NEW ZEALAND MEDICAL JOURNAL最新文献_第4页

From womb to world-is it time to revisit our current guidelines for treatment of antenatal depression? Supporting the next generation to have the best start to life. 从子宫到世界——是时候重新审视我们目前的产前抑郁症治疗指南了吗？支持下一代拥有最好的人生开端。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.6858

Julia J Rucklidge, Hayley A Bradley, Siobhan A Campbell, Jessica L Heaton, Elena Moltchanova, Lesley Dixon, Bryony Simcock, Roger T Mulder

{"title":"From womb to world-is it time to revisit our current guidelines for treatment of antenatal depression? Supporting the next generation to have the best start to life.","authors":"Julia J Rucklidge, Hayley A Bradley, Siobhan A Campbell, Jessica L Heaton, Elena Moltchanova, Lesley Dixon, Bryony Simcock, Roger T Mulder","doi":"10.26635/6965.6858","DOIUrl":"https://doi.org/10.26635/6965.6858","url":null,"abstract":"Antenatal depression affects 15-21% of pregnant women globally, increasing the risk of pregnancy complications, postnatal depression and poor birth and infant outcomes. Psychotherapy is a recommended treatment, but access barriers like cost, time and stigma often prevent their use. For severe cases, antidepressants are advised; however, only 3% of pregnant women in New Zealand take antidepressants, with concerns about risks to their infant identified as a main reason for discontinuing medications. Poor nutrition during pregnancy, particularly ultra-processed foods, is associated with higher maternal depression and greater likelihood of mental health issues in the offspring. Increasing consumption of real whole foods improves outcomes for both mother and infant. As proof that the nutritional environment during pregnancy is inadequate, a randomised placebo-controlled trial in pregnancy for women with moderate depression is showcased to illustrate the importance of supplementing with vitamins and minerals (micronutrients) in recovery from antenatal depression. The additional micronutrients also mitigated the negative effects of depression on birth outcomes and improved early indicators of infant competencies, with more favourable birth and infant outcomes compared to antidepressants. The substantially enhanced birth outcomes emphasise the potential for significant healthcare savings. The breadth of data urges updates to the current guidelines from the Royal Australia and New Zealand College of Psychiatrists and the Royal Australia and New Zealand College of Obstetricians and Gynaecologists to include nutrition intervention as part of maternal care.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1621","pages":"90-98"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974446","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 one-hundred women study: characteristics of New Zealand women with severe mental illness. 100名女性研究：新西兰患有严重精神疾病女性的特征。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.6763

Lillian Ng, Angela Fyfe, Zeke Wang, Jullian Carter, Emma Wong She, Michelle Chou, Jana Caramaschi, Tanya Wright

{"title":"The one-hundred women study: characteristics of New Zealand women with severe mental illness.","authors":"Lillian Ng, Angela Fyfe, Zeke Wang, Jullian Carter, Emma Wong She, Michelle Chou, Jana Caramaschi, Tanya Wright","doi":"10.26635/6965.6763","DOIUrl":"https://doi.org/10.26635/6965.6763","url":null,"abstract":"Aim: Severe mental illness (SMI) and adverse childhood experiences are associated with chronic physical illness and complex health and welfare needs. In this 100-women study, we aimed to identify health-related characteristics of women referred to community mental health clinics (CMHCs) to inform interventions in primary and specialist health services in supporting optimal health.Methods: Data were collected from healthcare records of a randomised sample of 100 women using a REDCap questionnaire, designed to collate information on psychiatric diagnoses, trauma experiences, treatment and healthcare use. Statistical analyses were performed to determine differences between ethnic groups.Results: One-third had two or more psychiatric diagnoses, one-third were under mental health legislation and 81% reported suicidal ideation. Traumatic experiences were documented in 90% and 32% reported four or more adverse childhood experiences. Fourteen percent of mothers in the study had children who were not in their care. More than one-quarter (27%) were migrants or refugees.Discussion: This research reveals adversity associated with women who are in the care of CMHCs, which confer substantial household vulnerability. The intergenerational effects of poor maternal mental health influence and shape the lives of children. The 100-women study presents compelling reasons to invest in women's health and early in their children's life trajectory.Conclusion: Clinicians need to consider women's complex array of needs at all points of health service access. We recommend routine enquiry and more precise documentation about women's health issues, pregnancy, parenting and adverse childhood experiences. Women with SMI are a strategic target for integrated, holistic, trauma-informed interventions with potential intergenerational impact.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1621","pages":"13-33"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974370","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

