Medicinal Cannabis Scheme in New Zealand: lessons from international experience and our own recent drug policy reform setbacks.
Authors: Rychert M, Wilkins C, Noller G PMID: 31581177 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The interaction between pre-operative anaemia and peri-operative blood transfusion on patient outcomes following general surgical procedure: a retrospective review.
Authors: Morton LJ, Konrad KL, Xu TJ, Lightfoot NJ Abstract AIM: To assess the incidence of pre-operative anaemia in patients presenting for general surgery and determine the relationship between pre-operative anaemia, transfusion and post-operative metrics including length of stay (LOS) and infectious complications. METHOD: A retrospective cohort of 1,186 patients. Stratification into two groups with and without pre-operative anaemia through propensity score matching. Logistic regression was used to determine the relationship between pre-operative anaemia, blood transfusion and infectious complications. RE...
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Urinary and faecal incontinence: psychological factors and management recommendations.
CONCLUSION: Urinary and faecal incontinence can have a significant impact on an individual's psychological wellbeing and quality of life. Psychological factors may either contribute to or arise from incontinence and should be addressed as part of the overall management plan. PMID: 31581179 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Patient-reported quality of life for cataract surgery: prospective validation of the 'Impact on Life' and Catquest-9SF questionnaires in New Zealand.
CONCLUSIONS: Disordered probability thresholds, poor question-model fit and correlation with visual acuity changes indicate the current IoL questionnaire is poorly suited for assessment of VRQoL. In contrast, the Catquest-9SF demonstrated credible results for assessment of VRQoL in New Zealand. PMID: 31581180 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Infectious pulmonary tuberculosis in a New Zealand cancer centre.
This report details the investigation of oncology and haematology patients, as well as cancer centre staff, friends and family who were exposed to an oncology patient with reactivated pulmonary tuberculosis (TB) in a New Zealand cancer centre. A total of 46 patients, seven staff members and 14 family and friends were identified as being exposed to the index case of TB (Mr K). These people were screened for TB infection by the use of a symptom questionnaire, Qiagen QuantiFeron (QFT)® Gold Plus test and, if potentially immunocompromised, a chest x-ray (CXR). There were no confirmed secondary cases of TB in any of the gro...
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The projected burden of knee osteoarthritis in New Zealand: healthcare expenditure and total joint replacement provision.
CONCLUSION: The healthcare burden of knee OA will continue to increase for the foreseeable future. Public health measures to reduce further increases in population obesity rates would contribute to slowing this rising burden. PMID: 31581182 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Mate wareware: Understanding 'dementia' from a M āori perspective.
CONCLUSION: Whānau are crucial for the care of a kaumātua with mate wareware, along with promoting healthy wairua for all. Whanau urgently need information to assist with their knowledge building and empowerment to meet the needs of a member affected by mate wareware. This requires collaborative healthcare practice and practitioners accessing the necessary mātauranga Māori (Māori knowledge) to provide culturally appropriate and comprehensive care for whānau. PMID: 31581183 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Availability of automated external defibrillators in Hamilton, New Zealand.
CONCLUSION: Far fewer than 50 listed AEDs are freely available to the public, especially after 6pm and on weekends. Lack of signposting and restrictions to access would lead to delayed defibrillation. This important health issue needs addressing. PMID: 31581184 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Tailoring a rapid autopsy protocol to explore cancer evolution: a patient collaboration.
Authors: Blenkiron C, Robb T, Parker K, Kramer N, Stables S, Tse R, Modahl L, Coats E, Print C, Lawrence B Abstract Genomic analysis of tissues from rapid autopsy programmes has transformed our understanding of cancer. However, these programmes are not yet established in New Zealand. Our neuroendocrine tumour research group, NETwork!, received a request from a patient wishing to donate tumour tissues post-mortem. This viewpoint article summarises the ethical, logistical and social process undertaken to accept this patient's generous donation, and highlights the scientific and educational value of such a gift. P...
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Pelvic mesh in colorectal pelvic floor surgery-implications of recent developments.
Authors: Collinson RJ, Moot AR Abstract The use of mesh prostheses in pelvic surgery is under significant scrutiny. There are justifiable concerns around the transvaginal use of mesh products for POP surgery. The latter part of 2017 saw the announcement of wide-ranging regulatory actions relating to transvaginal mesh products, by the Therapeutic Goods Administration in Australia and subsequently Medsafe in New Zealand. In colorectal surgery, pelvic mesh is predominantly used in the treatment of rectal prolapse, with ventral mesh rectopexy (VMR) becoming popularised in recent years. The available evidence suggests t...
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Perforation of cecum caused by chicken bone under the guise of Crohn's disease.
Authors: Kitsenko Y, Tashchyan O, Pogromov A, Efetov S, Tsarkov P, Mnatsakanyan M, Kolosova K, Popova M PMID: 31581187 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Response to 'The value of frenotomy for ankyloglossia from a parental perspective'.
Authors: Carroll R, Davis W, Fourie K, York N, Adams S, Mace S, Johnston H PMID: 31581188 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 5, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

