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  • 1
    Online Resource
    Online Resource
    The Characteristics, Experiences and Perceptions of Registered Massage Therapists in New Zealand: Results from a National Survey of Practitioners
    Massage Therapy Foundation ; 2018
    In:  International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice Vol. 11, No. 2 ( 2018-06-06), p. 11-
    Details
    In: International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice, Massage Therapy Foundation, Vol. 11, No. 2 ( 2018-06-06), p. 11-
    Abstract: Background: Massage therapy is widely recognized as offering many health benefits, with a growing number of studies finding it has value in stress management, pain reduction, and overcoming physical limitations. However, there are few studies of massage therapists practices and perceptions in New Zealand and internationally. This paper reports the findings from the first national survey examining the characteristics, perceptions, and experiences of New Zealand-based massage therapists on a range of aspects related to their role and practices.Purpose: This study sought to ascertain the characteristics, experiences, and perceptions of massage therapists in New Zealand, particularly in the aspects of: integration of health care; attitudes and practices related to research; and evidence and attitudes to registration.Setting: Massage practice in New Zealand (nationwide survey).Participants: Members of Massage New Zealand (a massage practitioners association).Research Design: Massage practitioners were surveyed online, using a 65-part questionnaire, on a range of characteristics of their practices and their attitudes to research, integration, and registration. Statistical analysis was performed using STATA. Statistical significance was set at 0.05.Main Outcome Measures: Four hundred massage therapists (MTs) were invited to participate and 115 responded, providing a response rate of 29%. MTs valued research (95%) and perceived that it had an impact for their practices (88%). Significant correlations were found for research value and: mean case-load (p = .009) and level of academic qualification (p = .004). The majority of MTs (79%) supported integration with conventional practitioners, and 83% referred clients to general practitioners, with 75% receiving referrals from general practitioners. Ninety-three percent of MTs supported registration, with 67% of those supporting statutory registration.Conclusion: Massage practitioners perceive that they make a significant contribution to health care, but area of practice, such as research, and referral and integration into mainstream health care require more in-depth investigation.
    Type of Medium: Online Resource
    ISSN: 1916-257X
    URL: Article
    DOI: 10.3822/ijtmb.v11i2.385
    Language: Unknown
    Publisher: Massage Therapy Foundation
    Publication Date: 2018
    detail.hit.zdb_id: 2452024-X
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  • 2
    Online Resource
    Online Resource
    Pain management in chronic kidney disease: The pharmacokinetics and pharmacodynamics of hydromorphone and hydromorphone-3-glucuronide in hemodialysis patients
    Weston Medical Publishing ; 2018
    In:  Journal of Opioid Management Vol. 4, No. 6 ( 2018-01-30), p. 335-344
    Details
    In: Journal of Opioid Management, Weston Medical Publishing, Vol. 4, No. 6 ( 2018-01-30), p. 335-344
    Abstract: Objective: To describe the pharmacokinetics of hydromorphone (HM) and its primary metabolite hydromorphone- 3-glucuronide (H3G) both on and off dialysis in relation to the pharmacodynamic measurements of pain.Design: Prospective, open-label, observational study.Setting: Canadian, university-based renal program.Participants: Twelve anuric hemodialysis patients with chronic pain, established on immediate-release HM.Main Outcome Measures: HM and H3G plasma concentrations were measured during and between hemodialysis treatments using a reverse-phase highperformance liquid chromatography assay with liquid chromatography/mass spectrometer/mass spectrometer detection. The McGill Pain Questionnaire (MPQ) and a Visual Analogue Scale (VAS) were used to measure pain. Noncompartmental analyses were conducted. Adverse effects were recorded.Results: HM did not substantially accumulate (accumulation factor R = 2.7 (1.6)), most likely due to the rapid conversion to H3G. Conversely, H3G accumulated between dialysis treatments (R = 12.5 (12.1)) but appeared to be effectively removed during hemodialysis (1.8 (0.7), p = 0.03). HM resulted in 〉 65 percent reduction in pain over dosing intervals. Mean MPQ pain scores decreased from 39.8 (18.2) to 12.3 (16.2) on dialysis and from 35.0 (18.5) to 15.5 (13.6) between dialysis treatments. Mean VAS pain scores decreased from 7.5 (2.5) to 3.0 (1.5) on dialysis and from 5.9 (3.2) to 4.4 (1.6) between dialysis treatments. No clinically significant opioid toxicity was observed. The accumulation of H3G between hemodialysis treatments was associated with greater sensory-type pain (r = 0.76, p 〈 0.0001) and reduced duration of analgesia.Conclusions: HM may be a safe and effective opioid for use in selected hemodialysis patients.
