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Issue

Vol 129 No 1438: 15 July 2016

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Issue Summary

SUMMARY

Stroke thrombolysis in New Zealand: data from the first 6 months of the New Zealand Thrombolysis Register

Purwa Joshi, John Fink, Peter Alan Barber, Alan Davis, Jeremy Lanford, Andrea Seymour, Peter Wright, Wendy Busby, Ginny Abernethy, Annemarei Ranta

Stroke thrombolysis can help to reduce post-stroke disability, but requires rapid administration and carries a risk of bleeding. This paper reports results from the National Stroke Thrombolysis Register. Treatment rates are improving and bleeding events were few and consistent with international literature indicating that the use of this treatment in New Zealand is safe. However, treatment delays could be reduced. Patients/witnesses need to call ambulance services FAST (Face, Arm, Speech, Time) and hopefully the current national Ministry of Health-funded FAST campaign will help raise public awareness. In-hospital treatment delays can also be improved through better co-ordination of ambulance, ED, radiology, and stroke services.

SUMMARY

Red reflex screening in New Zealand: a large survey of practices and attitudes in the Auckland region

less than one-fifth of professionals undertaking the test have had any formal training. This is an area that therefore needs to be addressed."

All babies in New Zealand are required to undergo red reflex screening very soon after birth, which helps detect potentially sight threatening conditions such as cataracts. We sent a survey to health care professionals, including general practitioners, midwives and paediatricians, of whom 483 responded. We found that while the majority of respondents were confident in undertaking this test, 17% replied that they were -ot sure or underconfident. Although this test is performed in all newborns

SUMMARY

Nurse specialists for the administration of anti-vascular endothelial growth factor intravitreal injections

Priya Samalia, David Garland, David Squirrell

Common retinal diseases, such as wet age-related macular degeneration, are treated with intravitreal injections of medications know as anti-vascular endothelial growth factors. The number of individuals with these diseases is increasing, leading to an increasing demand for these treatments. Meeting these increasing treatment needs is challenging. This paper shows that the use of nurse specialists for the administration of these treatments is an effective way to address the increasing treatment needs and nurse specialists can administer these treatments safely and effectively.

SUMMARY

Childhood immunisations in Northland, New Zealand: declining care and the journey through the immunisation pathway

Juliet Rumball-Smith, Timothy Kenealy

Immunisation is important not only for individual health, but also the wellbeing and resilience of a community to vaccine preventable disease (such as measles). This paper reviews the data for babies born in Northland 2009-2013, a region with consistently low immunisation coverage. One contributing factor to this state is the high proportion of Northlanders who actively choose to refuse immunisation for their babiesthe rate of immunisation decline in Northland is more than twice the national average. We follow this group of children and find that this decision is long-lasting, as more than 95% of these children go on to be declined their subsequent immunisations as well. This choice has important implications for the health of these children, and of the wider community.

SUMMARY

Increased uptake of cervical screening by women with HIV infection in Auckland regardless of ethnicity, requirement for an interpreter or level of education

Michele Lowe, Rupert Handy, Joan Ingram, Mitzi Nisbet, Stephen Ritchie, Mark Thomas, Simon Briggs

Women with HIV infection should receive a yearly cervical smear. The number of women with HIV infection in Auckland who receive a yearly cervical smear increased over the duration of this study. There are still some women with HIV infection who do not receive yearly cervical smears. We were not able to identify barriers that prevent these women from receiving a yearly cervical smear.

ALL ARTICLES
SUMMARY

Stroke thrombolysis in New Zealand: data from the first 6 months of the New Zealand Thrombolysis Register

Purwa Joshi, John Fink, Peter Alan Barber, Alan Davis, Jeremy Lanford, Andrea Seymour, Peter Wright, Wendy Busby, Ginny Abernethy, Annemarei Ranta

Cranial polyneuropathy caused by varicella zoster reactivation

James Mitchell, Katherine Baguley, Michelle Balm, Annemarei Ranta

New Zealand Spinal Cord Registry: a new milestone

Christine Howard-Brown, Ian Civil

Red reflex screening in New Zealand: a large survey of practices and attitudes in the Auckland region

less than one-fifth of professionals undertaking the test have had any formal training. This is an area that therefore needs to be addressed."

