18,067 results match your criteria New Zealand Medical Journal [Journal]


Local experience with methamphetamine associated stroke at a small district health board.

N Z Med J 2019 Feb 1;132(1489):105-108. Epub 2019 Feb 1.

Consultant Physician, Department of Medicine, Rotorua Hospital, Bay of Plenty.

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February 2019

Minimal risk of PFOS residues in eel to Māori consumers.

N Z Med J 2019 Feb 1;132(1489):102-104. Epub 2019 Feb 1.

Student, University of Canterbury, Christchurch.

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February 2019

Examining the accuracy of the New Zealand B4 School Check universal health service anthropometric measurements of children.

N Z Med J 2019 Feb 1;132(1489):89-101. Epub 2019 Feb 1.

Dean of the Dunedin School of Medicine, Dean's Department, Dunedin School of Medicine, University of Otago, Dunedin.

Background: The aim of the current study was to determine whether anthropometric data from the New Zealand B4 School Check (B4SC) universal health service assessments are comparable to research grade anthropometric data.

Methods: B4SC anthropometric data were obtained for a subsample (n=394) of children who participated in the Prevention of Overweight in Infancy (POI) randomised control trial. B4SC anthropometric measures were compared to POI anthropometric values that had been interpolated to align with the date of the B4SC assessment. Read More

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February 2019

Addition of explicit guidance to acute pancreatitis guidelines increases compliance with amylase measurement recommendations.

N Z Med J 2019 Feb 1;132(1489):81-88. Epub 2019 Feb 1.

Clinical Editor, Hospital HealthPathways, Canterbury District Health Board, Christchurch.

Aim: Hospital HealthPathways is an online database of local clinical guidelines produced by a dedicated team for use within Canterbury District Health Board (CDHB) hospitals. A 'Practice Point'-a bullet point making explicit a recommendation within the body of a clinical guideline-was added to the guideline for acute pancreatitis, instructing users to avoid serial measurements of serum amylase levels. The aim was to explore whether the addition of this Practice Point affected compliance with the amylase measurement recommendations. Read More

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February 2019
2 Reads

SF-12 indicators of health following the 22 February 2011 Christchurch earthquake.

N Z Med J 2019 Feb 1;132(1489):69-80. Epub 2019 Feb 1.

Director and Professor, Health Services Research Centre, Victoria University of Wellington, Wellington.

Aim: To explore the health status of people who experienced the magnitude 6.3 earthquake in Christchurch on 22 February 2011, across time and in comparison with other New Zealanders.

Methods: Data from five New Zealand Health Surveys (2011/12, 2012/13, 2013/14, 2014/15 and 2015/16), which each sampled around 13,000 people, aged 15+ years, living in New Zealand. Read More

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February 2019

Video or verbal? A randomised trial of the informed consent process prior to endoscopy.

N Z Med J 2019 Feb 1;132(1489):57-68. Epub 2019 Feb 1.

Gastroenterology Department, Tauranga Hospital, Bay of Plenty District Health Board, Tauranga.

Aim: Informed consent (IC) prior to endoscopy is often inconsistently and poorly performed. We compared use of video-assisted consent to standard verbal consent for enhancing patients' recollection of procedural risks, understanding and fulfilment of expectation.

Method: Two hundred patients attending for gastroscopy or colonoscopy were randomised to either video-assisted consent (n=100) or verbal consent (n=100). Read More

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February 2019
3 Reads

Lifetime risk of primary total knee replacement surgery in New Zealand from 2000 to 2015.

N Z Med J 2019 Feb 1;132(1489):48-56. Epub 2019 Feb 1.

Orthopaedic Surgeon and Senior Lecturer, Department of Orthopaedic Surgery, North Shore Hospital, University of Auckland, Auckland.

Aim: To estimate the lifetime risk of total knee replacement surgery (TKR) including unicompartmental knee replacement surgery (UKR) for osteoarthritis (OA) in New Zealand, and to identify if lifetime risk is changing over time.

Method: Data on primary TKR procedures performed for OA from 2000 to 2015 in New Zealand was obtained from the New Zealand joint registry. Life tables and population data were sourced from Statistics New Zealand and the Ministry of Health of New Zealand. Read More

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February 2019
1 Read

The development and first six years of a nurse-led chest pain clinic.

