Workshop 1: Doctor-patient communication Presenters: Dr Cheng-Har Yip, Malaysia Ranjit Kaur, Malaysia Gloria Lin, Taiwan Doctors play a key role in behaviour change among patients largely through interpersonal channels, often being on a one-to-one basis, particularly during diagnosis. This communication is a process where knowledge, information and psychosocial expressions can be exchanged taking into consideration the patient’s level of knowledge, attitude and social and cultural norms. Post-traumatic stress disorder is known to be common in breast cancer diagnosis. Effective communication between the doctor and patient is essential at every stage of the breast cancer journey of the patient. The most crucial time being during diagnosis where the patient is in need of psychosocial support as well. In an ideal situation, the patient should receive sufficient psychosocial and psychooncological support upon diagnosis and before proceeding with the rest of the procedures that follow diagnosis. This can enable the patient to make informed decisions when she has dealt with her emotional crisis. Effective communication can facilitate empowering the patient to take control of her breast cancer experience. There is a need for doctors to be trained to have the knowledge and skills in managing patients in distress and also refer the patient to the appropriate healthcare professional in case the need arises. There are key elements in effective communication with the patient. Breaking bad news at diagnosis is a challenging task for the doctor and it increasingly involves ethical and legal implications in the Asian region. Workshop 2: The role of the nurse in supporting breast cancer patients Presenters: Dr Lili Tang, China Haiyan Zhao, China Janine Porter-Steele, Australia Lili Tang, China Dr Lili Tang is chief physician, doctoral supervisor and director of Peking University Cancer Hospital. She is currently President of the Chinese Psycho-Oncology Society and the Beijing Psycho-Oncology Society. Dr Tang’s research interests are very broad and include interventions for psychological distress of cancer patients and families, doctor – patient communication and counselling. Janine Porter-Steele, Australia Janine Porter-Steele is a clinical nurse consultant, an accredited breast care nurse, women’s health nurse and manager of The Wesley Hospital Choices Cancer Support Centre in Brisbane, Australia. Janine provides patient care and support, facilitates the training of volunteers and sets up the programs from an evidence based/research perspective. She provides community education and clinical support for Choices Cancer Support Centre. Haiyan Zhao, China My name is Haiyan Zhao. I got the bachelor degree of Nursing in Nursing school of Peking Union Medical College in 2006. Since then, I began to work in Surgery Department at Peking Union Medical College hospital. For the first two years, I worked on a General Surgery Ward, and then on the Breast Surgery Ward for about six years. I was a visitor on General Surgery Ward, ICU and Cancer Centre at Bellevue Hospital Center in New York for three months in 2013. Now, I am the nursing educator on the Breast Surgery ward. My responsibilities include mentoring nursing students and arranging continuing education for staff nurses. I also assist our volunteers to provide service for our patients, such as how to do postoperative functional exercise and how to reduce anxiety related to the illness. In addition, I am responsible for assisting the head nurse to manage the ward. In my spare time, I like jogging, swimming and reading. I do exercise almost every day because I believe healthy life style is the key for nurses to provide the healthcare service to others. Workshop 3: Establishing and operating a peer support programme Presenters: Ann Steyn, South Africa Kevin Stein, USA Ya-Wen Kuo, Taiwan The global need for peer support programmes continues and this workshop will outline the essentials that need to be considered when establishing such a programme. These will include the following: • Discussing the need for a breast cancer peer support service in your community. The patient and family needs will be covered; the importance of an audit of community resources, statistics of patients, what peer support and volunteering mean in the community will also be included. • The guidelines for establishing the service. This will cover the personnel required and define volunteer recruitment with their roles and responsibilities. Discussion around the services to be offered and the resources needed will be covered. An appropriate patient resource pack will be discussed, and a protocol for visiting and supporting patients, and recording and evaluating the services will also feature. • Training content and method of training. How to work with volunteers and the aim of the training will be discussed. Training principles with suggested content of Training will be covered. The importance of Patient Confidentiality will be stressed. Guidelines for ongoing training and evaluation will also be included. This will be an interactive workshop. Workshop 4: Living well after breast cancer In this pre-conference workshop, Dr. Melanie Hyde, Dr. Wendy Lam, and Cathy Brice Hirsch will discuss effective techniques for restoring physical and emotional well being during and after breast cancer surgery and treatment. Through group discussion and audience participation, the presenters will impart to an audience of breast cancer patients, survivors, care givers, and peer-support volunteers practical information regarding the effectiveness of diet, exercise, mindfulness, meditation, and other mental exercises in recovering and rebounding. The importance of reaching out to other patients and survivors will be stressed as playing an integral role in promoting post-traumatic growth in breast cancer survivors. Cathy Brice Hirsch, USA Cathy Brice Hirsch is an attorney and former journalist who lives outside Baltimore, Maryland. She is the President of a privately operated non-profit foundation, Within Reach, which develops and operates support programs for cancer patients and survivors. In addition to her foundation work, Ms. Hirsch is the current President of Reach to Recovery International. For the past 9 years, she has volunteered for the American Cancer Society on the local, regional, and national levels, serving as a Reach to Recovery volunteer visitor, patient/volunteer coordinator, and trainer. She has also served on various American Cancer Society committees that have evaluated and improved the Reach to Recovery program, and she served as a stakeholder on an ACS research grant review committee. Ms. Hirsch is an 11-year survivor of breast cancer. Melissa Hyde, Australia Dr. Melissa Hyde currently holds a conjoint position with the Menzies Health Institute Queensland, Griffith University and Cancer Council Queensland as a Research Fellow in Psycho-Oncology and Community Engagement. She also co-leads the Community Engagement Research Program at Cancer Council Queensland which studies volunteering, fundraising, and other forms of participatory action that are critical for cancer control. Dr. Hyde is an early career researcher having completed her PhD in 2009, in health psychology; and was awarded the European Health Psychology Society Early Career Researcher Award in 2013. Her research is focused on the psychosocial aspects of cancer survivorship and the motivations and contribution of volunteers to cancer control. Wendy WT Lam, Hong Kong Dr. Wendy WT Lam is currently an Associate Professor at the School of Public Health, The University of Hong Kong. She is also the deputy director of the Centre for Psycho-Oncological Research and Teaching and head of the Division of Behavioural Sciences at The University of Hong Kong. Dr. Lam completed her Ph.D. in Psycho-oncology from the University of Hong Kong and graduated in 2002. She is the foundation recipient of The Hong Kong Cancer Fund Scholarship in Psycho-oncology for 2001-2002 and was awarded the 2007 Hiroomi Kawano Young Investigator Award by the International Psycho-Oncology Society for her work on Chinese women with breast cancer. Her research interests focus on psychosocial adaptation patterns and service optimization in women with breast cancer. Plenary 1-1 Cheng-Har Yip, Malaysia Dato’ Dr Yip Cheng Har, MBBS, FRCS (Glasg) FRCSEd FACS (Hon) Consultant Breast Surgeon Sime Darby Medical Cente Subang Jaya Dr Yip is currently a consultant breast surgeon in the Subang Jaya Medical Centre and Parkcity Medical Centre, and Clinical Professor in the Dept of Surgery, Faculty of Medicine, University Tunku Abdul Rahman, Kuala Lumpur. She is a visiting consultant to the Dept of Surgery, University of Malaya and the lead clinician for the breast cancer research programme in the Cancer Research Initiatives Foundation (CARIF). Dr Yip has over 150 publications in peer reviewed journals, and her research interests are in epidemiology and outcomes of breast cancer especially in low and middle income countries. Dr Yip is the immediate Past President of the College of Surgeons, Academy of Medicine Malaysia (20102013, as well as the Immediate Past President of the Asia Pacific Organization for Cancer Prevention (2010-2012). She is currently the President-Elect of Breast Surgery International. She has been appointed an expert in cancer control by the International Atomic Energy Agency (IAEA), and has been on expert panels in international organizations such as the Breast Health Global Initiative. In May 2012, she was awarded the DPMP , which carries the title of Dato’ from the Sultan of Perak and in Oct 2013, she was awarded the Honorary Fellowship of the American College of Surgeons. Global Trends in breast cancer Globally, breast cancer is the most frequent cancer among women with an estimated 1.67 million cases in 2012 (Globocan 2012). Incidence rates vary from 96 per 100 000 in Western Europe to 27 per 100 000 in Africa. In 2012 it was the most common cause of cancer deaths in less developed regions (324 000), and the second cause of cancer deaths in more developed regions (198 000 deaths). While the incidence rates in developed countries have stabilised, the incidence rates in developing countries continue to increase. This increasing incidence is due to “westernization” of risk factors, a loose term to describe the lifestyle changes leading to a decreased age of menarche, increased age of menopause, less children, late first child-birth, shorter period of breast feeding, and a more sedentary lifestyle, which are all known to increase risk of breast cancer. The peak age at diagnosis range between 45- 50 years old in the developing counties, while it is 55-60 years old in the developed world. The earlier age at diagnosis is likely to be a cohort effect, ie successive generations of women are exposed to differing risk factors. Breast cancer is also diagnosed at later stages in developing countries, due to lack of screening, poverty and ignorance. Because of late diagnosis and lack of optimal treatment, survival from breast cancer is poorer in developing countries. There is an urgent need to improve outcomes from breast cancer in developing countries and close the cancer divide between rich and poor countries. Plenary 1-2 Anli Shi, China Education： • 1972-1976 Graduated from Beijing Medical University, on Medicine, (Degrees & Diplomas: Bachelor of Medicine). • 1987-1988 Graduated from International Course in Health Development (master degree Course), in Prince Leopold Institute of Tropical Medicine, (International Co-operational Central of Primal Health Care of World Health Organization) Antwerp, Belgium. Work Experience： • 1976-1982, Officer for Division of Planning, Department of Medical Science-Technology and Education, Ministry of Health of China. • 1983-1988, Deputy chief for Division of Planning, Department of Medical Science-Technology and Education of MOPH. • 1989-1994, Deputy chief for Division of International Exchange, Department of Medical Science-Technology and Education of MOPH, P.R.C. • 1995-1998 Chief for Health Standard Management Office, Department of Medical Science-Technology and Education of MOPH. • 1998-2003, a member of Center of health inspection & evaluation, in charge of health inspection system reform. 2003-up to now: • Chairman of Chinese of Cancer Rehabilitation Society; CACA; • Vice Secretary General for China Cancer Foundation: • Vice Chairman for Beijing Cancer Rehabilitation Society; • Advisory boards in Global Chinese Breast Cancer Organization Alliance. • Member of China National Accreditation Committee for Laboratories; • Member of China National Accreditation Committee for Product Certification Bodies; • Assessor of National Metrological Accreditation; • Adviser on International Cooperative projects of Health Manpower Exchange Center, MOPH Social Activity 1. Member of Chinese Medical Association 2. Member of Medical Scientific & Technical Research Management Association 3. Secretary general of 4th National Health Standard Technical Committee 4. Member of Council of China Smoking and Health Association My consideration and encouragement after breast cancer; My journey to cope with cancer 1, Bad news at the beginning of my beautiful life I worked as both a barefoot doctor and farmer in Yangzhuang Brigade, Yangzhuang People’s Commune, Hunyan County of Yanbei prefecture, Shanxi Province after graduate from the senior high school in 1968. After graduation from the Department of Medicine in Beijing Medical University (1972-1975), I was assigned to work in the Program and Planning of Research Development Division of Department of Science and Technology in the Ministry of Public Health. I received a fellowship from WHO to study in an Advanced Training Course on Health Management. 28 years passed after my diagnosis, operation and chemotherapy of breast cancer in March of 1986. Then I continued my job in the Department of Science and Technology of MOP until my retirement. Another 11 years passed after my second diagnosis of Colorectal cancer in 2003. 2, Positive attitude towards the turning point of my life After breast cancer, I started reviewing my life and work and found the main reasons and problems, which were my unhealthy life style, over fatigue, inadequate sleep, stress, busy schedule, irregular timetable and irrational diet. After the second diagnosis of cancer, I had the preparation to deal with the problems and difficulties properly and actively cooperated with doctors. With the peer care and support, I recovered quickly. 3, Involvement and engagement of rehabilitation organization. A performance showed by the rehabilitated patients touched my heart and aroused my determination to take part in the charity work for the patients. Since the beginning of 2004, I succeed the vice president of Beijing Cancer Rehabilitation Society and Deputy Director of China Anti-Cancer Rehabilitation Working Committee and the Deputy Director for Department of Rehabilitation of China Anti-Cancer Society. 2011 (1) Program and activities of education for patients (2) Training course for the key persons Invitation of leaders from Taiwan, Hong Kong and USA to give lectures and make communication according to our plan. Establishment of models with Chinese characters and promotion of the experiences as well as the establishment of bases at the feasible places and extending to all over the country. (3) Strengthening exchanges and cooperation: (4) Research Project (5) Establishment of art performance group: (6) Setting up network 4, Vision: The conducting of the 18th International Breast Cancer Conference for Supporting Patients is a great challenge, experiment and training for us. We will carry out international cooperation and lead the national rehabilitation organizations to a higher level of management and service. It is my believe that the conference will push rehabilitation work for cancer patients to a new breakthrough. Plenary 1-3 Ranjit Kaur, Malaysia Ranjit, a breast cancer survivor since 1998, obtained a basic qualification in Physiotherapy and a Master of Science degree in Community Disability Studies (University College London, UK) in 1996. She is a member of the Board of Management for Reach to Recovery International. Currently she is the Chairman of NCD Alliance Malaysia and Chairman of Together Against Cancer (TAC) Malaysia. She has held the following positions in the past: President of Breast Cancer Welfare Association Malaysia (2002-2011), President of Reach to Recovery International (2003-2007), and Board Member of the Union for International Cancer Control (UICC) (2006-2010). Ranjit received the 2004 Outstanding UICC Volunteer Award and the Terese Lasser Award conferred by Reach To Recovery International in 2011. Her article on Cancer - My Personal Account was published in The Lancet, Issue no. 9472, May 14th 2005, Vol 365, Page 1742. The consumer movement in breast cancer survivorship The transformation from being a passive recipient of treatment and supportive care services to being an active consumer in breast cancer has evolved over the past decades in most parts of the world. This change has been a process based on the patient’s right to knowledge, information and treatment options, including supportive care services. Gaining access to complete information on the condition, the treatment options and survival rate in layman language is very significant in making informed decisions. At the same time, it is important for healthcare professionals to ensure that the patient is given the time and opportunity to understand and to make informed decisions. This has happened where healthcare professionals have extended respect to their patients and avoided judging or discriminating them. The shift in power from provider control to partnership and consumer control is a model that can be extended into the realm of empowerment. The main dimension of the continuum is power. Reach to Recovery International has often examined individual and collective experiences of the breast cancer journey from victim to consumer to survivor and then on to being an advocate. It is certainly the life-changing circumstances of thousands of breast cancer survivors that have created a strong consumer driven society in many parts of the world. Plenary 1-4 Lili Tang, China Dr. Lili Tang is chief physician, doctoral supervisor and director of Peking University Cancer Hospital. • President of Chinese Psycho-Oncology Society • President of Beijing Psycho-Oncology Society • Vice President, Chinese Geriatric Oncology Society Palliative Care Committee • Standing Committee of China Association for Mental Health • Standing Committee of the Committee of Rehabilitation and Palliative Care, Beijing Anti-Cancer Association • Editorial board member of Psycho-Oncology and Chinese-German Journal of Clinical Oncology Research interests • Psychological distress of Cancer patients and families • Doctor-patient communication in Clinical Oncology • Psychological intervention on cancer patients • The role of culture factors in the practice of psycho-oncology • Development and validation of culture-specific psychometric and research instruments Clinical work • Symptom management in palliative care, which including pain, fatigue, insomnia, depression, anxiety, delirium, anorexia, anticipatory nausea and vomiting. • Psychotherapy and Counseling for cancer patients, including individual therapy and group therapy. • Psychological distress screening and consultation for in-patient. Publication Main Author or translator of 7 books and more than 20 publications in psycho-oncology field. Young Women and Breast Cancer In developed countries, approximately 13% of women with breast cancer are younger than 45 years of age. The peak age for breast cancer is between 40 and 50 years in the Asian countries, whereas the peak age in the Western countries is between 60 and 70 years. Some studies seem to indicate that young women (< 45–50 years) have a worse quality of life and are more vulnerable to the negative effects of the disease than older ones. Body image, sexual function and reproduction are most special concerns for young women with Breast cancer. Young women with breast cancer concerns a lot on body image, but women who had a breast conserving procedure have the fewest body image concerns, which suggest that while women undergoing more radical surgery are at greater risk for body image concerns, reconstructive surgery appears to mitigate that impact to some degree, at least in the short-term. Young BC women reported a marked impairment in quality of sexual functioning, exhibited very high prevalence and complexity of sexual problems, including Lubrication disorder(57%) and lack of desire and arousal(42.5%). Young women with breast cancer face complex decisions regarding their fertility and treatment options. Survival remains the priority for the majority of women. Although there is a paucity of evidence concerning many fertility issues, it is essential that available options and any potential risks are discussed in a coherent, objective fashion. Early referral to specialist fertility services that provide clear, cohesive advice can aid informed decision making. Plenary 2-1 Cathy Brice Hirsch, USA Cathy Brice Hirsch is the current President of Reach to Recovery International. She is a 12-year survivor of breast cancer and for the past 10 years has volunteered for the American Cancer Society at the local, regional, a and national level. Ms. Hirsch is an attorney and former journalist who is now President of a privately operated non-profit foundation, the Frank and Clara Hirsch Foundation, Inc. d/b/a Within Reach, which develops and operates support programs for cancer patients and survivors. Trends in cancer care: What does multi-disciplinary care mean for Reach to Recovery? Multi-disciplinary care describes a team approach to health care in which medical and allied healthcare professionals, including mental health professionals and patient navigators, consider all relevant treatment options available to a particular patient and develop an individual treatment plan specifically tailored to that patient’s needs. The