Spouses: Married persons, i.e., husbands and wives, or partners. Domestic partners, or spousal equivalents, are two adults who have chosen to share their lives in an intimate and committed relationship, reside together, and share a mutual obligation of support for the basic necessities of life.Marriage: The social institution involving legal and/or religious sanction whereby individuals are joined together.Widowhood: The state of having lost a marital partner by death.Spouse Abuse: Deliberate severe and repeated injury to one domestic partner by the other.Caregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Bereavement: Refers to the whole process of grieving and mourning and is associated with a deep sense of loss and sadness.Family: A social group consisting of parents or parent substitutes and children.Interpersonal Relations: The reciprocal interaction of two or more persons.Personal Satisfaction: The individual's experience of a sense of fulfillment of a need or want and the quality or state of being satisfied.Stress, Psychological: Stress wherein emotional factors predominate.Adaptation, Psychological: A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed)Family Health: The health status of the family as a unit including the impact of the health of one member of the family on the family as a unit and on individual family members; also, the impact of family organization or disorganization on the health status of its members.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Family Conflict: Struggle or disagreement between parents, parent and child or other members of a family.Family Relations: Behavioral, psychological, and social relations among various members of the nuclear family and the extended family.Home Nursing: Nursing care given to an individual in the home. The care may be provided by a family member or a friend. Home nursing as care by a non-professional is differentiated from HOME CARE SERVICES provided by professionals: visiting nurse, home health agencies, hospital, or other organized community group.Codependency (Psychology): A relational pattern in which a person attempts to derive a sense of purpose through relationships with others.Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Depression: Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.Single Person: The unmarried man or woman.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Family Characteristics: Size and composition of the family.Hyperlipidemia, Familial Combined: A type of familial lipid metabolism disorder characterized by a variable pattern of elevated plasma CHOLESTEROL and/or TRIGLYCERIDES. Multiple genes on different chromosomes may be involved, such as the major late transcription factor (UPSTREAM STIMULATORY FACTORS) on CHROMOSOME 1.Grief: Normal, appropriate sorrowful response to an immediate cause. It is self-limiting and gradually subsides within a reasonable time.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Sense of Coherence: A view of the world and the individual's environment as comprehensible, manageable, and meaningful, claiming that the way people view their life has a positive influence on their health.Disease Transmission, Infectious: The transmission of infectious disease or pathogens. When transmission is within the same species, the mode can be horizontal or vertical (INFECTIOUS DISEASE TRANSMISSION, VERTICAL).

*  Inositol 500mg 100 Capsules

You have deadlines to meet, kiddos to shuffle around, dinner parties with your spouse and a house and yard that need tending to ... You have deadlines to meet, kiddos to shuffle around, dinner parties with your spouse and a house and yard that need tending to ...

*  Mantle Cell Lymphoma - Spouse/Partner Antonella65's Journey with Non-Hodgkin Lymphoma (NHL) - WhatNext.com

Spouse/Partner: Non-Hodgkin Lymphoma (NHL) , B-Cell Lymphoma , Mantle Cell Lymphoma Patient Info: Finished active treatment ... Spouse/Partner: Non-Hodgkin Lymphoma (NHL) , B-Cell Lymphoma , Mantle Cell Lymphoma ...

*  Why Spouses Lie During the Holidays

in due ... it is the most wonderful time of the air to live your spouse's ... Chuck Jaffe is here talk about why why spouses ... Why Spouses Lie During the Holidays. 11/19/2013 10:53AM If it's the most wonderful time of the year, then why do so many people ... basically to keep their standings so that a spouse doesn't see it ... well ... the truth is that once you do that ... not to ...

*  Tax Issues For Same-Sex Spouses | Investopedia

The tax rules for same-sex spouses are largely the same as for traditional filers, but there are a few special considerations ... Adoption credit rules - When one spouse of a same-sex marriage adopts one or more children of the other spouse, the adoption ... Tax Issues For Same-Sex Spouses By Mark P. Cussen, CFP®, CMFC, AFC Share ... Same-sex couples with a qualifying child who file separately must choose which spouse can claim the child; the child cannot be ...

