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.) How does the author think the readers will react to the new AHA guidelines?  A. They will be confused.  B. not enough information  C. They will be controlled.  D. They will be pushed.
A
(Question)
I have known, and admired, Julia Busuttil Nishimura, for many years now and always felt connected through our love of Italian food, Tuscany (Julia lived in Florence and in Orbetello, just 10 minutes away from where we lived in Porto Ercole while I was writing Acquacotta) and Japan. So I have been eagerly awaiting her debut cookbook, Ostro: The Pleasure that Comes From Slowing Down and Cooking with Simple Ingredients, and it is a beauty — it is full of food I want to make and eat. It’s also a joy to look at, as it is presented so beautifully with photographs of Julia (and often her darling little boy Haruki) at home and tables full with food that look Caravaggesque. I have already made her everyday banana loaf, several times, after years of searching for my ideal everyday cake, it is now my go-to banana loaf. I tested her ricciarelli (soft almond cookies from Siena) and pork braised in milk (a classic Italian dish that I have always loved) when she was writing the book and I have long-known her absolutely wonderful, incredibly moist lemon olive oil cake (which is also divine with blood oranges). I absolutely love her homemade approach to everything, including all the wonderful handmade pasta like trofie and orecchiette (look at those beautiful dishes below), but also things like classic tiramisu — homemade savoiardi, homemade mascarpone (yes and yes, I absolutely believe that for the freshest, most delicious mascarpone, it needs to be homemade especially if you live outside of Italy). Yes, these are all things you can also buy in a packet, but Julia’s point is, it is a pleasure to make these things by hand, and the ingredients are so simple — water, flour, cream, eggs, — you probably have them all in your house already. She is a woman after my own heart. Her book inspires you to give it a go. who made the recipe?  A. not enough information  B. julia's friend  C. julia  D. julia's mom
(Answer)
C
SEOUL — The head of the United Nations World Food Program (WFP) on Tuesday said the North Korean leadership is hopeful that following a possible denuclearization deal, the international community will increase humanitarian aid for millions of people in the country who are living in poverty and suffering from malnutrition. “There is a tremendous sense of optimism by the leadership, by the people I met with, in the hopes that they will be turning a new chapter in their history, a new page,” said David Beasley, the Executive Director of the WFP during a briefing in Seoul. The WFP director visited North Korea for four days last week, spending two days in Pyongyang and two visiting rural areas outside the capital. Beasley said he was given “remarkable” access during his visit to the restrictive state where contact with foreigners is tightly controlled. Government minders also accompanied him during his visit. Beasley, a former governor of the U.S. state of South Carolina, was nominated to head the WFP last year by U.S. Ambassador to the U.N. Nikki Haley, who is also a former South Carolina governor. With the upcoming summit between U.S. President Donald Trump and North Korean leader Kim Jong Un now scheduled to be held in Singapore on June 12, there are increased expectations that an agreement will be reached to dismantle the North’s nuclear, missile and chemical weapons programs that threaten the U.S. and its allies. Details over the scope and timing of the denuclearization process must still be worked out, but the North Korean leader has indicated he wants to resolve the dispute to focus on improving the economic conditions of the country. Ending the severe U.S. led sanctions banning 90% of North Korean trade that were imposed for the North’s repeated nuclear and missile tests, would open the door to increased economic investment and cooperation. Humanitarian assistance has been exempted from the economic sanctions, but Beasely said import restrictions has made it more complicated to bring in aid, and made... Why is the United Nation considering increasing humanitarian aid  A. Because it met with United States goverment  B. Because North Korea may denuclearize  C. not enough information  D. Because there was a summit with Trump

B