2021: here we come / t ēnei te whakatau!
2021: here we come / tēnei te whakatau! N Z Med J. 2021 Jan 15;134(1528):7-9 Authors: Pitama S, Huria T, Lacey C PMID: 33444302 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Counting the cost of major infection and sepsis in New Zealand: an exploratory study using the National Minimum Data Set.
CONCLUSIONS: Infectious diseases with the potential to cause sepsis are common among hospital inpatients. Direct treatment costs are high for those who present with or progress to sepsis due to these infections. PMID: 33444303 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

A retrospective analysis of calls to the New Zealand National Poisons Centre regarding Pacific patients.
CONCLUSIONS: The NZNPC receives a relatively small number of calls about exposures to Pasifika patients, especially given the youthful population demographic. It is unclear whether there is unmet need for this service, and this study suggests the need for further research. PMID: 33444304 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Interviews with health professionals about the National Child Protection Alert System.
CONCLUSION: There is overall support for the National Child Protection Alert System and a consensus that the benefits outweigh any potential risks. There is a need for further improvements to the system, including consistent training, further standardisation and increased accessibility of the information to health professionals, including making information on the system available to primary healthcare. PMID: 33444305 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Clinician knowledge of driving restrictions following a stroke event.
CONCLUSIONS: Many health professionals have discussions with people about driving restrictions following a TIA or stroke. However, there appears to be limited knowledge of all the restrictions for each condition as they relate to either private or commercial vehicle use. Insufficient training and education for clinicians might explain this gap. PMID: 33444306 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Prognostic significance of mid-range ejection fraction following acute coronary syndrome (ANZACS-QI 23).
Authors: Chan D, Doughty RN, Lund M, Lee M, Poppe K, Kerr AJ Abstract AIM: Recommendations regarding medication use after acute coronary syndrome (ACS) are dichotomised according to whether left ventricular ejection fraction (LVEF) is
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Radiological imaging of melanoma: a review to guide clinical practice in New Zealand.
Authors: Francis V, Sehji T, Barnett M, Martin RCW Abstract The aim of this review is to propose guidelines for initial radiological staging and the follow-up imaging regime for melanoma. This will provide consistency in the access and delivery of quality melanoma care. Radiological imaging plays an important role in assessing the extent of disease, guiding individual treatment and evaluating treatment response. However, there exists limited literature addressing the optimal radiological staging and surveillance imaging regimes for melanoma. The lack of consensus on imaging for melanoma can generate inconsistency i...
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Increasing access to contraception in New Zealand: assessing the impact of a new funding initiative.
CONCLUSION: Variation in funding and access to contraception continues to be a feature of service provision in New Zealand and may have been exacerbated by the recent Ministry of Health funding initiative. This perpetuates inequity, particularly for vulnerable women. Urgent consideration should be given to a whole-of-system approach with contraception being free at the point of access for all women in New Zealand. PMID: 33444309 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Think about cats in acute vision loss.
We describe two cases of bilateral Bartonella neuroretinitis that were presented to Palmerston North Hospital Eye Clinic. PMID: 33444310 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Updated algorithms are required to differentiate type 1 from type 2 diabetes using the Virtual Diabetes Register.
Authors: Chepulis L, Mayo C, Paul R PMID: 33444311 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Are patients diagnosed with functional symptoms during 'code stroke' receiving best medical care?
Authors: Huang J, Mahawish KM PMID: 33444312 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

DNA information: access, use and implications for healthcare in Aotearoa New Zealand.
Authors: Filoche SK, Cornwall J PMID: 33444313 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Remembering past pandemics to ensure we plan for the future: updated New Zealand survey of memorials to the 1918 influenza pandemic.
Authors: Wilson N, Rice G, Thomson G, Baker MG PMID: 33444314 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

