NEW ZEALAND MEDICAL JOURNAL最新文献_第6页

Wait times at Christchurch Hospital for adjuvant breast irradiation and the impact of the COVID-19 pandemic. 基督城医院辅助乳房照射的等待时间和COVID-19大流行的影响。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7269

Junya Robinson, Melissa L James, Chris Frampton

{"title":"Wait times at Christchurch Hospital for adjuvant breast irradiation and the impact of the COVID-19 pandemic.","authors":"Junya Robinson, Melissa L James, Chris Frampton","doi":"10.26635/6965.7269","DOIUrl":"https://doi.org/10.26635/6965.7269","url":null,"abstract":"Introduction: This study aimed to quantify wait times for adjuvant breast radiotherapy at Christchurch Hospital following surgery or completion of chemotherapy, with specific attention to the impact of COVID-19 lockdowns on service delivery.Methods: A retrospective review was conducted of patients with breast cancer who initiated adjuvant radiotherapy between 1 January 2018 and 31 December 2022 at Christchurch Hospital. Wait times were defined as the interval (in days) from final surgery or chemotherapy to the first fraction of radiotherapy. Median wait times were tabulated and graphed to determine trend lines accounting for the COVID-19 lockdown periods affecting Canterbury, New Zealand.Results: The cohort included 682 patients. Median wait time to radiotherapy from surgery was 72 days and from adjuvant chemotherapy was 36 days. A statistically significant increase in wait times was observed from surgery to radiotherapy of 7.2 days per annum (95% confidence interval 6.84-7.65 days, p<0.001). An initial increase in wait times was followed by a comparative reduction during the COVID-19 lockdown period.Conclusion: Wait times for adjuvant breast radiotherapy have increased at Christchurch Hospital from 2018 to 2022. Although COVID-19 restrictions temporarily reduced delays, sustained increases suggest multifactorial pressures. Excessive delays to commencing radiation should be minimised to reduce the risk of locoregional recurrence.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1640","pages":"12-22"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766503","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

Beyond the mandible: aggressive maxillary presentation of Pindborg tumour. 下颌骨以外：上颌平堡肿瘤的侵袭性表现。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7447

Aaron Abrishami, Kevin J Abrams, Márcio Luís Duarte, Charif Sidani, Leonardo Furtado Freitas

引用次数: 0

Whitia Kia Ora: a culturally responsive model of Bicillin L-A® delivery for people with rheumatic fever in the Waikato region of Aotearoa New Zealand. Whitia Kia Ora：新西兰Aotearoa怀卡托地区风湿热患者比西林L-A®交付的文化响应模型。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7394

Anneka Anderson, Monleigh Ikiua, Rachel Brown, Kim Arrowsmith, Tira Phillipson-Puna, Shannon Leilua, Manawa Rhinds, Julie Cooper, Matire Harwood, Rawiri McKree-Jansen, Alison Ahu, Matua Dave Thompson, Julie Bennett

{"title":"Whitia Kia Ora: a culturally responsive model of Bicillin L-A® delivery for people with rheumatic fever in the Waikato region of Aotearoa New Zealand.","authors":"Anneka Anderson, Monleigh Ikiua, Rachel Brown, Kim Arrowsmith, Tira Phillipson-Puna, Shannon Leilua, Manawa Rhinds, Julie Cooper, Matire Harwood, Rawiri McKree-Jansen, Alison Ahu, Matua Dave Thompson, Julie Bennett","doi":"10.26635/6965.7394","DOIUrl":"https://doi.org/10.26635/6965.7394","url":null,"abstract":"Aim: Acute rheumatic fever (ARF) is an autoimmune response to group A Streptococcus (Strep A) infection that can lead to rheumatic heart disease (RHD). To prevent Strep A infection for people with ARF or RHD, clinical guidelines recommend monthly intramuscular penicillin (Bicillin L-A®) injections for at least 10 years. However, multiple barriers to accessing healthcare affect adherence. This research aimed to improve adherence by developing a Māori and Pacific-centred model of care.Methods: Qualitative, Kaupapa Māori and Kakala methodology underpinned the research. Data collection from people in the Waikato region with ARF, their whānau and healthcare providers included interviews, wānanga and fono. Data were analysed using a general inductive approach.Results: Forty-seven participants were included: nine people with ARF, 10 whānau, eight health professionals and 21 whānau navigators. Three themes were identified: impacts of a colonial health system on Indigenous whānau; life defined by a disease status; and catalysts of healthcare engagement. A community informed, Whānau Ora model of care was also developed.Conclusion: Indigenous methodologies are effective methods to develop community informed, culturally responsive models of care. Although designed for ARF in Waikato, there is potential to adapt this approach for other health conditions and different regions of Aotearoa New Zealand.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1640","pages":"40-50"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763835","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

