81 results on '"John Bryson"'
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2. Offshore: exploring the worlds of global outsourcing
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John Bryson
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Economics and Econometrics ,Geography, Planning and Development - Published
- 2022
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3. Constructions and related matters relevant to environmental health
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Stephen Battersby and John Bryson
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Political science ,Environmental ethics - Published
- 2022
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4. A Research Agenda for Manufacturing Industries in the Global Economy
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John Bryson
- Published
- 2022
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- View/download PDF
5. Patient-Reported Functional Status in Outpatients With Advanced Cancer: Correlation With Physician-Reported Scores and Survival
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Breffni Hannon, Thana Harhara, Gordana Popovic, Nadia Swami, Ahmed Al-Awamer, Camilla Zimmermann, Jenny Lau, Subrata Banerjee, Lisa W. Le, John Bryson, Ashley Pope, and Ernie Mak
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Adult ,Male ,medicine.medical_specialty ,Palliative care ,Context (language use) ,Correlation ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Cohen's kappa ,Neoplasms ,Physicians ,Internal medicine ,Outpatients ,Linear regression ,Humans ,Medicine ,Patient Reported Outcome Measures ,030212 general & internal medicine ,neoplasms ,General Nursing ,Aged ,Aged, 80 and over ,Performance status ,business.industry ,Palliative Care ,Middle Aged ,Prognosis ,Survival Analysis ,Anesthesiology and Pain Medicine ,030220 oncology & carcinogenesis ,Female ,Functional status ,Neurology (clinical) ,business ,Kappa - Abstract
Performance status measures are increasingly completed by patients in outpatient cancer settings, but are not well validated for this use.We assessed performance of a patient-reported functional status measure (PRFS, based on the Eastern Cooperative Oncology Group [ECOG]), compared with the physician-completed ECOG, in terms of agreement in ratings and prediction of survival.Patients and physicians independently completed five-point PRFS (lay version of ECOG) and ECOG measures on first consultation at an oncology palliative care clinic. We assessed agreement between PRFS and ECOG using weighted Kappa statistics, and used linear regression to determine factors associated with the difference between PRFS and ECOG ratings. We used the Kaplan-Meier method to estimate the patients' median survival, categorized by PRFS and ECOG, and assessed predictive accuracy of these measures using the C-statistic.For the 949 patients, there was moderate agreement between PRFS and ECOG (weighted Kappa 0.32; 95% CI: 0.28-0.36). On average, patients' ratings of performance status were worse by 0.31 points (95% CI: 0.25-0.37, P 0.0001); this tendency was greater for younger patients (P = 0.002) and those with worse symptoms (P 0.0001). Both PRFS and ECOG scores correlated well with overall survival; the C-statistic was higher for the average of PRFS and ECOG scores (0.619) than when reported individually (0.596 and 0.604, respectively).Patients tend to rate their performance status worse than physicians, particularly if they are younger or have greater symptom burden. Prognostic ability of performance status could be improved by using the average of patients and physician scores.
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- 2018
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6. Modified Edmonton Symptom Assessment System Including Constipation and Sleep: Validation in Outpatients With Cancer
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Christopher Lo, Ernie Mak, Lisa W. Le, Camilla Zimmermann, John Bryson, Julia Ridley, Subrata Banerjee, Martin Dyck, Gary Rodin, Breffni Hannon, Nadia Swami, and Ashley Pope
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Adult ,Male ,Sleep Wake Disorders ,medicine.medical_specialty ,Palliative care ,Constipation ,Psychometrics ,Intraclass correlation ,Population ,Context (language use) ,Sensitivity and Specificity ,Severity of Illness Index ,Cronbach's alpha ,Rating scale ,Neoplasms ,hemic and lymphatic diseases ,Ambulatory Care ,medicine ,Humans ,education ,General Nursing ,Aged ,Aged, 80 and over ,Sleep disorder ,education.field_of_study ,business.industry ,Palliative Care ,Reproducibility of Results ,Middle Aged ,medicine.disease ,Anesthesiology and Pain Medicine ,Physical therapy ,Female ,Neurology (clinical) ,Symptom Assessment ,medicine.symptom ,business - Abstract
The Edmonton Symptom Assessment System (ESAS) measures the severity of nine symptoms. Constipation and sleep disturbance are common in patients with cancer, but are not currently included in the ESAS.To validate the numerical rating scale (NRS) versions of ESAS and its revised version (ESAS-r), with the additional symptoms of constipation and sleep (CS), and to assess patient preference for either version.Outpatients with advanced cancer (N = 202) completed three assessments during a single clinic visit: ESAS-CS, and an added time window of "past 24 hours"; ESAS-r-CS, with a time window of "now" and symptom definitions; and the Memorial Symptom Assessment Scale (MSAS). Internal consistency was calculated using Cronbach's alpha. Paired t-tests compared ESAS-CS and ESAS-r-CS scores; these were correlated with MSAS using Spearman correlation coefficients. Test-retest reliability at 24 hours was assessed in 26 patients.ESAS-CS and ESAS-r-CS total scores correlated well with total MSAS (Spearman's rho 0.62 and 0.64, respectively). Correlation of individual symptoms with MSAS symptoms ranged from 0.54-0.80 for ESAS-CS and 0.52-0.74 for ESAS-r-CS. Although participants preferred the ESAS-r-CS format (42.8% vs. 18.6%) because of greater clarity and understandability, the "past 24 hours" time window (52.8%) was favored over "now" (21.3%). Shortness of breath and nausea correlated better for the "past 24 hours" time window (0.8 and 0.72 vs. 0.74 and 0.64 in ESAS-r-CS, respectively). The 24-hour test-retest of the ESAS-CS demonstrated acceptable reliability (intraclass correlation coefficient = 0.69).The ESAS-CS and ESAS-r-CS NRS versions are valid and reliable for measuring symptoms in this population of outpatients with advanced cancer. Although the ESAS-r-CS was preferred, patients favored the 24-hour time window of the ESAS-CS, which also may best characterize fluctuating symptoms.
