The New Zealand medical journal
-
Socioeconomic inequalities in all-cause child mortality exist in New Zealand; however the inequalities in cause-specific mortality have not been examined. This study examines child mortality inequality by household income between 1981 and 1999, by cause of death. ⋯ Socioeconomic differences existed across most broad causes of child death. The major contributors to mortality inequality are diverse, suggesting that the similar distal causes of inequality (e.g. poverty) play out through a myriad of proximal causes. Fortunately there appears to be some scope for policymakers to modify some of the proximal and distal causes of these inequalities.
-
New legislation now requires doctors to report unfit colleagues to the Medical Council of New Zealand. However, little research has examined the attitudes and willingness of doctors to report errant colleagues. ⋯ Although most hospital doctors accept they should act if a colleague is falling below professional standards, there is only limited support for mandatory reporting; instead, doctors may prefer to consult senior colleagues about an errant colleague or sometimes counsel the practitioner themselves.
-
Review Meta Analysis
Increased risk of cardiovascular events with parecoxib/valdecoxib: a systematic review and meta-analysis.
To determine the risk of serious cardiovascular events associated with the use of the COX-2 inhibitor valdecoxib and its prodrug parecoxib following major surgery. ⋯ There is an increased cardiovascular risk associated with parecoxib/valdecoxib therapy in the post-surgical situation. These findings are consistent with a class effect for COX-2 inhibitors increasing the risk of cardiovascular events.