According to November 7, 2013's "Which Types of Websites Do Most Americans Visit Frequently?" - Which types of websites are people visiting on at least a weekly basis?
85% of American adults use the internet, representing a new high point for internet adoption. Respondents with no high school diploma were 10 times more likely than college graduates to be offline (41% vs. While just 2% of 18-29-year-olds are offline, that figure rises to 8% among 30-49-year-olds and 17% among 50-64-year-olds, before jumping to 44% of the 65+ group (including 62% of adults aged 77 and up).
Interestingly, although Hispanic cell phone users are more prone to using their device to go online than the average American, Hispanic adults are more likely than the average adult to be offline (24% vs. 24% of respondents with Household Income (HHI) of less than $30,000 are offline, compared to 4% with HHI of more than $75,000. 19% of offline adults say they don’t use the internet because of the cost, while 7% cite lack of availability or access. Of course, the more interesting question that I don't see asked, but probably should be asked is what portion of the Windows 7 share does Windows 7 Professional have? 62.5 million Americans count as affluents – meaning that they are aged 18 and over and living in households with at least $100,000 in annual income – an almost 6% increase from 59 million last year.
77% of affluents are non-Hispanic whites; Compared to the general population, Hispanics (8% vs.
Two-thirds of affluents are college graduates, compared to 37% of the general population (college student demographics can be found here). On a geographic basis, while a plurality 33% of affluents are based in the South, they are under-represented (index of 89) in that region relative to the general population. Every professional field will have its day, and it seems like with Big Data comes big aspirations - the rise of Data Science, and those who work with data, data scientists.
Our primary result is that we were able to identify four major categories of data scientist, based on clustering the ways that our respondents viewed themselves and their careers. Data Creatives are eclectic jacks-of-all-trades, able to work with a broad range of data and tools. Data Developers are focused on writing software to do analytic, statistical, and machine learning tasks, often in production environments. Data Researchers apply their scientific training, and the tools and techniques they learned in academia, to organizational data. Furthermore, we were able to show how these categories correlate with varying skills in five general areas.
On several questions, there also are wide differences between college graduates and those who have attended college but not graduated. Notably, even most college graduates could not identify the gas that makes up most of the earth’s atmosphere. On the health-related questions on the quiz, however, women did as well as or better than men.
However, half (50%) of those 65 and older identify natural gas as the resource extracted in fracking, compared with 61% of those 50-64, 52% of those 30-49 and just 35% of those under 30.
Nearly half of Americans (46%) say that the main reason that many young people do not pursue degrees in math and science is mostly because they think these subjects are too hard; just 22% say it is mostly because young people think math and science are not useful for their careers while 20% say it is because they think these subjects are too boring. CDC's National Center for Chronic Disease Prevention and Health Promotion is at the forefront of the nation's efforts to promote health and well-being through the prevention and control of chronic diseases.
Contribute to chronic disease research and apply that research to put practical and effective intervention strategies into practice. Achieve equity in health by eliminating racial and ethnic disparities and achieving optimal health for all Americans. For maximal benefit, it is recommended that individuals engage in moderate-intensity exercise (40–60% of V•O2max) for at least 30 minutes on most, preferably all, days of the week. Importantly, if you have hypertension, consult your physician before beginning an exercise program. While systolic BP was related to risk of CVD in both groups, the CVD death rate was greater for men with diabetes than men without diabetes at every level of systolic BP. According to "World Health Organization's Global Brief on Hypertension," there are multiple factors influencing the development of high blood pressure. At the same time, the environment need not just be a contributor to hypertension but it can also be a factor that contributes to the control of high blood pressure and for maintaining normal blood pressure.
In so doing, Public health interventions have a better chance of succeeding in coming up with more effective solutions than just, for example, looking at treatment alone. As of this writing, the guidelines have only been released for a few days, and the recommendations for increased statin use are being questioned. Risk Calculator for Cholesterol Appears Flawed raises the issue of the possibility of putting too many people on statins that may not necessarily be as beneficial because the proposed risk calculator overestimates the risk. A more pointed NY Times op-ed piece was published BEFORE the guidelines were released, ( Don’t Give More Patients Statins ).
