Archaeomagnetic studies of Maori Hangi Stones from New Zealand

NASA Astrophysics Data System (ADS)

Kinger, R.; Turner, G. M.; McFadgen, B.

2014-12-01

Global palaeosecular variation models still suffer from a paucity of high quality data from the SW Pacific region. Over the past two years we have worked to fill this gap with archaeomagnetic data - directions and palaeointensities - by studying the thermoremanent magnetization of Maori hangi cooking stones. Used as heat retainers, these stones are heated, frequently above the Curie temperatures of constituent magnetic minerals, before being buried in earth ovens. After removal of the food, hangi sites are often abandoned with the stones still in situ, carrying a record of the magnetic field in which they were last cooled. We have sampled a range of archaeological hangi sites throughout New Zealand, dating to early prehistoric times (ca 700 BP). The stones vary in lithology from andesites, originating from the central North Island volcanoes, favoured by Maori for their durability and with NRM intensities up to 30 A/m, to greywackes and schists from the main axial ranges, with NRMs as weak as 10-4A/m. In all cases, we have independently oriented and retrieved several stones, and we have made several specimens from each stone, either by drilling (standard cylindrical specimens) or sawing (pseudo-cubes) in the laboratory. We have calculated site mean palaeomagnetic directions from principal component analysis of thermal demagnetization data, discarding the data of stones that show evidence of disturbance. We have carried out palaeointensity experiments using a Coe/Thellier method with pTRM and tail checks, and with selection criteria modified to the situation. Rock magnetic experiments contribute to our understanding of the mineralogy, domain state and blocking temperature spectra. The palaeodirections fall between declinations of 348o and 24.5o, and inclinations of -46.4o and -72.4o, with palaeointensities between 43.7±1.4 and 81.3±6.1 mT. Most fall within the expected range of secular variation for New Zealand. However the palaeointensity of 81.34±6.08mT, from an

Reclaiming the past to inform the future: contemporary views of Maori sexuality.

PubMed

Aspin, Clive; Hutchings, Jessica

2007-01-01

For hundreds of years, indigenous peoples have struggled to resist the imposition of Western, colonialist views of sexuality. Today, this tension continues as religious bodies attempt to impose a form of sexuality and sexual expression that derives from narrow fundamental interpretations of religious scripture. For the Maori, the indigenous people of New Zealand, the struggle to resist this imposition has a long history, which continues today. This paper draws on historical accounts including oral histories, depictions of Maori sexuality that reside in art forms such as carvings and archival material in order to describe Maori sexuality as it was lived and experienced in pre-European times. More recent information from the Maori Sexuality Project is used to inform these historical records. Together, these historical and contemporary sources provide a view of Maori sexuality that contrasts strongly with the view espoused by some Christian churches. Our understanding of Maori sexuality indicates that Maori were traditionally accepting of sexual diversity and difference and sought to embrace these elements of sexuality rather than to exclude them. The implications of these findings for the sexual rights and health of indigenous peoples, as well as for the ongoing development of Maori communities, is discussed.

Awhina: A Programme for Maori and Pacific Tertiary Science Graduate and Postgraduate Success

ERIC Educational Resources Information Center

Wilson, Marc; Hunt, Maree; Richardson, Liz; Phillips, Hazel; Richardson, Ken; Challies, Danna

2011-01-01

In New Zealand, Maori (indigenous New Zealanders) and Pacific students tend not to attain the same levels of educational success as Pakeha (New Zealanders of European descent). Addressing this problem is a particular challenge in the sciences. The kaupapa (values-base) of Te Ropu Awhina (Awhina) is to produce Maori and Pacific professionals to…

The Gap in the Subjective Wellbeing of Maori and New Zealand Europeans Widened between 2005 and 2009

ERIC Educational Resources Information Center

Sibley, Chris G.; Harre, Niki; Hoverd, William James; Houkamau, Carla A.

2011-01-01

We compared the self-reported subjective wellbeing of Maori and New Zealand (NZ) Europeans in two NZ national postal samples. The first sample was collected in 2005 before the global financial crisis of 2007/2010. The second was collected in 2009 while the crisis was ongoing. Both samples contained large and arguably representative samples of the…

Which family--what therapy: Maori culture, families and family therapy in New Zealand.

PubMed

Kumar, Shailesh; Dean, Peter; Smith, Barry; Mellsop, Graham W

2012-04-01

New Zealand is a relatively young and small country which has seen steady migration for nearly seven centuries. Despite a long history of rivalry and hostility between Maori and European values, the country has also seen some significant synergism between the two cultures. For the last three decades Asians have also migrated at a significant pace. The country faces the challenge of delivering quality mental health services to such cultures which are bifurcated in being socio-centric (Maori, Pacific Islanders and Asian total 32% combined) or ego-centric (European total 68%). Significant progress has been made in including families of the mentally ill in their treatment and care planning. Legislative requirements have been introduced for the family to be consulted in the treatment of those who are being compelled to receive psychiatric care under the Mental Health Act. Models of family therapy developed through innovation meeting the unique local needs or adaptation of existing models from overseas are being used. An overview of such family therapy modalities is presented.

Maori University Graduates: Indigenous Participation in Higher Education

ERIC Educational Resources Information Center

Theodore, Reremoana; Tustin, Karen; Kiro, Cynthia; Gollop, Megan; Taumoepeau, Mele; Taylor, Nicola; Chee, Kaa-Sandra; Hunter, Jackie; Poulton, Richie

2016-01-01

Maori, the indigenous population of New Zealand, are gaining university qualifications in greater numbers. This article describes the history of Maori university graduates, their current situation and the implications for indigenous futures. Section one provides a brief overview of historical policies and practices that, similar to those used on…

Rethinking Initial Teacher Education: Preparing Teachers for Schools in Low Socio-Economic Communities in New Zealand

ERIC Educational Resources Information Center

Grudnoff, Lexie; Haigh, Mavis; Hill, Mary; Cochran-Smith, Marilyn; Ell, Fiona; Ludlow, Larry

2016-01-01

Differential student achievement has particular significance in New Zealand as it has one of the largest gaps between high and low achievers among all OECD countries. Students from low socio-economic status (SES) communities, who are often Maori and Pasifika, are heavily over-represented in the low achieving group, while students from wealthier…

Brown Bodies, White Coats: Postcolonialism, Maori Women and Science

ERIC Educational Resources Information Center

McKinley, Elizabeth

2005-01-01

In Aotearoa New Zealand journeys of discovery and colonization were also scientific journeys that brought "Maori woman" under the intellectual control of the emerging "scientific" academy. This paper argues that the historical construction of "Maori woman" through the discourses of Enlightenment science continues to…

Ethnic differences in Type 2 diabetes care and outcomes in Auckland: a multiethnic community in New Zealand.

PubMed

Robinson, Tom; Simmons, David; Scott, David; Howard, Eileen; Pickering, Karen; Cutfield, Rick; Baker, John; Patel, Ashwin; Wellingham, John; Morton, Sara

2006-06-02

In New Zealand, Maori and Pacific (mostly of Samoan, Tongan, Niuean, or Cook Islands origin) people with Type 2 diabetes are more likely to suffer poor outcomes than other New Zealanders. Responsibility for addressing this outcome differential is falling on primary care and general practice in particular. This paper compares the general practice care provided to people with Type 2 diabetes in South and West Auckland, according to ethnicity. An external audit of general practice diabetes care is carried out in South and West Auckland by the Diabetes Care Support Service. The results of 5917 routine patient audits carried out in 2003 are included in this study. Number of visits, recording of important information, risk factors, and treatments are compared between different ethnic groups. Maori and Pacific people with diabetes who attend a regular GP had a higher average number of consultations than Europeans (5.7, 5.4, and 4.8 visits per year respectively). They were as likely as Europeans to have undergone important regular examinations and investigations. Maori were more likely than Europeans to be on some treatments. However, Maori and Pacific people were more likely to have a range of adverse risk factors for diabetes complications than Europeans. These include being a smoker (35, 18, and 13% respectively), having an HbA1c greater than 8% (50, 56, 23%), and having microalbuminuria (55, 50, 27%). Although there were no large differences in the process measures of general practice diabetes care provided to different ethnic groups in South and West Auckland, Maori and Pacific people were not achieving the same outcomes of care in terms of risk factors for diabetes complications. Many of these risk factors are influenced by other factors in the wider community; however the New Zealand health system needs to consider how it can better address these differences.

An investigation of child restraint/seatbelt usage in motor vehicles by Maori in Northland New Zealand.

PubMed

Brewin, M; Peters, T

2003-03-01

To investigate child restraint/seatbelt use by the indigenous (Maori) population in Northland New Zealand. Observational surveys were conducted at the two main car parks (McDonald's and the largest supermarket) to determine the number of passengers restrained, the type of restraints, and correct use. Observations were restricted to those who were obviously Maori, based upon the local knowledge of the observer. In addition, face to face questionnaires were administered to Maori whanau/caregivers involved in the care of two or more children for more than three days a week. A total of 788 participants were observed. Babies were those most likely to have all occupants restrained correctly (97%), followed by toddlers (66%), adults (56%), and school age children (48%); 138 interviews were conducted. Females (86%) were significantly more likely to ensure that all passengers were restrained on short journeys compared to males (67%; p<0.05). Respondents under 45 (80%) were significantly less likely to restrain child passengers compared to people aged 45 or older (91%; p<0.05). This study highlights the problem that larger families in this study had in providing correct child restraints for all their children.

Examining the Potential of Critical and Kaupapa Maori Approaches to Leading Education Reform in New Zealand's English-Medium Secondary Schools

ERIC Educational Resources Information Center

Berryman, Mere; Egan, Margaret; Ford, Therese

2017-01-01

This paper discusses expectations, policies and practices that currently underpin education within the New Zealand context. It acknowledges the ongoing failure of this policy framework to positively influence reform for Indigenous Maori students in regular, state-funded schools and highlights the need for extensive change in the positioning and…

Maori challenges and crown responsibilities: Maori policymaker ideas on smokefree policy options.

PubMed

Gifford, Heather; Parata, Kiri; Thomson, George

2010-11-26

To determine obstacles/opportunities within policy processes, for smokefree interventions appropriate to Maori. In particular, to explore Maori policymakers' ideas on how to achieve progress on smokefree homes, cars and community property. Documents and interviews with 16 senior Maori officials and Members of Parliament, and nine interviews in two case studies, were used to explore Maori policymakers' ideas for (i) Progress, within relevant policy processes, on smoking in homes, cars and community property; (ii) Particular interventions that the interviewees felt were most and least effective, practical, sustainable, politically feasible or desirable in some way; (iii) The context, and obstacles and opportunities for such interventions. The case studies were of a Maori health service and a group of Maori District Health Board managers. Several key themes emerged from the research including, (i) children as drivers for change, (ii) strong national and local indigenous leadership needed for change, (iii) delivering smokefree messages as part of wider healthy living approaches, (iv) targeting of the messages for greatest impact for Maori, (v) need for a Maori approach, not a general approach, (vi) central and local government having a significant role in the prevention of tobacco harm, (vii) ideas on how tobacco tax revenue should be spent on tobacco control, and (viii) the rights of children to smokefree environments. Results indicate that indigenous specific approaches and indigenous leadership are critical for Maori tobacco-free advances. Harnessing indigenous values and principles related to health, family and children was the preferred method of these Maori policymakers for delivering social marketing messages.

Cross-sectional study on prevalence, causes and avoidable causes of visual impairment in Maori children.

PubMed

Chong, Cheefoong; Dai, Shuan

2013-08-02

To provide information and comparison pertaining to visual impairment of Maori children with other children in New Zealand in particular: prevalence of blindness, causes of visual impairment, and avoidable causes of visual impairment. Retrospective data collection utilising the WHO/PBL eye examination record for children with blindness and low vision at Blind and Low Vision Education Network New Zealand (BLENNZ), Homai. Individuals not of Maori ethnicity or over the age of 16 were excluded from the study. 106 blind and 64 low-vision Maori children were studied. The main cause of blindness in Maori children is cortical visual impairment. Twenty-eight percent of causes of blindness in this population are potentially avoidable with non-accidental injury as the main cause. The prevalence of blindness and low vision in children amounts to 0.05% and 0.03%, respectively. The prevalence and causes of childhood blindness are comparable to the other ethnic groups in New Zealand. The main difference lies in avoidable causes of blindness, which appeared to be much higher in the Maori population. The leading cause of avoidable blindness in Maori children is caused by non-accidental injuries.

The incidence, diagnostic clinical manifestations and severity of juvenile systemic lupus erythematosus in New Zealand Maori and Pacific Island children: the Starship experience (2000-2010).

PubMed

Concannon, A; Rudge, S; Yan, J; Reed, P

2013-10-01

To describe the incidence, diagnostic clinical manifestations and severity of juvenile systemic lupus erythematosus (jSLE) in a cohort of New Zealand Maori and Pacific Island children compared to European children. A chart review was conducted of children with jSLE seen by the Starship paediatric rheumatology and/or renal services between January 2000 and November 2010. Diagnostic clinical data and lupus nephritis data at anytime were collated while classic British Isles Lupus Assessment Group (BILAG) and Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) scores were derived retrospectively. Thirty-two children were diagnosed with jSLE with an annual incidence of 0.52 per 100,000 per year. Compared with European children (0.31 per 100,000 per year) the incidence of jSLE was higher among Maori and Pacific (0.67 per 100,000 per year, p=0.06) and significantly higher among Asian children (1.17 per 100,000 per year, p=0.01). Compared with European children, Maori and Pacific children were more frequently diagnosed with lupus nephritis (80% vs 40%, p=0.09) and severe (WHO class 4 or 5) renal lesions (60% vs 40%, p=0.43) at presentation. Similarly, at any time during the study, lupus nephritis (100% vs 40%, p=0.001) and severe (WHO class 4 or 5) renal lesions (73.3% vs 40%, p=0.12) were more frequent among Maori and Pacific compared with European children. Furthermore, retrospective BILAG assessment of diagnostic disease severity demonstrated that Maori and Pacific children experienced the majority of severe "Category A" disease (56.8% vs 22.7%, p=0.17) which was predominantly renal (73.3% vs 40%, p=0.12) in nature. This is the first description of the incidence and clinical manifestations of jSLE in a cohort of New Zealand children. Although limited by the small numbers involved it confirmed anecdotal suspicions that the incidence of jSLE among Maori, Pacific and Asian children is higher than European children. Lupus nephritis is also more frequent and severe

Developing a Maori Language Mathematics Lexicon: Challenges for Corpus Planning in Indigenous Language Contexts

ERIC Educational Resources Information Center

Trinick, Tony; May, Stephen

2013-01-01

Over the last 25 years, there has been significant modernisation and elaboration of the Maori language mathematics lexicon and register to support the teaching of (Western) mathematics as a component of Maori-medium schooling. These developments are situated within the wider Maori language revitalisation movement in Aotearoa/New Zealand, of which…

Exploring the Role of Identity in Maori Heritage Language Learner Motivations

ERIC Educational Resources Information Center

Te Huia, Awanui

2017-01-01

Substantially less is known about the motivations of indigenous heritage language learners than the motivations of learners of colonial languages. This study explores the motivations of Maori indigenous New Zealanders and the identity-related motivations they have for learning their heritage language. Interviews with 19 Maori language learners…

An Old Problem with New Directions: Maori Language Revitalisation and the Policy Ideas of Youth

ERIC Educational Resources Information Center

Albury, Nathan John

2016-01-01

Legislative changes are afoot in New Zealand that are formalising an ideological shift in policy that decreasingly positions the Maori language a matter of interethnic national identity but increasingly as one for Maori self-determination. The Waitangi Tribunal (WAI262, Waitangi Tribunal, 2011) established that, from here on, Maori language policy…

Decolonisation through Critical Career Research and Action: Maori Women and Accountancy

ERIC Educational Resources Information Center

McNicholas, Patty; Humphries, Maria

2005-01-01

The call for a just social order in Aotearoa (New Zealand) includes the transformation of mono-cultural institutions such as the accountancy profession. Maori women accountants in this research expressed concern about maintaining their identity as Maori while participating in the corporate culture of the firms in which they are employed. These…

The Juxtaposition of Maori Words with English Concepts. 'Hauora, Well-Being' as Philosophy

ERIC Educational Resources Information Center

Heaton, Sharyn

2018-01-01

Within the New Zealand curriculum, hauora has been co-opted as an underlying and interdependent concept at the heart of the learning area of health and physical education. Hauora is identified as a Maori philosophy of well-being, advocating a Maori world view of hauora. Contemporary understandings of hauora as a Maori philosophy of health are…

Learning Te Reo Maori via Online Distance Education: A Case Study

ERIC Educational Resources Information Center

Jeurissen, Maree

2015-01-01

Despite some gains in the regeneration of te reo Maori, the indigenous language of Aotearoa New Zealand, its long-term survival remains threatened. One avenue for regeneration seldom considered is the English-medium secondary school. This article reports on a case study where students in one such school chose te reo Maori as an option and, and,…

Do Maori and Pacific Islander men present with more advanced prostate cancer than European New Zealand men? An analysis of 486 men undergoing biopsy in Auckland.

PubMed

Pokorny, Morgan R; Scott, David J

2011-04-01

• To address the question of whether Maori and Pacific Islander men in Auckland present with more advanced prostate cancer at diagnosis than New Zealand European or European men. • A retrospective database audit was undertaken of all men presenting for a first prostate biopsy under the Auckland Hospital Urology Service in 2005 and 2006. • Ethnicity was coded from self-identification codes on hospital databases. • Population numbers were obtained from the 2006 Census figures from Statistics New Zealand. • Primary outcome measures used as surrogates for advanced disease were PSA level at biopsy, Gleason Score and palpable abnormality on digital rectal examination and rates of metastatic disease as determined by nuclear medicine bone scan. • There was no appreciable difference when Maori and Pacific Islander men were compared with European men for median PSA level (13.30 vs 12.55 ng/mL, P = 0.264); median Gleason score (7 and 7), mean Gleason score (7.0 vs 6.9, P = 0.196) or the proportion of Gleason Score 7 or 8-10 (P = 0.431) • There was no difference between the rates of metastatic disease at presentation (11.5% vs 7.8%, P = 0.376). • There appeared to be a significant difference in the proportion of Maori and Pacific Islanders presenting with palpable disease (67.2%) compared with European men (53.3%, P = 0.042). • The crude population biopsy rate per 100,000 was similar for Maori and Pacific Islander and European men (560 vs 547). • Maori and Pacific Islander men present with similar prostate cancer characteristics to European men at diagnosis but there appears to be a real discrepancy in the rates of palpable disease. © 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.

Educational Achievement in Maori: The Roles of Cultural Identity and Social Disadvantage

ERIC Educational Resources Information Center

Marie, Dannette; Fergusson, David M.; Boden, Joseph M.

2008-01-01

The present study investigates the roles of Maori cultural identity and socio-economic status in educational outcomes in a New Zealand birth cohort studied from birth to the age of 25. There were statistically significant (all p values less than 0.01) associations between cultural identity and educational outcomes, with those of Maori ethnic…

SUDI prevention: a review of Maori safe sleep innovations for infants.

PubMed

Abel, Sally; Tipene-Leach, David

2013-08-02

Recent research and policy around sudden unexpected death in infancy (SUDI) have emphasised the place of safe sleeping practices within SUDI prevention strategies. Maori SUDI prevention workers have focussed on innovations around the safe sleep environment for some time now, as they have grappled with difficult to change and disproportionately high Maori SUDI rates. The wahakura (a flax bassinet modelled on a traditional Maori infant sleeping item) was developed in 2006 aiming to mitigate some of the risks of bedsharing with vulnerable infants, in particular infants exposed to maternal smoking in pregnancy. Early wahakura projects in Gisborne and Hawke's Bay showed high acceptability, effectiveness as an infant health promotion vehicle but difficulty maintaining a low/no cost supply for vulnerable families. The Hawke's Bay project revealed two pathways forward: the need for robust research to ensure the safety of the wahakura and the exploration of financially viable and more readily available alternatives. Work on both pathways is currently in progress around the country, signalling New Zealand's ongoing contribution to SUDI prevention and its potential contribution to knowledge and practices applicable to indigenous and other marginalised communities worldwide.

Characteristics of sarcoidosis in Maori and Pacific Islanders.

PubMed

Wilsher, Margaret L; Young, Lisa M; Hopkins, Raewyn; Cornere, Megan

2017-02-01

Ethnicity is strongly associated with variable clinical presentation in sarcoidosis but the association between ethnicity and clinical characteristics has not previously been described in patients of Polynesian ancestry, Maori and Pacific Islander (PI). The objective of this study was to describe the clinical characteristics of sarcoidosis in Maori and PI patients and determine if those were different to European patients. A retrospective review of the medical records of 406 patients (69 Maori/PI) attending a specialist interstitial lung disease (ILD) clinic. The population (207 females, mean age at presentation: 36) reflected the current New Zealand census data (2013) with only people of Indian ethnicity over-represented. Parenchymal lung involvement was uncommon in Maori and PI patients (21% Scadding stage 2, 2% stage 3), and no patient had extensive pulmonary fibrosis (stage 4). Computed tomography (CT) patterns of sarcoid parenchymal lung involvement were less commonly reported for Maori/PI. There were no differences in respect of baseline lung function or requirement for treatment. Ocular and skin involvement occurred more frequently in Maori and PI (P = 0.0045, P = 0.03), and erythema nodosum was more common in Caucasians (P = 0.0008). People of Polynesian ancestry appear to have less pulmonary and more extra-pulmonary manifestations of sarcoidosis. This adds to our knowledge that sarcoidosis heterogeneity is influenced by ethnicity. © 2016 Asian Pacific Society of Respirology.

Categorical ethnicity and mental health literacy in New Zealand.

PubMed

Marie, Dannette; Forsyth, Darryl K; Miles, Lynden K

2004-08-01

Public social policies in New Zealand assume that there are fundamental differences between Maori views of health phenomena and non-Maori perceptions. The biomedical model and a Maori model known as Te Whare Tapa Wha are commonly employed to characterise these differences. Using the categorical ethnicity demarcation 'Maori/non-Maori' we investigate this claim with respect to mental health literacy about depression. Participants were randomly selected from the General and Maori Electoral Rolls and recruited by post (N=205). A vignette methodology was employed and involved the development of a fictional character as a target stimulus who exhibited the minimum DSM-IV-R criteria for a major depressive disorder. Participants responded to items regarding problem recognition, well-being, causal attributions, treatment preferences, and likely prognosis. The majority of Maori and non-Maori participants correctly identified the problem the vignette character was experiencing and nominated congruent attributions for the causes of the problem. In relation to treatment strategies and likely prognosis, independent of self-assigned ethnicity, participants rated professional treatments above alternative options. Overall the categorical ethnicity distinction 'Maori and non-Maori' produced no systematic variation with regards to individual evaluative responses about a major depressive disorder. Contrary to the embedded assumption within New Zealand's public health strategies that there are essential differences between the way Maori and non-Maori view health problems, and that the categorical ethnicity demarcation reliably reflects these differences, we found no evidence for the veracity of this claim using a major depressive disorder as a target for judgements. Alternative explanations are canvassed as to why this assumption about fundamental differences based on categorical ethnicity has gained ascendancy and prominence within the sphere of New Zealand health.

Bicentenary 2016: The First New Zealand School

ERIC Educational Resources Information Center

Jones, Alison; Jenkins, Kuni Kaa

2016-01-01

Maori leaders visiting Australia invited a Pakeha (in this case, English) teacher to come to New Zealand to teach the children to read and write. On 12th August 1816, 200 years ago this year, the first school in New Zealand opened. Twenty-four Maori children came on that day, and each had his or her name written down. The teacher Thomas Kendall…

Creating Culturally-Safe Schools for Maori Students

ERIC Educational Resources Information Center

Macfarlane, Angus; Glynn, Ted; Cavanagh, Tom; Bateman, Sonja

2007-01-01

In order to better understand the present trends in New Zealand's schooling contexts, there is a clarion call for educators to develop sensitivity and sensibility towards the cultural backgrounds and experiences of Maori students. This paper reports on the work of four scholars who share research that has been undertaken in educational settings…

Te Reo Maori Ka Rere: "Talknology" and Maori Language as a Language of Choice

ERIC Educational Resources Information Center

Lemon, Ruth

2017-01-01

This opinion piece aims to grow awareness of a range of technological initiatives that are supporting Maori language regeneration. These initiatives have been chosen because they have communities of users. This piece could be useful to educators who want to learn about the options that are available in this area, or students of Maori language for…

Are hearing losses among young Maori different to those found in the young NZ European population?

PubMed

Digby, Janet E; Purdy, Suzanne C; Kelly, Andrea S; Welch, David; Thorne, Peter R

2014-07-18

This study was undertaken to determine if young Maori have more permanent bilateral hearing loss, or less severe and profound hearing loss than New Zealand (NZ) Europeans. Data include hearing-impaired children from birth to 19 years of age from the New Zealand Deafness Notification Database (DND) and covering the periods 1982-2005 and 2009-2013. These were retrospectively analysed, as was information on children and young people with cochlear implants. Young Maori are more likely to be diagnosed with permanent hearing loss greater than 26 dB HL, averaged across speech frequencies, with 39-43% of hearing loss notifications listed as Maori. Maori have a lower prevalence of severe/profound losses (n=1571, chi squared=22.08, p=0.01) but significantly more bilateral losses than their NZ European peers (n=595, Chi-squared=9.05, p=0.01). The difference in severity profile is supported by cochlear implant data showing Maori are less likely to receive a cochlear implant. There are significant differences in the proportion of bilateral (compared to unilateral) losses and in the rates and severity profile of hearing loss among young Maori when compared with their NZ European peers. This has implications for screening and other hearing services in NZ.

Social inequality and ethnic differences in smoking in New Zealand.

PubMed

Barnett, Ross; Moon, Graham; Kearns, Robin

2004-07-01

This study tests a generalisation of the 'Wilkinson' thesis that the greater a nation's income inequality, the poorer the average national health status. We consider the effect of socio-economic inequality upon ethnic variations in smoking in New Zealand. Analysis of Maori and Pakeha (New Zealanders of European descent) smoking rates from the 1996 Census is conducted for 73 Territorial Local Authority areas in New Zealand, disaggregated by gender and rural-urban location. Partial correlation is used to control for absolute levels of deprivation and examine the independent effect of ethnic social inequality upon smoking rates. The level of social inequality between Maori and Pakeha has an independent effect on Maori smoking rates. Pakeha smoking rates by contrast are more sensitive to variations in absolute rather than relative deprivation. The effect of inequality is greatest for Maori women, especially among urban residents. By contrast, among Maori men the effects are greatest in rural areas. The results provide some qualified support for the Wilkinson thesis and suggest that policies which address fundamental issues of social inequality will play a small, but significant, role in helping to reduce high smoking rates amongst Maori. Copyright 2003 Elsevier Ltd.

Ko Wai Au? Who Am I? Examining the Multiple Identities of Maori Youth

ERIC Educational Resources Information Center

Faircloth, Susan C.; Hynds, Anne; Jacob, Helen; Green, Clint; Thompson, Patrick

2016-01-01

In this paper, we present preliminary findings from a unique collaborative research project involving six Deaf Maori rangatahi (youth) in Tamaki Makaurau (Auckland), Aotearoa New Zealand. This study utilized kaupapa whanau (research family) protocols, established in consultation with two cultural advisory groups within New Zealand and the young…

The Extra Strand of the Maori Science Curriculum

ERIC Educational Resources Information Center

Stewart, Georgina

2011-01-01

This paper comments on the process of re-development of the Maori-medium Science (Putaiao) curriculum, as part of overall curriculum development in Aotearoa New Zealand. A significant difference from the English Science curriculum was the addition of an "extra strand" covering the history and philosophy of science. It is recommended that…

Whiti Ki Runga! Gifted and Talented Maori Learners

ERIC Educational Resources Information Center

Macfarlane, Angus; Moltzen, Roger

2005-01-01

The importance of identifying and nurturing the gifts and talents of young people is now more widely accepted in New Zealand than it has been in the past. In this country the approach to meeting this challenge must reflect an understanding and acknowledgement of Maori conceptions of giftedness and talent. It is proposed here that the…

Breast cancer characteristics and survival differences between Maori, Pacific and other New Zealand women included in the Quality Audit program of Breast Surgeons of Australia and New Zealand.

PubMed

Campbell, Ian; Scott, Nina; Seneviratne, Sanjeewa; Kollias, James; Walters, David; Taylor, Corey; Roder, David

2015-01-01

The Quality Audit (BQA) program of the Breast Surgeons of Australia and New Zealand (NZ) collects data on early female breast cancer and its treatment. BQA data covered approximately half all early breast cancers diagnosed in NZ during roll-out of the BQA program in 1998-2010. Coverage increased progressively to about 80% by 2008. This is the biggest NZ breast cancer database outside the NZ Cancer Registry and it includes cancer and clinical management data not collected by the Registry. We used these BQA data to compare socio-demographic and cancer characteristics and survivals by ethnicity. BQA data for 1998-2010 diagnoses were linked to NZ death records using the National Health Index (NHI) for linking. Live cases were followed up to December 31st 2010. Socio-demographic and invasive cancer characteristics and disease-specific survivals were compared by ethnicity. Five-year survivals were 87% for Maori, 84% for Pacific, 91% for other NZ cases and 90% overall. This compared with the 86% survival reported for all female breast cases covered by the NZ Cancer Registry which also included more advanced stages. Patterns of survival by clinical risk factors accorded with patterns expected from the scientific literature. Compared with Other cases, Maori and Pacific women were younger, came from more deprived areas, and had larger cancers with more ductal and fewer lobular histology types. Their cancers were also less likely to have a triple negative phenotype. More of the Pacific women had vascular invasion. Maori women were more likely to reside in areas more remote from regional cancer centres, whereas Pacific women generally lived closer to these centres than Other NZ cases. NZ BQA data indicate previously unreported differences in breast cancer biology by ethnicity. Maori and Pacific women had reduced breast cancer survival compared with Other NZ women, after adjusting for socio-demographic and cancer characteristics. The potential contributions to survival

Bringing Thunder: Tribal College Presidents Explore Indigenous New Zealand.

ERIC Educational Resources Information Center

Pease-Pretty, Janine

2002-01-01

Describes visit of American tribal college and university presidents, faculty, and staff to Maori tribal colleges and schools in Aotearoa, New Zealand. Suggests that findings from the study of Maori educational systems will affect tribal education in the U.S. (NB)

Collective (White) Memories of Maori Language Loss (Or Not)

ERIC Educational Resources Information Center

Albury, Nathan John

2015-01-01

Language policies have a better chance of succeeding if they align with the persuasions of the polity, and this is only more pronounced in the case of endangered languages, such as Te Reo (the Maori language) in New Zealand. There, a comprehensive suite of laws, policies, and programmes are in place to acknowledge and reverse the linguistic…

Partnership for Change: Promoting Effective Leadership Practices for Indigenous Educational Success in Aotearoa New Zealand

ERIC Educational Resources Information Center

Santamaría, Andrés P.; Webber, Melinda; Santamaría, Lorri J.; Dam, Lincoln I.

2015-01-01

In early 2014, a team of researchers was invited into partnership with the Maori Success Initiative (MSI), a national, indigenous led network of Maori and non-Maori principals committed to working collaboratively to raise Maori student achievement. Working with over sixty principals across six regional clusters throughout Aotearoa New Zealand,…

The epidemiologic characteristics of slipped capital femoral epiphysis in Maori children.

PubMed

Phadnis, Joideep; Phillips, Paul; Willoughby, Richard

2012-01-01

Slipped capital femoral epiphysis (SCFE) has been shown to have considerable racial variation. Children of Polynesian, and especially Maori, ethnicity are thought to have the highest worldwide incidence. Despite this, very little published literature exists to corroborate this. The aim of this study was to describe the characteristics of SCFE in the largest series of Maori children ever published. Case notes and radiographs were used to analyze the demographic and slip characteristics of all SCFE admissions over a 10-year period. Comparisons of these characteristics were made between Maori and New Zealand European (NZE) children and census data were used to provide incidences and racial frequencies for the two groups. A total of 130 Maori children and 44 NZE children had a new diagnosis of SCFE during the study period. For the "at-risk" age group (5 to 14 y), incidence in Maori children (81/100,000) was significantly higher than NZEs (11.3/100,000) (P≤0.001). Maori had a more even distribution of SCFE between males and females (P=0.04), with a lower age at presentation (P=0.002) and a higher incidence of bilateral SCFE (P=0.05). Female children also had a younger age at presentation (P=0.001) and higher incidence of future contralateral SCFE (P=0.02). This is the first published study primarily looking at the epidemiologic characteristics of SCFE in Maori children. It would appear that Maori children have the highest reported worldwide frequency of SCFE and present at a younger age with a greater rate of bilateral SCFE than their counterparts. Prognostic Level III.

A prospective study of gout in New Zealand Maoris.

