laomobai/llama3-1 huggingface dataset:
system: What are some fiber supplements that diabetics can use?
output: You get fiber from plant foods, so plan to eat more of these foods: Fresh fruits and vegetables Cooked dried beans and peas Whole-grain breads, cereals, and crackers Brown rice Bran products Nuts and seeds Although it's best to get fiber from food sources, fiber supplements can also help you get the daily fiber you need. Examples include psyllium and methylcellulose. Increase your fiber intake slowly to help prevent gas and cramping. It's also important to also increase the amount of liquids that you drink.
system: How does fiber help people with diabetes?
output: Fiber helps control blood sugar. You get fiber from plant foods, so plan to eat more of these foods: Fresh fruits and vegetables Cooked dried beans and peas Whole-grain breads, cereals, and crackers Brown rice Bran products Nuts and seeds Although it's best to get fiber from food sources, fiber supplements can also help you get the daily fiber you need. It's also important to also increase the amount of liquids that you drink.
system: What is the main difference between juvenile and adult rheumatoid arthritis?
output: The main difference between juvenile and adult arthritis is that some children with JRA outgrow the illness, while adults usually have lifelong symptoms. Studies estimate that by adulthood, JRA symptoms disappear in more than half of all affected children. Additionally, unlike adult rheumatoid arthritis, JRA may affect bone development as well as the child's growth.
system: Is juvenile rheumatoid arthritis (JRA) an autoimmune disorder?
output: JRA is an autoimmune disorder, which means that the body mistakenly identifies some of its own cells and tissues as foreign. The immune system, which normally helps to fight off harmful, foreign substances such as bacteria or viruses, begins to attack healthy cells and tissues. The result is inflammation -- marked by redness, heat, pain, and swelling.
system: What is systemic rheumatoid arthritis?
output: Systemic Along with joint swelling, the systemic form of JRA is characterized by fever and a light pink rash, and may also affect internal organs such as the heart, liver, spleen, and lymph nodes. The systemic form, sometimes called Still's disease, affects 20% of children with JRA. Almost all children with this type of JRA test negative for both rheumatoid factor and ANA. A small percentage of these children develop arthritis in many joints and can have severe arthritis that continues into adulthood.
system: What is an autoimmune disorder?
output: JRA is an autoimmune disorder, which means that the body mistakenly identifies some of its own cells and tissues as foreign. The immune system, which normally helps to fight off harmful, foreign substances such as bacteria or viruses, begins to attack healthy cells and tissues. The result is inflammation -- marked by redness, heat, pain, and swelling.
system: What other parts of the body can juvenile rheumatoid arthritis (JRA) affect?
output: JRA may cause fever and anemia, and can also affect the heart, lungs, eyes, and nervous system. Arthritic episodes can last for several weeks and may recur, although the symptoms tend to be less severe during later recurrent attacks. Treatment is similar to that for adults, with an additional heavy emphasis on physical therapy and exercise to keep growing bodies active. Many of the strong medicines used for adults, though, aren't usually needed for JRA. Permanent damage from juvenile rheumatoid arthritis is now rare, and most affected children recover from the disease fully without experiencing any lasting disabilities.
system: How do doctors classify juvenile rheumatoid arthritis (JRA)?
output: Doctors classify three kinds of JRA, based on the number of joints involved, the symptoms, and the presence of certain antibodies (special proteins made by the immune system) in the blood. These classifications help describe how the disease will progress.
system: Why do children develop juvenile rheumatoid arthritis (JRA)?
output: Researchers still don't know exactly why the immune system goes awry in children who develop JRA, although they suspect that it's a two-step process. First, something in a child's genetic makeup gives them a tendency to develop JRA. Then an environmental factor, such as a virus, triggers the development of JRA.
system: Are there different types of juvenile rheumatoid arthritis (JRA)?
output: Doctors classify three kinds of JRA, based on the number of joints involved, the symptoms, and the presence of certain antibodies (special proteins made by the immune system) in the blood. These classifications help describe how the disease will progress.