Edward Alfred Harris

H H Rea, P Ruygrok, Gillian Harris, Rosemary Harris

Nurse specialists for the administration of anti-vascular endothelial growth factor intravitreal injections

Priya Samalia, David Garland, David Squirrell

Childhood immunisations in Northland, New Zealand: declining care and the journey through the immunisation pathway

Juliet Rumball-Smith, Timothy Kenealy

Ageing in spinal cord injuries

Raj Singhal, Angelo Anthony, Xianghu Xiong, Rick Acland

Doctors rights

Management of menstrual difficulties in adolescents with physical and intellectual disabilities at a New Zealand tertiary hospital

Kieran Dempster-Rivett, Jackie Smalldridge

Gallbladder torsion: a rare indication for acute laparoscopic cholecystectomy

Laila Sheikh, Katherine Broughton, Melanie Lauti, David Moss, Garth Poole

Increased uptake of cervical screening by women with HIV infection in Auckland regardless of ethnicity, requirement for an interpreter or level of education

Michele Lowe, Rupert Handy, Joan Ingram, Mitzi Nisbet, Stephen Ritchie, Mark Thomas, Simon Briggs

SUMMARY

Stroke thrombolysis in New Zealand: data from the first 6 months of the New Zealand Thrombolysis Register

Purwa Joshi, John Fink, Peter Alan Barber, Alan Davis, Jeremy Lanford, Andrea Seymour, Peter Wright, Wendy Busby, Ginny Abernethy, Annemarei Ranta

Stroke thrombolysis can help to reduce post-stroke disability, but requires rapid administration and carries a risk of bleeding. This paper reports results from the National Stroke Thrombolysis Register. Treatment rates are improving and bleeding events were few and consistent with international literature indicating that the use of this treatment in New Zealand is safe. However, treatment delays could be reduced. Patients/witnesses need to call ambulance services FAST (Face, Arm, Speech, Time) and hopefully the current national Ministry of Health-funded FAST campaign will help raise public awareness. In-hospital treatment delays can also be improved through better co-ordination of ambulance, ED, radiology, and stroke services.

SUMMARY

Red reflex screening in New Zealand: a large survey of practices and attitudes in the Auckland region

less than one-fifth of professionals undertaking the test have had any formal training. This is an area that therefore needs to be addressed."

All babies in New Zealand are required to undergo red reflex screening very soon after birth, which helps detect potentially sight threatening conditions such as cataracts. We sent a survey to health care professionals, including general practitioners, midwives and paediatricians, of whom 483 responded. We found that while the majority of respondents were confident in undertaking this test, 17% replied that they were -ot sure or underconfident. Although this test is performed in all newborns

SUMMARY

Nurse specialists for the administration of anti-vascular endothelial growth factor intravitreal injections

Priya Samalia, David Garland, David Squirrell

Common retinal diseases, such as wet age-related macular degeneration, are treated with intravitreal injections of medications know as anti-vascular endothelial growth factors. The number of individuals with these diseases is increasing, leading to an increasing demand for these treatments. Meeting these increasing treatment needs is challenging. This paper shows that the use of nurse specialists for the administration of these treatments is an effective way to address the increasing treatment needs and nurse specialists can administer these treatments safely and effectively.

SUMMARY

Childhood immunisations in Northland, New Zealand: declining care and the journey through the immunisation pathway

Juliet Rumball-Smith, Timothy Kenealy

Immunisation is important not only for individual health, but also the wellbeing and resilience of a community to vaccine preventable disease (such as measles). This paper reviews the data for babies born in Northland 2009-2013, a region with consistently low immunisation coverage. One contributing factor to this state is the high proportion of Northlanders who actively choose to refuse immunisation for their babiesthe rate of immunisation decline in Northland is more than twice the national average. We follow this group of children and find that this decision is long-lasting, as more than 95% of these children go on to be declined their subsequent immunisations as well. This choice has important implications for the health of these children, and of the wider community.

SUMMARY

Increased uptake of cervical screening by women with HIV infection in Auckland regardless of ethnicity, requirement for an interpreter or level of education

Michele Lowe, Rupert Handy, Joan Ingram, Mitzi Nisbet, Stephen Ritchie, Mark Thomas, Simon Briggs

Women with HIV infection should receive a yearly cervical smear. The number of women with HIV infection in Auckland who receive a yearly cervical smear increased over the duration of this study. There are still some women with HIV infection who do not receive yearly cervical smears. We were not able to identify barriers that prevent these women from receiving a yearly cervical smear.

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