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Christchurch, New Zealand

Ardagh M.W.,University of Otago | Richardson S.K.,University of Otago | Robinson V.,Christchurch Hospital | Than M.,Christchurch Hospital | And 7 more authors.
The Lancet | Year: 2012

At 1251 h on Feb 22, 2011, an earthquake struck Christchurch, New Zealand, causing widespread destruction. The only regional acute hospital was compromised but was able to continue to provide care, supported by other hospitals and primary care facilities in the city. 6659 people were injured and 182 died in the initial 24 h. The massive peak ground accelerations, the time of the day, and the collapse of major buildings contributed to injuries, but the proximity of the hospital to the central business district, which was the most aff ected, and the provision of good medical care based on careful preparation helped reduce mortality and the burden of injury. Lessons learned from the health response to this earthquake include the need for emergency departments to prepare for: patients arriving by unusual means without prehospital care, manual registration and tracking of patients, patient reluctance to come into hospital buildings, complete loss of electrical power, management of the many willing helpers, alternative communication methods, control of the media, and teamwork with clear leadership. Additionally, atypical providers of acute injury care need to be integrated into response plans. Source

Beard M.,Canterbury District Health Board
New Zealand Medical Journal | Year: 2015

The Trans-Pacific Trade Agreement (TPPA) negotiations have been conducted in secrecy over the past four years. In New Zealand, the government has not released any official details of these negotiations and all the information we have about TPPA is derived from leaks. This makes any analysis of the risks and benefits of TPPA difficult to carry out. However, the consistency of the leaked material indicates that the TPPA appears to have major implications for the New Zealand health system, potentially adversely affecting public health initiatives, the control of alcohol and obesity problems, and reducing the availability of some drugs. This article describes the basis for these concerns, and aims to show that the TPPA could interfere with our ability to organise our health systems, now and in the future, for the best interests of all the people of New Zealand. © NZMA. Source

Rucklidge J.J.,University of Canterbury | Frampton C.M.,University of Otago | Gorman B.,University of Canterbury | Boggis A.,Canterbury District Health Board
British Journal of Psychiatry | Year: 2014

Background: The role of nutrition in the treatment of attention-deficit hyperactivity disorder (ADHD) is gaining international attention; however, treatments have generally focused only on diet restriction or supplementing with one nutrient at a time. Aims: To investigate the efficacy and safety of a broad-based micronutrient formula consisting mainly of vitamins and minerals, without omega fatty acids, in the treatment of ADHD in adults. Method: This double-blind randomised controlled trial assigned 80 adults with ADHD in a 1:1 ratio to either micronutrients (n = 42) or placebo (n = 38) for 8 weeks (trial registered with the Australian New Zealand Clinical Trials Registry: ACTRN12609000308291). Results: Intent-to-treat analyses showed significant between-group differences favouring active treatment on self- and observer- but not clinician-ADHD rating scales. However, clinicians rated those receiving micronutrients as more improved than those on placebo both globally and on ADHD symptoms. Post hoc analyses showed that for those with moderate/severe depression at baseline, there was a greater change in mood favouring active treatment over placebo. There were no group differences in adverse events. Conclusions: This study provides preliminary evidence of efficacy for micronutrients in the treatment of ADHD symptoms in adults, with a reassuring safety profile. Source

Morgan D.R.,Landcare Research | Arrow J.,Landcare Research | Smith M.P.,Canterbury District Health Board
PLoS ONE | Year: 2013

The introduced Australian brushtail possum is a major vertebrate pest in New Zealand, with impacts on conservation and agriculture being managed largely through poisoning operations. Cholecalciferol (vitamin D3) is registered for use in controlling possums and despite its many advantages it is expensive and relatively inhumane. Combination of a high proportion of aspirin with a low proportion of cholecalciferol was effective in killing high proportions of groups of acclimatised, caged possums: this is attributed to both an unexpectedly high toxicity of the type of cholecalciferol used, and a proposed synergistic mechanism between the two compounds. Death was caused by localised damage to heart ventricles by aspirin, and inhibition of tissue repair by both aspirin and cholecalciferol. The observed toxicosis had lower impact on the welfare of possums than either compound administered alone, particularly aspirin alone. Residue analyses of bait remains in the GI tract suggested a low risk of secondary poisoning by either compound. The combination of cholecalciferol and aspirin has the potential to meet key requirements of cost-effectiveness and humaneness in controlling possum populations, but the effect of the combination in non-target species has yet to be tested. © 2013 Morgan et al. Source

Scott A.,University of Canterbury | Doughty C.,Canterbury District Health Board
Journal of Mental Health | Year: 2012

Background Peer support has a unique philosophy of practice, which is reflected in the way information is handled.Aims To describe the way peer supporters use documentation in their work and explore tensions this generates. Methods Qualitative study based on two individual or group interviews with each of 37 peer supporters and peer-support managers in Aotearoa New Zealand.Results Peer supporters challenged disciplinary uses of documentation by either keeping minimal information about their interactions with peers, or keeping notes in a collaborative, empowering and transparent manner. This generated tensions with regard to the wider mental health system, particularly in relation to an emerging national database of mental health service use.Conclusions Funders and planners need to be aware of the reasons for some peer-support services' reluctance to participate in mental health information strategies. Peer-support documentation approaches might usefully be adopted across the mental health sector. © 2012 Informa UK, Ltd. Source

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