Evaluation of the Family Start programme: Report on findings of the impact evaluation

The purpose of this impact evaluation was to assess the impact that Family Start participation is having on the wellbeing of New Zealand children and their whānau. The evaluation examined a range of health, educational, and social outcomes for children, including separate analyses for Māori and Pasifika children. The evaluation was informed by a Bridging Cultural Perspectives approach which comprises the He Awa Whiria and Negotiated Spaces models. Reviewers representing the three knowledge streams (Māori, Pasifika, Pākehā) worked together to assist with the interpretation of the findings at an aggregate level, and through the lens of each worldview

Multiple partial nephrectomy for multifocal synchronous renal cancer in a solitary kidney

Introduction & Objectives: multifocal synchronous renal cancer on a solitary kidney represent a challenging clinical scenario. The complexity of imperative nephron-sparring surgery in this setting resides in ensuring complete excision of cancer with the maximal preservation of renal function. We aim to present a case of multiple partial nephrectomy (MPN) for multifocal synchronous renal cancer in a patient with a solitary kidney and discuss our experience of imperative partial in this setting. Materials & Methods: We present a case of a 76 years old man with a past medical history of hypertension, chronic obstructive pulmonary disease, peripheral vascular disease, left radical nephrectomy for renal mass (2006) and a right renal artery stent placement for renal artery stenosis. During his surveillance, computerized axial tomography (CAT) scan showed 3 enhancing renal masses (2.2cm, 1.5cm and 1cm, respectively). Biopsy of the largest mass was consistent in clear cell renal cell carcinoma (ccRCC). Preoperative level of creatinine was 1.4mg/dL and estimated glomerular filtration rate (eGFR) 50ml/min/1,73m2. After ablative therapy was deemed unsafe, a MPN was planned

Evaluation of the Family Start programme: Synthesis of process and impact evaluation findings

This report provides findings from an evaluation of the Family Start programme (‘Family Start’), a voluntary home-visiting programme that supports whānau to improve children’s health, learning and relationships, whānau circumstances, environment and safety