laomobai/llama3-1 huggingface dataset:
system: What are some misunderstandings about using electroconvulsive therapy (ECT) to treat depression?
output: Although ECT has been used since the 1940s and 1950s, it remains misunderstood by the general public. Many of the procedure's risks and side effects are related to the misuse of equipment, incorrect administration, or improperly trained staff. It is also a misconception that ECT is used as a "quick fix" in place of long-term therapy or hospitalization. Nor is it correct to believe that the patient is painfully "shocked" out of the depression. Unfavorable news reports and media coverage have contributed to the controversy surrounding this treatment.
system: How does vagus nerve stimulation (VNS) work to treat depression?
output: Vagus nerve stimulation ( VNS) is another treatment for depression that uses a surgically implanted pacemaker-like device that electrically stimulates a nerve that runs up the neck into the brain. The nerve is called the vagus nerve.
system: What alternative treatments are used to treat depression?
output: Alternative treatments can sometimes provide relief that traditional Western medicine cannot. While some alternative therapies have become accepted as part of modern health care practice, others still have not been proven safe or effective. Whether or not they are scientifically proven, alternative therapies, by providing forms of relaxation and relief from stress, may have a place in healing and general health and well-being. Examples of alternative therapies include acupuncture, guided imagery, chiropractic treatments, yoga, hypnosis, biofeedback, aromatherapy, relaxation, herbal remedies, and massage. In general, alternative therapies by themselves are reasonable to use for mild but not more severe forms of clinical depression.
system: What is vagus nerve stimulation (VNS)?
output: The nerve is called the vagus nerve. It's also very effective for patients who suffer from mania or a number of other mental illnesses. How VNS works: The small stimulator is implanted under the skin of the collarbone and runs under the skin to the vagus nerve in the neck. The device emits electrical pulses to stimulate the brain.
system: When should I get help for my oral (mouth) piercing?
output: You can expect short-term symptoms like pain, swelling, and extra saliva. Watch out for signs of infection such as: Redness Swelling Lots of Bleeding Discharge A Bad Smell Rash Fever If you have any of these, see a healthcare provider. Also, get help if you just feel that something isn't right.
system: Who shouldnât get an oral (mouth) piercing?
output: Make you drool Make it hard for your dentist to take an X-ray of your teeth Lead to serious health problems, like gum disease, uncontrolled bleeding, long-term infection, hepatitis B, and hepatitis C Lead to an allergic reaction to the metal in the jewelry Because of these risks, the American Dental Association warns against oral piercings. And you especially shouldn't get one if you have a job or do things that would make it more likely to cause you trouble. People with certain conditions that might make it hard for the piercing to heal are particularly at risk for health problems. Those include heart disease, diabetes, hemophilia, and autoimmune diseases.
system: How should I handle my mouth jewelry after my tongue piercing has healed?
output: After your tongue has healed, take the jewelry out every night and brush it like you brush your teeth. You might want to take it out before you go to sleep or do anything active.
system: What should I do with the jewelry in my mouth while my oral piercing heals?
output: Not kiss anyone while you heal (avoid contact with someone else's saliva) Not share cups, plates, forks, knives, or spoons Eat small bites of healthy food Not eat spicy, salty, or acidic foods and drinks Not have hot drinks, like coffee, tea, or hot chocolate While it heals, you should be able to remove the jewelry for short periods of time without the hole closing. If you get a tongue piercing, the piercer will start with a larger "barbell" to give your tongue room to heal as it swells. After the swelling goes down, dentists recommend you replace the large barbell with a smaller one that's less likely to bother your teeth.
system: Whatâs an oral (mouth) piercing?
output: The shop doesn't use a piercing gun The needle is new and has never been used The needle is placed in a sealed container after it's used Jewelry is made of surgical steel, solid gold, or platinum Once you leave the shop, you'll need to make sure your piercing heals and doesn't get infected.
system: How do I take care of my oral (mouth) piercing?
output: Healing usually takes 3 to 4 weeks. During that time, you should: Rinse your tongue or lip piercing after every meal or snack and before bed. Use warm salt water or an antibacterial, alcohol-free mouthwash. Not kiss anyone while you heal (avoid contact with someone else's saliva) Not share cups, plates, forks, knives, or spoons Eat small bites of healthy food Not eat spicy, salty, or acidic foods and drinks Not have hot drinks, like coffee, tea, or hot chocolate While it heals, you should be able to remove the jewelry for short periods of time without the hole closing.
