Constipation is not a glamorous topic, but it's certainly important, especially in older adults. As anyone who has experienced occasional or even chronic constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer's disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it's usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren't trained in geriatrics. They are often focused on more "serious" health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don't like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I've found that the average person doesn't know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it's vital to start by figuring out what is likely to be causing or worsening an older person's constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you're an older adult, or if you're helping an older... Who is often focused on more serious health issues? A. Adults B. People with constipation C. not enough information D. Healthcare providers
D

(Question)
Back in middle school, at least I think it was, I had art class. I didn't particularly love it but it was interesting enough at the least to hold my attention. We got to class and the teacher pulled up a list of instructions on the projector. She had each of us follow the instructions and she gave us 20 minutes to complete all of them. It may even have been a bit of a race too, to see who finished it first. This becomes a lot more evident in a second. I can't recall the exact details of the instructions, except that clearly it had to do with art such as having to draw a bunch of things. Anyways, we all went one by one down the instructions getting increasing nervous as to try to be the first one to finish. The class goes quiet while we work. Then I get to the last instruction which reads something along the lines of: "Step 15: Skip steps 114 and put your pencil down." You gotta be freaking kidding me. We're all so confused and mad at ourselves for not reading the whole of the instructions first. She turned this into a lesson for how we need to learn to read all the instructions first and then start, which was pretty clever. She got us! I remember this vividly to this day. But I look back now on this "prank" and I realize that she was kind ofwrong. Sure if the instructions are short like 15 steps it might be good to glance through before you start. But what about a whole load of instructions? Who the hell is going to read through the instructions for how to build their Death Star LEGO set before even starting to build it. Just a waste of time really. Note: I have never built a Death Star LEGO set. The art class probably lasted about: A. Around an hour B. not enough information C. About five minutes D. About six hours
(Answer)
A

Ques: 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 drove off in a toyota after A. he left the bathroom B. not enough information C. he left work D. he woke up
Ans: C

Question: Earlier this week, @naval (CEO and co-founder of AngelList) asked a question on Twitter: "The challenge of the next decade is not Artificial Intelligence, but Human Intelligence. Can we retrain the workforce as knowledge workers?"" At the heart of his question is an interesting observation. As automation and artificial intelligence replaces manual jobs, how do we retrain people in the new knowledge economy where information handling and management is in high demand? I thought I would share some experiences, observations, and recommendations based upon when I did this previously in my career. Back in 2004 I was peddling my wares as a journalist, writing for the tech press. I was living in the West Midlands in England and heard about a new organization in nearby Birmingham called OpenAdvantage. The premise was neat: open source was becoming a powerful force in technology and OpenAdvantage was set up to provide free consultancy for companies wanting to harness open source, as well as individuals who wanted to upskill in these new technologies. At the time in the West Midlands lots of industry was being automated and moved out to Asia, so lots of Midlanders were out of jobs and looking to retrain. This required, by definition, retaining the workforce as knowledge workers. OpenAdvantage was funded by the UK government and the University of Central England, had a decent war chest, and was founded by Scott Thompon and Paul Cooper (the latter of which I met when he heckled me at a talk I gave at a Linux User Group once. 🙂 ) So, I went along to their launch event and wrote a piece about them. Shortly after, Paul and Scott invited me back over to the office and offered me a job there as an open source consultant. I took the role, and this is where I cut my teeth on a lot of open source, community, and working with businesses. We had crazy targets to hit each month, so we ended up working with and training hundreds of organizations and individuals across a wide range of areas, and covering a wide berth of open source... Why were people in the Midlands seeking retraining? A. They were tech-savvy B. They needed knowledge C. not enough information D. They were unemployed
Answer:
D