F. Savila, Anele Bamber, M. Harwood, Dave Letele, W. Bagg, Fuatino Laban, B. Swinburn, F. Goodyear-Smith
Buttabean Motivation (BBM) is a grassroot initiative aiming to improve Pasifika and M?ori health through free community bootcamps offering exercise, motivation and nutritional advices, and with online programmes of workouts and meal plans. It is a dynamic organisation, responding to community needs, providing practical solutions to issues such as food insecurity and influenza vaccination while maintaining its core focus of reducing obesity among Pasifika and M?ori through nutrition and physical activity.. BBM forms active and changing relationships with numerous organisations that offer support. They would like to work with the government and the district health boards, but the structure and changing nature of their organisation does not fit traditional funding models. To show that BBM is effective for Pacific people beyond anecdotal evidence, BBM has partnered with University of Auckland researchers. The research team are using a kaupapa M?ori and co-design approach to explore how BBM might benefit the community and reduce health inequities, especially whether BBM’s model of social collectivism enables sustainable weight loss for Pasifika and M?ori in the current obesogenic environment. Weight reduction programmes typically find that after initial success, participants have reverted to pre-programme weight by five years. BBM’s “whole of life change” approach may lead to sustained weight loss not demonstrated by other programmes. Using co-design, a BBM/University of Auckland partnership is evaluating the effectiveness of the BBM programme for sustained health and wellbeing. BBM is grounded in the Pacific/indigenous health frameworks fonofale, te whare tapa wh? and fa’afaletui addressing physical, mental, spiritual, family and social health in the context of people’s lives. The research will use a longitudinal cohort approach study design, using metrics and outcomes of relevance to its participants and the programme. A systems analysis will facilitate understanding of the strengths and challenges to delivering a holistic and sustained service for the community. BBM provides much promise in reducing health inequities for Pasifika and M?ori, however the model creates challenges for ongoing funding, business structure and evaluation. The goal is to find ways that both the programme and social institutions, including funders and evaluators, can adapt to meet these real-world challenges.
{"title":"Moving with the times: evolution of Buttabean Motivation – a community-based, Pacific-centred approach to health","authors":"F. Savila, Anele Bamber, M. Harwood, Dave Letele, W. Bagg, Fuatino Laban, B. Swinburn, F. Goodyear-Smith","doi":"10.26635/phd.2021.140","DOIUrl":"https://doi.org/10.26635/phd.2021.140","url":null,"abstract":"Buttabean Motivation (BBM) is a grassroot initiative aiming to improve Pasifika and M?ori health through free community bootcamps offering exercise, motivation and nutritional advices, and with online programmes of workouts and meal plans. It is a dynamic organisation, responding to community needs, providing practical solutions to issues such as food insecurity and influenza vaccination while maintaining its core focus of reducing obesity among Pasifika and M?ori through nutrition and physical activity.. BBM forms active and changing relationships with numerous organisations that offer support. They would like to work with the government and the district health boards, but the structure and changing nature of their organisation does not fit traditional funding models. To show that BBM is effective for Pacific people beyond anecdotal evidence, BBM has partnered with University of Auckland researchers. The research team are using a kaupapa M?ori and co-design approach to explore how BBM might benefit the community and reduce health inequities, especially whether BBM’s model of social collectivism enables sustainable weight loss for Pasifika and M?ori in the current obesogenic environment. Weight reduction programmes typically find that after initial success, participants have reverted to pre-programme weight by five years. BBM’s “whole of life change” approach may lead to sustained weight loss not demonstrated by other programmes. Using co-design, a BBM/University of Auckland partnership is evaluating the effectiveness of the BBM programme for sustained health and wellbeing. BBM is grounded in the Pacific/indigenous health frameworks fonofale, te whare tapa wh? and fa’afaletui addressing physical, mental, spiritual, family and social health in the context of people’s lives. The research will use a longitudinal cohort approach study design, using metrics and outcomes of relevance to its participants and the programme. A systems analysis will facilitate understanding of the strengths and challenges to delivering a holistic and sustained service for the community. BBM provides much promise in reducing health inequities for Pasifika and M?ori, however the model creates challenges for ongoing funding, business structure and evaluation. The goal is to find ways that both the programme and social institutions, including funders and evaluators, can adapt to meet these real-world challenges.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47592518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-07DOI: 10.24135/pacifichealth.v4i.60
B. Nair, K. Sriamporn, Ayan Said, Wenjie Li, Adetoun Nnabugwu, D. Sousa, A. Bhatia, C. Conn, Radilaite Cammock
