NEW ZEALAND MEDICAL JOURNAL最新文献

Endoscopic full-thickness resection using full-thickness resection device for treatment of upper and lower gastrointestinal tract lesions-the first New Zealand study. 内镜下全层切除采用全层切除装置治疗上、下消化道病变-新西兰首例研究。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6893

Sharon Wing-Kee Yiu, Erin Horsfall, Ravinder Ogra, Cameron Schauer, Anurag Sekra

{"title":"Endoscopic full-thickness resection using full-thickness resection device for treatment of upper and lower gastrointestinal tract lesions-the first New Zealand study.","authors":"Sharon Wing-Kee Yiu, Erin Horsfall, Ravinder Ogra, Cameron Schauer, Anurag Sekra","doi":"10.26635/6965.6893","DOIUrl":"https://doi.org/10.26635/6965.6893","url":null,"abstract":"Aim: The full-thickness resection device (FTRD) offers an innovative treatment approach for lesions unsuitable for traditional endoscopic resection. This study evaluates FTRD's safety and efficacy for resection of upper and lower gastrointestinal tract lesions in New Zealand, where data are currently lacking.Method: This multicentre retrospective study included patients who underwent FTRD at Middlemore Hospital and North Shore Hospital between 1 January 2017 and 30 April 2023. Histology and post-procedural complications up to 30 days were collated. Ethics approval and locality assessment were granted.Results: A total of 51 patients-18 males (35%) and 33 (65%) females-with a mean age of 63.5 years were included. Five lesions were upper gastrointestinal (four gastric body; one duodenal) and 46 were colonic cases (20 appendiceal orifice lesions; five caecal; four from hepatic flexure; two each at sigmoid, ascending and transverse colon; one descending colon and 10 from the rectum). Technically successful FTRD deployment was achieved in 86% (n=44), with negative histological margins (R0 resection) seen in 82% (n=31). Thirteen patients were excluded from this calculation, as histological clearance was not applicable. Procedure-related complications occurred in 12% (n=6): there were three appendicitis cases; one experienced delayed bleeding requiring blood transfusion and endoscopic management; and two experienced technical complications (one snare entrapment and one clip entrapment).Conclusion: This study demonstrates our experience with FTRD in New Zealand with technical success and R0 resection rates similar to the published literature. There is a considerable adverse event rate that requires careful patient discussion and consent prior to selection of this procedure.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"43-49"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235603","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

Infrastructure is not a cure: Aotearoa New Zealand's health crisis demands vision, not just buildings. 基础设施并不能解决问题：新西兰的健康危机需要远见，而不仅仅是建筑。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.e1616

Frank Frizelle

引用次数: 0

Mental health and wellbeing of ethnic migrant women and girls in Aotearoa New Zealand: a scoping review. 新西兰奥特罗阿族裔移民妇女和女孩的心理健康和福祉：范围审查。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6936

Julia Vajda De Albuquerque, Roshini Peiris-John, Parvinca Saini, Sarah Hetrick, Rodrigo Ramalho, Isabelle Uy, Vartika Sharma

{"title":"Mental health and wellbeing of ethnic migrant women and girls in Aotearoa New Zealand: a scoping review.","authors":"Julia Vajda De Albuquerque, Roshini Peiris-John, Parvinca Saini, Sarah Hetrick, Rodrigo Ramalho, Isabelle Uy, Vartika Sharma","doi":"10.26635/6965.6936","DOIUrl":"https://doi.org/10.26635/6965.6936","url":null,"abstract":"Aim: To identify and synthesise the literature on mental health and wellbeing of Asian and MELAA (Middle Eastern, Latin American and African) women and girls in Aotearoa New Zealand (New Zealand).Methods: We searched American Psychological Association (APA) PsycInfo, CINAHL, Embase (Ovid) and MEDLINE (Ovid) for studies published in English up to July 2023 investigating the mental health and wellbeing of Asian and MELAA women and girls living in New Zealand. Studies including other participants were eligible if they provided disaggregated data for Asian and MELAA women/girls in New Zealand. We extracted data on study characteristics and all relevant findings related to their mental wellbeing.Results: Twenty-four studies provided data on approximately 15,000 Asian and MELAA women and girls aged over 12 years. The studies had heterogeneous population groups and outcomes. Three exclusively focussed on Asian women. Most studies (n=17) did not provide disaggregated data for Asian and MELAA women and girls in relation to all relevant outcomes reported. Investigated outcomes included prevalence data and symptoms of mental health conditions and mental wellbeing (n=18) and associations of socio-demographic factors with mental health (n=9).Conclusion: The limited peer-reviewed data underpin the lack of evidence-based policy planning. Future research focussed on Asian and MELAA women and girls is needed to enhance their wellbeing and achieve equitable health outcomes.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"69-98"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235606","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

