The New Zealand medical journal最新文献_第5页

A Survey of the Smokefree Status of Pedestrian-Only Spaces in 10 New Zealand Local Government Areas 新西兰10个地方政府区域行人专用空间无烟状况调查

The New Zealand medical journal Pub Date : 2021-06-13 DOI: 10.1101/2021.06.09.21258659

Nick Wilson, Niveditha Gurram, L. Grout, G. Thomson

{"title":"A Survey of the Smokefree Status of Pedestrian-Only Spaces in 10 New Zealand Local Government Areas","authors":"Nick Wilson, Niveditha Gurram, L. Grout, G. Thomson","doi":"10.1101/2021.06.09.21258659","DOIUrl":"https://doi.org/10.1101/2021.06.09.21258659","url":null,"abstract":"Aim: To describe the smokefree status and signage of outdoor pedestrian-only plazas/malls/boulevards in 10 New Zealand local government (council) areas. Methods: The 10 council areas were a convenience sample. Council websites were examined for smokefree policies and a systematic attempt was made to identify the five largest pedestrian-only sites with permanent seating in each council area (10 sites each for two larger cities). Field visits were conducted to all selected sites. Results: Smokefree policies with components covering smokefree outdoor plazas/malls/boulevards were common (80%; 8/10 councils), albeit with some gaps (eg, around signage and vaping policy). A total of 60 relevant pedestrianised sites with permanent seating were identified and surveyed. Of these 63% were officially designated smokefree. Smokefree signage was only present in 15% (9/60) of all the sites and in 24% (9/38) of the designated smokefree sites. In these designated sites the average number of smokefree signs was only 1.4 (range: 0 to 14). Issues identified with the signs included small size, being only a small part of a larger other sign, limited use of te reo M[a]ori wording, and not covering vaping. At sites where tables were present, 12% had ash trays on the tables (none where smokefree). Conclusions: Smokefree plazas/malls/boulevards in this survey had multiple policy and signage deficiencies that are inconsistent with achieving the national smokefree goal for 2025. There is scope to address these issues with an upgrade to the national smokefree law.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129831012","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

Will access to COVID-19 vaccine in Aotearoa be equitable for priority populations? 在奥特罗阿，优先人群获得COVID-19疫苗是否公平?

The New Zealand medical journal Pub Date : 2021-05-21 DOI: 10.1093/ije/dyab168.708

Jesse Whitehead, N. Scott, P. A. Carr, R. Lawrenson

{"title":"Will access to COVID-19 vaccine in Aotearoa be equitable for priority populations?","authors":"Jesse Whitehead, N. Scott, P. A. Carr, R. Lawrenson","doi":"10.1093/ije/dyab168.708","DOIUrl":"https://doi.org/10.1093/ije/dyab168.708","url":null,"abstract":"AIM\u0000This research examines the equity implications of the geographic distribution of COVID-19 vaccine delivery locations in Aotearoa New Zealand under five potential scenarios: (1) stadium mega-clinics; (2) Community Based Assessment Centres; (3) GP clinics; (4) community pharmacies; and (5) schools.\u0000\u0000\u0000METHOD\u0000We mapped the distribution of Aotearoa New Zealand's population and the location of potential vaccine delivery facilities under each scenario. Geostatistical techniques identified population clusters for Māori, Pacific peoples and people aged 65 years and over. We calculated travel times between all potential facilities and each Statistical Area 1 in the country. Descriptive statistics indicate the size and proportion of populations that could face significant travel barriers when accessing COVID-19 vaccinations.\u0000\u0000\u0000RESULTS\u0000Several areas with significant travel times to potential vaccine delivery sites were also communities identified as having an elevated risk of COVID-19 disease and severity. All potential scenarios for vaccine delivery, with the exception of schools, resulted in travel barriers for a substantial proportion of the population. Overall, these travel time barriers disproportionately burden Māori, older communities and people living in areas of high socioeconomic deprivation.\u0000\u0000\u0000CONCLUSION\u0000The equitable delivery of COVID-19 vaccines is key to an elimination strategy. However, if current health services and facilities are used without well-designed and supported outreach services, then access to vaccination is likely to be inequitable.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127926989","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: 23

Stroke rehabilitation. 中风康复。

The New Zealand medical journal Pub Date : 2021-02-01 DOI: 10.7326/0003-4819-76-6-1056_2

P. Friedman

引用次数: 0

The mule who took us for a ride. 带我们兜风的骡子。

The New Zealand medical journal Pub Date : 2020-09-04 DOI: 10.1093/bjs/znab312.054

Islam Hossam El-Abbassy, B. Perakath

{"title":"The mule who took us for a ride.","authors":"Islam Hossam El-Abbassy, B. Perakath","doi":"10.1093/bjs/znab312.054","DOIUrl":"https://doi.org/10.1093/bjs/znab312.054","url":null,"abstract":"Foreign body ingestion is not uncommon in patients with mental disorders, alcohol intoxication and for purposes of drug trafficking. Small objects pass spontaneously; however, larger ones may get stuck in the oesophagus, stomach or at narrow areas of the bowel. 'Body packers' is a term used to describe persons who swallow or insert drug-filled packets into a body cavity. They are also called 'swallowers', 'internal carriers', 'couriers' or 'mules'. We report a 37-year-old previous drug abuser who presented with dysphagia. Upper GI endoscopy showed an oblong foreign body covered in plastic in the lower oesophagus. This could not be extracted and hence was pushed into the stomach. Three weeks later, he presented with bowel obstruction that was shown on abdominal radiograph and confirmed by CT indicating multiple dilated small bowel loops with a transition point in the terminal ileum where the ingested package was identified. The package was then removed through a longitudinal enterotomy. Ingested foreign bodies causing dysphagia should ideally be extracted endoscopically. If not possible, then a watch-and-wait policy may be justified. While most ingested objects pass spontaneously, unusual and larger ones may require surgical extraction. The contents, nature and reason for ingesting this strange object remain a mystery. With history of drug abuse and the consistent denial of knowingly swallowing that object, we can only conclude that the patient was trying to transport an illicit drug in the packet.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126724847","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

