|2015||James D, Warren-Forward H, 'Research methods for formal consensus development.', Nurse Res, 22 35-40 (2015)|
|2014||Elith C, Dempsey SE, Warren-Forward H, 'Comparing four volumetric modulated arc therapy beam arrangements for the treatment of early-stage prostate cancer', Journal of Medical Radiation Science, 61 91-101 (2014) [C1]|
|2014||McKiernan ST, Chiarelli P, Warren-Forward H, 'Diagnostic Ultrasound for Assessment of Pelvic Floor Muscle Contraction: Frequently Asked Questions.', Journal of the Association of Chartered Physiotherapists in Women's Health, Spring 37-43 (2014) [C1]|
|2014||Surjan Y, Donaldson D, Ostwald P, Milross C, Warren-Forward H, 'A Review of Current Treatment Options in the Treatment of Ocular and/or Periocular Squamous Cell Carcinoma in Horses: Is There a Definitive "Best" Practice?', Journal of Equine Veterinary Science, (2014) [C1]|
This review examines the most commonly reported treatment options for ocular squamous cell carcinoma (OSCC) and periocular squamous cell carcinoma (POSCC) in horses and proposes to conclude on the most viable method based on available published studies in terms of treatment outcome, known side effects, advantages, disadvantages, and reliability of available evidence. After a literature search for peer-reviewed published articles, seven most commonly reported on treatments for OSCC and/or POSCC were identified: surgery, photodynamic therapy, carbon dioxide (CO2) laser ablation, radiofrequency hyperthermia, cryotherapy, chemotherapy, and radiation therapy. Combination therapies were supported as a most successful recommendation; however, when considering site-specific outcomes, the following conclusions may be drawn: limbal squamous cell carcinoma (SCC) was most effectively treated with surgery and adjunctive therapy including CO2 laser ablation, mitomycin C, and brachytherapy; third eyelid SCC reported good outcomes when treated with surgery alone (clear margins) and in combination with brachytherapy for unclear margins; eyelid SCC, surgical resection was usually limited and most reports supported the use of adjunctive brachytherapy, although photodynamic therapy appeared to be a promising new treatment. It was deemed unreasonable to conclude on the best treatment for cornea, conjunctivae (palpebral and bulbar), and medial canthi in isolation because of lack of evidence. A consistently favored treatment for OSCC and/or POSCC in horses does not currently exist. The presentation of data in the literature and its lack of consistency make it impossible to statistically analyze and make comparative conclusions on treatment outcomes. This review provides a basis for further research to establish a best-practice protocol. Â© 2014 Elsevier Inc. All rights reserved.
|2014||Surjan Y, Ostwald P, Milross C, Warren-Forward H, 'Radiation safety considerations and compliance within equine veterinary clinics: Results of an Australian survey', Radiography, (2014)|
Objective: To examine current knowledge and the level of compliance of radiation safety principles in equine veterinary clinics within Australia. Method: Surveys were sent to equine veterinary surgeons working in Australia. The survey was delivered both online and in hardcopy format; it comprised 49 questions, 15 of these directly related to radiation safety. The participants were asked about their current and previous use of radiation-producing equipment. Information regarding their level of knowledge and application of radiation safety principles and practice standards was collected and analysed. Results: The use of radiation-producing equipment was evident in 94% of responding clinics (a combination of X-ray, CT and/or Nuclear Medicine Cameras). Of those with radiation-producing equipment, 94% indicated that they hold a radiation licence, 78% had never completed a certified radiation safety course and 19% of participants did not use a personal radiation monitor. In 14% of cases, radiation safety manuals or protocols were not available within clinics. Conclusions: The study has shown that knowledge and application of guidelines as provided by the Code of Practice for Radiation Protection in Veterinary Medicine (2009) is poorly adhered to. The importance of compliance with regulatory requirements is pivotal in minimising occupational exposure to ionising radiation in veterinary medicine, thus there is a need for increased education and training in the area.
