NEW ZEALAND MEDICAL JOURNAL最新文献_第4页

Health Minister Brown wants to "fix" the system-but risks breaking it further. 卫生部长布朗想要“修复”这一体系——但却冒着进一步破坏它的风险。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-05-02 DOI: 10.26635/6965.6998

Virginia Mills, Lyndon Keene, Harriet Wild

引用次数: 0

Common mental disorders and psychological distress among Pacific adults living in Aotearoa New Zealand. 居住在新西兰奥特罗阿的太平洋地区成年人常见的精神障碍和心理困扰。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6780

Joanna Ataera-Minster, Susanna Every-Palmer, Ruth Cunningham, Jesse Kokaua

{"title":"Common mental disorders and psychological distress among Pacific adults living in Aotearoa New Zealand.","authors":"Joanna Ataera-Minster, Susanna Every-Palmer, Ruth Cunningham, Jesse Kokaua","doi":"10.26635/6965.6780","DOIUrl":"https://doi.org/10.26635/6965.6780","url":null,"abstract":"Aim: To examine common mental disorders and psychological distress in Pacific adults and between Pacific ethnic groups.Methods: Data were pooled from multiple New Zealand Health Survey waves from 2014/2015 to 2018/2019. Estimated period prevalence of common mental disorders (depression and/or anxiety) and psychological distress were calculated for Pacific adults aged 15 years and over, analysed by socio-demographic factors (age, sex and socio-economic deprivation), specific Pacific ethnic groups (Samoan, Tongan, Cook Islands and Other Pacific) and Realm country status. Log-binomial regression methods were used to calculate unadjusted and adjusted risk ratios (ARRs) for comparative analyses.Results: Doctor-diagnosed common mental disorders were more prevalent in Pacific women, adults aged 24-64 years and those living in the least deprived areas (compared with Pacific men, adults aged 15-24 years and those in the most deprived areas respectively). Psychological distress was more prevalent in Pacific females and Cook Islands Māori. Some within-Pacific mental health differences were evident, with higher rates of diagnosed common mental disorders in adults affiliated with Pacific Realm countries (Cook Islands Māori and Niueans) compared with those affiliated with non-Realm countries.Conclusions: Higher rates of doctor-diagnosed common mental disorders in Pacific adults from the least deprived areas suggest either higher needs and/or better care access in these groups. Mental health varies among Pacific peoples, with Cook Islands Māori in particular experiencing poorer outcomes. Further research and interventions targeting specific Pacific subpopulations are warranted.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1613","pages":"36-49"},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051400","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

Differences in systemic treatments for breast cancer between patients with and without diabetes. 糖尿病患者与非糖尿病患者在乳腺癌系统治疗中的差异。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6765

Chunhuan Lao, Jason Gurney, James Stanley, Andrea Teng, Marion Kuper-Hommel, Ian Campbell, Jeremy Krebs, Dianne Sika-Paotonu, Jonathan Koea, Jeannine Stairmand, Ross Lawrenson

{"title":"Differences in systemic treatments for breast cancer between patients with and without diabetes.","authors":"Chunhuan Lao, Jason Gurney, James Stanley, Andrea Teng, Marion Kuper-Hommel, Ian Campbell, Jeremy Krebs, Dianne Sika-Paotonu, Jonathan Koea, Jeannine Stairmand, Ross Lawrenson","doi":"10.26635/6965.6765","DOIUrl":"https://doi.org/10.26635/6965.6765","url":null,"abstract":"Aim: The objectives of this study are to investigate whether diabetes affects the systemic treatment of breast cancer.Methods: Patients diagnosed with invasive breast cancer between 2005 and 2020 were identified from the Te Rēhita Mate Ūtaetae - Breast Cancer Foundation National Register. Logistic regression modelling was used to estimate odds ratios (ORs) with 95% confidence intervals (95% CIs) for the outcomes of endocrine therapy for estrogen receptor+/progesterone receptor+ cancer, targeted therapy for human epidermal growth factor receptor 2+ (HER2) cancer and chemotherapy in patients with breast cancer, comparing those with and without diabetes.Results: Compared with patients without diabetes, patients with diabetes had lower probabilities of receiving endocrine therapy (64.2% vs 60.4%, p-value <0.001), HER2-targeted therapy (65.6% vs 54.8%, p-value <0.001) and chemotherapy (32.1% vs 20.4%, p-value <0.001). Most of the differences in receipt of endocrine therapy and HER2-targeted therapy between these two groups could be explained by adjustment for differences in age at diagnosis and comorbidity. The difference in usage of chemotherapy by diabetes status remained apparent after adjustment for other factors (OR 0.85, 95% CI 0.75-0.97), with a stronger difference in women with stage II breast cancer (OR 0.71, 95% CI 0.59-0.86) and in Pacific women (OR 0.70, 95% CI 0.51-0.94).Conclusions: Women with diabetes are less likely to be treated with chemotherapy, and the difference is greatest in Pacific women and patients with stage II breast cancer. The lower usage of endocrine therapy and HER2-targeted therapy in patients with diabetes could be explained by the older age at diagnosis and more comorbidities.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1613","pages":"67-78"},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042342","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

