High-risk CTV delineation for cervix brachytherapy: Application of GEC-ESTRO guidelines in Australia and New Zealand

2016 ◽  
Vol 61 (1) ◽  
pp. 133-140 ◽  
Author(s):  
Shalini K Vinod ◽  
Karen Lim ◽  
Lauren Bell ◽  
Jacqueline Veera ◽  
Lucy Ohanessian ◽  
...  
Keyword(s):  
New Zealand ◽  
High Risk

scholarly journals O2B.3 Work related stress for new zealand workers in high risk sectors: what can we learn from a demographic analysis?

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A15.1-A15
Author(s):  
Kirsten Lovelock ◽  
Trang Khieu
Keyword(s):  
New Zealand ◽  
High Risk ◽  
Work Performance ◽  
Health Behaviours ◽  
Psychosocial Health ◽  
Work Related Stress ◽  
Safety Attitudes ◽  
Work Related ◽  
High Staff Turnover ◽  
Related Stress

The physical and psychological outcomes of work related stress place a burden on individuals, their families, workplaces and communities. Work related stress is a health and socio-economic and political problem. It reduces work performance; drives higher rates of absenteeism or sick leave; can increase rates of injury; prompt high staff turnover; and, can prompt poor health behaviours such as excessive drinking or taking of drugs. The research record focussing on work related stress in New Zealand (NZ) is small and uneven, but growing. The aim of this study was to explore the prevalence of work-related stress among workers by a set of demographic characteristics. The study used data from the Health and Safety Attitudes and Behaviour Survey (HSABS) 2016. A total of 2190 workers in the four high risk industries (agriculture, forestry, construction and manufacturing) were interviewed about their perceptions towards work-related stress. Weighting was conducted to control inherent biases. Differences between workers were examined by age, sex, ethnicity, qualifications and migrant factors (e.g. being born in NZ or arriving in NZ within five years). Overall, 11% of workers responded that they had experienced with work-related stress in the last 12 months. Work-related stress was more statistically prevalent among people from 25 to 34 years of age or those having a bachelor’s degree. Also, people being females or Maori or not born in NZ or first arrived in NZ in the last five years were more likely to have work-related stress. Findings from the study could allow better targeted and informed psychosocial health interventions to be implemented at workplace.

Optimising echocardiographic screening for rheumatic heart disease in New Zealand: not all valve disease is rheumatic

2011 ◽  
Vol 21 (4) ◽  
pp. 436-443 ◽  
Author(s):  
Rachel H. Webb ◽  
Nigel J. Wilson ◽  
Diana R. Lennon ◽  
Elizabeth M. Wilson ◽  
Ross W. Nicholson ◽  
...  
Keyword(s):  
Heart Disease ◽  
New Zealand ◽  
High Risk ◽  
Mitral Valve ◽  
Rheumatic Heart Disease ◽  
Secondary Prophylaxis ◽  
Accurate Diagnosis ◽  
High Risk Population ◽  
Step Model ◽  
Rheumatic Heart

AbstractAimsEchocardiography detects a greater prevalence of rheumatic heart disease than heart auscultation. Echocardiographic screening for rheumatic heart disease combined with secondary prophylaxis may potentially prevent severe rheumatic heart disease in high-risk populations. We aimed to determine the prevalence of rheumatic heart disease in children from an urban New Zealand population at high risk for acute rheumatic fever.Methods and resultsTo optimise accurate diagnosis of rheumatic heart disease, we utilised a two-step model. Portable echocardiography was conducted on 1142 predominantly Māori and Pacific children aged 10–13 years. Children with an abnormal screening echocardiogram underwent clinical assessment by a paediatric cardiologist together with hospital-based echocardiography. Rheumatic heart disease was then classified asdefinite, probable, orpossible. Portable echocardiography identified changes suggestive of rheumatic heart disease in 95 (8.3%) of 1142 children, which reduced to 59 (5.2%) after cardiology assessment. The prevalence ofdefiniteandprobablerheumatic heart disease was 26.0 of 1000, with 95% confidence intervals ranging from 12.6 to 39.4. Portable echocardiography overdiagnosed rheumatic heart disease with physiological valve regurgitation diagnosed in 28 children. A total of 30 children (2.6%) had non-rheumatic cardiac abnormalities, 11 of whom had minor congenital mitral valve anomalies.ConclusionsWe found high rates of undetected rheumatic heart disease in this high-risk population. Rheumatic heart disease screening has resource implications with cardiology evaluation required for accurate diagnosis. Echocardiographic screening for rheumatic heart disease may overdiagnose rheumatic heart disease unless congenital mitral valve anomalies and physiological regurgitation are excluded.

