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New Zealand Medical Journal

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https://www.readbyqxmd.com/read/29197908/aggressive-prostate-cancer-incidence-in-new-zealand-united-we-fall-divided-we-stand
#1
LETTER
Venkatesh Vaidyanathan, Nishi Karunasinghe, Vetrivhel Krishnamurthy, Chi Hsiu-Juei Kao, Vijay Naidu, Radha Pallati, Alice Wang, Khanh Tran, Prasanna Kallingappa, Anower Jabed, Syed M Shahid, Jonathan Masters, Clare Wall, Ajit Narayanan, Lynnette R Ferguson
Prostate cancer is an important health burden to the healthcare system of any country. However, with the current prostate-specific antigen biomarker having low predictive value even for diagnostic purposes, the challenge is still open to tackle this chronic disease. There have been a number of studies which have indicated and encouraged a multi-directional approach to combat this disease. We have been carrying out a multi-directional approach in order to identify certain New Zealand-specific factors which may be drivers for this cancer and its aggressive forms...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197907/fanconi-anaemia-and-oral-squamous-cell-carcinoma-management-considerations
#2
Thasvir Singh, Kavin Andi
Fanconi anaemia (FA) is a rare multi-system genetic disorder where patients are susceptible to the development of oral malignancies. Clinicians involved in their management should be vigilant in detecting lesions early, and an individualised treatment plan should then be formulated. Although surgery forms the mainstay of oncological treatment, adjuvant therapy can be instituted with care. Unfortunately, prognosis is poor, and close long-term follow-up is required. This short report describes pertinent management considerations in relation to a case of oral squamous cell carcinoma...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197906/asbestos-worker-exposure-family-disease
#3
William Ivan Glass, Helen Clayson
Family members, mostly female, can be at risk of asbestos-related disease as a result of the transfer of asbestos from the workplace to the home on the hair, boots and clothes of the worker. It is argued that in these cases the home should be recognised as an extension of the workplace and that the employer has a duty of care to contain and control the asbestos. Given these circumstances, the family member with the disease should be entitled to cover under the Accidence Compensation Legislation.
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197905/physician-advocacy-in-western-medicine-a-21st-century-challenge
#4
Philip Bagshaw, Pauline Barnett
Physician advocacy occurs when doctors speak up for the health and healthcare of patients and communities. Historically, this was strong in some Western countries with doctors finding that it enhanced their authority, prestige and power. But it weakened in the 20th century when the biomedical model of heath triumphed and medicine became a dominant profession. In the second part of the 20th century, this dominance was threatened by political, technological and socioeconomic forces. These weakened medicine's state support, brought it under managerial control and undermined the social contract on which trust between doctors and the community was based...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197904/exposure-to-respirable-crystalline-silica-in-the-construction-industry-do-we-have-a-problem
#5
David McLean, Bill Glass, Andrea 't Mannetje, Jeroen Douwes
AIMS: To assess personal exposure to respirable dust and respirable crystalline silica (RCS) in New Zealand construction workers. METHODS: In a pilot study, 39 personal samples were collected from a cross-section of workers engaged in a range of tasks performed on construction sites that were expected to entail exposure to respirable crystalline silica. Nine static samples were taken at locations adjacent to these tasks. Particle size-selective sampling heads were used to collect the respirable fraction of airborne particulates...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197903/acupuncture-acc-and-the-medicines-act
#6
Daniel J Ryan
Acupuncture is covered under the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003, and is therefore eligible for Accident Compensation Corporation payments for the treatment of personal injuries. This study searched New Zealand acupuncturists' websites for therapeutic claims that may breach Section 58(1)(a) of the Medicines Act. A search of acupuncturists' websites shows that many claim to be able to treat a wide range of conditions, despite a lack of evidence showing the efficacy of acupuncture in the treatment of those conditions...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197902/a-new-zealand-platform-to-enable-genetic-investigation-of-adverse-drug-reactions
#7
Simran Ds Maggo, Eng Wee Chua, Paul Chin, Simone Cree, John Pearson, Matthew Doogue, Martin A Kennedy
A multitude of factors can affect drug response in individuals. It is now well established that variations in genes, especially those coding for drug metabolising enzymes, can alter the pharmacokinetic and/or pharmacodynamic profile of a drug, impacting on efficacy and often resulting in drug-induced toxicity. The UDRUGS study is an initiative from the Carney Centre for Pharmacogenomics to biobank DNA and store associated clinical data from patients who have suffered rare and/or serious adverse drug reactions (ADRs)...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197901/deaf-new-zealand-sign-language-users-access-to-healthcare
#8
Joanne Witko, Pauline Boyles, Kirsten Smiler, Rachel McKee
AIMS: The research described was undertaken as part of a Sub-Regional Disability Strategy 2017-2022 across the Wairarapa, Hutt Valley and Capital and Coast District Health Boards (DHBs). The aim was to investigate deaf New Zealand Sign Language (NZSL) users' quality of access to health services. Findings have formed the basis for developing a 'NZSL plan' for DHBs in the Wellington sub-region. METHODS: Qualitative data was collected from 56 deaf participants and family members about their experiences of healthcare services via focus group, individual interviews and online survey, which were thematically analysed...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197900/teaching-quality-improvement-to-medical-students-over-a-decade-of-experience