We can determine our future health. 我们可以决定我们未来的健康状况。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.E1621

Kevin Hague, Peter Crampton, Ruth Cunningham, Jason Gurney, Beverley Te Huia, Caroline McElnay, Fa'afetai Sopoaga

引用次数: 0

Osteoporotic sacral insufficiency fractures in a patient with alternating buttock pain: a case report. 伴有交替性臀部疼痛的骨质疏松性骶骨功能不全骨折1例。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.7066

Rohil V Chauhan, Amanjeet Toor, Anand H Segar

引用次数: 0

Ambulatory sensitive hospitalisations among people accessing mental health and addiction services: a retrospective cross-sectional study using national population data. 在获得精神健康和成瘾服务的人群中，门诊敏感住院：使用国家人口数据的回顾性横断面研究。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.6969

Isabel Foley, Maria Carmela Basabas, Angela Jury, Tracy Haitana, Debbie Peterson, Phil Hider, Ruth Cunningham

{"title":"Ambulatory sensitive hospitalisations among people accessing mental health and addiction services: a retrospective cross-sectional study using national population data.","authors":"Isabel Foley, Maria Carmela Basabas, Angela Jury, Tracy Haitana, Debbie Peterson, Phil Hider, Ruth Cunningham","doi":"10.26635/6965.6969","DOIUrl":"https://doi.org/10.26635/6965.6969","url":null,"abstract":"Aim: Ambulatory sensitive hospitalisations (ASHs) are hospital admissions for conditions potentially avoidable through timely and effective primary healthcare. ASH rates can indicate healthcare quality and access. This study examines ASH rates among people accessing mental health and addiction (MHA) services in Aotearoa New Zealand.Method: Retrospective analyses of national MHA service use linked to hospital admission records, compared to total population between 1 July 2012 and 30 June 2018, were conducted. The MHA cohort includes people aged 45-64 with at least one MHA service contact during the study period or 2 years prior.Results: MHA service users were most commonly hospitalised for angina (26.0%) and chronic obstructive pulmonary disease (COPD; 11.6%). Adjusting for age and ethnicity, the MHA cohort's ASH rate was 2.38 times that of the total population, with higher rates for epilepsy (adjusted rate ratio [ARR]=5.96), COPD (ARR=4.32), diabetes (ARR=3.47) and angina (ARR=2.40).Conclusion: Findings indicate potentially preventable physical health disparities within and between people accessing MHA services, highlighting the need to improve primary care access. Practice implications include integrated care, prevention and workforce development to reduce ASH and health disparities for people using MHA services.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1621","pages":"55-64"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974442","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

Why do women in health seek mentoring-a descriptive study of a mentorship programme for women in Aotearoa New Zealand. 健康领域的妇女为什么寻求指导——对新西兰奥特罗阿妇女指导方案的描述性研究。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-29 DOI: 10.26635/6965.6837

Rebecca Grainger, Rachel Roskvist, Alison Barrett, Carmen Chan, Sabrina Sapsford, Juliet Rumball-Smith, Charlotte Foley

