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Issue

Vol 124 No 1328: 21 January 2011

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Issue Summary

SUMMARY

Mortality rates according to occupation in New Zealand males: 2001–2005

Erin Holmes, Anna Davies, Craig Wright, Neil Pearce, Barry Borman

The paper uses records of New Zealand males that died between 2001 and 2005 to investigate variations in overall and disease-specific mortality for different occupation groups. The occupation categories are based on the New Zealand Standard Classification of Occupation 1999 (NZSCO 1999), while the disease categories follow the International Classification of Disease (ICD10-AM). The paper shows that there continues to be marked differences in mortality between occupations in New Zealand and that many of these differences remain once the effect of socioeconomic deprivation has been taken into account.

SUMMARY

Patterns of trust in sources of health information

Rob Lawson, Sarah Forbes, John Williams

Most studies of trust in health information have looked at either doctor/patient relationships or more recently the internet. In this study data is analysed on a wide range of official and non-official sources. Based on a nationwide survey of New Zealanders we identify that systematic variations exist in the trust that people report with respect to different sources of health information. Six major groupings of source types were identified and the levels of trust assigned to some of these groupings varied according to sex, age, income and ethnicity. Understanding these variations may assist policymakers and other agencies which are responsible for planning the dissemination of health information.

SUMMARY

Transfers from rural hospitals in New Zealand

Trevor Lloyd, Katharina Blattner, Garry Nixon

Ten rural hospital doctors were required to write an assignment on patient transfer as part of their assessment for a postgraduate diploma. The experience of this group of doctors is consistent with the available published information. Transfer of patients is an inevitable part of rural hospital practice. The outcome for patients could be improved through better resourcing of rural hospitals and education for staff, improved communication with transport services and with base hospital specialists, and involvement in the development of regionalised transport protocols.

SUMMARY

Can general practitioners provide effective cardiovascular disease (CVD) prevention? Dreams and realities of CVD prevention

Emily Gill, Dee Mangin

Cardiovascular disease is one of the main causes of death in NZ so preventing this before people become unwell (primary prevention) is a health target for the government. NZs population experiences these efforts mainly through two funded approaches. Unfortunately, this study found that both approaches have significant limitations. With scarce health resources, the challenge is to advocate for a new approach that is more effective.

SUMMARY

Understanding the role of culture in pain: Māori practitioner perspectives relating to the experience of pain

Jane E Magnusson, Joyce A Fennell

There is growing interest in the role of cultural factors within healthcare settings yet minority ethnic groups are underrepresented in the healthcare literature, including the literature on pain. To better assess and treat pain within different cultures, the perspectives of that culture must be taken into consideration and therefore the study described in this paper was undertaken to better understand M ori perspectives of pain. In this study, Kaum tua and M ori healthcare providers were interviewed to better understand how pain was perceived and expressed by M ori with whom they had health-related interactions. We found that, as in many cultures, M ori perceive pain as a multidimensional experience impacting them physically, psychologically, socially and spiritually. In addition to finding that there is a commonality between cultures with regard to the experience of pain, our results showed the importance of taking into account factors related to M ori culture (e.g. the role of the wh nau/family and the development of relationships with healthcare providers) when assessing and/or treating M ori patients with pain.

SUMMARY

The utility of routine conjunctival swabs in management of conjunctivitis

Richard J Everts, Tony Barnett, Ben R Lahood

Our results show that General Practitioners and Specialists who care for patients with conjunctivitis (sticky eye infections) can choose to take swabs from patients eyes and use the results in an algorithm that accurately guides the use of the right treatment for the right patients.

SUMMARY

Serious ski and snowboard injuries in southern New Zealand requiring acute orthopaedic admission and treatment during winter 2009

A Gordon Burgess, Ridzwan Namazie

This is the first published article in New Zealand to look at all ski and snowboard injuries across one season that were severe enough to require acute in-patient orthopaedic treatment. It summarises the patterns of injuries between skiing and snowboarding, transfer to hospital, investigation and the treatment required, whether an operation or not. The article touches on the demographics of the injuries covered and an estimate of the costs involved in treating them. Important points are that both skiing and snowboarding carry a risk of severe injury. Secondly, there is a broad demographic of patients. Thirdly, the author proposes that the costs based on generic ACC codes for given injuries may underestimate the actual cost of treating these injuries in certain patients due to high costs of surgical equipment and resources, but this has not been adequately assessed in this article and may be a good area for further research and cost analyses.

SUMMARY

Understanding the role of culture in pain: Māori practitioner perspectives of pain descriptors

Jane E Magnusson, Joyce A Fennell

There is growing interest in the role of cultural diversity within healthcare settings yet minority ethnic groups are underrepresented in the healthcare literature, including the literature on pain. To better assess and treat pain in different cultures the perspectives of that culture must be taken into consideration and therefore the study described in this paper was undertaken to better understand M ori perspectives of pain. In the study, Kaum tua and M ori health providers completed questionnaires pertaining to the experience of pain in order to determine their appropriateness for use with M ori pain patients. We found that commonly used and widely accepted descriptors and phrases relating to pain were appropriate to use when assessing M ori pain patients. Additionally, we found that it would be of considerable benefit to include the additional words and phrases provided by participants this study when developing a questionnaire to be given to M ori pain patients as they capture aspects of the pain experience that may be specific to that culture thereby enhancing the appropriateness and usefulness of the questionnaire.