goal is to ensure that, from diagnosis well into survivorship, each patient’s needs are met seamlessly. An increasing number of hospitals are adopting a multi-disciplinary approach to breast cancer care, and some existing peer-support organizations wonder whether this trend will render their services obsolete. This plenary presentation will examine the reasons why peer support is not yet universally included as key component of multi-disciplinary breast-cancer care. The discussion will share RRI’s vision as to how and why Reach to Recovery programs can remain relevant and continue to play a pivotal role despite the changing face of breast cancer care. Plenary 2-2 Kevin Stein, USA Dr. Kevin Stein is the Vice President of Behavioral Research for the American Cancer Society (ACS) and the Director of the ACS Behavioral Research Center (BRC), located in Atlanta, GA. The goals of Dr. Stein’s research are to (a) gain a better understanding of factors related to the physical and psychosocial functioning of persons affected by cancer and (b) develop, test, and disseminate evidence-based interventions to address these issues. He is the Principal Investigator of the American Cancer Society’s Study of Cancer Survivors. Dr. Stein’s work has been published in numerous scientific journals and has been presented at national and international cancer conferences. Dr. Stein received a bachelor’s degree in Psychology from the University of Florida and Master’s and Doctoral degrees in Clinical Psychology from the University of South Florida. He completed an APA-approved internship at the James A. Haley Veterans’ Hospital in Tampa, Florida. Before coming to the American Cancer Society, Dr. Stein completed a three-year Postdoctoral Research Fellowship in Psychosocial Oncology at the Moffitt Cancer Center and Research Institute in Tampa, Florida. Dr. Stein is also an Associate Professor (Adjunct) in the Behavioral Sciences and Health Education Department of Emory University’s Rollins School of Public Health. Dr. Stein is an active member of the International Psychosocial Oncology Society, American Psychosocial Oncology Society, The International Society of Quality of Life Research, and the Society of Behavioral Medicine. Obesity and Breast Cancer Breast cancer is the most commonly diagnosed cancer among women in the vast majority of countries worldwide, with over 1.7 million women diagnosed each year. Asian countries have the largest burden, with 39% of new cases, 44% of deaths, and 37% of the world’s breast cancer survivors. While survival rates are improving in some countries, breast cancer is still the leading cause of cancer deaths among women in western countries, and the second leading cause of death (behind lung cancer) for women in developing countries. A number of known risk factors for breast cancer involve lifestyle and behavioral factors, including diet, physical activity, and obesity. The risk of breast cancer among obese women is twice as high as lean women. Research on the impact of diet on breast cancer risk is inconsistent, with some findings suggesting that diets high in fruit/vegetables, grains, and low-fat proteins such as fish and poultry are associated with lower risk, compared to Western diets comprised of red and/or processed meats, refined sweets, and highfat dairy products. Alternatively, a diet high in soy, often seen in Asian women, is associated with lower risk. Increased physical activity may reduce breast cancer risk; women who exercise regularly have a 12% lower risk of breast cancer. In sum, breast cancer is a highly prevalent and deadly cancer and its incidence is associated with obesity and unhealthy lifestyles. Thus, behavioral interventions to improve diet, increase physical activity, and reduce obesity hold promise for impacting incidence and survival from breast cancer. Plenary 2-3 Furjen Deng, USA Dr. Furjen Deng, PhD is a Professor and Chair of Sociology at Sam Houston State University and an active volunteer in the Asian-American community. Dr Deng is Chair of the National Advisory Council, Asian and Pacific Islander National Cancer Survivors Network. She received her B.S. in Sociology from National Taiwan University and MS (1985) and PhD (1990) in Sociology from Purdue University. Her current research interests include: quality of life among cancer survivors, social impact assessment, and program evaluation. Innovative Interventions to Meet Breast Cancer Needs in the Community Breast cancer is the most common type of cancer in women worldwide with an estimated 1.4 million new cases in 2008. 458,400 women worldwide died of breast cancer in 2008, which is the leading cause of cancer death among women worldwide (ACS, 2011). When examining the regional differences, there are large survival differences between economically developed and developing countries. For example, five-year survival rates for breast cancer in the United States were 89% from 1999 to 2006; while similar figures for India were 52% from 1990 to 2001 (ACS, 2011). These differences are largely due to the fact that screening and improved treatments are more likely to be available in economically developed countries than they are in developing countries. Numerous studies have showed that early detection of cancer and treatment options can save lives. Built upon Everett Rogers’ diffusion of innovation theory, the goal of this presentation is twofold. First, it helps breast cancer survivors, advocates and community leaders understand the importance of employing innovative intervention strategies to overcome the barriers to access early detection and treatment options. Second, it provides examples of some of the best practices for survivors, advocates and community leaders to develop innovative strategies to meet the breast cancer needs in their own community. Plenary 2-4 Yiling Wu, China Professional Distinctions Academician, Chinese Academy of Engineering President, Hebei Academy of Integrative Chinese and Western Medicine Founder, Discipline of Collateral Disease Theory in Practice Professor, and doctoral tutor Chief scientist for two national natural science foundation projects (973) Vice chairman, National Cardiovascular Center Expert Committee Head, Key Laboratory of Collateral Diseases, State Administration of Traditional Chinese Medicine Professional Affiliations Vice chairman, Chinese Association of the Integration of Traditional and Western Medicine Vice chairman, China Association of Chinese Medicine Director, Collateral Disease Branch, China Association of Chinese Medicine Director, Vessel-Collateral Specialty Committee, Chinese Association of the Integration of Traditional and Western Medicine Director, Collateral Disease Specialty Committee, World Federation of Chinese Medicine Societies Thanks to his devotion and effort in developing the “pattern identification and treatment of collateral disease” and establishing a new discipline of Collateral Disease Theory in Practice, groundbreaking treatment protocols have been made for tumor prevention and treatment, coupled with new national patent medicine—Shen Ling Lancapsule and Yang Zheng Xiao Jicapsule. The health needs management and the body needs business —Traditional Chinese culture and tumor prevention We have rich records and health experience in health and disease prevention far from Chinese civilization of five thousand years. By combining the four traditional Chinese health branches of “medicine, Taoism, Buddhism and Confucianism”, combined with modern knowledge and management practices on health, accumulated collateral masses, we propose eight characters of health cultureof “Dredge collaterals – Supplementary essence – Sports – Spiritual calm”. “Dredge collaterals cure chronic illness”—including tumors treatment. Using Collateral Disease Theory reveals tumors occurrence and development law, key pathogenesis of “accumulated collateral masses”, and new strategies of improving syndrome. “Dredge collaterals cure subhealth disease”—Early Protection on sub-health disease, proper diet, infection control, timely monitoring, tumors prevention. “Supplementary essence”—Exuberant vitality is essential for health and longevity, so we recommend Replenishing essence, anti-oxidation, anti-aging, improving immunity, and prolonging life.“Sports”— Compiling Chinese Collateral exercise, we may occasionally take benefit Traditional Chinese medicine,so as to adjust fatigue status. “Spiritual calm”—Regulation mood and improving sleep quality. We could adjust psychological and emotional unwell by using wuxing music, modern equipment, or meditation and so on, so as to achieve the role of tumor prevention and treatment. 1.1-1 Minghui Zheng, Taiwan Winner of the 2006 Godina Travel Fellow, American Society for Reconstructive Microsurgery award-Vice Ming-Huei Cheng MD, MBA, FACS, is a board certified surgeon pioneering in reconstructive microsurgery. Up to date, he has performed 1,400-1,500 head, neck and breast reconstruction procedures, and pioneers in the worldwide record for having successfully treated the greatest number of Lymphedema patients with Vascularized lymph node transfer, with nearly 100 surgical operations in the past 14 years. Today, Dr. Ming-Huei Cheng is listed among one of the most sought-after doctors/professors in the reconstructive microsurgery field. His innovative surgical methods as well as his unique techniques have gained him global recognition and praise, attracting innumerable medical scholars and patients alike from as close as Korea, Japan, Malaysia and Singapore, and far as North and South America, the Middle East and Europe. Rebuilding self-esteem after breast cancer The breast reconstruction is a routine procedure post mastectomy in western country for many years, and becomes an acceptable procedure in Asian country in recent years. This study was to review the outcome of breast reconstruction post mastectomy between immediate and delayed reconstruction using either autologous tissue transfer or implant at a single Institution in a period of 15-years. The trend of immediate breast reconstruction has significantly increased in the past 15 years at this Institution. Immediate reconstruction patients preferred to use implants for breast reconstruction, however the delayed reconstruction patients liked to choice autologous tissue transfer. Conclusion: Breast reconstruction using either implant or autologous tissue transfer may achieve high success rate with low complication in both immediate and delayed breast reconstruction reconstructions. 1.1-2 Katheke Mbithi, Kenya Mrs. Katheke Mbithi is a university graduate with a major in bsn, a wife, mother of two daughters aged 12 & 10 years, currently a stay home mom. Following her breast cancer diagnosis in 2005 Katheke decided she was going to become an athlete and join the fight against cancer. She is a member of the Kenya Cancer Association and Reach to Recovery International and is a regular volunteer for hospital and home visits to newly diagnosed cancer patients. I am not different A breast cancer diagnosis and subsequent treatments can bring changes in a person’s physical, emotional and psychosocial aspects. Changes in sexual wellbeing top the list. One is left with a feeling of altered femininity. But all hope is not lost. Pleasure and satisfaction are possible even if some aspects of sexuality have changed. One has to try to keep an open mind about ways to maintain sexual pleasure. Do not stop sexual pleasure because your sexual routine has been changed. 1.1-3 Qing Xu, China Dr Xu Qing, Chief Physician, Professor of Capital Medical University. Director of General Surgery and Breast Surgery of Chinese Rehabilitation Research Center and Beijing Boai Hospital. China science and technology reward evaluation expert. Member of the standing committee of China Disabled Persons Rehabilitation Association and Beijing Mammary Gland Disease Prevention and Control Society. Member of CTA. Health education and science expert. Dr Xu’s focus is on breast cancer survivors’ rehabilitation and humanistic care, paying close attention to the quality of life for breast cancer patients and their spouses. He/she put forward “One breast, One patient, One patient, One family” Sexual function assessment in premenopausal breast cancer patients after treatment To explore the change of sexual life quality and its influencing factors in premenopausal breast cancer patients after treatment. Methods: Premenopausal breast cancer patients were assessed using CSFQ -14 sexual life quality questionnaire scale. Evaluation of the patient’s sexual life quality before and after treatment was conducted by in depth conversations and anonymous methods. Results: 94 cases received face-to-face communication for the study. 88 questionnaires were received (93.6%) with 81 questionnaires were completed (92.1%). After treatment, the sexual life quality and sexual satisfaction were significantly decreased and the CSFQ-14 scores were significantly different (P <0.001) in premenopausal breast cancer patients. The ratio of sexual life scores decreased a fair amount (39.5%), much worse (29.6%) and greatly worsened (14.8%); and 65.4% of the patients had no sexual activity. The reasons for this change include medical related factors, fear of cancer recurrence, physical discomfort, poorer body image after surgery, partner sexual attitudes, life stress and common psychological problems. Conclusion: sexual dysfunction and sexual life quality were significantly decreased in premenopausal breast cancer patients post-treatment. Patients’ physical and mental damage, the change of body image and spouse attitude are all significant influencing factors. So doctors should give sexual rehabilitation guidance to patients and their spouses. 1.1-4 Teresa Mazzaferro-Cuda, Australia Born in Argentina, Teresa migrated to Australia in 1986. She is married with three children and had a Bachelor of Arts (Community and Environment) Diploma In Education (Primary). Teresa was diagnosed with breast cancer in 2007 and has previously attended and presented at the Reach to Recovery International conference in South Africa (2013). Art as a way of finding the inner beauty after the diagnosis of breast cancer: journaling and sculpting amid grief and gratitude As an eight-year survivor of breast cancer I have reflected on about my life in the journey after the diagnosis. In 2012, I was part of a local art project called “The Belly-A Story of Inner Beauty” where local women under the guidance of an artist learnt how to form a cast of their torso, which incorporates art as a form of self-expression. My sporadic journal writing since being diagnosed with breast cancer became the basis and the inspiration in producing this artistic torso. I needed to explore and reflect on the beauty myth prevalent in today’s society, how my self-esteem had been affected by my mastectomy and most of all how I was going to express my breast cancer experience in this torso. My sculpture represents this journey. The greatest gift of my life was to become a mother to my three children. My womb protected and lovingly carried their three lives and I have committed my life to them. My breasts were like a river, nurturing my little babies. In a Christ-like manner my breast had to die so I could flourish with further life and enjoy my children’s future. The casting of my own torso was a cathartic journey, as I observed and listened to the other women and their stories. I began contemplating our cultural diversity, and how our lives have been affected by living in a rural area. For some of the women, the torso was a trigger to discovering their inner feelings. Other breast cancer survivors like me also found this artistic endeavour a road to self-acceptance. 1.2-1 Betty Anyanwu-Akeredolu, Nigeria Betty Anyanwu-Akeredolu is the Founder and President of Breast Cancer Association of Nigeria (BRECAN), a leading NGO committed to galvanizing action against breast cancer in Nigeria. BRECAN was started in 1997 after her experience with breast cancer when she decided to do something that would bring about positive and lasting change about the disease in Nigeria where misconceptions are deeply entrenched. She has won numerous awards nationally and internationally in recognition of her work and commitment in the fight against breast cancer in Nigeria. Betty Anyanwu-Akeredolu is a graduate of the University of Nigeria, Nsukka where she obtained BSc. Zoology in 1977 and MSc. Fisheries major in Aquaculture from the University of the Philippines, Iloilo in 1986. She nurtured her career as a fisheries expert while working with the Federal Department of Fisheries and retired voluntarily in 2005 after 28 years of diligent service. Presently, she is engaged in commercial fish farming and provides consultancy services under the business name, Aquatek Farms Ventures. In addition, she has made a foray into politics since 2007 and active in the present dispensation. She is married to Rotimi Akeredolu and blessed with four wonderful children and one amazing grand son. She is widely travelled and her hobbies include reading, writing, gardening, sewing, classical music, jogging, tennis and yoga. Establishing Omolara Jolaoso Memorial Lecture to enlist community participation to fight breast cancer in Nigeria The 1st Omolara Jolaoso Memorial Lecture held on World Cancer Day, February 4, 2015 was as a result of a partnership between Breast Cancer Association of Nigeria (BRECAN) and Landers 88, a set of old boys and girls association of Maryland Comprehensive Secondary School (MCSS), Lagos with the intent of immortalizing their classmate, Omolara Jolaoso, who died of breast cancer in 2013. The death of Omolara at 44 years is symbolic of many unaccounted untimely breast cancer deaths prevalent in Nigeria, yet, no serious intervention mechanisms are in place to checkmate the scourge and provide sufferers with adequate treatment and care. With the successful inauguration of the lecture, BRECAN has paved the way for engaging communities in the fight against breast cancer in Nigeria with the hope of raising the profile of the disease to attract the attention it deserves. It is our hope that the MCSS community will serve as a rallying point in galvanizing more communities into a collective action to become breast aware, advocate for and support services that reduce the burden of care on patients and their families. Besides using the annual lecture as a platform to raise breast cancer awareness, it will also aim at grooming advocates of all ages to demand from government for adequate funding of improved infrastructure for breast health care, lobbying for policy legislation to guide impactful interventions and stimulating the interest of next generation of breast cancer researchers in Nigeria. 1.2-2 Masozi Ndhlovu, Zambia Masozi works for the Southern Africa AIDS Trust Zambia (SAT Zambia), a non-profit organisation that promotes community systems for HIV and sexual reproductive health to contribute to improved community health in Zambia. Previously she worked as Health Promotion Manager for the Centre for Infectious Disease Research in Zambia-Cervical Cancer Prevention Program and African Centre of Excellence for Women’s Cancer Control; and seven years as National Programmes Manager for the Circle of Hope Family Care Clinic. Health promotions of women’s cancers screening and treatment services in Zambia Breast cancer is the second cause of death among women in Zambia and this continues to be a public health concern. Cancer, if detected and treated early, may save lives, hence the African Centre of Excellence for Women’s Cancer Control (ACEWCC) set out to educate, sensitise and raise awareness of the community on breast cancer prevention. Health promotion of breast cancer is aimed at engaging communities in all its structures as a key strategy to increase the number of people accessing breast cancer screening services while building the capacity for advocacy at the community level. African Centre of Excellence for Women’s Cancer Control (ACEWCC) in collaboration with other partners of the Cancer Prevention Alliance in Zambia (CAPRAZ), Ministry of Health, the Ministry of Community Development Mother and Child Health and Ministry of Chiefs and Traditional Affairs continue to work with the existing social structures of the community for awareness and information dissemination of breast and cervical cancer issues. Together, these organisations provide all cancer services from policy formulation to prevention, treatment and palliative care to combat cancer. The rise in the number of women and men accessing these services due to increased services of cancer prevention has indeed exposed early cancers and will in the long run cause a reduction in the breast cancer mortality rates. All this and more can only be achieved when all the partners in cancer prevention and treatment in Zambia collaborate effectively; together we are stronger. 