Nationwide COVID-19 Testing Facilities Profiled in Healthpoint, Including Primary Care, Community Testing Centres and Pop-Ups Ba
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Screening for Latent Tuberculous Infection in People Living with HIV Infection in Auckland, New Zealand
INT J TUBERC LUNG DIS 21(9):1008–1012 Q 2017 The Union http://dx.doi.org/10.5588/jtld.17.0103 Screening for latent tuberculous infection in people living with HIV infection in Auckland, New Zealand N. Gow, S. Briggs, M. Nisbet Department of Infectious Diseases, Auckland City Hospital, Auckland, New Zealand SUMMARY SETTING: New Zealand, which has a low incidence of RESULTS: Of the 752 patients from the initial cohort, tuberculosis (TB), has historically taken a risk-based 416 (55%) had documentation of LTBI screening, which approach to screening for latent tuberculous infection was positive in 74 (10%): 19/461 (4%) low-risk and 55/ (LTBI) in adult people living with the human immuno- 291 (19%) high-risk patients. LTBI treatment was deficiency virus infection (PLHIV). received in 13 low-risk and 44 high-risk patients. Of OBJECTIVE: To evaluate LTBI screening, treatment and 73 patients in the second cohort, 68 (93%) were outcomes in an adult PLHIV population. screened. DESIGN: This was a retrospective clinical record review CONCLUSION: LTBI screening was incomplete in our of an initial cohort of adult PLHIV attending the clinic, but improved between 2011 and 2014. A Auckland City Hospital HIV clinic in 2011, and a significant number of patients with LTBI did not second cohort of adult PLHIV newly attending the clinic originate from a high TB incidence country. in 2014. We analysed high-risk (born in or acquiring KEY WORDS: PLHIV; high-income countries; screen- HIV in a high TB incidence country) and low-risk ing; IGRA patients using descriptive statistical methods. -
New Zealand Out-Of-Hospital Acute Stroke Destination Policy Northland and Auckland Areas
New Zealand Out-of-Hospital Acute Stroke Destination Policy Northland and Auckland Areas This policy is for the use of clinical personnel when determining the destination hospital for patients with an acute stroke in the out-of-hospital setting in the Northland and Auckland areas of New Zealand. It has been developed by the Northern Region Stroke Network in conjunction with the National Stroke Network and the Ambulance Sector. Publication date October 2020 Acute Stroke Destination Flowchart: Auckland Area Does the patient have signs or symptoms Stroke is unlikely, treat of an acute stroke? NO appropriately without YES using this policy. Perform additional screening using the PASTA tool Will the patient arrive at: NO NO A stroke hospital within 4 hours Does the patient Transport to the of symptom onset, or meet ‘wake-up’ most appropriate Auckland City Hospital within stroke criteria?1 hospital. 6 hours of symptom onset? YES YES Transport to the catchment YES PASTA positive? NO area hospital and notify hospital personnel of the Patient will arrive in ED 0800–1600, Mon–Fri following information: PASTA results and Transport to the most appropriate stroke hospital and notify hospital personnel as below: FAST results and Time of symptom onset and North Shore Hospital. Auckland City Hospital. NHI number Waitakere Hospital. Middlemore Hospital. Out of hours If the patient is in the North Shore Hospital, Notify hospital personnel Waitakere Hospital or Middlemore Hospital ASAP and provide the catchment: following information as a – Phone the on-call neurologist at Auckland City minimum: Hospital on 0800 1 PASTA as per the PASTA tool. -
Medical Register
No. 5.4,· 1335 SUPPLEMENT TO THE NEW ZEALAND GAZETTE OF THURSDAY, 5 SEPTEMBER 1963 Published by Authority WELLINGTON: MONDAY, 9 SEPTEMBER 1963 NEW ZEALAND MEDICAL REGISTER 1963 .1336 THE NEW ZEALAND GAZETTE No. 54 MEDICAL COUNCIL E. G. SAYERS, Esq., C.M.G., M.D., CH.B.(N.Z.), F.R.C.P.(LOND.), HON.F.R.C.P.(EDIN.), F.R.A.C.P., HON.F.A.C.P., D.T.M. and H.(LOND.), F.R.S.(N.Z.), Chairman. H. B. TURBOTT, Esq., I.S.0., M.B., CH.B.(N.Z.), D.P.H.(N.Z.). Sir DOUGLAS ROBB, C.M.G., M.D., CH.M.(N.Z.), F.R.C.S.(ENG.), L.R.C.P.(LOND.), F.R.A.C.S., HON.F.A.C.S., F.R.S.(N.Z.), HON.LL.D., Q.U.BELF., Deputy Chairman. J. O. MERCER, Esq., C.B.E., M.B., CH.B.(N.Z.), F.R.C.P.(LOND.), F.R.A.C.P. J. A. D. IVERACH, Esq., M.C., M.B., CH.B.(N.Z.), F.R.C.P.(EDIN.), F.R.A.C.P. C. L. E. L. SHEPPARD, Esq., E.D., B.A., M.B., CH.B.(N.Z.), F.R.C.S.(EDIN.). A. J. MASON, Esq., M.B., CH.M.(N.Z.), F.R.C.S.