New Zealand's big psychotherapy programme requires evaluation.
Authors: Bastiampillai T, Allison S, Castle D, Beaglehole B, Mulder R PMID: 31563922 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Cardiac disease in pregnancy and the multidisciplinary team: the Wellington experience.
CONCLUSION: Multidisciplinary review of obstetric patients with cardiac disease provides an important service to ensure risk modification prior to conception and throughout pregnancy and the puerperium. PMID: 31563923 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

What influences clinicians to choose wisely?
CONCLUSION: The findings of this study suggest that a strategy that relies on revising guidelines and raising staff awareness alone is likely to be of limited effectiveness in reducing unnecessary pre-operative testing. In addition to increasing clinician awareness of evidence-based recommendations on unnecessary testing, other strategies may be needed to support behaviour change. PMID: 31563924 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Factors influencing protective equipment use by mountain bikers: Implications for injury prevention.
Authors: Pratt CF, Primrose HA, Fulcher M Abstract AIM: To assess the attitudes of mountain bikers to the use of protective equipment and quantify the use of such equipment. METHOD: This was a prospective cohort study using an online questionnaire, offered to bikers participating in a series of Enduro races. The attitudes towards various factors that might contribute to a rider's choice to use protective equipment were quantified based on their responses to the questions. The actual reported use of various types of protective equipment was the outcome measure. The correlations between the factors and actual use...
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Incidence of stroke and traumatic brain injury in New Zealand: contrasting the BIONIC and ARCOS-IV studies.
CONCLUSIONS: Differences in TBI and stroke incidence suggest targeting prevention very differently for the two groups. Incidence profiles suggest TBI is much more common; and a need to target males and those of Māori ethnicity for TBI prevention. PMID: 31563926 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Poor outcomes in methamphetamine-associated cardiomyopathy-a growing health issue in New Zealand.
CONCLUSIONS: MAC patients were more likely to be younger, male, of Māori ethnicity and have a worse prognosis when compared to patients with other non-ischaemic cardiomyopathies. PMID: 31563927 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

RETRACTED Are over-the-counter fish oil supplements safe, effective and accurate with labelling? Analysis of 10 New Zealand fish oil supplements.
Authors: Rucklidge JJ, Hantz S, Shaw IC Abstract RETRACTED. PMID: 31563928 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The strong case for government funding of a polypill for the secondary prevention of cardiovascular disease in New Zealand.
This article outlines relevant international and New Zealand evidence on the likely benefits and harms of a polypill for the secondary prevention of CVD. The evidence indicates that the benefits are likely to outweigh the harms, particularly given the persistence of substantial treatment gaps and inequities in the management of and outcomes in CVD. The time is long overdue for the polypill to be funded for the secondary prevention of CVD. PMID: 31563929 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The 'H-Bug' epidemic: lessons from antibiotic-resistant staphylococcal outbreaks in New Zealand hospitals from 1955-1963.
Authors: Jowitt D Abstract Deadly outbreaks of antibiotic-resistant staphylococcal infection occurred in New Zealand from the mid-1950s to early 1960s. The 'H' or 'Hospital-Bug' epidemic was part of a pandemic wave characterised by high numbers of nosocomial staphylococcal infections and the capacity of Staphylococcus aureus to develop resistance to commonly used antibiotics. Surgical patients and childbearing women and babies proved particularly vulnerable to the predominant pathogenic strain, identified as phage type 80/81. The post-war baby boom was at its height in New Zealand, and overcrowded maternity hospita...
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

A rare provocation: a case of extensive pulmonary embolism in a man with previously undiagnosed Klinefelter Syndrome.
Authors: Carleton O, Smith FM, Towns C PMID: 31563931 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Re:'The value of frenotomy for ankyloglossia from a parental perspective'.
Authors: Sharpe GJ PMID: 31563932 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Response: 'The value of frenotomy for ankyloglossia from a parental perspective'.
Authors: Illing S, Minnee M PMID: 31563933 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The future of health research in New Zealand: a thought experiment.
Authors: McPherson KM PMID: 31465322 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The role of professional supervision for palliative care doctors in New Zealand: a quantitative survey of attitudes and experiences.
CONCLUSION: Despite identified barriers, New Zealand-based palliative care doctors reported PS to be important and beneficial both personally and professionally. Further consideration should include the impact of professional and organisational culture on uptake of PS, future research and acknowledgment that palliative medicine may be in a position to highlight the benefits of PS for the wider medical community. PMID: 31465323 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Outpatient parenteral antimicrobial therapy (OPAT) in Christchurch: 18 years on.
CONCLUSION: OPAT use has increased and is used to treat patients with comorbidities, who are older, and with a different case-mix than 1999. Safety has not been compromised but the risk of treatment failure has increased. A better understanding of the reasons for treatment failure would improve patient selection and management with OPAT. PMID: 31465324 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

