Changes in admission rates to an Aotearoa New Zealand hospital general medical service during COVID-19 lockdowns
CONCLUSIONS: The biggest relative reduction in hospital admission was due to a reduction in transmissible illness admissions, likely due to COVID-related public health measures. However, the biggest reduction in absolute terms was in non-transmissible illnesses, where hospital avoidance may be associated with increased morbidity or mortality.PMID:38696828 | DOI:10.26635/6965.6387 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: David Tripp Allie Eathorne Xiaohan Bai Wolf Truong Source Type: research

Anatomy of a health crisis
N Z Med J. 2024 May 3;137(1594):9-12. doi: 10.26635/6965.6578.NO ABSTRACTPMID:38696827 | DOI:10.26635/6965.6578 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Lyndon Keene Harriet Wild Virginia Mills Source Type: research

Dispensing of attention-deficit hyperactivity disorder medications for adults in Aotearoa New Zealand
CONCLUSION: Medication treatment for adult ADHD is increasing in Aotearoa New Zealand and includes treatment for persisting childhood ADHD and new diagnoses made in adulthood. Despite increases, dispensing rates for ADHD remain lower than prevalence estimates, suggesting a significant treatment gap. Addressing the treatment gap for ADHD may reduce negative effects of ADHD, but wider social influences should also be considered.PMID:38696829 | DOI:10.26635/6965.6392 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Ben Beaglehole Stephen Jarman Chris Frampton Source Type: research

Medication use before and after bariatric surgery: 5-year results from a randomised controlled trial of banded Roux-en-Y gastric bypass versus sleeve gastrectomy in patients with obesity and type 2 diabetes
CONCLUSION: Both SR-LRYGB and LSG reduced requirement for diabetic and cardiovascular medications, but increased requirement for nutritional supplementation, analgesia and psychiatric medications. There was a greater reduction in oral anti-diabetic medication prescriptions following SR-LRYGB compared to LSG, but no other difference in medication usage between surgical groups was found.PMID:38696831 | DOI:10.26635/6965.6442 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: James Tan Talat Nur Bronwen Jones Rinki Murphy David Kim Richard Cutfield Lindsay D Plank Michael Booth Source Type: research

Incorporating patient, nursing and environmental factors into antimicrobial stewardship: effects of simplifying treatment from cefuroxime to ceftriaxone
CONCLUSION: This simplification of our AG from a three-times-daily to a once-daily antibiotic resulted in considerable savings for our hospital (roughly 1.7 full-time equivalent nurses and over a tonne of waste yearly), with no significant increases in CDI or 3GCR-E. The impact of dosing schedules on non-antibiotic-spectrum factors, such as nursing time and resource usage, is worthy of consideration when designing AGs.PMID:38696830 | DOI:10.26635/6965.6449 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Michelle Balm Olivia Bupha-Intr Tanya Sinha Matthew Kelly Lucy Stewart Ruth Stephen Tim Blackmore Max Bloomfield Source Type: research

Health impacts of war: case studies of New Zealand veterans of the First World War
CONCLUSION: These 10 selected cases reiterate how severe and extensive the morbidity burden for military personnel in WWI could be. Also illustrated is how the morbidity could contribute to adverse impacts on some of their lives after returning to New Zealand.PMID:38696832 | DOI:10.26635/6965.6514 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Nick Wilson Jennifer A Summers Christine Clement George Thomson Source Type: research

Management of chronic kidney disease for M āori in Aotearoa New Zealand: a summary of clinical practice guidelines
CONCLUSIONS: Recommendations to health services for Māori with CKD are based on giving effect to Te Tiriti o Waitangi and best practice care to prevent CKD, delaying its progression, treating kidney failure through timely transplantation, delivering in community and providing high-quality symptom management.PMID:38696833 | DOI:10.26635/6965.6483 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Curtis Walker Susan Reid Carla White Merryn Jones Lee-Ora Lusis Rachael C Walker John Collins Helen Rodenburg David Tunnicliffe Suetonia C Green Source Type: research