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- 2015
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7. Factors associated with discharge disposition on an acute palliative care unit
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Gary Rodin, Camilla Zimmermann, David Hausner, Ashley Pope, Jenny Lau, Breffni Hannon, John Bryson, Lisa W. Le, and Nanor Kevork
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Adult ,Male ,Patient Transfer ,medicine.medical_specialty ,Palliative care ,Critical Care ,Symptom assessment ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Internal medicine ,Neoplasms ,Symptom Cluster ,Terminal care ,Medicine ,Humans ,030212 general & internal medicine ,Returned home ,Aged ,Retrospective Studies ,Aged, 80 and over ,Terminal Care ,business.industry ,Palliative Care ,Discharge disposition ,Cancer ,Middle Aged ,medicine.disease ,Prognosis ,Patient Discharge ,3. Good health ,Hospitalization ,Hospice Care ,Oncology ,030220 oncology & carcinogenesis ,Delirium ,Female ,medicine.symptom ,business ,Hospital Units - Abstract
Acute palliative care units (APCUs) admit patients with cancer for symptom control, transition to community palliative care units or hospice (CPCU/H), or end-of-life care. Prognostication early in the course of admission is crucial for decision-making. We retrospectively evaluated factors associated with patients’ discharge disposition on an APCU in a cancer center. We evaluated demographic, administrative, and clinical data for all patients admitted to the APCU in 2015. Clinical data included cancer diagnosis, delirium screening, and Edmonton Symptom Assessment System (ESAS) symptoms. An ESAS sub-score composed of fatigue, drowsiness, shortness of breath, and appetite (FDSA) was also investigated. Factors associated with patients’ discharge disposition (home, CPCU/H, died on APCU) were identified using three-level multinomial logistic regression. Among 280 patients, the median age was 65.5 and median length of stay was 10 days; 155 (55.4%) were admitted for symptom control, 65 (23.2%) for transition to CPCU/H, and 60 (21.4%) for terminal care. Discharge dispositions were as follows: 156 (55.7%) died, 63 (22.5%) returned home, and 61 (21.8%) were transferred to CPCU/H. On multivariable analysis, patients who died were less likely to be older (OR 0.97, p = 0.01), or to be admitted for symptom control (OR 0.06, p
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- 2018
8. A Team-Based Approach to Graduate Education
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Jim Perry, Sharon Anderson, Pam Davis, and John Bryson
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- 2017
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9. Evil Angels : The Case of Lindy Chamberlain
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John Bryson and John Bryson
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- Criminals, Infanticide--Australia--Northern Territory, Trials (Infanticide)--Australia--Darwin (N.T.), Electronic books
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The basis for the Meryl Streep film A Cry in the Dark: The dramatic true story of a mother's worst nightmare and the murder trial that shocked Australia. On a camping trip at Ayer's Rock, the Chamberlain family's infant daughter disappeared in the middle of the night. Her distraught mother, Lindy, claimed she saw a dingo carry her off into the Australian outback. Two years later, their tragedy worsened when, without a murder weapon, a body, or even a motive, a jury convicted Lindy Chamberlain of killing her own daughter. The public cheered. John Bryson, a trial lawyer and award-winning journalist, deconstructs the factors that led to a seemingly reasonless incarceration and the public attitude that demanded it. With this book, he began to sway popular opinion in the Chamberlains'favor by discussing the failures on the part of the police, forensics team, and press. Winner of the CWA Gold Dagger and the inspiration for the film A Cry in the Dark starring Meryl Streep, Evil Angels presents an impartial analysis of the most notorious miscarriage of justice in Australian history. It serves as a reminder of the dangers of blindly searching for a conviction, the importance of scientific accuracy, the volatility of the media, and the ease with which a nation can fall prey to bigoted thinking. Written with literary finesse, this is one of the twentieth century's most important—and thoughtful—works of true crime.
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- 2016
10. Erosion from Above, Erosion from Below: Labour, Value Chain Relegation and Manufacturing Sustainability
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John Bryson
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Natural resource economics ,Sustainability ,Value (economics) ,Economics ,Erosion ,Chain (unit) - Published
- 2016
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11. Scenario Archetypes: Converging Rather than Diverging Themes
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Hunt, D V L, Caputo, S, Lombardi, D R, Barber, A R G, Boyko, C T, Cooper, R F D, Gaterell, M R, Sadler, J P, Hewitt, C N, MacKenzie, A R, Memon, F A, Whyatt, J D, Rogers, C D F, Atkinson, S, Barnes, M, Brown, J, Bryson, J, Butler, D, Caserio, M, Coles, R, Farmani, R, Hale, J, Hales, C, Jankovic, L, Jefferson, I, Leach, J, Stuart Atkinson, Matthew Barnes, Julie Brown, John Bryson, David Butler, Silvio Caputo, Maria Caserio, Richard Coles, Raziyeh Farmani, James Hale, Chantal Hales, Lubo Jankovic, I. Jefferson, J. Leach, and Carina Weingaertner
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future scenarios ,Geography, Planning and Development ,lcsh:TJ807-830 ,sustainability ,scenario archetypes ,lcsh:Renewable energy sources ,Stakeholder engagement ,Management, Monitoring, Policy and Law ,Politics ,jel:Q ,Economics ,Narrative ,Set (psychology) ,Archetype ,lcsh:Environmental sciences ,Structure (mathematical logic) ,lcsh:GE1-350 ,Renewable Energy, Sustainability and the Environment ,Management science ,lcsh:Environmental effects of industries and plants ,jel:Q0 ,jel:Q2 ,jel:Q3 ,jel:Q5 ,lcsh:TD194-195 ,jel:O13 ,Sustainability ,Economic system ,jel:Q56 ,Futures contract - Abstract
Future scenarios provide challenging, plausible and relevant stories about how the future could unfold. Urban Futures (UF) research has identified a substantial set (>450) of seemingly disparate scenarios published over the period 1997–2011 and within this research, a sub-set of >160 scenarios has been identified (and categorized) based on their narratives according to the structure first proposed by the Global Scenario Group (GSG) in 1997; three world types (Business as Usual, Barbarization, and Great Transitions) and six scenarios, two for each world type (Policy Reform—PR, Market Forces—MF, Breakdown—B, Fortress World—FW, Eco-Communalism—EC and New Sustainability Paradigm—NSP). It is suggested that four of these scenario archetypes (MF, PR, NSP and FW) are sufficiently distinct to facilitate active stakeholder engagement in futures thinking. Moreover they are accompanied by a well-established, internally consistent set of narratives that provide a deeper understanding of the key fundamental drivers (e.g., STEEP—Social, Technological, Economic, Environmental and Political) that could bring about realistic world changes through a push or a pull effect. This is testament to the original concept of the GSG scenarios and their development and refinement over a 16 year period.
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- 2012
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12. Administrative Outcomes Five Years after Opening an Acute Palliative Care Unit at a Comprehensive Cancer Center
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Gary Coe, Nadia Swami, Dori Seccareccia, Camilla Zimmermann, John Bryson, Patricia Murphy-Kane, Lisa W. Le, and Gary Rodin
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Male ,medicine.medical_specialty ,Palliative care ,MEDLINE ,Cancer Care Facilities ,Health administration ,Unit (housing) ,Hospital Administration ,Neoplasms ,Outcome Assessment, Health Care ,medicine ,Humans ,Health Services Administration ,General Nursing ,Retrospective Studies ,Ontario ,business.industry ,Mortality rate ,Palliative Care ,Retrospective cohort study ,General Medicine ,Middle Aged ,Trend analysis ,Anesthesiology and Pain Medicine ,Emergency medicine ,Female ,Comprehensive Health Care ,business ,Hospital Units - Abstract
We examined administrative outcomes after opening an oncology acute palliative care unit (APCU), to determine attainment of administrative targets related to the unit's function of acute palliation.We retrospectively reviewed the administrative database for our APCU for the 5 years following its opening in 2003. Data were abstracted on demographic information, as well as source of admission, primary reason for admission, discharge destination, inpatient death rate, and length of stay. Linear regression and the Cochran-Armitage trend test were used for analysis. In keeping with targets set at the unit's opening, our primary hypotheses were that outpatient admissions, admissions for symptom control, and discharges home would increase over the study period; secondary hypotheses were that length of stay and inpatient death rate would decrease.There were 1748 admissions during the study period: the median age was 64, 54% were women, and the most common cancer sites were gastrointestinal (24%), lung (20%), and gynecologic (13%). There were significant changes for all primary endpoints: outpatient admissions increased from 47% to 70% (p0.0001), admissions for symptom control increased from 42% to 75% (p0.0001), and discharges home increased from 18% to 39% (p0.0001). The secondary end points of death rate and length of stay decreased from 65% to 40% (p0.0001) and 12 to 11 days (p = 0.54), respectively.Setting and adhering to administrative targets for an APCU is possible with appropriate admission criteria, adequate community resources, and education of patients, families and health professionals regarding the model of care.
