The New Zealand medical journal最新文献_第8页

Confidence in the safety of standard childhood vaccinations among New Zealand health professionals. 新西兰卫生专业人员对标准儿童疫苗接种安全性的信心。

IF 1.7

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

Carol Lee, Isabelle Duck, Chris G Sibley

{"title":"Confidence in the safety of standard childhood vaccinations among New Zealand health professionals.","authors":"Carol Lee, Isabelle Duck, Chris G Sibley","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To investigate the level of confidence in the safety of standard childhood vaccinations among health professionals in New Zealand.Method: Data from the 2013/14 New Zealand Attitudes and Values Study (NZAVS) was used to investigate the level of agreement that \"it is safe to vaccinate children following the standard New Zealand immunisation schedule\" among different classes of health professionals (N=1,032).Results: Most health professionals showed higher levels of vaccine confidence, with 96.7% of those describing their occupation as GP or simply 'doctor' (GPs/doctor) and 90.7% of pharmacists expressing strong vaccine confidence. However, there were important disparities between some other classes of health professionals, with only 65.1% of midwives and 13.6% of practitioners of alternative medicine expressing high vaccine confidence.Conclusion: As health professionals are a highly trusted source of vaccine information, communicating the consensus of belief among GPs/doctors that vaccines are safe may help provide reassurance for parents who ask about vaccine safety. However, the lower level of vaccine confidence among midwives is a matter of concern that may have negative influence on parental perceptions of vaccinations.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"60-68"},"PeriodicalIF":1.7,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36066548","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

Early onset dementia in New Zealand Pacific boxers: a case series. 新西兰太平洋拳击运动员的早发性痴呆:一个病例系列。

IF 1.7

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

Vahid Payman, Susan Yates, Sarah Cullum

{"title":"Early onset dementia in New Zealand Pacific boxers: a case series.","authors":"Vahid Payman, Susan Yates, Sarah Cullum","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To describe the biopsychosocial characteristics of a series of Pacific men living in South Auckland with a history of boxing presenting with early onset dementia. We discuss the history of boxing in Pacific people and the possibility of increased risk of early onset dementia in New Zealand Pacific men compared to their European counterparts.Method: We reviewed the files of Pacific men with a history of amateur or professional boxing who presented to our memory and older adult mental health services with early onset dementia over a 45-month period. We gathered relevant information to construct a biopsychosocial paradigm as possible explanation of this phenomenon.Results: We identified a series of eight New Zealand Pacific men with early onset dementia and with a history of boxing. Alcohol was a contributing factor in seven of the eight cases, and vascular risk factors in five.Conclusion: Historical, cultural and socio-economic factors underpin the attraction of some Pacific men to boxing as a sport. Given that New Zealand Pacific peoples may have an earlier onset of dementia than their European counterparts, further research is required to establish whether boxing is a contributory factor. Sports physicians should advise young New Zealand Pacific boxers about the long-term risks associated with their sport.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"20-26"},"PeriodicalIF":1.7,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36067615","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 Dunedin Dementia Risk Awareness Project: a convenience sample of general practitioners. 达尼丁痴呆症风险意识项目:全科医生的方便样本。

IF 1.7

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

Yoram Barak, Charlene Rapsey, Dana Fridman, Kate Scott

{"title":"The Dunedin Dementia Risk Awareness Project: a convenience sample of general practitioners.","authors":"Yoram Barak, Charlene Rapsey, Dana Fridman, Kate Scott","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Recent recommendations of US and UK governmental and academic agencies suggest that up to 35% of dementia cases are preventable. We aimed to appraise general practitioners' (GPs) awareness of risk and protective factors associated with dementia and their intentions to act within the context of the Health Beliefs Model.Methods: We canvassed degree of dementia awareness, using the modified Lifestyle for Brain Health (LIBRA) scale among a convenience sample of local GPs.Results: Thirty-five GPs, mean age 56.7 + 6.8 years (range: 43-72) participated. There were 19 women and 16 men, all New Zealand European. Genetics was the most commonly cited risk for dementia and exercise the most commonly cited protective factor. More than 80% of participants correctly identified 8/12 LIBRA factors. Factors not identified were: renal dysfunction, obesity, Mediterranean diet and high cognitive activity. The majority of participants felt they were at risk of suffering from dementia, that lifestyle changes will help reduce their risk and wished to start these changes soon.Conclusions: GPs are knowledgeable about dementia risk and protective factors. They reported optimism in their ability to modify their own risk factors through lifestyle interventions. This places GPs in a unique position to help disseminate this knowledge to their clients.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"27-34"},"PeriodicalIF":1.7,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36067616","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

"It's hard to ask": examining the factors influencing decision-making among end-stage renal disease patients considering approaching family and friends for a kidney. “这很难问”:检查影响终末期肾病患者决定向家人和朋友寻求肾脏的因素。

IF 1.7

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

Merryn A Jones, Jon Cornwall

{"title":"\"It's hard to ask\": examining the factors influencing decision-making among end-stage renal disease patients considering approaching family and friends for a kidney.","authors":"Merryn A Jones, Jon Cornwall","doi":"","DOIUrl":"","url":null,"abstract":"Aim: People needing kidney transplants in New Zealand can receive organs from deceased donors or from a living kidney donor. This project explored issues surrounding donor recruitment, examining the lived experience of end-stage renal disease (ESRD) patients in order to facilitate improved donor recruitment for ESRD patients.Method: A qualitative study comprising interviews of ESRD patients in Hawke's Bay, focusing on the factors surrounding approaching family and friends for a kidney. Purposeful sampling and thematic analysis of data was utilised.Results: Fifteen participants were interviewed (Five female; mean age 49.8yrs). Most stated it was hard to ask for a kidney; almost half had never approached anyone. For many, approaching potential donors was a barrier. Many Māori had limited recruitment opportunities due to comorbidities within extended whanau, making the decision of who to approach difficult. Other barriers included concern for donor health, poor health literacy and poor self-efficacy.Conclusion: Recipients desired more support to facilitate approaching donors, with cultural differences observed between Māori and non-Māori in recruitment expectations. Tailored support could be enabled with development of a screening tool to assess willingness and motivation to accept donation, cultural needs, self-efficacy, communication skills and health literacy. Psychosocial support could help address barriers such as reciprocity concerns.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"10-19"},"PeriodicalIF":1.7,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36067614","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