N Z Med J 2019 Feb 1;132(1489):39-47. Epub 2019 Feb 1.

Cardiology Department, CMDHB, Auckland.

Aim: Chest pain is a common symptom that creates significant anxiety for patients until a diagnosis can be offered. However, hospital cardiology services can struggle to cope with referral demands from primary care. The aim of this paper is to describe the development and implementation of a nurse-led chest pain service, its care processes and clinical outcomes to show feasibility, safety and sustainability. Read More

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February 2019
5 Reads

Specialist mental health care for older adults in New Zealand-an exploration of service models and routine data.

N Z Med J 2019 Feb 1;132(1489):30-38. Epub 2019 Feb 1.

Psychiatrist for Older People, Capital and Coast DHB, Wellington.

Aims: Older people experiencing mental distress are commonly overlooked in research and policy in New Zealand, partly due to lack of consistent national service provision and collation of information. This study aimed to: 1. Describe service arrangements for older people's mental health; 2. Read More

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February 2019

The 'elephants in the room' for New Zealand's health system in its 80th anniversary year: general practice charges and ownership models.

N Z Med J 2019 Feb 1;132(1489):8-14. Epub 2019 Feb 1.

Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin.

The 2018 year signalled the 80th anniversary of the Social Security Act 1938. In order to implement this legislation, a historic compromise between the government and the medical profession created institutional arrangements for the New Zealand health system that endure to this day. The 2018 year also marked the commencement of a Ministerial review of the New Zealand health system. Read More

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February 2019

Acquired haemophilia A: a rare cause of postpartum haemorrhage.

N Z Med J 2018 Dec 14;131(1487):111-115. Epub 2018 Dec 14.

Obstetrician and Gynaecologist, Department of Obstetrics and Gynaecology, North Shore Hospital, Auckland.

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December 2018

There's more to this than meets the eye.

N Z Med J 2018 Dec 14;131(1487):108-110. Epub 2018 Dec 14.

Department of Cardiology, Middlemore Hospital, Auckland.

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December 2018

Public health and the radio frequency radiation emitted by cellphone technology, smart meters and WiFi.

Authors:
Susan Pockett

N Z Med J 2018 Dec 14;131(1487):97-107. Epub 2018 Dec 14.

Honorary Academic, School of Psychology, University of Auckland, Auckland.

This paper argues that the prevailing official narrative in New Zealand concerning the relationship between public health and the radio frequency emissions (RF) from cellphone technology, WiFi and electricity smart meters is scientifically and ethically flawed. The main regulatory document in the area, NZS2772.1:1999, is 20 years out of date and ignores existing laboratory evidence disproving its core assumption that the only biological effect of non-ionising radiation is tissue heating. Read More

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December 2018
5 Reads

Guidelines for Gender Affirming Healthcare for Gender Diverse and Transgender Children, Young People and Adults in Aotearoa, New Zealand.

N Z Med J 2018 Dec 14;131(1487):86-96. Epub 2018 Dec 14.

Endocrinologist, Endocrinology Department, Dunedin Hospital, Dunedin.

Internationally and within Aotearoa, New Zealand, there has been a substantial increase in the demand for gender affirming healthcare over the past decade. It is likely that this level of referrals to health services will continue in the foreseeable future. The Guidelines for Gender Affirming Healthcare for Gender Diverse and Transgender Children, Young People and Adults in Aotearoa, New Zealand were developed following the recognition that the previous good practice guide required updating to be in step with current practice and international standards. Read More

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December 2018

Reducing the impact of the impending myopia epidemic in New Zealand.

N Z Med J 2018 Dec 14;131(1487):80-85. Epub 2018 Dec 14.

Ophthalmologist, Gisborne; Senior Lecturer, Dept of Ophthalmology, University of Otago.

Myopia is an eye condition that is increasing around the world, reaching epidemic levels in many countries. It is associated with a higher risk of other ocular diseases including myopic maculopathy and retinal detachment. Historically in New Zealand myopia has existed at a low level, however the environmental changes that have increased myopia internationally will affect New Zealanders too. Read More

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December 2018

New Zealand's experience of the 1918-19 influenza pandemic: a systematic review after 100 years.