On Wednesday 23 June 2021 a one-day event was hosted by Auckland University of Technology’s (AUT) Child and Youth Health Research Centre (CYHRC) at South Campus, Manukau City. This annual event was initiated in 2014 and is a collaboration by researchers from AUT, University of Auckland and Massey University. It aims to provide an opportunity for postgraduate students with projects focusing on Human Immunodeficiency Virus (HIV) and Sexual Health to present their studies and to meet and network with other researchers with similar interests. This successful event incorporated much stimulating discussion with the oral presentations by postgraduate students; and there were 40 attendees (both face to face and online) from academic, NGO and public sectors, including New Zealand Aids Foundation (NZAF), District Health Boards, GP clinics. The presentations demonstrated a wide range of topics including HIV counselling programmes in India; blood donor policies among Gay and Bisexual Men in New Zealand; and the role of social media apps in providing sexual and reproductive health information for users. An innovation in 2021 was that of a plenary session at the end of the presentations providing a general forum for discussion based on the theme, 'HIV and Sexual Health in a Post Covid World. Key experts and students discussed their experiences led by a panel of four HIV/Sexual Health researchers. Indigenous Pacific perspectives were also shared along with policy directions and implications. Key takeaways relevant within the post covid context were the need for more research support in the field of HIV and Sexual and Reproductive Health and the impact of HIV/Sexual Health among vulnerable marginalised groups. Here in this special section of vol 4 of Pacific Health, 2021, we present the abstracts from the oral presentations.
{"title":"7th Interscholastic Student HIV & Sexual Health Research Symposium 2021","authors":"B. Nair, K. Sriamporn, Ayan Said, Wenjie Li, Adetoun Nnabugwu, D. Sousa, A. Bhatia, C. Conn, Radilaite Cammock","doi":"10.24135/pacifichealth.v4i.60","DOIUrl":"https://doi.org/10.24135/pacifichealth.v4i.60","url":null,"abstract":"On Wednesday 23 June 2021 a one-day event was hosted by Auckland University of Technology’s (AUT) Child and Youth Health Research Centre (CYHRC) at South Campus, Manukau City. This annual event was initiated in 2014 and is a collaboration by researchers from AUT, University of Auckland and Massey University. It aims to provide an opportunity for postgraduate students with projects focusing on Human Immunodeficiency Virus (HIV) and Sexual Health to present their studies and to meet and network with other researchers with similar interests. This successful event incorporated much stimulating discussion with the oral presentations by postgraduate students; and there were 40 attendees (both face to face and online) from academic, NGO and public sectors, including New Zealand Aids Foundation (NZAF), District Health Boards, GP clinics. The presentations demonstrated a wide range of topics including HIV counselling programmes in India; blood donor policies among Gay and Bisexual Men in New Zealand; and the role of social media apps in providing sexual and reproductive health information for users. \u0000An innovation in 2021 was that of a plenary session at the end of the presentations providing a general forum for discussion based on the theme, 'HIV and Sexual Health in a Post Covid World. Key experts and students discussed their experiences led by a panel of four HIV/Sexual Health researchers. Indigenous Pacific perspectives were also shared along with policy directions and implications. Key takeaways relevant within the post covid context were the need for more research support in the field of HIV and Sexual and Reproductive Health and the impact of HIV/Sexual Health among vulnerable marginalised groups. \u0000Here in this special section of vol 4 of Pacific Health, 2021, we present the abstracts from the oral presentations.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"148 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77365631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-05DOI: 10.24135/pacifichealth.v4i.45
Pornchanuch Chumpunuch, Margaret Hinepo Williams
Introduction: Our study explores the efficacy of community consultation in redesigning the Hayman Park playground from a community perspective. Hayman Park is located in Manukau City centre in the south of New Zealand’s capital city, Auckland. It has a mixed community of Pasifika, Māori and other ethnic groups with a younger demographic than the average. Methods: We used a qualitative approach to examine participants’ perceptions. Of the 27 adults (N = 27) who participated, three (n = 3) were available for one-on-one, face-to-face interviews post project. Two transcripts recorded during focus group activities involving 27 children (N = 27) were also analysed. We found that six (n = 6) children expressed opinions during their involvement. Their views, alongside those of adults, were parsed into emergent categories and themes. Results and Discussion: We identified three themes: health and well-being; community and individual needs; and the effectiveness of community partnership. Responses from both adults and children indicated that participants felt they had achieved better health and well-being. Feedback showed significant gains in knowledge and awareness. However, participants wanted a deeper relationship with project leaders. Conclusion: We conclude that the Hayman Park project is a good example of how involving local communities in designing the spaces they live in can engender positive outcomes. However, the project did not fulfil participants’ desire for more meaningful engagement with the leading stakeholders.
