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Issue 144 - 21 July 2010

Kai Tiaki Nursing Research

Keep up to date with nursing research in New Zealand by taking out a subscription to this leading edge new journal, published by the New Zealand Nurses Organisation. This journal is a peer-reviewed journal published annually.
Phone: 0800 28 38 48


1. Dietary polyphenols can modulate the intestinal inflammatory response
By Romier, Béatrice et al. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7: p363-378
Inflammatory bowel diseases (IBD) arise from multiple causes, including environmental factors, gut microflora, immunity, and genetic predispositions. In the course of IBD, immune homeostasis and intestinal mucosa barrier integrity are impaired. Among natural preventive treatments that have been identified to date, polyphenols appear as promising candidates. They have been shown to protect against several diseases, including cardiovascular diseases and cancers, and they have anti-inflammatory properties in non-intestinal models. This paper will review the literature that has described to date some effects of polyphenols on intestinal inflammation. Studies, conducted using in vivo and in vitro models, provide evidence that pure polyphenolic compounds and natural polyphenolic plant extracts can modulate intestinal inflammation. [ABSTRACT FROM AUTHOR]

2. Association between eating frequency, weight, and health
By Palmer, Michelle al. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7: p379-390
There is speculation amongst health professionals, the media, and the public regarding eating frequency (EF) and its impact on weight and health. Nutritional weight-loss and -maintenance interventions of longer than 1 week's duration were reviewed for associations between EF and weight and health. Of the 176 studies identified, 25 relevant studies matched the criteria and only 10 of these were weight-loss interventions. Generally, sample sizes were small, interventions were short-term, and a wide array of definitions was used to define an eating occasion. Several key outcomes such as physical activity, adherence to assigned EF, and hunger were often not measured. The limited evidence available suggests there is no association between EF and weight or health in either weight-loss or -maintenance interventions, with a possible inverse association between EF and lipids in weight-maintenance interventions. Longer term, larger studies that include important weight and health outcomes are needed. [ABSTRACT FROM AUTHOR]

3. Assessing the environment for regulatory change for eicosapentaenoic acid and docosahexaenoic acid nutrition
By Brownawell, Amy al. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7: p391-397
This review examines issues related to the development of a recommended daily allowance or adequate intake, two of the categories of dietary reference intakes, for the long-chain omega-3 polyunsaturated fatty acids (omega-3 PUFAs), eicosapentaenoic acid (EPA, 20:5 n-3), and docosahexaenoic acid (DHA, 22:6 n-3). Although some have suggested a dietary intake of two servings of fatty fish per week or supplement intake of 500 mg/day EPA plus DHA, based on evidence from epidemiologic and clinical studies of cardiovascular benefit from regular fish or fish-oil consumption, supplementation with EPA and/or DHA may also have antidepressant and mood-stabilizing effects. Omega-3 PUFA biology is complex and chronic disease outcomes are sometimes difficult to
prove, yet the possibility of benefit for a substantial portion of the population from increased omega-3 PUFA intake is a public health issue that must be addressed responsibly and be based on significant scientific evidence. [ABSTRACT FROM AUTHOR]

4. The effect of genistein aglycone on cancer and cancer risk: a review of in vitro, preclinical, and clinical studies
By Taylor, Christopher al. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7: p398-415
In Asian epidemiological studies, health benefits, including reduced incidence of breast and prostate cancers, are attributed to soy food and isoflavone consumption. The recent increased intake of soy foods and supplements in the American diet has raised concerns about the possible estrogen-like effects of natural isoflavones and possible promotion or propagation of estrogen-sensitive cancers. These concerns are primarily based on in vitro and rodent data which suggest that genistein aglycone can stimulate tumor cell proliferation and growth in mice having deficient immune systems. In contrast, a recent nested case-control study and meta-analysis of numerous epidemiological studies show an inverse correlation between genistein intake and breast cancer risk. Furthermore, clinical studies in osteopenic and osteoporotic, postmenopausal women support the breast and uterine safety of purified naturally derived genistein administered for up to 3 years. In this review, we summarize the in vitro, preclinical and clinical evidence for the safety of natural genistein. [ABSTRACT FROM AUTHOR]

5. Manganese and birth outcome
By Wood, Richard J. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7: p416-420
Manganese is an essential mineral nutrient needed for proper fetal development and other important aspects of metabolism. However, manganese excess can have a potent neurotoxicity effect, especially in infants. Little is known about the effects of manganese deficiency or excess on the developing human fetus. The findings of two recent studies indicate that lower maternal blood manganese is associated with fetal intrauterine growth retardation (IUGR) and lower birth weight. In light of the importance of IUGR and birth weight on neonatal morbidity and mortality, additional basic studies of maternal and fetal manganese physiology are needed, as well as more epidemiologic studies in different populations of the association of manganese exposure and birth outcome.