{"title":"Why do women in health seek mentoring-a descriptive study of a mentorship programme for women in Aotearoa New Zealand.","authors":"Rebecca Grainger, Rachel Roskvist, Alison Barrett, Carmen Chan, Sabrina Sapsford, Juliet Rumball-Smith, Charlotte Foley","doi":"10.26635/6965.6837","DOIUrl":"https://doi.org/10.26635/6965.6837","url":null,"abstract":"Aim: Wāhine Connect is a peer-mentoring organisation established in 2017 by a medical clinician to address an unmet need by enabling peer-to-peer wāhine mentorship in medicine and health in Aotearoa New Zealand. This retrospective descriptive study reports the demographic and work profiles of women seeking mentoring, their reasons for seeking mentoring and satisfaction with their experience of the programme.Methods: Mentees' registration data were analysed to describe demographic characteristics of women seeking mentorship and the reasons women chose to seek mentorship. The survey data on mentorship experience were analysed to describe mentee satisfaction with the Wāhine Connect programme and their mentors.Results: From October 2017 to December 2023, 642 women participated in the Wāhine Connect mentorship programme. The mean age of mentees was 34 years. The most frequent ethnicities were NZ European (59.8%) and Asian (19.2%). Over 85% of participants were doctors (n=546), with 100 working in primary care and 387 pre-vocationally registered. Of the 39 reasons for accessing mentoring, the three most highly rated were \"lack of confidence\" (41.6%), \"juggling training/work with raising a family\" (35.8%) and \"balancing your work/career needs with those of your partner\" (30.8%). Of 208 respondents to the post-programme evaluation survey, 97.6% rated the value of the mentoring programme as excellent/very good/good, and the quality of the match between mentee and mentor was rated excellent/very good/good by 96.6%.Conclusions: Women in Aotearoa New Zealand seek mentoring for many reasons and a mentoring service is needed. This need is likely to persist and should be supported by our healthcare system.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1621","pages":"34-54"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974405","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

Weight management services in Counties Manukau Health New Zealand - Te Whatu Ora: consumer experiences and ideal components. 新西兰曼努考健康中心的体重管理服务：消费者体验和理想组件。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-15 DOI: 10.26635/6965.6929

Tamasin Taylor, Rachel Ling, Mark McNeill, Delanie Nepia, Rinki Murphy

{"title":"Weight management services in Counties Manukau Health New Zealand - Te Whatu Ora: consumer experiences and ideal components.","authors":"Tamasin Taylor, Rachel Ling, Mark McNeill, Delanie Nepia, Rinki Murphy","doi":"10.26635/6965.6929","DOIUrl":"10.26635/6965.6929","url":null,"abstract":"Aim: To understand consumers' past experiences with weight management services and explore their conceptions of the ideal weight management programme.Methods: Three focus groups (n=21) were conducted between November and December 2023, with participants who were waitlisted for metabolic bariatric surgery at Counties Manukau Health New Zealand - Te Whatu Ora. Past experiences with weight management services and ideal features were explored using reflexive thematic analysis. A ranking exercise of 18 potential features in an ideal weight management service was also conducted. Sessions followed Kaupapa Māori principles.Results: Three main themes centred around service gaps. These were: lack of treatment options and support, weight-related stigma and shame, and psychological issues. Ideal weight management services themes were: increased support from healthcare professionals, group support, funded weight loss medications and metabolic bariatric surgery, a centre for weight management, and flexible programme formats and lengths. In addition to weight loss medications, the top ranked features were peer-support and health coach support.Conclusion: Participants perceived a general lack of weight management services that are affordable, effective or sustainable and able to address the prevalent underlying mental, social or physical issues associated with excess weight. Participants desired a more holistic, centralised service. This study's findings support the initial model of care by Te Mana ki Tua, a recently initiated specialist weight management service based in Mangere, Counties Manukau.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1620","pages":"36-45"},"PeriodicalIF":1.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856771","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

Longitudinal trends in community antibiotic dispensing: a surveillance study of Aotearoa New Zealand from 2010 to 2019. 社区抗生素分配的纵向趋势：2010 - 2019年新西兰奥特罗阿的监测研究

