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Vol 135 No 1559: 5 August 2022

Children’s perspectives on the wicked problem of child poverty in Aotearoa New Zealand: a wearable camera study

Poverty is a significant health and equity issue in Aotearoa New Zealand. Like many developed countries, poverty rates in Aotearoa New Zealand have been defined as the percentage of households that have disposable income less than 50% of the national median after housing costs.

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Vol 135 No 1559: 5 August 2022

Utility of data linkage for orthopaedic service planning in the paediatric population with cerebral palsy at Starship Children’s Hospital

Patients with CP have ongoing activity limitations and require multiple clinical services over a lifetime, particularly during childhood and adolescence. Information regarding the types and frequency of procedures performed in these children and knowledge of their demographic and clinical profiles would be helpful for service planning, including theatre space and rehabilitation needs, and ensuring consistency of health service delivery and outcomes.

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Vol 135 No 1559: 5 August 2022

Smokefree and vapefree streets: high levels of support from tourists, residents and businesses, implications for tourist-destination communities in New Zealand

Tobacco smoking remains a major cause of death and disability around the world, as well as a major contributor to health inequities. Many countries have progressively implemented strong tobacco control policies and legislation to protect present and future generations from the considerable health, economic, social, and environmental impacts of tobacco.

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Vol 135 No 1559: 5 August 2022

“I teach them. I have no choice”: experiences of primary care among transgender people in Aotearoa New Zealand

With a growing literature documenting mental health inequities among transgender people, researchers are describing the unmet mental health needs of transgender people as a “public health crisis”.

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Vol 135 No 1559: 5 August 2022

A comparison of the performance of saliva and nasopharyngeal nucleic acid amplification testing for the detection of SARS-CoV-2 in New Zealand

Worldwide, molecular detection of SARS-CoV-2 is primarily focussed on swab-based sampling of the nasopharyngeal, nasal, and/or oropharyngeal cavities, but as the pandemic has progressed there has been increasing interest in the role of saliva as a sample type.

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Vol 135 No 1559: 5 August 2022

Motivators and barriers to general surgery as a career among junior doctors and medical students in New Zealand

Increasing surgical diversity among trainees is a priority of the Royal Australasian College of Surgeons (RACS). This fits in with the Building Respect, Improving Patient Safety Action Plan on discrimination, bullying and sexual harassment in surgery, launched in 2015, which supported actively working with medical schools to encourage surgery as a career.

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Vol 135 No 1559: 5 August 2022

Defining rural in Aotearoa New Zealand: a novel geographic classification for health purposes

In health contexts a fit-for-purpose definition permits the accurate monitoring of the health of rural populations. This may identify rural–urban health inequities, providing the impetus for targeted strategy, policy, and interventions for the equitable allocation of resources.

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Vol 135 No 1559: 5 August 2022

Parents and caregivers experience in managing children’s medicines after discharge from a New Zealand hospital

Children require special consideration for prescribing or administering medicines, especially on discharge from hospital, when parents/caregivers are expected to manage medicines at home. Lack of safe and effective data on medicines use in children, makes it more complex.

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Vol 135 No 1558: 15 July 2022

Vasovagal syncope triggered by recent moderate weight loss?

We postulated that weight loss and decreased central blood volume may predispose some patients to posture-triggered vasovagal syncope. With 10kg of weight loss, total blood volume falls by about 500ml, representing 10% of circulating volume, and approximately half of this is central blood volume.

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Vol 135 No 1558: 15 July 2022

New Echocardiography Reference Ranges for Aotearoa (NewERA) Study: the application of international echocardiographic reference values to linear measurements of the hearts of healthy, young Māori and Pacific adults may not detect cardiac enlargement

The Echocardiographic Normal Ranges Meta-Analysis of the Left heart (EchoNoRMAL), an individual person meta-analysis with >20,000 participants, demonstrated important sex and ethnic differences in the normal echocardiographic reference ranges between NZ European, Asian and South Asian cohorts. Overall, the Asian cohorts had smaller hearts compared to the NZ European cohorts; and women had smaller hearts across all ethnic groups.