{"title":"Children as decision makers: the Hayman Park community project in Aotearoa New Zealand","authors":"Pornchanuch Chumpunuch, Margaret Hinepo Williams","doi":"10.24135/pacifichealth.v4i.45","DOIUrl":"https://doi.org/10.24135/pacifichealth.v4i.45","url":null,"abstract":"Introduction: Our study explores the efficacy of community consultation in redesigning the Hayman Park playground from a community perspective. Hayman Park is located in Manukau City centre in the south of New Zealand’s capital city, Auckland. It has a mixed community of Pasifika, Māori and other ethnic groups with a younger demographic than the average. \u0000Methods: We used a qualitative approach to examine participants’ perceptions. Of the 27 adults (N = 27) who participated, three (n = 3) were available for one-on-one, face-to-face interviews post project. Two transcripts recorded during focus group activities involving 27 children (N = 27) were also analysed. We found that six (n = 6) children expressed opinions during their involvement. Their views, alongside those of adults, were parsed into emergent categories and themes. \u0000Results and Discussion: We identified three themes: health and well-being; community and individual needs; and the effectiveness of community partnership. Responses from both adults and children indicated that participants felt they had achieved better health and well-being. Feedback showed significant gains in knowledge and awareness. However, participants wanted a deeper relationship with project leaders. \u0000Conclusion: We conclude that the Hayman Park project is a good example of how involving local communities in designing the spaces they live in can engender positive outcomes. However, the project did not fulfil participants’ desire for more meaningful engagement with the leading stakeholders.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91146717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The talanoa reported in this paper explores the way the Manalagi Project – recently funded by the Health Research Council of New Zealand – has been designed to empower the health and wellbeing of our Pacific Rainbow LGBTIQA+ MVPFAFF communities. Community-driven, co-designed and embedded, the Manalagi Project adopts a Pacific-centred holistic approach to wellbeing and research. Positioned at the beginning of its community consultation phase, this talanoa between the two lead researchers, one who is an academic and the other a community practitioner, documents the genealogy of the project embedded in lived experiences and relationality through talanoa. It speaks to the importance and timeliness of the project; the suitability of the research team; and intervenes in conversations around how we can activate Pacific research methodologies and praxis to empower our communities to achieve their health and wellbeing aspirations. The findings from this talanoa demonstrate the criticality in adopting intersectional approaches to understanding the differentiated and contextualised health and wellbeing needs of diverse Pacific communities.
