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Issue

Vol 131 No 1470: 23 February 2018

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Issue Summary

SUMMARY

Acceptability of electronic cigarettes as an option to replace tobacco smoking for alcoholics admitted to hospital for detoxification

Penelope Truman, Moira Gilmour, Geoffrey Robinson

Alcoholics who were also smokers, admitted to Kenepuru Hospital for detoxification, were offered the option of using an electronic cigarette as well as, or instead of, conventional nicotine replacement therapy nicotine (patches or gum) to help them to stop smoking while in hospital. The electronic cigarettes proved more popular that standard nicotine replacement therapy and were at least as effective. Using electronic cigarettes for smoking substitution/reduction while in hospital is an option for improved patient management that should be explored further.

SUMMARY

Liver abscess: contemporary presentation and management in a Western population

Kareem Osman, Sanket Srinivasa, Jonathan Koea

Liver abscesses are a common acute condition that affect previously healthy patients. Percutaneous rather than surgical drainage is the standard of care but hospital stays can be significant and readmission is common.

SUMMARY

E-cigarette use in New Zealand a systematic review and narrative synthesis

Sarah Merry, Christopher Bullen

This study summarises current research on the use of e-cigarettes in New Zealand. The study found that the number of people who have ever used an e-cigarette has increased over time. However, the number of New Zealanders who regularly use e-cigarettes remains low. Most people who use e-cigarettes are smokers or ex-smokers. While people commonly first try an e-cigarette because they are curious, many hope to reduce the number of tobacco cigarettes they smoke, or quit smoking. Further research is needed to monitor the use of e-cigarettes in New Zealand and any impact this may have on smoking rates.

SUMMARY

Ethnic- and sex-related differences in pain characteristics, psychological distress and pain-related disability in patients attending a New Zealand teaching hospital pain service

Andrea Burri, David Rice, Nicola Kluger, Michal Kluger

The study assessed demographic and pain characteristics of patients attending a multi-disciplinary pain service in Auckland. Overall, women report a significantly higher number of pain sites in the whole body compared to men, whereas men tend to cope worse with pain by showing less pain acceptance. The study further found significant differences in pain expression and coping, with Mori patients reporting highest pain levels, highest number of pain sites, highest pain interference, as well as highest levels of psychological distress, depression, stress and anxiety compared to all other ethnicities. This finding is particularly important for healthcare providers who should tailor their treatment according to the patient s individual sociodemographic background.

SUMMARY

Putting action into the revised Australian Medical Council standards on Aboriginal and Torres Strait Islander and Māori health

Shannon Springer, Suzanne Pitama, Kate Leslie, Shaun Ewen

The Australian Medical Council (AMC) sets the standard that specialty medical professionals should achieve to ensure that the community has safe doctors that meet the needs of the public. Due to the health differences between Indigenous and non-Indigenous peoples, the AMC has changed the standards to ensure medical colleges respond to this inequity. This paper helps colleges deliver on these standards in a practical way.

SUMMARY

Monitoring pre-hospital transport of severely injured patients in the Midland Region of New Zealand

Jesse Whitehead, Matt Roskruge, Colin Tan, Alistair Smith, Grant Christey

This study evaluates the geospatial movement of major trauma patients from pre-hospital locations to hospitals in the Midland region and compares the actual destination to the optimal destination defined for patients meeting clinical criteria defined in the national major trauma triage policy. This study has been conducted prior to implementation of the Midland Pre-Hospital Major Trauma Destination Matrix and will be repeated in 2019 to evaluate change in processes resulting from the Midland Matrix.

SUMMARY

Limiting complication rates in implant-based breast reconstruction

Michelle B Locke, William LE Malins, Jia Le See, John Kenealy

The Department of Plastic Surgery at Middlemore Hospital has found that the complication rate of patients having implant-based breast reconstruction after radiotherapy for breast cancer treatment have a high complication rate. We now encourage patients to use their own tissue (for example, from their abdomen) to reconstruct their breast(s) if they have had radiotherapy. We have shown a lower complication rate in women who use their own tissue rather than implants for reconstruction following radiotherapy.

