The challenges of long-range planning for healthcare funding, performance and outcomes
N Z Med J. 2021 Apr 16;134(1533):8-10.NO ABSTRACTPMID:33927419 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Robin Gauld Source Type: research

Inequity in outcomes from New Zealand chronic pain services
CONCLUSION: There are ethnic inequalities in the efficacy of treatment for chronic pain services in New Zealand. The cultural safety of the chronic pain clinics should be reviewed regarding both assessment and management procedures.PMID:33927420 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Gwyn Lewis Robert Borotkanics Angela Upsdell Source Type: research

Doing what it takes: a qualitative study of New Zealand carers' experiences of giving home-based palliative care to loved ones
CONCLUSIONS: The study shows that New Zealand carers' experiences of providing home-based palliative care are similar to those in international studies; country-context, ethnicity and health systems likely influence the differences. While carers are grateful for professionals and family/whānau/friend support, they experience challenges that could be addressed by the following recommendations: undertake a regular review with carers regarding the decision to provide care at home; support carers to take on a leadership role if this is what they want; ensure carers have information regarding which professional and which agenc...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Eileen McKinlay Kalilea Vaipuna Teresa O'Toole Helen Golds Astrid Adams Source Type: research

A prospective audit on the use of prophylactic antiemetics and rates of CINV in patients receiving carboplatin AUC ≥4 or combination anthracycline-cyclophosphamide
CONCLUSION: The rates of CINV are high with the existing antiemetic regimens used at MidCentral Regional Cancer Treatment Service. Therefore, in accordance with international guidelines, we will add a neurokinin-1 antagonist to the antiemetic regimens for patients receiving carboplatin-based chemotherapy AUC≥4, and olanzapine for those receiving combination anthracycline/cyclophosphamide chemotherapy, in an attempt to improve the rates of CINV in these groups. Repeating this audit post-implementation of above recommendations will be important to assess for any improvement.PMID:33927422 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Edward Lo Malcolm Anderson Rebecca Carroll Garry Forgeson Richard Isaacs Jody Jordan Liyana Satterthwaite Navin Wewala Jennifer Fernando Source Type: research

Mortality and fluctuations in macroeconomic activity in New Zealand
N Z Med J. 2021 Apr 16;134(1533):46-60.ABSTRACTAIMS: To model the statistical relationships between mortality rates and macroeconomic conditions in New Zealand over the post-war era.METHODS: Time series methods are used to model statistical relationships between the macroeconomic unemployment rate and mortality rates across different age groups and morbidities.RESULTS: Decreases in the age-adjusted mortality rate are two-and-a-half times as large during episodic increases in the national unemployment rate (p = 0.01). This short-run procyclicality is driven primarily by mortality among the elderly (66+) and middle-aged (36-...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Ryan Greenaway-McGrevy Source Type: research

Caesarean scar ectopic pregnancy: a case series and case report to highlight the experience in regional New Zealand
CONCLUSION: We present a series of ten cases of CSP and demonstrate similar challenges in regional New Zealand to those reported elsewhere. Management is heterogeneous with little guidance from the literature, and primary management was successful in seven out of ten cases. We report a disproportionately high number of cases in Māori women. Our results would support the development of a national register for caesarean scar pregnancy to improve diagnosis and management across New Zealand.PMID:33927424 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Katherine Maslowski Simon Scheck Henry Lieu Sikhar Sircar Source Type: research

Care of patients with early inflammatory arthritis in the Wellington region according to the British Society of Rheumatology's best practice tariff standards
CONCLUSION: Patients with suspected inflammatory arthritis in the Wellington region wait much longer to be seen than is recommended by the BSR guidelines.PMID:33927425 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Hamish J Farquhar William J Taylor Source Type: research

