Summary Wāhine Māori who attended a clinic as follow up for an abnormal smear test (colposcopy clinic) were surveyed about their experience. The survey was done over the phone, and it was done twice, in 2016 and in 2021. Overall, 201 women did the survey, and they reported a positive experience with high scores across both years. This is reassuring to know ahead of the changes to the cervical screening programme in late 2023.
6227. Alcohol advertising near schools in Tāmaki Makaurau Auckland Sarah Sneyd, Noor Al-Jebouri, Helina Gifawossen, Nathan Cowie, Nicki Jackson
Summary There has long been concern about the exposure of children and young people to alcohol advertising, which places them at risk. This study counted alcohol advertisements within a 500-
metre radius of a randomly selected sample of Auckland schools (10%). The findings show that alcohol advertising near Auckland schools is common and there is a need for protections in these areas.
6248. The unseen casualties of the First World War: insights from a randomly selected military sample Nick Wilson, Jennifer A Summers, Glyn Harper, George Thomson
Summary This study examined a random sample of the military files of 200 New Zealand World War One (WWI) veterans. It found that these personnel experienced a very high morbidity burden with 94% having at least one new condition diagnosed during their military service (average: 2.4 per individual; range: 0 to 8). The relative severity of these health conditions was reflected by the high level of hospitalisation (89% at least once) and 59% of personnel being deemed no longer fit for military service at some stage. Respiratory conditions affected 33% of personnel, 14% were diagnosed with sexually transmitted infections, 10% had diagnoses suggestive of post-traumatic stress disorder (PTSD), and 6% had chemical warfare injuries. In conclusion, the overall morbidity burden of this military force in WWI was very high, and much higher than the previous official estimates.
6110. The spectrum of paediatric uveitis in New Zealand Priya D Samalia, Hannah Ng, Sarah Hull, Justin Mora, Joanne L Sims, Rachael L Niederer
A/ Dr Rachael Niederer: 021 516 619 Summary Eye inflammation in childhood is uncommon but an important vision-threatening condition. It is important to consider infections as a cause of inflammation in this age group. A large proportion of children will have no symptoms of eye inflammation and many children with eye inflammation will require immunosuppression treatment.
6216. The use of neonatal bubble Continuous Positive Airway Pressure in a rural hospital setting Glenn A Barker
Summary This paper shows that specialist breathing machines normally used for unwell babies in intensive care units can also be used in rural hospitals. In a small rural hospital, this machine reduces the time spent holding a face mask on a baby and reduces the need for emergency helicopter transfers to specialist intensive care units.
6171. Cannabis and methamphetamine in New Zealand: a Kaupapa Māori literature review Erena Wikaire, Te Hirea Doherty
Summary This Kaupapa Māori study reviewed literature about the experiences of Māori in the context of cannabis and methamphetamine use. Mainstream research often overlooks Māori perspectives or the potential implications of their findings for Māori communities. Several studies seek to establish links between cannabis and methamphetamine use and individual “risk factors” factors. Recent research has started to place greater emphasis on capturing the lived experiences of Māori, adopting a critical lens to analyse findings and exploring the role of systemic institutions within the context of drug-related harm. To effectively address the harms associated with cannabis and methamphetamine use among Māori, future research must explicitly commit to benefitting Māori and employ research approaches consistent with Kaupapa Māori principles. An essential focus should be on prevention, addressing root causes, taking decisive action and not just measurement alone.
VIEWPOINT
6159. Planning and executing a national point prevalence study: a blueprint for the future Sally A Roberts, Ruth Barratt, Arthur J Morris, Nikki Grae
Summary New Zealand-wide data are required to support change and improvement in the care provided. Often this is considered too difficult to achieve due to the cost and logistics. We are sharing our experience so other healthcare groups may consider using this methodology to capture national data.
CASE REPORT
6273. Coronary artery aneurysms: the chest pain “zebra” Zoe J Clifford, Philippa JT Bowers, Graham D McCrystal
Summary This patient came to hospital with what looked like a heart attack (blockages in the arteries supplying his heart) but we found that he actually had unusual widening in his heart arteries, one of which was blocked with a blood clot. We performed a heart bypass to solve his problems.
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