Rural matters.
Authors: Crampton P, Baxter J Abstract PMID: 30408812 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Gout in Aotearoa New Zealand: the equity crisis continues in plain sight.
Authors: Dalbeth N, Dowell T, Gerard C, Gow P, Jackson G, Shuker C, Te Karu L Abstract PMID: 30408813 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

A prospective audit of the 10-year outcomes from low dose-rate brachytherapy for early stage prostate cancer.
CONCLUSION: LDR brachytherapy is a highly effective low-impact treatment option for New Zealand men with early stage prostate cancer. PMID: 30408814 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Privacy protection for health information research in New Zealand district health boards.
CONCLUSION: Our findings show DHBs self-report that they have sufficient measures in place to protect privacy when patient information is used for research. However, these measures need to be continuously evaluated against rapidly evolving international practices and technological developments. PMID: 30408815 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Te Wero tonu-the challenge continues: M āori access to medicines 2006/07-2012/13 update.
CONCLUSION: Large inequities in medicines access for Māori continue. Inequities in access are unacceptable, their causes likely complex and entrenched; we believe they need deeper understanding of systems and barriers, pragmatic ways to monitor outcomes, and an all-of-sector approach and beyond. PHARMAC has committed to strategic action to eliminate inequities in access to medicines by 2025, recognising it needs partners to drive the necessary change. Kei a tātou tonu katoa te wero kia mahikaha, kia mahi tino mōhio, me te mahitahi (The challenge continues for us to work harder, work smarter, and work together); everyone...
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Incidence of motor neurone disease within MidCentral Region, New Zealand.
DISCUSSION: The findings from this study (incidence of 2.9/100,000) are in concordance with the higher incidence of MND found in other regions of New Zealand compared with other areas of the world. Further studies are warranted to investigate incidence in other regions, thereby building the foundations for the study of genetic and environmental factors. PMID: 30408817 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Antidepressant prescribing in New Zealand between 2008 and 2015.
CONCLUSIONS: Antidepressant prescribing rates continue to increase in New Zealand although this rate of increase is slowing. The highest users were European women, particularly those age 65 and older. PMID: 30408818 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Distress in informal carers of the elderly in New Zealand.
CONCLUSIONS: Carers of the elderly in New Zealand show elevated levels of distress. Higher levels of emotional support are needed for New Zealand carers. If the health system continues to rely on unpaid carers more should be done to support them. PMID: 30408819 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Proposal for a National Interprofessional School of Rural Health.
Authors: Nixon GH, Kerse NM, Bagg W, Skinner MA, Larmer PJ, Crampton P Abstract Shortages of health professionals persist in much of rural New Zealand despite a range of targeted university and professional college initiatives. In response to this a collective of universities, professional colleges and sector groups have put a proposal to Government for a National Interprofessional School of Rural Health. If adopted, this proposal would embed rural health professional education and research in rural communities around New Zealand, empowering them to organise the education that occurs in their community, in a cohere...
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Mana T ū: a whānau ora approach to type 2 diabetes.
Mana Tū: a whānau ora approach to type 2 diabetes. N Z Med J. 2018 Nov 09;131(1485):76-83 Authors: Harwood M, Tane T, Broome L, Carswell P, Selak V, Reid J, Light P, Stewart T Abstract In 2017, the National Hauora Coalition, a Māori-led Primary Health Organisation (PHO), was awarded a Long-Term Conditions Partnership Research grant to test the effectiveness of Mana Tū: a whānau ora approach to type 2 diabetes. With moves to replicate aspects of it in programmes around New Zealand, it is timely to describe the rationale for Mana Tū and the key components of its unique model of care. Mana Tū was d...
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Surgical management of self-inflicted facial gunshot wounds.
Authors: Goad K, Singh T Abstract PMID: 30408822 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

A population-based study of the diabetes paradox in stress cardiomyopathy.
Authors: Watson GM, Chan CW, Doudney K, Bridgman PG Abstract PMID: 30408823 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Do interns publish findings of their scholarly research projects?
Authors: Alamri Y Abstract PMID: 30408824 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Unplanned readmissions in frail individuals.
Authors: D'souza J, Richards S Abstract PMID: 30359349 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