Childhood asthma in New Zealand: the impact of on-going socioeconomic disadvantage (2010-2019)
N Z Med J. 2021 Apr 16;134(1533):80-95.ABSTRACTAIM: To document trends in number and cost of asthma hospital admissions and asthma prescriptions in children (0-14 years) from 2010-2019 in New Zealand.METHOD: A retrospective analysis of public hospital admission and pharmaceutical prescription data.RESULTS: The dataset included 39,731 hospitalisations with asthma as a discharge diagnosis and 5,512,856 prescriptions for asthma medication in children ≤14 years old. From 2010 to 2019, there was a 45% reduction in the number of asthma hospitalisations and an 18% reduction in prescriptions attributable to asthma. Declines wer...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Deborah Schlichting Tayaza Fadason Cameron C Grant Justin M O'Sullivan Source Type: research

All-of-community by all-of-government: reaching Pacific people in Aotearoa New Zealand during the COVID-19 pandemic
N Z Med J. 2021 Apr 16;134(1533):96-103.ABSTRACTA large portion of Pacific communities throughout Aotearoa New Zealand continue to face socioeconomic hardship and have ongoing health needs that are affected by social and economic influences. The impact of COVID-19 has only exacerbated these needs and will continue to have an adverse effect on the current wellbeing, future health and sustainable development of these communities-if targeted efforts are not undertaken to meet their unique needs. The collective worldview of Pacific communities is fundamental to their existence; therefore, a response needs to be within a collec...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Julia Ioane Teuila Percival Winnie Laban Ian Lambie Source Type: research

The political economy of healthcare reform: why New Zealand has experienced 82 years of ineffectual reforms and what can be done about it
N Z Med J. 2021 Apr 16;134(1533):104-109.NO ABSTRACTPMID:33927428 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Murray Horn Des Gorman Source Type: research

Apricot oil as a cause for multi-lobulated oil cysts in the deltoid muscle of a bodybuilder
N Z Med J. 2021 Apr 16;134(1533):110-114.NO ABSTRACTPMID:33927429 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Dominic P O'Dowd David Dow Michael P Rosenfeldt Source Type: research

Translating whole-genome-sequence data for drug-resistant Mycobacterium tuberculosis diagnostics in clinics
N Z Med J. 2021 Apr 16;134(1533):115-117.NO ABSTRACTPMID:33927430 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Lars Humblestone Brendan Arnold Htin Lin Aung Source Type: research

Fetal alcohol spectrum disorder and prisoners: the need for research-informed action
N Z Med J. 2021 Apr 16;134(1533):118-121.NO ABSTRACTPMID:33927431 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Jessica McCormack Valerie McGinn Samantha Marsh David Newcombe Chris Bullen Joanna Chu Source Type: research

The Taranaki COVID-19 response from a M āori perspective: lessons for mainstream health providers in Aotearoa New Zealand
N Z Med J. 2021 Apr 16;134(1533):122-124.NO ABSTRACTPMID:33927432 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Kayla Manuirirangi Jonathan Jarman Source Type: research

Making the Convention on the Rights of Persons with Disabilities real: our word is our bond
N Z Med J. 2021 Apr 30;134(1534):8-10.NO ABSTRACTPMID:33927433 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: James Cooney Michael Daly Giles Newton-Howes Kris Gledhill Sarah Gordon Source Type: research

Challenge for COVID-19 vaccines to protect the New Zealand population
N Z Med J. 2021 Apr 30;134(1534):11-16.NO ABSTRACTPMID:33927434 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Nigel J Raymond Stephen T Chambers Source Type: research

Parental use of physical punishment in a birth cohort
N Z Med J. 2021 Apr 30;134(1534):17-30.ABSTRACTAIM: To document the prevalence of child physical punishment by parents and associated predictors in the Christchurch Health and Development Study (CHDS) birth cohort over a 15-year period.METHOD: A cohort of 1,265 CHDS individuals were followed from birth (1977) to age 40 years. At ages 25 (n=155), 30 (n=337), 35 (n=585) and 40 years (n=636), the cohort members with dependent children (
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Geraldine Fh McLeod John Horwood Joseph M Boden Lianne J Woodward Source Type: research

