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101. NCCN Guidelines Insights: Ovarian Cancer, Version 1.2019

Author

Armstrong, Deborah K., primary, Alvarez, Ronald D., additional, Bakkum-Gamez, Jamie N., additional, Barroilhet, Lisa, additional, Behbakht, Kian, additional, Berchuck, Andrew, additional, Berek, Jonathan S., additional, Chen, Lee-may, additional, Cristea, Mihaela, additional, DeRosa, Marie, additional, ElNaggar, Adam C., additional, Gershenson, David M., additional, Gray, Heidi J., additional, Hakam, Ardeshir, additional, Jain, Angela, additional, Johnston, Carolyn, additional, Leath III, Charles A., additional, Liu, Joyce, additional, Mahdi, Haider, additional, Matei, Daniela, additional, McHale, Michael, additional, McLean, Karen, additional, O’Malley, David M., additional, Penson, Richard T., additional, Percac-Lima, Sanja, additional, Ratner, Elena, additional, Remmenga, Steven W., additional, Sabbatini, Paul, additional, Werner, Theresa L., additional, Zsiros, Emese, additional, Burns, Jennifer L., additional, and Engh, Anita M., additional

Published
2019
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102. Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life

Author

Jack, Susan M., primary, Boyle, Michael, additional, McKee, Christine, additional, Ford-Gilboe, Marilyn, additional, Wathen, C. Nadine, additional, Scribano, Philip, additional, Davidov, Danielle, additional, McNaughton, Diane, additional, O’Brien, Ruth, additional, Johnston, Carolyn, additional, Gasbarro, Mariarosa, additional, Tanaka, Masako, additional, Kimber, Melissa, additional, Coben, Jeffrey, additional, Olds, David L., additional, and MacMillan, Harriet L., additional

Published
2019
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113. Identification and assessment of intimate partner violence in nurse home visitation

Author

Jack, Susan M., Ford-Gilboe, Marilyn, Davidov, Danielle, MacMillan, Harriet L., O'Brien, Ruth, Gasbarro, Mariarosa, Olds, David, Johnston, Carolyn, Coben, Jeffrey, Scribano, Philip, Stevens, Jack, Wathen, Nadine, and McNaughton, Diane

Subjects
Child abuse, Program evaluation, Adult, Postnatal Care, Maternal-Child Health Services, assessment, intimate partner violence, nurse, qualitative study, Poison control, Intimate Partner Violence, Article, Interviews as Topic, 03 medical and health sciences, Young Adult, home visits, 0302 clinical medicine, 5. Gender equality, Nursing, Pregnancy, Surveys and Questionnaires, Nursing Interventions Classification, Medicine, Humans, 030212 general & internal medicine, Nursing Process, General Nursing, Ontario, 030504 nursing, business.industry, Infant, Newborn, Public health nursing, Infant, General Medicine, Puerperal Disorders, Focus Groups, Focus group, House Calls, public health nursing, ComputingMilieux_COMPUTERSANDSOCIETY, Domestic violence, Female, 0305 other medical science, business, Nurse-Patient Relations, Qualitative research, Program Evaluation
Abstract

AIMS AND OBJECTIVES: To develop strategies for the identification and assessment of intimate partner violence in a nurse home visitation program. BACKGROUND: Nurse home visitation programs have been identified as an intervention for preventing child abuse and neglect. Recently, there is an increased focus on the role these programs have in addressing intimate partner violence. Given the unique context of the home environment, strategies for assessments are required that maintain the therapeutic alliance and minimize client attrition. DESIGN: A qualitative case study. METHODS: A total of 4 Nurse-Family Partnership agencies were engaged in this study. PURPOSEful samples of nurses (n=32), pregnant or parenting mothers who had self-disclosed experiences of abuse (n=26), and supervisors (n=5) participated in this study. A total of 10 focus groups were completed with nurses; 42 interviews with clients, and 10 interviews with supervisors. The principles of conventional content analysis guided data analysis. Data were categorized using the practice-problem-needs analysis model for integrating qualitative findings in the development of nursing interventions RESULTS: Multiple opportunities to ask about intimate partner violence are valued. The use of structured screening tools at enrolment does not promote disclosure or in-depth exploration of women's experiences of abuse. Women are more likely to discuss experiences of violence when nurses initiate non-structured discussions focused on parenting, safety or healthy relationships. Nurses require knowledge and skills to initiate indicator-based assessments when exposure to abuse is suspected as well as strategies for responding to client-initiated disclosures. CONCLUSION: A tailored approach to intimate partner violence assessment in home visiting is required. RELEVANCE TO CLINICAL PRACTICE: Multiple opportunities for exploring women's experiences of violence are required. A clinical pathway outlining a three-pronged approach to identification and assessment was developed. This article is protected by copyright. All rights reserved.This article is protected by copyright. All rights reserved. Language: en

