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кого-л. – кого-либо
кому-л. – кому-либо
н. э. – наша эра
напр. – например
обыкн. – обыкновенно
оскорбит. – оскорбительное
особ. – особенно
перен. – в переносном значении
ПО – программное обеспечение
преим. – преимущественно
проф. – профессор
син. – синоним
собир. – собирательное
сокр. – сокращение
тж. – также
чего-л. – чего-либо
чем-л. – чем-либо
чему-л. – чему-либо
что-л. – что-либо
чьей-л. – чьей-либо
чью-л. – чью-либо
Английские
ch. – chapter
dr. – doctor
esp. – especially
et al. – et alia
etc. – et cetera
Jap. – Japaneese
sen. – senator
smb. – somebody
smth. – something
v. – versus
Часть I
“ Age, health, life, death, soul
Life is like a roll of toilet paper; the closer you get to the end of the roll, the faster it goes.
Until the 20th century the average human lived about as long as a chimpanzee.
Few things are more tragic than the death of a woman in pregnancy or childbirth. An American woman is more likely to be struck by lighthing than to die in childbirth.
Each day 91 Americans die from an opioid overdose.
Who is not a patient?
Defining "conspicuous consumption" as "apparel, watches, jewellery, cars and other socially visible goods", she finds that even though the poor must dedicate much of their income to basic necessities, they devote a higher share of their total spending to conspicuous consumption than the rich do. And the trend is gaining steam. Between 1996 and 2014 the richest 1 % fell further behind the national average in the percentage of their spending dedicated to bling. The middle income quintile went the other way: by 2014 they spent 35 % more than the average as a percentage of their annual expenditure.
Elephant corpses are centres of attraction for living elephants. They will visit them repeatedly, sniffing them with their trunks and rumbling as they do so. This is a species-specific response; elephants show no interest in the dead of any other type of animal. And they also react to elephant bones, as well as bodies, as Dr Wittemyer has demonstrated. Prompted by the anecdotes of others, and his own observations that an elephant faced with such bones will often respond by scattering them, he laid out fields of bones in the bush. Wild elephants, he found, can distinguish their conspecifics' skeletal remains from those of other species. And they do, indeed, pick them up and fling them into the bush.
Coca-Cola distribution is so broad, its marketing so expert that the Gates Foundation has urged vaccine campaigns to mimic its strategy.
Across the planet, 1.8bn human beings drink water contaminated with faeces.
Death through overwork is considered to be such a feature of the workplace in Japan that there is a word for it: karoshi.
Humans have always sought to intoxicate themselves.
Looking after someone with dementia can wipe out even a prosperous family.
The promise of a longer life, well lived, would round a person out. But this vision of the future depends on one thing – that a long existence is also a healthy one. Humanity must avoid the trap fallen into by Tithonus, a mythical Trojan who was granted eternal life by the gods, but forgot to ask also for eternal youth. Eventually, he withered into a cicada.
In 2016 a coroner's office in Ohio had to store corpses in refrigerated lorries for a week because residents were overdosing on opioids faster than their bodies could be processed.
How young is too young? Rich democracies give different answers, depending on the context: in New Jersey you can buy alcohol at 21 and cigarettes at 19, join the army at 17, have sex at 16 and be tried in court as an adult at 14.
Nothing ages faster than yesterday's dreams of tomorrow.
People around the world produce an estimated 6.4 trillion litres of urine every year.
Kids not born in the '90s, also didn't have kids in the 2010s. It's the echo of the echo.
Those who live to be very old are never previously famous. Few in the world know them, and they know almost nothing of the world.
One poll in 2016 found that French people are the most pessimistic on Earth, with 81 % grumbling that the world is getting worse and only 3 % saying that it is getting better.
End-of-life businesses also offer alternatives to costly temple gravestones, such as scattering loved ones' ashes in Tokyo Bay (just don't tell the honeymooners to whom the boat is also offered).
More than 80 % of the candidate drugs that make it into clinical trials because they worked in mice do not go on to work well in humans.
Hospital doctors have far more opportunities to earn substantial kickbacks – try seeing a good specialist in China without offering a fat "red envelope".
