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Issue

Vol 123 No 1312: 09 April 2010

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Issue Summary

SUMMARY

Immune thrombocytopaenia in adults: a single-centre retrospective review of patients presenting over 7 years

Emma Jane McDonald, Andrew Butler

Immune thrombocytopenia is a common cause of low platelets in the blood (platelets are involved in blood clotting). International guidelines have been published with recommendations for investigation and treatment of patients. These guidelines were generally closely adhered to in Christchurch . We wish to increase awareness both of the need to test for HIV infection in patients presenting with low platelets and not to undertake invasive tests looking for a cause in young patients with isolated low platelet counts.

SUMMARY

Health service use amongst users of complementary and alternative medicine

Megan J Pledger, Jacqueline Cumming, Mili Burnette

We studied data comes from the New Zealand Health Survey 2002/2003 which sampled 12,529 people, aged 15-65 years. We compared users and non-users of complementary and alternative medicine (CAM). CAM users are more likely to be middle-aged, rich, well-educated, of European descent, and female. They are more likely to have hard-to-treat conditions and to be less well but actively try to maintain their health. They utilise more health services and are more likely to seek information about their health and medicines.

SUMMARY

Chiropractic claims in the English-speaking world

Edzard Ernst, Andrew Gilbey

A survey of the websites of English-speaking chiropractors (200) and their associations (9) found widespread evidence of direct or indirect claims regarding the chiropractic treatment of asthma, headache/migraine, infant colic, colic, ear infection/earache/otitis media, neck pain, and whiplash. We are not aware of any good quality scientific evidence that chiropractic treatment is effective for any of these conditions. Chiropractic often claims to be scientific and based upon evidence, we therefore urge the chiropractic community to address this situation adequately and urgently by ensuring that claims are only made for the conditions for which there is sound evidence of effectiveness. Currently, we believe such evidence is limited to spinal manipulation for lower back pain.

SUMMARY

The profile of body donors at the Otago School of Medical Sciences—has it changed?

Kathryn McClea, Mark D Stringer

The Otago School of Medical Sciences continues to depend on altruistic whole body donation for anatomical teaching and research. An anonymous questionnaire was sent to 200 randomly selected donors who registered their bequest to donate their body to the Otago School of Medical Sciences between 2000 and 2009. From 140 replies, it was evident that most people made their bequest after the age of 50 years. Almost all respondents understood that their body would be used for teaching and research. Word of mouth and literature continue to be the dominant methods of learning about body donation. Nearly 40% of bequestees come from families where other members have donated their bodies.

ALL ARTICLES
SUMMARY

A case of green urine due to a traditional Chinese medicine containing methylene blue

Choong-Weng Lam, Sau Y J Wong

Proceedings of the Waikato Clinical School Research Seminar, Thursday 18 March 2010

Physiology of the placebo effect, and the evidence for changes in brain metabolism

Martin Wallace

Health Practitioners Disciplinary Tribunal – Professional Misconduct (Med08/87P)

Medical image. Punched-out lesions in skull

Vishal Sharma, Alka Sharma

Capillary glucose meter accuracy and sources of error in the ambulatory setting (Lunt H, Florkowski C, Bignall M, Budgen C)

Spontaneous central nervous system bleeding in a child with cyanotic congenital heart disease

Syed Ahmed Zaki, Vishal Chavan, Preeti Shanbag

Immune thrombocytopaenia in adults: a single-centre retrospective review of patients presenting over 7 years

Emma Jane McDonald, Andrew Butler

Correspondence: Colonial Reception Committee and fund for Dr Macintire

BMI cut-off point

Viroj Wiwanitkit

Application of mobile phones in improving healthcare delivery

Raktim Kumar Ghosh, Ratul K Ghosh

Why teach human anatomy at Otago School of Medical Sciences?

