NEW ZEALAND MEDICAL JOURNAL最新文献_第9页

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-07 DOI: 10.26635/6965.6623

Laura R Joyce, Andrew McCombie, Rose Crossin

引用次数: 0

Good news about melanoma. 关于黑色素瘤的好消息

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.e1595

Mark Elwood, Marius Rademaker

引用次数: 0

A case report of successful dual external defibrillation in cardiac arrest. 心脏骤停时成功进行双体外除颤的病例报告。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6479

Anna G Bergin, Chamé C Blackburn, Eric Chong, Ankur Gupta

引用次数: 0

Pae Ora (Disestablishment of Māori Health Authority) Amendment Act 2024: further Crown breaches of Te Tiriti o Waitangi. Pae Ora（解散毛利卫生局）2024 年修正法：政府进一步违反 Te Tiriti o Waitangi。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6554

Heather Came, Clive Aspin, Nicole Coupe, Tim McCreanor

引用次数: 0

An act of desperation: self-attempted gender-affirming mastectomy. 无奈之举：自我尝试确认性别的乳房切除术。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6425

Mairarangi Haimona, Sue Hui Ong, Scott Diamond

引用次数: 0

Almost one in five emergency department presentations are by mental health clients: a secondary data analysis. 几乎五分之一的急诊就诊者是精神疾病患者：二手数据分析。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6280

Silke Kuehl, Abigail Freeland, James Stanley, Ruth Cunningham

{"title":"Almost one in five emergency department presentations are by mental health clients: a secondary data analysis.","authors":"Silke Kuehl, Abigail Freeland, James Stanley, Ruth Cunningham","doi":"10.26635/6965.6280","DOIUrl":"10.26635/6965.6280","url":null,"abstract":"Aim: Mental health-related emergency department (ED) presentations are steadily increasing, including presentations for both mental health and non-mental health concerns by existing clients of mental health services. The study aim was to examine and compare mental health clients and non-clients' ED presentations, identify data and clinical gaps and make recommendations for improvement.Method: De-identified 2017/2018 ED data were used to describe presentations for current and recent (within last 5 years) clients of specialist public mental health and addiction services, compared to presentations of non-mental health clients.Results: Of 49,170 presentations, 18% were by clients of mental health services. Compared to other ED presenters, mental health clients were often younger, female and Māori, required more urgent care and waited longer. Mental health-related International Classification of Diseases (ICD) codes/referrals were most common for presentations by current mental health clients, whereas pain and trauma were often the reason for prior mental health clients' presentations. Discharge diagnoses rarely included self-harm behaviour, and admissions for these clients were more commonly by ED rather than mental health services.Conclusion: Mental health clients are common in ED. Enhanced mental health data capture and improved systems and processes are needed to ensure that ED staff can better meet their often-complex needs.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959849","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

Consequences of cost barriers to prescriptions: cohort study in Aotearoa New Zealand. 处方费用障碍的后果：新西兰奥特亚罗瓦的队列研究。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6431

Mona Jeffreys, Megan Pledger, Fiona McKenzie, Lis Ellison-Loschmann, Maite Irurzun Lopez, Jacqueline Cumming

{"title":"Consequences of cost barriers to prescriptions: cohort study in Aotearoa New Zealand.","authors":"Mona Jeffreys, Megan Pledger, Fiona McKenzie, Lis Ellison-Loschmann, Maite Irurzun Lopez, Jacqueline Cumming","doi":"10.26635/6965.6431","DOIUrl":"https://doi.org/10.26635/6965.6431","url":null,"abstract":"Aims: A NZ$5 co-payment prescription charge was removed in July 2023 but may be reinstated. Here we quantify the health impact and cost of not being able to afford this charge.Methods: We linked New Zealand Health Surveys (2013/2014-2018/2019) to hospitalisation data using data available in Integrated Data Infrastructure (IDI). Cox proportional-hazards models compared time to hospitalisation between those who had faced a cost barrier to collecting a prescription and those who had not.Results: Of the 81,626 total survey respondents, 72,243 were available for analysis in IDI. A further 516 were excluded to give an analysis dataset of 71,502. Of these, 5,889 (8.2%) reported not collecting a prescription due to cost in the previous year. Among people who faced a cost barrier, 60.0% (95% confidence interval [CI] 58.7-61.2%) were admitted to hospital during the study period, compared to 43.9% (95% CI 43.6-44.3%) of those who did not. Having adjusted for socio-demographic variables, people who faced a cost barrier were 34% (hazard ratio 1.34; 95% CI 1.29-1.39) more likely to be admitted to hospital than those who did not. Annual avoidable hospitalisation costs-were prescription co-payments to remain free-are estimated at $32.4 million per year based on the assumption of a causal relationship between unmet need for prescription medicines and subsequent hospitalisation.Conclusions: The revenue to the health system from co-payments may be offset by the costs associated with avoidable hospitalisations.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959856","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

