Northland District Health Board

[This corrects the article DOI: 10.3389/fdmed.2024.1485419.].

Tag-recapture programs to monitor the movements of fish populations are among some of the longest-running citizen-science datasets to date. Here, using half a century of yellowtail kingfish (Seriola lalandi, Carangidae) tag-recapture data collected through citizen-science projects, we report novel insights into population connectivity in Australia and New Zealand (NZ). Despite the importance of kingfish in commercial and recreational fisheries, substantial knowledge gaps about their stock structure and connectivity between jurisdictions hinder current management efforts. Between 1974 and 2022, 63,432 releases and 4636 recaptures (7.3%) of tagged kingfish were collected in Australia and NZ. Most tagged individuals (51.4%) were recaptured within 10 km of their original release location up to 14 years post-release (mean: 225 days), indicating some degree of site fidelity. However, 656 (14.2%) kingfish were recaptured over 100 km from their release location, with one fish travelling at least 2834 km in 702 days. Seasonal variability was evident for releases and recaptures, with more releases occurring in summer and autumn in most jurisdictions. Network analysis of recaptures revealed no connectivity between tagged kingfish from western and eastern Australia, supporting genetic delineation. By contrast, extensive connectivity exists across eastern Australia and NZ, with 87 kingfish moving between five Australian state jurisdictions, 316 individuals travelling across 15 bioregions and six kingfish moving between Australia and NZ. Our findings provide important new insights into the structure and connectivity of the eastern Australia kingfish stock and suggest increased collaboration between state and international fisheries jurisdictions may support improved stock assessment and management.

Background: Burnout is an increasingly important phenomenon amongst healthcare professionals and leads to poorer healthcare delivery and provider well-being. This research sought to assess the severity and risk factors for burnout within the community of specialist otolaryngologists in New Zealand. Methods: A cross-sectional observational study was conducted amongst all New Zealand Otolaryngologists over a 6-month period from March to September 2019 to determine degree and severity of burnout. All otolaryngology consultants practicing in New Zealand were included in the study. The Maslach Burnout Inventory (MBI-HSS) was used to assess burnout. Demographic and work-related factors were collected in a separate questionnaire developed by the authors and univariate statistical analysis was conducted on each potential risk factor. Chi-square and Kendall’s Tau-B statistical tests were utilised to ascertain correlation with burnout. Results: Questionnaires were sent to 109 participants and 75 complete responses were returned. The prevalence of burnout in this group was 37.3%, with 9.3% demonstrating severe burnout. Predictors of burnout included feeling dissatisfied with their careers [rt=0.423, 95% confidence interval (CI): 0.289–0.540, P<0.001], feeling burdened by on-call demands [χ2(1, n=75)=13.385, P<0.001], and feeling that work was interfering with their personal, social, and family commitments (rt=0.361, 95% CI: 0.221–0.487, P<0.001). Participants subjectively feeling burnt out were more likely to meet the criteria for burnout on the MBI-HSS scale [χ2(1, n=74)=18.594, P<0.001]. Conclusions: A high proportion of New Zealand otolaryngologists suffered burnout. This poses significant risks to safe and efficient healthcare delivery as well as provider well-being. Additionally, there are likely more surgeons suffering moderate burnout than previously thought.

ABSTRACT Rationale/Purpose We investigated the role of gender (both endorser and audience) and career status on young people’s attitude, participation intention and perception of fit in the context of a social marketing campaign promoting sport and physical activity participation. Design/Methodology/Approach In a 2 × 2 × 2 experiment, the eight conditions were based on endorser gender (female and male), endorser career status (current and former) and participant gender (female and male). Participants were aged between 16 and 24 years. Findings Endorser’s gender, career status and participants’ gender had no significant effect on attitude and intention related to the social marketing campaign. However, endorser gender significantly influenced participants’ perceptions of gender fit, and perceptions of career status fit. Either a current or former female athlete was perceived as a better fit than a male athlete endorser. Furthermore, the career status of an endorser significantly impacted perception of career status fit, but only for participants who were highly involved in sport and physical activity. Practical Implications Using former athletes is a more-than-viable strategy, and both male and female endorsers are equally likely to facilitate behaviour change in young adults. Research Contribution Social marketing campaigns promoting promote sport and physical activity can leverage the celebrity capital of retired athletes.

Diverticulitis is common and increasing in incidence. The risk of malignancy in those with uncomplicated diverticulitis is estimated to be 0.7%, compared with 10% in complicated diverticulitis. Newer guidelines suggest colonic investigation in patients with complicated diverticulitis only. We aim to investigate which patients in Northland undergo colonic investigation following an episode of diverticulitis, define malignancy detection rate and aid in the formulation of local guidelines. A retrospective review of adults admitted to Whangārei Hospital with diverticulitis between 2015 and 2019. Patients were classified as complicated or uncomplicated based on the Hinchey classification radiologically or intra-operatively. Patients were followed up to a minimum of 24 months. Three hundred and forty-nine patients were included. One hundred and eighty-two (48%) patients underwent colonic investigation following admission with diverticulitis; 50 with complicated and 132 with uncomplicated disease. The rate of colonic investigation between the groups was similar, at 53% and 47% respectively. Two patients (1.1%) were found to have a colonic malignancy, both in the uncomplicated group. The performance of a colonic investigation was not associated with complicated disease, ethnicity, gender or age on univariate or multivariate analysis. Colonic investigation following an admission for acute diverticulitis in Northland is not aligned with recently published guidelines. The rate of colonic malignancy found was low. Larger local studies are needed to guide clinicians and maximise efficiency of resource utilisation.

To evaluate the functional and graft survivorship outcomes of the three most common autograft options for primary anterior cruciate ligament reconstruction (ACLR)-hamstring tendon (HT), bone-patella-tendon-bone (BPTB), and quadriceps tendon (QT). Patients captured by the New Zealand ACL registry who underwent a primary ACLR from 2014 to 2020 were considered for the study. Patients with associated knee injury (including meniscus, chondral, osseous, and additional ligamentous injury) and previous knee surgery were excluded. Comparison was made between HT, BPTB, and QT autografts with respect to Marx and KOOS (Knee Osteoarthritis Outcome Score) scores at minimum 2years follow-up. In addition, graft survivorship was evaluated by comparing all-cause revision per 100 graft years and revision-free proportion at 2years post-surgery. 2,582 patients (1,921 HT, 558 BPTB, 107 QT) were included in the study. Differences in adjusted functional outcomes between HT and BPTB were found at 12months (mean Marx; HT 6.2; BPTB 7.1; P < 0.001) (mean KOOS Sport and Recreation; HT 75.1; BPTB 70.5; n.s.) and 24months (mean KOOS Sports and Recreation; HT 79.2; BPTB 73.9; P < 0.001). QT was comparable to HT and BPTB in all functional scores at 12months and 2years. No statistically significant differences were found in revision rate between all three autograft groups up to 2years post-surgery (revision rate per 100 graft years; HT 1.05; BPTB 0.80; QT 1.68; n.s. HT vs. BPTB; n.s. HT vs. QT; n.s. QT vs. BPTB). QT was found to be comparable to both HT and BPTB in all functional scores and revision rates up to 2years post-surgery. Level III.