1.2-3 Philippa Decuir, USA Philippa Decuir is married with two adult children, and two precious grandchildren and is a 20 year breast cancer survivor and passionate advocate. A USA citizen, she was born in Rwanda, raised and educated in Uganda, a Makerere University Alumni. She earned her Master Degree in Education from Prairie View A & M University, Texas. Philippa has been a school teacher for 26 years based in Houston Texas and in 2008 she established the Breast Cancer Initiative East Africa Inc. (BCIEA Inc.), a non-profit organisation dedicated to fighting breast cancer in East African low income communities. In 2013 Philippa retired from teaching to dedicate her time to BCIEA Inc. and now works as the Founder/CEO and Director responsible for overall strategic and operational responsibility for volunteer-staff, programs, execution of the mission and expansion. Duties include fundraising, communication, establishing relationships with sponsors and supporters; she is an external, local, national and international program promoter. Philippa is an ASCO Patient Advocate, member of the Breast Health Collaborative of Texas, Susan G Komen, Houston Affiliate, BHT, NBCC, GBHI, ABCF and WECAN Member of Houston West Chamber Of Commerce, Lions Club Kigali, Rwanda. Philippa has published a number of educational resources on breast cancer in English, Swahili, Kinyarwanda & Kirundi. Fighting breast cancer with one smartphone per village In Africa, lack of access to life-saving information and poverty result in late presentation of breast cancer. To address this problem, BCIEA created awareness/education App accessible on Smartphone to be translated into vernacular, modified and migrated onto basic mobile phones the for general public (BCIEA is partnership with Tigo Rwanda). In the meantime, Fighting Breast Cancer with One Smartphone per Village Project, (OSPVP) in partnership with trained Village Ambassadors is paving the way. OSPVP aims to increase knowledge, and change attitudes leading to shaping behaviours. The Smartphone serves as incentive-teaching tool and reference resource and the project is monitored and evaluated by BCIEA Supervisor. Cell phone penetration: 70% Rwandans own cell phones and yet lack access to cancer information. Breast cancer is the second highest cause of death at 15.19% of all cancers in Rwanda. The aim was to deploy 250 trained Village Ambassadors within 14847 villages in Rwanda. Outcomes: increased knowledge, change in attitudes and behaviours, scaling up and replicate to district level and engaging government and policy makers. Implications: Attitude/behaviour change will likely eradicate late presentation of breast cancer. This Project has potential for replication. 1.2-4 Karima Elshamy, Egypt Dr. Karima Elshamy has a doctorate degree in nursing science from Cairo University, Egypt (DNSc) and is A/Prof of Medical Surgical Nursing and Head of Gerontology Nursing Department, Faculty of Nursing, Mansoura University, Egypt. Dr Karima is currently the AORTIC Vice President of North Africa and a member of AORTIC Education and Training committee. She is a member of the Editorial Board of the Journal of Cancer Policy and the Arab Federation for Women's Development. Dr. Karima Elshamy is a trainer of academic staff of Mansoura University, Egypt from 2004 till now. She is also a trainer for all nursing categories all over Egypt and outside Egypt. She is a founder and executive director of the Egyptian Society for Promotion of Women’s Health (ESPWH). She has more than eighteen years in teaching experience for under and postgraduate nursing students. Dr Karima Elshamy’s focus for work and research is: the prevention and control of diseases through awareness and early detection programs especially for cancer, cardiac, hypertension and occupational diseases, also for infection control, quality and accreditation. Dr Karima Elshamy has high hopes for her country, as well as all Africa and plans to concentrate on public health and oncology health program management in Egypt. Developing practical strategies for improving equitable access to breast cancer care and its hidden barriers Numerous barriers to timely and equitable access to quality breast health care exist across the cancer care continuum and negatively impact cancer outcomes. Improving access to care and reducing disparities in outcomes requires identifying, understanding and addressing those barriers. Barriers differ by location and population, but can generally be characterized as: structural, sociocultural, personal and financial. Raising awareness and reducing barriers to cancer care services can improve patient outcomes, provided appropriate diagnostic and treatment facilities are available, accessible and acceptable. This presentation will discuss how to improve equitable access to breast cancer care by reducing barriers to breast health services. Planning Step 1: Where are we now? (Investigate and assess) • Assess access to breast health services for all women; assess community partnerships; identify patient barriers and facilitators. • Planning Step 2: Where do we want to be? (Set objectives and priorities) • Identify community and health system partnerships; set achievable objectives; set priorities and determine feasibility of interventions • Planning Step 3: How do we get there? (Implement and evaluate) • Establish political and financial support 1.3-1 Yuying Wu, Taiwan Professor Yuh-Yin Wu, administrative wise, is the Dean of College of Education, Taipei University of Education, which is the top teachers’ education institute of early childhood, special education and elementary education. Previously she was chair of the Department of Psychology and Counseling, the top institute of counselors’ education. Research wise, she has been the editor-in-chief of the Journal of Educational Practice and Research (TSSCI) for six years. She was awarded the honor of excellent researcher in 2010, presented by the Ministry of Science and Technology or Ministry of Education, Taiwan. She was a Fulbright senior scholar and has visited University of Oregon, University of Edinburgh, and University of Colorado at Boulder, USA. Community service wise, she is an Adlerian positive discipline trainer, a member of the committee of excellent teaching award of Taipei, monitor of Flagship High Schools of New Taipei City, and evaluator of universities. From research to service through expressive arts therapy and MBSR for women of breast cancer at Taiwan The research team provided services to women of breast cancer at Taiwan starting from 2012. We firstly surveyed 394 patients to gain a rough picture of quality of life (QOL) of them with help from TBCA (Taiwan Breast Cancer Association). Path model results showed that depression was the key predictor with direct effects to the four QOL domains (physical, psychological, social, and environmental) from -.248 to -.580 while anxiety predicted psychological, social, and environmental QOL indirectly through sleep quality. Based on the results, we provided two approaches of psychological therapy for the past two years: expressive arts therapy and mindfulness-based stress reduction (MBSR) through TBCA and HOPE (Hope Foundation for Cancer Care). Expressive arts therapy of 8-week-session was implemented twice with 10 and 16 participants respectively. Pre-post test results showed that participants were relived from depression significantly and getting into sleep more easily. Three MBSR programs with 55 patients participating in the 8-week training were conducted. Significant improvements were shown at depression, anxiety, mindfulness, and physical and psychological domains of QOL at posttest and one month follow-up. Sleep duration, daytime dysfunction, and global sleep quality index showed improvement at the follow-up. For both expressive arts therapy and MBSR programs, through creative art works or mindfulness practices, participants were able to develop awareness of personal physical and psychological situation. They gradually tended to let go the burden, gained soothe of self condition, and felt empowered through extending the awareness to the relationship among their intimate families and friends. 1.3-2 Mibin Wu, China Mibin Wu is a product manager in PingAn Annuity Insurance Company of China, Ltd. She develops health insurance plans with specialized, standardized and cancer drug services. She has a M.D. in cancer nursing from Fudan University, and her research interests are using information technology systems to manage medicine adherence for breast cancer patients and pharmaceutical economics. Her work has been published in a number of different journals. She has devoted herself to breast cancer survivor related research for more than three years. For her master’s dissertation, she managed a nurse-led follow-up program using computer-based monitoring systems for breast cancer patients. As an oncology nurse researcher she is looking forward to the opportunity to present the latest research results and communicate with researchers and breast cancer survivors worldwide to provide a better understanding of nurse-led supportive programs for breast cancer survivors in China. Nurse-led telephone follow-up for breast cancer patients in China: an 18 month randomized controlled trial The medication adherence to hormonal therapy for breast cancer survivors was as low as 50% - 80%. Nurse-led telephone follow-up has been shown to be a feasible and effective method of monitoring treatment for chronic disease. The aim of this study was to evaluate the long-term effect of the nurseled telephone intervention on medication adherence to hormonal therapy and quality of life in breast cancer survivors in China. A randomized controlled trial was conducted. 311 early stage breast cancer patients were recruited at the Fudan University Shanghai Cancer Center and were randomly assigned into intervention group (n=157) and usual care group (n=154). Four trained oncology nursing specialists provided monthly telephone intervention sessions, including reminding medication ref ill, assessing and addressing side effects, and coping with urgent etc. in the intervention group. The patients’ medication adherence and quality of life were evaluated after 6 and 18 months by medication possession ratio and FACT-ES, respectively. After 18 months’ nurse-led follow-up, the medication adherence in the intervention group was significantly higher than that of usual care group. Symptoms, including hot flushes, weight gain, and sexual hypo-activity etc., were significantly relieved in the intervention group. This study showed that nurse-led telephone follow-up can significantly improve the long-term medication adherence and symptom management in breast cancer survivors. 1.3-3 Qiaolian Lin, China Impact of cognitive behavioral therapy on the mental status and quality of life of breast cancer patients Objective: To explore the influence of cognitive behavioral therapy on the mental status and quality of life in patients with breast cancer. Methods: From January 2014 to October2014 100 breast cancer patients who had under gone surgery were selected and randomly divided into an intervention and control group; 50 cases in each group. The control group were treated with routine nursing, while the intervention group were treated with cognitive behavioral therapy. The questionnaire of health knowledge, SAS, SDS and FACT-B, cognitive condition, mental status, quality of life and satisfactory degree toward nursing were measured and compared between the two groups. Results: The level of health knowledge in the intervention group was significantly higher than those in the control group, the scores of anxiety and depression after nursing were lower than the control group, the difference was significant (P<0.05). The physiological condition, social/family status, emotional status, functional status, additional attention scores and QOL score of the intervention group were higher than the control group, the difference was significant (P<0.05). Conclusion: Cognitive behavioral therapy can effectively relieve patients who have undergone breast cancer surgery, decreasing anxiety, depression and other negative emotions; l, improving the level of cognitive, quality of life, satisfactory degree toward nursing. Most importantly, it can enhance the recovering confidence after surgery. 1.3-4 Nagwa Elkateb, Egypt Nagwa Elkateb graduated from Cairo University with BSc.N, MSN, DNS and is currently Coordinator of the oncology nursing specialty diploma, NCI, Cairo University. Nagwa has previously been involved in many roles as a nurse educator in Egypt and USA working in Texas, Chicago, Washington DC and Indiana. She has achieved post-graduate qualifications in oncology nursing from Royal Marsden Hospital, UK, and M.D Anderson Cancer Center, USA. A strong advocate for learning, Nagwa organized the first UICC oncology nursing course in Cairo, Egypt in 1983 and second course in 1998 and has since been involved in organising many nursing workshops. She has been a recipient of a number of fellowships to support her nursing research and education, including a Fullbright Fellowship for six months at Ball State University, Indiana for integrating Computer assisted instructions in the curriculum of cancer nursing. Nagwa is a member of AORTIC, ISNCC, ONS. The impact of fatigue and symptoms distress on quality of life for Egyptian breast cancer women The purpose of this study is to assess fatigue and symptom distress in women with breast cancer and if these problems affect quality of life and have an impact on their safety. A convenient sample of female breast cancer patients recruited from the National Cancer Institute, Cairo, Egypt. Data were collected through self-administered questionnaires or patient structured interviews. Tools used: FACIT-Fatigue Scale (Version 4), NCCN Distress screening tool, EORTC QLQ-C30 (Version 3). Data analysis includes descriptive statistics and exploration of relationships between key variables; fatigue and distress, fatigue and quality of life, distress and quality of life, key variables with patient demographics, and type of treatment, and concordance between key variables. Results revealed significant correlation between fatigue, distress and quality of life. Decreased safety measures are correlated with fatigue and low quality of life. Conclusion: Fatigue and distress are common problems in patient with cancer. Screening of these symptoms should be performed on admission and frequently throughout treatment phase and before discharge. Screening will help to identify at risk patients at an earlier stage and teach patients measures to reduce fatigue and distress to promote high quality of life and maintain safety. 1.4-1 Jinming Yu, China Professor Jinming Yu, Director of the Department of Health Education and Health Behavior, School of Public Health, Fudan University, is a leading scholar in epidemiology and health statistics in China. He has won over C$1,000M in research funding, including from the prestigious National Natural Science Foundation of China and the National Planning Office of Philosophy and Social Science of China, has published over 200 journal articles, books and chapters and has led key policy-applied research initiatives, for example, into the mental health and quality of life of cancer survivors in Shanghai, China. In 2012, Professor Yu was named a Fellow of the Shanghai Bureau of High-end Health Experts. He has rich experience in developing questionnaires on heath literacy for children and adolescents and on mental health among cancer survivors. He has initiated and run a number of research programs, for example, on quality of life among cancer survivors and on community tobacco control, in collaboration with overseas Universities. Professors Yu and his research team have lots of papers reporting on the studies of Shanghai Cancer Rehabilitation Club in providing behavioural, psychosocial, informational and practical support to cancer survivors in selected districts in Shanghai. Quality of life and its influencing factors among breast cancer survivors in China An exploration and understanding of quality of life (QOL) can help to enhance understanding and respect for breast cancer survivors (BCS) and assist in improving care and providing social supportfor this population. This study sought to understand the factors that influence QOL for BCS in the cancer rehabilitation organizations (CRO), including the effects of CRO on QOL. A cross-sectional study was conducted among 10679 BCS from June to October 2014 across China. Data was collected using a selfreported questionnaire, which included questions about basic socio-demographic characteristics, health conditions and treatments, health behaviors and QOL. QOL was measured by using EORTC QLQ-C30 and EORTC QLQ-BR23.Subjects with higher socio-economic status, earlier diagnosis, and fewer comorbid chronic diseases generally reported higher scores formost EORTC QLQ-C30 and EORTC QLQBR23 scales, indicating better QOL. Physical exercise and enough vegetables & fruit intake are positively associated with QOL of BCS. Meanwhile, the BCS who actively participate in the activities of CAO and were satisfied with it have higher QOL. These findings suggested comprehensive cares for GCS. 1.4-2 Helena Xu, China Vice-president of Mental Health Association of Jiangyin City Jiangsu Province. Director of Psycho-oncology Study Center of Jiangyin Cancer Recovery Association. Bachelor of Administration at Renmin University of China. Master of Science at Leiden University, the Netherlands. National Psychological Consultant Level 2 . Since 2008, she has been engaging in the promotion, education and consultation of mental health, especially focused on the study and practice in the field of psycho-oncology and body-mind-spirit health. From 2013 to 2015, she has been leading the “Pink Light” psychological recovery support project for breast cancer patients, with which she has set up the practice model of body-mind-spirit integral recovery for cancer patients in Jiangyin City. She has written and published the book “Mental Health and Cancer Prevention”. Concept of body-mind-spirit integral to recovery from breast cancer The concept of body-mind-spirit is integral to recovery from breast cancer. The concept is based on the integral thoughts of “nature-man unity” and “body-spirit unity” in Chinese traditional medicine. Health is the harmonious operation of the body-mind-spirit integral system, and disease is an imbalance of the body-mind-spirit system. Recovery from breast cancer must proceed with adjusting the body-mind-spirit system back to balance and harmony. It is a way of integrating physical recovery, mental recovery, and spiritual enlightenment that involves closely cooperating and harmoniously moving forward. In Jiangyin City, the concept of body-mind-spirit in successfully being used to help breast cancer patients experience physical recovery, mental recovery, and spiritual enlightenment. This illustrates the importance of the people-oriented humanistic concerns in the practice of body-mind-spirit integral recovery, as well as the need to focus on human development as a possible source of the rampant phenomenon of cancer growing. 1.4-3 Huazhi Yu, China She graduated from the medical department of Wenzhou Medical College in 1963, professor of pathology. She has been awarded by the Ministry of Education, the Ministry of Personnel and the All China Federation of Trade Unions the “National Outstanding Teacher.” She was the party secretary and vice president of Wenzhou Medical College. She was the vice party secretary and vice director of Public Health Department of Zhejiang Province. She was the vice president of Red Cross of Zhejiang Province. She was a member and vice director of Population, Resources and Environment sub-Committee of the 8th and 9th Zhejiang Province Committee of CPPCC. She is the vice president of China Anticancer Association for Cancer Rehabilitation Association, vice chairman of Zhejiang Cancer Association, the chairman of the Cancer Rehabilitation Commission of Zhejiang Province. She is an advisor to Zhejiang Medical Association. Cancer rehabilitation organizations blossom like flowers. This article reports on the current cancer occurrence situation in Zhejiang Province, and the development of various cancer rehabilitation organizations at city and county levels. In Zhejiang Province, grass roots cancer rehabilitation organizations have developed very quickly, formed a province-wide network, and organized various activities. Cancer patients with our organizations have seen improved quality of life and an increased survival/recovery rate. We have received high praise from the families of patients and society in general. Our organizations have become one of the most effective and valuable means of cancer rehabilitation. 1.4-4 Lianyou Guo, China A breast cancer patient. Graduated from School of Prevention Medicine of Guangdong Pharmaceutical University, she was the former deputy director of Guangzhou Railway Center for Disease Control. She is standing vice president of China Guangdong Provincial Light of Life Society for Cancer Rehabilitation, member of the Standing Committee of Chinese Cancer Rehabilitation Society. Over the past 18 years since her illness, she was awarded harmonies as follows: National Outstanding CPC Member for the Prevention and Control of SARS by the Organization Department of the Central Committee of the CPC, Locomotive Award by the All-China Railway Federation of Trade Unions, Top Ten Female Experts in Science and Technological Innovation, Guangzhou Advanced Individual for the Prevention and Control of SARS, Guangzhou Advanced Individual for Patriotic Public Health. After she assumed the office of vice president for Light of Life Society, she has been working with new and old members, member of Standing Committee of the Society, and Directors of Branches, making great contributions for the development, rising and flourish of the society. With a heart full of love, she has been illustrating the spirit of selfless dedication with her practical action. Making Life More Meaningful 18 years ago, I was diagosed with infiltrating ductal carcinoma on left breast with lymph nodes metastases. As other patients, I also experienced denial stage, fear stage, illusion stage, despiration stage and quiet stage. With a good state of mind and strong will, I completed four battles against cancer, namely surgery, radiotherapy, chemotherapy and TCM. Later, I gradually recovered through various physical fitness training. 2.1-1 Lan Mu, China Breast reconstruction and restoration of function Breast Reconstruction is challenging work, especially after radical mastectomy, axillary node dissection, and radiation therapy. Not only does a natural breast need to be reconstructed, but any deformity to the chest wall and axillary area caused by the mastectomy and treatment must be corrected. Care must be taken to avoid and possibly treat lymphedema to the affected arm. Breast reconstruction treats both the patient’s body and mind. Breast reconstruction surgeries performed over the past 21 years at Plastic Surgery Hospital and Peking University People’s Hospital were examined with respect to the type of reconstruction (implant, tissue expender, TRAM, DIEP, SIEV, or LD) and the length of time it took. It was determined that the type of mastectomy performed directly influenced the choice of reconstructive procedure and time in which it was performed. The study revealed that, even when reconstructive surgery is done immediately, there is ample time for refinement of the procedures, including vessel anastomosis, nerve connection, lymphatic flap transfer, and lymphatic-vein anastomosis for prevention and treatment of axillary dissection-related arm lymphedema. Co-operation between the oncological surgeon and the plastic surgeon as early as possible leads to the best re-constructive results and the highest level of restoration of function, all of which promotes the patient’s physical and mental recovery. 