*  Urban Dictionary: Sexual Bulimia

The 'disorder' often targets the spouses/partners of friends. Guilt, self-loathing and further promiscuity is the result...thus ... The 'disorder' often targets the spouses/partners of friends. Guilt, self-loathing and further promiscuity is the result...thus ...
urbandictionary.com/define.php?term=Sexual Bulimia

*  Sick spouse: Is it OK to take a lover if your husband can't meet your needs?

Finding yourself the caretaker for a brain-damaged spouse is one of the toughest things that can befall a married person. ... It is possible to provide compassionate care to a mentally incapacitated spouse without sacrificing your own chance for ...

*  Wife Questions Spouse's Food-Sharing Habits - News - The Ledger - Lakeland, FL

Wife Questions Spouse's Food-Sharing Habits. Tuesday. Feb 19, 2013 at 4:14 AM ...

*  14 Hollywood Serial Spouses

Even gorgeous supermodels have problems when it comes to love! "I can now say unequivocally I would never get married again," Christie Brinkley told the Telegraph after her fourth marriage to financier Peter Cook resulted in a very public and very nasty divorce in 2008. (Cook was caught cheating with an 18-year-old girl.) Fortunately, her other three marriages didn't end quite as badly. She wed her first husband, artist Jean-Francois Allaux, in 1973, but the pair called it quits in 1981. The model was then married to singer Billy Joel, who penned "Uptown Girl" for her, from 1985 to 1994. That divorce was followed by a union with Ricky Taubman in 1994, but their union dissolved just one year later. Though she's clearly not afraid of taking the plunge, Brinkley has vowed her fourth failed attempt at marriage with Cook will be her last. "There's absolutely no reason to. I learnt in my divorce that marriage is ridiculous. You take a vow but you don't get brownie points when you honor your vow and ...

*  Benefits for Spouses

If the spouse begins receiving benefits before "normal (or full) retirement age," the spouse will receive a reduced benefit. ... A spouse can choose to retire as early as age 62, but doing so may result in a benefit as little as 32.5 percent of the ... If a spouse is eligible for a retirement benefit based on his or her own earnings, and if that benefit is higher than the ... For a spouse who is not entitled to benefits on his or her own earnings record, this reduction factor is applied to the base ...

*  spice : NPR


*  tag-1/spouses/

Search tag 1 spouses at Google. Search tag 1 spouses at Yahoo. Search tag 1 spouses at Bing. ... We're sorry, that page (http://www.bio-medicine.org/tag-1/spouses/) was not found.. ...

*  Spice - Wikipedia

SPICE, Spice ou Spices pode referir-se a: SPICE, programa de computador Spice (álbum), das Spice Girls Spice 1, rapper ...

*  Spice World (film) - Wikipedia

"Spice World". Chicago Sun-Times.. *^ Janet Maslin (23 January 1998). "'Spice World': Hits and Hairdos on the Spice Rack". The ... "Spice World (1998)". Rotten Tomatoes. Flixster. Retrieved 23 October 2015.. *^ "Spice World Reviews". Metacritic. CBS ... Official toy versions of the Spice Bus were produced upon the release of the movie.[8] On 18 July 2014, the actual Spice Bus ... a b Spice Girls Official. Biography. 19 Management Entertainment.. *^ Bob Spiers and Stacey Adair, Joking Apart, Series 2 ...

*  Old Spice

http://marketplace.xbox.com/en-us/Product/Old-Spice-Parrot-Theme-Pack/00000000-0000-4003-803f-00025858083c?cid=SLink Click to ... http://marketplace.xbox.com/en-us/Product/Old-Spice-Eagle-Theme-Pack/00000000-0000-4003-803f-00015858083c?cid=SLink Click to ...

