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Issue

Vol 124 No 1347: 16 December 2011

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Issue Summary

SUMMARY

Smoking outdoors at pubs and bars: is it a problem? An air quality study

Richard Edwards, Nick Wilson

We measured air quality (PM 2.5 fine particulate levels) in semi-enclosed outdoor smoking areas of seven pubs and bars in central Wellington, and investigated if there was evidence of drift of fine particulates from semi-enclosed outdoor smoking areas to indoor (smokefree) areas. Air quality in the outdoor smoking areas was variable, and in some pubs was very poor. Where free communication exists between outdoor smoking areas and indoor areas, there was evidence that particulates from second hand smoke drift can greatly reduce indoor air quality throughout the pub. Regulations to restrict the degree of communication and proximity of smoking areas to indoor areas may be justified to maintain indoor air quality and to protect health, particularly that of workers.

SUMMARY

Safety and efficiency of non-contact first specialist assessment in neurology

Pietro Cariga, William H C Huang, Annemarei Ranta

Non-contact first specialist assessments (NCFSA) is a method to provide specialistic advice for patients when they cannot be seen directly because of insufficient resources. The actual efficiency and safety, of such method has not been studied extensively. This article studies safety and efficiency indicators for a series of over 1000 neurology patients. The method has a potential to optimise resources in hospitals, but the possibility of some risks of inaccurate diagnosis must be kept in mind.

SUMMARY

Women with fibromyalgia syndrome in New Zealand: the symptom experience

Alice Theadom, Mark Cropley, Penelope Parker, Valery Feigin

Diagnosis and treatment of fibromyalgia syndrome currently focuses on the experience of widespread pain. However, the symptom experience described by patients with FMS is far more diverse. This study interviewed 56 patients diagnosed with fibromyalgia syndrome about their symptoms. This study revealed that the most frequent and disabling symptoms reported by participants were fatigue, sleep disturbance and cognitive difficulties. This highlights the need for a range of symptoms to be considered in the assessment and treatment of FMS.

SUMMARY

Deaths and hospital admissions as a result of home injuries among young and middle-aged New Zealand adults

Bridget Kool, Carol Chelimo, Elizabeth Robinson, Shanthi Ameratunga

This study describes the epidemiology of unintentional home injuries resulting in death or admission to hospital among young and middle-age (20-64 years) New Zealanders. We analysed data from Ministry of Health public hospital discharge (2000-2009) and mortality records (1998-2007). Poisonings and falls are the leading causes of unintentional home injury death in this age group. In addition, falls are a significant contributor to home injury resulting in admission to hospital. The large numbers of home injuries occurring each year in New Zealand, mean that even moderately successful injury prevention interventions could have large impacts at the population level.

SUMMARY

Two New Zealand outbreaks of norovirus gastroenteritis linked to commercially farmed oysters

Richard Wall, Nicky Dymond, Anita Bell, Craig Thornley, Hans Buik, David Cumming, Nicole Petersen

This article describes the investigation of two outbreaks of gastroenteritis, which occurred in Auckland and the Waikato during 2009. The investigations identified oysters, that had been served at two restaurants where the infected people had eaten, as the source of norovirus which caused the gastroenteritis. The oysters from both outbreaks were traced to the same growing area. The source of contamination of the oysters was a leaking sewage pipe near the growing waters, which was discovered by chance.

ALL ARTICLES
SUMMARY

Medical image. Cruveilhier-Baumgarten syndrome with caput medusae

Vivek Kumar, Vishal Sharma

The New Zealand Society of Gastroenterology Annual Scientific Meeting 23–25 November 2011, Dunedin

Smoking outdoors at pubs and bars: is it a problem? An air quality study

Richard Edwards, Nick Wilson

Stuart Hawksworth Brown

Public funding of bariatric surgery

Andre van Rij, Helen Williams

Diversion of emergency acute workload to primary care: an attractive private sector alternative to public hospital emergency departments?

Tim Parke

Examination Paediatrics: a guide to paediatric training (4th edition; Wayne Harris)

Andrew S Day, Carolyn Aird

Synthetic cannabinoid use in New Zealand: a brief evaluation of inquiries to the New Zealand National Poisons Centre

Leo J Schep, Robin J Slaughter, Wayne A Temple

Medical image. The shepherd's swollen arm

Jens C Richter, Brett Lyons

Response to PHARMAC on access to new medicines in New Zealand compared to Australia

Richard Milne, Michael Wonder

Health equity: what does it mean for child health?

