Detective Heart of America, America's greatest eagle-statue-detective takes on his hardest case yet in this thrilling feature length adventure. When a nefarious criminal has used his tremendous stockpile of stolen wealth to purchase all of the United States' debt, making him a majority owner of America. His first act as owner is to pass a new amendment that annuls the Constitution, retroactively revoking the United States' status as a country. Suddenly the USA officially does not, and never has, existed. How will Heart of America deal with the death of his beloved homeland? Will he have the strength to continue fighting the good fight now that everything he knows and cares for is gone?
In addition, public health experts are monitoring(link opens in new window) vaccine safety and side effect data for cases of rare heart-related complications, myocarditis or pericarditis, after receiving the Pfizer or Moderna vaccines. (Myocarditis is inflammation of the heart muscle, while pericarditis is inflammation of the heart's outer lining.)
The Detective Heart of America
Yes. People with cardiovascular risk factors, heart disease, and heart attack and stroke survivors should get vaccinated because they are at much greater risk from the virus than they are from the vaccine, according to leaders of the American Heart Association. The AHA urges people with medical conditions to discuss vaccination with their health care team.
An estimated 750,000 heart attacks occur annually in the United States. Early intervention is critical in reducing morbidity and mortality. Improving public knowledge of the signs and symptoms of a heart attack can lead to improved survival and better outcomes.
Analysis of National Health Interview Survey data for 2008, 2014, and 2017 found that knowledge of five common signs and symptoms of a heart attack and the appropriate emergency response increased significantly (from 40% to 50% and from 92% to 95%, respectively); however, sociodemographic disparities in knowledge persist.
Heart disease is the leading cause of death in the United States (1). Heart attacks (also known as myocardial infarctions) occur when a portion of the heart muscle does not receive adequate blood flow, and they are major contributors to heart disease, with an estimated 750,000 occurring annually (2). Early intervention is critical for preventing mortality in the event of a heart attack (3). Identification of heart attack signs and symptoms by victims or bystanders, and taking immediate action by calling emergency services (9-1-1), are crucial to ensure timely receipt of emergency care and thereby improve the chance for survival (4). A recent report using National Health Interview Survey (NHIS) data from 2014 found that 47.2% of U.S. adults could state all five common heart attack symptoms (jaw, neck, or back discomfort; weakness or lightheadedness; chest discomfort; arm or shoulder discomfort; and shortness of breath) and knew to call 9-1-1 if someone had a heart attack (5). To assess changes in awareness and response to an apparent heart attack, CDC analyzed data from NHIS to report awareness of heart attack symptoms and calling 9-1-1 among U.S. adults in 2008, 2014, and 2017. The adjusted percentage of persons who knew all five common heart attack symptoms increased from 39.6% in 2008 to 50.0% in 2014 and to 50.2% in 2017. The adjusted percentage of adults who knew to call 9-1-1 if someone was having a heart attack increased from 91.8% in 2008 to 93.4% in 2014 and to 94.9% in 2017. Persistent disparities in awareness of heart attack symptoms were observed by demographic characteristics and cardiovascular risk group. Public health awareness initiatives and systematic integration of appropriate awareness and action in response to a perceived heart attack should be expanded across the health system continuum of care.
The prevalences of awareness of all five common heart attack symptoms, as well as the appropriate response when recognizing a heart attack (unadjusted and adjusted for age, sex, race/ethnicity, level of education, history of coronary heart disease, and number of CVD risk factors) were estimated overall and by selected demographic characteristics and CVD risk factors in 2008, 2014, and 2017. P-values for difference from 2008 to 2017 were obtained using the t-test; p-values
During the three study years, the adjusted percentage of all survey respondents aware of the five common heart attack symptoms increased from 39.6% (2008), to 50.0% (2014), and to 50.2% (2017) (p-value for difference
The adjusted percentage of survey respondents who knew to call 9-1-1 in the event of a suspected heart attack increased across the observation period, from 91.8% (2008) to 93.4% (2014), and to 94.9% (2017) (p-value for difference
Delays in receipt of appropriate care lead to worse outcomes among heart attack victims (3). Although this nationally representative survey indicates improvement in the percentage of adults who know the signs and symptoms of a heart attack and to call 9-1-1 if they witness someone having a heart attack, in 2017, approximately half of respondents (50.2%) knew all five common heart attack signs and symptoms, and disparities in awareness and response exist among all demographic groups and by CVD risk status.
