Bumper issue of COVID-19 pandemic studies of relevance to Aotearoa New Zealand
N Z Med J. 2021 Jul 9;134(1538):9-17.ABSTRACTIn response to the COVID-19 pandemic, Aotearoa New Zealand adopted a clear 'elimination strategy', which has (up to June 2021) been very successful in both health and economic terms compared to other OECD countries. Nevertheless, the pandemic response has still been a very major shock to the New Zealand health system. This issue of the New Zealand Medical Journal has 14 new pandemic-related articles. Some of this work can help inform vaccination prioritisation decisions and inform preparations of primary and secondary care services and social services for any future raising of l...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Nick Wilson Jennifer Summers Leah Grout Michael G Baker Source Type: research

Deficient handwashing amenities in public toilets in the time of the COVID-19 pandemic: a multi-regional survey
CONCLUSIONS: Although handwashing is probably a much less critical COVID-19 control intervention than reducing aerosol transmission, it should still be strongly supported. Yet this survey found multiple deficiencies with handwashing amenities at public toilets and only modest improvements since a previous survey.PMID:34239142 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Nick Wilson George Thomson Source Type: research

M āori and Pacific people in New Zealand have a higher risk of hospitalisation for COVID-19
CONCLUSIONS: Structural inequities and systemic racism in the healthcare system mean that Māori and Pacific communities face a much greater health burden from COVID-19. Older people and those with pre-existing health conditions are also at greater risk. This should inform future policy decisions including prioritising groups for vaccination.PMID:34239143 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Nicholas Steyn Rachelle N Binny Kate Hannah Shaun C Hendy Alex James Audrey Lustig Kannan Ridings Michael J Plank Andrew Sporle Source Type: research

Higher perceived stress and exacerbated motor symptoms in Parkinson's disease during the COVID-19 lockdown in New Zealand
CONCLUSIONS: Reducing stressors may be an important adjunct treatment strategy to improve motor function in PD.PMID:34239144 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Rebekah L Blakemore Maddie J Pascoe Kyla-Louise Horne Leslie Livingston Bob N Young Beth Elias Marie Goulden Sophie Grenfell Daniel J Myall Toni L Pitcher John C Dalrymple-Alford Campbell J Le Heron Tim J Anderson Michael R MacAskill Source Type: research

Life during lockdown: a qualitative study of low-income New Zealanders' experience during the COVID-19 pandemic
CONCLUSIONS: An early and hard lockdown, the welfare state, compassion and clearly communicated leadership were keys to a successful lockdown for the low-income people in this study. Research of the experience of low-income people during pandemics is critical to ensuring inequities in pandemic impact are mitigated.PMID:34239145 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Kimberley Choi Namratha Giridharan Abigail Cartmell Dominique Lum Louise Signal Viliami Puloka Rose Crossin Lesley Gray Cheryl Davies Michael Baker Amanda Kvalsvig Source Type: research

Making sure the New Zealand border is not our Achilles heel: repeated cross-sectional COVID-19 surveys in primary care
CONCLUSION: The results highlight concerns around border control from a primary care perspective. The border control issues raised by primary care have proven to be prophetic at times and reflect the role that primary care has as observers of society. The survey mechanism provides a template for rapidly eliciting a primary care voice for future health issues.PMID:34239146 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Kyle Eggleton Nam Bui Felicity Goodyear-Smith Source Type: research

An NP-led pilot telehealth programme to facilitate guideline-directed medical therapy for heart failure with reduced ejection fraction during the COVID-19 pandemic
CONCLUSIONS: Patients found the process acceptable and experienced rapid titration with less need for clinic review with titration rates comparable with most real-world reports.PMID:34239147 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Andy McLachlan Chris Aldridge Mary Morgan Mayanna Lund Ruvin Gabriel Valerio Malez Source Type: research

Empty waiting rooms: the New Zealand general practice experience with telehealth during the COVID-19 pandemic
CONCLUSION: To equitably sustain telehealth use, the following are required: adequate funding, training, processes communicated to patients, improved patient access to technology and technological literacy, virtual physical examination methods and integration with existing primary health care services.PMID:34239148 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Geraldine Wilson Olivia Currie Susan Bidwell Baraah Saeed Anthony Dowell Andrew Adiguna Halim Les Toop Ann Richardson Ruth Savage Ben Hudson Source Type: research

