The New Zealand medical journal
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In the article the authors depict relations in sociocultural navigation by Māori researchers conducting research embedded in mutual trust; rather than instrumental navigation in linear time. A longitudinal study of Māori and non Māori men and women ageing successfully was planned; this feasibility stage tested whether engaging with kōroua/older Māori men and kuia/older Māori women was possible. ⋯ In addition, engaging with Te Taura Whiri i te Reo Māori/ Māori Language Commission to translate the questions; recruiting the RopuKaitiaki o Ngā Tikanga Māori/Protectors of Principles of Conduct in Māori Research, and naming the study will be discussed. The involvement of the kaumātua/older Māori people has been fundamental in laying the foundation of the Life and Living in Advanced Age: A Cohort Study in New Zealand (LiLACS NZ), Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu to study a group of Māori aged 80 to 90 years old.
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To audit all patients admitted to a New Zealand (NZ) Hospital with a suspected or definite acute coronary syndrome (ACS) over a 14-day period, to assess their presentation type and management in hospital and at discharge, with emphasis on time delays for invasive management and revascularisation treatments. ⋯ A collaborative group of clinicians and nurses has performed a third nationwide audit of suspected and definite ACS patients, and shown some gaps in the current service, including limited access to echocardiography and cardiac angiography. In particular we noted significant delays for non-intervention centre patients accessing planned invasive assessment. This study reveals areas of clinical need and emphasises the benefit of ongoing clinical audit, with subsequent feedback and a focus on integrated clinical service delivery, which can improve the care of ACS patients in New Zealand.
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New Zealand has a number of plants, both native and introduced, contact with which can lead to poisoning. The New Zealand National Poisons Centre (NZNPC) frequently receives enquiries regarding exposures to poisonous plants. Poisonous plants can cause harm following inadvertent ingestion, via skin contact, eye exposures or inhalation of sawdust or smoked plant matter. ⋯ Poisoning following ingestion or other forms of exposures to plants in New Zealand is relatively common, particularly among children. However, serious adverse reactions are comparatively rare. Accurate plant identification and details on the type of exposure can be important in assessing the likely risks. Effective medical management of these poisonings can be achieved by following the principles outlined in this review.
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To describe the number, characteristics and management of patients who presented to an emergency department (ED) with intentional self-harm and then re-presented for any reason within 1 week, over a 1-year period. ⋯ We identified a small group of patients who rapidly re-present to the ED following intentional self-harm. The reasons behind those re-presentations could include limited mental health assessments in ED and inadequate follow-up on discharge. System improvements in the ED including better collaboration with mental health services could improve how services address the needs of patients who present with intentional self-harm and reduce costs.