input with options: 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.) Question: What is most likely the author's occupation? === The answer to the above question is
OPTIONS:
- not enough information
- a researcher
- works for American Heart Association
- a doctor
output: a doctor

Q: It was a made-for-TV moment that all presidents would relish, but it seemed especially significant for the man who turned a reality TV career into a successful bid for the presidency. Donald Trump triumphantly greeted the three Americans released by North Korea in the early morning darkness at Joint Base Andrews outside Washington early Thursday, an image one can expect to see over and over again come the 2020 U.S. presidential election campaign. "It was a very important thing to all of us to be able to get these three great people out," Trump told reporters on the tarmac. He then went on to speculate that live television coverage of the arrival "probably broke the all-time in history television rating for 3 o'clock in the morning." It was a moment the president gladly seized given that his White House has been buffeted by a chaotic mix of policy and personal drama in recent days. The prospect of a potentially historic breakthrough on North Korea could move a number of other unwelcome distractions to the side, including the ongoing Russia investigation, the growing legal difficulties for Trump's personal lawyer, Michael Cohen, and the soap opera that the Stormy Daniels story has become. Daniels is the adult film actress who claims she once had an affair with Trump. He denies the claim. Trump also announced Thursday on Twitter that he will meet with North Korean leader Kim Jong Un on June 12 in Singapore. A new CNN poll found that 77 percent of those surveyed support Trump meeting the North Korean leader, and 53 percent approve of his handling of the North Korea issue generally. Those numbers are in keeping with a general trend of late that has seen the president's poll ratings improving, perhaps in part because of the strong economy. Question: What is likely true about President Trump? === The answer to the above question is

OPTIONS:
- He is not bothered or nervous about the controversies he is currently experiencing during his presidency.
- not enough information
- He has only faced controversy during his presidency.
- He has faced several instances of controversy and allegations throughout his life.

A: He has faced several instances of controversy and allegations throughout his life.

input: OPTIONS:
- not enough information
- Governor Nicholl
- Malone
- Becky Now, answer this question: Pirate gold. Coins, rings, ingots. Necklaces of emeralds and opals and sapphires. Chalices, bracelets, daggers inlaid with diamonds and lapis and ivory. Malone rolled over in the soft hotel bed. Not just gold but the things it would buy. A two-story house of brick and wrought iron. Greek columns in front and coaches parked in the drive. Built high on the center of Galveston Island, away from the deadly storms of the Gulf, away from the noise and stink of the port. White servants and negro slaves. Fair-haired women to sit at the piano in his parlor. Dark-skinned women to open their legs to him in the secrecy of the night... He sat up in a sweat. I will think no evil thoughts, he told himself. Outside, the sun rose over New Orleans. Horse-drawn carts creaked and rattled through the streets, and chickens complained about the light. The smell of the Mississippi, damp and sexual, floated through the open window. Malone got up and put a robe on over his nightshirt, despite the heat. He turned up the gas lamp over the desk, took out pen, ink and paper, and began to write. 'My dearest Becky...' * He smelled the French Market before he saw it, a mixture of decayed fruit, coffee, and leather. He crossed Decatur Street to avoid a side of beef hung over the sidewalk, swarming with flies. Voices shouted in a dozen different languages. All manner of decrepit wooden carts stood on the street, their contents passed from hand to hand until they disappeared under the yellow canvas awnings of the market. Beyond the levee Malone could see the tops of the masts of the tall ships that moved toward the Governor Nicholl's Street Wharf. Question: Who wrote a letter? === The answer to the above question is
A:
output: Malone

When I had trouble bending over to tie my shoes and I wasn't pregnant. When I hit about 35 I started having trouble with weight. The strange thing was to me, it wasn't that I was eating more then I used to, as a matter of fact I started eating less. When that didn't help I barely ate at all. Still I couldn't lose weight. What I didn't know was we start to lose muscle mass every decade beginning in our thirties, and I was a ripe 35. Muscles use up more calories than fat, so less muscle means a slower metabolism and the need for fewer calories, and the pounds stack on easier. My second problem was my narcolepsy. When you wake up after a nights sleep there is a release of adrenaline which prompts body and mind into action and helps burn off calories. Narcolepsy causes me to sleep on and off during the day, and as explained by my doctor (so if I have this wrong about adrenaline it is my doctors fault lol) I am not getting that adrenaline release because my bodies clock doesn't know if I am asleep or awake. He suggested in the morning to start exercising about 20 minutes to get that adrenaline rush, in the afternoon exercise about twenty minutes more for the same reason Dieting and exercising brought those pounds back down. I will say it is much harder in the winter for me then in the summer. Summer time I am naturally active. I ride bikes with my husband, swim, garden, mow about an acre of lawn. In the winter I can't ride, swim, garden, or mow, and I hate exercise I don't enjoy. Anyway the long answer to the defining moment but there it is just the same. Question: What does she eat to lose weight? === The answer to the above question is

OPTIONS:
- Less Food.
- Lighter Meals.
- not enough information
- Salads.

Answer:
not enough information