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Before joining the ACLU, Hannah headed the ACLU Reproductive Freedom Project. Prior to joining the ACLU in 2011, Hannah worked for five years as Senior Counsel in the Government Affairs division of the American Chemistry Council, where she successfully negotiated the signing of the landmark U.S. chemical safety agreement under the Leadership on Accelerating Cures Act of 2008. There, she litigated and litigated extensively, including defending the right of prisoners to be free from experimental drugs, defending the right of the BPA industry to continue with its BPA-based products, representing numerous groups including the American Psychiatric Association, American College of Pediatricians, the American Psychological Association, and American Academy of Pediatrics, and representing organizations, individuals and individuals in various federal jurisdictions including Guantanamo Bay, immigration court, civil rights enforcement actions, and, most notably, participating in the successful BPA blood level “testing” settlement with the FDA and the Office of Management and Budget.
Anna has worked in an array of think tanks and advocacy groups, including a stint at the Cato Institute as senior legislative counsel. At the Cato Institute, Anna advocated for bipartisan consensus on important economic and regulatory issues, played a role in crafting recent federal financial reform bills in both the House and Senate, and consulted on a range of transparency issues and other rulemaking matters. After the 2004 elections, Anna was part of the team that successfully campaigned on behalf of FreedomWorks for the passage of the Wall Street Reform and Consumer Protection Act. She was also active in the reform-minded Club for Growth, helping to develop that organizations’s Economic Growth Projections, a conservative set of consensus economic forecasts that provide a basis for policy analysis. Before joining the Cato Institute, Anna worked as a researcher at the American Enterprise Institute and as legislative counsel for Sen. Christopher S. Bond. She has worked with numerous Republican senators in drafting official opinion papers, including 2000, 2001, and 2003.
Elevated blood pressure is prevalent and is one of the leading risk factors for mortality. The pathogenesis of hypertension in older adults is different from that in younger adults. Therefore, efficacy and safety in older adults of many existing drugs for hypertension may differ from those in younger adults. The objective of this study was to identify the efficacy and safety of antihypertensive drugs in older adults in the US community-dwelling population. We conducted a retrospective cohort study to investigate the association between antihypertensive drug use and risk of adverse outcomes in older adults in the USA. Data were obtained from the Continuous Medicare Health Outcomes Database and the Medicare Provider Analysis and Review database using a retrospective cohort design. Included were enrollees aged 65 years or older with hypertension who were newly prescribed antihypertensive drugs in 2004 and followed up until 2012. The main outcome was the first occurrence of death from all causes, recurrent stroke, renal disease, or heart failure. Hazard ratios and 95% confidence intervals were estimated using the Cox proportional hazard model. A total of 10 783 patients were included in the current study. During a median follow-up of 4.3 years, 954 adverse events occurred. The overall median survival time was 4.5 years. With the exception of statins, all the antihypertensive drugs were associated with lower risk of adverse outcomes in older adults. The use of statins was associated with higher risk of adverse outcomes compared with non-use (hazard ratio 1.21, 95% confidence interval 1.11 to 1.31). In conclusion, antihypertensive drugs for older adults seem to be associated with a lower risk of adverse events. Statin use was associated with higher risk of adverse outcomes compared with non-use. The findings provide insights to clinicians and patients on the efficacy and safety of antihypertensive drugs in older adults. a2s seller keygen full crack Better educational attainment and numeracy and the lack of comorbid conditions are related to better self-management of hypertension. Better clinical outcomes are associated with better adherence to antihypertensive medication. Self-reported data on daily doses and pill counts should be validated by pill counting. The study of genetic mechanisms, including genetic polymorphisms that are related to blood pressure, is also important. Future research should assess the efficacy of interventions to improve management of hypertension in older adults using genomic technologies. The use of genomic data as a prognostic test should also be explored, as well as the integration of patient-generated data (PGD) to improve the treatment of hypertension. 5ec8ef588b
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