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Issue 31 - 17 Sept 2012

Blue September is the Prostate Cancer Foundation's national awareness campaign

Every year over 500 men die in New Zealand of prostate cancer.  That is more than 500 fathers, sons, brothers, grandfathers - gone! This happens because men don’t know how dangerous the disease is, they don’t talk to their doctor about it, they simply don’t do anything about it. This has to stop. Prostate cancer can be prevented if detected early enough. That’s why Blue September is about getting the word out about prostate cancer.  If you paint your face blue, donate money to the Prostate Cancer Foundation or even tell people, you will be directly helping to lower the death rate and reduce the suffering from this disease.

Books Available for Borrowing - NZNO Library

1. Advancing perioperative practice
Edited by Mark Radford, Bernie County & Melanie Oakley
Published in 2004, Nelson Thornes Ltd (UK)
This book addresses the whole area of the perioperative environment with an accessible mixture of advanced theory and practice.  Maintaining an easy to read approach, however, it serves as an inspiration to those in training or new to the perioperative field, providing evidence of the wealth of practice opportunities available in today's perioperative environment.  By daring to challenge some of the commonly accepted and traditional boundaries within the field, the authors are helping to redefine perioperative practice in the light of today's world of healthcare.
Key features:
- Covers all three areas of the surgical experience;
- Examines the specific nature of consent and associated legal issues in the perioperative arena
- Addresses aspects vital to patient safety including infection control and risk management

2. Clinical Nursing Skills: Core and Advanced
Edited by Ruth Endacott; Phil Jevon & Simon Cooper.
Covers the NMC's Essential Skills Clusters required by students for registration and beyond. Step-by-step procedures for all settings with underlying biology, theory, and evidence.

3. Evidence-Based Nursing: A guide to clinical practice
By Alba DiCenso; Gordon Guyatt & Donna Ciliska
Published in 2005; Elsevier Mosby
Written in response to numerous requests by nurse practitioners and other graduate faculty for a nursing literature resource, this new two-color book is based on the Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice by Dr. Gordon Guyatt and Dr. Drummond Rennie, published in 2001 by the AMA. Revised for the nursing audience, Evidence-Based Nursing is a reader-friendly, accessible guide that features plentiful examples from the nursing literature and the addition of specific nursing issues such as qualitative research, with direct application for clinical practice.

4. Introduction to Research
By Mark Walsh & Lynne Wigens
Published in 2003; Nelson Thornes Ltd (UK)
With a clear and systemic approach this introductory text leads the reader through the whole research process.  The authors begin with the basics such as which models of research to use for different projects and then progress to developing the more advanced topics, including how to critique and evaluate someone else's research.

5. Midwifery and Public Health: Future directions and new opportunities
Edited by Padraig O Luanaigh & Cindy Carlson
Published in 2005; Elsevier
This book explores public health from the perspective of the midwife and examines the midwife's role in maintaining and improving health from a more global and population-based focus. With contributions from leading academics and practising midwives, real life initiatives are discussed. Midwifery and Public Health provides clear guidance on identifying health needs and offers a sound knowledge base from which practitioners can develop and clearly demonstrate their significant contribution to public health care provision.

Articles - Oral Health

6. Maintaining oral health after stroke
By Dickinson, Hazel. Nursing Standard. 8/8/2012, Vol. 26 Issue 49: p35-39
Oral care is essential to maintain oral health and prevent complications such as tooth loss, gingivitis and periodontitis. Poor oral hygiene in dependent, hospitalised patients could lead to serious complications such as chest infection, pneumonia, poor nutritional intake and increased length of hospital stay. Patients who have had a stroke may have physical and cognitive problems that make them dependent on others for their personal care, including oral care. It is essential that nurses and carers understand why maintaining oral hygiene is important following stroke and the consequences of poor oral care. [ABSTRACT FROM AUTHOR].