|2014||Findlay N, Dempsey SE, Warren-Forward HM, 'A qualitative analysis of radiation therapy students' professional placement journals', Journal of Radiotherapy in Practice, 13 131-140 (2014) [C1]|
|2014||Elith CA, Dempsey SE, Cao F, Farshadi A, Warren-Forward HM, 'The quality assurance of volumetric modulated arc therapy (VMAT) plans for early stage prostate cancer: a technical note', Journal of Medical Radiation Sciences, 61 261-266 (2014) [C1]|
|2014||MacDonald-Hill JL, Warren-Forward HM, 'Feasibility study into the use of online instrumentation courses for medical radiation scientists', Radiography, (2014)|
A Medical Radiation Science (diagnostic radiography) instrumentation course historically taught face-to-face was taught fully online. The purpose of this study was to assess differences in academic achievement as well as gather feedback on student experiences. An anonymous online survey relating to student engagement and directions for future course development was distributed to all students who completed the course. The results clearly supports online delivery as students appreciated the ability to pause and rewind (94%) course content and work at their own pace (88%) whilst maintaining almost identical course results (p=0.96). Future improvements would see the inclusion of interactive on-line modules and the re-introduction of face-face tutorials, appealing to students' desire for more support and human contact (27%) therefore reflecting the flipped classroom approach.
|2013||Hills C, Ryan S, Warren-Forward H, Smith DR, 'Managing "Generation Y' occupational therapists: Optimising their potential', AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, 60 267-275 (2013) [C1]|
|2013||James DJ, Cardew P, Warren-Forward HW, 'Pregnancy screening strategies for diagnostic nuclear medicine: Survey results from Australia and New Zealand', Journal of Nuclear Medicine Technology, 41 216-222 (2013) [C1]|
The ionizing radiation used in diagnostic nuclear medicine procedures has the potential to cause biologic harm to a fetus. Although the risks are relatively small, it is recommended that all female patients of childbearing age be questioned regarding their pregnancy status before administration of the radiopharmaceutical. This can be a sensitive situation especially for certain types of patients, such as teenagers. Currently, there are no guidelines that detail how to question the patient. Previous studies have revealed the lack of a consistent approach in this area. The aim of this study was to investigate current practice for pregnancy screening before diagnostic nuclear medicine procedures in Australia and New Zealand and to determine whether a standardized practice guideline is required. Methods: An online survey was administered via SurveyMonkey from October to December 2011. Members of the Australian and New Zealand Society of Nuclear Medicine were invited to participate. The survey consisted of 30 questions divided into 4 sections: demographics, policy and regulations, current practice, and open-ended clinical scenarios. Results: Three hundred thirty-five responses were recorded from participants in all states and territories of Australia and New Zealand; 90% were nuclear medicine technologists. Participants reported a low awareness of radiation policy and regulations but demonstrated good knowledge of the relative risk to the fetus from commonly performed procedures. The most common minimum and maximum age to question patients was 12 y (32%) and 55 y (42%), respectively, although the range was from 10 to 60 y. Verbal questioning (44%) was the most commonly used approach. Pregnancy testing was used by 72%, usually if the patient indicated she was unsure of her pregnancy status. Responses to clinical scenarios were varied, and these will be discussed in a subsequent paper. Conclusion: The survey revealed a lack of awareness of government regulations and departmental policy regarding radiation protection. The study demonstrated wide variety in pregnancy screening strategies used to determine the pregnancy status of patients before diagnostic nuclear medicine procedures, indicating that a standardized practice guideline is required for Australia and New Zealand. Â© 2013 by the Society of Nuclear Medicine and Molecular Imaging, Inc.