(ENG.), F.R.A.C.S. SECRETARY K. A. G. HINDES, Esq., Care of District Health Office, Private Bag, Wellington C. 1., N.Z., Tel. 71049 9 SEPTEMBER THE NEW ZEALAND GAZETTE 1337 Medical Register THE following provisions of the Medical Practitioners Act 1950 are published for general information: Subsections (1) and (2) of section 29: Subsection (1)- "The Secretary to the Council shall, as at the thirtieth day of June in the year nineteen hundred and fifty-one and in each year thereafter, prepare a copy of the register of persons who are registered as medical practitioners or conditionally registered under this Act, and shall certify it to be a true copy, and shall cause it to be published in the Gazette as soon as practicable after the thirtieth day of June in the year to which the copy relates." Subsection (2)- "The copy of the register shall indicate with reference to every person whose name appears therein whether the person is the holder of an annual practising certificate for the then current year, and whether he is registered as a medical practitioner or conditionally registered. -
Community to Hospital Shuttle Service
Is other transport assistance Total Mobility Scheme available? The Total Mobility Scheme is a subsidised taxi Best Care for Everyone Yes, there are several options available to those service. The scheme is available to people who qualify. who are unable to use public transport due to the nature of their disability. It works using vouchers that give a 50% discount on normal National Travel Assistance (NTA) Policy taxi fares. The scheme is part-funded by the NTA helps with travel costs for people who New Zealand Transport Agency and managed need to travel often or for long distances to get by the local authorities. to specialist health or disability services. The MAXX Contact Centre can provide the To receive this service, you need to be referred contact details for disability agencies that by your specialist (not your family doctor) to process applications. Call 09 366 6400 see another specialist or to receive specialist services. Both the specialists must be part of a St John Health Shuttle - Waitakere service funded by the government. The St John Health Shuttle provides safe, For example, this could be a renal dialysis reliable transport for Waitakere City residents centre, a specialist cancer service or a child to and from appointments with family doctors, development service. The rules are different treatment at Waitakere Hospital outpatient for children and adults, and for those holding clinics, visits to specialists, and transport to a Community Services Card. Sometimes, a and from minor day surgery. The vehicle is support person can receive assistance too. wheelchair accessible. The service operates Monday to Friday for appointments between How do I contact NTA? 9.30am and 2pm. -
Initial Experience with Dabigatran Etexilate at Auckland City Hospital
THE NEW ZEALAND MEDICAL JOURNAL Journal of the New Zealand Medical Association CONTENTS This Issue in the Journal 4 A summary of the original articles featured in this issue Editorial 7 A call for collaboration on inflammatory bowel disease in New Zealand Russell Walmsley Original Articles 11 The cost of paediatric and perianal Crohn’s disease in Canterbury, New Zealand Michaela Lion, Richard B Gearry, Andrew S Day, Tim Eglinton 21 Screening for Mycobacterium tuberculosis infection among healthcare workers in New Zealand: prospective comparison between the tuberculin skin test and the QuantiFERON-TB Gold In-Tube® assay Joshua T Freeman, Roger J Marshall, Sandie Newton, Paul Austin, Susan Taylor, Tony C Chew, Siobhan Gavaghan, Sally A Roberts 30 Audit of stroke thrombolysis in Wellington, New Zealand: disparity between in-hours and out-of-hours treatment time Katie Thorne, Lai-Kin Wong, Gerard McGonigal 37 Training medical students in Pacific health through an immersion programme in New Zealand Faafetai Sopoaga, Jennie L Connor, John D Dockerty, John Adams, Lynley Anderson 46 Insomnia treatment in New Zealand Karyn M O’Keeffe, Philippa H Gander, W Guy Scott, Helen M Scott 60 Evaluation of New Zealand’s bicycle helmet law Colin F Clarke 70 Sun protection policies and practices in New Zealand primary schools Anthony I Reeder, Janet A Jopson, Andrew Gray Viewpoint 83 Should measurement of vitamin D and treatment of vitamin D insufficiency be routine in New Zealand? Mark J Bolland, Andrew Grey, James S Davidson, Tim Cundy, Ian R Reid NZMJ 10 February 2012, Vol 125 No 1349; ISSN 1175 8716 Page 1 of 126 http://journal.nzma.org.nz/journal/125-1349/5068/ ©NZMA Clinical Correspondence 92 A case of yellow fever vaccine-associated disease Heather Isenman, Andrew Burns 96 An unusual cause of carotid sinus hypersensitivity/syndrome Donny Wong, Joey Yeoh 99 Medical image. -