system: What things can go wrong with an oral (mouth) piercing?
output: An oral (mouth) piercing is a small hole in your tongue, lip, cheek, or uvula (the tiny tissue at the back of your throat) so you can wear jewelry. Mouth piercings also may: Make it hard to speak, chew, or swallow Damage your tongue, gums, or fillings. Make you drool Make it hard for your dentist to take an X-ray of your teeth Lead to serious health problems, like gum disease, uncontrolled bleeding, long-term infection, hepatitis B, and hepatitis C Lead to an allergic reaction to the metal in the jewelry Because of these risks, the American Dental Association warns against oral piercings.
system: How can I make sure that I get a safe oral (mouth) piecing?
output: If you've decided to get an oral piercing, make sure you're up to date on vaccines for hepatitis B and tetanus. You'll want to make sure that: The piercer is happy to answer your questions The people who work in the shop have been vaccinated against Hepatitis B ( It's fine to ask.) The shop doesn't use a piercing gun The needle is new and has never been used The needle is placed in a sealed container after it's used Jewelry is made of surgical steel, solid gold, or platinum Once you leave the shop, you'll need to make sure your piercing heals and doesn't get infected.
system: How is permanent (chronic) atrial fibrillation treated?
output: This can't be corrected by treatments. If you have this type, you and your doctor will decide if you need long-term medication to control your heart rate and lower your odds of having a stroke.
system: What is long-standing persistent atrial fibrillation?
output: This means your AFib has lasted for more than a year and doesn't go away. Medicine and treatment like electrical cardioversion may not stop the AFib. Doctors can use another kind of treatment, such as ablation (which burns certain areas of your heart's electrical system) to restore your normal heart rhythm.
system: How does atrial fibrillation happen?
output: Atrial fibrillation, also called AFib, is a common heart condition. It boosts your odds of heart failure and cerebral infarction, a brain injury that results from a blood clot blocking blood flow in your brain.
system: How can atrial fibrillation be treated?
output: Your treatment will depend on which you have. You may not need treatment with this type of AFib, but you should see a doctor. Doctors have many ways to treat atrial fibrillation, no matter which type you have.
system: What causes atrial fibrillation?
output: Atrial fibrillation, also called AFib, is a common heart condition. This can't be corrected by treatments. Doctors have many ways to treat atrial fibrillation, no matter which type you have. If you have symptoms, see your doctor to discuss what will be best for you.
system: Who is more likely to get atrial fibrillation?
output: You can go home after it's done, but someone else will have to drive you. Doctors have many ways to treat atrial fibrillation, no matter which type you have.
system: How can avoiding trigger foods help you live with incontinence?
output: Avoid Your Triggers Notice which foods and drinks make you need to go, like those that have alcohol and caffeine in them. Spicy foods, high-acid foods such as citrus fruits and juices, and carbonated drinks can also bring about the need to pee. If you find that your incontinence gets worse after you have any of these, cut back or quit them.
system: What are treatments for incontinence?
output: About 80% of those who are affected by urinary incontinence can get better with treatment. Sometimes a simple dietary change, such as cutting back on fluids, is all that is needed. Try a combination of approaches. For instance, your doctor may recommend that you do Kegel exercises to strengthen your pelvic floor muscles and to use pads or disposable underwear just in case. Experiment to see what you're comfortable with that works best for you. If you need a little more help, your doctor may recommend prescription medication or a surgical procedure. He might suggest âsling surgery,â an operation designed to support the bladder or urethra and prevent leaks.
system: How can drinking less help you live with incontinence?
output: Drink Less It sounds simple, but it might be all you need to make an improvement. Try to limit your daily liquids to around 7 glasses per day. You don't want to get dehydrated, though. And you do get water from foods, like fruits and vegetables. So start to cut back on how much you drink and see how you do. Your doctor can also suggest how much is enough.
system: How do you do pursed-lip breathing for chronic obstructive pulmonary disease (COPD)?
output: Pursed-lip breathing: Relax your neck and shoulder muscles. Breathe in for 2 seconds through your nose, keeping your mouth closed. Breathe out for 4 seconds through pursed lips. If this is too long for you, simply breathe out twice as long as you breathe in. Use pursed-lip breathing while exercising. If you experience shortness of breath, first try slowing your rate of breathing and focus on breathing out through pursed lips.
system: How can strengthening exercises help you deal with chronic obstructive pulmonary disease (COPD)?