N Z Med J 2018 Dec 14;131(1487):54-69. Epub 2018 Dec 14.

Professor of Public Health, Department of Public Health, University of Otago, Wellington.

Background: The 1918-1919 influenza pandemic has been New Zealand's most severe disaster event (around 9,000 deaths). We aimed to review the literature related to this pandemic in New Zealand and among New Zealanders overseas, to identify any remaining research gaps (given ongoing risks of future influenza pandemics and from new pathogens, eg, synthetic bioweapons).

Methods: Systematic literature searches and comparisons with international findings for this pandemic to facilitate identification of research gaps. Read More

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December 2018
1 Read

Public support and sociodemographic correlates of public breastfeeding support in New Zealand.

N Z Med J 2018 Dec 14;131(1487):44-53. Epub 2018 Dec 14.

Professor, School of Psychology, University of Auckland, Auckland.

Aims: The present study examined levels of support for public breastfeeding and sociodemographic correlates of public breastfeeding attitudes in New Zealand.

Method: Data (N=19,598) were from the 2016/17 New Zealand Attitudes and Values Study, a nationwide longitudinal panel study of the social attitudes of New Zealand adults aged 18 and older. The survey included an item measuring support for women breastfeeding in public alongside relevant sociodemographic variables. Read More

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December 2018

Reliability of venous blood gas sodium, potassium and creatinine.

N Z Med J 2018 Dec 14;131(1487):38-43. Epub 2018 Dec 14.

Casey Hospital, Department of Emergency Medicine, Monash Health, Victoria, Australia; School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.

Objective: To determine the level of correlation between sodium, potassium and creatinine readings between point-of-care venous blood gas (VBG) and laboratory biochemistry measurements (LBM).

Methods: Data was obtained from three Monash Health (one of the largest health networks in metropolitan Melbourne) emergency departments. 16,527 VBGs were matched with LBM for sodium, 16,437 for potassium and 8,597 for creatinine. Read More

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December 2018

Modelling the number of quitters needed to achieve New Zealand's Smokefree 2025 goal for Māori and non-Māori.

N Z Med J 2018 Dec 14;131(1487):30-37. Epub 2018 Dec 14.

Department of Public Health, University of Otago, Wellington.

Aim: To estimate the numbers of people required to quit smoking in New Zealand to achieve the Smokefree 2025 goal and to compare these with current levels of quitting.

Methods: We used the established BODE3 tobacco forecasting model to project smoking prevalence separately for Māori and non-Māori to 2025 under a business-as-usual (BAU) scenario. We then determined by what factor current annual cessation rates would have to increase to achieve an adult smoking prevalence of under 5% by the year 2025, while annual smoking uptake rates continued to follow BAU patterns. Read More

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December 2018
1 Read

Cutaneous squamous cell carcinoma: predictors of positive and close margins and outcomes of re-excision in Northland, New Zealand.

N Z Med J 2018 Dec 14;131(1487):23-29. Epub 2018 Dec 14.

Department of General Surgery, Whangarei Hospital, Northland; Consultant General and Colorectal Surgeon, Whangarei Hospital, Northland; Honorary Senior Lecturer, Department of Surgery, University of Auckland, Auckland.

Background: Non-melanoma skin cancer (NMSC) is the most commonly diagnosed and costly cancer in Australasia. Cutaneous squamous cell carcinoma (cSCC) accounts for approximately 25% of NMSC. A better understanding of predictors of close and positive margins following surgical excision will help guide treatment. Read More

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December 2018
1 Read

Utility of whole genome sequencing for multidrug resistant Mycobacterium tuberculosis isolates in a reference TB laboratory in New Zealand.

N Z Med J 2018 Dec 14;131(1487):15-22. Epub 2018 Dec 14.

Medical Laboratory Scientist, Microbiology, LabPLUS, Auckland City Hospital, Auckland.