Proceedings of the Waikato Clinical Campus Biannual Research Seminar Wednesday 11 March 2020
PROCEEDINGS Proceedings of the Waikato Clinical Campus Biannual Research Seminar Wednesday 11 March 2020 Ablation of ventricular patients (inability to locate PVC Pain relief options in arrhythmias at origin in a patient with multiple labour: remifentanil different morphologies, inad- Waikato Hospital vertent aortic puncture with no PCA vs epidural Janice Swampillai,1 E Kooijman,1 M sequelae, PVC focus adjacent to Dr Jignal Bhagvandas,1 Symonds,1 A Wilson,1 His bundle, cardiogenic shock Mr Richard Foon2 1 1 1 RF Allen, K Timmins, A Al-Sinan, during anaesthesia). Endo- 1Whangarei Hospital, Whangarei; D Boddington,2 SC Heald,1 MK Stiles1 cardial ablation was done in 96 2Waikato Hospital, Hamilton. 1Waikato Hospital, Hamilton; patients and three patients also Objective 2Tauranga Hospital, Tauranga. underwent epicardial ablation Remifentanil is commonly Background (one patient underwent two used in obstetrics due to its Catheter ablation can be an epicardial procedures including fast metabolism time. It is effective treatment strategy one open chest procedure). an attractive option for IV for patients with ventricular General anaesthesia was used patient-controlled analgesia tachycardia (VT) or frequent in 46% of cases, conscious (PCA) in labour. We compared premature ventricular sedation was used in 54%. the effi cacy of IV Remifen- complexes (PVCs). The goal is to Sixty-two percent were elective tanil PCA with epidural during improve quality of life as well as procedures and 38% were labour. mortality. done acutely. The overall acute Method success rate was 91%, falling to Objectives Using a retrospective We aimed to characterise 75% at three months, 73% at six approach, we identifi ed a our population of patients who months and 68% at 12 months. -
NZMJ 1513.Indd
Journal of the New Zealand Medical Association Vol 133 | No 1513 | 24 April 2020 COVID-19—the frontline (a GP perspective) The case for New Zealand to have its own COVID-19 vaccine programme Towards elimination of tuberculosis in New Zealand Changes to management The post-lockdown Variation in volumes and of a non-pandemic illness period should be characteristics of trauma during the COVID-19 used to acquire patients admitted to a level pandemic: case study of effective therapies for one trauma centre during invasive management of future resurgence in national level 4 lockdown for acute coronary syndrome SARS-Cov-2 infections COVID-19 in New Zealand Publication Information published by the New Zealand Medical Association NZMJ Editor NZMA Chair Professor Frank Frizelle Dr Kate Baddock NZMJ Production Editor NZMA Communications Manager Rory Stewart Diana Wolken Other enquiries to: NZMA To contribute to the NZMJ, fi rst read: PO Box 156 www.nzma.org.nz/journal/contribute The Terrace Wellington 6140 © NZMA 2020 Phone: (04) 472 4741 To subscribe to the NZMJ, email [email protected] Subscription to the New Zealand Medical Journal is free and automatic to NZMA members. Private subscription is available to institutions, to people who are not medical practitioners, and to medical practitioners who live outside New Zealand. Subscription rates are below. All access to the NZMJ is by login and password, but IP access is available to some subscribers. Read our Conditions of access for subscribers for further information www.nzma.org.nz/journal/subscribe/conditions-of-access If you are a member or a subscriber and have not yet received your login and password, or wish to receive email alerts, please email: [email protected] The NZMA also publishes the NZMJ Digest. -
Bloodstream Infection with Extended-Spectrum Beta-Lactamase-Producing Enterobacteriaceae at a Tertiary Care Hospital in New Zeal
