THE NEW ZEALAND MEDICAL JOURNAL

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Vitamin D insufficiency in New Zealanders during the winter is associated with higher parathyroid hormone concentrations: Implications for bone health?

Article in The New Zealand medical journal ? November 2008

Source: PubMed

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Jennifer E Rockell University of Colorado 22 PUBLICATIONS 1,177 CITATIONS

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Bernard J Venn University of Otago 71 PUBLICATIONS 1,809 CITATIONS

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Clark Skeaff University of Otago 106 PUBLICATIONS 5,282 CITATIONS

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Sheila Williams University of Otago 528 PUBLICATIONS 26,491 CITATIONS

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THE NEW ZEALAND MEDICAL JOURNAL

Journal of the New Zealand Medical Association

CONTENTS

This Issue in the Journal

4 A summary of the original articles featured in this issue

Editorials

7 The doctor, the pills, the patient, and the actor-spectator paradox Pete Ellis

9 Pain assessment in dementia Edward A Shipton

12 The rise and rise of anaesthesia in New Zealand Wyn Beasley

Original Articles

14 Medication beliefs and adherence to antidepressants in primary care Judith Russell, Nikolaos Kazantzis

21 The use of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC) by caregivers in dementia care Gary Cheung, Peter Choi

30 General practitioners' views on the major psychiatric classification systems Steven Lillis, Graham Mellsop, Gaelle Dutu

38 Experts' views on long-term care in New Zealand Mark Booth, Edward A Miller, Vincent Mor

57 Prevalence of vitamin D deficiency among patients attending a multidisciplinary tertiary pain clinic Jim Bartley

63 The effects of seasonal variation of 25-hydroxyvitamin D on diagnosis of vitamin D insufficiency Mark J Bolland, Weldon W Chiu, James S Davidson, Andrew Grey, Catherine Bacon, Greg D Gamble, Ian R Reid

75 Vitamin D insufficiency in New Zealanders during the winter is associated with higher parathyroid hormone concentrations: implications for bone health? Jennifer E P Rockell, C Murray Skeaff, Bernard J Venn, Sheila M Williams, Tim J Green

85 Defensive practice in mental health Richard Mullen, Anita Admiraal, Judy Trevena

NZMJ 28 November 2008, Vol 121 No 1286; ISSN 1175 8716 URL:

Page 1 of 163 ?NZMA

Viewpoints

92 Telling the truth to Asian patients in the hospital setting John A Windsor, Jeremy I Rossaak, Danny Chaung, Alexander Ng, Ian P Bissett, Malcolm H Johnson

100 Inquiries into health care: learning or lynching? Ron Paterson

Clinical Correspondence

116 Acanthamoeba keratitis associated with cosmetic contact lens wear Nathan M Kerr, Sue Ormonde

120 Catastrophic antiphospholipid syndrome in a 77-year-old man George Godfrey, Kate Grimwade, Tim Sole

122 Medical image. Left forearm ecchymosis Nitin Kumar, Yiu-Chung Cheung, Andrew C Willis, Jonathan J Benn

100 Years Ago in the NZMJ

124 Australasian Medical Congress 1908: the mental factor in medical practice and lunacy in Australia

Medical History

125 Eric Anson, anaesthetist Basil R Hutchinson

Methuselah

130 Selected excerpts from Methuselah

Letters

132 Fatal allergic reactions to antibiotics Chris Cameron, Timothy Maling

134 Most New Zealand smokers support having fire-safe cigarettes: National survey data Nick Wilson, George Thomson, Richard Edwards, Deepa Weerasekera, Murray Laugesen

136 A second opinion Roger M Ridley-Smith

Medicolegal

138 Professional Misconduct: forgery and practising while suspended (Med07/60P and Med07/61P)

141 Professional Misconduct: misuse of drugs (Med07/80P)

NZMJ 28 November 2008, Vol 121 No 1286; ISSN 1175 8716 URL:

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145 Professional Misconduct (Med06/46D) 150 Professional Misconduct (Med07/76D) 154 Surgeon ? Professional Misconduct (Med04/01D)

Obituaries

156 Ashton John Fitchett Supplementary contribution by Tom Farrar

159 Peter Van Praagh 160 James Roper Robinson

Notice

162 National Heart Foundation Grants Awarded October 2008

NZMJ 28 November 2008, Vol 121 No 1286; ISSN 1175 8716 URL:

Page 3 of 163 ?NZMA

THE NEW ZEALAND MEDICAL JOURNAL

Journal of the New Zealand Medical Association

This Issue in the Journal

Medication beliefs and adherence to antidepressants in primary care Judith Russell, Nikolaos Kazantzis

The aim of this study was to determine whether patient beliefs about the necessity and concerns about medication were associated with adherence among those presenting with depression in primary care. Patients completed questionnaires including measures of beliefs about medication, self reported adherence, depression severity, and demographic information. Patient concerns with medications were positively associated with non-adherence. Where beliefs about the necessity outweighed concerns about taking the medication, significantly greater adherence was observed. Fewer depressive symptoms were also associated with greater adherence. A balance between beliefs about the costs and benefits of medication are likely to be important in understanding adherence with other medications.

The use of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC) by caregivers in dementia care Gary Cheung, Peter Choi

The prevalence of pain in elderly nursing home residents is 40 to 80%. Older people with severe dementia are often unable to communicate their pain and discomfort because their language ability can be affected by the process of dementia. PACSLAC is an observational tool which can be used by nursing staff to improve the detection of pain in severe dementia. This pilot study found that PACSLAC can also be reliably used by caregivers working in dementia care facilities. One of the advantages of using a pain assessment tool is that it can increase nurses and caregiver' awareness and encourage them to take the process of pain management more proactively.

General practitioners' views on the major psychiatric classification systems Steven Lillis, Graham Mellsop, Gaelle Dutu

Mental illness is common and often treated by general practitioners. Placing a label on the illness can be difficult--due to overlap of symptoms, a desire not to `medicalise' normal reactions, and the acceptability of the diagnosis to those with mental illness. General practitioners do not find the methods of diagnosis used by psychiatrists to be useful. The major focus of a GP is management and methods of diagnosis that are management focused are needed.

NZMJ 28 November 2008, Vol 121 No 1286; ISSN 1175 8716 URL:

Page 4 of 163 ?NZMA

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