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Issue

Vol 132 No 1494: 3 May 2019

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Issue Summary

SUMMARY

Cycling-related injuries and cycling promotion: a trauma service perspective | OPEN ACCESS

Neerja Singh, Natalie Joe, Janet Amey, Alastair Smith, Grant Christey

Hospital admission volumes and rates are rising with underlying variation in patient demography, place and severity of injury. Current policy direction to grow cycling participation based on the health, environmental and economic benefits is ahead of the implementation of safer cycling infrastructure, creating a timing lag. From a regional hospital-based trauma service perspective, this timing lag needs due consideration if the full benefits of increasing participation are to be realised.

SUMMARY

Improving patient experience and outcomes following serious injury

Angela Beaton, Katrina O Leary, Julie Thorburn, Alaina Campbell, Grant Christey

This study highlights perceived issues in the patient care pathway in the transition from inpatient to community-based care, especially communication and discharge information delivered by surgical clinical teams. Comprehensive inpatient care and clinical handover to primary care (rather than discharge planning processes) by dedicated clinical trauma services may provide more holistic models for surgical services to improve their influence on the transition of trauma patients into the community, assisted by organisation changes and support to enable effective service delivery. This is the first qualitative study to investigate the experience of Waikato Hospital (non-major) trauma patients and their families/whanau as they transition from inpatient surgical services to community-based care. The findings will inform system changes to support improved health, vocational and social outcomes for injured patients.

SUMMARY

The incidence and risk factors of dog bite injuries requiring hospitalisation in New Zealand

Jonathan Mair, Natasha Duncan-Sutherland, Zachary Moaveni

The incidence of serious dog bites requiring hospitalisation in New Zealand has risen over the study period 2004-2014 and in comparison to earlier New Zealand studies over the previous two decades. Unfortunately the most vulnerable members of society (children under 10 and those from low socioeconomic areas) are also the most at-risk for these injuries. It appears that current New Zealand legislation has been ineffective in addressing the rise in this preventable public health issue.

SUMMARY

What is medicinal cannabis?

Michelle Glass, John C Ashton

If we are going to ask doctors to prescribe medicinal cannabis, shouldn t it meet the same safety and efficacy standards as other medicines? This article asks why we are inventing a whole new definition of a medicine just for cannabis.

SUMMARY

Incidence and outcomes of major trauma in New Zealand: findings from a feasibility study of New Zealand s first national trauma registry

Karol J Czuba, Paula Kersten, David Anstiss, Nicola M Kayes, Belinda J Gabbe, Ian Civil, Bridget Kool, Gareth Terry, Greta A Smith, Mahesweran Rohan, Alain C Vandal, Richard J Siegert

This paper aims to characterise the New Zealand major trauma (significant injury) population in terms of long-term disability and functional outcomes a\u00acfter major trauma. Our findings suggest that at 12 months post-injury the majority of participants in this study had made a good recovery in terms of disability, living situation and health. A sizeable group of survivors were still experiencing pain and problems with their usual activities 12 months post-injury, which suggests that not all major trauma survivors will follow the same trajectory of recovery. We found that approximately two-thirds of all injuries were traffic-related, while falls accounted for approximately a quarter of the injuries. The findings suggest that trauma registries are ideally placed to monitor long-term outcomes of trauma survivors, and can play an important role in reducing the impact of burden associated with major trauma.

SUMMARY

An updated critique of the use of the Twin Spine Study (2009) to determine causation of low back disorder

Christopher B Walls, Andrew Snell, David J McLean, Neil Pearce

Many working people struggle after an episode of low back disorder because Accident Compensation coverage is withdrawn as their condition is blamed on genetic influences. The authors argue that the reliance on one genetic study (The Twin Study) for this stance is based on faulty epidemiology and is not valid.

ALL ARTICLES
SUMMARY

The benefit of robust research

Christopher Wakeman, James McKay

Proceedings of the Waikato Clinical Campus Biannual Research Seminar

Cycling-related injuries and cycling promotion: a trauma service perspective | OPEN ACCESS

Neerja Singh, Natalie Joe, Janet Amey, Alastair Smith, Grant Christey

Improving patient experience and outcomes following serious injury

Angela Beaton, Katrina O Leary, Julie Thorburn, Alaina Campbell, Grant Christey

Keith Edward Debney Eyre

Neil Anderson

Mass shooting in Christchurch and the epidemiology of sudden mass fatality events in New Zealand

Nick Wilson, George Thomson

The incidence and risk factors of dog bite injuries requiring hospitalisation in New Zealand

Jonathan Mair, Natasha Duncan-Sutherland, Zachary Moaveni

Health information research privacy standards should include Māori perspectives on privacy

Rajan Ragupathy, Vithya Yogarajan, Chris Luoni

A Case of Adenoma Sebaceum

By J. MACPHERSON, M.B., ED., Porirua Mental Hospital

Vitamin D supplements and prevention of cancer and cardiovascular disease

What is medicinal cannabis?

