In this task, you are given a context, a subject, a relation, and many options. Based on the context, from the options select the object entity that has the given relation with the subject. Answer with text (not indexes).

Context: The Bastille was a fortress in Paris, known formally as the Bastille Saint-Antoine. It played an important role in the internal conflicts of France and for most of its history was used as a state prison by the kings of France. It was stormed by a crowd on 14 July 1789, in the French Revolution, becoming an important symbol for the French Republican movement, and was later demolished and replaced by the Place de la Bastille., Bastille Day is the common name given in English-speaking countries to the French National Day, which is celebrated on 14 July each year. In France, it is formally called ' ("The National Celebration") and commonly and legally ' ("the fourteenth of July"). , A military parade is a formation of soldiers whose movement is restricted by close-order manoeuvring known as drilling or marching. The military parade is now almost entirely ceremonial, though soldiers from time immemorial up until the late 19th century fought in formation. Massed parades may also hold a role for propaganda purposes, being used to exhibit the apparent military strength of one's nation., The Bastille Day Military Parade ( or 14 July Military Parade , translation of the French name of Défilé militaire du 14 Juillet ) is a French military parade that has been held on the morning of 14 July each year in Paris since 1880 , almost without exception . The parade passes down the Champs - Elysées from l'Arc de Triomphe to Place de la Concorde where the President of the French Republic , his government and foreign ambassadors to France stand . This is a popular event in France , broadcast on French TV , and is the oldest regular military parade in the world . In some years , invited detachments of foreign troops take part in the parade and foreign statesmen attend as guests . Smaller military parades are held in French garrison towns ( such as Toulon , Brest or Belfort ) with local troops ., A parade (also called march or marchpast) is a procession of people, usually organized along a street, often in costume, and often accompanied by marching bands, floats or sometimes large balloons. Parades are held for a wide range of reasons, but are usually celebrations of some kind. In Britain the term parade is usually reserved for either military parades or other occasions where participants march in formation; for celebratory occasions the word procession is more usual. In the Canadian Forces the term also has several less formal connotations., A national day is a designated date on which celebrations mark the nationhood of a nation or non-sovereign country. This nationhood can be symbolized by the date of independence, of becoming a republic or a significant date for a patron saint or a ruler (birthday, accession, removal, etc.). Often the day is not called "National Day" but serves and can be considered as one. The national day will often be a national holiday. Many countries have more than one national day., Subject: bastille day military parade, Relation: instance_of, Options: (A) birthday (B) celebration (C) century (D) country (E) day (F) formation (G) fortress (H) holiday (I) march (J) may (K) military (L) military parade (M) name (N) nation (O) national day (P) order (Q) parade (R) patron saint (S) prison (T) republic (U) ruler (V) saint (W) will (X) word (Y) year
holiday

Context: The Waihi River is a river of the south Canterbury Region of New Zealand's South Island. It flows southeast from its sources in the Four Peaks Range, flowing through the town of Geraldine to reach the Opihi River close to Temuka., New Zealand is an island nation in the southwestern Pacific Ocean. The country geographically comprises two main landmassesthat of the North Island, or Te Ika-a-Mui, and the South Island, or Te Waipounamuand numerous smaller islands. New Zealand is situated some east of Australia across the Tasman Sea and roughly south of the Pacific island areas of New Caledonia, Fiji, and Tonga. Because of its remoteness, it was one of the last lands to be settled by humans. During its long period of isolation, New Zealand developed a distinct biodiversity of animal, fungal and plant life. The country's varied topography and its sharp mountain peaks, such as the Southern Alps, owe much to the tectonic uplift of land and volcanic eruptions. New Zealand's capital city is Wellington, while its most populous city is Auckland., The Opihi River flows through south Canterbury, in New Zealand's South Island. It has been identified as