output: Strengthening exercises involve tightening muscles until they begin to tire. When you do this for the upper body, it can help increase the strength of your breathing muscles.
system: When should I call my doctor about exercising with chronic obstructive pulmonary disease (COPD)?
output: If you experience any of these signs or symptoms, stop your COPD exercise program right away. Sit down, and keep your feet raised while resting. If you don't feel better right away, call 911. Even if you do feel better, make sure you tell your doctor right away about any of these symptoms.
system: How can exercises help you deal with chronic obstructive pulmonary disease (COPD)?
output: Exercise can: Improve how well your body uses oxygen. That's important because people with COPD use more energy to breathe than other people do. Decrease your symptoms and improve your breathing Strengthen your heart, lower your blood pressure, and improve your circulation Improve your energy, making it possible to stay more active Improve your sleep and make you feel more relaxed Help you maintain a healthy weight Enhance your mental and emotional outlook Reduce your social isolation, if you exercise with others Strengthen your bones These four types of exercise can help you if you have COPD.
system: How can stretching exercises help you deal with chronic obstructive pulmonary disease (COPD)?
output: Stretching exercises lengthen your muscles, increasing your flexibility.
system: What are some exercise tips if you have chronic obstructive pulmonary disease (COPD)?
output: Set realistic goals. Gradually increase the number of minutes and days you exercise. A good goal is to exercise 20 to 40 minutes, 2 to 4 times a week. Start out slow. Warm up for a few minutes. Choose activities you enjoy, and vary them to help you stay motivated. Find an exercise partner. Keep a record of your exercise to help you stay on track. As you end your exercise, cool down by moving more slowly.
system: How can breathing exercises help you deal with chronic obstructive pulmonary disease (COPD)?
output: Breathing exercises for COPD help you strengthen breathing muscles, get more oxygen, and breathe with less effort.
system: What exercises should you not do if you have chronic obstructive pulmonary disease (COPD)?
output: Exercises to avoid when you have COPD: Heavy lifting or pushing Chores such as shoveling, mowing, or raking Pushups, sit-ups, or isometric exercises, which involve pushing against immovable objects Outdoor exercises when the weather is very cold, hot, or humid Walking up steep hills Ask your doctor whether exercises like weightlifting, jogging, and swimming are OK for you to do.
system: What are exercise precautions for chronic obstructive pulmonary disease (COPD)?
output: It's good to take precautions when exercising with COPD, but remember that shortness of breath doesn't always mean you should stop altogether. Ask your doctor about when you should stop exercising and rest. Here are other exercise precautions: Always consult a doctor or other health care provider before starting a COPD exercise program. If you have a change in any medications, talk to your doctor before continuing your exercise routine. If you feel very tired, rest, and try again the next day. Wait at least an hour and a half after eating before beginning to exercise. Avoid hot or cold showers after exercising. If you've been away from exercise for several days, start up slowly, and gradually return to your regular routine.
system: How can a back brace help a child with scoliosis?
output: If your child's curve measures between 20 and 40 degrees, his doctor might recommend that he wear a back brace to help stop its progress as he grows. But a brace can't correct a curve. Braces may be made of hard plastic. These can stay rigid or be elastic and move easily. The kind your child needs will depend on how severe his curve is and where it's located. He may wear the brace between 16 and 23 hours a day, until he finishes growing. The goal is to control the curve so he won't need surgery.
system: How can surgery help degenerative scoliosis?
output: Surgery can improve your spinal balance and relieve nerve pressure on your spine, which helps with pain. The bones in your spine may be fused together to correct its alignment. After spinal surgery, you'll need plenty of time to recover, many follow-up visits to your doctor, and physical therapy. Before your operation, talk with your family and friends about the kind of support you'll need as you get better. Some people choose to stay in a nursing home or rehabilitation facility for a while after surgery.
system: What are treatment categories for scoliosis?
output: Your scoliosis treatment will fall into one of three categories: Observation Nonsurgical options, such as a brace Surgery Mild curves, like those found in 90% of scoliosis cases, typically don't require treatment.
system: Outside of school and work, what life problems might adult ADHD cause?
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: What might an adult with ADHD have experienced in school growing up?