Demographic differences in the initiation and maintenance of statins in the first year post ACS in New Zealand: a data linkage study (ANZACS-QI 57)
N Z Med J. 2021 Apr 30;134(1534):31-45.ABSTRACTINTRODUCTION: Prior New Zealand studies suggest that only approximately two-thirds of patients who present with an acute coronary syndrome (ACS) are adequately maintained on a statin post-discharge. This could be due to low initiation and/or poor longer-term adherence.AIM: To identify the pattern and adequacy of statin maintenance following ACS from initial prescription to one-year post-discharge.METHODS: All New Zealand Acute Coronary Syndrome Quality Improvement (ANZACS-QI) registry data for consecutive New Zealand residents (2015-2017) who were hospitalised with ACS and man...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Aravindra Muniandy Mildred Lee Corina Grey Katherine Ferrier Andrew J Kerr Source Type: research

The outcomes of patients with newly diagnosed exudative age-related macular degeneration in Palmerston North
CONCLUSION: Patients receiving treatment for newly diagnosed nAMD in Palmerston North were achieving high rates of stabilisation and improvements in visual acuity, with more than half maintaining the national driving standard. The locally developed prospective database allows for real-time analysis of patient outcomes and the evaluation of the effectiveness of quality-improvement strategies.PMID:33927437 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Aaron Yap Adeline Kho John Ah-Chan Source Type: research

Comparison of physical activity patterns across large, medium and small urban areas and rural settings in the Otago Region, New Zealand
This study compared accelerometer-measured physical activity (PA) patterns in adolescents living in diverse urban and rural areas of Otago, New Zealand.METHOD: Participants (n=377; age: 14.9±1.4 years; 66.8% female; 23 schools) completed an online school travel survey, anthropometry and seven-day PA accelerometer assessment. Participants resided in large (n=237), medium (n=45) and small (n=44) urban areas or rural settings (n=51).RESULTS: Overall, participants participated in 54.4±21.0 minutes of moderate-to-vigorous physical activity (MVPA) daily and 35.0% met PA guidelines (school day vs weekend day: 40.8% vs 26.0%; p
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Brittany White Enrique Garc ía Bengoechea John C Spence Kirsten J Coppell Sandra Mandic Source Type: research

Predictors of medicinal cannabis users' willingness to utilise a new prescription Medicinal Cannabis Scheme in New Zealand
CONCLUSION: The lower intended engagement with the MCS by Māori, lower income groups and those who home-grow cannabis may reflect their perceptions of the MCS as restrictive and expensive.PMID:33927439 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Marta Rychert Karl Parker Chris Wilkins Thomas Graydon-Guy Source Type: research

Methoxyflurane toxicity: historical determination and lessons for modern patient and occupational exposure
CONCLUSIONS: Methoxyflurane poses a potentially substantial health risk in high (anaesthetic) doses, and there are a number of pathways whereby repeated exposure to methoxyflurane in lower doses may pose a risk. Single analgesic doses in modern use generally appear safe for patients. However, the safety of recurrent patient or occupational healthcare-worker exposure has not been confirmed, and merits further investigation.PMID:33927440 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Serah J Allison Paul D Docherty Dirk Pons J Geoffrey Chase Source Type: research

What does abortion law reform mean for primary care practitioners in New Zealand?
N Z Med J. 2021 Apr 30;134(1534):91-98.ABSTRACTNew Zealand achieved a major sexual reproductive health and rights milestone when abortion ceased to be a crime. Introduction of the Abortion Legislation Act 2020 has significantly changed the way abortion care can be provided in New Zealand, with the potential to improve access, reduce inequities and transform the abortion experience for those people who choose to end their pregnancy. The primary care sector stands to be a key player in the provision of first-trimester abortion care. However, with issues relating to funding, training and access to medications yet to be resolv...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Emma Macfarlane Michael Stitely Helen Paterson Source Type: research

Official Information Act investigation of the Ministry of Health's process to assess the Southern District Health Board's readiness to join the National Bowel Screening Programme in 2018
We examined the documentation underlying the decision to permit the Southern District Health Board (SDHB) to join the National Bowel Screening Programme (NBSP) at a time when it was not providing an adequate colonoscopy service for symptomatic patients. A coordinated sequence of relevant Official Information Act 1982 (OIA) requests was lodged with the New Zealand Ministry of Health (MoH), which is responsible for determining the readiness of district health boards (DHBs) to join the NBSP. However, the MoH OIA process was obfuscating, unduly long and responded only after they anticipated imminent intervention by the Office ...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Philip Bagshaw Paula Goodman Brian Cox Source Type: research

