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Issue

Vol 126 No 1379: 02 August 2013

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Issue Summary

SUMMARY

Māori have worse outcomes after coronary artery bypass grafting than Europeans in New Zealand

Tom Kai Ming Wang, Tharumenthiran Ramanathan, Ralph Stewart, Sue Crengle, Greg Gamble, Harvey White

Patients undergoing coronary bypass surgery at Auckland City Hospital were followed for 1\u00bd years after surgery. Mori were 8 years younger than Europeans but had more complications and higher mortality; mortality at 1 year 6.3% Mori vs 1.5% European. The reasons for this include Mori presenting later with more advanced heart disease. Steps need to be taken to ensure Mori present earlier for bypass surgery and that risk factors such as smoking rates and diabetes are reduced.

SUMMARY

Cross-sectional study on prevalence, causes and avoidable causes of visual impairment in Māori children

CheeFoong Chong, Shuan Dai

Approximately 22% of blind children in New Zealand are Mori ; this translates to about 1 in every 1000 Mori children have at least some degree of visual impairment. The major cause of visual impairment in this group of children is cerebral visual impairment (a condition where the eye is normal but connection from eye to brain or brain processing centres are impaired). Approximately 30% of these blindness could be avoidable. The largest avoidable cause of Mori children blindness is non-accidental injury (i.e. child physical abuse).

SUMMARY

Are there differences between Māori and non-Māori patients undergoing primary total hip and knee arthroplasty surgery in New Zealand? A registry-based cohort study

Neal Singleton, Emily Buddicom, Andrew Vane, Vaughan Poutawera

Mori have the poorest health status of any ethnic group in New Zealand. The aim of this study was to determine whether there are any differences between Mori and non-Mori patients in the severity of their arthritis before and following primary total hip and knee arthroplasty surgery. We also compared general and mental health scores and to determine whether the intervention rate for Mori arthroplasty patients is appropriate. Mori patients are younger, have worse general and mental health and worse preoperative function compared with non-Mori patients. These differences are significant and ongoing education and effort is required in order to achieve earlier intervention rates and improve postoperative outcomes for Mori patients.

SUMMARY

Improving health, safety and energy efficiency in New Zealand through measuring and applying basic housing standards

Julie Gillespie-Bennett, Michael Keall, Philippa Howden-Chapman, Michael G Baker

Substandard housing is a major problem in New Zealand, with little recognition of the important aspects of housing quality that affect peoples health and safety. The Healthy Housing Index is a practical risk assessment tool based on strong international evidence and adapted to New Zealand conditions that measures the physical characteristics of houses that affect the health and safety of the occupants.

ALL ARTICLES
SUMMARY

Māori have worse outcomes after coronary artery bypass grafting than Europeans in New Zealand

Tom Kai Ming Wang, Tharumenthiran Ramanathan, Ralph Stewart, Sue Crengle, Greg Gamble, Harvey White

Cross-sectional study on prevalence, causes and avoidable causes of visual impairment in Māori children

CheeFoong Chong, Shuan Dai

Shellfish-acquired Vibrio cholerae cellulitis and sepsis from a vulnerable leg

Samuel J Whittaker

Medical image. Raccoon eyes in amyloidosis

Michael Prystajecky, Habib U Rehman

Coke’s anti-obesity campaign: a FIZZ or not?

Gerhard Sundborn, Simon Thornley, Rod Jackson

Additional evidence for concern about the quality of public toilets in New Zealand

Nick Wilson, George Thomson

Māori health. What next?

Julia Carr

Treatment of the Insane (part 2)

Medical image. Mediastinal enlargement

Eiki Tayama, Hidetsugu Hori, Takanori Kono, Ken-ichi Imasaka, Yuma Motomatsu, Yukihiro Tomita

Incorrect Methuselah abstracts in the 12 July 2013 edition

SUDI prevention: a review of Māori safe sleep innovations for infants

Sally Abel, David Tipene-Leach

Revoke PM10 regulations

Peter W Moller

Drug-induced subacute cutaneous lupus erythematosus due to treatment with interferon beta-1a

Sarah Buchanan, Ian Rosemergy, Paul Healy

Medical Benevolent Fund

Are there differences between Māori and non-Māori patients undergoing primary total hip and knee arthroplasty surgery in New Zealand? A registry-based cohort study

Neal Singleton, Emily Buddicom, Andrew Vane, Vaughan Poutawera

Improving health, safety and energy efficiency in New Zealand through measuring and applying basic housing standards

Julie Gillespie-Bennett, Michael Keall, Philippa Howden-Chapman, Michael G Baker

Deserving of more: framing of Māori inequities in cardiovascular care remains a challenge

Elana Curtis

SUMMARY

Māori have worse outcomes after coronary artery bypass grafting than Europeans in New Zealand

Tom Kai Ming Wang, Tharumenthiran Ramanathan, Ralph Stewart, Sue Crengle, Greg Gamble, Harvey White

Patients undergoing coronary bypass surgery at Auckland City Hospital were followed for 1\u00bd years after surgery. Mori were 8 years younger than Europeans but had more complications and higher mortality; mortality at 1 year 6.3% Mori vs 1.5% European. The reasons for this include Mori presenting later with more advanced heart disease. Steps need to be taken to ensure Mori present earlier for bypass surgery and that risk factors such as smoking rates and diabetes are reduced.

SUMMARY

Cross-sectional study on prevalence, causes and avoidable causes of visual impairment in Māori children

CheeFoong Chong, Shuan Dai

Approximately 22% of blind children in New Zealand are Mori ; this translates to about 1 in every 1000 Mori children have at least some degree of visual impairment. The major cause of visual impairment in this group of children is cerebral visual impairment (a condition where the eye is normal but connection from eye to brain or brain processing centres are impaired). Approximately 30% of these blindness could be avoidable. The largest avoidable cause of Mori children blindness is non-accidental injury (i.e. child physical abuse).

SUMMARY

Are there differences between Māori and non-Māori patients undergoing primary total hip and knee arthroplasty surgery in New Zealand? A registry-based cohort study

Neal Singleton, Emily Buddicom, Andrew Vane, Vaughan Poutawera

Mori have the poorest health status of any ethnic group in New Zealand. The aim of this study was to determine whether there are any differences between Mori and non-Mori patients in the severity of their arthritis before and following primary total hip and knee arthroplasty surgery. We also compared general and mental health scores and to determine whether the intervention rate for Mori arthroplasty patients is appropriate. Mori patients are younger, have worse general and mental health and worse preoperative function compared with non-Mori patients. These differences are significant and ongoing education and effort is required in order to achieve earlier intervention rates and improve postoperative outcomes for Mori patients.

SUMMARY

Improving health, safety and energy efficiency in New Zealand through measuring and applying basic housing standards

Julie Gillespie-Bennett, Michael Keall, Philippa Howden-Chapman, Michael G Baker

Substandard housing is a major problem in New Zealand, with little recognition of the important aspects of housing quality that affect peoples health and safety. The Healthy Housing Index is a practical risk assessment tool based on strong international evidence and adapted to New Zealand conditions that measures the physical characteristics of houses that affect the health and safety of the occupants.

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