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New Zealand asthma guidelines updated.
Authors: Beasley R, Hancox RJ PMID: 29197897 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Asthma and Respiratory Foundation NZ child and adolescent asthma guidelines: a quick reference guide.
Authors: Asher I, McNamara D, Davies C, Demetriou T, Fleming T, Harwood M, Hetaraka-Stevens L, Ingham T, Kristiansen J, Reid J, Rickard D, Ryan D Abstract The purpose of the New Zealand Child and adolescent asthma guidelines: a quick reference guide is to provide simple, practical, evidence-based recommendations for the diagnosis, assessment and management of asthma in children and adolescents in New Zealand, with the aim of improving outcomes and reducing inequities. The intended users are health professionals responsible for delivering asthma care in the community and hospital emergency department settings, and t...
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Breastfeeding indicators among a nationally representative multi-ethnic sample of New Zealand children.
CONCLUSION: In New Zealand, most children are initially breastfed, however a large proportion did not receive the recommended duration of any or exclusive breastfeeding. Maternal age, education, parity and pregnancy planning identify children at risk of shorter duration of breastfeeding and EBF, and maternal ethnicity identifies children at risk of shorter EBF duration. PMID: 29197899 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Teaching quality improvement to medical students: over a decade of experience.
CONCLUSIONS: Performing a hands-on project within the constraints and context of a busy women's health service is a feasible and effective method of teaching QI. Medical schools have an integral role to play in ensuring future healthcare professionals are equipped with QI knowledge, skills and attitudes. Experiential QI learning enhances clinical teaching and training, and is important in preparing future clinicians to incorporate QI into their daily practice. PMID: 29197900 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Deaf New Zealand Sign Language users' access to healthcare.
CONCLUSION: Deaf NZSL users face multiple barriers to equitable healthcare, stemming from linguistic and educational factors and inaccessible service delivery. These need to be addressed through policy and training for healthcare personnel that enable effective systemic responses to NZSL users. Deaf participants emphasise that recognition of their identity as members of a language community is central to improving their healthcare experiences. PMID: 29197901 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

A New Zealand platform to enable genetic investigation of adverse drug reactions.
In conclusion, we have developed a programme for studying the genetic basis of severe, rare or unusual ADR cases resulting from pharmacological treatment. Genomic analyses could eventually identify most genetic variants that predispose to ADRs, enabling a priori detection of such variants with high throughput DNA tests. PMID: 29197902 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Acupuncture, ACC and the Medicines Act.
This study searched New Zealand acupuncturists' websites for therapeutic claims that may breach Section 58(1)(a) of the Medicines Act. A search of acupuncturists' websites shows that many claim to be able to treat a wide range of conditions, despite a lack of evidence showing the efficacy of acupuncture in the treatment of those conditions. Practitioners and owners of websites likely to be in breach of the Medicines Act include many committee members from acupuncture's professional bodies. PMID: 29197903 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Exposure to respirable crystalline silica in the construction industry-do we have a problem?
CONCLUSIONS: A large proportion of workers performing common tasks in the construction industry may be exposed to levels of respirable dust and crystalline silica exceeding national standards and international recommendations. These results suggest that workers in this industry may be at risk of developing silica-related diseases, including silicosis, lung cancer, COPD and chronic renal disease. Action is required to improve dust control to reduce silica exposure and the associated health risks. PMID: 29197904 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Physician advocacy in Western medicine: a 21st century challenge.
Authors: Bagshaw P, Barnett P Abstract Physician advocacy occurs when doctors speak up for the health and healthcare of patients and communities. Historically, this was strong in some Western countries with doctors finding that it enhanced their authority, prestige and power. But it weakened in the 20th century when the biomedical model of heath triumphed and medicine became a dominant profession. In the second part of the 20th century, this dominance was threatened by political, technological and socioeconomic forces. These weakened medicine's state support, brought it under managerial control and undermined the s...
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Asbestos-worker exposure, family disease.
Authors: Glass WI, Clayson H Abstract Family members, mostly female, can be at risk of asbestos-related disease as a result of the transfer of asbestos from the workplace to the home on the hair, boots and clothes of the worker. It is argued that in these cases the home should be recognised as an extension of the workplace and that the employer has a duty of care to contain and control the asbestos. Given these circumstances, the family member with the disease should be entitled to cover under the Accidence Compensation Legislation. PMID: 29197906 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Fanconi anaemia and oral squamous cell carcinoma: management considerations.
Authors: Singh T, Andi K Abstract Fanconi anaemia (FA) is a rare multi-system genetic disorder where patients are susceptible to the development of oral malignancies. Clinicians involved in their management should be vigilant in detecting lesions early, and an individualised treatment plan should then be formulated. Although surgery forms the mainstay of oncological treatment, adjuvant therapy can be instituted with care. Unfortunately, prognosis is poor, and close long-term follow-up is required. This short report describes pertinent management considerations in relation to a case of oral squamous cell carcinoma. ...
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Aggressive prostate cancer incidence in New Zealand-"united we fall, divided we stand".
Aggressive prostate cancer incidence in New Zealand-"united we fall, divided we stand". N Z Med J. 2017 Dec 01;130(1466):96-99 Authors: Vaidyanathan V, Karunasinghe N, Krishnamurthy V, Kao CH, Naidu V, Pallati R, Wang A, Tran K, Kallingappa P, Jabed A, Shahid SM, Masters J, Wall C, Narayanan A, Ferguson LR Abstract Prostate cancer is an important health burden to the healthcare system of any country. However, with the current prostate-specific antigen biomarker having low predictive value even for diagnostic purposes, the challenge is still open to tackle this chronic disease. There have been...
Source: New Zealand Medical Journal - December 6, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Metformin: a golden oldie.
Authors: Lunt H, Hudson B PMID: 29121619 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Dispensing patterns for antidiabetic agents in New Zealand: are the guidelines being followed?
CONCLUSION: There is a high degree of adherence with the T2DM treatment guidelines in New Zealand. PMID: 29121620 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

