32^nd International Conference on Oncology Nursing and Cancer Care September 13-14, 2017 Singapore

Sakda has completed Master of Science (Mental Health) from Chulalongkorn University and PhD (Development Science) from Khonkaen University,Thailand. He had experts in psychiatric nursing more than 25 years and stand with the great position of instructor of school of psychiatric nursing, institue of nursing, Suranaree University of Technology, Nakhon Ratchasima, Thailand. He has expertise in mental health and psychiatry, sex education, counseling, depression as well as suicide, field. Not only work with academic position, but he also work on a collaborative action research in community setting related to psychiatric problems.

This phenomenological research aim to explain the experiences of breast cancer patients in being reaction to illness, adaptation, and coping with post illness. In-depth interviews were used to collect data from thirty participants who had breast cancer and lived in Nakhon Ratchasima. Data were analyzed by modified Colaizzi's method. The results found that the participants reflected experiences three theme : 1. Reaction to illness (1) Phase of screening and waiting period ; most of them were worry ,frightened and fear that they would have cancer. (2) Phase to know the results; they had different reactions to cancer such as denied, separated, angered, bargained, depressed and accepted. (3) Phase to live with the disease ; they sought more knowledge and decreased stress and anxiety. 2. Adaptation (1) Lifestyle changing post illness ; they worked less and more concern more themselves. (2) Thoughts or beliefs about suicide ; most of them did not think of suicide because they feared of sin. (3) Reasons for living of them were loving and caring for them family. (4) Sense of self before and after illness ; they felt their life were precious so they must took care themselves more. (5) Feelings of the daily lifestyle ; most of them though that they were valuable, advantage, accepted and fought to the disease. 3. Coping with post illness; they consulted and asked for support from their families and tried to cope by themselves. Finding of this study will be beneficial for psychosocial care, promote mental health and adaptation for further breast cancer patients.

Tzu-Hsuan Lin is currently a postgraduate student at the Nursing, Chung Shan Medical University She has been working more than 20 years at the Department of Nursing Hsinchu MacKay Memorial Hospital, Taiwan. Moreover, she has experience in Oncology Nursing education. Hui-Shan Shen Graduated from Taipei University nursing master's degree and have been working at the medical ward of Mackay Memorial Hospital, Hsinchu. Also, she is a head nurse of nursing department.

Background: Oral mucositis is one of the most common symptoms of head and neck cancer patients receiving concurrent chemoradiotherapy (CCRT), patients could have a high incidence of oral mucositis side effects of 80-90%. If medical staff is not given prophylactic oral mucosal care measures, this may result in severe oral mucositis grade 3 or more. Glutamine can help tissue mucosal repair, insufficient glutamine can lead to serious mucosal damage or even interrupt treatment. Objective: This study aimed to survey whether early use of glutamine could decrease the severity of oral mucositis in patients with head and neck cancer received concurrent chemoradiotherapy. Methodology: A total of 44 patients with head and neck cancer has undergone CCRT were randomly divided into 22 patients oral Glutamine (G group), and 22 patients in the control group (R group), a glutamine dose of 10 g 3 times a day a week before CCRT, the control group (R group) are in accordance with the general routine oral care. An Oral mucositis evaluation was performed using NCI-CTCAE V3.0 until the end of the CCRT course (period 1-9 weeks). Result: The patients Mucositis G4 developed in all patients group G (0%) and group R (27%). Glutamine significantly decreased average grade of mucositis (group G, 2.41±0.5; 95% CI:2.19 to 2.63; group R, 3.23±0.5; 95% CI:2.99 to 3.46; p=. 002). Glutamine significantly decreased body weight loss (group G, 10.4±1.2kg; 95% CI:9.8 to10. 9; group R 12.5±1.4kg ; 95% CI:11.9 to 13.2; P=. 023). Conclusion: Glutamine can prevent severe oral mucositis, to avoid interruption of treatment and affect the cure of the disease. Expected results of this study can provide the patient determine the most appropriate medical decision-making therefore, patients can have a better quality of care disease.

Pei-Ju Lien graduated from a nursing university in Taiwan. She is a resisted nurse and works at the comprehensive breast health canter in Taipei Veterans General Hospital in Taipei. Her job provides the education about pre-, during, and post treatment for patient with breast cancer.

