The New Zealand medical journal最新文献_第3页

Legalising smokeless tobacco and/or oral nicotine products: some implications for population health. 无烟烟草和/或口服尼古丁产品合法化：对人口健康的一些影响。

The New Zealand medical journal Pub Date : 2024-04-12 DOI: 10.26635/6965.6558

Jude Ball, Janine Nip, Janet Hoek

引用次数: 0

Negotiating a competitive speciality programme interview-a Māori clinician perspective. 竞争激烈的专业课程面试--毛利临床医生的视角。

The New Zealand medical journal Pub Date : 2024-04-12 DOI: 10.26635/6965.6411

Walston Martis, Zanazir Alexander

引用次数: 0

Differences in life expectancy within and between countries: implications for domestic TAVI guidelines in Australia and Aotearoa New Zealand. 国家内部和国家之间预期寿命的差异：对澳大利亚和新西兰国内 TAVI 指南的影响。

The New Zealand medical journal Pub Date : 2024-04-12 DOI: 10.26635/6965.6402

Thomas Ryan, Jonathon B Ryan

引用次数: 0

Hospital based specialists' perspectives of teleconsultation use during the COVID-19 pandemic. 医院专家对COVID-19大流行期间远程会诊使用的看法

The New Zealand medical journal Pub Date : 2022-06-10 DOI: 10.2139/ssrn.3951002

E. Chou, A. McCombie, T. Eglinton

{"title":"Hospital based specialists' perspectives of teleconsultation use during the COVID-19 pandemic.","authors":"E. Chou, A. McCombie, T. Eglinton","doi":"10.2139/ssrn.3951002","DOIUrl":"https://doi.org/10.2139/ssrn.3951002","url":null,"abstract":"AIMS\u0000Teleconsultation has been widely utilised during the COVID-19 pandemic. It allows clinicians to provide healthcare social distance restrictions. This study investigates its safety and limitations in different specialties and the possibility of incorporating telemedicine into future practice.\u0000\u0000\u0000METHODS\u0000This was a qualitative study of 151 hospital-based specialists in New Zealand. An electronic questionnaire was sent via email addresses. These included participants' demography and their experience of using teleconsultation during the pandemic. The safety and suitability of teleconsultation were assessed with time efficiency, data security concerns, missed clinical information and specialist's ability to examine patients.\u0000\u0000\u0000RESULTS\u0000This study found that 92.7% of hospital-based specialists used teleconsultation during the pandemic. More specialists reported the efficiency was similar or greater with teleconsultation and most patients could be seen via teleconsultation appointments. Limitations of these were due to poor physical examination and poor non-verbal cues sensing. There is a general preference for physical consultation.\u0000\u0000\u0000CONCLUSION\u0000Teleconsultation is used widely across many specialties during the pandemic. Despite limitations identified with teleconsultations and preference for physical consultation, doctors are prepared to provide teleconsultations in the future beyond the pandemic. In appropriately selected patients, especially in non-procedural specialties, teleconsultation will have an increasing role in healthcare.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130030809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gynaecological cancer pathway for faster cancer treatment: a repeat clinical audit. 妇科癌症途径加快癌症治疗:重复临床审计。

IF 1.7

The New Zealand medical journal Pub Date : 2022-02-25

Rebekah J Cherry, Anand Gangji

{"title":"Gynaecological cancer pathway for faster cancer treatment: a repeat clinical audit.","authors":"Rebekah J Cherry, Anand Gangji","doi":"","DOIUrl":"","url":null,"abstract":"Aims: This clinical audit aimed to review cancer management pathways for patients with gynaecological cancers in Northland in order to evaluate whether there has been an improvement compared to previous audit periods and look for differences between ethnicities.Methods: 186 Northland patients with a new diagnosis of gynaecological cancer were discussed at the Auckland gynaecology-oncology multidisciplinary meeting (MDM) between 1 January 2018 and 31 December 2020. Patient demographics and data pertaining to cancer care was collected and compared to datapoints set out in the original audit, derived from the Ministry of Health Faster Cancer Treatment (FCT) targets and standards of service provision.Results: 89.2% of patients had their first treatment within 31 days of treatment decision, and 66.9% had their first treatment within 62 days of referral, an improvement compared to previous audit periods. Wait times were shorter but there were still delays in obtaining histology, MDM discussion and receiving treatment. There were also differences between treatment locations, as well as between Māori and non-Māori.Conclusions: There has been an overall improvement in gynaecological cancer service provision for Northland patients. However, outcomes still fall short of the national FCT targets and there are on-going disparities between Māori and non-Māori.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"74-85"},"PeriodicalIF":1.7,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40141266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Structural discrimination in the COVID-19 vaccination programme for people with mental health and addiction issues: now is the time to be equally well. 针对精神卫生和成瘾问题患者的COVID-19疫苗接种规划存在结构性歧视:现在是同样健康的时候了。

IF 1.7

The New Zealand medical journal Pub Date : 2022-02-25

Susanna Every-Palmer, Ashley Koning, Linda Smith, Ruth Cunningham, Cameron Lacey, Deborah Peterson, Angela Jury, Kate M Scott, Tony Dowell, Helen Lockett

引用次数: 0

Epidemiology of major trauma in New Zealand: a systematic review. 新西兰重大创伤流行病学:一项系统综述。

