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.) Who should be careful how they measure blood pressure? Pick the correct answer from the following options: - The reader. - The author. - not enough information - The AHA.
The reader.

Yes recently! I have joined a B-School recently. New friends, new syllabus, new place and new subjects! With all these new things, I got a new assignment which was supposed to be submitted in 3 days. Our teams were formed and we, together had to submit it. From dawn to dusk, we worked hard on that Economics project. I worked with each and every person in the group. I didn't know how to plot a triple axis graph in excel, I learnt that day at 2 am. Our group also learnt many new things and we gave our 100% to that report. I, in my entire academic life, have never been careless towards the submission. I always submitted reports or assignments before time. Anyway, the submission day finally arrived. I had told one of the group members to print the report out and bind it and bring to the college with her. The lecture is scheduled at 2:00 pm. I called her for about 30 times asking where she was. She didn't pick up any of our calls. There she entered the lecture hall at 2:07 pm and our professor being a strict one, rejected our project. Everything was washed out. Our efforts were washed away. What was the reason of she being late? Traffic! It's simple assumption that if you stay in a city like Mumbai, you at least leave your house 11.30 hours before. Being loyal is toxic sometimes. We all lost our individual credits for the subject plus the internals will get affected which is altogether different story. Guys, if you are working for a group of members, please please respect their hard work. Put yourself in their shoes snd imagine their hard work. Never ever mix your Professional commitments with personal problems. Peace! At the end of the story, the author feels: Pick the correct answer from the following options: - Annoyed - Betrayed - not enough information - Neutral
Betrayed

Q: North Korea's release of three U.S. citizens may help pave the way for talks between Donald Trump and Kim Jong Un, but questions remain as to whether those talks will succeed. At the White House on Wednesday, Trump continued to speak cautiously about the coming summit, even while praising the North Korean leader for the prisoner release. "Everything can be scuttled," Trump told reporters. "A lot of things can happen a lot of good things can happen, [and] a lot of bad things can happen." North Korea on Wednesday granted amnesty to three Americans of Korean descent. They had been accused of espionage or trying to overthrow the government, charges widely seen as bogus. Pyongyang has detained at least 16 Americans over the past two decades, often attempting to use them as bargaining chips. All were eventually released, although Otto Warmbier, a 22-year-old college student, died shortly after returning to the United States last year. A White House statement Wednesday praised North Korea's latest prisoner release as a "positive gesture of goodwill" ahead of the Trump-Kim summit, which is expected to take place as soon as next month. South Korea's presidential office said Pyongyang's decision was a "very positive" sign for a successful North Korea-U.S. meeting. The freeing of the prisoners coincided with a visit to Pyongyang by U.S. Secretary of State Mike Pompeo, who declined to say whether the release was a U.S. precondition for holding talks with the North. "I don't know the answer to that," Pompeo told reporters on the flight home. "It would have been more difficult [had the prisoners not been released]. ... I'm glad that we don't have to confront that." It's not clear what, if anything, the U.S. gave up in exchange for the prisoners. It's not even clear a concession was needed, since North Korea has for decades sought the presumed legitimacy provided by a summit with a sitting U.S. president. When did North Korea release three prisoners? Pick the correct answer from the following options: - before Secretary of State Mike Pompeo visited Pyongyang - when Secretary of State Mike Pompeo visited Pyongyang - after Secretary of State Mike Pompeo visited Pyongyang - not enough information
A: when Secretary of State Mike Pompeo visited Pyongyang

While I was in training, my class was 2 months out from graduation. We were in class, reviewing skills such as antenna theory, radios and map reading. Our instructor walks in and pulls a candidate, we'll leave nameless, aside. He walks him out of the classroom. I never really thought anything of it as instructors would often pull guys aside for reviews, specific instructions or taskings. I don't know how much time passed but the candidate walked back in. He gathered his things and left the room. Guys asked if everything was cool but he didn't say a word. The instructor came in and sat on the desk at the front of the room. We asked if everything was alright, and he told us that the day prior, the The candidate's wife had gone into labor however there were complications with the baby but the complications were unknown. He was reporting to the commander to let him know whether he wanted to stay in training or leave because the military does not consider a spouse's pregnancy to be an emergency even though the complication should be. If he were to leave he would have to drop from the TACP pipeline with a possibility of either starting it over from the beginning of quitting all together. The instructor shook his head and I could honestly see it was a difficult task for him to tell the candidate. It's rare to see an instructor be emotional but it was something that brought reality into the room for us. The candidate was given 24 hours to call the hospital, talk to his wife, learn more of the situation and make a decision. He ended up staying in the pipeline and graduated. His child was born with minor complications but is healthy to this day. It may not be an exact teacher to a student scenario, but it hits pretty damn close to those of us who went through military training. The author probably believes that: Pick the correct answer from the following options: - not enough information - The instructor did not care. - The instructor is nice human being. - The instructor is indifferent.
The instructor is nice human being.