NEW ZEALAND MEDICAL JOURNAL最新文献_第8页

Chest pain that is hard to swallow-a rare finding of Kommerell diverticulum. 难以吞咽的胸痛——Kommerell憩室的罕见症状。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-07-11 DOI: 10.26635/6965.6687

Michael Dick, Adam Bateman, Chethan Kasargod

引用次数: 0

The role of chelation for severe lead toxicity. 螯合对严重铅中毒的作用。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.6971

William Boroughf, Adam C Pomerleau

引用次数: 0

Outcomes in patients with rib fractures following implementation of the RIB-IMPROVE rib fracture guideline. 实施rib - improve肋骨骨折指南后肋骨骨折患者的结局。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.6926

Matthew J McGuinness, Lauren K Staveley, Eleanor F C Wilding, Olivia A Ray, Anita M Semmons, Cavaghn H Prosser, William Fleischl, Nejo Joseph, Wee Choen Ang, Christopher Harmston

{"title":"Outcomes in patients with rib fractures following implementation of the RIB-IMPROVE rib fracture guideline.","authors":"Matthew J McGuinness, Lauren K Staveley, Eleanor F C Wilding, Olivia A Ray, Anita M Semmons, Cavaghn H Prosser, William Fleischl, Nejo Joseph, Wee Choen Ang, Christopher Harmston","doi":"10.26635/6965.6926","DOIUrl":"10.26635/6965.6926","url":null,"abstract":"Aim: A rib fracture guideline was implemented at Whangārei Hospital with the aim of improving the care of patients and mitigating the risk of preventable additional morbidity. The aim of this study was to assess the impact of this guideline on the management and outcomes of patients.Methods: A single centre retrospective audit was performed comparing patients with rib fractures pre and post the implementation of the RIB-IMPROVE guideline. The primary outcome of interest was pneumonia. Patients with an abbreviated injury score (AIS) head or abdomen >2 were excluded. Binomial logistic regression was conducted for the primary outcome with adjustments for clinically plausible variables.Results: There were 418 patients identified, 241 in the pre-guideline and 177 in the post-guideline group. There was no difference in age, sex, ethnicity, number of rib fractures, injury severity score (ISS) or local anaesthetic block placement. The pneumonia rate was 13% vs 7% comparing the pre- and post-guideline groups, respectively. After adjustment for age, sex and ISS, the relative risk of developing pneumonia was 0.52 comparing the post- with the pre-guideline group (p=0.04). No statistical difference in secondary outcomes was seen, including the length of stay, 30-day readmission rate or 30-day mortality rate.Conclusion: This study found that the risk of pneumonia was decreased by almost half after implementation of the RIB-IMPROVE guideline at Whangārei Hospital. This study highlights the effectiveness of a multidisciplinary guideline in the management of patients with rib fractures.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1617","pages":"12-49"},"PeriodicalIF":1.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508880","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

Evaluating the safety and effectiveness of bariatric surgery performed by a trainee or fellow in a low-volume New Zealand centre. 评估在新西兰一个小容量中心由实习生或研究员进行的减肥手术的安全性和有效性。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.6788

Preekesh S Patel, James Jin, Rowan French

{"title":"Evaluating the safety and effectiveness of bariatric surgery performed by a trainee or fellow in a low-volume New Zealand centre.","authors":"Preekesh S Patel, James Jin, Rowan French","doi":"10.26635/6965.6788","DOIUrl":"10.26635/6965.6788","url":null,"abstract":"Background: Metabolic bariatric surgery (MBS) is an effective treatment for obesity and its related comorbidities.1 Publicly funded MBS in New Zealand is regionally limited with variable case volumes, potentially limiting surgical training.2 This retrospective study aims to evaluate if MBS safety and effectiveness are impacted by teaching within a low-volume unit.Methods: A retrospective outcomes analysis was carried out for all MBS cases of a single surgeon (public and private). Cases were compared based on primary operator status: consultant (COP) and trainee/fellow (TOF). Primary outcomes included multiple safety and effectiveness parameters including leaks, haemorrhage, 30-day morbidity and total weight loss (TWL).Results: Two-hundred and fifty patients satisfied inclusion criteria. Results are reported as COP and TOF. Primary operator: 87 (34.8%) and 163 (65.2%). There were no leaks, strictures or 30-day mortalities. Perioperative haemorrhage: 1 and 4. Thirty-day morbidity: 1 and 5. One-year TWL: 36.0% and 35.0%. Sleeve stenosis: 0 and 1. Thirty-day readmissions: 1 and 4. One-year readmissions: 4 and 9. Length of stay: 3 and 4 (p=<0.001).Conclusion: MBS safety and effectiveness outcomes in low-volume practice performed by TOF were no different to COP within our study setting.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1617","pages":"76-84"},"PeriodicalIF":1.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508879","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