Ovarian torsion: determining the presenting features and where the delays occur. 卵巢扭转：确定表现特征和延迟发生的位置。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6809

Karan Bedekar, Anna McInnes, Wendy Burgess

{"title":"Ovarian torsion: determining the presenting features and where the delays occur.","authors":"Karan Bedekar, Anna McInnes, Wendy Burgess","doi":"10.26635/6965.6809","DOIUrl":"https://doi.org/10.26635/6965.6809","url":null,"abstract":"Background: Delayed ovarian torsion management can lead to unnecessary oophorectomy and halving of a woman's fertility potential.Aims: To improve recognition and efficiency of ovarian torsion management at Waitematā by examining common presenting symptoms/signs and identifying areas of treatment delay.Methods: An audit of all ovarian torsion cases at Waitematā over 24 months (01/05/2022-30/04/2024).Results: Forty-five women had ovarian torsion, and 42 were premenopausal. Common presenting features included abdominal pain (100%), ovarian cysts (97.8%), nausea (82%) and vomiting (51%). Peritonism was rare (13.3%). Oophorectomy was performed in 26 cases (57.8%). Rates of oophorectomy increased with increasing time from symptom onset until presentation. The time from presentation until surgery (average of 28 hours) was longer than other tertiary centres, with delays largely arising from triage to ultrasound, and then while awaiting access to theatre.Conclusions: Improving torsion recognition and expediting both imaging and surgery should reduce oophorectomy rates. Women presenting with symptomatic ovarian cysts without torsion should be adequately counselled on the risk of future torsion events and encouraged to seek acute medical attention for changes in symptoms. Additionally, more study is needed to determine if relying on computed tomography (CT) findings alone (e.g., presence of ovarian cysts more than 5cm) in the presence of symptoms suggestive of ovarian torsion can reduce time to diagnosis and improve surgical outcomes, compared to the commonly used CT followed by ultrasound.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1613","pages":"79-86"},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020686","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

Metabolic risk factors and long COVID: a cross-sectional study in Aotearoa New Zealand. 代谢危险因素与长COVID：新西兰奥特罗阿的横断面研究

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6699

Bailey Yee, Fiona McKenzie, Lis Ellison-Loschmann, Lynne Russell, Mona Jeffreys

{"title":"Metabolic risk factors and long COVID: a cross-sectional study in Aotearoa New Zealand.","authors":"Bailey Yee, Fiona McKenzie, Lis Ellison-Loschmann, Lynne Russell, Mona Jeffreys","doi":"10.26635/6965.6699","DOIUrl":"https://doi.org/10.26635/6965.6699","url":null,"abstract":"Aim: To describe the association between metabolic risk factors and the risk of developing long COVID in Aotearoa New Zealand.Methods: Individuals aged 16 years and above who had confirmed or probable COVID-19 before December 2021 were eligible for inclusion. Metabolic risk factors were high body mass index (BMI, ≥25kg/m2), high blood pressure, diabetes, heart disease and stroke. Logistic regression was used to estimate the association between metabolic risk factors and long COVID.Results: Of the 990 survey respondents, 21.9% met the definition of long COVID. After adjusting for socio-demographic factors, COVID-19 vaccination and hospitalisation, high BMI was strongly associated with long COVID (adjusted odds ratio [aOR] 2.35; 95% confidence interval [CI] 1.33-4.17, p=0.003). There was a suggestion of an association between heart disease and long COVID (aOR 4.31; 95% CI 0.80-23.3, p=0.090). No other metabolic factors were associated with long COVID. Among Māori, no associations were found between high BMI and long COVID compared with underweight/normal BMI.Conclusion: High BMI as a risk factor adds to accumulating evidence on the aetiology of long COVID.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1613","pages":"12-23"},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051039","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

