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Issue

Vol 127 No. 1398: 18 Jul 2014

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Issue Summary

SUMMARY

In vitro comparison of four rapid antigen tests for group A streptococcus detection

Arlo Upton, Cathy Lowe, Joanna Stewart, Susan Taylor, Diana Lennon

The performance of rapid tests for detection of group A streptococcus (bacteria that can cause sore throat) in throat swabs is dependent on the bacterial load in the swab. Performance amongst kits tested varied. Rapid tests are not easy to read when they are only just positive.

SUMMARY

The impact of major earthquakes on the psychological functioning of medical students: a Christchurch, New Zealand study

Frances A Carter, Caroline J Bell, Anthony N Ali, Janice McKenzie, Timothy J Wilkinson

No previous studies have systematically assessed the psychological functioning of medical students following a major disaster. We aimed to describe the psychological functioning of medical students following the earthquakes in Canterbury, New Zealand, and identify predictors of adverse psychological functioning.7 months following the most severe earthquake, medical students completed the Depression, Anxiety and Stress Scale (DASS), the Post-Traumatic Stress Disorder Checklist, the Eysenck Personality Questionnaire, the Connor Davidson Resilience Scale, the Work and Adjustment Scale, and Likert scales assessing psychological functioning at worst and currently. The results showed that around 10% of medical students experienced moderate-extreme psychological difficulties 7 months following the most severe earthquake on 22 February 2011.

SUMMARY

Lack of effect of seasonal trivalent influenza vaccine against influenza A(H3N2) infections in hospitalised patients in winter 2012

Jeremy Buchanan, Catherine Buckley, Lance C Jennings, Lutz Beckert

This study sought to assess the effectiveness of the 2012 trivalent inactivated influenza vaccine in preventing admission with confirmed influenza A(H3N2) infection and whether vaccination status influenced the duration or outcome. We contacted 100 patients via telephone and asked whether they had received the seasonal influenza vaccine prior to their hospital admission. We collected information such as age, gender, documented comorbidities (other/associated illnesses), smoking status, ICU admission, length of stay, and final outcome of admission and compared these between the vaccinated and non-vaccinated groups. 67 of 92 contactable participants reported having been vaccinated with the 2012 seasonal influenza vaccine prior to their admission. This audit shows that the 2012 seasonal influenza vaccine did not provide significant protection against the H3N2 influenza strain in Canterbury. Vaccination did not alter the clinical course or final outcome in patients infected with H3N2 influenza.

SUMMARY

Evaluation of the Canterbury under-18 seasonal influenza vaccination programme

Kristi Calder, Susan Bidwell, Cheryl Brunton, Ramon Pink

We aimed to evaluate the performance of the 2013 Canterbury under-18 Seasonal Influenza Vaccination Programme (Christchurch, New Zealand). Overall uptake of influenza vaccination in 2013 was 32.9%, (compared to 18.5% in 2012), close to the target of 40%. Overall uptake in primary care was higher than in the school-based programme (29.2% versus 19.7%). Mori students had higher uptake than NZ European students in the school-based programme. In primary care, uptake for both Mori and Pacific children was lower than overall uptake, with 30.2% uptake in the least deprived quintile (richer areas) compared to 21.9% uptake in the most deprived quintile (poorer areas). The interviews with schools highlight the need to improve partnership and communication between the health and education sectors.

SUMMARY

Can a paediatric department provide health care for vulnerable adolescents?

Genevieve Rayner, Kendall Crossen

Adolescents face significant health problems especially in relation to mental health and participating in risky behaviours such as substance use and unprotected sexual intercourse. Adolescents usually seek health care from their general practitioners and/or school-based clinics. There are multiple barriers to accessing health care and many primary providers report difficulties in providing care tailored to adolescents. A clinic designed for young people who are perceived as vulnerable was established at Tauranga Hospital. A review of this service was undertaken, which has shown that the goal of providing a youth focused service for vulnerable teenagers has been achieved. This review has demonstrated good uptake of this service by both Maori adolescents and young people from lower socioeconomic backgrounds, but that there was low utilisation by males. This review has identified that recording potentially sensitive information was difficult, highlighting challenging issues relating to electronic documentation and confidentiality.

ALL ARTICLES
SUMMARY

Pharmacy-based screening for atrial fibrillation in high-risk Māori and Pacific populations

Natalie Walker, Rob Doughty, Varsha Parag, Jeff Harrison, Marie Bennett, Ben Freedman

Dangers of “EDTA”

John S Fountain, David M Reith

In vitro comparison of four rapid antigen tests for group A streptococcus detection

Arlo Upton, Cathy Lowe, Joanna Stewart, Susan Taylor, Diana Lennon

Childhood obesity in New Zealand: time to look at stronger measures?