Robin Fraser

Purple urine bag syndrome in a patient with a nephrostomy tube

Mohammad I Hirzallah, Donna L DSouza

Health service use amongst users of complementary and alternative medicine

Megan J Pledger, Jacqueline Cumming, Mili Burnette

Chiropractic claims in the English-speaking world

Edzard Ernst, Andrew Gilbey

Proceedings of the Health Research Society of Canterbury Seminar Series, Friday 26 March 2010

Setting up new learning environments in regional and rural areas

Warwick Bagg, Anna J Dare, Barbara J OConnor, Phillippa Poole, James J Reid, Joy Rudland, Mike J Tweed, Tim J Wilkinson

Asthma Control Test scores obtained from an Asthma NZ educational activity

Shaun Holt

A case of misdiagnosed squamous cell carcinoma due to alternative medical misadventure—time for tightening regulation?

Raakhi Mistry, Brecon Wademan, Gary Avery, Swee T Tan

Non-classic congenital adrenal hyperplasia due to 21-hydoxylase deficiency as a cause of infertility and miscarriages

Henrik Falhammar

The profile of body donors at the Otago School of Medical Sciences—has it changed?

Kathryn McClea, Mark D Stringer

Proceedings of the 201st Scientific Meeting of the Otago Medical School Research Society, Thursday 25 March 2010

Clinical and epidemiological characteristics of the hospitalised patients due to pandemic H1N1 2009 viral infection: experience at Hutt Hospital, New Zealand

Stephen Dee, Sisira Jayathissa

SUMMARY

Immune thrombocytopaenia in adults: a single-centre retrospective review of patients presenting over 7 years

Emma Jane McDonald, Andrew Butler

Immune thrombocytopenia is a common cause of low platelets in the blood (platelets are involved in blood clotting). International guidelines have been published with recommendations for investigation and treatment of patients. These guidelines were generally closely adhered to in Christchurch . We wish to increase awareness both of the need to test for HIV infection in patients presenting with low platelets and not to undertake invasive tests looking for a cause in young patients with isolated low platelet counts.

SUMMARY

Health service use amongst users of complementary and alternative medicine

Megan J Pledger, Jacqueline Cumming, Mili Burnette

We studied data comes from the New Zealand Health Survey 2002/2003 which sampled 12,529 people, aged 15-65 years. We compared users and non-users of complementary and alternative medicine (CAM). CAM users are more likely to be middle-aged, rich, well-educated, of European descent, and female. They are more likely to have hard-to-treat conditions and to be less well but actively try to maintain their health. They utilise more health services and are more likely to seek information about their health and medicines.

SUMMARY

Chiropractic claims in the English-speaking world

Edzard Ernst, Andrew Gilbey

A survey of the websites of English-speaking chiropractors (200) and their associations (9) found widespread evidence of direct or indirect claims regarding the chiropractic treatment of asthma, headache/migraine, infant colic, colic, ear infection/earache/otitis media, neck pain, and whiplash. We are not aware of any good quality scientific evidence that chiropractic treatment is effective for any of these conditions. Chiropractic often claims to be scientific and based upon evidence, we therefore urge the chiropractic community to address this situation adequately and urgently by ensuring that claims are only made for the conditions for which there is sound evidence of effectiveness. Currently, we believe such evidence is limited to spinal manipulation for lower back pain.

SUMMARY

The profile of body donors at the Otago School of Medical Sciences—has it changed?

Kathryn McClea, Mark D Stringer

The Otago School of Medical Sciences continues to depend on altruistic whole body donation for anatomical teaching and research. An anonymous questionnaire was sent to 200 randomly selected donors who registered their bequest to donate their body to the Otago School of Medical Sciences between 2000 and 2009. From 140 replies, it was evident that most people made their bequest after the age of 50 years. Almost all respondents understood that their body would be used for teaching and research. Word of mouth and literature continue to be the dominant methods of learning about body donation. Nearly 40% of bequestees come from families where other members have donated their bodies.

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