*  Spice Girls - Mama - YouTube

... spicegirls.lnk.to/Essentials Explore the incredible history of The Spice Girls here: http://www.udiscovermusic.co... ... Listen to more from The Spice Girls: http:// ... Mix - Spice Girls - MamaYouTube. * Spice Girls - 2 Become 1 - ... Spice Girls: Giving You Everything Documentary (complete) HD! - Duration: 58:37. Angela Love 1,227,688 views ... Spice Girls - Mama live @ Reunion Tour by marcelwithluv 2015 - Duration: 8:27. MarcelWithLuv 165,451 views ...

*  Sugar & Spice - Wikipedia

Sugar & Spice è il quinto album discografico della cantante statunitense Mýa, pubblicato nel dicembre 2008 in Giappone. Must Be ... EN) Sugar & Spice, su MusicBrainz, MetaBrainz Foundation.. ...

*  Spice (cantante) - Wikipedia

Spice, su Last.fm, CBS Interactive. (EN) Spice, su AllMusic, All Media Network. (EN) Spice, su Discogs, Zink Media. (EN) Spice ... Grace Latoya Hamilton, conosciuta come Spice (6 agosto 1982), è una cantante giamaicana. 2005: Spice 2014: So Mi Like It 2006: ... EN) Spice, su Internet Movie Database, IMDb.com.. ... Wikimedia Commons contiene immagini o altri file su Spice ...

*  Spice (cantante) - Wikipedia

Spice en Internet Movie Database (en inglés) Spice en Allmusic Discografía de Spice en Discogs Spice en Twitter Spice en ... Grace Latoya Hamilton (Saint Catherine, 6 de agosto de 1982), más conocida como Spice, es una cantante de dancehall jamaicana. ...

*  A Moving Story for Spouses | Psychology Today

dual-income couple, corporate relocation may mean dragging a spouse out. of job. And if that spouse happens to be a husband, ... "The Trailing Spouse Crisis" hit the front page of the Wall. Street Journal and the New York Times. The articles warn of the " ... spouse" category just because women make less money than men. But in. actuality it's not that simple. Even when wives have the ... spouse's job or children's lives interfere with his own job advancement,. say the Bielby. And a woman with traditional beliefs ...

*  Angry Spice | TMZ.com

The couple met for dinner with Posh's co-Spice Girl, Mel B aka Scary Spice, who actually showed her pearly whites to the ... Angry Spice. Looking like he was just given a red card in an all-important soccer match, David Beckham was in a foul mood when ...

*  The Spice Girls Take Off

Sporty Spice Melanie Chisolm makes up for not having a child by carrying an extra bag. O'Neill/White/INFDaily.com - February 5 ... The Spice Girls and all their baby Spices depart Toronto following their concert there. ...

*  Brown Skin Richie Spice - YouTube

Richie Spice 'Folly Living' 'Earth a Run Red' 'Ghetto Girl' 'Youth dem Cold' Acoustic In Africa - Duration: 13:18. Lulo Ratoni ... Richie Spice & Alison Hinds - King & Queen - Duration: 4:19. Jay Will 2,283,261 views ... Richie Spice ~ Brown Skin (Live Acoustic) - Duration: 3:11. P'tit canard 55,334 views ... Richie Spice: The World Is A Cycle - Duration: 3:55. marloes5 229,162 views ...

