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New Zealand Medical Journal

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https://www.readbyqxmd.com/read/28981498/holiday-headache
#1
Nicole McGrath
No abstract text is available yet for this article.
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981497/slavery-in-new-zealand-what-is-the-role-of-the-health-sector
#2
Paula King, Alison Blaiklock, Christina Stringer, Jay Amaranathan, Margot McLean
Contemporary forms of slavery and associated adverse health effects are a serious, complex and often neglected issue within the New Zealand health sector. Slavery in New Zealand has most recently been associated with the fishing and horticulture industries. However, victims may be found in a number of other industry sectors, including the health and aged-care sectors, or outside of the labour market such as in forced, early (underage) and servile forms of marriage. Victims of slavery are at increased risk of acute and chronic health problems, injuries from dangerous working and living conditions, and physical and sexual abuse...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981496/new-zealand-s-peak-year-for-wartime-mortality-burden-the-important-role-of-the-battles-of-messines-and-third-ypres-passchendaele-in-1917
#3
Nick Wilson, Glyn Harper
At a total of 5,547 deaths among New Zealand's military personnel, the year 1917 was the worst year from a mortality perspective in the country's military history. This year had a third of the deaths in the whole of the First World War for this military population. Major drivers of this mortality burden were the Battles of Messines and Third Ypres (Passchendaele) in June and October 1917 respectively. The contribution of disease deaths to the mortality burden was relatively small at 4.5%. Disease deaths were significantly more common in the Northern Hemisphere's winter months (p=0...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981495/mesh-abdominal-wall-hernia-surgery-is-safe-and-effective-the-harm-new-zealand-media-has-done
#4
Steven Kelly
Patients in New Zealand have now developed a fear of mesh abdominal wall hernia repair due to inaccurate media reporting. This article outlines the extensive literature that confirms abdominal wall mesh hernia repair is safe and effective. The worsening confidence in the transvaginal mesh prolapse repair should not adversely affect the good results of mesh abdominal wall hernia repair. New Zealand general surgeons are well trained in providing modern hernia surgery.
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981494/characteristics-of-older-adults-hospitalised-following-trauma-in-the-midland-region-of-new-zealand
#5
Katrina O'Leary, Bridget Kool, Grant Christey
AIM: To describe the epidemiology of injuries sustained by older adult trauma patients admitted to hospitals in the Midland region (population 886,000) of New Zealand. METHODS: A review of older adult (≥65 years) trauma cases from the Midland Trauma Registry for the three-year period January 2012 to December 2014 was conducted. Demographics, mechanism of injury, severity of injuries, processes of care and outcomes were analysed. RESULTS: Older adults accounted for 14% (2,278/15,700) of all injury cases captured by the registry during the study period (average annualised incidence 585/100,000 population)...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981493/acute-abdominal-pain-changes-in-the-way-we-assess-it-over-a-decade
#6
Kirsten de Burlet, Anna Lam, Peter Larsen, Elizabeth Dennett
AIMS: Acute abdominal pain accounts for 5-10% of all emergency department visits. Rapid and accurate diagnosis is critical to ensure optimal outcomes. In the last decade, increased use of CT scans and the introduction of surgical short stay units has changed the way this group of patients is managed. The aim of this study was to evaluate the effects of these changes on patient management. METHODS: A retrospective clinical study was undertaken including all patients admitted with abdominal pain under general surgery in the years 2004, 2009 and 2014...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981492/an-observational-study-of-how-clinicians-use-cardiovascular-risk-assessment-to-inform-statin-prescribing-decisions
#7
Thomas Robinson, Rod Jackson, Susan Wells, Andrew Kerr, Roger Marshall
AIM: Cardiovascular disease (CVD) risk assessment is commonly recommended in guidelines, but there is uncertainty about how clinicians use this information. Our objective was to understand how New Zealand primary care clinicians use CVD risk assessment estimates to inform new statin prescribing. METHODS: We used a cohort of patients seen in primary care who have had a CVD risk estimated on the basis of a New Zealand modified Framingham risk equation. These patients were linked to national pharmaceutical dispensing records to determine new statin use in the following six months...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981491/the-new-zealand-major-trauma-registry-the-foundation-for-a-data-driven-approach-in-a-contemporary-trauma-system
#8
Siobhan Isles, Grant Christey, Ian Civil, Peter Hicks
AIM: To describe the development of the New Zealand Major Trauma Registry (NZ-MTR) and the initial experiences of its use. METHOD: The background to the development of the NZ-MTR was reviewed and the processes undertaken to implement a single-instance of a web-based national registry described. A national minimum dataset was defined and utilised. Key structures to support the Registry such as a data governance group were established. RESULTS: The NZ-MTR was successfully implemented and is the foundation for a new, data-driven model of quality improvement...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981490/ten-year-experience-of-splenic-trauma-in-new-zealand-the-rise-of-non-operative-management
#9
Yassar Alamri, Dana Moon, Damien Ah Yen, Chris Wakeman, Tim Eglinton, Frank Frizelle
AIM: The aim of this study was to describe the demographics, mechanisms of injury, management and outcomes in patients who suffered splenic trauma in Christchurch, New Zealand. METHODS: A retrospective study included all splenic injury patients admitted to Christchurch Public Hospital between January 2005 and August 2015. RESULTS: A total of 238 patients were included, with a median age of 26 years (4-88.7). Of these, 235 patients had blunt injuries...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28981489/seven-things-you-need-to-know-about-men-s-health
#10
EDITORIAL
G David Baxter, Leon Mabire, Lizhou Liu, Martin J Connolly, Reremoana Theodore, Jill Brunson, Helen Nicholson
No abstract text is available yet for this article.
