16 research outputs found
The Role of Nanotechnology in Molecular Imaging by using Fluorescent Quantum Dots
Giant strides in knowledge about nanoparticles have lead to thedevelopment of sophisticated fluorescent quantum dots that have enhanced our understanding of the disease process as well as the healing mechanism following appropriate therapy. This article focuses on various aspects of fluorescent quantum dots which are now knocking at our doors to let them in to assist us in molecular imaging
Humeral Metastasis in a case of Squamous Cell Carcinoma - a Case Report
A rare case of squamous cell carcinoma with metastasis to distal acralskeleton – humerus within two months of diagnosis of the primary is being reported. The metastasis to the bones from carcinoma cervix is uncommon especially in the distal appendicular skeleton. A 47 years female came with spontaneous fracture of right humerus shaft. The tissue from fracture site revealed metastasis of squamous cell carcinoma. X-Ray lung and USG abdomen did not show any organ involvement. She was diagnosed assquamous cell carcinoma cervix stage III B two months before and put on radiotherapy and chemotherapy. This is one of the few documented cases of metastasis to humerus without involvement of lung liver or brain within two months of diagnosis of the primary
Synergies, Strengths and Challenges: Findings on Community Capability from a Systematic Health Systems Research Literature Review
Background:
Community capability is the combined influence of a community’s social systems and collective resources that can address community problems and broaden community opportunities. We frame it as consisting of three domains that together support community empowerment: what communities have; how communities act; and for whom communities act. We sought to further understand these domains through a secondary analysis of a previous systematic review on community participation in health systems interventions in low and middle income countries (LMICs).
Methods:
We searched for journal articles published between 2000 and 2012 related to the concepts of “community”, “capability/participation”, “health systems research” and “LMIC.” We identified 64 with rich accounts of community participation involving service delivery and governance in health systems research for thematic analysis following the three domains framing community capability.
Results:
When considering what communities have, articles reported external linkages as the most frequently gained resource, especially when partnerships resulted in more community power over the intervention. In contrast, financial assets were the least mentioned, despite their importance for sustainability. With how communities act, articles discussed challenges of ensuring inclusive participation and detailed strategies to improve inclusiveness. Very little was reported about strengthening community cohesiveness and collective efficacy despite their importance in community initiatives. When reviewing for whom communities act, the importance of strong local leadership was mentioned frequently, while conflict resolution strategies and skills were rarely discussed.
Synergies were found across these elements of community capability, with tangible success in one area leading to positive changes in another. Access to information and opportunities to develop skills were crucial to community participation, critical thinking, problem solving and ownership. Although there are many quantitative scales measuring community capability, health systems research engaged with community participation has rarely made use of these tools or the concepts informing them. Overall, the amount of information related to elements of community capability reported by these articles was low and often of poor quality.
Conclusions:
Strengthening community capability is critical to ensuring that community participation leads to genuine empowerment. Our simpler framework to define community capability may help researchers better recognize, support and assess it