults With ADHD may have: A history of not doing well in school and underachieving Gotten in a lot of trouble Had to repeat a grade Dropped out of school Adults With ADHD are more likely to: Change jobs a lot and perform poorly Be less happy with their jobs and have fewer successes at work Adults with ADHD are more likely to: Get more speeding tickets, have their license suspended, or be involved in more crashes Smoke cigarettes Use alcohol or drugs more often Have less money Say they have psychological trouble like being depressed or have anxiety Adults with ADHD are more likely to: Have more marital problems Get separated and divorced more often Have multiple marriages Look for a psychiatrist who has experience with diagnosing and treating people with ADHD.
system: Are stimulant medications addictive for adults with ADHD?
output: People who have ADHD may have had trouble getting along with others when they were kids or had a hard time in school. Stimulants are controlled substances.
system: How can adults with ADHD manage anger?
output: But if they do take them later in the day, they may be tempted to use alcohol or other things "to relax." Breathe slowly. Count to 10 while you breathe slowly instead of acting out. Usually the impulse will pass as quickly as it appeared.
system: How is low back strain diagnosed?
output: To diagnose low back strain, your doctor will give you a thorough exam. You may also need X-rays, MRIs ( Magnetic Resonance Imaging), and CT scans. These extra tests may only be needed if your pain doesn't go away on its own or with conservative treatment.
system: What does low back strain feel like?
output: Pain in the buttocks and the legs, often in the back of the thigh.
system: Does bed rest help with low back strain?
output: So what is low back strain? To diagnose low back strain, your doctor will give you a thorough exam. But studies show it doesn't help. In fact, after taking it easy for a day or two, you should usually start light physical activity.
system: How might treating constipation help men with urinary incontinence?
output: There's some evidence that constipation -- and the straining that goes along with it -- can have a negative effect on the nerves that you use to pee. By treating your constipation -- with a high-fiber diet, for instance -- you may also help your incontinence.
system: Should men with urinary incontinence avoid certain foods?
output: Some men find that certain foods trigger problems. Spicy and acidic foods -- like citrus fruits and tomatoes -- are common culprits. Others include chocolate and artificial sweeteners. But everyone's different. You may find food has no effect for you.
system: How can doctors help men with urinary incontinence?
output: If your symptoms are affecting your life and the techniques above don't seem to help, talk to your doctor. With the right treatment, you can end your problems with incontinence.
system: How should men with urinary incontinence plan ahead for travel?
output: A lot of guys with male incontinence get stressed out when they have to travel. Ease your anxiety by being prepared. If you're going on a road trip, map out the route and find places you can stop at regular intervals to use the bathroom. Knowing you have a plan will make you feel more confident.
system: How might losing extra weight help in treating urinary incontinence in men?
output: Some experts think that extra weight may increase pressure in the abdomen and worsen urinary incontinence. If you're overweight, try to shed a few pounds.
system: How can keeping a journal help men with urinary incontinence in men?
output: For a few days at least, keep track of how much you drink, how often you have to use the bathroom, and when you leak. Note anything in particular that might have triggered your symptoms, such as bending over in a certain way or drinking too much coffee. Your diary will give your doctor a good sense of your symptoms and how they're affecting your life. It can help find out which tests are needed to make the right diagnosis.
system: Should men with urinary incontinence cut down on alcohol and caffeine?
output: Cut down on alcohol and caffeine. Some experts think that extra weight may increase pressure in the abdomen and worsen urinary incontinence.
system: How should men with urinary incontinence get support?
output: Knowing you have a plan will make you feel more confident. Make an effort to stay connected with your friends and family. You might also benefit from a support group. Ask your doctor if there are any in your area.
system: Why do men with urinary incontinence need to watch out for medication side effects?
output: Some men can train themselves to control their urinary incontinence. You'll have to make sure you're flexing the right muscle. Some men find that certain foods trigger problems.
system: How can kegels help men with urinary incontinence?
output: But they can also help men strengthen the muscles around the bladder. The muscles you would use to stop yourself from passing gas are the ones to focus on. Here's how you do it: Tense the muscles for 3 seconds and relax them for 3 seconds. Build up slowly until you're doing three sets of 10 repetitions. Altogether, it should take about 15 minutes a day.
system: How does bladder training help men with urinary incontinence?
output: Here's one approach: Start taking scheduled bathroom breaks whether you have to go or not. Over time, you can extend the times between trips to the bathroom. With some conscious effort, you may be able to tame your symptoms and only have to urinate every 3 or 4 hours. Keep in mind you may not see immediate results from bladder training. But if you stay with it, you should benefit within a few months. Some can cause or worsen urinary incontinence.