PubMed Central

Brauer, G W; Prior, I A

1978-01-01

Results are reported from the first prospective study of gout in New Zealand Maoris based on a sample of 388 males and 378 females. At baseline, high mean levels of serum uric acid (SUA) were found, 0.422 +/- 0.092 mmol/1 (7.05 +/- 1.54 mg/100 ml) in males and 0.350 +/- 0.091 mmol/1 (5.85 +/- 1.52 mg/100 ml) in females. On the basis of traditional criteria (SUA above 0.42 mmol/1 (7.0 mg/100 ml) in males and above 0.36 mmol/1 (6.0 mg/100 ml) in females) the prevalence of hyperuricaemia was 49% in males and 42% in females. The baseline prevalence of gout (8.8% for males and 0.8% for females) and the subsequent 11-year incidence rates (10.3% for males and 4.3% for females) are discussed in relation to specified SUA classes. When traditional, sex-specific criteria for hyperuricaemia were used, no relationship was found between the prevalence of hyperuricaemia and the incidence of gout. There was, however, a sharp increase in the incidence rate of gout in both sexes when SUA levels were above 0.48 mmol/1 (8.0 mg/100 ml). In subjects with a baseline SUA above this level, the age-standardised 11-year incidence rate of gout was 29.1% for males and 37.2% for females. A previously unreported relationship linking muscle size to the incidence of gout in males is presented as a major finding of the study. Other risk factors associated with gout were body mass and blood pressure. PMID:718280

The practice of surrogacy in New Zealand.

PubMed

Anderson, Lynley; Snelling, Jeanne; Tomlins-Jahnke, Huia

2012-06-01

Commercial surrogacy is prohibited in New Zealand by the Human Assisted Reproductive Technology Act 2004 (HART Act). However, altruistic clinic-assisted surrogacy is permitted. Couples wishing to attempt altruistic surrogacy must apply for approval to a statutorily appointed ethics committee. One of seven principles that underpin the HART Act stipulates that the needs, values and beliefs of Maori (NZ's indigenous population) should be considered and treated with respect. This paper reviews the outcomes of surrogacy applications since the HART Act was established and the uptake of surrogacy by Maori. The authors examined the demographic data provided to the ethics committee by way of surrogacy applications and the outcome data provided by fertility clinics. This paper reviews the outcomes for surrogacy applications: the number accepted/declined, the number of live births, those applications discontinued and uptake by Maori. Of 104 applications for surrogacy between 2005 and 2010, 4 (3.8%) were declined. By July 2011, of 100 approved, there have been 26 (26%) live births; 52 (52%) were discontinued, and 22 (22%) remain ongoing. Maori are much less likely to utilise surrogacy. Of the 104 original applications, 9 (8.6%) Maori women were willing to act as a surrogate, and 2 (1.9%) were intended mothers. 7 (6.7%) Maori were partners of a surrogate, with 2 (1.9%) intending mothers having Maori partners. The process of surrogacy applications is comprehensive and robust, resulting in few being declined. Further research is required to discover why applications are discontinued and why, despite explicit attempts to meet the needs of Maori, few utilise surrogacy. © 2012 The Authors ANZJOG © 2012 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

A New Net to Go Fishing: Messages from International Evidence-Based Research and "Kaupapa" Maori Research

ERIC Educational Resources Information Center

Manning, Richard F.; Macfarlane, Angus H.; Skerrett, Mere; Cooper, Garrick; De Oliveira, Vanessa; Emery, Tepora

2011-01-01

This article draws upon a Maori metaphor to describe the theoretical framework underpinning the methodology and findings of a research project completed by researchers from the University of Canterbury, New Zealand, in 2010. It explains how and why the project required the research team to synthesise key information from four New Zealand Ministry…

Demographic variation in community-based MRSA skin and soft tissue infection in Auckland, New Zealand.

PubMed

Ritchie, Stephen R; Fraser, John D; Libby, Eric; Morris, Arthur J; Rainey, Paul B; Thomas, Mark G

2011-04-15

To estimate the burden of skin and soft tissue infection caused by Staphylococcus aureus (S. aureus), and to determine the effects of ethnicity and age on the rate of skin and soft tissue due to MRSA in the Auckland community. We reviewed the culture and susceptibility results of all wound swabs processed by Auckland's only community microbiology laboratory in 2007. Demographic data for a random sample of 1000 people who had a wound swab collected and for all people from whom a methicillin-resistant S. aureus (MRSA) strain was isolated were obtained and compared to demographic data for the total population of Auckland. S. aureus was isolated from 23853/47047 (51%) wound swab cultures performed in 2007; the estimated annual incidence of S. aureus isolation from a wound swab was 1847/100,000 people; and the estimated annual incidence of MRSA isolation from a wound swab was 145/100,000 people. Maori and Pacific people had higher rates of non-multiresistant MRSA infection compared with New Zealand European and Asian people; elderly New Zealand European people had much higher rates of multiresistant MRSA infections compared with people from other ethnic groups. S. aureus is a very common cause of disease in the community and the incidence of infection with MRSA subtypes varies with ethnicity.

Your Basket and My Basket: Teaching and Learning about "Maori-Pakeha" Bicultural Organizing

ERIC Educational Resources Information Center

Jones, Deborah; Creed, Douglas

2011-01-01

A commitment to partnership between indigenous "Maori" and the nonindigenous "Pakeha" provides a process for bicultural organizing in Aotearoa New Zealand. The authors introduce this partnership process to provide perspectives for teaching and learning about "closer encounters" between indigenous and nonindigenous…

Opportunity to Learn about Disciplinary Literacy in Senior Secondary English Classrooms in New Zealand

ERIC Educational Resources Information Center

Wilson, Aaron; Madjar, Irena; McNaughton, Stuart

2016-01-01

The New Zealand education system is recognised internationally for its overall high quality. At the same time, there is a persistent gap in achievement between students in low socio-economic status (SES) schools in which there is an over-representation of Maori and Pasifika students, and students in more affluent communities. In this paper, we…

Adolescence in New Zealand. Volume Two: Wider Perspectives.

ERIC Educational Resources Information Center

Stewart, Robert A. C., Ed.

This is the second of a two-volume collection of research-based readings dealing with the New Zealand adolescent. This volume considers the areas of drugs and delinquency, as well as the world of work and Maori-pakeha differences. The following topics are included: marihuana use; vocational aspiration; alcohol and tobacco use; Maori-pakeha…

Performing Manaaki and New Zealand Refugee Theatre

ERIC Educational Resources Information Center

Hazou, Rand T.

2018-01-01

In September 2015, and in response to the Syrian refugee crisis, there were widespread calls in New Zealand urging the Government to raise its annual Refugee Quota. Maori Party co-leader Marama Fox argued that New Zealand could afford to take on more refugees as part of its global citizenship and suggested that New Zealand's policy might be shaped…

Te Pikaunga-Mahi Me Te Kohukihuki (Workload and Stress)=A National Survey of Maori Aste Te Hau Takitini O Aotearoa Members.

ERIC Educational Resources Information Center

Sisley, Renee; Waiti, Danica

In 1996 a national survey was undertaken of 24 Maori members of the Association of Staff in Tertiary Education in New Zealand. It followed an earlier study and sought to investigate further the workloads of Maori staff members and related issues. The research process gave fundamental priority to ensuring culturally appropriate research practices.…

Te Reo Maori as a Subject: The Impact of Language Ideology, Language Practice, and Language Management on Secondary School Students' Decision Making

ERIC Educational Resources Information Center

Jeurissen, Maree

2014-01-01

Te reo Maori, the Indigenous language of Aotearoa (New Zealand), remains 'endangered' despite concentrated ongoing efforts to reverse declining numbers of speakers. Most of these efforts have focused on te reo Maori immersion education settings as these were considered the most effective means to ensure the survival of the language (May &…

Early Childhood Services in New Zealand.

ERIC Educational Resources Information Center

Oborn, Glennie

2002-01-01

Describes the types and characteristics of New Zealand early childhood education services. Specific areas addressed include: (1) Te Whaariki, the New Zealand early childhood curriculum; (2) great outdoors as a feature of early education; (3) education and care centers; (4) kindergartens and playcenters; and (5) Te Kohanga Reo, Maori language and…

History of Transracial Adoption: A New Zealand Perspective

ERIC Educational Resources Information Center

Newman, Erica

2013-01-01

This article explores the New Zealand legal history of adoption and the effect it has had on Maori. The status of children within Maori and European societies before and during the early contact periods differed, and it is from here that the author begins this article. These two societies had their own terms in relation to the care of children by…

Cultural and social factors and quality of life of Maori in advanced age. Te puawaitanga o nga tapuwae kia ora tonu - Life and living in advanced age: a cohort study in New Zealand (LiLACS NZ).

PubMed

Dyall, Lorna; Kepa, Mere; Teh, Ruth; Mules, Rangimarie; Moyes, Simon A; Wham, Carol; Hayman, Karen; Connolly, Martin; Wilkinson, Tim; Keeling, Sally; Loughlin, Hine; Jatrana, Santosh; Kerse, Ngaire

2014-05-02

To establish 1) the socioeconomic and cultural profile and 2) correlates of quality of life (QOL) of Maori in advanced age. A cross sectional survey of a population based cohort of Maori aged 80-90 years, participants in LiLACS NZ, in the Rotorua and Bay of Plenty region of New Zealand. Socioeconomic and cultural engagement characteristics were established by personal interview and QOL was assessed by the SF-12. In total 421 (56%) participated and 267 (63%) completed the comprehensive interview. Maori lived with high deprivation areas and had received a poor education in the public system. Home ownership was high (81%), 64% had more than 3 children still living and social support was present for practical tasks and emotional support in 82%. A need for more practical help was reported by 21%. Fifty-two percent of the participants used te reo Maori me nga tikanga (Maori language and culture) daily. One in five had experienced discrimination and one in five reported colonisation affecting their life today. Greater frequency of visits to marae/sacred gathering places was associated with higher physical health-related QOL. Unmet need for practical help was associated with lower physical health-related QOL. Lower mental health-related QOL was associated with having experienced discrimination. Greater language and cultural engagement is associated with higher QOL for older Maori and unmet social needs and discrimination are associated with lower QOL.

Titiro Whakamuri, Hoki Whakamua: Respectful Integration of Maori Perspectives within Early Childhood Environmental Education

ERIC Educational Resources Information Center

Ritchie, Jenny

2012-01-01

The early years are a foundational time for the establishment of dispositions for learning. This paper draws on a recent study in Aotearoa (New Zealand) to illustrate ways educators have been implementing programs, within mainstream early childhood care and education settings, that inclusively offer Maori perspectives on caring for ourselves,…

Maori Mentors: Expectations and Perceptions

ERIC Educational Resources Information Center

Barnett, Shirley; Te Wiata, Ina

2017-01-01

This article is informed by a kaupapa Maori methodology and reports on a "by Maori for Maori" peer mentoring programme. The programme, offered by the College of Business at Massey University, focuses on Maori students who are studying at a distance. We outline the programme and the experiences and perceptions from kanohi ki te kanohi…

Awhina Revolution: A Bayesian Analysis of Undergraduate and Postgraduate Completion Rates from a Program for Maori and Pacific Success in STEM Disciplines

ERIC Educational Resources Information Center

Richardson, Ken; Clark, Zaramasina; Gaines, Michael; Kingi, Hautahi; Miller, Sonja; Pearson, Willie, Jr.; Richardson, Liz

2018-01-01

Maori and Pacific students generally do not attain the same levels of tertiary success as New Zealanders of European descent, particularly in science, technology, engineering, and mathematics (STEM) subjects. Te Ropu Awhina (Awhina), an equity initiative at Victoria University of Wellington in New Zealand between 1999 and 2015, aimed to produce…

Voice and Biliteracy in Indigenous Language Revitalization: Contentious Educational Practices in Quechua, Guarani, and Maori Contexts

ERIC Educational Resources Information Center

Hornberger, Nancy H.

2006-01-01

This article considers instances of biliterate educational practice in contexts of indigenous language revitalization involving Quechua in the South American Andes, Guarani in Paraguay, and Maori in Aotearoa/New Zealand. In these indigenous contexts of sociohistorical and sociolinguistic oppression, the implementation of multilingual language…

Awakening Vision: Examining the Reconceptualization of Aboriginal Education in Canada via Kaupapa Maori Praxis

ERIC Educational Resources Information Center

Rico, Braden

2013-01-01

Kaupapa Maori theory was conceptualized in the 1980s in New Zealand as a framework for revolutionizing Indigenous education. Its success marks it as a transformational praxis beneficial to educators beyond the shores of Aotearoa. This theory propounds a practical, proactive stance that enables a shift in thinking away from the psychology of…

Emerging Voices or Linguistic Silence?: Examining a New Zealand Linguistic Landscape

ERIC Educational Resources Information Center

Macalister, John

2010-01-01

The monolingualism of New Zealand has often been remarked on, but statutory and demographic changes in recent years suggest a shift away from the dominance of the English language. New Zealand now has two official languages, the indigenous Maori language and New Zealand Sign Language, and census data report a decreasing proportion of monolingual…

Why People Gamble: A Qualitative Study of Four New Zealand Ethnic Groups

ERIC Educational Resources Information Center

Tse, Samson; Dyall, Lorna; Clarke, Dave; Abbott, Max; Townsend, Sonia; Kingi, Pefi

2012-01-01

In multicultural countries such as New Zealand, it is particularly important that gambling research take into account possible cultural differences. Many New Zealanders come from cultures that do not have a history of gambling, including the Maori (New Zealand indigenous people), Pacific Islanders, and recent migrants. Little research has examined…

Goals for Fourth World Peoples and Sovereignty Initiatives in the United States and New Zealand.

ERIC Educational Resources Information Center

Duffie, Mary Kay

1998-01-01

Compares national policies of the United States and New Zealand toward their indigenous populations, and sovereignty initiatives of Native Americans and Maoris. Discusses colonialist patterns, treaty relationships, historical policy trajectories, and sovereignty disputes. Examines Indian gaming and Maori land claims settlements as a means to gain…

500 Maori PhDs in Five Years: Insights from a Successful Indigenous Higher Education Initiative

ERIC Educational Resources Information Center

Villegas, Malia Maya

2010-01-01

With this thesis, I present a case study of the effort to graduate 500 "Maori" doctorates in five years in New Zealand in order to advance our understanding of a successful Indigenous higher education initiative. By paying careful attention to contextual factors, I describe the theoretical and practical significance of this effort and…

Work and Psychiatric Illness in Aotearoa/New Zealand: Implications for Career Practice

ERIC Educational Resources Information Center

Southern, Annie; Miller, Judi

2012-01-01

This paper aims to examine the influence of Maori culture upon psychiatric service provision in Aotearoa/New Zealand and the implications of this for career counselling of people with experience of mental illness in Aotearoa/New Zealand. The research explored the experiences of a group of women in Aotearoa/New Zealand who have been diagnosed with…

A Civilising Mission? Perceptions and Representations of the New Zealand Native Schools System

ERIC Educational Resources Information Center

Simon, Judith, Ed.; Smith, Linda Tuhiwai, Ed.

The Native Schools system was a system of village primary schools for Maori children operated by the New Zealand state from 1867 to 1969. The official purpose of the system was assimilation. Virtually all previous historical accounts of the Native Schools have been written by Pakeha (non-Maori, usually of European descent) and based on material…

Self-rated health, health-related behaviours and medical conditions of Maori and non-Maori in advanced age: LiLACS NZ.

PubMed

Teh, Ruth; Kerse, Ngaire; Kepa, Mere; Doughty, Rob N; Moyes, Simon; Wiles, Janine; Wham, Carol; Hayman, Karen; Wilkinson, Tim; Connolly, Martin; Mace, Casey; Dyall, Lorna

2014-07-04

To establish self-rated health, health-related behaviours and health conditions of Maori and non-Maori in advanced age. LiLACS NZ is a longitudinal study. A total of 421 Maori aged 80-90 years and 516 non-Maori aged 85 years living in the Bay of Plenty and Rotorua district were recruited at baseline (2010). Socioeconomic-demographic characteristics and health-related behaviours were established using interviewer administered questionnaire. Self-rated health was obtained from the SF-12. Medical conditions were established from a combination of self-report, review of general practitioner and hospital discharge records, and analyses of fasting blood samples. 61% Maori and 59% non-Maori rated their health from good to excellent. Eleven percent of Maori and 5% of non-Maori smoked; 23% Maori and 47% non-Maori had alcohol on at least 2 occasions per week. Physical activity was higher in Maori than non-Maori (p=0.035) and the relationship was attenuated when adjusted for age. More Maori (49%) than non-Maori (38%) were at high nutrition risk (p=0.005); and more non-Maori (73%) than Maori (59%) were driving (p<0.01). The three most common health conditions were hypertension (83%), eye diseases (58%) and coronary artery disease (44%). The health profile differed by gender and ethnicity. Overall, participants had a median of five health conditions. Self-rated health is high in this sample considering the number of comorbidities. There are differences in health behaviours and health conditions between genders and by ethnicity in advanced age. The significance of health conditions in men and women, Maori and non-Maori in advanced age will be examined longitudinally.

Teaching cultural safety in a New Zealand nursing education program.

PubMed

Richardson, Fran; Carryer, Jenny

2005-05-01

Cultural safety education is a concept unique to nursing in New Zealand. It involves teaching nursing students to recognize and understand the dynamics of cultural, personal, and professional power and how these shape nursing and health care relationships. This article describes the findings of a research study on the experience of teaching cultural safety. As a teacher of cultural safety, the first author was interested in exploring the experience of teaching the topic with other cultural safety teachers. A qualitative approach situated in a critical theory paradigm was used for the study. The study was informed by the ideas of Foucault and feminist theory. Fourteen women between ages 20 and 60 were interviewed about their experience of teaching cultural safety. Five women were Maori (the indigenous people of New Zealand), and 9 were Pakeha (the Maori name for New Zealanders of European descent). Following data analysis, three major themes were identified: that the Treaty of Waitangi provides for an examination of power in cultural safety education; that the broad concept of difference influences the experience of teaching cultural safety; and that the experience of teaching cultural safety has personal, professional, and political dimensions. These dimensions are experienced differently by Maori and Pakeha teachers.

Epidemiology of diabetes in New Zealand: revisit to a changing landscape.

PubMed

Joshy, Grace; Simmons, David

2006-06-02

The aim of this review is to describe the evolution of the burden of diabetes, its risk factors and complications in New Zealand, and the current national strategies underway to tackle a condition likely to impact on the national ability to afford other health services. The MEDLINE database from 1990 was searched for New Zealand-specific diabetes studies. The Australia and New Zealand Dialysis and Transplant Registry (ANZDATA) Reports from 1990-2004 and Ministry of Health (MoH) publications and reports were also reviewed. Key contact people working in the field of diabetes care in every district health board (DHB) were contacted, and information on current initiatives for diabetes control and prevention were collected. The prevalence of diabetes (known and undiagnosed), impaired glucose tolerance (IGT)/impaired fasting glucose (IFG) and gestational diabetes are tabulated by ethnic group. The latest New Zealand Health Survey (NZHS) result of known diabetes: European 2.9%, Maori 8%, Pacific 10.1%, Asian 8.4%. Diabetes risk factors have been examined and the reported rates have been compiled. Maori and Pacific people have a particularly high prevalence of diabetes risk factors (e.g. obesity, physical inactivity, insulin resistance, metabolic syndrome) compared with Europeans. The profile of diabetic patients in New Zealand has been summarised using publications on their clinical characteristics. The latest available data on ethnic specific clinical characteristics are a decade old. With the suboptimal participation in the Get Checked program: 63% Europeans/Others, 27% Maori, 92% Pacific (possibly overestimated) people in 2004, the results may not be representative. The burden of diabetes complications and diabetes related mortality has been reviewed. A high proportion of Maori and Pacific dialysis patients and new renal disease patients from the ANZDATA registry have diabetes comorbidity. The inadequacy of official statistics in New Zealand and the scarcity of indepth

Towards integrated catchment management, Whaingaroa, New Zealand.

PubMed

van Roon, M; Knight, S

2001-01-01

The paper examines progress towards integrated catchment management and sustainable agriculture at Whaingaroa (Raglan), New Zealand. Application of the Canadian "Atlantic Coastal Action Program" model (ACAP) has been only partially successful within New Zealand's bicultural setting. Even before the introduction of the ACAP process there existed strong motivation and leadership by various sectors of the community. A merging of resource management planning and implementation processes of the larger community and that of the Maori community has not occurred. Research carried out by Crown Research Institutes has clearly shown the actions required to make pastoral farming more sustainable. There are difficulties in the transference to, and uptake of, these techniques by farmers. An examination of the socio-economic context is required. There has been a requirement on local government bodies to tighten their focus as part of recent reform. This has occurred concurrently with a widening of vision towards integrated and sustainable forms of management. This (as well as a clear belief in empowerment of local communities) has lead to Council reliance on voluntary labour. There is a need to account for the dynamic interaction between social and political history and the geological and biophysical history of the area. As part of a re-examination of sustainable development, New Zealand needs to reconcile the earning of the bulk of its foreign income from primary production, with the accelerating ecological deficit that it creates. A sustainability strategy is required linking consumer demand, property rights and responsibilities.

Does the granting of legal privileges as an indigenous people help to reduce health disparities? Evidence from New Zealand and Malaysia.

PubMed

Phua, Kai-Lit

2009-11-01

Both the Maori of New Zealand and the Orang Asli of Malaysia are indigenous peoples who have been subjected to prejudice, discrimination and displacement in its various forms by other ethnic groups in their respective countries. However, owing to changes in the socio-political climate, they have been granted rights (including legal privileges) in more recent times. Data pertaining to the health and socio-economic status of the Maori and the Orang Asli are analysed to see if the granting of legal privileges has made any difference for the two communities. One conclusion is that legal privileges (and the granting of special status) do not appear to work well in terms of reducing health and socio-economic gaps.

Maori women's views on smoking cessation initiatives.

PubMed

Fernandez, Carole; Wilson, Denise

2008-07-01

Smoking is particularly prevalent among Maori women over the age of 15 years and remains a concern despite anti-smoking campaigns. This raises questions about the effectiveness of current smoking cessation initiatives as mainstream tobacco control programmes have not benefited Maori to the same extent as non-Maori. Limited research is available on the effectiveness of smoking cessation initiatives for Maori. In this descriptive qualitative study five Maori women who had ceased smoking were interviewed about such initiatives and what was more likely to influence Maori women to quit. A focus group was used to discuss smoking cessation initiatives and the data were thematically analysed using Boyatzis' (1998) approach. Two themes were identified: (a) Transmission of Whanau (immediate and extended family) Values that includes the sub-categories whanau experiences, being mothers, and role models; and (b) Factors Crucial in Influencing Change that includes the sub-categories choices and exercising own will, a positive perception of self and a Maori approach. The findings provide insight for nurses into Maori women's perspectives. These highlight the importance of whanau and supportive relationships, and can be used to inform strategies to assist Maori women in smoking cessation.

Secondhand smoke in New Zealand homes and cars: exposure, attitudes, and behaviours in 2004.

PubMed

Gillespie, Julie; Milne, Kiri; Wilson, Nick

2005-12-16

To assess exposure to secondhand smoke (SHS) in New Zealand homes and cars and to describe attitudes and behaviours that relate to establishing smokefree settings. In 2004, a nationwide telephone survey randomly selected and interviewed 2731 respondents. This sample was weighted to represent the national population and was comprised of a general adult population sample (n=1507), a sample selected from the Maori electoral roll (n=924), and a sample of current smokers and people who had recently quit smoking (n=300). 19.6% of the general population and 42.7% of the Maori sample reported current smoking. Of all current smokers, 47.2% smoked indoors at home and 70.8% smoked in their cars. Maori participants were significantly more likely to be exposed to SHS in their homes than non-Maori participants. There was also some evidence for lower socioeconomic status being related to higher SHS exposure. Extrapolating from the adult exposure data in households with children, it was estimated that 18.9% of children were potentially exposed to SHS indoors at home. However, most respondents (73.6%) lived in homes with total smoking bans. SHS exposure remains a significant problem especially for Maori and low-income New Zealanders. There is a need for further public health campaigns to increase the prevalence of smokefree homes and cars.

Five-year follow-up of an acute psychiatric admission cohort in Auckland, New Zealand.

PubMed

Wheeler, Amanda; Moyle, Stuart; Jansen, Carol; Robinson, Elizabeth; Vanderpyl, Jane

2011-06-10

This paper describes a follow-up of acute psychiatric hospital contact in Auckland, New Zealand for an admission cohort in the 5-years past an index admission (published in the NZMJ in 2005). A 5-year follow-up study of hospital psychiatric service utilisation by 924 patients admitted (index admission) in Auckland during 2000. Hospital admissions within New Zealand for this population were extracted from electronic records. Relevant demographic information (gender, age and ethnicity) and clinical data (primary diagnosis at index admission and admission history) were included for each person. Descriptive analysis of inpatient data and negative binomial regression models were conducted. Of 924 patients, 38.5% had no readmissions anywhere in New Zealand in the 5-years following index discharge. 41.0% were readmitted within 12 months and 61.4% were readmitted within 5 years of index discharge. Only 5.6% experienced an admission every year for the 5-years post index admission. Readmission was least likely for those with index discharge diagnosis of depression. A history of admissions prior to index admission and Maori ethnicity were characteristics associated with higher numbers of readmission. Those who were younger, or a diagnosis of schizophrenia/schizoaffective disorder or previous admissions tended to have longer total length of stay over the 5-years. More than a third of patients had no further hospital contact and the two factors associated with readmission were a history of previous admissions and Maori ethnicity. Reliable community-based data needs to be a priority to enable exploration of community service utilisation and impact of service alternatives to hospital for acute care.

Drawing on Wisdom from the Past: An Elder Abuse Intervention with Tribal Communities

ERIC Educational Resources Information Center

Holkup, Patricia A.; Salois, Emily Matt; Tripp-Reimer, Toni; Weinert, Clarann

2007-01-01

Purpose: The Family Care Conference (FCC) is an elder-focused, family-centered, community-based intervention for the prevention and mitigation of elder abuse. It is based on a family conference intervention developed by the Maori people of New Zealand, who determined that Western European ways of working with child welfare issues were undermining…

Ethnicity and birth outcome: New Zealand trends 1980-2001. Part 1. Introduction, methods, results and overview.

PubMed

Craig, Elizabeth D; Mantell, Colin D; Ekeroma, Alec J; Stewart, Alistair W; Mitchell, Ed A

2004-12-01

New Zealand Government policy during the past decade has placed a high priority on closing socioeconomic and ethnic gaps in health outcome. To analyse New Zealand's trends in preterm and small for gestational age (SGA) births and late fetal deaths during 1980-2001 and to undertake ethnic specific analyses, resulting in risk factor profiles, for each ethnic group. De-identified birth registration data from 1 189 120 singleton live births and 5775 stillbirths were analysed for the period 1980-2001. Outcomes of interest included preterm birth, SGA and late fetal death while explanatory variables included maternal ethnicity, age and New Zealand Deprivation Index decile. Trend analysis was undertaken for 1980-1994 while multivariate logistic regression was used to explore risk factors for 1996-2001. During 1980-1994, preterm birth rates were highest amongst Maori women. Preterm rates increased by 30% for European/other women, in contrast to non-significant declines of 7% for Maori women and 4% for Pacific women during this period. During the same period, rates of SGA were highest amongst Maori women. Rates of SGA declined by 30% for Pacific women, 25% for Maori women and 19% for European/other women during this period. Rates of late fetal death were highest amongst Pacific women during 1980-1994, but declined by 49% during this period, the rate of decline being similar for all ethnic groups. The marked differences in both trend data and risk factor profiles for women in New Zealand's largest ethnic groups would suggest that unless ethnicity is specifically taken into account in future policy and planning initiatives, the disparities seen in this analysis might well persist into future generations.

Maori Adult Education: Report of a Working Party.

ERIC Educational Resources Information Center

National Council of Adult Education, Wellington (New Zealand).

Traditional preliterate Maori society had an integrated educational structure, later augmented by the work of various Maori and European organizations. Auckland University developed programs in Maori adult education in a bicultural setting, and recognition has evolved of the needs of Maori people for education in coping skills and in Maori…

Lost in Translation: Western Representations of Maori Knowledge

ERIC Educational Resources Information Center

Mika, Carl; Stewart, Georgina

2017-01-01

We recently attended a conference at which a non-Maori presenter, drawing on a particular metaphor already established by Maori writers, related Maori natural world features to a research method. The presentation was useful because it highlighted several issues that call for our concern as Maori philosophers. In this article, we outline these…

Early Childhood Inclusion in Aotearoa New Zealand

ERIC Educational Resources Information Center

Foster-Cohen, Susan H.; van Bysterveldt, Anne K.

2016-01-01

Early childhood education is encouraged for all 3- to 5-year-old children in New Zealand (known in the Maori language as Aotearoa) and is supported by a well-constructed bicultural curriculum (Te Whariki) and reasonably generous government funding. However, a number of factors mitigate against inclusion of children with developmental delays and…

Culture and Crisis Response in New Zealand

ERIC Educational Resources Information Center

Annan, Jean; Dean, Shelley; Henry, Geoff; McGhie, Desiree; Phillipson, Roger

2010-01-01

New Zealand is a bicultural nation, founded on the signing of the Treaty of Waitangi by the native Maori and the British Crown. It is also home to people from many countries, cultures and ethnicities. Therefore, culturally-relevant response to crisis events has become a significant aspect of the Ministry of Education's interdisciplinary Traumatic…

Small Numbers, Big Challenges: Adolescent and Young Adult Cancer Incidence and Survival in New Zealand.

PubMed

Ballantine, Kirsten R; Watson, Heidi; Macfarlane, Scott; Winstanley, Mark; Corbett, Robin P; Spearing, Ruth; Stevanovic, Vladimir; Yi, Ma; Sullivan, Michael J

2017-06-01

This study was undertaken to determine cancer survival and describe the unique spectrum of cancers diagnosed among New Zealand's adolescents and young adult (AYA) population. Registrations for 1606 15-24 year olds diagnosed with a new primary malignant tumor between 2000 and 2009 were obtained from the New Zealand Cancer Registry and classified according to AYA diagnostic group and subgroup, age, sex, and prioritized ethnicity. Age-standardized incidence rates (IRs) per million person years and 5-year relative survival ratios were calculated. Cancer incidence was 228.6 per million for adolescents aged 15-19 years and 325.7 per million for young adults aged 20-24 years. Overall IRs were consistent across all ethnic groups but there were unique ethnic differences by tumor group including a higher incidence of bone tumors, carcinoma of the gastrointestinal tract, and gonadal germ cell tumors among Maori, a higher incidence of leukemia among Pacific peoples, and a higher incidence of melanoma among non-Maori/non-Pacific peoples. Five-year relative survival for adolescents (75.1%) and AYA overall (80.6%) appeared poorer than had been achieved in other high-income countries. Maori (69.5%) and Pacific (71.3%) AYA had lower 5-year survival compared to non-Maori/non-Pacific peoples (84.2%). The survival disparities observed require further investigation to identify and address the causes of these inferior outcomes. The newly established AYA Cancer Network Aotearoa has been tasked with improving cancer survival and care and ensuring equality of access for New Zealand AYAs with cancer.

The adaptive capacity of New Zealand communities to wildfire

Treesearch

Pamela J. Jakes; E.R. Langer

2012-01-01

When we think of natural disasters in New Zealand, we tend to think of earthquakes or volcanic eruptions. However, a series of events is placing New Zealand communities at greater risk of wildfire. In a case study of a rural New Zealand community that experienced wildfire, process elements such as networks and relationships among locals, development and application of...

Indigenous Maori and Tongan Perspectives on the Role of Tongan Language and Culture in the Community and in the University in Aotearoa--New Zealand

ERIC Educational Resources Information Center

Kepa, Mere; Atu, Linita Manu

2006-01-01

Po Ako, a community-based project, was created to break the experience of absence--cultural alienation and educational exclusion--overwhelming the Tongan students in Aotearoa New Zealand. In January 1991, not a single Tongan student attending Mt. Roskill Grammar School in Auckland passed the national examination for a School Certificate. In May…

Anglo-Native Relations in Australia, New Zealand and the USA.

ERIC Educational Resources Information Center

Havighurst, Robert J.

1984-01-01

The consequences of contact between Western culture and Australian Aborigines, New Zealand Maoris, and North American Indians are chronicled. The historical manifestations of cultural confrontation--the interaction between technological, aggressive Anglo society and societies without the value orientation or technology to withstand the onslaught…

Exploring Goals and Motivations of Maori Heritage Language Learners

ERIC Educational Resources Information Center

Te Huia, Awanui

2015-01-01

Motivations of Maori heritage language learners are explored within this qualitative study. "Te reo" Maori (the Maori language) is currently classed as endangered (Reedy et al., 2011), which calls for the exploration of the motivational experiences of Maori heritage language learners. A total of 19 interviews with beginner, intermediate…

New Zealand evidence for the impact of primary healthcare investment in Capital and Coast District Health Board.

