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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A 50-year-old lady presented with chest pain, tremor, weight loss and intermittent ST elevation in her ECG associated with elevated markers of myocardial injury. She was diagnosed with Graves' disease and coronary angiogram showed normal coronary arteries. ⋯ She was successfully treated with diltiazem, metoprolol and carbimazole. This case highlights the importance of considering hyperthyroidism in the diagnosis of chest pain with normal coronary arteries.
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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.