system: Why is it important for men with urinary incontinence to stay hydrated?
output: Cut down on alcohol and caffeine. Space apart your drinks. Some men say that staggering their fluid intake can ease symptoms. But it's a bad idea. If you drink less, your urine becomes more concentrated. The more concentrated the urine, the more irritating to the bladder -- which can lead to more urinary incontinence. So if you're thirsty, have some water.
system: What was the rheumatoid arthritis treatment 20 years ago?
output: Then: Twenty years ago, your doctor told you to take over-the-counter or prescription drugs to relieve pain and reduce inflammation. You got a corticosteroid shot. The doctor waited to prescribe stronger medicines -- and choices were limited back then -- until your RA got worse. The approach was to treat flares, not the disease itself.
system: When were new kinds of disease-modifying antirheumatic drugs approved for treating rheumatoid arthritis?
output: The first of a new kind of DMARD, Jakinibs or JAK inhibitors, was approved in 2012. Sometimes called an âoral biologic,â this medicine is available as a pill rather than as a shot or an infusion, as with the other biologics. Jakinibs work from inside the cells to block the enzymes that alert the immune system to an invader.
system: How are biologics used to treat rheumatoid arthritis?
output: Most of the newest drugs are biologics, meaning they're made from human genes. These potent copycats may stop an overactive immune system. Because these drugs target specific steps in the inflammation process, they don't wipe out your entire immune system, as some other RA treatments do. For many people, a biologic drug can slow, modify, or stop the disease -- even when other treatments haven't helped much.
system: How has the treatments for rheumatoid arthritis (RA) changed?
output: The past 20 years have brought many new ways to treat RA, and there are more around the corner. Here's how the face of treatment has changed. Then: Twenty years ago, your doctor told you to take over-the-counter or prescription drugs to relieve pain and reduce inflammation. You got a corticosteroid shot. The doctor waited to prescribe stronger medicines -- and choices were limited back then -- until your RA got worse. The approach was to treat flares, not the disease itself. Now: You and your rheumatologist tackle RA head-on -- and early. You'll take powerful medicine from the start -- prescription drugs that work to stop the disease before it causes major damage. There are several to choose from or combine if the first ones don't work.
system: Are older disease-modifying antirheumatic drugs used to treat rheumatoid arthritis?
output: While there are more choices than ever to treat RA, researchers also have found new promise in some old treatments. Recent studies show that some of the first DMARDs -- hydroxychloroquine ( Plaquenil), methotrexate ( Otrexup, Rheumatrex, Trexall), and sulfasalazine ( Azulfidine, Azulfidine EN-tabs) -- when combined, may work as well as methotrexate plus a biologic. This âtriple therapy,â as it's called, gives you and your doctor another approach if methotrexate alone is not working. It's also an option if you're wary of biologics because of their side effects or high cost.
system: Are corticosteroids used to treat rheumatoid arthritis?
output: Corticosteroids, including prednisone, act quickly to control inflammation. These strong drugs have strong side effects, so doctors limit the dose and how long you take them.
system: Are there different categories of drugs used to treat rheumatoid arthritis?
output: Doctors draw from three main groups of FDA-approved medicines: 1.
system: What drugs are used to treat rheumatoid arthritis (RA)?
output: The formula for treating RA often is a mix. Doctors draw from three main groups of FDA-approved medicines: 1. Nonsteroidal anti-inflammatory drugs ( NSAIDs) ease pain and inflammation. Some, like ibuprofen and naproxen sodium, are over-the-counter drugs. You need a prescription for others, including a kind called COX-2 inhibitors, which can be easier on your stomach. Corticosteroids, including prednisone, act quickly to control inflammation. These strong drugs have strong side effects, so doctors limit the dose and how long you take them. They block the effects of chemicals released when your immune system mistakenly attacks your joints. Methotrexate is usually the first DMARD prescribed, often as soon as someone is diagnosed. Doctors now know that a delay might make your RA worse. Medical and dental researchers are revisiting the link between joint disease and gum disease.
system: What new kinds of biologics are used to treat rheumatoid arthritis (RA)?