7. The Relationship of Oral Health Literacy and Self-Efficacy With Oral Health Status and Dental Neglect
By Lee, Jessica Y.; Divaris, Kimon; Baker, A. Diane; Rozier, R. Gary; Vann Jr, William F. American Journal of Public Health. May 2012, Vol. 102 Issue 5: p923-929
We examined the associations of oral health literacy (OHL) with oral health status (OHS) and dental neglect (DN), and we explored whether self-efficacy mediated or modified these associations.
Methods. We used interview data collected from 1280 female clients of the Special Supplemental Nutrition Program for Women, Infants and Children from 2007 to 2009 as part of the Carolina Oral Health Literacy Project. We measured OHL with a validated word recognition test (REALD-30), and we measured OHS with the self-reported National Health and Nutrition Examination Survey item. Analyses used descriptive, bivariate, and multivariate methods.
Results. Less than one third of participants rated their OHS as very good or excellent. Higher OHL was associated with better OHS (for a 10-unit REALD increase: multivariate prevalence ratio=1.29; 95% confidence interval=1.08, 1.54). OHL was not correlated with DN, but self-efficacy showed a strong negative correlation with DN. Self-efficacy remained significantly associated with DN in a fully adjusted model that included OHL.
Conclusions. Increased OHL was associated with better OHS but not with DN. Self-efficacy was a strong correlate of DN and may mediate the effects of literacy on OHS. [ABSTRACT FROM AUTHOR].

8. Social Gradients in Oral Health in Older Adults: Findings From the English Longitudinal Survey of Aging
By Tsakos, Georgios; Demakakos, Panayotes; Breeze, Elizabeth; Watt, Richard G. American Journal of Public Health. Oct 2011, Vol. 101 Issue 10: p1892-1899
We examined prospective associations between socioeconomic position (SEP) markers and oral health outcomes in a national sample of older adults in England.
Methods. Data were from the English Longitudinal Survey of Aging, a national cohort study of community-dwelling people aged 50 years and older. SEP markers (education, occupation, household income, household wealth, subjective social status, and childhood SEP) and sociodemographic confounders (age, gender, and marital status) were from wave 1. We collected 3 self-reported oral health outcomes at wave 3: having natural teeth (dentate vs edentate), self-rated oral health, and oral impacts on daily life. Using multivariate logistic regression models, we estimated associations between each SEP indicator and each oral health outcome, adjusted for confounders.
Results. Irrespective of SEP marker, there were inverse graded associations between SEP and edentulousness, with proportionately more edentate participants at each lower SEP level. Lower SEP was also associated with worse self-rated oral health and oral impacts among dentate, but not among edentate, participants.
Conclusions. There are consistent and clear social gradients in the oral health of older adults in England, with disparities evident throughout the SEP hierarchy. [ABSTRACT FROM AUTHOR].

Articles - Cervical Screening

9. Intracellular Human Papillomavirus E6, E7 mRNA Quantification Predicts CIN 2+ in Cervical Biopsies Better Than Papanicolaou Screening for Women Regardless of Age
By Pierry, Deirdre; Weiss, Gerald; Lack, Benjamin; Chen, Victor; Fusco, Judy. Archives of Pathology & Laboratory Medicine. Aug 2012, Vol. 136 Issue 8: p956-960
Cervical cancer screening in women younger than 30 years relies on cervical cytology because of the poor performance of human papillomavirus (HPV) DNA testing in this age group. Objectives.--To determine the performance of in-cell HPV E6, E7 mRNA quantification (HPV OncoTect) for the detection of high-grade cervical intraepithelial neoplasia in women younger than 30 years.
Design.--We analyzed 3133 cytology specimens from a screening population of women aged 19-75 years investigate HPV OncoTect as a triage/secondary screening test for atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous intraepithelial lesion (LSIL) cytology in women younger than 30 years. Test results were compared to histology in 246 cases. Results.--The sensitivity of E6, E7 mRNA was 89% for CIN 2+ and 100% for CIN 3+ lesions in women 30 years and older. In women younger than 30 years, the sensitivity of E6, E7 mRNA for CIN 2+ lesions was 88% for CIN 2+ and 92% for CIN 3+ lesions. Abnormal cytology (=ASCUS) exhibited a sensitivity of 89% for CIN 2+ and 100% for CIN 3+ in women 30 years and older and 96% sensitivity for CIN 2+ and 93% sensitivity for CIN 3+ in women younger than 30. The specificity of E6, E7 mRNA was >80% for CIN 2+ and CIN 3+ in both groups of women compared to a specificity of abnormal cytology of <10% for CIN 2+ and CIN 3+ in both groups.
Conclusions.--HPV OncoTect demonstrates a performance that would be effective for ASCUS/LSIL triage in women including those younger than 30 years. [ABSTRACT FROM AUTHOR].

