Ques:To be honest, people don’t usually ask me this. Instead, they want to know things like “How do I keep my mother from falling?” or “What should I do? My grandfather’s been falling.” After all, falls are a scary thing. Most people know that falls are dangerous for older adults. The Center for Disease Control (CDC) reports that one in five falls causes a serious injury such as a broken bone or head injury. Fear of falling can also seriously affect an aging adult’s quality of life and sadly, can keep a person from being active and thriving. So, many seniors and family caregivers are interested in fall prevention because the risks are so great. And the good news is that although it’s not possible to prevent all falls, it almost always IS possible to take actions that will reduce the chance of a bad fall. If you want to learn more, you’re in the right place. In this post, I’ll cover: * How understanding why aging adults fall can help you keep an older parent — or yourself — safer, * Why personalized fall prevention plans work better than relying on general fall prevention tips, * The four-step process I use to help older adults prevent falls, * A practical example showing you how to use these steps to avoid falls yourself. First, understand why older people fall There are many reasons that aging adults fall. Most older people will be falling due to their own unique combination of reasons. So how, exactly, should YOU go about reducing fall risk? Now, you can — and should — try to implement the general tips that are often listed in most fall prevention resources: exercise, medication review with the doctor, vision checks, and home safety reviews. But if you really want to help an older loved one avoid falls, I recommend you learn to better understand why he or she, in particular, might fall. What is the author's occupation? Pick the correct answer from the following options:  A. a doctor  B. a nurse  C. not enough information  D. a physical therapist

Ans:C
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Ques:At an early meeting of the British Sociological Association’s “Activism in Sociology Forum” members met to discuss how we might play a more campaigning role in the world outside the academy. Pragmatically, academics tend to work long hours. We are faced with multiple and competing demands: teaching, administration, publishing, marketing, research, grant-bidding, and so on. The REF has ramped up the requirement to demonstrate the efficacy of our research in “the real world” (our impact upon society, economy, and culture rather than upon knowledge per se, or upon the academic discipline). Maybe here – I suggested, as my contribution to the meeting – was a chance for those of us interested in progressing social justice to lever officially sanctioned space, in our busy day-to-day lives, to do more of this sort of work? Maybe we should welcome the REF impact agenda? I learned afterwards that eminent British sociologists, whom I respect enormously, regarded such a viewpoint as “naïve” and “embarrassing”. Indeed, critics interpret REF as just one mode of the heightened, neoliberal, managerial control that is degrading academic life and infesting universities. So, how should we think about the REF impact agenda? Because of its obvious connections with social improvement and reform through policy action, social policy is regarded as one disciplinary area that is well-placed to meet and benefit from the impact agenda. Yet there has been surprisingly little concerted discussion amongst scholars about REF and impact. This is despite the fact that many millions of pounds of public funding accrue to the proposed or claimed impact of research (with monies channelled through research councils to individual projects or via regular, six-yearly centralised assessments of the quality of research in university departments). In addition, there is substantial funding directed toward the “impact industry”; the consultants, think tanks, PR firms, funding schemes, new software programmes, impact managers, specialist impact case study... Who are part of the impact industry? Pick the correct answer from the following options:  A. not enough information  B. think tanks  C. critics  D. academics

Ans:B
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Ques: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.) After the release of the new AHA guidelines, what is going to happen to the author's patients? Pick the correct answer from the following options:  A. Their blood pressure treatment protocol will stay the same.  B. not enough information  C. They will be enrolled in a study.  D. They will call their doctor.

Ans:
A
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