The New Zealand medical journal
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Short bowel syndrome can present many complex management issues and may be complicated by various metabolic problems. D-lactic acidosis in the setting of short bowel syndrome has been described only rarely in children. ⋯ Early recognition and appropriate management is essential to avoid morbidity secondary to this complication of short bowel syndrome. Probiotic therapies may have an increasing role in prevention and management of this complication.
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To assess the current status of, and understanding about iodine deficiency disorders among Sherpa residents of the Khumbu region of Nepal, 25 years after the introduction of iodised oil injections. ⋯ Although prevalences of iodine deficiency disorders are much less than 30 years ago, iodine deficiency continues to be a major problem in Khumbu and demands a clear control strategy, combining ongoing iodine supplementation and education. Iodised salt is usually the best approach to control of iodine deficiency disorders for most regions of the world but the Khumbu experience shows that local cultural and commercial factors can severely limit its impact. To be successful, control programme for iodine deficiency disorders also needs assessment of the salt trade, monitoring, education and occasional targeted interventions with iodised oil or other supplements.
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To determine the level of utilisation of thromboprophylaxis in relation to risk factors for medical patients at Christchurch Hospital. ⋯ Thromboprophylaxis is underutilised at Christchurch Hospital. Guidelines are required and audits of compliance are indicated.
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To validate the Rural Trauma and Emergency Care (RTEC) Roadshow, an educational programme comprised of 14 skills-based, educational modules in trauma care designed for rural general practitioners and taught as a travelling roadshow in isolated rural areas. ⋯ The RTEC course is effective in increasing the skills and knowledge of general practitioners in trauma care.