NEW ZEALAND MEDICAL JOURNAL最新文献_第8页

Letter to the editor commenting on the editorial: "The cost of everything and the value of nothing: New Zealand's under-investment in health". 致编辑的信，评论社论："一切皆有代价，一切皆无价值：新西兰对健康的投资不足"。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-09-06 DOI: 10.26635/6965.6725

Kevin Davies

引用次数: 0

Untutored learning curve for endoscopic submucosal dissection in New Zealand. 新西兰内窥镜粘膜下剥离术的无辅导学习曲线。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-09-06 DOI: 10.26635/6965.6539

Tara Fox, Masato Yozu, Sze-Lin Peng, Cameron Schauer, Anurag Sekra

{"title":"Untutored learning curve for endoscopic submucosal dissection in New Zealand.","authors":"Tara Fox, Masato Yozu, Sze-Lin Peng, Cameron Schauer, Anurag Sekra","doi":"10.26635/6965.6539","DOIUrl":"https://doi.org/10.26635/6965.6539","url":null,"abstract":"Introduction: Endoscopic submucosal dissection (ESD) is a specialised endoscopic technique in the treatment of large pre-cancerous and early cancerous gastrointestinal lesions that avoids the need for surgical resections. The objective of this study was to assess the feasibility, efficacy and safety of learning ESD in an untutored approach in a prevalence-based setting within New Zealand.Methods: Over a 4-year period, 80 ESD procedures were performed at a single tertiary centre within New Zealand. We retrospectively reviewed basic demographics of the patients, along with successful en bloc resection rates, dissection speeds, histological diagnoses (including margin assessments) and complications.Results: We captured 80 procedures. Within this database we achieved an en bloc resection of 88.7% (71 out of 80 cases) and an R0 resection of 72.5% (58 out of 80 cases). The international benchmark for dissection speed of 9cm2/h was achieved within the first block of 20 cases and was maintained throughout. There was a perforation rate of 6.25% (five patients), with one patient (1.25%) requiring emergency surgery for a rectal perforation.Conclusions: Our study shows it is feasible and safe to learn ESD within a low-volume tertiary centre within New Zealand via a prevalence-based approached. The majority of patients were able to have en bloc resection and a R0 resection. Our intent is that this data be used to help design a more formalised training process for learning ESD within a New Zealand setting.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1602","pages":"55-64"},"PeriodicalIF":1.2,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141461","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 case for publicly funding lorlatinib. 公开资助lorlatinib的理由。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.6661

John C Ashton

引用次数: 0

The cost of everything and the value of nothing: New Zealand's under-investment in health. 一切皆有代价，一切皆无价值：新西兰对健康的投资不足。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.e1601

Virginia Mills, Lyndon Keene, James Roberts, Harriet Wild

引用次数: 0

Attempt to engage, yet failure to obtain successful bowel cancer screening: more likely in Māori, Pacific peoples, Asians, men and high deprivation areas. 试图参与但未能成功获得肠癌筛查：在毛利人、太平洋岛屿族裔、亚裔、男性和高贫困地区更有可能。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.6351

Chey G Dearing, Louise O'Connor, Georgia C Dearing, Bernard McEntee

{"title":"Attempt to engage, yet failure to obtain successful bowel cancer screening: more likely in Māori, Pacific peoples, Asians, men and high deprivation areas.","authors":"Chey G Dearing, Louise O'Connor, Georgia C Dearing, Bernard McEntee","doi":"10.26635/6965.6351","DOIUrl":"10.26635/6965.6351","url":null,"abstract":"Aim: In New Zealand, colorectal cancer (CRC) is the second highest cause of cancer death. We sought to characterise a unique population, the individuals who attempt to engage one or multiple times with screening yet fail to ever obtain successful screening.Methods: This is a cross-sectional descriptive analysis on data from the New Zealand National Bowel Screening Programme 2012 to 2022.Results: Over 7,000 individuals (1.26% of all participants) have attempted but failed to be successfully screened in the national bowel screening programme. Males compared with females (OR 1.11, 95% CI 1.06-1.17), Asian (OR 1.65, 95% CI 1.55-1.77), Māori (OR 2.07, 95% CI 1.92-2.24) or Pacific peoples (OR 2.30, 95% CI 2.09-2.52) compared with Europeans had greater odds to attempt but fail to be screened. Māori New Zealand Index of Deprivation (NZDep) quintile five (most deprived) had 4.12 (95% CI 3.64-4.67, plt;0.0001) the odds to attempt but fail to be screened compared with European deprivation quintile one participants (least deprived).Conclusions: There are important variations in the failure to successfully receive CRC screening by gender, age, ethnicity, deprivation level and screening year. We suggest drop-off location checking services for all participants are required.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1601","pages":"55-62"},"PeriodicalIF":1.2,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037356","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

