NEW ZEALAND MEDICAL JOURNAL最新文献_第2页

Correction to: Establishing a New Zealand brain tumour registry: understanding clinical registry formation in New Zealand

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NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-28 DOI: 10.26635/6965.er1612

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NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6805

Stephen Potter, Geoff Noller, Lavanya Pillay, Rose Crossin

{"title":"Injecting-related injuries experienced by people who inject drugs in New Zealand: impact, healthcare access and stigma.","authors":"Stephen Potter, Geoff Noller, Lavanya Pillay, Rose Crossin","doi":"10.26635/6965.6805","DOIUrl":"https://doi.org/10.26635/6965.6805","url":null,"abstract":"Aim: People who inject drugs (PWID) are at risk of injecting-related injuries and diseases (IRIDs), but little is known about these in Aotearoa. We aimed to characterise the impact of IRIDs and explore barriers to accessing healthcare for PWID, using mixed methods.Methods: A convenience sample was recruited at two South Island needle exchanges. Participants who were clients completed a survey (n=57) about drug use and experience of IRIDs, participated in a qualitative interview (n=7) about their experiences of IRIDs and healthcare access, or both. Staff (n=3) participated in a qualitative interview about supporting clients with IRIDs.Results: A total of 91.3% of clients reported having any IRIDs and 40.4% reported more than 10 IRIDs. A total of 63.1% reported never seeking medical attention for an IRID. Twenty-five clients (44%) had experienced at least one severe IRID. A greater proportion of clients sought medical attention if they had experienced a severe IRID; however, 32% of clients who had experienced a severe IRID had never sought medical attention. Prevalent interview themes included stigma, discrimination, lack of social support and reliance on peer support.Conclusions: IRIDs are a significant health risk in the Aotearoa injecting community and issues of stigma, discrimination and cost are significant barriers to healthcare.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"65-78"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626528","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

Māori healthcare professionals' perceptions of psychedelic-assisted therapy: a qualitative study.

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6740

Carly Hanna, Eva Morunga, Alesha Wells, Lisa M Reynolds

{"title":"Māori healthcare professionals' perceptions of psychedelic-assisted therapy: a qualitative study.","authors":"Carly Hanna, Eva Morunga, Alesha Wells, Lisa M Reynolds","doi":"10.26635/6965.6740","DOIUrl":"10.26635/6965.6740","url":null,"abstract":"Aim: Psychedelic-assisted therapies are gaining interest as an innovative treatment for problems with mental health and addictions, and there are several clinical trials in this area currently being conducted in Aotearoa New Zealand. However, many stakeholder groups hold concerns about cultural acceptability and safety. While psychedelic substances have a long history overseas in various Indigenous populations for spiritual and ritualistic purposes, their traditional use with Māori in Aotearoa New Zealand is unclear. Given our Te Tiriti o Waitangi obligations and the significant health inequities for Māori, any new treatments should be developed considering Te Ao Māori (Māori worldview) perspectives. This study aimed to explore Māori healthcare professionals' current awareness, attitudes and perspectives on psychedelics and psychedelic-assisted therapy.Methods: To explore these aims, 13 Māori healthcare professionals were recruited to participate in semi-structured qualitative interviews investigating psychedelic awareness, knowledge and attitudes using Māori health models Te Whare Tapa Whā and Te Wheke as a framework for data collection and analysis.Results: Four key themes were identified, including 1) greater awareness leads to greater openness towards psychedelic-assisted therapy (PAT), 2) more research and education about PAT is needed, 3) PAT has the potential to align with Te Ao Māori, and 4) equitable access is critical for Māori.Conclusion: Our sample of Māori healthcare professionals generally supported research investigating psychedelic therapies in Aotearoa New Zealand. Improving awareness of this novel treatment is likely to influence its acceptability as a treatment option and will inform the cultural safety of its use with Māori.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"79-92"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626501","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 Government's pathetic response to lowering the age of bowel cancer screening.