    Type of Medium: Online Resource
    ISSN: 1551-7489 , 1551-7489
    URL: Article
    DOI: 10.5055/jom.2008.0037
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2018
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  • 3
    Online Resource
    Online Resource
    Development of evaluation modules for use in hospital disaster drills
    Weston Medical Publishing ; 2007
    In:  American Journal of Disaster Medicine Vol. 2, No. 2 ( 2007-03-01), p. 87-95
    Details
    In: American Journal of Disaster Medicine, Weston Medical Publishing, Vol. 2, No. 2 ( 2007-03-01), p. 87-95
    Abstract: Introduction: Disaster drills are a valuable means of training healthcare providers to respond to mass casualty incidents resulting from acts of terrorism or public health crises. We present here a proposed hospital-based disaster drill evaluation tool that is designed to identify strengths and weaknesses of hospital disaster drill response, provide a learning opportunity for disaster drill participants, and promote integration of lessons learned into future responses. Methods: Clinical specialists, experienced disaster drill coordinators and evaluators, and experts in questionnaire design developed the evaluation mod-ules based upon a comprehensive review of the litera-ture, including evaluations of disaster drills. The tool comprises six evaluation modules designed to capture strengths and weaknesses of different aspects of hospital disaster response. The Predrill Module is completed by the hospital during drill planning and is used to define the scope of the exercise. The Incident Command Center Module assesses command structure, communication between response areas and the command center, and communication to outside agencies. The Triage Zone Module captures the effect of a physical space on triage activities, efficiency of triage operations, and victim flow. The Treatment Zone Module assesses the relation of the zone’s physical characteristics to treatment activities, efficacy of treatment operations, adequacy of supplies, and victim flow. A Decontamination Zone Module is available for evaluating decontamination operations and the use of decontamination and/or personal protective equipment in drills that involve biological or radiological hazardous materials. The Group Debriefing Module provides sample discussion points for drill participants in all types of drills. The tool also has addenda to evaluate specifics for 1) general observation and documentation, 2) victim tracking, 3) biological incidents, and 4) radiological incidents. Conclusion: This evaluation tool will help meet the need for standardized evaluation of disaster drills. The modular approach offers flexibility and could be used by hospitals to evaluate staff training on response to natural or man-made disasters.
    Type of Medium: Online Resource
    ISSN: 1932-149X , 1932-149X
    URL: Article
    DOI: 10.5055/ajdm.2007.0016
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2007
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  • 4
    Online Resource
    Online Resource
    Strategies to reduce the use of seclusion with tāngata whai i te ora (Māori mental health service users)
    Wiley ; 2016
    In:  International Journal of Mental Health Nursing Vol. 25, No. 3 ( 2016-06), p. 258-265
    Details
    In: International Journal of Mental Health Nursing, Wiley, Vol. 25, No. 3 ( 2016-06), p. 258-265
    Abstract: Māori, the indigenous people of New Zealand, have the highest crude population‐based rate of seclusion events reported internationally (McLeod et al. ). This qualitative study explored Māori clinical, cultural and consumer perspectives on potential strategies and initiatives considered likely to facilitate prevention of, and reduction in, the use of seclusion, with tā ngata whai i te ora (M āori mental health service users) in mental health inpatient services. A hui (gathering) over 2 days was held with 16 Māori participants with high levels of clinical, cultural and consumer expertise. The gathering was taped and the tapes transcribed. A thematic analysis of the hui data generated three key categories: Te Ao Māori (access to a Māori worldview); Te Ao Hurihuri (transforming practice); and Rangatiratanga (leadership, power, and control). The findings of this study align with the “six core strategies” for best practice to reduce the use of seclusion (Huckshorn ). A comprehensive approach to the reduction of the use of seclusion with tāngata whai i te ora is required, which is clearly based on a Māori model of care and a vision for transformation of practice in mental health inpatient services, which involves Māori leadership.