10. Screening for Cervical Cancer: U.S. Preventive Services Task Force Recommendation Statement
By Moyer, Virginia A. Annals of Internal Medicine. 6/19/2012, Vol. 156 Issue 12, following p880-891
Update of the 2003 U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for cervical cancer.
Methods: The USPSTF reviewed new evidence on the comparative test performance of liquid-based cytology and the benefits and harms of human papillomavirus (HPV) testing as a stand-alone test or in combination with cytology. In addition to the systematic evidence review, the USPSTF commissioned a decision analysis to help clarify the age at which to begin and end screening, the optimal interval for screening, and the relative benefits and harms of different strategies for screening (such as cytology and co-testing).
Recommendations: This recommendation statement applies to women who have a cervix, regardless of sexual history. This recommendation statement does not apply to women who have received a diagnosis of a high-grade precancerous cervical lesion or cervical cancer, women with in utero exposure to diethylstilbestrol, or women who are immunocompromised (such as those who are HIV positive). The USPSTF recommends screening for cervical cancer in women aged 21 to 65 years with cytology (Papanicolaou smear) every 3 years or, for women aged 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and HPV testing every 5 years. See the Clinical Considerations for discussion of cytology method, HPV testing, and screening interval (A recommendation). The USPSTF recommends against screening for cervical cancer in women younger than age 21 years (D recommendation). The USPSTF recommends against screening for cervical cancer in women older than age 65 years who have had adequate prior screening and are not otherwise at high risk for cervical cancer. See the Clinical Considerations for discussion of adequacy of prior screening and risk factors (D recommendation). The USPSTF recommends against screening for cervical cancer in women who have had a hysterectomy with removal of the cervix and who do not have a history of a high-grade precancerous lesion (cervical intraepithelial neoplasia grade 2 or 3) or cervical cancer (D recommendation). The USPSTF recommends against screening for cervical cancer with HPV testing, alone or in combination with cytology, in women younger than age 30 years (D recommendation). [ABSTRACT FROM AUTHOR].

11. Causes and Relevance of Unsatisfactory and Satisfactory but Limited Smears of Liquid-Based Compared With Conventional Cervical Cytology
By Siebers, Albertus G.; Klinkhamer, Paul J. J. M.; Vedder, Judith E. M.; Arbyn, Marc; Bulten, Johan. Archives of Pathology & Laboratory Medicine. Jan 2012, Vol. 136 Issue 1: p76-83
Recent randomized controlled trials have shown a significant decrease in unsatisfactory rates for liquid-based cytology (LBC) compared with conventional Papanicolaou test (CP). The underlying causes and relevance of unsatisfactory results for LBC and CP have never been compared within the setting of a randomized controlled trial.
Objective.-To examine differences in causes and relevance of unsatisfactory and satisfactory but limited by (SBLB) results for LBC and CP.
Design.-Data from the Netherlands ThinPrep Versus Conventional Cytology (NETHCON) trial were used, involving 89 784 women. Causes and relevance of unsatisfactory and SBLB results were analyzed.
Results.-The primary cause for unsatisfactory results for CP and LBC was scant cellularity. Other causes for unsatisfactory CPs were virtually eliminated with LBC. The same was true for SBLB subcategories, with the exception of SBLB absence of transformation zone component and SBLB scant cellularity. The SBLB absence of transformation zone component showed a statistically significant 22% and SBLB scant cellularity a 12% nonsignificant increase with LBC. The detection rates of abnormalities found during 18 months of follow-up of unsatisfactory test results did not differ significantly between the 2 study arms, nor did they differ from the initial test positivity rates from the NETHCON trial.
Conclusions.-Liquid-based cytology shows an almost complete elimination of most causes for unsatisfactory CP, with scant cellularity remaining as the sole cause for unsatisfactory LBC. On the other hand, with LBC a significant increase of smears without a transformation zone component was noted. Women with an unsatisfactory test result are not at increased risk for cervical abnormalities either with LBC or with CP. Trial Registration.-Nederlands Trial Register, NTR1032, [ABSTRACT FROM AUTHOR].