an Important Bird Area by BirdLife International because it supports breeding colonies of the endangered black-billed gull., New Caledonia is a special collectivity of France located in the southwest Pacific Ocean, east of Australia and east of Metropolitan France. The archipelago, part of the Melanesia subregion, includes the main island of Grande Terre, the Loyalty Islands, the Chesterfield Islands, the Belep archipelago, the Isle of Pines, and a few remote islets. The Chesterfield Islands are in the Coral Sea. Locals refer to Grande Terre as "" ("the pebble")., Fiji ((), officially the Republic of Fiji, is an island country in Melanesia in the South Pacific Ocean about northeast of New Zealand's North Island. Its closest neighbours are Vanuatu to the west, New Caledonia to the southwest, New Zealand's Kermadec Islands to the southeast, Tonga to the east, the Samoas and France's Wallis and Futuna to the northeast, and Tuvalu to the north., Wellington is the capital city and second most populous urban area of New Zealand, with residents. It is at the south-western tip of the North Island, between Cook Strait and the Rimutaka Range. Wellington is the major population centre of the southern North Island and is the administrative centre of the Wellington Region, which also includes the Kapiti Coast and Wairarapa. As the nation's capital city, the New Zealand Government and Parliament, Supreme Court and most of the civil service are based in the city., The North Island or Te Ika-a-Mui ("Mori") is one of the two main islands of New Zealand, separated from the slightly larger but much less populous South Island by Cook Strait. The island's area is , making it the world's 14th-largest island. It has a population of , Timaru (Mori: Te Tihi-o-Maru) is a port city in the southern Canterbury region of New Zealand, located 157 kilometres southwest of Christchurch and about 196 kilometres northeast of Dunedin on the eastern Pacific coast of the South Island. The Timaru urban area is home to people, and is the largest urban area in South Canterbury, and the second largest in the Canterbury Region overall, after Christchurch. The city is the seat of the Timaru District, which includes the surrounding rural area and the towns of Geraldine, Pleasant Point and Temuka, which combined has a total population of ., Auckland is a city in the North Island of New Zealand. It is the most populous urban area in the country. Auckland has a population of , which constitutes percent of New Zealand's population. It is part of the wider Auckland Regionthe area governed by the Auckland Councilwhich also includes outlying rural areas and the islands of the Hauraki Gulf, resulting in a total population of . Auckland also has the largest Polynesian population of any city in the world. The Mori language name for Auckland is or , meaning "Tmaki with a hundred lovers", in reference to the desirability of its fertile land at the hub of waterways in all directions. It has also been called karana, the Mori enunciation of "Auckland"., The Hae Hae Te Moana River is a river in the Canterbury Region of New Zealand. It originates in the Four Peaks Range of the Southern Alps, with a North Branch and South Branch merging to the north of Pleasant Valley. The river runs south-east to join the Waihi River near Winchester. The combined river is called the Temuka River, which flows past Temuka to join the Opihi River shortly before it runs into the Canterbury Bight., The Southern Alps (Mori: K Tiritiri o te Moana ) are a mountain range extending along much of the length of New Zealand's South Island, reaching its greatest elevations near the island's western side. The term "Southern Alps" generally refers to the entire range, although separate names are given to many of the smaller ranges that form part of it., Australia, officially the Commonwealth of Australia, is a country comprising the mainland of the Australian continent, the island of Tasmania and numerous smaller islands. It is the world's sixth-largest country by total area. The neighbouring countries are Papua New Guinea, Indonesia and East Timor to the north; the Solomon Islands and Vanuatu to the north-east; and New Zealand to the south-east. Australia's capital is Canberra, and its largest urban area is Sydney., A dairy is a business enterprise established for the harvesting or processing (or both) of animal milk  mostly from cows or goats, but also from buffaloes, sheep, horses, or camels  for human consumption. A dairy is typically located on a dedicated dairy farm or in a section of a multi-purpose farm (mixed farm) that is concerned with the harvesting of milk., The Canterbury Plains are an area in New Zealand