system: What are national resources to help locate palliative care programs?
output: These national resources can help you to locate palliative care programs and providers in your area: Getpalliativecare.org Palliativedoctors.org National Hospice and Palliative Care Organization Center to Advance Palliative Care: The center, based at the Mount Sinai School of Medicine in New York City, has a mission to increase availability of palliative care services.
system: What is the National Hospice and Palliative Care Organization?
output: National Hospice and Palliative Care Organization This nonprofit organization is the nation's largest to represent hospice and palliative care programs and professionals. It engages in advocacy for patients and families, develops educational programs and materials, and conducts research.
system: What is the National Institutes of Health: Clinical Trials on Palliative Care?
output: National Institutes of Health: Clinical Trials on Palliative Care The U. S. lists detailed information on clinical trials of palliative care on this site.
system: What is the Center to Advance Palliative Care?
output: These national resources can help you to locate palliative care programs and providers in your area: Getpalliativecare.org Palliativedoctors.org National Hospice and Palliative Care Organization Center to Advance Palliative Care: The center, based at the Mount Sinai School of Medicine in New York City, has a mission to increase availability of palliative care services. It operates a web site for patients and families called "getpalliativecare.org." This site provides general information on palliative care and links to news stories. It also offers patients' personal stories and links to resources for them and their caregivers. The resources range from financial and caregiver help to information about specific diseases.
system: What is the  American Academy of Hospice and Palliative Medicine?
output: The American Academy of Hospice and Palliative Medicine This professional organization represents more than 4,000 doctors who specialize in hospice and palliative medicine, as well as other professionals who are interested in the field.
system: What happens if your doctor is hesitating to make a referral for palliative care?
output: Most doctors welcome the services that a palliative care team provides to their patients. However, on rare occasions, a primary care doctor might hesitate to make a referral. If you encounter this problem, ask your doctor for an explanation. You can also ask the palliative care team to help you explain why you would like such services. Then you can speak with your primary care doctor about how palliative care could benefit you.
system: How do you pay for palliative care?
output: Most insurance plans cover palliative care treatment in full or partially. Typically, Medicare and Medicaid also cover palliative care. If you're concerned about costs, speak to a social worker from the palliative care team.
system: What is the first step in finding palliative care?
output: The palliative care team will work with your other doctors. In most cases, patients receive palliative care in the hospital. But other health care settings offer palliative care, too, including assisted living facilities, nursing homes, outpatient clinics, and hospices. However, on rare occasions, a primary care doctor might hesitate to make a referral.
system: How is depression with erectile dysfunction treated?
output: Antidepressants: Many different drugs, including Prozac, Zoloft, Elavil, and Wellbutrin, are used to treat depression. Some antidepressants can cause or worsen ED, so be honest with your doctor about your condition so that he or she can prescribe an appropriate treatment. Talk therapy: During therapy, a licensed and trained mental health care professional helps you identify and work through issues related to ED and depression. Types of talk therapy include couples therapy, individual therapy, and group therapy.
system: How is depression with erectile dysfunction diagnosed?
output: Tell your doctor how you are feeling so that you can start feeling like yourself again. There is no single test that can diagnose depression; however, there are certain patterns that doctors look for in order to make the diagnosis. As a result, your doctor will ask you several questions. Be honest with your answers so that you can receive the care you need.
system: How can I know if I have depression that's linked to erectile dysfunction?
output: The most common symptoms of depression include: Low self-esteem Loss of interest in formerly pleasurable activities Fatigue Changes in appetite Sleep disturbances Apathy Depression affects the way one feels about oneself and the way one thinks about life.
system: What are the side effects of taking black tea?
output: Side effects of black tea (most often in high amounts) may include: Anxiety and difficulty sleeping Faster breathing Headache Increased urination Irregular heartbeat Nausea and vomiting Nervousness and restlessness Ringing in the ears Tremors Combining black tea with other types of caffeine or a product called ephedra can be very dangerous.