Emergency COVID-19 funding to general practices in early 2020: lessons for future allocation to support equity
CONCLUSIONS: Emergency support funding for general practices was organised by the MOH at short notice and in exceptional circumstances. In the future, the MOH should apply pro-equity resource allocation in all emergencies, as with other circumstances.PMID:34239149 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Vanessa Selak Sue Crengle Matire Harwood Samantha Murton Peter Crampton Source Type: research

COVID-19 and the impact on urology service provision at Capital & amp; Coast District Health Board
CONCLUSION: The data demonstrate the effects of restrictions in response to a crisis and set a precedent for future management in such scenarios. The data also show how service efficiency can be optimised while providing an environmentally friendly alternative for routine clinical practice.PMID:34239150 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Simon Lambracos Lance Yuan Andrew Kennedy-Smith Source Type: research

Impact of the COVID-19 pandemic lockdown on public sector ophthalmic work by New Zealand's ophthalmologists
N Z Med J. 2021 Jul 9;134(1538):120-127.ABSTRACTAIM: In response to the COVID-19 pandemic, the New Zealand government enforced a nationwide 'alert level 4' lockdown from 26 March to 27 April 2020. We assessed the impact of this lockdown on New Zealand's public ophthalmology service.METHOD: An anonymous online survey was sent to all New Zealand-based fellows of the Royal Australian and New Zealand College of Ophthalmologists (RANZCO) after lockdown. Respondents provided retrospective assessment of practice patterns and their personal health during the COVID-19 lockdown. This was supported by national-level administrative da...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Daniel A R Scott Peter W Hadden Graham A Wilson Source Type: research

Addressing structural discrimination: prioritising people with mental health and addiction issues during the COVID-19 pandemic
N Z Med J. 2021 Jul 9;134(1537):128-134.ABSTRACTStructural discrimination worsens physical health inequities and significantly reduces life expectancy for people with mental health and addiction issues. Aotearoa has recently made some notable changes in health policy by formally recognising the physical health needs of people with mental health and addiction issues. The COVID-19 vaccination sequencing framework provides an important opportunity to protect and promote the health of people with addiction and mental health issues. An expert advisory group, convened as part of the Aotearoa Equally Well collaborative, considere...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Helen Lockett Ashley Koning Cameron Lacey Susanna Every-Palmer Kate M Scott Ruth Cunningham Tony Dowell Linda Smith Alison Masters Arran Culver Stephen Chambers Source Type: research

How were medical students from Christchurch, New Zealand, involved in their COVID-19 response?
N Z Med J. 2021 Jul 9;134(1538):135-138.ABSTRACTMedical students from the University of Otago, Christchurch Department of Medicine were involved in their local COVID-19 response. A group of ten students helped with the assessment of individuals at community-based assessment centres or mobile testing units. They primarily helped assess and test individuals alongside experienced healthcare workers. The students gained valuable clinical and public health experience. Key learning points were the risks of pandemic involvement, identifying local barriers to healthcare and developing an appreciation for an evolving health respons...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Matthew J Cowie Cicely Vm Barron Anna G Bergin Noella N Farrell India G Hansen Source Type: research

Teleophthalmology in the post-coronavirus era
N Z Med J. 2021 Jul 9;134(1538):139-143.ABSTRACT173,766 New Zealanders suffer from visual impairment. The associated health-system costs are $523 million in total, or $3,008 per person. Yet eighty percent (80%) of blindness is avoidable if detected on time. Public health services have an increasing workload but are also limited by material and technical resources. Optometry practices continually increase referrals (up to 100% in one year) that cannot be solved on time, reducing the efficiency of the service. Teleophthalmology works by improving the efficiency of screening and monitoring and integrating eye healthcare and b...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Francesc March de Ribot Anna March de Ribot Kelechi Ogbuehi Ruth Large Source Type: research

COVID-19 serology: use and interpretation in New Zealand
N Z Med J. 2021 Jul 9;134(1537):144-147.ABSTRACTSerology is now a well-established diagnostic tool for the diagnosis of COVID-19 infections in New Zealand. Using local and international experience, we provide an overview of serological response to infection and vaccination as well as the use and interpretation of antibody tests in our setting. We also discuss the potential future role of post-vaccination serology testing as a correlate of immunity. We conclude that, given the pitfalls of testing, clinical microbiologist advice is necessary for interpretation of high-consequence cases.PMID:34239155 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Gary N McAuliffe Timothy K Blackmore Source Type: research

