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A Case of Botulism in New Zealand Duncan Smyth, Eamonn Deverall, Michelle Balm, Annette Nesdale, Ian Rosemergy

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A Case of Botulism in New Zealand Duncan Smyth, Eamonn Deverall, Michelle Balm, Annette Nesdale, Ian Rosemergy Journal of the New Zealand Medical Association Vol 128 | No 1425 | 20 November 2015 Infertility and outcomes for infertile women in Otago and Southland Pacific Islands Families Study: Signs of puberty are associated with physical growth at ages 9 and 11 years The experiences, motivations, and opinions of New Zealand’s live liver donors Mandatory regulation or Trends and patterns in medical self-regulation in the age of student research and publishing Obituary the Volkswagen saga in New Zealand Sydney Rae West Fast, fair climate action Attitudes and risk of withdrawal 1925–2015 crucial for health and equity in general surgical registrars Publication Information published by the New Zealand Medical Association NZMA Chairman To contribute to the NZMJ, first read: Dr Stephen Child www.nzma.org.nz/journal/contribute NZMJ Editor Other enquiries to: Professor Frank Frizelle NZMA PO Box 156 NZMA Communications Manager The Terrace Sharon Cuzens Wellington 6140 Phone: (04) 472 4741 NZMJ Production Jeremiah Boniface © NZMA 2015 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 10 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 2015 New Zealand subscription rates Overseas subscription rates Individuals* $290 Individual $402 Individual article $25 Institutions $543 Individual article $25 *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 20 November 2015, Vol 128 No 1425 ISSN 1175-8716 © NZMA 2 www.nzma.org.nz/journal CONTENTS EDITORIAL 43 8 Infertility and outcomes for Prevention of neonatal early infertile women in Otago onset GBS sepsis: A clear and Southland protocol is better than none— Antoinette Righarts, Nigel P Dickson, or several Lianne Parkin, Wayne R Gillett Michelle Wise, Norma Campbell, Brian Darlow 54 The experiences, motivations, 12 and opinions of New Zealand’s Mandatory regulation or self- live liver donors regulation in the age of the Claire Gavin, Phillipa Malpas, Volkswagen saga Adam Bartlett Nick Wilson, Rob Quigley, Osman Mansoor, Moira Smith, Louise Signal 61 Attitudes and risk of withdrawal 14 in general surgical registrars Fast, fair climate action crucial Rewena Keegan, Robyn Saw, Katie De for health and equity Loyde, Christopher J Young Scott Metcalfe, for the New Zealand College of Public Health Medicine and VIEWPOINT OraTaiao: The New Zealand Climate and Health Council 69 The prevention of early-onset ARTICLES neonatal group B streptococcus infection: New Zealand 24 Consensus Guidelines 2014 Pacific Islands Families Study: Brian Darlow, Norma Campbell, Nicola Signs of puberty are associated Austin, Adrienne Chin, Celia Grigg, with physical growth at ages 9 Craig Skidmore, Lesley Voss, Tony and 11 years Walls, Michelle Wise, Anja Werno Elaine Rush, El-Shadan Tautolo, Janis Paterson, Victor Obolonkin 77 Renal replacement therapy 34 associated with lithium Intravenous magnesium nephrotoxicity in New Zealand sulphate as an adjuvant J Elisabeth Wells, Nicholas B Cross, therapy in acute exacerbations Ruth L Savage, Lianne Parkin, of chronic obstructive Simon Horsburgh, Ann K Richardson pulmonary disease: a single centre, randomised, double- 84 blinded, parallel group, placebo- Is the statement that if a person controlled trial: a pilot study is off work for 70 days the chance S Mukerji, B Shahpuri, B Clayton- of ever getting back to work is Smith, N Smith, P Armstrong, M Hardy, 35% justified? G Marchant, E Marsh Gordon Purdie NZMJ 20 November 2015, Vol 128 No 1425 ISSN 1175-8716 © NZMA 3 www.nzma.org.nz/journal CONTENTS 88 110 Potential new regulatory options Ticagrelor in the real world: for e-cigarettes in New Zealand The Midland Regional Cardiac Nick Wilson, Richard Edwards, Janet Network Experience Hoek, George Thomson, Tony Blakely, Marcus Lee, Sarah Green, Tina Frederieke Sanne van der Deen, Brent Cherian, Charles Heald, Gerard Devlin Caldwell, Julian Crane 112 CLINICAL CORRESPONDENCE Children’s positive attitudes towards the tobacco industry 97 is associated with initiation of A case of botulism in smoking New Zealand Anette Kira, Marewa Glover, Dudley Duncan