NEW ZEALAND MEDICAL JOURNAL最新文献_第3页

Reappraisal of the hype and hope offered by psilocybin treatment of depression. 重新评价裸盖菇素治疗抑郁症的炒作和希望。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-09-19 DOI: 10.26635/6965.7138

Ben Beaglehole, Jenni Manuel

引用次数: 0

New Zealand Heart Failure Workforce Survey 2023. 新西兰心力衰竭劳动力调查2023。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-09-19 DOI: 10.26635/6965.7025

Helen McGrinder, Jocelyne Benatar, Pamela Freeman, Sarah-Jane Brown, Shakiya Ershad, Andrew McLachlan, Deborah Harris

{"title":"New Zealand Heart Failure Workforce Survey 2023.","authors":"Helen McGrinder, Jocelyne Benatar, Pamela Freeman, Sarah-Jane Brown, Shakiya Ershad, Andrew McLachlan, Deborah Harris","doi":"10.26635/6965.7025","DOIUrl":"https://doi.org/10.26635/6965.7025","url":null,"abstract":"Aim: The aims of this study are to describe the current status of the heart failure nursing workforce in Aotearoa New Zealand, identify key challenges and provide recommendations.Method: In March 2023, a survey coordinated by the Cardiac Society of Australia and New Zealand and the New Zealand Regional Heart Failure Working Group was distributed to all district health boards in Aotearoa New Zealand. The survey collected data on heart failure nursing resources, including full-time equivalent (FTE) per population, clinical versus non-clinical time, scope of practice, nurse-led services, and performance measures.Results: A total of 23 hospital responded, yielding a 100% response rate and revealing varied resource allocation across district health boards. While FTE rates have generally increased, nearly half of the boards reported less than one FTE per 100,000 population, with only three reaching the recommended two FTE per 100,000 as endorsed by the British Society for Heart Failure.Conclusion: This foundational survey highlights the current status of the heart failure nursing workforce in Aotearoa New Zealand. It suggests that increasing the number of specialised nursing staff, particularly nurse practitioners (NP), to meet international standards would improve access to timely, effective and equitable treatment for all heart failure patients. Increasing NP FTE across hospital and community settings is likely to enhance healthcare and social outcomes, especially in under-served regions. Further research focussing on ethnicity, geographic distribution and workforce participation is recommended to guide targeted workforce development.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1622","pages":"66-79"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087836","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 road ahead: transforming New Zealand ambulance (out-of-hospital) services. 未来的道路：改变新西兰的救护车（院外）服务。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-09-19 DOI: 10.26635/6965.6911

Dylan A Mordaunt

引用次数: 0

Definitive treatment of cholecystitis via cystic artery pseudoaneurysm embolisation. 囊性动脉假性动脉瘤栓塞治疗胆囊炎。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-09-19 DOI: 10.26635/6965.7088

Li Ning Yong, Edmund Leung

引用次数: 0

Strengthening health leadership to tackle health system challenges: reflections from our experience. 加强卫生领导以应对卫生系统挑战：对我们经验的反思。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-09-19 DOI: 10.26635/6965.7021

Ashley Bloomfield, Sisira Jayathissa, Stephen Dee, Criselda Sayoc

{"title":"Strengthening health leadership to tackle health system challenges: reflections from our experience.","authors":"Ashley Bloomfield, Sisira Jayathissa, Stephen Dee, Criselda Sayoc","doi":"10.26635/6965.7021","DOIUrl":"https://doi.org/10.26635/6965.7021","url":null,"abstract":"Aim: We aimed to describe the experience of strengthening leadership at a hospital to improve patient outcomes and staff satisfaction and wellbeing.Method: Following a review of the Hutt Hospital Emergency Department, several actions were taken to strengthen the capacity, culture and leadership of the department. In addition, an organisation-wide values and culture exercise was undertaken. Senior clinical and non-clinical leaders were provided with interprofessional leadership training to foster shared understanding, strengthen relationships and promote practical application of learned skills.Results: Subsequent external reviews of the emergency department documented a significant change in its culture and functioning; these changes have endured, and it is now a preferred place to train and work. Wider organisational leadership training was an essential part of creating a culture that valued staff and their wellbeing, and delivering better outcomes for patients. Involving local health system leaders, e.g., from primary care, provided significant additional value.Conclusions: Healthcare organisations and the health system are complex and present a myriad of leadership challenges. Healthcare leaders need and deserve specific training and strong support to lead effectively. A focus on this is essential if New Zealand is to successfully address health system challenges, both old and emerging.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1622","pages":"98-103"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087821","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

Scedosporium and Cutibacterium skull base osteomyelitis complicated by blindness from fulminant papilloedema. 脑基底骨髓炎并发暴发性乳头状水肿致盲。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.6945