SUMMARY

An audit of risk assessments for suicide and attempted suicide in ED: a retrospective review of quality

Wayne de Beer, Bernard De Witt, Jules Schofield, Helen Clark, Veronique Gibbons

This study evaluated how Mental Health & Addiction Services staff members, working in a busy emergency department service, adhere to the New Zealand Ministry of Health s Clinical Practice Guidelines for DSH. This study identifies the importance of the individualised, tailored assessment. It also outlines weaknesses of the assessment and treatment of patients following a suicide attempt and makes recommendations for improving assessment of patients following attempted suicide.

ALL ARTICLES
SUMMARY

Acceptability of electronic cigarettes as an option to replace tobacco smoking for alcoholics admitted to hospital for detoxification

Penelope Truman, Moira Gilmour, Geoffrey Robinson

Liver abscess: contemporary presentation and management in a Western population

Kareem Osman, Sanket Srinivasa, Jonathan Koea

Type 2 diabetes in young adults in Central Auckland: demography and complications

The proceedings of the 242nd meeting of the OMSRS

Erratum

Reply to Mr Ryan s paper: acupuncture, ACC and the Medicines Act

Kate Roberts, Tracey Lindsay, Scott Pearson, Paddy McBride, Mel Hopper Koppelmen

New Zealand’s revised Ethnicity Data Protocols must not become a shelved document: a challenge from Hei Āhuru Mōwai

Hei \u0100huru M\u014dwai - National Mori Cancer Leadership Group

How comprehensive is suicide risk assessment in the emergency department?

Christopher Gale, Paul Glue

Hospital Ships and German Infamy

Factors influencing the smoking status of ex-prisoners reintegrating into the community after release: a pilot study

Sarah Logan, Sarah Twine, Georgia Bromiley, Holly Curtis, Jude Ball, Richard Edwards

Primary oral malignant melanoma of the tongue

Ahmed Abu-Zaid, Nabil Al-Zaher

E-cigarette use in New Zealand a systematic review and narrative synthesis

Sarah Merry, Christopher Bullen

Ethnic- and sex-related differences in pain characteristics, psychological distress and pain-related disability in patients attending a New Zealand teaching hospital pain service

Andrea Burri, David Rice, Nicola Kluger, Michal Kluger

Putting action into the revised Australian Medical Council standards on Aboriginal and Torres Strait Islander and Māori health

Shannon Springer, Suzanne Pitama, Kate Leslie, Shaun Ewen

Alcohol harm who pays?

Sally Casswell

Ireland s new sugar tax: a step in the right direction

Frank Houghton, Sharon Houghton

Monitoring pre-hospital transport of severely injured patients in the Midland Region of New Zealand

Jesse Whitehead, Matt Roskruge, Colin Tan, Alistair Smith, Grant Christey

E-cigarettes peering into the mist of uncertainty

Lutz Beckert, Stuart Jones

Limiting complication rates in implant-based breast reconstruction

Michelle B Locke, William LE Malins, Jia Le See, John Kenealy

Māori Indigenous Health Framework in action: addressing ethnic disparities in healthcare

Ibrahim Al-Busaidi, Tania Huria, Suzanne Pitama, Cameron Lacey

An audit of risk assessments for suicide and attempted suicide in ED: a retrospective review of quality

Wayne de Beer, Bernard De Witt, Jules Schofield, Helen Clark, Veronique Gibbons

SUMMARY

Acceptability of electronic cigarettes as an option to replace tobacco smoking for alcoholics admitted to hospital for detoxification

Penelope Truman, Moira Gilmour, Geoffrey Robinson

Alcoholics who were also smokers, admitted to Kenepuru Hospital for detoxification, were offered the option of using an electronic cigarette as well as, or instead of, conventional nicotine replacement therapy nicotine (patches or gum) to help them to stop smoking while in hospital. The electronic cigarettes proved more popular that standard nicotine replacement therapy and were at least as effective. Using electronic cigarettes for smoking substitution/reduction while in hospital is an option for improved patient management that should be explored further.

