Gems Header

Fournier’s gangrene (infection)
pdf Fournier’s gangrene (infection) (0.09MB)
Mind-body and strength exercise good for unipolar depression
pdf Mind-body and strength exercise good for... (0.09MB)
Colchicine may be needed for slow allopurinol escalation
pdf Colchicine may be needed for slow allopurinol... (0.08MB)
Rehabilitation is probably effective for post-COVID-19 infections
pdf Rehabilitation is probably effective for... (0.15MB)
CBT is probably effective for long COVID
pdf CBT is probably effective for long COVID (0.12MB)
The evidence base for Chronic Fatigue Syndrome interventions
pdf The evidence base for Chronic Fatigue Syndrome... (0.18MB)
Early detection of coarctation of the aorta is crucial
pdf Early detection of coarctation of the aorta is... (0.11MB)
Duration of common respiratory conditions
pdf Duration of common respiratory conditions (0.11MB)
Keto diets in people with diabetes
pdf Keto diets in people with diabetes (0.10MB)
Best treatments for acne
pdf Best treatments for acne (0.10MB)
Single simple question for low mood
pdf Single simple question for low mood (0.10MB)
SUI: Pelvic floor exercises or pessaries?
pdf SUI: Pelvic floor exercises or pessaries? (0.10MB)
Very low-carb diet vs DASH in high risk adults
pdf Very low-carb diet vs DASH in high risk adults (0.14MB)
Isotretinoin testing possibly overdone
pdf Isotretinoin testing possibly overdone (0.15MB)
Spironolactone may reduce AF incidence
pdf Spironolactone may reduce AF incidence (0.12MB)
Moderately raised triglycerides: only statins help
pdf Moderately raised triglycerides: only statins help (0.15MB)
Statins do not cause dementia or cancer
pdf Statins do not cause dementia or cancer (0.13MB)
PPIs not helpful for infants, and evidence of harm
pdf PPIs not helpful for infants, and evidence of harm (0.11MB)
Isotretinoin probably not associated with depression
pdf Isotretinoin probably not associated with... (0.07MB)
Moderate alcohol intake is not protective
pdf Moderate alcohol intake is not protective (0.07MB)
Lung cancer: 8 symptoms for rapid diagnosis
pdf Lung cancer: 8 symptoms for rapid diagnosis (0.12MB)
Tacrolimus now funded for face eczema
pdf Tacrolimus now funded for face eczema (0.06MB) 
Vitamin D may reduce risk of diabetes in pre-diabetics
pdf Vitamin D may reduce risk of diabetes in... (0.12MB)
Two ways of breathing to improve mood/anxiety
pdf Two ways of breathing to improve mood/anxiety (0.07MB)
Possible treatments for anosmia (smell dysfunction) post-Covid
pdf Possible treatments for anosmia (smell... (0.14MB)
Friends and the Dunbar number
pdf Friends and the Dunbar number (0.15MB)
SEPSIS
pdf Sepsis (0.12MB)
Time of day is not an issue for taking BP medication
pdf Time of day is not an issue for taking BP... (0.14MB)
Gestational diabetes is a risk factor for later CVD and stroke
pdf Gestational diabetes is a risk factor for later... (0.14MB)
Urinary tract infections not so easy to diagnose
pdf Urinary tract infections not so easy to diagnose (0.14MB)
52 ways to enjoy walking
pdf 52 ways to enjoy walking (0.10MB)
Diagnosing sleep conditions
pdf Diagnosing sleep conditions (0.06MB)
Vitamin D may not protect against covid-19
pdf Vitamin D may not protect against covid-19 (0.11MB)
Insider’s guide to psychosis
pdf Insider’s guide to psychosis (0.13MB)
Low serotonin not the cause of depression
pdf Low serotonin not the cause of depression (0.10MB)
Chronic kidney disease and SGLT2 inhibitors
pdf Chronic kidney disease and SGLT2 inhibitors (0.11MB)
Less Schadenfreude try Freudenfreude instead!
