This work is to study the changes in the partnership during cancer and identify a possible secondary or tertiary disease profit. Thirty-two patients and their partners (n = 64) participated. 84% of patients experience a change in the partner relationship in a positive direction. The increased support through their partner let the patient's situation improve in terms of secondary gain of illness. 69% of patients reported that their partners take on more tasks. 37% of patients with malignant diseases, especially those with hematologic systemic diseases, are trying to protect their partners from additional burdens. 76% of all patients experience more support from the social network. 88% of patients experience the disease to change their view on the meaning of life. Since the majority of patients indicate a positive change in the partner relationship and an increased acquisition of tasks by the partners, our investigation, could confirm the theory of secondary gain, but not the tertiary disease earnings.
The importance of malnutrition as major cause of morbidity and mortality in cancer patients is well documented. It has been shown that nutritional therapy improves well-being and nutritional status of the patient, but the tumor can also be accelerated by hypercaloric nutrition. Our study does not confirm the induction of tumor growth. A high positive metabolic rate of the host lowers the tumor's growth rate and its tendency to spread. The retention of nitrogen in host increase with decreasing rate of energy and nutrition. Our results show that the tumor itself uses energy and nutrients from host cell catabolism and does not directly exploit exogenous nutrient substrates. It should not be forgotten that the animal model leads to specific changes affecting the energy and nutrient metabolism.
The breathing difficulty reported by all subjects was in most cases due not to bronchial obstruction but to obstructed nasal breathing. In cases with breathing difficulty on exposure to latex gloves a latex allergy should be considered as the cause. Powdered latex gloves present a danger to health care personnel and should no longer be used.
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