The New Zealand medical journal最新文献_第7页

Preventing cardiovascular disease in New Zealand: making better use of statins but also tobacco control, changing the food supply and other strategies. 新西兰预防心血管疾病:更好地利用他汀类药物，同时控制烟草，改变食物供应和其他策略。

IF 1.7

The New Zealand medical journal Pub Date : 2018-10-26

Nick Wilson, Amanda C Jones, Nhung Nghiem, Tony Blakely

引用次数: 0

Sun protection and shade availability in New Zealand's outdoor recreation spaces. 新西兰户外娱乐场所的防晒和遮阳。

IF 1.7

The New Zealand medical journal Pub Date : 2018-10-26

Ryan Gage, Michelle Barr, James Stanley, Anthony Reeder, Christina Mackay, Moira Smith, Tim Chambers, William Leung, Louise Signal

{"title":"Sun protection and shade availability in New Zealand's outdoor recreation spaces.","authors":"Ryan Gage, Michelle Barr, James Stanley, Anthony Reeder, Christina Mackay, Moira Smith, Tim Chambers, William Leung, Louise Signal","doi":"","DOIUrl":"","url":null,"abstract":"Aims: We aimed to investigate sun protection behaviours and shade availability in outdoor recreation spaces using images captured by children who, in 2014/15, wore wearable cameras for four consecutive days.Methods: The 168 participants visited 16 outdoor recreation spaces between 10am and 4pm, capturing 378 images, on average, in each setting. People observed in the images (n=2,635) were coded for age, sex, clothing worn (38 clothing types) and shade used. Mean temperature and ultraviolet index (UVI) values were linked with the time-stamped and geo-referenced images.Results: The UVI in most settings was high enough to warrant sun protection, but only 4.3% of people wore sun-protective hats (broad-brim, bucket and legionnaire styles) and 10.7% used shade. Areas most popular with children, including playground equipment, beach sand and pool areas, had little or no shade available.Conclusions: Despite New Zealand having the highest incidence of melanoma skin cancer in the world, the results indicate that few New Zealanders wear hats and seek shade in outdoor recreation settings. The findings highlight the need to improve policy and environmental support for skin cancer prevention activities.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"30-37"},"PeriodicalIF":1.7,"publicationDate":"2018-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36616071","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

Endovascular clot retrieval for acute ischaemic stroke in New Zealand. 在新西兰急性缺血性脑卒中的血管内血块回收。

IF 1.7

The New Zealand medical journal Pub Date : 2018-10-26

Adam Langton Burnell, Anna Ranta, Teddy Wu, John Fink, Ben McGuinness, James Caldwell, Wayne Collecutt, Stefan Brew, P Alan Barber

{"title":"Endovascular clot retrieval for acute ischaemic stroke in New Zealand.","authors":"Adam Langton Burnell, Anna Ranta, Teddy Wu, John Fink, Ben McGuinness, James Caldwell, Wayne Collecutt, Stefan Brew, P Alan Barber","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Stroke endovascular clot retrieval (ECR) in patients with large proximal vessel occlusion improves clinical outcomes. We present the New Zealand ECR experience.Methods: All New Zealand patients treated with ECR since 2011 were included. Patients were considered eligible if they were independent prior to stroke and had proximal intracranial arterial occlusion.Results: Three hundred and twelve patients [136 women, mean (SD) age of 64 (17) years] from 11 district health boards have been treated between March 2011 and April 2018. There were 260 (83%) patients with anterior and 52 (17%) with posterior circulation arterial occlusion. One hundred and ninety-three (62%) patients were pre-treated with intravenous alteplase. The median time from symptom onset to groin puncture was 210 (range 65-985) minutes. Complete or near-complete recanalisation (Thrombolysis in Cerebral Infarction scores of 3 or 2b) was achieved in 260 of 300 (87%) and the National Institutes of Health Stroke Scale score improved from a median of 18 at baseline to 7 at 24 hours. By day 90, 55% of the anterior circulation patients and 40% of the posterior circulation patients were living independently at home. Mortality rates were 20% for anterior circulation patients and 30% for the posterior circulation patients.Conclusions: This study has shown that stroke endovascular clot retrieval is being provided safely and effectively in New Zealand. However, there remain discrepancies in service provision, and ongoing regional, inter-regional and inter-sector collaboration is essential to implement comprehensive and equitable ECR services across the country.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"13-18"},"PeriodicalIF":1.7,"publicationDate":"2018-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36616068","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

Can colonoscopy at peripheral day hospitals meet internationally accepted quality and safety standards? 周边日间医院的结肠镜检查是否符合国际公认的质量和安全标准?

