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Issue

Vol 131 No 1473: 13 April 2018

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Issue Summary

SUMMARY

Volume, nature and potential impact of advertisements on Facebook and YouTube by food brands popular in New Zealand

Stefanie Vandevijvere, Charlotte Aitken, Boyd Swinburn

Posts on Facebook pages of 45 popular packaged food, beverage and fast food company brands over two months and YouTube channels of 15 popular brands over two years were analysed for nutritional quality and use of activities, promotional strategies (eg, cartoons) and premium offers (eg, competitions). Social media is an important medium for food marketers in New Zealand and promotional strategies and premium offers are frequently used.

SUMMARY

Metronidazole stewardship initiative at Christchurch hospitals achievable with immediate benefits

Sharon J Gardiner, Sarah CL Metcalf, Paul KL Chin, Matthew P Doogue, Simon C Dalton, Stephen T Chambers

Metronidazole is a commonly used antibiotic. In hospitals, it is traditionally dosed three times daily, and often intravenously (IV). In October 2015, a campaign was started in Christchurch public hospitals to change to less frequent dosing (twice daily), and to prioritise the oral route for dosing. The initiative was successful with a 43% decrease in metronidazole IV use and savings of around $100,000 annually. Benefits include avoidance of bloodstream infections associated with IV access, and increased nursing time to care .

SUMMARY

Diagnosis of abdominal tuberculosis in Christchurch New Zealand: a case series

James MM Bevin, Simon C Dalton, Chris J Wakeman, Will RG Perry

This is a series of the 20 most recent cases of abdominal tuberculosis in Christchurch. We investigated as to how these patients presented and what investigations were used to diagnose these patients with abdominal tuberculosis. We found that patients with abdominal tuberculosis have very non-specific symptoms and as such the method of investigation you use is crucial. The literature suggests laparoscopy followed by a positive microbiological result has the best diagnostic utility we found this was the most common and effective method to diagnose abdominal tuberculosis in Christchurch as well.

SUMMARY

Poisoning due to tutin in honey a report of an outbreak in New Zealand

Michael Beasley, Dell Hood, Philippa Anderson, John Reeve, Robin J Slaughter

In autumn 2008, an outbreak of toxic honey poisoning was identified in Thames, Waikato, New Zealand. This study aimed to investigate these cases of honey poisoning and determine which toxin was involved and describe the effects of the poisoning. After testing the honey, the causative toxin was identified as tutin, which comes from the New Zealand native plant tutu. Twenty-two people were potentially poisoned with 11 of these cases being confirmed as ingesting toxic honey. There were eight cases of seizures in poisoned patients. Food safety standards have since been enhanced to minimise the risk of toxic honey.

SUMMARY

Regulatory chills: tobacco industry legal threats and the politics of tobacco standardised packaging in New Zealand

Eric Crosbie, George Thomson

Political delays slow the diffusion of best practices. In this case the delays due to tobacco industry legal threats delayed standardised packaging, slowing smoking cessation and the reduction of initiation. They also delayed the reduction of government health expenditures and tobacco industry profits. Other countries introducing or implementing similar policies should learn from these experiences and take steps to proactively avoid unnecessary political delays that have a profound impact on public health.

SUMMARY

Pertussis vaccination uptake in pregnancy: lessons to be learned from an integrated healthcare approach

Emma J Deverall, Benjamin Gilmore, Sam Illing, Roshini Peiris-John

Pertussis (or Whooping cough) is a serious, but vaccine preventable disease. Infants are the most at risk of complication and death, and are best protected by giving a free vaccine to their mother during pregnancy. An audit in Lakes District Health Board found the immunisation rate was much higher in Taupo (76%) than in Rotorua (45%). This paper explores the differences in the two regions. Coordinated efforts between the Primary Care Organisation, Midwives and the District Health Board in Taupo helps to bring vaccination to women in their community and improve vaccination rates.

SUMMARY

The Otago Medical School Anatomy Museum Collection: Taonga for learning in the 21st Century

Louisa JM Baillie, Christopher L Smith

The WD Trotter Anatomy Museum has a large and diverse collection of teaching models and specimens. The Louis Auzoux paper m\u00e2ch ear model has been in high demand for hands-on teaching since the 1880s. It features clastic parts, large scale (10:1) and clear, intricate anatomical details. Reproduction of this valuable model was urgently required as it was becoming worn and damaged from handling, and needed to be retired . A replica model has been successfully produced in the Anatomy Workshop using digital scanning, 3D printing and skilled modelling and hand painting effects.

ALL ARTICLES
SUMMARY

Tobacco targets doomed to fail?

Mike Daube

Volume, nature and potential impact of advertisements on Facebook and YouTube by food brands popular in New Zealand

Stefanie Vandevijvere, Charlotte Aitken, Boyd Swinburn

Metronidazole stewardship initiative at Christchurch hospitals achievable with immediate benefits

Sharon J Gardiner, Sarah CL Metcalf, Paul KL Chin, Matthew P Doogue, Simon C Dalton, Stephen T Chambers

Aspirin or rivaroxaban for VTE prophylaxis after hip or knee arthroplasty?