Data from 14 states reporting in the 2005 BRFSS found that 85.8% of respondents had the knowledge to call 9-1-1 as the first action when witnessing a heart attack and 31% were aware of all five heart attack symptoms (4). Although the percentage of persons with this knowledge was higher in this study than in the 2005 BRFSS, disparities by sex, race/ethnicity and level of education persisted. Both the BRFSS data and estimates from this report identify a need for increased awareness regarding the signs and symptoms of one of the most common important health events that can occur in persons in the United States. Recognizing this need, the U.S. Department of Health and Human Services Healthy People 2020 (HP2020) program included objectives specifically calling for an increase in the awareness of heart attack signs and symptoms and the appropriate response (7). Using the 2008 NHIS data as the HP2020 baseline, the target for awareness of five common heart attack symptoms was set at 43.6% (10% increase from the 2008 adjusted prevalence of 39.6%), and the target for knowing to call 9-1-1 if someone is having a heart attack was set at 93.8% (2% increase from 91.8%). Although data from the current study indicate that in 2017 these goals for awareness of heart attack symptoms (50.2%) and calling 9-1-1 (94.9%) were met overall, estimates for certain subpopulations remained below the HP2020 target, including racial/ethnic minorities and adults with less than a high school education.
The findings in this report are subject to at least three limitations. First, because all data were self-reported, they are subject to recall and social desirability bias. Second, the questions assessing the symptoms of a heart attack were closed-ended (yes/no) and included only the correct answers and, therefore, might overestimate knowledge. Finally, NHIS includes only civilian, noninstitutionalized persons in the United States, excluding those living in nursing homes, long-term care facilities, prisons, or other comparable settings and, therefore, might not be generalizable. A strength of the study is its large size and representative sample selection.
Because of the high prevalence and significant health impact of heart attacks, awareness of the major signs and symptoms of a heart attack and the appropriate response to the event should be common knowledge among all adults. However, the suboptimal knowledge among U.S. adults identified in this study, especially among racial/ethnic minority groups, those with lower levels of education, and those with more CVD risk factors, highlight a need for enhanced and focused educational efforts. Clinical, community, and public health efforts are needed to continue to systematically improve the awareness of heart attack symptoms throughout the United States.
Harry returns to his hotel and finds Epiphany on his doorstep. He invites her into his room, where they have aggressive sex during which Harry has visions of blood dripping from the ceiling and splashing around the room. He later confronts Krusemark in a gumbo hut, where the latter reveals that he and Margaret were the ones who took Favorite from the hospital. He also explains that Favorite was actually a powerful occultist who sold his soul to Satan in exchange for stardom. He got his stardom but then sought to renege on the bargain. To do so, Favorite kidnapped a young soldier from Times Square and performed a Satanic ritual on the boy, murdering him and eating his still-beating heart in order to steal his soul. Favorite planned to assume the identity of the murdered soldier but was drafted and then injured overseas. Suffering severe facial trauma and amnesia, Favorite was sent to the hospital for treatment.
A frantic Harry returns to his hotel room, where the police have found Epiphany brutally murdered. Harry's dog tags are on her body. A police officer enters the room carrying Epiphany's young son, who Harry realizes is his grandchild. The police detective tells Harry that he will "burn" for what he has done to Epiphany, to which Harry replies, "I know. In Hell." Harry sees the child's eyes glow, just as Cyphre's had at their last meeting, implying that Satan is the mysterious entity that impregnated Epiphany. During the end credits, Harry is seen standing inside an iron elevator that is interminably descending, presumably to Hell. As the screen fades to black, Cyphre can be heard whispering, "Harry" and "Johnny", asserting dominion over both their souls.
We are experts at providing the medical support that allows people who already have cardiovascular disease live their best, most active lives. We work with patients and their families to reduce the likelihood and progression of cardiovascular disease through tailored care plans and lifestyle adjustments. Learn more about general and preventative heart care. 2ff7e9595c
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