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- 2010
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13. Predictors of Symptom Severity and Response in Patients With Metastatic Cancer
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Kristina Wakimoto, Camilla Zimmermann, Debika Burman, John Bryson, Matthew Follwell, Gary Rodin, Lisa W. Le, and Dori Seccareccia
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Male ,medicine.medical_specialty ,Multivariate analysis ,Palliative care ,Psychological intervention ,Anxiety ,Severity of Illness Index ,Statistics, Nonparametric ,Predictive Value of Tests ,Internal medicine ,Ambulatory Care ,Humans ,Medicine ,In patient ,Neoplasm Metastasis ,Fatigue ,Ontario ,Analysis of Variance ,Performance status ,business.industry ,Palliative Care ,Symptom severity ,Cancer ,General Medicine ,Middle Aged ,medicine.disease ,Anorexia ,Treatment Outcome ,Patient Satisfaction ,Multivariate Analysis ,Physical therapy ,Female ,medicine.symptom ,business ,Stress, Psychological ,Follow-Up Studies - Abstract
We examined determinants of symptom severity and response to treatment among 150 patients with cancer participating in a phase II trial of a palliative care team intervention. Patients completed a modified Edmonton Symptom Assessment Scale (ESAS) at baseline and 1 week. Women had a worse baseline ESAS Distress Score (EDS; P = .003) and Total Distress Score (TDS; P = .005); differences were particularly marked for anxiety and appetite. Performance status was inversely associated with EDS, TDS, well-being, appetite, and fatigue (Kruskal-Wallis, all P < .005). Multivariate analysis of covariance (ANCOVA) showed that symptom improvement was independently predicted by worse baseline EDS score and female gender. Performance status, gender, and baseline symptom severity should be accounted for in trials of palliative care interventions; inclusion criteria based on symptom severity should also be considered.
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- 2009
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14. In Rage, Rebellion
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John Bryson and John Bryson
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In Rage, Rebellion - A volume comprising three feature pieces: 1. Backstage at the RevolutionWhile the African National Congress was a banned organization in South Africa, and the white minority ruled with gunfire, the ANC theatre troupe Amandla toured the world. Amandla is Power. Every performer is a trained soldier and musician, dancer. Here is their tour of Australia.Beginning in darkness, the Overture is unlike any music theatergoers have heard before. 2. Red Ragger.Profile of John Halfpenny, union leader, disgruntled communist, the quarry of every conservative newspaper. Here, he addresses a strike meeting of metalworkers. 3. The Elemental Physick of Wrath.Itself comprised of three pieces on the ignition of anger. Here are encounters with a snake, with mindless violence in an asylum, and with a whale in the Pacific.
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- 2014
15. The Personality of War
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John Bryson and John Bryson
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The Personality of War - A volume comprising five pieces. Dresden.Now an old man, a onetime Air Force flyer recalls his time in the night sky during the bombing of Dresden.For the incineration of a hundred and forty thousand souls, if things went right, for the destruction of a graceful city, of its old walls and obedient gardens, they flew east. He was the navigator. Rehearsals for the Death of Taipei.One day every year Taiwan practiced its defenses against its possible invasion by China, or for its own invasion of China. Here is the moment in Taipei. Battle Songs.Music is as much the sound track to certain grainy recollections as it is to silent movies. Here are the popular songs of WW2 and the warfare they recall. This Perilous Winter in St Moritz.Holidaying at St Moritz as he had since childhood, German industrialist Herr Genscher rides the cable car to the mountain top to meet his son, and recalls his vacation here on leave from World War Two, as did resting British officers, sharing the ski runs. The End of All Wars.Four stories, moments which ended World War Two, moments for a small band of German women who formed a chamber orchestra in a cellar in East Berlin, moments for a fighter pilot in New Guinea who disobeyed the cease-fire, for another pilot who was exercising in clouds over the Arafura Sea when told the war is over, and the end of the War in Vietnam for a soldier so damaged by warfare he brings cruelty home with him as if it were a trophy.
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- 2014
16. Islanders, Far South
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John Bryson and John Bryson
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Islanders, Far South - Three feature pieces and one column piece in one volume, events in the lives of southern fishing communities in Tasmania. 1.Pride of the Crayfish Fleet.Life in the Bass Strait Islands, out of the Port of Lady Barron. THE CRAYFISH I HOLD in my hand is forty years old. By whatever system of temporal measurement crayfish use, it is a very old man. In a few weeks its tail will be sliced into the white discs restaurateurs like to call medallions, and moistened with sauces. By then it will be in America. 2.The Oldest Abalone Diver in the Business.The Oldest Abalone Diver in the Business is the man who began the abalone fishery in Australia. To better understand the pattern of natural distribution, he swam from south of Adelaide city to the Wilson's Promontory, a journey of a thousand kilometers. The weather under the sea changes every few hours. Ebb tide here brings a warm current, hazy with microscopic debris of the shallows, and as fitful as a hot and dusty wind. 3. Digging Holes in the Sea.Working throughout the night at sea, fugitive from un-named troubles in Ireland, Dublin Danny joins the crew, showing skills as a seaman, heavy smoker and chef. Two of us stand on the rear deck, resting against the wheelhouse, poses much like nonchalance, but we're leaning there because the steel plates are warm from the heating inside. 1. Tasmania, a Lovesong.Families, communities and voyages, beginning in Hobart Town. SNOW ON THE MOUNTAIN above, and awash with the tides are Waterman's steps, where a pretty Gaff Trader lies forever in state, on show to the modern world, built one hundred and ten years back, so plying these Hobart wharves in 1912, in commission loading lumber, when a Norwegian anchored alongside, this the Fram, an adventurer, leaky and gouged from the ices South, lying back on her chain while a longboat ferried quiet Amundsen for the Dockside, he loosing his greatcoat for the walk to the telegraph, composing the words to be sent to his King.
- Published
- 2014
17. To the Death, Amic
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John Bryson and John Bryson
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A novel written true to the histories, and true to the memories of Enric Torres i Barbo, whose life and philosophies this novel takes for its guide. Twin boys Enric and Josep, at ten years of age, served as spies and couriers in the Resistance by the Republican Spanish against the invasion of Fascist forces in Spain, then from Italy and Germany during the Civil War. In Catalonia the war begins in Barcelona. THE MAZE of alleys and passageways of the old city as we passed through were not at all quiet. The closer we came to the Ronda Universitat the more gunfire we could hear. Not only from the direction of the Placa de Catalunya, it bounced from a building behind us, which made us crouch and whirl, and then from laneways where there was no one, as if the sound of war could stalk the town of its own accord. The twins will go on, for the Resistance, to gather intelligence, to running propaganda leaflets and contraband across the French border, to guiding fugitives over the Pyrenees. Of this time in his childhood Enric has said,'It was so cold up there, I tell you, I pee icicles.'
- Published
- 2014
18. A Long Weekend In Belfast
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John Bryson and John Bryson
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A novella sized piece covering the Ulster troubles, called the Stormont Riots, the street battles and intrigues of Ulster Protestants and IRA.'John Bryson has the skills of literary journalism, and abundant luck'a Penguin Books copywriter wrote for a back cover, and this was the case in 1986 in Belfast, where I was to launch a book, and stayed on to cover the sectarian war of that year, the worst for many years.'A man was crucified in a Belfast park last night...'