system: What are the benefits of drinking black tea?
output: Drinking a moderate amount of black tea (one to four cups a day) may boost blood pressure slightly, but the effect does not last long. And drinking this amount of black tea is not associated with long-term high blood pressure. Preliminary studies in people show that a black tea supplement can boost metabolism and increase blood pressure. Changes in blood pressure can be a concern.
system: What conditions can black tea help with?
output: Regularly drinking black tea may also lower your risk for these conditions: Diabetes High cholesterol Kidney stones Parkinson's disease But more research about black tea's effect on these conditions is needed to be sure.
system: What is black tea made of?
output: !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Black tea is made from the leaves of a bush called Camellia sinensis. A process called oxidation turns the leaves from green to a dark brownish-black color. Oxidation means the leaves are exposed to moist, oxygen-rich air. Tea manufacturers can control the amount of oxidation. Black tea is a fully oxidized tea. Green tea comes from the same plant, but is not oxidized.
system: What are the risks of irreversibility after getting breast implants?
output: Breast implants may permanently alter your breast tissue. If you decide to have the implants removed, your breasts may not return to the shape they had before the surgery. Your breasts may stay dimpled or wrinkled.
system: What are the surgical differences in silicone versus saline breast implants?
output: Saline implants are filled after they're implanted, so saline implants require a smaller incision than pre-filled silicone gel breast implants. Also, many saline implants can be adjusted after surgery. Months later, a woman could decide to increase or decrease the size of her saline implants without surgery. The doctor can just use a syringe to put in more liquid or take it out. The size of standard prefilled silicone gel implants cannot be changed.
system: Who can get the different types of breast implants?
output: There are some differences in who can get the two types of implants. For reconstruction, women can get either type of breast implant at any age. But for augmentation, saline implants are approved for women 18 and older, while only women who are 22 and older can get silicone gel breast implants. The FDA explains that the risks are different for the two products, specifically citing the issues surrounding the removal of ruptured silicone gel breast implants. Keep in mind that your doctor may have a strong recommendation for one type of breast implant over another.
system: What are some possible complications of gettting breast implants?
output: While some people feel that platinum could be harmful, the FDA says that studies have not found that it poses any risk in breast implants. Surgical differences. Some studies suggest that breast implants can make breastfeeding more difficult or impossible. They may prevent a woman from producing milk. Breast implants can also interfere with the accuracy of mammograms that screen for breast cancer.
system: How do you treat pubic lice?
output: Pubic Lice Pubic lice can be treated with over-the counter medications containing pyrethrins or permethrin lotion 1%. Your sexual partners will also have to be treated. Crabs are also sometimes found on eyelashes or eyebrows. A nit comb or fingernails may be used if there are only a few live nits on them. Otherwise a special prescription eye ointment may be prescribed.
system: How do you treat lice if you want to avoid the use of insecticides?
output: For those who prefer not to use topical products, a "combing only" technique may be effective. Wash the hair with ordinary shampoo and conditioner, and leave wet. With a fine-toothed comb, stroke slowly outward from the roots through one lock of hair at a time. Lice will land on the back of the comb, get caught between the teeth, or fall off. Space at least 30 strokes over the head. Repeat every three days. Because newborn lice do not lay eggs for the first week, all the lice should disappear after about two weeks of combing.
system: How do you treat body lice?
output: Body Lice To treat body lice, wash the entire body with soap and water. If this is not effective, you may have to use pediculocide preparation -- either over-the-counter or prescription. As with a head lice infestation, you'll have to wash all clothing, towels, and bedding in hot water and dry in a hot dryer.
system: What are pyrethrins for treating head lice?
output: Over-the-counter products with pesticides include: Pyrethrins are a common treatment that is available over the counter. Some studies suggest pyrethrins can affect cognitive development in children. More research is needed. Brand names include Rid, Triple X, Pronto, A-200. For best results, follow the directions exactly.
system: What are the different topical lotions and shampoos for treating head lice?
