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Issue 201 - 19 Oct 2011

Selected books - NZNO Library

These books can be borrowed by members free of charge, for a period of 4 weeks.

1. The art of care giving: A guide to caregivers satisfaction
By Leigh Kelly

Published by Clinical Update (NZ) Ltd, 2008
Abstract: This book has been written to be used as a guide to help a caregiver develop the art of caring with people with true empathy. Working through this book and getting to understand yourself will reduce your stress levels, avoid getting into conflict with others and find your work more rewarding. Leigh Kelly has been working in the aged care sector since 1974 as a registered Nurse and Manager.

2. Continuity amid chaos : Health care management and delivery in New Zealand
Edited by Robin Gauld

Published by University of Otago Press, 2003
Abstract: This book highlights the challenges that those involved in managing and delivering health care in New Zealand are facing when attempting to achieve continuity of service delivery in a health-care system that has been and continues to be, from their perspective in chaos. The chaos is partly because organisation of the New Zealand health sector has been in active transition mode since the early 1980s. This book contains a series of studies focused on management and delivery issues; many of its authors have been directly involved in the processes they discuss, and so provide first-hand insights.

3. Rheumatology for nurses: patient care
Edited by Patricia le Gallez (Clinical Nurse Practitioner in Rheumatology)

Published by Whurr Publishers - UK, 1998
Abstract: This book reflects the multidisciplinary approach that has proven beneficial to the care of the rheumatology patient. Written by well qualified members of the various professions involved in this field, and edited by Patricia le Gallez RGN MpHil, Clinical Nurse Practitioner in Rheumatology with Dewsbury Health Care NHS Trust, the book examines the full range of treatment and care of the patient. Though specifically aimed at nurses, this book will also prove invaluable to Occupational  Therapists, Podiatrists, Physiotherapists, Social Workers and Dieticians.

4. To do no harm: Ensuring patient safety in health care organizations
By Julianne M. Morath and Joanne E. Turnbull

Published by Jossey-Bass, 2005
Abstract: This book reflects the multidisciplinary approach that has proven beneficial to the care of the rheumatology patient. Written by well qualified members of the various professions involved in this field, and edited by Patricia le Gallez RGN MpHil, Clinical Nurse Practitioner in Rheumatology with Dewsbury Health Care NHS Trust, the book examines the full range of treatment and care of the patient. Though specifically aimed at nurses, this book will also prove invaluable to Occupational  Therapists, Podiatrists, Physiotherapists, Social Workers and Dieticians.

Articles - Osteoporosis/Rheumatoid Arthritis
Source: Gale - Academic OneFile Database

5. A case report of a 53-year-old female with rheumatoid arthritis and osteoporosis: focus on lab testing and CAM therapies.(complementary and alternative medicine)(Case Report)(Case study)
Kara Fitzgerald. Alternative Medicine Review Vol 16(3)(Sept 2011): p250 (8298 words)
Abstract
: A 53-year-old female presented with rheumatoid arthritis and osteoporosis. Additional conditions and symptoms included Raynaud syndrome, fatigue, irritable bowel syndrome-associated constipation (IBS-C), gastroesophageal reflux (GERD), menopausal symptoms, chronic urinary tract and upper respiratory infections, and weight gain. She was taking Arthrotec 75[R] (a combination of diclofenac and misoprostol--for pain and inflammation), Fosamax Plus D[R] (alendronate with vitamin D3--recently prescribed because of low bone density), and Catapres[R] (clonidine--for menopausal symptoms). Against the advice of her rheumatologist, she had recently discontinued taking Plaquenil[R] (hydroxychloroquine), methotrexate, and prednisone, due to significant side effects. Lab tests to identify underlying imbalances and to direct treatment were ordered. Treatment included dietary, nutritional, hormonal, and mind/body support. After one year of therapy, the patient experienced improvement with all of her presenting conditions and symptoms, which enabled her to discontinue several medications. She became versed in identifying and avoiding the environmental triggers of her disease, including foods (dairy, wheat, eggs, and soy), molds, and emotional stress. Antinuclear antibodies were normalized. She experienced a 7.5-percent improvement in left trochanteric bone density-comparable to bisphosphonate therapy. Mild improvements were also noted in the spine and bilateral femoral neck.
 
6. Adverse drug reactions to osteoporosis treatments
By Rene Rizzoli & Jean-Yves Reginster. Expert Review of Clinical Pharmacology. Vol 4(5) (Sept 2011): p593
Abstract:
Treatments for postmenopausal osteoporosis are generally safe, but are linked to some rare serious adverse drug reactions, for which causality is not always certain. The bisphosphonates are associated with gastrointestinal effects, acute phase reactions, and musculoskeletal pain, and, more rarely, cases of atrial fibrillation, subtrochanteric fracture, osteonecrosis of the jaw, cutaneous hypersensitivity reactions and renal impairment. It is too soon for pharmacovigilance data on denosumab, but it has been associated with cutaneous effects and possibly osteonecrosis of the jaw (to date, only in metastatic cancer). The selective estrogen receptor modulators may induce hot flushes and leg cramps, and - more rarely - venous thromboembolism and stroke. Strontium ranelate is associated with headache, nausea and diarrhea, and, more rarely, cutaneous hypersensitivity reactions and venous thromboembolism, while teriparatide and parathyroid hormone(1-84) are associated with headache, nausea, dizziness and limb pain. The management of osteoporosis should entail weighing the probability of adverse reactions against the benefits of therapy - that is, reduction of fracture risk.