- Published
- 2014
19. Three Revolutions : In the Equatorial Americas
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John Bryson and John Bryson
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Three Revolutions in the Equatorial Americas. A volume of three feature pieces treating revolutions in each of Panama, Nicaragua and the building of tensions in Haiti. 1. In Panama, a Pantomime.Billed as support for a rebellion against General Noriega, the US invaded Panama for Christmas 1989. A year later Western expatriates in their clubs and enclaves were still divided. GENERAL NORIEGA'S portrait stood on the hotel bar, his cap crusted with laurels, stars the length of his epaulets, his cheeks pocked and grainy. The camera had caught him reviewing a parade. 2. The Play of Children.In Port o Prince, Haiti, waiting for the elections, tension builds, as does the heat. Here, we sit in a restaurant, speaking of Haitian artistries, during a power failure. We were all eyes, in this dusk. Mme Du Paix said,'The Voodoo has taken over the Naive in our culture. No artistry speaks without voodoo.'3. The Fall of Old Managua.The Nicaraguan revolution split families, none more than the Reyes, in which two brothers each became prominent leaders of opposing factions. In the first free elections in a decade, during the period in which President Reagan was still denying collaboration with the Contras, the US backed faction lead by Violetta Chamorro took government.
- Published
- 2014
20. Hasta la Muerte, Amigo
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John Bryson and John Bryson
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(Spanish edition)A novel written true to the histories, and true to the memories of Enric Torres i Barbo, whose life and philosophies this novel takes for its guide. Twin boys Enric and Josep, at ten years of age, served as spies and couriers in the Resistance by the Republican Spanish against the invasion of Fascist forces in Spain, then from Italy and Germany during the Civil War. In Catalonia the war begins in Barcelona. THE MAZE of alleys and passageways of the old city as we passed through were not at all quiet. The closer we came to the Ronda Universitat the more gunfire we could hear. Not only from the direction of the Placa de Catalunya, it bounced from a building behind us, which made us crouch and whirl, and then from laneways where there was no one, as if the sound of war could stalk the town of its own accord. The twins will go on, for the Resistance, to gather intelligence, to running propaganda leaflets and contraband across the French border, to guiding fugitives over the Pyrenees. Of this time in his childhood Enric has said,'It was so cold up there, I tell you, I pee icicles.'
- Published
- 2014
21. Brilliant Artists in Trio
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John Bryson and John Bryson
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Brilliant Artists in Trio A volume of three feature pieces. 1. Janet Baker, the Wind in Her Hair.Opera's Dame Janet, now retired from the stage to song performance, takes to sea on a yacht, the better to understand the rhythms of Elgar's Sea Pictures, of which she is already the world's authority. She was playing with the sound of the waves from the bow, it seemed to me,'Never before under sail', she said. It was very close to song. 2. St Brigid and the Wizard.Paula Dawson is an artist who works with holograms. Most famous of her works is a virtual re-creation of her 1989 New Year's Eve party room the following morning, in which the debris recalls the actions in time past.Here, she builds a hologram of the Holy Spirit, for the worshippers in St Brigid's Church, working throughout the night on a tremor-insulated stage near Adelaide. 3. Max Gillies, the Character Onstage.Watches one of the finest character actors in the world, perform political satire to live audiences. Gillies'own face is not as well known as those he has played behind, and whenever bailed up by some passing admirer he is deeply pleased, but his eyes cloud as if with a passing fear that he may be asked to prove himself now with a short performance as Ronald Regan or the Queen of England, right here on the footpath.
- Published
- 2014
22. Stories of Laughter and Lament
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John Bryson and John Bryson
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Stories of Laughter and Lament, set among the filthy rich and the dirt poor, seven stories first selected and published by Penguin Books. WidowsCharles Rand fell off his yacht, somewhere in the middle of the bay, on one of the first pale blue evenings of autumn. Later, the Coroner would be unable to fix that time more precisely than between six and ten o'clock. Newspapers, reporting that he had sailed off without crew, used terms which pictured Charles as a hardy loner. Anyone who knew him smiled at this. So begins Widows, with the loss of the wealthy husband whom Dorothy Laird had caught, by playing her cards faultlessly, for marriage to the beautiful Elizabeth, her one child. Elizabeth is Dorothy's straight flush. This is the world of the Lairds. Children Aren't Supposed to be Here at AllTroilus and Cassandra spend their days at a private school, are then alone until their parents come home from the office. The best view in Sydney, panorama wall to wall, ten thousand dollars a foot. All that view, Troilus said, locks us in. This is the world of Troilus and Cassandra. Troilus begins to spend more time alone in his room. Troilus has secreted an illegal kitten. The RoutineAn airplane journey, in reverie the narrator reprises scenes from the recent breaking up with his lover. His defence is hard-bitten cynicism. His neighbour in the next seat is spectacularly disabled. He had a strangely taut face, of indeterminate age. Either thirty-five or very old, pallid cleft chin and lumpy nose. Describe it with artistic integrity:Bent as a 1930 Labour politician'sShapeless as a football after a wet gameHit by a Bondi taxi, the trams were on strikeHe is the other guy.There. But his shapeless neighbour displays a quiet brilliance with jokes, and likes to play the comedian, as a gift to his companion. Each is uniquely disabled, so a strong current of love begins between them. This is the world of the tragic human comedy. PedigreesThis is a world of croquet on the lawn, the breeding of horses for dressage, of dogs for the shows, and very little sanity. It does not seem to be fear of falling which has made her unable, by herself, to move, although she is clinging to the bole of a white gum which overhangs the cliff. She is intent only on a bundle lying on the rocks fifty feet below her. It is the sodden and dislocated body of her daughter's rag doll Cindy. It is to take psychiatrists three months of gentle prying to release from Elinor's mind the belief over which it has closed. This belief is that she has thrown her own child over a cliff. InventoryA son of English Old Money, whose talents so far have won him note as a failure, expects Christmas dinner in Kent to win him derision from his father in front of his entire family. But Sir George did not wait for Henry Edward Charles to recount, over the remains of the goose, the imminent failure of his second marriage, six years old in January; or the collapse of his racing stable, a draining of the finest blood ever exported from Ireland and New Zealand; or the sale of the few remaining blue-chip investments to pay his slandering creditors so he could remain in his club. Ticket for Charity When Charity Lord fell pregnant she told each of the six boys who were that month's quick loving, in turn, as they stumbled from the hotel. Slow Billy, the dry-country farmer, became the boy who would marry her. He would also become the boy whose life is transformed by her fier
- Published
- 2014
23. Whoring Around : A Novella
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John Bryson and John Bryson
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Whoring Around, a novella in six stories. PrologueBlowing ItBetween WhoresDreaming of GloryA Sense of Propriety More and more we lunched at his tennis club. He had recently become its honorary treasurer. I remember an afternoon, with the washed blues and faint yellows of early winter, when we ate on the terrace. The stonework was damp where the sun had not touched it. The other tables were empty, so it was early in the week. Humphrey's world was a cradle of security, supported by cocktail parties, sporting clubs and fours of Bridge. His wife Mimi derides his effort to take a top position in the Fossil Extracts Conference. She was wrong. His Cartel takes him to Tokyo, where the pattern of his life falls into early conferences with Japanese executives until late, then sessions in the whore houses of the Ginza and their astonishing practises, which captivate him because he knows Mimi was happy to see him go. Until:Sitting in a profane and prodigal night-club next to a young and inexplicable whore was not where he wanted to be. He felt a fondness for the banal and lustreless dinner tables of his friends and for the comfort of his own rooms and wardrobes, his office and his club. Before the lights darkened again for the next act he left the table, to find the toilet, he told her, paid on his way out, and took a cab back to his hotel.
