Goodfellow Gems

European Society of Cardiology definition of resistant hypertension
European Society of Cardiology definition of... (0.07MB)

New European Society blood pressure target advice
New European Society blood pressure target advice (0.07MB)

Rapid up-titration of neurohormonal blockade in CHF may be beneficial
Rapid up-titration of neurohormonal blockade in... (0.07MB)

Current insights into cannabis for mental health disorders
Current insights into cannabis for mental... (0.07MB)

Distinguishing antidepressant withdrawal from relapse
Distinguishing antidepressant withdrawal from... (0.07MB)

14 modifiable risk factors for dementia
14 modifiable risk factors for dementia (0.08MB)

Sleep disorders are common, and now a tool to help
Sleep disorders are common, and now a tool to help (0.07MB)

Umbilical granulomas should be treated with cooking salt
Umbilical granulomas should be treated with... (0.07MB)

Sodium restriction probably not helpful in CHF
Sodium restriction probably not helpful in CHF (0.11MB)

High doses of ARBs to reduce microalbuminuria
High doses of ARBs to reduce microalbuminuria (0.11MB)

Mental health issues affect most of us, eventual
Mental health issues affect most of us, eventually (0.09MB)

Working better with Pacific patients
Working better with Pacific patients (0.17MB)

Coloured sputum is not a reason for antibiotics
Coloured sputum is not a reason for antibiotics (0.05MB)

Otrivine, honey and Vicks VapoRub for children with URTIs
Otrivine, honey and Vicks VapoRub for children... (0.04MB)

Sex, consent, and a cup of tea
Sex, consent, and a cup of tea (0.08MB)

Panic and asthma attacks
Panic and asthma attacks (0.09MB)

NSAIDs and risk of fracture non-union: avoid indomethacin
NSAIDs and risk of fracture non-union: avoid... (0.06MB)

Tablet splitting generally OK
Tablet splitting generally OK (0.17MB)

Fournier’s gangrene (infection)
Fournier’s gangrene (infection) (0.09MB)

Mind-body and strength exercise good for unipolar depression
Mind-body and strength exercise good for... (0.09MB)

Colchicine may be needed for slow allopurinol escalation
Colchicine may be needed for slow allopurinol... (0.08MB)

Rehabilitation is probably effective for post-COVID-19 infections
Rehabilitation is probably effective for... (0.15MB)

CBT is probably effective for long COVID
CBT is probably effective for long COVID (0.12MB)

The evidence base for Chronic Fatigue Syndrome interventions
The evidence base for Chronic Fatigue Syndrome... (0.18MB)

Early detection of coarctation of the aorta is crucial
Early detection of coarctation of the aorta is... (0.11MB)

Duration of common respiratory conditions
Duration of common respiratory conditions (0.11MB)

Keto diets in people with diabetes
Keto diets in people with diabetes (0.10MB)

Best treatments for acne
Best treatments for acne (0.10MB)

Single simple question for low mood
Single simple question for low mood (0.10MB)

SUI: Pelvic floor exercises or pessaries?
SUI: Pelvic floor exercises or pessaries? (0.10MB)

Very low-carb diet vs DASH in high risk adults
Very low-carb diet vs DASH in high risk adults (0.14MB)

Isotretinoin testing possibly overdone
Isotretinoin testing possibly overdone (0.15MB)

Spironolactone may reduce AF incidence
Spironolactone may reduce AF incidence (0.12MB)

Moderately raised triglycerides: only statins help
Moderately raised triglycerides: only statins help (0.15MB)

Statins do not cause dementia or cancer
Statins do not cause dementia or cancer (0.13MB)

PPIs not helpful for infants, and evidence of harm
PPIs not helpful for infants, and evidence of harm (0.11MB)

Isotretinoin probably not associated with depression
Isotretinoin probably not associated with... (0.07MB)

Moderate alcohol intake is not protective
Moderate alcohol intake is not protective (0.07MB)

