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Issue

Vol 130 No 1458: 7 July 2017

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Issue Summary

SUMMARY

Survey of antimicrobial stewardship practices in public hospitals in New Zealand district health boards

Sharon J Gardiner, Jane A Pryer, Eamon J Duffy

Antimicrobial resistance is a growing problem in New Zealand and means that antimicrobials are becoming less effective. Antimicrobial stewardship (co-ordinated strategies to help optimise the use of antimicrobials) can slow the progression of resistance. This survey shows that antimicrobial stewardship is in its infancy in New Zealands public hospitals, with only around half of our DHBs employing dedicated pharmacists and doctors to help optimise antimicrobial prescribing. Practices to improve antimicrobial prescribing (eg, audit, teaching, guideline development) are highly variable from DHB to DHB. National co-ordination is needed to help DHBs develop effective programmes to help preserve antimicrobials for future use.

SUMMARY

Orbital fractures treated in Auckland from 2010 2015: review of patient outcomes

Lanit Anand, Christopher Sealey

The purpose of this study was to review patient outcomes following repair of orbital fractures. Titanium was the most common material used, and was well tolerated. Complication rates (persistent double vision, numbness of cheek, sunken appearance of eye) compared favourably with results internationally.

SUMMARY

Unravelling the whāriki of Crown Māori health infrastructure

Heather Came, Keith Tudor

The Ministry of Health consistently acknowledges their special relationship with M1ori, and the strategic importance of strengthening M1ori health is critical to addressing health inequities. This paper, framed in terms of the Crown Treaty of Waitangi principles, ie, participation, protection and partnership, examines three decisions that threaten to unravel Crown M1ori health policy infrastructure. These include the disestablishment of the Ministry of Healths policy team, Te Kete Hauora, revoking mandatory district health boards (DHB) M1ori health plans and reporting, and downscaling the requirements of DHBs to consult. These actions appear to breach te Tiriti o Waitangi and may be cited as such in the forthcoming WAI 2575 health hearing before the Waitangi Tribunal. The authors call for the Ministry of Health to embrace its Treaty obligations.

SUMMARY

The role of acromioplasty when repairing rotator cuff tears no difference in pain or functional outcome at 24 months in a cohort of 2,441 patients

Elizabeth C Bond, Anthony Maher, Lynette Hunt, Warren Leigh, Matthew Brick, Simon W Young, Michael Caughey

This paper looks at whether or not acromioplasty (a decompression procedure) makes a difference in pain and functional outcome after repair of the rotator cuff tendons in the shoulder a commonly performed procedure. We found no difference at 24 months regardless of whether or not acromioplasty was undertaken.

ALL ARTICLES
SUMMARY

Adherence to uptake of magnesium sulphate for neuroprotection in preterm births <30 weeks at Christchurch Hospital

Jane Pang

Vitamin D supplements and respiratory tract infections

Visual symptoms and rapid cognitive decline: Heidenhain variant of Creutzfeldt-Jacob Disease

Karim M Mahawish, Christopher Kabban, Holly Wilson

Surveys show exposure to smoking in cars among Year 10 children is not decreasing: time for the Government to act

Richard Edwards, Dalice Sim, Jude Ball, Janet Hoek, R Beaglehole, Andrew Waa

Survey of antimicrobial stewardship practices in public hospitals in New Zealand district health boards

Sharon J Gardiner, Jane A Pryer, Eamon J Duffy

Shortage of Doctors

Statement by Health Minister

Doctor compromised safety and care of patient

Stewart James Hastie

Alastair Haslam

Orbital fractures treated in Auckland from 2010 2015: review of patient outcomes

Lanit Anand, Christopher Sealey

A cautionary perspective on the utility of the RoPE score in cryptogenic stroke patients with a patent foramen ovale

Ken Jin Boon, Paul Bridgman

Better organ donation education

Rhonda M Shaw

Ian Alisdair Robertson

Richard H Claridge

Unravelling the whāriki of Crown Māori health infrastructure

Heather Came, Keith Tudor

Dishonest use of a document with intent of obtaining pecuniary gain

If you pluck out the heart of the flax bush, from whence will the bellbird sing?

Marewa Glover, Christina Severinsen, Suzanne Phibbs

The role of acromioplasty when repairing rotator cuff tears no difference in pain or functional outcome at 24 months in a cohort of 2,441 patients

Elizabeth C Bond, Anthony Maher, Lynette Hunt, Warren Leigh, Matthew Brick, Simon W Young, Michael Caughey

Is your mental health covered by your health insurance?

Samantha Ernst, Gabrielle Jenkin

Ear candling action overdue

Lance Gravatt

Doctor failed to maintain controlled drugs register

SUMMARY

Survey of antimicrobial stewardship practices in public hospitals in New Zealand district health boards

Sharon J Gardiner, Jane A Pryer, Eamon J Duffy

Antimicrobial resistance is a growing problem in New Zealand and means that antimicrobials are becoming less effective. Antimicrobial stewardship (co-ordinated strategies to help optimise the use of antimicrobials) can slow the progression of resistance. This survey shows that antimicrobial stewardship is in its infancy in New Zealands public hospitals, with only around half of our DHBs employing dedicated pharmacists and doctors to help optimise antimicrobial prescribing. Practices to improve antimicrobial prescribing (eg, audit, teaching, guideline development) are highly variable from DHB to DHB. National co-ordination is needed to help DHBs develop effective programmes to help preserve antimicrobials for future use.

SUMMARY

Orbital fractures treated in Auckland from 2010 2015: review of patient outcomes

Lanit Anand, Christopher Sealey

The purpose of this study was to review patient outcomes following repair of orbital fractures. Titanium was the most common material used, and was well tolerated. Complication rates (persistent double vision, numbness of cheek, sunken appearance of eye) compared favourably with results internationally.

SUMMARY

Unravelling the whāriki of Crown Māori health infrastructure

Heather Came, Keith Tudor

The Ministry of Health consistently acknowledges their special relationship with M1ori, and the strategic importance of strengthening M1ori health is critical to addressing health inequities. This paper, framed in terms of the Crown Treaty of Waitangi principles, ie, participation, protection and partnership, examines three decisions that threaten to unravel Crown M1ori health policy infrastructure. These include the disestablishment of the Ministry of Healths policy team, Te Kete Hauora, revoking mandatory district health boards (DHB) M1ori health plans and reporting, and downscaling the requirements of DHBs to consult. These actions appear to breach te Tiriti o Waitangi and may be cited as such in the forthcoming WAI 2575 health hearing before the Waitangi Tribunal. The authors call for the Ministry of Health to embrace its Treaty obligations.

SUMMARY

The role of acromioplasty when repairing rotator cuff tears no difference in pain or functional outcome at 24 months in a cohort of 2,441 patients

Elizabeth C Bond, Anthony Maher, Lynette Hunt, Warren Leigh, Matthew Brick, Simon W Young, Michael Caughey

This paper looks at whether or not acromioplasty (a decompression procedure) makes a difference in pain and functional outcome after repair of the rotator cuff tendons in the shoulder a commonly performed procedure. We found no difference at 24 months regardless of whether or not acromioplasty was undertaken.

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