scholarly journals Managing the misuse potential and risk of psychological harm from gabapentinoids in primary care in New Zealand

2021 ◽  
Vol 13 (4) ◽  
pp. 302
Author(s):  
Shaun Aindow ◽  
Rose Crossin ◽  
Les Toop ◽  
Ben Hudson
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
New Zealand ◽  
Current Knowledge ◽  
International Literature ◽  
Knowledge Gaps ◽  
Suicidal Thoughts ◽  
International Evidence ◽  
Psychological Harm ◽  
Prescribing Trend

ABSTRACTGabapentinoid prescribing is increasing in New Zealand. International evidence suggests that this prescribing trend is followed by increasing harms, including misuse, dependence, overdose, and psychological harms including suicidal thoughts or behaviours. However, there is limited guidance for prescribers on how to manage these potential harms. Here, we summarise the current international literature and identify three main risk factors that can be used for screening purposes when considering prescribing a gabapentinoid, to identify patients that may be at greater risk of harm. Based on current knowledge of harms, we provide guidance to prescribers on monitoring patients taking gabapentinoids. Finally, we summarise the evidence regarding tapering, and highlight key knowledge gaps including other interventions, referral, and data from primary care populations.

scholarly journals Review of the risk factors associated with kiwifruit bacterial canker caused by Pseudomonas syringae pv actinidiae

2015 ◽  
Vol 68 ◽  
pp. 313-327 ◽  
Author(s):  
K.J. Froud ◽  
K.R. Everett ◽  
J.L. Tyson ◽  
R.M. Beresford ◽  
N. Cogger
Keyword(s):  
Risk Factors ◽  
New Zealand ◽  
Literature Review ◽  
Pseudomonas Syringae ◽  
Current Knowledge ◽  
Host Factors ◽  
Bacterial Canker ◽  
Susceptible Host ◽  
Factors Associated ◽  
Epidemiological Risk

Bacterial canker of kiwifruit commonly referred to as Psa is caused by Pseudomonas syringae pv actinidiae and the biovar 3 strain has affected kiwifruit vines in New Zealand since 2010 Psa has had an impact on the management and production of kiwifruit in New Zealand This paper provides a review of the epidemiological risk factors that are associated with Psa disease within orchards The presence of the pathogen rain and a susceptible host are sufficient to cause disease in kiwifruit but there are other risk factors that can increase the amount of disease that develops and the spread of disease including other environmental factors (eg temperature) host factors (eg cultivar) and management factors (eg pruning practices) The aim of this literature review was to describe the current knowledge of a range of known and postulated risk factors for the development of bacterial canker in kiwifruit

PREP — The Preoperative Risk Education Package: an online educational resource for primary care clinicians to encourage community based prehabilitation prior to major surgery

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697277
Author(s):  
James Durrand ◽  
F McHardy ◽  
E Land ◽  
Z Llewellyn ◽  
C Norman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Perioperative Risk ◽  
Perioperative Outcomes ◽  
Major Surgery ◽  
Educational Resource ◽  
Major Step ◽  
Early Evaluation ◽  
Risk Education ◽  
Primary Care Clinicians

BackgroundPrehabilitation prior to major surgery mandates cross-sector working. Utilising the preoperative window from referral requires clinician engagement. Awareness of perioperative risk factors is crucial. A national survey uncovered gaps in knowledge and understanding.AimCreate an open-access, online educational resource for primary care clinicians.MethodOur multidisciplinary team developed a focused CPD resource targeting lifestyle factors and chronic health conditions influencing perioperative risk (www.prepwell.co.uk).ResultsPREP highlights seven risk factors influencing perioperative risk: Smoking, alcohol, inactivity, anaemia, cognitive impairment, frailty and low BMI. A case study frames each factor alongside perioperative impact and prehabilitation strategies.ConclusionPREP is the first educational resource of its type. Early evaluation through local clinicians, the RCGP and RCOA has resulted in very positive feedback. We are working with Royal College representatives to gain formal endorsement and facilitate wider scale rollout, a major step towards raised clinician awareness and enhanced collaboration for improved perioperative outcomes.

Registered nurse prescribing: A descriptive survey of prescribing practices in a single district health board in Aotearoa New Zealand

2020 ◽  
Vol 36 (3) ◽  
pp. 61-72
Author(s):  
Melinda McGinty ◽  
◽  
Betty Poot ◽  
Jane Clarke ◽  
◽  
...  
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Registered Nurse ◽  
Health Conditions ◽  
Health Board ◽  
Prescribing Practices ◽  
District Health ◽  
Survey Tool ◽  
Aotearoa New Zealand ◽  
Descriptive Survey

The expansion of prescribing rights in Aotearoa New Zealand has enabled registered nurse prescribers (RN prescribers) working in primary care and specialty teams, to enhance nursing care, by prescribing medicines to their patient population. This widening of prescribing rights was to improve the population’s access to medicines and health care; however, little is known about the medications prescribed by RN prescribers. This paper reports on a descriptive survey of self-reported RN prescribers prescribing in a single district health board. The survey tool used was a Microsoft Excel spreadsheet to record nurse’s area of practice, patient demographic details, health conditions seen, and medicines prescribed and deprescribed. Simple data descriptions and tabulations were used to report the data. Eleven RN prescribers consented to take part in the survey and these nurses worked in speciality areas of cardiology, respiratory, diabetes, and primary care. Findings from the survey demonstrated that RN prescribers prescribe medicines within their area of practice and within the limits of the list of medicines for RN prescribers. Those working in primary care saw a wider range of health conditions and therefore prescribed a broader range of medications. This survey revealed that the list of medications available for RN prescribers needs to be updated regularly to align with the release of evidence-based medications on the New Zealand Pharmaceutical Schedule. It is also a useful record for both educational and clinical settings of the types of medications prescribed by RN prescribers.

scholarly journals COVID-19: a review of current knowledge regarding exposure, quarantine, isolation and other preventive measures

2021 ◽  
Vol 8 ◽  
pp. 204993612110320
Author(s):  
Robert Rosolanka ◽  
Andres F. Henao-Martinez ◽  
Larissa Pisney ◽  
Carlos Franco-Paredes ◽  
Martin Krsak
Keyword(s):  
Immune Response ◽  
Severe Acute Respiratory Syndrome ◽  
Clinical Response ◽  
Preventive Measures ◽  
Current Knowledge ◽  
Therapeutic Options ◽  
Exposure Control ◽  
Knowledge Gaps ◽  
Vaccination Strategies ◽  
Speed Up

Deeper understanding of the spread, morbidity, fatality, and development of immune response associated with coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, is necessary in order to establish an appropriate epidemiological and clinical response. Exposure control represents a key part of the combat against COVID-19, as the effectiveness of current therapeutic options remains partial. Since the preventive measures have not been sufficiently able to slow down this pandemic, in this article we explore some of the pertinent knowledge gaps, while overall looking to effective vaccination strategies as a way out. Early on, such strategies may need to rely on counting the convalescents as protected in order to speed up the immunization of the whole population.

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