2.1-2 Wenjuan Chen, Taiwan I have been in touch with art for a long time, currently I am an amateur artist teaching Japanese Ikanobo’s creative floral art, and I regularly attend all kinds of art exhibitions every year. In 1999, I was diagnosed with Stage 0 breast cancer for the first time, 10 years later, I decided to have a mastectomy and breast reconstruction. In 2010 doctors diagnosed Stage 1 breast cancer in my other breast and I started to take chemotherapy. At present, I am still taking anti-hormone drug Tamoxifen, and I had another mastectomy, and then without hesitation, I had another breast reconstruction. After having two bouts of breast cancer, I am fully aware that other than medical treatment, the hardship of convalescence required company very much, therefore, in 2001, I joined Taiwan Breast Reconstruction Association and became the founding general secretariat for 8 years. From 2010 till 2012, I was the president of the association, at the moment I am one of the board members. During this period, I have been a supporter for hospitalized patients, promoting breast cancer prevention, and I have endeavored to promote the importance of breast reconstruction after mastectomy. Sexuality and the impact of mastectomy What is the role of the breast? Its primary function is to feed and nourish infant. It can be seen as a symbol of femininity. It is also essential to enhance marital intimacy. How do we regard our own breasts? Did I really care about my breast when I had to go through mastectomy? Or, I simply overlooked my own needs on account of the more “important” things? The impact of having my breast removed from my body affected not only my quality of life, but also my mental wellbeing and physical appearance. What can we do to overcome the mental block after mastectomy and to sustain the intimacy between partners? Do I have any choices to change this situation? I do believe that breast reconstruction is a positive action we can take to restore our confidence in looks as well as projecting a feminine image. A healthy relationship between partners does not totally rely on physical needs and there are many other important elements such as love, laughter and tolerance. 2.1-3 Luoxin Zhang, China Dr Zhang is a recent medical graduate of the Peking Union Medical College and currently working at the Cancer Hospital, Chinese Academy of Medical Sciences where she is undertaking research training in the Medical Oncology Department, under the supervision of tutor Professor Xu Binghe. Fertility issues faced by younger women with breast cancer The aim of this paper was to investigate whether young breast cancer women in China want to have children. Patients and Methods: Young breast cancer women( initial diagnosis at age no more than 40 years old) answered a questionnaire. Results: 81(26%) patients wanted to have children after breast cancer diagnosis and treatment. 8 patients tried to get pregnant, 7 was successful; 4 women delivered their babies safely, 3 women had induced abortion. Younger age, higher educational level, having received breast conserving surgery and not having children at the time of cancer diagnosis were associated with stronger childbearing needs. Reasons for not wanting to have children after breast cancer included single-child policy, fear of disease recurrence, etc. There were 72 (23%) patients in total that received fertility counseling from clinicians after breast cancer diagnosis. Conclusion:. In China, the childbearing needs of young breast cancer women after diagnosis and treatment are intense. However, there is a lack of fertility consultations given by the clinicians. 2.1-4 Leonie Young, Australia Leonie Young was diagnosed with breast cancer in 1987. Since her diagnosis she has been involved with many aspects of breast cancer advocacy and support with both national and international cancer organisations. Her involvement now also includes organisations concerned with other cancers. Leonie is a member of the consumer advisory groups of the Australia & New Zealand Breast Cancer Trials Group (Chair) and the National Breast Cancer Foundation. She is also Chair of the Cancer Trials Consumer Network, a network for consumers who specifically work with cancer clinical trials groups and of CanSpeak Queensland which aims to provide a voice for people affected by cancer in Queensland. Since her diagnosis Leonie has been a breast cancer support volunteer with the Cancer Council Queensland. Leonie was Chair of the Organising Committee for the Reach to Recovery International conference in Brisbane in 2009. She has been an invited speaker at a number of Reach to Recovery International conferences and has vast experience speaking about cancer related issues in other forums. Leonie is the Peer Support Coordinator for the Wesley Hospital Choices Program in Brisbane which offers support and information programs to people affected by cancer. Her personal cancer experience brings an added dimension to the services offered including peer support for women, men and their families who access the programs, volunteer training, and community education and awareness. The Sounds of Silence: Why it’s important to have THE conversation about sexuality and intimacy Understanding about the importance of discussing sexuality and intimacy has certainly improved in recent times and researchers have now developed a substantial field of work in this regard. However, this does not necessarily translate to people finding solutions to their concerns or the best person to talk to who not only has clinical expertise but also who will listen with an open mind and understand their unique concerns. A cancer diagnosis threatens so many aspects of a person’s life particularly their ability to enjoy everyday life. When the seriousness of a cancer diagnosis and subsequent treatments are discussed, people feel embarrassed to bring up the subject of sexuality and intimacy and consequently this important part of their identity is often hidden in the background and shrouded in silence. The side effects of surgery and treatments and the stresses of dealing with a cancer diagnosis are often unexpected and have an impact on a person’s capacity to enjoy this important part of their lives. Women report they not only want to find solutions for themselves but also for their partners for whom they often experience enormous guilt about the impact this also has on them. There is a misconception that only young people are concerned about sexuality and intimacy. However, the basis of issues for young and old, single and married are fundamentally the same. It is important to acknowledge the issues; know who to talk to from a peer support perspective; and who to speak with for clinical expertise. 2.2-1 Yuhong Chen, China Tianjin Medical University Cancer Institute and Hospital, China Research on the application of “Pink Lady” WeChat Group on the management of patients with breast cancer after discharge Objective: To explore the application effect of WeChat group on the management of patients with breast cancer after discharge. Method: From April 2014- April 2015, 180 discharge patients in our department were selected. Using the random number table method patients were divided into control group (90 patients) and experimental group (90 patients). All the patients were treatment with routine nursing intervention. The experimental group was asked to join the “Pink Lady” WeChat group, which provided information and messages about knowledge of treatment and rehabilitation. Disease related knowledge, satisfaction questionnaire, and Barthel Index scale were used to measure the patients on day one before discharge and six months after discharge. Results: After six months, the difference between the two groups of disease related knowledge, patient satisfaction and Barthel Index were significant (P<0.05). Conclusion: The WeChat group improved the level of self care of the breast cancer patients, and promoted rehabilitation of the discharge patients. 2.2-2 Pingping Li, China Female, chief physician, professor, doctoral supervisor. Department of Traditional Chinese Medicine, Beijing University Cancer Hospital. Interests include clinical and research work of the effect of combining Chinese and western medicine therapy on tumors. Reducing radiation and chemotherapy side effects, relief of symptoms and improved quality of life with traditional Chinese medicine (TCM), has accumulated rich clinical experience and formed a systematic method of combining TCM and western medicine for cancer treatment. The study “The clinical effect and mechanism research of breast cancer endocrine side reaction intervention with TCM’’, received the second prize honor from the Ministry of Education for outstanding scientific research in 2012. Gained the honor of famous old Chinese medicine expert guidance teacher with the fourth batch of Beijing and the fifth batch of national awards. Dr Ping-Ping Li is the Executive Committee member of Chinese Society of Clinical Oncology (CSCO); Vice-Director of Chinese Anti-Cancer Association; Traditional Chinese Medicine Professional Committee; Vice-Director of Chinese Anti-Cancer Association; Rehabilitation and Palliative Care Professional Committee; and Chairman of Beijing Cancer Rehabilitation Association. Traditional Chinese Medicine (TCM) maintains good health and assists breast cancer rehabilitation Introduce the concept of Traditional Chinese medicine (TCM) to maintain good health and the effect of treatment with TCM for pain management in breast cancer survivors. Breast cancer survivors suffer from fatigue, bone and joint symptoms, hot flushes, anxiety, pain and depression. TCM has advantages in improving these symptoms. Herbal formulas such as Ren Shen Yang Rong Tang and Bu Zhong Yi Qi can treat cancer-related fatigue. TCM and Tai Chi exercise improve bone and joint symptoms. For breast cancer patients, long-term treatment with endocrine drugs may cause hot flushes, sleep disturbances and other symptoms, which seriously affect the quality of life. Randomized controlled clinical studies have proven that TCM and acupuncture have a good effect on these symptoms. We should regard the theory and methods of TCM for maintaining good health and at the same time use scientific knowledge to strengthen health education and guide breast cancer patient treatment and rehabilitation. 2.2-4 Jinjian Zhang, Taiwan Professor Chang received MD from National Taiwan University (NTU) Department of Medicine in 1972, and PhD from NTU Institute of Clinical Medicine in 1982. In 1984-1985, he was a research fellow at the Memorial Sloan-Kettering Cancer Center in New York. Since 1991, he has been a professor in NTU Department of Surgery, and served as the chairman from 1996-2002. Professor Chang served as president of several medical societies and foundation, including Society of Breast Medicine and Taiwan Breast Cancer Foundation. He has also received many awards for his teaching and research, and has over 150 papers, including publications in Cancer Research and Journal of Clinical Oncology. He is currently the superintendent of Cheng Ching Hospital, Taichung, Taiwan. Breast cancer follow-up and the management of recurrence Routine follow-up during the first 5 years following breast cancer treatment should include full physical and breast examinations and blood tests (including CBC) every three months, breast sonography every 6 months, annual mammography, abdominal ultrasound, and liver function tests. Tumor markers (e.g. CEA, CA 15-3) are not absolutely necessary. Chest or abdominal CT scans may be ordered as necessary. Bone scans should be considered if the patient develops bone pain. Beyond 5 years, follow-up intervals may be lengthened to semi-annually, and after 10 years, annually. Patients are advised to perform monthly breast self-examination, paying special attention to the surgical site, the axilla, and the neck for abnormal masses. As for recurrence, ER-, PR-, Her2+, or ER+, PR+, Her2+ or triple-negative breast cancers often recur within 2 or 3 years of treatment, whereas ER+, PR+, Her2- tend to recur 7-8 years after treatment. Recurrence may be local or distant metastasis. Distant metastasis primarily involves the liver, lungs, and bones but may also involve the brain. Management is similar to that of primary cancer, principally palliation and the maintenance of life quality, followed by the extension of survival. Details to follow in conference. 2.3-1 Rita Banik, India Born and brought up in New Delhi, India, Rita studied M.Tech in Geology at Peoples’ Friendship University in Erstwhile USSR and later pursued Ph.D. in Geochemistry from Indian School of Mines Dhanbad, India. Due to family ties she pursued a career in teaching and became a Principal. Diagnosed in 2006 with breast cancer, Rita became involved in counselling whilst she was still in hospital receiving treatment in Delhi. During her chemotherapy treatment she spoke about her experiences at a seminar and published her first article Coping with Cancer, in the reputed newspaper Times of India (6th September 2006). Following her treatment she provided support to patients at cancer hospital, Silchar, Assam, and became involved in other charitable projects. Within a year of finishing treatment Rita published her first book on breast cancer awareness, “Kick the beast out of your life”. In 2011 whilst working as a counsellor Rita met Rashmi Kapoor, who had undergone breast cancer surgery. In September 2012 they registered a charitable trust called RACE (to rein-in-cancer). The motif of the trust is to spread awareness anywhere and everywhere in India, eradicate the fear of cancer from the minds of people, extend financial support and most importantly educate people about the need of early detection. Overcoming the shock of relapse through advocacy Breast cancer relapse is always shocking for the survivor, especially if it happens after a long gap of more than 5 years! When the recurrence is diagnosed one may feel cheated from the previous treatment, shocked, angry, frightened at the return of cancer once again. One may experience many other feelings like disbelief, anxiety, a sense of loss of control. Some people may even find this diagnosis more upsetting than the first one. Yet many survivors, based on their previous experiences, may intensify their advocacy of breast cancer, practice and spread awareness about healthy diet and yoga, prepare themselves better to face the challenges more boldly. I would like to share my personal experience of how I moved on, even when I was diagnosed with recurrence after a long “cancer free” gap of seven years. Presently I am running a Charitable Trust named RACE to rein-in-cancer, along with a small group of dedicated volunteers. This presentation is about coping with the emotional factors of relapse (how I coped myself) through: • Healthy diet, regular exercise and yoga • Increased Cancer Awareness Presentations • Emphasis on the importance of “Early Detection” to people • Hold screening camps for mammography & pap smear tests. 2.3-2 Huijun Liu, China Dr. Huijun Liu is a professor of psychology, associate director of Institute of Psychology in Tianjin Medical University, and a member of Committee of Physiological Psychology in Chinese Psychological Society. Her research focuses on the self, motivation and emotion, Patient-Doctor communication, and Post-traumatic Growth of cancer patients. She has been devoting herself to applicate theory or principles of psychology to medical practice and psychological-social supports for patients Reconstruction of positive-self in breast cancer patients Objective: Reconstructing the self-system is essential for cancer patients during rehabilitation. The aim of the study was to investigate the psychological processes in reconstructing positive-self for breast cancer patients. Method: In-depth interviews were conducted in five breast cancer survivors. Interview data were scripted and analyzed by qualitative methods. Results: Positive self reconstruction has four key components. First, separate disease from a patient’s self-system, refrain from the function fixation of a patient role, and return to the original social role. Second, consider the illness as “Objective” or “Outside”, and then utilize positive thinking to regulate emotions. Third, lower the expectation of positive outcomes from cancer treatments, and instead, focus on health management and development of selfcare efficacy. Four, finding new possibilities after illness to promote patients’ post-traumatic growth. Conclusion: The four critical processes of reconstructing positive-self can help a breast cancer patient to cope with suffering and difficulties during medical treatments and improve the quality of life post-trauma. 2.3-3 Teresa Mazzaferro Cuda, Australia Portrait photography after breast cancer diagnosis-a catalyst translating the mundane into a special moment “I have the body of a warrior who does not kill or wound”, Deena Metzger Photography is a core experience of the 21st Century. We see, consume, make and share photographic images from phones to SRL cameras. Specifically portrait photography challenges and confronts the viewer. My concern is how potentially empowering or precluding is the role of today’s media and in particular portrait photography after the breast cancer diagnosis. This article considers how race, age and beauty are key aspects in the portraits presented. To a woman the breast is representative of her femininity. We are all familiar with the traditional hourglass shape: a body with a waistline significantly smaller than the bust and hips ideally teamed up with a flat belly. The diagnosis of breast cancer has a devastating effect. Being a life changing event brings along not only physical changes but also mental and emotional challenges. Personally, I question how these photographs can help to increase self-confidence, empathy and desire to help others and how the portraits can become a springboard to talk about and reflect upon the breast cancer experience. The portraits of my collection try to transcend the disease and merge the powerful combined narratives of each of the participants. This small project can potentially help to put the cancer experience into a singular perspective. These images can tell you, the viewer, more about the sitter experience and life and the photographer behind the lens. 2.3-4 Maria de Lurdes Cordeiro, Portugal Testimony as breast cancer survivor My name is Maria de Lurdes Cordeiro. I’m Portuguese, 67 years old and have been married for 40 years with 2 sons: boy and girl. I’m a survivor of breast cancer and had a total right mastectomy on 19 April 1983 and reconstructive surgery with the muscles of the stomach in 2003. I went twenty years without a breast that I did not miss, but then, I thought I could be happier. For the three days after my surgery, I experienced horror. But one afternoon, a nurse told me that I would get a visit from a volunteer named Maria Augusta Amado, who had experienced a similar situation. I have no words to describe what went on during the hour visit. The experience was so strong and successful that after 32 years I can still remember, as if it happened yesterday. She spoke very simple words, but the way they were told, radically changed my attitude. I stopped seeing black, not even seeing grey, but a deeply brilliant white and this was only the first meeting. Ever since, we became close friends and I became part of her volunteering group which she founded, the Reach to Recovery Movement in Portugal. 2.4-1 Tsu-Yin Wu, USA Tsu-Yin Wu, Ph.D. RN, FAAN, is a Professor in the School of Nursing and Director of the Healthy Asian Americans Project (HAAP) at the Eastern Michigan University. Throughout her academic career, Dr. Wu has dedicated her work in decreasing health disparities and improving the quality of life and healthy longevity for Asian Americans and Asians. Dr. Wu has directed state, federally, and privately funded research programs to explore factors and implement interventions to promote health behaviors and cancer screening behaviors. Her extensive research funding from the National Cancer Institute, Department of Defense, Susan G. Komen for the Cure, and WK Kellogg Foundation provides the evidence of her expertise and commitment to rigorous research on issues facing by Asian Americans. Dr. Wu willingly gives her time to mentor students at various levels pursuing research careers. She has served as a reviewer for 18 prestigious journals in nursing and medical-related disciplines. Her research instruments, clinical materials, and intervention programs using lay health advisors have been adopted not only in the United States but also in Asia. In 2012-3, she replicated a successful Lay Health Advisor Model to increase breast health awareness and provide breast cancer screening in China and Taiwan. She is a prolific author and also an internationally-recognized spokesperson for cancer disparities reduction. She has been inducted into the Asian Heritage Hall of Fame and appointed to prestigious boards and governor-appointed Michigan Asian Pacific American Affairs Commissioner. In 2014, she was inducted as a Fellow of Academy of American Nursing (FAAN). Promoting breast cancer screening and awareness: a successful Komen Project in Xi'an Breast cancer is the most common cancer site and the most prominent cause of cancer death among women in Asia. Despite the high incidence, rates are lower than western countries, but the increase is at a more rapid rate in Asia. In western countries such as U.S., efforts have been undertaken to control breast cancer, leading to various improvements in breast cancer outcomes. Effective strategies for breast cancer control are geared towards early detection and early treatment. Currently, there is no population-based breast cancer screening program in the majority of Asian countries, the majority of patients present with advanced disease. Improving breast cancer outcomes in Asian countries remains one of top priorities in cancer control. In this paper, the research team will present findings from evidence-based programs in promoting breast health awareness and increase breast cancer screening for underserved Asian American women in the U.S. through lay health advisor model and innovative individually-tailored interventions. In addition, the paper will focus on how the research team undertakes lessons to implement a Lay health Advisor training in China and Taiwan to address behavioral and social factors contributing to delay in seeking early detection. As results, the current program accomplished the following tasks:1. Implemented and evaluate LHA training programs in Xi’An, 2. Trained 253 LHAs as community change agents in breast cancer awareness and screening promotion, 3. Trained more than 400 local health professionals in clinical breast examination, and 4. Provided breast health education and breast cancer screening to 7932 and 5828 Chinese and Taiwanese women. Continued effort is needed to develop comprehensive evidence-based policy strategies for breast cancer control plan that consists of multi-sectors, government, clinical practice, public advocacy, and community collaboration. 