output: Thanks to genetics research, many new drugs to treat RA have come online in the past 15 years. Before then, DMARDs were man-made. Most of the newest drugs are biologics, meaning they're made from human genes. These potent copycats may stop an overactive immune system. Because these drugs target specific steps in the inflammation process, they don't wipe out your entire immune system, as some other RA treatments do. For many people, a biologic drug can slow, modify, or stop the disease -- even when other treatments haven't helped much. The first of a new kind of DMARD, Jakinibs or JAK inhibitors, was approved in 2012. Sometimes called an âoral biologic,â this medicine is available as a pill rather than as a shot or an infusion, as with the other biologics. Jakinibs work from inside the cells to block the enzymes that alert the immune system to an invader. Several such drugs are in the works.
system: What are current areas of study for rheumatoid arthritis?
output: There's still much to learn about why and how RA happens. Building on recent discoveries, areas under study include: Researchers are looking at genes to see why some people get RA and some don't, and why some cases are worse than others. This data can lead to biologics -- like JAK inhibitors -- that fight the causes of RA at a cellular level. Another area of RA research focuses on proteins made to target molecules that affect your immune system. They're called monoclonal antibodies, and several are approved by the FDA for use in RA. Statins, commonly used to lower cholesterol and prevent heart disease, are being studied to see if they can lessen the symptoms of rheumatoid arthritis. Medical and dental researchers are revisiting the link between joint disease and gum disease.
system: Why do teens misbehave?
output: Sulking, arguing, lying, and rebelling are just a few of the ways teens misbehave. There's a good explanation for these bad behaviors. As teens become more independent, they still lack the emotional maturity they need to make informed, thoughtful decisions. The parts of the brain that control decision making and impulse control haven't fully developed. The combination of autonomy and immaturity can lead to risky teen behaviors, like drinking, smoking, and having unprotected sex.
system: What is the goal of disciplining your children?
output: You want your children to do the right things, but disciplining teens isn't easy. When they talk back, you can't just put them in a time-out like you did when they were toddlers. Effective parenting of teens requires smarter, stronger discipline strategies. The goal of discipline is to gain more control over your kids -- without being too controlling.
system: How do you put things in writing to help discipline children?
output: So that there can be no misunderstandings, create a formal list of house rules, or type up a behavior contract that you and your teen sign. Post the list or contract on the fridge or in another central location where your kids won't be able to miss it. Examples of clear rules include: " Curfew is 8 p.m. on weekdays, 10 p.m. on weekends, and no going out until homework is finished." Spell out the consequences, too: " Anyone who breaks one of these rules loses television for a day." If your kids do fall out of line, all you have to do is point to the list.
system: How do you be firm and consistent when disciplining children?
output: Teens are master negotiators and manipulators. They're adept at spotting any sign of parental weakness. When you waffle and give in to their pleas for leniency, they are going to expect the same response every time they misbehave or break a rule. Being consistent about teen discipline also means that both parents need to be on the same page. If one parent always says "yes" and the other always says "no," your teen is going to know exactly which parent to ask. While you're being firm, don't forget to also be fair and understanding. A little empathy goes a long way when disciplining teens.
system: Why is teaching responsibility an important part of parenting and curbing teen's bad behavior?
output: There's a good explanation for these bad behaviors. The combination of autonomy and immaturity can lead to risky teen behaviors, like drinking, smoking, and having unprotected sex. Know that no matter how well you prepare your kids, they're going to make some mistakes. The important thing is to show them how to learn from those mistakes.
system: Why is staying involved as a parent important for preventing bad behavior?
output: Being consistent about teen discipline also means that both parents need to be on the same page. The best way to encourage positive teen behaviors is to walk the talk yourself. Ask what your kids are doing when they go out with friends. Know who they hang out with and where they go. Being an involved parent also means watching for any warning signs that your teen is in trouble. These signs include: skipping school, losing or gaining a lot of weight quickly, having trouble sleeping, spending more time alone, getting into trouble with the law, or talking about committing suicide.
system: Why is being a good role model important to curb teen's bad behavior?
output: If your kids do fall out of line, all you have to do is point to the list. The best way to encourage positive teen behaviors is to walk the talk yourself.
system: Why is understanding teens an important part of curbing teen's bad behavior?
output: Just don't forget that you still have the final say. Teens are under an enormous amount of pressure to do well in school, excel at a lot of different activities, follow all the current fads, and fit in with their friends. Before you come down hard on your teen for bad behavior, try to understand what's driving it. Could there be trouble in school? Boyfriend or girlfriend problems? Bullying? Get your kids to open up to you about their problems by creating an environment of honesty and respect. Let them know that they can talk to you about anything. Even sensitive subjects like sex and drug use should not be off-limits. Let your teens know that you will always love and support them, no matter what they do.