COVID-19 outbreaks in Aotearoa New Zealand: urgent action is required to address systematic causes and consequences of border failures.
We present an epidemiological framework for identifying and addressing risk, giving examples of actions that can be taken to reduce the probability of further outbreaks and enable New Zealand to benefit from sustained elimination of COVID-19. PMID: 33332324 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Faculty of Radiation Oncology 2018 workforce census: the status of the radiation oncology workforce in New Zealand.
CONCLUSIONS: Radiation oncology is a small specialty in New Zealand, with a significant reliance on overseas-trained specialists. The specialty continues to work significant overtime hours while time spent on research and non-clinical duties remains low. The growth in staffing between the 2014 and 2018 census has been low. Trainee numbers do not appear sufficient to meet the demand for replacing staff, due to retirements and the reduction of hours. Radiation intervention rates are low in New Zealand, but growth would be reliant on an expansion of the workforce beyond simply replacing staff losses. The radiation oncology wo...
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Amenable mortality within the New Zealand homeless population: we can do better!
CONCLUSION: Homeless people experience considerable challenges when accessing the healthcare system, as uncovered by the dramatic rate of amenable mortality. Our findings highlight the urgent need to implement specific models of care that are designed to meet the social and healthcare needs of homeless persons and address the significant health inequalities they experience. PMID: 33332326 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Improved foot management of people with diabetes by primary healthcare nurses in Auckland, New Zealand.
CONCLUSIONS: Practice nurses have significantly expanded their role in managing people with diabetes over the last decade by increasing the number of foot examinations and providing recommended foot-care education. Improved management was associated with nurses attending diabetes education in the past five years. Gaps were identified in conducting the recommended number of foot examinations, categorising patients' risk of foot disease and recording previous examinations. PMID: 33332327 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Change in health profile of refugees resettling in New Zealand, 1980-2014.
CONCLUSION: While management of unfamiliar infectious diseases and deficiencies (especially vitamin D) still remains an important part of the management of refugee health, their management usually involves limited time and expense, and their burden is much less than before. However, refugees now resettling in New Zealand and the rest of the world often present with familiar non-communicable diseases that require long-term management. PMID: 33332328 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Assessment of a clinical pathway for investigation of haematuria that reduces the need for cystoscopy.
CONCLUSIONS: The combination of CxbT and imaging reliably identifies patients with haematuria who can be managed safely in primary care without the need for a secondary care referral and a flexible cystoscopy. PMID: 33332329 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Drug-induced ocular inflammation.
CONCLUSIONS: Ocular inflammation caused by bisphosphonates is usually mild and resolves on medication withdrawal. Uveitis seen in association with newer cancer medications can be more severe, but in most cases it can be managed without medication cessation. PMID: 33332330 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Unplanned admissions to the Wellington Hospital intensive care unit before, during and after New Zealand's COVID-19 lockdown.
Authors: Young PJ, Gladwin B, Psirides A, Reid A Abstract AIM: To evaluate rates of unplanned ICU admissions before, during and after New Zealand's COVID-19 Alert Level 4/3 lockdown, and to describe the characteristics and outcomes of patients admitted to Wellington ICU during lockdown in comparison to historical controls. METHOD: We conducted a retrospective cohort study using the Wellington Hospital ICU database and included patients with an unplanned ICU admission during the first 35 weeks of the year from 2015 to 2020 inclusive. The primary variable of interest was the rate of unplanned ICU admission in 202...
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Consensus statement on the treatment of transplant-eligible patients with newly diagnosed multiple myeloma in New Zealand.
Authors: Chien N, Romeril K, Baker B, Goodman H, Chan H Abstract Multiple myeloma is the second most common blood cancer in New Zealand with higher incidence in Māori and Pacific Island populations. It remains an incurable disease but the rapidly changing treatment landscape has led to improved outcome. In response to recent changes in funding of anti-myeloma therapy in New Zealand, the New Zealand Myeloma Interest Group has reviewed the latest literature and updated the treatment pathway of transplant-eligible patients with newly diagnosed multiple myeloma. PMID: 33332332 [PubMed - in process] (Source: New Ze...
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Why does Pharmac neglect inflammatory bowel disease?
Authors: McCombie A, Arnold M, O'Connor M, Stein R, Fulforth J, Brown B, Gearry R PMID: 33332333 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Training clinicians to lead clinical IT projects.
Authors: Whittaker R, Dobson R, Hopley L, Armstrong D, Corning-Davis B, Andrew P Abstract Across New Zealand, a huge programme of work is being initiated to improve the health information systems of our sector. The goals of this plan are to address major risks and issues such as cybersecurity and our inability to securely share health data across organisations for clinical care. To fulfil the promise of planned health IT initiatives, we must involve clinicians of all disciplines to help lead, design and implement projects. However, there is currently little pragmatic training available for clinicians to learn how t...
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Adequacy of publicly funded colonoscopy services in New Zealand.
Authors: Bagshaw P, Cox B PMID: 33332335 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Thyroid eye disease in New Zealand: interaction between ethnicity and smoking status.
This study was conducted to describe the epidemiology of thyroid eye disease (TED) in New Zealand. METHODS: One hundred and sixty-one subjects with TED seen over a 14-year period in Auckland, from a combined ophthalmology-endocrinology clinic, had data extracted from clinical notes. RESULTS: Median age at onset was 47.0±15.1 years and 77.6% were female. Crude yearly incidence of TED (per 1,000,000) was 12.6 in non-smokers and 67.3 in smokers (p
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