centred to the south of the city of Christchurch in the Canterbury Region. Their northern extremes are at the foot of the Hundalee Hills in the Hurunui District, and in the south they merge into the plains of North Otago beyond the Waitaki River., The Temuka River is a river of the Canterbury Region of New Zealand's South Island. It is one of numerous rivers which meet close to the south Canterbury town of Temuka, all of which are part of the Opihi River's system., Temuka is a town on New Zealand's Canterbury Plains, 15 kilometres north of Timaru and 142 km south of Christchurch. It is located at the centre of a rich sheep and dairy farming region, for which it is a service town., Tectonic uplift is the portion of the total geologic uplift of the mean Earth surface that is not attributable to an isostatic response to unloading. While isostatic response is important, an increase in the mean elevation of a region can only occur in response to tectonic processes of crustal thickening (such as mountain building events), changes in the density distribution of the crust and underlying mantle, and flexural support due to the bending of rigid lithosphere., The Tasman Sea (Mori: "Te Tai-o-Rehua") is a marginal sea of the South Pacific Ocean, situated between Australia and New Zealand. It measures about across and about from north to south. The sea was named after the Dutch explorer Abel Janszoon Tasman, who was the first recorded European to encounter New Zealand and Tasmania. The British explorer Captain James Cook later extensively navigated the Tasman Sea in the 1770s as part of his first voyage of exploration., Tonga (or ; Tongan: "Puleanga Fakatui o Tonga"), officially the Kingdom of Tonga, is a Polynesian sovereign state and archipelago comprising 169 islands of which 36 are inhabited. The total surface area is about scattered over of the southern Pacific Ocean. It has a population of 103,000 people of whom 70% reside on the main island of Tongatapu., The sheep ("Ovis aries") is a quadrupedal, ruminant mammal typically kept as livestock. Like all ruminants, sheep are members of the order Artiodactyla, the even-toed ungulates. Although the name "sheep" applies to many species in the genus "Ovis", in everyday usage it almost always refers to "Ovis aries". Numbering a little over one billion, domestic sheep are also the most numerous species of sheep. An adult female sheep is referred to as a "ewe", an intact male as a "ram" or occasionally a "tup", a castrated male as a "wether", and a younger sheep as a "lamb"., The South Island or Te Waipounamu ("Mori") is the larger of the two major islands of New Zealand, the other being the smaller but more populous North Island. It is bordered to the north by Cook Strait, to the west by the Tasman Sea, and to the south and east by the Pacific Ocean. The South Island covers and is influenced by a temperate climate., The Kakahu River is a river of south Canterbury , New Zealand . It flows east and then southeast from its source 15 kilometres ( 9 mi ) east of Fairlie , joining with the Hae Hae Te Moana River before flowing into the Waihi River close to the town of Temuka ., Christchurch is the largest city in the South Island of New Zealand and the seat of the Canterbury Region. The Christchurch urban area lies on the South Island's east coast, just north of Banks Peninsula. It is home to residents, making it New Zealand's third most-populous urban area behind Auckland and Wellington., The Pacific Ocean is the largest of the Earth's oceanic divisions. It extends from the Arctic Ocean in the north to the Southern Ocean (or, depending on definition, to Antarctica) in the south and is bounded by Asia and Australia in the west and the Americas in the east., Subject: kakahu river, Relation: located_in_the_administrative_territorial_entity, Options: (A) antarctica (B) auckland (C) australia (D) caledonia (E) canberra (F) canterbury (G) canterbury region (H) christchurch (I) dunedin (J) earth (K) east (L) east timor (M) enterprise (N) fiji (O) france (P) hurunui district (Q) loyalty islands (R) most (S) mountain (T) new zealand (U) north (V) north island (W) of (X) otago (Y) pacific ocean (Z) papua new guinea ([) river (\) south (]) south island (^) southwest (_) tasmania (`) the nation (a) timaru (b) tonga (c) tongatapu (d) tuvalu (e) wallis (f) wellington (g) west (h) winchester
canterbury region

Context: Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat (including serious types), cardiogenic shock, or cardiac arrest.
Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB.
Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use of angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended.
