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This Issue in the Journal
Adults’ perceptions
of the causes and primary prevention of common fatal cancers in New
Zealand
A Reeder, J Trevena We assessed population perceptions of the causes and
prevention of common fatal cancers. Among women, breast, cervical and lung
cancer were most salient; among men, prostate, lung and bowel cancer –
partially congruent with population statistics. There was high awareness that
tobacco smoke and sun exposure increase lung and skin cancer risk, respectively,
but less awareness of other protective strategies. Prevention efforts should
reflect the known risks and potential for gain, with public policies that create
supportive environments for healthy behaviours.
Equestrian injuries in New
Zealand, 1993–2001: knowledge and experience
G Northey Participating in an activity that includes one member who is
over 500 kg, moves at speeds up to 65 kph and elevates the rider up to 3 m above
the ground, can be a risk in itself. Evidence shows that rates of death and
injury associated with horse-related activities can vary depending on factors
such as age, sex, knowledge and experience, helmet use, environmental factors,
and the temperament of the horse. This study was undertaken to review the
literature on equestrian injuries in New Zealand and explore a range of
preventive countermeasures.
A comparative study of drug
utilisation at different levels of the primary healthcare system in Kaski
district, Western Nepal
R Shankar, P Kumar, M Rana, A Dubey, N Shenoy The Nepalese primary healthcare system operates at three
levels: primary health centre (PHC), health post (HP) and sub-health post (SHP).
The present study was carried out in one PHC, one HP and two SHPs in the Kaski
district, Western Nepal. Average number of drugs per prescription was higher at
the PHC. The average cost of drugs per prescription and percentage of
prescriptions containing antibiotics and injections were higher at the PHC
level. Defined daily dose (DDD) of drugs varied.
Pre-hospital antibiotic
treatment of meningococcal disease: scope for improvement
T Riddell, C Bullen The focus of this research was to determine the extent to
which Auckland general practitioners (GPs) follow guidelines recommending that
they give antibiotics to patients with suspected meningococcal disease prior to
sending them into hospital. This study found that only one third of eligible
patients received pre-hospital treatment by their attending GP. This research
highlights the need for GPs to give antibiotics more often than they do at
present when confronted with a patient they suspect as having meningococcal
disease.
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