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934776/policy-brief-a-sugary-drink-tax-for-new-zealand-and-10-000-strong-petition-snubbed-by-minister-of-health-and-national-government
#11
LETTER
Gerhard Sundborn, Simon Thornley, Rob Beaglehole, Niki Bezzant
No abstract text is available yet for this article.
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934775/authors-response-legionnaires-disease-following-the-christchurch-earthquakes
#12
LETTER
Frances Graham, David Harte
No abstract text is available yet for this article.
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934774/impact-of-ethnicity-on-outcomes-after-pulmonary-embolism-an-observational-study-in-south-auckland
#13
LETTER
Chinthaka B Samaranayake, Elaine Yap
No abstract text is available yet for this article.
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934773/leptospirosis-in-three-workers-on-a-dairy-farm-with-unvaccinated-cattle
#14
Jackie Benschop, Julie Collins-Emerson, Allie Maskill, Patrick O'Connor, Margaret Tunbridge, Yuni Yupiana, Jenny Weston
AIM: We report a one-health investigation of three cases of leptospirosis on a dairy farm with unvaccinated cattle in New Zealand. The cases are discussed in the context of diagnostics, risk factors, persistence of symptoms and outbreak mitigation measures. METHOD: Clinical and laboratory records from the human cases were reviewed and serological and molecular investigations were conducted into the Leptospira status of cattle and pigs on the farm. RESULTS: Cases presented early in their illness and all three were confirmed within seven days of onset of symptoms by urine PCR and within 18 days by convalescent MAT (two Hardjo-bovis, one Pomona)...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934772/local-and-regional-smokefree-and-tobacco-free-action-in-new-zealand-highlights-and-directions
#15
George Thomson, Nick Wilson
In this viewpoint we highlight and discuss some recent local and regional level advances in tobacco control in Aotearoa/New Zealand. In this country a wide range of local actors are helping drive smokefree and tobacco-free policies, with an increasing presence of businesses in this field. There has been progress in the areas of smokefree dining, large outdoor worksites and ski fields, and parts of downtown areas such as squares and streets. In 2015 and 2016, three councils (Palmerston North, Napier and Hastings) have used pavement lease policies and bylaws to start introducing an element of requirement into smokefree outdoor dining...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934771/stimulating-the-clinical-academics-of-tomorrow-a-survey-of-research-opportunities-for-medical-students-in-new-zealand
#16
REVIEW
Ibrahim S Al-Busaidi, Cameron I Wells
Developing the clinical academic workforce of the future is a priority of international relevance. Despite a number of measures implemented to address this challenge, a small proportion of medical students engage in research. Lack of knowledge of available research opportunities, and difficulty finding projects and suitable mentors are key barriers to undergraduate medical research. To date, there is no consolidated source of information on undergraduate research training opportunities and their outcomes available to medical students in New Zealand...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934770/seasonal-influenza-and-vaccination-strategies-is-a-paradigm-shift-needed-a-synopsis-of-the-3rd-new-zealand-influenza-symposium-november-2016
#17
Nadia A Charania, Diana Murfitt, Nikki Turner
Influenza continues to be a global public health problem despite the availability of preventive vaccines and public health vaccination programmes. This paper presents a synopsis of the 3rd New Zealand Influenza Symposium (NZiS) that was hosted by the Immunisation Advisory Centre (IMAC) in November 2016. Experts and service providers convened to discuss current issues in the prevention and management of influenza. One of the key topics discussed was the use of novel vaccines, such as adjuvanted and high-dose vaccines, and antiviral prophylaxis to protect young children and the elderly...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934769/assessment-and-modelling-of-general-practice-and-community-setting-capacity-for-medical-trainees-in-northern-new-zealand
#18
Felicity Goodyear-Smith, Abbas Al-Murrani
AIMS: To estimate the capacity of general practice to accommodate undergraduate and postgraduate medical trainees, and model efficient ways to utilise identified capacity and increase capacity. METHODS: We conducted an online survey, with phone follow-up to non-responders, of all general practices in the northern half of New Zealand. The main outcome measures were current placements and future intentions for taking medical trainees; factors influencing decisions and possible incentives to take trainees...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934768/cutaneous-melanoma-an-audit-of-management-timeliness-against-new-zealand-guidelines
#19
Tess Brian, Brandon Adams, Michael Jameson
AIM: The New Zealand Ministry of Health's "Faster Cancer Treatment" programme aims for timely care for patients with cancer, including melanoma. Melanoma care guidelines detail investigation and treatment timeliness standards. This audit assesses compliance with these. METHOD: Patients admitted to Waikato Hospital for melanoma surgery during the year ending February 2016 were retrospectively identified. Time intervals between care events were calculated. Demographic, lesion, surgical and histopathological characteristics were analysed...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28934767/family-planning-unmet-need-and-access-among-itaukei-women-in-new-zealand-and-fiji
#20
Radilaite Cammock, Peter Herbison, Sarah Lovell, Patricia Priest
AIM: The aim of the study was to identify unmet need and family planning access among indigenous Fijian or iTaukei women living in New Zealand and Fiji. METHOD: A cross-sectional survey was undertaken between 2012-2013 in five major cities in New Zealand: Auckland, Hamilton, Wellington, Christchurch and Dunedin; and in three suburbs in Fiji. Women who did not want any (more) children but were not using any form of contraception were defined as having an unmet need...
September 22, 2017: New Zealand Medical Journal
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