user: He had apparently spaced out for a second or two. When he came to, a large, annoyed woman was leaning in toward him. "Mister? Mister, are you even listening to me?" He looked at the receding rows of fluorescent lights on the struts of the cavernous ceiling, the gleaming linoleum floors, the pallets of sale-priced plastic coolers and Special K and motor oil, and then he looked at the rack of merchandise at his back and understood that he was in a Wal-Mart, behind the returns counter. He heard his own voice saying, as if by reflex, "Do you have your receipt?" * At the first opportunity, he locked himself in a bathroom stall and dug out his wallet. His driver's license showed the right name, birthdate, and photo, but it had been issued by the State of North Carolina, and it listed an address he'd never heard of. He scrubbed his face at the sink. It was him in the mirror, a tanned and healthy 56, hair mostly gray but still all there. He felt groggy, as if he'd woken prematurely. It was only the numbness, he thought, that kept the panic at bay. If he didn't push, he found he knew the answers to some questions. He was due to clock out in an hour. When he left the parking lot he would go under the highway, turn left, and merge. * He found his way to a battered white Toyota pickup in the employee section. The key in his pocket started the engine. He forced himself not to think too hard as he drove, taking the turns that seemed to have a certain inevitability. He wound up on a dirt road near someplace called Pittsboro, in front of a small brick house surrounded by high yellow grass, pines, and live oaks. He seems to have lost consciousness for a period of time because: Pick the correct answer from the following options: - not enough information - he drank so much before work that he passed out on the job. - he was suffering insulin shock. - he'd been attacked by someone who was disturbed.
not enough information


And once again, high blood pressure is making headlines in the news: the American Heart Association and the American College of Cardiology (AHA/ACC) have just released new guidelines about hypertension. Since this development is likely to cause confusion and concern for many, I’m writing this post to help you understand the debate and what this might mean for you and your family. By the way, if you’ve read any of my other blood pressure articles on this site, let me reassure you: I am not changing my clinical practice or what I recommend to others, based on the new AHA/ACC guidelines. The core principles of better blood pressure management for older adults remain the same: * Take care in how you and your doctors measure blood pressure (more on that here), * Start by aiming to get blood pressure less than 150/90 mm Hg, as recommended by these expert guidelines issued in 2017 and in 2014, * And then learn more about what are the likely benefits versus risks of aiming for more intensive BP control. Perhaps the most important thing to understand is this: treatment of high blood pressure in older adults offers “diminishing returns” as we treat BP to get lower and lower. Scientific evidence indicates that the greatest health benefit, when it comes to reducing the risk of strokes and heart attacks, is in getting systolic blood pressure from high (i.e. 160-180) down to moderate (140-150). From there, the famous SPRINT study, published in 2015, did show a further reduction in cardiovascular risk, when participants were treated to a lower systolic BP, such as a target of 120. However, this was in a carefully selected group of participants, it required taking three blood pressure medications on average, and the reduction in risk was small. As I note in my article explaining SPRINT Senior, in participants aged 75 or older, pushing to that lower goal was associated with an estimated 1-in-27 chance of avoiding a cardiovascular event. (The benefit was even smaller in adults aged 50-75.) What did the author find while researching the SPRINT study? Pick the correct answer from the following options: - A reduction in cardiovascular risk - not enough information - intensive blood pressure guidelines - new AHA/ACC guidelines
A reduction in cardiovascular risk


Q: What is creativity? How de we define creativity? Where does creativity come from? How philosophical is the notion of creativity? Is everyone’s ‘creativity’ different? Or is it an ill conceived, simplified term that is used to describe a very specific series of neuronal & bodily reactions to certain stimuli? These are all the questions I’ve been thinking (and googling, and youtubing) since beginning this Capturing Creativity studio* and I have found some answers or maybe I’ve just found more questions: Creativity is generally defined as the ability to make new things, or come up with new ideas, it’s an ability to think outside the box, to see unique solutions and employ them in inventive ways. In this sense creativity is not always utilised when being ‘creative’, as to be creative is simply defined as the ability to make or produce something. However I guess that depends on your definition of creative, how different, unique, special, once off, un-influenced does something have to be, to be classified as creative? This is where creativity get’s tricky. It’s all well and good to be like oh this is what creativity is, so it’s easy to investigate it, but what if you don’t define that as being creative, maybe that was just following a formula, a somewhat inspired formula, but maybe it is just a formula. Creativity to most people seems to be a random mix of once off genius combined with solid skill and hard work and for us humans these percentages are unique to us. Maybe creativity to you is 90% unique idea, 5% skill and 5% hard work. Maybe creativity to you is 40% unique idea, 50% skill and 10% hard work. Maybe for you creativity doesn’t have to involve any hard work at all. For me when it comes to creativity I’m most interested in that unique idea portion; where does that unique idea come from? Is it simply random? Is it a gift from the gods? Is our unique idea just a product of a lot of subconscious effort, only made aware to us in the sense of a ‘random’ idea? Have we been influenced by something, processed it... What does creativity seem to be to most people? Pick the correct answer from the following options: - Something that doesn't involve any hard work at all - not enough information - A random mix of once off genius combined with solid skill and hard work - The ability to make or produce something


assistant: A: A random mix of once off genius combined with solid skill and hard work