An Initiative to Educate and Support Young Adults Diagnosed with Hypertension

An Initiative to Educate and Support Young Adults Diagnosed with Hypertension Page Tomlinson, BS, RN, DNPc Background: Hypertension is a common diagnosis in the US with significant long-term effects. While guidelines for optimal hypertension management exist, young adults lag behind older adults in treatment and control3. The young adult is arguably more capable of lifestyle changes, primarily due to fewer physical limitations than older adults. Promotion of disease self-management is the most effective way to engage young adults in seeking control over their blood pressure1,2. Lifestyle modification as a young adult decreases costs of care and risk for cardiovascular events, while lack of guidance and support at this stage of life may increase risk for cardiac events over their lifetime. This project examined disease self-management in young adults aged 18-39 years at a local primary care office. Methods. Patients aged 18-39 years with diagnosis of hypertension were identified. A questionnaire on self-efficacy in hypertension management was sent and preference for lifestyle modification counseling (LMC) was assessed. Follow up calls placed. Semi-structured interviews conducted. Provider survey conducted. Results: Three patients discussed their experience of being diagnosed with hypertension in semi-structured interviews. Fourteen patients were not interested in participating. Provider survey (n=7) response 100%. Patient information handout created. Conclusions. While the literature demonstrates the positive effect of LMC on outcomes in hypertensive young adults, efforts to engage this population proved challenging. Young adults desire consistent guidance and support with lifestyle modification yet are unwilling to engage in lifestyle modification when they are asymptomatic and do not have rapport with the offering provider. Key Words: hypertension, young adult, support, lifestyle modification Word count [246] References: Johnson, H., Olson, A., Lamantia, J., Kind, A., Pandhi, N., Mendonça, E., Craven, M., & Smith, M. (2015). Documented lifestyle education among young adults with incident hypertension. Journal of General Internal Medicine, 30(5), 556-64. Trento, M., & Porta, M. (2012). Structured and Persistently Reinforced Patient Education Can Work. BMJ: British Medical Journal 345, e5100. Zhang, Y. E., & Moran, A. (2017). Trends in the Prevalence, Awareness, Treatment, and Control of Hypertension Among Young Adults in the United States, 1999 to 2014. Hypertension, 70(4), 736-742

Negligent Disruption of Genetic Planning: Carving Out a New Tort Theory to Address Novel Questions of Liability in an Era of Reproductive Innovation

This Essay will address current concerns pertaining to ART-related negligence, and ultimately recommends the adoption of a new tort— negligent disruption of genetic planning (NDGP). This tort would enable plaintiffs to recover damages when an ART clinic’s negligent actions thwart reproductive planning, while simultaneously balancing the serious moral and ethical questions that arise in these situations. This argument proceeds in three Parts. Part I discusses the technological evolution of ART and gives examples of ART-related negligence cases that have occurred in the United States. Part II lays out the current U.S. tort remedies relied on by plaintiffs in these situations, and then discusses alternate tort-based approaches proposed by courts and scholars that find the existing tort landscape inadequate. Finally, Part III evaluates the applicability of existing torts to ART-related negligence cases as well as the proposed novel approaches of other courts and scholars detailed in Part II. Because existing theories do not adequately balance public policy concerns, the need to protect ART patients, and the complex moral and ethical questions surrounding ART, NDGP is proposed as a solution to fill the current gap

Temperature sensitive flow regulator Patent

Describing device for changing flow rate of fluid in duct in response to change in temperatur

Negotiating credibility: Britain and the International Monetary Fund 1956–1976

For twenty years before the famous crisis of 1976 Britain was a regular borrower from the International Monetary Fund (IMF). Through this lending role, the Fund in these years played a key part in determining the credibility of British policies. Borrowing from the Fund meant that British policy had to be seen as conforming to certain norms, but these norms were always negotiable, albeit within shifting limits. This article uses archival material from London and Washington to examine these processes of negotiation, showing how far British policy was shaped by the desires of the IMF, and how far it was able to maintain autonomy in national economic policy

A Proximate Mechanism for Communities of Agents to Commemorate Long Dead Ancestors

Many human cultures engage in the collective commemoration of dead members of their community. Ancestor veneration and other forms of commemoration may help to reduce social distance within groups, thereby encouraging reciprocity and providing a significant survival advantage. Here we present a simulation in which a prototypical form of ancestor commemoration arises spontaneously among computational agents programmed to have a small number of established human capabilities. Specifically, ancestor commemoration arises among agents that: a) form relationships with each other, b) communicate those relationships to each other, and c) undergo cycles of life and death. By demonstrating that ancestor commemoration could have arisen from the interactions of a small number of simpler behavioural patterns, this simulation may provide insight into the workings of human cultural systems, and ideas about how to study ancestor commemoration among humans.Agent Based Models, Ancestor Commemoration, Dominance Relationships, Communication, Cooperation, Memory