PubMed

Tan, Lee; Carr, Julia; Reidy, Johanna

2012-03-30

This paper provides New Zealand evidence on the effectiveness of primary care investment, measured through the Capital and Coast District Health Board's (DHB) Primary Health Care Framework. The Framework was developed in 2002/2003 to guide funding decisions at a DHB level, and to provide a transparent basis for evaluation of the implementation of the Primary Health Care Strategy in this district. The Framework used a mixed method approach; analysis was based on quantitative and qualitative data. This article demonstrates the link between investment in primary health care, increased access to primary care for high-need populations, workforce redistribution, and improved health outcomes. Over the study period, ambulatory sensitive hospitalisations and emergency department use reduced for enrolled populations and the District's immunisation coverage improved markedly. Funding and contracting which enhanced both 'mainstream' and 'niche' providers combined with community-based health initiatives resulted in a measurable impact on a range of health indicators and inequalities. Maori primary care providers improved access for Maori but also for their enrolled populations of Pacific and Other ethnicity. Growth and redistribution of primary care workforce was observed, improving the availability of general practitioners, nurses, and community workers in poorer communities.

Applying Funds of Knowledge Theory in a New Zealand High School: New Directions for Pedagogical Practice

ERIC Educational Resources Information Center

Hogg, Linda

2016-01-01

In New Zealand teacher practice is expected to be inclusive and supportive of all learners (Ministry of Education, 2007). However, diverse evidence highlights inequitable school experiences for Maori and Pasifika students. This study explored the application of funds of knowledge (FoK) theory within a New Zealand high school, with a focus on…

The Well at the Bottom of the World: Positionality and New Zealand [Aotearoa] Adolescents' Conceptions of Historical Significance.

ERIC Educational Resources Information Center

Levstik, Linda S.

A study investigated early adolescent Maori, Pacific Islander, and European New Zealanders' understanding of significance in New Zealand (Aotearoa) history through open-ended interviews with 49 11-13-year-old students. Participants understood history to have a dual purpose. First, history linked them to various national, racial, and ethnic…

Te Ira Tangata: a Zelen randomised controlled trial of a treatment package including problem solving therapy compared to treatment as usual in Maori who present to hospital after self harm.

PubMed

Hatcher, Simon; Coupe, Nicole; Durie, Mason; Elder, Hinemoa; Tapsell, Rees; Wikiriwhi, Karen; Parag, Varsha

2011-05-11

Maori, the indigenous people of New Zealand, who present to hospital after intentionally harming themselves, do so at a higher rate than non-Maori. There have been no previous treatment trials in Maori who self harm and previous reviews of interventions in other populations have been inconclusive as existing trials have been under powered and done on unrepresentative populations. These reviews have however indicated that problem solving therapy and sending regular postcards after the self harm attempt may be an effective treatment. There is also a small literature on sense of belonging in self harm and the importance of culture. This protocol describes a pragmatic trial of a package of measures which include problem solving therapy, postcards, patient support, cultural assessment, improved access to primary care and a risk management strategy in Maori who present to hospital after self harm using a novel design. We propose to use a double consent Zelen design where participants are randomised prior to giving consent to enrol a representative cohort of patients. The main outcome will be the number of Maori scoring below nine on the Beck Hopelessness Scale. Secondary outcomes will be hospital repetition at one year; self reported self harm; anxiety; depression; quality of life; social function; and hospital use at three months and one year. A strength of the study is that it is a pragmatic trial which aims to recruit Maori using a Maori clinical team and protocol. It does not exclude people if English is not their first language. A potential limitation is the analysis of the results which is complex and may underestimate any effect if a large number of people refuse their consent in the group randomised to problem solving therapy as they will effectively cross over to the treatment as usual group. This study is the first randomised control trial to explicitly use cultural assessment and management. Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN

Te Ira Tangata: A Zelen randomised controlled trial of a treatment package including problem solving therapy compared to treatment as usual in Maori who present to hospital after self harm

PubMed Central

2011-01-01

Background Maori, the indigenous people of New Zealand, who present to hospital after intentionally harming themselves, do so at a higher rate than non-Maori. There have been no previous treatment trials in Maori who self harm and previous reviews of interventions in other populations have been inconclusive as existing trials have been under powered and done on unrepresentative populations. These reviews have however indicated that problem solving therapy and sending regular postcards after the self harm attempt may be an effective treatment. There is also a small literature on sense of belonging in self harm and the importance of culture. This protocol describes a pragmatic trial of a package of measures which include problem solving therapy, postcards, patient support, cultural assessment, improved access to primary care and a risk management strategy in Maori who present to hospital after self harm using a novel design. Methods We propose to use a double consent Zelen design where participants are randomised prior to giving consent to enrol a representative cohort of patients. The main outcome will be the number of Maori scoring below nine on the Beck Hopelessness Scale. Secondary outcomes will be hospital repetition at one year; self reported self harm; anxiety; depression; quality of life; social function; and hospital use at three months and one year. Discussion A strength of the study is that it is a pragmatic trial which aims to recruit Maori using a Maori clinical team and protocol. It does not exclude people if English is not their first language. A potential limitation is the analysis of the results which is complex and may underestimate any effect if a large number of people refuse their consent in the group randomised to problem solving therapy as they will effectively cross over to the treatment as usual group. This study is the first randomised control trial to explicitly use cultural assessment and management. Trial registration Australia and New

Inclusion in Aotearoa/New Zealand: From Rhetoric to Reality.

ERIC Educational Resources Information Center

McDonald, Trevor

2002-01-01

This article argues that the education system in Aotearoa/New Zealand relegates children with disabilities, along with Maori and children of minority groups, to the margins of education. It stresses the need for teachers to focus on ways in which inclusion practices are reinforcing the marginal position of many students. (Contains references.)…

Restorative Practice in New Zealand Schools: Social Development through Relational Justice

ERIC Educational Resources Information Center

Drewery, Wendy

2016-01-01

This article proposes that restorative justice practices (RJPs), as used in New Zealand schools, are better understood as an instrument of social development than a behaviour management practice. Concerns about the achievement of Maori students are relocated, from an individualised psychological and pedagogical problem to an interdisciplinary…

Exploring "Whakaaro": A Way of Responsive Thinking in Maori Research

ERIC Educational Resources Information Center

Mika, Carl; Southey, Kim

2018-01-01

The experience of researching as a Maori student within academia will often raise questions about how and whether the student's research privileges Maori world views and articulates culturally specific epistemologies. This study offers some theorising, from the perspectives of a Maori doctoral student and her Maori supervisor (the authors of this…

Kaupapa Maori Methodology: Trusting the Methodology through Thick and Thin

ERIC Educational Resources Information Center

Hiha, Anne Aroha

2016-01-01

Kaupapa Maori is thoroughly theorised in academia in Aotearoa and those wishing to use it as their research methodology can find support through the writing of a number of Maori academics. What is not so well articulated, is the experiential voice of those who have used Kaupapa Maori as research methodology. My identity as a Maori woman…

Cardiovascular risk management of different ethnic groups with type 2 diabetes in primary care in New Zealand.

PubMed

Elley, C Raina; Kenealy, Tim; Robinson, Elizabeth; Bramley, Dale; Selak, Vanessa; Drury, Paul L; Kerse, Ngaire; Pearson, Janet; Lay-Yee, Roy; Arroll, Bruce

2008-03-01

To examine cardiovascular preventive and renal protective treatment for different ethnic groups with diabetes in primary care. The study population included patients with type 2 diabetes attending an annual review in New Zealand primary care during 2004. Primary care data were linked to hospital admission data to identify previous cardiovascular disease (CVD). For those without previous CVD, 5-year cardiovascular risk was calculated. Proportions on, and predictors of appropriate treatment according to guidelines were investigated. Data were available on 29,179 patients. Maori and Pacific participants had high rates of obesity, poor glycaemic control and albuminuria. Two thirds of all participants with previous CVD (68% of Maori and 70% of Pacific) and 44% with high CVD risk received appropriate CVD treatment; 73% of Maori, 62% of Pacific and 65% of European patients with albuminuria received ACE-inhibitors. Those with high CVD risk were more likely, and those that were young were less likely, to receive anti-hypertensive and lipid-lowering treatment after controlling for other factors. Maori and Pacific people were receiving similar high rates of appropriate CVD and renal preventive drug therapy to Europeans, but their prevalence of smoking, obesity, raised HbA1c and albuminuria were substantially higher. Non-drug components of preventive care also need to be addressed to reduce major ethnic disparities in diabetes-related morbidity and mortality in New Zealand.

Learning in Later Life: A Bicultural Perspective from Aotearoa/New Zealand

ERIC Educational Resources Information Center

Findsen, Brian

2016-01-01

This article is concerned with how learning in later life has been constructed and practised by the two most numerous ethnic groups in Aotearoa/New Zealand, "Pakeha" (Europeans) and "Maori" (Indigenous people). It is argued that learning is heavily influenced by historic features of interaction between these two groups; Pakeha…

Ethnic disparities in incidence of stroke subtypes: Auckland Regional Community Stroke Study, 2002-2003.

PubMed

Feigin, Valery; Carter, Kristie; Hackett, Maree; Barber, P Alan; McNaughton, Harry; Dyall, Lorna; Chen, Mei-hua; Anderson, Craig

2006-02-01

Limited population-based data exist on differences in the incidence of major pathological stroke types and ischaemic stroke subtypes across ethnic groups. We aimed to provide such data within the large multi-ethnic population of Auckland, New Zealand. All first-ever cases of stroke (n=1423) in a population-based register in 940 000 residents (aged 15 years) in Auckland, New Zealand, for a 12-month period in 2002-2003, were classified into ischaemic stroke, primary intracerebral haemorrhage (PICH), subarachnoid haemorrhage, and undetermined stroke, according to standard definitions and results of neuroimaging/necropsy (in over 90% of cases). Ischaemic stroke was further classified into five subtypes. Ethnicity was self-identified and grouped as New Zealand (NZ)/European, Maori/Pacific, and Asian/other. Incidence rates were standardised to the WHO world population by the direct method, and differences in rates between ethnic groups expressed as rate ratios (RRs), with NZ/European as the reference group. In NZ/European people, ischaemic stroke comprised 73%, PICH 11%, and subarachnoid haemorrhage 6%, but PICH was higher in Maori/Pacific people (17%) and in Asian/other people (22%). Compared with NZ/European people, age-adjusted RRs for PICH were 2.7 (95% CI 1.8-4.0) and 2.3 (95% CI 1.4-3.7) among Maori/Pacific and Asian/other people, respectively. The corresponding RR for ischaemic stroke was greater for Maori/Pacific people (1.7 [95% CI 1.4-2.0]), particularly embolic stroke, and for Asian/other people (1.3 [95% CI 1.0-1.7]). The onset of stroke in Maori/Pacific and Asian/other people began at significantly younger ages (62 years and 64 years, respectively) than in NZ/Europeans (75 years; p<0.0001). There were ethnic differences in the risk factor profiles (such as age, sex, hypertension, cardiac disease, diabetes, hypercholesterolaemia, smoking status, overweight) for the stroke types and subtypes. Compared to NZ/Europeans, Maori/Pacific and Asian/other people are

A Sense of Deja Vu across the Tasman? What Australians Might Learn from the New Zealand Experience with the Te Kotahitanga Professional Development Programme

ERIC Educational Resources Information Center

Openshaw, Roger

2007-01-01

Throughout Australasia, indigenous educational issues remain a subject of considerable debate. In New Zealand, Maori underachievement in education has long been a matter of widespread concern. Currently the most highly visible professional development programme now operating in New Zealand mainstream secondary schools, Te Kotahitanga claims to…

Healing the victim, the young offender, and the community via restorative justice: an international perspective.

PubMed

Goren, S

2001-03-01

The 1990s saw the enactment of much "get tough with young offenders" legislation in the United States. At the same, problems with our present punishment and treatment model, in which many youngsters cycle repeatedly through the justice and mental health systems, raised interest in restorative justice, a community-based alternative model emphasizing a balanced, negotiated approach to the needs of victims, offenders, and the community. After summarizing the philosophical bases underlying both models, this article describes the practice of restorative justice in New Zealand, where it was pioneered. Restorative justice has special relevance for Maori community in New Zealand and minority communities in the United States, where youth are consistently overrepresented in the courts, detention centers, and jails, and in which the juvenile justice system is seen as hostile and biased. Outcome data from New Zealand and early outcome research from the United States suggest that the restorative model, in which offenses are understood as a breakdown in social bonds, offers a hopeful alternative for offending youngsters, their families, and their communities.

Community Psychology in Australia and Aotearoa/New Zealand

ERIC Educational Resources Information Center

Fisher, Adrian T.; Gridley, Heather; Thomas, David R.; Bishop, Brian

2008-01-01

Community psychology in Australia and Aotearoa/New Zealand reflect interesting parallels and convergences. While both have a strong educational basis influenced by North American publications, they have developed foci and forms of practice reflecting the cultural, political, and historic underpinnings of these two countries. In New Zealand,…

Maori Identification, Drinking Motivation and Mental Health

ERIC Educational Resources Information Center

Clarke, Dave; Ebbett, Erin

2010-01-01

Research examining the relationships among Maori cultural identification, drinking behaviour, drinking motivation and mental health is almost non-existent. A review of literature suggests that stronger Maori identification could be associated with lower alcohol consumption on a typical occasion, less frequent drinking, drinking to enhance mood or…

Culturally Responsive Instructional Leadership: A Conceptual Exploration with Principals of Three New Zealand Mainstream Schools

ERIC Educational Resources Information Center

Mugisha, Vincent M.

2013-01-01

Principals of many New Zealand (NZ) mainstream schools navigate a complex intercultural educational policy environment to address the academic challenges of Maori and Pasifika students. This inquiry sought to explore the concept of "culturally responsive instructional leadership" by studying the knowledge, actions, motives, perceptions,…

An Indigenous and Migrant Critique of Principles and Innovation in Education in Aotearoa/New Zealand

ERIC Educational Resources Information Center

Kepa, Mere; Manu'atu, Linita

2011-01-01

This paper questions notions of individualism underpinning technocratic approaches to education that marginalise indigenous and migrant peoples' knowledges in tertiary education. Focusing on New Zealand ("Aotearoa") with its colonial and immigrant history, its Maori and Pacific Islander citizens, the authors ask whether education, as its…

Creating intoxigenic environments: marketing alcohol to young people in Aotearoa New Zealand.

PubMed

McCreanor, Tim; Barnes, Helen Moewaka; Kaiwai, Hector; Borell, Suaree; Gregory, Amanda

2008-09-01

Alcohol consumption among young people in New Zealand is on the rise. Given the broad array of acute and chronic harms that arise from this trend, it is a major cause for alarm and it is imperative that we improve our knowledge of key drivers of youth drinking. Changes wrought by the neoliberal political climate of deregulation that characterised the last two decades in many countries including Aotearoa (Aotearoa is a Maori name for New Zealand) New Zealand have transformed the availability of alcohol to young people. Commercial development of youth alcohol markets has seen the emergence of new environments, cultures and practices around drinking and intoxication but the ways in which these changes are interpreted and taken up are not well understood. This paper reports findings from a qualitative research project investigating the meaning-making practices of young people in New Zealand in response to alcohol marketing. Research data included group interviews with a range of Maori and Pakeha young people at three time periods. Thematic analyses of the youth data on usages of marketing materials indicate naturalisation of tropes of alcohol intoxication. We show how marketing is used and enjoyed in youth discourses creating and maintaining what we refer to as intoxigenic social environments. The implications are considered in light of the growing exposure of young people to alcohol marketing in a discussion of strategies to manage and mitigate its impacts on behaviour and consumption.

Exploring Maori health worker perspectives on colorectal cancer and screening.

PubMed

Pitama, Suzanne; Cave, Tami; Huria, Tania; Lacey, Cameron; Cuddy, Jessica; Frizelle, Frank

2012-06-08

To explore Maori health worker perspectives on colorectal screening and identify factors that may influence Maori participation in a colorectal screening programme. Thirty Maori health workers were interviewed to explore their experience with screening programmes, knowledge of colorectal cancer and their perspective on a potential colorectal screening programme. Health workers shared their perspective informed by both their own whanau and whanau they encountered professionally through their health work. Participants were largely positive about potential colorectal screening; however, various access barriers were identified. These included patient-clinician engagement and communication, lack of provision for patient's privacy during screening and patients feeling discouraged to take part in screening. Factors enabling screening included having an established relationship with their General Practitioner, screening clinicians taking time to build rapport, answer questions and share information, screening practices that were inclusive of Maori cultural norms and possessing high health literacy. Evidence points to growing disparity between the colorectal cancer incidence rates of Maori and non-Maori; disparities in colorectal cancer survival rates are already marked. Participants in the current pilot could provide valuable information to help ensure that the health education, promotion, and clinical practice surrounding a national colorectal screening programme are effective for Maori in reducing disparity and improving health outcomes.

Residential care workers and residents: the New Zealand story.

PubMed

Kiata, Liz; Kerse, Ngaire; Dixon, Robyn

2005-05-06

To describe the nature and size of long-term residential care homes in New Zealand; funding of facilities; and the ethnic and gender composition of residents and residential care workers nationwide. A postal, fax, and email survey of all long-term residential care homes in New Zealand. Completed surveys were received from an eligible 845 facilities (response rate: 55%). The majority of these (54%) facilities housed less than 30 residents. Of the 438 (94%) facilities completing the questions about residents' ethnicity, 432 (99%) housed residents from New Zealand European (Pakeha) descent, 156 (33%) housed at least 1 Maori resident, 71 (15%) at least 1 Pacific (Islands) resident, and 61 (13%) housed at least 1 Asian resident. Facilities employed a range of ethnically diverse staff, with 66% reporting Maori staff. Less than half of all facilities employed Pacific staff (43%) and Asian staff (33%). Registered nursing staff were mainly between 46 and 60 years (47%), and healthcare assistant staff were mostly between 25 and 45 years old (52%). Wide regional variation in the ethnic make up of staff was reported. About half of all staff were reported to have moved within the previous 2 years. The age and turnover of the residential care workforce suggests the industry continues to be under threat from staffing shortages. While few ethnic minority residents live in long-term care facilities, staff come from diverse backgrounds, especially in certain regions.

Using Mobile Technology to Encourage Mathematical Communication in Maori-Medium Pangarau Classrooms

ERIC Educational Resources Information Center

Allen, Piata

2017-01-01

Maori-medium pangarau classrooms occupy a unique space within the mathematics education landscape. The language of instruction is an endangered minority language and many teachers and learners in Maori-medium pangarau classrooms are second language (L2) learners of te reo Maori. Mobile technology could be used in Maori-medium pangarau classrooms…

Ka Whanau mai te Reo: Honouring Whanau, Upholding Reo Maori

ERIC Educational Resources Information Center

Bright, Nicola; Barnes, Alex; Hutchings, Jessica

2013-01-01

This is the first report from a 3-year (2012-2015) kaupapa Maori research project that investigates how best to support the continuity of reo Maori development of whanau as they transition between kohanga reo, kura kaupapa primary, wharekura, secondary and beyond. It aims to provide useful information about the reo Maori education options that are…

Living and Learning as Maori: Language Stories from Three Generations

ERIC Educational Resources Information Center

Tocker, Kimai

2017-01-01

Through tracing in detail the story of schooling for three individuals, this article provides a rich description of the way that education impacted on the lives of many Maori between the early 1900s and the year 2000. Although there is extensive research on the historical colonising effects of schooling on Maori and te reo Maori (the Maori…

The prevalence of depression among Maori patients in Auckland general practice.

PubMed

Arroll, Bruce; Goodyear-Smith, Felicity; Kerse, Ngaire; Hwang, Melanie; Crengle, Susan; Gunn, Jane; Fishman, Tana; Hatcher, Simon; Pradhan, Sanat; Sidhu, Karishma

2009-03-01

There has been concern over high rates of mental illness in Maori. Previous studies in general practice have had small sample sizes. To determine the prevalence of major depression among Maori patients in Auckland general practice using the CIDI and the PHQ as measurement tools. This prevalence study is part of a larger randomised trial. The patients were recruited from 77 general practitioners from around Auckland who could provide a private room for interviewing. The patients were invited to participate in the waiting room and all consecutive patients were approached. For this study all patients received a computerised CIDI examination and one third received a PHQ assessment prior to getting the CIDI. The interviewer was blind to the questionnaire results when the patient did the CIDI. There were 7994 patients approached from whom there were data on 7432. The prevalence of Maori in the study was 9.7%. The overall 12-month prevalence of major depression based on the CIDI was 10.1% 95% CI (8.8 to 11.4). For Maori the prevalence was 11.5% 95% CI (8.8 to 14.2) and for non-Maori 10.1% 95% CI (8.6 to 11.3). For Maori men and Maori women the prevalence was 8.5% and 13.4% and for non-Maori men and non-Maori women it was 8.3% and 11.1%. The prevalence of depression over at least the previous two weeks on the PHQ > or = 9 for all participants was 12.9% 95% CI (11.2 to 14.5). The prevalence of depression among Maori is high, but not as high as earlier studies. This may be due to the bigger sample size of this study.

Housework Metaphor for Gambling Public Health Action: An Indigenous Perspective

ERIC Educational Resources Information Center

Dyall, Lorna; Hawke, Zoe; Herd, Ruth; Nahi, Papa

2012-01-01

Housework, those duties done at home or in one's community to keep and clean and tidy, is used in this paper as a metaphor for Maori involvement in gambling public health action in New Zealand. For over a decade Maori have been developing their own voice, public health actions, gambling services, research and workforce development initiatives to…

Backing into the Future: Motatau Bilingual School.

ERIC Educational Resources Information Center

Robust, Te Tuhi

2000-01-01

Describes the struggles and triumphs of a Maori community in the Bay of Islands (New Zealand) as it took local control of its rural school and made it fully bilingual. A series of government reforms have made the Maori people responsible for administering the school with insufficient funds while the government maintains power over the curriculum…

Correcting Cultural Myopia: The Discovery and Nurturance of the Culturally Different Gifted and Talented in New Zealand.

ERIC Educational Resources Information Center

Reid, Neil

This paper addresses the problem of identifying and developing talent in children from culturally different backgrounds in New Zealand. The paper offers examples of how even applying the recommended "best practice" of multi-dimensional identification approaches can be inadequate for identifying gifted children from Maori, Polynesian, or…

The Tapanui region of New Zealand: Site of a Tunguska around 800 years ago?

NASA Technical Reports Server (NTRS)

Steel, Duncan; Snow, Peter

1992-01-01

Evidence is discussed that the wide-spread fires ca. 800 years ago which denuded the southern provinces of the South Island of New Zealand of the extensive forests present at that time were due to the entry of a large bolide into the atmosphere, the conflagration being ignited by the intense heat generated as this extraterrestrial projectile ablated/detonated in a similar manner to that of the Tunguska object of 1908. These fires led to the extinction of the giant terrestrial bird known as the Moa, and the end of the archaic epoch of Maori history known as the Moa Hunter period. This interpretation is well attested to in Maori myth and legend.

The Tapanui region of New Zealand: Site of a Tunguska around 800 years ago?

NASA Astrophysics Data System (ADS)

Steel, Duncan; Snow, Peter

1992-12-01

Evidence is discussed that the wide-spread fires ca. 800 years ago which denuded the southern provinces of the South Island of New Zealand of the extensive forests present at that time were due to the entry of a large bolide into the atmosphere, the conflagration being ignited by the intense heat generated as this extraterrestrial projectile ablated/detonated in a similar manner to that of the Tunguska object of 1908. These fires led to the extinction of the giant terrestrial bird known as the Moa, and the end of the archaic epoch of Maori history known as the Moa Hunter period. This interpretation is well attested to in Maori myth and legend.

Pertussis (whooping cough) epidemiology in Waikato, New Zealand: 2000-2009.

PubMed

Wall, Richard; Bell, Anita; Theobald, Jason

2011-04-15

To describe the epidemiology of pertussis in the Waikato region of New Zealand between 2000 and 2009, and to identify any differences in case characteristics between epidemic and non-epidemic periods. Waikato pertussis notification data for the period 1 January 2000 to 31 December 2009 was analysed to identify any trends in the rates and distribution of key variables. Characteristics of case notifications were compared between an identified epidemic and non-epidemic period. Pertussis notification rates in the Waikato region were higher than national rates but followed a similar yearly pattern. Epidemics were identified in the years 2000 and 2004. The age distribution of pertussis cases changed over the decade with an increasing percentage in older age groups. Notification rates were higher in Europeans than Maori and in the least deprived NZDep group compared to the most deprived. In contrast, hospitalisation rates were higher in Maori than Europeans and in the most deprived NZDep groups. No clear differences in case characteristics were identified between an epidemic and non-epidemic period. The epidemiology of pertussis in Waikato is similar to that reported elsewhere in New Zealand. Further studies are required to clearly identify whether there are differences in case characteristics between epidemic and non-epidemic periods.

A cost effectiveness analysis of community water fluoridation in New Zealand.

PubMed

Fyfe, Caroline; Borman, Barry; Scott, Guy; Birks, Stuart

2015-12-18

The aim of the study was to use recent data to determine whether Community Water Fluoridation (CWF) remains a cost effective public health intervention in New Zealand, given a reduction in dental caries in all communities over time. Local authorities that fluoridated their water supplies were asked to complete a questionnaire regarding fixed and variable costs incurred from CWF. Cost savings were calculated using data from the 2009 New Zealand Oral Health Survey. The cost effectiveness of CWF in conjunction with treatment per dmft/DMFT averted was compared to an alternative of treatment alone. Calculations were made for communities with populations of less than 5,000, 5,000 to 10,000, 10,001 to 50,000 and greater than 50,000. CWF was cost effective in all communities at base case. CWF remained cost effective for communities over 5,000 under all scenarios when sensitivity analysis was conducted. For communities under 5,000 the there was a positive net cost for CWF under certain scenarios. In this study, CWF was a cost effective public health intervention in New Zealand. For smaller communities cost effectiveness would be more dependent upon the population risk profile of the community.

End-to-End simulations for the MICADO-MAORY SCAO mode

NASA Astrophysics Data System (ADS)

Vidal, Fabrice; Ferreira, Florian; Déo, Vincent; Sevin, Arnaud; Gendron, Eric; Clénet, Yann; Durand, Sébastien; Gratadour, Damien; Doucet, Nicolas; Rousset, Gérard; Davies, Richard

2018-04-01

MICADO is a E-ELT first light near-infrared imager. It will work at the diffraction limit of the telescope thanks to multi-conjugate adaptive optics (MCAO) and single-conjugate adaptive optics (SCAO) modes provided inside the MAORY AO module. The SCAO capability is a joint development by the MICADO and MAORY consortia, lead by MICADO, and is motivated by scientific programs for which SCAO will deliver the best AO performance (e.g. exoplanets, solar system science, bright AGNs, etc). Shack-Hartmann (SH) or Pyramid WFS were both envisioned for the wavefront measurement of the SCAO mode. In addition to WFS design considerations, numerical simulations are therefore needed to trade-off between these two WFS. COMPASS (COMputing Platform for Adaptive optics SyStems) is a GPU-based adaptive optics end-to-end simulation platform allowing us to perform numerical simulations in various modes (SCAO, LTAO, MOAO, MCAO...). COMPASS was originally bound to Yorick for its user interface and a major upgrade has been recently done to now bind to Python allowing a better long term support to the community. Thanks to the speed of computation of COMPASS we were able to span quickly a very large parameters of space at the E-ELT scale. We present the results of the study between WFS choice (SH or Pyramid), WFS parameters (detector noise, guide star magnitude, number of subapertures, number of controlled modes...), turbulence conditions and AO controls for the MICADO-MAORY SCAO mode.

Numbers Talk--Words Count: Language Policy and Adult Numeracy Education in Wales and New Zealand

ERIC Educational Resources Information Center

Coben, Diana; Miller-Reilly, Barbara

2014-01-01

In this paper we review and compare language policy in relation to adult numeracy education in Wales and New Zealand with respect to the Maori and Welsh languages in the latest stage of our international comparative study of adult numeracy education. While much has been written about the relationship between language and literacy, the relationship…

Health promotion funding, workforce recruitment and turnover in New Zealand.

PubMed

Lovell, Sarah A; Egan, Richard; Robertson, Lindsay; Hicks, Karen

2015-06-01

Almost a decade on from the New Zealand Primary Health Care Strategy and amidst concerns about funding of health promotion, we undertook a nationwide survey of health promotion providers. To identify trends in recruitment and turnover in New Zealand's health promotion workforce. Surveys were sent to 160 organisations identified as having a health focus and employing one or more health promoter. Respondents, primarily health promotion managers, were asked to report budget, retention and hiring data for 1 July 2009 through 1 July 2010. Responses were received from 53% of organisations. Among respondents, government funding for health promotion declined by 6.3% in the year ended July 2010 and health promoter positions decreased by 7.5% (equalling 36.6 full-time equivalent positions). Among staff who left their roles, 79% also left the field of health promotion. Forty-two organisations (52%) reported employing health promoters on time-limited contracts of three years or less; this employment arrangement was particularly common in public health units (80%) and primary health organisations (57%). Among new hires, 46% (n=55) were identified as Maori. Low retention of health promoters may reflect the common use of limited-term employment contracts, which allow employers to alter staffing levels as funding changes. More than half the surveyed primary health organisations reported using fixed-term employment contracts. This may compromise health promotion understanding, culture and institutional memory in these organisations. New Zealand's commitment to addressing ethnic inequalities in health outcomes was evident in the high proportion of Maori who made up new hires.

Increasing incidence of type 2 diabetes in New Zealand children <15 years of age in a regional-based diabetes service, Auckland, New Zealand.

PubMed

Sjardin, Natalia; Reed, Peter; Albert, Ben; Mouat, Fran; Carter, Phillipa J; Hofman, Paul; Cutfield, Wayne; Gunn, Alistair; Jefferies, Craig

2018-04-24

It is important to understand whether type 2 diabetes mellitus (T2DM) is increasing in childhood for health-care planning and clinical management. The aim of this study is to examine the incidence of T2DM in New Zealand children, aged <15 years from a paediatric diabetes centre, Auckland, New Zealand. Retrospective analysis of prospectively collected data from a population-based referral cohort from 1995 to 2015. Hundred and four children presented with T2DM over the 21-year period. The female:male ratio was 1.8:1, at mean (standard deviation) age 12.9 (1.9) years, body mass index standard deviation score +2.3 (0.5), blood sugar 15.3 (8.5) mmol/L, HbA1c 76 (28) mmol/mol. At diagnosis, 90% had acanthosis nigricans and 48% were symptomatic. In all, 33% were Maori, 46% Pacific Island, 15% Asian/Middle Eastern and 6% European. There was a progressive secular increase of 5% year on year in incidence. The overall annual incidence of T2DM <15 years of age was 1.5/100 000 (1.2-1.9) (95% confidence interval), with higher rates in Pacific Island (5.9/100 000) and Maori (4.1/100 000). The incidence of T2DM in children <15 years of age in New Zealand has increased progressively at 5%/year over the last 21 years. The risk was disproportionately associated with girls and children from high-risk ethnic groups. © 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

Navigating the Unfamiliar in a Quest towards Culturally Responsive Pedagogy in the Classroom

ERIC Educational Resources Information Center

Baskerville, Delia

2009-01-01

This paper examines a New Zealand "Pakeha" (European) teacher's professional development experience working with "Maori" (indigenous people of New Zealand), and their protocols and practices. A "Maori kaumatua" (male leader) experienced in theatre direction, acting, and psychiatric nursing led "Maori"…

Adapting the Bilingual Aphasia Test to Rarotongan (Cook Islands Maori): Linguistic and Clinical Considerations

ERIC Educational Resources Information Center

Amberber, Amanda Miller

2011-01-01

This article describes the adaptation of the Bilingual Aphasia Test (BAT) to the Rarotongan dialect of Cook Islands Maori, a Polynesian language spoken in the Cook Islands and expatriate communities. A brief linguistic sketch of Rarotongan is presented. As Rarotongan is characterised by a complex pronominal system, "a" versus "o" possession and…

Some prehistory of New Zealand intensive care medicine.

PubMed

Trubuhovich, R V

2009-07-01

In taking 1960 as the foundation year for the practice of intensive care medicine in New Zealand, this paper briefly looks into the previous two centuries for some interventions in life-threatening conditions. With the help of descriptions in early 19th century journals and books by perceptive observers, the author focuses on some beliefs and practices of the Maori people during pre-European and later times, as well as aspects of medical treatment in New Zealand for early settlers and their descendents. Dr Laurie Gluckman's book Tangiwai has proved a valuable resource for New Zealand's medical history prior to 1860, while the recent publication of his findings from the examination of coroners' records for Auckland, 1841 to 1864, has been helpful. Drowning is highlighted as a common cause of accidental death, and consideration is given to alcohol as a factor. Following the 1893 foundation of the New Zealand Medical Journal, a limited number of its papers which are historically relevant to today's intensive care are explored: topics include tetanus, laryngeal diphtheria, direct cardiac massage, traumatic shock, thiopentone management for fitting and the ventilatory failure due to poliomyelitis.

Epidemiological analysis of factors influencing rate of progress in Echinococcus granulosus control in New Zealand.

PubMed Central

Burridge, M. J.; Schwabe, C. W.