Eruptive xanthomas. 爆发性黄瘤

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.6607

Sanjana Mathew, Carol Lobo, Sowmya Kaimal, Sujata Raj

引用次数: 0

Māori experiences and perspectives of hospital treatment in the context of acute care. 毛利人在急诊治疗中对医院治疗的体验和看法。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.6397

Misty Edmonds, Stephanie Shankar, Te Inuwai Elia, Carlos Fc Campos, Mataroria Lyndon, Jennifer M Weller

{"title":"Māori experiences and perspectives of hospital treatment in the context of acute care.","authors":"Misty Edmonds, Stephanie Shankar, Te Inuwai Elia, Carlos Fc Campos, Mataroria Lyndon, Jennifer M Weller","doi":"10.26635/6965.6397","DOIUrl":"10.26635/6965.6397","url":null,"abstract":"Aim: Through exploring Māori experiences when presenting acutely to hospital, we aimed to identify specific aspects of culturally safe care that we could incorporate into healthcare professionals' training and hospital processes.Methods: Using Kaupapa Māori approaches, we undertook semi-structured interviews and thematic analysis to collect and analyse data from diverse groups of Māori participants.Results: We interviewed 17 participants, with 16 follow-up interviews. We found a lack of trust, and perceptions of unequal treatment for Māori. Our participants highlighted the following key needs: the importance of whanaungatanga in building trusting relationships with patients and whānau; creating safe spaces for patients and whānau; improved staff cultural safety; exploring individual patient and whānau needs, avoiding assumptions about cultural requirements or stereotypical characteristics; upholding the mana of all patients with respectful interactions; and empowering Māori as partners in their care.Conclusion: By sharing their personal experiences, participants have highlighted specific aspects of their interactions with hospital staff and the healthcare system that could and should be improved. These insights can guide our efforts to enhance cultural safety for Māori patients and whānau through targeted staff training and structural changes.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1601","pages":"63-73"},"PeriodicalIF":1.2,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037359","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

Acute and persistent post-operative pain following mastectomy: a descriptive study in a tertiary hospital cohort. 乳房切除术后的急性和持续性术后疼痛：一项在三级医院队列中进行的描述性研究。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.6524

Jenna Donaldson, Sami Swadi, Chris Frampton, Christian Brett

{"title":"Acute and persistent post-operative pain following mastectomy: a descriptive study in a tertiary hospital cohort.","authors":"Jenna Donaldson, Sami Swadi, Chris Frampton, Christian Brett","doi":"10.26635/6965.6524","DOIUrl":"https://doi.org/10.26635/6965.6524","url":null,"abstract":"Aims: Post mastectomy pain syndrome (PMPS) can have significant negative effects on patients' quality of life after mastectomy. The estimated prevalence of PMPS varies widely and there is little data from a New Zealand population. This limits clinicians' ability to meaningfully describe and discuss pain-related complications of mastectomy peri-operatively.Method: We designed a single-centre, retrospective study to describe acute post-operative analgesic requirements after mastectomy, to describe the prevalence of PMPS at least 1 year after surgery, and to identify associated risk factors for this complication.Results: One hundred and thirty mastectomy patients met inclusion criteria and 59 were willing and able to participate in 12-month follow-up. Acute post-operative pain was generally well managed with modest doses of oral analgesics. Sixty-six percent (n=39) of women reported some form of persistent pain symptoms post-mastectomy; this was associated with younger age, axillary surgery and chemotherapy. Only 5% of patients (n=3) met consensus criteria for PMPS, which limited identification of risk factors for this more severe complication.Conclusion: Despite PMPS occurring infrequently, post-operative pain of a less severe nature after mastectomy occurs commonly. Clinicians should remain vigilant to possible risk factors for this post-operative complication and counsel patients appropriately.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1601","pages":"36-47"},"PeriodicalIF":1.2,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037353","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

Ad hominem; Author information or conflict of interest. 谩骂；作者信息或利益冲突。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.l1601

Ben Lawrence, Simon Gordon, Elizaveta Rakhmanova, William Park, Johnathan Reynecke, Frank Frizelle

引用次数: 0

Do parents of children with cancer use religious coping in New Zealand? 在新西兰，患癌儿童的父母是否使用宗教应对方法？

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-23 DOI: 10.26635/6965.6466

Hüseyin Çaksen

引用次数: 0