我觉得是这样的: 137题中,结论是 mismatched sleeping and waking cycles can seriously jeopardize a marriage.
不匹配的睡眠习惯使得婚姻失败。
178题中,结论是 future access to new life-sustaining drugs can be improved if the practice of granting patents on newly developed life-sustaining drugs were to be abolished everywhere.