INTRODUCTIONThe delivery of health care by primary care general practices rapidly changed in response to the coronavirus disease 2019 (COVID-19) pandemic in early 2020.
AIMThis study explores the experience of a large group of New Zealand general practice health-care professionals with changes to prescribing medication during the COVID-19 pandemic.
METHODSWe qualitatively analysed a subtheme on prescribing medication from the General Practice Pandemic Experience New Zealand (GPPENZ) study, where general practice team members nationwide were invited to participate in five surveys over 16 weeks from 8 May 2020.
RESULTSOverall, 78 (48%) of 164 participants enrolled in the study completed all surveys. Five themes were identified: changes to prescribing medicines; benefits of electronic prescription; technical challenges; clinical and medication supply challenges; and opportunities for the future. There was a rapid adoption of electronic prescribing as an adjunct to use of telehealth, minimising in-person consultations and paper prescription handling. Many found electronic prescribing an efficient and streamlined processes, whereas others had technical barriers and transmission to pharmacies was unreliable with sometimes incompatible systems. There was initially increased demand for repeat medications, and at the same time, concern that vulnerable patients did not have usual access to medication. The benefits of innovation at a time of crisis were recognised and respondents were optimistic that e-prescribing technical challenges could be resolved.
DISCUSSIONImproving e-prescribing technology between prescribers and dispensers, initiatives to maintain access to medication, particularly for vulnerable populations, and permanent regulatory changes will help patients continue to access their medications through future pandemic disruption.
Objectives: To review the literatures, it is still a controversy about different materials to take rate in tympanoplasty. This study aims to investigate the anatomical and outcomes of Transcanal Endoscopic tympanoplasty with different donor sites of grafts. Objective: To review the literatures, it is still a controversy about different materials to take rate in tympanoplasty. This study aims to investigate the anatomical and outcomes of Transcanal Endoscopic tympanoplasty with different donor sites of grafts. Materials and Methods: We retrospectively reviewed the charts of patients who underwent Transcanal Endoscopic tympanoplasty with different donor sites of grafts at the Chang Gung Memorial Hospital. All calculations were performed with a commercial statistical software package(SPSS 12.0 for windows)
Abstract-Previously, there were morphological analyzer and lemmatization method for Bahasa: Indonesian language, yet they have not handled all occurred cases. Therefore, we develop an algorithm which combines two tasks; they are to generate affixed words from a root word and vice versa. The current morphological analyzer to generate affixed words has not covered in analyzing two words, whilst the current lemmatization method cannot find out the lemma from an affixed word which has confix and reduplication. Hence, we will cover these issues in order to enhance the current methods. The algorithm concerns only in Bahasa. The algorithm to generate affixed word is based on the two-level morphological analyzer, while refinement of lemmatization method is based on rule precedence and token checking. After implementing the algorithms, we find out that affixed word produced is 12.63% productive words, 86.98% non-productive words, and 0.39% incorrect words for the affixed word, whilst lemmatization can achieve 96.11% accuracy.Index Terms-Affixed word, root word, Bahasa, morphological analyzer, lemmatization.
The use of universal body mass index (BMI) cutoffs do not take into account variation in the association between BMI and health risk across diverse ethnic groups. We used the New Zealand Health Survey data collected between 2002/2003 and 2014/2015 to calculate the predictive marginal means of hypertension, cardiovascular diseases, and type 2 diabetes mellitus (T2DM) after adjusting for demographic variables and health-related behaviors. Compared with European group, we found that Pacific had a lower prevalence of hypertension at a BMI of ≥35 kg/m 2 , and Māori had a higher prevalence of hypertension, T2DM, and cardiovascular diseases at higher BMI intervals. Whereas Asian had a higher T2DM prevalence compared with Māori, Pacific, and European at some BMI intervals. Using universal BMI cutoffs on the ethnically diverse population to compare obesity rates does not address the risk of chronic diseases associated with high BMI and may stigmatize certain ethnic groups.
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