- Published
- 2014
24. Fancygoods, Over the Mountains
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John Bryson and John Bryson
- Abstract
Here is Brodie, an expatriate trader in New Guinea, whose understanding of the sorceries and rituals he now lives with is moving close to respect and wonderment. He watches his visiting daughter, a twelve year old, being captivated by this culture of theatre. The place was packed. Tiptoe, over the matt-black heads of the crowd, he could see the performers. He edged closer, but so rapt was everyone that none of them looked around. The figure who held their attention was not from anywhere Brodie could place, and indeed, more than anywhere else, he might have come from the grave. His eyesockets were painted with sulphur, enlarged to include much of the temples and the cheekbones, so bright a yellow that the eyes behind seemed empty. His skull was shaved and rubbed with ashes, and whatever hank remained of the hair was evidently the support for the plumes which pealed upward like golden-throated trumptes and for the crimson lances which entered the head, one on either side, which spoke of the fierce manner of his death. When daughter Meg falls suddenly ill, Brodie fears she will be relying more on a matrix of magic rather than the sterile planes and inoculant infusions he would better trust. This novella was first published in the Antipodes Journal, Austin, Texas.
- Published
- 2014
25. Homage to a Born Insurgent
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John Bryson and John Bryson
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A volume, four stories of Enric, his boyhood as a child undercover agent in the Spanish Resistance to Fascist rule after the Civil War. Fiction based on the true life of Enric Torres, narrator in the novel To the Death, Amic HospiceEnric, the boy of To the Death, Amic works as a smuggler for The Organisation, the resistance movement in Barcelona. From France, over the high country, he brings in ammunition, leaflets. This time his job is to smuggle a young woman north, across the French border, over the Pyrenees. Where the night air is so cold I tell you, I piss icicles. As a Bird, SouthMOTHER was at the treadle. All I could see of her, by the sewing-bench lamp, were fingers as swift as shuttles, a scarf at her shoulders, and at the hollow of the throat her silver crucifix.Mama, I said, I'm home. I was home from the prison, so expected a welcome. Home from his prison sentence, for smuggling an illegal over the north border, Enric is summoned by the Organisation, the resistance, south to Cartagena. His age, at twelve, makes him a favoured courier for the underground, since living around the streets has trained his cunning beyond his years. Barcelona Honours the Prostitute Maria LopesGeneral Francisco Franco is to pay Barcelona a State Visit The day chosen in secret for his reception here in Barcelona was no surprise to us, since the garrisons on the waterfront at Atarazanas and in the castle atop Montjuic were now crowded with the regiments of Navarre and with African Moors; the Guardia Civil enforced the nighttime curfew with companies on horseback, and factories were closed for three days so smoke would not entice rain. Markswoman Jacinta Llano Moya, member of the anarchist cell named after the revolutionary prostitute Maria Lopez, prepares her welcome for the dictator. An Old Lag's Guide to BarcelonaThis guide, the now older Enric, shows off the history of the Old City where his boyhood was spent during the Civil War, as the narrator Enric in the novel To the Death, Amic Walk LaRamblas, everyone does. This is the promenade. The centre concourse is a mall. Bulbs light the trees like stardust. Stalls stock newspapers in any language. Bird breeders sell pigeons and small parrots.
- Published
- 2014
26. Among the Very Foreign
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John Bryson and John Bryson
- Abstract
Five Asian pieces, four from Kalimantan, Singapore, Taipei, Hong Kong, and one column piece from Samarinda, in one volume. 1. His Brow in Feathers, the Dyak Chieftain and his Equation for the Order of Time.A Festival of Redemption, led by the Chief of the People Benuaq, Dyaks of the Central Lakes, Borneo. His lake was once a mountain, which inverted its form in an act of compassion for people who were without fishing grounds. The people are grateful. They understand the force of will in such a feat. 2. Bugis Street Shoes.Joey, a child of Singapore, makes his living in shoe-shine, from table to table in the restaurant mall Bugis Street, centre of the drag-scene, and since demolished by government decree. June in Singapore is not winter so much as a breath between summers, and Bugis Street is now gone, but you will get to the right time and place by imagining the sweet smells of fruit and vegetable rinds, the inconsolable cadging of cafe owners and hawkers, and so much bright blue light from second storey windows that you could read a menu sitting at any table in the street at midnight. 3. A Good Pirate Crew Can Swarm Sitting Down.You can do business of any sort at The Gangplank. The Gangplank is a bar in Taipei where it costs ten dollars, in premium grade currency, for a rum highball with a twist of scurvy. 4. Borneo Ferry.A Muslim schoolboy rides home obeying the wish of Allah that he be present at his father's death. This river is the Mahakam, a trade line inland from the Makassar Straits. The lower reach is a sea-mile wide, roadway for colliers, barges, log jams of softwoods, and ferries like ours, carrying miners, timber-cutters, shoppers from far villages, rattan baskets piled high on the roof. 5. Parties All Over Town.The Handover of Hong Kong to China, commissioned by News Limited for the Handover Issue. The handing back to China of Hong Kong was cause for celebration for most Chinese all over the world. In Hong Kong parties were everywhere, some by Chinese who had been waiting on this for decades, some by westerners who had made much money under colonial rule and whose partying was nostalgic, as those for the Merchant Bankers and in the British and the American Clubs. The stories of those parties reflect the ways continuing expatriates hope their fortunes should carry into their future.
- Published
- 2014
27. A World This Size : Selected Stories
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John Bryson and John Bryson
- Abstract
A World This Size.You will have a restaurant like this in your city. And, if you have spent time eating alone in restaurants, you will have felt the reverie of the imagination, which will cause you to scrutinise other diners for clues to their personalities and attribute to them lives you could find interesting. This is the story here. A little Baroque music struts overhead. Here a man sits by himself. He is waiting on a martini. His fingers drum the cloth. Soon he falls to searching faces at other tables for something to hold his interest. His name is Freddy Unthank. Freddy would be hurt if we were to confuse his somnolent gaze with boredom. He has an eye for foible, and when he comes here (most Thursdays) he chooses his seat for the best view of the room. Did the Lord Say Anything About a Serpent?The scene is Paradise. In so far as time meant anything when the biblical world began, it's now around midweek, in the second month ever, and as for humankind, it is small enough that the singular pronouns, You and I, cover everyone there is. For two voices, a sketch, at the very Beginning of the World. I Keep Meeting My Grandfather.Elspeth's grandfather has died. The reading of the will by the family solicitor shocks her parents who expect to be the beneficiaries. GranDoddie, as she has always called him, has left his substantial acreage to Elspeth. And I hope this is not all Elspeth inherits from me. Elspeth's parents are prim and conservative. GranDoddie attacks the pretentions of their luncheon guests. He embarrassed us all. But I kept his silent score, following the points wherever he slammed them with the vacillating eyes of a tennis buff. There was seldom a re-match. Kindly Death, a Right to Life Protest and a Shy Semite.A VISITATION of Kindly Death is recorded by the Law List in a glass cabinet beside the sandstone doorway of Court Four in the City Courthouse, the sole item for the day's business, and for many days:Trial: R v Ali Bashir. (1) Murder (2) Assist Suicide. An elderly man will soon die of Motor Neuron Disease. He is determined to be present at his own wake. After the party he is found dead. His spouse, a younger Middle Eastern man is charged with his death.
