The principal scientific journal for the profession in New Zealand

Vol 136 No 1586: 1 December 2023

Aotearoa New Zealand clinicians respond to the 2022 American Heart Association Presidential Advisory Statement regarding penicillin reactions in people with severe rheumatic heart disease

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Vol 136 No 1586: 1 December

Trends in penicillin dispensing during an acute rheumatic fever prevention programme

Acute rheumatic fever (ARF) is an inflammatory disease that can develop 2–4 weeks after group A streptococcal (GAS) infection and often progresses to permanent cardiac valve damage or rheumatic heart disease (RHD).

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Vol 136 No 1586: 1 December

Te Ōranga Ō Te Roro: kaumātua perspectives on the development of a mobile app for mate wareware (dementia) awareness

Mate wareware, or dementia, is typically defined by cognitive decline that interferes with social or occupational functioning. In Aotearoa New Zealand, there are an estimated 70,000 people living with mate wareware, and this is predicted to increase to 170,000 by 2050.

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Vol 136 No 1586: 1 December

Laxative-prescribing habits: a summative impact evaluation of a constipation programme implemented in two hospitals in New Zealand

Constipation among hospitalised adults is a common, burdensome and costly condition that is poorly studied. A universally accepted definition for constipation does not exist.

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Vol 136 No 1586: 1 December

Tōku Oranga: the subjective wellbeing and psychological functioning of postgraduate and medical students in Ōtautahi Christchurch

University students have a higher prevalence of mental disorders than the general population. Within this population, postgraduate and medical students have a high prevalence of mental disorders and psychological distress with widespread personal, academic and professional repercussions.

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Vol 136 No 1586: 1 December

Analysis of skin condition emergency department outcomes via the free Healthline service from Whakarongorau Aotearoa

The aim of this research was to understand the utilisation of the Whakarongorau Aotearoa | New Zealand Telehealth Services’ free 24/7 Healthline service for skin conditions, with a specific interest in whether Māori and Pasifika were utilising the service and their subsequent call outcomes.

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Vol 136 No 1586: 1 December

Cancer incidence, mortality and survival for Pacific Peoples in Aotearoa New Zealand

Pacific Peoples in Aotearoa New Zealand encompass over 16 culturally diverse and linguistically distinct ethnic groups,[[1]] and comprise 8% of the population in Aotearoa New Zealand. There is some evidence that Pacific Peoples experience excess cancer incidence and mortality, as well as poorer survival for several cancers, when compared to other ethnic groups in Aotearoa New Zealand.

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Vol 136 No 1585: 10 November

Investigation and treatment after non-ST segment elevation acute coronary syndrome for patients presenting to rural or urban hospitals in Aotearoa New Zealand: ANZACS-QI 75

In Aotearoa New Zealand, patients with non ST-segment elevation acute coronary syndrome (NSTEACS) may present to one of three main groups of hospitals: urban hospitals i) with (interventional) or ii) without (non-interventional) routine access to percutaneous intervention (PCI), or iii) rural hospitals.

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Vol 136 No 1585: 10 November

Increasing rates of referrals for investigation of primary aldosteronism at a tertiary centre

Primary aldosteronism (PA) is a pathology of autonomous secretion of aldosterone from one or both adrenal glands, classically associated with hypertension and hypokalemia. PA appears to carry a greater burden of cardiovascular disease than essential hypertension and is independently associated with end organ damage, including cardiovascular disease, stroke, left ventricular hypertrophy, microalbuminuria and atrial fibrillation.

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Vol 136 No 1585: 10 November

Co-design of youth appropriate services for young people with rheumatic fever/rheumatic heart disease in Counties Manukau District

The incidence of rheumatic fever in Aotearoa New Zealand is much higher than in comparable countries and regions such as North America and the United Kingdom. Within Aotearoa New Zealand, the incidence varies greatly by geographic region and ethnicity.

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Vol 136 No 1585: 10 November

Trends in the primary healthcare nursing workforce in managing diabetes from two sample surveys in 2006–2008 and 2016 in Auckland, New Zealand

The changing role of the primary care nurse has been largely driven by increasing numbers of people with chronic care conditions and escalating costs of secondary healthcare.