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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 the author's feelings towards the AHA/ACC? Options: A. They support the research they are doing B. not enough information C. They don't always agree with their conclusions D. They have a lot of respect towards them === The correct answer is
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B

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I saw one last night on an episode of Designated Survivor. To qualify this, I'm not normally bothered by product placements. Sometimes they can even add to the scene. But this one was bad, really bad. Agent is busy hunting for baddies. Finishes questioning one naughty person who climbs in his Ford F150 and speeds off. So far, so good - it is the sort of vehicle a country-living billionaire bad-guy would drive. The agent then pulls out her phone and Move to close up of phone screen showing Ford app already loaded (and screen unlocked!). Agent slowly moves finger to app. Does something. Pause as app does fancy graphics. Cut to car interior. Shot of dash, showing Ford logo on steering wheel. It's bright blue - are they not normally grey or more subtle? Pause for a second Zoom in on dash. Dash light up. Car starts. Show pretty dash lights for a second or so. Cut to agent Agent walks to car, gets in drives off. Lingering shot of rear of car. It was just so clumsy. Massive halt to the flow of the scene to show it. In most films you never see anyone starting cars, putting on seatbelts or similar unless this is part of the plot because it's unnecessary and not interesting to watch. I sort of expected the remote start function to have some sort of relevance later but no, it was totally ignored. Added to that: There was no password or security on her phone - and this is an agent investigating super secret stuff. If you don't show her unlocking the phone, why show her lovingly prodding the app? They are as relevant. She unlocked and started the car while she was 2030 paces away, on the grounds of a suspect ranch. Someone could easily have jumped in the car. Not very security conscious. Question: Where did the agent head in the truck? Options: A. sped off the ranch after somebody B. to go get a sandwich C. not enough information D. to chase a stray dog === The correct answer is
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A

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U.S. President Donald Trump has blocked the release of a Democratic rebuttal to a Republican memo alleging FBI abuses of power during an investigation into Russian interference in the 2016 presidential election. In a letter released Friday, White House counsel Don McGahn said Trump had decided not to declassify the Democratic memo "because the memorandum contains numerous properly classified and especially sensitive passages." The president himself expounded on that explanation Saturday on Twitter. "The Democrats sent a very political and long response memo which they knew, because of sources and methods (and more), would have to be heavily redacted, whereupon they would blame the White House for lack of transparency. Told them to re-do and send back in proper form!" Rep. Steny Hoyer, the No. 2-ranking Democrat in the House, released a statement late Friday saying, "It is deeply disturbing that President Trump has blocked the release" of the Democrat-written memo. He said that after Trump on Feb. 2 released "a one-sided, misleading memo written by Republicans on the House Intelligence Committee, it is only appropriate that Americans see all the facts." McGahn's letter to House Intelligence Committee Chairman Devin Nunes asked for revisions in the document before it could be released. Nunes released a statement late Friday, saying, "I had warned that the Democratic memo contains many sources and methods ... it's no surprise that these agencies recommended against publishing the memo without redactions." McGahn's statement said because of the "public interest in transparency in these unprecedented circumstances, the president has directed that Justice Department personnel be available to give technical assistance to the committee" in its efforts to revise the document. Trump had until the end of Friday to decide whether to declassify the memo, written by Democrats on the House Permanent Select Committee on Intelligence. The president last week authorized the release of the Republican version of the memo, which... Question: What issues needed to be address before the Democratic memo could be released? Options: A. Technical assistance and revisions to certain information presented B. None, it was ready to be released C. not enough information D. A revision of the warrant to spy on Carter Page === The correct answer is
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A