Every year 350 tonnes of cigarette butts, the equivalent in weight to two blue whales, are cleared off the streets of Paris alone.
The income-tax code is so knotty that America has as many tax preparers per 1,000 people as Indonesia has doctors.
Diseases compete to kill people as they age; if one does not get you the next will.
Gay men's rate of anal cancer is the same as the rate of cervical cancer for women.
Julius Caesar (at the time in his 50s) swam nearly 300 metres or six lengths of an Olympic pool with his sword and purple cloak clenched between his teeth, apparently holding his official papers dry above his head.
If you had to be reborn anywhere in the world as a person with average talents and income, you would want to be a Viking.
Life's candle burns most brightly when it is about to go out.
90 % of the brain develops between the ages of zero to five, yet we spend 90 % of our dollars on kids above the age of five.
It's a bit like being a doctor in a plague year; you'll be busy for a while, but it doesn't bode well for the long term.
John Graunt tallied causes such as "the King's Evil", a tubercular disease believed to be cured by the monarch's touch.
Many albinos are murdered by people who think that their bones contain gold or have magical powers. Some witchdoctors claim that amulets made from albino bones can cure disease or bring great wealth to those who wear them. Women are at higher risk of rape because of a myth that sex with an albino can cure HIV. A gruesome trade in their body parts has spurred killings in Tanzania, Burundi, Mozambique, Zambia and South Africa.
Greater Manchester's 2.7m people make good guinea pigs for the experiment in combining health and social care – life expectancy is below average, unemployment above it.
Drones can transport blood, but they can't transport doctors, who need roads.
"When good Americans die, they go to Paris," observed Thomas Gold Appleton.
One high-class restaurant in Beijing specialises in animal penises, the eating of which is supposed to boost virility. Westerners visit for a titter, Chinese businessmen to impress their clients. (Yak penis, says the eatery's website, is a "luxury gift for close friends".) A book of "traditional, health-preserving" recipes on sale in one of Beijing's biggest state-run bookshops includes the following remedy for impotence and premature ejaculation: "18 grams of caterpillar fungus; one fresh human placenta. Wash the caterpillar fungus and the placenta separately. Place in a saucepan, with water. Stew at high temperature until the placenta is cooked. (Drink the human placenta soup once a week for one or two weeks to see results.)"
Jeanne Calment, who lived for 122 years and 164 days (longer than any other person), said the secret to her longevity was a diet rich in olive oil, port wine and chocolate. She smoked until the age of 117. Alexander Imich, who was the oldest living man (111) until he died in June, did not have a secret. Asked how he lived so long, he replied, "I don't know, I simply didn't die earlier."
Predictions without dates are easy. All trees fall; it is spotting the diseased ones that is trick.
In 1847 Ignac Semmelweis pioneered mother-friendly childbirth, insisting that doctors should wash their hands between autopsy and delivery rooms.
Anti-corruption campaigners would have nothing to cheer if the cure ended up being more harmful than the disease.
Changing a face can change nothing, but facing a change can change everything.
People around the world produce an estimated 6.4 trillion litres of urine every year.
America's hospitals are the most expensive part of the world's most expensive health system. They accounted for $851 billion, or 31 %, of American health spending in 2011. If they were a country, they would be the world's 16th-largest economy.
He learned about the "umbles": as hypothermia sets in you mumble, fumble, grumble, stumble, then finally tumble. Without help you die.
Asked the secret of his youthfulness, Benito Martinez Abrogan, 120, said he had never cheated a man or said bad things of other people.
Patriotism requires Medicare for all. Somehow, neither has caught on.
Patriotism requires Medicare for all. Somehow, neither has caught on.
Puffing 15–24 cigarettes a day, on average, robs a smoker older than 35 of five hours of life each and every day. But 20 minutes of moderate exercise a day earns almost an hour back. Alcohol wears a Janus face: the first drink of the day adds about 30 minutes per day to one's life expectancy, but each subsequent one cuts it back by 15 minutes.
The Amish in America spurn modern medicine, along with almost everything else invented since the 17th century.
The UN reckons that by 2100 the planet's population will be rising past 10.9 billion, and be much older. The median age will go up from 29 to 41, and around 28 % will be over 60. A few may even remember this article.
