ABSTRACT
Introduction: With the increasing detection of incidental pulmonary nodules (IPNs), there is a clinical need for a dedicated IPN service to ensure that growing PNs are managed in a timely manner. Pre COVID-19, our centre ran a virtual nodule service, delivered on an ad-hoc basis by the lung cancer physicians. We hypothesised that efficiency of the service would improve with a dedicated nodule team. We were awarded a pump priming grant by the Thames Valley Cancer Alliance to implement a nodule navigator run service. We report the initial outcomes of this project here. Objective(s): To evaluate the PN navigator service. Method(s): Retrospective data pre-service development was collected from patients presenting to the PN service between April and June 2022. The service was established in October 2022 and data from October and November 2022 collected. Student t-test was used to compare means. [Table presented] Results: 107 patients were included pre-service and 92 patients in the post-service development cohorts. Data for time to CT report and patient contact are summarised in Table 1. There was no reduction in mean time from CT scan date to CT report (Table 1;31vs 27;p=0.143) but a reduction was seen between CT report and patient contact (Table 1, 45 vs 20;p<0.001). Conclusion(s): This small cohort study shows an improvement in the time between CT scan and patient contact following the introduction of a dedicated PN service. This may reduce delays in the diagnosis of early-stage lung cancer. Whilst there was no significant difference between the CT scan date and CT report, these data highlight an area in the pathway that can improve. Further aims of the project are to collect patient satisfaction and IPN discharge. Disclosure: No significant relationships.Copyright © 2023 Elsevier B.V.
ABSTRACT
Globally the demand for housing is far more than supply, resulting to 100 million+ been homeless and with one billion people living in inadequate homes. In addition, recent world crisis such as high rural urban migration, natural disasters like the Syria-Turkey earth quake, flooding, conflicts such as the ongoing Russia-Urkraine war, COVID-19 protocols of social distance and isolation, etc. exacerbates the housing deficit. Whilst the current approach to housing especially in developing countries concentrates on convention unsustainable approach to affordable housing delivery. With the few sustainable housing development attempts been far luxurious beyond average Ghanaian affordability. This research seeks to contribute to address housing deficit problems using frugal Innovation (FI) as a game changer to sustainable affordable housing (SAH) through a bibliometrics and a systematic review study. With regards to financial, resource-constrained, significant cost reductions over existing options and sustainable solutions, one idea currently gaining traction is frugal innovation (FI). It is more affordable than the conventional approach to development and can convert constraint into opportunity in a sustainable manner, as well as have a direct link to sustainable affordable development. Search for this study was on all disciplines with publications linked to frugal innovation and sustainable affordable housing limited to only online articles, conference publications, books, and other materials published in English on Scopus, science direct, and Google Scholar. The finding revealed, FI is a combination of all similar innovations, under one umbrella to serve the underserved bottom-of-the-pyramid (BOP) market, making it superior to other forms of innovation. This study will contribute significantly to improving the policy direction of stakeholders in an attempt to reduce the housing deficit in Ghana and other developing countries globally. In addition, it will contribute to the UN-SDGs and UN-Habitat policymakers on the sustainable cities 2030 agenda © This open access article is published under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license. https://creativecommons.org/licenses/by-nc-nd/4.0/