A review of squamous cell vulvar cancers in Waikato region, New Zealand.
Authors: Dass PH, Kuper-Hommel MJ Abstract BACKGROUND: Squamous cell vulvar cancers (SCVC) are rare. Although management guidelines have recently been published, New Zealand studies presenting "real world" outcomes are limited. METHODS: Retrospective single-centre review of SCVC diagnosed between 1 January 2000 and 31 August 2015. Clinical characteristics and outcomes were reviewed. RESULTS: Among 47 cases reviewed, 38 were ethnically European and 9 Māori. Cases identified as Stage 1 (16), Stage 2 (5), Stage 3 (17), Stage 4 (9). For Stages 1, 2, 3 and 4, (16, 4, 17 and 6) were managed by local ex...
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Child morbidity as described by hospital admissions for primary school aged children in Tonga 2009-2013.
We described admissions for children aged 5-11 years to the main hospital in Tonga from January 2009 to December 2013. Rates with 95% confidence intervals (CI) were compared using rate ratios (RR). RESULTS: There were 1,816 admissions. The average annual admission rate was 20.2/1,000 (95% CI 19.3-21.1). Hospital admission rates were higher in younger than older children (5-7 versus 8-11 years, RR=1.28, 95% CI 1.18-1.41) and in boys than girls (RR=1.52, 95% CI 1.38-1.68). Injury and poisoning (28%), non-respiratory infectious diseases (19%), respiratory conditions (16%), abdominal/surgical conditions (13%) and dental (9...
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Metabolic monitoring in New Zealand district health board mental health services.
CONCLUSIONS: Metabolic monitoring by mental health services in New Zealand reflects international experience that current levels of monitoring are low and policies are not always in place. Collaboration across the mental health and primary care sectors together with the adoption of a consensus guideline is needed to improve rates of monitoring and reduce current rates of physical health morbidities. PMID: 29121623 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Remembering the 1918 influenza pandemic: national survey of memorials and scope for enhancing educational value around pandemic preparedness.
CONCLUSIONS: Despite the major impact of the 1918 influenza pandemic in New Zealand, publicly accessible memorials were found to be rare. This was in marked contrast to other disaster-related memorials and particularly to war memorials. There appears to be major scope for enhancing public education around the persisting threat of future pandemics via improved use of physical memorials and linkages to online resources. PMID: 29121624 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Face-to-face versus telephone delivery of the Green Prescription for M āori and New Zealand Europeans with type-2 diabetes mellitus: influence on participation and health outcomes.
CONCLUSION: The Green Prescription programme resulted in small but clinically favourable improvements in health outcomes for type-2 diabetes patients, regardless of the mode of delivery for both Māori and New Zealand Europeans. PMID: 29121625 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Wh ānau perceptions and experiences of acute rheumatic fever diagnosis for Māori in Northland, New Zealand.
CONCLUSION: Health services could better support ARF diagnosis through the development of an effective quality improvement strategy for sore throat management, promoting free rapid response throat swabbing for high-risk populations, and exploring options of self-swabbing. Training and evaluation targeted at rapport building should also be established for health professionals to facilitate primary healthcare utilisation. PMID: 29121626 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Audit on first seizure presentation to Taranaki Base Hospital: a secondary centre experience.
CONCLUSIONS: The incidence of first seizure presentation to Taranaki Base Hospital is similar to worldwide data. In general, patients receive basic investigations in keeping with international guidelines. This audit has helped to identify a number of areas to address with the current service provision, including ways to improve access to important investigations and ways to develop a guideline to standardise care. PMID: 29121627 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Achieving health equity in Aotearoa: strengthening responsiveness to M āori in health research.
Achieving health equity in Aotearoa: strengthening responsiveness to Māori in health research. N Z Med J. 2017 Nov 10;130(1465):96-103 Authors: Reid P, Paine SJ, Curtis E, Jones R, Anderson A, Willing E, Harwood M Abstract Excellent health research is essential for good health outcomes, services and systems. Health research should also build towards equity and in doing so ensure that no one is left behind. As recipients of government funding, researchers are increasingly required to demonstrate an understanding of their delegated responsibilities to undertake research that has the potential to address...
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Overwhelming support for smokefree cars that are carrying children-is the Government listening?
Authors: Jaine R, Edwards R, Ball J, Sim D, Thomson G, Beaglehole R PMID: 29121629 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