The purpose of study was to describe the knowledge and intention of fertility among childbearing age women with breast cancer. We also explored the factors associated with fertility intention. A cross-sectional research design was applied in this study. We recruited women who had breast cancer diagnosed in reproductive age (20-49 years old) and completed the cancer-related treatment at a hospital in Taipei from 2011 through 2014. Telephone interviews was completed with 178 (69.8%) of those 255 eligible, asking about sociodemographic variables and disease/treatment characteristics. Intention of fertility was evaluated by 2-item measurement of the willingness toward fertility preservation or pregnancy. Knowledge of fertility was assessed using the self-proposed questionnaire (including general and cancer/treatment specific items). More than ninety percentage of participants thought it should be took the fertility preservation before cancer treatments into account. The scale of the willingness toward fertility preservation was 21.1 (SD = 31.6), while the scale of the willingness toward pregnancy was 8.6 (SD = 22.3).The mean scale of the knowledge among participants was low (mean ±SD=49.3 ± 21.2), especial for the general reproductive knowledge (mean ±SD= 13.8 ± 24.8). Linear regression analysis showed younger women had higher willingness toward fertility preservation or pregnancy. Our study found that some reproductive-age women with breast cancer want to protect reproductive function, especially for younger women. Underestimating the probability of infertility and overestimating the feasibility of reproductive technology might impact the choice before cancer treatment. Future educations about general infertility, infertility involved in cancer-related treatments, and reproductive technology were suggested in oncologic practice before treatments.

I am a student of Faculty of Biology, Universitas Gadjah Mada Yogyakarta. I am 21 years old. I was fifth semester. I have a research about melignant melanoma with my friends Bening Larasati, Dea Febiansi, and Dhela aprilyandha Roshitafandi. We made an ointment that potentially treatment malignant melanoma.

Malignant melanoma (MM) is the abnormality of the melanocyte cells in long period will be skin cancer to death. MM has indication same as mole that cause people can not difference both of them. Chayote in society is believed can decrease risk of MM. Secondary metabolit, flavonoid and saponin, can prevent proliferation of cancer cells. Ointment is made of chayote extract that safe for sensitive skin. Sampel of chayote based on age that can see from size of chayote, ,1 month (small), 3 month (medium), 5 month (big). Method of research are etanolic extraction, phytochemical test consist of qualitative test, TLC, and Spectrophotometry, and then antiproliferation test using fibroblast cell HDFa in-vitro. The extract is made to be ointment with base PEG 400 and PEG 4000. The result of the research in three kind of extract sampel positive offlavonoid and saponin, and the highest concentration of flavonoid is extract sample 5 month (0,87%), the highest concentration of saponin is extract sample 1 month (12,74%). The concentration of flavonoid is lower than saponin concentration. An antiproliferation test given a sample extract 1 month can inhibit cell growth better. At 90% confidence level between the variation of sample concentration and viability is significantly different, whereas in the sample extract 3-month was not significantly different. Publications conducted in electronic media and print media are also scientific publications in Majalah Obat Tradisional.

Saúl Rivero-Monterrosa is currently training in surgical pathology at the university of Cartagena, he has shown interest in cancer pathology and translational medicine, especially in breast cancer, because he wants to better understand and help understand these , more and more frequent in the Population of Colombia.

Encyclopedia Ductal carcinomas are the most common of all breast malignancies, less than 5% are of metaplastic nature, and 0.04% to 0.1% have squamous cell differentiation. These special subtypes are considered more aggressive. Due to the few cases in the literature, there is no consensus about its diagnosis and treatment. Three cases are presented with this diagnosis, seen in our institution between 2014 and 2015. They were women of 57, 49, and 65 years old with no risk factors, and who presented with similar clinical features, consisting of the appearance of a rapid growing mass. Two of the patients had been previously diagnosed with infiltrating ductal carcinoma of no special type by core needle biopsy, with a definitive diagnosis in radical mastectomy, which reported squamous metaplastic carcinoma confirmed by immunohistochemistry (triple-negative inmunoperfil, reactivity for p63 and CK 5/6). We want to exhibit these cases because its infrequency.

Yayu Ho graduated from the Tzu chi university of science and techhnology in Taiwan. She is a resisted nurse and works at Family Medicine Department in Dalin Tzu Chi General Hospital in Chiayi. Her job provides the homecare for cancer patients.

