{"title":"Editor’s Welcome","authors":"Joyce Guo, Uma S. Sreedhar","doi":"10.57129/001c.73276","DOIUrl":"https://doi.org/10.57129/001c.73276","url":null,"abstract":"Tēnā koutou katoa and welcome to Issue 35 of Te Hautaka o ngā Akongā Rongoā, the New Zealand Medical Student Journal (NZMSJ). The theme of this issue is “Health Literacy”, which has become an increasingly important topic for medical professionals and the general public alike. It is our great privilege to share with our readers the insightful and high-quality articles by authors both domestic and abroad. The health literacy of both the medical workforce and the general public is crucial to successful patient-centred healthcare. Health literacy is not solely understanding the pathophysiology of a disease, but also the changing dynamics of one’s health amongst other bi- opsychosocial factors. Health professionals are not by nature more “health-literate” than patients, and it is dangerous for the patient-doctor relationship to assume the patient knows less. Health literacy has been associated with a myriad of factors, however, new frameworks of patient-centred care now focus on the role of health professionals in accommodating for and traversing the range of patient health understanding that they encounter. Clear communication between the two parties is arguably more important than the knowledge either holds.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115657157","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}
{"title":"Balancing Asclepius and Hygeia: A personal reflection on health literacy and the “addictionogenic” modern world","authors":"D. Sellman","doi":"10.57129/001c.73281","DOIUrl":"https://doi.org/10.57129/001c.73281","url":null,"abstract":"Asclepius and Hygeia were two ancient Greek gods of health who inspired contrasting activities — medical intervention in disease and disorder for the former, prevention and health promotion for the latter. Modern Western Medicine is dominated by an Asclepian approach, which I was immersed in for much of my career in addiction medicine. However, soon after turning 50 and realising more clearly that the rising wave of addictive disorders in our communities was not going to be solved through treating individuals, I became involved in a project advocating for stronger regulation of alcohol with a group of colleagues. One outcome of this work was a successful defamation case yielding an extraordinary admission that “addictionogenic” businesses work sneakily behind the scenes to denigrate public health advocates who threaten their profit. Not only is stronger regulation of these businesses necessary to reduce harm, but we are now also in urgent need of even broader change in our economics and way of life to avoid the worst of environmental destruction. A better balance of Asclepian and Hygeian values will enhance the place of Medicine in bringing about a better world for all.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129823554","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}
{"title":"Contemporary management of abdominal stab wound with retained knife – A practical guide","authors":"Victor Kong","doi":"10.57129/001c.73282","DOIUrl":"https://doi.org/10.57129/001c.73282","url":null,"abstract":"The incidence of penetrating abdominal trauma (PAT) varies widely depending on geography. In New Zealand, where the proportion of major trauma secondary to penetrating injury is approximately 5%, the overall volume of stab wounds (SW) is relatively low compared with countries such as the United States of America and South Africa. There is no current national guideline for the management of abdominal SW and thus the treatment is largely clinician dependent. The specific clinical scenario of abdominal SW with an associated retained knife is even rarer, but is challenging to manage. Most literature on the topic consists of anecdotal case reports. Very few centres will have accumulated sufficient experience to formulate management algorithms for this particular scenario. This article focuses on the general principles and management strategies for this specific injury. This is based on the author’s personal published and institutional experience over a decade from a high-volume major trauma centre in South Africa. It is aimed at medical students and qualified clinicians who may encounter such injury in the emergency department.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123752846","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}
{"title":"The upstream social determinants of asthma in New Zealand – A public health essay","authors":"Andrew Heaps","doi":"10.57129/001c.73279","DOIUrl":"https://doi.org/10.57129/001c.73279","url":null,"abstract":"Asthma is a complex respiratory condition that has a high prevalence and significant health burden in New Zealand (NZ). Proximal deter- minants of asthma development and severity are well established; however there exists an underappreciation of more upstream determinants that are guided by political, environmental and social elements. In particular, NZ’s housing policy, climate change challenges and unaffordability of nutritious foods are significant root drivers of asthma de- velopment in the present and into the future. Importantly, upstream social determinants have an inequitable impact on asthma burden for Māori and Pacific peoples in NZ. Such disparities are perpetuated by broader elements of colonisation, institutional racism and inequitable policy development. An analysis of the distal drivers of asthma in NZ reveals a necessity for health professionals to question our nation’s priorities and advocate for the targeting of upstream population level health determinants that promote equitable asthma outcomes.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123193652","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}
{"title":"The review process from a biostatistics perspective","authors":"C. Cameron, A. Samaranayaka, Robin Turner","doi":"10.57129/ddtm9685","DOIUrl":"https://doi.org/10.57129/ddtm9685","url":null,"abstract":"","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126045120","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}
{"title":"Lessons from the COVID-19 pandemic: the ethics of coercive vaccination policies – where should we draw the line?","authors":"Yan Ting Alarica Tay","doi":"10.57129/001c.73284","DOIUrl":"https://doi.org/10.57129/001c.73284","url":null,"abstract":"The ongoing COVID-19 pandemic has created unprecedented social, financial, and moral disruptions across the globe despite global efforts to reduce the transmission of the novel coronavirus. Currently, vaccinating populations against COVID-19 has emerged as the most sustainable strategy to help countries recover from the socioeconomic effects of COVID-19 while protecting public health. To meet vaccination targets, some countries have adopted policies that rely on varying levels of coercion. This paper analyses the ethical implications of coercive vaccination policies implemented in Singapore and Italy, which impose barriers to accessing healthcare on the unvaccinated. These two cases are compared to the vaccine mandate in New Zealand, which did not restrict access to healthcare for the unvaccinated. This analysis draws on key considerations from Kass’ ethical framework for assessing public health intervention. This analysis is relevant to countries considering similar policies to increase vaccination uptake for infectious diseases. Since healthcare is a fundamental good, a critical question is whether imposing barriers to accessing healthcare services is an ethically justifiable consequence of the choice to remain unvaccinated.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125163985","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}