James Corbett, Nigel Raymond, Rebecca Garland, Andrew Parker, Jesse Gale

引用次数: 0

Evaluating Indigenous health workforce development interventions for Māori and Indigenous Pacific tertiary students: success at Waipapa Taumata Rau | The University of Auckland (2016-2023). 评估Māori和土著太平洋大专学生的土著卫生人力发展干预措施：在Waipapa Taumata Rau |奥克兰大学（2016-2023）的成功。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.6987

Annie Borland, Clair Mills, Claire Gooder, Sue Reddy, Anneka Anderson, Papaarangi Reid

{"title":"Evaluating Indigenous health workforce development interventions for Māori and Indigenous Pacific tertiary students: success at Waipapa Taumata Rau | The University of Auckland (2016-2023).","authors":"Annie Borland, Clair Mills, Claire Gooder, Sue Reddy, Anneka Anderson, Papaarangi Reid","doi":"10.26635/6965.6987","DOIUrl":"10.26635/6965.6987","url":null,"abstract":"Aim: We aimed to quantitatively evaluate educational performance of Māori and Pacific Admission Scheme (MAPAS) interventions at Waipapa Taumata Rau | The University of Auckland (UoA) from 2016 to 2023.Method: We measured the performance of student cohorts studying in MAPAS foundation and bachelor's degree programmes using standard Tertiary Education Commission (TEC) indicators. We compared MAPAS results with all Māori and Pacific student cohorts studying equivalent-level courses at UoA in the same period.Results: Students supported by MAPAS interventions surpassed results for all UoA Māori and Pacific students across all indicators. From 2016 to 2023, MAPAS foundation course pass and graduation rates were 15-23 percentage points higher, and MAPAS bachelor's course pass rates, retention and graduation rates were 8-18 percentage points higher than equivalent UoA Māori and Pacific student averages. From 2020 to 2023, 232 MAPAS students graduated with a bachelor's degree-at least 62 more than could be expected with standard support pathways.Conclusion: The success of MAPAS interventions warrants sustained and enhanced investment. To align with population demographics, universities in Aotearoa should aspire for a minimum of 30% Māori and 15% Pacific graduates in health professional programmes. Pro-equity health workforce initiatives such as MAPAS are essential for transformation towards a culturally safe health system.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1621","pages":"65-76"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974380","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

Pre-eclampsia in Aotearoa New Zealand: elevating clinical vigilance and equity-a viewpoint. 新西兰奥特罗阿的先兆子痫：提高临床警惕性和公平性-一种观点。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.7018

Ankur Gupta, Sonia Sharma

引用次数: 0

New Zealand 1986 Very Low Birthweight Follow-up Study: the third decade. 新西兰1986年极低出生体重随访研究：第三个十年。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.7049

Brian A Darlow, Sarah L Harris, L John Horwood, Lianne J Woodward

{"title":"New Zealand 1986 Very Low Birthweight Follow-up Study: the third decade.","authors":"Brian A Darlow, Sarah L Harris, L John Horwood, Lianne J Woodward","doi":"10.26635/6965.7049","DOIUrl":"https://doi.org/10.26635/6965.7049","url":null,"abstract":"Exposures in utero and in early life have the potential to influence health across the lifespan through neurological, epigenetic and other physiological processes. Very low birthweight (VLBW; <1,500g) and very preterm (VP; <32 weeks gestation) births constitute around 2% of live births but have significant child, family and public health impacts neonatally and longer term. Parents/caregivers, funders and society want to know the quality of that survival across the lifecourse. The New Zealand 1986 Very Low Birthweight Follow-up Study is a population-based, longitudinal study that has followed a national cohort of individuals from birth in 1986 across childhood and into adulthood. At a mean 28.5 years, 250 VLBW adults (77% survivors; 25% Māori) and 100 term-born controls participated in follow-up, with 229 VLBW adults and all controls attending a 2-day medical and neurocognitive assessment. The aim of this report is to give an overview of the published major findings from the 28-year assessments. The majority of VLBW young adults were living healthy productive lives, similar to their term-born peers. Biomedical measurements were mostly in the normal range, although between-group mean differences tended to favour the controls, suggesting potential risk of premature organ function decline within the VLBW group. We compare our results with other emerging international data and discuss the implications for future research and possible interventions across the lifecourse to optimise outcomes for this vulnerable group.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1621","pages":"77-89"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974378","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 rising incidence and ethnic disparities in aortic dissection in Aotearoa New Zealand. 新西兰奥特罗瓦地区主动脉夹层发病率的上升和种族差异。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.7103

Eric T A Lim, Andrew McCombie, Frank Frizelle, Adib Khanafer

引用次数: 0