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NZNO Library Current Awareness Newsletter

Issue 102 - 22 July 2009

"Newsflash" - Kai Tiaki digitised 1908-1929
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1. Promoting mental health in later life
by Gilleard, Chris & Higgs, Paul. Aging & Mental Health, May 2008, Vol 12 Issue 3:p283-284
The article discusses various reports published within the issue, including one by Gill Windle and colleagues on positive ageing focusing on the idea of "resilience" and another one by Ann Bowling on active ageing and how this term is understood by people aged 65 and above.

2. Examination of a theoretical model of psychological resilience in older age
by Windle, Gill et al. Aging & Mental Health, May 2008, Vol 12 Issue 3:p285-292
This article integrates a number of theoretical perspectives and examines the concept of psychological resilience in older age. Drawing on the literature it is hypothesised that an overarching construct-resilience-accounts for the functioning of a number of psychological resources (self-esteem, personal competence and control).
Method: The factorial validity of the resources as indicators of resilience is tested using confirmatory factor analysis. The analyses focus on previously unexplored survey data drawn from a representative sample of people aged between 50 and 90 in England, Wales and Scotland (N = 1847).
Results: The results find a common factor (a higher-order model) provides the best explanation of the relationships between the resources, demonstrating an important first account for developing further work on this concept.
Conclusion: Exploring what might form the basis of resilience from a psychological perspective enables a deeper understanding of why some individuals can remain positive in difficult circumstances, particularly some of the challenges of ageing. [ABSTRACT FROM AUTHOR]

3. Enhancing later life: How older people perceive active ageing?
by Bowling, Ann. Aging & Mental Health, May 2008, Vol 12 Issue 3:p293-301
To identify older people's perceptions of active ageing, and to compare them with the literature, and with older people's perceptions of successful ageing and quality of life. Design: Face-to-face interview survey with 337 people aged 65+ living at home in Britain.
Results: The most common perceptions of active ageing were having/maintaining physical health and functioning (43%), leisure and social activities (34%), mental functioning and activity (18%) and social relationships and contacts (15%). A third rated themselves as ageing 'Very actively', and almost half as 'Fairly actively'. Independent predictors of positive self-rated active ageing were optimum health and quality of life.
Discussion: Main sub-themes of active ageing included exercising the body and mind in order to maintain health and functioning. People's views focused on basic definitions such as social, physical and mental health and activity, probably reflecting the novelty of the concept to them, thereby excluding frail older people from active ageing. Comparisons with definitions of successful ageing and quality of life showed overlap, but the latter were portrayed as 'states of being'. This is consistent with models which propose quality of life as the end-point of active ageing. [ABSTRACT FROM AUTHOR]

4. Addressing loneliness in later life
by Pettigrew, Simone & Roberts, Michele. Aging & Mental Health, May 2008, Vol 12 Issue 3:p302-309
Social and solitary pastimes with the potential to ameliorate the experience of loneliness among older individuals were investigated for the purpose of informing future interventions designed to reduce the negative consequences of social isolation. Method: Nineteen individual interviews with Australians aged 65 years and older.
Results: Several pastimes were described by interviewees as instrumental in determining whether the increasing social isolation they experience in older age results in feelings of emotional isolation and thus of loneliness.
Conclusion: The specific behaviours that were found to ameliorate loneliness included utilizing friends and family as an emotional resource, engaging in eating and drinking rituals as a means of maintaining social contacts, and spending time constructively by reading and gardening. Specific recommendations are provided for interventions designed to prevent and treat loneliness among older people.

5. Social productivity and depressive symptoms in early old age-results from the GAZEL study
by Wahrendorf, M et al. Aging & Mental Health, May 2008, Vol 12 Issue 3:p310-316
We test associations of frequency of performing three types of socially productive activities (voluntary work, informal help and caring for a person) with depressive symptoms in older people. Are depressive symptoms negatively associated with frequency in all three types or rather in those activities that are characterized by a high degree of autonomy and perceived control?
Methods: Data on social activities and frequency of performance were collected in the frame of the annual follow-up of the French GAZEL cohort study in 2005. Depressive symptoms were measured by the CES-D scale. Perceived control was assessed by two items of a quality of life measure (CASP-19). Total of 14477 respondents aged 52-66 years completed a standardized questionnaire. Linear regression models were calculated adjusting for important confounders including self-rated health assessed during the previous year.
Results: In activities characterized by high autonomy (in particular voluntary work) a negative association of frequency with depressive symptoms was observed, whereas the reverse effect was found in the type of activity with low autonomy (care for a person). Perceived control mediated in part the association of frequency of activity with depressive symptoms.
Conclusion: Being often socially productive in early old age may contribute to well-being to the extent that autonomy and perceived control are given.

