Have you ever wondered whether it's worth your while to encourage an older person to start exercising? In 2014, the top-notch journal JAMA published the results of a fantastic research project: a study in which 1635 sedentary older adults (aged 70-89) were assigned to get either a structured exercise program, or a program of "successful aging" health education. The researchers called it the Lifestyle Interventions and Independence for Elders (LIFE) study. (You can read the full study here.) During the LIFE study, the two groups were followed for a little over 2.5 years. And by the end of the study, guess which group of volunteers was more likely to still walk a quarter of a mile (without a walker)? That's right. When it came to avoiding "major mobility disability" which the researchers defined as becoming unable to walk 400 meters or more a structured exercise program was better than a program of healthy aging education. Specifically, the researchers found that 30% of the exercisers experienced a period of major disability, compared to 35.5% of the seniors enrolled in the healthy aging education program. This is a very encouraging finding! That said, it's also a bit sobering to realize that even with exercise, almost 1 in 3 older adults experienced a period of limited mobility, of which half lasted 6 months or more. In this post, I'll share some more details on this study, because the results provide a wonderful wealth of information that can be helpful to older adults, family caregivers, and even geriatricians such as myself. Want to know how often the exercisers experienced "adverse events"? (Hint: often!) Wondering just what the structured exercise program involved? (Hint: more than walking!) Let's dig into the details! At the end of this post, I'll share my list of key take-home points for older adults and family caregivers. Who were the study volunteers? Whenever you read about a research study, it's important to understand how the study volunteers compare to the older adults in *your* life. One of... According to the above context, choose the correct option to answer the following question. Question: What do researchers probably think about further studies of the elderly and exercise? Options: A. not enough information B. researchers probably are not supportive at all C. Researchers probably support them fully D. researchers probably are indifferent
C

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As a nurse, what is the most difficult news you have ever had to break to a patient? Sadly in my job (Ob/gyn nurse) there is one thing I have to report fairly often, that a pregnancy is not going to happen. Sometimes the mom's are bleeding and they kind of know that this is going to happen, but sometimes, they are not bleeding and it is a gut punch without any warning. This can be an ultrasound that shows no heartbeat or a lab test that is declining. Nothing is worse than the look on a woman's face when she is looking forward to her first glimpse of her baby only to be told that the baby is not alive. It doesn't get any easier, no matter how many times you do it. My own daughter called me one day to announce she was pregnant and two days later, we found out she was miscarrying and I bawled all day. I never even knew this baby, but now, 15 years later, just writing this now is making my eyes water. I have to do a lot of this over the phone and that makes it even harder because I am not able to offer comfort and I don't know where they are or what they are doing when they get this news. If they call me for their lab results, they might be driving, they might be walking around the mall, they will have to call their significant other and break the news, such difficult conversations to have over the phone. I have been very, very lucky that the few times I have seen advanced pregnancies that underwent a fetal demise were handled by the physicians that I have worked with. I can't imagine being almost ready to deliver and having all your hopes and dreams crushed. Obstetricians sometimes have the very best job, bringing new lives into the world and seeing the new families bonding, but sometimes they also have the very worst job. According to the above context, choose the correct option to answer the following question. Question: Who bawled all day? Options: A. The nurse B. The nurse's daughter C. not enough information D. The physician
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A

Ques: I think that one of the people who caused me the most misery for the longest was someone that I'll call "Luna". So, most people have probably met that person that acts all suicidal and then uses that against you. For example, you're talking to someone like that and you're having some sort of argument and the moment they realize they aren't winning they send you pictures of their bloodied wrists and say "This is your fault". Well, that person was my friend for a long time. Every time I would try to leave her to go to sleep she would threaten to do "something bad" and I knew what she meant, and me, first meeting her when I was around 9 or 10, and I was still extremely naive. So most of the time, I ended up staying awake til 3 AM on school nights and I would get only a few hours of sleep, and she'd be happy because her life wasn't worsened at all. But I think the thing that made me the most miserable, was the fact that it never got better. No matter how much I talked to her, or how sympathetic I tried to be, or how much I tried to convince her to be happier, it never got better. She still acted super depressed, but like it was a joke. All of these things combined to make me completely miserable because it seemed like it was all for nothing. But I just let it happen, because she was the only person I had and she was really my only "friend" at that point, and all the way up to seventh grade. So for that entire period of time, she certainly wasn't the only source of misery for me, but she made me feel way worse than I would have if I hadn't been friends with her. According to the above context, choose the correct option to answer the following question. Question: How long did Luna and the author talk on the phone? Options: A. 5 minutes B. 3 or more hours C. 1 hour D. not enough information
Ans: B

Question: I have 2 friends from college who completely did a 180 after they got married. We were party animals in college. Every day revolved around alcohol on some form or fashion. It literally was like the movie Animal House Now these 2 friends (let's call them Bill and Ted) were a little dorky compared to the rest of the other guys. We all played sports in high school and college and they were more like bookworms. Borderline alcoholics but bookworms. They were really awkward around girls but funny as hell around guys. Long story short. Both of them got involved into serious relationships after college and ended up marrying these girls. One girl was this born again Christian who vowed to cleanse Bill from his evil ways. Bill was so far removed from his friends (the wolfpack!) that he didn't even invite us to his wedding. It's been maybe 14-15 yrs now and I have no clue what he's doing. I think one of my friends did attend the wedding but it was only because they desperately needed a groomsmen. Ted married this girl who seemed cool at first but after marriage, he stopped coming to any and all get togethers. He always had an excuse. He ended up moving a few hrs away and eventually just stopped responding to us. He did show up to a mutual friend's wedding maybe 3 yrs ago. He has a baby now but he's alot different than how he used to be. Other than Bill and Ted, all my other friends got married and have pretty normal marriages. Meaning that family is priority but if you got some free time, go enjoy yourself. So we still get together a couple times a year (some more than others) and have a good time. According to the above context, choose the correct option to answer the following question. Question: Where did Ted relocate after marriage? Options: A. A few hours away B. not enough information C. Down the street D. He never moved
Answer:
A