A six-year review of patients admitted to hospital with injuries related to quad bike use.
Authors: Amey J, Christey G Abstract AIM: To describe quad bike injury-related hospitalisations in the Midland region over a six-year period. METHOD: A retrospective review of anonymised, prospectively-collected trauma registry data from 1 July 2012 to 30 June 2018 was undertaken. Cases include patients hospitalised with quad bike-related injuries. Non-major injuries are included to provide a clearer picture of the trauma burden. RESULTS: Three hundred and forty-six injuries resulted in hospitalisation with 70.2% of events occurring on a farm. Males outnumbered females 3.7:1. Forty-six children (
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Is hook diathermy safe to dissect the mesoappendix in paediatric patients? A 10-year experience.
CONCLUSION: Dissection of the mesoappendix using hook diathermy is a safe, quick and effective method during laparoscopic appendicectomy, with low complication and conversion to open rates. PMID: 31465326 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Faecal biomarkers do not always identify pre-cancerous lesions in patients who present in primary care with bowel symptoms.
Authors: Keenan J, Aitchison A, Leaman J, Pearson J, Frizelle F Abstract AIM: To determine if tumour-derived M2-PK is potentially a more accurate biomarker of pre-cancerous bowel lesions in patients who present in primary care with bowel symptoms than the detection of faecal haemoglobin. METHODS: Patients requested by their general practitioners (GPs) to provide a stool sample to determine the presence of faecal haemoglobin consented for the same stool samples to be tested for the presence of M2-PK. For comparison M2-PK levels were also measured in stool samples from patients recently identified with colorectal...
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The cost of electric-scooter related orthopaedic surgery.
CONCLUSION: This study highlights that there can be serious consequences of e-scooter travel. High energy trauma not previously associated with scooter injuries is becoming increasingly prevalent as a result of readily available e-scooters. Many of the injuries identified represent significant morbidity to patients in terms of pain, lengthy rehabilitation and loss of income. Furthermore, the socioeconomic costs for DHBs continues to climb and adds to the acute surgical burden in an already busy healthcare system. The hazards of e-scooters should not be underestimated by both the general public and policy-makers. PMID: ...
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Health effects of radiofrequency electromagnetic energy.
Authors: Elwood M, Wood AW Abstract The issues of real or suspected health effects of radiofrequency fields, produced by cellphones, their base stations and many other devices, are complex and controversial. We believe that the most balanced and valid assessments of these issues are given by the extensive reports produced by reputable, multidisciplinary, expert groups. These use the principles of a comprehensive review to assess all available published literature and form their conclusions by consideration of the strength of the evidence from the available studies. This paper provides links to several of these repo...
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Expediting cataract surgery in New Zealand is cost-effective for falls prevention and improving vision-so what might be the next steps?
This study found that expedited cataract surgery was highly cost-effective by generating a quality-adjusted life-year (QALY) for NZ$10,600 (95%UI: NZ$6,030-15,700). Routine cataract surgery itself (relative to no such surgery being available) was even more cost-effective at $4,380 per QALY gained, when considering vision benefits and falls prevention benefits. In this viewpoint article, we discuss the potential next steps for expediting cataract surgery and further improving its cost-effectiveness in the New Zealand setting. PMID: 31465330 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Influences and policies that affect immunisation coverage-a summary review of literature.
Authors: Nowlan M, Willing E, Turner N Abstract Effective national immunisation programmes require a high proportion of the population to be immunised. Although New Zealand has made significant progress towards immunisation goals over the last two decades, immunisation coverage remains inadequate to prevent intermittent outbreaks of disease, and immunisation inequities persist between geographic, ethnic and socioeconomic groups. Here we summarise a recent literature review that was conducted to identify and examine key factors that influence immunisation coverage, timeliness of vaccinations and the core drivers tha...
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Music as a risk factor for primary spontaneous pneumothorax.
Authors: Grant K, Beckert L PMID: 31465332 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Abortion rights involve three parties, not two.
Authors: Dodwell P PMID: 31465333 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Decriminalisation of abortion in New Zealand and Australia.
Authors: Johnson BR, Norman WV, Keogh L, Sheldon S PMID: 31465334 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 31, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Celebrating 1500 issues: preface to the first Journal.
Authors: Colquhoun D PMID: 31415493 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Cannabis in New Zealand: a conundrum, and some good news.
