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The 2 features your home blood pressure monitor should have

first_img Omron HeartGuide puts blood pressure on a watch Wellness 1. An upper-arm cuff should be your first choice  When it comes to at-home monitoring, new guidelines from the AHA only recommend the use of upper-arm cuff oscillometric devices that have successfully passed validation protocols. (Oscillometric devices automatically detect and analyze pulse waves so you don’t have to rely on someone to listen with a stethoscope.) Although other options — like wrist and finger cuffs and wearable sensors — exist, upper arm cuffs are the most accurate, says Yale Medicine cardiologist Erica S. Spatz, MD. The AHA recognizes validation protocols from the following organizations: the German Hypertension League, the Association for the Advancement of Medical Instrumentation, the European Society of Hypertension and the British Hypertension Society — with the BHS protocol’s being the most complex and thorough. A new international universal validation protocol is being developed that may become the new standard, so keep an eye out for that. Qardio Arm blood pressure monitorThe Qardio Arm wireless blood pressure monitor has passed British and Irish Hypertension Society validation protocols.  Qardio Many blood pressure monitors currently being sold haven’t been validated. So before you buy one, check to make sure it has. You can find a list of validated monitors — like these from Qardio and Omron — on the British and Irish Hypertension Society and Dabl Educational Trust websites. Another important factor is if the person who will be using the blood pressure monitor is a child, pregnant or has atrial fibrillation or a large arm circumference, the monitor you buy should also have been validated within these populations.  2. Find a cuff that fits These days home blood pressure monitors come with a lot of bells and whistles, like smartphone apps and Bluetooth connectivity, but the most important feature to look for is a cuff that fits your arm, properly compressing the brachial artery. “All too often, the fit of the blood pressure cuff is imperfect,” Spatz says. “This can result in under- or overestimation of the blood pressure — and many people may be misdiagnosed [with hypertension].” But here’s the good news: “Guidelines exist for how large a cuff one needs based on the length and circumference of your arm,” says cardiologist Jennifer Haythe, MD, co-director of Columbia Women’s Heart Center. “When you visit your doctor ask them what size cuff is appropriate for you.” You can also take the measurements yourself or with the help of a pharmacist.  “The first step is to measure the circumference of the upper arm; use the middle of the upper arm around the bicep,” Spatz says. “Take the circumference, in centimeters, and multiply it by 80% to get the right length and 40% to the get the right width of the bladder cuff. The bladder of the cuff is the part that fills with air, not the extra length of Velcro.”  And then use these AHA guidelines: blood-pressure-arm-cuff-sizes Target:BP “Upper arm cuffs come in an extra-large size, which should fit most large arms,” Haythe says. “If it’s too small, your doctor may recommend a thigh cuff to be used on the upper arm.” According to the AHA, there is data showing this method can be accurate, but research is limited.  If you have larger arms that are significantly wider near your shoulder than your elbow, you may also want to get a cone-shaped or “contour” cuff. Research finds that using standard cylindrical cuffs can produce inaccurate measurements because the variation in arm size causes the bladder to expand irregularly. If an extra-large cuff does not fit, the AHA recommends measuring your blood pressure at the wrist. Although measuring at the wrist tends to be less accurate than the upper arm, a meta-analysis shows it tends to be better than the forearm or finger.  contour-cuffAn example of a contour-style blood pressure cuff.  Medline “Arms come in all shapes and sizes, and people with obesity should not feel bad about having a difficult time finding the right cuff size,” Spatz says. “It is really unfortunate that the cuffs have not evolved to match different arm sizes.” If you do end up needing a wrist-based blood pressure monitor, again, check that it’s been validated. And then follow these instructions, with one change: “Rest your elbow on a table and bring the cuff to the level of your heart, as when reciting the pledge of allegiance,” says Spatz. Keep your arm relaxed and your hand resting against your chest until the reading is complete.  Read more: 10 accurate blood pressure monitors you can order online Mentioned Above Apple Watch Series 4 GPS (40mm silver aluminum case, white sport band) Aug 31 • iPhone XR vs. iPhone 8 Plus: Which iPhone should you buy? Review • Apple Watch Series 4 review: ECG, and a lot of refinements See It CNET may get a commission from retail offers. See It See It Now playing: Watch this: • Adorama The American Heart Association recommends that people with hypertension measure their blood pressure at home. Canva The Apple Watch’s electrocardiogram app is clear indicator that medical devices are moving out of the doctor’s office and into our homes. And for the most part, that’s a good thing — health and fitness products let people keep tabs on various vital signs without having to pay for an office visit. One wellness area that’s particularly hot is blood pressure. Organizations like the American Heart Association recommend that people with high blood pressure measure it at home and the heart health industry has stepped up to help make that happen.  From a blood pressure cuff that doubles as a smartwatch to smartphone apps that measure your systolic and diastolic blood pressure using just the tip of your finger, monitors are becoming more compact and easier to use. But, the AHA warns, that doesn’t mean they’re accurate. But before you buy just any old home blood pressure monitor, here are two big things cardiologists want you to know.  $399 Preview • Apple Watch Series 4 review in progress (updated) Aug 31 • Your phone screen is gross. Here’s how to clean it $399 $349 Apple News • Apple Watch Series 4 vs. Galaxy Watch Active: What’s the best smartwatch?center_img See All $349 Apple The 17 best health and fitness apps for Apple Watch reading • The 2 most important things to look for in a blood pressure monitor Apple Watch Series 4 How To • How to use the Apple Watch ECG app The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.  Post a comment See it Aug 31 • Verizon vs AT&T vs T-Mobile vs Sprint: Choose the best 5G carrier 18 Photos Best Buy Aug 31 • iPhone 11, Apple Watch 5 and more: The final rumors 0 Tags Share your voice 2:58 Applelast_img read more