system: How do you set clear rules to discipline children?
output: It's important to establish clear rules, and to have consequences for breaking those rules. For example, the punishment for breaking curfew might be that your teen has to stay home the next weekend. You'll get less resistance if you involve your kids in designing their own consequences. Just don't forget that you still have the final say. Let your teens know that you will always love and support them, no matter what they do.
system: What are the physical reasons for erectile dysfunction (ED)?
output: Physical reasons for ED range from heart disease and diabetes to high blood pressure and obesity. Damage to your nerves or arteries can cause problems with erections, too. Lack of exercise, drinking, and smoking can lead to problems.
system: Do you need a thyroid test if you have erectile dysfunction (ED)?
output: A butterfly-shaped gland in your neck, it has a lot of jobs to do. One of them is to help with the flow of sex hormones. This test can check whether it's working right.
system: How does talking to your doctor about your sexual history help in diagnosing erectile dysfunction (ED)?
output: By asking about your sexual history -- your relationships, sex drive, if you ever get erections -- he can begin to figure out whether the problem is more likely to be physical or mental. Be honest with your doctor; he can't help you if you withhold information.
system: Does stress cause erectile dysfunction (ED)?
output: On the mental and emotional side of things, anxiety, depression, and stress all play a role. Relationship issues can also be a factor.
system: How often do you have an erection during the night as you sleep?
output: Usually, men have 3 to 5 erections during the night as they sleep. Your doctor may use an overnight erection test to see whether you're able to get an erection.
system: How does ultrasound help in diagnosing erectile dysfunction (ED)?
output: Men need a lot of different body parts working the right way -- from the brain and glands that control hormones to blood vessels and the penis -- to get and keep an erection. It may be used along with the injection test. Your doctor takes a device that looks like a wand and holds it over your penis. It uses sound waves to create a video of your blood vessels so your doctor can look at blood flow.
system: What is an  intracavernosal test to help with ED diagnosis?
output: Your doctor may use an overnight erection test to see whether you're able to get an erection. Your doctor injects a medicine into the base of your penis that should give you an erection. If you don't get one, you may have a problem with blood flow to your penis.
system: What is the theory behind acupressure?
output: Acupressure is just one of a number of Asian bodywork therapies ( ABT) with roots in traditional Chinese medicine ( TCM). Examples of other Asian bodywork therapies are medical qigong and Tuina. Shiatsu is a Japanese form of acupressure. Traditional Chinese medical theory describes special acupoints, or acupressure points, that lie along meridians, or channels, in your body. These are the same energy meridians and acupoints as those targeted with acupuncture. It is believed that through these invisible channels flows vital energy -- or a life force called qi (ch'i). It is also believed that these 12 major meridians connect specific organs or networks of organs, organizing a system of communication throughout your body. The meridians begin at your fingertips, connect to your brain, and then connect to an organ associated with a certain meridian. According to this theory, when one of these meridians is blocked or out of balance, illness can occur. Acupressure and acupuncture are among the types of TCM that are thought to help restore balance.
system: Are there any precautions with acupressure?
output: In general, acupressure is very safe. If you have cancer, arthritis, heart disease, or a chronic condition, be sure to have a discussion with your doctor before trying any therapy that involves moving joints and muscles, such as acupressure. And, make sure your acupressure practitioner is licensed and certified. Deep tissue work such as acupressure may need to be avoided if any of the following conditions apply: The treatment is in the area of a cancerous tumor or if the cancer has spread to bones You have rheumatoid arthritis, a spinal injury, or a bone disease that could be made worse by physical manipulation You have varicose veins You are pregnant (because certain points may induce contractions)
system: How can acupressure help with pain?
output: Some preliminary evidence suggests that acupressure may help with low back pain, postoperative pain, or headache. Pain from other conditions may benefit, as well. To relieve headache, the LI 4 pressure point is sometimes tried. Arthritis .
system: How can acupressure help with depression and anxiety?
output: More than one study suggests that fatigue and mood may improve from the use of acupressure. Better designed trials are needed to be sure.
system: What is acupressure?
output: These are the same energy meridians and acupoints as those targeted with acupuncture. Acupressure and acupuncture are among the types of TCM that are thought to help restore balance.
system: How do I treat early-onset Alzheimer's disease?
output: An important part of managing your condition is to stay as positive as you can. Keep up with the activities you still enjoy. Try different ways to relax, like yoga or deep-breathing. Keep your body in good shape, too. Make sure you eat healthy food and get regular exercise.