{"title":"Manalagi Talanoa A Community-Centred Approach to Research on the Health and Wellbeing of Pacific Rainbow LGBTIQA+ MVPFAFF Communities in Aotearoa New Zealand","authors":"P. Thomsen, Phylesha Brown-Acton","doi":"10.26635/phd.2021.117","DOIUrl":"https://doi.org/10.26635/phd.2021.117","url":null,"abstract":"The talanoa reported in this paper explores the way the Manalagi Project – recently funded by the Health Research Council of New Zealand – has been designed to empower the health and wellbeing of our Pacific Rainbow LGBTIQA+ MVPFAFF communities. Community-driven, co-designed and embedded, the Manalagi Project adopts a Pacific-centred holistic approach to wellbeing and research. Positioned at the beginning of its community consultation phase, this talanoa between the two lead researchers, one who is an academic and the other a community practitioner, documents the genealogy of the project embedded in lived experiences and relationality through talanoa. It speaks to the importance and timeliness of the project; the suitability of the research team; and intervenes in conversations around how we can activate Pacific research methodologies and praxis to empower our communities to achieve their health and wellbeing aspirations. The findings from this talanoa demonstrate the criticality in adopting intersectional approaches to understanding the differentiated and contextualised health and wellbeing needs of diverse Pacific communities.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44938682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Olayemi, J. Abraham, Vicky Yemoh, Kamoru A. Adedokun, Samuelu-Matthes Maatasesa
As the global surge of the COVID-19 pandemic continues to rise, attention has been drawn to health implications and damaging effects caused by COVID-19 in patients with chronic conditions. Palliative care delivery in diseased patients and those with chronic conditions is imperative in mitigating unprecedented health outcomes. Though many health care workers in developed countries are implementing new strategies to address palliative care challenges in patients at risk of COVID-19, preventive measures and strategies are crucial in resource-limited settings, where palliative care is seen as a new concept. This report addresses the approach to palliative care delivery and changes that may arise from the coronavirus pandemic. It also looks at possible socio-behavioural entities, education, preventive measures and upscaling diagnostic capacity for COVID-19 in resource-limited settings. Harnessing these factors as guidance and delivery tools for healthcare workers in resource-limited settings could help to manage risks and benefits associated with providing optimal palliative care in this pandemic period.
{"title":"Covid-19 and Palliative Care Delivery in Resource-Limited Settings: Healthcare Workers’ Involvement","authors":"L. Olayemi, J. Abraham, Vicky Yemoh, Kamoru A. Adedokun, Samuelu-Matthes Maatasesa","doi":"10.26635/phd.2021.116","DOIUrl":"https://doi.org/10.26635/phd.2021.116","url":null,"abstract":"As the global surge of the COVID-19 pandemic continues to rise, attention has been drawn to health implications and damaging effects caused by COVID-19 in patients with chronic conditions. Palliative care delivery in diseased patients and those with chronic conditions is imperative in mitigating unprecedented health outcomes. Though many health care workers in developed countries are implementing new strategies to address palliative care challenges in patients at risk of COVID-19, preventive measures and strategies are crucial in resource-limited settings, where palliative care is seen as a new concept. This report addresses the approach to palliative care delivery and changes that may arise from the coronavirus pandemic. It also looks at possible socio-behavioural entities, education, preventive measures and upscaling diagnostic capacity for COVID-19 in resource-limited settings. Harnessing these factors as guidance and delivery tools for healthcare workers in resource-limited settings could help to manage risks and benefits associated with providing optimal palliative care in this pandemic period. ","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48716301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erin Thomas, Charlene Tukiuha, Y. Underhill-Sem, Jama'l Talagi
Introduction: Gender-based violence (GBV) is a product and manifestation of gender relations that inflicts harm disproportionately on those who identify as women and girls. In the Pacific island country of Niue, there is a lack of research and attention on the issue. The aim of this research is to examine how to work with the family space in Niue to achieve the goal of eliminating violence in social relations in Niue and promoting healthy relationships. Methods: The research involved 14 family-tree mapping interviews using blended narrative-talanoa methods. Guided by a genealogical approach, this family-tree mapping approach was piloted as a tool for in-depth exploration of how the family space functions around GBV. Findings: This framework presents a new way of engaging with the issue of GBV in terms of research and intervention through family-tree mapping in a way that illuminates the dynamics around disclosure, accountability, education, and talanoa/ gossip, but also protects the privacy of participants. Conclusion: By making space within families through family-tree mapping to discuss GBV, local advocates can better understand the complexity and intimacy of family dynamics, uphold the imperatives for privacy, and guide communities towards prevention and accountability.
