NEW ZEALAND MEDICAL JOURNAL最新文献_第8页

A minimally invasive endoscopic approach to oesophageal lipoma. 食道脂肪瘤的内窥镜微创疗法。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6465

Haylie M Griffen, Chun-Yen Wu

引用次数: 0

An upstream approach to addressing the childhood obesity epidemic in New Zealand-a call to action. 解决新西兰儿童肥胖问题的上游方法--行动呼吁。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6384

Velia Men

{"title":"An upstream approach to addressing the childhood obesity epidemic in New Zealand-a call to action.","authors":"Velia Men","doi":"10.26635/6965.6384","DOIUrl":"https://doi.org/10.26635/6965.6384","url":null,"abstract":"Childhood obesity is a critical issue in New Zealand that we can no longer afford to ignore. Currently, one in three children is overweight or obese, putting the health of an entire generation at risk if we continue to delay taking action. This issue highlights a significant matter of equity. Māori and Pacific children and those from socio-economically deprived backgrounds are disproportionately affected, reminding us of the systemic barriers rooted in historical factors that exist within our society. Efforts focussed on changing individual behaviour have achieved limited success in reducing childhood obesity rates. Therefore, it is necessary to shift our focus upstream and address the root causes of this issue. This viewpoint piece underscores the role of the obesogenic environment as the primary driver of childhood obesity, advocating for an upstream approach to enact broader changes in the food environment. Within this framework, this piece puts forward three policy measures that could be essential in addressing the childhood obesity epidemic: implementing a tax on sugary beverages, restricting unhealthy food marketing and ensuring access to healthy food in schools. These policies are backed by substantial evidence of their efficacy, cost-effectiveness and potential to improve health equity, including contextual evidence from successful international models. However, despite ample evidence and support, New Zealand has fallen behind international standards in adopting these measures, partly due to resistance from the food industry and the need for stronger political leadership. Thus, a \"call to action\" is needed to overcome these challenges, mobilise against the current policy inertia and make addressing childhood obesity a priority.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285053","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

Preliminary assessment of using mobile point-of-care human papillomavirus (HPV) testing with the option of immediate colposcopy in a rural area in a high-income country: a case study. 在高收入国家的农村地区使用移动式护理点人类乳头瘤病毒 (HPV) 检测并选择立即进行阴道镜检查的初步评估：案例研究。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6267

Helen Paterson, Emma Macfarlane, Tania Slater, Jo-Ann L Stanton, Evelyn Jane MacDonald, Melanie Gibson, Bev Lawton

{"title":"Preliminary assessment of using mobile point-of-care human papillomavirus (HPV) testing with the option of immediate colposcopy in a rural area in a high-income country: a case study.","authors":"Helen Paterson, Emma Macfarlane, Tania Slater, Jo-Ann L Stanton, Evelyn Jane MacDonald, Melanie Gibson, Bev Lawton","doi":"10.26635/6965.6267","DOIUrl":"10.26635/6965.6267","url":null,"abstract":"Aim: Cervical cancer is now preventable with human papillomavirus (HPV) vaccination and HPV screening. However, structural health system barriers in rural areas can inhibit screening access. Inequitable access for rural Māori is exacerbated by social determinants and racism. Pro-equity tools, such as self-taken swabs point of care (POC) testing, now exist. This study aimed to investigate whether POC HPV testing and immediate offer of colposcopy by a mobile colposcopy service is possible at a rural community event.Methods: This case study was a collaboration between a research centre, a women's health bus, a molecular diagnostics company, a Māori health provider and a community charity, and took place prior to the new cervical screening programme introduction at a 2-day community event-a shearathon. Eligible participants were offered a self-taken swab for HPV, which was analysed by POC testing. If high-risk HPV was detected, they were offered an immediate colposcopy. The Māori-centred qualitative component explored women's experiences of the process.Results: Fourteen women undertook a self-test for HPV. High-risk HPV was detected in six women and all were offered immediate colposcopy. Six women were interviewed. All were supportive of the service. Culturally safe staff taking time to put women at ease contributed to acceptability and positive experiences.Conclusion: This case study shows that provision of POC HPV testing and colposcopy at a rural community event setting is possible through cross-sector collaboration. This service was acceptable to rural transient workers who face barriers to healthcare in a high-income country.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285059","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

Specialist vape store audit reveals poor compliance with new e-cigarette regulations. 专业电子烟商店审计显示，电子烟新法规的合规性很差。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6507

