He pūtea kiriwai

Ko ngā tāera ki te mimiti te taimaha o te mate mōmona me te momo tuarua o te mate huka i Aotearoa nei, kua whakamomoritia te hiahia, ko te mate mōmona tētahi āhuatanga toitū nui mo te mate huka, āpiti atu i te mate manawa, me ētahi o ngā mate pukupuku. Ko DiRECT tētahi hōtaka e hāngai ana ki te tere o te heke taumaha, whai atu ko te taunakitanga o te heke taumaha.

Kua angitū a DiRECT ki Peretānia, he kohinga whānui kua mōhio whānuitia e te motu. Ka pūtohe te whakamātau i te kaupapa DiRECT, mēna ka whakaaetia, kua whai take rānei ki Aotearoa. Nā Te Kāika Health tēnei whakamātau, ā, ko te kaiwhakarato o te hauora Māori, te whakangungu i ngā āhuatanga tākuta, ko te nuinga he Māori, he uri o Te Moana-Nui-Ā-Kiwa, he taurewa, he pāpaku te whiwhinga pūtea o te tangata, i Ōtepōti.

Ko te Cardiovascular disease (CVD) tētehi tūraru nui mo ngai Māori kua pāngia e te mate huka, kua toru tekau ōrau te tatauranga, piki ake i ēra atu o ngā mātāwaka. Ko ngai Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa, he taimahatanga (CVD) nui ake. Kua whakangao moata i te tūraru CVD na runga i te tika kia tautohu i ngā tāngata, me te taumata ake o te tūraru CVD kia heipūtia ngā kōrero kua whārikihia, ka āwhinatia ngā hāpori, ki te mimiti haere i te taimaha rata, te taimaha ohaoha me te taimaha pāpori.

The carotid-femoral pulse wave velocity (cf-PWV), a global measure of arterial stiffness, is well established as an additional, independent predictor of CVD events. Ki tā te tuhinga hukihuki, kua whakatau tata ngā uaratanga PWV i Aotearoa nei. Heoi, ko ngā whakaurunga Māori me ngā whakaurunga o ngā iwi o Te Moana-Nui-Ā-Kiwa, ko rātou kei te taumata tiketike o te CVD me ngā putanga whakahāwini, ko rātou kua whakahahanitia. Ko te ritenga o te akomanga nei, he whāinga ki te kōrero tahi me ngā aukati tawhito, mā te aro atu ki te whakaahuatanga o te rangahau ki ngā hāpori Maori me ngā hāpori o ngā iwi o Te Moana-Nui-Ā-Kiwa, me te ārahi i tētahi akomanga paerata ki te whakamātau i te taumata kimi kaimahi me ētahi atu tirohanga o te kohinga raraunga.

Neke atu i te kōtahi rau tau, mai rānō i ngā kōrero o te electrocardiogram (ECG), ko ngā ngoikoretanga i ngā whakatau māuiui me te aroturuki atu ki te mate manawa e komokomo ana i te hangarau kāore anō kia matatuhia, tae noa ki ēnei rā. Ka waihangatia tētahi pūnaha ECG, ka whakamahia te auahatanga o tā mātou kaupapa pūmanawa AI, me tētahi portable ECG patch ki te aroturuki i te taumata manawa mo ngā hāora iwa tekau mā ono. Nā tēnei pūnaha, ka āhei te hopu i ngā rerekētanga manawa, i ngā mate manawa, he pai ke atu i te conventional ECG me te aukati i ngā hapa mā te whakakorenga i te hiahia mo te pānui me te whakamāramatanga. Ka āhei mātou te whakarawea i ngā tūroro CVD ki te convenient and remote real-time diagnosis me te aroturuki i ngā tūwheratanga ahakoa te tūwāhi i Aotearoa.

Mā tēnei pūtea moni, ka āhei mātou ki te kimi kaimahi, kia kotahi rau o ngai Māori, kia kotahi rau o ngā iwi o Te Moana-Nui-Ā-Kiwa i ngā hāpori no te tonga o Tāmaki mo tā mātou akomanga, ki te whakatutūru i te hangarau e whanake nei tātou, ka whakamahia mā rātou hoki. Ka tukuna atu i ngā whakaurunga mo te whakamamae uma, te kakapa manawa, te hēmanawa, rānei, ngā āhuatanga toitū o te tūraru o te roro ikura.