Lung cancer: 8 symptoms for rapid diagnosis
Lung cancer: 8 symptoms for rapid diagnosis (0.12MB)

Tacrolimus now funded for face eczema
Tacrolimus now funded for face eczema (0.06MB) 

Vitamin D may reduce risk of diabetes in pre-diabetics
Vitamin D may reduce risk of diabetes in... (0.12MB)

Two ways of breathing to improve mood/anxiety
Two ways of breathing to improve mood/anxiety (0.07MB)

Possible treatments for anosmia (smell dysfunction) post-Covid
Possible treatments for anosmia (smell... (0.14MB)

Friends and the Dunbar number
Friends and the Dunbar number (0.15MB)

SEPSIS
Sepsis (0.12MB)

Time of day is not an issue for taking BP medication
Time of day is not an issue for taking BP... (0.14MB)

Gestational diabetes is a risk factor for later CVD and stroke
Gestational diabetes is a risk factor for later... (0.14MB)

Urinary tract infections not so easy to diagnose
Urinary tract infections not so easy to diagnose (0.14MB)

52 ways to enjoy walking
52 ways to enjoy walking (0.10MB)

Diagnosing sleep conditions
Diagnosing sleep conditions (0.06MB)

Vitamin D may not protect against covid-19
Vitamin D may not protect against covid-19 (0.11MB)

Insider’s guide to psychosis
Insider’s guide to psychosis (0.13MB)

Low serotonin not the cause of depression
Low serotonin not the cause of depression (0.10MB)

Chronic kidney disease and SGLT2 inhibitors
Chronic kidney disease and SGLT2 inhibitors (0.11MB)

Less Schadenfreude try Freudenfreude instead!
Less Schadenfreude try Freudenfreude instead! (0.13MB)

New effective anxiety treatment via an App
New effective anxiety treatment via an App (0.16MB)

Weight loss: Calorie restriction with/without time-restricted eating
Weight loss: Calorie restriction with/without... (0.13MB)

Esther Perel on maintaining and rejuvenating relationships
Esther Perel on maintaining and rejuvenating... (0.09MB)

Small risk of gastric cancer with long-term use of PPI
Small risk of gastric cancer with long-term use... (0.09MB)

Caution if giving Menactra with Prevenar 13 vaccine
Caution if giving Menactra with Prevenar 13... (0.09MB)

Update on sexual health guidelines
Update on sexual health guidelines (0.07MB)

Excess body hair
Excess body hair (0.06MB)

Chronic pain guideline for primary care
Chronic pain guideline for primary care (0.10MB)

Combining antidepressants better than monotherapy for some
Combining antidepressants better than... (0.09MB)

Eating disorders: what to do when waiting for the referral
Eating disorders: what to do when waiting for... (0.10MB)

Prevalence of lonelinesses
Prevalence of lonelinesses (0.13MB)

Stopping long term antidepressants
Stopping long term antidepressants (0.09MB)

The Thriving Doctor (clinician)
The Thriving Doctor (clinician) (0.10MB)

A better understanding of PTSD
A better understanding of PTSD (0.11MB)

Single simple question for low mood: The Emoqol 100
Single simple question for low mood: The Emoqol... (0.11MB)

Recurrent leg cellulitis: compression stockings can help
Recurrent leg cellulitis: compression stockings... (0.10MB)

GUINZ; most children ok but some are not
GUINZ; most children ok but some are not (0.11MB)

Ivermectin probably not effective for COVID-19
Ivermectin probably not effective for COVID-19 (0.09MB)

Empagliflozin 10 mg first effective treatment for CHF (with HFpEF)
Empagliflozin 10 mg first effective treatment... (0.06MB)

Spirulina may be helpful for sleep
Spirulina may be helpful for sleep (0.06MB)

Long covid in patients who were not hospitalised
Long covid in patients who were not hospitalised (0.06MB)