Dangers of a single pellet
N Z Med J. 2021 Jul 9;134(1537):148-149.ABSTRACTRecent figures suggest gun violence in New Zealand is on the rise. Between 6,000 and 8,000 shotguns are imported annually. The challenge specific to managing shotgun injury is the wide field of damage caused by multiple pellets. It is easy to overlook a single pellet when assessing a patient with distracting injuries. This case highlights this lesson and the significant injury that can arise from a single pellet.PMID:34239156 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Jeong Ha Olga Korduke Megan Rodney Peter Stiven Source Type: research

Improving care, reducing the burden
N Z Med J. 2021 Jun 25;134(1537):8-10.NO ABSTRACTPMID:34239157 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Wayne Miles Source Type: research

Spatial, temporal and socioeconomic patterns of illicit drug use in New Zealand assessed using wastewater-based epidemiology timed to coincide with the census
CONCLUSIONS: This paper contextualises illicit drug use in three New Zealand regions containing 18.3% of the national population and confirms the pervasiveness of methamphetamine consumption in New Zealand towns. This work demonstrates how WBE can be used to explore the socioeconomic dimensions of drug use when duly combined with other data sources like censuses.PMID:34239158 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Mackay Price Chris Wilkins Benjamin J Tscharke Tom Baker Jochen F Mueller Sam Trowsdale Source Type: research

Reducing the MRI outpatient waiting list through a capacity and demand time series improvement programme
CONCLUSION: A partnership between Ko Awatea and the radiology department at CMDHB, examining capacity and demand for MRI and using multiple QI techniques, successfully and sustainably reduced the MRI waiting list over a two-year period. The innovative solutions to match capacity to demand may be instructive for other radiology departments, and other waiting list scenarios.PMID:34239159 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Heera Bhullar Bernadette County Stuart Barnard Anne Anderson Mary E Seddon Source Type: research

Does research help to inform a district health board's purpose? A qualitative thematic analysis of clinician researcher views
CONCLUSION: This study found the absence of an organisation-wide research ethos affected staff engagement in and with research. As a consequence, the effective transfer and translation of knowledge from research was disrupted. Key recommendations were for the DHB to integrate research activity into practice, regularly discuss research evidence and celebrate research achievements.PMID:34239160 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Lorraine Neave Duncan Reid Brian McKenna Source Type: research

How common are non-acute coronary syndrome (ACS) diagnoses in patients with suspected ACS investigated with coronary angiography in New Zealand? (ANZACS-QI 58)
N Z Med J. 2021 Jun 25;134(1537):43-55.ABSTRACTBACKGROUND AND AIMS: The last two decades in New Zealand have seen increased availability of primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) and early invasive coronary angiography (ICA) for other high-risk acute coronary syndrome (ACS) patients. One metric to assess the clinical appropriateness of these invasive strategies is to examine the false-positive rate for the investigation (ie, the rate of non-ACS diagnoses).METHODS: All patients presenting to New Zealand public hospitals with suspected ACS who underwent ICA bet...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Charles Yao-Cheng Ho Mildred Lee Seif El-Jack Peter Barr Mark Simmonds Gerry Devlin Philip D Adamson Michael Williams Andrew J Kerr Source Type: research

Antipsychotic and sedative medication use in long-term care facilities providing dementia care
CONCLUSION: With clear evidence of the risks of antipsychotics to patients with dementia, the proportion of residents prescribed an antipsychotic or sedative in this study, in conjunction with the prolonged duration of prescription, is cause for concern and needs addressing.PMID:34239162 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Etuini Ma'u Janine Burton Elizabeth Fussell Source Type: research

Social impacts and costs of schizophrenia: a national cohort study using New Zealand linked administrative data
CONCLUSION: Schizophrenia is associated with a range of adverse health, social and economic outcomes and considerably higher government costs compared to the general population.PMID:34239163 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Sheree Gibb Naomi Brewer Nicholas Bowden Source Type: research

Cannabis legalisation: should doctors be concerned?
N Z Med J. 2021 Jun 25;134(1537):84-90.ABSTRACTA referendum on the Cannabis Legalisation and Control Bill was held in New Zealand. The Bill was meant to oversee government control over the production, supply and use of cannabis and reduce cannabis-related harm. Public health control was proposed over cannabis market by imposing licenses and cultivation, the quality and strength of marketed cannabis, and sale restrictions. Under this Bill, cannabis was only meant to be available to adults aged over 20 years through licenced stores. The potency of cannabis was to be limited. Cannabis use and was going to be permitted in priv...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Guna Kanniah Shailesh Kumar Source Type: research