6. Nutrition Updates
By D'Anci, K. E.. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7:p421-423
The article presents abstracts related to nutrition which include one which examines the disease prevalence of congenital heart disease in the post-fortification era in the U.S. and in Canada, research which examines the association of carotenoid intake and metabolic syndrome in older men, and a research which examines the relation of early exclusive breastfeeding to morbidity in Zimbabwean infants.

7. Is calcium supplementation a risk factor for cardiovascular diseases in older women?
By Grey, Andrew et al. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7: p424
A letter to the editor is presented in response to the article "Is calcium supplementation a risk factor for cardiovascular diseases in older women?" by Hassan Vatanparast and Zohreh Sabbagh in the 2009 issue.

8. Authors' reply
By Vatanparast, Hassan & Sabbagh, Zohreh. Nutrition Reviews, Jul 2009, Vol. 67 Issue 7: p425
A response by Hassan Vatanparast and Zohreh Sabbagh to a letter to the editor about their article "Is calcium supplementation a risk factor for cardiovascular diseases in older women?" in the 2009 issue.

9. Editor's Comment
By O'Reilly, Noel. Occupational Health, Jun 2010, Vol. 62 Issue 6: p3
The author points out the importance of occupational health in Great Britain.

10. Councils in England and Wales lost five million days to stress
By Paton, Nic. Occupational Health, Jun 2010, Vol. 62 Issue 6: p4
The article focuses on a report by the Local Government Association (LGA) which showed that stress prompted council workers in England and Wales to take more than two days off work, leading to over 500 million British pounds in costs to local authorities.

11. Guide launched to help employers choose OH staff
Occupational Health, Jun 2010, Vol. 62 Issue 6: p4
The article offers information on a guide launched by the Faculty of Occupational Medicine in Great Britain, which is aimed at helping employers select an occupational health (OH) physician.

12. Overtime increases risk of heart disease
Occupational Health, Jun 2010, Vol. 62 Issue 6: p4
The article presents a study which showed that people working over time regularly and 10 or 11-hour days have a 60% higher risk of heart disease.

13. News from Personnel Today
Occupational Health, Jun2010, Vol. 62 Issue 6: p4
This section offers news briefs related to personnel management in Great Britain, including a research study showing the increase in part-time employment following the recession, an XpertHR poll which revealed that three-quarters of human resource (HR) heads wanted to eliminate or increase the default retirement age (DRA), and the disability discrimination claims by Colin Tenner, a former equity partner at PricewaterhouseCoopers (PwC).

14. Focus on staff health can boost financial performance by 10%.
By Paton, Nic. Occupational Health, Jun 2010, Vol. 62 Issue 6: p5
The article discusses a research study, which showed that initiatives for managing and promoting occupational health and wellbeing can boost a firm's financial performance by as much as 10%.

15. DoH appoints OH wellbeing champions for NHS
Occupational Health, Jun 2010, Vol. 62 Issue 6: p5
The article announces the British Department of Health's appointment of several occupational health (OH) professionals to act as health and wellbeing champions for the National Health Service (NHS) in England, including Helen Kirk, David Maslen-Jones and Peter Verow.

Occupational Health, Jun 2010, Vol. 62 Issue 6: p5
This section offers news briefs related to occupational health in Great Britain, including a low-cost medical insurance plan launched by Axa PPP for companies categorized as larger employers, a study which indicated alcohol abuse and common mental health disorders as the most frequent mental health problems reported by Armed Forces' personnel, and the passing of Denis D'Auria, an editor of the journal "Occupational Medicine."

17. Lyme disease warning issued by Health Protection Agency
Occupational Health, Jun 2010, Vol. 62 Issue 6: p6
The article announces a warning issued by Great Britain's Health Protection Agency (HPA) for people to be careful when visiting areas with ticks to reduce the risk of contracting Lyme disease.

18. Majority of staff would return to work while sick
Occupational Health, Jun 2010, Vol. 62 Issue 6: p6
The article offers information on an Aviva survey which showed that almost eight in 10 workers in Great Britain would return to work from long-term absence due to sickness before they recover fully.

19. Stress on the up after economic downturn
By Paton, Nic. Occupational Health, Jun 2010, Vol. 62 Issue 6: p7
The article reports on a survey by mental health charity Mind which revealed the biggest increase of anti-depressant prescriptions due to rising rates of anxiety and stress following the recession in Great Britain.

20.  Wide variations in asthma care across the UK
Occupational Health, Jun 2010, Vol. 62 Issue 6: p7
The article focuses on a report by Asthma UK which demonstrated the large variation in the use of personal asthma action plans in Great Britain.

21. Recession encourages people to prioritise health and fitness
Occupational Health, Jun 2010, Vol. 62 Issue 6: p7
The article focuses on a survey by YouGov SixthSense which showed that almost three-quarters of people in Great Britain consider health and fitness as their priority following the recession.

Occupational Health, Jun 2010, Vol. 62 Issue 6: p7
This section offers news briefs on public health, including a leaflet published by the Royal College of Psychiatrists on mental health during pregnancy, an online paper from the Sainsbury Centre for Mental Health  aimed at aiding health professionals emphasize on recovery as the crucial part of managing people with severe or enduring mental health problems and A Chartered Institute of Environmental Health study which revealed a dramatic improvement in the air quality in Northern Ireland.