Time to switch from ACEis to ARBs – same efficacy but safer
Time to switch from ACEis to ARBs – same... (0.08MB)

Facial palsy not associated with the Pfizer vaccine
Facial palsy not associated with the Pfizer... (0.11MB)

Cannabis with CBD and THC may be effective for chronic insomnia
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?
Can atopic dermatitis be improved with more... (0.14MB)

The menopause manifesto 
The menopause manifesto (0.15MB)

More evidence for spironolactone for resistant hypertension 
More evidence for spironolactone for resistant... (0.16MB)

Delayed antibiotics probably safe and reduces re-consultation rates
Delayed antibiotics probably safe and reduces... (0.10MB)

Acute dyspepsia
Acute dyspepsia (0.06MB)

Behavioural activation is very effective for depressive symptoms after one week
Behavioural activation is very effective for... (0.06MB)

Ruptured Achilles tendon 2 weeks or 8 weeks in a cast
Ruptured Achilles tendon 2 weeks or 8 weeks in... (0.06MB)

Tiny habits - a new way to change behaviour
Tiny habits - a new way to change behaviour (0.07MB)

Surgery an option in Obstructive Sleep Apnoea when CPAP fails
Surgery an option in Obstructive Sleep Apnoea... (0.11MB)

Frozen shoulder: Intra-articular injection probably the best treatment
Frozen shoulder: Intra-articular injection... (0.06MB)

New twice daily nitrofurantoin (Macrobid) now available in NZ
New twice daily nitrofurantoin (Macrobid) now... (0.06MB)

Hunger can and should be taught
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."
Podcast series on Māori health: "Getting... (0.13MB)

Supervised aerobic exercise may improve fatty liver
Supervised aerobic exercise may improve fatty... (0.06MB)

Oral magnesium may be effective for leg cramps in pregnancy
Oral magnesium may be effective for leg cramps... (0.06MB)

Dopamine agonists may be effective for restless legs
Dopamine agonists may be effective for restless... (0.14MB)

Depressive symptoms and suicide attempts increase in teenagers
Depressive symptoms and suicide attempts... (0.12MB)

Self-compassion in primary care: new resources for patients and clinicians 
Self-compassion in primary care: new resources... (0.14MB)

Syphilis checks: routine for all STI checks and pregnancy
Syphilis checks: routine for all STI checks and... (0.08MB)

Propranolol may be effective for patients with temporomandibular disorder
Propranolol may be effective for patients with... (0.08MB)

Unexpected weight loss and cancer
Unexpected weight loss and cancer (0.07MB)

Does running increase the risk of developing osteoarthritis?
Does running increase the risk of developing... (0.06MB)

Exercise is effective for treating post-partum depression
Exercise is effective for treating post-partum... (0.09MB)

Sex education for teenagers
Sex education for teenagers (0.14MB)

Cannabis and health from the NZ cohorts
Cannabis and health from the NZ cohorts (0.08MB)

Working with vaccine-hesitant caregivers
Working with vaccine-hesitant caregivers (0.12MB)

Long term use of LNG-IUS (Mirena) and bone mineral density
Long term use of LNG-IUS (Mirena) and bone... (0.12MB)

Pacific Island women in NZ have high rates of antenatal depressive symptoms
Pacific Island women in NZ have high rates of... (0.09MB)

Oral sucrose a good analgesic for infant immunizations
Oral sucrose a good analgesic for infant... (0.12MB)

Your life and mind: running them more effectively
Your life and mind: running them more effectively (0.07MB)

Exercise is effective for osteoarthritis pain
Exercise is effective for osteoarthritis pain (0.06MB)

Antibiotics are indicated for acute exacerbations of mild to moderate bronchiectasis
Antibiotics are indicated for acute... (0.10MB)

Remote assessment of breathlessness
Remote assessment of breathlessness (0.11MB)

Great COVID-19 short daily podcasts
Great COVID-19 short daily podcasts (0.07MB)