Women's experience of accessing information, diagnosis and treatment of pelvic floor dysfunction in the postnatal period in New Zealand-a qualitative descriptive study. 新西兰妇女产后盆底功能障碍的信息获取、诊断和治疗经验：一项定性描述性研究。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7374

Laura Seary, Catherine Cook, Anja Vorster

{"title":"Women's experience of accessing information, diagnosis and treatment of pelvic floor dysfunction in the postnatal period in New Zealand-a qualitative descriptive study.","authors":"Laura Seary, Catherine Cook, Anja Vorster","doi":"10.26635/6965.7374","DOIUrl":"https://doi.org/10.26635/6965.7374","url":null,"abstract":"Aim: This study aims to explore the experiences of women with pelvic floor dysfunction within the postnatal period (1 year after birth), specifically their experience in accessing information, diagnosis and treatment for their symptoms.Methods: Qualitative semi-structured interviews were conducted with women during their postnatal period and key informant health professionals involved in perinatal healthcare. Data were analysed using reflexive thematic analysis.Results: Postnatal women participants reported a very poor experience of accessing information, diagnosis and treatment of their pelvic floor symptoms in the year after giving birth. Women's symptoms were normalised or dismissed, with multiple other barriers in place to accessing the appropriate treatment. Key informants acknowledged the societal and health system barriers to postnatal pelvic floor dysfunction treatment and rehabilitation.Conclusion: The study highlights significant, avoidable gaps in perinatal healthcare provision, which is based on a specialised model of care, not suitable for a highly prevalent health issue for women. A specific maternal postnatal primary care check, in addition to a national pelvic floor dysfunction clinical guideline with appropriate training of perinatal health professionals, is likely to significantly improve women's experience of pelvic floor dysfunction in the postnatal period.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1640","pages":"31-39"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762210","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

Intrathecal fat dissemination after sacral fracture detected on computed tomography. 骶骨骨折后鞘内脂肪播散的ct检测。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7437

Marina Severo Moraes Michel, Márcio Luís Duarte, Gustavo Andreis, Luiz Fellipe Curvelo Ciraulo Santos

引用次数: 0

The impact of New Zealand's 2018 methamphetamine policy on residential contamination. 新西兰2018年甲基苯丙胺政策对住宅污染的影响。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7414

Muhammad Irfan, Ushan Indika Goonawardane, Craig Robertson, Michael P Cameron

{"title":"The impact of New Zealand's 2018 methamphetamine policy on residential contamination.","authors":"Muhammad Irfan, Ushan Indika Goonawardane, Craig Robertson, Michael P Cameron","doi":"10.26635/6965.7414","DOIUrl":"10.26635/6965.7414","url":null,"abstract":"Aim: Acknowledging the risks of passive exposure to methamphetamine, New Zealand started testing residential properties in 2010 and set a national standard and guidelines in 2016. However, in May 2018, the requirement to test for methamphetamine was eased unless there was a suspicion of a methamphetamine laboratory or high contamination levels. Owing to this policy change, methamphetamine testing drastically reduced. This study examines the impact of the policy change on residential methamphetamine contamination levels in New Zealand.Methods: Using longitudinal data from 423 residential properties that were tested before and after the policy change, we applied a fixed effects model to examine the impact of the policy change on methamphetamine contamination at residential properties in New Zealand.Results: We found that the policy change is associated with 1.92mcg/100cm2 higher methamphetamine contamination at residential properties in New Zealand, which will likely increase future healthcare costs.Conclusions: Given the ongoing escalation in methamphetamine usage, the government should revisit the policy change for controlling the passive exposure of methamphetamine to inhabitants of residential properties so that the associated premature deaths, child maltreatment and healthcare cost can be reduced.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1640","pages":"80-86"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762690","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 Deterioration Early Warning System for aged residential care: a feasibility study with qualitative analysis. 居家养老恶化预警系统的可行性研究及定性分析。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7467

Julie Daltrey, Michal Boyd, Jacqualine Robinson, Rachel Pola

{"title":"The Deterioration Early Warning System for aged residential care: a feasibility study with qualitative analysis.","authors":"Julie Daltrey, Michal Boyd, Jacqualine Robinson, Rachel Pola","doi":"10.26635/6965.7467","DOIUrl":"https://doi.org/10.26635/6965.7467","url":null,"abstract":"Aim: The Deterioration Early Warning System (DEWS) is a unique process, co-designed and developed in New Zealand, to support residential aged care (RAC) staff in the timely identification of, and response to, acute deterioration. This study aimed to test the effectiveness of DEWS and the feasibility of its implementation within the RAC sector.Method: This type 2 feasibility-implementation study was planned and evaluated in line with the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Focus group semi-structured interviews were conducted and template thematic analysis was undertaken to provide descriptive and interpretive data themes.Results: Findings from this study support DEWS as an effective process for the timely identification of, and response to, acute deterioration in people living in care. Implementation was found to be feasible, with participants recommending the system's adoption across the RAC sector.Conclusion: Participants recommended DEWS to the RAC sector for its capacity to support the multidisciplinary team with the timely identification of and response to acute deterioration. However, future implementation of DEWS is contingent on digitalisation and integration within existing information technology infrastructure.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1640","pages":"63-79"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762316","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