|2013||James DJ, Cardew P, Warren-Forward HM, 'Pregnancy screening strategies for potentially challenging patients before diagnostic nuclear medicine procedures: Qualitative survey analysis', Journal of Nuclear Medicine Technology, 41 292-298 (2013) [C1]|
Because of the ionizing radiation used in diagnostic nuclear medicine procedures, it is recommended that all female patients of childbearing age be questioned about their pregnancy status before the procedure begins. Several patient groups have been identified as potentially difficult to question: teenagers, unconscious or sedated patients, patients with language or cultural barriers, and patients with mental disability. Our aim was to capture the thoughts and opinions of nuclear medicine personnel in Australia and New Zealand regarding pregnancy screening strategies before diagnostic imaging procedures. Methods: Members of the Australian and New Zealand Society of Nuclear Medicine were invited to complete an online survey. Section 4 consisted of open-response questions asking participants to describe the strategies they use to question a patient about pregnancy status in 4 potentially difficult clinical scenarios. The content of the responses was analyzed. Results: For each question, 232 responses were recorded. The most commonly used strategies included questioning teenage girls away from their parents, referring to medical notes for unconscious patients, using an interpreter and visual aids for patients with language barriers, and asking a caregiver or relative of mentally disabled patients. Pregnancy testing was used when there was doubt about the patient's pregnancy status. Personal questions about menstrual and sexual history were often asked to determine the risk of pregnancy. Conclusion: The study revealed that a variety of strategies are used by nuclear medicine personnel in Australia and New Zealand to determine the pregnancy status of patients. A standardized practice guideline may be useful to ensure a consistent approach to questioning that would optimize the accuracy of pregnancy assessment and reduce the possibility of fetal irradiation. Â© 2013 by the Society of Nuclear Medicine and Molecular Imaging, Inc.
|2013||McKiernan S, Chiarelli P, Warren-Forward H, 'Professional issues in the use of diagnostic ultrasound biofeedback in physiotherapy of the female pelvic floor', Radiography, 19 117-124 (2013) [C1]|
The usage of diagnostic ultrasound equipment has expanded into physiotherapy. The aim of this paper is to deliver to both the ultrasound and physiotherapy professions an understanding of the use of diagnostic ultrasound for biofeedback in physiotherapy of the female pelvic floor and the issues related to competent and safe practice, including accessing suitable training. This has been evaluated using a qualitative research paradigm with data gathered via focus groups of Australian physiotherapists. The target group were pelvic floor physiotherapists as this is one of the main uses of diagnostic ultrasound within physiotherapy and the main area physiotherapists would like to be trained in. Two focus groups were run with a total of sixteen physiotherapists. Focus group participants reported their training in diagnostic ultrasound to be largely self directed. They also reported they were learning on their patients. Despite very limited training, participants demonstrated some familiarity with images and equipment settings. Participants felt the modality had a role within physiotherapy as an adjunct to their current practices. The main need raised by participants during the focus groups was related to patient expectations and the fact that the physiotherapist may miss evidence of pathology. Â© 2013 The College of Radiographers.
|2013||Moran S, Taylor JK, Warren-Forward H, 'Assessment of the willingness of Australian radiographers in mammography to accept new responsibilities in role extension: Part two - qualitative analysis', Radiography, 19 130-136 (2013) [C1]|
Advanced practice in screening mammography has become widespread in the United Kingdom over the last 20 years, and Australian radiographers working in BreastScreen programs have shown interest in similar developments. Radiographers working in BreastScreen Australia were surveyed in order to capture their thoughts and perceptions on role extension.Questionnaires were circulated to radiographers working in BreastScreen Australia programs. Thematic analysis was used to analyze the open response questions to explore the advantages and disadvantages identified by the participants with respect to role expansion in screening mammography as well as any changes to their duties over the last decade.There were 253 responses to the survey and of those responses, 70% of radiographers shared their thoughts on role extension and 49% provided comments on changes in the workplace. The majority (61%) radiographers responding to the role extension question were concerned about potential problems associated with role extension; the biggest issues were that role extension should not be mandatory and that selection criteria for advanced practitioners should be stringent, with adequate time made available for training and study. The major change in the role of the radiographer has been the increased time dedicated to quality assurance tasks and administrative duties as well as more training required due to technological changes from film-screen to digital mammography.There is high interest in role extension by radiographers working in BreastScreen programs, provided that it is voluntary. The role of the radiographer within breast imaging in Australia is still evolving. Â© 2013 The College of Radiographers.