2.4-2 Yu Wang, China I was born in 1986. As a postgraduate student with Public Administration. National secondary Psychological consultant. The Secretary General of Xi’an Anti-cancer Club. Assistant director of oncology clinic at The Fourth Military Medical University. I have engaged in breast disease for 6 years. I have attend the training of ACSU. At present I serve in the positions of Xi’an Anticancer Club, Shaanxi Provincial Health Association and Shaanxi Provincial Health Association. New practices and innovations-the establishment of a breast cancer resource service CCRS put forward a proposal that Establish Rehabilitation workstation in many places. At the same time, Xi’an Anti-cancer Club shows a positive response,and begun the site selection in the same year. Cancer rehabilitation workstation is beginning to take shape in April, 2015. The report which named The innovation and practice of Cancer rehabilitation workstation got a lot of attentions. This report will mainly introduce the experience of Cancer rehabilitation workstation in xi’an and the practice and exploration in the Cancer rehabilitation workstation model. 2.2-3 Joanna Grzesiak, Poland Joanna is a certified physiotherapist of rehabilitation breast cancer survivors and works as coordinator of the Polish Federation of Breast Cancer Survivors Association which supports polish women after breast surgery through 250 clubs in many cities in Poland. The association organises many events and conducts training courses and workshops for leaders and specialists on rehabilitation following breast cancer surgery. The Association collaborates with the Ministry of Health and other a domestic institutes of health on matters of oncology for patients in Poland. Joanna is studying for her Ph.D. in the Department of Neurobiology in the University School of Physical Education in Poznań (Poland), and is an author and co-author of many publications in the field of rehabilitation for patients with motor and neurological impairment. The situation and the approach to the care of women with advanced breast cancer in Poland Recent research has shown that the number of women with breast cancer in the world is more than 1.4 million and despite the development of many methods and techniques of care the number of women with a different kind of breast cancer grows constantly. Researchers claim that of about one third of women with early recognition of stage of tumor can appear the advanced stage of breast cancer. The polish research of women with advanced breast cancer show the scale of problem with the adaptation of women to society (18.3%), the acceptance of each other in daily meetings with friends and family (22.5%), the decrease of gain in the financial matters (55.1%), many problems with accepting oneself (37.2%), the decrease of daily activity (44.8%) and the approach to cure and to the improve of standard of future life (50.4%). Recently representatives of the Ministry of Health have introduced the BREAST CANCER PROGRAM in the Polish Centers of Health. The Breast Cancer Program is based on a personalised and customised approach for every patient with breast cancer: the personalization of treatment provides improved probability of effectiveness and a positive and constructive relationship between patients and their doctors, conditions in which fear and doubt can be replaced by greater knowledge and strong hope. We hope that the introduction of the Breast Cancer Program to Polish’s standards of treatment will lead to better life for women with breast cancer. 2.4-3 Hua Wang, China Hua Wang was graduated from Shanxi university of Traditional Chinese Medicine, the graduate of Integrated Chinese and Western medicines research. National secondary Psychological consultant, she has engaged in breast disease for 15years. At present hold the office of Xi’an Massage Hospital, and also hold the office of Chinese Breast Feeding Association, and Xi’an Anticancer Club. She involved herself into the public welfare work whole heartedly. Therefore, she has been hailed as protector of patients. Spread the love in Xi’an - KaiHuaiXueYuan course of breast cancer Breast cancer is one of the most common type of cancer among women. With the increasing of the patients’ cognitive level and the interaction between patients and medical staffs. All these ways can make a good understanding on the disease. On the one hand, they can reduce the fear, on the other hand, they can enhance the determination of conquer cancer. KaiHuaiXueYuan is known as the most successful course among Ethnic Chinese, It was firstly launched by Kaihuai Association in TaiWan. Later it was held in USA and China. With the help of Kaihuai Association in TaiWan, Kaihuai Association in Xi’an was formally established in 2015. This report will have a brief introduction of KaiHuaiXueYuan in Xi’an. At last, we hope our love will travel further. 3-1 Cheng-Har Yip, Malaysia Dato’ Dr Yip Cheng Har, MBBS, FRCS (Glasg) FRCSEd FACS (Hon) Consultant Breast Surgeon Sime Darby Medical Cente Subang Jaya Clinical care in advanced breast cancer Advanced breast cancer refers to cancer diagnosed in Stage 3 or Stage 4. There are two scenarios: 1. When a patient presents initially with a locally advanced or metastatic breast cancer or 2. When a patient has been treated for breast cancer and there is a recurrence of in the other parts of the body. Clinical care of the patient depends on the presenting symptom. If the patient presents with an ulcerating tumour in the breast, the priority is to reduce pain and smell, and wound dressing. If operable, surgery may be the best palliation. Biopsy of the tumour have to be done to determine if the cancer will respond to hormones or whether chemotherapy is the only option. Targeted therapy may be effective in cancers which are HER2 positive. The commonest site of metastases is the bones, and this presents as bone pain, fractures or cord compression leading to paralysis. Pain control is important and surgery and radiotherapy may be required in cases of fracture. The next commonest site is the lungs and patients may complain of cough and breathlessness. A pleural effusion, ie fluid in the pleural cavity, can be removed with a drainage tube. Liver metastases can be difficult to control as it leads to poor appetite, nausea and abdominal distention. Once cancer has spread, cure is not possible, but the cancer can be controlled for several years with a combination of chemotherapy, hormone therapy, targeted therapy and occasionallly radiotherapy. Quality of life is important and it is importatn that the risks and benefits of treatment be explained. 3-2 Janine Porter-Steele, Australia Janine Porter-Steele is a clinical nurse consultant, an accredited breast care nurse, women’s health nurse and manager of The Wesley Hospital Choices Cancer Support Centre in Brisbane, Australia. She has a Master’s degree in nursing leadership and is a PhD student at Queensland University of Technology examining sexuality concerns and management strategies for women after a diagnosis of cancer. Janine is also the “Women’s Wellness after Cancer” Clinical Nurse Manager, based at QUT. She has a wide and varied background, having worked in the community, hospitals, and in nurse education in both the UK and Australia. As part of her management role, Janine provides patient care and support, facilitates the training of volunteers and sets up the programs from an evidence based/research perspective. She provides community education and clinical support for Choices Cancer Support Centre. http://wesley.com.au/services/choices-cancer-support-centre Living well with secondary breast cancer: A nurse led intervention to promote wellbeing It is well recognised that the prognosis for secondary breast cancer has improved over the past decade as the result of more effective and better tolerated therapies. For many it will become a long-term “chronic” illness as opposed to an immediate life threatening one. Some women are being diagnosed with secondary breast cancer many years after the early diagnosis after possible decades of good health. However regardless of the time of recurrence, where women with a new diagnosis receive breast care nurse support as a matter of routine, women with secondary breast cancer do not. Significantly lacking for this group of women is support around the ability to “live well with secondary breast cancer”. Building on the work of Professor Debra Anderson and her research team in the areas of Women’s Wellness after Cancer; Pink Women’s Wellness and Women’s Wellness for midlife women, this new e-health, nurse led and facilitated intervention will be further developed and aims to support wellness for women with secondary breast cancer, focusing on key areas such as managing side effects of treatment, fatigue, stress and anxiety and encourage appropriate exercise and nutrition to improve quality of life at a social, emotional and physical level. 3-3 Wendy Lam, Hong Kong Dr. Wendy Lam is currently Associate Professor at the School of Public Health, The University of Hong Kong. She is the division head of Behavioural Sciences at the School. She is also the deputy director of Centre for Psycho-Oncological Research and Teaching at HKU. Her research interests focus on patient decision making, doctor-patient communication, and psychosocial adjustment resulting from cancer diagnosis and treatment. She was awarded the 2007 Hiroomi Kawano Young Investigator Award by the International PsychoOncology Society for her work on Chinese women with breast cancer. She is one of the co-founders of Asian-pacific Psycho-oncology Network. She serves as a director of the Board of the International Psycho-oncology Society. Psychological distress in women with advanced breast cancer Improved treatment has increased length of survival for patients with advanced cancer to many years. However, with the incurable and inevitably progressive nature of the condition, the emotional demands of living with advanced cancer can be enormous, addressing the psychosocial needs and quality of life issues among people with advanced cancer is growing in importance. The prevailing view is that cancer diagnosis disrupts patients’ lives, leading to psychological distress. Several studies have suggested that usually, but not always this adjustment impact resolves within the first year following diagnosis. However, new evidence reveals a different picture of adaptation to cancer and the individual differences that affect how patients respond over time to the diagnosis of cancer. This presentation will examine patterns of psychological distress among women with advanced breast cancer. Factors predicting patterns of psychological distress will be explored. Finally, the implications for improving psychosocial care of women dealing with advanced breast cancer will be examined. 3-4 Jianguo Shi, China Dr. Shi Jianguo is a certified pathologist, professor who leads the pathology research center of the Fourth Military Medical University. He serves as the chief physician in oncology department of Tangdu Hospital and licensed clinical laboratory supervisor in pathology. He specializes in cancer, cardiovascular diseases and mental and psychological diseases and has been active in the tumor clinical practice, pathology teaching and researching for over 20 years with over 60 papers published. He graduated from the Fourth Military Medical University in 1978 with bachelor degree and obtained the master’s degree in pathology in 1989. Dr. Shi also plays active roles in several medical associations and organizations including being counselor of Global Chinese Breast Cancer Organization Alliance, Deputy Director of Chinese Cancer Rehabilitation Society, Executive Member of Shaanxi Anti-cancer Association and Director of Xi’an Anti-cancer club Breast Cancer Mind over Matter: from carcinogenesis, cancer therapy to cancer rehabilitation It is becoming increasingly clear that psychosocial factors play important functions on etiology of breast cancer. There are obvious cancer-prone personality in our research among the breast cancer patients in Xian Anti-cancer club enrolled from 1994 to 2014 in Western China. Psychosocial factors take the role of carcinogenesis of breast cancer through influence toendogenous levels of β-endorphin in the hypothalamus, stess response axis, immune system and hormone secretion. These research results provide new combined strategy on therapy of breast cancer. And the rehabilitaton of patients with breast cancer will benefit greatly from active psychosocial interventions. 4-1 Ranjit Kaur, Malaysia Volunteering in Low Resource Settings Breast cancer survivors who give their time to support newly diagnosed women do so due to an intrinsic motivation to help and contribute to the community without expecting any gratitude. Reach to recovery volunteers choose to support others simply because they realise the value of the psychosocial support that they had received previously. Offering reach to recovery services in low resource settings pose a range of challenges not only for patients but also for volunteers. Topping the list are financial issues, lack of access to treatment and care, social taboos, myths and marginalisation, interruption in the woman’s role in the family and in income generating work. This session will show ways in which reach to recovery volunteers can support women in low resource settings to cope with the challenges. At the same time, volunteers can also present themselves as positive role models of recovery after breast cancer in order to motivate newly diagnosed women in low resource settings to strive for return to good health. 4-2 Kevin Stein, USA Peer Support and Exercise Due to the toxicity of treatment, cancer survivors are increased risk for a number of health conditions (e.g. late effects) relative to their age/gender matched peers in the general population. A large body of evidence has demonstrated that healthy lifestyle behaviors (diet, physical activity) can not only ameliorate symptoms of some conditions, but may also play an integral role in the prevention of other conditions, as well as improve overall physical and emotional health. As such, investigators have developed interventions aimed at improving cancer survivors’ lifestyle behaviors. Such interventions have proven to be safe, effective, and acceptable to survivors. However, most interventions have been conducted in controlled clinical settings and are often delivered by professionally-trained staff. The use of peers to provide the intervention represents a promising alternative to clinic-based, professional delivered interventions. This presentation will identify and address current challenges to moving effective and accessible interventions into the communitysetting. The presentation will focus on the challenges to health behavior change among cancer survivors, including moving lifestyle interventions from clinical settings to the public health setting (e.g. translational research), studying how best to implement such intervention programs on a community level, exploring new/novel methodologies and use of e-health technologies in this work, and investigating issues around the maintenance of behavior change. 4-3 Melissa Hyde, Australia Dr. Melissa Hyde currently holds a conjoint position with the Menzies Health Institute Queensland, Griffith University and Cancer Council Queensland as a Research Fellow in Psycho-Oncology and Community Engagement. She also co-leads the Community Engagement Research Program at Cancer Council Queensland which studies volunteering, fundraising, and other forms of participatory action that are critical for cancer control. Dr. Hyde is an early career researcher having completed her PhD in 2009, in health psychology; and was awarded the European Health Psychology Society Early Career Researcher Award in 2013. Her research is focused on the psychosocial aspects of cancer survivorship and the motivations and contributions of volunteers to cancer control. Motivations in volunteering Volunteers are essential for cancer control and contribute across a range of cancer settings, and on a regular or episodic basis. This plenary will provide an overview of the ways in which volunteers contribute across the cancer control spectrum from prevention to survivorship; and will focus on three key aspects. These aspects include motivations for volunteering; volunteer experiences (e.g., satisfaction); and outcomes for volunteers (e.g., health benefits; post-traumatic growth). The plenary will include a special focus on breast cancer survivors and Reach to Recovery volunteers. 4-4 Gloria Lin, Taiwan Ms. Gloria was diagnosed with breast cancer in 1995, and a later she joined the volunteer work, hence began her impressive career as a volunteer and advocate for breast cancer. She was the founding president of Taiwan Breast Cancer Alliance, a platform that consolidates all the breast cancer patient support groups in Taiwan. After her two terms of presidency were complete, Gloria continues to work as CEO in TBCA. Her work and dedication to bring the awareness of patient’s rights, and improvement of quality of life were not unnoticed. Gloria reeived UICC/RRI Asia Pacific Volunteer Award in 2006. She also received a medal of Health from the government of Taiwan. In 2009 Gloria received UICC/RRI Terese Lasser Award. Because of her experience in education and advocacy for breast cancer, Gloria has been in Central Cancer Prevention & Control Conference and cancer Prevention & Policy Commission in Taiwan since 2008. Currently Gloria is also a member of Cancer Research Steering committee. Gloria is also a member of Committee of Strategy of Reach to Recovery International. Personal benefits of volunteering Some say that cancer is a gift of life. Ms. Gloria Lin accepted the gift box unwillingly, when she was diagnosed with breast cancer. Later on she realized that what’s inside the box is truly a wonderful gift. It is a calling, a calling to volunteer, to help other patients, to comfort them, to help them with the challenges lie ahead of them. On 2002 Gloria and a group of women founded Taiwan Breast Cancer Alliance, a platform that unites the patient support groups in Taiwan. After serving two terms of presidency, she has stayed on as CEO of TBCA ever since. Working in a not for profit organization means long working hours and seemingly endless meetings. People often ask Gloria whether she feels tired at all. She always replies that the physical fatigue is no comparison to the emotional and spiritual fulfillment she receives. In this presentation, Gloria is going to talk about her personal growth from an ordinary housewife to a dedicated and veteran volunteer. In addition, she will share her thoughts on what volunteering means to her as a patient, a survivor, and an advocate. 3.1-1 Leonie Young, Australia Life beyond a cancer diagnosis: Overcoming the obstacles Research into cancer survivorship and the development of survivorship care plans are important and welcomed advancements in the management and care of people diagnosed with cancer, however, a considerable number focus on physical and economic issues. People affected by cancer need more than mere survival strategies. A patient confronted with cancer commences on a narrative path described as a time of finding meaning, and charts the ways patients learn about their condition, how they make meaning of it, construct an identity as a patient, and an identity as someone who was a patient once. This last phase is where the challenges lie - how to find meaningful survivorship beyond the cancer diagnosis. Society’s views influence many decisions and attitudes concerned with managing a cancer diagnosis. Often people are so frightened by the word “cancer” they hear nothing else. Interestingly, hearing the diagnosis may actually be more traumatic for some, regardless of the diagnosis and its severity. Mindfulness about the words used around cancer and understanding the value of peer support are imperative to helping people negotiate a cancer diagnosis. People not only have to manage their own feelings but also those around them and this is one of the most troublesome aspects of a cancer diagnosis for the majority of people. People who are affected by cancer can make a difference in educating the community about more appropriate use of language when discussing cancer. This could very well pave the way to better understanding and actively influence better psychological outcomes for many. 3.1-2 Catherine Ngaracu – Mutua, Kenya Catherine was diagnosed with early stage breast cancer in 2004, after she had detected a lump whilst doing her own breast self-examination (BSE). She consulted a doctor and was treated with surgery, chemotherapy and radiation and during this time did not encounter any other women with breast cancer, relying on the support of her loving husband and family. Following this experience she decided to help other newly diagnosed breast cancer patients to start the journey with courage and hope and not feel alone. Catherine is a trained Reach to Recovery Volunteer and is involved in giving Peer Support to newly diagnosed women and their families on a voluntary basis and advocating and creating awareness by teaching women how to do BSE and educating them about the risk factors. Catherine is proud to be a Breast Cancer Survivor /Warrior. Living well during and after breast cancer I am a breast cancer survivor/warrior and from the time that I finished all my treatments, I felt the need to educate and create awareness about breast cancer. Many women are ignorant about checking their breasts and most of them could not be bothered. You cannot change the fact that you have been diagnosed with cancer. What you can change is how you live the rest of your life in new ways. One of the best things one can do is put healthy eating habits and exercise into place. Looking and feeling good. To live on purpose! 