Worldwide, about 8.6 million myocardial infarctions occurred in 2013. More than 3 million people had an ST elevation MI and more than 4 million had an NSTEMI. STEMIs occur about twice as often in men as women. About one million people have an MI each year in the United States. In the developed world the risk of death in those who have had an STEMI is about 10%. Rates of MI for a given age have decreased globally between 1990 and 2010., Coronary artery disease (CAD), also known as ischemic heart disease (IHD), is a group of diseases that includes: stable angina, unstable angina, myocardial infarction, and sudden cardiac death. It is within the group of cardiovascular diseases of which it is the most common type. A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Occasionally it may feel like heartburn. Usually symptoms occur with exercise or emotional stress, last less than a few minutes, and get better with rest. Shortness of breath may also occur and sometimes no symptoms are present. The first sign is occasionally a heart attack. Other complications include heart failure or an irregular heartbeat., Sammy McKim ( December 20 , 1924 -- July 9 , 2004 ) was a Canadian film actor . He was born in Vancouver , British Columbia , and died in Burbank , California from heart failure ., Atrial fibrillation (AF or A-fib) is an abnormal heart rhythm characterized by rapid and irregular beating. Often it starts as brief periods of abnormal beating which become longer and possibly constant over time. Most episodes have no symptoms. Occasionally there may be heart palpitations, fainting, lightheadedness, shortness of breath, or chest pain. The disease is associated with an increased risk of heart failure, dementia, and stroke. It is a type of supraventricular tachycardia.
High blood pressure and valvular heart disease are the most common alterable risk factors for AF. Other heart-related risk factors include heart failure, coronary artery disease, cardiomyopathy, and congenital heart disease. In the developing world valvular heart disease often occurs as a result of rheumatic fever. Lung-related risk factors include COPD, obesity, and sleep apnea. Other factors include excess alcohol intake, diabetes mellitus, and thyrotoxicosis. However, half of cases are not associated with one of these risks. A diagnosis is made by feeling the pulse and may be confirmed using an electrocardiogram (ECG). A typical ECG in AF shows no P waves and an irregular ventricular rate.
AF is often treated with medications to slow the heart rate to a near normal range (known as rate control) or to convert the rhythm to normal sinus rhythm (known as rhythm control). Electrical cardioversion can also be used to convert AF to a normal sinus rhythm and is often used emergently if the person is unstable. Ablation may prevent recurrence in some people. Depending on the risk of stroke either aspirin or anti-clotting medications such as warfarin or a novel oral anticoagulant may be recommended. While these medications reduce this risk, they increase rates of major bleeding.
Atrial fibrillation is the most common serious abnormal heart rhythm. In Europe and North America, as of 2014, it affects about 2% to 3% of the population. This is an increase from 0.4 to 1% of the population around 2005. In the developing world about 0.6% of males and 0.4% of females are affected. The percentage of people with AF increases with age with 0.14% under 50 years old, 4% between 60 and 70 years old, and 14% over 80 years old being affected. A-fib and atrial flutter resulted in 112,000 deaths in 2013, up from 29,000 in 1990. The first known report of an irregular pulse was by Jean-Baptiste de Sénac in 1749. This was first documented by ECG in 1909 by Thomas Lewis.
Signs and symptoms.
AF is usually accompanied by symptoms related to a rapid heart rate. Rapid and irregular heart rates may be perceived as palpitations or exercise intolerance and occasionally may produce anginal chest pain (if the high heart rate causes ischemia). Other possible symptoms include congestive symptoms such as shortness of breath or swelling. The arrhythmia is sometimes only identified with the onset of a stroke or a transient ischemic attack (TIA). It is not uncommon for a patient to first become aware of AF from a routine physical examination or ECG, as it often does not cause symptoms., A blood test is a laboratory analysis performed on a blood sample that is usually extracted from a vein in the arm using a needle, or via fingerprick. Multiple tests for specific blood components (such as a glucose test or a cholesterol test) are often grouped together into one test panel called a blood panel or blood work. Blood tests are often used in health care to determine physiological and biochemical states, such as disease, mineral content, pharmaceutical drug effectiveness, and organ function. Typical clinical blood panels include a basic metabolic panel or a complete blood count. Blood tests are also used in drug tests to detect drug abuse. In some of the United States, a blood test is required before marriage; historically, this was previously true in more states., An ejection fraction (EF) is the fraction of blood ejected from a ventricle of the heart with each heartbeat. It is calculated by dividing the stroke volume by the end-diastolic volume, and is an inherent measure of the pumping efficiency of the heart. Hearts that beat busily but do not succeed in expelling much blood are said to be in heart failure. Left ventricular ejection fraction is a measure of the efficiency of pumping into the systemic circulation, whereas right ventricular ejection fraction is a measure of the efficiency of pumping into the pulmonary circulation., A ventricular assist device (VAD) is an electromechanical device for assisting cardiac circulation, which is used either to partially or to completely replace the function of a failing heart. The function of VADs is different from that of artificial cardiac pacemakers; some are for short-term use, typically for patients recovering from myocardial infarction (heart attack) and for patients recovering from cardiac surgery; some are for long-term use (months to years to perpetuity), typically for patients suffering from advanced congestive heart failure., Cardiac arrest is a sudden stop in effective blood flow due to the failure of the heart to contract effectively. Symptoms include loss of consciousness and abnormal or absent breathing. Some people may have chest pain, shortness of breath, or nausea before this occurs. If not treated within minutes, death usually occurs.
