NEW ZEALAND MEDICAL JOURNAL最新文献_第10页

Gauss in the operating theatre: Theorema Egregium and its relevance to skin grafting. 高斯在手术室：过分定理及其与植皮的相关性。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7404

Guangzhao Guan

{"title":"Gauss in the operating theatre: Theorema Egregium and its relevance to skin grafting.","authors":"Guangzhao Guan","doi":"10.26635/6965.7404","DOIUrl":"https://doi.org/10.26635/6965.7404","url":null,"abstract":"Skin grafting remains a cornerstone of modern plastic surgery, yet surgeons often face the ongoing challenge of applying flat grafts to curved three-dimensional surfaces such as the scalp, nose, breast and joints. Currently, no literature fully explains the ongoing nature of related complications such as wrinkling and contracture. The answer, however, lies not in biology alone but in mathematics. Gauss's Theorema Egregium provides the necessary explanation, positing that curvature is an intrinsic and unchangeable property of a surface, thereby explaining why a flat graft cannot conform to a curved wound bed without mechanical compromise. In practical terms, a flat plane cannot bend to a curved surface without causing it to wrinkle, stretch or tear. This means a flat graft applied to convex or concave anatomical regions often lead to puckering, contracture or graft failure. This geometric constraint has driven surgical innovation, leading to clever workarounds like meshed grafts that expand, local flaps that rearrange tension and new bioengineered materials designed for better fit. Each of these innovations reflects a practical engagement with Gauss's theorem in the operating theatre. This mathematical insight bridges geometry and medicine. Understanding the curvature as a fundamental property explains common complications and reveals new paths for innovation, from better graft designs and pre-operative planning to the use of digital tools.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1638","pages":"100-105"},"PeriodicalIF":1.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473454","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 clinical ethics approach to the use of puberty blockers in gender incongruence. 使用青春期阻滞剂治疗性别不一致的临床伦理学研究。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7432

Cindy Towns, Rona Carroll, Jemima J Bullock, Paul Hofman, Richard W Carroll, Andrew Linton

引用次数: 0

The canary in the coal mine: inequitable healthcare for those living with multimorbidity in Aotearoa New Zealand. 煤矿里的金丝雀：在新西兰的奥特罗阿，对那些患有多种疾病的人来说，不公平的医疗保健。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7192

Anna Askerud, Eileen McKinlay, Fiona Doolan-Noble

{"title":"The canary in the coal mine: inequitable healthcare for those living with multimorbidity in Aotearoa New Zealand.","authors":"Anna Askerud, Eileen McKinlay, Fiona Doolan-Noble","doi":"10.26635/6965.7192","DOIUrl":"https://doi.org/10.26635/6965.7192","url":null,"abstract":"New Zealand's 2001 Primary Health Care Strategy set a bold goal of reducing health inequities through a population health approach with innovative models of care and a revised funding framework. Twenty-five years later, significant disparities persist. This paper utilises recent literature alongside a case study derived from a recent evaluation of a long-term conditions programme in primary care. The evaluation found significant barriers to a successful model of care. These included a generic user-pays model that did not accommodate low health literacy, poverty-related constraints, geographic isolation, disability or the need for culturally safe care. System-level obstacles such as complex referral pathways, inadequate training, insufficient resourcing and static funding mechanisms further entrenched inequity. The article concludes that persistent inequities for some groups in Aotearoa New Zealand demonstrate that innovative programmes alone cannot overcome structural, resourcing and policy deficits. A fundamental reorientation of primary healthcare funding and design that integrates socio-economic, cultural, environmental, commercial, digital and geographical determinants is required. Embedding cultural safety to honour the diversity in our communities, along with an appropriate allocation of resources for primary healthcare in both rural and urban settings, is necessary to work towards equitable health outcomes in Aotearoa New Zealand.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1638","pages":"106-112"},"PeriodicalIF":1.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473526","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

First-in-New Zealand: robotic subtotal D2 gastrectomy. 新西兰首例：机器人D2次全胃切除术。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7476

James Z Jin, Suheelan Kulasegaran

引用次数: 0

Unveiling perceptions: a small-scale qualitative case study related to patient experience of inpatient screening for familial hypercholesterolemia. 揭示观念：一项小规模定性案例研究，涉及家族性高胆固醇血症住院患者筛查的患者体验。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7301

Linda Stewart, Rachel Rossiter, Sharon Brownie

{"title":"Unveiling perceptions: a small-scale qualitative case study related to patient experience of inpatient screening for familial hypercholesterolemia.","authors":"Linda Stewart, Rachel Rossiter, Sharon Brownie","doi":"10.26635/6965.7301","DOIUrl":"https://doi.org/10.26635/6965.7301","url":null,"abstract":"Background: Familial hypercholesterolaemia (FH) is a hereditary, genetic disorder disrupting the metabolism of low-density cholesterol from birth. Untreated, 50% of men develop atherosclerotic cardiovascular disease (ASCVD) by age 50 and 30% of women by age 60. Evidence supports screening individuals with premature ASCVD; however, screening is limited, particularly in inpatient settings.Aim: Our aim was to explore the experiences of individuals presenting with premature ASCVD who were screened for FH during hospitalisation.Method: A small-scale qualitative case study followed COREQ (COnsolidated criteria for REporting Qualitative research) guidelines. Patients with premature ASCVD participated in inpatient screening, sharing their perceptions and experience via a semi-structured qualitative interview.Results: Three key inter-related and interconnected themes-family history, health systems functioning, and value of screening-relate to effective communication as an overarching and encompassing theme throughout. Participants highlighted both positive and negative experiences. Participants reported surprise at not having been screened earlier despite communicating family histories of premature cardiovascular disease.Conclusions: The screening for FH was seen as positive and potentially beneficial to their families. Knowledge of increased hereditary risk facilitated conversations and prompted further investigations. The results of the analysis can contribute to future policy development and implementation.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1638","pages":"81-90"},"PeriodicalIF":1.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473461","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

