It was a dream, then a place, then a memory. My father built it near the Suwannee River. I like to think it was in the heart of Florida, because it was, and is, in my heart. Its name was Dogland. Some people say you can know others if you know the central incidents that shaped their lives. But an incident is an island in time, and to know the effect of the island on those who land there, you must know something about the river they have traveled. And I must warn you before we begin, I don't know that river well. I visit that time and place like a ghost with poor vision and little memory. I look up the river and see fog rolling in. I look down the river, and the brightness of the approaching day blinds me. I see shapes moving behind me and beyond me, but who they are and what they do, I cannot say. I will tell what I know is true, and I will invent what I believe is true, and that, I think, is all you can ask any storyteller to do. I learned the Nix family history from the stories Pa told. Even at the age of four, I suspected that Pa's stories might not be perfectly true. When Pa said we Nixes came to North America as indentured servants working our way out of debtor's prison, Grandma Bette would make a face and say he couldn't know that. When he said we Nixes had Lakota and Ojibwe blood in our veins, Grandma Bette would say she wasn't prejudiced, but it simply wasn't so: she and Pa and his brothers and sisters were dark because her people were Black Dutch, from a part of Holland where everyone had black hair and black eyes. And then Grandma Bette wouldn't say a word for half an hour or more, a very long time for Grandma Bette to be quiet. According to the above context, choose the correct option to answer the following question. Question: Why did the narrator warned the reader? Options: - not enough information - The narrator is unsure about facts of the story and will portray what he knows is true and invent what he believes is true - He saw shapes moving up and down the river - Fog was rolling up the river
The narrator is unsure about facts of the story and will portray what he knows is true and invent what he believes is true

Constipation is not a glamorous topic, but it's certainly important, especially in older adults. As anyone who has experienced occasional or even chronic constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer's disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it's usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren't trained in geriatrics. They are often focused on more "serious" health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don't like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I've found that the average person doesn't know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it's vital to start by figuring out what is likely to be causing or worsening an older person's constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you're an older adult, or if you're helping an older... According to the above context, choose the correct option to answer the following question. Question: After the end of the story, healthcare providers probably think what? Options: - Dementia can lead to constipation. - Laxatives are not useful for constipation. - Other health issues are more serious than constipation. - not enough information
Other health issues are more serious than constipation.

The Trump administration's recent airstrikes in Syria just the latest action in a long-running conflict that has challenged U.S. presidents of both parties has prompted a new round of questions on Capitol Hill. Lawmakers are asking where last week's strikes fit in the larger U.S. strategy in response to Syrian President Bashar al-Assad and for greater clarity to prevent an escalation of the conflict. "There needs to be a comprehensive strategy here laid out by the administration for Congress in terms of the options to pursue because of the urgency," House Foreign Affairs Chairman Ed Royce said during a House panel Wednesday. "Does the administration support imposing costs on the Russians and the Iranians for their role in the Assad regime's war crimes against its own people?" In his speech announcing the air strikes to the American people Friday, President Trump said the United States is "prepared to sustain this response until the Syrian regime stops its use of prohibited chemical agents." But later Friday, Defense Secretary Jim Mattis said the latest action against Assad was a "one-time shot." Trump ordered Friday's strikes just weeks after saying the U.S. would "be coming out of Syria like very soon," reflecting changes in the administration's posture in response to Assad's reported use of prohibited chemical agents. "We're at a real risk here of conducting strikes without any clear strategy," Brian Katulis, senior fellow at the Center for American Progress, told VOA. "The Trump administration for the past several months has issued contradictory statements, with former Secretary of State Rex Tillerson and some diplomats saying that the U.S. troops inside Syria, in eastern Syria, would be dedicated to also countering Iran inside Syria. The Pentagon was saying something completely different defeating ISIS and continuing that campaign," he said. Trump administration officials told a hearing of the House Foreign Affairs committee Wednesday the president's goals in Syria remain clear. According to the above context, choose the correct option to answer the following question. Question: Who is responsible for the violence of the Syrian regime? Options: - Bashar al-Assad - Donald Trump - Rex Tillerson - not enough information
Bashar al-Assad