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New Zealand Medical Journal

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https://www.readbyqxmd.com/read/28494489/coeliac-disease-and-fertility-in-new-zealand-women
#1
LETTER
Catherine Rees
No abstract text is available yet for this article.
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494488/unmet-need-and-antenatal-care
#2
LETTER
Ben Gray
No abstract text is available yet for this article.
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494487/a-case-of-confirmed-primary-hyperaldosteronism-diagnosed-despite-normal-screening-investigations
#3
Richard Carroll, Alana Gould, Joe Feltham, Simon Harper
Primary hyperaldosteronism is a common cause of hypertension in the adult population. We report a case of histologically and biochemically confirmed hyperaldosteronism related to an adrenal adenoma, where initial screening and biochemical tests were potentially misleading. The case highlights the importance of clinical suspicion in the current diagnostic approach to primary hyperaldosteronism.
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494486/acute-calcific-tendinitis-of-the-longus-colli-muscle
#4
Michael Plunkett, Hugh De Lautour, Adam Worthington
No abstract text is available yet for this article.
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494485/rotorua-hydrogen-sulphide-and-parkinson-s-disease-a-possible-beneficial-link
#5
REVIEW
Yusuf O Cakmak
AIM: Rotorua city (New Zealand) is known for its 'rotten egg' smell, due to high levels of hydrogen sulphide (H2S) concentrations emitted from local geothermal vents. Studies have shown H2S as potentially toxic if too high in concentration. However, some health benefits have been observed at lower concentrations. This article summarises what is known about effects of H2S on health and postulates whether ambient air inhalation levels of H2S in Rotorua might have a therapeutic role in the management of motor symptoms in Parkinson's disease (PD)...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494484/is-high-quality-trauma-care-business-as-usual-in-new-zealand
#6
Ian Civil, Siobhan Isles
New Zealand is on the cusp of establishing a world-class trauma system. Many of the building blocks are in place with national and regional guidelines in both the pre-hospital and hospital phases of care established. A dedicated clinical workforce is available in all DHBs and national data available through the Major Trauma Registry. The greatest threat to achieving high-quality trauma care in New Zealand at this point is governance stability rather than clinical variability. Now is the time to lock the trauma system into a framework not subject to political or bureaucratic whims...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494483/the-cost-of-major-head-and-neck-cancer-surgery
#7
Rahul Jayakar, Jenny Choi, Craig MacKinnon, Swee Tan
AIM: This study quantified the cost of major head and neck cancer (HNC) surgery. METHODS: Consecutive patients undergoing major HNC surgery between July 2007 and June 2012 were identified from our head and neck database. Patient demographics, tumour type, site, stage and types of resection and reconstruction, length of stay and surgical complications occurring within six months of initial surgery were retrospectively analysed. The actual cost of initial surgical treatment and hospital income were calculated...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494482/increased-use-of-police-and-health-related-services-among-those-with-heavy-drinkers-in-their-lives-in-new-zealand
#8
Taisia Huckle, Khoon Wong, Karl Parker, Sally Casswell
AIMS: To report population estimates of service use because of someone else's drinking in New Zealand, investigate whether greater exposure to heavy drinkers relates to greater service use and examine demographic predictors of such service use. METHODS: A general population survey of respondents aged 12-80 years was conducted in New Zealand. The sample size was 3,068 and response rate 64%. Respondents' use of police and health-related services because of someone else's drinking were measured along with self-reports of heavy drinkers in their lives, demographic variables and own drinking...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494481/enhanced-hip-fracture-management-use-of-statistical-methods-and-dataset-to-evaluate-a-fractured-neck-of-femur-fast-track-pathway-pilot-study
#9
Nigel Gilchrist, Kristian Dalzell, Scott Pearson, Gary Hooper, Kit Hoeben, Jeremy Hickling, John McKie, Ma Yi, Sandra Chamberlain, Caroline McCullough, Marc Gutenstein
The increasing elderly population and subsequent rise in total hip fracture(s) in this group means more effective management strategies are necessary to improve efficiency. We have changed our patient care strategy from the emergency department (ED), acute orthopaedic wards, operating theatre, post-operation and rehabilitation, and called it Fracture Neck of Femur Fast Track Pathway. All clinical data and actions were captured, integrated and displayed on a weekly basis using 'signalfromnoise' (SFN) software...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494480/implementation-and-effects-of-enhanced-recovery-after-surgery-for-hip-and-knee-replacements-and-fractured-neck-of-femur-in-new-zealand-orthopaedic-services
#10
Suzanne Proudfoot, Brandon Bennett, Simon Duff, Julie Palmer