James Cordens Late Late Show Lands in China

first_img“The Late, Late Show With James Corden” is set to air in China. CBS Studios International has struck a deal with Chinese streaming giant iQIYI that covers current shows and makes past episodes available on demand.Chinese regulators’ attitude towards foreign content has ebbed and flowed, though growing political control of the media appears to be the current direction. Another U.S. comedy show, “Saturday Night Live,” began airing on streaming platform Sohu.com in 2014. But this year the Chinese-made version of “SNL” was removed from the Alibaba-owned streaming platform Youku after just a few weeks of broadcast.Politics and sex are typically no-go areas for Chinese shows, and satire of Chinese politicians is not allowed. Corden’s focus on foreign celebrities may have helped the show win censorship approval. Celebrity guests who have appeared on the show include Tom Hanks, Matt Damon, Arnold Schwarzenegger, David Beckham, Julia Roberts, George Clooney and Will Ferrell. “Mobile viewing dominates iQIYI’s subscriber base, making it the perfect platform for ‘The Late, Late Show’s’ inventive content and viral moments,” said Armando Nunez, president and CEO of CBS Global Distribution.“The one and only James Corden will also be well-recognized by millions of Chinese audiences,” an unnamed iQIYI spokesman said.“The Late, Late Show” is produced by CBS Television Studios, with Corden’s banner Fulwell 73. Ben Winston and Rob Crabbe serve as executive producers. Popular on Variety center_img ×Actors Reveal Their Favorite Disney PrincessesSeveral actors, like Daisy Ridley, Awkwafina, Jeff Goldblum and Gina Rodriguez, reveal their favorite Disney princesses. Rapunzel, Mulan, Ariel,Tiana, Sleeping Beauty and Jasmine all got some love from the Disney stars.More VideosVolume 0%Press shift question mark to access a list of keyboard shortcutsKeyboard Shortcutsplay/pauseincrease volumedecrease volumeseek forwardsseek backwardstoggle captionstoggle fullscreenmute/unmuteseek to %SPACE↑↓→←cfm0-9Next UpJennifer Lopez Shares How She Became a Mogul04:350.5x1x1.25×1.5x2xLive00:0002:1502:15last_img read more