New Zealand hospital stroke service provision.
CONCLUSION: Hospital location is associated with differences in stroke services provision across New Zealand and ongoing work is required to optimise consistent access to best practice care. These results, in conjunction with an ongoing (REGIONS Care) study, will be used to determine whether this affects patient outcomes. PMID: 33332337 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Patient characteristics, treatment outcomes and rehabilitation practices for patients admitted with hip fractures using multiple data set analysis.
CONCLUSION: Mortality was highest in ARC residents discharged from acute orthopaedics. Patients admitted for orthogeriatric rehabilitation had shorter length of stay, lower 30-day mortality, were more likely to return home and most likely to be offered osteoporosis treatment (88%), noting less underlying comorbidity and better baseline functional status in this group. This paper supports further study (eg, randomised trials) to examine the effects of targeted post-surgical rehabilitation for patients with hip fracture and explore measures to increase uptake of osteoporosis treatment. PMID: 33332338 [PubMed - in process...
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Left ventricular thrombus after ST segment elevation myocardial infarction: a single-centre observational study.
CONCLUSIONS: The incidence of LV thrombus following STEMI was low and it was associated with a low rate of stroke and systemic embolism but high mortality. Randomised studies are needed to evaluate the efficacy of NOAC's in this context. PMID: 33332339 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

An evaluation of the contents of advance care plans and their use in patients admitted to a public hospital.
CONCLUSIONS: Age and to a lesser extent the severity of comorbidities influence the choice of goal-of-care in an ACPlan. Our review also showed that end-of-life care appeared to adhere to the instructions in the plan. PMID: 33332340 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Accuracy of SNOMED-CT Chief Presenting Complaint Codes: an audit of 1,000 cases.
CONCLUSION: The accuracy of real-time coding for CPC using SNOMED-CT was reasonable, except for non-specific CPCs, which should be avoided where possible. PMID: 33332341 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

The carcinogenicity of pesticides used in New Zealand.
CONCLUSIONS: New Zealand's use of pesticides that are suspected carcinogens is high. Efforts to increase awareness and reduce exposure need to be considered. PMID: 33332342 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Increased unemployment from the COVID-19 pandemic, what might be the adverse impacts on cardiovascular disease in Aotearoa/New Zealand and how might this be prevented?
This article contributes to this understanding by exploring the relationship between unemployment and cardiovascular disease (CVD)-a major contributor to health loss in Aotearoa New Zealand. We reviewed the literature about the impact of unemployment on CVD. The totality of the evidence suggested that increased unemployment arising from economic shocks is associated with increased CVD incidence, particularly for middle-aged men. Continued monitoring and active policy responses are required to prevent increases in CVD (and other health outcomes) as a result of the COVID-19 pandemic response. For example, quantifying the CVD...
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Early neurological deterioration after ischaemic stroke due to cardiac arrhythmia and intracranial stenosis.
Authors: Mahawish KM, Leung A, Butterfield E PMID: 33332344 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Blood brothers: tattoo sepsis in two Samoan men.
Authors: Lakshman P, Zhang C, Balm M, Morice Y, Towns C PMID: 33332345 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

The Beginning of End of Life Choice.
Authors: Williams M PMID: 33332346 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

The impact of COVID-19 on RMO medical education and training at CDHB.
Authors: Dunn K, Thwaites J PMID: 33332347 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Ethnic inequity in diabetes outcomes-inaction in the face of need.
Authors: Jansen RM, Sundborn G, Cutfield R, Yu D, Simmons D PMID: 33223543 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