Why is it so hard for general practice to provide COVID-19 vaccines?
N Z Med J. 2021 Apr 30;134(1534):114-117.NO ABSTRACTPMID:33927443 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Vanessa Weenink Source Type: research

Intravenous iron infusion and newer non-dextran formulations
This article also outlines how to provide iron infusion safely and effectively in the community.PMID:33927444 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Tim Aung Justin Coleman Peter W Davidson David J Hetzel Sandy T Aung Source Type: research

Granular parakeratosis secondary to benzalkonium chloride exposure from common household laundry rinse aids
CONCLUSION: GP has a distinct clinical pattern although histopathological findings are varied. Clinicians should have a high index of suspicion for GP in patients presenting with erythematous flexural eruptions and seek a history of BAC exposure, especially in the context of the COVID-19 pandemic and increased antiseptic use.PMID:33927445 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Catherine Jl Tian Diana Purvis Harriet S Cheng Source Type: research

Cerebrospinal fluid rhinorrhoea following nasal packing for epistaxis: case series from a single centre
N Z Med J. 2021 Apr 30;134(1534):143-145.NO ABSTRACTPMID:33927446 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Alice Flavell-Birch Campbell Baguley Alice Stringer Source Type: research

Letter to the editor
N Z Med J. 2021 Apr 30;134(1534):146-147.NO ABSTRACTPMID:33927447 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Katherine Rich Source Type: research

Letter to the editor: response to Katherine Rich
N Z Med J. 2021 Apr 30;134(1534):148-149.NO ABSTRACTPMID:33927448 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Jennie Connor Source Type: research

The challenges of long-range planning for healthcare funding, performance and outcomes
N Z Med J. 2021 Apr 16;134(1533):8-10.NO ABSTRACTPMID:33927419 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Robin Gauld Source Type: research

Inequity in outcomes from New Zealand chronic pain services
CONCLUSION: There are ethnic inequalities in the efficacy of treatment for chronic pain services in New Zealand. The cultural safety of the chronic pain clinics should be reviewed regarding both assessment and management procedures.PMID:33927420 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Gwyn Lewis Robert Borotkanics Angela Upsdell Source Type: research

Doing what it takes: a qualitative study of New Zealand carers' experiences of giving home-based palliative care to loved ones
CONCLUSIONS: The study shows that New Zealand carers' experiences of providing home-based palliative care are similar to those in international studies; country-context, ethnicity and health systems likely influence the differences. While carers are grateful for professionals and family/whānau/friend support, they experience challenges that could be addressed by the following recommendations: undertake a regular review with carers regarding the decision to provide care at home; support carers to take on a leadership role if this is what they want; ensure carers have information regarding which professional and which agenc...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Eileen McKinlay Kalilea Vaipuna Teresa O'Toole Helen Golds Astrid Adams Source Type: research

A prospective audit on the use of prophylactic antiemetics and rates of CINV in patients receiving carboplatin AUC ≥4 or combination anthracycline-cyclophosphamide
CONCLUSION: The rates of CINV are high with the existing antiemetic regimens used at MidCentral Regional Cancer Treatment Service. Therefore, in accordance with international guidelines, we will add a neurokinin-1 antagonist to the antiemetic regimens for patients receiving carboplatin-based chemotherapy AUC≥4, and olanzapine for those receiving combination anthracycline/cyclophosphamide chemotherapy, in an attempt to improve the rates of CINV in these groups. Repeating this audit post-implementation of above recommendations will be important to assess for any improvement.PMID:33927422 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Edward Lo Malcolm Anderson Rebecca Carroll Garry Forgeson Richard Isaacs Jody Jordan Liyana Satterthwaite Navin Wewala Jennifer Fernando Source Type: research