3.1-3 Sandra A. Samuels-Reid, Jamaica Mrs. Sandra Samuels-Reid is an Aesthetician & Barber and most importantly an Entrepreneur, the Managing Director of the 20 year old Totally Male Limited, the only business in the Caribbean that caters to the aesthetic and clothing needs of men only, catered to by women only. She has worked in a variety of customer service roles for large and small companies before starting her own business in 1994. Mrs. Samuels-Reid is a member of the Women Business Owners, President of the Rotary Club of St. Andrew North, member of the Management Committee of the Heart College of Beauty Services and Jamaica Cancer Society/Jamaica Reach to Recovery. As a 15 year survivor of breast cancer she is one of the pioneers/warriors of the Jamaica Reach to Recovery group in helping to spread the word to the public on early detection. She is a motivational Speaker and also Grooming Consultant conducting Grooming and Deportment seminars in schools and businesses. She still finds time to run and go to the gym, church & socialize as she believes that life is all about balance. Don’t just survive. Thrive after breast cancer I would like to deliver a presentation/motivational talk on Thriving after Breast Cancer, driving home the point that there is life even more abundantly post BC, as post the wakeup call there is such an appreciation for life. I was diagnosed at the young age of 35, unmarried at the time and petrified of what the future holds. What were the prospects now that I had one breast, how does one bring up the topic and when to any potential suitor? Potential Thrivers need to know that life goes on just like another woman with two breasts. Since my diagnosis I am a living testimony of thriving. I was diagnosed in 1999 and since then I have travelled extensively, I go to the gym five days per week, run 5km, 10km, half marathons regularly, enjoy nature, love, friendship and took up the healing practice of meditation. I would love to impart the importance of eating right and exercising to be able to live an awesome life post BC. Finally I would like to touch on mental toughness and the need to maintain a positive environment. In my summary I want to impress on the minds of the participants the need to share and not keep BC a secret which helps many and also having survived, spread the word on early detection. My aim is to promote self-love, lifestyle change and a passion for life. 3.1-4 Iman Awad, Jordan Iman is a twenty year survivor of breast cancer, diagnosed in 2005. She works as a Dentist, is married and supported by her husband and family. With health, vitality and energy she lives her life to the fullest and is thankful for every day. Life is still wonderful – a survivor experience I am a dentist, 55 years old, married and have two ladies and one gentleman living with me in good conditions all of the time. I was diagnosed with stage three breast cancer and received chemotherapy first, then surgery to remove the tumour only, followed by radiation therapy. I received Tamoxifen treatment for five years, then Femara for another five years. Now I am full of health and energy. After I became involved in support groups I knew the wisdom of my cancer; how to feel with other patients, the weak ones. How to manage my life with my kids and husband, how to live every day in happiness and in a healthy way. I am not sad or fear any more, even if I die. I still do what I want, travel where I can, eat what I like, meet whom I love, this is the life. Some day we will leave it, but no one know when. (Together we are stronger). Yes it is true, I love this title it says what I feel inside. In my country (Jordan) the King Hussain Cancer Center is a perfect place where you can receive medical cancer treatment and support for free. All Jordanians are very proud of it. We believe that what God gives us, we must accept. We cannot change our destiny. With patience and faith we will recover. 3.2-1 Yajun Sun, China Sun Yajun is the executive editor/publisher in chief of TrendsHealth magazine which is the first women’s magazine in China intended for mature, happy and healthy modern white-collar women and provides full psychological and psychical health information. Sun Yajun joined TrendsHealth in July 2000 with a long and sustainable concern about women’s issues and launched a series of popular events that imposed profound influences on health concept among Chinese. These events include: introduction of the Pink Ribbon Campaign against Breast Cancer to China, Go for Red campaign for the protection of heart and Purple Butterfly Campaign with focus on women thyroid health. TrendsHealth’s marketing influence has been significant with the concept of life it delivers and series of planned events. Sun Yajun has over ten years experience in magazine media with an education background in Chinese in Peking University. She grew from a journalist doing the basic interview to an editor and then to an editorin-chief doing media planning and management in the field of social news and modern life. TrendsHealth magazine that she leads is pioneering in high-end and fashion-orientated health magazine in the field of international periodicals. TrendsHealth has become the only original magazine with no copyright cooperation background among the top 10 best-selling fashion magazines in China, which has been hailed the most influential fashion magazine. Twelve years The Pink Ribbon - delivering the beauty and the force There have been numerous taboos attached to breast and breast diseases for Chinese women. In an eastern country which once carefully concealed body and diseases, people would not even say the word breast publicly. In 2003, TrendsHealth as the initiator and advocator of Chinese media introduced The Pink Ribbon Campaign to China. Every October TrendsHealth will feature stories about breast cancer using magazine cover stars and patients to share their stories in order to promote early identification, treatment and prevention. TrendsHealth forms a pink alliance with different social sectors to make the pink ribbons fly high every October through various ways, such as holding the pink art gallery and the pink concert. Chinese women will no longer be afraid to talk about cancer and participate in various pink actions like the pink run to promote the health life style beneficial for breast health. TrendsHealth successfully builds the pink ribbon into a fashion and public-benefit campaign with significant influence and calls society’s attention to know, care and support breast cancer patients. Cancer will no longer be terrible and can even be the starting point to change life style. 3.2-2 Jiajia Qiu, China Jiajia Qiu, is a national psychological consultant and head nurse of the department of breast surgery in Shanghai Cancer Center, and she’s the first top ten medical staff in the hospital. She has a Master of Nursing and majors in clinical nursing and rehabilitative nursing for breast cancer survivors. She has been the visiting scholar at MD Anderson Cancer Center, USA for 3 months. She has published several papers and delivered a number of oral presentations both at home and abroad. She is also a volunteer of Yankang Salon and organizes professional activities for breast cancer survivors. The status and expectation of education for breast cancer survivors The study aims to introduce the definition and significance of patient education and emphasize its importance; to recommend the content, form and strategy of supportive education for breast cancer survivors, and put forward the expectation of supportive education in mainland China. We hope to provide a theoretical basis and practical evidence for breast cancer health care professionals. 3.2-3 Furjen Deng, USA Breast Cancer Movement in US and Chinese-American Community: Challenges and Outlooks The presentation examines the breast cancer movement in the US and Chinese-American Community. In particular, it focuses on the following three areas: 1) how US breast cancer survivors and organizations are mobilized to influence public policy on breast cancer research funding; 2) the current status and challenges encountered by Chinese-American breast cancer organizations; and 3) a case study of the Light and Salt Association’s breast cancer support program. Although there are significant differences between the US and China in terms of the political, social, cultural, and health care systems, lessons learned from the advocacy aspects of the US breast cancer movement may provide some insights for breast cancer organizations in China. The content of the presentation consists of one of the conference themes: how to build and maintain community support for breast cancer awareness, detection, screening, and support services. 3.2-4 Yingxin Lu, Hong Kong Building a territory-wide social support network for breast cancer survivors in Hong Kong Breast cancer is one of the most prevalent types of cancer in Hong Kong women, and the number of incidences has increased by nearly 70% since 2002 (HK Cancer Registry, 2012). Due to growing public interest in information and support for those affected, the number of peer support groups has continued to rise since the mid-90s. Established in 1987, Hong Kong Cancer Fund (HKCF) is the largest cancer support organisation in Hong Kong providing free information and professional services to anyone living with or affected by cancer. With the mission to ensure that no one faces cancer alone, HKCF facilitates breast cancer peer support groups through its extensive network to benefit clients, including those newly diagnosed. The first CancerLink centre was established in 1997 to address the physical and psychosocial needs of breast survivors through various rehabilitation programmes. Later in 1998, the Breast Cancer Alliance (BCA) was formed together with peer support groups to promote breast cancer awareness and patient advocacy in Hong Kong. After years of interventions, the BCA has become a service sharing platform for five breast cancer survivor organisations with more than 1,900 members. This presentation will highlight HKCF’s breast cancer support service model and its outcome, including the achievements of BCA and the challenges ahead. Presenter: Ms June LUK, Service Manager of Hong Kong Cancer Fund Ms June Luk graduated from the University of Calgary with a BA in Sociology. She is the Service Manager at Hong Kong Cancer Fund, responsible for overseeing the projects funded by the organisation. She has 12 years of experience in poverty alleviation and disaster relief in China, South East Asia and Africa. 3.3-1 Hongsheng Lin, China Dr. Lin has worked on TCM and integrative medicine oncology for about 30 years. She is good at applying Traditional Chinese Medicine to treat cancer, such as breast cancer, lung cancer, colorectal cancer, etc. Her research works are focused on the mechanisms of TCM medicine regulating the immune function of the cancer patients. She charged several programs about cancer research of TCM which supported by National Natural Science Foundation of China. As the directors of our state tenth and eleventh five projects about TCM of oncology, Dr. Lin finished several multi-center, double-blind, clinical randomized control trial of TCM herbs for the NSCLC.. Science then she has already published more than 50 papers about the TCM Herbs applying in tumor treatment. Status and Evaluation of TCM Herb in Breast Cancer Treatment Comprehensive therapy on breast cancer includes surgical operation, chemotherapy, radiotherapy, endocrinotherapy, and etc. The total therapeutic effect is improving by the multiple choices in the treatment. TCM plays an important role in treating postoperative syndrome, relieving side effects of chemotherapy, radiotherapy and endocrinotherapy, and doing great favor to alleviate symptoms and signs, improve life quality and prolong survival time. Here we summarized the status of clinical research work about TCM treatment in breast cancer therapy, the advantages of TCM treatment and the development of the TCM treatment in improving the clinical efficacy of breast cancer. We also introduced some Chinese medicine which common applied in breast cancer treatment. 3.3-2 Hanping Shi, China Professor Han Ping Shi is the Surgeon in Chief for the Department of Surgery, The First Affiliated Hospital, Sun Yat-sen University, China MEMBERSHIP Chairman Chinese Society for Cancer Nutrition and Supportive Care Chairman Guangdong Society of Parenteral & Enteral Nutrition Chairman Guangdong Society of Nutritional Oncology Chairman Guangzhou Society of Cancer Nutrition and Supportive Care Chairman-in-elect Chinese Society for Parenteral & Enteral Nutrition (CSPEN) Vice Chairman Quality Control Center for Clinical Nutrition of Guangdong Province Editor-in-Chief Electronic Journal of Metabolism and Nutrition of Cancer (China) Editor-in-Chief Nutriology-Medical Reference (China) Vice Editor-in-Chief Parenteral & Enteral Nutrition (China) PAPERS/Main Professional Books (Editor-in-Chief) 238 journal papers worldwide 13 books (Editor-in-Chief), such as Perioperative Pathophysiology and Practice. People’s Medical Publishing House, 2010 Surgical Nutriology. People’s Military Medical Press, 2012 Nutritional Oncology. People’s Medical Publishing House, 2012 Handbook of PG-SGA. People’s Medical Publishing House, 2013 Nutrition Screening and Assessment. People’s Medical Publishing House, 2014 Cancer Cachexia People’s Medical Publishing House, 2015 Chinese Nutrition Therapy Guideline for Cancer Patients. People’s Medical Publishing House, 2015 INVITED TALKS 468 invited talks have been given worldwide since 2003 (115 talks in 2014) Impact of nutrition on quality of life Nutrition for cancer patients should follow several rules: calories restriction, decreasing intake of red meat and fat, increasing intake of fruits, vegetables, grain as well as protein. Good nutrition can help patients to maintain ideal body weight, shape, size, figure and physical performance, and return to work and return to society. Good nutrition can decrease psychological disorders, increase self-esteem and maintain normal relationships with people. Good nutrition can reduce side effects, complications of anti-cancer treatment, and enhance tolerance and effect of cancer therapy. Good nutrition can save medical costs and decrease the economic burden of patients’ family, thus improving quality of life from many aspects. Nutrition therapy should become a fundamental part of cancer therapy and involve the whole process of anti-cancer treatment. 3.3-3 Xinqi Liu, China Soy peptide for cancer nutrition The body tissues of cancer patients and other patients are seriously damaged and very weak after chemotherapy, radiotherapy or surgical operation. Protein nutrition is most important for their recovery. However, they have no ability to digest protein from food and utilize it. Small molecular soy peptide, rich in essential amino acids and functional peptide fragments, is made from soy protein isolated by complex enzyme technology and the average molecule weight is below 1,000DA. It can be absorbed by body directly without digestion and provide nutrition to patients very quickly. This is very important to increase immunity and fight against illness. 3.4-1 Zhengping Yuan, China Zhengping Yuan is a part-tine professor and researcher with the Department of Social Work at East China University of Science and Technology. In 1981, he became ill with cancer. In 1989, he initiated the creation of Shanghai Cancer Recovery Club and took the position of legal representative. In 1990, he initiated the creation of the China Anti-Cancer Rehabilitation Organization and took the position of Vice Chairman. His career has been dedicated to group anti-cancer for 25 years, and he has won the honors of “Shanghai Top 10 Persons of the Year,” “Top 10 Excellent Volunteers in Shanghai,” and the “Chinese Charity Award,” among others. Professor Yuan has edited and published several books including “Cancer Doesn’t Mean Death,” “Beyond Life,” and the drama “A Birth Mark.” He directed the TV serial “The Last Days of A Xiang,” which was short-listed for the Shanghai International Television Festival Magnolia Award. He has also published numerous articles. Experience of Shanghai cancer recovery club Breast cancer morbidity in Shanghai is very high. Breast cancer has become the third leading cause of cancer deaths in Shanghai women. Cancer rehabilitation organizations help these women head for happiness by providing instruction and information on what they should do from the clinical treatment period to the disease recovery period. These organizations help increase the survival rate and improve the quality of life for patients and survivors. Shanghai Cancer Recovery Club Breast Cancer Rehabilitation Guidance Center was established September of 1997. There are about 4000 members who regularly attend center activities. The center organizes monthly rehabilitation activities for new patients and also organizes “One Happy Day” activity for members who are breast cancer patients. The club has raised nearly one million Yuan for breast cancer activities in the last four years. In 2013, the Second China Charity Exhibition was held in Shenzhen and the “Sisters Help Sisters Love Action Across Borders” organization awarded the Bronze Medal for Creativity to the Shanghai Cancer Recovery Club. 3.4-2 Jiwei Wang, China Jiwel Wang, PhD, was a lecturer at Key Laboratory of Public Health Safety, School of Public Health, Fudan University. He has been awarded much research funding, including from the prestigious National Social Science Foundation of China. Dr. Wang has published over 30 journal articles, books, and chapters and has participated in key policy-applied research initiatives. For example, he studied the mental health and quality of life of cancer survivors in Shanghai, China. He has initiated and run with a number of research programs on quality of life among cancer survivors and on active aging in collaboration with overseas universities. Dr. Wang and his research team have published many papers reporting on the studies of Shanghai Cancer Rehabilitation Club in providing behavioral, pscyho-social, informational, and practical support to cancer survivors in selected districts in Shanghai. The psychosocial intervention practice for breast cancer survivors in Shanghai Cancer Rehabilitation Club(1) —from low self-esteem to self-confidence Breast cancer survivors are often embroiled in various physical and psycho-social issues as a consequence of breast cancer diagnosis and treatment. Psycho-social support activities in the phase of rehabilitation were provided to enhance their quality of life. This study seeks to explore and understand their experience of engagement in Shanghai Cancer Rehabilitation Club (SCRC). Sixty-three participants attended eight semi-structured focus group interviews. Data were transcribed verbatim, and thematic analysis framework was adopted for data analysis. The participants reported benefits such as psychological support, informational provision and skills in the activities. Group-based supported activities were reported to have restored their dignity and confidence and enabled them to re discover their own meaning of life, and developed healthy lifestyle. The psycho-social support activities of SCRC had improved breast cancer survivor’s life. 3.4-3 Zhengnian Luo, China Senior engineer, vice President of Shanghai Health Education Society, member of International Society for the Study of Fatty Acids and Lipids. In 2002, he organized China’s first International Essential Fatty Acids Conference and Xiangshan science conference (183th meeting). In 2006, he participated and organized the Shanghai International Conference of Nutrition, Exercise and Health. He contributed to promote to scientific researches and international communications of nutrition medicine. In 2010, he took the responsibility for Shanghai cancer rehabilitation health education work and organized 10 thousand cancer patients to take rehabilitation training. He lead his team to visit the anti-cancer association in United States, Canada and Italy respectively in three continuous years, to promote the international communication of cancer rehabilitation. 