New Zealand has a low burden of multi-drug resistant TB (MDR-TB), but with increased mobility within the population, rapid detection and treatment of MDR-TB is a priority from the public health point of view. Mycobacterium Reference Laboratory in LabPLUS, Auckland City Hospital receives referred Mycobacterium tuberculosis complex (MTBC) isolates from all over New Zealand for second-line drug susceptibility testing (DST) and 24-loci MIRU VNTR genotyping. Between 2002 and 2013, 38 multidrug resistant Mycobacterium tuberculosis (MDR-TB) isolates were recorded by culture-based DST. Read More

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December 2018
14 Reads

Why the new 'living' Australian Stroke Guidelines matter to New Zealand.

N Z Med J 2018 Dec 14;131(1487):12-14. Epub 2018 Dec 14.

University of Otago, Wellington.

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December 2018

Addressing the treatment gap in New Zealand with more therapists-is it practical and will it work?

N Z Med J 2018 Dec 14;131(1487):8-11. Epub 2018 Dec 14.

Department of Psychological Medicine, University of Otago, Christchurch.

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December 2018

Update from the New Zealand Familial GI Cancer Service 2018.

N Z Med J 2018 Nov 30;131(1486):54-57. Epub 2018 Nov 30.

Colorectal Surgeon, Department of Surgery, Christchurch Hospital, Christchurch.

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November 2018

The first analytic evidence for socio-economic gradients in 1918 pandemic influenza mortality rates for New Zealand.

N Z Med J 2018 Nov 30;131(1486):50-53. Epub 2018 Nov 30.

Department of Public Health, University of Otago, Wellington.

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November 2018

LV epicardial lead placement at time of cardiac surgery: useful for some-but not all.

N Z Med J 2018 Nov 30;131(1486):45-49. Epub 2018 Nov 30.

Green Lane Cardiovascular Service, Auckland City Hospital, Auckland; Department of Medicine, University of Auckland, Auckland.

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November 2018
1 Read

Chronic red eye-think outside the eye.

N Z Med J 2018 Nov 30;131(1486):41-44. Epub 2018 Nov 30.

Ophthalmologist, Canterbury District Health Board, Christchurch.

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November 2018

Creaky voice or extreme vocal fry in young women.

N Z Med J 2018 Nov 30;131(1486):36-40. Epub 2018 Nov 30.

Retired Adjunct Professor in Communication Disorders at the University of Canterbury, Christchurch.

An extreme use of a voice feature with a lowered rough sound called vocal fry or creaky voice has become increasingly recognised in American, British and New Zealand English speaking young women. It is not regarded as an involuntary voice disorder, but rather as a volitional strategy. Intermittent vocal fry is recognised as a common voice feature, particularly at the end of a sentence. Read More

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November 2018
2 Reads

Hepatitis B virus-related hepatocellular carcinoma presenting at an advanced stage: is it preventable?

N Z Med J 2018 Nov 30;131(1486):27-35. Epub 2018 Nov 30.

New Zealand Liver Unit, Auckland District Health Board, Auckland.

Aim: Earlier diagnosis of hepatitis B virus (HBV) related hepatocellular carcinoma (HCC) increases treatment options and survival. The aim of this study is to evaluate which factors are associated with late presentation of HBV-related HCC.

Method: This is a retrospective review of all cases of HBV-related HCC diagnosed with late-stage/incurable HCC in New Zealand between 2003 and 2017. Read More

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November 2018

A MAP to mental health: the process of creating a collaborative advance preferences instrument.

N Z Med J 2018 Nov 30;131(1486):18-26. Epub 2018 Nov 30.

Professor, Department of Psychological Medicine, University of Otago, Dunedin.

Aims: To document the process of developing a local advance directive for mental health care, which we are calling a MAP (Mental-health Advance Preferences statement).

Methods: Data on advance directive preferences were collected from consumers and service providers using online surveys and analysed using quantitative methods.

Results: Both groups reported strong overall support for advance directives. Read More

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November 2018

Neonatal conjunctivitis in the New Zealand Midland region.

N Z Med J 2018 Nov 30;131(1486):9-17. Epub 2018 Nov 30.

Ophthalmologist, Clinical Senior Lecturer, Ophthalmology Department, Department of Medicine, Hauora Tairawhiti, University of Otago, Gisborne.

Aims: To assess the incidence of chlamydial and gonorrhoeal neonatal conjunctivitis (CON and GON), across six district health boards in the greater Midland region of New Zealand.