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NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.e1611

Frank Frizelle, Oliver Waddell

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Refining predictive risk models for stroke in atrial fibrillation: a scoping review and meta-analysis for Aotearoa New Zealand, Māori and Pacific peoples.

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6846

Karim M Mahawish, Harvey White, Valery Feigin, Rita Krishnamurthi

{"title":"Refining predictive risk models for stroke in atrial fibrillation: a scoping review and meta-analysis for Aotearoa New Zealand, Māori and Pacific peoples.","authors":"Karim M Mahawish, Harvey White, Valery Feigin, Rita Krishnamurthi","doi":"10.26635/6965.6846","DOIUrl":"10.26635/6965.6846","url":null,"abstract":"Aim: The predictive risk model CHA2DS2 VASc helps clinicians assess the risk of stroke in patients with atrial fibrillation (AF). Originally developed and validated in predominantly European populations, it may not accurately reflect the stroke risk for diverse ethnic groups; in Aotearoa New Zealand, Māori and Pacific peoples with AF are at higher stroke risk. As part of global efforts to address health inequities, there is growing interest in adapting predictive models to suit local- and ethnic-specific risks better. Our objectives were to determine: 1) if stroke risk from AF varies by ethnic background/race, 2) stroke rates in non-anticoagulated AF cohorts, and 3) model performance of CHA2DS2 VASc across different geographical regions. Finally, we provide an overview of methodological considerations for risk model development.Methods: We searched English language peer-reviewed studies reporting stroke rates in unselected cohorts with AF, published between 1995 and 2024. For stroke risk, we included cohorts with over 5,000 non-anticoagulated patients. The sources of evidence were PubMed, Scopus and EMBASE.Results: Twenty-seven studies were eligible for inclusion. We found significantly elevated stroke risk in African Americans and Hispanics with AF compared with whites (odds ratio [OR] 1.44 [95% confidence interval (CI) 1.25-1.66] and OR 1.11 [95% CI 1.05-1.18] respectively). In Māori and Pacific peoples with AF, the risk of stroke was higher than in New Zealand Europeans, but this difference was not significant (OR 1.28 [95% CI 0.89-1.82], p=0.18 and OR 1.29 [95% CI 0.93-1.52], p=0.17 respectively). Stroke risk (0.6/100-6.8/100 person-years) and CHA2DS2 VASc performance (c-statistics 0.55-0.8) varied substantially between studies.Conclusion: We support the local refinement of risk prediction models in line with cardiology society recommendations.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"102-113"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626509","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 falls early response service in Aotearoa New Zealand: a scoping review.

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6696

Heleen Reid, Celeita Williams, Teresa Cousins

{"title":"A falls early response service in Aotearoa New Zealand: a scoping review.","authors":"Heleen Reid, Celeita Williams, Teresa Cousins","doi":"10.26635/6965.6696","DOIUrl":"10.26635/6965.6696","url":null,"abstract":"Aim: To understand the extent and type of evidence available on a joint service between occupational therapy and paramedics in a community falls early response service (FERS).Method: Three databases and Google Scholar were searched for published and grey material that combined occupational therapy and paramedicine community FERS. Two independent reviewers screened citations and then assessed articles for selection. Data extraction was performed by a third researcher and verified by the two reviewers.Results: Fourteen sources were included from the initial 6,432 screened, and 128 were subsequently assessed. The 14 sources were published between 2010 and 2023, with over 50% published after 2019. The number of participants in the studies ranged from 23 to over 35,000, with a variety of combinations of healthcare professionals.Conclusions: This review suggests that a combined occupational therapy and paramedicine FERS would benefit people who fall, the ambulance service and hospital care providers from a cost and resource point of view. A pilot study to further evaluate the cost and benefits of this kind of service is being explored based on the results of this scoping review.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"14-23"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626519","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

Distribution of prehospital times of major trauma cases attended by emergency medical services in Aotearoa New Zealand.