    Type of Medium: Online Resource
    ISSN: 1445-8330 , 1447-0349
    URL: Issue
    URL: Article
    DOI: 10.1111/inm.2016.25.issue-3
    DOI: 10.1111/inm.12219
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 2098841-2
    SSG: 5,2
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  • 5
    Online Resource
    Online Resource
    A Genome-Based Resource for Molecular Cardiovascular Medicine : Toward a Compendium of Cardiovascular Genes
    Ovid Technologies (Wolters Kluwer Health) ; 1997
    In:  Circulation Vol. 96, No. 12 ( 1997-12-16), p. 4146-4203
    Details
    In: Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 96, No. 12 ( 1997-12-16), p. 4146-4203
    Abstract: Background Large-scale partial sequencing of cDNA libraries to generate expressed sequence tags (ESTs) is an effective means of discovering novel genes and characterizing transcription patterns in different tissues. To catalogue the identities and expression levels of genes in the cardiovascular system, we initiated large-scale sequencing and analysis of human cardiac cDNA libraries. Methods and Results Using automated DNA sequencing, we generated 43 285 ESTs from human heart cDNA libraries. An additional 41 619 ESTs were retrieved from public databases, for a total of 84 904 ESTs representing more than 26 million nucleotides of raw cDNA sequence data from 13 independent cardiovascular system–based cDNA libraries. Of these, 55% matched to known genes in the Genbank/EMBL/DDBJ databases, 33% matched only to other ESTs, and 12% did not match to any known sequences (designated cardiovascular system–based ESTs, or CVbESTs). ESTs that matched to known genes were classified according to function, allowing for detection of differences in general transcription patterns between various tissues and developmental stages of the cardiovascular system. In silico Northern analysis of known gene matches identified widely expressed cardiovascular genes as well as genes putatively exhibiting greater tissue specificity or developmental stage specificity. More detailed analysis identified 48 genes potentially overexpressed in cardiac hypertrophy, at least 10 of which were previously documented as differentially expressed. Computer-based chromosomal localizations of 1048 cardiac ESTs were performed to further assist in the search for disease-related genes. Conclusions These data represent the most extensive compilation of cardiovascular gene expression information to date. They further demonstrate the untapped potential of genome research for investigating questions related to cardiovascular biology and represent a first-generation genome-based resource for molecular cardiovascular medicine.
    Type of Medium: Online Resource
    ISSN: 0009-7322 , 1524-4539
    URL: Article
    DOI: 10.1161/01.CIR.96.12.4146
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1997
    detail.hit.zdb_id: 1466401-X
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  • 6
    Online Resource
    Online Resource
    Early-career experiences of TR practitioners in Australia, the United States, and Canada
    Weston Medical Publishing ; 2020
    In:  American Journal of Recreation Therapy Vol. 19, No. 3 ( 2020-05-01), p. 7-12
    Details
    In: American Journal of Recreation Therapy, Weston Medical Publishing, Vol. 19, No. 3 ( 2020-05-01), p. 7-12
    Abstract: The objective of this article is to draw attention to the negotiations and navigations of early-career practitioners within the discipline of therapeutic recreation (TR). Three of us, from Australia, Canada, and the United States, who are actively engaged in practice and scholarship, come together to discuss the challenges we each face to highlight the importance of local and global collaborations, and to critically account for the complexities of entering the TR field. Ultimately, this article aims to explore why a practitioner would commit to the profession of TR, and obtain and maintain a TR certification.