Methods: All positive nucleic acid amplification test (NAAT) eye swabs for Chlamydia trachomatis and NAAT and bacterial eye swabs for Neisseria gonorrhoeae in infants under one year of age were retrieved from three laboratories from 2013-2016. Incidence density rates were calculated using births information from Statistics New Zealand. Read More

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November 2018
12 Reads

Six things you need to know about pain.

N Z Med J 2018 Nov 30;131(1486):5-8. Epub 2018 Nov 30.

Centre for Health, Activity and Rehabilitation/Ageing Well, University of Otago, Dunedin.

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November 2018

Do interns publish findings of their scholarly research projects?

Authors:
Yassar Alamri

N Z Med J 2018 Nov 9;131(1485):90-92. Epub 2018 Nov 9.

New Zealand Brain Research Institute, Christchurch; Department of General Medicine, Christchurch Public Hospital, Christchurch.

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November 2018

A population-based study of the diabetes paradox in stress cardiomyopathy.

N Z Med J 2018 Nov 9;131(1485):88-89. Epub 2018 Nov 9.

Department of Cardiology, Christchurch Hospital, Christchurch.

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November 2018

Surgical management of self-inflicted facial gunshot wounds.

N Z Med J 2018 Nov 9;131(1485):84-87. Epub 2018 Nov 9.

Oral/Maxillofacial Consultant, Waikato Hospital Oral and Maxillofacial Department, Waikato District Health Board, Hamilton.

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November 2018

Mana Tū: a whānau ora approach to type 2 diabetes.

N Z Med J 2018 Nov 9;131(1485):76-83. Epub 2018 Nov 9.

Executive Leadership, National Hauora Coalition, Auckland.

In 2017, the National Hauora Coalition, a Māori-led Primary Health Organisation (PHO), was awarded a Long-Term Conditions Partnership Research grant to test the effectiveness of Mana Tū: a whānau ora approach to type 2 diabetes. With moves to replicate aspects of it in programmes around New Zealand, it is timely to describe the rationale for Mana Tū and the key components of its unique model of care. Mana Tū was developed in response to current ethnic and social inequities in type 2 diabetes rates, outcomes and wider determinants. Read More

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November 2018
8 Reads

Proposal for a National Interprofessional School of Rural Health.

N Z Med J 2018 Nov 9;131(1485):67-75. Epub 2018 Nov 9.

Dean, Otago Medical School, Kōhatu, Centre for Hauora Māori, University of Otago, Dunedin.

Shortages of health professionals persist in much of rural New Zealand despite a range of targeted university and professional college initiatives. In response to this a collective of universities, professional colleges and sector groups have put a proposal to Government for a National Interprofessional School of Rural Health. If adopted, this proposal would embed rural health professional education and research in rural communities around New Zealand, empowering them to organise the education that occurs in their community, in a coherent and coordinated way. Read More

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November 2018
6 Reads

Distress in informal carers of the elderly in New Zealand.

Authors:
Nicola Swain

N Z Med J 2018 Nov 9;131(1485):60-66. Epub 2018 Nov 9.

Senior Lecturer, Department of Psychological Medicine, Dunedin School of Medicine, University of Otago, Dunedin.

Aims: Informal care, which is unpaid and often provided by family and friends, is the primary source of aged care in New Zealand. In addition to financial costs there are known psychological costs of being a carer, including poor mental health.

Methods: This research aimed to interview a group of New Zealand carers and describe their rates of depression and anxiety, their motivations for providing care, costs of care and their experience of aggression. Read More

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November 2018
13 Reads

Antidepressant prescribing in New Zealand between 2008 and 2015.

N Z Med J 2018 Nov 9;131(1485):52-59. Epub 2018 Nov 9.

Department of Psychological Medicine, University of Otago, Christchurch.

Aim: To examine antidepressant prescribing trends in New Zealand adults from 2008-2015.

Methods: Antidepressant prescribing data was sourced via the Ministry of Health. Data were examined by year, type of drug, ethnicity, gender, age and location of district health board. Read More

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November 2018
15 Reads

Incidence of motor neurone disease within MidCentral Region, New Zealand.

N Z Med J 2018 Nov 9;131(1485):48-51. Epub 2018 Nov 9.