{"title":"Health literacy in Aotearoa New Zealand – what every medical student needs to do","authors":"Carla White, S. Reid, Papaarangi Reid","doi":"10.57129/001c.73277","DOIUrl":"https://doi.org/10.57129/001c.73277","url":null,"abstract":"Health literacy is our ability to manage our wellbeing at a particular point in time given the range of demands placed on us by the way the health system and health services are organised and delivered. These complex demands also include how access to health professionals is controlled and how health information is provided. It can be useful to think of health literacy as a dynamic state of knowledge, skills, and cognitive space relative to need. This helps us to recognise the ever-changing knowledge, skills, and cognitive space we need to manage our wellbeing through life. This dynamic state can also describe our wellbeing at an individual and whānau level with people experiencing many health changes over a lifetime, and disease understanding, treatment and prevention advice continuing to evolve. These constant changes to our health system and within our personal experiences means every person will have health literacy needs at some point.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"23 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114088062","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}
{"title":"Narrative review: The role of nature, plants, and art in post‐operative outcomes","authors":"Michaela Rektorysova","doi":"10.57129/001c.73286","DOIUrl":"https://doi.org/10.57129/001c.73286","url":null,"abstract":"BACKGROUND Recovery from surgery is a stressful experience for patients, both physically and psychologically. Previous research has shown that in- creased stress has effects on post-operative outcomes. Non-pharmacological therapies, such as experiencing nature, may be potential avenues to further improve patient care. METHODS PubMed and Google Scholar were searched for the terms “nature,” “plants,” “surgery,” “post-operative outcomes,” and “pain.” RESULTS There were very limited numbers of studies looking into the effect of plants, nature, and art on post-operative outcomes. Those that did exist were relatively low quality in design. Nevertheless, exposure to plants was associated with a slightly reduced systolic blood pressure and reduced self-reported stress levels and pain intensity. Similarly, a retrospective study found that patients in rooms with views of nature consumed less analgesia on days three to five post-operatively, and had a slightly shorter hospital stay. Views of artwork were associated with increased mobilization distance on day one post-operatively, but this association disappeared from day two onwards. Some evidence exists that nature and images of nature can improve pain tolerance in university students, but this may not generalize well to the clinical population. CONCLUSION There is limited evidence to support the thesis that the view of plants, nature, or art can improve post-operative outcomes. The papers identified in this review were of low quality with limited statistical power. However, enabling access to nature and art could be an avenue for non-pharmacological improvement of patient outcomes, and high-quality studies are warranted.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121991972","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}
{"title":"You are the content you consume: Level of informative content of the most commonly viewed dysphagia videos on YouTube","authors":"Aideen Farragher, Eimear Quinn, Ó. Gilheaney","doi":"10.57129/001c.73283","DOIUrl":"https://doi.org/10.57129/001c.73283","url":null,"abstract":"Individuals experiencing dysphagia frequently search for information to discover the cause or best management of their dysphagia from the internet due to delays in in-person service or lack of regional specialists. However, online information is frequently unregulated and could be inaccurate, thus potentially endangering patients. This study aimed to investigate and evaluate the content quality of the top 25 videos related to dysphagia on the video streaming website YouTube (www.YouTube.com). YouTube was searched using the key term ‘dysphagia’ with the top 25 viewed videos transcribed. The videos were scored using a 10-point scoring system to determine their content quality by awarding points for each domain covered, then categorised as either strong, moderate or poor. The characteristics of each video were recorded and descriptive statistical analysis tests performed. 52% (n= 13) of the videos analysed were scored to have poor content quality, with only 20% of the videos rated as strong quality. The content rated as poor quality had the largest total number of views (2,025,299), suggesting that an individual who searches YouTube using the search term “dysphagia”, is likely to view a video of poor content quality. This study highlights that the dysphagia health information most commonly viewed on YouTube, is predominantly of poor content quality. YouTube offers a valuable opportunity for health professionals to share evidence-based, high quality health information on a variety of topics with the public. Hence, the quality of available information should be addressed to mitigate the spread of misinformation.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"187 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131610723","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}
{"title":"Hauora Maaori o ngaa karu: Maaori ocular health review","authors":"Isaac Samuels, Renata Watene","doi":"10.57129/001c.73288","DOIUrl":"https://doi.org/10.57129/001c.73288","url":null,"abstract":"Vision is a complex sense which has a significant impact on healthy brain development, education, and immersive interaction with the world. Ensuring vision is protected, respected, and enhanced if required, is essential in achieving Maaori health goals. Taa (Sir) Mason Durie claimed that the key priority within Maaori health is to be able to achieve full and active participation within society. Vision loss is associated with negative social and physical health consequences beyond visual impairment, including exacerbation of chronic illnesses and increased risk of depression. Thus, addressing vision loss for Maaori is a matter of striving for equity to ensure full and active participation within society is attainable.","PeriodicalId":279048,"journal":{"name":"New Zealand Medical Student Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114812055","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}