The most common cause of cardiac arrest is coronary artery disease. Less common causes include major blood loss, lack of oxygen, very low potassium, heart failure, and intense physical exercise. A number of inherited disorders may also increase the risk including long QT syndrome. The initial heart rhythm is most often ventricular fibrillation. The diagnosis is confirmed by finding no pulse. While a cardiac arrest may be caused by heart attack or heart failure these are not the same.
Prevention includes not smoking, physical activity, and maintaining a healthy weight. Treatment for cardiac arrest is immediate cardiopulmonary resuscitation (CPR) and, if a shockable rhythm is present, defibrillation. Among those who survive targeted temperature management may improve outcomes. An implantable cardiac defibrillator may be placed to reduce the chance of death from recurrence.
In the United States, cardiac arrest outside of hospital occurs in about 13 per 10,000 people per year (326,000 cases). In hospital cardiac arrest occurs in an additional 209,000 Cardiac arrest becomes more common with age. It affects males more often than females. The percentage of people who survive with treatment is about 8%. Many who survive have significant disability. Many U.S. television shows, however, have portrayed unrealistically high survival rates of 67%., A physical examination, medical examination, or clinical examination (more popularly known as a check-up) is the process by which a medical professional investigates the body of a patient for signs of disease. It generally follows the taking of the medical historyan account of the symptoms as experienced by the patient. Together with the medical history, the physical examination aids in determining the correct diagnosis and devising the treatment plan. This data then becomes part of the medical record., Kidney failure, also known as renal failure or renal insufficiency, is a medical condition of impaired kidney function in which the kidneys fail to adequately filter metabolic wastes from the blood. The two main forms are acute kidney injury, which is often reversible with adequate treatment, and chronic kidney disease, which is often not reversible. In both cases, there is usually an underlying cause., Infection is the invasion of an organism's body tissues by disease-causing agents, their multiplication, and the reaction of host tissues to these organisms and the toxins they produce. Infectious disease, also known as transmissible disease or communicable disease, is illness resulting from an infection.
Infections are caused by infectious agents including viruses, viroids, prions, bacteria, nematodes such as parasitic roundworms and pinworms, arthropods such as ticks, mites, fleas, and lice, fungi such as ringworm, and other macroparasites such as tapeworms and other helminths., Thyroid disease is a medical condition that affects the function of the thyroid gland (the endocrine organ found at the front of the neck that produces thyroid hormones). The symptoms of thyroid disease vary depending on the type. There are four general types: 1) hypothyroidism (low function) caused by not having enough thyroid hormones, (2) hyperthyroidism (high function) caused by having too much thyroid hormones, 3) structural abnormalities, most commonly an enlargement of the thyroid gland, 3) tumors which can be benign or cancerous, and 4) abnormal thyroid function tests without any clinical symptoms. Common hypothyroid symptoms include fatigue, low energy, weight gain, inability to tolerate the cold, slow heart rate, dry skin and constipation. Common hyperthyroid symptoms include irritability, weight loss, fast heartbeat, heat intolerance, diarrhea, and enlargement of the thyroid. In both hypothyroidism and hyperthyroidism, there may be swelling of a part of the neck, which is also known as goiter.
