Support after brain tumor means different things: Family caregivers\u27 experiences of support and relationship changes

Shorter hospital stays and greater emphasis on outpatient care means that family members have the primary responsibility for supporting a person with brain tumor to manage the physical, cognitive, behavioral, and emotional effects of the illness and its treatment. Given the integral role of family caregivers, it is essential to understand their experience of the impact of brain tumor and their own support needs. Accordingly, this qualitative study aimed to investigate family caregivers\u27 experiences of support and relationship changes in the context of brain tumor. In-depth interviews were conducted with 11 family caregivers (8 spouse/partner, 3 parents) of people with malignant or benign tumor. A thematic analysis of interview transcripts identified two major themes, namely, Meanings of Support and Relationship Impacts. The Meanings of Support theme was characterized by intertwined and distinct support needs, varied expectations of support and factors influencing support expectations. The Relationship Impacts theme depicted mixed experiences of strengthened, maintained, and strained relations with the person with brain tumor. Overall, the findings highlight that there is considerable variability in caregivers\u27 experiences and expectations of support and the impact of brain tumor on relationships. The implications of these findings for the provision of caregiver support are discussed

Improving the public house in Britain, 1920-40: Sir Sydney Nevile and 'social work'

The ‘improved public house’ movement in the inter-war years was a central part of the shift towards retailing by the brewing industry. An important part of the reform movement was the alliance between certain brewers, notably Whitbread, and ‘social workers’, particularly those associated with the University settlement movement in London. Using the papers of Sydney Nevile, the importance of a particular social milieu is outlined, calling into question attempts to align the movement to improve public houses with transatlantic Progressivism. Rather, this alliance drew upon longstanding English traditions of public service and religious affiliation amongst a fraction of the gentry

IV.-Bacteriology of Septic War Wounds.

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The Examination of the Tissues and Some Observations on the Blood Platelets of Rabbits at Intervals of Five Minutes, and Later, after Intravenous Inoculations of <i>Staphylococcus aureus</i> and Indian Ink

1. The tissue reactions in rabbits from intravenous injections of live and dead Staphylococcus aureus and massive doses of indian ink and colloidal silver have been studied.2. Any particles injected into the circulation cause the accumulation of polymorphs in the lung capillaries.3. Inert colloidal particles such as indian ink are clumped in the capillaries of the lungs, liver, spleen and kidneys, and are phagocytosed by the endothelial cells.4. Staphylococci (S. aureus), live or dead, are nearly all held up in the lungs, where they are actively phagocytosed by the polymorphs within 5 minutes of an intravenous injection.5. Subsequently the cocci are distributed to the other organs, where phagocytosis continues mainly by polymorphs, but in the liver also by the Kupfer cells.6. Special attention is drawn to the localisation of the cocci in certain areas in the kidneys.7. Platelet counting on animals injected with various substances showed that there is an agglomeration of the particles with the platelets, which are consequently removed from the circulation.8. In the case of the inert particles the platelets are then restored to the circulation. With organisms (S. aureus) some of the platelets appear to be completely removed from the blood together with the bacteria.</jats:p