Jude Ball, Lesieli Katoa, Janet Hoek

{"title":"Specialist vape store audit reveals poor compliance with new e-cigarette regulations.","authors":"Jude Ball, Lesieli Katoa, Janet Hoek","doi":"10.26635/6965.6507","DOIUrl":"https://doi.org/10.26635/6965.6507","url":null,"abstract":"Aim: Regulations announced in mid-2023 aimed to reduce youth vaping by curtailing the availability of cheap high-nicotine e-cigarettes (vapes). This study tested compliance with the new regulations for single-use vapes, which came into force on 21 December 2023.Methods: A 20-year-old \"mystery shopper\" visited 96% of specialist vape retailers (SVRs) in Wellington, Porirua, Lower Hutt and Upper Hutt (N=74) in January 2024, and observed i) R18 signage, ii) age verification practices, and ii) prices and brands of the cheapest available vaping products. Low-price vapes were purchased and inspected for compliance with new nicotine limits and safety regulations.Results: All but three stores (96%) displayed an R18 sign; however, signage in 29 stores (39%) was suboptimal. Only one store (1.4%) requested age identification (ID) on entry to the R18 premises. In 50% of stores, ID was requested when a purchase was made; however, a third of those retailers proceeded with the sale despite the buyer not providing ID. Single-use vapes remained available for NZ$10 or less in most stores, and reusable starter kits were also widely available for NZ$10-20. Discounted high-nicotine products were sold for as little as NZ$2.50 each. Most low-price products did not comply with the updated regulations.Conclusion: Cheap, high-nicotine vaping products remained widely available following the introduction of stricter regulations in December 2023; products for sale included discounted and non-compliant vapes. The majority of SVRs had poor age verification practices. There is an urgent need to clarify rules, increase enforcement efforts and disallow discounting and giveaways of vapes.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285060","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

Exploring melanoma shifts: a two-decade analysis in New Zealand. 探索黑色素瘤的转变：新西兰二十年的分析。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6430

Daniel Wen, Jack S Pullman, Avinash Sharma, Bert van der Werf, Richard C W Martin

{"title":"Exploring melanoma shifts: a two-decade analysis in New Zealand.","authors":"Daniel Wen, Jack S Pullman, Avinash Sharma, Bert van der Werf, Richard C W Martin","doi":"10.26635/6965.6430","DOIUrl":"https://doi.org/10.26635/6965.6430","url":null,"abstract":"Aims: New Zealand melanoma incidence rates are amongst the highest in the world. The study aims to provide information on the incidence of cutaneous melanoma in New Zealand from 2000 to 2022.Methods: De-identified data were extracted from the New Zealand Cancer Registry using the ICD-10 code for malignant melanoma (C34) and melanoma in situ (MIS) (D03) from 2000 to 2022. Statistical analysis was performed to calculate melanoma incidence rates.Results: Invasive melanoma (IM) incidence rates demonstrated an increasing trend from 2000 to 2008 (+1.10 per 100,000 person-years per year), followed by an inflection point at 2008 and then a decreasing trend from 2008 to 2022 (-0.28 per 100,000 person-years per year), which was not statistically different from zero/no change. MIS incidence increased from 30.3 to 72.1 per 100,000 person-years between 2000 and 2022.Conclusions: The incidence of IM in New Zealand has plateaued in the last decade and was associated with an increase in MIS incidence over the same period. While this trend is encouraging, further research is required to investigate whether there is an actual decline in IM incidence.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285055","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

Impacts of raising a child with a feeding difficulty in Aotearoa New Zealand. 在新西兰奥特亚罗瓦养育喂养困难儿童的影响。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6259

Stacey-Louise Corney, Givona Rush, Sarah A Taylor, Bianca N Jackson

{"title":"Impacts of raising a child with a feeding difficulty in Aotearoa New Zealand.","authors":"Stacey-Louise Corney, Givona Rush, Sarah A Taylor, Bianca N Jackson","doi":"10.26635/6965.6259","DOIUrl":"https://doi.org/10.26635/6965.6259","url":null,"abstract":"Economic barriers to accessing support for children with paediatric feeding difficulties can have serious repercussions, including parental stress and emotional fatigue, the child developing a negative relationship with food and health risks such as undernourishment, aspiration pneumonia or choking. We explored the financial and psychological impact experienced by parents and caregivers raising a child with a feeding difficulty in Aotearoa. Respondents were 88 parents or caregivers of a child with a feeding difficulty, living in Aotearoa. Respondents completed an online survey with 34 questions, the majority of which were multi-choice. Open-ended responses provided exemplars and detail. The results indicate that many families (64.3%) experience a significant but small impact associated with raising a child with feeding difficulties in Aotearoa. However, 36.4% of respondents reported a moderate to significant financial impact. Barriers to working caused by feeding challenges and childcare, as well as non-medical expenses, contributed to financial strain and psychological impacts experienced by respondents. Parents struggled to find support for their own wellbeing.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285056","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