M āori positive ageing.
Māori positive ageing. N Z Med J. 2018 Oct 26;131(1484):10-12 Authors: Edwards W, Theodore R, Ratima M, Reddy R Abstract PMID: 30359350 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Endovascular clot retrieval for acute ischaemic stroke in New Zealand.
CONCLUSIONS: This study has shown that stroke endovascular clot retrieval is being provided safely and effectively in New Zealand. However, there remain discrepancies in service provision, and ongoing regional, inter-regional and inter-sector collaboration is essential to implement comprehensive and equitable ECR services across the country. PMID: 30359351 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Are the benefits of aspirin likely to exceed the risk of major bleeds among people in whom aspirin is recommended for the primary prevention of cardiovascular disease?
CONCLUSION: The benefits of aspirin are likely to exceed the risk of major bleeds among people in whom aspirin is recommended for the primary prevention of CVD. A more cautious approach to the use of aspirin is appropriate for people aged 60-69 years who are likely to have a smaller net benefit from aspirin, particularly those in whom lipid- and blood pressure-lowering therapy has not already been optimised or who have other bleeding risk factors, such as diabetes or smoking. More specific recommendations will be possible when bleeding risk equations are developed to complement the recently developed New Zealand CVD risk e...
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Can colonoscopy at peripheral day hospitals meet internationally accepted quality and safety standards?
CONCLUSION: The colonoscopy service at CCH was safe and complied with the accepted quality indicators. Our data suggest that delivery of high-quality colonoscopy services might be possible in similar peripheral and day hospitals around New Zealand. Increasing colonoscopy services in such centres would reduce the excessive workload of larger public hospitals and reduce the level of unmet need for colonoscopy services. PMID: 30359353 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Sun protection and shade availability in New Zealand's outdoor recreation spaces.
CONCLUSIONS: Despite New Zealand having the highest incidence of melanoma skin cancer in the world, the results indicate that few New Zealanders wear hats and seek shade in outdoor recreation settings. The findings highlight the need to improve policy and environmental support for skin cancer prevention activities. PMID: 30359354 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Readmissions to hospital in a frail older cohort receiving a community-based transitional care service.
CONCLUSIONS: Our study showed high readmission rates despite the community supports. This high readmission rate does not imply failure of the intervention as the majority of these were with new or acute medical problems requiring inpatient treatment which were not preventable. Most were able to recover and return to their own homes. PMID: 30359355 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Feasibility and reliability of clinical coding surveillance for the routine monitoring of adverse drug events in New Zealand hospitals.
CONCLUSION: CCS is a feasible and reliable approach for the routine monitoring of ADEs in hospitals. PMID: 30359356 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Preventing cardiovascular disease in New Zealand: making better use of statins but also tobacco control, changing the food supply and other strategies.
Authors: Wilson N, Jones AC, Nghiem N, Blakely T Abstract There is new evidence from a very large systematic review and meta-analysis (Navarese et al 2018), that using statins for reducing levels of low-density lipoprotein cholesterol reduces the risk of premature death. In this viewpoint article we consider the implications of this new evidence for New Zealand but also examine how the use of statins may be improved for primary prevention of cardiovascular disease (CVD) in this country. We suggest the need to explore such options as fixed-dose combination pills containing statins, three-drug polypills, behind-the-c...
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

A New Zealand case of nasal myiasis involving Lucilia cuprina (Diptera: Calliphoridae).
Authors: Bishop D, Patel D, Heath A Abstract A case of nasal myiasis that occurred in February 2017 in the Northland region was the first involving L. cuprina naturally-acquired in New Zealand. PMID: 30359358 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Lower-limb amputation in New Zealand: temporal changes and the role of diabetes mellitus.
Authors: Gurney JK, Stanley J, Rumball-Smith J, York S, Sarfati D Abstract PMID: 30359359 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Stroke reperfusion treatment in regional New Zealand.
Authors: Lallu BD, Brebner AC, Pepperell B, Blume R, Langridge J, Caswell S, Webb H Abstract PMID: 30359360 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

