NEW ZEALAND MEDICAL JOURNAL最新文献

Rheumatology services in Aotearoa New Zealand-do they meet Arthritis New Zealand/New Zealand Rheumatology Association-endorsed service standards? 新西兰奥特罗阿的风湿病服务是否符合新西兰关节炎协会/新西兰风湿病协会认可的服务标准？

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.7105

Rebecca Grainger, Valerie Milne, Nicola Dalbeth

{"title":"Rheumatology services in Aotearoa New Zealand-do they meet Arthritis New Zealand/New Zealand Rheumatology Association-endorsed service standards?","authors":"Rebecca Grainger, Valerie Milne, Nicola Dalbeth","doi":"10.26635/6965.7105","DOIUrl":"https://doi.org/10.26635/6965.7105","url":null,"abstract":"Aims: To describe Health New Zealand - Te Whatu Ora rheumatology services across Aotearoa New Zealand using the Arthritis New Zealand/New Zealand Rheumatology Association-endorsed rheumatology service standards.Methods: Descriptive study with data collection by survey from clinical service leads from all 16 Health New Zealand - Te Whatu Ora rheumatology services.Results: Response rate was 100%. No services met all the service standards. Staffing of rheumatologists approached the standards in only three services, and nursing staffing was well below the standards in all services, with two services not employing any nurses. Where nurses were employed, nursing services standards were largely met. Five services did not provide inpatient consultations. Almost all services had access to conventional imaging modalities, but less than half of services provided point-of-care ultrasounds or had access to fluorodeoxyglucose-positron emission tomography (FDG-PET). Most services were able to make referrals to physiotherapy, occupational therapy and hand therapy. Ability of services to meet care standards for the care of rheumatoid arthritis (RA) was variable. Between 2023 and 2025, two services had a substantive increase in rheumatologist staffing and two had a substantive increase in nursing staffing.Conclusion: This first national-level description of all Health New Zealand - Te Whatu Ora rheumatology services found considerable heterogeneity, and generally services did not meet all services standards.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1623","pages":"12-37"},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259595","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

Eating disorder risk in transgender youth and its association with unmet need for gender-affirming hormone therapy in Aotearoa New Zealand: a cross-sectional study. 新西兰奥特罗阿跨性别青年饮食失调风险及其与未满足的性别确认激素治疗需求的关系：一项横断面研究

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.7029

Micah Davison, Jaimie Veale, Jack Byrne, Ryan Bentham, Philip Schluter

{"title":"Eating disorder risk in transgender youth and its association with unmet need for gender-affirming hormone therapy in Aotearoa New Zealand: a cross-sectional study.","authors":"Micah Davison, Jaimie Veale, Jack Byrne, Ryan Bentham, Philip Schluter","doi":"10.26635/6965.7029","DOIUrl":"https://doi.org/10.26635/6965.7029","url":null,"abstract":"Aim: This study aimed to estimate rates and factors associated with eating disorder risk in transgender youth, and to explore the association between this risk and unmet need for gender-affirming hormone therapy (GAHT).Methods: In a national cross-sectional survey of participants aged 14-24 years, the five-item Sick, Control, One stone, Fat, Food (SCOFF) instrument was used to assess eating disorder risk. GAHT demand was self-reported. Modified Poisson regressions were employed to assess risk.Results: Overall, 1,401 participants were eligible, of whom 1,010 (72.1%) had valid SCOFF scores. Of these, 398 (38.4%) participants met the threshold for eating disorder risk. In adjusted analyses, those aged 14-18 years had an increased prevalence ratio (PR) of eating disorder risk compared with their counterparts aged 19-24 years (PR: 1.26; 95% confidence interval: 1.06-1.50). GAHT demand was reported by 645 participants, with 277 (42.9%) having unmet need. No statistical evidence was found relating unmet GAHT need with eating disorder risk (p=0.29).Conclusion: Nearly two in five transgender youth are at eating disorder risk, and unmet GAHT need rates appear higher. While it is recognised that eating disorders are a global health concern, they have not received the priority they deserve. In the calls for urgent action, transgender youth deserve particular attention.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1623","pages":"38-52"},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259602","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

Climate change impacts on health in Aotearoa New Zealand: a scoping review. 气候变化对新西兰奥特罗阿健康的影响：范围审查。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.7012

Isabella Lenihan-Ikin, Chit Tinn, Caesar Atuire, Susan Bull, Summer Wright, Proochista Ariana

{"title":"Climate change impacts on health in Aotearoa New Zealand: a scoping review.","authors":"Isabella Lenihan-Ikin, Chit Tinn, Caesar Atuire, Susan Bull, Summer Wright, Proochista Ariana","doi":"10.26635/6965.7012","DOIUrl":"https://doi.org/10.26635/6965.7012","url":null,"abstract":"This paper addresses the evidence on the health impacts of climate change in Aotearoa New Zealand with particular attention to who, where and what activities are most vulnerable. Applying the Arksey and O'Malley scoping review framework, it consolidates academic and grey literature to identify gaps and future research priorities. The review-conducted from February to October 2024-included 61 papers from 2,265 that were initially screened. The results reveal that temperature and extreme precipitation are the main climate risks associated with health in Aotearoa New Zealand. These are associated with direct and indirect impacts, including heat-related illness and death, enteric diseases, poor mental health, access to safe drinking water/food supplies and access to healthcare. Most regions across Aotearoa New Zealand are susceptible to climate change-induced health risks, with unique pressures for coastal regions, metropolitan areas, rural areas and regions experiencing disproportionate socio-economic inequity. Workers in outdoor manual labour-exposed to heat stress, air pollution and sun damage-are vulnerable to climate change-induced health risks. The review also highlights key demographic characteristics-ethnicity, age, skin colour, occupation, gender, housing, disability and pre-existing health needs, and socio-economic deprivation-that affect vulnerability. In conclusion, the review underscores the importance of responses to climate change-induced health addressing the underlying, intersectional risk factors to protect vulnerable populations.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1623","pages":"53-72"},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259637","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

