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... Question: What is probably the best way to treat constipation in the elderly? Options: - not enough information - probably just taking a laxative - probably a balance of managing medications, diet, and exercise - probably just letting the bowel movement come naturally === The correct answer is
not enough information

(Question)
Paul Reynolds crisscrossed his sketchbook with furious strokes, filling the pages with images of the vengeance he would take on his former coworkers at Fear and Loading Games. He'd founded the company three years back and, just a few hours ago, his partners and erstwhile friends had fired him without cause or warning. He concentrated hard as his pen brought to life demonic figures from one of the best-selling comics he'd created, scythe wielding cyber-men called Myrmidons who tore into surprised computer programmers with fangs and claws. Elsewhere on the page, computers assembled themselves into 21st century Golems, rising up against traitorous CEO's and producers to crush them to bloody pulp as they cowered beneath their desks. Sitting at the bar in Senor Goldstein's Mexican Restaurant in San Jose, California, Paul's own artwork engaged him for the first time in months, maybe years. Under other circumstances, that would have made him happy. But today's circumstances allowed only two emotions: despair and a burning desire for revenge. Not wanting to succumb to the former, and not quite wanting to find a gun and go back to the office, he instead drew. He had turned to a fresh page and begun to sketch his most elaborate revenge-scheme yet when a woman walked into his line of vision. There were four or five other women in the restaurant already (most of them employees), but this one stood out. This one would've stood out anywhere. Her hair, cut short and spiky, was dyed a magenta so bright it nearly glowed. She wore a tight black t-shirt, baggy olive drab shorts that hung on shapely hips, and heavy black boots with two inch thick soles. She had a faded black messenger bag slung across her chest, the strap pressing between her breasts. If Paul had to guess, she wasn't wearing a bra. She definitely wasn't your average Silicon Valley techie on an early lunch break, and certainly not a restaurant employee. Question: What probably made Paul unhappy when he was drawing? Options: - Girl who came in to the restaurant - not enough information - His job - His lunch === The correct answer is
(Answer)
His job

SEOUL South Korean Foreign Minister Kang, Kyung-wha said on Wednesday that the U.S. and South Korea jointly made the decision to suspend combined military exercises scheduled for August, but would not confirm if her government was given advanced notice before U.S. President Trump announced his intention to cancel the drills, after he met with North Korean leader Kim Jong Un in Singapore on June 12. "We have made it clear that this is a goodwill gesture to strengthen the dialogue momentum at this point, but they are not irreversible. They could quickly come back should we see the dialogue momentum losing speed or North Korea not living up to its denuclearization commitment," said Foreign Minister Kang. During a press briefing in Seoul, the foreign minister said she was in in close communication with U.S. Secretary of State Mike Pompeo about the drills directly following the Singapore summit. And while the announcement canceling the exercises came suddenly, Kang said, South Korea was also considering this option to keep diplomatic momentum moving forward following the U.S.-North Korea summit where Kim reaffirmed his commitment to the "complete denuclearization" of North Korea. The now cancelled Ulchi Freedom Guardian exercises normally held in August usually bring in 3,000 more American troops from abroad and involve 50,000 South Korean troops. No decision has yet been made whether the other large-scale joint exercise held in the spring would be suspended as well. At the Singapore summit Trump said he would cancel the "war games" that he said were both enormously expensive and "provocative," as an act of good faith and in response to North Korea's commitment to denuclearization, its continued suspension of nuclear and missile teats, and the recent closing of its nuclear testing site. North Korea has long called for the end of these joint military exercises that it says are offensive "rehearsals for war." In the past U.S. officials refused to suspend the joint drills, that they defended as defensive in nature... Question: When did the US and South Korea agree to cancel the Ulchi Freedom Guardian exercises? Options: - after North Korea agreed to denuclearization - before North Korea agreed to denuclearization - not enough information - during talks of denuclearization === The correct answer is
after North Korea agreed to denuclearization