To estimate the prevalence of burnout and level job satisfaction among New Zealand psychiatrists, to ascertain relationships between socio-demographic variables, in target population.In phase one study a postal survey was mailed out every practising psychiatrist on record as well all doctors working psychiatry without specialist qualifications (MOSS). Three questionnaires were used: questionnaire, Maslach Burnout Inventory (MBI) Job Diagnostic Survey (JSS). Regression analysis performed...

Many studies have looked at sources of stress in psychiatrists, yet the role played by different factors causation burnout psychiatrists remains unclear. We had two aims, first, to develop a predictive model for onset burnout. Second, we aimed study differences perception what caused between who rated themselves high on Emotional Exhaustion compared those as low Exhaustion.A previously described questionnaire that identified stressors relevant consultant was mailed out 426 with 240 replies....

We aimed to elucidate causative and protective factors associated with burnout in New Zealand psychiatrists, identify signs symptoms of the syndrome, any difference perspectives psychiatrists who scored high versus low on emotional exhaustion (EE) subscale Maslach Burnout Inventory (MBI).Twelve participants were randomly selected, six from each group (high EE). A face-to-face interview based a semi-structured questionnaire was carried out participant. The interviews recorded transcribed...

Patient aggression is a serious problem in psychiatric nursing. Nurses’ attitudes towards have been identified as mediating the choice of nursing interventions. To date, investigations are lacking which elucidate stability one few scales for measuring attitude aggression. This study aimed to investigate test–retest Perception Aggression Scale and derive shortened version. In order test reliability items, three groups nurses were requested fill twice (30 student after 4 days, 32 qualified 14...

The management of colorectal polyps containing a focus malignancy is problematic, and the risks under- over-treatment must be balanced. primary aim this study was to describe outcomes patients with malignant in New Zealand population; secondary investigate prognostic factors.Retrospective review relevant clinical records at five District Health Boards.Out 414 identified, 51 were excluded because presence other pathology, leaving 363 for analysis. Of these, 182 had polypectomy, 181 bowel...

Abstract Background Sigmoid volvulus is rare in Western countries. Patients at risk of sigmoid are often older with significant co‐morbidity. Without colectomy there a high recurrence rate, but indications for surgery controversial. Methods A retrospective observational study was conducted by reviewing clinical records patients admitted to Waikato Hospital 1 January 2000 2020 diagnosis volvulus. Patient characteristics, features, investigations, management, and outcomes were recorded....

Abstract Aim Clinical predictors of pathological response to chemoradiotherapy for rectal cancer can influence patient management including selection organ preservation. This study aimed identify clinical at a tertiary referral hospital. Methods A retrospective review records was undertaken after identifying all patients with stage 1–3 treated long course and total mesorectal excision from 2013 2018. Clinicopathological factors were recorded multivariate analysis performed complete (pCR)...

Abstract Backgrounds Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have improved survival for selected cases of peritoneal surface malignancy. In 2008, a CRS/HIPEC service was first established in Aotearoa New Zealand (AoNZ) at Waikato Braemar Hospitals the region. Methods This is retrospective review prospectively maintained database all patients undergoing from 1 January 2008 to November 2020 Hospitals. We analysed long‐term predictors each tumour type....

Abstract Aim The optimal management strategy for patients with endoscopically resected malignant colorectal polyps (MCP) has yet to be defined. aim of this study was validate a published decision‐making tool, termed the Scottish Polyp Cancer Study (SPOCS) algorithm, on large international population. Methods SPOCS algorithm allocates risk groups based just two variables: polyp resection margin and presence lymphovascular invasion (LVI). are low (clear margin, LVI absent), medium present) or...

Abstract Background Gastrointestinal stromal tumours ( GIST s) are the most common mesenchymal of gastrointestinal tract and make up 1–2% all malignancies. Traditionally, treatment choice for primary disease is surgical resection; however, no single surgeon or institution gets extensive exposure to these patients so appropriate decision‐making difficult, particularly since introduction tyrosine kinase inhibitor imatinib, which has become an important additional management tool. Method All...

Colorectal cancer (CRC) screening was introduced in Aotearoa New Zealand at Waitematā District Health Board (WDHB) late 2011. This study reviewed patterns of disease, treatment received, and survival patients with national bowel program (NBSP)-detected CRC versus non-NBSP WDHB 2012-2019.Data collected retrospectively for all adenocarcinoma the colon or rectum 2012-2019. Patient records were manually reviewed. Chi-square, Fisher's exact test Mann Whitney U-test used as appropriate....

Jejunal perforation as a result of blunt abdominal trauma during sport is particularly rare. We are aware 6 reported cases jejunal in sport: 1 hockey, 2 football (soccer), and 3 American football. This report presents the case 25-year-old professional rugby union player, who presented to an "After Hours" general practice clinic with increasing central epigastric pain after heavy tackle international match New Zealand. Despite suffering complete transection, patient continued play on, only...

Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is the standard of care for selected cases peritoneal surface malignancy. However, due to its morbidity learning curve, it only delivered in six centres Australia Aotearoa New Zealand (AoNZ). In this study, we report peri-operative mortality following CRS/HIPEC at Waikato Braemar Hospitals, which have treated patients from all regions AoNZ since 2008.

aim: Colorectal cancer (CRC) incidence is highest in older patients, who also have high rates of concurrent multimorbidity and frailty. Shared decision making important when deciding treatment. The aim this study was to compare outcomes before after introduction a shared decision-making (SDM) pathway, which includes an anaesthetist geriatrician, for patients with CRC at Waikato Hospital. method: Retrospective review over 70 years age considered surgical resection performed (2018) (2020) the...