Smyth, Eamonn Deverall, Gentles, Judith McCool, Michelle Balm, Annette Nesdale, Robert Scragg, Chris Bullen, Vili Nosa Ian Rosemergy 116 101 Trends and patterns in medical Bullous Mantoux reaction student research and publishing Nattusamy Loganathan, Vijay Hadda, in New Zealand Karan Madan, Anant Mohan, Ibrahim S Al-Busaidi Gopi C Khilnani, Randeep Guleria OBITUARY LETTERS 119 103 Sydney Rae West Perioperative care in hip and knee arthroplasty—a survey METHUSELAH of New Zealand orthopaedic surgeons 121 Marinus DJ Stowers, Andrew G Hill, 100 YEARS AGO Brendan Coleman, Jacob T Munro 122 106 Book review: Scheme for dealing Equitable care for those with with tuberculous persons rheumatic heart disease Nigel Wilson, Rachel Webb, John PROCEEDINGS Malcolm, Geoff Cramp, Andrew Marshall, Andrew Aitken, Nikki Blair, 123 Nicola Culliford-Semmens, Andrew Abstracts for the 218th Otago Chan Mow, Ross Nicholson, Adrian Medical School Research Society Trenholme, Roger Tuck, Clair Mills Scientific Meeting NZMJ 20 November 2015, Vol 128 No 1425 ISSN 1175-8716 © NZMA 4 www.nzma.org.nz/journal SUMMARIES The prevention of early-onset neonatal group B streptococcus infection: New Zealand Consensus Guidelines 2014 Brian Darlow, Norma Campbell, Nicola Austin, Adrienne Chin, Celia Grigg, Craig Skidmore, Lesley Voss, Tony Walls, Michelle Wise, Anja Werno Group B streptococcal disease is the leading cause of infection in newborn babies in the first few days of life. The disease can usually be prevented by giving mothers intravenous antibi- otics at the start of labour. The clinical problem is how best to identify mothers who might qualify for antibiotics and different approaches have been advocated. A multidisciplinary group including midwives, obstetricians, paediatricians and infectious diseases physicians met to review the 2004 New Zealand guidelines in the light of a recent two year audit on the incidence of early-onset GBS infection in the newborn and which showed New Zealand to have a relatively low incidence of the disease. The consensus guidelines are to continue to identify mothers, who should be offered antibiotics, by whether they have one of several clear risk-factors. The revised guidelines clarify the recommended approach in several obstetric circumstances and provide information about antibiotic choices. Potential new regulatory options for e-cigarettes in New Zealand Nick Wilson, Richard Edwards, Janet Hoek, George Thomson, Tony Blakely, Frederieke Sanne van der Deen, Brent Caldwell, Julian Crane While e-cigarette usage has grown rapidly in New Zealand and around the world, the scien- tific evidence-base regarding the net benefits and risks of these types of products at the population level remains uncertain. The health-based policy experience is also minimal. In this article we analyse plausible future regulatory options for e-cigarettes that the New Zealand Government could explore, and that further research could help clarify. These options include: (1) a full free market (an option we doubt is desirable for multiple reasons); (2) controlled increased access through: (a) pharmacy only, (b) pharmacy only plus sales by prescription/to licensed vapers; (c) additional controls through non-profit supply/distribution (eg, public hospital pharmacies); (3) increased restrictions compared with currently (eg, a complete ban on self-imports and use). Pacific Islands Families Study: Signs of puberty are associated with physical growth at ages 9 and 11 years Elaine Rush, El-Shadan Tautolo, Janis Paterson, Victor Obolonkin The Pacific Islands Families study is tracking the growth and development of Pacific Island children born at Middlemore Hospital in the year 2000. More than four out of five parents of both boys and girls reported growth spurts at both 9 and 11 years. Girls with a growth spurt at age 9 years weighed 250 g more at birth than those without a growth spurt. Factors that influence the rate of physical growth are complex but issues such as food security and supportive environments for children need to be addressed. NZMJ 20 November 2015, Vol 128 No 1425 ISSN 1175-8716 © NZMA 5 www.nzma.org.nz/journal SUMMARIES Mandatory regulation or self-regulation in the age of the Volkswagen saga Nick Wilson, Rob Quigley, Osman Mansoor, Moira Smith, Louise Signal This Editorial briefly discusses
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