1 RESEARCH PROPOSAL 1 Title: The use of Vitamin C for the treatment of Cancer 2 Abstract Cancer is a major health care issue in the global context and various advancements are done in field of health care processes in order to address the same (Mata et al., 2016). The health care is affected by the health’s social determinants that in turn affects the quality of life and also gives rise to various factors that leads to the causation of cancer and other diseases (Lee et al., 2017).A literature review will be used as a data collection method in order to understand vitamin C’s effect on the prevention and treatment of cancer and whether the same is almost applicable or not. A meta-analysis of the chosen articles will be performed to create the themes of which a thematic analysis will follow the interventions involving the application of vitamin C on the management of cancer will be studied (Singer, Karrer & Berneburg, 2019) and various themes will be developed pertaining to Vitamin C’s effect on prevention of cancer and the implications will be revealed. The various underpinnings of the application and use of Vitamin C in pertinence to the sociocultural health factors will be studied and various analysis related to the credibility of the information presented in the researches,willbeanalyzedaswell. 3 Study Aim
2 RESEARCH PROPOSAL Vitamin C has been used in the cancer prevention for many years and the scientific evidences for the anticancer property of the vitamin C was formulated about 40 years ago. However, although many studies pointed to the positive results by incorporating the effect and vitamin C’s action in the treatment context of cancer but this still, there has been a lack of clarity pertaining to the same in the clinical outcome scenario. This study aims to understand Vitamin C’s effect in the treatment of cancer. 4 Background: Cancer has been a great issue, as it has posed many complex physical, mental as well as social and sociocultural plus psychosocial problems in the context of public and individual health as well as to that of health care delivery system, thus causing a lot of problems with the health care service delivery process. Cancer has been considered as one of major complex issues in terms of the vague and often very limited sources, resources and range of management that are used clinically to treat individuals suffering from the same as well. It is to be critically understood, that in a global context, the rates of cancer causation has remained moderately same as the triggering factors are mostly inherent to the body’s system (Bagheri et al., 2018) and the genetic changes that are reported to occur at a cellular level, which is too driven by the mutation and change of the genetics (Bikle et al., 2016). In the global context, the clinical facilities has become advanced with the advent of biomedical technology and science – it is critical to understand that despite the clinical practices becoming more stabilized in terms of health care context and in terms of the cancer treatment aspect, till there are certain level of barriers that are faced by the clinicians with the actual implementation of planned processes in the community care settings (Silva & Bracarense, 2016). Cancer patients are often institutionalized but in the community care practice, where the indigenous people are suffering from the disease of cancer – it is more difficult to tackle to cancer related problems in the indegenous community perspective but again, there are certain predisposing
3 RESEARCH PROPOSAL factors, certain precipitating factors and a range of triggers as well as a spectrum of protective factors that facilitate or prevent the presentation, causation or the prevention of the cancer process (Sarkany, 2017). Thus it is to be critically understood that many researchers has pointed to the Vitamin C’s effect which is otherwise known as ascorbic acid scientifically, as being preventive. Protective factors are the factors, the most vital of all, that provides protection then the development of cancer or rather against the initiation of the cancer process, that is against the conversion of protoncogenes to oncogenes, in the body and that is the Vitamin C’s effect on the prevention of cancer and the application of nutritional changes in the context of community diet of Maori people will be analyzed in this research as well (Mostafavi-Pour et al., 2017). Nutritional and dietary changes are both very critical for the incorporation of vitamin C foods in the normal amount, on a regular day to day diet intake scenario and not only in Maori population but also in the urban population of the country – the same intervention can be used in order to prevent then causation and initiation of cancer in the population. More nutritionists and dieticians are to be recruited in the health care framework of country in order to create and develop the planned changes and side by side, more researches should be carried out in order to understand the application and use of Vitamin C on the protection against cancer. This study focuses to understand the same.