3.4-4 Dai Rong, China Ms. Dai Rong, graduated from the Central Academy of Drama, Department of Directors. She is the producer, director, and writer of numerous stage plays and a writer of films and TV series. In February 2012, Ms. Dai was diagnosed with stage 4 lung cancer. After series of treatment, she is in stable condition now. Since her diagnosis, Ms. Dai actively engages herself in various activities regarding or related to cancer patients and their fight against the disease. She made two short films about how cancer patients regain confidence in their lives, Summer Dreams and Repayment, directed the ceremony of the 25th anniversary of Shanghai Cancer Recovery Club, and has a column about cancer fighting on the Weixin platform of Jiefang Daily. At the moment, Ms. Dai is developing the “Theater Therapy” program which is dedicated to providing physical and psychological support to cancer patients by means of theater. Theater Therapy - A physical and psychological recovery therapy for women Female cancer patients suffer terribly from the diseases where their lives are affected in all aspects. The Theater Therapy is based on the philosophies about self-growing and recovery in education and psychology, and, through acting and participating in complete stage play process, provide the participants with the opportunities to balance their emotions, exploit from within, develop their ability to deal with life crisis, enjoy the beauty of life, and therefore enhance their physical and psychological recovery. All 30 participants of the program are female cancer patients, and some of the courses will be open to patient’s families. The Theater Therapy is a cross-professional program which involves theater, education, and psychiatric consulting and therapy. Our teaching staff consists of professionals of these three fields. We provide various courses specifically designed for each participant based on her conditions and demands, and help with her self-growing. All participants will become physical and psychological recovery volunteers to help more female patients. 4.1-1 Margaret Karanja, Kenya Margaret Karanja has a diploma in nursing and higher diploma in palliative care from Brooks Oxford University. She works as a palliative care coordinator in prisons. Improving the patient journey for women with breast cancer: an example of collaboration and integration Patients with advanced breast cancer were seen at the busy Kenyatta National Referral Hospital. They were told about their diagnosis and the need for surgery, including mastectomy, at the same appointment. Uptake of treatment was sometimes delayed whilst patients came to terms with the diagnosis. Post-operative follow up was often missed leading to psychological distress for some patients. A new collaboration was introduced following the opening of Kamiti Prison Hospital Palliative Care Centre, to support the follow-up of patients after discharge from Kenyatta National Hospital. Patients are seen in the hospital where they are counselled about their diagnosis, prognosis and treatment. They are then allocated to a support group where they share together and receive encouragement and treatment options are discussed. As a result of this collaboration more patients are now accepting their diagnosis and are booked in for surgery as early as possible. There are fewer missed follow-ups and fewer instances of depression amongst post-operative patients. There is now a seamless referral to the oncology clinic and a reciprocal referral process with the peer support group. We have improved the journey for patients with breast cancer through close working between palliative care, surgery, pathology, oncology and peer support groups. This is an example of how integration of palliative care into existing structures can benefit both the patient and clinician experience and highlights the importance of collaborative work. 4.1-2 Deirdre Parr, New Zealand Deirdre Parr was first diagnosed with breast cancer in 2003, and again in 2014. She is a past chair of Breast Cancer Support Inc. (BCS) in Auckland, New Zealand, which provides peer support to women with breast cancer, and she is a BCS support group co-ordinator. Deirdre is a freelance researcher and book editor, and is studying theology at the University of Auckland. Her poster presentation on “Exploring Bi-Cultural and Multicultural Models of Support for Women with Breast Cancer in Aotearoa New Zealand’ at the 16th RRI Breast Cancer Support Conference (2011), led to her interest in the role of spirituality in breast cancer support in the New Zealand context. In 2014 she presented a paper on “Spirituality and Breast Cancer Support in Aotearoa-New Zealand: Bicultural Journeys” at the Theology, Spirituality & Cancer Symposium, University of Auckland, New Zealand. Holding hands, having conversations: spirituality and breast cancer support in Aotearoa-New Zealand Breast cancer is the most common cancer among New Zealand women, with indigenous Māori and Pacific communities experiencing significantly higher mortality risk from the disease. ntil recently, organised breast cancer peer support in New Zealand has followed western, Eurocentric models that give little or no recognition to the role of spirituality in healing. By contrast, more holistic Māori, Pacific and Asian models of health recognise that the two are intrinsically connected. In 2010, with the roll out of Whānau Ora by the New Zealand Government, consideration of spirituality became formalised in the provision of healthcare to Māori. This paper considers the different approaches to spirituality between established, Eurocentric models of breast cancer support, and those arising out of Māori, Pacific and Asian communities. It argues that, without a cultural framework or language for a spirituality of healing, the Pākehā/western model is the least holistic, and that this has impacted the delivery of support. On the other hand, until recently Māori, Pacific, and other local, ethnic paradigms have not been engaged with, this has also disenfranchised women from these communities. In conclusion, I shall consider ways in which all members of New Zealand’s rich, bi-cultural community might be brought into a conversation together, with the aim of delivering more holistic and culturally appropriate support for all women with breast cancer, and ensuring better outcomes for everyone. 4.1-3 Amnah Salleh, Malaysia Amnah Salleh is married with 3 children, works as a Chartered Quantity Surveyor and was diagnosed with Stage 1 breast cancer in Dec 2005. She is a volunteer with National Cancer Society Malaysia and a member of Pink Unity since 2008. Also a trained Reach to Recovery volunteer and has presented talks on breast cancer awareness at schools, universities and general public, and has appeared on TV talk show programmes discussing topics related to breast cancer and survivorship. Giving hope, touching hearts Surviving cancer is not necessarily a lonely journey. Help may come in many forms and from many organisations. National Cancer Society of Malaysia (NCSM) is a non-profit organisation established in 1966. NCSM is the first cancer-related NGO in Malaysia, providing a complete range of services in cancer management from education to detection and treatment including supporting cancer patients. Pink Unity, a support group established in 2008 under NCSM, is run solely by women cancer survivors supporting women with all types of cancer. HelpDesk was set up in 2011, run by volunteers from Pink Unity. Newly diagnosed cancer patients who come to NCSM for treatment can come to HelpDesk to speak to a volunteer who has gone through cancer. The HelpDesk also has resources such as literature on cancer and can provide referral to specialists such as nutritionist, trained counsellor etc. This presentation will share insights into how the HelpDesk functions and how it benefits survivors and caregivers. HelpDesk now has 30 volunteers who have assisted about 300 cancer patients. The outcome of HelpDesk has been very encouraging; feedback received from patients and caregivers have shown that “Together We Are Stronger”. Through HelpDesk, NCSM/PU aspires to give hope to newly diagnosed cancer patients and their caregivers. The HelpDesk is seen as not only able to touch the hearts of new survivors but also the volunteers who themselves have found it beneficial to be part of the HelpDesk team, true to our tagline “GIVING HOPE, TOUCHING HEARTS”. 4.1-4 Joanne Lovelock, Australia Joanne (Jo) Lovelock was diagnosed with early breast cancer in 2003 and underwent surgery, chemotherapy and radiotherapy treatment. Co facilitator and founder of three cancer support groups, Jo has been volunteering and working with women and men with breast cancer since 2004. Currently working full time as a breast care nurse, she continues to support her local community through a variety of services. Breast Cancer Network Australia; Supporting informing representing and connecting Australians Breast Cancer Network Australia (BCNA) works to ensure that Australians affected by breast cancer receive the very best support, information, treatment and care appropriate to their individual needs. BCNA is the peak national organisation for Australians affected by breast cancer and consists of a network of more than 100,000 members with more than 90 % having had a diagnosis of breast cancer. We are represented by the Pink Lady silhouette, symbolising our focus on women diagnosed with breast cancer and all those around her. The author has been a member of BCNA since her own diagnosis in 2003. Breast Intentions, a support group that she co – facilitates is a member group of BCNA. BCNA has provided the opportunity to participate in forums providing up to date information and research and the ability to network with other women. The author has received community liaison training enabling her to represent BCNA. As a breast care nurse, BCNA resources are used daily in the author’s work life by providing information kits, bras and breast prosthesis at no charge to newly diagnosed women and linking them to the online network. The author also supports women with secondary breast cancer. BCNA’s future holds exciting developments working on wellbeing and survivorship, broadening our research agenda, focussing on the needs of women with secondary breast cancer, and supporting women from culturally and linguistically diverse backgrounds with resources. 4.2-1 Jinghong Guan, China Jinghong Guan is an attending surgeon with the Department of Breast Surgery, Peking Union Medical College Hospital (PUMCH). She is also the chairman of the 5th Global Chinese Breast Cancer Organizations Alliance. She promoted the establishment of Pink Garden Breast Care in October 2009. As the leader of Pink Garden, she was committed to volunteer training and patient education, and she planned many major events. In 2011, she produced the first CD issued by Pink Garden, “Pink Music Collection.” On Mother’s Day 2011, Dr. Guan participated in the planning of the charity performance “Pink Carnations,” which focused on breast cancer awareness. The event was broadcast that day on CCTC-6. She also planned the 5th Global Chinese Breast Cancer Organization Alliance Conference in August 2014. As a surgeon, she participated in research to set up the breast-cancer screening model for Chinese women, which was directed by the Department of Breast Surgery at PUMCH. The research was supported by the government as a key project. Dr. Guan has given lectures in many communities, schools, and companies on breast cancer awareness and screening in accordance with the PUMCH model. Pink Garden Breast Care volunteer training Pink Garden Breast Care was established in Oct.29 by the Department of Breast Surgery, Peking Union Medical College Hospital (PUMCH). It is a non-profit organization attached to PUMC Foundation. Doctors, nurses and breast cancer survivors become volunteers of Pink Garden. One of the targets of Pink Garden is to help breast cancer patients by encouraging them to finish their therapy, while the other is to raise breast cancer awareness in the healthy population. Survivor volunteers come to the wards twice a week to visit patients who have just undergone breast cancer surgery and those who are receiving chemotherapy. By May 2015, they had visited more than 6800 breast cancer patients. Volunteers also go to the out-patient clinic to do consultation jobs. Every month, doctors and nurses from the department of breast surgery give training lessons to the volunteers. These training lessons include patient education profiles, communication and service skills. In 2011, Pink Garden produced its first CD. The song “Gift of Life” was created by a breast cancer survivor and was adopted as the theme of Pink Garden. In Aug 2014, the 5th Global Chinese Breast Cancer Organizations Alliance Conference in Beijing was hosted by Pink Garden. The content of 5GC included presentations on the most updated breast cancer information, breast cancer screening in Chinese women, young women and breast cancer treatment, and cancer-fighting experiences shared by patients. It included breakout sessions and workshops with topics about bone health and exercise. Volunteers provided high quality service during the conference and showed the PUMCH style to the world. 4.2-2 Rebecca Kiziri Mayengo, Uganda Rebecca Kiziri Mayengo is 70 years of age and married. She has a MSc Psychology from, University of Pittsburgh, USA and has worked as a psychologist. Rebecca is the current chairperson of the Uganda Women’s Cancer Support Organisation (UWOCASO) and a breast cancer survivor of 10 years. Her co-presenters for this abstract are Betty Mungati Kwamya, Hilda Kemigisha Mwesigwa and Elizabeth Kabasabiti. Building and maintaining community support for breast cancer awareness, detection, screening and support services According to the Uganda Cancer Institute (UCI) Annual Report 2010/2011, 60,000 cases of cancer are registered annually; of these 27,000 are incidental show ups while 22,000 die annually. The report predicted that by 2015, cancer cases would increase to 80,000 given that the risk of getting cancer before the age of 75 is 17.8%. Currently 2,000 new cases are registered annually at UCI, which is only 4% of the cancer cases countrywide. In the absence of comprehensive statistics, it is difficult to establish the actual rate of increase. Uganda Women’s Cancer Support Organization was founded by women breast cancer survivors in 2004, with the main objective of creating breast and cervical cancer awareness in Uganda. Activities we provide include: Breast health/cancer education through outreach programs, patient support/counselling, capacity building/training, peer support/survivorship, public events, advocacy and resource mobilization. Achievements include: • Counselling of newly diagnosed women with breast and cervical cancer/patient navigation. • Recruiting breast and cervical cancer survivors into the organization to share experiences and challenges. • Delivered a petition to the Government of Uganda requesting better cancer services and treatment in the country. • Training men and women on breast self-examination (BSE) and encouraging them to screen for early detection. Challenges faced are: • Inadequate resources for volunteers to reach a wider population and failure of patients to access treatment in time. • Patients do not get appropriate treatment due to breakdown of one radiography and one bone scan machine. Recommendations: • Volunteers to learn better methods of lobbying government. • Volunteers to acquire better methods and skills for fundraising in order to accomplish the planed activities of the organization. 4.2-3 Ranjit Kaur, Malaysia The benefits of RRI peer support training A volunteer activity that started with just one woman supporting another in the 1950’s has evolved into a movement of peer support programmes worldwide. The benefit and value of Reach to Recovery support programmes have been validated by research studies. Breast cancer survivors who give their time to support newly diagnosed women do so due to an intrinsic motivation to help and contribute to the community without any obligation. Many among Reach to Recovery volunteers choose to support others also because they realise the value of the psychosocial support that they had received previously. Peer support is a unique relationship in which people with the same condition and experience provide emotional support to each other and share knowledge about dealing effectively with the impact of the disease. Training is an important aspect of preparing Reach to Recovery volunteers to offer psychosocial support to women with breast cancer. There are essential criteria that the potential candidate has to meet in order to be recruited for Reach to Recovery training. The training content not only includes the roles and responsibility of the volunteer, but also interpersonal communication skills and respect for confidentiality among others. Retraining and annual recertification are important aspects of ensuring that volunteers are updated and appropriately supervised. 4.2-4 Sharon Lu, Taiwan “Truly believed to be born to do acts of kindness”. Sharon trained as a licensed social worker and project manager and was head of the Anti-Breast Cancer Team (TBCA), at Taiwan Breast Cancer Alliance (TBCA) specializing in breast cancer prevention, education and advocacy. She has grown up with breast cancer survivors, and implemented hundreds of projects about breast cancer care and prevention since 2009, including fundraising, investigations, prevention campaigns, public awareness lectures, intern training, new service model development and international affairs. Sharon resigned from TBCA at the beginning of this year to care for her loved ones and now works as a volunteer for TBCA continuing her passion to care for others. Build to Last - Cultivating awareness and building support amongst university students. Taiwan Breast Cancer Alliance (TBCA) has implemented breast cancer prevention awareness lectures in communities since 2004, and systematized the procedure from 2009 with training programs, materials and observation. At the 16th RRI Conference, TBCA shared the achievements of this project, and after completion, TBCA forwarded resources to university students for promoting (“rooting”) awareness to young people and encouraging them to inform family members, peer groups, and their colleagues. Since 2012, TBCA has cooperated with Ministry of Education, Health Promotion Ministry, United Way (Taiwan), Nurses Association, and other enterprises to develop and implement the new project-“rooting”. Social marketing is combined with fundraising and advocacy to communicate to the public. The concept, skills, movements and achievement of “rooting” will be shared in this presentation. I welcome you to join the session and hear our lovely story. 4.3-1 Kecheng Xu, China Guangzhou Fuda Cancer Hospital Professor Xu Kecheng is a world-renowned specialist in digestive diseases, cancer treatment. He is chief president of Guangzhou Fuda Cancer Hospital and Chairman of Guangdong Provincial Light of Life Society of Cancer Rehabilitation and President of International Society of Cryosurgery (ISC). In 2012, He was awarded with “Bethune Medal”, the Top Honor Prize of the national medical profession in recognition of his outstanding contribution in the anti-cancer cause in China and the world. Professor Xu is one of ten prominent figures in Guangdong Province. In May of 2014, he was named the national “Role Model of the Times” by the Propaganda Department of the Central Committee of the CPC. So far, he has published over 500 scientific papers and 9 treatises, co-authored 30 medical books such as Modern Cryosurgery for Cancer (English), Cryosurgery for Cancer (Chinese), New Technique of Cancer Treatment-Irreversible Electroporation, Modern Treatment for Digestive Disease, Clinical Pancreatology and Laboratory Test’s Clinical Significance in Liver Disease Treatment. Guided by medical reform and supported by CPC and the government, we will try all out to develop cancer rehabilitation career First of all, the article briefly reviews the important development stages from its establishment till now, highlights stepping into an entirely new stage upon receiving great supports from Guangdong Provincial and Guangzhou Municipal government. Light of Life Society has been officially registered in the Guangdong Provincial Civil Affairs Bureau, making it the first group rehabilitation organization for public welfare in Guangdong Province. This article briefly reviews the important development stages from its establishment until now and highlights stepping into an entirely new stage upon receiving great support from Guangdong Provincial and Guanzhou Municipal Governments. Currently, the Society has over 5000 members, 18 substations, and 3 branches. Light of Life Society holds health lectures, recreational activities and group traveling etc. on a regular basis in order to help cancer patients gain knowledge about cancer, overcome fears and tide over hard times. Statistical data shows that 5-year survival rate of the Society’s members reach over 63% which is almost the same as that of developed countries. And we also have made a detailed work plan for the next period. 4.3-2 Jialiang Li, China Dr. Jialiang Li obtained his PhD from the Chinese Center for Disease Control and Prevention MD from the Chinese Academy of Medical Sciences and Peking Union Medical College. He has conducted scientific research at Chinese University of Hong Kong and Fuda Cancer Hospital, and has published 23 papers about cancer cryoablation. Breast cancer prevention - an effective way to protect women’s health Breast cancer, which is an epithelial malignant tumor that occurs in the mammary gland, is ranked as the highest incident cancer in China. Early detection of breast cancer is critically important for breast cancer patient’s long-term survival. For localized breast cancer, 5 year survival is about 95%. For later stage breast cancer, 5 year survival is below 25%. Several techniques, such as mammography, breast ultrasound and MRI inspection, can be used for early detection of breast cancer. BRCA1/2 gene mutation test can be used to find hereditary breast cancer patients. Health management advice can be provided to healthy people to decrease the risk of breast cancer and breast cancer screening examination can be recommended for cancer high-risk groups. 