{"title":"Family-tree Mapping and Gender-based Violence (GBV) in Niue: Research Method and Intervention","authors":"Erin Thomas, Charlene Tukiuha, Y. Underhill-Sem, Jama'l Talagi","doi":"10.26635/phd.2021.105","DOIUrl":"https://doi.org/10.26635/phd.2021.105","url":null,"abstract":"Introduction: Gender-based violence (GBV) is a product and manifestation of gender relations that inflicts harm disproportionately on those who identify as women and girls. In the Pacific island country of Niue, there is a lack of research and attention on the issue. The aim of this research is to examine how to work with the family space in Niue to achieve the goal of eliminating violence in social relations in Niue and promoting healthy relationships. \u0000Methods: The research involved 14 family-tree mapping interviews using blended narrative-talanoa methods. Guided by a genealogical approach, this family-tree mapping approach was piloted as a tool for in-depth exploration of how the family space functions around GBV. \u0000Findings: This framework presents a new way of engaging with the issue of GBV in terms of research and intervention through family-tree mapping in a way that illuminates the dynamics around disclosure, accountability, education, and talanoa/ gossip, but also protects the privacy of participants. \u0000Conclusion: By making space within families through family-tree mapping to discuss GBV, local advocates can better understand the complexity and intimacy of family dynamics, uphold the imperatives for privacy, and guide communities towards prevention and accountability.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46428076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wealth of Pacific research","authors":"A. Ekeroma","doi":"10.26635/phd.2021.100","DOIUrl":"https://doi.org/10.26635/phd.2021.100","url":null,"abstract":"","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42023307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Ooi, J. Cama, U. Samarakkody, A. Kukkady, Stuart Brown
Title: Non-Operative Management of Adhesive Intestinal Bowel Obstruction in Children over a 12year Period at Waikato HospitalIntroduction: Post-operative small bowel adhesions causing bowel obstruction is common in adults but is uncommon in the paediatric age group. The incidence of adhesive intestinal obstruction (AIO) requiring surgical intervention ranges between 2-8% in paediatric patients and majority would occur within the first 2 years after surgery. Aim: To review our experience at a tertiary centre in children under 15years who were admitted with adhesive intestinal obstruction over a 12 year time period and to compare this with other international reports Methodology: This retrospective case series study of all paediatric surgical patients (aged between 1-15 years) admitted with adhesive intestinal obstruction to Waikato Hospital over a 12 year time period were identified by ICD-10-AM codes. Their demographic variables, information of previous surgery and the admissions details including particulars of management were tabulated. Results: Out of 66 admissions, 10 were excluded and 56 admissions were analysed. 35 patients were successfully managed non-operatively and 21 patients proceeded for operative management (7 early and 14 late). Of the operative group, 3 underwent bowel resections (2 early and 1 late). There was no statistically significant difference between length of stay (LOS) among patients with non-operative and operative management. There was also no statistically significant difference between LOS among patients with early (≤24 hours) operative management and late (>24 hours) operative management. In assessing secondary aims, statistically significant differences in the time of presentation from initial surgery was noted for patients who underwent appendectomy who trended towards earlier presentation compared to other laparotomies. Conclusion: This study demonstrated that there could still be a role of non-operative management of children with adhesive bowel obstruction but decision on further management should be clearly defined within 24hours to prevent development of complications.
