scholarly journals Effectiveness of Integrated Approach on Cancer Care

2020 ◽  
Vol 2 (1) ◽  
pp. 94-98
Author(s):  
Pramod Bhatta

Recurrence and metastasis is a great problem not only to the patient suffering from cancer but also to the doctors in order to care the patient effectively.  The present case study is a cancer case of a female, initially diagnosed with colon cancer in the year 1995 AD who underwent postsurgical and ayurvedic treatment simultaneously. The patient suffered from cancer in the different sites over the entire span of follow up duration of 24 years. Despite cancer growth since the initial diagnosis the patient suffered from uterine, renal cancers periodically and was successfully managed with the combined modern and ayurvedic approaches. The patient enjoyed the quality and happy life with not much difficulty during the entire study period since the beginning of this case. The tools applied for the case study were observation, clinical examination, face to face interviews, laboratory investigation reports, phone contact, and family feedback. The outcome of the study was highly remarkable and enthusiastic and revealed the outcome of Ayurvedic and other holistic approaches that helped to promote the quality of life of cancer patients when combined with modern cancer care protocol. The study recommends conducting such research to analyses the effect of integration of the Ayurvedic treatment approach which will eventually help to effective cancer care in low-income countries like Nepal. Keywords: Case study, effectiveness, Ayurveda, Integrated approach, Cancer care

2009 ◽  
Vol 25 (4) ◽  
pp. 319-327 ◽  
Author(s):  
S. Nakahara ◽  
S. Saint ◽  
S. Sann ◽  
M. Ichikawa ◽  
A. Kimura ◽  
...  

2020 ◽  
Vol 35 (4) ◽  
pp. 440-451
Author(s):  
Jennifer A Callaghan-Koru ◽  
Munia Islam ◽  
Marufa Khan ◽  
Ardy Sowe ◽  
Jahrul Islam ◽  
...  

Abstract There is a well-recognized need for empirical study of processes and factors that influence scale up of evidence-based interventions in low-income countries to address the ‘know-do’ gap. We undertook a qualitative case study of the scale up of chlorhexidine cleansing of the umbilical cord (CHX) in Bangladesh to identify and compare facilitators and barriers for the institutionalization and expansion stages of scale up. Data collection and analysis for this case study were informed by the Consolidated Framework for Implementation Research (CFIR) and the WHO/ExpandNet model of scale up. At the national level, we interviewed 20 stakeholders involved in CHX policy or implementation. At the district level, we conducted interviews with 31 facility-based healthcare providers in five districts and focus group discussions (FGDs) with eight community-based providers and eight programme managers. At the community level, we conducted 7 FGDs with 53 mothers who had a baby within the past year. Expanded interview notes were thematically coded and analysed following an adapted Framework approach. National stakeholders identified external policy and incentives, and the engagement of stakeholders in policy development through the National Technical Working Committee for Newborn Health, as key facilitators for policy and health systems changes. Stakeholders, providers and families perceived the intervention to be simple, safe and effective, and more consistent with family preferences than the prior policy of dry cord care. The major barriers that delayed or decreased the public health impact of the scale up of CHX in Bangladesh’s public health system related to commodity production, procurement and distribution. Bangladesh’s experience scaling up CHX suggests that scale up should involve early needs assessments and planning for institutionalizing new drugs and commodities into the supply chain. While the five CFIR domains were useful for categorizing barriers and facilitators, additional constructs are needed for common health systems barriers in low-income settings.


2017 ◽  
Vol 3 (10) ◽  
pp. 44-50
Author(s):  
Mohammed Alshakka ◽  
Thamir Alshammari ◽  
Mukhtar Ansari

2005 ◽  
Vol 8 (6a) ◽  
pp. 760-765 ◽  
Author(s):  
HH Vorster ◽  
BM Margetts ◽  
CS Venter ◽  
MP Wissing

AbstractObjectiveTo describe an integrated, holistic conceptual framework and research paradigm for a better understanding of the nutrition transition in middle- and low-income countries.MotivationCurrent inability effectively to prevent the increasing burden related to changes in food consumption patterns and other health behaviours of populations in transition motivates a new approach for nutrition research and practice. In this proposed approach, broader and integrated dimensions of science and practice may be applied for a better understanding of this complex phenomenon.ResultExamples from our own studies are given and quoted to illustrate how results from transdisciplinary studies were used to design an integrated, holistic programme to improve quality of life of people infected with HIV.ConclusionBased on these experiences it is argued that the more holistic and integrated approach should and could lead to more effective and sustainable interventions to prevent the adverse health consequences of the nutrition transition. At the same time such an approach will contribute to efforts to conserve the environment and also human, living and natural resources.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18126-e18126 ◽  
Author(s):  
Abiola Falilat Ibraheem ◽  
Olutosin Alaba Awolude ◽  
Myhammad-yaqub Murtazha Habeebu ◽  
Anthonia Chima Sowunmi ◽  
Popoola Abiodun Olaniyi ◽  
...  

e18126 Background: Cancer is fast becoming a common cause of death in developing world. Over the last decade, there have been strategies to bring quality cancer care to underserved patients around the world. In low-income countries, poor utilization of principles of teamwork is a major barrier to achieving quality services. The intent of this study is to assess teamwork as perceived by the health care workers caring for cancer patients Methods: We conducted a survey among health care professionals involved in cancer care in 3 tertiary centers in the southwestern part of Nigeria from July to November 2016. Respondents rated teamwork using the previously validated ÒSafety Attitudes QuestionnaireÓ. For this analysis we focused on the teamwork climate subscale. This subscale is scored on a scale of 0-100 with mean (SD) values,in US ambulatory population of 69.7 (17). We compared ratings by professionals using analysis of variance Results: Overall 373 professionals completed the survey: Physicians (47%), nurses (14%), pharmacists (6%) and others (33%). Some results are shown in table Conclusions: Cancer care is complex and depends on teamwork amongst health care professionals to achieve optimal outcomes. While overall teamwork scores was consistent with US ambulatory studies , there are important variations that provide targets for intervention. Physicians rated teamwork poorly both intra and inter professionally. Pharmacists rated inter professional teamwork with nurses particularly poorly. Further data on additional subscales of the instrument and by individual centers will be presented. Efforts to transform cancer care need to focus on building trust among the key stakeholders. This is true in developing world where there is a need to maximize the use of limited resources to improve patient outcomes. [Table: see text]


2012 ◽  
Vol 168 ◽  
pp. 15-22 ◽  
Author(s):  
Zaheer Ahmad Nasir ◽  
Ian Colbeck ◽  
Sikander Sultan ◽  
Shakil Ahmed

2017 ◽  
Vol 125 (3) ◽  
pp. 278-283 ◽  
Author(s):  
Amy J. Pickering ◽  
Benjamin F. Arnold ◽  
Holly N. Dentz ◽  
John M. Colford ◽  
Clair Null

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