    Type of Medium: Online Resource
    ISSN: 1539-4131 , 1539-4131
    URL: Article
    DOI: 10.5055/ajrt.2020.0216
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2020
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  • 7
    Online Resource
    Online Resource
    Fatal overdoses involving hydromorphone and morphine among inpatients: a case series
    CMA Impact Inc. ; 2017
    In:  CMAJ Open Vol. 5, No. 1 ( 2017-03-02), p. E184-E189
    Details
    In: CMAJ Open, CMA Impact Inc., Vol. 5, No. 1 ( 2017-03-02), p. E184-E189
    Type of Medium: Online Resource
    ISSN: 2291-0026
    URL: Article
    DOI: 10.9778/cmajo.20160013
    Language: English
    Publisher: CMA Impact Inc.
    Publication Date: 2017
    detail.hit.zdb_id: 2701622-5
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  • 8
    Online Resource
    Online Resource
    Early-career experiences of TR practitioners in Australia, the United States, and Canada
    Weston Medical Publishing ; 2021
    In:  American Journal of Recreation Therapy Vol. 20, No. 3 ( 2021-07-01), p. 7-12
    Details
    In: American Journal of Recreation Therapy, Weston Medical Publishing, Vol. 20, No. 3 ( 2021-07-01), p. 7-12
    Abstract: The objective of this article is to draw attention to the negotiations and navigations of early-career practitioners within the discipline of therapeutic recreation (TR). Three of us, from Australia, Canada, and the United States, who are actively engaged in practice and scholarship, come together to discuss the challenges we each face to highlight the importance of local and global collaborations, and to critically account for the complexities of entering the TR field. Ultimately, this article aims to explore why a practitioner would commit to the profession of TR, and obtain and maintain a TR certification.
    Type of Medium: Online Resource
    ISSN: 1539-4131 , 1539-4131
    URL: Article
    DOI: 10.5055/ajrt.2021.0236
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2021
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  • 9
    Online Resource
    Online Resource
    PLACENTAL CALCIUM PUMP: CLINICAL-BASED EVIDENCE
    Informa UK Limited ; 2003
    In:  Pediatric Pathology & Molecular Medicine Vol. 22, No. 3 ( 2003-01), p. 223-227
    Details
    In: Pediatric Pathology & Molecular Medicine, Informa UK Limited, Vol. 22, No. 3 ( 2003-01), p. 223-227
    Type of Medium: Online Resource
    ISSN: 1522-7952
    URL: Article
    DOI: 10.1080/pdp.22.3.223.227
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2003
    detail.hit.zdb_id: 2166926-0
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  • 10
    Online Resource
    Online Resource
    Emergency health surge support: Lessons learned from a review of Red Cross responses, 2015-2019
    Weston Medical Publishing ; 2023
    In:  Journal of Emergency Management Vol. 21, No. 1 ( 2023-01-02), p. 67-83
    Details
    In: Journal of Emergency Management, Weston Medical Publishing, Vol. 21, No. 1 ( 2023-01-02), p. 67-83
    Abstract: The nature of humanitarian response has evolved in response to increasing humanitarian needs, number and scale of emergencies, and the expansion of certified Emergency Medical Teams. This research examines the International Federation of Red Cross and Red Crescent Societies’ clinical and public health Emergency Response Units in emergencies from 2015 through 2019 using a mixed methods approach, consisting of a desk review and primary qualitative data, to inform prioritization of response activities and optimization of health surge support in emergencies. Identified opportunities for improvement include needs assessment, increased modularity, context-appropriate support/integration, human resources and capacity building, monitoring and evaluation, and the overall nature of health surge response to various emergency types. Greater focus on public health response; standardizing deployment criteria, standard operating procedures, and monitoring for clinical surge support; and regional and local capacity building could all improve health service quality and sustainability and facilitate more cost-effective emergency response.
    Type of Medium: Online Resource
    ISSN: 1543-5865 , 1543-5865
    URL: Article
    DOI: 10.5055/jem.0722
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2023
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