{"title":"Non-operative Management of Adhesive Intestinal Obstruction in Children over a 12 year period at Waikato Hospital","authors":"A. Ooi, J. Cama, U. Samarakkody, A. Kukkady, Stuart Brown","doi":"10.26635/phd.2021.106","DOIUrl":"https://doi.org/10.26635/phd.2021.106","url":null,"abstract":"Title: Non-Operative Management of Adhesive Intestinal Bowel Obstruction in Children over a 12year Period at Waikato HospitalIntroduction: Post-operative small bowel adhesions causing bowel obstruction is common in adults but is uncommon in the paediatric age group. The incidence of adhesive intestinal obstruction (AIO) requiring surgical intervention ranges between 2-8% in paediatric patients and majority would occur within the first 2 years after surgery. \u0000Aim: To review our experience at a tertiary centre in children under 15years who were admitted with adhesive intestinal obstruction over a 12 year time period and to compare this with other international reports \u0000Methodology: This retrospective case series study of all paediatric surgical patients (aged between 1-15 years) admitted with adhesive intestinal obstruction to Waikato Hospital over a 12 year time period were identified by ICD-10-AM codes. Their demographic variables, information of previous surgery and the admissions details including particulars of management were tabulated. \u0000Results: Out of 66 admissions, 10 were excluded and 56 admissions were analysed. 35 patients were successfully managed non-operatively and 21 patients proceeded for operative management (7 early and 14 late). Of the operative group, 3 underwent bowel resections (2 early and 1 late). There was no statistically significant difference between length of stay (LOS) among patients with non-operative and operative management. There was also no statistically significant difference between LOS among patients with early (≤24 hours) operative management and late (>24 hours) operative management. In assessing secondary aims, statistically significant differences in the time of presentation from initial surgery was noted for patients who underwent appendectomy who trended towards earlier presentation compared to other laparotomies. \u0000Conclusion: This study demonstrated that there could still be a role of non-operative management of children with adhesive bowel obstruction but decision on further management should be clearly defined within 24hours to prevent development of complications.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48436750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Thomsen, Sarah Mclean-Osborn, Hollyanna Ainea, Allyssa Verner-Pula
Introduction: Pacific Rainbow/Queer Communities (PRCs) in New Zealand (NZ) have had scant attention paid to the specificities of their health and wellbeing needs in research. Recently, the Health Research Council of NZ funded its first Pacific-specific PRC project (The Manalagi Project) executed through the University of Auckland’s Centre for Pacific Studies. This paper reports a literature review conducted to ascertain the current state of health research on PRCs, Rainbow/Queer and Pacific communities’ health in NZ. Methods: A scoping review was conducted where relevant public health database search engines were accessed, which included PubMed and Medline to explore both national and international health research pertaining to PRCs, Pacific communities and Rainbow/Queer communities. Additional Google searches were undertaken to identify more ‘grey’ material such as reports, websites, other relevant government sources, as well as non-profit organisation and educational resources not visible via scientific databases. Findings/Outcome: The review identified published journal articles (n=20), books (n=1), reports (n=25) and theses (n=3) as well as other documents relevant to the study, such as websites and news articles pertaining to PRCs in NZ and abroad. It reveals a severe paucity of health research focused on PRCs domestically and internationally. Although more research is being conducted into the space of Pacific communities, as well as Rainbow/Queer communities, research that is PRC-focused is urgent and critical at this time. Conclusion: Both Pacific and Rainbow/Queer communities in NZ are socially marginalised, thus experience a raft of health challenges represented by a racist and cisnormative heterosexist health system. This literature review reveals a lack of understanding around the nuances that exist when these experiences intersect and coalesce in the body and experience of PRC members. It has identified a significant gap in Pacific health research that exists in NZ and abroad that urge us to frame future research to also be intersectionally-informed to capture the unique needs and context of PRCs.
{"title":"Examining the State of Health Research on Pacific Rainbow Communities in New Zealand; Literatrure Review","authors":"P. Thomsen, Sarah Mclean-Osborn, Hollyanna Ainea, Allyssa Verner-Pula","doi":"10.26635/phd.2021.111","DOIUrl":"https://doi.org/10.26635/phd.2021.111","url":null,"abstract":"Introduction: Pacific Rainbow/Queer Communities (PRCs) in New Zealand (NZ) have had scant attention paid to the specificities of their health and wellbeing needs in research. Recently, the Health Research Council of NZ funded its first Pacific-specific PRC project (The Manalagi Project) executed through the University of Auckland’s Centre for Pacific Studies. This paper reports a literature review conducted to ascertain the current state of health research on PRCs, Rainbow/Queer and Pacific communities’ health in NZ.