23. NHS Plus quality strategy
By O'Reilly, Noel. Occupational Health, Jun 2010, Vol. 62 Issue 6:p8-9
The article presents updates for Great Britain's National Health Service's NHS Plus Quality Strategy. It is aimed at stablishing standards for policies and procedures for occupational health (OH) teams and launching compulsory accreditation for all members of the network by 2012. York Hospitals NHS foundation trust chief executive Patrick Cowley expressed support towards OH, arguing that it is not measured in terms of cost but by value and quality.

24. 'Wellbeing champions' chosen to implement Boorman proposals
By Paton, Nic. Occupational Health, Jun 2010, Vol. 62 Issue 6: p10-11
The article discusses issues surrounding the appointment of three occupational health (OG) practitioners as well-being champions to oversee the implementation of recommendations from Steve Boorman's NHS Health and Wellbeing report. The appointees include Helen Kirk, OH nurse and managing consultant of HK Consulting, David Maslen-Jones, head of OH at Southend University Hospital NHS Trust and Peter Verow, consultant occupational physician at Sandwell Healthcare Trust. They will be attached to one or two strategic health authorities (SHAs).

By Silcox, Sarah. Occupational Health, Jun 2010, Vol. 62 Issue 6:p12
This section offers news briefs related to occupational health research. A study showed that more than 5% of cancer deaths in 2005 could have been prevented if the victims had not been exposed to carcinogens at work. Results from the Labour Force Survey for 2008-09 revealed that the illness of 1.2 million people during the period were deemed to have been caused or aggravated by their work. Another study indicated that high levels of
work pressure increases the risk for heart disease in women.

Conferences, Training, seminars

26. Family Planning Conference 2010
15-17 October 2010
Venue: Wellington Convention Centre
Register online:

27. Wellington Gluten Free Food and Allergy Show
10am - 5pm
Venue: TSB Bank Arena, Queens Wharf
More info:

28. Healthcare Law for Non-Lawyers
September 13 & 14
Venue: Mercure Hotel, Auckland

29. Confidentiality & Privacy for Healthcare Providers
22 September 2010
Venue: Mercure Hotel, Auckland

30. Understanding Mental Health law for Non Lawyers
7 October 2010
Venue: Mercure Hotel, Auckland
More info:

31. Latest news from Ministry of Health
-  Diabetes Retinal Screening Interactive CD for Health Professionals (20 July, 2010)

-  DHB Hospital Benchmark Information Report: January - March 2010 (14 July, 2010)

- Independent review of the policy of some DHBs to not pay for laboratory tests referred by private specialists (7 July, 2010)

-  2010 District Health Boards: Information for Candidates (5 July, 2010)

-  Ministry encourages healthcare providers to consider potential benefits of consolidation (1 July 2010)

News – National

32. Meat workers union disappointed at sickie claims
NZ Herald - 20 July 2010
A union representing meat workers says staff perform under tough and uncertain conditions and is disappointed at suggestions the industry is being negatively affected by deliberate "sickies".

33. Doctors won't be swamped, says Key
TVNZ - 20 July, 2010
Concerns doctors will be swamped with requests for sickness certificates because of employment law changes are groundless, the government believes. Under the changes, announced on Sunday by Prime Minister John Key, employers will be able to ask for a certificate if a worker is off sick for just one day. General Practice New Zealand chairwoman Bev O'Keefe said there could be "capacity problems" and some people might find it hard to get an appointment in time.

34. ADHD no 'made-up' disorder
ODT - 20 July 2010
Attention deficit hyperactivity disorder (ADHD) had a strong genetic basis and was not the "too-much-sweets disorder", Prof Anita Thapar told a one-day genetics symposium at the University of Otago yesterday. Prof Thapar, a professor of child and adolescent psychiatry at Cardiff University in Wales, discussed new genetic findings relating to ADHD.

35. Eating at work linked to sickies
NZ Herald - 20 July, 2010
You're safer to eat your lunch off a toilet seat than the average office desk - and be careful how you handle the taps on the way out: they're filthy. Germ-busting microbiologist Dr Charles Gerba, of Arizona University in the United States, advises not to eat in either place and to regularly sanitise hands and disinfect surfaces.

News - International

36. 'Most Wired Hospitals' for 2010 named
July 15, 2010
CHICAGO – The Most Wired Survey and Benchmarking study, conducted annually by Hospitals and Health Networks, has named the "Most Wired Hospitals and Health Systems" for 2010. The survey included new questions about meaningful use. The survey recognizes organizations for their achievements in four focus areas: infrastructure, business and administrative management, clinical quality and safety and the care continuum. Hospitals were awarded under the categories of "25 Most Improved," the "25 Most Wireless" and the "25 Most Wired - Small and Rural" hospitals.


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