- Published
- 2014
28. Handbook of Manufacturing Industries in the World Economy
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Jennifer Clark and John Bryson
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- 2015
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29. The Role of Fentanyl in Refractory Opioid-Related Acute Colonic Pseudo-Obstruction
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Breffni Hannon, Camilla Zimmermann, and John Bryson
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business.industry ,Opioid-Related Disorders ,Hydromorphone ,Drug Substitution ,Fentanyl ,Colonic Pseudo-Obstruction ,Anesthesiology and Pain Medicine ,Refractory ,Opioid ,Anesthesia ,medicine ,Back pain ,Neurology (clinical) ,medicine.symptom ,business ,General Nursing ,medicine.drug - Published
- 2013
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30. Introduction
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John Bryson, Barbara Crosby, and Laura Bloomberg
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- 2015
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31. Simple prognostic model for patients with advanced cancer based on performance status
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Julia Ridley, Valerie B. Caraiscos, Raymond Woo-Jun Jang, Ebru Kaya, Camilla Zimmermann, Subrata Banerjee, Nadia Swami, Gary Rodin, Lisa W. Le, John Bryson, and Ernie Mak
- Subjects
Adult ,Male ,medicine.medical_specialty ,Canada ,Treatment outcome ,Kaplan-Meier Estimate ,Medical Oncology ,Severity of Illness Index ,Young Adult ,Neoplasms ,medicine ,Humans ,Karnofsky Performance Status ,Intensive care medicine ,Survival analysis ,Aged ,Aged, 80 and over ,Models, Statistical ,Performance status ,Oncology (nursing) ,business.industry ,Health Policy ,Palliative Care ,Middle Aged ,Prognosis ,Advanced cancer ,Survival Analysis ,Treatment Outcome ,Oncology ,Neoplasms diagnosis ,Prognostic model ,Female ,business - Abstract
Providing survival estimates is important for decision making in oncology care. The purpose of this study was to provide survival estimates for outpatients with advanced cancer, using the Eastern Cooperative Oncology Group (ECOG), Palliative Performance Scale (PPS), and Karnofsky Performance Status (KPS) scales, and to compare their ability to predict survival.ECOG, PPS, and KPS were completed by physicians for each new patient attending the Princess Margaret Cancer Centre outpatient Oncology Palliative Care Clinic (OPCC) from April 2007 to February 2010. Survival analysis was performed using the Kaplan-Meier method. The log-rank test for trend was employed to test for differences in survival curves for each level of performance status (PS), and the concordance index (C-statistic) was used to test the predictive discriminatory ability of each PS measure.Measures were completed for 1,655 patients. PS delineated survival well for all three scales according to the log-rank test for trend (P.001). Survival was approximately halved for each worsening performance level. Median survival times, in days, for each ECOG level were: EGOG 0, 293; ECOG 1, 197; ECOG 2, 104; ECOG 3, 55; and ECOG 4, 25.5. Median survival times, in days, for PPS (and KPS) were: PPS/KPS 80-100, 221 (215); PPS/KPS 60 to 70, 115 (119); PPS/KPS 40 to 50, 51 (49); PPS/KPS 10 to 30, 22 (29). The C-statistic was similar for all three scales and ranged from 0.63 to 0.64.We present a simple tool that uses PS alone to prognosticate in advanced cancer, and has similar discriminatory ability to more complex models.
- Published
- 2014
32. The oncology palliative care clinic at the Princess Margaret Cancer Centre: an early intervention model for patients with advanced cancer
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John Bryson, Subrata Banerjee, Gary Rodin, Camilla Zimmermann, Julia Ridley, Elizabeth Dougherty, Breffni Hannon, Nadia Swami, Ernie Mak, and Ashley Pope
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Oncology ,medicine.medical_specialty ,Palliative care ,Outpatient Clinics, Hospital ,law.invention ,Quality of life (healthcare) ,Patient satisfaction ,Randomized controlled trial ,Ambulatory care ,law ,Internal medicine ,Early Medical Intervention ,Neoplasms ,Outpatients ,medicine ,Outpatient clinic ,Humans ,Ontario ,business.industry ,Nursing research ,Palliative Care ,Cancer ,medicine.disease ,Patient Satisfaction ,Family medicine ,Models, Organizational ,Quality of Life ,business - Abstract
Several recently published randomized controlled trials have demonstrated the benefits of early palliative care involvement for patients with advanced cancer. In the oncology outpatient setting, palliative care clinics are an ideal site for the provision of early, collaborative support, which can be maintained throughout the cancer trajectory. Despite this, access to ambulatory palliative care clinics is limited, even at tertiary cancer centres. Existing programs for outpatient palliative care are variable in scope and are not well described in the literature. We describe the development and expansion of an outpatient palliative care clinic at the Princess Margaret Cancer Centre, Toronto, Canada, demonstrating how the clinic functions at a local and regional level. This clinic served as the intervention for a recent large cluster-randomized trial of early palliative care. The model for this service can be adapted by other palliative care programs that aim to provide early, integrated oncology care.
- Published
- 2014
33. Service Worlds
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John Bryson, Peter Daniels, and Barney Warf
- Published
- 2013
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34. Addition of methadone to another opioid in the management of moderate to severe cancer pain: a case series
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Ernie Mak, Camilla Zimmermann, John Bryson, Julia Ridley, and Elaine Wallace
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Male ,medicine.medical_specialty ,Palliative care ,MEDLINE ,Pain ,Malignancy ,Internal medicine ,Neoplasms ,medicine ,Humans ,General Nursing ,Aged ,Pain Measurement ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Palliative Care ,Retrospective cohort study ,General Medicine ,Middle Aged ,medicine.disease ,Analgesics, Opioid ,Anesthesiology and Pain Medicine ,Opioid ,Neuropathic pain ,Physical therapy ,Female ,Cancer pain ,business ,Methadone ,medicine.drug - Abstract
Previous research has reported improved pain after adding methadone to another opioid, but did not quantify this benefit using a validated outcome measure.To assess quantitatively the effectiveness of adding methadone to another opioid for moderate to severe cancer-related pain.All outpatients attending the Oncology Palliative Care Clinic from September 2010-September 2011, who had received methadone, were identified from pharmacy records. Inclusion criteria included: histological diagnosis of malignancy, age18 years, taking regular opioids and Edmonton Symptom Assessment System (ESAS) pain score ≥ 4.The primary outcome measure was a decrease in pain score of ≥ 2 points from methadone initiation to one-month follow-up (or closest available ESAS).Twenty patients were available for analysis, 16 of whom had neuropathic pain (80%). Eight patients (40%) had a decrease in pain score of ≥ 2 points at 1 month and a further 7 (35%) had a decrease of ≥ 2 points at the closest available time point. The mean pain score decreased from 7.7 +/- 1.8 to 5.2 +/- 2.4 from time of initiation to time of evaluation. The mean daily routine morphine equivalent, (excluding methadone), was 338 +/- 217.8 mg/day at initiation and 332 +/- 191 mg/day at evaluation; for methadone, mean doses at initiation and evaluation were 4.4 +/- 1.4 mg/day and 15.5 +/- 5.9 mg/day, respectively. Methadone was well tolerated in 17 patients (85%).The addition of methadone was associated with improved pain control for patients with moderate to severe pain on another opioid and appears to offer a safe, well-tolerated and practical alternative in this situation.