The battle for better nutrition: the role of the escalating fruit and vegetable prices.
Authors: Amoah I, Cairncross C, Rush E PMID: 29121630 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

New Zealand's legal action against IQOS postponed, consultation with Big Tobacco follows.
Authors: Rychert M PMID: 29121631 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Antifungal susceptibility results of vaginal yeast isolates from New Zealand women, 2001-2015.
Authors: Morris AJ, McKinney WP, Rogers K, Roberts SA, Freeman JT PMID: 29121632 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Response to Dr Caleb Armstrong: proposed Waikato medical school.
Authors: Lawrenson R, Wright D, Thomas A PMID: 29121633 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Errata.
Authors: PMID: 29121634 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 10, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Time for healthy investment.
Authors: Metcalfe S, Gunasekara S, Baddock K, Clarke L PMID: 29073651 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Rationing access to deceased donor kidney transplantation: New Zealand charts her own course.
Authors: Munn SR PMID: 29073652 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

The state of quality improvement and patient safety teaching in health professional education in New Zealand.
CONCLUSIONS: Although the building blocks for improving the quality and safety of healthcare are present, this national study of multiple health professional pre-registration education programmes has identified teaching gaps in patient safety and improvement science methods and tools. Failure to address these gaps will compromise the ability of new graduates to successfully implement and sustain improvements. PMID: 29073653 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

The outcomes of patients returned to general practitioner after being declined hip and knee replacement.
CONCLUSION: Returning patients to GP delays treatment rather than reducing the need for surgery. This delay results in waste, added costs to the patient, healthcare system and society, and may reduce the benefit of surgery. There needs to be a significant increase in capacity to meet this demand. PMID: 29073654 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Deceased donor kidney transplantation in New Zealand: use and audit of a survival prediction tool.
Authors: Dowen F, Cross N, Clayton P, Pilmore H Abstract AIMS: New Zealand follows the guideline that only patients with projected five-year survival of 80% are listed for deceased donor kidney transplantation. An algorithm derived from US data estimates survival after transplantation, however, this may not be as applicable to the New Zealand population. We review use of the US derived algorithm in New Zealand. We assessed accuracy of scores calculated by referring units and audited whether the system is applied in New Zealand. METHODS: Data on 422 patients assessed for transplantation was entered into the algo...
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Gene expression profiling of breast tumours from New Zealand patients.
CONCLUSIONS: Gene expression profiles, which are a sensitive indicator of tumour biology, showed no clear difference between breast tumours from New Zealand patients and those from non-New Zealand patients. This suggests that other factors may contribute to the high and increasing breast cancer incidence in New Zealand compared to international populations. PMID: 29073656 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Is cardiomegaly on chest radiograph representative of true cardiomegaly: a cross-sectional observational study comparing cardiac size on chest radiograph to that on echocardiography.
CONCLUSIONS: In patients following an NSTEMI, the true positive rate of cardiomegaly identified on CXR is not too dissimilar to the false positive rate, thereby suggesting that reporting "cardiomegaly" based on CXR findings is inaccurate and rather reporting should simply focus on the cardiothoracic ratio and defining this as an enlarged cardiac silhouette rather than true cardiomegaly. In clinical practice the data indicates that the number needed to investigate to identify true cardiomegaly on echo is only two, thereby concluding that all patients post-NSTEMI with cardiomegaly on CXR should go on to have an ech...
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Health data research in New Zealand: updating the ethical governance framework.
We present an ethical framework based on the values of public interest, trust and transparency to justify these innovations. PMID: 29073658 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Iron-pill inhalation.
Authors: Mpe MJ, Diprose W PMID: 29073659 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Waikato District Health Board: a trustworthy custodian of New Zealand's future doctors?
Authors: Armstrong C PMID: 29073660 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

