The role of high-flow nasal therapy in bronchiectasis: a analysis.

https://bit.ly/2JFXuQc.

Population health in New Zealand 2000-2013: From determinants of health to targets.

Objective: To determine how 'population health' has been understood in practice and policy and has influenced health system restructuring in New Zealand since 2000.

Methods: Interviews in 2007-2008 with managers, clinicians, government policy advisors and academics were undertaken to explore the relationships between population health, determinants of health, and health system restructuring. This was augmented by a review of major government health policies from 2009 to 2013 to establish which notions of population health were reflected.

Patients' engagement in primary care: powerlessness and compounding jeopardy. A qualitative study.

Background: Primary health care does not adequately respond to populations known to have high needs such as those with compounding jeopardy from chronic conditions, poverty, minority status and age; as such populations report powerlessness.

Objective: To explore what poor older adults with chronic conditions who mostly belong to ethnic minority groups say they want from clinicians.

Setting And Participants: Participants were older adults whose chronic conditions were severe enough to require hospital admission more than twice in the previous 12 months.

Helplessness, self blame and faith may impact on self management in COPD: a qualitative study.

Aims: To explore how patients with COPD experience helplessness.

Methods: In-depth interviews with 29 patients with moderate to very severe COPD. Data were analysed using a general inductive approach.

The clinical utility of long-term humidification therapy in chronic airway disease.

Aim: Persistent airway inflammation with mucus retention in patients with chronic airway disorders such as COPD and bronchiectasis may lead to frequent exacerbations, reduced lung function and poor quality of life. This study investigates if long-term humidification therapy with high flow fully humidified air at 37 degrees C through nasal cannulae can improve these clinical outcomes in this group of patients.

Method: 108 patients diagnosed with COPD or bronchiectasis were randomised to daily humidification therapy or usual care for 12 months over which exacerbations were recorded.

Cardiovascular risk factors after antenatal exposure to betamethasone: 30-year follow-up of a randomised controlled trial.

Background: Antenatal betamethasone treatment is widely used for the prevention of neonatal respiratory distress syndrome in preterm infants and substantially reduces neonatal mortality and morbidity. Fetal exposure to excess glucocorticoids has been proposed as one of the core mechanisms of the fetal origins of adult disease hypothesis. We assessed whether antenatal exposure to betamethasone for the prevention of neonatal respiratory distress syndrome affects cardiovascular risk factors at 30 years of age.

The development and implementation of the Chronic Care Management Programme in Counties Manukau.

Aims: To develop an effective and efficient process for the seamless delivery of care for targeted patients with specific chronic diseases. To reduce inexplicable variation and maximise use of available resources by implementing evidence-based care processes. To develop a programme that is acceptable and applicable to the Counties Manukau region.