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NZMJ 1522.Indd Journal of the New Zealand Medical Association Vol 133 | No 1522 | 25 September 2020 Equity is the new black—and black lives matter New Zealand doctors and euthanasia— legal and practical considerations of the End of Life Choice Act Knowledge and perspectives about the use of cannabis as a medicine: a mixed methods observational study in a cohort of New Zealand general practice patients Management of personal Computers, confounding, The association between protective equipment clusters, consent, cost, New Zealand adolescents’ in New Zealand during COVID and consultation: normative perceptions the COVID-19 pandemic: how the Health and of pornography use report from the Disability Code impedes and their frequency of Auditor-General the learning health system pornography use 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. This online magazine is sent out to members and subscribers six times a year and contains selected material from the NZMJ, along with all obituaries, summaries of all articles, and other NZMA and health sector news and information. Subscription rates for 2020 New Zealand subscription rates Overseas subscription rates Individuals* $349 Individual $486 Institutions $604 Institutions $650 Individual article $33 Individual article $33 *NZ individual subscribers must not be doctors (access is via NZMA Membership) New Zealand rates include GST. No GST is included in international rates. Note, subscription for part of a year is available at pro rata rates. Please email [email protected] for more information. Individual articles are available for purchase by emailing [email protected] NZMJ 25 September 2020, Vol 133 No 1522 ISSN 1175-8716 © NZMA 2 www.nzma.org.nz/journal CONTENTS EDITORIAL 52 9 Are over-the-counter s h oil Could comprehensive cancer supplements safe, effective and centres improve cancer outcomes accurate with labelling? Analysis and equity in New Zealand? of 10 New Zealand s h oil Murray Brennan, Frank Frizelle supplements Julia J Rucklidge, Ian C Shaw 15 Equity is the new black—and black 63 lives matter Hui: a partnership in practice in Curtis Walker familial hypercholesterolemia Jocelyne Benetar, Tara Elville, ARTICLES Helen Wihongi, The Whanau 18 71 How is dementia portrayed in Lessons from a system-wide New Zealand newsprint media? response to a measles outbreak, Causes, effects and moral Canterbury, February–April 2019 evaluation Daniel Williams, Meik Dilcher, Sarah Cullum, Rachael Simpson, Hongfang Dong, Bridget Lester, Farzana Gounder Kerry Marshall, Ramon Pink, 30 Debbie Smith, Jimmy Wong Patient characteristics and 84 predictors of completion of Medication dispensing for a pulmonary rehabilitation attention-deficit/hyperactivity programme in Auckland, disorder to New Zealand youth New Zealand Stephanie D’Souza, Nicholas Bowden, Sarah Candy, Nicola Jepsen, Sheree Gibb, Nichola Shackleton, Christin Coomarasamy, Jonathan Curry, Richard Audas, Sarah Hetrick, Grace Dodson, Joe Pomelile, Barry Taylor, Barry Milne Mitchel Versey, Julie Reeve 96 42 Knowledge and perspectives about A feasibility study investigating the use of cannabis as a medicine: the impact of a dietitian-led low a mixed methods observational in fermentable oligosaccharide, study in a cohort of New Zealand disaccharide, monosaccharide general practice patients and polyols diet group education Karen Oldfield, Allie Eathorne, programme with irritable Ingrid Maijers, Richard Beasley, bowel syndrome Alex Semprini, Irene Braithwaite Dorcas Chan, Paula Skidmore, 112 Leigh O’Brien, Sally Watson, Why dizziness is likely to increase Richard Gearry the risk of cognitive dysfunction and dementia in elderly adults Paul F Smith NZMJ 25 September 2020, Vol 133 No 1522 ISSN 1175-8716 © NZMA 3 www.nzma.org.nz/journal CONTENTS VIEWPOINTS CLINICAL CORRESPONDENCE 128 167 A pragmatic diagnostic approach Co-infection of in uenza A with to myocardial infarction with non- Staphylococcus aureus causing obstructive coronary arteries bacterial arthritis in a child Ammar J Alsamarrai, Yahya Amar Mari, Syed Ahmed Zaki, Jocelyne R Benatar, Eun Soo Chung, Ahmed Bashir Yagan Jithendra B Somaratne 172 133 Unilateral pulmonary opacity with The assessment of testamentary herniation of contralateral lung to capacity same