How common is off-label prescription of quetiapine?
Authors: McKean A, Monasterio E, Elliott T Abstract PMID: 30359361 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 27, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Changing trauma systems and outcomes as advances in medicine and collection of data improve.
Authors: Wakeman C, Evans M PMID: 30286059 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Use of tranexamic acid in trauma patients requiring massive transfusion protocol activation: an audit in a major trauma centre in New Zealand.
CONCLUSIONS: TXA was found to be under-utilised and significant departures from best practice were found, likely due to persisting uncertainty and unfamiliarity. In particular, delayed administration beyond the three-hour therapeutic window occurred in a quarter of patients, increasing the risk of mortality secondary to haemorrhage. This pattern of use may apply to the wider population of trauma patients in this centre, and requires remedy and reassessment. PMID: 30286060 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Livestock-related injuries in the Midland region of New Zealand.
CONCLUSION: This study has identified high-risk animals, activities, age intervals and times during which large livestock-related injuries may occur, and revealed the significant impact on hospitals and communities that these injuries result in. PMID: 30286061 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Audit of ethnicity data in the Waikato Hospital Patient Management System and Trauma Registry: pilot of the Hospital Ethnicity Data Audit Toolkit.
CONCLUSIONS: The degree of misclassification of Māori ethnicity data among patients in the Waikato Trauma Registry and the Waikato Hospital patient management system highlights a need for improvements to how ethnicity data is captured within these databases and potentially many other similar entities collecting ethnicity data in New Zealand. The release of revised standardised protocols for the collection of ethnicity data is timely given the recent establishment of a national trauma registry. Without quality data, the opportunity to investigate and address ethnic inequities in trauma incidence and management is greatly c...
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

New Zealanders' experiences and pathways to a diagnosis of bowel cancer: a cross-sectional descriptive study of a younger cohort.
CONCLUSIONS: Few patients initially suspected bowel cancer or reported embarrassment seeking care; those who did were most likely to experience changes in bowel habit or bleeding. Our study is small, and not representative of all those diagnosed with CRC in New Zealand; yet it provides important first insights into patients' diagnostic experiences. PMID: 30286063 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Alcohol-related emergency department attendances after the introduction of the Sale and Supply of Alcohol Act 2012.
Authors: Ford K, Foulds J, Coleman O, Ardagh M, Pearson S, Droste N, Newton-Howes G, Sellman JD Abstract AIM: To measure changes in alcohol-related emergency department (ED) attendances after introduction of the Sale and Supply of Alcohol Act 2012. METHODS: Cross-sectional survey of Christchurch ED attendees in three-week sampling periods in 2013 and 2017. Participants had consumed alcohol within four hours, or their drinking had directly contributed to the attendance. The quantity of alcohol consumed and places of purchase and consumption for the index drinking episode were recorded. RESULTS: From 2013 to ...
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Equine-related injuries requiring hospitalisation in the Midland Region of New Zealand: a continuous five-year review.
CONCLUSION: The study has identified the demography, injury types, risk factors and outcomes for equine-related injuries in the Midland Region of New Zealand. Indications are that the severity of such injuries may be less than previously reported. However, the volumes and costs of injury represent a significant burden on the health system, individuals and communities. More detailed understanding of causative factors will allow targeting of prevention strategies to address high-risk activities and demographic groups. PMID: 30286065 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Conflict of interest and alcohol discourse-a new face but familiar messages.
Authors: Casswell S Abstract The launch of a new alcohol industry body, the Alcohol Beverages Council, provides an active voice in the media debate on alcohol policy in New Zealand. The Council's messages are the usual ones offered by the alcohol industry: a focus on the drinker, not the product; protection of the rights of the moderate drinker; arguments for education; and erroneous statements about evidence-based policies. At the global level these messages, in the context of corporate social responsibility and lobbying activities, have been successful in subverting effective policy. A similar lack of policy impl...
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Colloidal silver optic neuropathy.
Authors: Newlands SJ, Betts TD, Stack RR PMID: 30286067 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Surgical aortic valve replacement for valve-in-valve trans-catheter aortic valve dysfunction in the patient with a small aortic annulus.
Authors: Beliaev AM, Webster MW, Greaves SC, Stewart JT, Haydock DA PMID: 30286068 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 6, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Responding to a new wave of high potency synthetic cannabinoids.
Authors: Wilkins C, Rychert M PMID: 30235186 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Weight and fitness changes across generations: better evidence can help prioritise better public health interventions.
Authors: Stanley J, Cleghorn C PMID: 30235187 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