1977-01-01

The factors influencing the rate of progress in Echinococcus granulosus control in New Zealand were analysed by hydatid control area using stepwise multiple regression techniques. The results indicated that the rate of progress was related positively to initial E. granulosus prevalence in dogs and the efficiency with which local authorities implemented national control policy, and negatively to the Maori proportion in the local population and the number of dogs per owner. Problems in analysis of the New Zealand data are discussed and improved methods of monitoring progress in hydatid disease control programmes are described. Images Fig. 1 PMID:265340

Sibutramine usage in New Zealand: an analysis of prescription data by the Intensive Medicines Monitoring Programme.

PubMed

Hill, Geraldine R; Ashton, Janelle; Harrison-Woolrych, Mira

2007-11-01

To describe patterns of sibutramine usage in New Zealand during the first 3 years of marketing using data acquired during post-marketing safety surveillance. Demographic and prescription data were examined from a nationwide cohort of 17 298 patients prescribed sibutramine between 1 February 2001 and 31 March 2004. Outcome measures were age and sex distribution of the cohort; period prevalence of sibutramine usage for each ethnic group; duration of treatment and reasons for cessation of therapy. Limited BMI data were also examined. About 0.5% of the NZ population were prescribed sibutramine in the period studied. Overwhelmingly, the highest users of sibutramine were NZ European women aged 30-59 years. Maori and Pacific Peoples were under-represented in the cohort, despite the higher prevalence of obesity among these populations. Sibutramine usage was predominantly short-term: 59% of the cohort used sibutramine for 90 days or less, half of whom used it for only 1 month. There has been extensive use of sibutramine in New Zealand. Sibutramine has been relatively under-utilised by Maori and Pacific ethnic groups, compared to New Zealand Europeans, despite their higher prevalence of obesity. A number of factors may have contributed to the predominantly short-term use of this medicine, including the cost of the medicine to the consumer, weight loss not meeting expectations and adverse effects of the medicine.

The Rakiura Titi Islands Restoration Project: community action to eradicate Rattus rattus and Rattus exulans for ecological restoration and cultural wellbeing

USGS Publications Warehouse

McClelland, P.J; Coote,; Trow,; Hutchins,; Nevins, HannahRose M.; Adams, Josh; Newman, J.; Moller, H.; Veitch, C.R.; Clout, Mike N.; Towns, D. R.

2011-01-01

In 2003, a non-profit group, Ka Mate Nga Kiore, was set up to oversee the restoration of four Maori-owned islands off the south coast of Stewart Island, New Zealand. The first step in the restoration was to eradicate ship rats (Rattus rattus) from three islands and Pacific rats (R. exulans) from another. The eradication was funded by the Command Oil Spill Trustee Council which managed the mitigation money from an oil spill off the Californian coast in 1998. The funding was coordinated via Oikonos Ecosystem Knowledge, a non-profit USA group primarily involved in seabird research and restoration. The project was primarily to benefit sooty shearwater (Puffinus griseus) and to sustain a culturally important customary harvest of their chicks by Rakiura Maori. However, like all island eradications, a wide range of other species also benefited from the removal of rats. The New Zealand Department of Conservation provided technical advice and assistance for the planning and implementation of the eradication programme. This paper describes how, with appropriate funding, community and technical support, rodent eradications can be achieved on private islands. In this case, a range of institutions and individuals joined to achieve a common goal that highlighted a significant international conservation action. We urge that more international and local-community-led restoration projects be initiated in the future.

Maori Children's Biliteracy Experiences Moving from a Kohanga Reo Setting to a Kura Kaupapa Maori, Bilingual, and Mainstream Education Setting: An Exploratory Study

ERIC Educational Resources Information Center

Rona, Sarika; McLachlan, Claire J.

2018-01-01

This research explored the biliteracy experiences of three kohanga reo children as they started school in one of three school settings: a bilingual unit, a mainstream classroom, and kura kaupapa Maori. A Kaupapa Maori approach underpinned this research and guided the case study methodology employed. The children's literacy experiences were…

Maori in the Kingdom of the Gaze: Subjects or Critics?

ERIC Educational Resources Information Center

Mika, Carl; Stewart, Georgina

2016-01-01

For Maori, a real opportunity exists to flesh out some terms and concepts that Western thinkers have adopted and that precede disciplines but necessarily inform them. In this article, we are intent on describing one of these precursory phenomena--Foucault's Gaze--within a framework that accords with a Maori philosophical framework. Our discussion…

CULTURE, PSYCHIATRY AND NEW ZEALAND

PubMed Central

Chowdhury, A.N.; Dobson, Teara Wharemate

2002-01-01

This paper provides a critical appraisal of the importance of cultural perspective in the psychiatric diagnosis and management plan. The working philosophy of mental health services in New Zealand is primarily monocultural and based on Western medical conceptualisation of diagnosis and treatment protocol. In view of the emphasis on bicultural health perspectives in recent years and in tune with the objectives of the Treaty of Waitangi's ethnocultural partnership, the provision of a culturally safe and sensitive mental health coverage of Maori and Pacific Islander clients has become an important health issue in the country. The present discussion of the ethnocultural influence on clinical psychiatry highlights some of the relevant issues from the transcultural perspective. PMID:21206600

Maori responsiveness in health and medical research: key issues for researchers (part 1).

PubMed

Sporle, Andrew; Koea, Jonathan

2004-08-06

Application for contestable government-research funding and ethical approval requires researchers to outline how their intended research project contributes to Maori development or advancement. When formulating their research proposals, the key issues for researchers are research utility, defining Maori, informed consent, confidentiality, issues with human tissues and genetic material, participant remuneration and recognition (koha), intellectual property, and involvement of local Maori health or social services. The most common Maori responsiveness issues in research applications can be readily approached by researchers who address straightforward methodological concerns, by working through precedents established by peers and colleagues, as well as by working with end-users of their research.

Te Ao Kori as Expressive Movement in Aotearoa New Zealand Physical Education Teacher Education (PETE): A Narrative Account

ERIC Educational Resources Information Center

Legge, Maureen

2011-01-01

A unique aspect of Aotearoa/New Zealand physical education is the inclusion of Maori culture in the form of te ao kori. Te ao kori translates to mean the world of movement and is represented by the interpretation of indigenous movement, games and pastimes. Participation in te ao kori means the sports-based normative frame of reference for physical…

New Zealand: Background and Bilateral Relations with the United States

DTIC Science & Technology

2005-06-16

Maori 15%, Polynesian 6.5% Livestock: 9.8 mill cattle and 39.2 mill sheep Religion: Anglican 15%, Roman Catholic 13%, Presbyterian 11% GDP growth...4.8% (2004) 2.6% (2005 est) Per Capita GDP : $23,807 (2004 est.) Major Markets: Australia 21.8%, U.S. 14.6%, Japan 11%, China 4.9%, & United Kingdom...Unemployment was an estimated 4.6% in 2004.5 New Zealanders’2004 per-capita GDP was an estimated $23,807 in U.S. dollars. New Zealand has a land

The numerical simulation tool for the MAORY multiconjugate adaptive optics system

NASA Astrophysics Data System (ADS)

Arcidiacono, C.; Schreiber, L.; Bregoli, G.; Diolaiti, E.; Foppiani, I.; Agapito, G.; Puglisi, A.; Xompero, M.; Oberti, S.; Cosentino, G.; Lombini, M.; Butler, R. C.; Ciliegi, P.; Cortecchia, F.; Patti, M.; Esposito, S.; Feautrier, P.

2016-07-01

The Multiconjugate Adaptive Optics RelaY (MAORY) is and Adaptive Optics module to be mounted on the ESO European-Extremely Large Telescope (E-ELT). It is an hybrid Natural and Laser Guide System that will perform the correction of the atmospheric turbulence volume above the telescope feeding the Multi-AO Imaging Camera for Deep Observations Near Infrared spectro-imager (MICADO). We developed an end-to-end Monte- Carlo adaptive optics simulation tool to investigate the performance of a the MAORY and the calibration, acquisition, operation strategies. MAORY will implement Multiconjugate Adaptive Optics combining Laser Guide Stars (LGS) and Natural Guide Stars (NGS) measurements. The simulation tool implement the various aspect of the MAORY in an end to end fashion. The code has been developed using IDL and use libraries in C++ and CUDA for efficiency improvements. Here we recall the code architecture, we describe the modeled instrument components and the control strategies implemented in the code.

Projecting future smoking prevalence to 2025 and beyond in New Zealand using smoking prevalence data from the 2013 Census.

PubMed

van der Deen, Frederieke S; Ikeda, Takayoshi; Cobiac, Linda; Wilson, Nick; Blakely, Tony

2014-11-28

We have previously published a forecasting model of future smoking prevalence in New Zealand (NZ). Under business-as-usual (BAU) assumptions NZ's smokefree 2025 goal was not attained by any demographic group. However, the 2013 Census (which included a question on smoking) showed a greater than expected fall in prevalence, especially for Maori. We therefore aimed to provide upgraded projections to inform policy around tobacco endgame planning. The previously developed dynamic forecasting model was re-specified using smoking prevalence data from the 2006 and 2013 censuses from NZ. Calculations included changes in initiation by age 20 years, and net annual cessation rates, by sex, age, and ethnicity (Maori vs non-Maori). Projections under 2006-2013 trends (adjusted for no tax rises since 2010), by sex and ethnicity were made out to 2025 and beyond. Between the 2006 and 2013 censuses (adjusted for no tax rises since 2010), initiation of daily smoking by age 20 years decreased annually by 3.4% (95% uncertainty interval 3.2% to 3.6%) and 2.7% (2.5% to 2.8%) for non-Maori men and women, and by 2.9% (2.6% to 3.2%) and 3.2% (2.9% to 3.5%) for Maori respectively. Annual net smoking cessation rates ranged from 3.7% to 7.7% across demographic groups. The revised projected smoking prevalence in 2025 (allowing for tax increases that have occurred from 2010 to 2014) was 8.3% and 6.4% for non-Maori, and 18.7% and 19.3% for Maori men and women, respectively. The upgraded smoking prevalence projections still suggests that the NZ Government's smokefree 2025 goal would not be attained by any demographic group. It is likely that more intensive existing interventions, or entirely novel ones, will be needed to achieve the 2025 endgame goal.

Geographical access to community pharmacies in New Zealand.

PubMed

Norris, Pauline; Horsburgh, Simon; Sides, Gerald; Ram, Sanya; Fraser, John

2014-09-01

Geographic access to community pharmacies is an important aspect of access to appropriate medicines. This study aimed to explore changes in the number and location of pharmacies in New Zealand and determine whether some populations have poor geographical access to pharmacies. Pharmacy numbers in New Zealand have been declining since the mid-1980s, and, adjusted for population growth, there are now only half the number there was in 1965. While the urbanisation of pharmacies has been matched by loss of population in rural areas, the loss of pharmacies from smaller rural towns leaves many people with poor access to pharmacy services. Copyright © 2014 Elsevier Ltd. All rights reserved.

Breast cancer survival in New Zealand women.

PubMed

Campbell, Ian D; Scott, Nina; Seneviratne, Sanjeewa; Kollias, James; Walters, David; Taylor, Corey; Webster, Fleur; Zorbas, Helen; Roder, David M

2015-01-01

The Quality Audit (BQA) of Breast Surgeons of Australia and New Zealand includes a broad range of data and is the largest New Zealand (NZ) breast cancer (BC) database outside the NZ Cancer Registry. We used BQA data to compare BC survival by ethnicity, deprivation, remoteness, clinical characteristic and case load. BQA and death data were linked using the National Health Index. Disease-specific survival for invasive cases was benchmarked against Australian BQA data and NZ population-based survivals. Validity was explored by comparison with expected survival by risk factor. Compared with 93% for Australian audit cases, 5-year survival was 90% for NZ audit cases overall, 87% for Maori, 84% for Pacific and 91% for other. BC survival in NZ appears lower than in Australia, with inequities by ethnicity. Differences may be due to access, timeliness and quality of health services, patient risk profiles, BQA coverage and death-record methodology. © 2014 Royal Australasian College of Surgeons.

Effects of heavy metals on benthic macroinvertebrate communities in New Zealand streams

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hickey, C.W.; Clements, W.H.

1998-11-01

The authors performed chemical analyses of heavy metals in water and periphyton, toxicity tests with Daphnia magna and an indigenous mayfly (Deleatidium sp.), and field surveys of benthic macroinvertebrates to estimate the degree of metal pollution in three catchments in the Coromandel Peninsula of New Zealand. Good agreement was found between toxicity tests and measures of benthic community structure, particularly at stations with the highest metal levels. Responses of benthic communities at stations with low or moderate levels of metal contamination were variable and were probably confounded by factors other than heavy metals. Effects of heavy metals on benthic communitiesmore » in New Zealand streams were similar to those reported for metal-polluted streams in North America and Europe, suggesting that responses to metal contamination are predictable. Abundance and species richness of mayflies, number of taxa in the orders Ephemeroptera, Plecoptera, and Trichoptera, and total taxonomic richness were the best indicators of heavy metals in New Zealand streams. In contrast, the quantitative macroinvertebrate community index (QMCI), a biotic index proposed for assessing effects of organic enrichment in New Zealand streams, could not distinguish between reference and metal-polluted streams. The poor performance of the QMCI was primarily due to incorrect tolerance scores for some taxa to heavy metals. Because of concerns regarding the subjective assignment of tolerance values to species, the authors recommend that tolerance values for dominant species in New Zealand streams should be verified experimentally in stream microcosms.« less

Stories of relative privilege: power and social change in feminist community psychology.

PubMed

Mulvey, A; Terenzio, M; Hill, J; Bond, M A; Huygens, I; Hamerton, H R; Cahill, S

2000-12-01

Stories about community work in New Zealand and Scotland are presented to describe and reflect on issues central to feminist community psychology. Organizing a lesbian festival, Ingrid Huygens describes feminist processes used to equalize resources across Maori (indigenous) and Pakeha (white) groups. Heather Hamerton presents her experiences as a researcher using collective memory work to reflect on adolescent experiences related to gender, ethnicity, and class. Sharon Cahill chronicles dilemmas and insights from focus groups about anger with women living in public housing in Scotland. Each story chronicles experiences related to oppression and privilege, and describes the author's emotions and reflections. Individually and collectively, the stories illustrate the potential offered by narrative methods and participatory processes for challenging inequalities and encouraging social justice.

The New Zealand Liver Transplant Unit: Auckland District Health Board.

PubMed

Munn, Stephen R; Evans, Helen M; Gane, Edward J

2014-01-01

New Zealand is a geographically isolated country with 4.55 million inhabitants. It has endemic hepatitis B (HBV) infection that is especially evident in Maori and Pacific Island communities and impacts indications for liver transplantation. The country has a socialised medical system that allows for full coverage of the assessment for, and completion of liver transplants in suitable recipients. Between February 1998 and December 2014, the New Zealand Liver Transplant Unit (NZLTU) had performed 595 liver transplants in 568 patients, indicating a crude re-transplant rate of 4.8%. Overall 1, 5, and 10 year patient survival rates for all adult (96%, 89%, and 81%, respectively) and pediatric (93%, 92%, and 92%, respectively) recipients compare very favourably with international outcomes from Europe and the United States. Eligibility criteria could be modestly expanded if deceased donor rates improved from the current level of around 10 per million of population per year. This somewhat meagre supply of deceased donor organs, along with significant waiting list attrition, has necessitated the use of living donors, which have been used in more than 50 recipients to date. Despite these limitations, the NZLTU has contributed to improvements in the outcome of transplantation for HBV and hepatitis C through the development of effective antiviral prophylaxis regimes. Furthermore, innovative changes have been made to the manner in which pediatric patients are transitioned to the adult service.

The cost effectiveness of genetic testing for CYP2C19 variants to guide thienopyridine treatment in patients with acute coronary syndromes: a New Zealand evaluation.

PubMed

Panattoni, Laura; Brown, Paul M; Te Ao, Braden; Webster, Mark; Gladding, Patrick

2012-11-01

A recent clinical trial has demonstrated that patients with acute coronary syndromes (ACS) and the reduced function allele CYP2C19*2 (*2 allele), who are treated with thienopyridines, have an increased risk of adverse cardiac events with clopidogrel, but not with prasugrel. The frequency of the *2 allele varies by ethnicity and the Maoris, Asians and Pacific Islanders of New Zealand have a relatively high incidence. Our objective was to evaluate, from a New Zealand health system perspective, the cost effectiveness of treating all ACS patients with generic clopidogrel compared with prasugrel, and also compared with the genetically guided strategy that *2 allele carriers receive prasugrel and non-carriers receive clopidogrel. A decision-tree model consisting of five health states (myocardial infarction, stroke, bleeding, stent thrombosis and cardiovascular death) was developed. Clinical outcome data (two TRITON-TIMI 38 genetic sub-studies) comparing clopidogrel and prasugrel for both *2 allele carriers and non-carriers were combined with the prevalence of the heterozygosity for the *2 allele in New Zealand Europeans (15%), Maoris (24%), Asians (29%) and Pacific Islanders (45%) to determine the predicted adverse event rate for the New Zealand population. National hospital diagnosis-related group (DRG) discharge codes were used to determine alternative adverse event rates, along with the costs of hospitalizations during the 15 months after patients presented with an ACS. The primary outcome measure was the incremental cost per QALY (calculated using literature-reported weights). Monte Carlo simulations and alternative scenario analysis based on both clinical trial and national hospital incidence were used. Additional analysis considered the overall TRITON-TIMI 38 rates. Costs (in New Zealand dollars [$NZ], year 2009 values) and benefits were discounted at 3% per annum. Actual hospital-based adverse event rates were higher than those reported in the TRITON-TIMI 38

Whakamana to tuapapa o te tangata motuhake kia whai hua nga tangata katoa = Honour the Foundations of the Original People...So that All Peoples May Benefit.

ERIC Educational Resources Information Center

Morrison, Sandra

2003-01-01

Discusses the impact of the Treaty of Waitangi on the Maori people. Asks questions about whose reality is accepted as valid and whose voice is being heard. Addresses implications for adult and community education in New Zealand. (SK)

Vitamin D status of psychiatric inpatients in New Zealand's Waikato region.

PubMed

Menkes, David B; Lancaster, Kaye; Grant, Michael; Marsh, Reginald W; Dean, Peter; du Toit, Stephen A

2012-06-26

Vitamin D deficiency is widespread in New Zealand, confers multiple health risks, and may be particularly common among people with psychiatric illness. We studied vitamin D status in an unselected sample of adult psychiatric inpatients in Hamilton (latitude 37.5 S) during late winter. We recruited 102 consenting subjects and measured 25-hydroxy vitamin D3 levels in venous blood using a competitive electrochemiluminescence immunoassay. In addition to descriptive statistics, we used one-sample t-tests to determine the extent to which ethnic and diagnostic subgroups fell below the vitamin D deficiency threshold of 50 nM. 75 subjects (74%) had vitamin D levels <50 nM and thus had at least mild deficiency, while 19 (19%) were severely deficient with levels <25 nM. Rates of deficiency were comparable for men and women; only the former showed a correlation of vitamin D levels with age (r = 0.45, p < 0.01). Maori participants constituted half the sample (n = 51) and were more likely to be deficient than their European counterparts (p = 0.04). Vitamin D also varied by diagnosis, with schizophrenia associated with markedly lower levels than mania and depression (p < 0.001). Vitamin D deficiency is prevalent in the psychiatric inpatient setting in New Zealand and may be relevant to poor physical health outcomes, notably among Maori and those with schizophrenia. These findings support proposals to provide vitamin D supplementation, particularly during the winter months.

A feather precipitation hydrogen isoscape for New Zealand

NASA Astrophysics Data System (ADS)

Rogers, K. M.; Wassenaar, L. I.; Soto, D. X.; Bartle, J. A.

2012-04-01

Forensic isotopic assays of feathers from historical Maori cloaks are a potential tool to link historical artefacts back to their native locales (Iwi) in New Zealand. In order to test this approach, we sampled feathers from extant museum archived birds of known origin for their feather hydrogen isotopes (δyHf) to assign their regional origin and location over time. We obtained feathers from two non-migratory bird species widely distributed around New Zealand, tui (Prosthemadera novaeseelandiae) and quail (Callipepla californica). Feathers were sampled from archived birds collected between 1880-2002 held in 3 New Zealand museum collections. We determined regression coefficients of δ2H on location, latitude, δ2Hprecipitation, and age. The data showed that ground dwelling quail had higher regression coefficients with respect to latitude (r2=0.46) than the nectar feeding tui (r2=0.39). On the whole, both resident birds showed promise as regional geographical indicators of their habitat (r2=0.58). Year of collection had no meaningful effect on isotopic composition. We conclude that isotopic assays may therefore be used to aid in regional assignments relevant to the interpretation of historical artefacts.

Teachers' Perspectives of Professional Development for Effecting Change in Maori Medium Classrooms: A Mathematics Experience

ERIC Educational Resources Information Center

Hawera, Ngawera; Taylor, Merilyn

2011-01-01

In 2010 twenty-three Maori medium schools were given the opportunity for professional development with the Draft Nga Whanaketanga Rumake Maori: Pangarau (NWRM) (National Standards Maori Medium: Mathematics. The study provided a unique opportunity to listen to teachers' views about their professional development as they sought to implement national…

Survival on Home Dialysis in New Zealand

PubMed Central

Marshall, Mark R.; Walker, Rachael C.; Polkinghorne, Kevan R.; Lynn, Kelvin L.

2014-01-01

Background New Zealand (NZ) has a high prevalence of both peritoneal dialysis (PD) and home haemodialysis (HD) relative to other countries, and probably less selection bias. We aimed to determine if home dialysis associates with better survival than facility HD by simultaneous comparisons of the three modalities. Methods We analysed survival by time-varying dialysis modality in New Zealanders over a 15-year period to 31-Dec-2011, adjusting for patient co-morbidity by Cox proportional hazards multivariate regression. Results We modelled 6,419 patients with 3,254 deaths over 20,042 patient-years of follow-up. Patients treated with PD and facility HD are similar; those on home HD are younger and healthier. Compared to facility HD, home dialysis (as a unified category) associates with an overall 13% lower mortality risk. Home HD associates with a 52% lower mortality risk. PD associates with a 20% lower mortality risk in the early period (<3 years) that is offset by a 33% greater mortality risk in the late period (>3 years), with no overall net effect. There was effect modification and less observable benefit associated with PD in those with diabetes mellitus, co-morbidity, and in NZ Maori and Pacific People. There was no effect modification by age or by era. Conclusion Our study supports the culture of home dialysis in NZ, and suggests that the extent and duration of survival benefit associated with early PD may be greater than appreciated. We are planning further analyses to exclude residual confounding from unmeasured co-morbidity and other sociodemographic factors using database linkage to NZ government datasets. Finally, our results suggest further research into the practice of PD in NZ Maori and Pacific People, as well as definitive study to determine the best timing for switching from PD in the late phase. PMID:24806458

Serum lipid levels for a multicultural population in Auckland, New Zealand: results from the Diabetes Heart and Health Survey (DHAH) 2002-2003.

PubMed

Gentles, Dudley; Metcalf, Patricia; Dyall, Lorna; Scragg, Robert; Sundborn, Gerhard; Schaaf, David; Black, Peter N; Jackson, Rodney T

2007-11-09

To describe mean serum lipid concentrations for Maori, Pacific people (mostly of Samoan, Tongan, Niuean, or Cook Islands origin), and Others (mostly New Zealand-born Europeans), and to identify risk factors for an adverse lipid profile. A cross-sectional survey of adults aged between 35-74 years within the Auckland area. There were 1006 Maori, 996 Pacific people, and 2021 'Others' Fasting blood samples were collected from participants, and total cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL), and triglycerides were measured. Maori and Pacific people had similar mean serum total and LDL cholesterol levels but lower HDL levels and higher total to HDL cholesterol ratios compared to Others (adjusted for age and gender). Maori also had higher triglycerides than Others. High BMI and cigarette smoking were positively associated with unfavourable lipid profiles, while current alcohol drinking and vigorous leisure time activity were associated with increased HDL cholesterol and lower total to HDL cholesterol ratios. Over 90% of all ethnic groups had total cholesterol levels above currently accepted optimal levels (>4 mmol/L) and two-thirds were above 5 mmol/L. While 30% of Others had a total to HDL cholesterol ratio above the 'optimal' threshold of 4.5, 40% of Maori and 44% of pacific people were above this level. This is the first study to simultaneously assess lipid levels in Maori, Pacific people, and Others in one population-based study. Despite similar total and LDL cholesterol levels in all ethnic groups; overweight, obesity, and current cigarette smoking were the main risk factors for their adverse lipid profiles. Engaging in leisure-time activity and alcohol consumption (and not surprisingly lipid-lowering drugs) were associated with better lipid profiles. We confirm that the main lipid-related cardiovascular disease risk in Maori and Pacific people is due to their low HDL and high triglyceride levels.

Do healthy and unhealthy behaviours cluster in New Zealand?

PubMed

Tobias, Martin; Jackson, Gary; Yeh, Li-Chia; Huang, Ken

2007-04-01

To describe the co-occurrence and clustering of healthy and unhealthy behaviours in New Zealand. Data were sourced from the 2002/03 New Zealand Health Survey. Behaviours selected for analysis were tobacco use, quantity and pattern of alcohol consumption, level of physical activity, and intake of fruit and vegetables. Clustering was defined as co-prevalence of behaviours greater than that expected based on the laws of probability. Co-occurrence was examined using multiple logistic regression modelling, while clustering was examined in a stratified analysis using age and (where appropriate) ethnic standardisation for confounding control. Approximately 29% of adults enjoyed a healthy lifestyle characterised by non-use of tobacco, non- or safe use of alcohol, sufficient physical activity and adequate fruit and vegetable intake. This is only slightly greater than the prevalence expected if all four behaviours were independently distributed through the population i.e. little clustering of healthy behaviours was found. By contrast, 1.5% of adults exhibited all four unhealthy behaviours and 13% exhibited any combination of three of the four unhealthy behaviours. Unhealthy behaviours were more clustered than healthy behaviours, yet Maori exhibited less clustering of unhealthy behaviours than other ethnic groups and no deprivation gradient was seen in clustering. The relative lack of clustering of healthy behaviours supports single issue universal health promotion strategies at the population level. Our results also support targeted interventions at the clinical level for the 15% with 'unhealthy lifestyles'. Our finding of only limited clustering of unhealthy behaviours among Maori and no deprivation gradient suggests that clustering does not contribute to the greater burden of disease experienced by these groups.

Overview: the 2nd Indigenous Cardiovascular Health Conference of the Cardiac Society of Australia and New Zealand.

PubMed

Brown, Alex; Kritharides, Leonard

2012-10-01

Recent years have seen the Cardiac Society of Australia and New Zealand (CSANZ) focus its attention on improving outcomes for Indigenous people within Australia and New Zealand. The most visible of these activities has been the convening of conferences devoted specifically to understanding and overcoming the burden of cardiovascular disparities experienced by Aboriginal and Torres Strait Islanders within Australia and Maori and Pacific Islander populations within New Zealand. Following from the success of the first meeting, the second was held in Alice Springs in 2011. Alongside plenary sessions discussing primary prevention, improved care, secondary prevention and the social and cultural determinants of cardiovascular diseases (CVD), targeted workshops outlined the issues and priority activities for the CSANZ into the future. These included discussion of Workforce, Improving Chronic Care, Reducing the burden of Rheumatic Heart Disease and Reducing Disparities in Hospital Care. Copyright © 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

Ko wai ahau? (Who am I?) How cultural identity issues are experienced by Maori psychiatrists and registrars working with children and adolescents.

PubMed

Elder, Hinemoa

2008-06-01

This paper aimed to investigate narratives regarding the experience of Maori cultural identity of Maori psychiatrists and registrars who have worked with tamariki (children), taiohi (adolescents) and whanau (families). This was a Kaupapa Maori (Maori-centred) qualitative study where a total of five Maori psychiatrists and registrars were interviewed using a semi-structured questionnaire informed by Tikanga Maori (Maori custom and protocol). This paper presents one significant theme, that of "doing the work differently". Within this theme, the perceived 'mismatch' between psychiatric training, seeming to value opacity in clinical sessions, compared to Tikanga Maori aspects of the doctor's identity which values whakawhanaungatanga (connectivity and relationships) was consistently described. This paper has implications for registrar training needs, workforce development, service development and cultural competency.

The distribution and frequency of blood lipid testing by sociodemographic status among adults in Auckland, New Zealand.

PubMed

Exeter, Daniel J; Moss, Lauren; Zhao, Jinfeng; Kyle, Cam; Riddell, Tania; Jackson, Rod; Wells, Susan

2015-09-01

National cardiovascular disease (CVD) guidelines recommend that adults have cholesterol levels monitored regularly. However, little is known about the extent and equity of cholesterol testing in New Zealand. To investigate the distribution and frequency of blood lipid testing by sociodemographic status in Auckland, New Zealand. We anonymously linked five national health datasets (primary care enrolment, laboratory tests, pharmaceuticals, hospitalisations and mortality) to identify adults aged ≥25 years without CVD or diabetes who had their lipids tested in 2006-2010, by age, gender, ethnicity and area of residence and deprivation. Multivariate logistic regression was used to estimate the likelihood of testing associated with these factors. Of the 627 907 eligible adults, 66.3% had at least one test between 2006 and 2010. Annual testing increased from 24.7% in 2006 to 35.1% in 2010. Testing increased with age similarly for men and women. Indian people were 87% more likely than New Zealand European and Others (NZEO) to be tested, Pacific people 8% more likely, but rates for Maori were similar to NZEO. There was marked variation within the region, with residents of the most deprived areas less likely to be tested than residents in least deprived areas. Understanding differences within and between population groups supports the development of targeted strategies for better service utilisation. While lipid testing has increased, sociodemographic variations persist by place of residence, and deprivation. Of the high CVD risk populations, lipid testing for Maori and Pacific is not being conducted according to need.

Community pharmacists' perceptions of services that benefit older people in New Zealand.

PubMed

Tordoff, June; Chang, Shih Yen; Norris, Pauline T

2012-04-01

There is limited information in New Zealand about community pharmacists' perceptions of services that benefit older people. To explore the perceptions of community pharmacists' of services that benefit older people; the benefits perceived; and the experiences of pharmacists providing such services. Community pharmacies in New Zealand. A cross-sectional purpose-developed survey was carried out of all community pharmacies in New Zealand. This was followed by twenty qualitative telephone interviews of pharmacists identified as providing at least one specialized service. Interviews were recorded, transcribed verbatim, and coded for themes using constant comparison. Community pharmacists' opinions and perceptions in the cross-sectional survey and qualitative interviews. Responses were received from pharmacists in 403/905 evaluable pharmacies. All pharmacies provided some baseline services (advice, dispensing of prescriptions, medicines disposal) and 90% provided home deliveries of medicines. Adherence to medicines was supported by compliance packaging (96%), medication review (Medicines Use Review, MUR) (28%), and repeat prescription reminders (27%). Thirty-five percent provided screening (e.g. cholesterol, blood pressure), and 32% provided medicines education to community groups. Compliance packaging and home delivery were thought the services most beneficial for older people, and should help people adhere to their medicines. The 20 pharmacists interviewed by telephone provided 20 different specialized services (median 2, range 1-4). These included MUR, services to residential homes, visiting educators/special clinics, INR monitoring, services to hospices, and flu vaccination. Benefits perceived included improvements in adherence, patient safety, and patient-knowledge of medicines, and convenient access to services. "Patient need" was a frequent driver of services, and common facilitators for services were having appropriate training/skills, co-operation with health

Restlessness, Resoluteness and Reason: Looking Back at 50 Years of Maori Education

ERIC Educational Resources Information Center

Macfarlane, Angus Hikairo

2015-01-01

The growing recognition of Maori education approaches and ways of knowing can be seen both as a response to the erosion and loss of traditional knowledge philosophies through the processes of colonialism and internationalism, and as a means of reclaiming and revaluing Maori language, identity and culture. Improving the educational success of Maori…

Speech Language Assessments in Te Reo in a Primary School Maori Immersion Unit

ERIC Educational Resources Information Center

Naidoo, Kershni

2012-01-01

This research originated from the need for a speech and language therapy assessment in te reo Maori for a particular child who attended a Maori immersion unit. A Speech and Language Therapy te reo assessment had already been developed but it needed to be revised and normative data collected. Discussions and assessments were carried out in a…

The Critical Success Factors for School and Community (Joint Use) Libraries in New Zealand

ERIC Educational Resources Information Center

Matthews, Vivienne Kaye D.; Calvert, Philip J.

2007-01-01

Joint use libraries in New Zealand are generally found in the form of School and Community Libraries, primarily in rural areas, but there is little information available about their effectiveness or success. Research was undertaken by surveying all identified joint use libraries in New Zealand and then following this with detailed Case Studies of…

Mood and anxiety disorders in Australia and New Zealand's indigenous populations: A systematic review and meta-analysis.