4.3-3 Jibing Chen, China Dr. Jibing Chen engaged in clinical immunologic treatment for 6 years, becoming skilled at the detection of immune function and multiple immunotherapies cancer patients. In November of 2011, Dr. Chen visited and studied at MD Anderson Cancer Center in the USA. Also in 2011, he attended the 16th World Congress of the International Society of Cryosurgery in Vienna, Austria, where he was awarded the Oral Presentation Prize for his talk on cryo-cellular immunotherapy for late-stage cancer. Dr. Chen’s work on cryocellular immunotherapy received wide-spread recognition and praise when he was invited to speak at an academic meeting for researchers from Malaysia, Indonesia, India, and the Philippines. Effect of cryotherapy in metastatic breast cancer This presentation will retrospectively assess the effect of cryotherapy in patients with metastatic breast cancer (MBC) but without local recurrence after resection of the primary lesion. We divided 120 MBC patients into cryotherapy (91 patients) and chemotherapy (29 patients) groups. In the cryotherapy group, 37 patients with tumor recurrence received multiple cryoablations, while 54 patients received only a single cryoablation. Moreover, 62 cryotherapy-group patients underwent cryoablation immediately after the detection of metastases (timely cryotherapy); 35 patients received simultaneous immunotherapy (cryo-immunotherapy), and 29 patients underwent cryoablation in our hospital 3 months after receiving chemotherapy in other centers (chemo-cryotherapy and delayed cryotherapy). Overall survival (OS) after the diagnosis of MBC was assessed after a 10-year follow-up. The median OS was higher in the cryotherapy group (55 months) than in the chemotherapy group (27 months; P<0.0001). In the cryotherapy group, longer median OS was associated with multiple (76 months) rather than single cryoablations (48 months; P=0.0005) and with timely (67 months) rather than delayed cryoablation (48 months; P=0.0012). The median OS was higher after cryo-immunotherapy (83 months) than after chemocryotherapy (48 months) or cryotherapy alone (43 months; P<0.0001 for both). In conclusion, timely and multiple cryoablations, especially when combined with immunotherapy, offer significant advantages over chemotherapy in extending the OS of MBC patients. 4.3-4 Kecheng Xu, China Cryotherapy During the past 10 years in Guangzhou Fuda Cancer Hospital, comprehensive cryotherapy (including ablation of the primary and metastatic lesions) has been used to significantly reduce tumor load for more than 8000 cancer patients. Our current research results have shown that the survival time of patients who suffered from metastatic solitary cancer can be significantly improved by comprehensive cryotherapy, for both common (e.g. breast cancer, lung cancer, hepatocellular cancer and pancreatic cancer) and uncommon (e.g. malignant mesothelioma, malignant thymoma, esophageal, bladder and dermatofibrosarcoma protuberans) cancers. Cryo-immunotherapy can further enlarge the survival time of patients. The wound of cryoablation is tiny, the pain post cryoablation is less. Meanwhile, cryoablation can alleviate abdominal pain in patients with pancreatic cancer and hepatocellular cancer and improve the quality of life. 4.4-1 Xiangshun Kong, China Nanjing, senior administrator, is the chairman of Jiangsu Provincial Cancer Rehabilitation Organization, and president of the Nanjing Cancer Rehabilitation Association. Mr. Kong served in the army in 1976, acted from as the squad leader,to the platoon leader, to the political instructor, to the organization chief, and to the secretary of regiment party committee. He participated in the battle in the Laoshan during the war with Vietnam, where the company won the honorary title of “dagger even company”, and Mr. Kong was honored with second-class prize. In 1993 Mr. Kong transferred from the army to the local government, served from as secretary, to section chief, to deputy director of the district government office, to vice-minister of the party committee of propaganda department, director of civilization office, and researcher. Mr. Kong suffered from parathyroid tumor line In 2000, and unluckily suffered from stomach cancer in 2008. As the president of the Association from 2013, Mr. Kong is fully in compliance with the Articles of Association and leading the members of the Association to rehabilitate scientifically, while focusing on building cancer rehabilitation organization, helping to function normally, to establish self-brand, to develop scientifically. Mr. Kong attaches great importance on the cooperation with universities, research institute and has made great achievements in scientific research. He also focuses on the cooperation with the for-profit companies, with the result of not only promoting the development of enterprises, but also enhancing the vitality of its own cancer rehabilitation organization. The effectiveness of anti-breast cancer groups The collective anticancer civil organization is formed spontaneously by groups of cancer patients. The work style of the collective anticancer civil organization has become a new modality for rehabilitation of the cancer patients. From the perspective of the theory of the third party, the type of the organization is in line with that of the third party with its characteristics of civil, organization, non-profit distribution, autonomy and voluntary. Under the current condition that services provided by the government and the health care system can not meet the needs of rehabilitation of cancer patients, this very type of organization is playing a positive role in society. In this paper, the author, based on the practice of the Nanjing Cancer Rehabilitation Association, profoundly expounds the importance, role and achievements of the cancer rehabilitation organization in anti-cancer and social work. 4.4-2 Jun Luo, China Jun Luo, male, MPH graduated from Nanjing Medical University, senior experimentalist, associate professor of Jiangsu Jiankang Vocational College. Research interests in public health, medical experiments and data analysis. Member of Chinese Peasants and Workers Democratic Party comprehensive health committee of Jiangsu province, Member of China health vocational education examination professional committee, Member of experimental medicine committee of JSAIM, Reviewers of the Chinese Journal of Surgical Oncology. Chief editor, deputy editor of teaching materials, has more than 10 professional papers published and one invention patent. Has hosted research project from Jiangsu Province Health Department, research project of philosophy and social science of colleges and universities in Jiangsu, involved in social science research project in Jiangsu. Social utility analysis of group anticancer social work model report of Jiang Su Province This periodic study report is based on the funding research plan by social science fund project of Jiangsu province, study time is expected from December 2013 to December 2016, professor Ceng Qingqi from Jiangsu Jiankang Vocational College is the chief leader of this study. The database of Nanjing Cancer Rehabilitation Association members was statistically analyzed, inaddition a random sample questionnaire survey was sent to 203 members combined with a personal interview to obtain more information. Study results described gender, age, membership time, age of cancer, type of cancer; statistical analysis was made on the rehabilitation condition, quality of life, psychological state, the condition of economic burden, tumor familial aggregation phenomenon, social support and care system. 4.4-3 Hui Shen, China Hui Shen is an Associate Professor in the Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University and is an executive director of Social Psychology Society in Jiangsu Province. She received her doctor degree in Sociology from Nanjing University in 2005, and in 1998 was awarded her master degree in Psychology from Northwest Normal University. She visited Harvard University from August 2012 to July 2013 as a visiting scholar, and had taken a temporary post of deputy director in social organization management section in civil affairs bureau of Nanjing government from November 2011 to August 2012. Her main research interests are in medical social work and mental health, spirituality and social work, and social Psychology. She hosted several research projects and conducted many social service projects., She has published a book named the identity of middle class in China in 2008 based on her doctoral thesis, and has published more than 30 papers in social work and sociology fields. The application of medical social work for the rehabilitation of cancer patients in China Medical Social work is a sub-discipline of social work, working with patients and their families in need of social, economical or psychosocial help. Case work, group work and community work are three direct intervention methods. Among them, the application of the Integrated Body Mind Spirit (I-BMS) model in group work for the rehabilitation of cancer patients in China has achieved good results. Based on oriental healing thought, the I-BMS group work designed the activities from three dimensions: body, mind and spirit. Using multiple intervention skills like acupoint massage, meditation, painting, role play and games, the healing group led patients through four stages: identification, clarification, integration and transformation. It is suggested that the I-BMS healing group is a worthy program and can have wide application due to its many advantages like quick results, systematic design and is suitable for Chinese people. 5-1 Kevin Stein, USA Wendy Lam, Hong Kong Philippa Decuir, USA Linking across the globe: social media as a communication tool–Perspectives from USA, Asia and Africa Social media is an interactive web-based tool that allows users to create, share, and communicate ideas. Without exception, breast cancer survivors are increasingly using social media to find information, obtain social support, as well as share their stories. Little is known about how social media is used in cancer care. In this presentation, each of the speakers will share the experience of their community (i.e. America, Hong Kong, and Africa) on the use of social networking and social media tools including Facebook, Twitter, Website, as well as online peer support communities for cancer survivors. We will also discuss how to improve and enhance the use of social media in providing cancer support to cancer survivors. 5-2 Ann Steyn, South Africa Ann Steyn is the Immediate Past President of Reach to Recovery International (RRI), a position she held from 2007 -2013. She is a breast cancer survivor, and a Reach to Recovery volunteer. As the National RRI Coordinator for South Africa she became aware of the needs throughout Africa of not only offering emotional and practical support to breast cancer patients; but also breast cancer awareness programmes to help reduce the prevalence of late stage presentation, and the myths and stigma that surround breast cancer. With the help of a grant from Susan G Komen for the Cure she has had the opportunity to address some of these concerns. She is on the Advisory board of the Global Focus on Cancer and a director of People Living With Cancer (PLWC). Ann’s wish is to see supportive care available for all breast cancer patients worldwide, with all women having the right to available, affordable and accessible breast health treatment. Reach to Recovery International then and now This plenary presentation will document the founding of Reach to Recovery in 1953 by the legendary Terese Lasser. It will follow the development of the organization from small beginnings in the United States to the global organization that is today found in over 90 countries. It will discuss how along the way recognition was taken of the changing needs of breast cancer patients , and also the ability of the Reach to Recovery programme to adapt to the varying breast health situations found in the countries of its global family. 5-3 Cathy Brice Hirsch, USA Reach to Recovery International (RRI) Moving Forward This plenary presentation will highlight the many successes that Reach to Recovery International has realized in bringing breast cancer support to the world stage and cementing its place as a global priority. It will identify the problems and challenges still faced by RRI and will map out a plan of action for ensuring provision of effective breast cancer advocacy and support well into the future. The discussion will include an overview of supportive care for breast cancer around the world. 6-1 Cathy Brice Hirsch, USA President’s Address Reach to Recovery International’s President will summarize the highlights of the 18th Reach to Recovery International Breast Cancer Support Conference. She will describe the many successes and achievements of the conference, set goals for the next RRI gathering, and outline a plan for the way forward. POSTER PRESENTATIONS Omer Aftab, Pakistan Mr. Omer Aftab is working as the Development Communications Professional for last 25 years specializing in campaigning, communications management and strategic public relations with many proven success stories. Using different innovative communications techniques, in less than seven years he has been able to break the silence about the issue of breast cancer in a very conservative society. According to the official statistics there has been increase of 30% in the patient inflow at breast clinics since the launch of the campaign in Pakistan He also developed a self-sustaining model for Pink Ribbon Pakistan, and running this non-funded campaign successfully for all these years which is an great achievement for any non-profit in Pakistan He is the First Pakistani professional who has been awarded the Frontline Golden World Award 2005 by International Public Relations Association. Creating awareness to fight breast cancer by eliminating the B word taboo Pakistan is ranked 135th on the Gender Development Index of 174 countries. On the Gender Empowerment Measurement (GEM) scale for 1999; Pakistan is at 100 out of the 102 countries studied. As for women’s health-Pakistan is among the lowest in the world according to the World Bank report. The increasing radicalization of the conservative Pakistani society makes it difficult to talk about breast cancer-the single largest killer of women in Pakistan. Despite this challenge we are working toward a more aware population, as well as one with accessible diagnostic facilities. We are also focusing on policy makers in Pakistan so that breast cancer can become a part of the national health agenda. In Pakistan, the majority of society maintains a very conservative mindset when it comes to certain topics. The “B” word is not open for public or even private discussion. Despite the increasing need for awareness and precautions to be taken against breast cancer, this mindset keeps building up barriers to effective communication. This campaign can be the reason for the fight to survive and survival of many mothers, sisters and daughters affected by breast cancer. We owe our progress to persistence at educating the conservative mindset even during dark and dangerous times. To the extent that we are able to start work on a breast cancer diagnostic clinic in the same society where the “B” word made it impossible to even mention this disease. Laleh Busheri, India Ms. Laleh Busheri is the CEO of Prashanti Cancer Care Mission since 2009. This non-profit NGO in Pune, India works to provide medical care and support to cancer patients and their families. Ms Laleh is actively involved in community outreach programs (annual marathons, survivor picnics, and monthly gettogethers), pink-ribbon support groups, and creating breast cancer awareness (medical conferences, breast cancer symposia and media propaganda). She has been instrumental in establishing Orchids and “Ray of Hope Award” from Asian Breast Cancer Congress in Bangalore 2013. International School of Oncoplastic Surgery: A Prashanti Cancer Care Mission Initiative Oncoplastic Breast Surgery (OBS) achieves Immediate Breast Reconstruction wherein the surgically removed diseased breast is restored in shape and size with implantable breast prosthesis. While OBS reduces body asymmetry, postural problems and mental trauma, it also enhances body image and selfesteem ultimately resulting in better rehabilitation of patients. Unlike the western world, OBS is in its nascent stage in India as there is lack of awareness amongst medical professionals and society per se. Orchids Breast Health Centre and its multidisciplinary team are the leaders for OBS in India with over 100 surgeries performed every year. An “International School of Oncoplastic Surgery” (ISOS) has been established by our Centre in 2013 in collaboration with University of East Anglia, Norwich, UK and senior faculty from Association of Breast Surgeons, UK. The main objectives of ISOS are to educate and train aspiring Oncosurgeons in India and abroad in new techniques and scientific advances in OBS. In addition, ISOS will also act as a patient advocacy group to propagate the benefits of OBS in the general society as well as medical, healthcare and insurance communities. Since its inception, ISOS has organized two Annual “Indo-British Masterclass in OBS” in Pune, India. In these workshops, participants underwent hands-on OBS training during live-surgeries performed by international experts. Interesting case studies were highlighted followed by lively debates and discussions. Recent global trends and scientific advances in Breast Cancer management were discussed in detail. Karima Elshamy, Egypt Developing practical strategies for improving equitable access to breast cancer care and its hidden barriers Numerous barriers to timely and equitable access to quality breast health care exist across the cancer care continuum and negatively impact cancer outcomes. Improving access to care and reducing disparities in outcomes requires identifying, understanding and addressing those barriers. Barriers differ by location and population, but can generally be characterized as: structural, sociocultural, personal and financial. Raising awareness and reducing barriers to cancer care services can improve patient outcomes, provided appropriate diagnostic and treatment facilities are available, accessible and acceptable. This presentation will discuss how to improve equitable access to breast cancer care by reducing barriers to breast health services. Planning Step 1: Where are we now? (Investigate and assess) • Assess access to breast health services for all women • Assess community partnerships • Identify patient barriers and facilitators. Planning Step 2: Where do we want to be? (Set objectives and priorities) • Identify community and health system partnerships • Set achievable objectives • Set priorities and determine feasibility of interventions. Planning Step 3: How do we get there? (Implement and evaluate) • Establish political and financial support• Launch, disseminate and implement • Monitor and evaluate. Karima Elshamy, Egypt Effect of foot reflexology on pain and quality of life of breast cancer patients receiving chemotherapy Complementary therapies are increasingly being used in hospices and hospitals alongside treatments in an attempt to improve patients’ quality of life. The objective of this study was to assess the effect of foot reflexology in improving pain and quality of life of breast cancer patients receiving chemotherapy. A quasi- experimental design was conducted at Oncology Center, Mansoura University Hospitals, Egypt. A total of 45 adult breast cancer patients receiving chemotherapy were randomly divided into two groups: control group, consisted of 22 patients received routine care, intervention group, includes 23 patients received Foot Reflexology sessions for 3 weeks and each session lasted half an hour. EORTIC QLQ-C30.V.3 and EORTIC QLQ-BR23.V.3 questionnaires and Numeric Pain Rating Scale were two tools used before intervention and after and two weeks after end of study. Total score of quality of life was higher in the interventional group compared to control groups. Using foot reflexology in patients suffering from breast cancer decreases pain and improves the quality of life. Recommendations: Using foot reflexology can be an effective method and can be recommended to breast cancer patients. Divyesh Kumar, India Dr Divyesh Kumar is a medical doctor, qualified radiation oncologist and Assistant Professor at the Veer Chandra Singh Garhwali Government Institute of Medical Science & Research (VCSGGMS & RI), located in, Srinagar, India. Pre and post breast cancer and care awareness program analysis and its impact amongst females Breast cancer is the leading cause of invasive cancer in women worldwide. Knowledge of this deadly disease is important for females, especially amongst the females of developing countries so as to make early diagnosis of the disease and reduce its incidence. Awareness programmes are an important component of supportive care. Objective - To assess the knowledge of breast cancer and breast selfexamination (BSE) amongst the female health care providers of the institute and to analyse the impact of breast cancer and BSE awareness study in increasing their knowledge on the topic. Methods - 200 females (50 interns, 50 final year students, 50 nurses and 50 technicians) were evaluated on their knowledge of breast cancer and breast self-examination. A questionnaire related to the topic was completed pre and post awareness lecture. Student’s t test was used for statistical analysis. Results were assessed using SPSS software version 20. Results - 45/50 (90%) interns, 15/50 (30%) final year students, 12/50 (24%) nurses and 5/50 (10%) technicians had adequate knowledge of breast cancer & BSE pre awareness study and this rose to almost 100% amongst all, post awareness study. Results were found to be statistically significant. Conclusion - Knowledge of females can be increased on breast cancer by awareness studies which not only help in making an early diagnosis but will also help in reducing the burden of disease.