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6778

Bridget Dicker, Luisa Montoya, Gabrielle Davie, Rebbecca Lilley, Bridget Kool

{"title":"Distribution of prehospital times of major trauma cases attended by emergency medical services in Aotearoa New Zealand.","authors":"Bridget Dicker, Luisa Montoya, Gabrielle Davie, Rebbecca Lilley, Bridget Kool","doi":"10.26635/6965.6778","DOIUrl":"10.26635/6965.6778","url":null,"abstract":"Aims: Co-ordinated trauma systems ensure timely transport to the appropriate hospital for patients following acute trauma. The Aotearoa New Zealand National Trauma Network reports median transport times to definitive care annually but omits reporting specific prehospital time intervals. This study focusses on prehospital times for major trauma patients attended by emergency medical services (EMS) in Aotearoa New Zealand.Methods: An analysis of routinely collected data from a retrospectively designed prospective cohort study was undertaken. Individuals of any age who suffered major trauma (Injury Severity Score [ISS] greater than 12 or died) between 2016 and 2018 and were attended by an EMS provider were included. Descriptive analyses were performed.Results: A total of 3,334 patients met the eligibility criteria, of which 105 (3.1%) died prehospital and 121 (3.6%) died within 24 hours following hospital admission. Response time was significantly faster for patients who died prehospital (median 11.5 minutes cf 14.5 minutes for those that survived to the hospital; p=0.0002). Among hospitalised patients, the median total prehospital time was 80.6 minutes (interquartile range [IQR]: 55.2-114.0). Patients who died within 24 hours following admission had significantly faster response and transport times (p=0.0005 and 0.009 respectively).Conclusion: This study is the first to map out the distribution of prehospital times for major trauma patients in Aotearoa New Zealand. It establishes a crucial baseline for the timeliness of EMS care and shines a light on the significant sex and ethnic disparities among those affected by major trauma.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"55-64"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626521","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 readability of online laryngectomy patient information: how do Australia and New Zealand compare?

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6853

Howard Webb, Jason Toppi

{"title":"The readability of online laryngectomy patient information: how do Australia and New Zealand compare?","authors":"Howard Webb, Jason Toppi","doi":"10.26635/6965.6853","DOIUrl":"10.26635/6965.6853","url":null,"abstract":"Aim: The decision for a patient to undergo a laryngectomy is an extremely important one. The aim of our research was to review the readability of international laryngectomy patient information and compare this with Australian and New Zealand resources.Methods: Online searches were undertaken using the terms \"laryngectomy\", \"laryngectomy patient information\", \"voice box removal\" and \"voice box removal patient information\". Twenty-nine articles were included for review. The primary outcomes measures were the Flesch-Kincaid Grade Level, the Flesch Reading Ease Score, the Gunning Fog Index, the Coleman-Liau Index, the SMOG Index, the Automated Readability Index and the Linsear Write Formula.Results: Overall, we found that laryngectomy patient information from Australian and New Zealand sources was more difficult for patients to understand compared with international sources. The average Flesch-Kincaid Grade Level (equivalent to the United States grade level of education) for Australian and New Zealand websites was 10.41, compared with 9.09 for international websites. For reference, guidelines suggest that articles aimed at the public should have a grade level of 8. Similarly, the average Flesch Reading Ease Score was 55.8 and 58.23 for Australian/New Zealand and international resources respectively-which correlate to \"fairly hard\" to read, rather than the \"easy\" or \"very easy\" categories that are recommended for the general population.Conclusion: For the resources analysed, Australian and New Zealand laryngectomy patient information was less readable than information distributed by international organisations, and is at a high risk of being too complicated for patients to read and understand. Consideration should be given to distributing patient information accessible to patients with lower literacy levels.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"93-101"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626554","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

Accessing care in an unfamiliar environment: experiences of tūroro Māori and their whānau when transported outside their local area after a cardiac emergency.