PubMed

Black, Emma; Kisely, Steve; Alichniewicz, Karolina; Toombs, Maree

2017-09-01

The Indigenous populations of Australia and New Zealand are considered at higher risk of mood and anxiety disorders but many studies do not include direct comparisons with similar non-Indigenous controls. We conducted a systematic search of relevant electronic databases, as well as snowballing and targeted searches of the grey literature. Studies were included for meta-analysis if they compared rates of mood and anxiety disorders between Indigenous and non-Indigenous Australians or Maori. Seven Australian and 10 NZ studies were included. Overall, Indigenous people in both countries did not have significantly higher rates of disorder. However, in terms of specific disorders, there were differences in risk by gender, country (Australia or NZ), disorder type, and prevalence (current, 12-month or lifetime). For instance, Indigenous Australians and Maori both had significantly lower rates of simple phobias (current prevalence) and Maori participants had significantly lower rates of both lifetime simple phobia and generalised anxiety disorders. By contrast, Indigenous Australians had significantly higher rates of bipolar affective disorder and social phobia (current prevalence). Generalisations regarding the risk of psychiatric disorders in Indigenous people cannot therefore be made as this varies by several factors. These include disorder type, sociodemographic factors, Indigenous origin and study method. Copyright © 2017. Published by Elsevier B.V.

Ask the Posts of Our House: Using Cultural Spaces to Encourage Quality Learning in Higher Education

ERIC Educational Resources Information Center

Adds, Peter; Hall, Meegan; Higgins, Rawinia; Higgins, Te Ripowai

2011-01-01

When the Maori goddess, "Hinetitama", asked the Maori god, "Tane", who her father was, he replied, "Uia ki nga pou o t whare ... Ask the posts of your house". This traditional Maori (indigenous people of New Zealand) story implies a cultural teaching pedagogy that utilises the "marae" (a Maori building…

Commitment Approach to Motivating Community Recycling: New Zealand Curbside Trial.

ERIC Educational Resources Information Center

Bryce, Wendy J.; And Others

1997-01-01

In a New Zealand community, 200 households made commitment to recycle and 201 did not; 198 were asked to pay for recycling bins, 203 were not. A control group received only recycling information. Verbal commitment significantly increased participation. Difficulties in administering the financial incentive made it impossible to determine effect on…

Q'epethet ye Mestiyexw, A Gathering of the People.

ERIC Educational Resources Information Center

Kenny, Carolyn; Archibald, Jo-ann

2000-01-01

A 4-week program in Vancouver (British Columbia) used traditional and academic formats to connect Aboriginal communities throughout British Columbia with each other and with Maori participants from New Zealand. A conference, a symposium and graduate courses covered the role of Aboriginal art, politics of transforming education, revitalization of…

Hypertension and its treatment in a New Zealand multicultural workforce.

PubMed

Scragg, R; Baker, J; Metcalf, P; Dryson, E

1993-04-28

To investigate ethnic variations in blood pressure levels and the likelihood of hypertension being treated in a multicultural New Zealand workforce. An employed population of 5651 staff aged 40 to 64 years at worksites in Auckland and Tokoroa, who recorded their current prescribed medication, were measured for blood pressure, weight and height. Body mass index (BMI) was calculated. Mean blood pressure levels were higher in men than women, and increased with age and BMI. Compared with Europeans, mean systolic and diastolic blood pressures were higher in Maori (by 5 to 6 mmHg), Pacific Islanders (by 4 to 6 mmHg) and Asians (by 1 to 5 mmHg) after controlling for age and blood pressure treatment. This increase in Maori and Pacific Islanders, compared with Europeans, was approximately halved after also controlling for BMI, but still remained statistically significant (p < 0.05). In contrast, ethnic differences in BMI did not explain any of the blood pressure increase in Asians. In analyses restricted to hypertensive participants, the likelihood of hypertension being treated was higher in women than men (odds ratio (OR) = 3.42; 95% CI 2.13, 5.47), and lower in Maori (OR 0.33; 95% CI 0.19, 0.58), Pacific Islanders (OR 0.27; 95% CI 0.16, 0.47) and Asians (OR 0.29; 95% CI 0.10, 0.86) than Europeans. These results suggest that the likelihood of hypertension being treated is related to sex and ethnic group; and that other unknown factors, in addition to increased BMI levels, explain the higher blood pressure levels in Polynesians compared to Europeans.

Clinical Characteristics and Outcomes of Patients with Amphetamine-Associated Cardiomyopathy in South Auckland, New Zealand.

PubMed

Kueh, Shaw-Hua Anthony; Gabriel, Ruvin S; Lund, Mayanna; Sutton, Tim; Bradley, Joshua; Kerr, Andrew J; Looi, Jen-Li

2016-11-01

Amphetamine-associated cardiomyopathy (AAC) is becoming an increasingly recognised entity. The characteristics and outcomes of these patients are poorly understood. Thirty patients admitted with heart failure and echocardiographic evidence of cardiomyopathy between 2005 and 2014 and who had a documented history of amphetamine abuse that was considered an important factor in the causation of their cardiomyopathy were retrospectively identified. Mean age at presentation was 40±10 years with a male predominance (n=25, 83%). The majority were of indigenous Maori ethnicity. At presentation, four patients were in cardiogenic shock. Five patients required intensive care unit (ICU) admission for inotropic support and mechanical ventilation. Fifteen had severe left ventricular (LV) dilation (mean LV end-diastolic dimension 6.8±1.0cm) and all patients had severe LV dysfunction (mean LV ejection fraction 22±8%). Despite optimal heart failure therapy, LV size remained significantly dilated with minimal improvement in LV function. During median follow-up of 18 months, five patients died from end-stage heart failure and 17 had at least one readmission with decompensated heart failure. Amphetamine-associated cardiomyopathy was seen predominantly in young indigenous Maori men. They presented with severe cardiomyopathy, often requiring ICU admission. Severe LV dilation and significant LV dysfunction persisted despite treatment and mortality was high. Copyright © 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

Third sector primary health care in New Zealand.

PubMed

Crampton, P; Dowell, A C; Bowers, S

2000-03-24

To describe key organisational characteristics of selected third sector (non-profit and non-government) primary health care organisations. Data were collected, in 1997 and 1998, from 15 third sector primary care organisations that were members of a network of third sector primary care providers, Health Care Aotearoa (HCA). Data were collected by face-to-face interviews of managers and key informants using a semi-structured interview schedule, and from practice computer information systems. Overall the populations served were young: only 4% of patients were aged 65 years or older, and the ethnicity profile was highly atypical, with 21.8% European, 36% Maori, 22.7% Pacific Island, 12% other, and 7.5% not stated. Community services card holding rates were higher than recorded in other studies, and registered patients tended to live in highly deprived areas. HCA organisations had high patient to doctor ratios, in general over 2000:1, and there were significant differences in management structures between HCA practices and more traditional general practice. Third sector organisations provide services for populations that are disadvantaged in many respects. It is likely that New Zealand will continue to develop a diverse range of primary care organisational arrangements. Effort is now required to measure quality and effectiveness of services provided by different primary care organisations serving comparable populations.

Raising Pasifika Achievement: Teacher Cultural-Responsiveness

ERIC Educational Resources Information Center

Porter-Samuels, Tute

2013-01-01

Pasifika learners, along with Maori, continue to experience high disparities in New Zealand's education system. Furthermore, it is predicted that over the next few decades, the majority of students in New Zealand primary schools will be Maori and Pasifika. The implications for classroom teachers are enormous. In reviewing a range of literature,…

Water cycle meets media cycle: Hydrology engagement and social media in New Zealand

NASA Astrophysics Data System (ADS)

Collins, D. B.; Woods, R. A.

2012-12-01

The dispersal of scientific knowledge is an on-going challenge for the research community, particularly for the more applied disciplines such as hydrology. To a large degree this arises because key stakeholders do not readily follow the peer-reviewed scientific literature. Even publicly accessible technical reports may be out of sight from many in both the research and stakeholder communities. The challenge to science communication is further compounded by an increasing pressure to raise the hydrological literacy of the public, as water resource management decisions become increasingly collaborative. In these situations, the diversification of communication channels and more rapid interactions between stakeholders and scientists can be of great value. The use of social media in the communication and advancement of hydrological science in New Zealand is a case in point. Two such initiatives are described here: a hydrology blog and a crowd-sourcing data collection campaign using Facebook. The hydrology blog, Waiology (a variant of "hydrology" with the Greek prefix for water replaced by its Maori equivalent), was set up with two main goals in mind: to foster greater understanding and appreciation of hydrology among the New Zealand public, and to more rapidly share new hydrological knowledge within the New Zealand hydrological community. In part, it has also been an experiment to test whether this mode of engagement is worthwhile. Measuring the success of the initiative has proven difficult, but has led to a suite of metrics that collectively gauge popular and professional interest and use of the material. To name a few, this includes visit statistics (taking note of the institution of the visitor), subscriptions, and non-internet citations. Results indicate that, since the blog's inception in mid-2011, it has become a valued resource for the NZ hydrological community and an interesting website for the general public. The second example centered on the use of Facebook

Neither Objective nor Neutral? Reflecting on My Subjectivity throughout the Research Process in Takiwa School.

ERIC Educational Resources Information Center

Carpenter, Vicki

An educational researcher describes and reflects on a qualitative research project she conducted, focusing on her positioning, neutrality, and objectivity throughout the research process and during subsequent data analysis. The research took place in a K-12 school in a remote rural New Zealand community inhabited by Maori, 1970s…

Unhealthy Acts: interpreting narratives of community mental health care in Waikato, New Zealand.

PubMed

Joseph, A. E; Kearns, R. A.

1999-01-01

This paper provides a regional commentary on the progress of deinstitutionalization in an era of restructuring in New Zealand. The commentary focuses on the Waikato region, where the transition to community-based psychiatric care has been underway since the announcement of the closure of Tokanui Hospital in 1993. We use media reports to construct a narrative illuminating the distinctive threads of alternative discourse on the re-placing of people with mental health problems and sites of treatment 'into the community'. Our interpretation of this local narrative is cast against a series of backdrops: firstly, we provide an abbreviated history of deinstitutionalization in New Zealand; secondly, we examine mental health care as a sector within a rapidly evolving health system; and, thirdly, we reflect on the implementation of community mental health care in a re-regulated civil society. We argue that the effective implementation of community care has been hampered by the lack of concerted policy in the mental health care sector, by a fiscal squeeze on the health care system and by the impingement of non-health care legislation (the Commerce Act, the Privacy Act and the Resource Management Act) on the local expression and management of community care. In the Waikato narrative, we also identify administrative practices that have recast people with mental health problems as criminals and re-established prisons as the site of treatment. We conclude that the media in New Zealand have a role that extends beyond simply reporting on events. Indeed, the media act as a reflexive conduit; journalists interpret issues and through their 'stories' help to shape the course of events.

Maori Men and the Grief of SIDS

ERIC Educational Resources Information Center

Edwards, Shane; McCreanor, Tim; Ormsby, Manga; Tuwhangai, Nick; Tipene-Leach, David

2009-01-01

The loss of a baby is always hard to cope with and the grieving process is likely to be difficult. Interventions to work with Sudden Infant Death Syndrome (SIDS) families have improved grieving outcomes for many but the needs of Maori fathers are not well understood or catered to by existing services. This article presents narrative data from…

Community engagement in the management of biosolids: lessons from four New Zealand studies.

PubMed

Goven, Joanna; Langer, E R Lisa; Baker, Virginia; Ataria, James; Leckie, Alan

2012-07-30

Biosolids management has been largely overlooked as an issue for environmental co-management, collaborative learning and public participation. This paper summarises four research projects on facilitating community involvement in biosolids management in New Zealand. The authors situate these studies both in relation to the New Zealand institutional and policy context for the management of biosolids and in relation to the themes of public participation and social learning in the literature on community involvement in environmental management. From the studies it can be concluded that: the incorporation of the knowledge and views of Māori is important from both public-participation and social-learning perspectives; both public-participation and social-learning approaches must consider the role of issue-definition in relation to willingness to participate; democratic accountability remains a challenge for both approaches; and locating biosolids management within an integrated water-and-wastewater or sustainable waste-management strategy may facilitate wider community participation as well as better-coordinated decision-making. Copyright © 2012 Elsevier Ltd. All rights reserved.

The epidemiology of rheumatic fever in the Tairawhiti/Gisborne region of New Zealand: 1997-2009.

PubMed

Siriett, Victoria; Crengle, Sue; Lennon, Diana; Stonehouse, Mary; Cramp, Geoffrey

2012-11-09

To establish Acute Rheumatic Fever (ARF) rates within the Tairawhiti District Health Board (1997-2009) to identify communities for primary prevention programmes. ARF cases (1997-2009) sought by audit of Gisborne Hospital admissions, penicillin prophylaxis lists and the EpiSurv notifiable disease database. ARF rates (n=44 cases) during 1997 to 2009 (7.6/100,000) with a continuing significant disparity between Maori (n=40, 15.2/100,000) and non-Maori, (n=3, 1.1/100,000). One case was Pacific. This disparity was marked in school-aged children (5-14 years: Maori 59/100,000 vs non-Maori 8/100,000). Over 80% of ARF cases demonstrated heart damage (18% moderate, 20% severe and 8% requiring heart surgery). ARF cases were strongly associated with living and schooling within high deprivation areas Forty ARF cases were enrolled in 13/21 Gisborne schools, 4/18 East Coast schools and 2/17 western rural schools. (No school for 8 cases). When assessed as a percentage of school rolls there were no discernable differences between primary, intermediate and secondary schools. Of the 44 cases, 35 (80%) resided in areas of NZDep06 score 8-10 (most deprived). Very high ARF rates were recorded in the 1960's; the continuing burden of ARF in Maori children indicate a strong requirement for primary prevention strategies. Progress has plateaued in the last 20 years.

Te Rita Papesch: Case Study of an Exemplary Learner of Maori as an Additional Language

ERIC Educational Resources Information Center

Ratima, Matiu Tai; Papesch, Te Rita

2014-01-01

This paper presents a case study of the life experiences of one exemplar adult second language Maori learner--Te Rita Papesch. Te Rita was one of 17 participants who were interviewed as a part of the first author's PhD study which sought to answer the question: what factors lead to the development of proficiency in te reo Maori amongst adult…

The Centrality of Relationships for Pedagogy: The "Whanaungatanga" Thesis

ERIC Educational Resources Information Center

Bishop, Russell; Ladwig, James; Berryman, Mere

2014-01-01

"Te Kotahitanga" is a research and professional development project that seeks to reduce educational disparities between indigenous Maori students and their non-Maori peers in New Zealand secondary schools. While evidence of the impact of the project on teachers' practice and the associated gains made by Maori students has been published…

The Nature of Professional Learning Communities in New Zealand Early Childhood Education: An Exploratory Study

ERIC Educational Resources Information Center

Cherrington, Sue; Thornton, Kate

2015-01-01

Professional learning communities are receiving increasing attention within the schooling sector but empirical research into their development and use within early childhood education contexts is rare. This paper reports initial findings of an exploratory study into the development of professional learning communities in New Zealand's early…

New Zealand's tobacco control programme 1985-1998

PubMed Central

Laugesen, M.; Swinburn, B.

2000-01-01

OBJECTIVE—To review the impact of New Zealand's tobacco control programme from 1985 to 1998 on smoking prevalence and tobacco consumption, and to estimate the scope for further reduction.
DESIGN—Country case study; interventions, with outcomes ranked internationally across time.
SETTING—New Zealand 1985-98; for 1985-95, 23 OECD countries.
INTERVENTIONS—Between 1985 and 1998, New Zealand eliminated tobacco advertising, halved the affordability of cigarettes, and reduced smoke exposure in work time by 39%.
MAIN OUTCOME MEASURE—Reduction in adult smoking prevalence and in tobacco products consumption per adult.
RESULTS—Changes in prevalence 1985-98: in adults (aged 15+ years), −17% (from 30% to 25%) but short of the 20% target for 2000; in youth (aged 15-24 years), −20% (from 35% to 28%); and in Maori adults (aged 15+ years), −17% (from 56% in 1981 to 46% in 1996). Changes in consumption 1985-98: tobacco products per adult aged 15+ years, −45% (2493 to 1377 cigarette equivalents); cigarettes smoked per smoker, −34% (22.7 to 15.0 per day). Between 1985 and 1995 New Zealand reduced tobacco products consumption per adult more rapidly than any other OECD country, and reduced youth prevalence more rapidly than most. The acceleration of the decline in cigarette attributable mortality rates in men and in women age 35-69 years averted an additional 1400 deaths between 1985 and 1996. Between 1981 and 1996 smoking prevalence among blue collar workers decreased only marginally, and in 14-15 year olds, rose by one third between 1992 and 1997.
CONCLUSION—In 13 years, New Zealand's tobacco control programme has been successful in almost halving tobacco products consumption, particularly by lowering consumption per smoker. With strong political support for quit campaigns, increased taxation, and the elimination of displays of tobacco products on sale, the consumption could theoretically be halved again in as little as 3-6 years

Can Schools Save Indigenous Languages? Policy and Practice on Four Continents: Palgrave Studies in Minority Languages and Communities

ERIC Educational Resources Information Center

Hornberger, Nancy H., Ed.

2010-01-01

This volume offers a close look at four cases of indigenous language revitalization: Maori in Aotearoa/New Zealand, Sami in Scandinavia, Hnahno in Mexico and Quechua and other indigenous languages in Latin America. Essays by experts from each case are in turn discussed in international perspective by four counterpart experts. This book is divided…

An exploration of a fire-affected community undergoing change in New Zealand

Treesearch

Pamela J. Jakes; Laura Kelly; Lisa Langer

2010-01-01

In the first case study of a fire-affected community in New Zealand's rural-urban interface, researchers found evidence to support findings raised in other countries regarding evacuation, blaming behaviour and perceptions of risk. Differences were evident based on ownership tenure, including less awareness of wildfire risk and preparedness among those with shorter...

The two faces of Robert Fitzroy, Captain of HMS Beagle and governor of New Zealand.

PubMed

Paul, Diane B; Stenhouse, John; Spencer, Hamish G

2013-09-01

Robert FitzRoy, Captain of HMS Beagle and second governor of New Zealand, has two contradictory reputations among modern academics. Evolutionary biologists and Darwin scholars generally view FitzRoy as a supporter of slavery, famously quarrelling with the abolitionist Darwin over that topic during a Brazilian stopover early in the voyage of HMS Beagle. He is also regarded as a political and religious reactionary, taking a biblically creationist position at the infamous 1860 Oxford meeting of the British Association for the Advancement of Science. New Zealand historians, however, view his record as governor much more positively. They emphasize that FitzRoy was wildly unpopular with the British settlers because of his enlightened insistence that the native Maori should be treated fairly. We outline the history of these seemingly inconsistent views and examine the evidence for each. We conclude by suggesting that a more nuanced account of FitzRoy's career would surely be more thought-provoking as well as respectful of the facts.

Balanced Development: A Maori Model for Beginning Teacher Support

ERIC Educational Resources Information Center

Main, Squirrel

2009-01-01

This article discusses how the traditional Maori concept of Hauora (balanced development) can be applied to beginning teacher induction programmes. To develop this idea, several steps were taken. From a nationwide survey, five primary schools were chosen with exemplary induction programmes. Data from interviews and observations indicated that…

Predictors of Success for Community-Driven Water Quality Management--Lessons from Three Catchments in New Zealand

ERIC Educational Resources Information Center

Tyson, Ben; Unson, Christine; Edgar, Nick

2017-01-01

Three community engagement projects on the South Island of New Zealand are enacting education and communication initiatives to improve the uptake of best management practices on farms regarding nutrient management for improving water quality. Understanding the enablers and barriers to effective community-based catchment management is fundamental…

The New Zealand-Born Chinese Community of Auckland: Aspects of Language Maintenance and Shift.

ERIC Educational Resources Information Center

Sun, Susan

1999-01-01

Examines the Chinese immigrant community in Auckland, New Zealand and how they address the question of first language maintenance in their largely new English-speaking environment. Shows that language maintenance, especially the written language is going to be an uphill struggle. (Author/VWL)

Indigenous Languages across the Community. Proceedings of the Annual Conference on Stabilizing Indigenous Languages (7th, Toronto, Ontario, Canada, May 11-14, 2000).

ERIC Educational Resources Information Center

Burnaby, Barbara Jane, Ed.; Reyhner, Jon Allan, Ed.

Conference papers examine efforts by Indigenous communities, particularly Native American communities, to maintain and revitalize their languages. The 27 papers are: "Ko te reo te mauri o te mana Maori: The Language Is the Life Essence of Maori Existence" (Te Tuhi Robust); "The Preservation and Use of Our Languages: Respecting the…

The Teacher-Community of Practice-Student Interaction in the New Zealand Technology Classroom

ERIC Educational Resources Information Center

Slatter, Wendy; France, Bev

2011-01-01

In New Zealand in order to provide authentic learning experiences teachers are counselled to access Communities of Practice (CoP) (Ministry of Education 2007). This research provides information about teachers' interactions with CoPs and the implication of this access on their pedagogy. A range of interactions occurred which was influenced by how…

The contributions of culture and ethnicity to New Zealand mental health research findings.

PubMed

Tapsell, Rees; Mellsop, Graham

2007-07-01

BACKGROUND AND MATERIAL: In the last five years a number of studies have been conducted in specialist psychiatric and primary care populations in New Zealand which have allowed comparisons in terms of clinical phenomena and therapeutic experiences between Mâori (the indigenous people of New Zealand) and non-Mâori. These studies were reviewed in terms of the methodology used, their major findings and their implications. In specialist psychiatric services Mâori were more likely to present with hallucinations and/or aggression and less likely to present with depression and/or episodes of self-harm. They were overly represented in those with schizophrenia. Mâori were more likely to be involved in acts of aggression and to be secluded, and an equivalent episode of care for Mâori appeared to be significantly more costly than for non Mâori. Other studies, conducted in prison and community-based samples, suggested that Mâori were less likely to access care and, when given a diagnosis of depression, less likely to be prescribed anti-depressant medication.The rates of depression were significantly higher in Mâori (women) and Mâori were also overly represented in those with anxiety and substance misuse disorders. These differences remained even after the sample was standardised for socio-economic status. Further exploration of the genesis and implications of these findings, derived from a strong and relatively well-defined indigenous people, may usefully inform the more general issues of culture and its significance for diagnosis, classification and service use. While the methodologies used and the actual results gained differed across studies, there do seem to be differences in phenomenological profiles at presentation, in the diagnostic patterns, the cost of care, and the therapeutic experiences between Mâori and non-Mâori New Zealanders. These differences may reflect actual differences between certain ethnic groups, which then explain the differences in the

Adult and Community Education Policy in Aotearoa New Zealand 2000-2014: Neoliberal Influences?

ERIC Educational Resources Information Center

Leach, Linda

2014-01-01

Changes in tertiary education policy in Aotearoa New Zealand in the last decade have impacted on adult and community education (ACE). Marginalized and understood as non-formal education at the turn of the century, ACE is now part of the "tertiary landscape". It is explicitly steered by education policy, its role severely narrowed, its…

Community Engagement for Health Promotion: Reducing Injuries among Chinese People in New Zealand

ERIC Educational Resources Information Center

Tse, Samson; Laverack, Glenn; Nayar, Shoba; Foroughian, Shirin

2011-01-01

Objectives and Settings: A growing Asian population currently resides in New Zealand, yet under half of this population claim the support they are entitled to in the face of an accident and injury. This research is focused on identifying ways of effectively engaging the Chinese community in health-promotion programmes to prevent and/or reduce…

Geyser decline and extinction in New Zealand: energy development impacts and implications for environmental management.

PubMed

Barrick, Kenneth A

2007-06-01

Geysers are rare natural phenomena that represent increasingly important recreation, economic, and scientific resources. The features of geyser basins, including hot springs, mud pots, and fumaroles, are easily damaged by human development. In New Zealand, the extinction of more than 100 geysers provides important lessons for the environmental management of the world's remaining geyser basins. The impacts on New Zealand's geysers are described in sequential "phases," including the following: the first use of geothermal resources by the indigenous people-the Maori; early European-style tourism and spa development; streamside geyser decline caused by river level modification at the Spa geyser basin; multiple geyser basin extinctions caused by industrial-scale geothermal well withdrawal at Wairakei; the drowning of geysers at Orakeikorako after the filling of a hydroelectric reservoir; and geyser decline caused by geothermal well heating systems in Rotorua City. The crisis in Rotorua prompted preservation of the few remaining geysers at Whakarewarewa -- the last major geyser basin in New Zealand. The New Zealand government ordered the geothermal wells within 1.5 km of Pohutu Geyser, Whakarewarewa, to be closed, which was a locally controversial measure. The well closure program resulted in a partial recovery of the Rotorua geothermal reservoir, but no extinct geysers recovered. The implications of recent geothermal computer modeling and future planning are discussed. The New Zealand case suggests that the protection of geysers requires strong regulations that prevent incompatible development at the outset, a prescription that is especially relevant for the future management of the geothermal fields adjacent to the geyser basins of Yellowstone National Park, U.S.A.

Geothermal Field Near Rotorua, New Zealand

NASA Technical Reports Server (NTRS)

2002-01-01

Historical sketches show the indigenous Maori cooking with natural hot waters and steam prior to the arrival of Europeans on North Island, New Zealand. Since the 1950s, geothermal heat and steam have been exploited for both heating and electrical power generation, and some excess electrical power is exported to South Island. The geothermal development can be identified by the unique patterns of infrastructure that look like tan beads on a string in the midst of otherwise green vegetation. This one near the town of Rotorua lies within a northeast-trending line of active volcanoes (Ruapehu, Tongariro, and White Island) that are the surface result of the Pacific tectonic plate descending beneath the Australian-Indian plate. Image STS110-726-10 was taken by space shuttle crewmembers in April 2002 using a Hasselblad film camera. Image provided by the Earth Sciences and Image Analysis Laboratory at Johnson Space Center. Additional images taken by astronauts and cosmonauts can be viewed at the NASA-JSC Gateway to Astronaut Photography of Earth.

The Development of Adult and Community Education Policy in New Zealand: Insights from Popper

ERIC Educational Resources Information Center

Slater, Gloria

2009-01-01

This paper examines the process by which all post-compulsory education in New Zealand has become integrated under one administrative structure, the Tertiary Education Commission (TEC), with the intention of developing a single coordinated system of tertiary education. In particular, adult and community education (ACE), the least formal and…

Screening for mental health needs of New Zealand youth in secure care facilities using the MAYSI-2.

PubMed

McArdle, Sean; Lambie, Ian

2018-06-01

Young people admitted to secure facilities generally have particularly high rates of mental, emotional and behavioural problems, but little is known about the mental health needs of this group in New Zealand. To describe prevalence of probable mental health disorder and related needs among young people in secure facilities in New Zealand. Massachusetts youth screening instrument - second version (MAYSI-2) data were obtained from the records of young people admitted to one secure care facility (n = 204) within a 12 month period. We used descriptive statistics to determine prevalence of problems overall and multivariate analysis of variance to compare MAYSI-2 scores between gender and ethnic groups. Nearly 80% of these young people scored above the 'caution' or 'warning' cut-off on the MAYSI-2, a substantially higher proportion than reported in studies in other countries. There was a tendency for girls and for Maori and Pacific Islander subgroups to have a higher rate of probable psychopathology. Young people in secure facilities in New Zealand have substantial service needs. Early intervention that engages them in services upon first contact with the youth justice system might help reduce this burden. Further validation of the MAYSI-2 in New Zealand may be warranted because of the unique ethnic make-up of these young offenders. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

Engaging community volunteers in participatory action research in Tāmaki community of Auckland, New Zealand.

PubMed

Andajani-Sutjahjo, Sari; Liew, Theresa C H; Smith, John F; Esekielu, Iutita; Mason, Gabrielle; Tariu, Imele

2018-04-01

This article discusses the experiences of community volunteers' participation in a community-based participatory research project in Tāmaki, a low socio-economic and ethnically diverse suburban community within greater Auckland City, New Zealand. In the Tāmaki Community Action Research project, community volunteers were recruited and trained to conduct random household surveys (RHS) and asset mapping commissioned by community groups and government agencies in that area. The volunteers were involved in planning, coordination and ongoing governance of the project and ∼70 residents and local university students participated at different stages of the 2-year project. Over 600 RHS were completed and the volunteers' experiences were recorded in field notes, informal group discussions, daily team meetings and individual interviews and form the basis of this article. Only their experiences are discussed here, not the survey results which will be presented elsewhere. The project reflected the inherent asset-rich nature of the community via examples of individual volunteer empowerment and collective social/community capacity building. Volunteers increased their interpersonal and organizational skills, their understanding of the complexity of their community's logistics and cultural diversity, and gained an increased sense of community purpose and commitment. There was very strong endorsement of culturally sensitive research practice to recognize cultural differences and to engage productively within their richly ethnically diverse community. Full community volunteer participation in the project's governance (i.e. through design, training, implementation and ongoing consultation/management phases) was considered key to sustaining the life of project.

The indigenous and the imported: The New Zealand school system

NASA Astrophysics Data System (ADS)

Snook, Ivan

1990-06-01

New Zealand (Aotearoa) was colonized from Britain and the colonizers imposed on the indigenous Maori people a foreign view of education. From then on tradition has vied with local adaptations to produce a school system with substantial traces of the `Old Country' but with many local features. The curriculum for boys continued to dominate, with that for girls struggling to make itself felt. There has been constant debate about `basics' and `frills' though these terms have not been clearly defined. More recently there has been more serious consideration of the curriculum but this has been overtaken by a `market forces' view of schooling. A new administration system comes into operation on 1st October 1989. The future is unclear but it is reasonable to hope that there will continue a dialectic which may one day produce a genuine synthesis suited to the multicultural nature of Aotearoa.

Nutrition labels: a survey of use, understanding and preferences among ethnically diverse shoppers in New Zealand.

PubMed

Gorton, Delvina; Ni Mhurchu, Cliona; Chen, Mei-Hua; Dixon, Robyn

2009-09-01

Effective nutrition labels are part of a supportive environment that encourages healthier food choices. The present study examined the use, understanding and preferences regarding nutrition labels among ethnically diverse shoppers in New Zealand. A survey was carried out at twenty-five supermarkets in Auckland, New Zealand, between February and April 2007. Recruitment was stratified by ethnicity. Questions assessed nutrition label use, understanding of the mandatory Nutrition Information Panel (NIP), and preference for and understanding of four nutrition label formats: multiple traffic light (MTL), simple traffic light (STL), NIP and percentage of daily intake (%DI). In total 1525 shoppers completed the survey: 401 Maori, 347 Pacific, 372 Asian and 395 New Zealand European and Other ethnicities (ten did not state ethnicity). Reported use of nutrition labels (always, regularly, sometimes) ranged from 66% to 87% by ethnicity. There was little difference in ability to obtain information from the NIP according to ethnicity or income. However, there were marked ethnic differences in ability to use the NIP to determine if a food was healthy, with lesser differences by income. Of the four label formats tested, STL and MTL labels were best understood across all ethnic and income groups, and MTL labels were most frequently preferred. There are clear ethnic and income disparities in ability to use the current mandatory food labels in New Zealand (NIP) to determine if foods are healthy. Conversely, MTL and STL label formats demonstrated high levels of understanding and acceptance across ethnic and income groups.

Professional Development for Culturally Responsive and Relationship-Based Pedagogy. Black Studies and Critical Thinking. Volume 24

ERIC Educational Resources Information Center

Sleeter, Christine E., Ed.

2011-01-01

The work presented here is a large-scale evaluation of a theory-driven school reform project in New Zealand, which focuses on improving the educational achievement of Maori students in public secondary schools. The project's conceptual underpinnings are based on Kaupapa Maori research, culturally responsive teaching, student voice, and…

The determinants of fat intake in a multi-ethnic New Zealand population. Fletcher Challenge--University of Auckland Heart and Health Study Management Committee.

PubMed

Swinburn, B A; Walter, L; Ricketts, H; Whitlock, G; Law, B; Norton, R; Jackson, R; MacMahon, S

1998-06-01

The New Zealand diet is high in total and saturated fat and this is likely to be contributing to the increasing prevalence of obesity and relatively high rates of coronary heart disease in New Zealand. The identification of subgroups with a high-fat intake will enable nutrition-related public health strategies to be better targeted. Subjects from two surveys were included in the study: 7574 employees from a large multinational workforce survey and 2447 people aged 35-84 years selected from a stratified random sample of the electoral roll in central Auckland. Fat and saturated fat intake were assessed by short questionnaire which gave a dietary fat habits (DFH) score and supplemented by a six-item food frequency questionnaire. The DFH scores were higher in males than in females at all ages, and there was an inverse relationship with age which was stronger for males. Age-adjusted scores showed significantly higher DFH scores for Maori than for Europeans. Lower socioeconomic status was associated with higher DFH scores in males. Current smoking and heavy drinking (in males) were associated with significantly higher DFH scores after controlling for socioeconomic status. The results of the limited food frequency questionnaire supported the trends in DFH scores. The subgroups with high total and saturated fat intakes which should be a priority for public health action are young and middle-aged males, Maori and lower socioeconomic status males. The clustering of high-fat intake with smoking and heavy drinking should be considered when developing preventative strategies.