Consultant Neurologist, Palmerston North Hospital, Palmerston North.

Aim: The aims of this observational study were firstly to calculate annual incidence of motor neurone disease (MND) within the midcentral region of New Zealand and secondly to characterise the demographics of this patient group, including age, sex, ethnicity and geographical distribution within the region.

Method: Patients with a new diagnosis of MND over a five-year period (1 February 2013-31 January 2018) were identified via a clinical coding search of all outpatient and inpatient encounters. Records were then individually screened to confirm a new diagnosis of MND via both clinical (confirmation by a neurologist) and neurophysiological (needle electromyography) criteria. Read More

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November 2018
7 Reads

Te Wero tonu-the challenge continues: Māori access to medicines 2006/07-2012/13 update.

N Z Med J 2018 Nov 9;131(1485):27-47. Epub 2018 Nov 9.

(Ngāti Kahungunu), Senior Lecturer, Te Kupenga Hauora Māori, Faculty of Medical and Health Sciences, University of Auckland, Auckland.

Aim: Analysis of dispensings of prescription medicines in New Zealand in 2006/07 reported large inequities between Māori and non-Māori. This present study has now updated the earlier work by describing variations in disease burden-adjusted medicines access by ethnicity in 2012/13, and changes over time.

Method: The update has linked prescription medicine data with burden of disease estimates by ethnicity for 2012/13 and comparing with 2006/07. Read More

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November 2018
9 Reads

Privacy protection for health information research in New Zealand district health boards.

N Z Med J 2018 Nov 9;131(1485):19-26. Epub 2018 Nov 9.

Professor, Department of Computer Science, The University of Waikato, Hamilton, Waikato.

Aim: To examine the practices used by New Zealand's 20 district health boards (DHBs) to protect patient privacy when patient information is used for research, and particularly practices for de-identifying information.

Method: An e-mailed questionnaire survey, using New Zealand's Official Information Act to request information on the policies and practices of each DHB.

Results: 19/20 DHBs (95%) responded to the survey, one of which reported that it did not provide patient information for research. Read More

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November 2018
9 Reads

A prospective audit of the 10-year outcomes from low dose-rate brachytherapy for early stage prostate cancer.

N Z Med J 2018 Nov 9;131(1485):13-18. Epub 2018 Nov 9.

Statistician, School of Mathematics and Statistics, Victoria University, Wellington.

Aim: New Zealand men diagnosed with early stage prostate cancer need to know what outcomes to expect from management options.

Methods: Between 2001 and 2016, 951 men were treated with low dose-rate brachytherapy (permanent iodine-125 seed implantation) by the Wellington Prostate Brachytherapy Group based at Southern Cross Hospital, Wellington. At follow up after treatment, men had their PSA measured and were scored for urinary, bowel and sexual side effects. Read More

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November 2018
4 Reads

Gout in Aotearoa New Zealand: the equity crisis continues in plain sight.

N Z Med J 2018 11 9;131(1485):8-12. Epub 2018 Nov 9.

Clinical Pharmacist, Māori Pharmacists' Association.

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November 2018
13 Reads

Rural matters.

N Z Med J 2018 Nov 9;131(1485):6-7. Epub 2018 Nov 9.

Kai Tahu, Ngāti Apa ki te Rā Tō, Associate Professor, Head of Centre, Kōhatu, Centre for Hauora Māori, University of Otago, Dunedin.

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November 2018

How common is off-label prescription of quetiapine?

N Z Med J 2018 Oct 26;131(1484):77-78. Epub 2018 Oct 26.

Pharmacist, Hillmorton Hospital, Christchurch.

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October 2018

Stroke reperfusion treatment in regional New Zealand.

N Z Med J 2018 Oct 26;131(1484):74-76. Epub 2018 Oct 26.

Emergency Physician, TDHB, Taranaki.

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October 2018
9 Reads

Lower-limb amputation in New Zealand: temporal changes and the role of diabetes mellitus.

N Z Med J 2018 Oct 26;131(1484):71-73. Epub 2018 Oct 26.

Cancer and Chronic Conditions (C3) Research Group, Department of Public Health, University of Otago, Wellington.

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October 2018
1 Read