At the same time, 18 percent or more of this group would experience side effects, including muscle pain or weakness, decreased cognitive function, increased risk of diabetes (especially for women), cataracts or sexual dysfunction. Perhaps more dangerous, statins provide false reassurances that may discourage patients from taking the steps that actually reduce cardiovascular disease. How fortuitous that while I was devoting my Public Health Blog posts since October 1st to hypertension that a new rendition of the hypertension guidelines was released on November 14th by NHLBI, along with other guidelines to address cardiovascular disease risk factors! Prior to the November 14 guidelines that were jointly released by the American College of Cardiology and the American Health Association, in collaboration with the National Heart,Lung and Blood Institute, online publications summarizing what has been going on with hypertension guidelines were available. Hypertension Clinical Updates provides a literature review of the various guidelines that have been developed since 2003 when the JNC 7 was released. I like Research!America's annual "Public Health Thank You Day" because it puts what is my greatest love, Public Health, on the forefront, even if it's just for one day a year.
Going to bed and feeling safe because disaster preparedness exists at every level of government. In June 2013, the Journal of the American College of Cardiolgoy released Refocusing the Agenda on Cardiovascular Guidelines: An Announcement from the National Heart, Lung, and Blood Institute to explain that the long-awaited JNC 8, as well as other guidelines addressing cardiovascular risk factors such a cholesterol and obesity are progressing, but changes are being made as to how these guidelines are being developed. The five CV "guideline products" include cholesterol, blood pressure, risk assessment, lifestyle interventions, and obesity.
News that professional societies like the ACC and AHA will be involved was a surprise to many who have actively been working on the different guidance documents.
The last Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults: Report from the Adult Treatment Panel (ATP 3) document came out in 2001, with an update in 2004. November 21, 2013 - What is the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure? The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) is the national guideline document for the treatment of hypertension since 1997.
As the bar chart shows, less than half of Americans with high blood pressure have it under control. Although incidence of the condition continues to rise, the percentage of persons in whom hypertension is controlled increased to 64% in 2005-2006, up from 35% in 1999-2004.
Treatment levels and awareness of hypertension also showed significant increases during the period. Since starting this series on hypertension in October, the CDC has released NCHS Data Brief Number 133, October 2013, "Hypertension Among Adults in the United States: National Health and Nutrition Examination Survey, 2011–2012". Men with hypertension were less likely than women to be aware of their condition and to be currently taking antihypertensive medication.
Among adults with hypertension, nearly 83% were aware, nearly 76% were taking medication to lower their blood pressure, and nearly 52% were controlled. Controlled hypertension was similar across race and Hispanic origin groups, but the percentage controlled was higher for women and older adults. Hypertension is an important risk factor for cardiovascular disease and affects almost one-third of the U.S. This is different because it takes into account prevalence, and spreads that cost over all employees, whether they report the condition or not.
The indirect cost data is only for employed persons reporting the condition, which means it is a subset of the population (doesn’t include indirect costs for the non-employed, doesn’t include costs for the undiagnosed). The study found the largest burden of hypertension in the Southeast, the lowest prevalence in Colorado, and differences among genders, ethnic groups, and geographies. The study also highlights the need for increased efforts to raise awareness among women about the dangers of high blood pressure and the need for prevention and treatment.
Bristol Bay Borough, Alaska, was the only community of the 3,133 studied nationally where, between 2001 and 2009, the percentage of women receiving treatment had increased more than the percentage of men on treatment. 2011 and 2012 that provided county-level life expectancy estimates for the past two decades showed that women in particular were faltering in comparison to the improvements in life expectancy seen in Europe and the high-income countries of the Pacific.
Texas had some of the highest disparities among counties in treatment levels for both men and women. Counties in four states accounted for the 10 highest rates of hypertension prevalence -- Alabama, Georgia, Louisiana, and Mississippi -- but the percentage of people in those states whose hypertension was being treated or was controlled increased between 2001 and 2009. In addition to geographic disparities, the study also found disparities due to gender and race. Researchers noted the significant risks of uncontrolled hypertension, which kills 1 in 6 adults in the US.
IHME's Global Burden of Disease Study 2010 (GBD 2010) found that, in 1990 and 2010, high blood pressure ranked second as a cause of premature death for women and third for men.


Here is a graphic created with Tableau software that looks at the prevalence of hypertension based on county-level data. Available information in certain countries, including in the USA, reveals that, while high blood pressure is more common in men, from age 65 onwards a higher proportion of women suffer from it. In the Americas, high blood pressure-related mortality is one of the ten leading causes of death in men and women.
Hypertension can be prevented by reducing salt intake, following a healthy balanced diet, avoiding the harmful use of alcohol, maintaining a physically active lifestyle, and a healthy body weight. In high-income countries, widespread diagnosis and treatment with low-cost medication have reduced mean blood pressure across populations, leading in turn to a reduction in deaths from heart disease. According to "World Health Organization's Global Brief on Hypertension," hypertension is responsible for at 45% of deaths due to heart disease, and 51% of deaths due to stroke.