Laureen Harper: borderFemale education: Female education is a catch-all term for a complex set of issues and debates surrounding education (primary education, secondary education, tertiary education, and health education in particular) for girls and women. It includes areas of gender equality and access to education, and its connection to the alleviation of poverty.Homogamy (biology): Homogamy is used in biology in three separate senses:Interpersonal reflex: Interpersonal reflex is a term created by Timothy Leary and explained in the book, Interpersonal Diagnosis of Personality: A functional theory and methodology for personality evaluation (1957).Positivity offset: Positivity offset is a psychological term referring to two phenomena: People tend to interpret neutral situations as mildly positive, and most people rate their lives as good, most of the time. The positivity offset stands in notable asymmetry to the negativity bias.Stressor: A stressor is a chemical or biological agent, environmental condition, external stimulus or an event that causes stress to an organism.Avoidance coping: In psychology, avoidance coping, escape coping, or cope and avoid is a maladaptive coping mechanism characterized by the effort to avoid dealing with a stressor. Coping refers to behaviors that attempt to protect oneself from psychological damage.Fasting, Feasting: Fasting, Feasting is a novel by Indian writer Anita Desai, first published in 1999 in Great Britain by Chatto and Windus. It was shortlisted for the Booker Prize for fiction in 1999.Spann-Fischer Codependency Scale: The Spann-Fischer Codependency Scale is a 16-item self-report instrument used to define and measure co-dependency in order to operationalize it as a personality disorder. Individual items are rated on a 6-point Likert scale, and then summed with two reversed items to describe co-dependency on a scale from a high of 96 to a low of 16.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Rating scales for depression: A depression rating scale is a psychiatric measuring instrument having descriptive words and phrases that indicate the severity of depression for a time period. When used, an observer may make judgements and rate a person at a specified scale level with respect to identified characteristics.Time-trade-off: Time-Trade-Off (TTO) is a tool used in health economics to help determine the quality of life of a patient or group. The individual will be presented with a set of directions such as:September Mourning: September Mourning is a transmedia project whose storyline was begun by September (Emily Lazar) when living in New York City. Marc Silvestri of Top Cow Productions on MySpace became involved after they met and she pitched her idea to him.

(1/836) Type 2 diabetes: evidence for linkage on chromosome 20 in 716 Finnish affected sib pairs.

We are conducting a genome scan at an average resolution of 10 centimorgans (cM) for type 2 diabetes susceptibility genes in 716 affected sib pairs from 477 Finnish families. To date, our best evidence for linkage is on chromosome 20 with potentially separable peaks located on both the long and short arms. The unweighted multipoint maximum logarithm of odds score (MLS) was 3.08 on 20p (location, chi = 19.5 cM) under an additive model, whereas the weighted MLS was 2.06 on 20q (chi = 57 cM, recurrence risk,lambda(s) = 1. 25, P = 0.009). Weighted logarithm of odds scores of 2.00 (chi = 69.5 cM, P = 0.010) and 1.92 (chi = 18.5 cM, P = 0.013) were also observed. Ordered subset analyses based on sibships with extreme mean values of diabetes-related quantitative traits yielded sets of families who contributed disproportionately to the peaks. Two-hour glucose levels in offspring of diabetic individuals gave a MLS of 2. 12 (P = 0.0018) at 9.5 cM. Evidence from this and other studies suggests at least two diabetes-susceptibility genes on chromosome 20. We have also screened the gene for maturity-onset diabetes of the young 1, hepatic nuclear factor 4-a (HNF-4alpha) in 64 affected sibships with evidence for high chromosomal sharing at its location on chromosome 20q. We found no evidence that sequence changes in this gene accounted for the linkage results we observed.  (+info)

(2/836) The spouse as a kidney donor: ethically sound?

A shortage of cadaver donor organs requires transplant units to examine all possible alternatives. Transplantation from living donors accounts for only approximately 10% of kidney transplants in the UK. Recent studies have shown that the results of kidney transplantation between spouses are at least as good as those of well-matched cadaver organs, but very few transplants of this type have been performed in this country so far. As part of the assessment process, the proposed donor and recipient are required to provide written statements about the issues. We reproduce here the personal statements made by one of our patients and his wife: we believe that the statements support our contention that spousal transplantation is ethically justifiable and should be more widely available. We report our early experience in Bristol with seven kidney transplants from spousal donors and we encourage other renal units in this country and elsewhere to consider this method of improving the prospects of kidney transplantation for their patients.  (+info)

(3/836) Active infection with Helicobacter pylori in healthy couples.