6. Intentions to seek (preventive) psychological help among older adults: An application of the theory of planned behaviour
by Westerhof, Gerben J et al. Aging & Mental Health, May 2008, Vol 12 Issue 3:p317-322
This article examines the intentions to seek (preventive) psychological help among older persons. The study is carried out from the theory of planned behaviour and distinguishes attitudes (psychological openness), subjective norms (indifference to stigma), and perceived behavioural control (help-seeking propensity) in explaining behavioural intentions with regard to seeking preventive and therapeutic psychological help.
Method: 167 Dutch adults between 65 and 75 years of age filled out a questionnaire measuring these concepts. Results: Older adults have low intentions to seek professional help for psychological problems. Their intentions to use preventive help are somewhat higher. Older adults are rather indifferent to stigma and they perceive control, but they are less open to professional help when it comes to their own person. Regression analyses revealed that psychological openness and help-seeking propensity are related to intentions to seek preventive and therapeutic help.
Conclusion: Older Dutch adults have stronger behavioural intentions to use preventive psychological help than to use therapeutic psychological help. Psychological openness is the main barrier for them to seek both forms of help. [ABSTRACT FROM AUTHOR]

7. The quality of medical care for comorbid conditions of depressed elders
by Song-Iee Hong et al. Aging & Mental Health, May 2008, Vol 12 Issue 3:p323-332
In light of large variation in the quality of medical care, this study assesses the extent to which medical care for depressed elders is consistent with systematic quality standards.
Method: Using the Donabedian model, we assess factors related to two quality measures: medical service fit and medical provider contact. We assessed 110 depressed older adults with comorbid conditions through practical guidelines of medical services.
Results: We found large variation in the quality of medical care and differences between two quality measures. Structure (Medigap insurance and clinical factors) and process factors (medical professional visits, ER visits, and adequacy of informal care)influenced the quality of medical care.
Conclusion: Emphasizing accuracy in quality measures, quality disparities by medical conditions call attention to the risky population with certain conditions targeted for closer follow-up. Appropriate medical care processes can enhance the quality. [ABSTRACT FROM AUTHOR]

8. Predicting longitudinal patterns of psychological distress in older husband caregivers: Further analysis of existing data
by Lévesque, Louise et al. Aging & Mental Health, May 2008, Vol 12 Issue 3:p333-342
Further analysis of existing data from a previous longitudinal study of older husband caregivers sought to determine whether primary objective and subjective stressors drawn from Pearlin's model of caregiving could predict three patterns of psychological distress observed in the sample over 1 year: (a)
stable high (n = 115), (b) stable low (n = 44), and (c) rising (n = 46). Results of discriminant function analyses show that subjective stressors (level of role overload, role captivity and relational deprivation) at baseline, distinguish the stable low group of husbands from the stable-high. The results suggest that there is considerable stability over time. Many husband caregivers report high-psychological distress and need help, whereas there is a need of preventive interventions to keep psychological distress low. Implications for singular interventions that target specific factors according to group membership are discussed. [ABSTRACT FROM AUTHOR]


9. Development of a mentorship strategy: A knowledge translation case study
by Straus, Sharon E et al. Journal of Continuing Education in the Health Professions, Summer 2008, Vol 28 Issue 3:p117-122
There are many theories and frameworks for achieving knowledge translation, and the assortment can be confusing to those responsible for planning, evaluation, or policymaking in knowledge translation. A conceptual framework developed by Graham and colleagues provides an approach that builds on the commonalities found in an assessment of planned-action theories. This article describes the application of this knowledge to action framework to a mentorship initiative in academic medicine. Mentorship influences career success but is threatened in academia by increased clinical, research, and administrative demands.
Methods: A case study review was undertaken of the role of mentors, the experiences of mentors and mentees, and mentorship initiatives in developing and retaining clinician scientists at two universities in Alberta, Canada. This project involved relevant stakeholders including researchers, university administrators, and research funders.
Results: The knowledge to action framework was used to develop a strategy for mentorship for clinician researchers. The framework highlights the need to identify and engage stakeholders in the process of knowledge implementation. A series of initiatives were selected and tailored to barriers and facilitators to implementation of the mentorship initiative; strategies for evaluating the knowledge use and its impact on outcomes were developed.
Discussion: The knowledge to action framework can be used to develop a mentorship initiative for clinician researchers. Future work to evaluate the impact of this intervention on recruitment and retention is planned. [ABSTRACT FROM AUTHOR]