These maps show that the distribution of cardiovascular and cerebrovascular deaths vary across countries, with higher mortality rates in Asia and Africa.
According to "World Health Organization's Global Brief on Hypertension," global demographics indicate that the proportion of older people in many countries is growing. The American Heart Association has recommended guidelines to define normal and high blood pressure. According to research studies, the risk of dying of a heart attack is directly linked to high blood pressure, particularly systolic hypertension. Blood pressure is highest as its leaves the heart through the aorta and gradually decreases as it enters smaller and smaller blood vessels (arteries, arterioles, and capillaries). Important complications of uncontrolled or poorly treated high blood pressure include heart attack, congestive heart failure, stroke, kidney failure, peripheral artery disease, and aortic aneurysms (weakening of the wall of the aorta, leading to widening or ballooning of the aorta). As a follow-up to yesterday's posting, I decided to narrow the Ngram viewer to look at the 20-year period between 1988 and 2008. While stroke remains a topic of greater interest, compared to heart disease and hypertension, this narrowed search shows that hypertension interest is greater than for heart disease. Nevertheless, I do need to clarify that hypertension should not be considered a disease, per se, but rather a medical condition when left untreated becomes a factor in the development of heart disease and stroke. Of course, with the CDC providing a geographic analysis of avoidable deaths (October 1 posting) from heart disease, stroke and hypertensive disease should set the stage for developing strategies to address all three health issues. From a prevention perspective, it would make a lot of sense to target hypertension since it is a factor for both heart disease and stroke. Every so often I like to what Google's Ngram Viewer has to show about particular topics of interest.
Looking at the past 208 years of literature, compliments of Google, as compared to heart disease and hypertension, stroke has been of great interest.
Primary Hypertension High blood pressure is usually divided into two categories, primary and secondary. Primary hypertension is easier to deal with since research shows that a change in lifestyle habits can have a considerable effect on lowering your blood pressure. Secondary Hypertension Secondary hypertension is when your blood pressure is persistently high due to another underlying health problem. Katrina Rees-Evans RHN,HNC,BA is a practicing Holistic Nutritionist with over 23 years experience in the Natural Health Industry in Canada. Over the past few decades, controlling high blood pressure has been one of the priorities for health care professionals and organizations worldwide. High blood pressure, while not a disease in and of itself, is a risk factor for several other life threatening conditions like heart attacks, strokes, and kidney failure. Excessive plaque on the interior walls of your arteries makes them, in effect, smaller, known as “Atherosclerosis”. There’s another reason too much plaque is bad.  If there’s too much gunk inside your pipes, that ball of gunk could get too big and clog off your pipes!
Your arteries have the ability to get larger or smaller depending on the needs of your body at the time.
Note: when it comes to salt intake, there is a lot of information out there saying excessive salt intake will increase your blood pressure. In the end, if you want to reduce your blood pressure naturally, put down the cigarette and go for a run.
Nutrient labels on food products in the United States list their percentages based on a 2000 calorie per day diet. The first known experiment to measure the exact pressure of blood was performed by Stephen Hales on December 1, 1733. According to the American Heart Association, about 1 billion people worldwide have clinically significant high blood pressure. Find Us On YouTube!Subscribe today to check out our free Daily Knowledge Youtube video series!
What Your Numbers Mean – Understanding Blood Pressure Readings - Heart Rhythm Consultants, P.A. According to a Pew Research Center study released late last year, 72% of American internet users looked online for health information during the previous year. 49%) to say they visit a social networking site at least weekly; Men are 36% more likely to frequently visit a news and information site than women (34% vs.
That still leaves 15% of adults who do not use the internet or email, for a range of reasons. 4%), with a high proportion (22%) of high school graduates without any college education also offline.
The main reasons for not going online, though, concern relevance (34%) and usability (32%).
Presently those dealing with data were commonly called "statistical and analytics professionals", and in public health, there are the statisticians, research scientists and analysts, and, of course, epidemiologists. But is everyone converging on “data scientist” progress, or is it just a source of confusion?
We created new titles for these categories, and studied the common patterns in our respondents. They may think of themselves as artists or hackers, and excel at visualization and open source technologies. They may have PhDs, and their creative applications of mathematical tools yields valuable insights and products. When I worked as an epidemiologist and associate research analyst, my work involved aspects from each of these categories. People with at least some exposure to college do much better than those with no college experience on nearly all of the questions. For instance, 76% of college graduates but just 55% of those with some college experience identify carbon dioxide as the gas that most scientists believe causes atmospheric temperatures to rise. Just 31% correctly say it is nitrogen, while an identical percentage (31%) incorrectly says it is oxygen. Women are more likely than men to know that a major concern of the overuse of antibiotics is that it can lead to antibiotic-resistant bacteria (81% of women know this vs.
