Implementation of a large-scale breast cancer early detection program in a resource-constrained setting: real-world experiences from 2 large states in India

Background: The Breast Health Initiative (BHI) was launched to demonstrate a scalable model to improve access to early diagnosis and treatment of breast cancer. Methods: A package of evidence-based interventions was codesigned and implemented with the stakeholders, as part of the national noncommunicable disease program, through the existing primary health care system. Data from the first 18 months of the BHI are presented. Results: A total of 108,112 women received breast health education; 48% visited the health facilities for clinical breast examination (CBE), 3% had a positive CBE result, and 41% were referred to a diagnostic facility. The concordance of CBE findings between health care providers and adherence to follow-up care improved considerably, with more women visiting the diagnostic facilities and completing diagnostic evaluation within 1 month from initial screening, and with only 9% lost to follow-up. The authors observed a clinically meaningful decrease in time to complete diagnostic evaluation with biopsy, from 37 to 9 days. Conclusions: The results demonstrate the feasibility and effectiveness of implementing a large-scale, decentralized breast cancer early detection program delivered through the existing primary health care system in India

Expressions 1989

https://openspace.dmacc.edu/expressions/1011/thumbnail.jp

Clinical and economic systematic literature review to support the development of an integrated care programme for chronic disease prevention and management for the Irish health system

Report prepared for the Clinical Strategy and Programmes Division (CSPD) of the Health Service Executive to support the work of integrated clinical care programmes.Based on a clinical and economic systematic review of the international literature, this report presents the evidence on integrated care programmes and generic models of care designed for chronic disease prevention and management. This evidence will support the work of integrated clinical care programmes in Ireland through the Clinical Strategy and Programmes Division of the HSE

Faith in technology : new media use at Campus Crusade for Christ International

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Living with a diagnosis of non-small cell lung cancer: patients’ lived experiences

The aim of this study was to explore patients’ experience of living with non-small cell lung cancer (NSCLC). Patients diagnosed with NSCLC know that their treatment is not with curative intent and can expect distressing symptoms. In this phenomenological study, six adults with a diagnosis of NSCLC were interviewed. Data was analysed guided by van Manen’s six-step process. Four main themes were interpreted: ‘Maintaining my life’; ‘The enemy within’; ‘Staying on the train’, and ‘I’m still me’. The study findings contribute to nurses’ understanding of patients living with this distressing diagnosis, where treatment is palliative. Understanding these patients’ experiences can help nurses to interact in a different way, and to maximize opportunities to care holistically for this group of patients and best meet their needs

Uncertainty and Ongoing Economic Turbulence: Implications for HRD

The ProblemThe global financial crisis and uncertainty has the potential to significantly affect the human resource development (HRD) field in terms of investment levels in training and development; the nature, content, and focus of HRD interventions and programs; evaluation processes used to determine return on investment in HRD; and the role of HRD scholars and practitioners in assisting organizations to navigate such uncertain and turbulent economic environments. However, there is little to no debate about how HRD is responding to the crisis or how HRD scholars and practitioners can or should influence people management and development policy and practice during an era of ongoing economic turbulence.The SolutionThe current issue will address the gap that exists in our understanding of HRD during uncertain times. The issue draws together multi-level and multi-perspective insights into how HRD has responded to the uncertainty and ongoing economic turbulence. The papers are drawn from a range of different cultures and countries, across different levels of analysis, from the individual to the organization, to government and regulation. The methodologies used in the current issue papers are diverse and include quantitative, qualitative, integrative literature review, and an academic-practitioner reflection. The current issue sets out important implications for how HRD practitioners and researchers can assist the HRD field to respond to and shape organizational and government responses to the uncertainty and ongoing turbulence.The StakeholdersScholars, practitioners, and policy makers interested in the human resource development field