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Cervical screening practice amongst female staff at Dunedin Hospital

Introduction

This study was commissioned by Marjo Prent, the Occupational Health Nurse of Dunedin Public Hospital, to determine the cervical screening practice of nurses in Dunedin and Queen Mary Hospitals.

The study attempted to provide information on the following:

  1. What is the frequency for screening for nurses, and is this better than for clerical staff?
  2. Are nurses more health aware with regards to cervical cancer than clerical staff?

Assuming that nurses have a greater health awareness than the average non-medical person, it would be of value to determine if this is reflected in their screening practice.  Other influencing factors were also sought.  To expand the database, doctors were also included in the study.  The clerical staff were surveyed to provide a control population.

To provide background information an extensive review of the literature was undertaken to illustrate the importance of the disease, recommendations for screening and the obvious benefits of screening.  Also researched was the less commonly known knowledge of the actual frequency of screening of women, and concerns, beliefs and practices that may determine this frequency.

Authors of Report

Michael Ang, Douglas Annan, Kaye Basire, Martyn Buyck, Karen McCartney, Gerard McHugh.

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First time endoscopy; a sixth month survey of peptic disease in Dunedin

Abstract

Six final year medical students reviewed the notes and findings of 373 patients who presented for their first endoscopy in the six month period, 1 June to 31 November 1987, at Dunedin Public Hospital.

Demographic and symptomatic data, pre- and post-endoscopic treatment and diagnosis were obtained for each patient.  This data was then analysed using the Statistical Package for the Social Sciences.

Sixty five percent of patients had demonstrable disease on endoscopy with 26% having significant endoscopy diseases (mainly duodenal ulcer and gastric ulcer).  As a result of endoscopy 50% of patients underwent a treatment change.  There was a ten fold increase in the use of sucralfate and a doubling in the number of patients using Ranitidine after endoscopy.  There were no patients started on cimetidine as a result of endoscopy.  Asprin and, or N.S.A.I.D’s. were used in 38 percent of patients presenting with haematemesis or melaena, and within this group duodenal ulcer was the most common finding.  The elderly as a group had the greatest change in treatment, while in those under 25 only one third had a change in treatment as a result of endoscopy.

On discrimination analysis no reliable screening tool could be constructed.

Authors of Report

Alan Barber, Tony Farrell, John Fountain, Steven French, Richard Holmes, Tania Hunter.

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Peripheral IV cannulation in Dunedin Public Hospital

Abstract

Aspects of peripheral IV cannulation at Dunedin Public Hospital were studied.  A survey of cannulae was undertaken on floors 3, 4, 7, 8 – these being 2 medical wards and 2 surgical wards.

The types and incidence of complications associated with peripheral IV cannulation were observed along with the external factors associated with these complications.  The overall complication rate was 65.9%.  Local complications (pain, redness, induration) were seen in 46.7%, phlebitis 10.9%, cannulae blockage 7.0%, extravasation and dressing type.  As expected, the incidence of local complications and phlebitis dramatically increased with increased duration in situ.

Several areas for potential improvement were identified and recommendations made.

Authors of Report

Kirsten Holst, Nina Molteno, Mark Reddy, Paul Wotherspoon.

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The follow up care of women diagnosed with breast cancer in Dunedin Hospital from 1980-1985

Breast cancer is the commonest malignant cause of death for women in our society.  One in thirteen women will develop this cancer, 500 women a year in New Zealand will die from it.  In this study the follow up services obtained by 126 women first treated for breast cancer at Dunedin Hospital, in the years 1980-1985 inclusive, are described.  The women’s perceived value of the follow up and surgeon’s ideal protocols were also explored.  Thirty percent of women diagnosed with breast cancer were receiving inadequate follow up care.  The criteria for this analysis were based on an amalgam of the relevant literature and follow up protocols recommended by the surgeons.  Several recommendations are made in order to improve the quality of follow up care to women diagnosed with breast cancer.

Authors of Report

Terrie Inder, Warrick Inder, Mary Jones, John Lainchbury, Alastair McLean, Jane Shapelski.

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The health and working conditions of apprentice panelbeaters

Introduction and aims

Panelbeaters are exposed to many hazards in the workplace including noise and respiratory hazards such as isocyanate aerosols and a variety of dusts.

Currently, the panelbeating course at Otago Polytechnic does not include any formal teaching on the above problems.

The working conditions and effects on health were of concern to our clients Mr Don Sinclair, Panelbeating Tutor at Otago Polytechnic and Mrs Joan Dowall, Otago Polytechnic Student Health Nurse.

Two occupational health issues were raised:

  1. The risk to trainees in any trade, who tend to get the dirty jobs;
  2. The problem of achieving adequate health monitoring in small workplaces.

Our aims in the light of these issues were to:

  1. Define the scope and nature of any problems;
  2. Explore the adequacy of intervention/preventative measures;
  3. Explore compliance with legislation.

Authors of Report

Kerri Angell, Sheryl Barnes, Birgit Dijkstra, Carolyn Hampton, Mike Hewson.

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The health of adults with intellectual handicaps at the IHC Kew training facilities

Abstract

We surveyed the health of 29 adults with intellectual handicaps associated with the IHC Kew training facility and resident in the community.  We found a level of physical ailments similar to levels reported from overseas.  Some problem areas are identified and recommendations made.

Authors of Report

Mark Ayson, Mark Beniston, Linda Burgess, Steve Brown, PJ Faumui, Thomas Ha.

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