Articles -  New Zealand Journal
of Employment Relations. Feb 2012

12. Labour Law
By Wilson, Margaret. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p1-2
: The article reports that on June 3, 2010, the New Zealand Labour Law Society was launched in Auckland by its Patron Judge Coral Shaw. The Society has sought and been granted affiliation to the International Society of Labour and Social Security Law (ISLSSL) as the New Zealand member of the international society..

13. Australian Labour Law in Transition: The Impact of the Fair Work Act
By Stewart, Andrew. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p3-21
: The article focuses on the changes effected by the Work Choices and Fair Work legislation, and the values and objectives underlying these two important and contentious sets of reforms in Australia. It is common for employers and trade unions to negotiate as to the content of awards, and, indeed, to strike enterprise-level deals that improved on award conditions or dealt with local issues..

14. Bargaining Fair Work Style: Fault-lines in the Australian Model
By Riley, Joellen. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p22-29
: The model of good faith bargaining introduced by the Fair Work Act 2009 (Cth) requires bargaining representatives to bargain in good faith with every other bargaining representative appointed by an employer or employee. This obligation is producing some interesting problems. The work once done by trade unions (in marshalling collective views of employees, funding the work of bargaining, and settling their own demarcation issues) appears to be falling into the lap of employers. This paper will examine some of the fault lines appearing in the system - possibly as a consequence of an ill-considered attempt to accommodate individualism in an essentially collective system. The paper is based on some empirical research, as well as an examination of Fair Work Australia decisions. [ABSTRACT FROM AUTHOR].

15. The Rule of Law in Private Law: A New Animating Ideal for Employment Law?
By Harris, Max. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p44-59
The article focuses on rule of law in private law. The rule of law in private law operates in the same way as other strands of rule of law. The rule of law encompasses a web of related concerns accounts for the complexity of the concept, encourages ongoing debate about the meaning of the rule of law. It provides a useful set of familiar concepts that can be used to test whether a new strand of rule of law thinking belongs in the web of rule of law ideas..

16. An Uneven Playing Field - Partial Strikes
By Hornsby-Geluk, Susan. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p60-69
The article focuses on partial strikes in New Zealand. A partial or strategic strike occurs when employees do not walk off the job completely but refuse to undertake certain parts of their job. Partial strikes include bans on particular activities such as answering phones or filling in paperwork, working to rule, going slow, bans on overtime, or taking breaks at the same time as colleagues..

17. Revisiting Stokes Valley: Trial Periods and Statutory Interpretation
By Worthy, Scott. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p70-81
The article offers information about the lawsuit, Smith v Stokes Valley Pharmacy (2009) Ltd. In August 2009, the Cooks decided to sell their business. The method of sale was that Stokes Valley Pharmacy Ltd would sell the business as a going concern to Stokes Valley Pharmacy (2009) Ltd. Stokes Valley Pharmacy (2009) Ltd was owned by both Paul Kearns and Karen King, who would operate the pharmacy..

18. Returning Dignity to Labour: Workplace Safety as a Human Right
By Barrett, Jonathan; Thomson, Leigh. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p82-89
Universal human rights are derived from respect for human life and the inherent dignity of the person. As signatory to all major United Nations. human rights instruments, New Zealand is a 'human rights State'. However, New Zealand workers experience high levels of occupational accidents and workplace death, particularly in the mining industry where, it appears, profit commonly takes precedence over safety. The Pike River mine explosion, in which 29 men were killed, is an egregious example of the quotidian risks many New Zealand workers face. This subordination of human dignity and life to financial considerations is incompatible with basic human rights principles. In this article, we argue that the current reasonably practicable test for workplace safety is insufficient. If the dignity and lives of workers are to be taken seriously, a benchmark akin to the proportionality test of human rights jurisprudence is indicated. [ABSTRACT FROM AUTHOR].

19. New Zealand and the Proposed Australian Model Workplace Health and Safety Act
By Templer, Leeanne. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p90-99
: The article compares the scope and coverage of the proposed Australian Model Workplace Health and Safety Act (MWHS Act) with the New Zealand Health and Safety in Employment Act 1992 (HSE Act). The MWHS Act imposes very broad duties in comparison with the HSE Act. Section 16 of the HSE Act provides considerable divergence from the levels of protection under the MWHS Act..