Just 37% know that nanotechnology deals with small things; majorities in younger age groups know this. Four common, health-damaging, but modifiable behaviorsi??tobacco use, insufficient physical activity, poor eating habits, and excessive alcohol use are responsible for much of the illness, disability, and premature death related to chronic diseases. This is especially critical for those who take blood pressure medications, which can alter the heart-rate response to exercise. Diabetes is an independent risk factor for CVD; therefore, people with diabetes are particularly vulnerable to other risk factors for CVD. Public Health takes into account ALL the factors that impact the awareness, control and treatment of hypertension. But for people who have less than a 20 percent risk of getting heart disease in the next 10 years, statins not only fail to reduce the risk of death, but also fail even to reduce the risk of serious illness — as shown in a recent BMJ article co-written by one of us.
According to the World Health Organization, 80 percent of cardiovascular disease is caused by smoking, lack of exercise, an unhealthy diet, and other lifestyle factors.
The following 2 resources will provide you with a historic overview of what has been and currently are being done in developing new practice guidelines for treating hypertension. We take so many things for granted that we don't appreciate what we have until we don't have it anymore. The biggest surprise in today's announcement was news that the institute has opted to partner with other "expert" groups to get the guidance out the door. The seventh version of Managing Blood Pressure in Adults: Report from the Joint National Committee (JNC 7) was released in 2003.
It appears that newer hypertension guidelines to be released by the National Heart, Lung and Blood Institute will take on a different approach to how these guidelines will be developed and released in the future. Based on recent national data from 2011–2012, treatment of hypertension exceeded the Healthy People 2020 target goal of 69.5%. Millions are taking blood pressure medicines, but their blood pressure is still not under control. This is an increase from 72 million persons in 2007, 65 million persons in 2002, and 50 million US adults in 1994 (or one-third, 29%, and 25% of the adult population, respectively).
Among persons who used antihypertensive agents, those aged 18 to 59 years were more likely to achieve blood pressure control than those 60 years and older (72% vs 58%). Overall, 68% of adults were being treated with an antihypertensive therapy regimen and 78% of adults were aware of their condition.
The prevalence increased with age and was highest among older adults; it was also highest among non-Hispanic black adults, at approximately 42%.


My explanation for the different way this data looks is that the medical cost per person for hypertensive employees is far less than for heart disease, but there are many more hypertensive patients in a population. But despite high prevalence of hypertension in the Southeast, the region also had the highest levels of treatment, suggesting a major step forward. California had treatment levels below the national averages for both men and women while Florida had rates of uncontrolled hypertension for both sexes that were higher than the national averages. The states with the largest disparity between the genders in uncontrolled hypertension were Alabama, Georgia, Mississippi, and Virginia. Such a data visualization shows that geographic differences exist, and that the counties with the highest prevalence can be found in the southeastern states. It can be treated successfully if you follow the recommendations of your doctor and use safe medications.
This means the prevalence of hypertension will be rising just by virtue of this demographic shift. This reflects the pressure in the arteries while the heart is filling and resting between heartbeats. Uncontrolled high blood pressure may be responsible for many cases of death and disability resulting from heart attack, stroke, and kidney failure. Blood pressure can be defined as the pressure of blood on the walls of the arteries as it circulates through the body.
It is known as the "silent killer" since it has no initial symptoms but can lead to long-term disease and complications.
A possible explanation for this (at least I hope this is true) is the growing interest in preventing rather than just treating disease.
In this case, how frequently have the topics of hypertension, heart disease and stroke shown up in the literature over time? Primary hypertension is when your high blood pressure is not due to another disease such as kidney disease or hormonal abnormality. if you have primary hypertension it is likely due to lifestyle factors such as stress, diet, high sodium and obesity. Your body needs this pressure to adequately supply all your tissues and organs with nutrients.
When the pipes that transport fluid get smaller, the pressure that same volume of fluid exerts goes up.
While not completely understood, a landmark study published in Nature in 2011 found 29 genetic variants that affected blood pressure. However, it’s the environmental factors we can control which give us the opportunity to naturally control high blood pressure.
While smoking itself doesn’t raise blood pressure chronically, you can have a temporary increase after smoking.
The National Institute of Health created an eating plan based on a study that tested the effects of food nutrients on blood pressure called “DASH” (Dietary Approaches to Stop Hypertension).
When we’re stressed, our bodies secrete more sympathetic neurotransmitters (neurotransmitters involved in our fight or flight response). Numerous studies have shown a link between being overweight and having high blood pressure.