pdf Less Schadenfreude try Freudenfreude instead! (0.13MB)
New effective anxiety treatment via an App
pdf New effective anxiety treatment via an App (0.16MB)
Weight loss: Calorie restriction with/without time-restricted eating
pdf Weight loss: Calorie restriction with/without... (0.13MB)
Esther Perel on maintaining and rejuvenating relationships
pdf Esther Perel on maintaining and rejuvenating... (0.09MB)
Small risk of gastric cancer with long-term use of PPI
pdf Small risk of gastric cancer with long-term use... (0.09MB)
Caution if giving Menactra with Prevenar 13 vaccine
pdf Caution if giving Menactra with Prevenar 13... (0.09MB)
Update on sexual health guidelines
pdf Update on sexual health guidelines (0.07MB)
Excess body hair
pdf Excess body hair (0.06MB)
Chronic pain guideline for primary care
pdf Chronic pain guideline for primary care (0.10MB)
Combining antidepressants better than monotherapy for some
pdf Combining antidepressants better than... (0.09MB)
Eating disorders: what to do when waiting for the referral
pdf Eating disorders: what to do when waiting for... (0.10MB)
Prevalence of lonelinesses
pdf Prevalence of lonelinesses (0.13MB)
Stopping long term antidepressants
pdf Stopping long term antidepressants (0.09MB)
The Thriving Doctor (clinician)
pdf The Thriving Doctor (clinician) (0.10MB)
A better understanding of PTSD
pdf A better understanding of PTSD (0.11MB)
Single simple question for low mood: The Emoqol 100
pdf Single simple question for low mood: The Emoqol... (0.11MB)
Recurrent leg cellulitis: compression stockings can help
pdf Recurrent leg cellulitis: compression stockings... (0.10MB)
GUINZ; most children ok but some are not
pdf GUINZ; most children ok but some are not (0.11MB)
Ivermectin probably not effective for COVID-19
pdf Ivermectin probably not effective for COVID-19 (0.09MB)
Empagliflozin 10 mg first effective treatment for CHF (with HFpEF)
pdf Empagliflozin 10 mg first effective treatment... (0.06MB)
Spirulina may be helpful for sleep
pdf Spirulina may be helpful for sleep (0.06MB)
Long covid in patients who were not hospitalised
pdf Long covid in patients who were not hospitalised (0.06MB)
Time to switch from ACEis to ARBs – same efficacy but safer
pdf Time to switch from ACEis to ARBs – same... (0.08MB)
Facial palsy not associated with the Pfizer vaccine
pdf Facial palsy not associated with the Pfizer... (0.11MB)
Cannabis with CBD and THC may be effective for chronic insomnia
pdf Cannabis with CBD and THC may be effective for... (0.12MB)
Can atopic dermatitis be improved with more baths / showers, bleach baths, or bath additives?
pdf Can atopic dermatitis be improved with more... (0.14MB)
The menopause manifesto 
pdf The menopause manifesto (0.15MB)
More evidence for spironolactone for resistant hypertension 
pdf More evidence for spironolactone for resistant... (0.16MB)
Delayed antibiotics probably safe and reduces re-consultation rates
pdf Delayed antibiotics probably safe and reduces... (0.10MB)
Acute dyspepsia
pdf Acute dyspepsia (0.06MB)
Behavioural activation is very effective for depressive symptoms after one week
pdf Behavioural activation is very effective for... (0.06MB)
Ruptured Achilles tendon 2 weeks or 8 weeks in a cast
pdf Ruptured Achilles tendon 2 weeks or 8 weeks in... (0.06MB)
Tiny habits - a new way to change behaviour
pdf Tiny habits - a new way to change behaviour (0.07MB)
Surgery an option in Obstructive Sleep Apnoea when CPAP fails
pdf Surgery an option in Obstructive Sleep Apnoea... (0.11MB)
Frozen shoulder: Intra-articular injection probably the best treatment
pdf Frozen shoulder: Intra-articular injection... (0.06MB)
New twice daily nitrofurantoin (Macrobid) now available in NZ
pdf New twice daily nitrofurantoin (Macrobid) now... (0.06MB)
Hunger can and should be taught
pdf Hunger can and should be taught (0.05MB)
Podcast series on Māori health: "Getting Better - A Year in the Life of a Māori Medical Student."