Construction of the chronic temporomandibular disorder patients: the association between neural and psychological pathways. 慢性颞下颌关节紊乱症患者的构建：神经与心理路径之间的关联。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6513

Ajith D Polonowita, Athula K Polonowita, Li Mei, Guangzhao Guan

{"title":"Construction of the chronic temporomandibular disorder patients: the association between neural and psychological pathways.","authors":"Ajith D Polonowita, Athula K Polonowita, Li Mei, Guangzhao Guan","doi":"10.26635/6965.6513","DOIUrl":"https://doi.org/10.26635/6965.6513","url":null,"abstract":"Chronic temporomandibular disorder (cTMD) as a term based on the diagnostic criteria for temporomandibular disorders (DC/TMD) classification refers, in this paper, to the condition listed that has a non-mechanical association without any obvious organic cause. Specifically, this is the condition that falls under the International Classification of Diseases 11th revision (ICD-11) classification of chronic primary and chronic secondary pains. This implies that there is increased responsiveness of nociceptive neurons in the central nervous system, a phenomenon known as central sensitisation. cTMD patients may have their beginning with genetic susceptibility to pain. Although no single gene is exclusively linked to cTMD, various genes associated with nervous and musculoskeletal systems are believed to play a role. Environmental triggers and epigenetic changes are also thought to contribute to cTMD development. The biopsychosocial model emphasises the need to comprehensively address biological, psychological and social factors in cTMD assessment and management. In this study, we leverage the cyclic causation framework within the biopsychosocial model to illuminate the intricate interplay between biological and psychosocial factors in the context of cTMD. The conceptualisation of cTMD involves the dynamic evolution of genetic predispositions, influenced by life events and other biological susceptibilities. These factors collectively contribute to the emergence of nociplastic changes, ultimately manifesting as the distinctive features observed in individuals afflicted with cTMD.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959783","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

Outcomes of asymptomatic common bile duct stones detected at intraoperative cholangiography. 术中胆管造影检查发现的无症状胆总管结石的治疗效果。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6491

Xavier Field, Chelsea Tong, Sarah Cox, James Crichton, Bernadette Goodwin, Fraser Welsh, Ryan Cha

{"title":"Outcomes of asymptomatic common bile duct stones detected at intraoperative cholangiography.","authors":"Xavier Field, Chelsea Tong, Sarah Cox, James Crichton, Bernadette Goodwin, Fraser Welsh, Ryan Cha","doi":"10.26635/6965.6491","DOIUrl":"https://doi.org/10.26635/6965.6491","url":null,"abstract":"Aims: The aim of this study was to investigate the outcome of common bile duct stones (CBDS) in asymptomatic patients at laparoscopic cholecystectomy (LC) and intra-operative cholangiogram (IOC).Methods: All patients undergoing LC and IOC at Te Whatu Ora - Health New Zealand Waikato between January 2017 and January 2022 were retrospectively reviewed. Electronic records were screened for asymptomatic CBDS. Exclusion criteria were hyperbilirubinaemia, gallstone pancreatitis, cholangitis and imaging-detected CBDS. IOC reports were reviewed to determine presence of CBDS. A second blinded review was undertaken by a radiologist. Outcomes were use of endoscopic retrograde pancreatography (ERCP), complications and readmission with retained CBDS.Results: Included were 1,297 patients undergoing LC and IOC. Of these, 150 (24.1%) patients had a positive IOC, of which 58 (38.7%) were asymptomatic. Attempted flushing of CBDS was employed in 49 cases, 10 successfully. Common duct exploration was successful in a further six out of seven cases. Of the remaining 42 patients, 18 were offered ERCP. Seven had no stone at endoscopy. Sixteen had imaging, revealing clear ducts in 14. The remaining two then had ERCP confirming choledocholithiasis. Eight patients were managed expectantly, of whom none required readmission with retained stones.Conclusion: Rates of retained asymptomatic stones after positive IOC were low. Acknowledging risks associated with intervention and low rates of readmission with retained CBDS, an expectant approach could be more readily considered.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959800","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

Management of early dysglycaemia in pregnancy varies by region in Aotearoa New Zealand with risks of widening inequities. 在新西兰奥特亚罗瓦地区，对妊娠早期血糖异常的管理因地区而异，存在不公平现象扩大的风险。

IF 1.7

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-05-17 DOI: 10.26635/6965.6540

Rosemary M Hall, Ruth Ce Hughes, Elizabeth Lewis-Hills, Janet A Rowan

引用次数: 0