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Issue

Vol 131 No 1486: 30 November 2018

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Issue Summary

SUMMARY

A MAP to mental health: the process of creating a collaborative advance preferences instrument

Jessie Lenagh-Glue, Anthony O Brien, John Dawson, Katey Thom, Johnnie Potiki, Heather Casey, Paul Glue

Advanced Directives are documents that mental healthcare consumers can create, to list treatment and support preferences when they become unwell. Advanced Directives are seldom created in New Zealand as service consumers report these are often ignored by clinicians. We developed a document and a process for creating an advanced directive, based on surveys with service consumers and clinicians. We have called this a MAP (Mental-health Advance Preferences statement). Both groups reported strong overall support for advance directives, particularly around items concerning personal support at difficult times. There was a strong difference of opinion between clinicians and consumers on whether the Mental Health Act powers should be able to override the consumer s instructions. Using peer support workers as facilitators may be an important step in successful completion of an advance directive.

SUMMARY

Neonatal conjunctivitis in the New Zealand Midland region

Samuel Newlands, John Dickson, John Pearson, Chris Mansell, Graham Wilson

Neonatal conjunctivitis refers to any conjunctivitis (red and sticky eyes) occurring in the first 28 days of life; it is a specific entity distinct from conjunctivitis in older infants because it is often the result of infection transmitted from the mother to the infant during delivery. These include the sexually transmitted infections Chlamydia trachomatis and Neisseria gonorrhoeae. Nucleic acid amplification testing (NAAT) (or PCR) is a special technique to amplify the DNA of an organism instead of growing it; it is a much more accurate test for Chlamydia. The NZDep2013 is a deprivation score linked to an individual s domicile (residence). It ranges from 1 to 10, where 1 represents the areas with the least deprived scores and 10 the areas with the most deprived scores. This score is independent of ethnicity.

SUMMARY

Creaky voice or extreme vocal fry in young women

Jeremy Hornibrook, Tika Ormond, Margaret Maclagan

Vocal fry or creaky voice is a lowered rough voice sound that is volitional and is becoming a common vocal style in some New Zealand young women. Voice laboratory studies conclude that as marriage partners, men prefer women with higher voices. Paradoxically, both men and women rate lower voices in women as sounding more authoritative. Online surveys reveal negative public perceptions of vocal fry in young women. Middle-class young women lead language change in new word expressions and speech sound changes. Their increasing prevalence of extreme vocal fry may be an equivalent voice phenomenon or fashion.

SUMMARY

Hepatitis B virus-related hepatocellular carcinoma presenting at an advanced stage: is it preventable?

Thomas Mules, Ed Gane, Oonagh Lithgow, Adam Bartlett, John McCall

This study evaluated which factors are associated with late presentation of hepatitis B (HBV) related hepatocellular carcinoma (HCC) by retrospectively reviewing all cases of HBV-related HCC diagnosed with late-stage/incurable HCC in New Zealand between 2003 and 2017. This study found that the incidence of patients presenting with incurable HBV-related HCC is increasing, HBV-related HCC disproportionately affects minority ethnic groups, diagnosis of HCC before the diagnosis of the underlying HBV is associated with poor survival (median 90 days), and optimal HCC surveillance significantly improves patient survival. This study has highlighted the need for improved rates of HBV diagnosis, better follow-up of those infected, and the importance of optimal HCC surveillance. In New Zealand, HBV-related HCC disproportionately affects minority ethnic groups, and given the increasing incidence, provides a potential domain to reduce health inequities.

ALL ARTICLES
SUMMARY

Voluntary undertaking to chaperone

Neonatal conjunctivitis in the New Zealand Midland region

Samuel Newlands, John Dickson, John Pearson, Chris Mansell, Graham Wilson

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Six things you need to know about pain

Nicola Swain, Louise Parr-Brownlie, Bronwyn Lennox Thompson, Ben Darlow, Ram Mani, David Baxter

Creaky voice or extreme vocal fry in young women

Jeremy Hornibrook, Tika Ormond, Margaret Maclagan

A MAP to mental health: the process of creating a collaborative advance preferences instrument

Jessie Lenagh-Glue, Anthony O Brien, John Dawson, Katey Thom, Johnnie Potiki, Heather Casey, Paul Glue

Consumer engagement is well documented as an important step in facilitating mental health recovery.