Designing an Early Childhood Environment: A Community-Built Playscape on Matakana Island, New Zealand

ERIC Educational Resources Information Center

Christie, Toni; Christie, Robin

2011-01-01

Across the mouth of the Tauranga Harbour lies a piece of paradise, Te Moutere o Matakana--Matakana Island. It is blessed with an ocean beach with white sand and a mean surf break, tidal flats, wetlands, fertile pasture, and a native and exotic forest. It is home to a maori language nest for the local children--Te Kohanga Reo o te Moutere o…

Gender, ethnicity and smoking affect pain and function in patients with rotator cuff tears.

PubMed

Maher, Anthony; Leigh, Warren; Brick, Matt; Young, Simon; Millar, James; Walker, Cameron; Caughey, Michael

2017-09-01

This study is a collation of baseline demographic characteristics of those presenting for rotator cuff repair in New Zealand, and exploration of associations with preoperative function and pain. Data were obtained from the New Zealand Rotator Cuff Registry; a multicentre, nationwide prospective cohort of rotator cuff repairs undertaken from 1 March 2009 until 31 December 2010. A total of 1383 patients were included in the study. This required complete demographic information, preoperative Flex-SF (functional score) and pain scores. Following univariate analysis, a multivariate model was used. The average age was 58 years (69% males and 11% smokers). New Zealand Europeans made up 90% and Maori 5%. The average preoperative Flex-SF was significantly lower (poorer function) in those over 65 years, females, smokers and Maori, in the non-dominant patients, using a multivariate model. Average preoperative pain scores were significantly worse (higher scores) in females, Maori, Polynesians, smokers, using a multivariate model. This is the largest reported prospective cohort of patients presenting for rotator cuff surgery. Results can be used to understand the effect of rotator cuff tears on the different patients, for example Maori patients who are under-represented, present younger, with more pain and poorer function. © 2017 Royal Australasian College of Surgeons.

A propensity score matching study of participation in community activities: a path to positive outcomes for youth in New Zealand?

PubMed

O'Connor, Seini; Jose, Paul E

2012-11-01

Extracurricular activities are important in many young people's lives and have been associated with positive academic, psychological, and social outcomes. However, most previous research has been limited to school-based activities in the North American context. This study expands existing literature by analyzing longitudinal data from more than 1,300 young Māori and European New Zealanders, using propensity score matching techniques to control for selection effects. Results suggest that youth participating in community-based activities experienced greater social support than nonparticipants. For Māori youth, participating in nonsports activities was associated with later benefits, while for New Zealand European youth, benefits were associated with sports activities. Participants of different ages reported different types of benefits. These findings highlight points of similarity and difference between New Zealand and North American youth and provide a better understanding of the positive impacts of community-based activities for young people.

Astronomy in New Zealand

NASA Astrophysics Data System (ADS)

Hearnshaw, John B.

2006-01-01

Although New Zealand is a young country, astronomy played a significant role in its early exploration and discovery during the three voyages of Cook from 1769. In the later 19th century several expeditions came to New Zealand to observe the transits of Venus of 1874 and 1882 and New Zealand's rich history of prominent amateur astronomers dates from this time. The Royal Astronomical Society of New Zealand (founded in 1920) has catered for the amateur community. Professional astronomy however had a slow start in New Zealand. The Carter Observatory was founded in 1941. But it was not until astronomy was taken up by New Zealand's universities, notably by the University of Canterbury from 1963, that a firm basis for research in astronomy and astrophysics was established. Mt John University Observatory with its four optical telescopes (largest 1.8 m) is operated by the University of Canterbury and is the main base for observational astronomy in the country. However four other New Zealand universities also have an interest in astronomical research at the present time. There is also considerable involvement in large international projects such as MOA, SALT, AMOR, IceCube and possibly SKA.

Anthropometric characteristics of feet of soldiers in the New Zealand Army.

PubMed

Baxter, Marian L; Baxter, David G

2011-04-01

Lower limb and lower back injuries are prevalent within the New Zealand (NZ) Army: independently collected data shows these to be most prevalent, with on average 10% of military personnel affected by such an injury at any time. To improve the quality and appropriateness of footwear, it is essential that normative foot anthropometric data is collected from NZ Army personnel. NZ Army personnel (n = 807) were included in this study; data on foot length, circumference, width, and arch heights were collected. It was found that the NZ Army personnel had notable differences in feet anthropometry compared to an exemplary model for the NZ general population, specifically in terms of arch height. It was also found that a substantial proportion (approximately 50%) of personnel tested could not be provided with a boot that fit (mainly Maori and Pacific Island soldiers) because of a limited width range of the currently issued boot.

End-stage kidney disease among indigenous peoples of Australia and New Zealand.

PubMed

McDonald, Stephen P

2013-05-01

Although possessing different anthropological origins, there are similarities in the epidemiology of end-stage kidney disease (ESKD) among the indigenous peoples of Australia (the Australian Aborigines and Torres Strait Islanders) and New Zealand (Maori and Pacific Peoples). In both countries there is a substantially increased rate of ESKD among these groups. This is more marked in Australia than in New Zealand, but in both countries the relative rate (in comparison to non-indigenous rates) as well as absolute rate have nearly stabilized in recent years. The excess risk affects females particularly-in contrast to the non-indigenous picture. Among Aboriginal and Torres Strait Islander people in Australia, there is a strong age interaction, with the most marked risk being among those aged 25 to 45 years. Indigenous peoples are less likely to be treated with home dialysis, and much less likely to receive a kidney transplant. In particular, rates of living donation are very low among indigenous groups in both countries. Outcomes during dialysis treatment and during transplantation are inferior to those of nonindigenous ones, even after adjustment for the higher prevalence of comorbidities. The underlying causes for these differences are complex, but the slowing and possible stabilization of incident rate changes is heartening.

An innovative community organizing campaign to improve mental health and wellbeing among Pacific Island youth in South Auckland, New Zealand.

PubMed

Han, Hahrie; Nicholas, Alexandra; Aimer, Margaret; Gray, Jonathon

2015-12-01

To examine whether being an organizer in a community organizing program improves personal agency and self-reported mental health outcomes among low-income Pacific Island youth in Auckland, New Zealand. Counties Manukau Health initiated a community organizing campaign led and run by Pacific Island youth. We used interviews, focus groups and pre- and post-campaign surveys to examine changes among 30 youths as a result of the campaign. Ten youths completed both pre- and post-campaign surveys. Eleven youths participated in focus groups, and four in interviews. Overall, youths reported an increased sense of agency and improvements to their mental health. Community organizing has potential as a preventive approach to improving mental health and developing agency over health among disempowered populations. © The Royal Australian and New Zealand College of Psychiatrists 2015.

Pathways Home: Te Hoe Nuku Roa (The Long Journey).

ERIC Educational Resources Information Center

Durie, Arohia

New Zealand's 1989 Education Act has resulted in a range of educational reforms. These reforms have offered the Maori opportunities to bring about positive educational developments for their people. Devolution of educational responsibility from a regional to a local level provided some of the space quickly utilized by the Maori. The requirement…

Human impact on the environment in Japan and New Zealand: a comparison.

PubMed

Harada, K; Glasby, G P

2000-12-18

Because of its proximity to Asia, Japan has been populated by humans for a much longer time period than New Zealand and has a much higher population density. The similarity in geology and tectonic setting of the two island groups has forced both peoples to confront similar environmental hazards but this was achieved in different ways. During the Edo period (1600-1868) when contact with outside countries was limited, the Japanese adapted their agricultural practices to the environment and developed an agricultural system that corresponds closely to the ideals of sustainability. Indeed, it can be argued that the farming lifestyle of the Edo period was the most advanced way of life that can be adopted without depleting stock resources. Following the Meiji restoration in 1868, the policy of rapid industrialization led to many environmental mistakes, particularly after World War II. By the end of the 1960s, Japan was the world's most polluted country. The situation has subsequently improved greatly from this low point but much remains to be done. New Zealand was initially occupied by the Maori over 1000 years ago. They did more environmental damage than was previously thought, particularly in burning off bush and destroying the bird life. However, it was the colonization of New Zealand by the Europeans after 1840 that led to the greatest environmental damage with their introduction of farming methods unsuited to the conditions. Although the need for better scientific planning of land use practices within New Zealand is recognized, sustainable management of the environment remains a distant goal. More detailed study of the agricultural methods and lifestyles adopted in Japan during the Edo period could help in defining the concept of sustainability.

Drawing on wisdom from the past: an elder abuse intervention with tribal communities.

PubMed

Holkup, Patricia A; Salois, Emily Matt; Tripp-Reimer, Toni; Weinert, Clarann

2007-04-01

The Family Care Conference (FCC) is an elder-focused, family-centered, community-based intervention for the prevention and mitigation of elder abuse. It is based on a family conference intervention developed by the Maori people of New Zealand, who determined that Western European ways of working with child welfare issues were undermining such family values as the definition and meaning of family, the importance of spirituality, the use of ritual, and the value of non-interference. The FCC provides the opportunity for family members to come together to discuss and develop a plan for the well-being of their elders. Using a community-based participatory research approach, investigators piloted and implemented the FCC in one northwestern Native American community. The delivery of the FCC intervention has grown from having been introduced and facilitated by the researchers, to training community members to facilitate the family meetings, to becoming incorporated into a Tribal agency, which will oversee the implementation of the FCC. To date, families have accepted and appreciated the FCC intervention. The constructive approach of the FCC process helps to bring focus to families' concerns and aligns their efforts toward positive action. The strength-based FCC provides a culturally anchored and individualized means of identifying frail Native American elders' needs and finding solutions from family and available community resources.

Civic Action and Play: Examples from Maori, Aboriginal Australian and Latino Communities

ERIC Educational Resources Information Center

Adair, Jennifer Keys; Phillips, Louise; Ritchie, Jenny; Sachdeva, Shubhi

2017-01-01

Using data from an international, comparative study of civic action in preschools in New Zealand, Australia and the US, we consider some of the types of civic action that are possible when time and space are offered for children to use their agency to initiate, work together and collectively pursue ideas and things that are important to the group.…

Objective benefits, participant perceptions and retention rates of a New Zealand community-based, older-adult exercise programme.

PubMed

Keogh, Justin W; Rice, John; Taylor, Denise; Kilding, Andrew

2014-06-01

Most exercise studies for older adults have been university- or hospital-based. Little is known about the benefits and factors influencing long-term participation in community-based exercise programmes, especially in New Zealand. To quantify the objective benefits, participant perceptions and retention rates of a New Zealand community-based exercise programme for adults (60 years or older). Study 1 involved assessing the benefits of 12 weeks' training on a convenience sample of 62 older adults commencing the never2old Active Ageing programme. Study 2 assessed the perceptions of 150 current participants on a variety of programme components that could act as barriers or facilitators to continued engagement. Study 3 assessed the retention rates of 264 participants in the programme over a two-year period. Significant improvements in many physical functional scores were observed in Study 1 (5-30 percentile points; p<0.05). Questionnaire responses from participants in Study 2 indicated many perceived benefits (positive responses from 67-95% on various questions) and that core components of the programme were rated very highly (64-99% on various components). Retention rates were high, with Study 3 finding 57% of participants still engaging in the programme at the end of the two-year period. A community-based exercise programme for older adults can improve many objective and subjective measures of physical fitness and functional performance and have good retention rates. General practitioners and other allied health professionals in New Zealand should consider promoting programmes, such as the never2old Active Ageing programme, to their older patients.

Barriers to early initiation of antenatal care in a multi-ethnic sample in South Auckland, New Zealand.

PubMed

Corbett, Sarah; Chelimo, Carol; Okesene-Gafa, Kara

2014-10-17

To identify barriers to early initiation of antenatal care amongst pregnant women in South Auckland, New Zealand. Women in late pregnancy (>37 weeks gestation) or who had recently delivered (<6 weeks postnatal) completed a questionnaire about their antenatal care. Logistic regression analysis evaluated whether late booking for antenatal care was associated with demographic factors and potential barriers to accessing care. Of the 826 women who participated, 137 (17%) booked for antenatal care at >18 weeks (late bookers). The ethnic composition of the sample was: 43% Pacific Peoples, 20% Maori, 14% Asian, and 21% European or other ethnicities. The multivariate analysis indicated that women were significantly more likely to book late for antenatal care if they had limited resources (OR=1.86; 95% CI=1.17-2.93), no tertiary education (OR=1.96; 95% CI=1.23-3.15), or were not living with a husband/partner (OR=2.34; 95% CI=1.48-3.71). In addition, the odds of late booking for antenatal care was almost six times higher among Maori (OR=5.70; 95% CI=2.57-12.64) and Pacific (OR=5.90; 95% CI=2.83-12.29) women compared to those of European and other ethnicities. Late booking for antenatal care in the Counties Manukau District Health Board area (South Auckland) is associated with sociodemographic factors, social deprivation, and inadequate social support.

Epidemiology of aneurysmal subarachnoid hemorrhage in Australia and New Zealand: incidence and case fatality from the Australasian Cooperative Research on Subarachnoid Hemorrhage Study (ACROSS).

PubMed

2000-08-01

More data on the epidemiology of subarachnoid hemorrhage (SAH) are required to increase our understanding of etiology and prevention. This study sought to determine the incidence and case fatality of SAH from 4 prospective, population-based registers in Australia and New Zealand. We identified all cases of "aneurysmal" SAH from November 1995 to June 1998 in Adelaide, Hobart, Perth (Australia), and Auckland (New Zealand), a total population of approximately 2.8 million, using standard diagnostic criteria and uniform community-wide surveillance and data extraction procedures. A total of 436 cases of SAH were registered, including 432 first-ever events and 4 recurrent events. The mean age of cases was 57 years (range, 16 to 94 years), and 62% were female. From the 400 first-ever events registered over whole years, the crude annual incidence for the total population was 8.1 per 100 000 (95% CI, 7.4, 9.0), with rates higher for females (9. 7; 95% CI, 8.6, 11.0) than for males (6.5; 95% CI, 5.5, 7.6). Age-specific rates showed a continuous upward trend with age, although the shape and strength of this association differed between the sexes. Standardized annual incidence of SAH varied across centers, being highest in Auckland largely because of the high rate in Maori and Pacific people. The 28-day case fatality rate for the total population was 39% (95% CI, 34%, 44%), with little variation in ratios across centers. There is variation in the incidence of SAH in Australia and New Zealand, but the rates are consistently higher for females. A monotonic increase in incidence with age suggests that exposures with cumulative effects and long induction times may be less relevant in the etiology of SAH.

Trends in ethnic disparities in stroke incidence in Auckland, New Zealand, during 1981 to 2003.

PubMed

Carter, Kristie; Anderson, Craig; Hacket, Maree; Feigin, Valery; Barber, P Alan; Broad, Joanna B; Bonita, Ruth

2006-01-01

Although geographical variations in stroke rates are well documented, limited data exist on temporal trends in ethnic-specific stroke incidence. We assessed trends in ethnic-specific stroke rates using standard diagnostic criteria and community-wide surveillance procedures in Auckland, New Zealand (NZ) in 1981 to 1982, 1991 to 1992, and 2002 to 2003. Indirect and direct methods were used to adjust first-ever (incident) and total (attack) rates for changes in the structure of the population and reported with 95% CIs. Ethnicity was self-defined and categorized as "NZ/European," "Maori," "Pacific peoples," and "Asian and other." Stroke attack (19%; 95% CI, 11% to 26%) and incidence rates (19%; 95% CI, 12% to 24%) declined significantly in NZ/Europeans from 1981 to 1982 to 2002 to 2003. These rates remained high or increased in other ethnic groups, particularly for Pacific peoples in whom stroke attack rates increased by 66% (95% CI; 11% to 225%) over the periods. Some favorable downward trends in vascular risk factors, such as cigarette smoking, were counterbalanced by increasing age, body mass index, and diabetes in certain ethnic groups. Divergent trends in ethnic-specific stroke incidence and attack rates, and of associated risk factors, have occurred in Auckland over recent decades. The findings provide mixed views as to the future burden of stroke in populations undergoing similar lifestyle and structural changes.

Evaluation of the Good Start Program: a healthy eating and physical activity intervention for Maori and Pacific Islander children living in Queensland, Australia.

PubMed

Mihrshahi, Seema; Vaughan, Lisa; Fa'avale, Nicola; De Silva Weliange, Shreenika; Manu-Sione, Inez; Schubert, Lisa

2017-01-13

Reducing the prevalence of obesity and chronic disease are important priorities. Maori and Pacific Islander communities living in Australia have higher rates of obesity and chronic disease than the wider Australian population. This study aims to assess the effectiveness of the Good Start program, which aims to improve knowledge, attitudes and practices related to healthy eating and physical activity amongst Maori and Pacific Islander communities living in Queensland. The intervention was delivered to children aged 6-19 years (N = 375) in schools by multicultural health workers. Class activities focused on one message each term related to healthy eating and physical activity using methods such as cooking sessions and cultural dance. The evaluation approach was a quantitative uncontrolled pre-post design. Data were collected each term pre- and post-intervention using a short questionnaire. There were significant increases in knowledge of correct servings of fruit and vegetables, knowledge of sugar and caffeine content of common sugar-sweetened drinks, recognition of the consequences of marketing and upsizing, and the importance of controlling portion size (all P < 0.05). There was also increases in knowledge of physical activity recommendations (P < 0.001), as well as the importance of physical activity for preventing heart disease (P < 0.001) and improving self-esteem (P < 0.001). In terms of attitudes, there were significant improvements in some attitudes to vegetables (P = 0.02), and sugar-sweetened drinks (P < 0.05). In terms of practices and behaviours, although the reported intake of vegetables increased significantly (P < 0.001), the proportion of children eating discretionary foods regularly did not change significantly, suggesting that modifying the program with an increased emphasis on reducing intake of junk food may be beneficial. The study has shown that the Good Start Program was effective in engaging children from Maori

New Zealand Police and Restorative Justice Philosophy

ERIC Educational Resources Information Center

Winfree, L. Thomas, Jr.

2004-01-01

In New Zealand, selected sworn police officers called youth aid officers participate in discussions and deliberations concerning the actions required to restore the sense of community balance upset by the actions of juvenile offenders. The author explores a representative sample of all sworn police officers serving in the New Zealand Police,…

Incidence of stroke in women in Auckland, New Zealand. Ethnic trends over two decades: 1981-2003.

PubMed

Dyall, Lorna; Carter, Kristie; Bonita, Ruth; Anderson, Craig; Feigin, Valery; Kerse, Ngaire; Brown, Paul

2006-11-17

.73-0.96), increasing trends in event rates in Pacific women were observed (2.71 95% CI 1.00-7.29). The rate of stroke for Maori women did not change significantly over time. Over half of the women who had a stroke event reported that they had high blood pressure; one in four reported that they had diabetes. The proportion of women who smoked declined over time but increases in body mass index (BMI) indicated weight gains in women over time. These trends were consistent across ethnic groups. Women's survival after 1 month following their stroke has improved by 39% (p<0.0001) over the 20-year period. Favourable changes in early survival were most pronounced in European women. There was a modest decline in stroke incidence in women (overall and for New Zealand European women in particular) in Auckland over the past 20 years but there also was a trend towards increasing stroke incidence in Maori, Pacific, and Asian women. These divergent trends are likely to be associated with different trends in the prevalence of risk factors in these ethnic populations. Targeted stroke prevention programmes are needed in New Zealand to meet the needs of specific ethnic groups as well as the needs of providing ongoing care and support to women following their stroke.

Cold seep epifaunal communities on the Hikurangi margin, New Zealand: composition, succession, and vulnerability to human activities.

PubMed

Bowden, David A; Rowden, Ashley A; Thurber, Andrew R; Baco, Amy R; Levin, Lisa A; Smith, Craig R

2013-01-01

Cold seep communities with distinctive chemoautotrophic fauna occur where hydrocarbon-rich fluids escape from the seabed. We describe community composition, population densities, spatial extent, and within-region variability of epifaunal communities at methane-rich cold seep sites on the Hikurangi Margin, New Zealand. Using data from towed camera transects, we match observations to information about the probable life-history characteristics of the principal fauna to develop a hypothetical succession sequence for the Hikurangi seep communities, from the onset of fluid flux to senescence. New Zealand seep communities exhibit taxa characteristic of seeps in other regions, including predominance of large siboglinid tubeworms, vesicomyid clams, and bathymodiolin mussels. Some aspects appear to be novel; however, particularly the association of dense populations of ampharetid polychaetes with high-sulphide, high-methane flux, soft-sediment microhabitats. The common occurrence of these ampharetids suggests they play a role in conditioning sulphide-rich sediments at the sediment-water interface, thus facilitating settlement of clam and tubeworm taxa which dominate space during later successional stages. The seep sites are subject to disturbance from bottom trawling at present and potentially from gas hydrate extraction in future. The likely life-history characteristics of the dominant megafauna suggest that while ampharetids, clams, and mussels exploit ephemeral resources through rapid growth and reproduction, lamellibrachid tubeworm populations may persist potentially for centuries. The potential consequences of gas hydrate extraction cannot be fully assessed until extraction methods and target localities are defined but any long-term modification of fluid flow to seep sites would have consequences for all chemoautotrophic fauna.

Evaluation of online training for the provision of opioid substitution treatment by community pharmacists in New Zealand.

PubMed

Walters, Carina; Raymont, Antony; Galea, Susanna; Wheeler, Amanda

2012-11-01

The role of community pharmacists in the provision of opioid substitution treatment (OST) is pivotal and integral to addiction treatment. An online training program for pharmacists in OST management was piloted in New Zealand in 2010, following recognition of the difficulty in recruitment and retention of community pharmacists to provide OST services. Our aim was to evaluate the OST online training that was made available for any community pharmacist in New Zealand and to establish the feasibility and acceptability of this format of training for community pharmacists. The evaluation explored participants' attitudes, skills and knowledge both pre- and post-training in OST. All pharmacists registering to participate in the training program were asked to complete an evaluation questionnaire immediately before (pre) and immediately after (post) completing the training. Participants were also invited to participate in a brief 10 min structured telephone interview about their training experience. In the first 4 months 190 pharmacists commenced the training; 101 completed both evaluations. Improvements in the confidence and skills of pharmacists were demonstrated through both the quantitative and qualitative analyses. Statistically significant changes in attitudes were also demonstrated. Overall the OST training was well received and the online format was feasible and highly acceptable. Online training is an appropriate and economical method of improving pharmacists' clinical skills with respect to this client group, and has the potential to reach a wider audience of pharmacists. Further research is required to investigate OST client experiences in community pharmacy. © 2012 Australasian Professional Society on Alcohol and other Drugs.

Cold Seep Epifaunal Communities on the Hikurangi Margin, New Zealand: Composition, Succession, and Vulnerability to Human Activities

PubMed Central

Bowden, David A.; Rowden, Ashley A.; Thurber, Andrew R.; Baco, Amy R.; Levin, Lisa A.; Smith, Craig R.

2013-01-01

Cold seep communities with distinctive chemoautotrophic fauna occur where hydrocarbon-rich fluids escape from the seabed. We describe community composition, population densities, spatial extent, and within-region variability of epifaunal communities at methane-rich cold seep sites on the Hikurangi Margin, New Zealand. Using data from towed camera transects, we match observations to information about the probable life-history characteristics of the principal fauna to develop a hypothetical succession sequence for the Hikurangi seep communities, from the onset of fluid flux to senescence. New Zealand seep communities exhibit taxa characteristic of seeps in other regions, including predominance of large siboglinid tubeworms, vesicomyid clams, and bathymodiolin mussels. Some aspects appear to be novel; however, particularly the association of dense populations of ampharetid polychaetes with high-sulphide, high-methane flux, soft-sediment microhabitats. The common occurrence of these ampharetids suggests they play a role in conditioning sulphide-rich sediments at the sediment-water interface, thus facilitating settlement of clam and tubeworm taxa which dominate space during later successional stages. The seep sites are subject to disturbance from bottom trawling at present and potentially from gas hydrate extraction in future. The likely life-history characteristics of the dominant megafauna suggest that while ampharetids, clams, and mussels exploit ephemeral resources through rapid growth and reproduction, lamellibrachid tubeworm populations may persist potentially for centuries. The potential consequences of gas hydrate extraction cannot be fully assessed until extraction methods and target localities are defined but any long-term modification of fluid flow to seep sites would have consequences for all chemoautotrophic fauna. PMID:24204691

Long QT molecular autopsy in sudden unexplained death in the young (1-40 years old): Lessons learnt from an eight year experience in New Zealand.

PubMed

Marcondes, Luciana; Crawford, Jackie; Earle, Nikki; Smith, Warren; Hayes, Ian; Morrow, Paul; Donoghue, Tom; Graham, Amanda; Love, Donald; Skinner, Jonathan R

2018-01-01

To review long QT syndrome molecular autopsy results in sudden unexplained death in young (SUDY) between 2006 and 2013 in New Zealand. Audit of the LQTS molecular autopsy results, cardiac investigations and family screening data from gene-positive families. During the study period, 365 SUDY cases were referred for molecular autopsy. 128 cases (35%) underwent LQTS genetic testing. 31 likely pathogenic variants were identified in 27 cases (21%); SCN5A (14/31, 45%), KCNH2 (7/31, 22%), KCNQ1 (4/31, 13%), KCNE2 (3/31, 10%), KCNE1 (2/31, 7%), KCNJ2 (1/31, 3%). Thirteen variants (13/128, 10%) were ultimately classified as pathogenic. Most deaths (63%) occurred during sleep. Gene variant carriage was more likely with a positive medical history (mostly seizures, 63% vs 36%, p = 0.01), amongst females (36% vs 12%, p = 0.001) and whites more than Maori (31% vs 0, p = 0.0009). Children 1-12 years were more likely to be gene-positive (33% vs 14%, p = 0.02). Family screening identified 42 gene-positive relatives, 18 with definitive phenotypic expression of LQTS/Brugada. 76% of the variants were maternally inherited (p = 0.007). Further family investigations and research now support pathogenicity of the variant in 13/27 (48%) of gene-positive cases. In New Zealand, variants in SCN5A and KCNH2, with maternal inheritance, predominate. A rare variant in LQTS genes is more likely in whites rather than Maori, females, children 1-12 years and those with a positive personal and family history of seizures, syncope or SUDY. Family screening supported the diagnosis in a third of the cases. The changing classification of variants creates a significant challenge.

Invasive Group A Streptococcal Infection and Vaccine Implications, Auckland, New Zealand

PubMed Central

Safar, Atheer; Stewart, Joanna; Trenholme, Adrian; Drinkovic, Dragana; Peat, Briar; Taylor, Susan; Read, Kerry; Roberts, Sally; Voss, Lesley

2011-01-01

We aimed to assess the effect of invasive group A streptococcal (GAS) infection and the potential effects of a multivalent GAS vaccine in New Zealand. During January 2005–December 2006, we conducted prospective population-based laboratory surveillance of Auckland residents admitted to all public hospitals with isolation of GAS from normally sterile sites. Using emm typing, we identified 225 persons with confirmed invasive GAS infection (median 53 years of age; range 0–97 years). Overall incidence was 8.1 cases per 100,00 persons per year (20.4/100,000/year for Maori and Pacific Islanders; 24.4/100,000/year for persons >65 years of age; 33/100,000/year for infants <1 year of age). Nearly half (49%) of all cases occurred in Auckland’s lowest socioeconomic quintile. Twenty-two persons died, for an overall case-fatality rate of 10% (63% for toxic shock syndrome). Seventy-four percent of patients who died had an underlying condition. To the population in our study, the proposed 26-valent vaccine would provide limited benefit. PMID:21749758

Patterns of fungal diversity in New Zealand Nothofagus forests.

PubMed

Johnston, Peter R; Johansen, Renee B; Williams, Alexandra F R; Paula Wikie, J; Park, Duckchul

2012-03-01

The development of protocols for the conservation of fungi requires knowledge of the factors controlling their distribution, diversity, and community composition. Here we compare patterns of variation in fungal communities across New Zealand's Nothofagus forests, reportedly the most myco-diverse in New Zealand and hence potentially key to effective conservation of fungi in New Zealand. Diversity of leaf endophytic fungi, as assessed by culturing on agar plates, is assessed for three Nothofagus sp. growing in mixed stands from four sites. Host species was found to have a greater influence on fungal community assemblage than site. The leaf endophyte communities associated with Nothofagus solandri and Nothofagus fusca (both Nothofagus subgenus Fuscopora), were more similar to each other than either were to the community associated with Nothofagus menziesii (Nothofagus subgenus Lophozonia). The broad taxonomic groups isolated, identified on the basis of internal transcribed spacer (ITS) sequences, were similar to those found in similar studies from other parts of the world, and from an earlier study on the endophyte diversity in four podocarp species from New Zealand, but there were few matches at species level. Average levels of endophyte species diversity associated with single Nothofagus species and single podocarp species were similar, despite historical literature and collection data recording more than twice as many fungal species on average from the Nothofagus species. The significance of these findings to fungal conservation is discussed. Copyright © 2012 The British Mycological Society. Published by Elsevier Ltd. All rights reserved.

Competing Knowledges in Lifelong Education

ERIC Educational Resources Information Center

Mlcek, Susan Huhana

2011-01-01

This is a discussion paper about access to, and participation in learning opportunities for Maori learners in New Zealand, and Indigenous learners in Australia. Teaching and learning practice in three separate institutional education programmes--one in New Zealand and two in Australia--highlight the problematic nature of inclusion based on…

The pervasive effects of racism: experiences of racial discrimination in New Zealand over time and associations with multiple health domains.

PubMed

Harris, Ricci; Cormack, Donna; Tobias, Martin; Yeh, Li-Chia; Talamaivao, Natalie; Minster, Joanna; Timutimu, Roimata

2012-02-01

Self-reported experience of racial discrimination has been linked to a range of health outcomes in various countries and for different ethnic groups. This study builds on previous work in New Zealand to further investigate the prevalence of self-reported experience of racial discrimination by ethnicity, changes over time and associations with multiple health measures. The study uses data from the 2002/03 (n=12,500) and 2006/07 (n=12,488) New Zealand Health Surveys, nationally representative population-based surveys of adults (15+ years). Reported experience of racial discrimination was measured in both surveys and covered 5 items: experience of an ethnically motivated physical or verbal attack; and unfair treatment because of ethnicity by a health professional, in work, or when gaining housing. Ethnicity was classified as Maori, Pacific, Asian or European. Health indicators included measures of: mental health (SF36 mental health scale, psychological distress, doctor diagnosed mental health condition); physical health (self-rated health, SF36 physical functioning scale, cardiovascular disease); and health risk (smoking, hazardous drinking, excess body fat). Logistic regression was used to examine changes in prevalence of reported experience of racial discrimination over time and associations with health. Reported experience of racial discrimination increased between 2002/03 (28.1% ever) and 2006/07 (35.0% ever) among Asian peoples but remained largely unchanged for other ethnic groupings (Maori 29.5%, Pacific 23.0%, European 13.5%). Experience of racial discrimination was associated with all negative health measures except excess body fat. Where there were significant associations, a dose-response relationship was also evident. We conclude that racial discrimination experienced across a range of settings has the potential to impact on a wide range of health outcomes and risk factors. While ongoing research is needed to understand the multifarious nature of racism

Temporal trends of acute nephrolithiasis in Auckland, New Zealand.

PubMed

Du, Jason; Johnston, Richard; Rice, Michael

2009-07-24

An increasing amount of evidence suggests that the occurrence of kidney stone disease has increased over the last 50 years. No data analysis on temporal trends in Auckland, New Zealand has ever been performed. The aim of this study was to investigate the changing pattern by age, ethnicity, and gender on stone incidence over a 10-year period. Demographic data was collected on all patients who presented with renal colic. Population numbers were provided by the New Zealand ministry of statistics using regular census data. The analysis was performed using Pearson's correlation coefficients and a Poisson regression model. From 1997 to 2007, 17,532 new stones were coded as nephrolithiasis with an age range of 1-97. Disease incidence amongst Auckland residents was greater in 2007 than 1997 (0.131% or 131 per 100,000 population vs 0.102% or 102 per 100,000 population. p=0.012). The male to female ratio changed over time with a greater proportion of females presenting in 2007 than 1997 (0.47 vs 0.41, p<0.05). Pacific, Asian, and Maori incidence increased faster compared to European whilst those from the Middle East were the only group to have a stable rate (0.26% or 260/100,000 per year) over the 10-year period. Incidence of kidney stone disease in the Auckland region has increased significantly from 1997 to 2007. Different ethnic groups had different rates of change, but all groups showed an increasing incidence over time, with the exception of those from the Middle East. A greater proportion of patients are female than 10 years ago.

Transformative Praxis in Teacher Practice: One Tauira Finds Her Place in Education

ERIC Educational Resources Information Center

Sexton, Steven S.

2011-01-01

This paper reports on an initial teacher education programme that has been designed to facilitate and support Maori student teachers in New Zealand. This paper highlights the ambiguity in New Zealand on the theoretical foundation of initial teacher education. Therefore a background on transformative praxis and how it has impacted on the education…

The road we travel: Māori experience of cancer.