Published
2017

114. STAGE 1B2 INVASIVE CERVICAL CANCER DIAGNOSED AT 20 WEEKS GESTATION: NEOADJUVANT CHEMOTHERAPY FOLLOWED BY CAESAREAN RADICAL HYSTERECTOMY AT TERM AND CHEMORADIATION: REPORT OF A CASE

Author

JOHNSTON, CAROLYN

Abstract

Background: The diagnosis and treatment of cervical cancer during pregnancy is a challenge that requires a multi-disciplinary approach. The management depends on the gestational age at diagnosis, the stage of disease, the womanu2019s desire to continue the pregnancy and desire to preserve fertility. Neoadjuvant chemotherapy (NACT) is a treatment option for women diagnosed before 24 weeks gestation who wish to continue the pregnancy. Our objective was to present the first such case in West Africa.Methods: We present a 40-year old G3P2 with stage IB2 poorly differentiated squamous cell carcinoma of the cervix diagnosed at 20-weeksu2019 gestation. She received 3 cycles of NACT with Cisplatin 75mg/m2 and Paclitaxel 135mg/m2 followed by radical caesarean hysterectomy and pelvic lymphadenectomy at 37 weeks and 4 days. We reviewed the relevant literature for similar cases.Outcomes: The tumour size shrank by 50% by the third cycle and bleeding ceased by the start of the second cycle. The baby weighed 2.2kg with good Apgar scores. Histopathology showed resection margins to be free of disease, positive for LVSI, tumour size of 4cm and residual tumour in bilateral pelvic lymph nodes. The patient completed whole pelvic radiation and brachytherapy. Both mother and infant are doing well at 10 months post-treatment and are in surveillance. Conclusions: We demonstrate that NACT followed by caesarean radical hysterectomy is a safe option to delay delivery of the baby in the management of locally invasive cervical cancer first diagnosed in pregnancy. NACT led to cessation of vaginal bleeding and tumour shrinkage.

Published
2017

115. Hospital-level evaluation of the effect of a national quality improvement programme: time-series analysis of registry data.

Author

Stephens, Timothy J., Peden, Carol J., Haines, Ryan, Grocott, Mike P. W., Murray, Dave, Cromwell, David, Johnston, Carolyn, Hare, Sarah, Lourtie, Jose, Drake, Sharon, Martin, Graham P., and Pearse, Rupert M.

Subjects
CARDIAC output, CLINICAL trials, DECISION making, FLUID therapy, HEALTH facility administration, EVALUATION of medical care, MEDICAL protocols, QUALITY assurance, RELIABILITY (Personality trait), STATISTICS, TIME series analysis, PATIENT participation, DATA analysis, HUMAN services programs, DESCRIPTIVE statistics
Abstract

Background and objectives A clinical trial in 93 National Health Service hospitals evaluated a quality improvement programme for emergency abdominal surgery, designed to improve mortality by improving the patient care pathway. Large variation was observed in implementation approaches, and the main trial result showed no mortality reduction. Our objective therefore was to evaluate whether trial participation led to care pathway implementation and to study the relationship between care pathway implementation and use of six recommended implementation strategies. Methods We performed a hospital-level time-series analysis using data from the Enhanced Peri-Operative Care for High-risk patients trial. Care pathway implementation was defined as achievement of >80% median reliability in 10 measured care processes. Mean monthly process performance was plotted on run charts. Process improvement was defined as an observed run chart signal, using probability-based 'shift' and 'runs' rules. A new median performance level was calculated after an observed signal. Results Of 93 participating hospitals, 80 provided sufficient data for analysis, generating 800 process measure charts from 20 305 patient admissions over 27 months. No hospital reliably implemented all 10 processes. Overall, only 279 of the 800 processes were improved (3 (2-5) per hospital) and 14/80 hospitals improved more than six processes. Mortality risk documented (57/80 (71%)), lactate measurement (42/80 (53%)) and cardiac output guided fluid therapy (32/80 (40%)) were most frequently improved. Consultant-led decision making (14/80 (18%)), consultant review before surgery (17/80 (21%)) and time to surgery (14/80 (18%)) were least frequently improved. In hospitals using ≥5 implementation strategies, 9/30 (30%) hospitals improved ≥6 care processes compared with 0/11 hospitals using ≤2 implementation strategies. Conclusion Only a small number of hospitals improved more than half of the measured care processes, more often when at least five of six implementation strategies were used. In a longer term project, this understanding may have allowed us to adapt the intervention to be effective in more hospitals. [ABSTRACT FROM AUTHOR]