7. Anamnestic risk factor questionnaire as reliable diagnostic instrument for osteoporosis (reduced bone morphogenic density).(Research article)(Report)
By Leila Kolios et al. BMC Musculoskeletal Disorders Vol 12. (August 17, 2011): p187. (4382 words)
Abstract
: Osteoporosis is a major health problem worldwide, and is included in the WHO list of the top 10 major diseases. However, it is often undiagnosed until the first fracture occurs, due to inadequate patient education and lack of insurance coverage for screening tests. Anamnestic risk factors like positive family anamnesis or early menopause are assumed to correlate with reduced BMD. Methods In our study of 78 patients with metaphyseal long bone fractures, we searched for a correlation between anamnestic risk factors, bone specific laboratory values, and the bone morphogenic density (BMD). Each indicator was examined as a possible diagnostic instrument for osteoporosis. The secondary aim of this study was to demonstrate the high prevalence of osteoporosis in patients with metaphyseal fractures. Results 76.9% of our fracture patients had decreased bone density and 43.6% showed manifest osteoporosis in DXA (densitometry) measurements. Our questionnaire, identifying anamnestic risk factors, correlated highly significantly (p = 0.01) with reduced BMD, whereas seven bone-specific laboratory values (p = 0.046) correlated significantly. Conclusions Anamnestic risk factors correlate with pathological BMD. The medical questionnaire used in this study would therefore function as a cost-effective primary diagnostic instrument for identification of osteoporosis patients.

Journals - Table of Contents

8. From Journal of Primary Care and Community Health, Vol 2, July 2011
Pilot Studies
8A
. Disparities in Fruits and Vegetables Consumption in Houston, Texas: Implications for Health Promotion
Journal of Primary Care & Community Health July 2011 2: 142-147, first published on April 7, 2011 doi:10.1177/2150131911399446
8B. A Collaborative Approach to Control Hypertension in Diabetes: Outcomes of a Pilot Intervention
Journal of Primary Care & Community Health July 2011 2: 148-152, first published on March 28, 2011 doi:10.1177/2150131911401028
8C. An Integrated, Clinician-focused Telehealth Monitoring System to Reduce Hospitalization Rates for Home Health Care Patients with Diabetes
Journal of Primary Care & Community Health July 2011 2: 153-156, first published on March 24, 2011 doi:10.1177/2150131911400752
8D. Prevalence of Diagnosis and Staging of Chronic Kidney Disease by Primary Care Providers in a Rural State
Journal of Primary Care & Community Health July 2011 2: 157-162, first published on May 17, 2011 doi:10.1177/2150131911402088
8E. The Evaluation of Electrocardiogram Findings in Acute Abdominal Pain Patients Admitted to the Emergency Department
Journal of Primary Care & Community Health July 2011 2: 163-166, first published on April 19, 2011 doi:10.1177/2150131911403931
Case Studies
8F.
JeffHOPE: The Development and Operation of a Student-Run Clinic
Journal of Primary Care & Community Health July 2011 2: 167-172, first published on May 10, 2011 doi:10.1177/2150131911404239
8G. Underevaluation of Cardiovascular Risk Factors in Patients With Nonaccidental Falls
Journal of Primary Care & Community Health July 2011 2: 173-180, first published on May 17, 2011 doi:10.1177/2150131911405212
8H. Attitudes of General Practitioner Registrars and Their Trainers Toward Obesity Prevention in Adults
Journal of Primary Care & Community Health July 2011 2: 181-186, first published on April 7, 2011 doi:10.1177/2150131911401029
8I. Provider Practices in Prediabetes Intervention and Diabetes Prevention: Application of Evidence-Based Research in the Medical Office Setting
Journal of Primary Care & Community Health July 2011 2: 187-191, first published on March 24, 2011 doi:10.1177/2150131911401625
8J. Primary Care Physician Reports of Amount of Time Spent with Male Patients in Prostate Cancer Screening Discussions
Journal of Primary Care & Community Health July 2011 2: 192-204, doi:10.1177/2150131911402087
8K. Frequency of Monitoring Hemoglobin A1C and Achieving Diabetes Control
Journal of Primary Care & Community Health July 2011 2: 205-208, first published on April 19, 2011 doi:10.1177/2150131911403932
8L. Testing Adolescents for Sexually Transmitted Infections in Urban Primary Care Practices: Results from a Baseline Study
Journal of Primary Care & Community Health July 2011 2: 209-212, first published on April 14, 2011 doi:10.1177/2150131911401030