Michelle Glass, John C Ashton

Incidence and outcomes of major trauma in New Zealand: findings from a feasibility study of New Zealand s first national trauma registry

Karol J Czuba, Paula Kersten, David Anstiss, Nicola M Kayes, Belinda J Gabbe, Ian Civil, Bridget Kool, Gareth Terry, Greta A Smith, Mahesweran Rohan, Alain C Vandal, Richard J Siegert

The importance of rurality data in understanding access to healthcare services for childhood obesity

Cervante EK Wild, Cameron C Grant, Tami L Cave, Lisa E Wynter, Jos GB Derraik, Esther Willing, Paul Hofman, Yvonne C Anderson

Miles Wilson Hursthouse

Linda Ralph

An updated critique of the use of the Twin Spine Study (2009) to determine causation of low back disorder

Christopher B Walls, Andrew Snell, David J McLean, Neil Pearce

SUMMARY

Cycling-related injuries and cycling promotion: a trauma service perspective | OPEN ACCESS

Neerja Singh, Natalie Joe, Janet Amey, Alastair Smith, Grant Christey

Hospital admission volumes and rates are rising with underlying variation in patient demography, place and severity of injury. Current policy direction to grow cycling participation based on the health, environmental and economic benefits is ahead of the implementation of safer cycling infrastructure, creating a timing lag. From a regional hospital-based trauma service perspective, this timing lag needs due consideration if the full benefits of increasing participation are to be realised.

SUMMARY

Improving patient experience and outcomes following serious injury

Angela Beaton, Katrina O Leary, Julie Thorburn, Alaina Campbell, Grant Christey

This study highlights perceived issues in the patient care pathway in the transition from inpatient to community-based care, especially communication and discharge information delivered by surgical clinical teams. Comprehensive inpatient care and clinical handover to primary care (rather than discharge planning processes) by dedicated clinical trauma services may provide more holistic models for surgical services to improve their influence on the transition of trauma patients into the community, assisted by organisation changes and support to enable effective service delivery. This is the first qualitative study to investigate the experience of Waikato Hospital (non-major) trauma patients and their families/whanau as they transition from inpatient surgical services to community-based care. The findings will inform system changes to support improved health, vocational and social outcomes for injured patients.

SUMMARY

The incidence and risk factors of dog bite injuries requiring hospitalisation in New Zealand

Jonathan Mair, Natasha Duncan-Sutherland, Zachary Moaveni

The incidence of serious dog bites requiring hospitalisation in New Zealand has risen over the study period 2004-2014 and in comparison to earlier New Zealand studies over the previous two decades. Unfortunately the most vulnerable members of society (children under 10 and those from low socioeconomic areas) are also the most at-risk for these injuries. It appears that current New Zealand legislation has been ineffective in addressing the rise in this preventable public health issue.

SUMMARY

What is medicinal cannabis?

Michelle Glass, John C Ashton

If we are going to ask doctors to prescribe medicinal cannabis, shouldn t it meet the same safety and efficacy standards as other medicines? This article asks why we are inventing a whole new definition of a medicine just for cannabis.

SUMMARY

Incidence and outcomes of major trauma in New Zealand: findings from a feasibility study of New Zealand s first national trauma registry

Karol J Czuba, Paula Kersten, David Anstiss, Nicola M Kayes, Belinda J Gabbe, Ian Civil, Bridget Kool, Gareth Terry, Greta A Smith, Mahesweran Rohan, Alain C Vandal, Richard J Siegert

This paper aims to characterise the New Zealand major trauma (significant injury) population in terms of long-term disability and functional outcomes a\u00acfter major trauma. Our findings suggest that at 12 months post-injury the majority of participants in this study had made a good recovery in terms of disability, living situation and health. A sizeable group of survivors were still experiencing pain and problems with their usual activities 12 months post-injury, which suggests that not all major trauma survivors will follow the same trajectory of recovery. We found that approximately two-thirds of all injuries were traffic-related, while falls accounted for approximately a quarter of the injuries. The findings suggest that trauma registries are ideally placed to monitor long-term outcomes of trauma survivors, and can play an important role in reducing the impact of burden associated with major trauma.

SUMMARY

An updated critique of the use of the Twin Spine Study (2009) to determine causation of low back disorder

Christopher B Walls, Andrew Snell, David J McLean, Neil Pearce

Many working people struggle after an episode of low back disorder because Accident Compensation coverage is withdrawn as their condition is blamed on genetic influences. The authors argue that the reliance on one genetic study (The Twin Study) for this stance is based on faulty epidemiology and is not valid.

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