Pedoman tata laksana hipertensi dipublikasikan oleh European Society of Hypertension (ESH) pada tahun 2023. Pedoman ini membahas mengenai rekomendasi cara pengukuran tekanan darah, penilaian risiko kardiovaskular, intervensi gaya hidup yang optimal, dan manajemen farmakoterapi. ESH merekomendasikan ambang batas >140/90 mm Hg untuk diagnosis hipertensi. Selain itu, pedoman ESH merekomendasikan target pengobatan tekanan darah yang dibedakan berdasarkan usia, yang mana ambang batas pengobatan tekanan darah dibuat lebih tinggi untuk lansia. Untuk pasien dalam kelompok usia ini dengan hipertensi sistolik terisolasi dan untuk orang dewasa ≥80 tahun, ambang batasnya ditargetkan antara 140-150 mm Hg. Penentuan Tingkat Bukti Pedoman ESH ini disusun oleh 59 pakar multidisiplin yang meninjau bukti ilmiah pada setiap topik hipertensi. Setiap rekomendasi diberi Class of Recommendation (CoR) untuk menunjukkan kekuatan rekomendasi (I bermanfaat, II opsional, III tidak...
Two hundred years ago, 20-year-old Mary Shelley won a bet with her future husband Percy Shelley and his friend Lord Byron to write a horror story: she created Frankenstein, the story of a Genevan scientist who created artificial life – and regretted it for the rest of his days. Shelley created more than she knew: her story is not just considered to be the first science-fiction novel, but has spawned an army of monstrous descendants. What is it that continues to draw writers, particularly those who don’t usually write science fiction, to create artificial humans? How do writers use these characters to tell us about ourselves? What does the 21st-Century Frankenstein’s monster look like? It’s worth reminding ourselves first what Frankenstein – slandered by Hollywood into a monster-mania freak show – is actually about. (One definition of a classic, after all, is a book that still has the power to surprise you.) In the novel, inquisitive student Victor Frankenstein gives life to “the ...
6. Enhance the poetic form with literary devices. Like any form of writing, poetry is enhanced by literary devices. Develop your poetry writing skills by inserting metaphor, allegory, synecdoche, metonymy, imagery, and other literary devices into your poems. This can be relatively easy in an unrhymed form like free verse and more challenging in poetic forms that have strict rules about meter and rhyme scheme. 7. Try telling a story with your poem. Many of the ideas you might express in a novel, a short story, or an essay can come out in a poem. A narrative poem like “The Waste Land” by T.S. Eliot can be as long as a novella. “The Raven” by Edgar Allan Poe expresses just as much dread and menace as some horror movies. As with all forms of English language writing, communication is the name of the game in poetry, so if you want to tell short stories in your poems, embrace that instinct. 8. Express big ideas. 9. Paint with words . When a poet paints with words, they use word choice ...
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