As July the first rolls around, in the time of renewal following Matariki, and the proposed revamp of the public health system is operationalised, Howard et al, in the current issue of the Journal, provide a timely reminder of the importance and responsibilities of clinical leadership in the health system.
Until recently, thunderstorm asthma (TA) was thought to be a relatively rare phenomenon, but recent events have resulted in it being labelled as a growing threat to public health.
Thiopurines, such as azathioprine, 6-mercaptopurine, 6-tioguanine, are used commonly as steroid sparing agents and immuno-supressants for many auto-inflammatory conditions such as inflammatory bowel disease [IBD], anti-neutrophil cytoplasmic antibody [ANCA] associated vasculitides, rheumatic conditions, and solid organ transplantation.
An asymptomatic 70-year-old male bus driver with phototype-2 skin was offered a total body skin examination following treatment of two keratinocyte carcinomas of the face. He had a history of a targeted skin examination of a leg elsewhere, two years previously, and had no significant co-morbidities.
The incidence of maxillofacial fractures and their associated costs have steadily increased over the last 11 years, to the point where the latter now exceed NZ$90 million annually.