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Issue

Vol 132 No 1497: 21 June 2019

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Issue Summary

SUMMARY

Counting the costs of complications in colorectal surgery

Laila Sheikh, Rowan Croft, Christopher Harmston

Surgery for bowel cancer in New Zealand is common. This study looked at the costs associated with surgery for bowel cancer looking specifically at how complications following surgery affects costs. Complications significantly increase costs associated with surgery and this increase is related to the severity of the complication.

SUMMARY

Gestational weight gain in a multi-ethnic sample of pregnant women from Counties Manukau Health, Auckland, New Zealand

Silipa LS Naiqiso, Pernille M Christensen, Karaponi Okesene-Gafa, Lesley ME McCowan

This is the first study on pregnancy weight gain in a multi-ethnic population from Counties Manukau Health, where the majority of participants (70.5%) were overweight or obese and two-thirds resided in areas of very high deprivation. Of concern 70.7% of women gained excessive weight in pregnancy. Pacific women had increased probability of high pregnancy weight gain compared to European. Increasing weight gain in pregnancy was correlated with increasing birthweight and may contribute to the high rates of childhood obesity in Counties Manukau.

SUMMARY

The New Zealand Government Inquiry Into Mental Health And Addiction's recommendations on substance use: some reflections from the science perspective

Benedikt Fischer, Sally Casswell

The publication provides comments on the substance use-related recommendations included in the recent New Zealand Government Inquiry on Mental Health and Addiction s final report from a science perspective, provided by two senior scholars with relevant (international) experience in the alcohol and drugs fields. The authors emphasise the need for joint consideration and addressing of addiction and mental health issues, given that these commonly co-occur especially in individuals with severe problems. Effective reductions in alcohol-related harms will require strengthened supply and marketing controls. A fundamental shift in the control of personal drug use from criminalisation to a health-centred approach is strongly advised; however, such a shift centrally requires corresponding reforms to and enshrining in core parts of the drug law. Decriminalisation measures for problematic drug users, while often well-intended, should be evidence-based and consider important experiences from elsewhere, yet also need to ensure that they do not bring un-intended adverse consequences (eg, increased police or judicial discretion, net-widening or shifts rather than reductions in punishment). New Zealand urgently requires improved interventions and resources for the treatment of problematic substance use; at the same time, an overall concerted and integrated approach to policy and regulations across different areas of substance use is required. This is especially important with possibly impending cannabis legalisation, where use and supply regulations should be meaningfully coordinated with corresponding regulations for other drugs (eg, alcohol, tobacco).

SUMMARY

Inclusion of a molecular marker of bladder cancer in a clinical pathway for investigation of haematuria may reduce the need for cystoscopy

Peter J Davidson, Graham McGeoch, Brett Shand

If the urine test CxBladder Triage is negative in patients with blood in the urine, then it is unlikely that there is a serious bladder cancer as a cause. The test can therefore be used to rule out the need for a telescopic evaluation of the bladder.

SUMMARY

Sociodemographic factors associated with attitudes towards abortion in New Zealand

Yanshu Huang, Danny Osborne, Chris G Sibley

In 2016/17, the New Zealand Attitudes and Values Study, a large survey of New Zealander s social attitudes, assessed support for legalised abortion in New Zealand. We found that New Zealanders hold high levels of support for legalised abortion when the woman s life is endangered. Additionally, our results showed that New Zealanders hold moderate-to-high levels of support for legalised abortion, regardless of the reason for seeking an abortion. These results suggest that New Zealanders are supportive of legalised abortion in New Zealand.

SUMMARY

Acceptability of human papillomavirus self-sampling for cervical cancer screening in under-screened Māori and Pasifika women: a pilot study

Naomi Brewer, Sunia Foliaki, Collette Bromhead, Ioana Viliamu-Amusia, Litia Pelefoti-Gibson, Tegan Jones, Neil Pearce, John D Potter, Jeroen Douwes

Invasive cervical cancer remains an important public health problem. Despite the National Cervical Screening Programme (NCSP), new cases continue to occur, largely because not all women participate in the NCSP. We have done a small study (of 56 women) examining the acceptability of self-sampling for cervical-cancer screening in Mori, Pacific and Asian women through our collaborating partner, Porirua Union and Community Health Services (PUCHS). The women were asked to take a self-sample and complete a questionnaire about their experience. Our small study suggested that Mori, Pacific and Asian women may find self-sampling for cervical-cancer screening acceptable. Based on this pilot study, we have developed, in collaboration with Waitemat DHB, a much larger ongoing randomised controlled community trial to further examine the acceptability of self-sampling for cervical-cancer screening.

ALL ARTICLES
SUMMARY

Counting the costs of complications in colorectal surgery

Laila Sheikh, Rowan Croft, Christopher Harmston

More than ticking a box: barriers to CPR form completion

Katherine Bloomfield, Terry Zhang, Martin J Connolly

Gestational weight gain in a multi-ethnic sample of pregnant women from Counties Manukau Health, Auckland, New Zealand

Silipa LS Naiqiso, Pernille M Christensen, Karaponi Okesene-Gafa, Lesley ME McCowan

Rare cause of chronic bowel obstruction in the setting of malrotation and omental agenesis

Paul VB Fagan, Sam Dickson, Nigel Henderson, Karl Kodeda

Free Medical and Dental Treatment

The cost of colorectal complications in New Zealand

Tamara Mullaney, Timothy Eglinton

Code of Rights and bowel screening

Brian Cox, Phil Bagshaw, Ainslie Talbot, Mary Jane Sneyd

The New Zealand Government Inquiry Into Mental Health And Addiction's recommendations on substance use: some reflections from the science perspective