The mode of spread of Helicobacter pylori infection is subject to ongoing debate. Recent studies among patients with gastrointestinal disorders suggest a potential role of conjugal transmission. In this study, the clustering of H. pylori infection was assessed among 110 employees of a health insurance company and their partners. Active infection with H. pylori was measured by the 13C-urea breath test. Information on potential confounders was collected by a standardized questionnaire. Overall, 16 employees (14.5%) and 24 partners (21.8%) were infected. While only 7% (6/86) of employees with an uninfected partner were infected, this applied to 42% (10/24) of employees with an infected partner. A very strong relation between partners' infection status persisted after control for age and other potential confounders (adjusted odds ratio, 7.0; 95% confidence interval, 1.8-26.7). Furthermore, the risk of infection increased with the number of years lived with an infected partner. These results support the hypothesis of a major role of spouse-to-spouse transmission of H. pylori infection.  (+info)

(4/836) Sexual functioning among stroke patients and their spouses.

BACKGROUND AND PURPOSE: The aim of this study was to assess effects of stroke on sexual functioning of stroke patients and their spouses and to study the associations of clinical and psychosocial factors with poststroke changes in sexual functions. METHODS: One hundred ninety-two stroke patients and 94 spouses participating in stroke adjustment courses sponsored by the Finnish Stroke and Aphasia Federation completed a self-administered questionnaire concerning their prestroke and poststroke sexual functions and habits. The main outcome measures were (1) libido, (2) coital frequency, (3) sexual arousal, including erectile and orgastic ability and vaginal lubrication, and (4) sexual satisfaction. RESULTS: A majority of the stroke patients reported a marked decline in all the measured sexual functions, ie, libido, coital frequency, erectile and orgastic ability, and vaginal lubrication, as well as in their sexual satisfaction. The most important explanatory factors for these changes were the general attitude toward sexuality (odds ratio [OR] range, 7.4 to 21.9; logistic regression analysis), fear of impotence (OR, 6.1), inability to discuss sexuality (OR range, 6.8 to 18.5), unwillingness to participate in sexual activity (OR range, 3.1 to 5. 4), and the degree of functional disability (OR range, 3.2 to 5.0). The spouses also reported a significant decline in their libido, sexual activity, and sexual satisfaction as a consequence of stroke. CONCLUSIONS: Sexual dysfunction and dissatisfaction with sexual life are common in both male and female stroke patients and in their spouses. Psychological and social factors seem to exert a strong impact on sexual functioning and the quality of sexual life after stroke.  (+info)

(5/836) Too far, too little, too late: a community-based case-control study of maternal mortality in rural west Maharashtra, India.

A total of 121 maternal deaths, identified through multiple-source surveillance in 400 villages in Maharashtra, were prospectively enrolled during 1993-95 in a population-based case-control study, which compared deaths with the survivors of similar pregnancy complications. The cases took significantly longer to seek care and to make the first health contact after the decision to seek care was taken. They also travelled significantly greater distances through a greater number of health facilities before appropriate treatment was started. Multivariate analysis showed the negative effect of excessive referrals and the protective effect of the following: residing in and not away from the village; presence of a resident nurse in the village; having an educated husband and a trained attendant at delivery; and being at the woman's parents' home at the time of illness. Other significant findings showed that deaths due to domestic violence were the second-largest cause of deaths in pregnancy, that more than two-thirds of maternal deaths were underreported in official records, and that liveborn infants of maternal deaths had a markedly higher risk of dying in the first year of life. This study points to the need for information-education-communication (IEC) efforts to increase family (especially male) preparedness for emergencies, decentralized obstetric management with effective triage, and a restructuring of the referral system.  (+info)

(6/836) Ischemic stroke risk and passive exposure to spouses' cigarette smoking. Melbourne Stroke Risk Factor Study (MERFS) Group.