Zoledronate-induced anterior uveitis, scleritis and optic neuritis: a case report
N Z Med J. 2021 Jun 25;134(1537):91-94.NO ABSTRACTPMID:34239165 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Laura E Wolpert Andrew R Watts Source Type: research

Vildagliptin-induced bullous pemphigoid
N Z Med J. 2021 Jun 25;134(1537):95-97.NO ABSTRACTPMID:34239166 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Annabelle Yi Zhang Paul Jarrett Source Type: research

Endogenous endophthalmitis following computerised tomography colonography
N Z Med J. 2021 Jun 25;134(1537):98-99.NO ABSTRACTPMID:34239167 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Deepesh Mehta Helen Long Neil Aburn Source Type: research

The competition is next door! Why a voluntary approach to tobacco retailer reduction will never work
N Z Med J. 2021 Jun 25;134(1537):100-102.NO ABSTRACTPMID:34239168 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Richard Portch Source Type: research

Bumper issue of COVID-19 pandemic studies of relevance to Aotearoa New Zealand
N Z Med J. 2021 Jul 9;134(1538):9-17.ABSTRACTIn response to the COVID-19 pandemic, Aotearoa New Zealand adopted a clear 'elimination strategy', which has (up to June 2021) been very successful in both health and economic terms compared to other OECD countries. Nevertheless, the pandemic response has still been a very major shock to the New Zealand health system. This issue of the New Zealand Medical Journal has 14 new pandemic-related articles. Some of this work can help inform vaccination prioritisation decisions and inform preparations of primary and secondary care services and social services for any future raising of l...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Nick Wilson Jennifer Summers Leah Grout Michael G Baker Source Type: research

Deficient handwashing amenities in public toilets in the time of the COVID-19 pandemic: a multi-regional survey
CONCLUSIONS: Although handwashing is probably a much less critical COVID-19 control intervention than reducing aerosol transmission, it should still be strongly supported. Yet this survey found multiple deficiencies with handwashing amenities at public toilets and only modest improvements since a previous survey.PMID:34239142 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Nick Wilson George Thomson Source Type: research

M āori and Pacific people in New Zealand have a higher risk of hospitalisation for COVID-19
CONCLUSIONS: Structural inequities and systemic racism in the healthcare system mean that Māori and Pacific communities face a much greater health burden from COVID-19. Older people and those with pre-existing health conditions are also at greater risk. This should inform future policy decisions including prioritising groups for vaccination.PMID:34239143 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Nicholas Steyn Rachelle N Binny Kate Hannah Shaun C Hendy Alex James Audrey Lustig Kannan Ridings Michael J Plank Andrew Sporle Source Type: research

Higher perceived stress and exacerbated motor symptoms in Parkinson's disease during the COVID-19 lockdown in New Zealand
CONCLUSIONS: Reducing stressors may be an important adjunct treatment strategy to improve motor function in PD.PMID:34239144 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Rebekah L Blakemore Maddie J Pascoe Kyla-Louise Horne Leslie Livingston Bob N Young Beth Elias Marie Goulden Sophie Grenfell Daniel J Myall Toni L Pitcher John C Dalrymple-Alford Campbell J Le Heron Tim J Anderson Michael R MacAskill Source Type: research

Life during lockdown: a qualitative study of low-income New Zealanders' experience during the COVID-19 pandemic
CONCLUSIONS: An early and hard lockdown, the welfare state, compassion and clearly communicated leadership were keys to a successful lockdown for the low-income people in this study. Research of the experience of low-income people during pandemics is critical to ensuring inequities in pandemic impact are mitigated.PMID:34239145 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Kimberley Choi Namratha Giridharan Abigail Cartmell Dominique Lum Louise Signal Viliami Puloka Rose Crossin Lesley Gray Cheryl Davies Michael Baker Amanda Kvalsvig Source Type: research

Making sure the New Zealand border is not our Achilles heel: repeated cross-sectional COVID-19 surveys in primary care
CONCLUSION: The results highlight concerns around border control from a primary care perspective. The border control issues raised by primary care have proven to be prophetic at times and reflect the role that primary care has as observers of society. The survey mechanism provides a template for rapidly eliciting a primary care voice for future health issues.PMID:34239146 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Kyle Eggleton Nam Bui Felicity Goodyear-Smith Source Type: research