Authors: Boden JM PMID: 31415494 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Declining adolescent cannabis use occurred across all demographic groups and was accompanied by declining use of other psychoactive drugs, New Zealand, 2001-2012.
CONCLUSION: The decline in adolescent cannabis use between 2001 and 2012 occurred across all main demographic groups and was not accompanied by a rise in the use of other psychoactive drugs. Ethnic and socioeconomic inequities in adolescent cannabis use decreased over the study period. PMID: 31415495 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Anticoagulation and cataract surgery.
CONCLUSION: There is no statistically significant increase in haemorrhagic complications in cataract surgery patients who were on warfarin or dabigatran. Therefore, continuing the anticoagulation in this setting may be appropriate. PMID: 31415496 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Optimising in-patient stays for surgical patients-an analysis utilising the Red and Green Bed Days management system.
CONCLUSIONS: This study highlights significant delays during vascular surgery admissions and provides a focus to improve patient quality of life and hospital efficiency. PMID: 31415497 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Completeness of ANZACS-QI Cardiac Implanted DEVICE Registry and agreement with national datasets: ANZACS-QI 30.
CONCLUSION: The ANZACS-QI DEVICE registry had a good capture rate and excellent agreement with the national dataset. This high concordance supports the use of both datasets for future research. PMID: 31415498 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Mitral valve surgery with or without coronary bypass grafting: eight-year cohort study.
Authors: Wang TKM, Liao YB, Choi D, Harmos S, Haydcok D, Gerber I Abstract AIMS: A significant minority of patients undergoing mitral valve surgery (MVR) have indication for coronary artery bypass grafting (CABG). The risks of combination surgeries are not well appreciated and maybe more than additive. We compared the characteristics and outcomes of MVR+/-CABG performed at our centre. METHODS: Consecutive patients undergoing isolated MVR or with concurrent (MVR+)CABG at Auckland City Hospital during 2005-2012 were compared for baseline and operative characteristics and outcomes in univariable and multivariable ...
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Car seat survey at a children's hospital: need a booster?
Authors: Singh N, Chambers J, Hamill J Abstract AIM: Child restraint practices among New Zealand children have fallen short of best practice recommendations. In 2013, New Zealand child restraint legislation was amended. The aim of the present study was to determine the child restraint practices of a cohort of children admitted to hospital and how practices have changed since the amendment in child restraint legislation. METHODS: We conducted interviews with the parents of 300 paediatric inpatients aged 0-13 years. Data were recorded on their child's usual child restraint use, the restraint used during their tri...
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The value of frenotomy for ankyloglossia from a parental perspective.
CONCLUSION: Frenotomy was reported to be beneficial, with a high level of parental satisfaction and improvement in rates of full breastfeeding and feeding duration, as well as a reduction in nipple pain. Parents were willing to go to significant lengths to access the procedure. PMID: 31415501 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Cannabis-based medicinal products and the role of the doctor: should we be cautious or cautiously optimistic?
Authors: Braithwaite I, Newton-Howes G, Oldfield K, Semprini A Abstract With rapidly changing legislation designed to improve access to cannabis-based medicinal products, we assess the obligations of the law and professional bodies on the proposed prescribers of these products. We argue that the current legal and professional obligations may limit prescribing practices despite legislative change, and that without the usual licensing processes of Medsafe being applied to these products, prescribers and their professional bodies must engage in the process of change to ensure short- and long-term patient safety and to...
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

A unified national cardiovascular disease (CVD) risk generator is required to address equity in the management of CVD risk in clinical practice in New Zealand.
Authors: Kerr A, Wells S, Moffitt A, Lund M, Kreichbaum J, Harwood M, Jackson R Abstract There is a strong body of evidence that supports identifying and managing people according to their risk of a future cardiovascular (CVD) event. Since 2012 the New Zealand public health sector has achieved 90% CVD risk assessment (CVDRA) for each eligible person across New Zealand using a modified version of an overseas risk equation, through incentivising Primary Health Organisation (PHO) performance. In 2018 the New Zealand Ministry of Health endorsed the use of a suite of four new CVDRA equations which were developed using t...
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Primary umbilical endometriosis.
Authors: McLean R, Richards S, Hulme K PMID: 31415504 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

Age of first menstruation in New Zealand: findings from first ever national-level data and implications for age-appropriate education and support.
Authors: Donovan S, Telfar-Barnard L PMID: 31415505 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - August 16, 2019 Category: General Medicine Tags: N Z Med J Source Type: research