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6738

Aroha Brett, Maia Watling, Felicity Bright, Sarah Penney, Bridget Dicker, Graham Howie, Karen M Brewer

{"title":"Accessing care in an unfamiliar environment: experiences of tūroro Māori and their whānau when transported outside their local area after a cardiac emergency.","authors":"Aroha Brett, Maia Watling, Felicity Bright, Sarah Penney, Bridget Dicker, Graham Howie, Karen M Brewer","doi":"10.26635/6965.6738","DOIUrl":"10.26635/6965.6738","url":null,"abstract":"Aim: After an acute cardiac event tūroro (patients) are often transported to a hospital with specialist cardiac services, sometimes far from home. While such hospitals offer specialist care, it is unknown how transport out-of-area affects tūroro and whānau (family) holistically. This study explored tūroro Māori and whānau experiences and perceptions of transport away from their community after an acute cardiac event.Methods: Using a Kaupapa Māori research approach, five semi-structured interviews and two focus groups were undertaken with tūroro Māori and/or whānau. A general inductive approach was used for analysis.Results: Participants reported a wide range of positive and negative experiences. There was one overarching theme-accessing care in an unfamiliar environment, and two sub-themes-whānau support and mana-enhancing communication. Receiving care in an unfamiliar environment placed added stress on tūroro and whānau and meant that mana-enhancing communication was of utmost importance (a holistic view ensuring the tūroro and whānau retain their power and decision making with all communication).Conclusion: Tūroro and whānau transported away from home following a serious cardiac event described the challenges associated with receiving care in an unfamiliar environment. The resulting uncertainty for the tūroro and travel and financial burden for whānau added to what was already a stressful time. Many of the challenges inherent in this situation can be mitigated with mana-enhancing communication.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"24-32"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626520","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

Variation in emergency medical service use for acute coronary syndromes by ethnicity: an Aotearoa New Zealand observational study.

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-03-14 DOI: 10.26635/6965.6739

Bridget Dicker, Vanessa Selak, Haydn Drake, Graham Howie, Andy Swain, Rochelle Newport, Sandra Hanchard, Shanthi Ameratunga, Corina Grey, Matire Harwood

{"title":"Variation in emergency medical service use for acute coronary syndromes by ethnicity: an Aotearoa New Zealand observational study.","authors":"Bridget Dicker, Vanessa Selak, Haydn Drake, Graham Howie, Andy Swain, Rochelle Newport, Sandra Hanchard, Shanthi Ameratunga, Corina Grey, Matire Harwood","doi":"10.26635/6965.6739","DOIUrl":"10.26635/6965.6739","url":null,"abstract":"Aim: This study investigated whether emergency medical services (EMS) use varies by ethnicity among patients hospitalised with acute coronary syndrome (ACS) in Aotearoa New Zealand.Methods: All adults (aged ≥18 years) hospitalised with ACS (2019-2021) were identified. EMS use was determined by linkage between national hospitalisation and EMS data. Associations between ethnicity and EMS use for ACS (ST-elevation myocardial infarction [STEMI]; non-STEMI [NSTEMI]; unstable angina [UA]) were assessed.Results: A total of 19,283 patients with ACS were identified (STEMI 25%, NSTEMI 55%, UA 20%). For STEMI, EMS use was lower in Māori (adjusted odds ratio 0.72, 95% confidence interval [CI] 0.58-0.90), Pacific (0.64, 0.48-0.87), Indian (0.63, 0.43-0.86) and non-Indian Asian (0.52, 0.37-0.74) but not Other patients (0.79, 0.43-1.52), compared with Europeans. Similar findings by ethnicity were found for NSTEMI. Although odds of EMS use were also lower for UA in all ethnic groups compared with Europeans, the magnitude of the reduction was attenuated, and the effect was not statistically significant, apart from for non-Indian Asian patients.Conclusions: EMS use prior to admission for ACS was less likely for most ethnic groups compared with Europeans. Heart healthcare access enablers identified in previously published research-including good-quality information, reduced cost and health professional cultural safety-may reduce barriers to EMS use by non-Europeans.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1611","pages":"33-54"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626559","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