Differences in life expectancy within and between countries: implications for domestic TAVI guidelines in Australia and Aotearoa New Zealand
N Z Med J. 2024 Apr 12;137(1593):75-80. doi: 10.26635/6965.6402.ABSTRACTThe advent of transcatheter aortic valve implantation (TAVI) has caused a paradigm shift in the management of aortic stenosis away from traditional surgical aortic valve replacement (SAVR). However, uncertainty remains about the long-term (>10 year) durability of TAVI valves, especially in younger patients. This viewpoint collates life expectancy data from Australia and Aotearoa New Zealand to propose sex-specific age-based recommendations for choice of SAVR versus TAVI in their respective general populations and among Aboriginal and Torres Strait I...
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Thomas D Ryan Jonathon B Ryan Source Type: research

The simple gallbladder with a twist?
N Z Med J. 2024 Apr 12;137(1593):81-84. doi: 10.26635/6965.6366.NO ABSTRACTPMID:38603790 | DOI:10.26635/6965.6366 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Neeraj Khatri Ahmed Abdile Fraser Welsh Nicholas Smith Source Type: research

Recreational ketamine use can lead to irreversible bladder damage
N Z Med J. 2024 Apr 12;137(1593):85-89. doi: 10.26635/6965.6357.ABSTRACTAn increasing number of young patients with severe bladder overactivity syndrome potentially caused by recreational ketamine use has been treated in our department. Ketamine has become a popular and increasingly used recreational drug in New Zealand. Ketamine bladder syndrome has been reported internationally; however, local New Zealand data do not exist. It can lead to irreversible damage to the bladder, and internationally, surgical procedures like cystectomy and urinary diversion or augmentation cystoplasty have been reported as necessary treatments...
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Daniel Eaton Frank Kueppers Source Type: research

Negotiating a competitive speciality programme interview-a M āori clinician perspective
N Z Med J. 2024 Apr 12;137(1593):90-92. doi: 10.26635/6965.6411.NO ABSTRACTPMID:38603792 | DOI:10.26635/6965.6411 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Walston R Martis Zanazir Alexander Source Type: research

Re: Epidemiology of giant cell arteritis in Waikato, Aotearoa New Zealand
N Z Med J. 2024 Apr 12;137(1593):93-95. doi: 10.26635/6965.6568.ABSTRACTThe interest in epidemiological data on giant cell arteritis (GCA) increased both in New Zealand and in Latin America, resulting in updated articles like those here commented. Of more relevance are two very recent contributions by van Dantzig et al. with novel conclusive findings from their evaluations on GCA performed in the region of Waikato. The authors emphasised that the diagnosis of GCA remained stable in this region from 2014 to 2022, being uncommon among Māori, Pacific peoples and Asian ethnic groups. Short comments on some literature data fro...
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Vitorino Modesto Dos Santos Taciana Arruda Modesto Sugai Source Type: research

Changing the script: medicine optimisation recommendations made during proactive multidisciplinary meetings with older adults
N Z Med J. 2024 Apr 12;137(1593):96-98. doi: 10.26635/6965.6443.NO ABSTRACTPMID:38603794 | DOI:10.26635/6965.6443 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Katherine Bloomfield Joanna Hikaka Julia Brookes Annie Tatton Cheryl Calvert Zhenqiang Wu Michal Boyd Kathy Peri Dale Bramley Martin J Connolly Source Type: research

Alcohol-associated liver disease and the COVID-19 pandemic in New Zealand-a single centre retrospective analysis
N Z Med J. 2024 Apr 12;137(1593):99-104. doi: 10.26635/6965.6471.NO ABSTRACTPMID:38603795 | DOI:10.26635/6965.6471 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Kevin Yy Chen Michael Tm Wang Cameron Schauer Source Type: research