Benedikt Fischer, Sally Casswell

Inclusion of a molecular marker of bladder cancer in a clinical pathway for investigation of haematuria may reduce the need for cystoscopy

Peter J Davidson, Graham McGeoch, Brett Shand

Sociodemographic factors associated with attitudes towards abortion in New Zealand

Yanshu Huang, Danny Osborne, Chris G Sibley

Association of fried food consumption with all-cause, cardiovascular and cancer mortality

Denis Astley Harding

Ronald Goodey, James Harding

Acceptability of human papillomavirus self-sampling for cervical cancer screening in under-screened Māori and Pasifika women: a pilot study

Naomi Brewer, Sunia Foliaki, Collette Bromhead, Ioana Viliamu-Amusia, Litia Pelefoti-Gibson, Tegan Jones, Neil Pearce, John D Potter, Jeroen Douwes

SUMMARY

Counting the costs of complications in colorectal surgery

Laila Sheikh, Rowan Croft, Christopher Harmston

Surgery for bowel cancer in New Zealand is common. This study looked at the costs associated with surgery for bowel cancer looking specifically at how complications following surgery affects costs. Complications significantly increase costs associated with surgery and this increase is related to the severity of the complication.

SUMMARY

Gestational weight gain in a multi-ethnic sample of pregnant women from Counties Manukau Health, Auckland, New Zealand

Silipa LS Naiqiso, Pernille M Christensen, Karaponi Okesene-Gafa, Lesley ME McCowan

This is the first study on pregnancy weight gain in a multi-ethnic population from Counties Manukau Health, where the majority of participants (70.5%) were overweight or obese and two-thirds resided in areas of very high deprivation. Of concern 70.7% of women gained excessive weight in pregnancy. Pacific women had increased probability of high pregnancy weight gain compared to European. Increasing weight gain in pregnancy was correlated with increasing birthweight and may contribute to the high rates of childhood obesity in Counties Manukau.

SUMMARY

The New Zealand Government Inquiry Into Mental Health And Addiction's recommendations on substance use: some reflections from the science perspective

Benedikt Fischer, Sally Casswell

The publication provides comments on the substance use-related recommendations included in the recent New Zealand Government Inquiry on Mental Health and Addiction s final report from a science perspective, provided by two senior scholars with relevant (international) experience in the alcohol and drugs fields. The authors emphasise the need for joint consideration and addressing of addiction and mental health issues, given that these commonly co-occur especially in individuals with severe problems. Effective reductions in alcohol-related harms will require strengthened supply and marketing controls. A fundamental shift in the control of personal drug use from criminalisation to a health-centred approach is strongly advised; however, such a shift centrally requires corresponding reforms to and enshrining in core parts of the drug law. Decriminalisation measures for problematic drug users, while often well-intended, should be evidence-based and consider important experiences from elsewhere, yet also need to ensure that they do not bring un-intended adverse consequences (eg, increased police or judicial discretion, net-widening or shifts rather than reductions in punishment). New Zealand urgently requires improved interventions and resources for the treatment of problematic substance use; at the same time, an overall concerted and integrated approach to policy and regulations across different areas of substance use is required. This is especially important with possibly impending cannabis legalisation, where use and supply regulations should be meaningfully coordinated with corresponding regulations for other drugs (eg, alcohol, tobacco).

SUMMARY

Inclusion of a molecular marker of bladder cancer in a clinical pathway for investigation of haematuria may reduce the need for cystoscopy

Peter J Davidson, Graham McGeoch, Brett Shand

If the urine test CxBladder Triage is negative in patients with blood in the urine, then it is unlikely that there is a serious bladder cancer as a cause. The test can therefore be used to rule out the need for a telescopic evaluation of the bladder.

SUMMARY

Sociodemographic factors associated with attitudes towards abortion in New Zealand

Yanshu Huang, Danny Osborne, Chris G Sibley

In 2016/17, the New Zealand Attitudes and Values Study, a large survey of New Zealander s social attitudes, assessed support for legalised abortion in New Zealand. We found that New Zealanders hold high levels of support for legalised abortion when the woman s life is endangered. Additionally, our results showed that New Zealanders hold moderate-to-high levels of support for legalised abortion, regardless of the reason for seeking an abortion. These results suggest that New Zealanders are supportive of legalised abortion in New Zealand.

SUMMARY

Acceptability of human papillomavirus self-sampling for cervical cancer screening in under-screened Māori and Pasifika women: a pilot study

Naomi Brewer, Sunia Foliaki, Collette Bromhead, Ioana Viliamu-Amusia, Litia Pelefoti-Gibson, Tegan Jones, Neil Pearce, John D Potter, Jeroen Douwes

Invasive cervical cancer remains an important public health problem. Despite the National Cervical Screening Programme (NCSP), new cases continue to occur, largely because not all women participate in the NCSP. We have done a small study (of 56 women) examining the acceptability of self-sampling for cervical-cancer screening in Mori, Pacific and Asian women through our collaborating partner, Porirua Union and Community Health Services (PUCHS). The women were asked to take a self-sample and complete a questionnaire about their experience. Our small study suggested that Mori, Pacific and Asian women may find self-sampling for cervical-cancer screening acceptable. Based on this pilot study, we have developed, in collaboration with Waitemat DHB, a much larger ongoing randomised controlled community trial to further examine the acceptability of self-sampling for cervical-cancer screening.

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