Ka whakaaweawetia te hypertension i a ngai Māori, na reira ko tēnei pūtea moni te āheinga mā mātou ki te mahi ngātahi me ngā kaiwhakarato manaakitanga hauora Māori, ngā iwi, ngā tūroro me ngā whānau kia whakatūturu ai te kaupapa ki te hahana haumanu kua tūwherahia, me te tika o te whakamahinga ahurea.

Ko te whāinga o tēnei whakatakahanga he ripa tauārai:

1. Ka pūtohe te optimal dosage of heat therapy (bathing duration and water temperature) mo te whakaheke i te pēhanga toto
2. Ki te whakawā atu i ngā physiological mechanisms e whakahaere ana i tēnei panonitanga
3. Ki te uiui me pēhea te hahana haumanu 

“Nau mai ngā rā ki te uiui i te tūranga o te hahana haumanu ki ro te whakaheke pēhanga toto me te whakawā i ngā physiological mechanisms e ānga ana tēnei momo whakaaweawe, tāpiri atu ki te whakamātau i te torohū o te hahana haumanu e whanake ana i ngā āhuatanga matapōrehu o te hauora.

I whakatutuki tēnei whakatakanga i te marama o Akuhata, i te tau rua mano rua tekau mā rua. Ko te aronga nui o te whakatakanga nei kia whakawā i te DNA variant i roto i te ira, e taea ana te kite i te teitei o te ōwehe ki ro te Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa, kua tūhono ki te pēhanga whakaheke toto, engari ka piki ake te tūraru o te auheke tākihi i te takiwā o te momo tuarua mate huka.

I generated ngā kairangahau i tētahi kiore me tana ira e taurite ana, ā, i kite atu i te pēhanga whakaheke toto, me nenewhā rā ka tika, nā ngā akoranga ira tangata. Whāia nei, kua kite hoki i te kiore e inu ana, e mimi ana, neke atu i ēra atu kiore. Nā runga i ēnei hua kua puta, e rongo nei ngā kairangahau i te pūnaha taiaki Vasopressin e ārangi ana, nā konā, he ketuketutanga kei te haere.

Nō te rā i riro ai tēnei whakatakanga, kua angitū ai te tīma kia whakawhiwhia i te whakatakanga pūtea moni nā Te Kaunihera Rangahau Hauora, me te whakawhiwhia i te pūtea moni nā te pokapū Maurice Wilkins kia haere tonu ēnei mahi. Kua waihangatia he rangapū rangahau i a Ngāti Porou Oranga, ā, ko te mātauranga kua hōrapa atu mā ngā kawerongo me te pae tukutuku a Ngāti Porou Oranga.

Nā Tākuta Nikki Earle i whakangāwari te primer grantmā te mahi tahi, kia kite atu mēna he pānga i waenga i te ira s1800795-C me ngā putanga acute coronary syndrome i roto i a ngai Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa. Ko tēnei whakatakanga i āwhinatia kia whakangāwari te whakawhitinga mātauranga i waenga i te tīma rangahau, i ngā kaimahi me ngā ākonga o Te Kāreti o Tangaroa. He kura ōtekau raro tēnei kāreti, no te tonga o Tāmaki, engari ko te nuinga o ngā ākonga, he Māori, no ngā iwi o Te Moana-Nui-Ā-Kiwa hoki. Mai i tēnei pūtea moni, e āhei ana te tīma rangahau ki te kōrero tahi mo ngā hōtaka rerekē, tae rā anō ki te whakataki i tētahi metabolic disease-related module ki te karaehe tuākana Pūtaiao, ka whakamanuhiritia ngā ākonga o Te Kāreti o Tangaroa mo te rā kotahi ki Te Whare Wānanga o Tāmaki-makaurau me te whakahaere i tētahi akomanga pūtaiao.