Legalising smokeless tobacco and/or oral nicotine products: some implications for population health
N Z Med J. 2024 Apr 12;137(1593):9-13. doi: 10.26635/6965.6558.NO ABSTRACTPMID:38603783 | DOI:10.26635/6965.6558 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Jude Ball Janine Nip Janet Hoek Source Type: research

Intensive management from diagnosis improves HbA1c at 12 months post-diagnosis: results from a prospective cohort study in children with newly diagnosed type 1 diabetes
CONCLUSION: Intensive management when implemented with consistent messaging from the multi-disciplinary team resulted in clinic-wide improvements in HbA1c and the proportion meeting HbA1c targets.PMID:38603784 | DOI:10.26635/6965.6424 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Caroline Griffin Erin Roxburgh Neil Owens Olivia Sanders Sharon Walsh Chloe Hudson Janet Ferguson Karen MacKenzie Martin de Bock Source Type: research

Exploring training, involvement and confidence: a study of healthcare professionals in decision-making capacity assessments
CONCLUSIONS: Healthcare professionals working in this area urgently require support in the form of formal training and defined roles. Given what can be at stake for an individual undergoing a DMC assessment, it is imperative that improvements are made to upskill the workforce and utilise expertise of all healthcare professionals.PMID:38603785 | DOI:10.26635/6965.6299 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Nicola Hickling Clare M McCann Lynette Tippett Gary Cheung Source Type: research

Perspectives of potentially eligible Indigenous M āori on a lung cancer screening programme: a qualitative study
CONCLUSIONS: Participants favoured future lung cancer screening and identified key barriers and facilitators of screening.PMID:38603786 | DOI:10.26635/6965.6335 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Sarah R Colhoun Kate Parker Sharon McCook Karen Bartholomew Billie Baty Anna Maxwell Kataraina Pipi Maria Marama Sue Crengle Source Type: research

Changes in alcohol-related emergency department presentations-a comparison of three waves in 2013, 2017 and 2022
CONCLUSION: Alcohol use and harm places a significant, yet preventable, burden on EDs and the wider healthcare system. Implementation of evidence-based alcohol policies is urgently needed to reduce the impact of alcohol in the ED and improve the health of communities.PMID:38603787 | DOI:10.26635/6965.6375 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Laura R Joyce Lana Cleland Elise Forman Alex Hlavac James Foulds Rose Crossin Source Type: research

Should paediatric tonsillar asymmetry be an indication for tonsillectomy? A single centre experience
CONCLUSION: Clinical size difference is a poor predictor for true tonsil volume difference. We advise that assessment of tonsil size should be performed in conjunction with the examination of gross visual abnormalities and lymphadenopathy to guide clinical decision making.PMID:38603788 | DOI:10.26635/6965.6386 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Georgia Mackay Alina Rankin Sheneen Meghji Craig McCaffer Source Type: research

Differences in life expectancy within and between countries: implications for domestic TAVI guidelines in Australia and Aotearoa New Zealand
N Z Med J. 2024 Apr 12;137(1593):75-80. doi: 10.26635/6965.6402.ABSTRACTThe advent of transcatheter aortic valve implantation (TAVI) has caused a paradigm shift in the management of aortic stenosis away from traditional surgical aortic valve replacement (SAVR). However, uncertainty remains about the long-term (>10 year) durability of TAVI valves, especially in younger patients. This viewpoint collates life expectancy data from Australia and Aotearoa New Zealand to propose sex-specific age-based recommendations for choice of SAVR versus TAVI in their respective general populations and among Aboriginal and Torres Strait I...
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Thomas D Ryan Jonathon B Ryan Source Type: research

The simple gallbladder with a twist?
N Z Med J. 2024 Apr 12;137(1593):81-84. doi: 10.26635/6965.6366.NO ABSTRACTPMID:38603790 | DOI:10.26635/6965.6366 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - April 11, 2024 Category: General Medicine Authors: Neeraj Khatri Ahmed Abdile Fraser Welsh Nicholas Smith Source Type: research