#9
Michelle Wise, Bridget Kool, Lynn Sadler, Roshini Peiris-John, Gillian Robb, Susan Wells
AIM: To describe how we incorporate experiential quality improvement (QI) learning at the University of Auckland by integrating a clinical audit project into the Year 6 obstetrics and gynaecology clinical attachment. METHODS: Students gain insight into the relevance of QI while engaged in day-to-day clinical work. Students work with a clinical supervisor to identify an area for potential improvement, set a standard of care, measure current practice, investigate reasons for deviation from the standard and make real-world suggestions to close the gap between best evidence and observed practice...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197899/breastfeeding-indicators-among-a-nationally-representative-multi-ethnic-sample-of-new-zealand-children
#10
Teresa Castro, Cameron Grant, Clare Wall, Michaela Welch, Emma Marks, Courtney Fleming, Juliana Teixeira, Dinusha Bandara, Sarah Berry, Susan Morton
AIMS: To describe breastfeeding initiation and duration, and demographic associations with breastfeeding duration within a representative sample of New Zealand infants. METHODS: In 6,685 singletons enrolled in the Growing Up in New Zealand cohort we described breastfeeding initiation (96%), any (94%) and exclusive (93%) breastfeeding (EBF) duration. We used adjusted relative risk (RR) and 95% confidence intervals (CI) to describe associations with breastfeeding duration...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197898/asthma-and-respiratory-foundation-nz-child-and-adolescent-asthma-guidelines-a-quick-reference-guide
#11
Innes Asher, David McNamara, Cheryl Davies, Teresa Demetriou, Theresa Fleming, Matire Harwood, Lorraine Hetaraka-Stevens, Tristram Ingham, John Kristiansen, Jim Reid, Debbie Rickard, Debbie Ryan
The purpose of the New Zealand Child and adolescent asthma guidelines: a quick reference guide is to provide simple, practical, evidence-based recommendations for the diagnosis, assessment and management of asthma in children and adolescents in New Zealand, with the aim of improving outcomes and reducing inequities. The intended users are health professionals responsible for delivering asthma care in the community and hospital emergency department settings, and those responsible for the training of such health professionals...
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29197897/new-zealand-asthma-guidelines-updated
#12
EDITORIAL
Richard Beasley, Robert J Hancox
No abstract text is available yet for this article.
December 1, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121634/errata
#13
(no author information available yet)
No abstract text is available yet for this article.
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121633/response-to-dr-caleb-armstrong-proposed-waikato-medical-school
#14
LETTER
Ross Lawrenson, Derek Wright, Ayla Thomas
No abstract text is available yet for this article.
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121632/antifungal-susceptibility-results-of-vaginal-yeast-isolates-from-new-zealand-women-2001-2015
#15
LETTER
Arthur J Morris, Wendy P McKinney, Karen Rogers, Sally A Roberts, Joshua T Freeman
No abstract text is available yet for this article.
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121631/new-zealand-s-legal-action-against-iqos-postponed-consultation-with-big-tobacco-follows
#16
LETTER
Marta Rychert
No abstract text is available yet for this article.
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121630/the-battle-for-better-nutrition-the-role-of-the-escalating-fruit-and-vegetable-prices
#17
LETTER
Isaac Amoah, Carolyn Cairncross, Elaine Rush
No abstract text is available yet for this article.
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121629/overwhelming-support-for-smokefree-cars-that-are-carrying-children-is-the-government-listening
#18
LETTER
Richard Jaine, Richard Edwards, Jude Ball, Dalice Sim, George Thomson, Robert Beaglehole
No abstract text is available yet for this article.
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121628/achieving-health-equity-in-aotearoa-strengthening-responsiveness-to-m%C3%A4-ori-in-health-research
#19
Papaarangi Reid, Sarah-Jane Paine, Elana Curtis, Rhys Jones, Anneka Anderson, Esther Willing, Matire Harwood
Excellent health research is essential for good health outcomes, services and systems. Health research should also build towards equity and in doing so ensure that no one is left behind. As recipients of government funding, researchers are increasingly required to demonstrate an understanding of their delegated responsibilities to undertake research that has the potential to address Māori health needs and priorities. These requirements form the basis of responsiveness to Māori in health research, and several research institutions have implemented systems to support their organisational approach to this endeavour...
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121627/audit-on-first-seizure-presentation-to-taranaki-base-hospital-a-secondary-centre-experience
#20
Sean Lance, Rajesh Kumar
BACKGROUND: Management of first seizure should be based on treating the underlying cause and tailoring investigations to identify those patients at high risk of recurrence. AIM: To establish the incidence of first seizure presentation to Taranaki Base Hospital and investigate the management of these patients. METHOD: A retrospective audit was performed identifying patients presenting to Taranaki Base Hospital from 1 January 2015 to 31 December 2015 with a first seizure...
November 10, 2017: New Zealand Medical Journal
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