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Issue

Vol 126 no 1384: 18 October 2013

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Issue Summary

SUMMARY

Ethnicity and rectal cancer management in New Zealand

Esther M Swart, Diana Sarfati, Ruth Cunningham, Elizabeth Dennett, Virginia Signal, Jason Gurney, James Stanley

The objectives of this paper were to investigate rectal cancer management and survival in a cohort of Maori and non-Maori patients with a newly diagnosed rectal cancer. The findings of this population-based cohort study suggest that there may be both similarities and differences in the presentation, treatment and outcomes from rectal cancer for Maori compared with non-Maori patients in New Zealand.

SUMMARY

Pacific students undertaking the first year of health sciences at the University of Otago, and factors associated with academic performance

Faafetai Sopoaga, Tony Zaharic, Jesse Kokaua, Alec J Ekeroma, Greg Murray, Jacques van der Meer

Pacific students are under-represented in health sciences at the tertiary level and would benefit from better preparation from school. Pacific solutions are required to improve academic outcomes over and above mainstream policy solutions. Tertiary institutions need to engage prospective students earlier to ensure they are well informed of requirements, and are appropriately prepared for study at the tertiary level.

SUMMARY

Māori nurses and smoking: what do we know?

Heather Gifford, Denise Wilson, Amohia Boulton, Leonie Walker, Wiki Shepherd-Sinclair

This paper presents the results from a national web-based survey of Maori nurses and student nurses. Major findings are smoking rates are down for nurses (20%) but still quite high for student nurses (32%). Nurses consider that smoking is a major health issue and those still smoking have a strong desire to quit as it conflicts with their identity as health professionals and impacts on their ability to provide effective cessation advice. Quit attempts in this occupation group could be better informed by evidence; a point that will be taken up by the research team when they design an intervention tailored for Maori nurses.

SUMMARY

Retrospective analysis on timeframes of referral, diagnosis and treatment of patients with endometrial carcinomas in Dunedin Hospital, 2008–2011

Michael Yoon Kang, Peter Sykes, Peter Herbison, Simone Petrich

Endometrial cancer (cancer of the lining of the womb) is one of the most common cancers affecting New Zealanders each year. Ministry of Health has recently proposed a target time in which cancers should be diagnosed and treated. This research based in Dunedin Hospital showed that patients were waiting considerable amount of time from being referred to a specialist initially to receiving treatment, and also in waiting for initial specialist assessment of their suspected endometrial cancer after their GP made the referral when compared to the proposed target timeframes by Ministry of Health. These delays were also contributed by waiting for a procedure called hysteroscopy, which allows specialists to obtain cells from the lining of the womb to see if it is cancerous or not. Some ways to reduce the delays seen would be to increase training of GPs in Pipelle biopsy (another method of obtaining cells from womb lining), increased funding for diagnostic scans and surgery, and better education of New Zealand public in symptoms and signs of endometrial cancer so that they would seek medical attention promptly.

ALL ARTICLES
SUMMARY

Intensive lifestyle intervention in type 2 diabetes

Proceedings of the Annual Meeting of the Waikato Clinical School, September 2013

Extracts from current medical literature: Iodine as an antiseptic

Pacific people’s health in New Zealand

Kiki Maoate

Ethnicity and rectal cancer management in New Zealand

Esther M Swart, Diana Sarfati, Ruth Cunningham, Elizabeth Dennett, Virginia Signal, Jason Gurney, James Stanley

Amelanotic conjunctival melanoma

Rongxuan Lim, Laura De Benito-Llopis

Variation in the use of medicines by ethnicity during 2006/07 in New Zealand: a preliminary analysis

Scott Metcalfe, George Laking, Jason Arnold

Vitamin C supplementation and kidney stone risk

Juliet M Pullar, Anitra C Carr, Margreet C M Vissers

Pacific students undertaking the first year of health sciences at the University of Otago, and factors associated with academic performance

Faafetai Sopoaga, Tony Zaharic, Jesse Kokaua, Alec J Ekeroma, Greg Murray, Jacques van der Meer

Ethnicity and access to prescription medicines

Simon Horsburgh, Pauline Norris

Is public meningococcal C vaccination the preferred value for money at cost-neutral?