Stretching, in addition to moderate exercise, is helpful for women with fibromyalgia
Stretching, in addition to moderate exercise,... (0.06MB)

BP 140 treated to 120: No increase in concern re falling
BP 140 treated to 120: No increase in concern... (0.08MB)

Continue ACE inhibitors and ARBs amid COVID-19 outbreak
Continue ACE inhibitors and ARBs amid COVID-19... (0.07MB)

Antidepressants may be effective for IBS
Antidepressants may be effective for IBS (0.09MB)

Going-to-sleep on the side in late pregnancy (≥28 weeks) reduces the risk of stillbirth
Going-to-sleep on the side in late pregnancy... (0.17MB)

Great dementia resources on Health Navigator website
Great dementia resources on Health Navigator... (0.17MB)

Continuous OC pill regimens are safe and acceptable
Continuous OC pill regimens are safe and... (0.13MB)

A great patient aspirin decision aid for primary prevention of CVD
A great patient aspirin decision aid for... (0.13MB)

Pregnancy and antibiotics
Pregnancy and antibiotics (0.16MB)

Extreme care needed with sodium valproate and pregnancy and women of childbearing potential
Extreme care needed with sodium valproate and... (0.18MB)

Daily iron may help women with anaemia and fatigue
Daily iron may help women with anaemia and fatigue (0.09MB)

Topical and oral treatment can work for fungal nail infection
Topical and oral treatment can work for fungal... (0.09MB)

Bath emollient additives probably not effective for childhood eczema
Bath emollient additives probably not effective... (0.14MB)

Gout in NZ: more allopurinol and fewer NSAIDs
Gout in NZ: more allopurinol and fewer NSAIDs (0.11MB)

Saline injections may be helpful for tennis elbow
Saline injections may be helpful for tennis elbow (0.05MB)

The truth about antidepressants
The truth about antidepressants (0.14MB)

How many cigarettes in a bottle of wine?
How many cigarettes in a bottle of wine? (0.06MB)

Stop using Augmentin. Bring back the Augmentin-free office
Stop using Augmentin. Bring back the... (0.17MB)

FAST symptoms; refer for urgent perfusion CT scan
FAST symptoms; refer for urgent perfusion CT... (0.10MB)

Increasing fluid intake by 1.5L/day can prevent recurrent UTIs in women
Increasing fluid intake by 1.5L/day can prevent... (0.12MB)

Majority of knee and hip joint replacements last longer than 25 years
Majority of knee and hip joint replacements... (0.12MB)

CVD tool now includes kiwi data
CVD tool now includes kiwi data.pdf (0.16MB)

Primary care weight loss study confirms 36% with diabetes remission after 2 years
Primary care weight loss study confirms 36%... (0.12MB)

Antispasmodics including peppermint oil may be effective for IBS
Antispasmodics including peppermint oil may be... (0.10MB)

Microalbuminuria: control diabetes and BP and use care with NSAIDs
Microalbuminuria control diabetes and BP and... (0.14MB)

Improving treatments for depression
Improving treatments for depression (0.12MB)

Substance-use disorders in later life
Substance-use disorders in later life (0.13MB) 

EMERGENCY CONTRACEPTION IN WOMEN WEIGHING OVER 70KG CONSIDER TWO TABLETS
Emergency contraception in women weighing over... (0.14MB)

Chlamydia testing may need to be more intensive
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
Iron supplements on alternative days may be as... (0.12MB)

Ketogenic diet may cause small reductions in weight but no long-term data 
Ketogenic diet may cause small reductions in... (0.16MB)

No antibiotics for asymptomatic bacteriuria in non-pregnant women
Goodfellow Gem 22.11.2018.pdf (0.12MB)

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

Bisphosphonate holiday for some after 4 to 5 years
Bisphosphonate holiday for some after 4 to 5... (0.17MB)