10. Journal clubs and case conferences: From academic tradition to communities of practice
by Price, David W & Felix, Kate G. Journal of Continuing Education in the Health Professions, Summer 2008, Vol 28 Issue 3:p123-130
As small group learning sessions, Journal Clubs (JCs) and Case Conferences (CCs), if structured interactively, have potential as educational formats that can change practice. However, the degree to which these formats, as currently typically structured, lead to practice change is unknown.
Methods: We used concepts of communities of practice (COPs) to structure JCs and CCs. We conducted an observational descriptive study of the learnings, implemented learnings, and barriers to implementing learnings identified in JC and CC sessions conducted in 2005–2006.
Results: Two hundred learnings in 10 different categories emerged from 73 JC or CC sessions. By self-report, over half of identified learnings were implemented in practice; 60 barriers to implementing learnings (8 different categories) were also identified. Patterns of learnings, implemented learnings, and barriers varied among sessions.
Discussion: JCs and CCs can be structured with explicit intent to articulate learnings and facilitate implementation of learnings in practice. Further work is needed to validate the learning and barrier categories we identified, objectively verify short- and longer-term practice outcomes, explore the role of JCs and CCs in addressing barriers to learning, and facilitate sustainability of learning in practice. [ABSTRACT FROM AUTHOR]

Journals – Table of Contents

11. From The New England Journal of Medicine, Volume 361, Number 3 - July 16, 2009
Prasugrel in Clinical Practice [by D.L. Bhatt]
11B. More Checks than Balances in the Struggle for Health Care Reform [by J.K. Iglehart]
11C. The Persistent Legacy of the 1918 Influenza Virus [by D.M. Morens and Others]
11D. Finding Money for Health Care Reform — Rooting Out Waste, Fraud, and Abuse [by J.K. Iglehart]
11E. Becoming a Physician: Who Has Capacity? [by B. Brody]
11F. Endoscopic versus Open Vein-Graft Harvesting in Coronary-Artery Bypass Surgery [by R.D. Lopes and Others]
11G. Disclosure of APOE Genotype for Risk of Alzheimer's Disease [by R.C. Green and Others]
11H. Longitudinal Modeling of Age-Related Memory Decline and the APOE e4 Effect [by R.J. Caselli and Others]
11I. Capsule Endoscopy versus Colonoscopy for the Detection of Polyps and Cancer [by A. Van Gossum and Others]
HPV Vaccination for the Prevention of Cervical Intraepithelial Neoplasia [by J.A. Kahn]
11K. Current Concepts: Historical Perspective — Emergence of Influenza A (H1N1) Viruses [by S.M. Zimmer and D.S. Burke]
11L. Segmental Diverticulitis [by R.S. Fisher and S.P. Doma]
11M. Lupus-Associated Intestinal Vasculitis [by D.-F. Huang and W.-S. Chen]
11N. Case 22-2009: A 59-Year-Old Man with Skin and Pulmonary Lesions after Bone Marrow Transplantation [by T.F. Patterson and Others]
Effect of Genetic Testing for Risk of Alzheimer's Disease [by R.A. Kane and R.L. Kane]
11P. The Capsule and Colorectal-Cancer Screening — The Crux of the Matter [by M. Bretthauer]
11Q. Memory and the NMDA Receptors [F. Li and J.Z. Tsien]
11R. HPV Screening for Cervical Cancer in Rural India
11S. Male Circumcision for the Prevention of HSV-2 and HPV Infections
11T. Inhibitors of Factor VIII in Hemophilia
11U. Rehospitalizations among Patients in the Medicare Fee-for-Service Program
11V. Case 11-2009: A Man with Fever, Headache, Rash, and Vomiting
11W. What Went In When Trans Went Out?

New books/reports added to the NZNO library

Books can be borrowed by NZNO members, for a period of 4 weeks.  The books are couriered out to you, so please provide your street address when requesting items.