scholarly journals Succinate dehydrogenase inhibitor (SDHI) fungicide resistance prevention strategy

2011 ◽  
Vol 64 ◽  
pp. 119-124 ◽  
Author(s):  
A.H. McKay ◽  
G.C. Hagerty ◽  
G.B. Follas ◽  
M.S. Moore ◽  
M.S. Christie ◽  
...  
Keyword(s):  
New Zealand ◽  
High Risk ◽  
Succinate Dehydrogenase ◽  
Fungicide Resistance ◽  
Fungal Pathogens ◽  
Resistance Management ◽  
Resistance Development ◽  
Development Of Resistance ◽  
Action Committee ◽  
Succinate Dehydrogenase Inhibitor

Succinate dehydrogenase inhibitor (SDHI) fungicides are currently represented in New Zealand by eight active ingredients bixafen boscalid carboxin fluaxapyroxad fluopyram isopyrazam penthiopyrad and sedaxane They are either currently registered or undergoing development in New Zealand for use against a range of ascomycete and basiodiomycete pathogens in crops including cereals ryegrass seed apples pears grapes stonefruit cucurbits and kiwifruit These fungicides are considered to have medium to high risk of resistance development and resistance management is recommended by the Fungicide Resistance Action Committee (FRAC) in Europe Guidelines are presented for use of SDHI fungicides in New Zealand to help avoid or delay the development of resistance in the fungal pathogens that they target

scholarly journals Increasing incidence of endometrial carcinoma in a high‐risk New Zealand community

2020 ◽  
Vol 60 (2) ◽  
pp. 250-257 ◽  
Author(s):  
Susan M. Bigby ◽  
Sandar Tin Tin ◽  
Lois J. Eva ◽  
Phillipa Shirley ◽  
Kieran Dempster‐Rivett ◽  
...  
Keyword(s):  
New Zealand ◽  
High Risk ◽  
Endometrial Carcinoma

scholarly journals An evidence- and risk-based approach to a harmonized laboratory alert list in Australia and New Zealand

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Craig A. Campbell ◽  
Que Lam ◽  
Andrea R. Horvath
Keyword(s):  
New Zealand ◽  
High Risk ◽  
Significant Risk ◽  
Working Party ◽  
Worked Example ◽  
Decision Points ◽  
Risk Result ◽  
Wide Range ◽  
Assessing Method ◽  
Alert Threshold

Abstract Individual laboratories are required to compose an alert list for identifying critical and significant risk results. The high-risk result working party of the Royal College of Pathologists of Australasia (RCPA) and the Australasian Association of Clinical Biochemists (AACB) has developed a risk-based approach for a harmonized alert list for laboratories throughout Australia and New Zealand. The six-step process for alert threshold identification and assessment involves reviewing the literature, rating the available evidence, performing a risk analysis, assessing method transferability, considering workload implications and seeking endorsement from stakeholders. To demonstrate this approach, a worked example for deciding the upper alert threshold for potassium is described. The findings of the worked example are for infants aged 0–6 months, a recommended upper potassium alert threshold of >7.0 mmol/L in serum and >6.5 mmol/L in plasma, and for individuals older than 6 months, a threshold of >6.2 mmol/L in both serum and plasma. Limitations in defining alert thresholds include the lack of well-designed studies that measure the relationship between high-risk results and patient outcomes or the benefits of treatment to prevent harm, and the existence of a wide range of clinical practice guidelines with conflicting decision points at which treatment is required. The risk-based approach described presents a transparent, evidence- and consensus-based methodology that can be used by any laboratory when designing an alert list for local use. The RCPA-AACB harmonized alert list serves as a starter set for further local adaptation or adoption after consultation with clinical users.