Urgency vs triage prioritisation: appropriateness of referrer-rated urgency of referrals to a public dermatology service. 急迫性vs分诊优先级：转诊到公共皮肤科服务的急迫性的适当性。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.6909

Jessica Yi Han Aw, Israa Al-Manji, Amanda Oakley

{"title":"Urgency vs triage prioritisation: appropriateness of referrer-rated urgency of referrals to a public dermatology service.","authors":"Jessica Yi Han Aw, Israa Al-Manji, Amanda Oakley","doi":"10.26635/6965.6909","DOIUrl":"10.26635/6965.6909","url":null,"abstract":"Aim: To characterise the appropriateness of community referrer-rated urgency among dermatology referrals.Method: Using e-referral data from a month representative of volume and service provision in a tertiary dermatology service, referrer-rated urgency and triage priority assigned by two specialist dermatologists were compared to determine appropriateness. Descriptive analysis was conducted to quantify the proportion of appropriately and inappropriately assigned urgency in priority populations of women, Māori and Pacific peoples and paediatric patients.Results: One-third of general dermatology referrals, and nearly one in six referrals of suspected skin cancers, had an inappropriately assigned urgency. A quarter of general dermatology and most melanoma referrals had urgency lower than triage priority. Māori and Pacific patients were under-represented in the proportion of referrals received by ethnicity when comparing to national and provincial population estimates. However, no significant disparities in appropriateness of urgency across ethnicity were observed, and the same was seen for female and paediatric patients.Conclusion: Our study adds to the limited research on the appropriateness of referrer-rated urgency. We have pointed out that artificial intelligence (AI) has significant potential to improve the prioritisation of referrals by identifying melanoma and severe skin diseases.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1617","pages":"100-112"},"PeriodicalIF":1.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508886","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

Emergency management in a regional setting of a paediatric patient with penetrating injury of the hard palate from a metal drinking straw. 一名儿童硬腭被金属吸管刺穿伤的急诊处理。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.6745

Jacob Arahill-Whitham, Hitesh Tailor, Dean Ruske

引用次数: 0

Review of the New Zealand Asthma and Respiratory Foundation's New Zealand Adolescent and Adult Asthma guidelines. 审查新西兰哮喘和呼吸基金会的新西兰青少年和成人哮喘指南。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.7061

Robert J Hancox, Richard Beasley, Lutz Beckert, Amy Chan, Nicola Corna, James Fingleton, Matire Harwood, Miriam Hurst, Susan Jones, Stuart L Jones, Zoe Manderson, David McNamara, Betty Poot, Jim Reid, Adrian Trenholme, Joanna Turner

引用次数: 0

Provision without vision: the need for a values-informed public health system. 没有远见的提供：需要一个了解价值观的公共卫生系统。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.7083

Harriet Wild, Lyndon Keene, Virginia Mills, Andrea Black

引用次数: 0

Erratum. 勘误表。

IF 1.3

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.er1617

引用次数: 0

"Levelling up" the gender pay gap for Asian women academics in medicine and health sciences. 医学和健康科学领域亚洲女性学者的性别薪酬差距“拉平”。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-27 DOI: 10.26635/6965.6997

Lillian Ng, Emma Sadera, Roshini Peiris-John, Stuti L Misra, Joanna Ting-Wai Chu, Ashwini Datt, Rachel Simon-Kumar

{"title":"\"Levelling up\" the gender pay gap for Asian women academics in medicine and health sciences.","authors":"Lillian Ng, Emma Sadera, Roshini Peiris-John, Stuti L Misra, Joanna Ting-Wai Chu, Ashwini Datt, Rachel Simon-Kumar","doi":"10.26635/6965.6997","DOIUrl":"10.26635/6965.6997","url":null,"abstract":"The gender pay gap for academic women of Asian ethnicity at Aotearoa New Zealand's largest university is 33.5%. The aim of this viewpoint is to raise consciousness, educate and contribute to dialogue on concerns relating to Asian women advancing in academia, particularly in medicine and health sciences. We invite collective participation in efforts at departmental, faculty and institutional levels to better identify and dismantle discrimination and increase the representation of Asian women in academic medicine. We endorse concepts of accountability, transparency and strengthening institutional frameworks to \"level up\" intersectional pay gaps by recommending three actions: 1) ensuring accountability by mandatory training, monitoring and reporting on gender pay equity, diversity and conscious inclusion, 2) creating transparency in salary, pay rates, hiring, tenure and promotions, and 3) convening a task force at each faculty with specific mentorship and leadership initiatives for women of colour. We emphasise that \"levelling up\" requires a collective will to act. We ask our colleagues and the academy to scrutinise attitudes and biases towards ethnic minority women in hiring, tenure and promotion processes. We advocate for enacting policy so those who experience inequity can see change. When rendered, it will be a legacy to the next generation of ethnic minority women entering the academy, and potentially other marginalised groups as well.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1617","pages":"113-120"},"PeriodicalIF":1.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508874","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