AIM: The National Orthopaedic Enhanced Recovery After Surgery (ERAS) Collaborative was launched in November 2013 to implement ERAS protocols for hip and knee total joint arthroplasty (TJA) and fractured neck of femur (NOF) in participating district health boards (DHBs) by December 2014. This paper reports on the results. METHOD: ERAS protocols were developed for hip and knee TJA and fractured NOF. Breakthrough Series collaborative methodology was used to implement the ERAS protocols in 18 DHBs...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494479/a-walking-stick-in-one-hand-and-a-chainsaw-in-the-other-patients-perspectives-of-living-with-multimorbidity
#11
Louise Signal, Kelly Semper, Jeannine Stairmand, Cheryl Davies, Elinor Millar, Tony Dowell, Ross Lawrenson, Dee Mangin, Diana Sarfati
AIMS: Multimorbidity is common, yet there are major gaps in research, particularly among younger and indigenous populations. This research aimed to understand patients' perspectives of living with multimorbidity. METHODS: A qualitative study of 61 people living with multimorbidity, 27 of whom were Māori and a third aged under 65, from urban and rural regions in New Zealand. Six focus groups and 14 interviews were conducted, recorded, transcribed and analysed. RESULTS: For many participants, living with multimorbidity disrupted their 'normal' lives, posing challenges in everyday activities such as eating and toileting, working and managing medications...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494478/survival-of-legionella-in-earthquake-induced-soil-disturbance-liquefaction-in-residential-areas-christchurch-new-zealand-implications-for-disease
#12
Frances F Graham, David Jg Harte
AIM: To investigate a possible link between liquefaction dust exposure and the noticeable increase in legionellosis cases in response to major earthquakes in 2010 and 2011 that resulted in widespread soil disturbance (liquefaction) in parts of Christchurch, New Zealand. METHOD: We culture tested liquefaction-affected soil for Legionella spp. in the six months following the first earthquake in 2010. Thirty silt samples were collected randomly from locations within Christchurch's metropolitan area that were affected by liquefaction...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494477/new-zealand-plastic-surgeons-life-time-contribution-to-peer-reviewed-literature
#13
Tess Brian, Brandon Adams
AIM: The New Zealand Medical Association commits the New Zealand doctor to evidence-based medicine, scholarship, teaching, collaboration and communication. To assess this commitment, one measure, contribution to the peer-reviewed literature, was examined for one group of New Zealand doctors: plastic surgeons. METHOD: Plastic surgeons with a current practising certificate were identified on the New Zealand medical register (April 2016). Scopus database was searched for publications by each...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494476/effect-of-the-shorter-stays-in-emergency-departments-time-target-policy-on-key-indicators-of-quality-of-care
#14
MULTICENTER STUDY
Peter Jones, James Le Fevre, Alana Harper, Susan Wells, Joanna Stewart, Elana Curtis, Papaarangi Reid, Shanthi Ameratunga
AIM: To determine whether implementation of a national health target called Shorter Stays in Emergency Departments impacted on clinical markers of quality of care. METHOD: A retrospective pre- and post-intervention study from 2006 to 2012 examined quality of care metrics for five different indicators at different sites in relation to the implementation of the target using a general linear model for times to treatment. Explanatory variables included period (pre- or post-target), ethnicity, age, deprivation and severity of condition...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494475/impact-of-a-national-time-target-for-ed-length-of-stay-on-patient-outcomes
#15
Peter Jones, Susan Wells, Alana Harper, James Le Fevre, Joanna Stewart, Elana Curtis, Papaarangi Reid, Shanthi Ameratunga
AIM: The impact of national targets for emergency department (ED) length of stay (LOS) on patient care is unclear. This study aimed to determine the effect of New Zealand's six-hour time target (95% of ED patients discharged or admitted to hospital within six hours) on a range of quality indicators. METHODS: A nationwide observational study from 2006 to 2012 modelled differences in changes over time before and after target introduction in 2009. The observed model estimates in 2012 were compared to those predicted if pre-target trends had continued...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494474/the-six-hour-target-in-new-zealand-is-associated-with-reduced-mortality-and-greater-efficiency
#16
EDITORIAL
Mike Ardagh
No abstract text is available yet for this article.
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494473/improving-outcomes-in-orthopaedic-care
#17
EDITORIAL
Gary Hooper
No abstract text is available yet for this article.
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28494472/a-tale-of-two-islands-trauma-care-in-new-zealand
#18
EDITORIAL
Dominic Fleischer, Christopher Wakeman
No abstract text is available yet for this article.
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28449022/-the-iron-is-hot-for-alcohol-related-policy-changes-in-new-zealand
#19
LETTER
Benjamin Riordan
No abstract text is available yet for this article.
April 28, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28449021/scurvy-in-new-zealand-a-forgotten-disease
#20
James Bartley
No abstract text is available yet for this article.
April 28, 2017: New Zealand Medical Journal
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