ERC, a research firm, says consumption per person was 999 cigarettes a year in 1990 and only 882 in 2012. Yet the appetite for cigarettes continues to rise. Smokers lit up 5.9 trillion times last year compared with 5.1 trillion in 1990. ERC tracks 123 countries, home to about 99 % of smokers. It finds the worst addicts in central and eastern Europe. Serbians each smoke a lung-blackening 3,323 cigarettes per year, more than any other nationality. Eight of the top ten countries, ranked by consumption per person, are in the former Eastern block.
The more sophisticated the patient, the less scalpel-happy the doctors. The best informed patients of all are, of course, other doctors. Sure enough, physicians went under the knife much less often than the average Ticino resident. Lawyers' wives – whom doctors have good reason to fear – had the fewest hysterectomies of all.
Walgreens is another operator of worksite clinics. One of its 358 centres is in Orlando, at the Disney theme park. It aims to treat Disney's "cast members" quickly (unblocking their huge ears and fixing their fairy wings, presumably), so they can go back to work.
Doctors manage to restart only about half of the hearts that stop in a hospital, and only about a sixth of patients will go on to survive long enough to be discharged. One of the toughest decisions faced by hospital staff is how long to keep trying, and when to give up on a particular patient as a lost cause.
The lexicon of oncology is filled with military metaphors: the war on cancer, aggressive tumours, magic bullets. And although these are indeed only metaphors, they do reflect an underlying attitude – that it is the clinician's job to attack and destroy his patient's tumour directly, with whatever weapons are to hand. As in real warfare, those weapons may be conventional (surgery), chemical (cancer-killing drugs) or nuclear (radiation therapy). There is even talk of biological agents, in the form of viruses specifically tailored to seek out and eliminate their tumorous targets. Which is all well and good as strategies go. But as Sun Tzu observed, the wisest general is not one who wins one hundred victories in one hundred battles, but rather one who overcomes the armies of his enemies without having to fight them himself. And one way to do that is to get someone else to do your fighting for you.
Is dumping faeces in rivers UN policy?
What is depression? The ancient Greeks believed it resulted from an imbalance in the body's four humours: blood, phlegm, yellow bile and black bile (from the Greek word melas or "dark" and kholе, meaning "bile"), with too much of the latter resulting in a melancholic state of mind. Early Christianity blamed the devil and God's anger for man's suffering, with depression the result of the struggle against worldly temptations and sins of the flesh. In the Renaissance it was viewed as a disease of scholars, such as Robert Burton, author of "The Anatomy of Melancholy", who were given to abstract and intense speculation.
The very notion of imposing a levy on calorific foods is very illiberal. What is the rationale? People who have sex without a condom also impose a burden on health services if they subsequently catch AIDS or other sexually transmitted diseases. Should the condomless also be taxed?
Not quite old enough for Medicare (which typically kicks in at 65) and not quite poor enough for Medicaid.
In 2001 the Singapore-based WTO – that is, the World Toilet Organisation – chose a day to mark the plight of the world's loo-less 2.5 billion (its slogan this year was "I give a shit, do you?"). At least 19 countries mark it. But not the UN, which is perhaps "scared of using the word 'toilet'," a WTO spokesman muses.
In most countries it is illegal to buy or sell a kidney. If you need a transplant you join a waiting list until a matching organ becomes available. This drives economists nuts. Why not allow willing donors to sell spare kidneys and let patients (or the government, acting on their behalf) bid for them? The waiting list would disappear overnight. If John and Mary love each other but are married to other people, they will be tempted to leave their current partner and marry each other. But if John loves Mary, while Mary loves her husband more than John, both will stay put.
The birth and death phases of stars are associated with heavy dust clouds that give off an infra-red signal which might resemble the swarm of artificial satellites constituting a Dyson sphere.
In China a strong taboo hangs over discussing death.
Only 8 % of South Africans opt for cremation, compared with a third in America, half in China, three-quarters in Britain and 95 % in Japan. To many South Africans, cremation is taboo, not least because of ancestor-worship and a propensity to commune with the dead. Many prefer a burial in the countryside where they were born.