International Journal of Infectious Diseases 16 (2012) e371–e374 Contents lists available at SciVerse ScienceDirect International Journal of Infectious Diseases jou rnal homepage: www.elsevier.com/locate/ijid Bloodstream infection with extended-spectrum beta-lactamase-producing Enterobacteriaceae at a tertiary care hospital in New Zealand: risk factors and outcomes a, b c d Joshua T. Freeman *, Stephen J. McBride , Mitzi S. Nisbet , Greg D. Gamble , a e b Deborah A. Williamson , Susan L. Taylor , David J. Holland a Department of Clinical Microbiology, LabPlus, PO Box 110031, Auckland City Hospital, Auckland 1148, New Zealand b Department of Medicine, Middlemore Hospital, Auckland, New Zealand c Department of Infectious Diseases, Auckland City Hospital, Auckland, New Zealand d Department of Biostatistics, University of Auckland, Auckland, New Zealand e Department of Clinical Microbiology, Middlemore Hospital, Auckland, New Zealand A R T I C L E I N F O S U M M A R Y Article history: Objectives: To define local risk factors and outcomes for bacteremia with extended-spectrum beta- Received 26 July 2011 lactamase-producing Enterobacteriaceae (ESBL-E) at a tertiary hospital in New Zealand. Received in revised form 30 November 2011 Methods: Patients with ESBL-E bacteremia were compared to matched control patients with non-ESBL- Accepted 11 January 2012 producing Enterobacteriaceae bacteremia. Patients were matched by onset of bacteremia (community vs. Corresponding Editor: Karamchand Ramo- hospital), site of blood culture collection (peripheral vs. via central line), and infecting organism species. tar, Ottawa, Canada Results: Forty-four cases with matched controls were included. Eight- and 30-day mortality was higher in cases than controls (27% vs. -
ADHB Neurology House Officer Run Description
RUN DESCRIPTION POSITION: HOUSE OFFICER DEPARTMENT: Neurology PLACE OF WORK: Auckland City Hospital RESPONSIBLE TO: Business Manager Neuroservices through the Clinical Director Neurology and Clinical Neurophysiology Service FUNCTIONAL Healthcare consumer, Hospital and community based healthcare workers RELATIONSHIPS: PRIMARY OBJECTIVE: To facilitate the management of patients under the care of the Neurology Service. RUN RECOGNITION: Recognised as Category B for the purposes of registration by the Medical Council of New Zealand RUN PERIOD: 3 months Section 1: House Officer’s Responsibilities Area Responsibilities General Facilitate the management of inpatients commensurate with and appropriate to the house officer’s skill level; Manage the assessment and admission of acute and elective patients under the care of his/her team. Undertake clinical responsibilities as directed by the Registrar or Consultant, also organise relevant investigations, ensure the results are followed up, sighted and electronically signed; Be responsible, under the supervision of the Registrar and/or Consultant, to review inpatients on a daily basis (with the exception of unrostered weekends); Plan and deliver active anticancer treatment (as directed) Maintain a high standard of communication with patients, patients’ families and staff; Inform registrars/consultants of the status of patients especially if there is an unexpected event; Liaise with other staff members, departments, and General Practitioners in the management of in-patients; Communicate with patients and (as appropriate) their families about patients’ illness and treatment Prepare required paperwork on Friday prior to known or likely weekend discharges. Attend handover, Team and departmental meetings as required. ADHB Neurology House Officer Run Description- Effective 25 November 2013 Disclaimer: Please note that this run description is current at time of publication, however this information can be subject to change. -
NZJR 8 Year Report
NEW ZEALAND ORTHOPAEDIC ASSOCIATION NATIONAL JOINT REGISTRY EIGHT YEAR REPORT JANUARY 1999 TO DECEMBER 2006 REGISTRY BOARD Alastair G Rothwell Chairman and Registry Supervisor James Taylor Deputy Chairman Mark Wright Orthopaedic Surgeon Kate Thomson Arthritis New Zealand Peter Gaarkeuken Orthopaedic Industry Liaison Association Kim Miles CEO New Zealand Orthopaedic Association Toni Hobbs Registry Coordinator Statistician Dr Chris Frampton This report was prepared by staff of the New Zealand National Joint Registry. C/- Department of Orthopaedic Surgery and Musculoskeletal Medicine Christchurch Hospital Private Bag 4710 Christchurch New Zealand Fax: 64 3 3640909 Email: [email protected] Tel: 0800-274-989 Website: www.cdhb.govt.nz/njr/ New Zealand National Joint Registry Eight Year Report 1 CONTENTS Page Editorial Comment 3 Acknowledgments 4 Participating Hospitals and Coordinators 5 Profile of Average New Zealand Orthopaedic Surgeon 8 Development and Implementation of the New Zealand Registry 9 Development Since the Introduction of the Registry 11 Category Totals 12 Hip Arthroplasty 13 Knee Arthroplasty 28 Unicompart mental Knee Arthroplasty 38 Ankle Arthroplasty 46 Shoulder Arthroplasty 51 Elbow Arthroplasty 57 Appendices - Prosthesis Inventory 62 - Oxford 12 Classification Reference 64 - Data forms 65 - Oxford 12 forms 75 New Zealand National Joint Registry Eight Year Report 2 EDITORIAL COMMENT It is our pleasure to present the eight year report of the New Zealand Orthopaedic Associations National Joint Registry. The format of previous years has been followed but there is greater statistical analyses of the performance of prostheses especially for the hip and knee. As well as Kaplan Meier curves we have introduced revision rates per 100 component years which statisticians consider is the more accurate way of deriving our revision rates when analysing data with widely ranging follow-up times. -