20. An Evaluation of Whether New Zealand's Occupational Health and Safety Law Adequately Addresses the Risks to Workers Exposed to Nanotechnology and Nanoparticles
By Moore, Jennifer. New Zealand Journal of Employment Relations. Feb 2012, Vol. 37 Issue 1: p100-117
The article explore whether New Zealand (NZ) occupational health and safety (OHS) legislation provides adequate protection for workers who are exposed to nanoparticles (NPs). About 6 million New Zealand dollars of public money per annum is invested in nanotechnology research and development. Workers involved at any point throughout the lifecycle of nanoproducts are potentially being exposed to NPs..

Journal - Table of Contents

21. From Journal of Nursing Administration, July/August 2012; Volume 42, Number 7/8
Transformational Leadership: Visibility, Accessibility, and Communication
21B. The Future of Nursing: Community Health’s Network Approach
21C. Implementing Evidence-Based Practice During an Economic Downturn
21D. Return on Investment in Complex Healthcare Systems
21E. National AgeWISE Pilot
21F. The Role of Nursing Surveillance in Keeping Patients Safe
21G. Creating Staff Confidence in Distinguishing Between Performance Improvement and Research Studies: A User-Friendly Worksheet
21H. Involving Nurses in Decisions: Improving Both Nurse and Patient Outcomes
21I. Who Will Be Our Nursing Leaders in the Future? The Role of Succession Planning
21J. Nursing Research in a Nonacademic Health System: Measuring Knowledge, Attitudes, and Behaviors

Ministry of Health

22. Report of the National Panel to review Breast Biopsy Errors
- In June 2012 the Ministry of Health convened a Panel of Experts to provide advice after the occurrence of five incidents of serious errors in reporting of anatomical pathology results.
The errors occurred over a two year period:
•four incidents involved breast biopsy tissue and the fifth involved oral tissue,
•the errors occurred in both hospital and community laboratories, and
•each of the errors resulted in the patient undergoing unnecessary surgery.
The Panel had the opportunity to consider reports of the investigations into each of the events and also spoke with several of the patients affected as well as their family members.

23. The Public Health Workforce Survey August 2012
The Ministry of Health has recently completed a representative survey of the public health workforce.  This survey builds on the 2004 Public Health Workforce Survey completed by Phoenix Research.  The August 2012 Final Report is nearly complete, but in the meantime we have a PRELIMINARY TASTE OF THE 2012 RESULTS available now.

News - National

24. Taskforce targets workplace injury toll
Waikato Times
Bigger fines and tougher penalties for companies and directors could be one of the ways to improve New Zealand's deplorable workplace injury and death toll. The just-published Safer Workplaces report by the Independent Taskforce reveals New Zealand's workplace safety record is twice as bad as Australia's and four times as bad as Britain's, and that those injured in the workplace each year would fill Eden Park four times over.
The toll includes 100 dead each year, 25,000 people hurt badly enough to be off work for a week, and 370 hospitalised and diagnosed with a life-threatening condition.

25. Elderly Marlborough man dies of meningitis
One News - 13 Sept 2012

An elderly Marlborough man has died of meningitis, medical officer of health Jill Sherwood says. The man died on Monday after being admitted to hospital with pneumococcal disease, which can lead to meningitis, Dr Sherwood said. Pneumococcal bacteria was more commonly associated with pneumonia or milder conditions such as ear infections, she said

News - International

26. Microscopic film to prevent tooth decay
AFP September 17, 2012 9:16AM 
SCIENTISTS in Japan have created a microscopically thin film that can coat individual teeth to prevent decay or to make them appear whiter. The "tooth patch" is a hard-wearing and ultra-flexible material made from hydroxyapatite, the main mineral in tooth enamel, that could also mean an end to sensitive teeth.
"This is the world's first flexible apatite sheet, which we hope to use to protect teeth or repair damaged enamel," said Shigeki Hontsu, professor at Kinki University's Faculty of Biology-Oriented Science and Technology in western Japan.

27. Work stress can raise risk of heart attack by 23%, study finds
Research claims those most at risk are those with high demands on them but little control over how and when to do the work
Guardian - 14 Sept 2012


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