pdf Podcast series on Māori health: "Getting... (0.13MB)
Supervised aerobic exercise may improve fatty liver
pdf Supervised aerobic exercise may improve fatty... (0.06MB)
Oral magnesium may be effective for leg cramps in pregnancy
pdf Oral magnesium may be effective for leg cramps... (0.06MB)
Dopamine agonists may be effective for restless legs
pdf Dopamine agonists may be effective for restless... (0.14MB)
Depressive symptoms and suicide attempts increase in teenagers
pdf Depressive symptoms and suicide attempts... (0.12MB)
Self-compassion in primary care: new resources for patients and clinicians 
pdf Self-compassion in primary care: new resources... (0.14MB)
Syphilis checks: routine for all STI checks and pregnancy
pdf Syphilis checks: routine for all STI checks and... (0.08MB)
Propranolol may be effective for patients with temporomandibular disorder
pdf Propranolol may be effective for patients with... (0.08MB)
Unexpected weight loss and cancer
pdf Unexpected weight loss and cancer (0.07MB)
Does running increase the risk of developing osteoarthritis?
pdf Does running increase the risk of developing... (0.06MB)
Exercise is effective for treating post-partum depression
pdf Exercise is effective for treating post-partum... (0.09MB)
Sex education for teenagers
pdf Sex education for teenagers (0.14MB)
Cannabis and health from the NZ cohorts
pdf Cannabis and health from the NZ cohorts (0.08MB)
Working with vaccine-hesitant caregivers
pdf Working with vaccine-hesitant caregivers (0.12MB)
Long term use of LNG-IUS (Mirena) and bone mineral density
pdf Long term use of LNG-IUS (Mirena) and bone... (0.12MB)
Pacific Island women in NZ have high rates of antenatal depressive symptoms
pdf Pacific Island women in NZ have high rates of... (0.09MB)
Oral sucrose a good analgesic for infant immunizations
pdf Oral sucrose a good analgesic for infant... (0.12MB)
Your life and mind: running them more effectively
pdf Your life and mind: running them more effectively (0.07MB)
Exercise is effective for osteoarthritis pain
pdf Exercise is effective for osteoarthritis pain (0.06MB)
Antibiotics are indicated for acute exacerbations of mild to moderate bronchiectasis
pdf Antibiotics are indicated for acute... (0.10MB)
Remote assessment of breathlessness
pdf Remote assessment of breathlessness (0.11MB)
Great COVID-19 short daily podcasts
pdf Great COVID-19 short daily podcasts (0.07MB)
Stretching, in addition to moderate exercise, is helpful for women with fibromyalgia
pdf Stretching, in addition to moderate exercise,... (0.06MB)
BP 140 treated to 120: No increase in concern re falling
pdf BP 140 treated to 120: No increase in concern... (0.08MB)
Continue ACE inhibitors and ARBs amid COVID-19 outbreak
pdf Continue ACE inhibitors and ARBs amid COVID-19... (0.07MB)
Antidepressants may be effective for IBS
pdf Antidepressants may be effective for IBS (0.09MB)
Going-to-sleep on the side in late pregnancy (≥28 weeks) reduces the risk of stillbirth
pdf Going-to-sleep on the side in late pregnancy... (0.17MB)
Great dementia resources on Health Navigator website
pdf Great dementia resources on Health Navigator... (0.17MB)
Continuous OC pill regimens are safe and acceptable
pdf Continuous OC pill regimens are safe and... (0.13MB)
A great patient aspirin decision aid for primary prevention of CVD
pdf A great patient aspirin decision aid for... (0.13MB)
Pregnancy and antibiotics
pdf Pregnancy and antibiotics (0.16MB)
Extreme care needed with sodium valproate and pregnancy and women of childbearing potential
pdf Extreme care needed with sodium valproate and... (0.18MB)
Daily iron may help women with anaemia and fatigue
pdf Daily iron may help women with anaemia and fatigue (0.09MB)
Topical and oral treatment can work for fungal nail infection
pdf Topical and oral treatment can work for fungal... (0.09MB)
Bath emollient additives probably not effective for childhood eczema
pdf Bath emollient additives probably not effective... (0.14MB)
Gout in NZ: more allopurinol and fewer NSAIDs
pdf Gout in NZ: more allopurinol and fewer NSAIDs (0.11MB)
Saline injections may be helpful for tennis elbow
pdf Saline injections may be helpful for tennis elbow (0.05MB)
The truth about antidepressants
pdf The truth about antidepressants (0.14MB)
How many cigarettes in a bottle of wine?