Kate Duggan

The Hui Process: a framework to enhance the doctor–patient relationship with Māori

Cameron Lacey, Tania Huria, Lutz Beckert, Matea Gilles, Suzanne Pitama

Patrick Joseph Farry

Safety and efficiency of non-contact first specialist assessment in neurology

Pietro Cariga, William H C Huang, Annemarei Ranta

Heart Foundation: 2012 Senior Fellowship

Women with fibromyalgia syndrome in New Zealand: the symptom experience

Alice Theadom, Mark Cropley, Penelope Parker, Valery Feigin

Classification controversies in relation to fibromyalgia syndrome

Mike Butler

PSA testing—who should decide when it is performed?

David S Lamb, Brett Delahunt, John N Nacey

Medical image. Small bowel diverticulosis: a rare cause of iron deficiency anaemia

Diana E Yung, Jeff H P Lam, Anastasios Koulaouzidis, John N Plevris

Medical Benevolent Fund

Quakery and Proprietary Medicines: Part 2

Deaths and hospital admissions as a result of home injuries among young and middle-aged New Zealand adults

Bridget Kool, Carol Chelimo, Elizabeth Robinson, Shanthi Ameratunga

Invasive meningococcal disease in Northland, New Zealand

Clair Mills

Non-contact first specialist appointments are safe

P Alan Barber, Barry Snow

Two New Zealand outbreaks of norovirus gastroenteritis linked to commercially farmed oysters

Richard Wall, Nicky Dymond, Anita Bell, Craig Thornley, Hans Buik, David Cumming, Nicole Petersen

Howard Fyfe Harper

Medical image. Horse tick in a human ear

Jeremy Hornibrook, Simon Pollard

SUMMARY

Smoking outdoors at pubs and bars: is it a problem? An air quality study

Richard Edwards, Nick Wilson

We measured air quality (PM 2.5 fine particulate levels) in semi-enclosed outdoor smoking areas of seven pubs and bars in central Wellington, and investigated if there was evidence of drift of fine particulates from semi-enclosed outdoor smoking areas to indoor (smokefree) areas. Air quality in the outdoor smoking areas was variable, and in some pubs was very poor. Where free communication exists between outdoor smoking areas and indoor areas, there was evidence that particulates from second hand smoke drift can greatly reduce indoor air quality throughout the pub. Regulations to restrict the degree of communication and proximity of smoking areas to indoor areas may be justified to maintain indoor air quality and to protect health, particularly that of workers.

SUMMARY

Safety and efficiency of non-contact first specialist assessment in neurology

Pietro Cariga, William H C Huang, Annemarei Ranta

Non-contact first specialist assessments (NCFSA) is a method to provide specialistic advice for patients when they cannot be seen directly because of insufficient resources. The actual efficiency and safety, of such method has not been studied extensively. This article studies safety and efficiency indicators for a series of over 1000 neurology patients. The method has a potential to optimise resources in hospitals, but the possibility of some risks of inaccurate diagnosis must be kept in mind.

SUMMARY

Women with fibromyalgia syndrome in New Zealand: the symptom experience

Alice Theadom, Mark Cropley, Penelope Parker, Valery Feigin

Diagnosis and treatment of fibromyalgia syndrome currently focuses on the experience of widespread pain. However, the symptom experience described by patients with FMS is far more diverse. This study interviewed 56 patients diagnosed with fibromyalgia syndrome about their symptoms. This study revealed that the most frequent and disabling symptoms reported by participants were fatigue, sleep disturbance and cognitive difficulties. This highlights the need for a range of symptoms to be considered in the assessment and treatment of FMS.

SUMMARY

Deaths and hospital admissions as a result of home injuries among young and middle-aged New Zealand adults

Bridget Kool, Carol Chelimo, Elizabeth Robinson, Shanthi Ameratunga

This study describes the epidemiology of unintentional home injuries resulting in death or admission to hospital among young and middle-age (20-64 years) New Zealanders. We analysed data from Ministry of Health public hospital discharge (2000-2009) and mortality records (1998-2007). Poisonings and falls are the leading causes of unintentional home injury death in this age group. In addition, falls are a significant contributor to home injury resulting in admission to hospital. The large numbers of home injuries occurring each year in New Zealand, mean that even moderately successful injury prevention interventions could have large impacts at the population level.

SUMMARY

Two New Zealand outbreaks of norovirus gastroenteritis linked to commercially farmed oysters

Richard Wall, Nicky Dymond, Anita Bell, Craig Thornley, Hans Buik, David Cumming, Nicole Petersen

This article describes the investigation of two outbreaks of gastroenteritis, which occurred in Auckland and the Waikato during 2009. The investigations identified oysters, that had been served at two restaurants where the infected people had eaten, as the source of norovirus which caused the gastroenteritis. The oysters from both outbreaks were traced to the same growing area. The source of contamination of the oysters was a leaking sewage pipe near the growing waters, which was discovered by chance.

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