Three hundred and fourteen cases of peripheral lung tumours managed surgically over a 15-year period have been analysed to re-examine the effect of tumour size on the probability of survival up to five years after operation. Freise et al5 found a similarly gloomy outlook but argued for operation on the large tumours on the grounds that it gave the only chance of "cure"and that resection of a large primary may prevent troublesome complications.
Increasingly, state hospitals are discharging large numbers of patients to their families and a significant number of these patients are severely mentally ill. The burden upon mothers who live alone and have to care for chronically mentally ill adult children is the focus of this paper. The author explores this phenomenon through the use of a qualitative research methodology to better capture the problems and struggles in these caretaking arrangements. Increased stress is found to contribute to a greater vulnerability to illness for the mother. Interventions are suggested which would reduce this burden and contribute towards a more healthy environment for the mother.
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