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The Death of a Spouse For much of the world, the death of Richard Nixon was the end of a complex public life. But researchers who study bereavement (丧失亲人) wondered if it didn't also signify the end of a private grief. Had the former president merely run his allotted fourscore and one, or had he fallen victim to a pattern that seems to afflict (折磨) longtime married couples: one spouse quickly following the other to the grave? Pat, Nixon's wife of 53 years, died last June after a long illness. No one knows for sure whether her death contributed to his. After all, he was elderly and had a history of serious heart disease. Researchers have long observed that the death of a spouse particularly a wife is sometimes followed by the untimely death of the grieving survivor. Historian Will Durant died 13 days after his wife and collaborator, Ariel; Buckminster Fuller and his wife died just 36 hours apart. Is this more than coincidence? "Part of the story, I suspect, is that we men are so used to ladies feeding us and taking care of us," says Knud Helsing, an epidemiologist (流行病学家) at the Johns Hopkins School of Public health, "that when we lose a wife we go to pieces. We don't know how to take care of ourselves." In one of several studies Helsing has conducted on bereavement, he found that widowed men had higher mortality rates than married men in every age group. But, he found that widowers who remarried enjoyed the same lower mortality rate as men who'd never been widowed. Women's health and resilience (愉悦) may also suffer after the loss of a spouse. In a 1987 study of widows, researchers from the University of California, Los Angeles, and UC, San Diego, found that they had a dramatic decline in levels of important immune-system cells that fight off disease. Earlier studies showed reduced immunity in widowers. For both men and women, the stress of losing a spouse can have a profound effect. "All sorts of potentially harmful medical problems can be worsened," says Gerald Davison, professor of psychology at the University of Southern California. People with high blood pressure, for example, may see it rise. In Nixon's case, Davison speculates, "the stroke (中风), although not caused directly by the stress, was probably hastened by it." Depression can affect the surviving spouse's will to live; suicide are elevated in the bereaved, along with accidents not involving cars. Involvement in life helps prolong  it. Mortality, says Duke University psychiatrist Daniel Blazer, is higher in older people without a good social-support-system who don't feel they're part of a group or a family, that they "fit in" somewhere. And that's a more common problem for men, who tend not to have as many close friendships as women. The sudden absence of routines can also be a health hazard, says Blazer. "A person who loses a spouse shows deterioration in normal habits like sleeping and eating." he says. "They don't have that other person to orient them, like when do you go to bed, when do you wake up, when do you eat, when do you take your medication, when do you go out to take a walk? Your pattern is no longer locked into someone else's pattern, so it deteriorates." While earlier studies suggested that the first six months to a year - or even the first week - were times of higher mortality for the bereaved, some newer studies find no special vulnerability (弱点) in this initial period. Most men and women, of course do nor die as a result of the loss of a spouse. And there are ways to improve the odds. A strong sense of separate identity and lack of over-dependency during the marriage are helpful. Adult sons and daughters, siblings (兄弟姐妹) and friends need to pay special attention to a newly widowed parent. They can make sure that he or she is socializing, getting proper nutrition and medical care, expressing emotion and, above all, feeling needed and appreciated.
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【多选题】患者男性,72岁,因颈、右肩臂、手指麻痛2年,加重伴下肢无力3个月,以混合型颈椎病收住院,影像学检查发现颈椎管狭窄、椎间盘突出、相应神经根和脊髓受压明显。拟行颈椎前路椎间盘切除和脊柱融合内固定术。术前访视会诊应着重注意哪些事项?()
A.
颈椎活动度和气管插管条件
B.
了解患者有无肩周炎或腰腿痛病史
C.
循环系统,尤其是有无高血压病、心肌缺血、脑供血障碍、心律失常和心功能不全等
D.
了解有无前列腺增生或膀胱结石
E.
了解患者呼吸功能储备状况,尤其是有无近期急性呼吸道感染
F.
了解患者家族史和遗传病史
【单选题】冷凝器的作用是提供塔顶液相产品及保证有适宜的()回流。
A.
气相
B.
液相
C.
固相
D.
混合相
【判断题】609 小餐桌通常可准备台号夹15只以上。
A.
正确
B.
错误
【判断题】小餐桌通常可准备台号夹15只以上。
A.
正确
B.
错误
【多选题】财政支援农业的内容主要包括( )。
A.
农林、水利、气象等基本建设支出
B.
农林企业挖潜改造资金支出
C.
农林部门科技三项费用
D.
农林、水利、气象等部门的事业费支出
E.
农业企业生产投资
【多选题】患者男性,72岁,因颈、右肩臂、手指麻痛2年,加重伴下肢无力3个月,以混合型颈椎病收住院,影像学检查发现颈椎管狭窄、椎间盘突出、相应神经根和脊髓受压明显。拟行颈椎前路椎间盘切除和脊柱融合内固定术。提问:术前访视会诊应着重注意哪些事项?()
A.
颈椎活动度和气管插管条件
B.
了解患者有无肩周炎或腰腿痛病史
C.
循环系统,尤其是有无高血压病、心肌缺血、脑供血障碍、心律失常和心功能不全等
D.
了解有无前列腺增生或膀胱结石
E.
了解患者呼吸功能储备状况,尤其是有无近期急性呼吸道感染
F.
了解患者家族史和遗传病史
【多选题】财政支援农业的内容主要包括( )。
A.
农林、水利、气象等基本建设支出
B.
农林企业挖潜改造资金支出
C.
农林部门科技三项费用
D.
农林、水利、气象等部门的事业费支出
E.
支援农村生产支出
【简答题】A.柴胡、陈皮 B朱砂、磁石 C.夜交藤、合欢皮 D.苍术、半夏 E.熟地、芍药 3.不寐心胆气虚证,若见胸闷,善太息,纳呆腹胀者,应加() 4.不寐心脾两虚证,若心血不足较甚者,应加()
【单选题】半导体对杂质非常敏感的特性称为______效应。
A.
木桶
B.
光伏
C.
杂质
D.
杂化
【单选题】不寐心胆气虚证,若见胸闷,善太息,纳呆腹胀者,应加
A.
柴胡、陈皮
B.
朱砂、磁石
C.
夜交藤、合欢皮
D.
苍术、半夏
E.
熟地、芍药
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