Blunt cerebrovascular injury in trauma patients: an under-recognised injury pattern at Auckland City Hospital. 创伤患者的钝性脑血管损伤：奥克兰市医院一种未被认识的损伤模式。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6903

Rebecca Schroll, Samuel A Flint, Donald Harris, Ian Civil

{"title":"Blunt cerebrovascular injury in trauma patients: an under-recognised injury pattern at Auckland City Hospital.","authors":"Rebecca Schroll, Samuel A Flint, Donald Harris, Ian Civil","doi":"10.26635/6965.6903","DOIUrl":"https://doi.org/10.26635/6965.6903","url":null,"abstract":"Aim: Blunt cerebrovascular injury (BCVI) is a rare but potentially devastating injury that can lead to stroke and death without early diagnosis and treatment. Evidence-based practice guidelines recommend screening at-risk patients with neck computed tomographic angiography (CTA). We sought to evaluate the efficacy of such a screening protocol at a high-volume trauma centre in Aotearoa New Zealand.Methods: A retrospective chart review was conducted of adult blunt trauma patients who presented to our trauma centre from March to August 2023 who had injuries that met criteria for screening. Adherence to protocol as determined by capture of neck CTA within 6 hours of admission, incidence of BCVI, stroke and death were collected.Results: Ninety-five patients met criteria to screen for BCVI; only 41 (43%) underwent screening CTA. BCVI incidence was 6/41 (14.6%). Of the 54 patients not screened, there was one BCVI that progressed to stroke. Overall BCVI rate is estimated at 2.4%; an additional seven BCVIs may have been present.Conclusion: BCVI is more common than previously recognised in blunt trauma patients. Increased awareness of BCVI screening protocols and systematic screening systems to facilitate early identification and treatment should be implemented to diminish the incidence of missed injury and devastating sequela.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"59-68"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235601","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

Clinician feedback for bi-annual quality improvement reports generated by the Prostate Cancer Outcomes Registry Australia and New Zealand. 临床医生对由澳大利亚和新西兰前列腺癌结局登记处生成的两年一次的质量改进报告的反馈。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6721

Andreas S Nicolaou, Eng Ann Toh, Judith Clarke, Stephen Mark, Phil Hider

{"title":"Clinician feedback for bi-annual quality improvement reports generated by the Prostate Cancer Outcomes Registry Australia and New Zealand.","authors":"Andreas S Nicolaou, Eng Ann Toh, Judith Clarke, Stephen Mark, Phil Hider","doi":"10.26635/6965.6721","DOIUrl":"https://doi.org/10.26635/6965.6721","url":null,"abstract":"Aim: This study aims to 1) assess clinician perspectives on methods of report distribution, 2) assess the clinical value and utility of the Prostate Cancer Outcomes Registry (PCOR) Quality Indicator (QI) reports for New Zealand urologists, and 3) identify barriers impacting engagement with these reports.Methods: PCOR-ANZ provides 6-monthly QI reports to participating clinicians and hospitals. New Zealand urologists receiving scheduled reports were surveyed digitally. Interviews were conducted for qualitative feedback.Results: Thirty-three of 49 (67%) eligible urologists participated in this study. One hundred percent (n=33) of clinicians received notifications for new QI reports, 42% (n=14) finding them too lengthy. Seventy-six percent (n=25) and 70% (n=23) found the reports valuable for auditing and improving their practice, respectively.Conclusion: Report distribution and data presentation are effective. PDFs are preferred by clinicians, but proposed interactive mediums were received positively. Reports are valued for auditing and improving practice. Report length and clinician time constraints are key barriers affecting engagement. A revision of the items included in QI reports would be beneficial to reflect modern practice. There is demand for a pathway to allow clinicians to contact others for peer review and advice.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"13-19"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235602","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

An assessment of e-liquid label accuracy in Aotearoa New Zealand. 新西兰奥特罗阿的电子烟液标签准确性评估。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6924

Renee Hosking, Jude Ball, Calvin Cochran, Janet Hoek

引用次数: 0

Assessment of burnout in New Zealand ophthalmology registrars. 新西兰眼科注册医师职业倦怠的评估。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6849

