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New Zealand Medical Journal

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https://www.readbyqxmd.com/read/28337045/pick-a-bogus-treatment%C3%A2
#1
LETTER
Mark Honeychurch
No abstract text is available yet for this article.
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337044/clostridium-difficile-infections-in-patients-with-inflammatory-bowel-disease
#2
Michael Chieng
Case report of a 23-year-old male presenting with a severe flare of Crohn's disease, exacerbated by community-acquired infection with Clostridium difficile. This case outlines the association between C. difficile infection and inflammatory bowel disease, as both a mimic and a precipitant of flares. The discussion concerns the latest literature consensus on assessment and management of Clostridium difficile infection in patients with inflammatory bowel disease.
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337043/poststreptococcal-episcleritis
#3
Nicholas Young
This report describes the case of a patient presenting with an unusual poststreptococcal syndrome that featured episcleritis as a prominent manifestation. To my knowledge, this is the first time that poststreptococcal episcleritis has been described in the literature.
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337042/household-transmission-of-ndm-producing-e-coli-in-new-zealand
#4
Matthew Blakiston, Sally A Roberts, Joshua T Freeman, Helen Heffernan
This report describes the introduction of an extensively antibiotic-resistant carbapenemase-producing Escherichia coli into a hospital in Auckland, New Zealand, by a patient who was a household contact of recent travellers to the Indian subcontinent. The carbapenemase was identified as New Delhi metallo-β-lactamase (NDM) and reflects probable household transmission in the context of a recent upsurge in NDM-producing Enterobacteriaceae isolation in New Zealand. The observations in this report suggest that hospital screening practices to identify carbapenemase-producing Enterobacteriaceae (CPE) colonised patients may need to be extended to include travellers to high-risk countries who were not hospitalised during their trip, and possibly also their close contacts...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337041/getting-the-foundations-right-for-the-measurement-of-medication-safety-the-need-for-a-meaningful-conceptual-frame
#5
Jerome Ng, Shane Scahill, Jeff Harrison
A number of initiatives aimed at improving medication safety in and across New Zealand public hospitals have been introduced over recent years. Clinicians, policymakers and patients now want to know whether patients are safer today from medicine use than they have been in the past. The challenge has been determining exactly what should be measured. In this viewpoint, we critically examine the suitability of adverse drug events (ADE) as a primary metric for assessing the progress of medication safety improvement...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337040/refining-metformin-prescribing-in-new-zealand
#6
Sisira Jayathissa, Paul Dixon, Raymond Bruce, David Reith
Metformin is the mainstay of treatment of type 2 diabetes. However, there has been significant concern on prescribing metformin in patients with renal impairment as a result of metformin-associated lactic acidosis (MALA). Recent studies have cast doubt on the existence of MALA purely related to metformin use. Medsafe recently initiated changes to datasheet so lower doses of metformin could be used in patients with GFR down to 15ml/min. In this paper we outline the context and implications of this change.