A novel theory of trauma offers new treatment possibilities. 一种新的创伤理论提供了新的治疗可能性。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.6955

Robin Youngson

{"title":"A novel theory of trauma offers new treatment possibilities.","authors":"Robin Youngson","doi":"10.26635/6965.6955","DOIUrl":"https://doi.org/10.26635/6965.6955","url":null,"abstract":"A novel theory speculates how trauma is stored in the brain, the physiology of traumatic reactions and identifies a molecular mechanism that may rapidly erase traumatic memories and reverse their consequences. This theory is the basis of Havening Techniques®, used by more than 1,000 certified mental health practitioners worldwide. While trauma therapies such as eye movement desensitisation and reprocessing (EMDR) are well validated by clinical trials, the underlying mechanism of action is unknown. The theory of Havening offers a potential unifying mechanism involving the role of delta brain waves in memory processing, initiated by lateral eye movements (EMDR) or specific forms of touch (Havening). If validated by further clinical trials, Havening Techniques may represent an important advance in mental health care as trauma is a significant but potentially reversable cause of chronic anxiety, depression, post-traumatic stress disorder (PTSD), phobias and addictions. Moreover, the theory includes precise diagnostic criteria for identifying traumatic events and predicting the mental and physical health consequences. Clinical experience suggests that erasing the specific traumatic memories may also lead to sudden relief of stress-induced illness and some cases of chronic pain.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1623","pages":"95-104"},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259627","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

Band-Aids for broken bones: why people with severe mental disorders are still missing out. 骨折创可贴：为什么严重精神障碍患者仍然被忽视。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.e1623

Matthew Tennant, Ben Beaglehole

引用次数: 0

Eating disorders on medical wards: breaching clinical standards, patient rights and scopes of practice. 医疗病房的饮食失调：违反临床标准、患者权利和执业范围。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.6957

Cindy Towns, Vuk Sekicki, Kay Hodgetts, Phillipa Shirtcliffe, Chris Cameron, Cathal McCloy, Chris Giedt, Nicolien Lourens, Sonya Burgess

引用次数: 0

Work satisfaction, stress and burnout in New Zealand ophthalmologists: a comparison of public hospital and private practice. 新西兰眼科医生的工作满意度、压力和倦怠：公立医院和私人诊所的比较。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.7067

Theodore Sutedja, Verona Botha, Elizabeth Insull

{"title":"Work satisfaction, stress and burnout in New Zealand ophthalmologists: a comparison of public hospital and private practice.","authors":"Theodore Sutedja, Verona Botha, Elizabeth Insull","doi":"10.26635/6965.7067","DOIUrl":"https://doi.org/10.26635/6965.7067","url":null,"abstract":"Aim: In New Zealand, ophthalmologists encounter varying degrees of work stress, job satisfaction and burnout. Significant clinical demands, long work hours and high-pressure responsibilities increase the likelihood of burnout in this specialty. The present study aims to examine differences in ophthalmologists' work stress, job satisfaction and burnout across public hospital and private practice settings.Method: A cross-sectional quantitative study was conducted using a modified Mini Z 2.0 Burnout Survey to assess workplace satisfaction, stress and burnout among 171 New Zealand ophthalmologists. Demographic and practice-related data were also collected.Results: Out of 161 delivered surveys, 84 responses were received (52% response rate). Among respondents, 84.5% had public sector roles and 81% worked in the private sector. Twenty-one percent of public sector ophthalmologists reported a joyous workplace (Mini Z score ≥30) compared with 75% in the private sector. Public sector clinicians reported significantly higher burnout symptoms, stress levels and workplace disorder, as well as poorer workload control and misalignment with leadership, compared with their private sector counterparts.Conclusion: The study highlights substantial disparities in job satisfaction and burnout between ophthalmologists working in the public and private sector. Factors such as excessive workload, bureaucratic inefficiencies and limited resource allocation in the public sector contribute to these differences. Adoption of private sector practices, including improved administrative support and autonomy, as well as public-private partnerships, may enhance retention and wellbeing in the public system.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1623","pages":"73-81"},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259600","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

Primary oesophageal melanoma-recognition and evolution of management. 原发性食管黑素瘤的识别和治疗进展。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.7101

Kevin Chen, Grant Crane, Chris Kim, Ahmed Barazanchi, Jason Hill

引用次数: 0

Caecal volvulus in third trimester of pregnancy. 妊娠晚期盲肠扭转。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-10-10 DOI: 10.26635/6965.6981

Maria Nonis, Jay Maloney

引用次数: 0

Distant stoma chyme reinstallation-the first use of The Insides Channel. 远端食糜重新安装-第一次使用内部通道。