output: Permethrin lotion 1% (also known as Nix) is another over-the-counter product that only kills lice, but not eggs, and will require repeat treatment in nine to 10 days. Prescription treatments include: Malathion lotion 0.5% (also known as Ovide) is a prescription medication that is approved for head lice and can kill some eggs. Directions and precautions for use must be strictly followed. Lindane shampoo 1% is not approved for lice treatment anymore, since in young children, it can attack and damage the brain and other parts of the nervous system. Spinosad ( Natroba) is topical and applied to the scalp. It is not approved for use on children under age 4. Another treatment is a topical lotion called Sklice. A comb is not required with Sklice and one treatment may be all that's needed. The active ingredient is ivermectin, a powerful parasite killer. Sklice can be used in children as young as 6 months. If used improperly, it can attack and damage the brain and other parts of the nervous system.
system: What should I do to treat bleeding from a hand?
output: Apply firm pressure with a clean cloth until bleeding stops. If the bone is pushing through the skin, do not touch it or try to put it back in place.
system: How does a health care provider treat a broken hand?
output: The health care provider will likely take X-rays and check for feeling and range of motion in the hand to determine whether there has been nerve or tendon damage. The health care provider may apply a splint or cast. Surgery may be needed for more complicated fractures.
system: What can be done to treat a broken hand right away?
output: If the person's hand is numb or cold or the skin under the fingernails is blue, do not move the hand or arm. Otherwise: Have the person bend the arm at the elbow. Do not try to straighten the hand if it bent or deformed. Tie a splint on the lower arm with fabric or elastic bandages. Cardboard, rolled-up newspaper, or other stiff material can be used as a splint. Make a sling and place the person's arm in it. Tie the sling around his or her neck.
system: When should I get medical attention about a hand injury?
output: The person is seriously injured or unconscious. The hand is numb or cold. The skin under the fingernail is blue. A bone is sticking out of the skin. The bleeding doesn't stop after several minutes of firm pressure. Blood spurts from the wound.
system: If a personâs hand is broken, how can I control swelling?
output: Apply an ice pack (do not put ice directly against the skin). If possible, remove any jewelry immediately.
system: Can dry mouth cause bad breath?
output: Dry mouth: Saliva is needed to cleanse the mouth. If you don't have enough of it, simply having a dry mouth can cause bad breath.
system: Can what I eat and drink cause bad breath?
output: Foods and beverages: What you eat and drink can cause bad breath. Foods are absorbed into your bloodstream and move to the lungs, affecting the air your exhale. Brushing or using mouthwash can briefly mask the odor. But halitosis lasts until the culprit is no longer in your body. Common offenders include: Onions Garlic Cheese Pastrami Certain spices Orange juice or soda Alcohol Likewise, dieters who may be eating too infrequently can also experience bad breath.
system: Could a health condition be causing my bad breath?
output: Health problems: Sometimes bad breath can signal a larger health problem, such as: Sinus infection Chronic lung infection Liver or kidney disease Gastrointestinal problems Diabetes There are a number of simple things you can try to get rid of bad breath.
system: Could not taking good care of my teeth and mouth give me bad breath?
output: Poor dental hygiene: When you don't thoroughly clean your teeth, gums, and tongue each day, bad breath may result from remaining bits of rotting food and the growth of bacteria in your mouth. Inflammation of the gums (gingivitis) from poor dental hygiene can also cause bad breath.
system: How often should you see your dentist about bad breath?
output: Brush your teeth, gums, and tongue with fluoride toothpaste at least twice a day. Your dentist can spot and treat bad breath causes such as gum disease. Ask your dentist about other potential solutions for halitosis. For example, for dry mouth, your dentist might recommend artificial saliva. Also talk to your dentist before buying halitosis kits or products for controlling bad breath. If changes you make don't help, the dentist may refer you to a doctor to see whether an underlying health problem could be causing the bad breath. You can also go over a list of your medications with the doctor to see if any of them could be contributing to the problem.
system: How can I get rid of bad breath?