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: Why would I be asked about my childhood social life when being diagnosed for 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. Teachers may have had to work with you. For example, maybe you had to sit at the front of the class.
system: What challenges might an adult with ADHD experience?
output: If you have ADHD, you may have trouble with: Anxiety Chronic boredom Chronic lateness and forgetfulness Depression Trouble concentrating when reading Trouble controlling anger Problems at work Impulsiveness Low tolerance for frustration Low self-esteem Mood swings Poor organization skills Procrastination Relationship problems Substance abuse or addiction Low motivation These may affect you a lot, or they may not bother you much. They can be problems all of the time or just depend on the situation.
system: Does ADHD run in families?
output: They'll also ask if anyone else in your family has ADHD. This can be helpful information because it does seem like ADHD runs in families.
system: What percent of ADHD is never outgrown?
output: While many kids with ADHD outgrow it, about 60% still have it as adults.
system: Why is a full medical check by a doctor necessary for adult ADHD?
output: Making sure you get fully checked by a doctor is important. That's because people with ADHD often face other conditions, too. You may also have a learning disability, anxiety or another mood disorder, obsessive compulsive disorder, or a dependence on drugs or alcohol. Knowing the whole picture can make sure you get the best plan for you.
system: Who can diagnose ADHD in adults?
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: What timing issues may occur for adults who take stimulant medications for ADHD?
output: If people choose to stop taking them in the evening, they can have a hard time focusing to do housework, pay bills, help children with homework, or drive. But if they do take them later in the day, they may be tempted to use alcohol or other things "to relax."
system: How are stimulants used to treat adult attention deficit hyperactivity disorder?
output: Adults with ADHD are often offered stimulant medications. Studies show that about two-thirds of adults with ADHD who take these medications have big improvements in their symptoms. Examples of stimulant medications include: Dexmethylphenidate ( Focalin) Dextroamphetamine ( Dexedrine) Amphetamine/ Dextroamphetamine ( Adderall, Adderall XR) Lisdexamfetamine ( Vyvanse) Methylphenidate ( Concerta, Daytrana, Metadate, Methylin, Ritalin, Quillivant XR) But stimulants are not always ideal.
system: What do doctors ask about to diagnose attention deficit hyperactivity disorder?
output: They'll also ask if anyone else in your family has ADHD. This can be helpful information because it does seem like ADHD runs in families.
system: How can job coaching or mentoring help adult ADHD?
output: It can help you have better working relationships and improve on-the-job performance.
system: How can adults with ADHD manage distractions?
output: Cut down on distractions. If you find yourself being distracted by loud music or the television, turn it off or use earplugs. Move yourself to a quieter location, or ask others to help make things less distracting.
system: Who gets adult attention deficit hyperactivity disorder?
output: Every adult who has ADHD had it as a child. Some may have been diagnosed and known it. But some may have not been diagnosed when they were young and only find out later in life. While many kids with ADHD outgrow it, about 60% still have it as adults. Adult ADHD seems to affect men and women equally.
system: What is it like if you have adult attention deficit hyperactivity disorder?
output: No two people with ADHD are exactly alike. If you have ADHD, you may be able to concentrate if you're interested in or excited about what you're doing. But some people with ADHD have trouble focusing under any circumstances. Some people look for stimulation, but others avoid it. Plus, some people with ADHD can be withdrawn and antisocial. Others can be very social and go from one relationship to the next.
system: What is attention deficit hyperactivity disorder?
output: Many people have heard of ADHD. It may make you think of kids who have trouble paying attention or who are hyperactive or impulsive. Adults can have ADHD, too. About 4% to 5% of U. S. adults have it. But few adults get diagnosed or treated for it.
system: What are symptoms of adult attention deficit hyperactivity disorder?
output: If you have adult ADHD, you may find it hard to: Follow directions Remember information Concentrate Organize tasks Finish work on time See More: Foods That Help You Concentrate This can cause trouble in many parts of life -- at home, at work, or at school.
system: How can life coaching help adult ADHD?
output: Plus, it can help you learn new ways to stay organized at home and work.
system: How can stress management therapy help adult ADHD?
output: Relaxation training and stress management.
system: What do adults with attention deficit hyperactivity disorder have trouble with?
output: If you have ADHD, you may have trouble with: Anxiety Chronic boredom Chronic lateness and forgetfulness Depression Trouble concentrating when reading Trouble controlling anger Problems at work Impulsiveness Low tolerance for frustration Low self-esteem Mood swings Poor organization skills Procrastination Relationship problems Substance abuse or addiction Low motivation These may affect you a lot, or they may not bother you much. They can be problems all of the time or just depend on the situation.
system: How are non-stimulants used to treat adult attention deficit hyperactivity disorder?
output: Doctors may also recommend a non-stimulant medication for you to take, either on its own or with a stimulant. 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.