pdf How many cigarettes in a bottle of wine? (0.06MB)
Stop using Augmentin. Bring back the Augmentin-free office
pdf Stop using Augmentin. Bring back the... (0.17MB)
FAST symptoms; refer for urgent perfusion CT scan
pdf FAST symptoms; refer for urgent perfusion CT... (0.10MB)
Increasing fluid intake by 1.5L/day can prevent recurrent UTIs in women
pdf Increasing fluid intake by 1.5L/day can prevent... (0.12MB)
Majority of knee and hip joint replacements last longer than 25 years
pdf Majority of knee and hip joint replacements... (0.12MB)
CVD tool now includes kiwi data
pdf CVD tool now includes kiwi data.pdf (0.16MB)
Primary care weight loss study confirms 36% with diabetes remission after 2 years
pdf Primary care weight loss study confirms 36%... (0.12MB)
Antispasmodics including peppermint oil may be effective for IBS
pdf Antispasmodics including peppermint oil may be... (0.10MB)
Microalbuminuria: control diabetes and BP and use care with NSAIDs
pdf Microalbuminuria control diabetes and BP and... (0.14MB)
Improving treatments for depression
pdf Improving treatments for depression (0.12MB)
Substance-use disorders in later life
pdf Substance-use disorders in later life (0.13MB) 
EMERGENCY CONTRACEPTION IN WOMEN WEIGHING OVER 70KG CONSIDER TWO TABLETS
pdf Emergency contraception in women weighing over... (0.14MB)
Chlamydia testing may need to be more intensive
pdf Chlamydia testing may need to be more intensive... (0.12MB)
Iron supplements on alternative days may be as effective as daily with fewer adverse effects
pdf Iron supplements on alternative days may be as... (0.12MB)
Ketogenic diet may cause small reductions in weight but no long-term data 
pdf Ketogenic diet may cause small reductions in... (0.16MB)
No antibiotics for asymptomatic bacteriuria in non-pregnant women
pdf Goodfellow Gem 22.11.2018.pdf (0.12MB)

Vildagliptin – now fully funded gliptin for type 2 diabetes
pdf Goodfellow Gem 07.11.2018.pdf (0.19MB)

Bisphosphonate holiday for some after 4 to 5 years
pdf Bisphosphonate holiday for some after 4 to 5... (0.17MB)
Oral flucloxacillin 1000 mg with food TDS is probably effective
pdf Oral flucloxacillin 1000 mg with food TDS is... (0.05MB)
Sniffing isopropyl alcohol effective for acute nausea in emergency settings
pdf Goodfellow Gem 28.09.2018.pdf (0.08MB)
Recent opioid use may cause fall-related injury among older patients with trauma
pdf Goodfellow Gems 30.08.2018.pdf (0.12MB)  
Primary care weight loss study results in 46% getting remission from diabeteS
pdf Goodfellow Gem 14.09.2018.pdf (0.05MB)
Rivaroxaban (a DOAC) fully funded from 1 August 2018
pdf Goodfellow Gem 10.08.2018.pdf (0.13MB)
Tai Chi is probably better than aerobic exercise for fibromyalgia
pdf Goodfellow Gems 19.07.2018.pdf (0.07MB)