SUMMARY

Changing response rates from Māori and non-Māori in national sleep health surveys

Jo W Fink, Sarah-Jane Paine, Philippa H Gander, Ricci B Harris, Gordon Purdie

National sleep health surveys in Aotearoa/New Zealand have been designed to achieve equal responses from Maori and non-Maori adults. Four postal surveys were undertaken between 1999-2008 to investigate the prevalence of and risk factors for common sleeping problems and the electoral rolls were used a sampling frame in each study. Response rates to these surveys have declined over time. The reasons for this are likely to be due to a number of factors, including changes to the research design but also factors such as inaccuracies on the electoral rolls, and an increase in mobile phone use compared with landline telephones making it harder to track non-responders. Achieving adequate response rates from Maori and non-Maori is important for sleep health surveys to ensure that the research findings are relevant for Maori and non-Maori.

ALL ARTICLES
SUMMARY

Adrenal myelolipoma: a rare case

Kheman Rajkomar

Binan Goonj—Bridging Cultures in Aboriginal Health (3rd edition; A Eckermann, T Dowd, E Chong, L Nixon, R Gray, S Johnson)

Mere K 0113pa

Mortality rates according to occupation in New Zealand males: 2001–2005

Erin Holmes, Anna Davies, Craig Wright, Neil Pearce, Barry Borman

Medical image. A young male with gradual onset of bilateral calf swelling and generalised weakness

Sumit Chatterjee, Susmita Chatterjee

Patterns of trust in sources of health information

Rob Lawson, Sarah Forbes, John Williams

Rodger Heath Maxwell

Rodger Heath Maxwell

Transfers from rural hospitals in New Zealand

Trevor Lloyd, Katharina Blattner, Garry Nixon

Can general practitioners provide effective cardiovascular disease (CVD) prevention? Dreams and realities of CVD prevention

Emily Gill, Dee Mangin

Health claims on food labels: is there cause for concern?

John White, George Thomson

Response from New Zealand Injury Prevention Strategy Head

Jennifer Brown

On some principles of hospital management: part 2

Understanding the role of culture in pain: Māori practitioner perspectives relating to the experience of pain

Jane E Magnusson, Joyce A Fennell

The utility of routine conjunctival swabs in management of conjunctivitis

Richard J Everts, Tony Barnett, Ben R Lahood

Celebrating 20 years of the Smoke-free Environments Act, and the next steps to end the tobacco epidemic

George Thomson, Nick Wilson

Smoking cessation in patients undergoing treatment for head and neck cancer

Swee T Tan, Kunaal Rajpal, Craig A Mackinnon

Serious ski and snowboard injuries in southern New Zealand requiring acute orthopaedic admission and treatment during winter 2009

A Gordon Burgess, Ridzwan Namazie

The workplace: a missing link in occupational medicine?

David McBride

Assessing the assessment: cultural competence and understandings of pain

Suzanne Pitama, Tania Huria, Lutz Beckert, Cameron Lacey

Nicotine e-cigarette cartridges can be sold as tobacco products

Murray Laugesen, Marewa Glover, Trish Fraser, Ross McCormick, John Scott

The use of CPR in New Zealand: is it always lawful?

Stuart McLennan, Ron Paterson, PDG Skegg, Richard Aickin

Understanding the role of culture in pain: Māori practitioner perspectives of pain descriptors

Jane E Magnusson, Joyce A Fennell

CPR for all? Ethical and medicolegal considerations

Ross Freebairn

Obstetrics and Gynaecology—The Essentials of Clinical Care (EA Reece, RL Barbieri)

Rosemary Reid

Eva Ruth Seelye

Eva Ruth Seelye

Changing response rates from Māori and non-Māori in national sleep health surveys

Jo W Fink, Sarah-Jane Paine, Philippa H Gander, Ricci B Harris, Gordon Purdie

SUMMARY

Mortality rates according to occupation in New Zealand males: 2001–2005

Erin Holmes, Anna Davies, Craig Wright, Neil Pearce, Barry Borman

The paper uses records of New Zealand males that died between 2001 and 2005 to investigate variations in overall and disease-specific mortality for different occupation groups. The occupation categories are based on the New Zealand Standard Classification of Occupation 1999 (NZSCO 1999), while the disease categories follow the International Classification of Disease (ICD10-AM). The paper shows that there continues to be marked differences in mortality between occupations in New Zealand and that many of these differences remain once the effect of socioeconomic deprivation has been taken into account.

SUMMARY

Patterns of trust in sources of health information

Rob Lawson, Sarah Forbes, John Williams

Most studies of trust in health information have looked at either doctor/patient relationships or more recently the internet. In this study data is analysed on a wide range of official and non-official sources. Based on a nationwide survey of New Zealanders we identify that systematic variations exist in the trust that people report with respect to different sources of health information. Six major groupings of source types were identified and the levels of trust assigned to some of these groupings varied according to sex, age, income and ethnicity. Understanding these variations may assist policymakers and other agencies which are responsible for planning the dissemination of health information.