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Hepatitis B virus-related hepatocellular carcinoma presenting at an advanced stage: is it preventable?

Thomas Mules, Ed Gane, Oonagh Lithgow, Adam Bartlett, John McCall

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The first analytic evidence for socio-economic gradients in 1918 pandemic influenza mortality rates for New Zealand

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Christopher J Wakeman, Teresa Chalmers-Watson, John Keating, Ben Griffiths, Maggie Ow, Rachael Bergman, Susan Parry

SUMMARY

Neonatal conjunctivitis in the New Zealand Midland region

Samuel Newlands, John Dickson, John Pearson, Chris Mansell, Graham Wilson

Neonatal conjunctivitis refers to any conjunctivitis (red and sticky eyes) occurring in the first 28 days of life; it is a specific entity distinct from conjunctivitis in older infants because it is often the result of infection transmitted from the mother to the infant during delivery. These include the sexually transmitted infections Chlamydia trachomatis and Neisseria gonorrhoeae. Nucleic acid amplification testing (NAAT) (or PCR) is a special technique to amplify the DNA of an organism instead of growing it; it is a much more accurate test for Chlamydia. The NZDep2013 is a deprivation score linked to an individual s domicile (residence). It ranges from 1 to 10, where 1 represents the areas with the least deprived scores and 10 the areas with the most deprived scores. This score is independent of ethnicity.

SUMMARY

Creaky voice or extreme vocal fry in young women

Jeremy Hornibrook, Tika Ormond, Margaret Maclagan

Vocal fry or creaky voice is a lowered rough voice sound that is volitional and is becoming a common vocal style in some New Zealand young women. Voice laboratory studies conclude that as marriage partners, men prefer women with higher voices. Paradoxically, both men and women rate lower voices in women as sounding more authoritative. Online surveys reveal negative public perceptions of vocal fry in young women. Middle-class young women lead language change in new word expressions and speech sound changes. Their increasing prevalence of extreme vocal fry may be an equivalent voice phenomenon or fashion.

SUMMARY

A MAP to mental health: the process of creating a collaborative advance preferences instrument

Jessie Lenagh-Glue, Anthony O Brien, John Dawson, Katey Thom, Johnnie Potiki, Heather Casey, Paul Glue

Advanced Directives are documents that mental healthcare consumers can create, to list treatment and support preferences when they become unwell. Advanced Directives are seldom created in New Zealand as service consumers report these are often ignored by clinicians. We developed a document and a process for creating an advanced directive, based on surveys with service consumers and clinicians. We have called this a MAP (Mental-health Advance Preferences statement). Both groups reported strong overall support for advance directives, particularly around items concerning personal support at difficult times. There was a strong difference of opinion between clinicians and consumers on whether the Mental Health Act powers should be able to override the consumer s instructions. Using peer support workers as facilitators may be an important step in successful completion of an advance directive.

SUMMARY

Hepatitis B virus-related hepatocellular carcinoma presenting at an advanced stage: is it preventable?

Thomas Mules, Ed Gane, Oonagh Lithgow, Adam Bartlett, John McCall

This study evaluated which factors are associated with late presentation of hepatitis B (HBV) related hepatocellular carcinoma (HCC) by retrospectively reviewing all cases of HBV-related HCC diagnosed with late-stage/incurable HCC in New Zealand between 2003 and 2017. This study found that the incidence of patients presenting with incurable HBV-related HCC is increasing, HBV-related HCC disproportionately affects minority ethnic groups, diagnosis of HCC before the diagnosis of the underlying HBV is associated with poor survival (median 90 days), and optimal HCC surveillance significantly improves patient survival. This study has highlighted the need for improved rates of HBV diagnosis, better follow-up of those infected, and the importance of optimal HCC surveillance. In New Zealand, HBV-related HCC disproportionately affects minority ethnic groups, and given the increasing incidence, provides a potential domain to reduce health inequities.

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