PubMed

Walker, Tai; Signal, Louise; Russell, Marie; Smiler, Kirsten; Tuhiwai-Ruru, Rawiri

2008-08-08

This research explores Maori experiences of cancer. It does so to shed light on the causes of cancer inequalities for Maori. The views of 44 Maori affected by cancer--including patients, survivors, and their whanau (extended families)--were gathered in five hui (focus groups) and eight interviews in the Horowhenua, Manawatu, and Tairawhiti districts of New Zealand. After initial analysis, a feedback hui was held to validate the findings. Maori identified effective providers of cancer services such as Maori health providers. They also identified positive and negative experiences with health professionals. The involvement of whanau in the cancer journey was viewed as highly significant as was a holistic approach to care. Participants had many suggestions for improvements to cancer services such as better resourcing of Maori providers, cultural competence training for all health workers, the use of systems 'navigators', and the inclusion of whanau in the cancer control continuum. The research identifies a range of health system, healthcare process, and patient level factors that contribute to inequalities in cancer for Maori. It also explores the role of racism as a root cause of these inequalities and calls for urgent action.

Funding for change: New Zealand pharmacists' views on, and experiences of, the community pharmacy services agreement.

PubMed

Kinsey, Hannah; Scahill, Shane; Bye, Lynne; Harrison, Jeff

2016-12-01

To explore pharmacist's views on the shift in ethos, funding and service delivery model introduced through the New Zealand's Community Pharmacy Services Agreement (CPSA). A purposive sampling approach drew pharmacists from a matrix who were then contacted via telephone and invited to be interviewed. Semistructured interviews were conducted face-to-face with community pharmacists (n = 17) across urban and rural New Zealand. An interview schedule exploring 12 subject areas was used to facilitate discussion and determine pharmacist's views and understanding of the CPSA. The interviews were recorded and transcribed verbatim and a general inductive approach was taken to identifying emergent themes. Key themes that emerged were: pharmacists supported the philosophy behind the CPSA, pharmacists understanding of the CPSA, implementing CPSA-related services, perceived impact on patient outcomes and future sustainability of the CPSA. Overall, pharmacists supported the alignment of funding with patient-centred services, but pharmacy owners reported difficulty understanding the funding model, resulting in uncertainty over income. Several pharmacists believed the quality of care offered had not changed, while others found their attitudes towards care had evolved. All pharmacists communicated an increase in their workload and many perceived the sustainability of the CPSA to be linked to its ability to financially sustain community pharmacies. The majority of pharmacists believed in the philosophy of the CPSA, but expressed concerns over funding, workload and benefits for patients. Future research is required to determine generalisability of these findings, investigate patient perspectives and assess the effect of the CPSA on patient outcomes. © 2016 Royal Pharmaceutical Society.

Ethnic differences in the prevalence of new and known diabetes mellitus, impaired glucose tolerance, and impaired fasting glucose. Diabetes Heart and Health Survey (DHAH) 2002-2003, Auckland New Zealand.

PubMed

Sundborn, Gerhard; Metcalf, Patricia; Scragg, Robert; Schaaf, David; Dyall, Lorna; Gentles, Dudley; Black, Peter; Jackson, Rodney

2007-06-29

Pacific compared with Europeans. However for every two European people with previously diagnosed diabetes there was approximately one (0.92) person in the community undiagnosed while for every three Maori people with diagnosed diabetes was one Maori person undiagnosed. For every five Pacific with diagnosed diabetes there was just over one (1.1) Pacific person undiagnosed.

The ABCs of New Zealand Sign Language: Aerial Spelling.

ERIC Educational Resources Information Center

Forman, Wayne

2003-01-01

Aerial spelling is the term given for the way many people with deafness in New Zealand (NZ) manually represent letters of the alphabet. This article examines the nature and role of aerial spelling in New Zealand Sign Language, particularly that form used by older members of the NZ deaf community. (Contains references.) (Author/CR)

New Zealand's Southern Alps

NASA Technical Reports Server (NTRS)

2001-01-01

The rugged Southern Alps extend some 650 kilometers along the western side of New Zealand's South Island. The mountains are often obscured by clouds, which is probably why the Maoris called New Zealand 'Aotearoa', the long white cloud. The higher peaks are snow-covered all year round. Westerly winds bring clouds that drop over 500 centimeters of rain annually on luxuriant rain forest along the west coast. The drier eastern seaboard is home to the majority of the island's population.

This pair of MISR images is from April 13, 2000 (Terra orbit 1712). The upper image is a natural color view from the instrument's vertical-viewing (nadir) camera. It is presented at a resolution of 550 meters per pixel. The lower image is a stereo anaglyph generated from the instrument's 46-degree and 26-degree forward-viewing cameras, and is presented at 275-meter per pixel resolution to show the portion of the image containing the Southern Alps in greater detail. Viewing the anaglyph in 3-D requires the use of red/blue glasses with the red filter over your left eye. To facilitate stereoscopic viewing, both images have been oriented with north at the left.

The tallest mountain in the Southern Alps is Mt. Cook, at an elevation of 3754 meters. Its snow-covered peak is visible to the left of center in each of these MISR images. From the high peaks, glaciers have gouged long, slender mountain lakes and coastal fiords. Immediately to the southeast of Mt. Cook (to the right in these images), the glacial pale-blue water of Lake Pukaki stands out. Further to the south in adjacent valleys you can easily see Lakes Hawea and Wanaka, between which (though not visible here) is the Haast Pass Road, the most southerly of the few links between the east and west coast road systems. Further to the south is the prominent 'S' shape of Lake Wakatipu, 83 kilometers long, on the northern shore of which is Queenstown, the principal resort town of the island. The remote and spectacular Fiordland National

Self-reported experience of racial discrimination and health care use in New Zealand: results from the 2006/07 New Zealand Health Survey.

PubMed

Harris, Ricci; Cormack, Donna; Tobias, Martin; Yeh, Li-Chia; Talamaivao, Natalie; Minster, Joanna; Timutimu, Roimata

2012-05-01

We investigated whether reported experience of racial discrimination in health care and in other domains was associated with cancer screening and negative health care experiences. We used 2006/07 New Zealand Health Survey data (n = 12 488 adults). We used logistic regression to examine the relationship of reported experience of racial discrimination in health care (unfair treatment by a health professional) and in other domains (personal attack, unfair treatment in work and when gaining housing) to breast and cervical cancer screening and negative patient experiences adjusted for other variables. Racial discrimination by a health professional was associated with lower odds of breast (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.14, 0.996) and cervical cancer (OR = 0.51; 95% CI = 0.30, 0.87) screening among Maori women. Racial discrimination by a health professional (OR = 1.57; 95% CI = 1.15, 2.14) and racial discrimination more widely (OR = 1.55; 95% CI = 1.35, 1.79) were associated with negative patient experiences for all participants. Experience of racial discrimination in both health care and other settings may influence health care use and experiences of care and is a potential pathway to poor health.

Self-Reported Experience of Racial Discrimination and Health Care Use in New Zealand: Results From the 2006/07 New Zealand Health Survey

PubMed Central

Cormack, Donna; Tobias, Martin; Yeh, Li-Chia; Talamaivao, Natalie; Minster, Joanna; Timutimu, Roimata

2012-01-01

Objectives. We investigated whether reported experience of racial discrimination in health care and in other domains was associated with cancer screening and negative health care experiences. Methods. We used 2006/07 New Zealand Health Survey data (n = 12 488 adults). We used logistic regression to examine the relationship of reported experience of racial discrimination in health care (unfair treatment by a health professional) and in other domains (personal attack, unfair treatment in work and when gaining housing) to breast and cervical cancer screening and negative patient experiences adjusted for other variables. Results. Racial discrimination by a health professional was associated with lower odds of breast (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.14, 0.996) and cervical cancer (OR = 0.51; 95% CI = 0.30, 0.87) screening among Maori women. Racial discrimination by a health professional (OR = 1.57; 95% CI = 1.15, 2.14) and racial discrimination more widely (OR = 1.55; 95% CI = 1.35, 1.79) were associated with negative patient experiences for all participants. Conclusions. Experience of racial discrimination in both health care and other settings may influence health care use and experiences of care and is a potential pathway to poor health. PMID:22420811

Metabolic syndrome prevalence in a multicultural population in Auckland, New Zealand.

PubMed

Gentles, Dudley; Metcalf, Patricia; Dyall, Lorna; Sundborn, Gerhard; Schaaf, David; Black, Peter; Scragg, Robert; Jackson, Rodney

2007-01-26

To estimate ethnic-specific metabolic syndrome prevalence in the Auckland region and to identify the main reasons for the differences. A cross-sectional survey of adults aged between 35-74 years within the Auckland area using a dual sampling frame with both cluster sampling and random selection from electoral rolls. Participants included 1006 Maori, 996 Pacific people, and 2020 of other ethnicity (mainly Europeans). The prevalence of metabolic syndrome (using the 2001 ATPIII definition, age and gender adjusted) were: Maori 32%, Pacific people 39%, and Others 16%. Maori were twice as likely as others (OR=2.01, 95% CI: 1.53 to 2.64) to have the metabolic syndrome while Pacific people were two and a half times as likely (OR=2.54, 95% CI: 1.93 to 3.35), after adjusting for multiple CVD risk factors other than the components of the syndrome. Adjusting these ethnic differences in prevalences for each of the components of the syndrome separately indicated that most of the differences could be accounted for by differences in obesity. In addition, more than a third of people with diabetes did not have the metabolic syndrome. The prevalences of metabolic syndrome were significantly higher in Pacific people and Maori compared to Others and measures of obesity accounted for most of the ethnic differences.

Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand.

PubMed

Saxton, Peter J W; Dickson, Nigel P; Griffiths, Richard; Hughes, Anthony J; Rowden, John

2012-02-01

The prevalence of HIV infection and how this varies between subgroups is a fundamental indicator of epidemic control. While there has been a rise in the number of HIV diagnoses among men who have sex with men (MSM) in New Zealand over the last decade, the actual prevalence of HIV and the proportion undiagnosed is not known. We measured these outcomes in a community sample of MSM in Auckland, New Zealand. The study was embedded in an established behavioural surveillance programme. MSM attending a gay community fair day, gay bars and sex-on-site venues during 1 week in February 2011 who agreed to complete a questionnaire were invited to provide an anonymous oral fluid specimen for analysis of HIV antibodies. From the 1304 eligible respondents (acceptance rate 48.5%), 1049 provided a matched specimen (provision rate 80.4%). HIV prevalence was 6.5% (95% CI: 5.1-8.1). After adjusting for age, ethnicity and recruitment site, HIV positivity was significantly elevated among respondents who were aged 30-44 or 45 and over, were resident outside New Zealand, had 6-20 or more than 20 recent sexual partners, had engaged in unprotected anal intercourse with a casual partner, had had sex with a man met online, or had injected drugs in the 6 months prior to survey. One fifth (20.9%) of HIV infected men were undiagnosed; 1.3% of the total sample. Although HIV prevalence did not differ by ethnicity, HIV infected non-European respondents were more likely to be undiagnosed. Most of the small number of undiagnosed respondents had tested for HIV previously, and the majority believed themselves to be either "definitely" or "probably" uninfected. There was evidence of continuing risk practices among some of those with known HIV infection. This is the first estimate of actual and undiagnosed HIV infection among a community sample of gay men in New Zealand. While relatively low compared to other countries with mature epidemics, HIV prevalence was elevated in subgroups of MSM based on

Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand

PubMed Central

2012-01-01

Background The prevalence of HIV infection and how this varies between subgroups is a fundamental indicator of epidemic control. While there has been a rise in the number of HIV diagnoses among men who have sex with men (MSM) in New Zealand over the last decade, the actual prevalence of HIV and the proportion undiagnosed is not known. We measured these outcomes in a community sample of MSM in Auckland, New Zealand. Methods The study was embedded in an established behavioural surveillance programme. MSM attending a gay community fair day, gay bars and sex-on-site venues during 1 week in February 2011 who agreed to complete a questionnaire were invited to provide an anonymous oral fluid specimen for analysis of HIV antibodies. From the 1304 eligible respondents (acceptance rate 48.5%), 1049 provided a matched specimen (provision rate 80.4%). Results HIV prevalence was 6.5% (95% CI: 5.1-8.1). After adjusting for age, ethnicity and recruitment site, HIV positivity was significantly elevated among respondents who were aged 30-44 or 45 and over, were resident outside New Zealand, had 6-20 or more than 20 recent sexual partners, had engaged in unprotected anal intercourse with a casual partner, had had sex with a man met online, or had injected drugs in the 6 months prior to survey. One fifth (20.9%) of HIV infected men were undiagnosed; 1.3% of the total sample. Although HIV prevalence did not differ by ethnicity, HIV infected non-European respondents were more likely to be undiagnosed. Most of the small number of undiagnosed respondents had tested for HIV previously, and the majority believed themselves to be either "definitely" or "probably" uninfected. There was evidence of continuing risk practices among some of those with known HIV infection. Conclusions This is the first estimate of actual and undiagnosed HIV infection among a community sample of gay men in New Zealand. While relatively low compared to other countries with mature epidemics, HIV prevalence was

The disease pyramid for acute gastrointestinal illness in New Zealand.

PubMed

Lake, R J; Adlam, S B; Perera, S; Campbell, D M; Baker, M G

2010-10-01

The disease pyramid of under-ascertainment for surveillance of acute gastrointestinal illness (AGI) in New Zealand has been estimated using 2005-2007 data on notifiable diseases, a community telephone survey, and a survey of diagnostic laboratories. For each notified case of AGI there were an estimated 222 cases in the community, about 49 of which visited a general practitioner. Faecal samples were requested from about 15 of these cases, and 13 samples were provided. Of the faecal samples, pathogens were detected in about three cases. These ratios are similar to those reported in other developed countries, and provide baseline measurements of the AGI burden in the New Zealand community.

Geographic delineations of yeast communities and populations associated with vines and wines in New Zealand

PubMed Central

Gayevskiy, Velimir; Goddard, Matthew R

2012-01-01

Yeasts are a diverse seemingly ubiquitous group of eukaryotic microbes, and many are naturally associated with fruits. Humans have harnessed yeasts since the dawn of civilisation to make wine, and thus it is surprising that we know little of the distribution of yeast communities naturally associated with fruits. Previous reports of yeast community diversity have been descriptive only. Here we present, we believe, the first robust test for the geographic delineation of yeast communities. Humans have relatively recently employed Saccharomyces cerevisiae as a model research organism, and have long harnessed its ancient adaption to ferment even in the presence of oxygen. However, as far as we are aware, there has not been a rigorous test for the presence of regional differences in natural S. cerevisiae populations before. We combined these community- and population-level questions and surveyed replicate vineyards and corresponding spontaneous ferments from different regions on New Zealand's (NZ's) North Island and analysed the resulting data with community ecology and population genetic tests. We show that there are distinct regional delineations of yeast communities, but the picture for S. cerevisiae is more complex: there is evidence for region-specific sub-populations but there are also reasonable levels of gene flow among these regions in NZ. We believe this is the first demonstration of regional delineations of yeast populations and communities worldwide. PMID:22189497

Building an educated health informatics workforce--the New Zealand experience.

PubMed

Parry, David; Hunter, Inga; Honey, Michelle; Holt, Alec; Day, Karen; Kirk, Ray; Cullen, Rowena

2013-01-01

New Zealand has a rapidly expanding health information technology (IT) development industry and wide-ranging use of informatics, especially in the primary health sector. The New Zealand government through the National Health IT Board (NHITB) has promised to provide shared care health records of core information for all New Zealanders by 2014. One of the major barriers to improvement in IT use in healthcare is the dearth of trained and interested clinicians, management and technical workforce. Health Informatics New Zealand (HINZ) and the academic community in New Zealand are attempting to remedy this by raising awareness of health informatics at the "grass roots" level of the existing workforce via free "primer" workshops and by developing a sustainable cross-institutional model of educational opportunities. Support from the NHITB has been forthcoming, and the workshops started in early 2013, reaching out to clinical and other staff in post around New Zealand.

Characterization of the cyanobacteria and associated bacterial community from an ephemeral wetland in New Zealand.

PubMed

Secker, Nick H; Chua, Jocelyn P S; Laurie, Rebecca E; McNoe, Les; Guy, Paul L; Orlovich, David A; Summerfield, Tina C

2016-10-01

New Zealand ephemeral wetlands are ecologically important, containing up to 12% of threatened native plant species and frequently exhibiting conspicuous cyanobacterial growth. In such environments, cyanobacteria and associated heterotrophs can influence primary production and nutrient cycling. Wetland communities, including bacteria, can be altered by increased nitrate and phosphate due to agricultural practices. We have characterized cyanobacteria from the Wairepo Kettleholes Conservation Area and their associated bacteria. Use of 16S rRNA amplicon sequencing identified several operational taxonomic units (OTUs) representing filamentous heterocystous and non-heterocystous cyanobacterial taxa. One Nostoc OTU that formed macroscopic colonies dominated the cyanobacterial community. A diverse bacterial community was associated with the Nostoc colonies, including a core microbiome of 39 OTUs. Identity of the core microbiome associated with macroscopic Nostoc colonies was not changed by the addition of nutrients. One OTU was highly represented in all Nostoc colonies (27.6%-42.6% of reads) and phylogenetic analyses identified this OTU as belonging to the genus Sphingomonas. Scanning electron microscopy showed the absence of heterotrophic bacteria within the Nostoc colony but revealed a diverse community associated with the colonies on the external surface. © 2016 Phycological Society of America.

Volunteering predicts happiness among older Māori and non-Māori in the New Zealand health, work, and retirement longitudinal study.

PubMed

Dulin, Patrick L; Gavala, Jhanitra; Stephens, Christine; Kostick, Marylynne; McDonald, Jennifer

2012-01-01

This study sought to understand the relationship between volunteer activity and happiness among a sample of older adult New Zealanders. It specifically sought to determine if ethnicity (Māori vs. non-Māori) and economic living standards (ELS) functioned as moderators of the relationship between volunteering and happiness. Data were garnered from the 2008 administration of the New Zealand Health, Work, and Retirement Longitudinal Study. Correlational and multiple regression procedures were employed to examine study hypotheses. Results from multiple regression analyses showed that the amount of volunteering per week was a unique predictor of the overall level of happiness. Moderation analyses indicated that ethnicity did not function as a moderator of the relationship between volunteering and happiness, but ELS did. Those with low ELS evidenced a stronger relationship between volunteering and happiness than those with high ELS. Results also indicated that Maori and those with low ELS volunteered more frequently than non-Māori and those with high ELS. This study provides evidence that volunteering is related to increased happiness, irrespective of ethnicity. It also provides further evidence that the relationship between volunteering and happiness is moderated by economic resources. Older individuals at the low end of the economic spectrum are likely to benefit more from volunteering than those at the high end.

Microbial community structure in the gut of the New Zealand insect Auckland tree weta (Hemideina thoracica).

PubMed

Waite, David W; Dsouza, Melissa; Biswas, Kristi; Ward, Darren F; Deines, Peter; Taylor, Michael W

2015-05-01

The endemic New Zealand weta is an enigmatic insect. Although the insect is well known by its distinctive name, considerable size, and morphology, many basic aspects of weta biology remain unknown. Here, we employed cultivation-independent enumeration techniques and rRNA gene sequencing to investigate the gut microbiota of the Auckland tree weta (Hemideina thoracica). Fluorescence in situ hybridisation performed on different sections of the gut revealed a bacterial community of fluctuating density, while rRNA gene-targeted amplicon pyrosequencing revealed the presence of a microbial community containing high bacterial diversity, but an apparent absence of archaea. Bacteria were further studied using full-length 16S rRNA gene sequences, with statistical testing of bacterial community membership against publicly available termite- and cockroach-derived sequences, revealing that the weta gut microbiota is similar to that of cockroaches. These data represent the first analysis of the weta microbiota and provide initial insights into the potential function of these microorganisms.

Microbial communities of deep-sea methane seeps at Hikurangi continental margin (New Zealand).

PubMed

Ruff, S Emil; Arnds, Julia; Knittel, Katrin; Amann, Rudolf; Wegener, Gunter; Ramette, Alban; Boetius, Antje

2013-01-01

The methane-emitting cold seeps of Hikurangi margin (New Zealand) are among the few deep-sea chemosynthetic ecosystems of the Southern Hemisphere known to date. Here we compared the biogeochemistry and microbial communities of a variety of Hikurangi cold seep ecosystems. These included highly reduced seep habitats dominated by bacterial mats, partially oxidized habitats populated by heterotrophic ampharetid polychaetes and deeply oxidized habitats dominated by chemosynthetic frenulate tubeworms. The ampharetid habitats were characterized by a thick oxic sediment layer that hosted a diverse and biomass-rich community of aerobic methanotrophic Gammaproteobacteria. These bacteria consumed up to 25% of the emanating methane and clustered within three deep-branching groups named Marine Methylotrophic Group (MMG) 1-3. MMG1 and MMG2 methylotrophs belong to the order Methylococcales, whereas MMG3 methylotrophs are related to the Methylophaga. Organisms of the groups MMG1 and MMG3 are close relatives of chemosynthetic endosymbionts of marine invertebrates. The anoxic sediment layers of all investigated seeps were dominated by anaerobic methanotrophic archaea (ANME) of the ANME-2 clade and sulfate-reducing Deltaproteobacteria. Microbial community analysis using Automated Ribosomal Intergenic Spacer Analysis (ARISA) showed that the different seep habitats hosted distinct microbial communities, which were strongly influenced by the seep-associated fauna and the geographic location. Despite outstanding features of Hikurangi seep communities, the organisms responsible for key ecosystem functions were similar to those found at seeps worldwide. This suggests that similar types of biogeochemical settings select for similar community composition regardless of geographic distance. Because ampharetid polychaetes are widespread at cold seeps the role of aerobic methanotrophy may have been underestimated in seafloor methane budgets.

Microbial Communities of Deep-Sea Methane Seeps at Hikurangi Continental Margin (New Zealand)

PubMed Central

Ruff, S. Emil; Arnds, Julia; Knittel, Katrin; Amann, Rudolf; Wegener, Gunter; Ramette, Alban; Boetius, Antje

2013-01-01

The methane-emitting cold seeps of Hikurangi margin (New Zealand) are among the few deep-sea chemosynthetic ecosystems of the Southern Hemisphere known to date. Here we compared the biogeochemistry and microbial communities of a variety of Hikurangi cold seep ecosystems. These included highly reduced seep habitats dominated by bacterial mats, partially oxidized habitats populated by heterotrophic ampharetid polychaetes and deeply oxidized habitats dominated by chemosynthetic frenulate tubeworms. The ampharetid habitats were characterized by a thick oxic sediment layer that hosted a diverse and biomass-rich community of aerobic methanotrophic Gammaproteobacteria. These bacteria consumed up to 25% of the emanating methane and clustered within three deep-branching groups named Marine Methylotrophic Group (MMG) 1-3. MMG1 and MMG2 methylotrophs belong to the order Methylococcales, whereas MMG3 methylotrophs are related to the Methylophaga . Organisms of the groups MMG1 and MMG3 are close relatives of chemosynthetic endosymbionts of marine invertebrates. The anoxic sediment layers of all investigated seeps were dominated by anaerobic methanotrophic archaea (ANME) of the ANME-2 clade and sulfate-reducing Deltaproteobacteria. Microbial community analysis using Automated Ribosomal Intergenic Spacer Analysis (ARISA) showed that the different seep habitats hosted distinct microbial communities, which were strongly influenced by the seep-associated fauna and the geographic location. Despite outstanding features of Hikurangi seep communities, the organisms responsible for key ecosystem functions were similar to those found at seeps worldwide. This suggests that similar types of biogeochemical settings select for similar community composition regardless of geographic distance. Because ampharetid polychaetes are widespread at cold seeps the role of aerobic methanotrophy may have been underestimated in seafloor methane budgets. PMID:24098632

Contrasting bacterial communities in two indigenous Chionochloa (Poaceae) grassland soils in New Zealand

PubMed Central

Griffith, Jocelyn C.; Lee, William G.; Orlovich, David A.

2017-01-01

The cultivation of grasslands can modify both bacterial community structure and impact on nutrient cycling as well as the productivity and diversity of plant communities. In this study, two pristine New Zealand grassland sites dominated by indigenous tall tussocks (Chionochloa pallens or C. teretifolia) were examined to investigate the extent and predictability of variation of the bacterial community. The contribution of free-living bacteria to biological nitrogen fixation is predicted to be ecologically significant in these soils; therefore, the diazotrophic community was also examined. The C. teretifolia site had N-poor and poorly-drained peaty soils, and the C. pallens had N-rich and well-drained fertile soils. These soils also differ in the proportion of organic carbon (C), Olsen phosphorus (P) and soil pH. The nutrient-rich soils showed increased relative abundances of some copiotrophic bacterial taxa (including members of the Proteobacteria, Bacteroidetes and Firmicutes phyla). Other copiotrophs, Actinobacteria and the oliogotrophic Acidobacteria showed increased relative abundance in nutrient-poor soils. Greater diversity based on 16S rRNA gene sequences and the Tax4Fun prediction of enhanced spore formation associated with nutrient-rich soils could indicate increased resilience of the bacterial community. The two sites had distinct diazotrophic communities with higher diversity in C. teretifolia soils that had less available nitrate and ammonium, potentially indicating increased resilience of the diazotroph community at this site. The C. teretifolia soils had more 16S rRNA gene and nifH copies per g soil than the nutrient rich site. However, the proportion of the bacterial community that was diazotrophic was similar in the two soils. We suggest that edaphic and vegetation factors are contributing to major differences in the composition and diversity of total bacterial and diazotrophic communities at these sites. We predict the differences in the communities

New Zealand Early Childhood Curriculum: The Politics of Collaboration

ERIC Educational Resources Information Center

Farquhar, Sandy

2015-01-01

The New Zealand early childhood curriculum, "Te Whariki" (Ministry of Education [MoE],1996), is frequently hailed as a community inspired curriculum, praised nationally and internationally for its collaborative development, emancipatory spirit and bicultural approach. In its best form community can be collaborative, consultative,…

Female medical students may accrue less student loan debt than their male colleagues in New Zealand.

PubMed

McHardy, Karina M; Janssen, Anna; Poole, Phillippa J

2008-05-09

To quantify the current level of actual student loan debt in New Zealand (NZ) medical students at the time of graduation, and to investigate how debt burden relates to gender and ethnicity. A questionnaire was distributed to all graduating students from The University of Auckland's School of Medicine in November 2006. This study looked specifically at debt attributable to a New Zealand Government Student Loan (NZGSL). The response rate was 88%. Eighty-seven percent of NZ residents in the survey had a NZGSL. Nearly three-quarters of all students (73%) reported a total NZGSL of over $45,000, with one-third reporting a total greater than $75,000. Overall, males appeared to have different borrowing behaviours than their female counterparts, as reflected in their higher loan totals. Females were also more likely to report that they had no student loan, despite comparable access to parental financial support, part-time work, and scholarships. The reported loan sizes of Maori and Pacific Island students did not differ significantly from those of other ethnicities. Only 11% of study respondents reported that the burden of a student loan had a significant impact on future career decisions. For the majority of Auckland medical graduates, student debt is significant and continues to be a burdensome issue. There appear to be differences in the borrowing behaviours of males and females in the medical school programme, while different ethnicities have similar debt burdens.

Ka Pu Te Ruha, Ka Hao Te Rangatahi: Changes in Maori Warfare between the Period Prior to First European Contact and the End of the New Zealand Wars

DTIC Science & Technology

2009-06-12

to contact with the first European visitors, was a ritualistic endeavor conducted at close quarters with primitive weapons. Reverend Thomas Buddle...Auckland, New Zealand: Penguin Books (NZ) Limited, 2003., 71 Best., 3 Reverend Thomas . Buddle, The Aborigines of New Zealand: Two Lectures. Auckland...in order to maintain a regular supply of firearms. It was through 46 his relationship with a missionary, Thomas Kendall that Hongi Hika travelled to

How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand

PubMed Central

Miller, Fiona; Breton, Mylaine; Couturier, Yves; Morton-Chang, Frances; Ashton, Toni; Sheridan, Nicolette; Peckham, Alexandra; Williams, A Paul; Kenealy, Tim; Wodchis, Walter

2017-01-01

Community-based primary health care describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for community-based primary health care have stimulated local initiatives and influenced the design of policy solutions. However, the ways in which these ideas and influences find their way into policy and practice is strongly mediated by policy settings and institutional legacies of particular jurisdictions. This paper seeks to compare the key institutional and policy features of Ontario, Québec and New Zealand that shape the ‘space available’ for models of community-based primary health care to take root and develop. Our analysis suggests that two key conditions are the integration of relevant health and social sector organisations, and the range of policy levers that are available and used by governments. New Zealand has the most favourable conditions, and Ontario the least favourable. All jurisdictions, however, share a crucial barrier, namely the ‘barbed-wire fence’ that separates funding of medical and ‘non-medical’ primary care services, and the clear interests primary care doctors have in maintaining this fence. Moves in the direction of system-wide community-based primary health care require a gradual dismantling of this fence. PMID:28970754

Bicultural Education Policy in New Zealand

ERIC Educational Resources Information Center

Lourie, Megan

2016-01-01

Bicultural educational policy is part of a much broader ensemble of bicultural policies that were first developed by the Fourth Labour Government elected in 1984. These policies were an acknowledgement of, and response to, the historical injustices suffered by Maori people as a consequence of colonisation. Bicultural education policy is thought to…

Predictors of baseline peritoneal transport status in Australian and New Zealand peritoneal dialysis patients.

PubMed

Rumpsfeld, Markus; McDonald, Stephen P; Purdie, David M; Collins, John; Johnson, David W

2004-03-01

Factors that predict peritoneal transport status in peritoneal dialysis (PD) patients are poorly understood. The aim of the present study is to determine these factors in Australian and New Zealand incident PD patients. The study included all patients on the Australian and New Zealand Dialysis and Transplant Registry who started PD therapy between April 1, 1991, and March 31, 2002, and underwent a peritoneal equilibration test (PET) within the first 6 months. Predictors of peritoneal transport category and dialysate-plasma creatinine ratio at 4 hours (D-P Cr 4h) were assessed by multivariate ordinal logistic regression and multiple linear regression, respectively. A total of 3,188 patients were studied. Mean D-P Cr 4h was 0.69 +/- 0.13. High transport status was associated with older age (adjusted odds ratio [OR], 1.08 for each 10 years; 95% confidence interval [CI], 1.03 to 1.13), Maori and Pacific Islander racial origin (OR, 1.48; 95% CI, 1.13 to 1.94), and normal body mass index (BMI; < 18.5 kg/m2: OR, 0.90; 95% CI, 0.65 to 1.24; BMI of 18.5 to 25 kg/m2: OR, 1 [reference]; BMI of 25 to 30 kg/m2: OR, 0.81; 95% CI, 0.70 to 0.95; BMI > 30 kg/m2: OR, 0.71; 95% CI, 0.58 to 0.86), but was not independently predicted by sex, diabetes, other comorbid diseases, smoking, previous hemodialysis therapy or transplantation, or residual renal function. Similar results were found when peritoneal permeability was modeled as a continuous variable (D-P Cr 4h). In Australian and New Zealand PD patients, higher peritoneal transport status is independently associated with racial origin, older age, and lower BMI. The diversity of peritoneal transport characteristics in different ethnic populations suggests that additional validation of PET measurements in various racial groups and study of their relationship to patient outcomes are warranted.

A process evaluation of the 'Aware' and 'Supportive Communities' gambling harm-minimisation programmes in New Zealand.

PubMed

Kolandai-Matchett, Komathi; Bellringer, Maria; Landon, Jason; Abbott, Max

2018-04-01

The Gambling Act 2003 mandated a public health strategy for preventing and minimising gambling harm in New Zealand. Aware Communities and Supportive Communities are two public health programmes subsequently implemented nationwide. These programmes differed from common health promotion initiatives such as media or education campaigns as they were community-action based (requiring community involvement in programme planning and delivery). We carried out a process evaluation to determine their implementation effectiveness and inform improvement and future programme planning. Our qualitative dominant mixed methods design comprised analysis of over a hundred implementer progress reports (submitted July 2010 - June 2013), a staff survey and a staff focus group interview. The programmes demonstrated capacity to not only achieve expected outcomes (e.g. enhanced community awareness about harmful gambling), but also to enhance social sustainability at the community level (e.g. established trustful relationships) and achieve some programme sustainability (e.g. community ownership over ongoing programme delivery). The evaluation noted the potential for a sustainable gambling harm-minimisation model. Community-action based harm-minimisation programmes offer programme sustainability potential which in turn offers funding cost-effectiveness when there are continual public health outcomes beyond initial funding. Although resource intensive, the community-action based approach enables culturally appropriate public health programmes suitable for societies where specific ethnic groups have higher gambling risk. Recognition of such harm-minimisation programmes' contribution to social sustainability is important considering the potential for broader public health outcomes (e.g. better life quality, lesser social problems) within socially sustainable societies.