9. From Safeguard, Sept/Oct 2011, Issue 129

9A. Editorial - Ouch! [Safeguard's editorial policy]
9B. Work death toll for the year starting July 2011 [Details of the most recent work fatalities investigated by DOL]; A foreign affair - going postal; Permission to Mine
Prosecutions From the Court
9C
. Volunteers dumped
A household refuse company has stopped its practice of using “freebies” to collect rubbish after a volunteer worker was run over and killed by a reversing truck. Alpha Refuse Collections Ltd was fined $43,200 and ordered to pay $60,000 reparation for emotional harm to the victim’s family after pleading guilty to a s15 charge under the HSE Act.
Recent NZ health and safety prosecutions
9D
. Walk the talk
A company which endorsed the zero harm philosophy was told by a judge that policies and procedures are only as good as their implementation, following a workplace fatality. Fulton Hogan was fined $80,000 and ordered to pay reparations of $100,000 under s18(1) of the HSE Act after an employee of E-Quip Engineering Ltd was killed when a container of cutback bitumen exploded.
Legal Viewpoint
9E.
Handbrake for inspectors
DoL inspectors must explain more fully what will be covered in their investigations, so employers understand whether they can assert their privilege against self-incrimination, say Grant Nicholson and Sophie Gilmour.
Feature stories
9F
. Making Hay
The field of OHS study in New Zealand has been greatly enhanced through the efforts of Douglas Hay, Angela Gregory finds.
9G. Practitioners or professionals?
Jackie Brown-Haysom asks why those in the OHS industry have been so slow to sign up to professional standards accreditation. Also, Theresa Khatchian shares her CPD journey, and Andrew Mitchell asks employers to consider creating graduate positions or summer internships.
Professional Development
9H.
Spread the word [Raising awareness of OHS]
9I. A cautionary tale [Recruiting OHS graduate positions in the workplace]
Comment
9J.
Too easy?
Robin Shaw, who recently visited New Zealand from Australia, gives his view on why regulation cannot be the complete answer to safety.
9K. Does it still rate?
While not an avid convert to experience rating, Leon Fox reckons it is worth another shot.
9L. Productivity trumps levy changes
The value of productivity gains from taken a beyond-compliance approach to safety far outweigh changes in ACC premiums, argues Greg Dickson.
9M. Speaking of safety: One for the road
What your employees do in their spare time can be your business, not just theirs, says Keith McLea.
Health Matters
9N
. Agents for change
Human beings are also ‘human doings’, explains occupational therapist Maya Hammarsal.
Safety Point
9O.
Building the basics
9P.The big picture
Striking imagery has been used as part of a staff safety engagement philosophy on a major roading project. Peter Bateman reports.
9Q. Cutting-edge safety
Jackie Brown-Haysom reports on an award-winning initiative to address one of the major hazards in the meat processing industry.
DoL report
9R.
High priority [A new High Hazards Unit]
9S. Hi-Vis: Sarah Reilley [ITL – OHS Advisor]
9T. DoL more ballsy? [The Department of Labour is becoming less squeamish about enforcement]
It’s Academic
9U
. ‘Work’ works
Workplace safety documents should be improved to make them more readable and to meet the literacy levels of users, Angela Gregory discovers in an Australian study.
9V. In his own hands
Nathan Cooke has self-managed not only his personal workplace safety, but also a debilitating occupational injury, reports Angela Gregory.
Community
9W.
DoL Restructuring Survey [Feedback from readers]
9X. Transpower awards

Conferences

10. ETELEMED 2012
The Fourth International Conference on eHealth, Telemedicine, and Social Medicine
Date:
30 Jan-4 Feb 2012
Venue: Valencia SPAIN
http://www.iaria.org/conferences2012/eTELEMED12.html

11. 2012 INTERNATIONAL HEALTH DATA LINKAGE CONFERENCE
Advancing knowledge for better health and social outcomes
Date:
1-4 Mar 2012
Venue: Perth WA
http://www.datalinkage2012.com.au/
Come and exchange ideas relating to the full spectrum of utilising data linkage to advance knowledge for better health and social outcomes.

News - National

12. Smoking linked to earlier menopause
Stuff - 18 October 2011

Women who smoke may hit menopause about a year earlier than those who don't light up, according to a study that also notes an earlier menopause may influence the risk of getting bone and heart diseases.
The study, which was carried in the journal Menopause, pooled data from several previous studies that included about 6000 women in the United States, Poland, Turkey and Iran.
http://www.stuff.co.nz/life-style/wellbeing/5803300/Smoking-linked-to-earlier-menopause

13. Contentious lab test charge ends in Wellington region
Radio New Zealand - 18 October 2011

Health boards in Wellington are dropping a contentious fee they imposed on patients who get privately ordered lab tests. Medical specialists have complained bitterly over the effect on patients of the charge imposed by the Capital and Coast and Hutt Valley district health boards five years ago.
http://www.radionz.co.nz/national/programmes/morningreport

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