Permanent pacemaker implantation after cardiac surgery: rates, predictors and a novel risk score

Tom Kai Ming Wang, Diego Arroyo, Andrew Martin, Alastair McGeorge, Michael Gillham

Innocent Intra-Orbital Growth

By Edgar Whitaker, M.R.C.S., Ophthalmic Surgeon, Palmerston North Hospital

Hypercalcemia in a bodybuilder with cosmetic silicone injections

Majdi Hamadeh, Jawad Fares, Khalil Maatouk, Mohamad Darwish

Purulent facial lesion

Pallav Patni, Vinod Bhandari, Mahak Bhandari, Swadhin Raghuwanshi

Diagnosis of abdominal tuberculosis in Christchurch New Zealand: a case series

James MM Bevin, Simon C Dalton, Chris J Wakeman, Will RG Perry

Poisoning due to tutin in honey a report of an outbreak in New Zealand

Michael Beasley, Dell Hood, Philippa Anderson, John Reeve, Robin J Slaughter

Regulatory chills: tobacco industry legal threats and the politics of tobacco standardised packaging in New Zealand

Eric Crosbie, George Thomson

Pertussis vaccination uptake in pregnancy: lessons to be learned from an integrated healthcare approach

Emma J Deverall, Benjamin Gilmore, Sam Illing, Roshini Peiris-John

Gnome medicine: what does genomic medicine mean to our patients and us?

Sara Filoche, Kevin Dew, Anthony Dowell

Marketing unhealthy commodities on social media

Antonia C Lyons, Timothy McCreanor

The Otago Medical School Anatomy Museum Collection: Taonga for learning in the 21st Century

Louisa JM Baillie, Christopher L Smith

If only Teina Pora had a MedicAlert bracelet

Anita Gibbs

SUMMARY

Volume, nature and potential impact of advertisements on Facebook and YouTube by food brands popular in New Zealand

Stefanie Vandevijvere, Charlotte Aitken, Boyd Swinburn

Posts on Facebook pages of 45 popular packaged food, beverage and fast food company brands over two months and YouTube channels of 15 popular brands over two years were analysed for nutritional quality and use of activities, promotional strategies (eg, cartoons) and premium offers (eg, competitions). Social media is an important medium for food marketers in New Zealand and promotional strategies and premium offers are frequently used.

SUMMARY

Metronidazole stewardship initiative at Christchurch hospitals achievable with immediate benefits

Sharon J Gardiner, Sarah CL Metcalf, Paul KL Chin, Matthew P Doogue, Simon C Dalton, Stephen T Chambers

Metronidazole is a commonly used antibiotic. In hospitals, it is traditionally dosed three times daily, and often intravenously (IV). In October 2015, a campaign was started in Christchurch public hospitals to change to less frequent dosing (twice daily), and to prioritise the oral route for dosing. The initiative was successful with a 43% decrease in metronidazole IV use and savings of around $100,000 annually. Benefits include avoidance of bloodstream infections associated with IV access, and increased nursing time to care .

SUMMARY

Diagnosis of abdominal tuberculosis in Christchurch New Zealand: a case series

James MM Bevin, Simon C Dalton, Chris J Wakeman, Will RG Perry

This is a series of the 20 most recent cases of abdominal tuberculosis in Christchurch. We investigated as to how these patients presented and what investigations were used to diagnose these patients with abdominal tuberculosis. We found that patients with abdominal tuberculosis have very non-specific symptoms and as such the method of investigation you use is crucial. The literature suggests laparoscopy followed by a positive microbiological result has the best diagnostic utility we found this was the most common and effective method to diagnose abdominal tuberculosis in Christchurch as well.

SUMMARY

Poisoning due to tutin in honey a report of an outbreak in New Zealand

Michael Beasley, Dell Hood, Philippa Anderson, John Reeve, Robin J Slaughter

In autumn 2008, an outbreak of toxic honey poisoning was identified in Thames, Waikato, New Zealand. This study aimed to investigate these cases of honey poisoning and determine which toxin was involved and describe the effects of the poisoning. After testing the honey, the causative toxin was identified as tutin, which comes from the New Zealand native plant tutu. Twenty-two people were potentially poisoned with 11 of these cases being confirmed as ingesting toxic honey. There were eight cases of seizures in poisoned patients. Food safety standards have since been enhanced to minimise the risk of toxic honey.

SUMMARY

Regulatory chills: tobacco industry legal threats and the politics of tobacco standardised packaging in New Zealand

Eric Crosbie, George Thomson

Political delays slow the diffusion of best practices. In this case the delays due to tobacco industry legal threats delayed standardised packaging, slowing smoking cessation and the reduction of initiation. They also delayed the reduction of government health expenditures and tobacco industry profits. Other countries introducing or implementing similar policies should learn from these experiences and take steps to proactively avoid unnecessary political delays that have a profound impact on public health.

SUMMARY

Pertussis vaccination uptake in pregnancy: lessons to be learned from an integrated healthcare approach

Emma J Deverall, Benjamin Gilmore, Sam Illing, Roshini Peiris-John

Pertussis (or Whooping cough) is a serious, but vaccine preventable disease. Infants are the most at risk of complication and death, and are best protected by giving a free vaccine to their mother during pregnancy. An audit in Lakes District Health Board found the immunisation rate was much higher in Taupo (76%) than in Rotorua (45%). This paper explores the differences in the two regions. Coordinated efforts between the Primary Care Organisation, Midwives and the District Health Board in Taupo helps to bring vaccination to women in their community and improve vaccination rates.

SUMMARY

The Otago Medical School Anatomy Museum Collection: Taonga for learning in the 21st Century

Louisa JM Baillie, Christopher L Smith

The WD Trotter Anatomy Museum has a large and diverse collection of teaching models and specimens. The Louis Auzoux paper m\u00e2ch ear model has been in high demand for hands-on teaching since the 1880s. It features clastic parts, large scale (10:1) and clear, intricate anatomical details. Reproduction of this valuable model was urgently required as it was becoming worn and damaged from handling, and needed to be retired . A replica model has been successfully produced in the Anatomy Workshop using digital scanning, 3D printing and skilled modelling and hand painting effects.

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