Eikenella corrodens retroperitoneal necrotising fasciitis post-endoscopic retrograde cholangio-pancreatography. 内窥镜逆行胆管胰脏造影后，艾肯氏菌对腹膜后坏死性筋膜炎的腐蚀。

IF 1.7

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

Yee Sing Lin, Eva Susan Juhasz

引用次数: 0

A case of skeletal fluorosis? 氟骨症1例?

IF 1.7

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

Michael Godfrey

引用次数: 0

A New Zealand osteoarthritis model of care in South Canterbury, New Zealand. 在南坎特伯雷，新西兰骨关节炎的护理模式。

IF 1.7

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

Sharon Peck, Janice Mueller, Jennifer Murphy

引用次数: 0

Outcomes following therapeutic lymphadenectomy for Stage III malignant melanoma in a single unit. 单单位治疗III期恶性黑色素瘤淋巴结切除术后的结果。

IF 1.7

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

Rahul Jayakar, Emily Yassaie, Christopher Adams

{"title":"Outcomes following therapeutic lymphadenectomy for Stage III malignant melanoma in a single unit.","authors":"Rahul Jayakar, Emily Yassaie, Christopher Adams","doi":"","DOIUrl":"","url":null,"abstract":"Background: Malignant melanoma is the fourth most common cancer in New Zealand. Surgery is the only treatment modality that can achieve high cure rates for regional disease, but is associated with high complication rates. Our study documents the morbidity associated with regional lymphadenectomy; audits nodal harvest numbers and considers nodal harvest targets.Methods: We retrospectively reviewed regional lymphadenectomies for Stage III melanoma at a single tertiary centre from 2004 to 2014. Data was collected on patient demographics, site of operation, number of lymph nodes recovered, all complications within six months of surgery, loco-regional recurrence, distal progression and five-year survival. We also used key performance indicators (KPI) to assess the quality of dissection.Results: A total of 219 lymphadenectomies were carried out. Forty-three percent of all patients experienced at least one complication. This was markedly higher for those undergoing a groin dissection. Recurrence, progression and survival rates did not vary between nodal basins. There was a mean of 31.6, 17.6 and 10.9 nodes recovered from neck, axillary and groin dissection groups respectively. Our KPIs were achieved in 80%, 86.6% and 90% of cases and resulted in a significant improvement in recurrence and progression rates.Conclusion: Lymphadenectomy has a high risk of post-operative complications, especially for groin dissections. Quality of lymphadenectomy can be assessed by monitoring nodal harvest numbers, and achieving nodal harvest targets provides significant prognostic information. We support the development of national tumour standards, including key performance indicators, for management of Stage III melanoma.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"51-59"},"PeriodicalIF":1.7,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36067619","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

Co-prescribing of contraindicated and use-with-caution drugs in a national cohort of new users of simvastatin: how well are prescribing guidelines followed? 辛伐他汀新使用者国家队列中联合处方禁忌症和慎用药物:处方指南的遵循程度如何?

IF 1.7

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

Joshua Quon, Lianne Parkin, Katrina Sharples, David Barson

{"title":"Co-prescribing of contraindicated and use-with-caution drugs in a national cohort of new users of simvastatin: how well are prescribing guidelines followed?","authors":"Joshua Quon, Lianne Parkin, Katrina Sharples, David Barson","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To describe the use of contraindicated and use-with-caution medicines among new users of simvastatin.Methods: We used information from Ministry of Health national datasets to establish a cohort of all patients aged >18 years who initiated simvastatin use between January 2006 and December 2013 (n=349,371). We estimated the cumulative incidences of the first dispensing of contraindicated and use-with-caution medicines during simvastatin use, and explored factors associated with co-prescription, using Kaplan-Meir and Cox regression methods, respectively.Results: Eleven percent and 16% of patients were dispensed a contraindicated and use-with-caution medicine, respectively, during the first two years of simvastatin use; by seven years, the figures were 17% and 26%. Thirty-six percent of patients were co-prescribed a contraindicated medicine on >1 occasion; the corresponding proportion for use-with-caution medicines was 84%. For a substantial proportion of those co-prescribed a use-with-caution medicine, the concomitant daily dose of simvastatin exceeded the maximum dose recommended at the time of prescribing. In the majority of cases, the prescriber of simvastatin and the contraindicated or use-with-caution medicine were the same. Co-prescribing of contraindicated medicines varied by sex, age, ethnicity and comorbidity.Conclusions: The prescription of contraindicated and use-with-caution drugs to patients taking simvastatin is not uncommon in New Zealand.","PeriodicalId":160836,"journal":{"name":"The New Zealand medical journal","volume":" ","pages":"35-44"},"PeriodicalIF":1.7,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36067617","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

Off label or on trend: a review of the use of quetiapine in New Zealand. 标签外或趋势:对新西兰喹硫平使用的回顾。

IF 1.7

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

Mark Huthwaite, Marilyn Tucker, Lynn McBain, Sarah Romans

引用次数: 0