Journal Articles
Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915
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Item A Scoping Review of Attention-Deficit/Hyperactivity Disorder Assessment and Diagnosis: Tools, Practices, and Sex Bias(Springer Nature, 2025-08-07) Crocker SL; Roemer A; Strohmaier S; Wang GY; Medvedev ONObjectives: Accurately diagnosing attention-deficit/hyperactivity disorder (ADHD) is challenging due to the overlap of symptoms with other mental health conditions. This scoping review evaluated the dependability and accuracy of prevalent diagnostic scales and investigates potential obstacles to ADHD assessment diagnosis including potential sex bias. Method: Following the PRISMA-ScR guidelines, 11 widely used diagnostic scales were identified and included. All scales were evaluated based on their psychometric quality and alignment with DSM-5 diagnostic criteria for ADHD. Results: The Attention Deficit Disorders Evaluation Scale emerged as the most reliable among the 11 scales, with the Symptom Checklist-4 ranking as the least reliable. No single assessment tool was adequate for ADHD diagnosis; additional testing was required for accurate conclusions. The literature revealed sex and age biases in some of the assessments. It was discovered that girls were diagnosed with ADHD less often than boys, yet their likelihood of misdiagnosis was notably lower. Conclusions: This review emphasizes the necessity of comprehensive, multi-method assessment approaches for accurate ADHD diagnosis, as no single tool demonstrated sufficient diagnostic precision. Effective clinical assessment design must incorporate strong psychometric measures, address sex-based diagnostic disparities, and emphasize the importance of evaluating behavioural changes over time and their functional impact across settings.Item A scoping review on the epidemiology and public significance of Brucella abortus in Chinese dairy cattle and humans(Elsevier B.V., 2024-01-31) Wang Y; Vallée E; Heuer C; Wang Y; Guo A; Zhang Z; Compton CBrucellosis, caused by Brucella spp., is a re-emerging One Health disease with increased prevalence and incidence in Chinese dairy cattle and humans, severely affecting animal productivity and public health. In dairy cattle, B. abortus is the primary causative agent although infections with other Brucella species occur occasionally. However, the epidemiological and comparative importance of B. abortus in dairy cattle and humans remains inadequately understood throughout China due to the heterogeneity in locations, quality, and study methods. This scoping review aims to describe the changing status of B. abortus infection in dairy cattle and humans, investigate the circulating Brucella species and biovars, and identify factors driving the disease transmission by retrieving publicly accessible literature from four databases. After passing the prespecified inclusion criteria, 60 original articles were included in the final synthesis. Although the reported animal-level and farm-level prevalence of brucellosis in dairy cattle was lower compared to other endemic countries (e.g. Iran and India), it has been reported to increase over the last decade. The incidence of brucellosis in humans displayed seasonal increases. The Rose Bengal Test and Serum Agglutination Test, interpreted in series, were the most used serological test to diagnose Brucella spp. in dairy cattle and humans. B. abortus biovar 3 was the predominant species (81.9%) and biovar (70.3%) in dairy cattle, and B. melitensis biovar 3 was identified as the most commonly detected strain in human brucellosis cases. These strains were mainly clustered in Inner Mongolia and Shannxi Province (75.7%), limiting the generalizability of the results to other provinces. Live cattle movement or trade was identified as the key factor driving brucellosis transmission, but its transmission pattern remains unknown within the Chinese dairy sector. These knowledge gaps require a more effective One Health approach to be bridged. A coordinated and evidence-based research program is essential to inform regional or national control strategies that are both feasible and economical in the Chinese context.Item Hā Ora: secondary care barriers and enablers to early diagnosis of lung cancer for Māori communities(BioMed Central Ltd, 2021-02-04) Kidd J; Cassim S; Rolleston A; Chepulis L; Hokowhitu B; Keenan R; Wong J; Firth M; Middleton K; Aitken D; Lawrenson RBackground Lung Cancer is the leading cause of cancer deaths in Aotearoa New Zealand. Māori communities in particular have higher incidence and mortality rates from Lung Cancer. Diagnosis of lung cancer at an early stage can allow for curative treatment. This project aimed to document the barriers to early diagnosis and treatment of lung cancer in secondary care for Māori communities. Methods This project used a kaupapa Māori approach. Nine community hui (focus groups) and nine primary healthcare provider hui were carried out in five rural localities in the Midland region. Community hui included cancer patients, whānau (families), and other community members. Healthcare provider hui comprised staff members at the local primary healthcare centre, including General Practitioners and nurses. Hui data were thematically analysed. Results Barriers and enablers to early diagnosis of lung cancer were categorised into two broad themes: Specialist services and treatment, and whānau journey. The barriers and enablers that participants experienced in specialist services and treatment related to access to care, engagement with specialists, communication with specialist services and cultural values and respect, whereas barriers and enablers relating to the whānau journey focused on agency and the impact on whānau. Conclusions The study highlighted the need to improve communication within and across healthcare services, the importance of understanding the cultural needs of patients and whānau and a health system strategy that meets these needs. Findings also demonstrated the resilience of Māori and the active efforts of whānau as carers to foster health literacy in future generations.