Diagnosis can often be made through laboratory tests. The first is thyroid-stimulating hormone (TSH), which is generally below normal in hyperthyroidism and above normal in hypothyroidism. The other useful laboratory test is non-protein-bound thyroxine or free T4. Total and free triiodothyronine (T3) levels are less commonly used. Anti-thyroid autoantibodies can also be used, where elevated anti-thyroglobulin and anti-thyroid peroxidase antibodies are commonly found in hypothyroidism from Hashimoto's thyroiditis and TSH-receptor antibodies are found in hyperthyroidism caused by Graves' disease. Procedures such as ultrasound, biopsy and a radioiodine scanning and uptake study may also be used to help with the diagnosis.
Treatment of thyroid disease varies based on the disorder. Levothyroxine is the mainstay of treatment for people with hypothyroidism, while people with hyperthyroidism caused by Graves' disease can be managed with iodine therapy, antithyroid medication, or surgical removal of the thyroid gland. Thyroid surgery may also be performed to remove a thyroid nodule or lobe for biopsy, or if there is a goiter that is unsightly or obstructs nearby structures.
Hypothyroidism affects 3-10% percent of adults, with a higher incidence in women and the elderly. An estimated one-third of the world's population currently lives in areas of low dietary iodine levels, making iodine-deficiency the most common cause of hypothyroidism and endemic goiter. In regions of severe iodine deficiency, the prevalence of goiter is as high as 80%. In areas where iodine-deficiency is not found, the most common type of hypothyroidism is an autoimmune subtype called Hashimoto's thyroiditis, with a prevalence of 1-2%. As for hyperthyroidism, Graves' disease, another autoimmune condition, is the most common type with a prevalence of 0.5% in males and 3% in females. Although thyroid nodules are common, thyroid cancer is rare. Thyroid cancer accounts for less than 1% of all cancer in the UK, though it is the most common endocrine tumor and makes up greater than 90% of all cancers of the endocrine glands., Aldosterone, the main mineralocorticoid hormone, is a steroid hormone produced by the zona glomerulosa of the adrenal cortex in the adrenal gland. It is essential for sodium conservation in the kidney, salivary glands, sweat glands and colon. It plays a central role in the regulation of the plasma sodium (Na), the extracellular potassium (K) and arterial blood pressure. It does so mainly by acting on the mineralocorticoid receptors in the distal tubules and collecting ducts of the nephron. It influences the reabsorption of sodium and excretion of potassium (from and into the tubular fluids, respectively) of the kidney, thereby indirectly influencing water retention or loss, blood pressure and blood volume. When dysregulated, aldosterone is pathogenic and contributes to the development and progression of cardiovascular and renal disease. Aldosterone has exactly the opposite function of the atrial natriuretic hormone secreted by the heart., Physical exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons, including increasing growth and development, preventing aging, strengthening muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, and also enjoyment. Frequent and regular physical exercise boosts the immune system and helps prevent "diseases of affluence" such as cardiovascular disease, type 2 diabetes, and obesity. It may also help prevent stress and depression, increase quality of sleep and act as a non-pharmaceutical sleep aid to treat diseases such as insomnia, help promote or maintain positive self-esteem, improve mental health, maintain steady digestion and treat constipation and gas, regulate fertility health, and augment an individual's sex appeal or body image, which has been found to be linked with higher levels of self-esteem. Childhood obesity is a growing global concern, and physical exercise may help decrease some of the effects of childhood and adult obesity. Some care providers call exercise the "miracle" or "wonder" drugalluding to the wide variety of benefits that it can provide for many individuals. Aside from the health advantages, these benefits may include different social rewards for staying active while enjoying the environment of ones culture. Many individuals choose to exercise publicly outdoors where they can congregate in groups, socialize, and appreciate life., Anemia, also spelled anaemia, is usually defined as a decrease in the total amount of red blood cells (RBCs) or hemoglobin in the blood. It can also be defined as a lowered ability of the blood to carry oxygen. When anemia comes on slowly, the symptoms are often vague and may include feeling tired, weakness, shortness of breath or a poor ability to exercise. Anemia that comes on quickly often has greater symptoms, which may include confusion, feeling like one is going to pass out, loss of consciousness, or increased thirst. Anemia must be significant before a person becomes noticeably pale. Additional symptoms may occur depending on the underlying cause.