- Published
- 2013
35. A computer terminal with synthetic speech output
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Rahimi, Morteza Amir and Eulenberg, John Bryson
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- 1974
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36. Design Economies and the Changing World Economy : Innovation, Production and Competitiveness
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John Bryson, Grete Rusten, John Bryson, and Grete Rusten
- Subjects
- Competition, International, New products, Industrial design, Design
- Abstract
Design is central to every service or good produced, sold and consumed. Manufacturing and service companies located in high cost locations increasingly find it difficult to compete with producers located in countries such as India and China. Companies in high-cost locations either have to shift production abroad or create competitive advantage through design, innovation, brand and the geographic distribution of tasks rather than price.Design Economies and the Changing World Economy provides the first comprehensive account of the relationship between innovation, design, corporate competitiveness and place. Design economies are explored through an analysis of corporate strategies, the relationship between product and designer, copying and imitation including nefarious learning, design and competitiveness, and design-centred regional policies. The design process plays a critical role in corporate competitiveness as it functions at the intersection between production and consumption and the interface between consumer behaviour and the development and design of products. This book focuses on firms, individuals, as well as national policy, drawing attention to the development of corporate and nation based design strategies that are intended to enhance competitive advantage. Increasingly products are designed in one location and made in another. This separation of design from the place of production highlights the continued development of the international division of labour as tasks are distributed in different places, but blended together to produce design-intensive branded products.This book provides a distinctive analysis of the ways in which companies located in developed market economies compete on the basis of design, brand and the geographic distribution of tasks. The text contains case studies of major manufacturing and service companies and will be of valuable interest to students and researchers interested in Geography, Economics and Planning.
- Published
- 2011
37. Impact of an oncology palliative care clinic on access to home care services
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Julia Ridley, Lisa W. Le, Raymond Woo-Jun Jang, Nadia Swami, Camilla Zimmermann, Subrata Banerjee, Gary Rodin, Jennifer Kotler, Debika Burman, Ernie Mak, and John Bryson
- Subjects
Oncology ,Adult ,Male ,medicine.medical_specialty ,Palliative care ,Referral ,Health Services Accessibility ,Young Adult ,Older patients ,Internal medicine ,Neoplasms ,medicine ,Humans ,Poor performance status ,Young adult ,Referral and Consultation ,Aged ,Aged, 80 and over ,Ontario ,Performance status ,business.industry ,Palliative Care ,General Medicine ,Middle Aged ,Home Care Services ,Emergency medicine ,Female ,business - Abstract
Home care (HC) is important for patients with cancer as performance status declines. Our study of 1224 patients at a Canadian cancer center examined the impact of an oncology palliative care clinic (OPCC) on HC referral. The HC referral frequency was calculated before and after the first OPCC consultation, in total and according to performance status (Palliative Performance Scale, PPS). Characteristics associated with HC referral were investigated. After the first OPCC consultation, there was an increase in HC referral from 39% (477 of 1224; 49% of those with PPS ≤60) to 69% (841 of 1224; 88% of those with PPS ≤60). Factors independently associated with HC referral were poor PPS ( P < .001) and older age ( P = .003). Thus OPCC involvement resulted in markedly increased HC referrals, particularly for older patients with poor performance status.
- Published
- 2012
38. Three Revolutions: in the Equatorial Americas
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John Bryson
39. Islanders, Far South
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John Bryson
40. In Rage, Rebellion
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John Bryson
41. The Personality of War
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John Bryson
42. A Long Weekend In Belfast
- Author
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John Bryson
43. Design Economies and the Changing World Economy
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John Bryson and Grete Rusten
- Published
- 2010
- Full Text
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44. Interconversion of three measures of performance status: an empirical analysis
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Jeff Myers, Camilla Zimmermann, John Bryson, Clement Ma, Shazeen Bandukwala, Deborah Dudgeon, Dori Seccareccia, Subrata Banerjee, Gary Rodin, and Debika Burman
- Subjects
Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Palliative care ,education ,Sensitivity and Specificity ,Severity of Illness Index ,Young Adult ,Cohen's kappa ,Neoplasms ,Severity of illness ,Medicine ,Humans ,Karnofsky Performance Status ,health care economics and organizations ,Aged ,Aged, 80 and over ,Performance status ,business.industry ,Palliative Care ,Middle Aged ,Large sample ,Surgery ,Oncology ,Hit rate ,Physical therapy ,Female ,business ,Cancer palliative care - Abstract
Purpose To construct empirically a conversion table to convert performance status scores among the Eastern Cooperative Oncology Group (ECOG), Karnofsky Performance Status (KPS) and Palliative Performance Scale (PPS) measures, using a large sample of patients with advanced cancer. Methods Seven physicians completed assessments on 1385 consecutive patients attending an oncology palliative care clinic, or admitted to an acute cancer palliative care unit. The three measures were distributed as a questionnaire package; the order in which they were presented was randomly assigned for each week. Scales were compared using the hit rate and the weighted kappa coefficient ( κ w ). The KPS and PPS were compared directly; for comparisons of either scale with the ECOG, all 70 possible categorisations of KPS and PPS were computed. An ‘ideal’ categorisation was selected based on maximisation of both statistical methods. Results The KPS and PPS matched in 1209 out of 1385 assessments (hit rate 87%; κ w 0.97). For both the KPS and the PPS, the categorisation of 100 (ECOG 0), 80–90 (1), 60–70 (2), 40–50 (3), 10–30 (4) had the highest hit rate (75%), and the second highest κ w (0.84, p κ w (0.85 for both KPS and PPS), but a lower hit rate (73% for KPS, 72% for PPS). Conclusions We have derived empirically a conversion scale among the ECOG, KPS and PPS scales. The proposed scale provides a means of translating amongst these measures, which may improve accuracy of communication about performance status amongst oncology clinicians and researchers.
- Published
- 2010
45. Nurse and physician inter-rater agreement of three performance status measures in palliative care outpatients
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Camilla Zimmermann, Dori Seccareccia, Debika Burman, Christopher Lo, John Bryson, Shazeen Bandukwala, Ebru Kaya, and Gary Rodin
- Subjects
Adult ,Male ,medicine.medical_specialty ,Palliative care ,MEDLINE ,Nurses ,Cancer Care Facilities ,Young Adult ,Nursing ,Physicians ,Ambulatory Care ,Medicine ,Outpatient clinic ,Humans ,Karnofsky Performance Status ,Aged ,Aged, 80 and over ,Observer Variation ,Ontario ,Performance status ,business.industry ,Nursing research ,Palliative Care ,Middle Aged ,Inter-rater reliability ,Oncology ,Family medicine ,Female ,business ,Observer variation - Abstract
Performance status (PS) scales are used widely in oncology practice and research. We compared inter-rater agreement, between nurses and physicians, for three commonly used PS scales.Patients attending an oncology palliative care clinic were assessed by a physician and nurse who blindly completed Eastern Cooperative Oncology Group (ECOG), Karnofsky PS (KPS), and palliative PS (PPS) scales. Patients completed the Edmonton symptom assessment system (ESAS).Inter-rater agreement (weighted kappa) for the 457 patients was 0.67 for the ECOG, 0.74 for the KPS, and 0.72 for the PPS. There was no difference between proportions of physicians' vs. nurses' ratings of KPS,60 vs.or=60 (McNemar's test, p = 0.33); however, physicians were more likely to rate patients as having better PS for the ECOG (77% in the 0-2 range vs. 70% for nurses, p = 0.0003) and PPS (63% in the 70-100 range vs. 54% for nurses, p = 0.0001). Physician and nurse scores of ECOG, KPS, and PPS were all correlated with ESAS distress score (Pearson correlation, r = 0.4-0.5).Although inter-rater agreement was good for all three scales, physicians tended to rate patients as healthier for the PPS and ECOG. The KPS may provide greater consistency of PS ratings by different oncology professionals in clinical and research settings.