Published
2020
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116. Corrigendum to ‘Socioeconomic deprivation and mortality after emergency laparotomy: an observational epidemiological study’ (Br J Anaesth 2020; 124: 73–83)

Author

Anderson, Iain D., Bassett, Mike G., Cromwell, David A., Davies, Emma, Eugene, Natalie, Grocott, Mike P.W., Johnston, Carolyn, Kuryba, Angela, Lockwood, Sonia, Lourtie, Jose, Murray, Dave, Oliver, C.M., Peden, Carol, Salih, Tom, Walker, Kate, Poulton, Thomas E., Moonesinghe, S. Ramani, Raine, Rosalind, and Martin, Peter

Published
2020
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118. Phase II study of cabozantinib (cabo) in patients (pts) with recurrent/metastatic endometrial cancer (EC): A study of the Princess Margaret, Chicago, and California phase II consortia.

Author

Dhani, Neesha C., primary, Hirte, Hal W., additional, Burnier, Julia V., additional, Jain, Angela, additional, Butler, Marcus O., additional, Lheureux, Stephanie, additional, Hurteau, Jean, additional, Welch, Stephen, additional, Matsuo, Koji, additional, Method, Michael, additional, Jimenez, Waldo, additional, Johnston, Carolyn, additional, Stringer, Erica, additional, Cristea, Mihaela C., additional, Mehta, Anjali, additional, Quintos, Judy, additional, Tan, Susie, additional, Wang, Lisa, additional, Wright, John Joseph, additional, and Oza, Amit M., additional

Published
2017
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119. A phase II clinical trial of metformin as a cancer stem cell targeting agent in stage IIc/III/IV ovarian, fallopian tube, and primary peritoneal cancer.

Author

Buckanovich, Ronald J., primary, Brown, Jason, additional, Shank, Jessica, additional, Griffith, Kent A., additional, Reynolds, R. Kevin, additional, Johnston, Carolyn, additional, McLean, Karen, additional, Uppal, Shitanshu, additional, Liu, J. Rebecca, additional, Cabrera, Lourdes, additional, and Mehta, Geeta, additional

Published
2017
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120. Exploratory phase II evaluation of cabozantinib in recurrent/metastatic uterine carcinosarcoma (CS): A study of the Princess Margaret, Chicago, and California phase II consortia.

Author

Mandilaras, Victoria, primary, Dhani, Neesha C., additional, Tan, Qian, additional, Jain, Angela, additional, Johnston, Carolyn, additional, Hirte, Hal W., additional, Tonkin, Katia Sonia, additional, Cristea, Mihaela C., additional, Matsuo, Koji, additional, Butler, Marcus O., additional, Lheureux, Stephanie, additional, Burnier, Julia V., additional, Wang, Lisa, additional, Mehta, Anjali, additional, Wright, John Joseph, additional, and Oza, Amit M., additional

Published
2017
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123. Ovarian Cancer, Version 1.2016, NCCN Clinical Practice Guidelines in Oncology