|2013||Elith CA, Cao F, Dempsey SE, Findlay N, Warren-Forward H, 'A retrospective planning analysis comparing volumetric-modulated arc therapy (VMAT) to intensity-modulated radiation therapy (IMRT) for radiotherapy treatment of prostate cancer', Journal of Medical Imaging and Radiation Sciences, 44 79-86 (2013) [C1]|
Purpose: This study aims to compare intensity-modulated radiation therapy (IMRT) to volumetric-modulated arc therapy (VMAT) for the treatment of prostate cancer. Particular focus was placed on the impact IMRT and VMAT have on departmental planning and treatment resources. Materials and Methods: Twenty prostate cancer cases were retrospectively planned to compare 5-field IMRT to VMAT using a single arc (VMAT-1A) and 2 arcs (VMAT-2A). The impact on departmental resources was assessed by comparing the time needed to generate the dose distributions and to deliver the treatment plan. A comparison of plan quality was also performed by comparing homogeneity, conformity, the number of monitor units (MUs), and dose to the organs at risk. Results: IMRT and VMAT-2A were able to produce adequate plans for all cases. Using VMAT-1A, planning guidelines were achieved in 8 of the 20 cases. IMRT provided an improved dose distribution and the best homogeneity to the planning target volume. Also, the IMRT plans were generated significantly faster than both VMAT techniques. VMAT planning provided significantly improved conformity and used significantly fewer monitor units than IMRT. VMAT-1A treatments were significantly faster than both IMRT and VMAT-2A. VMAT plans delivered lower dose to the bladder and heads of femur, and an increased dose to the rectum in the low dose region. Conclusion: IMRT may have an advantage over VMAT for the treatment of prostate cancers. This is primarily due to the uncertainty of achieving planning guidelines using VMAT and the extended time needed to generate the VMAT plans. Â© 2013 Elsevier Inc. All rights reserved.
|2013||Fielding AA, Warren-Forward H, Baines SK, 'A snapshot of eating behavior, food tolerance, and dietary intake after laparoscopic adjustable gastric banding', Bariatric Surgical Patient Care, 8 99-107 (2013) [C1]|
Background: This study aimed to describe eating behaviors, food tolerance, and dietary intake after laparoscopic adjustable gastric banding (LAGB); explore associations between these variables; and examine the relationship between diet-related factors and percentage weight loss and quality of life after surgery. Methods: A cross-sectional survey was mailed to subjects who had previously undergone LAGB in Newcastle, Australia. Results: Sixty-seven subjects responded (55 females; mean age 49Â±11.5 years; postoperative body mass index [BMI] 34.5Â±5.4 kg/m2). Reported average weight loss since surgery was 20.5Â±9.2% (26.6Â±13.0 kg). Restraint (including flexible and rigid control) and disinhibition were higher than community norms and hunger trended toward being lower. The majority of respondents rated their eating ability as good (n=27, 40.3%) or excellent (n=15, 22.4%). Median reported energy intake was 4,833 kJ (3,823-5,961) per day. Protein and fat intake as a percentage of daily energy intake was within acceptable distribution ranges, although saturated fat intake exceeded recommendations. Fiber and several micronutrients were below estimated average requirements. BMI at time of surgery and satisfaction with eating ability were significantly associated with reported weight loss after surgery (adjusted R2=0.32, p<0.001), and satisfaction with eating ability and rigid control were significantly associated with physical well-being (adjusted R2=0.19, p=0.001). Conclusions: This study highlights that potential remains to improve aspects of eating behavior, food tolerance, and diet quality in some individuals who have undergone LAGB, and endorses the need for further development of multifactorial interventions to help optimize a range of diet-related factors after LAGB. Â© 2013 Mary Ann Liebert, Inc.