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-15 DOI: 10.26635/6965.6901

Kirsten Fanning, Phil Hider, Ibrahim S Al-Busaidi, Jonathan Williman

{"title":"Longitudinal trends in community antibiotic dispensing: a surveillance study of Aotearoa New Zealand from 2010 to 2019.","authors":"Kirsten Fanning, Phil Hider, Ibrahim S Al-Busaidi, Jonathan Williman","doi":"10.26635/6965.6901","DOIUrl":"10.26635/6965.6901","url":null,"abstract":"Aim: We aimed to investigate community systemic antibiotic dispensing in New Zealand across 2010-2019.Methods: This longitudinal study utilised dispensing data from the National Pharmaceutical Collection and population data from the Health New Zealand - Te Whatu Ora populations web tool. Dispensing rates were measured as the number of defined daily doses/1,000 inhabitants per day (DIDs) and courses dispensed/1,000 inhabitants/year. Dispensing data were stratified by antibiotic group, AWaRe (Access, Watch, Reserve) categories, district health board (DHB) region and patient characteristics.Results: Between January 1 2010 and December 31 2019, community systemic antibiotic dispensing in New Zealand declined, with courses dispensed dropping from 930 to 782 (average annual change [AAC] -1.9%) and DID from 20.9 to 19.6 (AAC -0.75%). Watch antibiotics decreased by 8% in courses dispensed/1,000 inhabitants/year, with quinolones showing the largest proportional reduction (-37 courses dispensed/1,000 inhabitants/year; AAC -13.4%). Conversely, first-generation cephalosporins increased significantly (+45 courses dispensed/1,000 inhabitants/year; AAC +56%), primarily due to cefalexin. Ethnic differences persisted, with Pacific people consistently exhibiting the highest dispensing rates. Most DHB regions experienced an overall decline in dispensing during this period.Conclusions: The study identified encouraging trends in antibiotic dispensing, reflecting New Zealand's antimicrobial stewardship initiatives, but also highlighted the rise in cefalexin and ongoing variations that require further investigation.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1620","pages":"13-35"},"PeriodicalIF":1.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856717","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

Recommendations for the use of functional medical imaging in the management of cancer of the cervix in New Zealand: a rapid review. 建议使用功能医学成像在宫颈癌的管理在新西兰：快速审查。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-15 DOI: 10.26635/6965.6876

Shouzhuang Feng, Sibusiso Mdletshe

{"title":"Recommendations for the use of functional medical imaging in the management of cancer of the cervix in New Zealand: a rapid review.","authors":"Shouzhuang Feng, Sibusiso Mdletshe","doi":"10.26635/6965.6876","DOIUrl":"10.26635/6965.6876","url":null,"abstract":"Aim: We aimed to review the role of functional imaging in cervical cancer to underscore its significance in the diagnosis and management of cervical cancer and in improving patient outcomes.Methods: This rapid literature review targeting the clinical guidelines for functional imaging in cervical cancer sourced literature from 2017 to 2023 using PubMed, Google Scholar, MEDLINE and Scopus. Keywords such as cervical cancer, cervical neoplasms, functional imaging, stag*, treatment response, monitor* and New Zealand or NZ were used with Boolean operators to maximise results. Emphasis was on English full research studies pertinent to New Zealand. The study quality of the reviewed articles was assessed using the Joanna Briggs Institute critical appraisal checklists.Results: The search yielded a total of 21 papers after all duplicates and yields that did not meet the inclusion criteria were excluded. Only one paper was found to incorporate the New Zealand context. The papers reviewed yielded results that demonstrate the important role of functional imaging in cervical cancer diagnosis, staging and treatment response monitoring. Techniques such as dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), diffusion-weighted magnetic resonance imaging (DW-MRI), computed tomography perfusion (CTP) and positron emission tomography computed tomography (PET/CT) provide deep insights into tumour behaviour, facilitating personalised care. Integration of artificial intelligence in image analysis promises increased accuracy of these modalities.Conclusion: Functional imaging could play a significant role in a unified approach in New Zealand to improve patient outcomes for cervical cancer management. Therefore, this study advocates for New Zealand's medical sector to harness functional imaging's potential in cervical cancer management.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1620","pages":"65-84"},"PeriodicalIF":1.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856719","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

Reforming Health New Zealand: confronting crisis, sustaining recovery. 改革新西兰卫生部：直面危机，维持复苏。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-08-15 DOI: 10.26635/6965.e1620

Lester Levy

引用次数: 0