- Published
- 2009
46. Phase II study of an outpatient palliative care intervention in patients with metastatic cancer
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John Bryson, Lisa W. Le, Matthew Follwell, Camilla Zimmermann, Debika Burman, Gary Rodin, Kristina Wakimoto, and Dori Seccareccia
- Subjects
Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Palliative care ,Cancer Care Facilities ,Severity of Illness Index ,Young Adult ,Patient satisfaction ,Informed consent ,Neoplasms ,Severity of illness ,Outpatients ,medicine ,Ambulatory Care ,Humans ,Prospective Studies ,Young adult ,Prospective cohort study ,Aged ,Aged, 80 and over ,business.industry ,Palliative Care ,Middle Aged ,Clinical trial ,Oncology ,Patient Satisfaction ,Physical therapy ,Female ,business - Abstract
Purpose Although there is increasing advocacy for timely symptom control in patients with cancer, few studies have assessed outpatient palliative care clinics. This study assessed prospectively the efficacy of an Oncology Palliative Care Clinic (OPCC) in improving patient symptom distress and satisfaction. Patients and Methods Eligible patients were new referrals to an OPCC, had metastatic cancer, were at least 18 years old, and were well enough and able to speak and read English sufficiently to provide informed consent and complete questionnaires. Patients received a consultation by a palliative care team. The primary end points of symptom control and patient satisfaction were assessed using the Edmonton Symptom Assessment Scale (ESAS) and patient-adapted Family Satisfaction with Advanced Cancer Care (FAMCARE) scale at baseline, 1 week, and 1 month. Initial and follow-up scores were compared using paired t tests. Results Of 150 patients enrolled, 123 completed 1-week assessments, and 88 completed 4-week assessments. At baseline, the mean ESAS Distress Score (EDS) was 39.5. The mean improvement in EDS was 8.8 points (P < .0001) at 1 week and 7.0 points (P < .0001) at 1 month. Statistically significant improvements were observed for pain, fatigue, nausea, depression, anxiety, drowsiness, appetite, dyspnea, insomnia, and constipation at 1 week (all P ≤ .005) and 1 month (all P ≤ .05). The mean improvement in FAMCARE score was 6.1 points (P < .0001) at 1 week and 5.0 points (P < .0001) at 1 month. Conclusion This phase II study demonstrates efficacy of an OPCC for improvement of symptom control and patient satisfaction with care. Randomized controlled trials are indicated to further evaluate the effectiveness of specialized outpatient palliative care.
- Published
- 2008
47. Lone Eagles and High Fliers
- Author
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John Bryson
- Subjects
Service (business) ,Information and Communications Technology ,Business ,Marketing - Published
- 2007
- Full Text
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48. Methadone for treatment of cancer pain
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John Bryson, Camilla Zimmermann, Dori Seccareccia, and Anoo Tamber
- Subjects
business.industry ,Pain ,Torsades de pointes ,medicine.disease ,QT interval ,law.invention ,Analgesics, Opioid ,Oncology ,Randomized controlled trial ,Opioid ,law ,Anesthesia ,Neoplasms ,Neuropathic pain ,Medicine ,Humans ,business ,Cancer pain ,Reuptake inhibitor ,Methadone ,medicine.drug - Abstract
Methadone is a unique mu opioid agonist, which also has delta receptor affinity and properties of N-methyl-D-aspartate receptor antagonism and monoamine reuptake inhibition. It is mainly used in the setting of uncontrolled pain or dose-limiting toxicity. Caution is advised when switching to methadone, especially from high doses of previous opioid, due to its variable conversion ratio and the potential for delayed toxicity due to its long half-life. Increasing evidence of risk also exists for a prolonged QT interval and torsades de pointes with very large doses of methadone. Methadone is likely safer when used at lower doses as a first-line opioid, but its potential as such has not received enough formal evaluation. Randomized controlled trials are needed to assess the effectiveness and safety of methadone compared with other opioids and to further evaluate its role in the treatment of neuropathic pain.
- Published
- 2007
49. Concert IX
- Author
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Society of Composers; Ravenscraft, Carrie; Hendricks, Brittany; Madsen, Jessica L.; Carrasquillo, Hiram; Tutino, Cole; Chun, Margaret; Ross, John; Bryson, Karen; Dunaway, Clayton; Miller, Jordan; Muravev, Andrei; Brown, Becky; Naylor, Paige; Weisling, Anna, Ball State University. School of Music, Society of Composers; Ravenscraft, Carrie; Hendricks, Brittany; Madsen, Jessica L.; Carrasquillo, Hiram; Tutino, Cole; Chun, Margaret; Ross, John; Bryson, Karen; Dunaway, Clayton; Miller, Jordan; Muravev, Andrei; Brown, Becky; Naylor, Paige; Weisling, Anna, and Ball State University. School of Music
- Abstract
With Carrie Ravenscraft, clarinet, Brittany Hendricks, trumpet, Jessica L. Madsen, piano, Hiram Carrasquillo, flute, Cole Tutino, cello, Margaret Chun, piano, John Ross, flute, Karen Bryson, oboe, Clayton Dunaway, clarinet, Jordan Miller, horn, Andrei Muravev, bassoon, Becky Brown, harp, Paige Naylor, accordion, Anna Weisling, video.; Part of the Society of Composers, Inc. national conference (for 2014) and BSU's 44th annual Festival of New Music (of 2014)., Series LXVIII, Number 177., This archival material has been provided for educational purposes. Ball State University Libraries recognizes that some historic items may include offensive content. Our statement regarding objectionable content is available at: https://dmr.bsu.edu/digital/about
- Published
- 2014
50. 153 PROSPECTIVE ASSESSMENT OF AN OUTPATIENT PALLIATIVE CARE INTERVENTION IN PATIENTS WITH METASTATIC CANCER
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Kristina Wakimoto, Matthew Follwell, Dori Seccareccia, C. Zimmermann, G. Rodin, Lisa W. Le, Debika Burman, and John Bryson
- Subjects
medicine.medical_specialty ,Palliative care ,business.industry ,Cancer ,Hematology ,medicine.disease ,Oncology ,Ambulatory care ,Intervention (counseling) ,Emergency medicine ,medicine ,Radiology, Nuclear Medicine and imaging ,In patient ,Intensive care medicine ,business - Published
- 2009
- Full Text
- View/download PDF
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