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By David W Thompson, MD

Includes information about:
-Variations in the normal uterine cervix
-The transformation zone
-What is an adequate sample?
-Types of sampling devices

• Preparation of the smear
• Fixation

Includes information on description of subjets, socio-demographic variables, and information about pap smears (charts, percentages)

Slideshow lectures include:

• National Workshop on Screening for Cancer in the Cervix
• Case Control Study in NW Ontario
• The Role of OCTRF in Cervical Cancer Screening
• Society of Obstetrcians Gynecologic Oncologists of Canada
• History of the Pap Smear
• Cancer of the Cervix

Journal Article: Cervical Screening, Compliance and Moral Obligation by Alexandra Howson (1999)

Emails from Thunder Bay Regional Cancer Centre in regards to the program for “prevention of cervical cancer” in Northwestern Ontario (1993)

Various Memorandum for Files

• Cervical Cytology Screening Project – Dr. Nora Ho (May 19, 1993)
• Conversation with Jessica Hill and Dr. Nora Ho of the Ministry of Health (April 27th, 1993)
• Cervical Cancer Screening – Feasibility Study (June 8th, 1993)
• Conversation with Jessica Hill – Ministry of Health (January 8th, 1993)
• Cervical Cancer Screening (June 17, 1993)

• Authors: Stich and Rosin
• British Columbia Cancer Research Centre

• Authors: Therese Sullivan, Clarann Weinert, and Rodney Fulton
• Montana Family Cancer Care Project

• Ottawa Civic Hospital
• Authors: Margaret Farncombe and Marilyn Adams
• Article revolves around Palliative Care Clinic initiated at the Ottawa Regional Cancer Centre

• Authors: Alan Zonderman, Paul Costa, and Robert McCrae
• Gerontology Research Center, National Institute on Aging, National Institutes of Health – Baltimore, MD

• Authors: Pert, Ruff, Weber, and Herkenham
• Journal of Immunology

• Current Activities and Future Directions
• Thunder Bay Regional Cancer Center

• Regional Pain and Symptom Management Resource Team for Northwestern Ontario
• Palliative Care in Northwestern Ontario - desire for community wide support for the assessment and improved delivery of palliative care services in Thunder Bay and throughout Northwestern Ontario
• Written by: Blundon, Long, Hurdon, Sellick, Woodford, Wright

• Department of Psychiatry, UCLA School of Medicine
• Various Authors

• Authors: Peteet, Murray-Ross, Mederiros, etc.
• Dana-Farber Cancer Institute and Harved Medical School
• Boston, Massachusetts

• Supportive Cancer Care Research Unit
• By: Karen Charles, SCCRU Research Assistant
• Document lists the status of research being conducted by the Thunder Bay Unit

Various emails from Jaroslav Kotalik:

• Survey of Practitioners’ Views on Adjuvant Treatment for Node Negative Breast Cancer and Methods of Eliciting Women’s Preferences
• Toronto-Bayview Regional Cancer Centre

Draft of Cytology Computer Committee:

• Objectives

Estimate for Conducting a Feasibility Study of Computerized Information Management System for Cervical Cancer Screening in Northwestern Ontario:

• Objectives 1-2
• Points to Consider, Alternatives
• Margaret Green Resume

Introduction:

• Participating institutions in Middlesex County and Thunder Bay
• Ontario Cancer Treatment and Research Foundation

Overview of Contents:

• Important Outstanding Issues
• Data Sharing
• Concurrent Development of Cytobase
• Funding

Sections:

• Section A: Demonstration of Feasibility in Two Geographic Areas
• Section B: Source Data Investigation in Middlesex County
• Section C: General System Design
• Section D: Data Security and Privacy Protocol
• Section E: Reporting Principles and Report Samples
• Section F: Evaluation Protocol

Draft: Screening for Squamous Cell Carcinoma of the Cervix (1995)

• Facts, Risk Factors, Recommendations

Terms of Reference – Steering Group: Thunder Bay Ocsirs Pilot

• Purpose, Composition, Specific Terms of Reference

Ocsirs Pilot Project

• Purpose
• Methods used in Middlesex County
• Method proposed for Thunder Bay

Report to the Members of the Board of the Ontario Cancer Treatment and Research Foundation

• Background
• Present Status

Draft: A Population-based information and reporting system for Cervical Screening in Ontario: Demonstration of Feasibility in 2 Geographic Areas (1995)

• Introduction, Objectives
• Present State of Knowledge
• Project Design
• Evaluation of Crisis
• Time Frame
• Related work and future research

Article: Collaborative group seeks to reduce incidence and mortality rates of cervical cancer
Author: Aileen Clarke

Authors: Jaroslav F. Kotalik and Eric J. Holowaty

• Objective
• Presentation Outline
• Format
• Schedule
• Membership (TBRH Ethics Committees)
• Action Plan

• Recommended Role Regarding Policy Development
• Criteria for the Ethical Review of Policies
• Principles to be used as Framework for Discussion
• Flow Chart of Ethical Decision Making
• Decision Making Process

• Thunder Bay Regional Hospital and St. Joseph’s Care Group
• HIMS Dictionary
• HIMS Implementation (i.e., structure and organization)

A 12 week double blind, placebo controlled study to assess safety, tolerability, pharmacokinetic and effect on platelet aggregation if a does range of SB when added to aspirin in patients with myocardial infarction, unstable angina. Information includes:

• Purpose and background
• Procedures
• Possible risks and discomforts
• Benefits associated with the study
• Confidentiality
• Voluntary participation and consent
• Alternative treatment/procedures
• Consent Form

Cardiology Research – Thunder Bay Regional Hospital.

• Various Emails
• Various Agenda Meeting Notes
• Memos
• Policy – DNAR Draft (Policy statement, purpose, etc.)
• Ethics Consult (April 12th, 2000) – Handwritten Notes (Background, Recent Events, Issues)
• Ethical Case Consultation (April 11th, 2000). Thunder Bay Regional Hospital. By: Lynne Gray-Sihvonen, Manager Critical Care
• Treatment Directive Draft (Part 1: Treatment Form -Supportive/Comfort Care)
• Notes: Regarding Smoking Policy (Purpose, Action Plans, Findings)
• Article: Bioethics for clinicians: 16. Dealing with demands for inappropriate treatment (Oct 6th, 1998). By Weijer, Singer, Dickens, Workman
• Ethics Committee Annual Report (1999-2000) by Dr. J.F. Kotalik