An NP-led pilot telehealth programme to facilitate guideline-directed medical therapy for heart failure with reduced ejection fraction during the COVID-19 pandemic
CONCLUSIONS: Patients found the process acceptable and experienced rapid titration with less need for clinic review with titration rates comparable with most real-world reports.PMID:34239147 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Andy McLachlan Chris Aldridge Mary Morgan Mayanna Lund Ruvin Gabriel Valerio Malez Source Type: research

Empty waiting rooms: the New Zealand general practice experience with telehealth during the COVID-19 pandemic
CONCLUSION: To equitably sustain telehealth use, the following are required: adequate funding, training, processes communicated to patients, improved patient access to technology and technological literacy, virtual physical examination methods and integration with existing primary health care services.PMID:34239148 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Geraldine Wilson Olivia Currie Susan Bidwell Baraah Saeed Anthony Dowell Andrew Adiguna Halim Les Toop Ann Richardson Ruth Savage Ben Hudson Source Type: research

Emergency COVID-19 funding to general practices in early 2020: lessons for future allocation to support equity
CONCLUSIONS: Emergency support funding for general practices was organised by the MOH at short notice and in exceptional circumstances. In the future, the MOH should apply pro-equity resource allocation in all emergencies, as with other circumstances.PMID:34239149 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Vanessa Selak Sue Crengle Matire Harwood Samantha Murton Peter Crampton Source Type: research

COVID-19 and the impact on urology service provision at Capital & amp; Coast District Health Board
CONCLUSION: The data demonstrate the effects of restrictions in response to a crisis and set a precedent for future management in such scenarios. The data also show how service efficiency can be optimised while providing an environmentally friendly alternative for routine clinical practice.PMID:34239150 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Simon Lambracos Lance Yuan Andrew Kennedy-Smith Source Type: research

Impact of the COVID-19 pandemic lockdown on public sector ophthalmic work by New Zealand's ophthalmologists
N Z Med J. 2021 Jul 9;134(1538):120-127.ABSTRACTAIM: In response to the COVID-19 pandemic, the New Zealand government enforced a nationwide 'alert level 4' lockdown from 26 March to 27 April 2020. We assessed the impact of this lockdown on New Zealand's public ophthalmology service.METHOD: An anonymous online survey was sent to all New Zealand-based fellows of the Royal Australian and New Zealand College of Ophthalmologists (RANZCO) after lockdown. Respondents provided retrospective assessment of practice patterns and their personal health during the COVID-19 lockdown. This was supported by national-level administrative da...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Daniel A R Scott Peter W Hadden Graham A Wilson Source Type: research

Addressing structural discrimination: prioritising people with mental health and addiction issues during the COVID-19 pandemic
N Z Med J. 2021 Jul 9;134(1537):128-134.ABSTRACTStructural discrimination worsens physical health inequities and significantly reduces life expectancy for people with mental health and addiction issues. Aotearoa has recently made some notable changes in health policy by formally recognising the physical health needs of people with mental health and addiction issues. The COVID-19 vaccination sequencing framework provides an important opportunity to protect and promote the health of people with addiction and mental health issues. An expert advisory group, convened as part of the Aotearoa Equally Well collaborative, considere...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Helen Lockett Ashley Koning Cameron Lacey Susanna Every-Palmer Kate M Scott Ruth Cunningham Tony Dowell Linda Smith Alison Masters Arran Culver Stephen Chambers Source Type: research

How were medical students from Christchurch, New Zealand, involved in their COVID-19 response?
N Z Med J. 2021 Jul 9;134(1538):135-138.ABSTRACTMedical students from the University of Otago, Christchurch Department of Medicine were involved in their local COVID-19 response. A group of ten students helped with the assessment of individuals at community-based assessment centres or mobile testing units. They primarily helped assess and test individuals alongside experienced healthcare workers. The students gained valuable clinical and public health experience. Key learning points were the risks of pandemic involvement, identifying local barriers to healthcare and developing an appreciation for an evolving health respons...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Matthew J Cowie Cicely Vm Barron Anna G Bergin Noella N Farrell India G Hansen Source Type: research

Teleophthalmology in the post-coronavirus era
N Z Med J. 2021 Jul 9;134(1538):139-143.ABSTRACT173,766 New Zealanders suffer from visual impairment. The associated health-system costs are $523 million in total, or $3,008 per person. Yet eighty percent (80%) of blindness is avoidable if detected on time. Public health services have an increasing workload but are also limited by material and technical resources. Optometry practices continually increase referrals (up to 100% in one year) that cannot be solved on time, reducing the efficiency of the service. Teleophthalmology works by improving the efficiency of screening and monitoring and integrating eye healthcare and b...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Francesc March de Ribot Anna March de Ribot Kelechi Ogbuehi Ruth Large Source Type: research