There are three main types of anemia: that due to blood loss, that due to decreased red blood cell production and that due to increased red blood cell breakdown. Causes of blood loss include trauma and gastrointestinal bleeding, among others. Causes of decreased production include iron deficiency, a lack of vitamin B12, thalassemia, and a number of neoplasms of the bone marrow. Causes of increased breakdown include a number of genetic conditions such as sickle cell anemia, infections like malaria, and certain autoimmune diseases. It can also be classified based on the size of red blood cells and amount of hemoglobin in each cell. If the cells are small, it is microcytic anemia. If they are large, it is macrocytic anemia while if they are normal sized, it is normocytic anemia. Diagnosis in men is based on a hemoglobin of less than 130 to 140 g/L (13 to 14 g/dL), while in women, it must be less than 120 to 130 g/L (12 to 13 g/dL), Further testing is then required to determine the cause.
Certain groups of individuals, such as pregnant women, benefit from the use of iron pills for prevention. Dietary supplementation, without determining the specific cause, is not recommended. The use of blood transfusions is typically based on a person's signs and symptoms. In those without symptoms, they are not recommended unless hemoglobin levels are less than 60 to 80 g/L (6 to 8 g/dL). These recommendations may also apply to some people with acute bleeding. Erythropoiesis-stimulating medications are only recommended in those with severe anemia.
Anemia is the most common disorder of the blood, affecting about a quarter of the people globally. Iron-deficiency anemia affects nearly 1 billion. In 2013, anemia due to iron deficiency resulted in about 183,000 deaths  down from 213,000 deaths in 1990. It is more common in females than males, among children, during pregnancy, and in the elderly. Anemia increases costs of medical care and lowers a person's productivity through a decreased ability to work. The name is derived from "", meaning "lack of blood", from - "an-", "not" +  "haima", "blood"., Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health. People are generally considered obese when their body mass index (BMI), a measurement obtained by dividing a person's weight by the square of the person's height, is over , with the range defined as overweight. Some East Asian countries use lower values. Obesity increases the likelihood of various diseases, particularly heart disease, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis.
Obesity is most commonly caused by a combination of excessive food intake, lack of physical activity, and genetic susceptibility. A few cases are caused primarily by genes, endocrine disorders, medications, or mental illness. The view that obese people eat little yet gain weight due to a slow metabolism is not generally supported. On average, obese people have a greater energy expenditure than their thin counterparts due to the energy required to maintain an increased body mass.
Obesity is mostly preventable through a combination of social changes and personal choices. Changes to diet and exercising are the main treatments. Diet quality can be improved by reducing the consumption of energy-dense foods, such as those high in fat and sugars, and by increasing the intake of dietary fiber. Medications may be taken, along with a suitable diet, to reduce appetite or decrease fat absorption. If diet, exercise, and medication are not effective, a gastric balloon or surgery may be performed to reduce stomach volume or bowel length, leading to feeling full earlier or a reduced ability to absorb nutrients from food.
Obesity is a leading preventable cause of death worldwide, with increasing rates in adults and children. In 2014, 600 million adults (13%) and 42 million children under the age of five were obese. Obesity is more common in women than men. Authorities view it as one of the most serious public health problems of the 21st century. Obesity is stigmatized in much of the modern world (particularly in the Western world), though it was seen as a symbol of wealth and fertility at other times in history and still is in some parts of the world. In 2013, the American Medical Association classified obesity as a disease., An implanted cardiac resynchronization device is a medical device used in cardiac resynchronization therapy (CRT). It resynchronizes the contractions of the hearts ventricles by sending tiny electrical impulses to the heart muscle, which can help the heart pump blood throughout the body more efficiently. CRT defibrillators (CRT-D) also incorporate the additional function of an implantable cardioverter-defibrillator, to quickly terminate an abnormally fast, life-threatening heart rhythm. CRT and CRT-D have become increasingly important therapeutic options for patients with moderate and severe heart failure., Valvular heart disease is any disease process involving one or more of the four valves of the heart (the aortic and mitral valves on the left and the pulmonary and tricuspid valves on the right). These conditions occur largely as a result of aging. Most people are in their late 50s when diagnosed, and more than one in ten people over 75 have it., The heart is a muscular organ in humans and other animals, which pumps blood through the blood vessels of the circulatory system. Blood provides the body with oxygen and nutrients, as well as assists in the removal of metabolic wastes. The heart is located between the lungs, in the middle compartment of the chest.