Dale Ding, M.D
Dale Ding, M.D. Assistant Professor of Neurosurgery Department of Neurological Surgery University of Louisville School of Medicine 220 Abraham Flexner Way, 15th Floor Louisville, KY 40202 Academic Appointments 2018-present Assistant Professor of Neurosurgery Department of Neurological Surgery University of Louisville School of Medicine Louisville, Kentucky 2018-present Director of the Cerebrovascular and Endovascular Laboratory in Louisville (CELL) Department of Neurological Surgery University of Louisville School of Medicine Louisville, Kentucky 2018-present Local Site Director for Baptist Health Hospital Neurological Surgery Residency Program University of Louisville School of Medicine Louisville, Kentucky Licensure and Certification 2017-present Kentucky Board of Medical Licensure (License: 50866, Expiration: 2/29/2020) 03/2013 ABNS Primary Examination 08/2010 USMLE Step 3 12/2009 USMLE Step 2 CS 12/2009 USMLE Step 2 CK 01/2009 USMLE Step 1 Training 2017-2018 Fellowship in Endovascular Surgical Neuroradiology (ACGME and CAST accredited) Department of Neurological Surgery Barrow Neurological Institute Phoenix, Arizona 2015-2016 Fellowship in Cerebrovascular and Skull Base Surgery Department of Neurosurgery Auckland City Hospital Auckland, New Zealand 2014-2015 Research Fellowship in Cerebrovascular Disease Departments of Neurosurgery, Radiology and Medical Imaging, and Neurology University of Virginia Charlottesville, Virginia 2013-2014 Research Fellowship in Vascular Biology Robert M. Berne Cardiovascular Research Center University of Virginia Charlottesville, Virginia 2010-2017 Residency in Neurological Surgery Department of Neurosurgery University of Virginia Charlottesville, Virginia Education 2006-2010 M.D. Duke University School of Medicine 2008-2009 Clinical Research Training Program (CRTP) Duke University School of Medicine 2004-2006 B.S. in Biomedical Engineering, magna cum laude Washington University in St. -
New Zealand Out-Of-Hospital Major Trauma Destination Policy Northland and Auckland Areas
New Zealand Out-of-Hospital Major Trauma Destination Policy Northland and Auckland Areas This document is for the use of clinical personnel when determining the destination hospital for patients with major trauma in the out-of-hospital setting in the Northland and Auckland Areas of New Zealand. It has been developed by the Northern Regional Major Trauma Network in conjunction with the National Major Trauma Clinical Network and the Ambulance Sector. Publication date February 2017 Major Trauma Destination Flowchart: Adults Auckland Area YES Is a life threatening problem present requiring Auckland City Hospital immediate medical intervention? Middlemore Hospital NO Are any of the following present? • Intubated and ventilated for severe TBI YES • Lateralising neurological signs Auckland City Hospital • Clinically obvious penetrating brain injury YES Auckland City Hospital • Complex multi-system trauma Middlemore Hospital NO Are any of the following present? • Manageable airway obstruction YES • Respiratory distress Auckland City Hospital • Shock Middlemore Hospital • Motor score less than or equal to five • Penetrating trauma to the neck or torso • Crush injury to the neck or torso YES • Flail chest • Penetrating trauma to a leg with arterial injury • More than one long bone fracture • Clinically obvious pelvic fracture • Penetrating trauma to an arm with arterial injury • Crushed, amputated, mangled or pulseless limb YES • Paraplegia or quadriplegia* Middlemore Hospital • Burns involving the airway • Burns >20% of body surface area NO YES Consider: Are additional risk factors present? Auckland City Hospital Middlemore Hospital NO Most appropriate medical facility Note: * Refer to the Spinal Cord Injury Destination Policy. Page 2 of 8 Major Trauma Destination Policy | Northland and Auckland Areas | 2017 Major Trauma Destination Flowchart: Adults Northland Area YES Is a life threatening problem present requiring Closest appropriate immediate medical intervention? medical facility.