Fruit viability on grubbed Nassella trichotoma (Nees) tussocks

2002 ◽  
Vol 42 (8) ◽  
pp. 1057 ◽  
Author(s):  
S. Lamoureaux ◽  
G. Bourdôt
Keyword(s):  
New Zealand ◽  
High Risk ◽  
Developmental Stage ◽  
Root System ◽  
Seed Bank ◽  
Soil Seed Bank ◽  
Leaf Sheath ◽  
Early Summer ◽  
Late Spring ◽  
Summer Fruit

An experiment was conducted to determine the influence of time of grubbing in the late spring–early summer, panicle developmental stage at grubbing, and the presence or absence of roots on grubbed plants, on the initial and post-senescent viability of fruits of Nassella trichotoma in North Canterbury, New Zealand. The percentage of fruits viable, following desiccation of panicles removed from plants grubbed in the field, increased from 1% for panicles just beginning to emerge from the leaf sheath, to 49% for panicles fully extended at the time of grubbing. Similarly, as grubbing date was delayed from late November (late spring) until late December (early summer), fruit viability increased from 0.3 to 47%. Overall, 36% of the fruits were viable on panicles at the time of grubbing, increasing slightly to 47 and 44%, respectively, after a period of desiccation with and without the panicles being attached to the grubbed plant's root system. It was concluded that if recruitment of fruits of N. trichotoma to the soil seed bank is to be prevented in North Canterbury, plants must be uprooted before panicle extension. Delaying grubbing to when panicles are fully extended, while possibly enabling a higher percentage of plants to be detected and therefore destroyed, carries with it a high risk of permitting the recruitment of viable fruits to the soil seed bank.

scholarly journals Access to chlamydia testing needed for high-risk groups: patterns of testing and detection in an urban area of New Zealand

2012 ◽  
Vol 36 (4) ◽  
pp. 343-350 ◽  
Author(s):  
Sally B. Rose ◽  
Collette Bromhead ◽  
Beverley A. Lawton ◽  
Jane Zhang ◽  
James Stanley ◽  
...  
Keyword(s):  
New Zealand ◽  
High Risk ◽  
Urban Area ◽  
Risk Groups ◽  
Chlamydia Testing

New Zealand mudsnails (Potamopyrgus antipodarum) in Boulder Creek, Colorado: environmental factors associated with fecundity of a parthenogenic invader

2013 ◽  
Vol 91 (1) ◽  
pp. 30-36 ◽  
Author(s):  
V.J. McKenzie ◽  
W.E. Hall ◽  
R.P. Guralnick
Keyword(s):  
Water Quality ◽  
New Zealand ◽  
High Risk ◽  
Water Hardness ◽  
General Linear Model ◽  
Potamopyrgus Antipodarum ◽  
Snail Shell ◽  
Factors Associated ◽  
General Linear Model Analysis ◽  
Demographic Growth

New Zealand mudsnails (Potamopyrgus antipodarum (Gray, 1853)) are non-native snails that are increasingly spreading in freshwater systems in North America. Most invasive populations are parthenogenic and threaten native freshwater diversity. We observed variability of P. antipodarum fecundity each month for 16 months at a recently invaded site in Boulder Creek, Colorado. We collected 100 snails each month and dissected them to count embryos in the brood sac. We used a general linear model analysis to examine water-quality variables as predictors of the monthly variability in P. antipodarum fecundity. After dissecting 1600 snails, we observed four male individuals (<1%), brood sizes ranging from 0 to 70 embryos per snail, reproductively mature females at 3.2 mm in length or greater, and a significant relationship between snail length and embryo counts (r2 = 0.38, p < 0.001). The model with the highest level of support for predicting variability in snail fecundity included water temperature, snail shell length, water hardness (calcium carbonate), and nutrient levels (total phosphate) (adjusted r2 = 0.53, p < 0.01). These variables may be important for snail growth and promote increased rates of reproduction in this parthenogenic, invasive snail. These results can further inform efforts to model geographic areas at high risk of P. antipodarum establishment and rapid demographic growth.

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