Pae Ora (Disestablishment of M āori Health Authority) Amendment Act 2024: further Crown breaches of Te Tiriti o Waitangi
N Z Med J. 2024 May 17;137(1595):94-98. doi: 10.26635/6965.6554.ABSTRACTThe Waitangi Tribunal in their Wai 2575 Report recommended the establishment of Te Aka Whai Ora (the Māori Health Authority) to remedy some of the contemporary breaches of Te Tiriti o Waitangi (Te Tiriti). Te Aka Whai Ora was the culmination of decades of Māori advocacy for the establishment of independent Māori health leadership, policymaking and commissioning. Under urgency, the new National-led coalition Government passed the Pae Ora (Disestablishment of Māori Health Authority) Amendment Act 2024 in February. In this paper we use Critical Tiriti...
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Heather Came Clive Aspin Nicole Coupe Tim McCreanor Source Type: research

Construction of the chronic temporomandibular disorder patients: the association between neural and psychological pathways
In this study, we leverage the cyclic causation framework within the biopsychosocial model to illuminate the intricate interplay between biological and psychosocial factors in the context of cTMD. The conceptualisation of cTMD involves the dynamic evolution of genetic predispositions, influenced by life events and other biological susceptibilities. These factors collectively contribute to the emergence of nociplastic changes, ultimately manifesting as the distinctive features observed in individuals afflicted with cTMD.PMID:38754116 | DOI:10.26635/6965.6513 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Ajith D Polonowita Athula K Polonowita Li Mei Guangzhao Guan Source Type: research

Outcomes of asymptomatic common bile duct stones detected at intraoperative cholangiography
CONCLUSION: Rates of retained asymptomatic stones after positive IOC were low. Acknowledging risks associated with intervention and low rates of readmission with retained CBDS, an expectant approach could be more readily considered.PMID:38754115 | DOI:10.26635/6965.6491 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Xavier Field Chelsea Tong Sarah Cox James Crichton Bernadette Goodwin Fraser Welsh Ryan Cha Source Type: research

Guideline versus clinician recommended duration of dual antiplatelet therapy following acute coronary syndrome (ANZACS-QI 78)
CONCLUSIONS: There was a divergence between clinical practice and the recommendations of the 2020 ESC guidelines. We discuss these results in relation to the updated August 2023 ESC guidelines, which have reaffirmed a 12-month duration of DAPT as the default position.PMID:38754114 | DOI:10.26635/6965.6437 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Sophie J Rees Andrew J Kerr Source Type: research

Consequences of cost barriers to prescriptions: cohort study in Aotearoa New Zealand
CONCLUSIONS: The revenue to the health system from co-payments may be offset by the costs associated with avoidable hospitalisations.PMID:38754113 | DOI:10.26635/6965.6431 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Mona Jeffreys Megan Pledger Fiona McKenzie Lis Ellison-Loschmann Maite Irurzun Lopez Jacqueline Cumming Source Type: research

Increasing access to cataract surgery in Counties Manukau by optimising the clinical pathway: a quality improvement report
CONCLUSION: Despite significant demand pressures, and the disruptions of COVID-19, we were able to reduce the CPAC score for accessing cataract surgery by optimising the clinical pathway to better utilise staff capacity and maximise value for patients.PMID:38754112 | DOI:10.26635/6965.6398 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Manlio Chiesa Graham Reeves Courtney Harper Mary Seddon Valerio Malez Source Type: research

Almost one in five emergency department presentations are by mental health clients: a secondary data analysis
CONCLUSION: Mental health clients are common in ED. Enhanced mental health data capture and improved systems and processes are needed to ensure that ED staff can better meet their often-complex needs.PMID:38754111 | DOI:10.26635/6965.6280 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Silke Kuehl Abigail Freeland James Stanley Ruth Cunningham Source Type: research

Good news about melanoma
N Z Med J. 2024 May 17;137(1595):9-12. doi: 10.26635/6965.e1595.NO ABSTRACTPMID:38754110 | DOI:10.26635/6965.e1595 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Mark Elwood Marius Rademaker Source Type: research

Management of early dysglycaemia in pregnancy varies by region in Aotearoa New Zealand with risks of widening inequities
N Z Med J. 2024 May 17;137(1595):105-109. doi: 10.26635/6965.6540.NO ABSTRACTPMID:38754120 | DOI:10.26635/6965.6540 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Rosemary M Hall Ruth Ce Hughes Elizabeth Lewis-Hills Janet A Rowan Source Type: research

An act of desperation: self-attempted gender-affirming mastectomy
N Z Med J. 2024 May 17;137(1595):102-104. doi: 10.26635/6965.6425.NO ABSTRACTPMID:38754119 | DOI:10.26635/6965.6425 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Mairarangi Haimona Sue Hui Ong Scott Diamond Source Type: research

A case report of successful dual external defibrillation in cardiac arrest
N Z Med J. 2024 May 17;137(1595):99-101. doi: 10.26635/6965.6479.NO ABSTRACTPMID:38754118 | DOI:10.26635/6965.6479 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Anna G Bergin Cham é C Blackburn Eric Chong Ankur Gupta Source Type: research

Pae Ora (Disestablishment of M āori Health Authority) Amendment Act 2024: further Crown breaches of Te Tiriti o Waitangi
N Z Med J. 2024 May 17;137(1595):94-98. doi: 10.26635/6965.6554.ABSTRACTThe Waitangi Tribunal in their Wai 2575 Report recommended the establishment of Te Aka Whai Ora (the Māori Health Authority) to remedy some of the contemporary breaches of Te Tiriti o Waitangi (Te Tiriti). Te Aka Whai Ora was the culmination of decades of Māori advocacy for the establishment of independent Māori health leadership, policymaking and commissioning. Under urgency, the new National-led coalition Government passed the Pae Ora (Disestablishment of Māori Health Authority) Amendment Act 2024 in February. In this paper we use Critical Tiriti...
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Heather Came Clive Aspin Nicole Coupe Tim McCreanor Source Type: research

Construction of the chronic temporomandibular disorder patients: the association between neural and psychological pathways
In this study, we leverage the cyclic causation framework within the biopsychosocial model to illuminate the intricate interplay between biological and psychosocial factors in the context of cTMD. The conceptualisation of cTMD involves the dynamic evolution of genetic predispositions, influenced by life events and other biological susceptibilities. These factors collectively contribute to the emergence of nociplastic changes, ultimately manifesting as the distinctive features observed in individuals afflicted with cTMD.PMID:38754116 | DOI:10.26635/6965.6513 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Ajith D Polonowita Athula K Polonowita Li Mei Guangzhao Guan Source Type: research

Outcomes of asymptomatic common bile duct stones detected at intraoperative cholangiography
CONCLUSION: Rates of retained asymptomatic stones after positive IOC were low. Acknowledging risks associated with intervention and low rates of readmission with retained CBDS, an expectant approach could be more readily considered.PMID:38754115 | DOI:10.26635/6965.6491 (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - May 16, 2024 Category: General Medicine Authors: Xavier Field Chelsea Tong Sarah Cox James Crichton Bernadette Goodwin Fraser Welsh Ryan Cha Source Type: research