An audit of fluid resuscitation practice in trauma patients with mmajor haemorrhage at Christchurch Hospital.
CONCLUSIONS: Trauma patients with major haemorrhage at Christchurch Hospital are still receiving excess crystalloids; however, our audit suggests that compliance with the MTP has improved. Further education involving the entire trauma team is required to improve fluid resuscitation practice. PMID: 33223544 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Point prevalence surveys of antimicrobial use in adult inpatients at Canterbury District Health Board Hospitals.
CONCLUSIONS: Most antimicrobial prescriptions were appropriate and complied with guidelines. Compliance with key quality indicators (indication documented, review/stop date documented, and surgical prophylaxis ceased within 24 hours) were well below target (>95%) and needs improvement. PMID: 33223545 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Diabetic ketoacidosis admissions at Middlemore Hospital: observational study of cause and patient demographics.
CONCLUSION: Non-adherence is a major cause of DKA admissions at Middlemore Hospital. When compared to the regional census data, there is over-representation of Pasifika and Māori population and those of lower socioeconomic status in those admitted with DKA. Similar pattern was seen in those with non-adherence as the cause of DKA and those with recurrent DKAs. PMID: 33223546 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Pregnant women's knowledge of, and adherence to, New Zealand Food Safety in Pregnancy guidelines.
CONCLUSIONS: The majority of participants reported continuing to consume foods considered unsafe in pregnancy. This study highlights the need for improved food safety education during pregnancy. The results also suggest a need for food safety guidance to be made more accessible and relevant to the needs of Māori women. PMID: 33223547 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Successful use of generic direct acting antiviral medications to treat hepatitis C-a New Zealand-wide study.
CONCLUSIONS: Generic DAAs to treat hepatitis C are safe, efficient and a cheaper than branded medications option. PMID: 33223548 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Characteristics, trends and outcomes in acute coronary syndromes in the renal replacement therapy population: a 10-year retrospective analysis of the Midlands Region, New Zealand.
Authors: Ng L, Liew TV, Henderson A Abstract Acute coronary syndrome (ACS) is one of the leading causes of mortality in the renal replacement therapy (RRT) population. We aimed to understand the characteristics, trends and outcomes of ACS in our local RRT population as a means to improve care and outcomes for this high-risk population. Using the ANZACS-QI database, we conducted a retrospective analysis of all ACS occurring in RRT patients between 1 January 2010-31 December 2019 managed at Waikato Hospital (n=135 at index ACS). In our cohort made up predominantly of Māori (55%) and European (34%) patients, 58% had ...
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Feasibility and outcomes of a hepatitis C screening programme in community pharmacies.
CONCLUSIONS: Pharmacy point-of-care testing with immediate results and pharmacist follow-up of positive results can aid diagnosis of HCV in at-risk populations and help treatment uptake. PMID: 33223550 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Point-of-care rapid testing for hepatitis C antibodies at New Zealand needle exchanges.
CONCLUSION: This study demonstrated the viability of administering rapid point-of-care HCV antibody tests to needle exchange clients by non-clinician frontline peer staff. The efficacy of point-of-care testing and its appropriateness for use in this context to identify HCV-exposed needle exchange clients was demonstrated by the high proportion of participants receiving a reactive result, the identification of viremic clients and their support into treatment. PMID: 33223551 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

COVID-19 lockdown impact on common general surgical acute presentations to a regional centre in New Zealand.
CONCLUSIONS: The COVID-19 lockdown led to fewer presentations, but these were often delayed, with more complications and a longer length of stay. This could be partly explained by patient fear around exposure to the virus and reluctance to attend hospital. More research is needed to study the flow-on effects of the COVID-19 lockdown on surgical presentations. PMID: 33223552 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Ethnic inequities in screening for diabetes in pregnancy in New Zealand-adherence to national guidelines.
Authors: Chepulis L, Paul R, Lewis-Hills E, Ratnaweera M, Mclean N, Wolmarans L, Tamatea J Abstract AIM: The aim of this study was to assess adherence to the 2014 Ministry of Health (MoH) screening guidelines for diabetes in pregnancy (DiP) by Māori and non-Māori in the Waikato region. METHODS: Clinical records were reviewed for women without known diabetes before pregnancy who delivered in hospitals or community birth centres in the Waikato region during June-August 2017. Screening rates for DiP were assessed using HbA1c, glucose challenge and/or glucose tolerance tests. RESULTS: Of a total of 807 women,...
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

The legacy of MeNZB and possible implications for COVID-19 vaccination.
Authors: Reid JS Abstract It is now over a decade since the meningococcal B vaccine, MeNZB, was in routine use in New Zealand. From July 2004 until June 2008 it was administered in a three-dose schedule to over a million individuals, aged six weeks to 20 years, to provide protection against the epidemic strain of group B Meningococci. The cost of the campaign, including the development of the vaccine was substantial, in excess of $200M, but it contributed to a reduced incidence of meningococcal infections along with a reduction in morbidity and mortality. The campaign led to the development of a national immunisati...
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

More than merely potassium: an uncommon cause for sine waves in renal failure.
Authors: Plant A, Gold D, Walker J PMID: 33223555 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - November 25, 2020 Category: General Medicine Tags: N Z Med J Source Type: research