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New York City oncologist Dr. Dennis Kraus said its normal for older couples in longterm relationships to become unsettled by the news that one of them has mouth and throat cancer caused by a sexually transmitted virus.

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Based on the assessment findings and any physiologic changes that may occur, the primary nurse determines the interventions that are needed.

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The symptoms of SAD in the fall and winter are basically the same as those for other types of depression, including feelings of hopelessness, loss of interest in previously enjoyed activities, difficulty concentrating, and anxiety.

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