Hand grip strength and future hospitalisations in Māori and non-Māori New Zealand octogenarians: the LiLACS NZ cohort study. 握力和未来住院Māori和non-Māori新西兰80岁老人：LiLACS新西兰队列研究。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-08-14 DOI: 10.26635/6965.7454

Simon A Moyes, Vanessa Selak, Lindsay D Plank, Joanna Hikaka, Ngaire Kerse

{"title":"Hand grip strength and future hospitalisations in Māori and non-Māori New Zealand octogenarians: the LiLACS NZ cohort study.","authors":"Simon A Moyes, Vanessa Selak, Lindsay D Plank, Joanna Hikaka, Ngaire Kerse","doi":"10.26635/6965.7454","DOIUrl":"https://doi.org/10.26635/6965.7454","url":null,"abstract":"Aim: With the population ageing, age-related illness and hospitalisation are of concern. Chronic sarcopenia, low muscle strength and mass, and hand grip strength (HGS) are known to be associated with future hospitalisation in older people. The aim here was to determine the association of ethnicity and sex with these relationships in New Zealand octogenarians.Methods: This paper used data from the LiLACS NZ study, of 421 Māori and 516 non-Māori in 2010-2011 with follow-up hospitalisation data for 13 years. Generalised linear models tested the association between HGS or probable chronic sarcopenia (PCS; defined as a HGS of ≤27kg for men, ≤16kg for women) and hospitalisation rate and total time in hospital. These models were run separately for each ethnicity and sex.Results: Men had greater mean HGS at recruitment than women (30.8 [standard deviation 7.0] Māori men, 30.3 [6.2] non-Māori men, 20.0 [5.2] Māori women, 18.4 [4.5] non-Māori women). HGS was associated with the future hospitalisation rate for Māori women and non-Māori men (adjusted incidence rate ratio [95% confidence interval] of 0.968 [0.942-0.995] and 0.970 [0.951-0.991], respectively) but not for non-Māori women or Māori men. HGS was also associated with future time in hospital for Māori and non-Māori men. PCS was associated with an increased future hospitalisation rate for non-Māori men (1.439 [1.097-1.888]) and total time in hospital for Māori and non-Māori men.Conclusions: Investment in reducing PCS could reduce the frequency and total length of hospitalisation for older people and reduce inequities for Indigenous Māori in health outcomes.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1640","pages":"51-62"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765342","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

Moving the dial on out-of-hospital cardiac arrest survival in Aotearoa New Zealand. 新西兰奥特罗阿院外心脏骤停存活率的变化

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-31 DOI: 10.26635/6965.7429

Jon Moores

引用次数: 0

Aotearoa New Zealand's outdated low-risk drinking advice: the need for review. 新西兰过时的低风险饮酒建议：需要重新审视。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-07-31 DOI: 10.26635/6965.7516

Tasnima Akter, David Newcombe, Andy Towers, Mark Esekielu, Christina Severinsen, Felicity Ware, Antonia Lyons

{"title":"Aotearoa New Zealand's outdated low-risk drinking advice: the need for review.","authors":"Tasnima Akter, David Newcombe, Andy Towers, Mark Esekielu, Christina Severinsen, Felicity Ware, Antonia Lyons","doi":"10.26635/6965.7516","DOIUrl":"https://doi.org/10.26635/6965.7516","url":null,"abstract":"Alcohol remains a major contributor to preventable morbidity and mortality in Aotearoa New Zealand, generating substantial health, social and economic harm. Current low-risk drinking advice, last updated in 2011, no longer reflects contemporary evidence on alcohol-related risk. Internationally, several countries have revised their guidance in response to strengthened evidence that even low levels of consumption increase the risk of disease. This viewpoint argues that Aotearoa New Zealand's low-risk drinking advice is now overdue for review. Updating national guidance is necessary to ensure that alcohol-related risk is communicated accurately and transparently and to provide a clearer foundation for clinical practice and policy. However, on its own, such advice cannot reduce alcohol-related harm, as information alone cannot address the structural conditions that produce it. The impact of evidence-based advice depends on the broader regulatory, commercial and social environments in which alcohol is produced, marketed and consumed. A review process must therefore be embedded within a wider strategy that addresses structural drivers of harm and prioritises equity, including obligations under Te Tiriti o Waitangi.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1639","pages":"78-85"},"PeriodicalIF":1.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632275","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