Afterward, sit around, find your happy place in your mind, and eat some fruits and nuts, but not too much.  Control your calorie intake! For reference, 1 psi (pounds per square inch) is equal to 51.7149326 millimeters of mercury.
Now, new job titles are being developed to encompass those who work with data in broader categories,separating them by the tasks they perform.
And just 27% correctly answered a question about how lasers work, compared with about half in older age groups. As your aerobic conditioning improves, add a circuit-training program that emphasizes low-resistance, high-repetition exercises. That article shows that, based on the same data the new guidelines rely on, 140 people in this risk group would need to be treated with statins in order to prevent a single heart attack or stroke, without any overall reduction in death or serious illness.
However, the control of hypertension has neither met the goal of the Healthy People 2020 (61.2% by 2020) nor the Million Hearts Initiative (65% by 2017). If it's too high, it's time to make some serious lifestyle changes (better diet, more exercise, etc.), and possibly the need to take medication.
A higher percentage of non-Hispanic black adults with hypertension were aware of their hypertension and were taking medication to lower BP, compared with non-Hispanic white adults and Hispanic adults. In 2009–2010, nearly 82% of adults with hypertension were aware of their status, and nearly 76% were taking medication. Clinical data have shown that systolic BP merits greater consideration than DBP because elevated systolic BP is a more powerful cardiovascular(CV) risk factor at all ages. Your blood pressure is manageable at this stage but can lead to serious heart disease if left untreated. This is because medications that control blood pressure all come with some serious side effects. Analogous to the plumbing inside your house, adequate pressure is needed, but if that pressure gets too high, problems can arise. Smoking tobacco will speed up the processes involved in making your arteries harder, giving them a decreased ability to constrict and dilate appropriately. The study found that foods low in saturated fat, total fat, and “bad” cholesterol helped lower blood pressure.
In short, there isn’t really any good study ever done that shows consuming excessive amounts of salt will increase your blood pressure long term.
When it comes to high blood pressure, a study published in the Annals of Internal Medicine in 2002 showed that exercise alone can not only reduce blood pressure in people with high blood pressure, but will also help in people with normal blood pressures.
The relationship seems obvious, as those who are overweight tend to eat higher calorie foods with higher content of fats in them. Pretty much all the stuff everyone is telling you to do anyways for numerous other health benefits not related to blood pressure. Energy requirements can vary significantly based on your age, sex, weight, height, physical activity, and base metabolic rate, ranging on average between 1000-4000 calories. If you were bleeding and wanted to stop the blood-loss with direct pressure, and you should, you would only need to use about 3 psi to stop it. Attached a tube to her left crural artery, then allowed her blood to rush through the tube and it rose to a height of 8’3”. Not only does it immediately lower your blood pressure lowers cholesterol and your body replaces it with, new, more efficient blood cells. Doctors, nurses and others in health care systems should identify and treat high blood pressure at every visit. However, non-Hispanic black adults had a lower percentage of hypertension control than non-Hispanic white adults. A great place to start is to lose a few pounds to reduce the pressure required to pump your blood. Depending on which study you read, someone who is overweight has a 2-6 fold increase in the chance of having high blood pressure. Unfortunately, if you came up short in evolution’s gene pool, you might still need medication to help control your high blood pressure, but the above will also help and is something you can do for yourself. He noted that “when it was at its full height, it would rise and fall at and after each pulse 2, 3,or 4 inches”. Things like lack of exercise, bad eating habits, and smoking can cause a buildup of plaque inside your arteries. Combined with a healthy eating plan, like DASH, exercise can decrease your overall blood pressure by 15%!
I know what your thinking- I don’t want to sit around for 20 min, twice a day, chanting some “hippie” crap! One study (the Framingham Heart Study published in the journal “Circulation”) quantified this ratio and found that for every 4.5 kg of body weight over a person’s recommended weight, this increased their blood pressure by 4mm Hg.
These values are also somewhat arbitrary because the average person uses different amounts of energy almost daily.
Reducing intake of red meats, sugared beverages, sweets, and any food high in fats also helped. Well, as a means of reducing stress induced high blood pressure, studies have shown it decreases BP twice as much as progressive muscle relaxation. So let’s look at what we are trying to control and the best natural ways to lower blood pressure. The next month with the same caloric intake gain 10 pounds and decrease your base metabolic rate.
The point being, you should make an attempt, at least once or twice a year to figure out your daily caloric needs. Or not… You could always just say “Wal-Mart makes that shirt in extra large, so I’m good!” The “see-food” diet as it were- you see food, and then you eat it!



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