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  1. Article: Impact of the Christchurch earthquakes on hospital staff.

    Tovaranonte, Pleayo / Cawood, Tom J

    Prehospital and disaster medicine

    2013  Volume 28, Issue 3, Page(s) 245–250

    Abstract: Introduction: On September 4, 2010 a major earthquake caused widespread damage, but no loss of life, to Christchurch city and surrounding areas. There were numerous aftershocks, including on February 22, 2011 which, in contrast, caused substantial loss ... ...

    Abstract Introduction: On September 4, 2010 a major earthquake caused widespread damage, but no loss of life, to Christchurch city and surrounding areas. There were numerous aftershocks, including on February 22, 2011 which, in contrast, caused substantial loss of life and major damage to the city. The research aim was to assess how these two earthquakes affected the staff in the General Medicine Department at Christchurch Hospital. Problem To date there have been no published data assessing the impact of this type of natural disaster on hospital staff in Australasia.
    Methods: A questionnaire that examined seven domains (demographics, personal impact, psychological impact, emotional impact, impact on care for patients, work impact, and coping strategies) was handed out to General Medicine staff and students nine days after the September 2010 earthquake and 14 days after the February 2011 earthquake.
    Results: Response rates were ≥ 99%. Sixty percent of responders were <30 years of age, and approximately 60% were female. Families of eight percent and 35% had to move to another place due to the September and February earthquakes, respectively. A fifth to a third of people had to find an alternative route of transport to get to work but only eight percent to 18% took time off work. Financial impact was more severe following the February earthquake, with 46% reporting damage of >NZ $1,000, compared with 15% following the September earthquake (P < .001). Significantly more people felt upset about the situation following the February earthquake than the September earthquake (42% vs 69%, P < .001). Almost a quarter thought that quality of patient care was affected in some way following the September earthquake but this rose to 53% after the February earthquake (12/53 vs 45/85, P < .001). Half believed that discharges were delayed following the September earthquake but this dropped significantly to 15% following the February earthquake (27/53 vs 13/62, P < .001).
    Conclusion: This survey provides a measure of the result of two major but contrasting Christchurch earthquakes upon General Medicine hospital staff. The effect was widespread with minor financial impact during the first but much more during the second earthquake. Moderate psychological impact was experienced in both earthquakes. This data may be useful to help prepare plans for future natural disasters. .
    MeSH term(s) Adaptation, Psychological ; Adult ; Cross-Sectional Studies ; Disasters ; Earthquakes ; Female ; Humans ; Male ; New Zealand ; Personnel, Hospital/psychology ; Quality of Health Care ; Stress, Psychological/epidemiology
    Language English
    Publishing date 2013-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025975-2
    ISSN 1945-1938 ; 1049-023X
    ISSN (online) 1945-1938
    ISSN 1049-023X
    DOI 10.1017/S1049023X1300023X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A case of extensive cutaneous Mycobacterium marinum infection in a Pacific Islander living in New Zealand.

    Kevern, Charlotte / Tovaranonte, Pleayo / Meyer, Roland / Pithie, Alan

    The New Zealand medical journal

    2014  Volume 127, Issue 1397, Page(s) 88–92

    Abstract: Mycobacterium marinum is a rare cause of cutaneous infection. The typical clinical picture consists of one or more discrete well circumscribed lesions affecting the upper limbs. However, a more exuberant form has been described in the South Pacific, ... ...

    Abstract Mycobacterium marinum is a rare cause of cutaneous infection. The typical clinical picture consists of one or more discrete well circumscribed lesions affecting the upper limbs. However, a more exuberant form has been described in the South Pacific, where it is sometimes entitled 'Spam disease' given the infected skin's similar appearance to the canned food. We describe a case of this more extensive infection in a South Pacific Islander who appears to have acquired the infection in New Zealand, and remained undiagnosed for many years.
    MeSH term(s) Adult ; Anti-Bacterial Agents/therapeutic use ; Humans ; Male ; Mycobacterium Infections, Nontuberculous/drug therapy ; Mycobacterium Infections, Nontuberculous/pathology ; Mycobacterium marinum ; New Zealand ; Oceanic Ancestry Group ; Skin Diseases, Bacterial/drug therapy ; Skin Diseases, Bacterial/pathology
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2014-07-04
    Publishing country New Zealand
    Document type Case Reports ; Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Effect of adjunctive single high-dose vitamin D

    Slow, Sandy / Epton, Michael / Storer, Malina / Thiessen, Rennae / Lim, Steven / Wong, James / Chin, Paul / Tovaranonte, Pleayo / Pearson, John / Chambers, Stephen T / Murdoch, David R

    Scientific reports

    2018  Volume 8, Issue 1, Page(s) 13829

    Abstract: Low vitamin D status is associated with increased risk of pneumonia, greater disease severity and poorer outcome. However, no trials have examined the effect of adjunctive vitamin D therapy on outcomes in adults with community-acquired pneumonia (CAP). ... ...

    Abstract Low vitamin D status is associated with increased risk of pneumonia, greater disease severity and poorer outcome. However, no trials have examined the effect of adjunctive vitamin D therapy on outcomes in adults with community-acquired pneumonia (CAP). We conducted a randomised, double-blind, placebo-controlled trial examining the effects of adjunctive vitamin D in adults hospitalised with CAP. Participants were randomised to either a single oral dose of 200,000 IU vitamin D
    MeSH term(s) Adult ; Aged ; Cholecalciferol/administration & dosage ; Cholecalciferol/metabolism ; Cholecalciferol/therapeutic use ; Community-Acquired Infections/drug therapy ; Dietary Supplements ; Double-Blind Method ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; New Zealand ; Placebo Effect ; Pneumonia/drug therapy ; Vitamin D/administration & dosage ; Vitamin D/metabolism ; Vitamin D/therapeutic use ; Vitamin D Deficiency/drug therapy ; Vitamins/administration & dosage
    Chemical Substances Vitamins ; Vitamin D (1406-16-2) ; Cholecalciferol (1C6V77QF41)
    Language English
    Publishing date 2018-09-14
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-018-32162-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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