3 Things You Need to Know About Your Tech Guy

first_img Attend this free webinar and learn how you can maximize efficiency while getting the most critical things done right. Free Webinar | Sept 5: Tips and Tools for Making Progress Toward Important Goals You’d think by now, with “cloud” applications, everything being “hosted” and all software being delivered as a “service” that we wouldn’t have to deal with tech guys as much as we did in the past. But we still do. That’s because most of us still need PCs, laptops and tablets. We still have routers and cabling and switches in the office. We’re still saving some stuff locally on servers and many of us still have on-premises systems, like accounting and other databases that we rely on daily and will probably continue to rely on for the foreseeable future. And so all of this needs the tech guy. You know who this is, right?He’s as old as your own kid. He’s a hipster. He last showered when Windows 7 was released. He has a goatee, and probably a pony tail. He’s rushed, frazzled and impatient. He fixes one thing and ten other things break. He drinks coffee or Red Bulls. He’s not unfriendly. But he’s definitely not a salesman. You pay him by the hour or maybe you have a monthly contract with him. You need him. He makes sure your systems keep running so your business can keep running.There are at least three important things you need to know about this guy:1. Not all tech guys were created equal. Most tech guys think their clients are idiots when it comes to tech. But rest assured, there are plenty of other tech guys who likely think the same about your tech guy. And they’re probably right. In the corporate world there are tech guys who deal with very complex security, data, application and connectivity issues. They come with respectable academic pedigrees and work for years in the bowels of giants like Oracle, SAP and Google.Your tech guy is likely not one of these guys. Otherwise, he’d be working there. The barrier to enter the world if independent IT consulting is almost non-existent. Any clown who’s tinkered with a computer can do it. And maybe your tech guy did work at Oracle. But that may not qualify him to be a tech guy. Because tech, like any other industry, has many sub-specialties. I know plenty of competent C# programmers who know nothing about configuring a network. I know lots of SQL database experts who can’t even setup a printer. Make sure you understand your tech guy’s qualifications.2. Don’t take their word for it. Lots of tech guys like to make their clients feel like nincompoops. They toss around unrecognizable words and give you withering looks when you ask simple questions. Men (most tech guys are men because it is one of the last places left in the world where we feel we can control things) like to pretend we know stuff when we really don’t. That’s why we hate to ask for directions and get help. Tech guys pretend they know the answers. But don’t believe every answer they give you. Trust your own common sense. Before spending a lot of money on a new project, get some other tech guys in to give you their second opinions. Don’t be afraid to question. You’re not as stupid as you’re being made to think. Technology is an art, not a science. If it were truly a science, most tech guys wouldn’t be smart enough to do it.3. Get used to stuff breaking. Your tech guy is likely a Microsoft person. That means he’s used to stuff not working all the time and he accepts this. You should too — to a degree. Often tech guys throw out fixes like a baby throws  food — hoping it sticks to the wall. Don’t ask silly questions like “Why did this happen?” Instead ask “If it is God’s will that this problem occurs again, how do I reach you?”This is not entirely the fault of the tech person. There is a part of technology that cannot be explained, perhaps for the same reason no one can explain why Duck Dynasty is such a popular show. It is like dark matter. So you let it go. Tech guys are used to dealing with an imperfect world. You will have to accept this. But don’t let that hold you back from asking the questions you need to get yourself comfortable. If the issue is important enough, don’t let him walk out the door until you get your questions satisfactorily answered. And make sure you know where to reach him when the problem inevitably re-occurs.Just remember, your tech guy may be halfway decent at technology. But he’s not a great businessman. Treat him fairly, but be tough. And don’t let him off the hook. Some tech issues are not worth fighting. But others are important, so push for the answers you need. If a tech issue seems strange to you, that’s because it’s probably strange. You’re not stupid, so get your answers before he leaves. Otherwise you’ll quickly be out-of -ight and out-of-mind, and he’ll be on to disrupting the next small business owner. Opinions expressed by Entrepreneur contributors are their own. November 18, 2013 5 min read Register Now »last_img read more