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4 RESEARCH PROPOSAL 5 Research Design, Methodology & Method: A secondary data methodology will be used in order to analyzethe effect of vitamin Cin the treatment of cancer. Data collection A literature search will be undertaken across electronic databases such as Embase, Cinahal, PubMed and the articles will be selected. The literature review will be analyzing the various scholarly researches that have already studied the therapeutic use and application of vitamin C on the prevention of cancer development and the function of vitamin as being a protective factor in prevention of cancer. The biases, if any with studied as well and more importantly, the strength and weaknesses of the study will be elucidated. Inclusion criteria: 1.Only the papers which have conducted a randomized controlled trial to study the effect of Vitamin C on the prevention of cancer. 2.In peer reviewed journals, the articles are published. 3.The articles are not more than 6 years old. 4.The articles are in English language Exclusion criteria: 1.Only the papers which have not conducted a randomized controlled trial to study Vitamin C’s action on the prevention of cancer. 2.In peer reviewed journals, the articles are not published. 3.The articles are more than 6 years old. 4.The articles are not published in English language journals.
5 RESEARCH PROPOSAL Data analysis A meta-analysis of the chosen articles in the review section, will be done and various themes pertaining to the analysis of information with respect to Vitamin C’s action on the prevention of cancer will be done, in a detailed manner.
6 RESEARCH PROPOSAL 6. Significance: Thebenefits of undertaking this research is that it would not only affect how the perspectives of health research is undertaken in terms of cancer prevention and management but it would also provide insight and clarity into the effect and protective action of vitamin C in the prevention of cancer. The same information about theory and practice that would be expanded through the finding of the research – would be then used in a community care scenarioinaculturallycompetentwayaswell. 7 Ethical Considerations: The ethical consideration will be undertaken by the researchers of this study such as it would only analyze the articles that has no research bias or least of it, has showed beneficence, non- maleficence and as well as autonomy and integrity of the subjects. The researches will are analyzed in this study have taken informed consent from their subjects and has also distributed the research resources equally amongst the patients or participants, properly as well. 8 Timeframes:
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7 RESEARCH PROPOSAL 0-23-67-89-1014th Research Activities WeeksWeeksWeeksWeeksWeek selection of Research topic Literature Review Data collection Data analysis Findings and conclusion
8 RESEARCH PROPOSAL References – Bagheri,H.,Rezapour,S.,Najafi,M.,Motevaseli,E.,Shekarchi,B.,Cheki,M.,& Mozdarani, H. (2018). Protection against radiation-induced micronuclei in rat bone marrow erythrocytes by Curcumin and selenium L-methionine.Iranian journal of medical sciences,43(6), 645. Bikle, D. D., Jiang, Y., Nguyen, T., Oda, Y., & Tu, C. L. (2016). Disruption of vitamin D and calciumsignalinginkeratinocytespredisposestoskincancer.Frontiersin physiology,7, 296. Lee, S. M., Md, R. G. Y., Lee, H., Md, I. L., Soon Kim, M., & Chung, W. Y. (2017). Effect of seleniumsupplementationfor protectionofsalivaryglandsfrom iodine‐131 radiation damage in patients with differentiated thyroid cancer.Hell J Nucl Med,20, 62-70. Mata, A. M. O. F. D., Carvalho, R. M. D., Alencar, M. V. O. B. D., Cavalcante, A. A. D. C. M., & Silva, B. B. D. (2016). Ascorbic acid in the prevention and treatment of cancer.Revista da Associação Médica Brasileira,62(7), 680-686. Mostafavi-Pour, Z., Ramezani, F., Keshavarzi, F., & Samadi, N. (2017). The role of quercetin andvitaminCinNrf2-dependentoxidativestressproductioninbreastcancer cells.Oncology letters,13(3), 1965-1973. Sarkany, R. (2017). Sun protection strategies.Medicine,45(7), 444-447. Silva, E. O., & Bracarense, A. P. F. (2016). Phytic acid: from antinutritional to multiple protection factor of organic systems.Journal of food science,81(6), R1357-R1362. Singer, S., Karrer, S., & Berneburg, M. (2019). Modern sun protection.Current opinion in pharmacology,46, 24-28.