Oral flucloxacillin 1000 mg with food TDS is probably effective
Oral flucloxacillin 1000 mg with food TDS is... (0.05MB)

Sniffing isopropyl alcohol effective for acute nausea in emergency settings
Goodfellow Gem 28.09.2018.pdf (0.08MB)

Recent opioid use may cause fall-related injury among older patients with trauma
Goodfellow Gems 30.08.2018.pdf (0.12MB)  

Primary care weight loss study results in 46% getting remission from diabeteS
Goodfellow Gem 14.09.2018.pdf (0.05MB)

Rivaroxaban (a DOAC) fully funded from 1 August 2018
Goodfellow Gem 10.08.2018.pdf (0.13MB)

Tai Chi is probably better than aerobic exercise for fibromyalgia
Goodfellow Gems 19.07.2018.pdf (0.07MB)

Guidelines for prescribing opioids for chronic non-malignant pain
Goodfellow Gems 05.07.2018.pdf (0.10MB)

Vaginal self-swab better for STIs in women than other tests
Goodfellow Gems 25.06.2018.pdf (0.11MB)

Managment Tips For The Common Cold
Goodfellow GeM 06.06.2018 (0.12MB)

Highlights from 2017 BPAC antibiotic guide
Goodfellow Gem 25.05.2018.pdf (0.15MB)

Type 1 and Type 2 diabetes incidence rising in adolescents due to many factors
Goodfellow Gem 10.05.2018.pdf (0.15MB)

HRT not for primary prevention of chronic disease and probably causes urinary incontinence
Goodfellow Gem 25.04.2018 (0.09MB)

The Triple whammy of (ace/arb) + (diuretic) + (NSAID) is a dangerous trio
Goodfellow Gem 11.04.2018 (0.11MB)

New NZ CVD Primary Care Consensus Statement ^{1,2
Goodfellow Gem 28.03.2018 (0.12MB)}

7 points for clinical diagnosis of gout without joint fluid analysis
Goodfellow Gem 14.03.2018 (0.14MB)

Hydrolysed no different from conventional formula for infants at risk for type 1 diabetes
Goodfellow Gems 02.03.2018.pdf (0.08MB)

Two screening questions can rule out depression
Goodfellow Gems 16.02.2018.pdf(0.06MB)

Acute gout: steroids as effective as NSAIDS but fewer side effects
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
Goodfellow Gem 10.01.2018 (0.20MB)

Pain control in sciatica. NSAIDs, corticosteroids, and antidepressants of small benefit 
Goodfellow Gem 27.12.2017 (0.13MB)

Gabapentinoids are probably ineffective in chronic low-back pain and have significant adverse effects
Goodfellow Gems 14.12.2017.pdf (0.12MB)

Paracetamol Is ineffective for acute and chronic Low-back pain
Goodfellow Gem 22.11.2017 (0.12MB)

Sleep training improves infant sleep problems
Goodfellow Gems 08.11.2017.pdf (0.10MB)

Tricyclics may prevent tension-type headache and reduce analgesic use
Goodfellow Gem 26.10.2017 1.pdf (0.19MB)

Short term steroids may be associated with sepsis, thrombosis, and fractures
Goodfellow Gem 12.10.2017 (0.11MB)

The nurse telephone call is a powerful tool for depression and possibly post-partum depression
Goodfellow Gem 28.09.2017 (0.10MB)

Mild, Moderate and vigorous exercise may be effective for depression
Goodfellow Gem 14.09.2017 (0.14MB)

Coeliac disease can be asymptomatic: four reasons to treat it ¹
Goodfellow Gem 30.08.2017 (0.10MB)

Most antidepressant benefit seen in primary care is due to placebo. Talk first prescribe later.
Goodfellow Gem 16.08.2017 (0.10MB)

 7 key H pylori points from the Maastricht V/Florence Consensus Report 2016¹
Goodfellow Gem 02.08.2017 (0.09MB)