An ethical dilemma: informed consent, balancing patient dignity and medical student participation in sensitive examinations.
Authors: Pascoe R, Campbell J PMID: 30235188 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Intergenerational changes in adolescents' physical fitness and weight in New Zealand.
CONCLUSIONS: Overall adolescents today appear to be less fit and heavier than their parents were at the same age. The decline in fitness over a generation is particularly evident in adolescent girls, although boys also have lower levels of fitness once body weight has been taken into account. PMID: 30235189 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Medical students, sensitive examinations and patient consent: a qualitative review.
CONCLUSIONS: A number of senior medical students at our institution disclosed observing or performing sensitive examinations on patients without the patients' knowledge or consent. PMID: 30235190 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Distinctive features of polycythaemia vera in New Zealand Polynesians.
Authors: Hanna MZ, Kalev-Zylinska ML, Jackson SR, Royle G, Blacklock HA Abstract AIM: The aim of this study was to examine a potential ethnic disparity in the phenotype of polycythaemia vera (PV) between New Zealand European and Polynesian patients. METHOD: A retrospective review of medical records was conducted at Middlemore Hospital to identify adult patients with PV diagnosed between 1987 and 2007. Data extracted included diagnostic criteria, ethnicity, age, complications and survival. RESULTS: Eighty-eight adult patients with PV were identified during 1987-2007, 49 (55.7%) were Europeans ...
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Comparing initial and follow-up responders to a New Zealand patient experience survey.
CONCLUSION: Responders to follow-up have similar experiences of inpatient care in New Zealand to initial responders. Further study is needed to strengthen inferences regarding hard-to-reach patients. PMID: 30235192 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Who operated on me? What patients understand about surgical trainees.
CONCLUSION: The majority of patients are unable to recognise the level of training of the person who operated on them. There is a common public misconception that the consultant surgeon will be the operator in the majority procedures, however in teaching hospitals, a significant number of procedures are performed by doctors working under the supervision of the consultant surgeon. Many patients are not being adequately educated prior to surgery about the level of training of the person doing their procedure. PMID: 30235193 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Epidemiology of melanoma in situ in New Zealand: 2008-2012.
CONCLUSIONS: This paper provides new information about the epidemiology of MIS in New Zealand and its relevance to clinical practice. Public education strategies may be beginning to show effect with the goal of increasing prevention and earlier detection and treatment to enable decrease in melanoma mortality. PMID: 30235194 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Perioperative ischaemic stroke in patients with atrial fibrillation after temporary cessation of anticoagulation for elective surgery.
Authors: Xu Y, Maddula M PMID: 30235195 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Cerebellar dysmetria treated using a wrist band.
Authors: Mahawish KM PMID: 30235196 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Lack of perspective in health funding research criticised.
Authors: Goodwin E, McLean E PMID: 30235197 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

"If government can't stop the smokes, no way we can stop selling them": why retailers want Government to act.
"If government can't stop the smokes, no way we can stop selling them": why retailers want Government to act. N Z Med J. 2018 Sep 21;131(1482):89-91 Authors: Badu E, Fowler E PMID: 30235198 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research

Primum non nocere: first do no harm: reponse to Phillida Bunkle.
Authors: Bryder L PMID: 30235199 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - September 21, 2018 Category: General Medicine Tags: N Z Med J Source Type: research