COVID-19 serology: use and interpretation in New Zealand
N Z Med J. 2021 Jul 9;134(1537):144-147.ABSTRACTSerology is now a well-established diagnostic tool for the diagnosis of COVID-19 infections in New Zealand. Using local and international experience, we provide an overview of serological response to infection and vaccination as well as the use and interpretation of antibody tests in our setting. We also discuss the potential future role of post-vaccination serology testing as a correlate of immunity. We conclude that, given the pitfalls of testing, clinical microbiologist advice is necessary for interpretation of high-consequence cases.PMID:34239155 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Gary N McAuliffe Timothy K Blackmore Source Type: research

Dangers of a single pellet
N Z Med J. 2021 Jul 9;134(1537):148-149.ABSTRACTRecent figures suggest gun violence in New Zealand is on the rise. Between 6,000 and 8,000 shotguns are imported annually. The challenge specific to managing shotgun injury is the wide field of damage caused by multiple pellets. It is easy to overlook a single pellet when assessing a patient with distracting injuries. This case highlights this lesson and the significant injury that can arise from a single pellet.PMID:34239156 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Jeong Ha Olga Korduke Megan Rodney Peter Stiven Source Type: research

Improving care, reducing the burden
N Z Med J. 2021 Jun 25;134(1537):8-10.NO ABSTRACTPMID:34239157 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Wayne Miles Source Type: research

Spatial, temporal and socioeconomic patterns of illicit drug use in New Zealand assessed using wastewater-based epidemiology timed to coincide with the census
CONCLUSIONS: This paper contextualises illicit drug use in three New Zealand regions containing 18.3% of the national population and confirms the pervasiveness of methamphetamine consumption in New Zealand towns. This work demonstrates how WBE can be used to explore the socioeconomic dimensions of drug use when duly combined with other data sources like censuses.PMID:34239158 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Mackay Price Chris Wilkins Benjamin J Tscharke Tom Baker Jochen F Mueller Sam Trowsdale Source Type: research

Reducing the MRI outpatient waiting list through a capacity and demand time series improvement programme
CONCLUSION: A partnership between Ko Awatea and the radiology department at CMDHB, examining capacity and demand for MRI and using multiple QI techniques, successfully and sustainably reduced the MRI waiting list over a two-year period. The innovative solutions to match capacity to demand may be instructive for other radiology departments, and other waiting list scenarios.PMID:34239159 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Heera Bhullar Bernadette County Stuart Barnard Anne Anderson Mary E Seddon Source Type: research

Does research help to inform a district health board's purpose? A qualitative thematic analysis of clinician researcher views
CONCLUSION: This study found the absence of an organisation-wide research ethos affected staff engagement in and with research. As a consequence, the effective transfer and translation of knowledge from research was disrupted. Key recommendations were for the DHB to integrate research activity into practice, regularly discuss research evidence and celebrate research achievements.PMID:34239160 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Lorraine Neave Duncan Reid Brian McKenna Source Type: research

How common are non-acute coronary syndrome (ACS) diagnoses in patients with suspected ACS investigated with coronary angiography in New Zealand? (ANZACS-QI 58)
N Z Med J. 2021 Jun 25;134(1537):43-55.ABSTRACTBACKGROUND AND AIMS: The last two decades in New Zealand have seen increased availability of primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) and early invasive coronary angiography (ICA) for other high-risk acute coronary syndrome (ACS) patients. One metric to assess the clinical appropriateness of these invasive strategies is to examine the false-positive rate for the investigation (ie, the rate of non-ACS diagnoses).METHODS: All patients presenting to New Zealand public hospitals with suspected ACS who underwent ICA bet...
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Charles Yao-Cheng Ho Mildred Lee Seif El-Jack Peter Barr Mark Simmonds Gerry Devlin Philip D Adamson Michael Williams Andrew J Kerr Source Type: research

Antipsychotic and sedative medication use in long-term care facilities providing dementia care
CONCLUSION: With clear evidence of the risks of antipsychotics to patients with dementia, the proportion of residents prescribed an antipsychotic or sedative in this study, in conjunction with the prolonged duration of prescription, is cause for concern and needs addressing.PMID:34239162 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - July 9, 2021 Category: General Medicine Authors: Etuini Ma'u Janine Burton Elizabeth Fussell Source Type: research