IF 1.7

The New Zealand medical journal Pub Date : 2018-10-26

Mehul Lamba, Steven Ding

{"title":"Can colonoscopy at peripheral day hospitals meet internationally accepted quality and safety standards?","authors":"Mehul Lamba, Steven Ding","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To perform an independent review of the quality and safety of colonoscopy service at the Canterbury Charity Hospital (CCH).Methods: Demographic, endoscopy and histology data on all colonoscopies performed at CCH between 1 October 2016 and 31 September 2017 were collected. Quality indicators ascertained were caecal intubation rate, mean withdrawal time and adenoma detection rate (ADR). These were assessed using current recommendations by the Joint American College of Gastroenterology and American Society of Gastrointestinal Endoscopy task force.Results: Thirty-four patients, mean age 44 years (range 21-62), underwent colonoscopy. The most common indications were rectal bleeding and/or altered bowel habit (19 patients). Eight asymptomatic patients underwent colonoscopy because of a family history of CRC or a personal history of colorectal polyps; six of these were over 50 years old. Twelve patients had haemorrhoids and seven patients had adenomatous polyps. The caecal intubation rate was 97.1%. Among asymptomatic patients over 50 years undergoing colonoscopy, mean withdrawal time was 7.5 minutes (range 5-10) and ADR was 33.3%. No complications were recorded.Conclusion: The colonoscopy service at CCH was safe and complied with the accepted quality indicators. Our data suggest that delivery of high-quality colonoscopy services might be possible in similar peripheral and day hospitals around New Zealand. Increasing colonoscopy services in such centres would reduce the excessive workload of larger public hospitals and reduce the level of unmet need for colonoscopy services.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"26-29"},"PeriodicalIF":1.7,"publicationDate":"2018-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36616070","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

Stroke reperfusion treatment in regional New Zealand. 新西兰地区的中风再灌注治疗。

IF 1.7

The New Zealand medical journal Pub Date : 2018-10-26

Bhavesh Dayal Lallu, Alexander Campbell Brebner, Bronwen Pepperell, Roger Blume, Jeanette Langridge, Sarah Caswell, Heather Webb

引用次数: 0

How common is off-label prescription of quetiapine? 喹硫平的标签外处方有多常见？

IF 1.7

The New Zealand medical journal Pub Date : 2018-10-26

Andrew McKean, Erik Monasterio, Tom Elliott

引用次数: 0

From crisis to crisis. 一个危机接一个危机。

The New Zealand medical journal Pub Date : 2018-08-15 DOI: 10.2307/j.ctv8pzc5h.10

{"title":"From crisis to crisis.","authors":"","doi":"10.2307/j.ctv8pzc5h.10","DOIUrl":"https://doi.org/10.2307/j.ctv8pzc5h.10","url":null,"abstract":"[O]ne night [my son] started hallucinating. He was on a trip with a friend in NSW...The hospital called me to let me know what had happened and I was assured he would be OK...The hospital needed to get his patient history from our normal hospital in Echuca [Victoria] but there was a delay in getting this information...The Psychiatric Consultant who examined [my son] phoned me and told me he was going to be discharged as he was only homesick. I pleaded with him not to discharge him as he was really sick and needed help...[My son] was discharged the next morning and on the drive on the way home with his friend he killed his friend because he was still sick and hallucinating. He was sent to jail and had his glasses and hearing aid removed and not returned. He was supposed to be sent to a hospital with a psychiatric ward but instead he was sent to Silver Water jail...That is where he stayed for 2 months...[He was then] moved to Long Bay Jail where he was supposed to undergo a psychiatric assessment prior to his court hearing. On the day of the assessment the doctor never turned up ...and neither did the solicitor who was acting on his behalf. As such the hearing never took place and as a result he became very suicidal...I informed and pleaded with the authorities to make them aware he was sick and suicidal. They informed me he would be put in a cell with another inmate who could watch him but in fact he was placed in a single cell on Friday...and hung himself on the Friday night. I would like to know why he was failed by three government departments? How did this happen? [October 2004] (Carer, Mother, Victoria, Footscray Forum #8)","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129826819","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

Love sick. 爱生病。

The New Zealand medical journal Pub Date : 2018-08-10 DOI: 10.1093/oseo/instance.00262151

A. Thomson, G. White

引用次数: 6

Medical research. 医学研究。

The New Zealand medical journal Pub Date : 2018-08-06 DOI: 10.4324/9781315168326-10

M. Stauch, K. Wheat

引用次数: 0

Considering the issue of euthanasia. 考虑安乐死的问题。

IF 1.7

The New Zealand medical journal Pub Date : 2018-05-04