Preimplantation diagnosis and embryo selection in a patient with severe hereditary coproporphyria
N Z Med J. 2024 May 3;137(1594):79-83. doi: 10.26635/6965.6403.NO ABSTRACTPMID:38696836 | DOI:10.26635/6965.6403 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Gisela A Kristono Leigh Searle Cindy Towns Source Type: research

Chronic traumatic encephalopathy-the first neuropathological report in New Zealand
N Z Med J. 2024 May 3;137(1594):75-78. doi: 10.26635/6965.6421.NO ABSTRACTPMID:38696835 | DOI:10.26635/6965.6421 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Fen-Lan Cherry Chang Richard Lm Faull Maurice A Curtis Andrew M Chancellor Michael E Buckland Clinton P Turner Source Type: research

Navigating challenges: insights into chronic kidney disease care in South Auckland
This article explores the prevailing challenges identified by renal physicians and nurse specialists over 35 years of caring for patients with chronic kidney disease in South Auckland.PMID:38696834 | DOI:10.26635/6965.6543 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Kalpa Jayanatha Viliami Tutone David Voss Jamie Kendrick-Jones Fakaola Otuafi Fortune Ngwenya Nogi Eiao Rachel Spence Andrew Hill Source Type: research

Changes in admission rates to an Aotearoa New Zealand hospital general medical service during COVID-19 lockdowns
CONCLUSIONS: The biggest relative reduction in hospital admission was due to a reduction in transmissible illness admissions, likely due to COVID-related public health measures. However, the biggest reduction in absolute terms was in non-transmissible illnesses, where hospital avoidance may be associated with increased morbidity or mortality.PMID:38696828 | DOI:10.26635/6965.6387 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: David Tripp Allie Eathorne Xiaohan Bai Wolf Truong Source Type: research

Anatomy of a health crisis
N Z Med J. 2024 May 3;137(1594):9-12. doi: 10.26635/6965.6578.NO ABSTRACTPMID:38696827 | DOI:10.26635/6965.6578 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Lyndon Keene Harriet Wild Virginia Mills Source Type: research

Incorporating patient, nursing and environmental factors into antimicrobial stewardship: effects of simplifying treatment from cefuroxime to ceftriaxone
CONCLUSION: This simplification of our AG from a three-times-daily to a once-daily antibiotic resulted in considerable savings for our hospital (roughly 1.7 full-time equivalent nurses and over a tonne of waste yearly), with no significant increases in CDI or 3GCR-E. The impact of dosing schedules on non-antibiotic-spectrum factors, such as nursing time and resource usage, is worthy of consideration when designing AGs.PMID:38696830 | DOI:10.26635/6965.6449 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Michelle Balm Olivia Bupha-Intr Tanya Sinha Matthew Kelly Lucy Stewart Ruth Stephen Tim Blackmore Max Bloomfield Source Type: research

Dispensing of attention-deficit hyperactivity disorder medications for adults in Aotearoa New Zealand
CONCLUSION: Medication treatment for adult ADHD is increasing in Aotearoa New Zealand and includes treatment for persisting childhood ADHD and new diagnoses made in adulthood. Despite increases, dispensing rates for ADHD remain lower than prevalence estimates, suggesting a significant treatment gap. Addressing the treatment gap for ADHD may reduce negative effects of ADHD, but wider social influences should also be considered.PMID:38696829 | DOI:10.26635/6965.6392 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Ben Beaglehole Stephen Jarman Chris Frampton Source Type: research

Health impacts of war: case studies of New Zealand veterans of the First World War
CONCLUSION: These 10 selected cases reiterate how severe and extensive the morbidity burden for military personnel in WWI could be. Also illustrated is how the morbidity could contribute to adverse impacts on some of their lives after returning to New Zealand.PMID:38696832 | DOI:10.26635/6965.6514 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 2, 2024 Category: General Medicine Authors: Nick Wilson Jennifer A Summers Christine Clement George Thomson Source Type: research