In the rural area, the medical source lacked, they live alone or live in the place where is far away from hospital. The terminal cancer patients need many medical assistants. When they had problems of NG tube, Foley replacement, medical education, medicine information, pain control, It is difficult for them to resolve. After our doctors` evaluation, they don`t need admitted to hospital. By the suggestion of our doctor, we offer nursing homecare for them. Method We go to patients’ home. We try to know what kinds of diseases they have. We realize what they need. What kinds of medical service for the patients. One is to decrease and relief the cancer pain. Many patient lives in the rural area. It is difficult for them to got to hospital. We offer medical information, help to replace NG tube or Foley, Aromatherapy, Acupressure, caring the wound. We also teach the family membership how to care the patient. We help them to maintain the life ability and know medical knowledge. Result Through 2016, we offered about more than 200 oncology patients. We decrease the nervous emotion of patients. We use the power of religion of Tzuchi. They have no more fear about the death. The psyco-social information and care were built. We had enough preparation for the death. We help the family low emotion and condition followed up. If oncology patients need to admit to hospital, we offer transfer assistants for them. Conclusion We offer once one week service. After receiving hospice homecare, the cancer patient themselves and family had highly satisfaction. According to them, they can relive because we can help them when they were alone. The cost of homecare is not expensive. We had a medical team, including doctor, registered nurse, nutritionist, social worker. We often had a meeting about caring patient and family. We design a plan to treat and care cancer patient. We sincerely hope we had more resources and specialist to join us. We can help more people in demand.

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Background: Breast cancer is the most common malignant disease in females. Lack of early detection leads to increase mortality rate in less developed countries. Breast self examination (BSE) is a simple, quick, and cheap procedure for early detection. This study attempts to assess the level of knowledge, attitude, and practice regarding breast self –examination in a group of female nursing student. Aim: The study aimed to evaluate Impact of teaching sessions on knowledge, attitude, and practice regarding BSE among female nursing students in Beni-Suef University.Methodology: quasi-Experimental study design was used. A total of 50 female nursing students were included in the study, who filled in the questionnaire. Sitting faculty of nursing, beni-suef University. Tools of data collection: an interviewing questionnaire sheet The questionnaire comprised of 38 questions (12 on knowledge, 16 on attitude, and 10 on the practice). For knowledge items, categorical responses (yes, no, and ,I don’t know) were applied with an item score of “3,” “2,” “1. And checklist Results: Response rate was 96.2%. pre-education knowledge of students was poor ,but post-education knowledge is good pre-education attitude of students was negative, but post-education attitude become positive. pre-education student's practice was un-satisfied, post-education practice is satisfied. Conclusion and recommendation: BSE is an effective preventive health behavior and an important component of any program for the early detection of breast cancer. Nursing students, being future health educators, should be adequately informed about early detection methods and trained in BSE. Most female nursing students had poor knowledge about BSE and did not perform BSE. Mass Media is an important source of information about BSE to improve awareness among the community

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Background: Breast cancer is the most common malignant neoplasm among women in the world. Chemotherapy, radiotherapy and surgery are routine treatments of breast cancer. However these methods only could improve the living survival. Crocin is saffron carotenoids. Nowadays the combined therapy including herbals such as crocin are to study for improving breast cancer treatment. The purpose of this study was to evaluate the effects of crocin, paclitaxel, radiation on MCF-7 cell (a type of breast cancer cell line). Methods: To evaluate the effect of Crocin, paclitaxel and radiation on survival rate of MCF-7 cells MTT assay was done. To investigate the apoptotic effect of experimental groups PI- flow cytometry was used and expression of apoptotic proteins (CASPASE 7, 9, PARP, P53) western blot was done. Results: The MTT results show that crocin decreases MCF-7cell viability in a dose and time dependent manner. This study revealed the combined therapy of 0.01µmol/ml

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Background: Esophageal cancer is a leading cause of cancer death in both men and women. Patients are diagnosed in the late stage at the time of presentation. We have studied the trend of esophageal cancer in Nepal. Methods: A detailed data of esophageal cancer patients were taken from “Hospital Based National Cancer Registry” (HBCR). This program registers the data of all diagnosed cancer patients from twelve major hospitals in the nation with the support of WHO Nepal. The annual reports of BP Koirala Memorial Cancer Hospital (BPKMCH) were reviewed as well. Results: According to the “Hospital Based National Cancer Registry”, esophageal cancer is one of the leading malignancies. Esophageal cancer is the twelfth-most common cancer in male and sixteenth-most common cancer in female patients. Male patients are more common than in female .It is more common in 60-64 years age-group in BPKMCH and 60-70 years age-group in reporting twelve Institutions(Twelve Major Hospital).The esophageal cancer has been found increasing every year in Nepal. Curative treatment involving surgery has been performed in less than 10% of cases. Conclusion: Esophageal cancer has been found to be a leading malignancy in Nepal. Patients usually present in a non-curable stage of the disease. The trends of esophageal cancer are increasing every year.