Let the muppets out. 把布偶放出来。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.e1613

Frank Frizelle, Roger Mulder

引用次数: 0

Capturing diversity in cancer incidence and outcomes among the New Zealand Pacific population using linked administrative data. 利用相关的行政数据捕捉新西兰太平洋地区人口癌症发病率和结果的多样性。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6806

Nicole Satherley, Andrew Sporle

{"title":"Capturing diversity in cancer incidence and outcomes among the New Zealand Pacific population using linked administrative data.","authors":"Nicole Satherley, Andrew Sporle","doi":"10.26635/6965.6806","DOIUrl":"https://doi.org/10.26635/6965.6806","url":null,"abstract":"Aim: The New Zealand population defined as \"Pacific\" is ethnically diverse, but this diversity is seldom examined in health research. This paper applies novel methods for describing health outcomes for specific Pacific populations in New Zealand using all-cancer and gastric cancer incidence and mortality as examples. Effects of loss to follow-up from leaving the country are also assessed.Method: The New Zealand Cancer Registry was linked to administrative datasets and analysed within Stats NZ's Integrated Data Infrastructure (IDI). All-cancer and gastric cancer incidence was examined over the 1995-2022 period, as well as 1-5-year mortality among 1998-2017 diagnoses.Results: There was variability in age-standardised all-cancer incidence and gastric cancer incidence for different Pacific groups. Less variation in mortality was identified between groups, and these rates increased only modestly when adjusting for those who left the country. Lower all-cancer mortality was observed in 2008-2017 compared with 1998-2007.Conclusion: Variation in health outcomes among specific Pacific ethnicities is masked when examining Pacific peoples as an aggregated ethnic group. However, small counts among small ethnicities create challenges for producing detailed, reliable data when using the IDI.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1613","pages":"50-66"},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988273","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 pain in the hip: the under-used potential of fascia iliaca compartment block in the prehospital setting. 髋关节疼痛：院前髂筋膜隔室阻滞未充分利用的潜力。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6896

Sarah E Maessen, Jon Leach, Verity F Todd, Elena Garcia, Bridget Dicker

引用次数: 0

Notes from a small island: Ireland passes Tobacco 21 (T21) legislation. 来自小岛的笔记：爱尔兰通过了烟草21 （T21）立法。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6867

Frank Houghton, John Lombard

引用次数: 0

Drug driving, sedation, reaction time and blood levels: a prescriber's approach to the Land Transport (Drug Driving) Amendment Act 2022. 药物驾驶、镇静、反应时间和血液水平：处方方对《2022年陆地运输（药物驾驶）修正案》的做法。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-04-11 DOI: 10.26635/6965.6842

Marleen van Oeveren, Paul Glue, Charlotte Mentzel

{"title":"Drug driving, sedation, reaction time and blood levels: a prescriber's approach to the Land Transport (Drug Driving) Amendment Act 2022.","authors":"Marleen van Oeveren, Paul Glue, Charlotte Mentzel","doi":"10.26635/6965.6842","DOIUrl":"https://doi.org/10.26635/6965.6842","url":null,"abstract":"Aim: To update prescribers about the revised Land Transport (Drug Driving) Amendment Act 2022 (LTAA) and implications for prescribing.Methods: We reviewed the legislation of the LTAA and the specific drugs identified in it, mainly benzodiazepines and opioids. We also briefly reviewed published evidence on the impact of benzodiazepines and opioids on driving.Results: Both opioids and benzodiazepines are associated with increased accidents in observational (non-controlled) studies, though the odds ratios are small (at most 1.65 for benzodiazepines and around 2.0 for opioids), and accident events are rare. Prescribers are not advised to do blood levels or bedside testing to assess driving fitness. They should consult a peer group or mental health pharmacist when advising patients taking multiple psychoactive medications if they are safe to drive.Conclusion: There are no current jurisprudence or guidelines for prescribers on how to interact with the LTAA. Nor is it clear if or how investigations or complaints relating to the LTAA would be handled by the Health and Disability Commissioner (HDC), the Medical Council of New Zealand and/or the Coroner. Until more detailed instructions are published, this article should provide some guidance for professionals who prescribe benzodiazepines or opioids.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1613","pages":"87-95"},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041128","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