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337039/rationing-of-hip-and-knee-referrals-in-the-public-hospital-the-true-unmet-need
#7
Tom Inglis, Paul Armour, Grahame Inglis, Gary Hooper
AIM: The aim of this paper is to outline the development of a triage system for elective hip and knee referrals to the Orthopaedic Department of the Canterbury District Health Board (CDHB), and to determine the unmet need within this population for accessing first specialist assessment (FSA). METHODS: Between 1 August 2015 and 31 March 2016 data was collected from all elective hip and knee referrals that underwent triage for a FSA. The number of outpatient appointments available according to the government four-month waiting time is set by the CDHB...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337038/pilot-study-of-methods-for-assessing-unmet-secondary-health-care-need-in-new-zealand
#8
Philip Bagshaw, Susan Bagshaw, Christopher Frampton, Robin Gauld, Terri Green, Charlotte Harris, Andrew Hornblow, Ben Hudson, Antony Raymont, Ann Richardson, Carl Shaw, Les Toop
AIMS: In this pilot study, the primary aim was to compare four potential methods for undertaking a national survey of unmet secondary healthcare need in New Zealand (one collecting data from GPs, and three from community surveys). The secondary aim was to obtain an estimate of the prevalence of unmet secondary healthcare need, to inform sample size calculations for a national survey. METHODS: An electronic system was set up for GPs in Christchurch (Pegasus PHO) and Auckland (Auckland PHO) to record cases of unmet need as encountered in clinics...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337037/the-diagnostic-performance-of-ultrasound-in-the-detection-of-ectopic-pregnancy
#9
Lee Young, Cecilia Barnard, Elisabeth Lewis, Matthew Jones, Jana Furlan, Angela Karatasiou, Martin Necas
BACKGROUND: Accurate diagnosis of ectopic pregnancy is essential in reducing maternal mortality and morbidity. Transvaginal ultrasound (TVUS) is the accepted imaging modality of choice for the diagnosis of ectopic pregnancy (EP). AIMS: To assess the effectiveness of transvaginal ultrasound (TVUS) in the detection of EP in consecutive women presenting for ultrasound to a radiology department with a clinical suspicion of EP. METHODS: Retrospective analysis of 585 women presenting for TVUS over a 2...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337036/trends-in-genital-warts-diagnoses-in-new-zealand-five-years-following-the-quadrivalent-human-papillomavirus-vaccine-introduction
#10
Jeannie Oliphant, Joanna Stewart, Peter Saxton, Min Lo, Nicky Perkins, Daniel Ward
AIM: To investigate whether changes in rates of genital warts diagnosis at Auckland Sexual Health Service (ASHS), pre and post the quadrivalent human papillomavirus (4vHPV) vaccine introduction in late 2008, differed between clients vaccine-eligible and not eligible. METHOD: All new clients attending ASHS from 2007 to 2013 were categorised as having genital warts or not. Generalised linear mixed models were used to compare differences in rates of change in diagnoses...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28337035/addressing-the-complex-challenge-of-unmet-need-a-moral-and-equity-imperative
#11
EDITORIAL
Anna Matheson, Lis Ellison-Loschmann
No abstract text is available yet for this article.
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253253/response-to-high-incidence-of-medulloblastoma-in-m%C3%A4-ori-and-pacific-populations-in-new-zealand
#12
LETTER
Peter Bradbeer
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253252/dermatitis-due-to-toxicodendron-plants-a-common-occurrence-during-autumn
#13
LETTER
Robin J Slaughter, Michael G Beasley, Leo J Schep
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253251/response-to-urinary-alkalisers-for-cystitis-fact-or-fiction
#14
LETTER
H Bhally, K Bondesio, K Read
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253250/sunscreens
#15
LETTER
Brian Wilkins
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253249/learning-from-the-muslim-ban-implications-of-the-trump-presidency-for-international-public-health
#16
LETTER
Frank Houghton
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253248/pgy2-attachments-in-general-practice-a-new-zealand-experience
#17
LETTER
Dale Sheehan, John Thwaites, Vanessa Weenink, Colin Ding, Jeremy Barker
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253247/extended-follow-up-of-simple-lymph-node-graft-treatment-of-upper-limb-lymphoedema
#18
Tess Brian, Winston M McEwan
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253246/lip-lick-dermatitis
#19
P N Mini, T M Anoop
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28253245/reducing-the-polyp-burden-in-serrated-polyposis-by-serial-colonoscopy-the-impact-of-nationally-coordinated-community-surveillance
#20
Susan Parry, Randall W Burt, Aung Ko Win, Ye Kyaw Aung, Sonja Woodall, Julie Arnold, Mark Clendenning, Daniel D Buchanan, Timothy J Price, Christophe Rosty, Joanne P Young
BACKGROUND: Serrated polyposis syndrome (SPS) is associated with an increased risk of colorectal cancer (CRC) and an evolving management approach. The aims of this study were to assess the polyp burden reduction over time, and the incidence of CRC in serrated polyposis patients undergoing community surveillance. METHODS: This is an observational study based on prospectively collected data. A total of 96 SPS patients with no personal history of CRC were prospectively enrolled in a surveillance program under the guidance of a tertiary center...
March 3, 2017: New Zealand Medical Journal
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