Author

Morgan, Robert J., primary, Armstrong, Deborah K., additional, Alvarez, Ronald D., additional, Bakkum-Gamez, Jamie N., additional, Behbakht, Kian, additional, Chen, Lee-may, additional, Copeland, Larry, additional, Crispens, Marta Ann, additional, DeRosa, Maria, additional, Dorigo, Oliver, additional, Gershenson, David M., additional, Gray, Heidi J., additional, Hakam, Ardeshir, additional, Havrilesky, Laura J., additional, Johnston, Carolyn, additional, Lele, Shashikant, additional, Martin, Lainie, additional, Matulonis, Ursula A., additional, O'Malley, David M., additional, Penson, Richard T., additional, Percac-Lima, Sanja, additional, Pineda, Mario, additional, Plaxe, Steven C., additional, Powell, Matthew A., additional, Ratner, Elena, additional, Remmenga, Steven W., additional, Rose, Peter G., additional, Sabbatini, Paul, additional, Santoso, Joseph T., additional, Werner, Theresa L., additional, Burns, Jennifer, additional, and Hughes, Miranda, additional

Published
2016
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128. Sister Society Meeting on Global Education Development and Collaboration: Meeting Report

Author

Chuang, Linus T., primary, Randall, Thomas C., additional, Denny, Lynette, additional, Johnston, Carolyn M., additional, Schmeler, Kathleen M., additional, Covens, Allan L., additional, Cibula, David, additional, Bookman, Michael A., additional, Rawal, Sudhir, additional, DePetrillo, Denny, additional, Nam, Joo-Hyun, additional, Goodman, Annekathryn, additional, Naik, Raj, additional, Manchanda, Ranjit, additional, Gaffney, David K., additional, Small, William, additional, Creutzberg, Carien, additional, Rattray, Carole, additional, Kesic, Vesna, additional, Paraja, René, additional, Eiken, Mary, additional, Belleson, Kristin, additional, Coleman, Robert L., additional, Barakat, Richard R., additional, Trimble, Edward L., additional, and Quinn, Michael, additional

Published
2016
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131. Phase II study of cabozantinib in recurrent/metastatic endometrial cancer (EC): A study of the Princess Margaret, Chicago and California Phase II Consortia.

Author

Dhani, Neesha C., primary, Hirte, Hal W., additional, Butler, Marcus O., additional, Lheureux, Stephanie, additional, Burnier, Julie, additional, Wilson, Michelle K., additional, Jain, Angela, additional, Cristea, Mihaela C., additional, Welch, Stephen, additional, Jimenez, Waldo, additional, Matei, Daniela, additional, Tonkin, Katia Sonia, additional, Stringer, Erica, additional, Johnston, Carolyn, additional, Quintos, Judy, additional, Tran, Christine, additional, Karakasis, Katherine, additional, Wang, Lisa, additional, Wright, John Joseph, additional, and Oza, Amit M., additional

Published
2016
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135. Contributors

Author

Ajjawi, Rola, Bates, Joanna, Bearman, Margaret, Beckett, David, Billett, Stephen, Boud, David, Castanelli, Damian J., Chen, Huiju Carrie, Crampton, Paul, Crossley, James GM, Dawson, Phillip, Denniston, Charlotte, Ellaway, Rachel Helen, Gamble, Althea Jane, Gillam, Lynn, Golding, Clinton, Goldszmidt, Mark, Gormley, Gerard J., Gough, Suzanne, Greenhill, Jennene, Hart, Nigel, Holmboe, Eric S., Johnston, Carolyn, Johnston, Jennifer, Jones, Anna, Kent, Fiona, Kilminster, Sue, Klein, Jill, Lingard, Lorelei, Lodge, Jason M., McDougall, Rosalind, McKimm, Judy, McLeod, Samantha, Monrouxe, Lynn Valerie, Morreim, Haavi, Nestel, Debra, Nisbet, Gillian, Noble, Christy, Reedy, Gabriel, Rees, Charlotte Emma, Roberts, Christopher, Sevenhuysen, Samantha Lee, Shaw, Malissa K., Sweet, Linda, Tai, Joanna Hong-Meng, ten Cate, Olle, Trumble, Stephen, van de Ridder, J.M. Monica, Watling, Christopher, Wilkinson, Tim J., and Zukas, Miriam

Published
2018
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139. Harmattan, A Wind of Change : Life and Letters From Northern Nigeria at the End of Empire

