Despite an estimated population of over 201 million and over 115,950 yearly diagnosed new cases of cancer, Nigeria does not have dedicated medical oncologists. Most oncology care is delivered through surgical and clinical oncologists, who are trained in both radiation and medical oncology and they number fewer than 50 in the country. With a limited number of oncology professionals, cancer patients in Nigeria experience poor health outcomes, with an estimated cancer mortality rate of 75,000 deaths per year. Participants from 15 Nigerian states were selected to attend the medical oncology training. Through the support of Fulbright Specialist Program and Project PINK BLUE, two of the authors delivered 10days of lectures based on ASCO, ESMO, and NCCN guidelines. Mean scores of both the pre- and post-course tests as well as a 1-year follow-up test were compared using GraphPad Prism 7.0a by paired t-tests. Forty-four clinical oncologists were selected for participation. Twenty-five (57%) completed the pre- and post-course tests. Of the 25 that completed both tests, percentage of correct answers increased from 45 to 59% (2-sided p-value < 0.0001). Improvements were seen in attending doctors 45 to 59% (p = 0.0046) and resident doctors 45 to 59% (0.0007). Eleven doctors responded to the 1-year follow-up test. Although not statistically significant, a numerical pattern for the benefits was maintained 1year after the program (45% pre-course versus 52% post-course correct answers, Fisher's exact, p = 0.4185). In the short term, the training improved medical oncology knowledge in Nigeria, regardless of the participant's carrier stage. Long-term benefits were not sustained in a small sample of participants, and continuing education strategies are necessary. Similar models may be employed across Africa.

This paper contrasts the current Chinese “Belt and Road Initiative” (BRI) against the opening of the U.S. west in the 19th century using the principles of Western rhetoric as basis for interpretation. Most specifically, Kenneth Burke’s Dramatistic Pentad is used for initial clarification along with explanation of how further understanding can be realized via Fantasy Theme Analysis to better appreciate the expression of rhetorical vision. Recognition of how BRI can be understood differently, depending on the cultural context, is stressed. This is couched in the contextual framing of mass media influences as explained by Marshall McLuhan.

Objective: Breast cancer is the most common cause of cancer mortality in India, yet breast cancer literacy remains poor. This study aimed to assess community perceptions and experiences with breast cancer in order to identify and address the gaps in our understanding of the socio-cultural barriers to awareness and care-seeking for breast cancer. Methods: Qualitative focus group discussions and in-depth interviews were conducted among breast cancer survivors and caretakers, health workers, and general population individuals in a tertiary care facility, urban underprivileged community, and rural setting around Bangalore city. Data was thematically analyzed using inductive approach. Findings: Breast cancer awareness was commonly gained through interpersonal relationships or self-experiencing breast cancer, mass media, and medical personnel. The most significant barriers to seeking care for breast cancer were cost of care, lack of female doctors, fears of diagnosis, and death. Stigma of breast cancer was attributed to possible isolation by the community members and misconception that cancer is infectious thereby delaying care-seeking. Conclusion: This study provides an understanding of what individuals perceive about breast cancer and highlights some important anecdotes from breast cancer survivors who have experienced the full extent of a breast cancer diagnosis in India. The institutional and social barriers brought out by this study may be taken into consideration when planning targeted interventions for breast cancer in India.

This paper aims to analyse and visualise the scientific output of the European Journal of Tourism Research (EJTR) by employing a set of bibliometric metrics; including productive and impact measures, co-authorship analysis, co-citation analysis, and co-occurrence analysis. The collected and analyzed data involved 304 peer-reviewed articles published in the EJTR during the period from 2008 to 2020 within Scopus database. The results indicated that there is a substantial growing trend and evolution in publications and ranking of the EJTR during the given period. Additionally, a number of leading institutions and countries significantly contributed to the EJTR. Moreover, some top-tier academic journals and authors cited the articles published by the EJTR. Furthermore, the co-occurrence analysis identified seven clusters of research areas among the EJTR published papers over the selected period. Theoretical and practical contributions are presented as well as limitations and further research avenues are outlined.

Voting pattern is one of the important themes of political science that, indicates the level of political participation of citizens in modern democracies, through the electoral process. The electoral processes have played an important role throughout history and in the overall political discourse of the modern nation-states. In this regard, this research is designed to find out the determinants of voting patterns in the two Districts of Dir. The objective of this study is to understand people’s attitudes toward electoral politics and voting practices. This study will seek to respond to the query regarding the role of multiple political factors that contribute to shaping voting patterns. The nature of the study is descriptive while using quantitative data. The collected data is analyzed through statistical and interpretative methods. This research is based on the theoretical framework of sociological, psycho-social, and rational choice models that focus on the political determinants of the voting pattern in Districts of Dir

The study of voting behavior is a sub-field of Political Science. Voting represents an important aspect of public participation in a democratic system. Keeping in view the importance of voting behavior in a democratic dispensation, social scientists have paid much attention to its determinants. At least three kinds of theoretical models can be discerned in the works of social scientists: a sociological model, a psycho-social model, and a rational choice model. The focus of the sociological model is on social factors, the psychosocial model focuses on psychological or political factors, while the rational choice model emphasizes economic factors. The main aim of the paper is to present a brief overview of these three kinds of models comparatively.