|2012||Moran SM, Warren-Forward H, 'The Australian BreastScreen workforce: A snapshot', The Radiographer, 59 26-30 (2012) [C1]|
|2012||Hills CM, Ryan SE, Smith DR, Warren-Forward H, 'The impact of Generation Y' occupational therapy students on practice education', Australian Occupational Therapy Journal, 59 156-163 (2012) [C1]|
|2012||McKiernan ST, Chiarelli PE, Warren-Forward H, 'A comparison between workshop and DVD methods of training for physiotherapists in diagnostic ultrasound', Radiography, 18 287-291 (2012) [C1]|
|2012||Dodsworth AA, Warren-Forward H, Baines SK, 'Feasibility of a protein-enriched diet after laparoscopic adjustable gastric banding: Results from a pilot intervention', e-SPEN Journal, 7 e57-e63 (2012) [C1]|
|2011||Elith C, Dempsey SE, Findlay NA, Warren-Forward H, 'An introduction to the intensity-modulated radiation therapy (IMRT) techniques, tomotherapy, and VMAT', Journal of Medical Imaging and Radiation Sciences, 42 37-43 (2011) [C1]|| |
|2011||Moran SM, Warren-Forward H, 'Development of a training package to increase the performance of radiographers in assessing screening mammograms', Radiographer: The Official Journal of the Australian Institute of Radiography, 58 10-13 (2011) [C1]|| |
|2011||James DJ, Cardew P, Warren-Forward H, 'Determining the pregnancy status of patients before diagnostic nuclear medicine procedures: The Australian experience', Journal of Nuclear Medicine Technology, 39 220-225 (2011) [C1]|| |
|2011||Dodsworth AA, Warren-Forward H, Baines SK, 'A systematic review of dietary intake after laparoscopic adjustable gastric banding', Journal of Human Nutrition and Dietetics, 24 327-341 (2011) [C1]|| |
|2011||McKiernan ST, Chiarelli PE, Warren-Forward H, 'A survey of diagnostic ultrasound within the physiotherapy profession for the design of future training tools', Radiography, 17 121-125 (2011) [C1]|| |
|2011||Dempsey SE, Warren-Forward H, 'An analysis of the professional and academic interest of medical radiation science students', Radiography, 17 145-151 (2011) [C1]|| |
|2011||Moran S, Warren-Forward H, 'A retrospective study of the performance of radiographers in interpreting screening mammograms', Radiography, 17 126-131 (2011) [C1]|
|2011||Surjan Y, Warren-Forward H, Milross C, 'Is there a role for radiation therapists within veterinary oncology?', Radiography, 17 250-253 (2011) [C3]|
|2011||Moran S, Warren-Forward H, 'Assessment of the willingness of radiographers in mammography to accept new responsibilities in role extension: Part one - Quantitative analysis', Radiography, 17 270-274 (2011) [C1]|| |
|2011||Findlay NA, Warren-Forward H, Dempsey SE, 'Development and validation of reflective inventories: assisting radiation therapists with reflective practice', Journal of Radiotherapy in Practice, 10 3-12 (2011) [C1]|| |
|2010||Moran S, Warren-Forward H, 'A retrospective pilot study of the performance of mammographers in interpreting screening mammograms', Radiographer, 57 12-19 (2010) [C1]|| |
|2010||Findlay NA, Dempsey SE, Warren-Forward H, 'Developing a qualitative framework for analysis of student journals', The Radiographer, 57 34-39 (2010) [C1]|| |
|2010||Dodsworth AA, Warren-Forward H, Baines SK, 'Changes in eating behavior after laparoscopic adjustable gastric banding: A systematic review of the literature', Obesity Surgery, 20 1579-1593 (2010) [C1]|| |
|2010||McKiernan ST, Chiarelli PE, Warren-Forward H, 'Diagnostic ultrasound use in physiotherapy, emergency medicine, and anaesthesiology', Radiography, 16 154-159 (2010) [C1]|| |