Author

Johnston Carolyn and Johnston Carolyn

Subjects
British--Nigeria, Northern--Correspondence
Abstract

The end of empire, a romantic story and the social life and culture of an elite British colony - these are the fascinating themes to emerge from this unique collection of letters and diary entries. It is an inside story of Northern Nigeria's independence and of a clash of cultures. Tim Johnston's family was rich in patrician imperial tradition; his father and two uncles were in the'heaven-born'Indian Civil Service and Tim spent his early years in the Punjab. After his degree at Oxford and the Oxford Colonial Administrative Service course he joined the British Colonial Service in Northern Nigeria. Berrice came from a very different background - a broken home and work in a dress-shop at the age of 14. War service provided a powerful and romantic link: Tim became a war hero and decorated fighter pilot, Berrice joined the ATS and they were married in 1942. Tim returned to Northern Nigeria after the war and was marked as a high flyer. He served a successful apprenticeship as cadet, District Officer and Permanent Secretary to the first Premier of Northern Nigeria, the redoubtable Ahmadu Bello, ultimately becoming Deputy Governor - vital roles in the path to independence. But Berrice could never adjust to the role of'senior wife'in the social life of the colony. Her inner feelings of self-doubt could lead to aloofness, even a'frostiness'. She confessed to Lady Sharwood-Smith, the Governor's wife,'I am not naturally a very social person'. Carolyn Johnston has woven together a series of delightful and revealing letters and diary entries from her parents which show both the social tensions of colonial life and illuminate Northern Nigeria on the brink of independence.'Harmattan, A Wind of Change'is a rich treasure-house for scholars studying the end of empire and for readers who want to know about the personal impact of empire.

Published
2010

140. Contributors

Author

Badr, Adel, Bhagrath, Ravi, Bishop, Sophie, Brooks, Peter, Butcher, Anna, Cashman, Jeremy, Chapman, Miriam V., Cook, Timothy, Deakin, Charles, Dinsmore, Judith, Dolin, Simon, Faulds, Fiona, Fernando, Roshan, Griffiths, Richard, Gupta, Shubhranshu, Hales, Tim G., Hilditch, W. Graeme, Hill, Susan, Jackson, Matthew, Jigajinni, Suyogi V., Johnston, Carolyn, Khan, Mubeen, Klein, Andrew A., Koh, Sock, Magee, Patrick, Maguire, Simon, Martin, Daniel, McAnulty, Gregory, McLeod, Graeme, Montague, James, Murray, David, Mustafa, Ayman, Ng, Lenny, Nightingale, Peter, Pace, Nicholas, Prabhakar, Hemanshu, Presland, Andrew, Kumar, Pavan, Raju, BC, Sharma, Vivek, Smith, Ian, Stewart, Adrienne, Swart, Michael, Telford, Richard J., and Wong, Patrick

Published
2017
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141. Identifying And Responding To Sexual Harassment (Video Content)

Author

Johnston, Carolyn

Subjects
Workers -- Laws, regulations and rules, Sexual harassment -- Laws, regulations and rules, Business enterprises -- Laws, regulations and rules, Government regulation, Business, international
Abstract

Carolyn Johnston discusses identifying and responding to sexual harassment including what sexual and gender-based harassment is, how sexual harassment can be difficult to identify and respond to, the common mistakes [...]

Published
2015

142. New Job Protected Leaves (Video Content)

Author

Johnston, Carolyn

Subjects
Child care -- Laws, regulations and rules, Family leave -- Laws, regulations and rules, Government regulation, Business, international, Ontario. Employment Standards Act
Abstract

Carolyn Johnston discusses new job protected leaves including family caregiver leave, critically ill child care leave and crime-related child death or disappearance leave as part of the Torkin Manes LegalPoint [...]

Published
2015

143. Identification and assessment of intimate partner violence in nurse home visitation.

Author

Jack, Susan M, Ford‐Gilboe, Marilyn, Davidov, Danielle, MacMillan, Harriet L, O'Brien, Ruth, Gasbarro, Mariarosa, Olds, David, Johnston, Carolyn, Coben, Jeffrey, Scribano, Philip, Stevens, Jack, Wathen, Nadine, and McNaughton, Diane

Subjects
COMMUNITY health nursing, CONTENT analysis, FOCUS groups, HOME care services, INTERVIEWING, CASE studies, MEDICAL personnel, MOTHERS, NURSING assessment, PARENTING, PROFESSIONAL employee training, QUESTIONNAIRES, RESEARCH, RESEARCH evaluation, SELF-disclosure, QUALITATIVE research, JUDGMENT sampling, INTIMATE partner violence, PATIENTS' families
Abstract