IF 1.7

The New Zealand medical journal Pub Date : 2022-02-25

Luisa Montoya, Bridget Kool, Bridget Dicker, Gabrielle Davie

{"title":"Epidemiology of major trauma in New Zealand: a systematic review.","authors":"Luisa Montoya, Bridget Kool, Bridget Dicker, Gabrielle Davie","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To describe the incidence and characteristics of major trauma in New Zealand.Methods: A systematic review based on a MEDLINE search strategy was performed using the databases PubMed, EMBASE, CINAHL and Scopus. Search terms included: \"Wounds and Injuries,\" \"Fatal Injuries,\" \"Injury Severity Score,\" \"Major Trauma,\" \"Severe Trauma,\" \"Injury Scale,\" \"Epidemiology,\" \"Incidence,\" \"Prevalence\" and \"Mortality.\" Studies published in English up to September 2021 reporting the incidence of major trauma in New Zealand were included. The quality of studies was assessed using the GATE LITETM tool.Results: Thirty-nine studies fulfilled the inclusion criteria. The majority of studies were descriptive observational studies (n=37). The incidence of fatal trauma was highest among those injured from motor vehicle crashes (MVCs) or falls, Māori males and those sustaining head injuries. The incidence of non-fatal major trauma was highest among young Māori males. MVCs and falls were the most common mechanism of injury among trauma patients across all age groups. Length of hospital stay was greatest in patients with the highest Injury Severity Scores.Conclusions: The incidence of major trauma varies by age, sex and ethnicity. This review highlights the need for further analytical studies that can explore factors that may impact survival from major trauma.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"86-110"},"PeriodicalIF":1.7,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40141267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of pulmonary rehabilitation programmes in New Zealand: a survey of practice prior to and during COVID-19. 新西兰肺康复规划的特点:COVID-19之前和期间的实践调查

IF 1.7

The New Zealand medical journal Pub Date : 2022-02-25

Sarah Candy, Julie Reeve, Rosie Dobson, Denise Taylor

{"title":"Characteristics of pulmonary rehabilitation programmes in New Zealand: a survey of practice prior to and during COVID-19.","authors":"Sarah Candy, Julie Reeve, Rosie Dobson, Denise Taylor","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The primary aim of this survey was to develop an understanding of current pulmonary rehabilitation practices in New Zealand. The onset of a COVID-19 lockdown in New Zealand in March 2020, shortly after completion of the initial survey, enabled a follow-up survey to determine how services had adapted in response to the global pandemic.Methods: A cross-sectional observational design using two sequential purpose designed online surveys administered before (Survey 1) and after COVID-19 lockdowns (Survey 2) in New Zealand.Results: Survey 1 was completed by 36 PR services across New Zealand and showed homogeneity in the content and structure of services provided. PR was primarily funded by district health boards, run by a multi-disciplinary team of health professionals and included participants with a range of chronic respiratory conditions. All programmes completed pre- and post-PR assessments, were a minimum of eight weeks in duration and included exercise and education. Survey 2 showed that, during level 4 and level 3 COVID-19 restrictions, 11 (40.7%) of services paused PR programmes, with 16 (59%) adapting the service to provide home-based rehabilitation via telephone or teleconference facilities.Conclusion: PR programmes in New Zealand report following Australian and New Zealand PR best practice guidelines and are homogenous in content and structure, but COVID-19 restrictions highlighted the need for services to provide more diverse options for service delivery. Future service development should focus on providing a range of delivery options allowing increased access to PR, tailoring therapy to meet individual needs and ensuring services are engaging for all participants to optimise participation.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"13-25"},"PeriodicalIF":1.7,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40141284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The persistence of neutralising antibodies up to 11 months after SARS CoV-2 infection in the southern region of New Zealand. 在新西兰南部地区感染SARS - CoV-2后，中和抗体持续存在长达11个月。

IF 1.7

The New Zealand medical journal Pub Date : 2022-02-25

Reuben McGregor, Alyson Craigie, Susan Jack, Arlo Upton, Nicole J Moreland, James E Ussher

引用次数: 0

Risk factors differ for Gram-negative surgical site infection following hip and knee arthroplasty: an observational study from a national surveillance system. 髋关节和膝关节置换术后革兰阴性手术部位感染的危险因素不同:一项来自国家监测系统的观察性研究。

IF 1.7

The New Zealand medical journal Pub Date : 2022-02-25

Aakash V Chhibber, Sally A Roberts, Nikki Grae, Arthur J Morris

{"title":"Risk factors differ for Gram-negative surgical site infection following hip and knee arthroplasty: an observational study from a national surveillance system.","authors":"Aakash V Chhibber, Sally A Roberts, Nikki Grae, Arthur J Morris","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To describe risk factors for surgical site infection (SSI) caused by aerobic Gram-negative organisms after hip and knee arthroplasty.Method: Publicly funded hip and knee arthroplasties (performed between 1 July 2013 and 31 December 2017) that developed SSIs were compared to those that did not. SSIs were grouped by causative organism: Gram-negative (Pseudomonas spp. or enteric Gram-negative bacilli) or staphylococcal (pure or mixed growth of Staphylococcus spp.). Independent risk factors in each group were identified.Results: 24,842 (54%) hip and 20,993 (46%) knee arthroplasties were performed. There were 497 (1.1%) SSIs. Staphylococci were responsible for 233 SSIs (47%) and Gram-negatives were responsible for 73 (15%). Age, sex, body mass index ≥35kg/m2, smoking status, socioeconomic deprivation, American Society of Anesthesiologists classification, revision surgery and prophylactic antibiotic dose were all independent predictors of all-cause SSI. On subgroup analysis, socioeconomic deprivation and Pasifika ethnicity were independent risk factors for Gram-negative SSI, but not staphylococcal SSI.Discussion: In this study, socioeconomic deprivation and ethnicity were independent and novel risk factors for Gram-negative SSI following arthroplasty. Some of the SSI risk factors can be modified before arthroplasty (e.g., appropriate timing of prophylactic antibiotics, smoking cessation, weight loss). Non-modifiable risk factors can help identify high-risk procedures where additional pre- and post-operative interventions may be warranted.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"47-61"},"PeriodicalIF":1.7,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40141286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0