\u0000Methods: A scoping review was conducted where relevant public health database search engines were accessed, which included PubMed and Medline to explore both national and international health research pertaining to PRCs, Pacific communities and Rainbow/Queer communities. Additional Google searches were undertaken to identify more ‘grey’ material such as reports, websites, other relevant government sources, as well as non-profit organisation and educational resources not visible via scientific databases.\u0000Findings/Outcome: The review identified published journal articles (n=20), books (n=1), reports (n=25) and theses (n=3) as well as other documents relevant to the study, such as websites and news articles pertaining to PRCs in NZ and abroad. It reveals a severe paucity of health research focused on PRCs domestically and internationally. Although more research is being conducted into the space of Pacific communities, as well as Rainbow/Queer communities, research that is PRC-focused is urgent and critical at this time.\u0000Conclusion: Both Pacific and Rainbow/Queer communities in NZ are socially marginalised, thus experience a raft of health challenges represented by a racist and cisnormative heterosexist health system. This literature review reveals a lack of understanding around the nuances that exist when these experiences intersect and coalesce in the body and experience of PRC members. It has identified a significant gap in Pacific health research that exists in NZ and abroad that urge us to frame future research to also be intersectionally-informed to capture the unique needs and context of PRCs.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42959062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maiya Smith, C. Tse, Nicholas Fancher, R. Hiroi, William B. Harris, Selin Kutlu, Nicole E Anzai, Heather Miura, B. Chang, Douglas J. Miles
Introduction: In Hawaiʻi, there are 367,000 Native Hawaiian and Pacific Islanders. Native Hawaiians experience health disparities in a variety of conditions, including stroke, diabetes, and cancer. Ethnic minorities are underrepresented among physicians; this lack of physician-patient racial concordance may contribute to the disparities, as recent studies suggest that racial discordance resulted in poorer healthcare quality. This study aims to assess the current status of neurological health disparities in the Native Hawaiian population in Hawaiʻi, with a focus on identifying neurologist ethnic representation, neurological diseases, and healthcare-related challenges disproportionately affecting Native Hawaiians. Methods: An anonymous survey on physician’s attitudes and practice was emailed to all neurologists in the Hawaiʻi Neurological Society from February 2019 to June 2019. Findings: Twenty-three full responses and one partial response was received. No participants self-identified as Native Hawaiian nor did they know of any Native Hawaiian neurologists in Hawaiʻi, yet all who completed the survey reported treating Native Hawaiians in their practice (n = 23), which identifies a gap in Native Hawaiian representation in the field of neurology in Hawaiʻi. In addition, majority of participants perceived that Native Hawaiians are disproportionately affected by neurological diseases and have difficulty accessing neurology services and obtaining quality care. Conclusions: Future focus on creating opportunities to improve racially discordant physician-patient relationships and to increase Native Hawaiian representation in neurology may help narrow the gap in health disparities experienced by Native Hawaiians.
{"title":"Lack of Native Hawaiian Neurologists and Disparities in Care for Native Hawaiians in Hawaiʻi","authors":"Maiya Smith, C. Tse, Nicholas Fancher, R. Hiroi, William B. Harris, Selin Kutlu, Nicole E Anzai, Heather Miura, B. Chang, Douglas J. Miles","doi":"10.26635/phd.2021.108","DOIUrl":"https://doi.org/10.26635/phd.2021.108","url":null,"abstract":"Introduction: In Hawaiʻi, there are 367,000 Native Hawaiian and Pacific Islanders. Native Hawaiians experience health disparities in a variety of conditions, including stroke, diabetes, and cancer. Ethnic minorities are underrepresented among physicians; this lack of physician-patient racial concordance may contribute to the disparities, as recent studies suggest that racial discordance resulted in poorer healthcare quality. This study aims to assess the current status of neurological health disparities in the Native Hawaiian population in Hawaiʻi, with a focus on identifying neurologist ethnic representation, neurological diseases, and healthcare-related challenges disproportionately affecting Native Hawaiians. Methods: An anonymous survey on physician’s attitudes and practice was emailed to all neurologists in the Hawaiʻi Neurological Society from February 2019 to June 2019. Findings: Twenty-three full responses and one partial response was received. No participants self-identified as Native Hawaiian nor did they know of any Native Hawaiian neurologists in Hawaiʻi, yet all who completed the survey reported treating Native Hawaiians in their practice (n = 23), which identifies a gap in Native Hawaiian representation in the field of neurology in Hawaiʻi. In addition, majority of participants perceived that Native Hawaiians are disproportionately affected by neurological diseases and have difficulty accessing neurology services and obtaining quality care. Conclusions: Future focus on creating opportunities to improve racially discordant physician-patient relationships and to increase Native Hawaiian representation in neurology may help narrow the gap in health disparities experienced by Native Hawaiians. ","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44419665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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