Guidelines for prescribing opioids for chronic non-malignant pain
pdf Goodfellow Gems 05.07.2018.pdf (0.10MB)
Vaginal self-swab better for STIs in women than other tests
pdf Goodfellow Gems 25.06.2018.pdf (0.11MB)
Managment Tips For The Common Cold
pdf Goodfellow GeM 06.06.2018 (0.12MB)
Highlights from 2017 BPAC antibiotic guide
pdf Goodfellow Gem 25.05.2018.pdf (0.15MB)
Type 1 and Type 2 diabetes incidence rising in adolescents due to many factors
pdf Goodfellow Gem 10.05.2018.pdf (0.15MB)

HRT not for primary prevention of chronic disease and probably causes urinary incontinence
pdf Goodfellow Gem 25.04.2018 (0.09MB)
The Triple whammy of (ace/arb) + (diuretic) + (NSAID) is a dangerous trio
pdf Goodfellow Gem 11.04.2018 (0.11MB)
New NZ CVD Primary Care Consensus Statement 1,2
pdf Goodfellow Gem 28.03.2018 (0.12MB)

7 points for clinical diagnosis of gout without joint fluid analysis
pdf Goodfellow Gem 14.03.2018 (0.14MB)
Hydrolysed no different from conventional formula for infants at risk for type 1 diabetes
pdf Goodfellow Gems 02.03.2018.pdf (0.08MB)
Two screening questions can rule out depression
pdfGoodfellow Gems 16.02.2018.pdf(0.06MB)
Acute gout: steroids as effective as NSAIDS but fewer side effects
pdf Goodfellow Gem 31.01.2018 (0.30MB)
Cold Cabbage Leaves May Be As Good as cold gel packs for breast engorgement, and better than nothing at all
pdf Goodfellow Gem 10.01.2018 (0.20MB)
Pain control in sciatica. NSAIDs, corticosteroids, and antidepressants of small benefit 
pdf Goodfellow Gem 27.12.2017 (0.13MB)
Gabapentinoids are probably ineffective in chronic low-back pain and have significant adverse effects
pdf Goodfellow Gems 14.12.2017.pdf (0.12MB)
Paracetamol Is ineffective for acute and chronic Low-back pain
pdf Goodfellow Gem 22.11.2017 (0.12MB)
Sleep training improves infant sleep problems
pdf Goodfellow Gems 08.11.2017.pdf (0.10MB)
Tricyclics may prevent tension-type headache and reduce analgesic use
pdf Goodfellow Gem 26.10.2017 1.pdf (0.19MB)
Short term steroids may be associated with sepsis, thrombosis, and fractures
pdf Goodfellow Gem 12.10.2017 (0.11MB)
The nurse telephone call is a powerful tool for depression and possibly post-partum depression
pdf Goodfellow Gem 28.09.2017 (0.10MB)
Mild, Moderate and vigorous exercise may be effective for depression
pdf Goodfellow Gem 14.09.2017 (0.14MB)
Coeliac disease can be asymptomatic: four reasons to treat it 1
pdf Goodfellow Gem 30.08.2017 (0.10MB)
Most antidepressant benefit seen in primary care is due to placebo. Talk first prescribe later.
pdf Goodfellow Gem 16.08.2017 (0.10MB)
 7 key H pylori points from the Maastricht V/Florence Consensus Report 20161
pdf Goodfellow Gem 02.08.2017 (0.09MB)

Areas of Interest