New Zealand gastroenterologists' perceptions, knowledge and experience of exclusive enteral nutrition to treat Crohn's disease.
Authors: Wall CL, Gearry RB, Day AS PMID: 29073661 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Smokefree signage at New Zealand racecourses and sports facilities with outdoor stands.
Authors: Thomson G, Wilson N Abstract Smokefree signage is crucial to the implementation of smokefree policies for outdoor venues and for facilitating smoking denormalisation. Such signage helps to communicate the expected norms for not smoking at venues. Therefore, we aimed to identify such signage at racecourses and sports facilities that had outdoor stands. We surveyed the entrances of 25 racecourse and 25 sport facilities with outdoor stands, across New Zealand. There were smokefree signs at the main entrances of 40% of the sports facilities with outdoor stands, and at 16% of the 25 other entrances. None of the...
Source: New Zealand Medical Journal - October 28, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Seven things you need to know about men's health.
Authors: Baxter GD, Mabire L, Liu L, Connolly MJ, Theodore R, Brunson J, Nicholson H PMID: 28981489 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Ten-year experience of splenic trauma in New Zealand: the rise of non-operative management.
Authors: Alamri Y, Moon D, Yen DA, Wakeman C, Eglinton T, Frizelle F Abstract AIM: The aim of this study was to describe the demographics, mechanisms of injury, management and outcomes in patients who suffered splenic trauma in Christchurch, New Zealand. METHODS: A retrospective study included all splenic injury patients admitted to Christchurch Public Hospital between January 2005 and August 2015. RESULTS: A total of 238 patients were included, with a median age of 26 years (4-88.7). Of these, 235 patients had blunt injuries. Eighty-nine had high-grade injuries. Yearly admissions of splenic trauma patients...
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

The New Zealand Major Trauma Registry: the foundation for a data-driven approach in a contemporary trauma system.
CONCLUSION: Despite the challenges working across multiple jurisdictions, initiation of a single-instance web-based registry has been achieved. The NZ-MTR enables New Zealand to have a national view of trauma treatment and outcomes for the first time. It will inform quality improvement and injury prevention initiatives and potentially decrease the burden of injury on all New Zealanders. PMID: 28981491 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

An observational study of how clinicians use cardiovascular risk assessment to inform statin prescribing decisions.
CONCLUSION: New Zealand primary care clinicians' statin prescribing decisions appear to be influenced by patients' predicted CVD risk. However, other factors are associated with increased statin dispensing independent of CVD risk score. PMID: 28981492 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Acute abdominal pain-changes in the way we assess it over a decade.
CONCLUSIONS: More patients were admitted under general surgery with abdominal pain and a greater proportion of these patients were admitted with non-surgical problems. Use of CT scans increased during the study period. PMID: 28981493 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Characteristics of older adults hospitalised following trauma in the Midland region of New Zealand.
CONCLUSION: These findings illustrate the growing volumes and changing epidemiology of both major and minor trauma affecting older persons hospitalised following trauma in one of the four health regions of New Zealand. There is a need to prepare for an increase in demand for trauma services to meet the needs of an ageing population in New Zealand. PMID: 28981494 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Mesh abdominal wall hernia surgery is safe and effective-the harm New Zealand media has done.
This article outlines the extensive literature that confirms abdominal wall mesh hernia repair is safe and effective. The worsening confidence in the transvaginal mesh prolapse repair should not adversely affect the good results of mesh abdominal wall hernia repair. New Zealand general surgeons are well trained in providing modern hernia surgery. PMID: 28981495 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

New Zealand's peak year for wartime mortality burden: the important role of the Battles of Messines and Third Ypres (Passchendaele) in 1917.
Authors: Wilson N, Harper G Abstract At a total of 5,547 deaths among New Zealand's military personnel, the year 1917 was the worst year from a mortality perspective in the country's military history. This year had a third of the deaths in the whole of the First World War for this military population. Major drivers of this mortality burden were the Battles of Messines and Third Ypres (Passchendaele) in June and October 1917 respectively. The contribution of disease deaths to the mortality burden was relatively small at 4.5%. Disease deaths were significantly more common in the Northern Hemisphere's winter months (p...
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Slavery in New Zealand: What is the role of the health sector?
Authors: King P, Blaiklock A, Stringer C, Amaranathan J, McLean M Abstract Contemporary forms of slavery and associated adverse health effects are a serious, complex and often neglected issue within the New Zealand health sector. Slavery in New Zealand has most recently been associated with the fishing and horticulture industries. However, victims may be found in a number of other industry sectors, including the health and aged-care sectors, or outside of the labour market such as in forced, early (underage) and servile forms of marriage. Victims of slavery are at increased risk of acute and chronic health problems...
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research

Holiday headache.
Authors: McGrath N PMID: 28981498 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 7, 2017 Category: General Medicine Tags: N Z Med J Source Type: research