Mortality and fluctuations in macroeconomic activity in New Zealand
N Z Med J. 2021 Apr 16;134(1533):46-60.ABSTRACTAIMS: To model the statistical relationships between mortality rates and macroeconomic conditions in New Zealand over the post-war era.METHODS: Time series methods are used to model statistical relationships between the macroeconomic unemployment rate and mortality rates across different age groups and morbidities.RESULTS: Decreases in the age-adjusted mortality rate are two-and-a-half times as large during episodic increases in the national unemployment rate (p = 0.01). This short-run procyclicality is driven primarily by mortality among the elderly (66+) and middle-aged (36-...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Ryan Greenaway-McGrevy Source Type: research

Caesarean scar ectopic pregnancy: a case series and case report to highlight the experience in regional New Zealand
CONCLUSION: We present a series of ten cases of CSP and demonstrate similar challenges in regional New Zealand to those reported elsewhere. Management is heterogeneous with little guidance from the literature, and primary management was successful in seven out of ten cases. We report a disproportionately high number of cases in Māori women. Our results would support the development of a national register for caesarean scar pregnancy to improve diagnosis and management across New Zealand.PMID:33927424 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Katherine Maslowski Simon Scheck Henry Lieu Sikhar Sircar Source Type: research

Care of patients with early inflammatory arthritis in the Wellington region according to the British Society of Rheumatology's best practice tariff standards
CONCLUSION: Patients with suspected inflammatory arthritis in the Wellington region wait much longer to be seen than is recommended by the BSR guidelines.PMID:33927425 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Hamish J Farquhar William J Taylor Source Type: research

Childhood asthma in New Zealand: the impact of on-going socioeconomic disadvantage (2010-2019)
N Z Med J. 2021 Apr 16;134(1533):80-95.ABSTRACTAIM: To document trends in number and cost of asthma hospital admissions and asthma prescriptions in children (0-14 years) from 2010-2019 in New Zealand.METHOD: A retrospective analysis of public hospital admission and pharmaceutical prescription data.RESULTS: The dataset included 39,731 hospitalisations with asthma as a discharge diagnosis and 5,512,856 prescriptions for asthma medication in children ≤14 years old. From 2010 to 2019, there was a 45% reduction in the number of asthma hospitalisations and an 18% reduction in prescriptions attributable to asthma. Declines wer...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Deborah Schlichting Tayaza Fadason Cameron C Grant Justin M O'Sullivan Source Type: research

All-of-community by all-of-government: reaching Pacific people in Aotearoa New Zealand during the COVID-19 pandemic
N Z Med J. 2021 Apr 16;134(1533):96-103.ABSTRACTA large portion of Pacific communities throughout Aotearoa New Zealand continue to face socioeconomic hardship and have ongoing health needs that are affected by social and economic influences. The impact of COVID-19 has only exacerbated these needs and will continue to have an adverse effect on the current wellbeing, future health and sustainable development of these communities-if targeted efforts are not undertaken to meet their unique needs. The collective worldview of Pacific communities is fundamental to their existence; therefore, a response needs to be within a collec...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Julia Ioane Teuila Percival Winnie Laban Ian Lambie Source Type: research

The political economy of healthcare reform: why New Zealand has experienced 82 years of ineffectual reforms and what can be done about it
N Z Med J. 2021 Apr 16;134(1533):104-109.NO ABSTRACTPMID:33927428 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Murray Horn Des Gorman Source Type: research

Apricot oil as a cause for multi-lobulated oil cysts in the deltoid muscle of a bodybuilder
N Z Med J. 2021 Apr 16;134(1533):110-114.NO ABSTRACTPMID:33927429 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Dominic P O'Dowd David Dow Michael P Rosenfeldt Source Type: research

Translating whole-genome-sequence data for drug-resistant Mycobacterium tuberculosis diagnostics in clinics
N Z Med J. 2021 Apr 16;134(1533):115-117.NO ABSTRACTPMID:33927430 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Lars Humblestone Brendan Arnold Htin Lin Aung Source Type: research