|2010||Findlay NA, Dempsey SE, Warren-Forward H, 'Validation and use of the Newcastle Reflective Analysis Tool : A three- year longitudinal study of RT students' reflective journals', Reflective Practice, 11 83-94 (2010) [C1]|| |
|2009||Findlay NA, Dempsey SE, Warren-Forward H, 'Workplace diaries promoting reflective practice in radiation therapy', Radiography, 15 166-170 (2009) [C1]|| |
|2009||Findlay NA, Dempsey SE, Warren-Forward H, 'Development of the Newcastle Reflective Analysis Tool', Focus on Health Professional Education: A Multidisciplinary Journal, 11 32-40 (2009) [C1]|| |
|2008||Findlay NA, Dempsey SE, Warren-Forward H, 'Theory of reflection in learning for radiation therapists', Radiographer, 55 29-32 (2008) [C1]|| |
|2008||Gao J, Warren R, Warren-Forward H, Forbes JF, 'Reproducibility of visual assessment on mammographic density', Breast Cancer Research and Treatment, 108 121-127 (2008) [C1]|| |
|2008||Warren-Forward H, Mathisen BA, Best SF, Boxsell PJ, Finlay JW, Heasman AM, et al., 'Australian speech-language pathologists' knowledge and practice of radiation protection while performing videofluoroscopic swallowing studies', Dysphagia, 23 371-377 (2008) [C1]|| |
|2007||Warren-Forward H, Arthur L, Hobson L, Skinner R, Watts A, Clapham K, et al., 'An assessment of exposure indices in computed radiography for the posterior-anterior chest and the lateral lumbar spine', British Journal of Radiology, 80 26-31 (2007) [C1]|
|2007||Warren-Forward H, Cardew P, Smith B, Clack L, McWhirter K, Johnson S, Wessel K, 'A comparison of dose savings of lead and lightweight aprons for shielding of 99m-Technetium radiation', Radiation Protection Dosimetry, 124 89-96 (2007) [C1]|| |
|2005||Saunders MB, Budden AK, Maciver FMC, Teunis MH, Warren-Forward H, 'Dose implications of fluoroscopy-guided positioning (FGP) for lumbar spine examinations prior to acquiring plain film radiographs', British Journal of Radiology, 78 130-134 (2005) [C1]|| |
|2004||Warren-Forward H, Duggan LJ, 'Towards in vivo TLD dosimetry in mammography', British Journal of Radiology, 77 426-432 (2004) [C1]|| |
|2004||Duggan LJ, Dempsey CL, Warren-Forward H, Haque M, Kron T, 'Variations in dose response with x-ray energy of LiF: Mg,Cu,P thermoluminescence dosimeters: implications for clinical dosimetry', Physics in Medicine and Biology, 49 3831-3845 (2004) [C1]|| |
|2004||Warren-Forward H, Beckhaus R, 'A standardised approach to optimisation', The Radiographer, 51 105-110 (2004) [C1]|
|2003||Duggan L, Warren-Forward H, Smith AN, Kron T, 'Investigation of dose reduction in neonatal radiography using specially designed phantoms and LiF:Mg,Cu,P TLDs', The British Journal of Radiology, 76 232-237 (2003) [C1]|
|2003||Warren-Forward H, 'Diagnostic Radiography I: Interaction of Ionising Radiation with the Human Body', The Radiographer, 50 23-30 (2003) [C1]|
|2003||Bell NE, Erskine MR, Warren-Forward H, 'Lateral cervical spine examinations: an evaluation of dose for grid and non-grid techniques', Radiography, 9 43-52 (2003) [C1]|| |
|2002||Duggan L, Warren-Forward H, Smith TJ, Kron T, 'Dose reduction in Neonatal Radiography', British Journal of Radiology, 76 232-237 (2002) [C1]|
|2002||Parker J, Vigar MJ, Dempsey SE, Warren-Forward H, Jovanovic JK, 'Validating the use of digitally reconstructed radiographs as verification tools in radiation therapy simulation of prostate treatment', The Radiograher, 49 141-146 (2002) [C1]|| |
|2001||Warren-Forward H, Smith TK, Duggan L, Kron T, 'Effect of Tube Potential and Rare-earth (Hafnium) Filtration on Radiation Dose for a Neonatal Chest X-ray Examination', The Radiographer, 48 61-63 (2001) [C1]|