JULY 2009

12. Building a Sustainable Workforce
A summary of the workforce development conference
September 2006
Counties Manukau District Health Board

13. Paying for Tomorrow's Health
A summary of key themes emerging from a conference on the future funding of New Zealand's health services
June 2007
Counties Manukau District Health Board

14. Health and Independence Report 2008
Minister of Health's report on progress on implementing the New Zealand Health Strategy, and on actions to improve quality Director-General of Health's annual report on the state of public health

15. Give and take: families' perceptions and experiences of flexible work in New Zealand
Families Commission
Research report no 4/08

16. Closing the gap in a generation: health equity through action on the social determinants of health
World Health Organization 2008

JUNE 2009 

17. Conflict management in the workplace: how to manage disagreements and develop trust and understanding
by Shay & Margaret McConnon
Published 2008

18. Doing a literature review in health & social care: a practical guide
by Helen Aveyard
Published 2007

19. New Zealand Employment Law Guide 2009
by Richard Rudman

20. Nurse managers: a guide to practice
Edited by Andrew Crowther
2nd edition 2008

21. The skilled helper
by Gerard Egan
Eighth edition 2007

22. Understanding health inequalities in Aoteraoa New Zealand
edited by Kevin Dew and Anna Matheson
Published 2008

News – National

23. New Flu Centres Open in Rolleston and Rangiora
Monday, 20 July 2009
Press Release: Canterbury District Health Board  
New Flu Centres Open in Rolleston and Rangiora
An increase in the number of out-of-town flu patients at the Christchurch Central Flu Centre has led to the opening today of two more centres in Rolleston and Rangiora. Dr Phil Schroeder, Head of the Canterbury Primary Pandemic Group says, “We have been keeping an eye on demographics and noting where people calling our 0800 flu line live. We’ve noticed that increasing numbers of people visiting the central city flu centre are coming in from Selwyn and Waimakariri. It therefore makes sense to open local centres for these people."

24. Letter to the Editor
Dominion Post - 18 July 2009
OPINION: Thank you for The Dominion Post's excellent Swine flu ground zero coverage. It was fantastic to see our health workers get the recognition they deserve. I would, however, like to also publicly acknowledge our Healthline nurses, who have been a key part of the pandemic's front line, around the clock, seven days a week, since April 25.

25. Overweight mums increase obesity risk
TVNZ - 31 March 2009
The kids of mums who stack on too many extra kilos during pregnancy are more likely to grow up to be obese, a new Australian study shows. The University of Queensland research has found a link between an expectant mum's excess weight gain and a higher Body Mass Index (BMI) score in their child at age 21.

26. Ministry issues warning on measles
NZ Herald - Monday Jul 20, 2009
A rapid rise in the number of cases of measles is a reminder for parents to make sure that their children's immunisations are up to date, say health officials. There have been 90 notified measles cases so far this year - more than seven times higher than the total number of cases for all of last year, according to the Ministry of Health.

News - International

27. Canberra urged to take over state health
The Age - July 22, 2009 - 6:29AM
The commonwealth could seize control of some state health powers under reform plans before the federal government. The National Health and Hospitals Reform Commission's final report on the health system, to be released next week, recommends Canberra should take over funding for hospital outpatient services and community health centres, Fairfax newspapers said.

28. Listeriosis outbreak was a 'preventable incident': report
Calgary Herald - 21 July 2009
OTTAWA -- A void of leadership, inadequate decision-making, an insufficient focus on food safety and a lack of planning and communication all contributed to the listeriosis outbreak last summer and the poor handling of it by industry and government officials. Those are among the findings of a report released Tuesday by the independent investigator appointed by the federal government to probe the deadly outbreak of bacteria at a Maple Leaf Foods plant in Toronto that caused the deaths of 22 Canadians and made hundreds sick from contaminated meat

29. Nestle cuts sugar in snacks to keep child ads
The Age - July 21, 2009
GIANT food manufacturer Nestle has reduced the sugar levels of some of its most popular snacks — including some Allens lollies and Milo B Smart — to meet new nutritional standards and to be able to advertise them to children.

30. Baking soda may help kidney health
Irish Health - 20 July 2009
A daily dose of sodium bicarbonate (household baking soda commonly used for baking and cleaning) in tablet form, could help patients with advanced chronic kidney disease (CKD), according to new research. The study, by researchers from the Royal London Hospital in the UK, found that regulated doses of baking soda under strict medical supervision appeared to slow the decline of kidney function in some patients.

31. Food fight
Sydney Morning Herald - July 14, 2009
Snack attack … rice crackers are popular with children but need to be watched. A NEW national survey on Australian diets confirms children from poorer families tend to eat more junk food and are more likely to be overweight. It also shows nearly all children, rich or poor, fat or slim, consume more sugar and salt than they should while hardly any teenagers eat enough fresh fruit and vegetables.

32. Indigenous health linked to land care
ABC - 26 May 2009
Indigenous Australians who are involved in caring for the land increase their likelihood of being healthy and happy, a new study suggests. The study, published recently in the Medical Journal of Australia, examined the link between the health of Indigenous people in an Arnhem Land community and 'caring for country' practices.




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