SUMMARY

Transfers from rural hospitals in New Zealand

Trevor Lloyd, Katharina Blattner, Garry Nixon

Ten rural hospital doctors were required to write an assignment on patient transfer as part of their assessment for a postgraduate diploma. The experience of this group of doctors is consistent with the available published information. Transfer of patients is an inevitable part of rural hospital practice. The outcome for patients could be improved through better resourcing of rural hospitals and education for staff, improved communication with transport services and with base hospital specialists, and involvement in the development of regionalised transport protocols.

SUMMARY

Can general practitioners provide effective cardiovascular disease (CVD) prevention? Dreams and realities of CVD prevention

Emily Gill, Dee Mangin

Cardiovascular disease is one of the main causes of death in NZ so preventing this before people become unwell (primary prevention) is a health target for the government. NZs population experiences these efforts mainly through two funded approaches. Unfortunately, this study found that both approaches have significant limitations. With scarce health resources, the challenge is to advocate for a new approach that is more effective.

SUMMARY

Understanding the role of culture in pain: Māori practitioner perspectives relating to the experience of pain

Jane E Magnusson, Joyce A Fennell

There is growing interest in the role of cultural factors within healthcare settings yet minority ethnic groups are underrepresented in the healthcare literature, including the literature on pain. To better assess and treat pain within different cultures, the perspectives of that culture must be taken into consideration and therefore the study described in this paper was undertaken to better understand M ori perspectives of pain. In this study, Kaum tua and M ori healthcare providers were interviewed to better understand how pain was perceived and expressed by M ori with whom they had health-related interactions. We found that, as in many cultures, M ori perceive pain as a multidimensional experience impacting them physically, psychologically, socially and spiritually. In addition to finding that there is a commonality between cultures with regard to the experience of pain, our results showed the importance of taking into account factors related to M ori culture (e.g. the role of the wh nau/family and the development of relationships with healthcare providers) when assessing and/or treating M ori patients with pain.

SUMMARY

The utility of routine conjunctival swabs in management of conjunctivitis

Richard J Everts, Tony Barnett, Ben R Lahood

Our results show that General Practitioners and Specialists who care for patients with conjunctivitis (sticky eye infections) can choose to take swabs from patients eyes and use the results in an algorithm that accurately guides the use of the right treatment for the right patients.

SUMMARY

Serious ski and snowboard injuries in southern New Zealand requiring acute orthopaedic admission and treatment during winter 2009

A Gordon Burgess, Ridzwan Namazie

This is the first published article in New Zealand to look at all ski and snowboard injuries across one season that were severe enough to require acute in-patient orthopaedic treatment. It summarises the patterns of injuries between skiing and snowboarding, transfer to hospital, investigation and the treatment required, whether an operation or not. The article touches on the demographics of the injuries covered and an estimate of the costs involved in treating them. Important points are that both skiing and snowboarding carry a risk of severe injury. Secondly, there is a broad demographic of patients. Thirdly, the author proposes that the costs based on generic ACC codes for given injuries may underestimate the actual cost of treating these injuries in certain patients due to high costs of surgical equipment and resources, but this has not been adequately assessed in this article and may be a good area for further research and cost analyses.

SUMMARY

Understanding the role of culture in pain: Māori practitioner perspectives of pain descriptors

Jane E Magnusson, Joyce A Fennell

There is growing interest in the role of cultural diversity within healthcare settings yet minority ethnic groups are underrepresented in the healthcare literature, including the literature on pain. To better assess and treat pain in different cultures the perspectives of that culture must be taken into consideration and therefore the study described in this paper was undertaken to better understand M ori perspectives of pain. In the study, Kaum tua and M ori health providers completed questionnaires pertaining to the experience of pain in order to determine their appropriateness for use with M ori pain patients. We found that commonly used and widely accepted descriptors and phrases relating to pain were appropriate to use when assessing M ori pain patients. Additionally, we found that it would be of considerable benefit to include the additional words and phrases provided by participants this study when developing a questionnaire to be given to M ori pain patients as they capture aspects of the pain experience that may be specific to that culture thereby enhancing the appropriateness and usefulness of the questionnaire.

SUMMARY

Changing response rates from Māori and non-Māori in national sleep health surveys

Jo W Fink, Sarah-Jane Paine, Philippa H Gander, Ricci B Harris, Gordon Purdie

National sleep health surveys in Aotearoa/New Zealand have been designed to achieve equal responses from Maori and non-Maori adults. Four postal surveys were undertaken between 1999-2008 to investigate the prevalence of and risk factors for common sleeping problems and the electoral rolls were used a sampling frame in each study. Response rates to these surveys have declined over time. The reasons for this are likely to be due to a number of factors, including changes to the research design but also factors such as inaccuracies on the electoral rolls, and an increase in mobile phone use compared with landline telephones making it harder to track non-responders. Achieving adequate response rates from Maori and non-Maori is important for sleep health surveys to ensure that the research findings are relevant for Maori and non-Maori.

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