side Jane Casey, Anthony Grant Prem Parkash Gupta, Dipti Agarwal, 138 Chandra Kumar, Saumya Gupta Computers, confounding, LETTERS clusters, consent, cost, COVID and consultation: how the Health 177 and Disability Code impedes the Health effects of uoridation on learning health system IQ are unproven Ken W Perrott Mark Webster, Ralph Stewart 144 180 Management of personal protective The association between equipment in New Zealand during New Zealand adolescents’ the COVID-19 pandemic: report normative perceptions of from the Auditor-General pornography use and their Elizabeth Fenton frequency of pornography use Damian Scarf, Benjamin C Riordan, 149 Taylor Winter New Zealand doctors and euthanasia—legal and practical 183 High time to decide considerations of the End of Life David B Menkes, Nicholas Hoeh Choice Act Bruce CH Tsai, David B Menkes 100 YEARS AGO 161 185 A model respiratory personal Politicians and Physicians protective programme for the New Zealand healthcare industry Chris Walls, Geraint Emrys, Siobhan Gavaghan, Des Gorman, David McBride, Dave McLean NZMJ 25 September 2020, Vol 133 No 1522 ISSN 1175-8716 © NZMA 4 www.nzma.org.nz/journal SUMMARIES How is dementia portrayed in New Zealand newsprint media? Causes, effects and moral evaluation Sarah Cullum, Rachael Simpson, Farzana Gounder Dementia in New Zealand is expected to triple in the next 30 years at which point 170,000 people and their families will be affected. The media play an important role in not only disseminating information to the public but also shaping opinions and behaviours towards families living with dementia. We examined New Zealand’s three largest daily newspapers and found that dementia is still largely portrayed from a victimhood viewpoint. Up to 40% of dementia is potentially preventable and positive media representation could empower the public regarding attitudes towards dementia. Patient characteristics and predictors of completion of a pulmonary rehabilitation programme in Auckland, New Zealand Sarah Candy, Nicola Jepsen, Christin Coomarasamy, Jonathan Curry, Grace Dodson, Joe Pomelile, Mitchel Versey, Julie Reeve Pulmonary rehabilitation (PR) for people living with a long-term respiratory illness is an effective intervention which can reduce symptoms and improve health-related quality of life. Despite the compelling evidence for this intervention, attendance and completion of PR worldwide is low. Our study identifi ed predictors to completion of a PR programme in Counties Manukau, New Zealand. Being of an older age group, having a higher exercise capacity and of European ethnicity was found to be independent predictor of completion in this cohort. Future service improvements in the provision and delivery of PR programmes in New Zealand need to ensure we are providing accessible options for younger participants, supporting those with lower exercise tolerance and ensure services are engaging for all ethnicities. A feasibility study investigating the impact of a dietitian-led low in fermentable oligosaccharide, disaccharide, monosaccharide and polyols diet group education programme with irritable bowel syndrome Dorcas Chan, Paula Skidmore, Leigh O’Brien, Sally Watson, Richard Gearry Many people have irritable bowel syndrome (abdominal pain with diarrhoea, constipation). Treatments are limited but a special diet called low FODMAP diet can help. Usually a dietitian needs to teach this one on one with the patient, but this study has shown that it is feasible to teach this in a group setting. Are over-the-counter sh oil supplements safe, effective and accurate with labelling? Analysis of 10 New Zealand sh oil supplements Julia J Rucklidge, Ian C Shaw The study shows that 90% of the most popular fi sh oil supplements sold in New Zealand are true to label based on the stated capsule omega fatty acid content. All of the products studied indicated benefi ts across heart, brain and joint health. Based on studies published in scien- tifi c journals, 30% of the products would result in benefi ts across heart, brain and joint health when taken at the top dose recommended on the label. Mercury was not found in any of the samples analysed; therefore, even if some of the products might not confer health benefi ts at the recommended
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