In humans, other mammals, and birds, the heart is divided into four chambers: upper left and right atria; and lower left and right ventricles. Commonly the right atrium and ventricle are referred together as the "right heart" and their left counterparts as the "left heart". Fish in contrast have two chambers, an atrium and a ventricle, while reptiles have three chambers. In a healthy heart blood flows one way through the heart due to heart valves, which prevent backflow. The heart is enclosed in a protective sac, the pericardium, which also contains a small amount of fluid. The wall of the heart is made up of three layers: epicardium, myocardium, and endocardium.
The heart pumps blood with a rhythm determined by a group of pacemaking cells in the sinoatrial node. These generate a current that causes contraction of the heart, traveling through the atrioventricular node and along the conduction system of the heart. The heart receives blood low in oxygen from the systemic circulation, which enters the right atrium from the superior and inferior venae cavae and passes to the right ventricle. From here it is pumped into the pulmonary circulation, through the lungs where it receives oxygen and gives off carbon dioxide. Oxygenated blood then returns to the left atrium, passes through the left ventricle and is pumped out through the aorta to the systemic circulationwhere the oxygen is used and metabolized to carbon dioxide. The heart beats at a resting rate close to 72 beats per minute. Exercise temporarily increases the rate, but lowers resting heart rate in the long term, and is good for heart health.
Cardiovascular diseases (CVD) are the most common cause of death globally as of 2008, accounting for 30% of deaths. Of these more than three quarters are a result of coronary artery disease and stroke. Risk factors include: smoking, being overweight, little exercise, high cholesterol, high blood pressure, and poorly controlled diabetes, among others. Cardiovascular diseases frequently have no symptoms or may cause chest pain or shortness of breath. Diagnosis of heart disease is often done by the taking of a medical history, listening to the heart-sounds with a stethoscope, ECG, and ultrasound. Specialists who focus on diseases of the heart are called cardiologists, although many specialties of medicine may be involved in treatment., Heart failure (HF), often referred to as congestive heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature. Chest pain, including angina, does not typically occur due to heart failure.
Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: "heart failure due to left ventricular dysfunction" and "heart failure with normal ejection fraction" depending on whether the ability of the left ventricle to contract is affected, or the heart's ability to relax. The severity of disease is usually graded by the degree of problems with exercise. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia, and thyroid disease.
The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic stable mild heart failure, treatment commonly consists of lifestyle modifications such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors or angiotensin receptor blockers along with beta blockers are recommended. For those with severe disease, aldosterone antagonists, or hydralazine with a nitrate may be used. Diuretics are useful for preventing fluid retention. Sometimes, depending on the cause, an implanted device such as a pacemaker or an implantable cardiac defibrillator may be recommended. In some moderate or severe cases cardiac resynchronization therapy (CRT) may be suggested or cardiac contractility modulation may be of benefit. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures.
Heart failure is a common, costly, and potentially fatal condition. In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 610%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE., Subject: sammy mckim, Relation: cause_of_death, Options: (A) aids (B) anemia (C) bleeding (D) cancer (E) cardiac arrest (F) cardiovascular disease (G) consumption (H) coronary artery disease (I) dementia (J) diarrhea (K) disease (L) fever (M) graves ' disease (N) heart attack (O) heart disease (P) heart failure (Q) infarction (R) infection (S) injury (T) kidney failure (U) malaria (V) stroke (W) trauma

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