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This could be partially accounted for bythe lower expectations of life quality in old age leading to an under-reporting of distress.Another factor is the dramatic improvement in the self-reported psychosocial well-beingof richer people living in more comfortable surroundings (see below).

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By the continued prolifera-tion of cartilage, the bone grows in length. In addition, the nurse can use physician- and nurse-prescribed interventions to minimize the complications of theseproblems. However, the results gen-erated by ecologic studies are highly limited and are consid-ered useful primarily for hypothesis generation but not forcausal inference

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