Fetal alcohol spectrum disorder and prisoners: the need for research-informed action
N Z Med J. 2021 Apr 16;134(1533):118-121.NO ABSTRACTPMID:33927431 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Jessica McCormack Valerie McGinn Samantha Marsh David Newcombe Chris Bullen Joanna Chu Source Type: research

The Taranaki COVID-19 response from a M āori perspective: lessons for mainstream health providers in Aotearoa New Zealand
N Z Med J. 2021 Apr 16;134(1533):122-124.NO ABSTRACTPMID:33927432 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Kayla Manuirirangi Jonathan Jarman Source Type: research

Making the Convention on the Rights of Persons with Disabilities real: our word is our bond
N Z Med J. 2021 Apr 30;134(1534):8-10.NO ABSTRACTPMID:33927433 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: James Cooney Michael Daly Giles Newton-Howes Kris Gledhill Sarah Gordon Source Type: research

Challenge for COVID-19 vaccines to protect the New Zealand population
N Z Med J. 2021 Apr 30;134(1534):11-16.NO ABSTRACTPMID:33927434 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Nigel J Raymond Stephen T Chambers Source Type: research

Parental use of physical punishment in a birth cohort
N Z Med J. 2021 Apr 30;134(1534):17-30.ABSTRACTAIM: To document the prevalence of child physical punishment by parents and associated predictors in the Christchurch Health and Development Study (CHDS) birth cohort over a 15-year period.METHOD: A cohort of 1,265 CHDS individuals were followed from birth (1977) to age 40 years. At ages 25 (n=155), 30 (n=337), 35 (n=585) and 40 years (n=636), the cohort members with dependent children (
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Geraldine Fh McLeod John Horwood Joseph M Boden Lianne J Woodward Source Type: research

Demographic differences in the initiation and maintenance of statins in the first year post ACS in New Zealand: a data linkage study (ANZACS-QI 57)
N Z Med J. 2021 Apr 30;134(1534):31-45.ABSTRACTINTRODUCTION: Prior New Zealand studies suggest that only approximately two-thirds of patients who present with an acute coronary syndrome (ACS) are adequately maintained on a statin post-discharge. This could be due to low initiation and/or poor longer-term adherence.AIM: To identify the pattern and adequacy of statin maintenance following ACS from initial prescription to one-year post-discharge.METHODS: All New Zealand Acute Coronary Syndrome Quality Improvement (ANZACS-QI) registry data for consecutive New Zealand residents (2015-2017) who were hospitalised with ACS and man...
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Aravindra Muniandy Mildred Lee Corina Grey Katherine Ferrier Andrew J Kerr Source Type: research

The outcomes of patients with newly diagnosed exudative age-related macular degeneration in Palmerston North
CONCLUSION: Patients receiving treatment for newly diagnosed nAMD in Palmerston North were achieving high rates of stabilisation and improvements in visual acuity, with more than half maintaining the national driving standard. The locally developed prospective database allows for real-time analysis of patient outcomes and the evaluation of the effectiveness of quality-improvement strategies.PMID:33927437 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Aaron Yap Adeline Kho John Ah-Chan Source Type: research

Comparison of physical activity patterns across large, medium and small urban areas and rural settings in the Otago Region, New Zealand
This study compared accelerometer-measured physical activity (PA) patterns in adolescents living in diverse urban and rural areas of Otago, New Zealand.METHOD: Participants (n=377; age: 14.9±1.4 years; 66.8% female; 23 schools) completed an online school travel survey, anthropometry and seven-day PA accelerometer assessment. Participants resided in large (n=237), medium (n=45) and small (n=44) urban areas or rural settings (n=51).RESULTS: Overall, participants participated in 54.4±21.0 minutes of moderate-to-vigorous physical activity (MVPA) daily and 35.0% met PA guidelines (school day vs weekend day: 40.8% vs 26.0%; p
Source: New Zealand Medical Journal - April 30, 2021 Category: General Medicine Authors: Brittany White Enrique Garc ía Bengoechea John C Spence Kirsten J Coppell Sandra Mandic Source Type: research