Lance Gravatt (PhD)

Updating New Zealand’s national smokefree law to reduce anomalies and improve health protection

Nick Wilson, George Thomson

Māori nurses and smoking: what do we know?

Heather Gifford, Denise Wilson, Amohia Boulton, Leonie Walker, Wiki Shepherd-Sinclair

Medication safety and quality improvement in PGY1 teaching

Why a shared care record is an official medical record

Yulong Gu, Martin Orr, Jim Warren, Gayl Humphrey, Karen Day, Sarah Tibby, Jo Fitzpatrick

Persisting mobile phone use while driving and possible solutions for New Zealand

Nick Wilson, George Thomson, Nicola Starkey, Samuel Charlton

Beating the blues—the association between fruit and vegetable intake and improved mood

Anitra C Carr, Juliet M Pullar, Margreet C M Vissers

A hundred dollars a minute

Roger M Ridley-Smith

Rothia mucilaginosa: a rare cause of peritoneal dialysis-related peritonitis

Ashik Hayat, Pavan Thaneeru

Retrospective analysis on timeframes of referral, diagnosis and treatment of patients with endometrial carcinomas in Dunedin Hospital, 2008–2011

Michael Yoon Kang, Peter Sykes, Peter Herbison, Simone Petrich

SUMMARY

Ethnicity and rectal cancer management in New Zealand

Esther M Swart, Diana Sarfati, Ruth Cunningham, Elizabeth Dennett, Virginia Signal, Jason Gurney, James Stanley

The objectives of this paper were to investigate rectal cancer management and survival in a cohort of Maori and non-Maori patients with a newly diagnosed rectal cancer. The findings of this population-based cohort study suggest that there may be both similarities and differences in the presentation, treatment and outcomes from rectal cancer for Maori compared with non-Maori patients in New Zealand.

SUMMARY

Pacific students undertaking the first year of health sciences at the University of Otago, and factors associated with academic performance

Faafetai Sopoaga, Tony Zaharic, Jesse Kokaua, Alec J Ekeroma, Greg Murray, Jacques van der Meer

Pacific students are under-represented in health sciences at the tertiary level and would benefit from better preparation from school. Pacific solutions are required to improve academic outcomes over and above mainstream policy solutions. Tertiary institutions need to engage prospective students earlier to ensure they are well informed of requirements, and are appropriately prepared for study at the tertiary level.

SUMMARY

Māori nurses and smoking: what do we know?

Heather Gifford, Denise Wilson, Amohia Boulton, Leonie Walker, Wiki Shepherd-Sinclair

This paper presents the results from a national web-based survey of Maori nurses and student nurses. Major findings are smoking rates are down for nurses (20%) but still quite high for student nurses (32%). Nurses consider that smoking is a major health issue and those still smoking have a strong desire to quit as it conflicts with their identity as health professionals and impacts on their ability to provide effective cessation advice. Quit attempts in this occupation group could be better informed by evidence; a point that will be taken up by the research team when they design an intervention tailored for Maori nurses.

SUMMARY

Retrospective analysis on timeframes of referral, diagnosis and treatment of patients with endometrial carcinomas in Dunedin Hospital, 2008–2011

Michael Yoon Kang, Peter Sykes, Peter Herbison, Simone Petrich

Endometrial cancer (cancer of the lining of the womb) is one of the most common cancers affecting New Zealanders each year. Ministry of Health has recently proposed a target time in which cancers should be diagnosed and treated. This research based in Dunedin Hospital showed that patients were waiting considerable amount of time from being referred to a specialist initially to receiving treatment, and also in waiting for initial specialist assessment of their suspected endometrial cancer after their GP made the referral when compared to the proposed target timeframes by Ministry of Health. These delays were also contributed by waiting for a procedure called hysteroscopy, which allows specialists to obtain cells from the lining of the womb to see if it is cancerous or not. Some ways to reduce the delays seen would be to increase training of GPs in Pipelle biopsy (another method of obtaining cells from womb lining), increased funding for diagnostic scans and surgery, and better education of New Zealand public in symptoms and signs of endometrial cancer so that they would seek medical attention promptly.

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