Kapi-Mana News : July 12th 2011
19 KAPI-MANA NEWS, JULY 12, 2011 NEWS 3855384AA NOW ON SALE ALL WINTER STOCK *excludes Jewellery 20-50%OFF Lisa Law • Verge • Kohl • Juo • Mac Jays • Meredith & more North City Shopping Centre Coastlands Paraparaumu 04 238 9996 04 297 1180 3818466AA Act now, if not you can lose the tax benefits. Rules changed 1st April 2011. Accountants First will identify the best option for your situation. LAQC Changes Are you ready? BUILD A BETTER BUSINESS www.accountantsfirst.co.nz Call 04 237 6825 50,000 need to re-enrol before election About 50,000 New Zealanders need to get back on the elec- toral roll because their enrol- ment update pack has bounced back marked gone -- no address . The Electoral Enrolment Centre mailed enrolment update packs to everyone on the electoral roll at the end of May, to let them know the election is on its way, and to ask them to check their enrol- ment details. If you are one of the 50,000 or so voters whose pack has returned to us because you ve moved house and not updated your enrolment details, you have been removed from the electoral roll, says Murray Wicks, national manager, Electoral Enrolment Centre. Wellington Central has had the most voters removed from the roll, while Taranaki-King Country has had the least. If you didn t get an enrol- ment update pack, you need to enrol , says Mr Wicks. For details see the website elections.org.nz. Diet advice working By JIM CHIPP More clever:Dr John Wyeth, clinical leader of a team trying a non- medical approach to treating irritable bowel syndrome. Simple diet adjustments are keep- ing patients out of hospital and off medication, saving precious health service dollars at the same time. One in every seven adults are affected by irritable bowel syn- drome and in 2009 Capital & Coast District Health Board set up the Gastroenterology Clinical Pathways Collaborative to try a different approach. Patients referred to Wellington Hospital with the condition who are at low risk of serious disease are referred to dietitians rather than gastro-enterologists. Clinical leader John Wyeth said normal gut function relies on muscles and nerves. Irritable bowel syndrome is some disorder of the nerves and the muscles. It sometimes causes consti- pation, sometimes diarrhoea and sometimes patients alternate from one to the other, he said. Though it has no serious long- term consequences its painful cramps cost patients lost time from work. The study led to a better under- standing of the low-FODMAP diet, he said. FODMAPs are fermentable carbohydrates and reducing them in the diet can reduce or eliminate irritable bowel symptoms. Components of your diet which can be fermented in your gut then produce gas and distension, Dr Wyeth said. A common one is fructose [fruit sugar] -- some people have diffi- culty absorbing fructose. As a result it goes through the small intestine into the large intestine and it is fermented. However, glucose can help the digestion of fructose, he said. It is not saying beware of fruc- tose , but beware of foods that have fructose in excess of glu- cose . Others problem nutrients include wheat and lactose, he said. Clinicians assess the patient s referral letter from their general practitioner and decide whether trying diet advice is appropriate. Certain symptoms, such as blood in stools, anaemia or weight loss would sound alarm bells, he said. Seeing any of those alarms we are immediately thinking can- cer . Those patients would be referred to a specialist for further investigation. However, patients who were suitable for diet advice would be sent to a hospital diet- ician for one or two visits. The low FODMAP diet is determined by a dietician with the patient over a period of months. It s not exactly one-size-fits all. Some people might be able to have one fruit, other people might be able to have another form of fruit. He warns against patients self- diagnosing and changing their own diets without appropriate advice. The simple rule is that if you take something out of your diet, you ve got to put something back into your diet. The programme has resulted in a 10 per cent reduction in the number of gastro- intestinal patients being referred on to specialists and medical imaging, about 20 patients each month. That equates to saving of about $45,000 to the health board over six months.
July 5th 2011
July 19th 2011