Assisted dying and evidence-based law-making: a critical analysis of an article's role in New Zealand's referendum. 协助死亡和基于证据的立法:对一篇文章在新西兰公投中的作用的批判性分析。

The New Zealand medical journal Pub Date : 2020-08-21 DOI: 10.2139/ssrn.3677970

B. White, L. Willmott, J. Downie, A. Geddis, C. Gavaghan

{"title":"Assisted dying and evidence-based law-making: a critical analysis of an article's role in New Zealand's referendum.","authors":"B. White, L. Willmott, J. Downie, A. Geddis, C. Gavaghan","doi":"10.2139/ssrn.3677970","DOIUrl":"https://doi.org/10.2139/ssrn.3677970","url":null,"abstract":"AIM\u0000To critically analyse the reliability of an article which claims to be evidence that the End of Life Choice Act 2019 provides a \"potential hotspot for family, community and social discord that may not be easily remedied\" should the legislation receive public support in New Zealand's September 2020 referendum.\u0000\u0000\u0000METHODS\u0000The subject article was reviewed multiple times by all authors and critiqued against three criteria: a reliability pyramid developed to weigh evidence about assisted dying; principles that guide the conduct of social science research; and the use of reliable and current social science literature to support factual claims.\u0000\u0000\u0000RESULTS\u0000The study being analysed involved a single interview and so is located at the second bottom row of the reliability pyramid. Its research design is also unable to support the broad findings that are asserted. Other flaws in method included findings being extended beyond the data, and failure to state appropriate limitations in the research method. Further, claims are made that are unsupported by the weight of reliable social science literature.\u0000\u0000\u0000CONCLUSION\u0000The subject article is methodologically and factually flawed so is unreliable as evidence. It should not be considered in the assisted dying debates preceding the forthcoming referendum.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130330284","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

Kawasaki disease. 川崎病。

The New Zealand medical journal Pub Date : 2020-05-01 DOI: 10.1891/9780826153425.0016g

J. Cook, G. Abbott

引用次数: 0

The post-lockdown period should be used to acquire effective therapies for future resurgence in SARS-Cov-2 infections. 封锁后的时间应该用来获得有效的治疗方法，以应对未来SARS-Cov-2感染的复发。

The New Zealand medical journal Pub Date : 2020-04-24 DOI: 10.26686/wgtn.12331256.v1

K. Krause, R. Furneaux, P. Benjes, M. Brimble, T. Davidson, W. Denny, L. Harris, S. Hinkley, P. Tyler, J. Ussher, V. Ward

引用次数: 5

Estimated inequities in COVID-19 infection fatality rates by ethnicity for Aotearoa New Zealand 新西兰按种族划分的COVID-19感染死亡率估计不平等

The New Zealand medical journal Pub Date : 2020-04-24 DOI: 10.1101/2020.04.20.20073437

N. Steyn, Rachelle N. Binny, K. Hannah, S. Hendy, A. James, T. Kukutai, Audrey Lustig, M. Mcleod, M. Plank, K. Ridings, A. Sporle

{"title":"Estimated inequities in COVID-19 infection fatality rates by ethnicity for Aotearoa New Zealand","authors":"N. Steyn, Rachelle N. Binny, K. Hannah, S. Hendy, A. James, T. Kukutai, Audrey Lustig, M. Mcleod, M. Plank, K. Ridings, A. Sporle","doi":"10.1101/2020.04.20.20073437","DOIUrl":"https://doi.org/10.1101/2020.04.20.20073437","url":null,"abstract":"There is limited evidence as to how COVID-19 infection fatality rates (IFR) may vary by ethnicity. We combine demographic and health data for ethnic groupings in Aotearoa New Zealand with international data on IFR for different age groups to estimate inequities in IFR by ethnicity. We find that, if age is the dominant factor determining IFR, estimated IFR for Māori is around 50% higher than non-Māori. If underlying health conditions are more important than age per se, then estimated IFR for Māori is more than 2.5 times that of New Zealand European, and estimated IFR for Pasifika is almost double that of New Zealand European. IFRs for Māori and Pasifika are likely to be increased above these estimates by racism within the healthcare system and other inequities not reflected in official data. IFR does not account for differences among ethnicities in COVID-19 incidence, which could be higher in Māori and Pasifika as a result of crowded housing and higher inter-generational contact rates. These factors should be included in future disease incidence modelling. The communities at the highest risk will be those with elderly populations, and Māori and Pasifika communities, where the compounded effects of underlying health conditions, socioeconomic disadvantage, and structural racism result in imbricated risk of contracting COVID-19, becoming unwell, and death.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134161355","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: 66

Juvenile osteochondrosis.

The New Zealand medical journal Pub Date : 2020-02-07 DOI: 10.32388/3z6qdt

A. C. Begg

引用次数: 0

Back injury. 背伤。

The New Zealand medical journal Pub Date : 2020-02-07 DOI: 10.7748/ns.5.27.8.s18

M. Hames

引用次数: 0