Long COVID impacts people's ability to work: cross-sectional study in Aotearoa New Zealand. 长期 COVID 影响人们的工作能力：新西兰奥特亚罗瓦横断面研究。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6530

Mona Jeffreys, Fiona McKenzie, Maite Irurzun Lopez, Lynne Russell, Lis Ellison-Loschmann

引用次数: 0

The impact of intensive blood pressure management in the post-thrombolysis setting: a real-world observational study. 溶栓后强化血压管理的影响：一项真实世界观察研究。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6498

Bethan Harper, Syrah Ranta, Harry McNaughton, Anna Ranta

{"title":"The impact of intensive blood pressure management in the post-thrombolysis setting: a real-world observational study.","authors":"Bethan Harper, Syrah Ranta, Harry McNaughton, Anna Ranta","doi":"10.26635/6965.6498","DOIUrl":"10.26635/6965.6498","url":null,"abstract":"Aim: Systolic blood pressure (SBP) >180mmHg following stroke thrombolysis has been associated with increased bleeding and poorer outcome. Aiming for the guideline SBP of <180mmHg often leads to SBP overshoot, as treatment is only triggered if this threshold is passed. We tested whether a lower target would result in fewer high SBP protocol violations.Method: This is a single-centre, sequential comparison of two blood pressure protocols. Between 2013 and 2017, the guideline-based post-thrombolysis SBP target of <180mmHg was compared with a new protocol aiming for 140-160mmHg. The primary outcome was rate of patients with SBPs >180mmHg. Secondary outcomes included rates of SBP <120 mmHg, antihypertensive infusion use, symptomatic intracerebral haemorrhage (sICH) and 3-month functional independence (modified Rankin Score [mRS] 0-2). Results were adjusted for age, baseline function and stroke severity using regression analysis.Results: During the 23 months preceding and 18 months following the transition to the new protocol, 68 and 100 patients were thrombolysed respectively. Baseline characteristics were similar between groups. The odds of one or more SBPs >180mmHg trended lower in the intensive group (adjusted odds ratio [aOR] 0.61; 95% confidence interval [CI] 0.32-1.17; p=0.14). There was a higher rate of SBPs <120mmHg (aOR 3.09; 95% CI 1.49-6.40; p=0.002) in the intensive BP protocol group. sICH rate and 3-month mRS 0-2 were similar between groups.Conclusions: The more intensive post-thrombolysis BP protocol was associated with a significant increase in sub-optimally low BP events, with a non-significant trend toward fewer high BP protocol violations and unaffected patient outcomes.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285061","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

Long-term health conditions among household families in Aotearoa New Zealand: cross-sectional analysis of integrated Census and administrative data. 新西兰奥特亚罗瓦住户家庭的长期健康状况：对人口普查和行政管理综合数据的横截面分析。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6370

Lisa Underwood, Andrea Teng, Nicholas Bowden, Ofa Dewes, Lukas Marek, Barry Milne

{"title":"Long-term health conditions among household families in Aotearoa New Zealand: cross-sectional analysis of integrated Census and administrative data.","authors":"Lisa Underwood, Andrea Teng, Nicholas Bowden, Ofa Dewes, Lukas Marek, Barry Milne","doi":"10.26635/6965.6370","DOIUrl":"https://doi.org/10.26635/6965.6370","url":null,"abstract":"Aim: Little is known about the extent to which families in Aotearoa New Zealand are affected by long-term health conditions (HCs). This study aimed to explore the rates of nine selected HCs among New Zealand family members within the same household.Method: Linked population and administrative health data were obtained for families living in the same household according to the 2013 New Zealand Census (N=1,043,172). Health data (2008-2013) were used to ascertain whether people in these families (N=3,137,517) received treatment or services for nine selected HCs: cancer, chronic obstructive pulmonary disease, heart disease, diabetes, dementia, gout, stroke, traumatic brain injury (TBI), or mental health/behaviour conditions (MHBCs).Results: Over 60% of families included at least one person with a HC, and this rate was higher among multi-generation families (73.9%). The most common HCs were MHBCs (39.4% of families), diabetes (16.0%) and TBI (13.9%). At the highest level of socio-economic deprivation, 57.6% of children aged under 18 years lived with a family member who had a HC.Conclusion: Three in five New Zealand household families included someone with at least one of nine selected HCs, with differences in the proportion affected according to family composition, socio-economic status and an individual's ethnicity. This suggests that there are a substantial number of people at risk of the poor outcomes associated with the experience of HCs within their family.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285058","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

Bilateral macular oedema secondary to docetaxel treatment. 继发于多西他赛治疗的双侧黄斑水肿。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6490

Francesc March de Ribot, Patchara Jirapanyayut, Anna March de Ribot

引用次数: 0