SUMMARY

Liver abscess: contemporary presentation and management in a Western population

Kareem Osman, Sanket Srinivasa, Jonathan Koea

Liver abscesses are a common acute condition that affect previously healthy patients. Percutaneous rather than surgical drainage is the standard of care but hospital stays can be significant and readmission is common.

SUMMARY

E-cigarette use in New Zealand a systematic review and narrative synthesis

Sarah Merry, Christopher Bullen

This study summarises current research on the use of e-cigarettes in New Zealand. The study found that the number of people who have ever used an e-cigarette has increased over time. However, the number of New Zealanders who regularly use e-cigarettes remains low. Most people who use e-cigarettes are smokers or ex-smokers. While people commonly first try an e-cigarette because they are curious, many hope to reduce the number of tobacco cigarettes they smoke, or quit smoking. Further research is needed to monitor the use of e-cigarettes in New Zealand and any impact this may have on smoking rates.

SUMMARY

Ethnic- and sex-related differences in pain characteristics, psychological distress and pain-related disability in patients attending a New Zealand teaching hospital pain service

Andrea Burri, David Rice, Nicola Kluger, Michal Kluger

The study assessed demographic and pain characteristics of patients attending a multi-disciplinary pain service in Auckland. Overall, women report a significantly higher number of pain sites in the whole body compared to men, whereas men tend to cope worse with pain by showing less pain acceptance. The study further found significant differences in pain expression and coping, with Mori patients reporting highest pain levels, highest number of pain sites, highest pain interference, as well as highest levels of psychological distress, depression, stress and anxiety compared to all other ethnicities. This finding is particularly important for healthcare providers who should tailor their treatment according to the patient s individual sociodemographic background.

SUMMARY

Putting action into the revised Australian Medical Council standards on Aboriginal and Torres Strait Islander and Māori health

Shannon Springer, Suzanne Pitama, Kate Leslie, Shaun Ewen

The Australian Medical Council (AMC) sets the standard that specialty medical professionals should achieve to ensure that the community has safe doctors that meet the needs of the public. Due to the health differences between Indigenous and non-Indigenous peoples, the AMC has changed the standards to ensure medical colleges respond to this inequity. This paper helps colleges deliver on these standards in a practical way.

SUMMARY

Monitoring pre-hospital transport of severely injured patients in the Midland Region of New Zealand

Jesse Whitehead, Matt Roskruge, Colin Tan, Alistair Smith, Grant Christey

This study evaluates the geospatial movement of major trauma patients from pre-hospital locations to hospitals in the Midland region and compares the actual destination to the optimal destination defined for patients meeting clinical criteria defined in the national major trauma triage policy. This study has been conducted prior to implementation of the Midland Pre-Hospital Major Trauma Destination Matrix and will be repeated in 2019 to evaluate change in processes resulting from the Midland Matrix.

SUMMARY

Limiting complication rates in implant-based breast reconstruction

Michelle B Locke, William LE Malins, Jia Le See, John Kenealy

The Department of Plastic Surgery at Middlemore Hospital has found that the complication rate of patients having implant-based breast reconstruction after radiotherapy for breast cancer treatment have a high complication rate. We now encourage patients to use their own tissue (for example, from their abdomen) to reconstruct their breast(s) if they have had radiotherapy. We have shown a lower complication rate in women who use their own tissue rather than implants for reconstruction following radiotherapy.

SUMMARY

An audit of risk assessments for suicide and attempted suicide in ED: a retrospective review of quality

Wayne de Beer, Bernard De Witt, Jules Schofield, Helen Clark, Veronique Gibbons

This study evaluated how Mental Health & Addiction Services staff members, working in a busy emergency department service, adhere to the New Zealand Ministry of Health s Clinical Practice Guidelines for DSH. This study identifies the importance of the individualised, tailored assessment. It also outlines weaknesses of the assessment and treatment of patients following a suicide attempt and makes recommendations for improving assessment of patients following attempted suicide.

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