Michael J Hamlin, Lee Stoner

The potentials and challenges of electronic referrals in transforming healthcare

Yulong Gu, Jim Warren, Martin Orr

Smokefree 2025: patterns and trends in references to the smokefree goal in political speeches and press releases

Richard Edwards, Janet Hoek, George Thomson

An Auckland-based student acupuncture clinic patient profile and utilisation study

Asmita Patel, Clive Standen

The impact of major earthquakes on the psychological functioning of medical students: a Christchurch, New Zealand study

Frances A Carter, Caroline J Bell, Anthony N Ali, Janice McKenzie, Timothy J Wilkinson

Working mothers are disadvantaged by limited funding for health research

Anitra Carr, Juliet Pullar, Louisa Forbes, Patrice Rosengrave

Proceedings of the 223rd Scientific Meeting of the Otago Medical School Research Society, Wednesday 9 July 2014

Lack of effect of seasonal trivalent influenza vaccine against influenza A(H3N2) infections in hospitalised patients in winter 2012

Jeremy Buchanan, Catherine Buckley, Lance C Jennings, Lutz Beckert

Should New Zealand do more to help other Pacific nations become smokefree by 2025? The case of Tokelau as a potential example

Ashton Kelly, Silivia Tavite, George Thomson, Nick Wilson

Influenza: optimising control strategies for New Zealand

Lance C Jennings

Evaluation of the Canterbury under-18 seasonal influenza vaccination programme

Kristi Calder, Susan Bidwell, Cheryl Brunton, Ramon Pink

Methuselah

Missed melanomas – comment

Amanda Oakley, Marius Rademaker, Mark Elwood

Can a paediatric department provide health care for vulnerable adolescents?

Genevieve Rayner, Kendall Crossen

SUMMARY

In vitro comparison of four rapid antigen tests for group A streptococcus detection

Arlo Upton, Cathy Lowe, Joanna Stewart, Susan Taylor, Diana Lennon

The performance of rapid tests for detection of group A streptococcus (bacteria that can cause sore throat) in throat swabs is dependent on the bacterial load in the swab. Performance amongst kits tested varied. Rapid tests are not easy to read when they are only just positive.

SUMMARY

The impact of major earthquakes on the psychological functioning of medical students: a Christchurch, New Zealand study

Frances A Carter, Caroline J Bell, Anthony N Ali, Janice McKenzie, Timothy J Wilkinson

No previous studies have systematically assessed the psychological functioning of medical students following a major disaster. We aimed to describe the psychological functioning of medical students following the earthquakes in Canterbury, New Zealand, and identify predictors of adverse psychological functioning.7 months following the most severe earthquake, medical students completed the Depression, Anxiety and Stress Scale (DASS), the Post-Traumatic Stress Disorder Checklist, the Eysenck Personality Questionnaire, the Connor Davidson Resilience Scale, the Work and Adjustment Scale, and Likert scales assessing psychological functioning at worst and currently. The results showed that around 10% of medical students experienced moderate-extreme psychological difficulties 7 months following the most severe earthquake on 22 February 2011.

SUMMARY

Lack of effect of seasonal trivalent influenza vaccine against influenza A(H3N2) infections in hospitalised patients in winter 2012

Jeremy Buchanan, Catherine Buckley, Lance C Jennings, Lutz Beckert

This study sought to assess the effectiveness of the 2012 trivalent inactivated influenza vaccine in preventing admission with confirmed influenza A(H3N2) infection and whether vaccination status influenced the duration or outcome. We contacted 100 patients via telephone and asked whether they had received the seasonal influenza vaccine prior to their hospital admission. We collected information such as age, gender, documented comorbidities (other/associated illnesses), smoking status, ICU admission, length of stay, and final outcome of admission and compared these between the vaccinated and non-vaccinated groups. 67 of 92 contactable participants reported having been vaccinated with the 2012 seasonal influenza vaccine prior to their admission. This audit shows that the 2012 seasonal influenza vaccine did not provide significant protection against the H3N2 influenza strain in Canterbury. Vaccination did not alter the clinical course or final outcome in patients infected with H3N2 influenza.

SUMMARY

Evaluation of the Canterbury under-18 seasonal influenza vaccination programme

Kristi Calder, Susan Bidwell, Cheryl Brunton, Ramon Pink

We aimed to evaluate the performance of the 2013 Canterbury under-18 Seasonal Influenza Vaccination Programme (Christchurch, New Zealand). Overall uptake of influenza vaccination in 2013 was 32.9%, (compared to 18.5% in 2012), close to the target of 40%. Overall uptake in primary care was higher than in the school-based programme (29.2% versus 19.7%). Mori students had higher uptake than NZ European students in the school-based programme. In primary care, uptake for both Mori and Pacific children was lower than overall uptake, with 30.2% uptake in the least deprived quintile (richer areas) compared to 21.9% uptake in the most deprived quintile (poorer areas). The interviews with schools highlight the need to improve partnership and communication between the health and education sectors.

SUMMARY

Can a paediatric department provide health care for vulnerable adolescents?

Genevieve Rayner, Kendall Crossen

Adolescents face significant health problems especially in relation to mental health and participating in risky behaviours such as substance use and unprotected sexual intercourse. Adolescents usually seek health care from their general practitioners and/or school-based clinics. There are multiple barriers to accessing health care and many primary providers report difficulties in providing care tailored to adolescents. A clinic designed for young people who are perceived as vulnerable was established at Tauranga Hospital. A review of this service was undertaken, which has shown that the goal of providing a youth focused service for vulnerable teenagers has been achieved. This review has demonstrated good uptake of this service by both Maori adolescents and young people from lower socioeconomic backgrounds, but that there was low utilisation by males. This review has identified that recording potentially sensitive information was difficult, highlighting challenging issues relating to electronic documentation and confidentiality.

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