Aims and objectives To develop strategies for the identification and assessment of intimate partner violence in a nurse home visitation programme. Background Nurse home visitation programmes have been identified as an intervention for preventing child abuse and neglect. Recently, there is an increased focus on the role these programmes have in addressing intimate partner violence. Given the unique context of the home environment, strategies for assessments are required that maintain the therapeutic alliance and minimise client attrition. Design A qualitative case study. Methods A total of four Nurse-Family Partnership agencies were engaged in this study. Purposeful samples of nurses ( n = 32), pregnant or parenting mothers who had self-disclosed experiences of abuse ( n = 26) and supervisors ( n = 5) participated in this study. A total of 10 focus groups were completed with nurses: 42 interviews with clients and 10 interviews with supervisors. The principles of conventional content analysis guided data analysis. Data were categorised using the practice-problem-needs analysis model for integrating qualitative findings in the development of nursing interventions. Results Multiple opportunities to ask about intimate partner violence are valued. The use of structured screening tools at enrolment does not promote disclosure or in-depth exploration of women's experiences of abuse. Women are more likely to discuss experiences of violence when nurses initiate nonstructured discussions focused on parenting, safety or healthy relationships. Nurses require knowledge and skills to initiate indicator-based assessments when exposure to abuse is suspected as well as strategies for responding to client-initiated disclosures. Conclusion A tailored approach to intimate partner violence assessment in home visiting is required. Relevance to clinical practice Multiple opportunities for exploring women's experiences of violence are required. A clinical pathway outlining a three-pronged approach to identification and assessment was developed. [ABSTRACT FROM AUTHOR]

Published
2017
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145. Pain Assessment in INTensive care (PAINT): an observational study of physician-documented pain assessment in 45 intensive care units in the United Kingdom.

Author

Kemp, H. I., Bantel, C., Gordon, F., Brett, S. J., Laycock, H. C., Bampoe, Sohail, Bantel, Carsten, Gooneratne, Mevan, Highton, David, Hopkins, Phil, Johnston, Carolyn, Odor, Peter, Kemp, Harriet, Laycock, Helen, Martin, Daniel, O'Carroll, James, Phillips, Sioned, Visram, Anil, Siddique, Omar, and Burdett, Edward

Subjects
PAIN, CRITICAL care medicine, ANALGESIA, TRACHEOTOMY, PHYSICIANS, NURSES
Abstract

Pain is a common and distressing symptom experienced by intensive care patients. Assessing pain in this environment is challenging, and published guidelines have been inconsistently implemented. The Pain Assessment in INTensive care (PAINT) study aimed to evaluate the frequency and type of physician pain assessments with respect to published guidelines. This observational service evaluation considered all pain and analgesia-related entries in patients' records over a 24-h period, in 45 adult intensive care units (ICUs) in London and the South-East of England. Data were collected from 750 patients, reflecting the practice of 362 physicians. Nearly two-thirds of patients (n = 475, 64.5%, 95%CI 60.9-67.8%) received no physician-documented pain assessment during the 24-h study period. Just under one-third (n = 215, 28.6%, 95%CI 25.5-32.0%) received no nursing-documented pain assessment, and over one-fifth (n = 159, 21.2%, 95%CI 19.2-23.4)% received neither a doctor nor a nursing pain assessment. Two of the 45 ICUs used validated behavioural pain assessment tools. The likelihood of receiving a physician pain assessment was affected by the following factors: the number of nursing assessments performed; whether the patient was admitted as a surgical patient; the presence of tracheal tube or tracheostomy; and the length of stay in ICU. Physician-documented pain assessments in the majority of participating ICUs were infrequent and did not utilise recommended behavioural pain assessment tools. Further research to identify factors influencing physician pain assessment behaviour in ICU, such as human factors or cultural attitudes, is urgently needed. [ABSTRACT FROM AUTHOR]

Published
2017
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146. Human Rights And Accommodation

Author

Johnston, Carolyn

Subjects
Endorsements (Law) -- Analysis, Human rights -- Analysis, Business, international
Abstract

Carolyn Johnston discusses human rights and accommodation including what a request for accommodation is, what common mistakes businesses make in the accommodation process, what are the consequences and what to [...]

Published
2014

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