The New Zealand medical journal
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In 2005, the senior author (AGH) initiated an Enhanced Recovery After Surgery (ERAS) or 'fast-track' programme for elective colonic surgery at the Manukau Surgery Centre aimed at improving perioperative care. We reviewed the senior author's experience of elective colectomy conducted within the ERAS programme and evaluated clinical outcomes. ⋯ In one surgeon's experience, elective colectomy performed within an optimised perioperative care environment achieves shorter hospital stay with a low rate of major complications.
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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.