Minimally invasive repair of oesophageal perforation: a case report. 微创修复食管穿孔1例。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7400

Priyal Patel, Rukshan Ranjan, Mathew Morreau

引用次数: 0

Addressing barriers to dental care: a Tūranga Health and Trinity Koha Dental initiative. 解决牙科保健的障碍：Tūranga健康和三一科哈牙科倡议。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7433

Pauline Norris, Elisabeth Moore, Shirley Keown, Jonathan Broadbent

{"title":"Addressing barriers to dental care: a Tūranga Health and Trinity Koha Dental initiative.","authors":"Pauline Norris, Elisabeth Moore, Shirley Keown, Jonathan Broadbent","doi":"10.26635/6965.7433","DOIUrl":"10.26635/6965.7433","url":null,"abstract":"Aim: There is a high level of unmet need for dental care in Aotearoa New Zealand due to the inability of people facing socio-economic disadvantage to afford optimal and timely care. This includes many Māori.Method: This paper describes a joint initiative between a philanthropic organisation, Trinity Koha Dental Clinic, and Tūranga Health, an iwi-based health provider based in Gisborne. The service was designed for those with high needs and involved provision of dental care at no cost to the patients (addressing affordability as a barrier). It was also designed to address other barriers to access.Results: Over 10 days in 2025, the dental service saw 178 people, performed 109 extractions and 99 restorations. A free optometry service was provided at the same time. Other services were linked to these: in total, attendees of the dental and/or optometry service received 763 vaccinations and 89 child car seats. Patients valued the free transport provided to and from the service, the childcare provided during treatment, the service being welcoming and friendly and being delivered by a local Māori provider, Tūranga Health.Conclusion: This initiative illustrated the range of barriers to dental care and the potential to link the provision of dental care with a range of other health services for people with high needs.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1638","pages":"36-42"},"PeriodicalIF":1.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473509","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 rare benign tumour-granular cell tumour of the larynx. 罕见的良性肿瘤-喉部颗粒细胞瘤。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7353

Mengqi Yuan, Novell Teoh, David Vokes, James Sanders

引用次数: 0

Intestinal ultrasound in inflammatory bowel disease: diagnostic accuracy and impact on clinical decision making in a New Zealand tertiary centre. 炎症性肠病的肠道超声诊断准确性和对新西兰三级中心临床决策的影响。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.7422

Dongyeon Kang, Zi-Yi Kok, Caroline Jiang

{"title":"Intestinal ultrasound in inflammatory bowel disease: diagnostic accuracy and impact on clinical decision making in a New Zealand tertiary centre.","authors":"Dongyeon Kang, Zi-Yi Kok, Caroline Jiang","doi":"10.26635/6965.7422","DOIUrl":"https://doi.org/10.26635/6965.7422","url":null,"abstract":"Aims: We aimed to evaluate the diagnostic correlation between intestinal ultrasound (IUS) and follow-up investigations, and to describe the impact of IUS on clinical decision making, particularly point-of-care use.Methods: A retrospective audit of consecutive IUS examinations in Wellington Regional Hospital for inflammatory bowel disease (IBD) from December 2021 to February 2025 was conducted. Follow-up investigations (faecal calprotectin [FCP], endoscopy, cross-sectional imaging or repeat IUS) within 6 months were collated and correlation assessed using two pre-specified composites, using two FCP thresholds: a conservative cutoff of <50mcg/g and a more liberal threshold of <150mcg/g.1 Additional outcomes included decision-altering impact and time to decision.Results: We analysed 373 IUS examinations in 253 patients (89.5% Crohn's disease [CD]; 34.6% point-of-care). IUS directly altered clinical decisions in 134/373 (35.9%), with 70/134 (52.2%) decisions made the same day. Follow-up occurred after 160/373 scans (42.9%). Excluding five \"not commentable\" scans, correlation was 141/155 (91.0%) using FCP <150mcg/g and 128/155 (82.6%) using FCP <50mcg/g.Conclusion: In this real-world New Zealand cohort, IUS correlated strongly with follow-up investigations, particularly using an FCP <150mcg/g threshold, and frequently altered management, often on the same day. These findings support wider implementation of IUS as a radiation-sparing, point-of-care monitoring tool in New Zealand.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1638","pages":"19-27"},"PeriodicalIF":1.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473447","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

Discrediting science as "ideology": when evidence becomes politically inconvenient. 将科学贬为“意识形态”：当证据在政治上变得不方便时。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-17 DOI: 10.26635/6965.1638e2

Belinda Loring, Papaarangi Reid, Rawiri McKree Jansen, Rhys Jones

引用次数: 0