OBJECTIVES: This study investigated the association between ischemic stroke risk and passive exposure to cigarette smoking. METHODS: Risk factors among 452 hospitalized cases of first-episode ischemic stroke were compared with 452 age- and sex-matched "neighbor-hood" controls. RESULTS: The risk of stroke was twice as high for subjects whose spouses smoked as for those whose spouses did not smoke (95% confidence interval = 1.3, 3.1), after adjustment for the subject's own smoking, heart disease, hypertension, diabetes, and education level. These results were confirmed when analysis was limited to those who never smoked. CONCLUSIONS: These findings provide evidence that spousal smoking may be a significant risk factor for ischemic stroke.  (+info)

(7/836) Moral concerns of different types of patients in clinical BRCA1/2 gene mutation testing.

PURPOSE: Implementing predictive genetic testing for a severe and common chronic disease such as breast cancer may raise unique ethical problems. Here we report on moral concerns experienced by patients in the setting of genetic counseling based on BRCA1/2 gene testing. PATIENTS AND METHODS: Patients were members of breast or breast/ovarian cancer families in a consecutive series of 100 families who received counseling at a familial cancer clinic. The patients' moral concerns were identified using the grounded theory approach in the qualitative analysis of verbal transcripts of 45 counseling sessions. Included were sessions with patients who had breast and ovarian cancer, as well as their male and female relatives, before and after the specific BRCA1/2 gene mutation was identified in the family, and before and after those who opted for mutation analysis were informed of their carrier status. RESULTS: There is an association of BRCA1/2 gene mutation carrier status and specific topics of moral concern. The moral preoccupations of patients with breast and ovarian cancer (probable carriers) related to their being instrumental in the detection of the specific mutation segregating in the family. The preoccupations of possible carriers concerned their own offspring. Individuals who tested positive (proven carriers) were concerned with issues of confidentiality. Patients who tested negative (proven noncarriers) were concerned with helping siblings and other relatives. CONCLUSION: Knowledge of the moral concerns of subjects in the study sample may help health care providers be aware of the moral concerns of their own patients. This report may also contribute to the debate on predictive testing for familial adult-onset diseases from the patient's perspective.  (+info)

(8/836) A staff dialogue on caring for a cancer patient who commits suicide: psychosocial issues faced by patients, their families, and caregivers.

Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH. The Schwartz Center is a non-profit organization dedicated to supporting and advancing compassionate health care delivery which provides hope to the patient, support to caregivers, and encourages the healing process. The Center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum during which caregivers discuss a specific cancer patient, reflect on the important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from their fellow staff members. The case presented was of a 31-year-old man who developed adenocarcinoma of the lung with painful bone metastases. His tumor was unresponsive to treatment and he subsequently committed suicide by shooting himself. The verbatim and subsequent discussion raised a number of issues. Staff were devastated by the violent way that he ended his life. They questioned whether more could have been done to prevent this outcome, yet acknowledged that it mirrored the way he had lived, and were able to discuss the values by which we live and die. Some, but not all, felt that the patient had the right to choose how and when to end his life.  (+info)


  • As studies on the 'widowhood effect' indicate, there is a clear causal effect between the death of a spouse and a noticeable spike in the mortality rate of the surviving partner. (cbc.ca)
  • While the risk was most evident in the six months following the death of one's spouse, Boyle says a higher mortality risk for the surviving spouse was evident for a decade after the loss of their partner. (cbc.ca)
  • One study published in 2006 in the New England Journal of Medicine found that, among elderly people, the hospitalization of a spouse was associated with an increased risk of death for the other partner. (cbc.ca)
  • Another study published a year later, conducted by University of Glasgow researchers, tracked 4,000 couples and found surviving spouses were at least 30 per cent more likely to die of any cause in the first six months following the death of their partner, versus those who hadn't lost a spouse. (cbc.ca)


  • What are the effects on the quality of life of patients and informal caregivers (spouse, relative), as compared with usual care? (clinicaltrials.gov)


  • So why is widowhood such a noticeable factor in the death of a surviving spouse? (cbc.ca)