Theodore Andrew Sutedja, Luke Hawley, Kelechi Ogbuehi

{"title":"Assessment of burnout in New Zealand ophthalmology registrars.","authors":"Theodore Andrew Sutedja, Luke Hawley, Kelechi Ogbuehi","doi":"10.26635/6965.6849","DOIUrl":"https://doi.org/10.26635/6965.6849","url":null,"abstract":"Aim: Burnout is prevalent among medical professionals, particularly during training, and can lead to detrimental personal and professional outcomes. This study aims to assess burnout levels among New Zealand ophthalmology registrars.Methods: A cross-sectional, anonymous online survey was administered to trainee and non-trainee ophthalmology registrars across New Zealand. The survey collected demographic data, details about the work environment within ophthalmology departments, experiences with the impact of COVID-19 and assessed burnout levels using the Maslach Burnout Inventory - Human Services Survey for Medical Personnel (MBI-HSS MP).Results: Forty-five of 65 ophthalmology registrars (69%) completed the survey. Burnout was prevalent, affecting 55% of trainees and 77% of non-trainees. Non-trainees demonstrated significantly higher levels of emotional exhaustion and depersonalisation compared with trainees, with 64.3% and 57.1% of non-trainees, respectively, demonstrating burnout in the severe range. Additionally, workload manageability was found to have a significant association with burnout (p=0.0448), with non-trainees facing greater difficulty in managing their workload.Conclusion: Burnout is highly prevalent among New Zealand ophthalmology registrars, with non-trainees particularly affected.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"20-27"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235600","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

Fighting steroids with steroids: a case of bilateral central retinal vein occlusion in an anabolic steroid user. 用类固醇对抗类固醇：一例合成代谢类固醇使用者双侧视网膜中央静脉闭塞。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6910

Joshua Read, Colin Parsloe

引用次数: 0

Optimising the use of certification findings to support healthcare quality measurement and improvement. 优化认证结果的使用，以支持医疗保健质量测量和改进。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6939

Jerome Ng, Jacky Chan, Jerson Valencia, Kaushik Kaushik, Fran Voykovich, Marama Tauranga, Andrew Connolly, Vanessa Thornton

{"title":"Optimising the use of certification findings to support healthcare quality measurement and improvement.","authors":"Jerome Ng, Jacky Chan, Jerson Valencia, Kaushik Kaushik, Fran Voykovich, Marama Tauranga, Andrew Connolly, Vanessa Thornton","doi":"10.26635/6965.6939","DOIUrl":"https://doi.org/10.26635/6965.6939","url":null,"abstract":"Certification is one of several regulatory tools intended to support and ensure the safe provision of health and disability services, such as hospitals and rest homes, to the public. Health and disability service providers must be certified and meet all relevant service standards if they are to provide healthcare services. Not surprisingly, service providers, regulators and auditors spend a significant amount of effort and resources to prepare for, undertake, administer and report the audits. Given the substantial investment by all involved, it is essential to optimise the use of the findings to support system learning and quality improvement. However, in reality and practice, the qualitative and narrative nature of the audit findings means that they are unable to be used to optimise their return for the commensurate effort. In this viewpoint article, we propose and describe a complementary quantitative approach to using certification data to enable and support clinical governance and quality improvement in and across organisations. We reflect on our proposed approach in practice and consider its limitations and implications on practice, research and policy.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"99-106"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235607","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

Radiology trainee retention in Auckland, New Zealand: a survey. 新西兰奥克兰市放射学实习人员留任情况调查。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6857

Charles Robertson, Rhian Miranda, Divya Mehta

{"title":"Radiology trainee retention in Auckland, New Zealand: a survey.","authors":"Charles Robertson, Rhian Miranda, Divya Mehta","doi":"10.26635/6965.6857","DOIUrl":"https://doi.org/10.26635/6965.6857","url":null,"abstract":"Aim: Amid growing concerns surrounding the radiology workforce in New Zealand, our primary aim was to capture the retention rate of recent graduates of the Auckland Regional Training Scheme.Methods: In September 2023 we sent a standardised survey to all Royal Australian and New Zealand College of Radiologists (RANZCR) fellows who commenced their radiology training in Auckland in the year 2000 or later. Additional questions were asked regarding prior subspecialty training, public versus private work mix, future career plans, the key factors influencing our radiologists' workplace selection and more.Results: With a response rate of 71.7% (99/138 survey recipients), we found that 75.8% (75/99) of our responders currently work in New Zealand, a greater proportion than perhaps anticipated. A little over half (58.2%) work in a mixture of both public and private settings, and 56.2% are considering, on some level, significantly reducing their hours in the next 1 to 5 years.Conclusion: We hope the insights gained through this survey encourage further efforts to retain our growing number of trainees, while helping to paint the current landscape of our specialty at the consultant level.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"28-42"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235608","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