IEEE Standards Association releases ethics guidelines for automation and intelligent systems

first_imgIEEE Standards Association (IEEE-SA) released the first version of Ethics guidelines for automation and Intelligent systems, titled “Ethically Aligned Design (EAD): A vision for Prioritizing Human Well-being with Autonomous and Intelligent Systems”, earlier this week. EAD guidelines feature scientific analysis and resources, high-level principles as well as actionable recommendations for ethical implementation of autonomous and intelligent systems (A/IS). “We offer high-level General Principles in Ethically Aligned Design that we consider to be imperatives for creating and operating A/IS that further human values and ensure trustworthiness”, reads EAD. The EAD guideline explains eight high-level ethical principles that can be applied to all types of autonomous and intelligent systems (A/IS), irrespective of whether they are physical robots, software systems or algorithmic chatbots. Eight General Principles in EAD Human Rights As mentioned in EAD, A/IS shall be created and operated in such a way that it respects, promotes, and protects internationally the recognized human rights. These rights should be fully taken into consideration by individuals, companies, research institutions, and governments to reflect the principle that A/IS respects and fulfills the human rights, freedoms, human dignity, and cultural diversity. Well-being EAD states that A/IS creators should focus on improving human well-being as a primary success criterion for development. EAD recommends that A/IS should prioritize human well-being as the outcome in all system designs. It should use the best available and widely accepted “well-being metrics” as their reference point. Data Agency A/IS creators should put more emphasis on empowering individuals with an added ability to access and securely share their data. A/IS creators should focus on maintaining people’s capacity to have control over their identity. Organizations and governments, should test and implement technologies that allow the individuals to specify their online agent for case-by-case authorization decisions. For minors, current guardianship approaches should be implemented to determine their suitability in this context. Effectiveness Creators should provide evidence of the effectiveness and fitness for the purpose of A/IS. EAD recommends that creators engaged in the development of A/IS should focus on defining the metrics to serve as valid and meaningful gauges of the effectiveness of the system. Creators of A/IS should design systems where the metrics on specific deployments of the system can be aggregated to deliver information on the effectiveness of the system across different deployments. Also, industry associations and other organizations (IEEE and ISO) should collaborate to develop standards for reporting on the effectiveness of A/IS. Transparency EAD states that the basis of a particular A/IS decision should always be discoverable. It recommends that new standards should be developed in a way that it describes measurable and testable levels of transparency. Also, these standards would offer designers with a guide for self-assessing transparency during development and suggest mechanisms for improving transparency. Accountability As per EAD, A/IS should be created and operated in a way so that it offers an “unambiguous rationale” for decisions made. EAD states that in order to address the issues of responsibility and Accountability,  courts should clarify the “responsibility, culpability, liability, and accountability” for A/IS prior to the development and deployment. It also states that designers and developers of A/IS should be made aware of the diversity in existing cultural norms among these A/IS. Awareness of Misuse EAD states that creators should offer protection against all potential misuses and risks of A/IS in operation. EAD recommends that creators should be made aware of methods of misuse. It also states that A/IS should be designed in ways that can minimize the opportunity for these systems. Public awareness should be improved surrounding the issues of potential A/IS technology misuse. Competence EAD states that the creators should specify and operators should adhere to the knowledge and skill required for safe operation. It also mentions that the creators of A/IS should clearly specify the types and levels of knowledge required to understand and operate any given application of A/IS. Also, creators of A/IS should provide the affected parties with information on the role of the operator and the implications of operator error. Rich and detailed documentation should be made accessible to the experts and the general public. For more information, check out the official Ethically Aligned Design guidelines Read Next IEEE Computer Society predicts top ten tech trends for 2019: assisted transportation, chatbots, and deep learning accelerators among others What the IEEE 2018 programming languages survey reveals to us 2019 Deloitte tech trends predictions: AI-fueled firms, NoOps, DevSecOps, intelligent interfaces, and morelast_img read more