output: Health problems: Sometimes bad breath can signal a larger health problem, such as: Sinus infection Chronic lung infection Liver or kidney disease Gastrointestinal problems Diabetes There are a number of simple things you can try to get rid of bad breath. Change what you eat and drink. Drink more water. Suck on sugar-free mints if your mouth tends to get dry. Avoid tobacco use of any kind. Brush your teeth, gums, and tongue with fluoride toothpaste at least twice a day. Floss at least once a day. Rinse with an antiseptic mouthwash twice a day. If you wear dentures, remove them while you sleep. Clean braces and retainers as directed by your dentist.
system: How do you treat insect stings if you aren't allergic?
output: Don't give this medication to children under 2 years old or to pregnant women unless your doctor says it's OK. ( If you're pregnant, it's best to talk to your doctor before you take any medicine.)
system: What are the symptoms of a mild allergic reaction to an insect sting?
output: A mild allergic reaction may cause one or more of these symptoms at the site of the sting: Pain Redness Pimple-like spots Mild to moderate swelling Warmth Itching Severe allergic reactions (also called an anaphylactic reaction) are not that common.
system: What re the symptoms of a severe allergic reaction to an insect sting?
output: A mild allergic reaction may cause one or more of these symptoms at the site of the sting: Pain Redness Pimple-like spots Mild to moderate swelling Warmth Itching Severe allergic reactions (also called an anaphylactic reaction) are not that common. But when they happen, they're emergencies. Symptoms can include: Trouble breathing Hives that appear as a red, itchy rash and spread to areas beyond the sting Swelling of the face, throat, or any part of the mouth or tongue Wheezing or trouble swallowing Restlessness and anxiety Rapid pulse Dizziness or a sharp drop in blood pressure Get emergency treatment as soon as possible.
system: Can allergy shots prevent allergic reactions to insect stings?
output: They're about 97% effective. Over a series of doctor visits, you'll get gradually increasing doses of venom to train your immune system to resist to a future allergic reaction.
system: Can ultrasound therapy help treat wrinkles?
output: The FDA has approved a technique called Ultherapy which uses ultrasound in a noninvasive technique to lift and tighten skin on the face, neck, and chin. It can also be used on wrinkles on the chest area.
system: Can alpha-hydroxy acids help  treat wrinkles?
output: These are the so-called "fruit acids" and include glycolic and lactic acid. The improvement they produce is, however, relatively subtle. Glycolic acid peels.
system: What is epidermolysis bullosa acquisita?
output: Epidermolysis bullosa acquisita mostly affects middle-aged and older adults. It makes the skin so fragile that blisters form from minor injuries.
system: What can trigger the immune system to misfire in relation to autoimmune blistering disorders?
output: Doctors don't know what causes the immune system to misfire. Some people have genes that make them more likely to get one of these disorders. Then, something actually triggers it, such as: Ultraviolet light from the sun Chemicals used to kill pests Hormones Infection Some medicines can also cause autoimmune blistering disorders.
system: How can intravenous immunoglobulin G (IVIG) and plasmapheresis treat severe autoimmune blistering disorders?
output: These drugs help prevent an infection: Antibiotics Antiviral drugs Antifungal drugs For more severe cases, your treatments might include: Intravenous immunoglobulin G ( IVIG). This is a blood product you get through a needle into a vein. IVIG is an antibody found in plasma -- the liquid part of blood. It's taken from thousands of donors and pooled together. IVIG treatment gives you healthy antibodies to take over for the unhealthy ones that caused your disorder. Plasmapheresis. This treatment removes the harmful antibodies from your blood.
system: What medicines can cause autoimmune blistering disorders?
output: These include: Diuretics and other medicines for high blood pressure Rheumatoid arthritis medications Antipsychotic medicines Antibiotics such as amoxicillin ( Moxatag), ciprofloxacin ( Cetraxal, Ciloxan, Cipro), and penicillin Usually the blisters go away once you stop taking the medicine causing them.