Local government alcohol policy development: case studies in three New Zealand communities

PubMed Central

Maclennan, Brett; Kypri, Kypros; Room, Robin; Langley, John

2013-01-01

Aims Local alcohol policies can be effective in reducing alcohol-related harm. The aim of this study was to examine local government responses to alcohol-related problems and identify factors influencing their development and adoption of alcohol policy. Designsettings and participants Case studies were used to examine local government responses to alcohol problems in three New Zealand communities: a rural town, a provincial city and a metropolitan city. Newspaper reports, local government documents and key informant interviews were used to collect data which were analysed using two conceptual frameworks: Kingdon's Streams model and the Stakeholder model of policy development. Measurements Key informant narratives were categorized according to the concepts of the Streams and Stakeholder models. Findings Kingdon's theoretical concepts associated with increased likelihood of policy change seemed to apply in the rural and metropolitan communities. The political environment in the provincial city, however, was not favourable to the adoption of alcohol restrictions. The Stakeholder model highlighted differences between the communities in terms of power over agenda-setting and conflict between politicians and bureaucrats over policy solutions to alcohol-related harm. These differences were reflected in the ratio of policies considered versus adopted in each location. Decisions on local alcohol policies lie ultimately with local politicians, although the policies that can be adopted by local government are restricted by central government legislation. Conclusions The adoption of policies and strategies to reduce alcohol-related harm may be better facilitated by an agenda-setting process where no ‘gate-keepers’ determine what is included into the agenda, and community mobilization efforts to create competitive local government elections around alcohol issues. Policy adoption would also be facilitated by more enabling central government legislation. PMID:23130762

An organizational culture gap analysis in 6 New Zealand community pharmacies.

PubMed

Scahill, Shane L; Carswell, Peter; Harrison, Jeff

2011-09-01

The barriers to moving forward and meeting the expectations of policy makers and professional pharmacy bodies appear to relate to the organizational culture of community pharmacy. Despite the importance of cultural change for business transformation, organizational culture has largely gone unnoticed in community pharmacy practice research. To perform an organizational culture gap analysis in 6 New Zealand community pharmacies. Mean scores from a cultural rating survey (n=47) were calculated for 8 cultural clusters and mapped onto a typical and a beneficial pattern match (ladder diagram) for each case site. These ladder diagrams provide an understanding of the gap between the 2 ratings based on the gradient of the lines joining cultural clusters-the rungs of the ladder. Software can be used to generate a Pearson correlation describing the strength of the relationship between the typical and beneficial ratings. Eight cultural clusters were mapped: "leadership and staff management"; "valuing each other and the team"; "free-thinking, fun and, open to challenge"; "trusted behavior"; "customer relations"; "focus on external integration"; "provision of systematic advice"; and the "embracing of innovation." Analysis suggested a high level of correlation between the means of the typical and beneficial ratings. Although the variance between average ratings might be quite small, the relative difference can still be meaningful to participants in the cultural setting. The diagrams suggest a requirement for external integration, the provision of systematic advice, and the embracing of innovation to become more typical in most pharmacies. Trusted behavior is the most typical and most beneficial cultural dimension in most pharmacies, whereas valuing each other and the team is the least beneficial. Gaps in organizational culture have been identified through the use of a rating survey. The dimensions of focus on external integration, providing systematic advice, and embracing

Retesting and repeat positivity following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoea in New Zealand: a retrospective cohort study.

PubMed

Rose, Sally B; Garrett, Susan M; Stanley, James; Pullon, Susan R H

2017-07-28

Testing for reinfection at 3 to 6 months following treatment for Chlamydia Trachomatis or Neisseria gonorrhoea is recommended in best practice sexual health management guidelines. This study aimed to describe rates of retesting and repeat positivity following diagnosis of chlamydia or gonorrhoea in a defined geographic region of New Zealand. Retrospective cohort study in Wellington, New Zealand involving analysis of laboratory data for chlamydia and gonorrhoea tests performed in primary care and sexual health clinics (July 2012-July 2015). rate of retesting and rate of repeat positivity 6 weeks to 6 months after a positive result (index event). Kaplan-Meier curves were used to plot time from first index event to retest. Logistic regression modelling was used to determine the odds of retesting and repeat positivity between 6 weeks and 6 months of follow-up, adjusting for potential confounders (age, gender, ethnicity and socioeconomic deprivation). Overall 29.4% (1919/6530) of the cohort was retested between 6 weeks and 6 months, with 18% (347/1919) of those retested returning positive results. Lower odds of retesting were observed for males (OR 0.4, 95% CI 0.34-0.48), and individuals of NZ Maori (OR 0.72, 0.61-0.85) and Pacific ethnicities (OR 0.49, 0.39-0.62, reference European). Factors associated with higher odds of repeat positivity on retesting included male gender (OR 2.0, 1.14-2.82), age 15-19 years (OR 1.78, 1.32-2.41, reference 20-24 years), chlamydia/gonorrhoea co-infection (OR 2.39, 1.32-4.35, reference chlamydia only), Maori (OR 1.6, 1.18-2.17) and Pacific ethnicities (OR 1.88, 1.22-2.9, reference European). We observed low adherence to STI retesting guidelines, and marked gender and ethnic disparities in rates of retesting and repeat positivity. Low retesting rates are suggestive of low levels of awareness of this aspect of patient management, and an absence of a systematic approach to retesting. High rates of repeat positivity reinforce the

Identifying Catchment-Scale Predictors of Coal Mining Impacts on New Zealand Stream Communities.

PubMed

Clapcott, Joanne E; Goodwin, Eric O; Harding, Jon S

2016-03-01

Coal mining activities can have severe and long-term impacts on freshwater ecosystems. At the individual stream scale, these impacts have been well studied; however, few attempts have been made to determine the predictors of mine impacts at a regional scale. We investigated whether catchment-scale measures of mining impacts could be used to predict biological responses. We collated data from multiple studies and analyzed algae, benthic invertebrate, and fish community data from 186 stream sites, including un-mined streams, and those associated with 620 mines on the West Coast of the South Island, New Zealand. Algal, invertebrate, and fish richness responded to mine impacts and were significantly higher in un-mined compared to mine-impacted streams. Changes in community composition toward more acid- and metal-tolerant species were evident for algae and invertebrates, whereas changes in fish communities were significant and driven by a loss of nonmigratory native species. Consistent catchment-scale predictors of mining activities affecting biota included the time post mining (years), mining density (the number of mines upstream per catchment area), and mining intensity (tons of coal production per catchment area). Mining was associated with a decline in stream biodiversity irrespective of catchment size, and recovery was not evident until at least 30 years after mining activities have ceased. These catchment-scale predictors can provide managers and regulators with practical metrics to focus on management and remediation decisions.

Identifying Catchment-Scale Predictors of Coal Mining Impacts on New Zealand Stream Communities

NASA Astrophysics Data System (ADS)

Clapcott, Joanne E.; Goodwin, Eric O.; Harding, Jon S.

2016-03-01

Coal mining activities can have severe and long-term impacts on freshwater ecosystems. At the individual stream scale, these impacts have been well studied; however, few attempts have been made to determine the predictors of mine impacts at a regional scale. We investigated whether catchment-scale measures of mining impacts could be used to predict biological responses. We collated data from multiple studies and analyzed algae, benthic invertebrate, and fish community data from 186 stream sites, including un-mined streams, and those associated with 620 mines on the West Coast of the South Island, New Zealand. Algal, invertebrate, and fish richness responded to mine impacts and were significantly higher in un-mined compared to mine-impacted streams. Changes in community composition toward more acid- and metal-tolerant species were evident for algae and invertebrates, whereas changes in fish communities were significant and driven by a loss of nonmigratory native species. Consistent catchment-scale predictors of mining activities affecting biota included the time post mining (years), mining density (the number of mines upstream per catchment area), and mining intensity (tons of coal production per catchment area). Mining was associated with a decline in stream biodiversity irrespective of catchment size, and recovery was not evident until at least 30 years after mining activities have ceased. These catchment-scale predictors can provide managers and regulators with practical metrics to focus on management and remediation decisions.

Diversity and biogeochemical structuring of bacterial communities across the Porangahau ridge accretionary prism, New Zealand

USGS Publications Warehouse

Hamdan, L.J.; Gillevet, P.M.; Pohlman, J.W.; Sikaroodi, M.; Greinert, J.; Coffin, R.B.

2011-01-01

Sediments from the Porangahau ridge, located off the northeastern coast of New Zealand, were studied to describe bacterial community structure in conjunction with differing biogeochemical regimes across the ridge. Low diversity was observed in sediments from an eroded basin seaward of the ridge and the community was dominated by uncultured members of the Burkholderiales. Chloroflexi/GNS and Deltaproteobacteria were abundant in sediments from a methane seep located landward of the ridge. Gas-charged and organic-rich sediments further landward had the highest overall diversity. Surface sediments, with the exception of those from the basin, were dominated by Rhodobacterales sequences associated with organic matter deposition. Taxa related to the Desulfosarcina/Desulfococcus and the JS1 candidates were highly abundant at the sulfate-methane transition zone (SMTZ) at three sites. To determine how community structure was influenced by terrestrial, pelagic and in situ substrates, sequence data were statistically analyzed against geochemical data (e.g. sulfate, chloride, nitrogen, phosphorous, methane, bulk inorganic and organic carbon pools) using the Biota-Environmental matching procedure. Landward of the ridge, sulfate was among the most significant structuring factors. Seaward of the ridge, silica and ammonium were important structuring factors. Regardless of the transect location, methane was the principal structuring factor on SMTZ communities. FEMS Microbiology Ecology ?? 2011 Federation of European Microbiological Societies. Published by Blackwell Publishing Ltd. No claim to original US government works.

Trapped in the Physical: Maori and Pasifika Achievement in HPE

ERIC Educational Resources Information Center

Fitzpatrick, Katie

2011-01-01

Health and physical education (PE) are low status, marginalised subjects in many schools internationally. However in New Zealand, Australia and elsewhere, they are concurrently credentialed and recognised senior high school options in which students can gain national qualifications. In New Zealand these subjects also tend to attract students who…

Sociocultural barriers to cervical screening in South Auckland, New Zealand.

PubMed

Lovell, Sarah; Kearns, Robin A; Friesen, Wardlow

2007-07-01

Cervical screening has been subject to intense media scrutiny in New Zealand in recent years prompted by a series of health system failings through which a number of women developed cervical cancer despite undergoing regular smears. This paper considers why underscreening persists in a country where cervical screening has a high profile. It explores how the promotion of cervical screening has impacted on the decisions of women to undergo a smear test. Ideas of risk and the new public health are deployed to develop a context for thinking about screening as a form of governing the body. Qualitative interviews with 17 women who were overdue for a cervical smear were undertaken in 2001-2002, yielding understandings of their knowledge of screening and their reasons for postponement. Nine providers of screening services were also interviewed. Concurrent with socioeconomic limitations, concerns over exposing one's body loomed large in women's reasons for delaying being screened. In particular, feelings of shyness and embarrassment were encountered among Maori and Pacific women for whom exposing bodies in the process of smear taking compromises cultural beliefs about sacredness. We conclude that medicalization of the body has, paradoxically, assisted many women in dealing with the intrusion of screening. For others, compliance with the exhortations to be screened brings a high emotional and cultural cost which should at least be considered in health policy debates.

Women in Education, Science and Leadership in New Zealand: A Personal Reflection

ERIC Educational Resources Information Center

Austin, Margaret

2016-01-01

In global terms, the position of women in New Zealand society is relatively strong and at one stage in the early 2000s many senior roles were occupied by women. Equality of opportunity for women in leadership in science and the community has been a focus of attention in New Zealand in government, education, and the sciences for at least two…

Globalization and the cultural safety of an immigrant Muslim community.

PubMed

Baker, Cynthia

2007-02-01

This paper reports a study the aim of which was to further understanding of cultural safety by focusing on the social health of a small immigrant community of Muslims in a relatively homogeneous region of Canada following the terror attacks on 11 September 2001 (9/11). The aftermath of 9/11 negatively affected Muslims living in many centers of Western Europe and North America. Little is known about the social health of Muslims in smaller areas with little cultural diversity. Developed by Maori nurses, the cultural safety concept captures the negative health effects of inequities experienced by the indigenous people of New Zealand. Nurses in Canada have used the concept to understand the health of Aboriginal peoples. It has also been used to investigate the nursing care of immigrants in a Canadian metropolitan centre. Findings indicated, however, that the dichotomy between culturally safe and unsafe groups was blurred. The methodology was qualitative, based on the constructivist paradigm. A purposive sample of 26 Muslims of Middle Eastern, Indian or Pakistani origin and residing in the province of New Brunswick, Canada were interviewed in 2002-2003. Findings. Participants experienced a sudden transition from cultural safety to cultural risk following 9/11. Their experience of cultural safety included a sense of social integration in the community and invisibility as a minority. Cultural risk stemmed from being in the spotlight of an international media and becoming a visible minority. Cultural risk is not necessarily rooted in historical events and may be generated by outside forces rather than by longstanding inequities in relationships between groups within the community. Nurses need to think about the cultural safety of their practices when caring for members of socially disadvantaged cultural minority groups as this may affect the health services delivered to them.

Applying Community-Based Participatory Research to Create a Diabetes Prevention Documentary with New Zealand Māori.

PubMed

Farmer, Alison; Gage, Jeffrey; Kirk, Ray; Edgar, Timothy

2016-01-01

Type 2 diabetes is almost three times more prevalent in the indigenous people of New Zealand (Māori) than non-Māori. Despite the high rate of diabetes in the Māori population, little is known about their personal understanding or experience of the disease. To engage Māori in a participatory process to develop a culturally relevant diabetes prevention documentary. Principles of community-based participatory research (CBPR) were applied to a qualitative research design employing key informant interviews and focus groups to develop a diabetes prevention documentary. A CBPR approach provides an appropriate model for enacting local action-oriented approaches in the creation of a documentary that reflects Māori cultural beliefs and practices.

Honoring Family and Culture: Learning from New Zealand

ERIC Educational Resources Information Center

Nagel, Nancy G.

2009-01-01

The New Zealand Ministry of Education's early childhood curriculum policy is built on a framework called "Te Whariki." This framework provides a sociocultural context for children's early learning and emphasizes a learning partnership between teachers, parents, families, and community. Besides interpersonal relationships, Te Whariki…

Locating the global: culture, language and science education for indigenous students

NASA Astrophysics Data System (ADS)

McKinley, Elizabeth

2005-02-01

The international literature suggests the use of indigenous knowledge (IK) and traditional ecological knowledge (TEK) contexts in science education to provide motivation and self-esteem for indigenous students is widespread. However, the danger of alienating culture (as knowledge) from the language in which the worldview is embedded seems to have been left out of the philosophical and pedagogical debates surrounding research and comment in the field. This paper argues that one of the main ways in which indigenous knowledge systems will survive and thrive is through the establishment of programmes taught through indigenous languages so that a dialectal relationship between language and knowledge is established that continues to act as the wellspring. The article concludes by reviewing the situation in Aotearoa New Zealand with respect to the indigenous population, Maori, and the recent science education initiatives in te reo Maori (Maori language).

Priority-setting in New Zealand: translating principles into practice.

PubMed

Ashton, T; Cumming, J; Devlin, N

2000-07-01

In May 1998 the New Zealand Health Funding Authority released a discussion paper which proposed a principles-based approach to setting purchasing priorities that incorporates the economic methods of programme budgeting and marginal analysis, and cost-utility analysis. The principles upon which the process was to be based are effectiveness, cost, equity of health outcomes, Maori health and acceptability. This essay describes and critiques issues associated with translating the principles into practice, most particularly the proposed methods for evaluating the effectiveness and measuring the cost of services. It is argued that the proposals make an important contribution towards the development of a method for prioritizing services which challenges our thinking about those services and their goals, and which is systematic, explicit, and transparent. The shift towards 'thinking at the margin' and systematically reviewing the value for money of competing claims on resources is likely to improve the quality of decision-making compared with the status quo. This does not imply that prioritization can, or should, be undertaken by means of any simple formula. Any prioritization process should always be guided by informed judgement. The approach is more appropriate for some services than for others. Key methodological issues that need further consideration include the choice of instrument for measuring health gains, the identification of marginal services, how to combine qualitative and quantitative information, and how to ensure consistency across different levels of decision-making.

Engaging Dairy Farmers to Improve Water Quality in the Aorere Catchment of New Zealand

ERIC Educational Resources Information Center

Robertson, Jodie; Edgar, Nick; Tyson, Ben

2013-01-01

In 2006, dairy farmers in the Aorere Catchment of New Zealand began to investigate allegations that they had a pollution problem affecting the viability of the community's shellfish industry. From 2007 to 2010, the New Zealand Landcare Trust's Aorere Catchment Project (ACP) helped farmers engage in actions to improve conditions in their waterways.…

Strategies for Obtaining Obsidian in Pre-European Contact Era New Zealand

PubMed Central

McCoy, Mark D.; Carpenter, Jonathan

2014-01-01

Archaeological evidence of people's choices regarding how they supply themselves with obsidian through direct access and different types of exchanges gives us insight in to mobility, social networks, and property rights in the distant past. Here we use collections of obsidian artefacts that date to a period of endemic warfare among Maori during New Zealand's Late Period (1500–1769 A.D.) to determine what strategies people engaged in to obtain obsidian, namely (1) collecting raw material directly from a natural source, (2) informal trade and exchange, and (3) formal trade and exchange. These deposits represent a good cross-section of Late Period archaeology, including primary working of raw material at a natural source (Helena Bay), undefended sites where people discarded rubbish and worked obsidian (Bream Head), and a heavily fortified site (Mt. Wellington). We find that most of the obsidian described here was likely obtained directly from natural sources, especially those located on off-shore islands within about 60–70 km of sites. A smaller amount comes from blocks of material transported from an off-shore island a greater distance away, called Mayor Island, in a formal trade and exchange network. This study demonstrates the value of conducting tandem lithic technology and geochemical sourcing studies to understand how people create and maintain social networks during periods of warfare. PMID:24416213

Strategies for obtaining obsidian in pre-European contact era New Zealand.

PubMed

McCoy, Mark D; Carpenter, Jonathan

2014-01-01

Archaeological evidence of people's choices regarding how they supply themselves with obsidian through direct access and different types of exchanges gives us insight in to mobility, social networks, and property rights in the distant past. Here we use collections of obsidian artefacts that date to a period of endemic warfare among Maori during New Zealand's Late Period (1500-1769 A.D.) to determine what strategies people engaged in to obtain obsidian, namely (1) collecting raw material directly from a natural source, (2) informal trade and exchange, and (3) formal trade and exchange. These deposits represent a good cross-section of Late Period archaeology, including primary working of raw material at a natural source (Helena Bay), undefended sites where people discarded rubbish and worked obsidian (Bream Head), and a heavily fortified site (Mt. Wellington). We find that most of the obsidian described here was likely obtained directly from natural sources, especially those located on off-shore islands within about 60-70 km of sites. A smaller amount comes from blocks of material transported from an off-shore island a greater distance away, called Mayor Island, in a formal trade and exchange network. This study demonstrates the value of conducting tandem lithic technology and geochemical sourcing studies to understand how people create and maintain social networks during periods of warfare.

The Great, Late Lesbian and Bisexual Women's Discrimination Survey.

PubMed

Rankine, J

2001-01-01

SUMMARY This 1992 New Zealand survey of discrimination against 261 lesbian and bisexual women found comparable rates of public abuse and workplace discrimination to those reported by surveys in other developed countries. The women reported higher rates of assault in public places than a random sample of New Zealand women. Indigenous Maori women reported higher rates of assault, threats, verbal abuse, and workplace discrimination than the non-Maori women surveyed. Aggression against the women was often in response to public expression of affection for another woman or to rejection of men's public sexual advances. The respondents reported hostile educational environments that coincided with peer harassment of students attracted to their own gender. Around two-thirds of the women had hidden their sexuality on some occasions at work to avoid discrimination. No significant differences between the discrimination experiences of lesbian and bisexual women emerged, although the bisexual sample was too small for statistical analysis.

Cross-cultural and gender differences in childhood amnesia.

PubMed

MacDonald, S; Uesiliana, K; Hayne, H

2000-11-01

In two experiments, we examined cross-cultural and gender differences in adults' earliest memories. To do this, we asked male and female adults from three cultural backgrounds (New Zealand European, New Zealand Maori, and Asian) to describe and date their earliest personal memory. Consistent with past research, Asian adults reported significantly later memories than European adults, however this effect was due exclusively to the extremely late memories reported by Asian females. Maori adults, whose traditional culture includes a strong emphasis on the past, reported significantly earlier memories than adults from the other two cultural groups. Across all three cultures, the memories reported by women contained more information than the memories reported by men. These findings support the view that the age and content of our earliest memories are influenced by a wide range of factors including our culture and our gender. These factors must be incorporated into any comprehensive theory of autobiographical memory.

Extremely low Helicobacter pylori prevalence in North Sulawesi, Indonesia and identification of a Maori-tribe type strain: a cross sectional study.

PubMed

Miftahussurur, Muhammad; Tuda, Josef; Suzuki, Rumiko; Kido, Yasutoshi; Kawamoto, Fumihiko; Matsuda, Miyuki; Tantular, Indah S; Pusarawati, Suhintam; Nasronudin; Harijanto, Paul N; Yamaoka, Yoshio

2014-01-01

Sulawesi in Indonesia has a unique geographical profile with assumed separation from Sundaland. Studies of Helicobacter pylori in this region are rare due to the region's rural location and lack of endoscopy equipment. Indirect methods are, therefore, the most appropriate for measuring H. pylori infection in these areas; with the disposable gastric brush test, we can obtain gastric juice as well as small gastric tissue samples for H. pylori culture. We investigated the prevalence of H. pylori infection and evaluated human migration patterns in the remote areas of North Sulawesi. We recruited a total of 251 consecutive adult volunteers and 131 elementary school children. H. pylori infection was determined by urine antibody test. A gastric brush test was used to culture H. pylori. We used next-generation and polymerase chain reaction based sequencing to determine virulence factors and multi-locus sequence typing (MLST). The overall H. pylori prevalence was only 14.3% for adults and 3.8% for children, and 13.6% and 16.7% in Minahasanese and Mongondownese participants, respectively. We isolated a single H. pylori strain, termed -Manado-1. Manado-1 was East Asian type cagA (ABD type), vacA s1c-m1b, iceA1 positive/iceA2 negative, jhp0562-positive/β-(1,3) galT-negative, oipA "on", and dupA-negative. Phylogenetic analyses showed the strain to be hspMaori type, a major type observed in native Taiwanese and Maori tribes. Our data support that very low H. pylori infection prevalence in Indonesia. Identification of hspMaori type H. pylori in North Sulawesi may support the hypothesis that North Sulawesi people migrated from north.

Blood pressure prevalences and levels for a multicultural population in Auckland, New Zealand: results from the Diabetes, Heart and Health Survey 2002/2003.

PubMed

Gentles, Dudley; Metcalf, Patricia; Dyall, Lorna; Scragg, Robert; Black, Peter; Schaaf, David; Sundborn, Gerhard; Jackson, Rod

2006-11-17

To estimate ethnic-specific raised blood pressure (RBP) prevalences, blood pressure levels, and associations of systolic blood pressure (SBP) in the Auckland region. A cross-sectional survey of adults aged between 35-74 years in the Auckland region. There were 1006 Maori, 996 Pacific people (mostly of Samoan, Tongan, Niuean, or Cook Islands origin), and 2021 Others (mainly Europeans). Approximately 1 in 3 Maori and Pacific people had RBP (defined arbitrarily as greater than and equal to 140/90 mmHg or on blood pressure-lowering treatment), compared to 1 in 5 Others. The prevalences of RBP (adjusted for age and gender) were: Maori 37%, Pacific people 38%, and Others 22%. Maori and Pacific people had higher average systolic and diastolic blood pressure levels than Others (adjusted for age and gender). This difference became non-significant when adjusted for body mass index (BMI). SBP was (on average) higher for: male gender, increased age, increased BMI, no tertiary education, high pulse rate, high cholesterol, high triglycerides, those on current blood pressure-lowering medication. SBP was (on average) lower for current cigarette smokers. Average blood pressure levels and the prevalences of RBP were higher in Pacific people and Maori compared to Others. BMI was identified as the major modifiable factor.

Folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential introduction of mandatory fortification.

PubMed

Mallard, Simonette R; Houghton, Lisa A

2012-01-01

To reduce the risk of neural tube defects, the New Zealand Ministry of Health recommends women take supplemental folic acid from at least one month preconception until the end of the twelfth week of pregnancy, as well as consume folate-rich foods. A postpartum survey was conducted to describe folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential implementation of mandatory folic acid fortification of bread in May 2012. Increasing knowledge of folic acid recommendations was associated with higher supplement uptake among women who planned their pregnancies (p=0.001 for linear trend). Folic acid information failed to adequately reach some socio-demographic subgroups before conception, even when pregnancy was planned, including: indigenous Maori, Pacific and Asian women, younger women, women with large families, and women with lower educational attainment and income. Only half of all women surveyed knew some bread contained added folic acid, and among these women, less than 2% consistently chose voluntarily fortified bread during the periconceptional period by inspecting labels. Sixty-one percent of women indicated they were either in favour of mandatory fortification, or held no opinion on the matter, while 4% were opposed to the addition of folic acid to bread. Approximately one-third (35%) of women agreed with voluntary fortification. Future health promotion initiatives should be tailored toward women who are younger, less educated, with lower income, multiparous or of minority ethnicity status. Nonetheless, mandatory folic acid fortification may be required to attain the desired degree of equity.

New Zealand Free Kindergartens: Free or Freely Forgotten?

ERIC Educational Resources Information Center

Duncan, Judith

2007-01-01

Since the 1980s in New Zealand, the kindergarten service, once called the "flagship" within early childhood education, has changed in reaction to the need for "diversity" and "responsiveness" to its communities and restructured government requirements. This paper draws on life-history interviews with a small group of…

"Because They Want to Teach You about Their Culture": Analyzing Effective Mentoring Conversations between Culturally Responsible Mentors and Secondary Science Teachers of Indigenous Students in Mainstream Schools

ERIC Educational Resources Information Center

Tolbert, Sara

2015-01-01

Te Kotahitanga is an educational reform project in Aotearoa/New Zealand demonstrated to have significantly impacted the participation, achievement, and retention of indigenous Maori students in secondary schools. In this paper, I share results from a study of culturally responsible mentoring at 4 different schools participating in the Te…

"Who Is Sylvia?" Reflections on Personality, Pedagogy, and Populism: A Review Essay.

ERIC Educational Resources Information Center

Rooke, Patricia T.

1990-01-01

Reviews "Sylvia? The Biography of Sylvia Ashton-Warner," by L. Hood. Uses a feminist approach to examine the life of the New Zealand teacher whose teaching methods with Maori children led to international acclaim and imitation. Discusses the dynamics between pedagogy and personality. Contains 40 references. (Author/SV)

Health care policy and community pharmacy: implications for the New Zealand primary health care sector.

PubMed

Scahill, Shane; Harrison, Jeff; Carswell, Peter; Shaw, John

2010-06-25

The aim of our paper is to expose the challenges primary health care reform is exerting on community pharmacy and other groups. Our paper is underpinned by the notion that a broad understanding of the issues facing pharmacy will help facilitate engagement by pharmacy and stakeholders in primary care. New models of remuneration are required to deliver policy expectations. Equally important is redefining the place of community pharmacy, outlining the roles that are mooted and contributions that can be made by community pharmacy. Consistent with international policy shifts, New Zealand primary health care policy outlines broad directives which community pharmacy must respond to. Policymakers are calling for greater integration and collaboration, a shift from product to patient-centred care; a greater population health focus and the provision of enhanced cognitive services. To successfully implement policy, community pharmacists must change the way they think and act. Community pharmacy must improve relationships with other primary care providers, District Health Boards (DHBs) and Primary Health Organisations (PHOs). There is a requirement for DHBs to realign funding models which increase integration and remove the requirement to sell products in pharmacy in order to deliver services. There needs to be a willingness for pharmacy to adopt a user pays policy. General practitioners (GPs) and practice nurses (PNs) need to be aware of the training and skills that pharmacists have, and to understand what pharmacists can offer that benefits their patients and ultimately general practice. There is also a need for GPs and PNs to realise the fiscal and professional challenges community pharmacy is facing in its attempt to improve pharmacy services and in working more collaboratively within primary care. Meanwhile, community pharmacists need to embrace new approaches to practice and drive a clearly defined agenda of renewal in order to meet the needs of health funders, patients

Effects of Health-Related Food Taxes and Subsidies on Mortality from Diet-Related Disease in New Zealand: An Econometric-Epidemiologic Modelling Study

PubMed Central

Ni Mhurchu, Cliona; Eyles, Helen; Genc, Murat; Scarborough, Peter; Rayner, Mike; Mizdrak, Anja; Nnoaham, Kelechi; Blakely, Tony

2015-01-01

Background Health-related food taxes and subsidies may promote healthier diets and reduce mortality. Our aim was to estimate the effects of health-related food taxes and subsidies on deaths prevented or postponed (DPP) in New Zealand. Methods A macrosimulation model based on household expenditure data, demand elasticities and population impact fractions for 18 diet-related diseases was used to estimate effects of five tax and subsidy regimens. We used price elasticity values for 24 major commonly consumed food groups in New Zealand, and food expenditure data from national Household Economic Surveys. Changes in mortality from cardiovascular disease, cancer, diabetes and other diet-related diseases were estimated. Findings A 20% subsidy on fruit and vegetables would result in 560 (95% uncertainty interval, 400 to 700) DPP each year (1.9% annual all-cause mortality). A 20% tax on major dietary sources of saturated fat would result in 1,500 (950 to 2,100) DPP (5.0%), and a 20% tax on major dietary sources of sodium would result in 2,000 (1300 to 2,700) DPP (6.8%). Combining taxes on saturated fat and sodium with a fruit and vegetable subsidy would result in 2,400 (1,800 to 3,000) DPP (8.1% mortality annually). A tax on major dietary sources of greenhouse gas emissions would generate 1,200 (750 to 1,700) DPP annually (4.0%). Effects were similar or greater for Maori and low-income households in relative terms. Conclusions Health-related food taxes and subsidies could improve diets and reduce mortality from diet-related disease in New Zealand. Our study adds to the growing evidence base suggesting food pricing policies should improve population health and reduce inequalities, but there is still much work to be done to improve estimation of health impacts. PMID:26154289

Whakapapa, genealogy and genetics.

PubMed

Evans, Donald

2012-05-01

This paper provides part of an analysis of the use of the Maori term whakapapa in a study designed to test the compatibility and commensurability of views of members of the indigenous culture of New Zealand with other views of genetic technologies extant in the country. It is concerned with the narrow sense of whakapapa as denoting biological ancestry, leaving the wider sense of whakapapa as denoting cultural identity for discussion elsewhere. The phenomenon of genetic curiosity is employed to facilitate this comparison. Four levels of curiosity are identified, in the Maori data, which penetrate more or less deeply into the psyche of individuals, affecting their health and wellbeing. These phenomena are compared with non-Maori experiences and considerable commonalities are discovered together with a point of marked difference. The results raise important questions for the ethical application of genetic technologies. © 2010 Blackwell Publishing Ltd.

"I Can Live With This" - Talking To Communities About Natural Hazard Risk: A Story From New Zealand

NASA Astrophysics Data System (ADS)

Saunders, W. S. A.; Kilvington, M.; Van Dissen, R. J.

2016-12-01

Talking to people about a risk they might face in the future as a result of decisions they make in the present is notoriously hard; even when the consequences are quite apparent. Talking to entire communities about the risks of natural hazard events can seem almost impossible. However, the world we live in is changing, and talking to communities about likely hazard events such as greater and more dramatic storm and flood events, sea level rise, or coastal erosion is something that local government agencies have to do more and more. Moreover, as well as communicating what is known about the science of natural hazards, local governments have to talk about the possible impacts and the risk. One of the most important questions local agencies and communities face is "what can we live with and what must we do something about?" In this presentation we share how one local government agency in New Zealand took on the challenge of talking to their community about planning for future land use that takes account of natural hazard risk. They used an innovative process that helped people understand complex risk concepts; reflect on both the consequences and likelihood of hazard events; and then consider the implications for themselves and their community. This process engaged the public imagination and produced a robust response that could be evaluated alongside technical input on risk thresholds and integrated into final (statutory and defendable) land use policy decisions.

The Polynesian and Educational Inequality in New Zealand.

ERIC Educational Resources Information Center

Spoonley, Paul

New Zealand shares with other Southeast Asian nations two sets of problems which stem from the presence of several distinct communities in one geographical/political area: the first relates to treatment of linguistic minorities, indigenous and immigrant; the second is that of social or regional dialects which, while not totally distinct from an…

The Hierarchy of Minority Languages in New Zealand

ERIC Educational Resources Information Center

de Bres, Julia

2015-01-01

This article makes a case for the existence of a minority language hierarchy in New Zealand. Based on an analysis of language ideologies expressed in recent policy documents and interviews with policymakers and representatives of minority language communities, it presents the arguments forwarded in support of the promotion of different types of…

An Indigenous Model of Career Satisfaction: Exploring the Role of Workplace Cultural Wellbeing

ERIC Educational Resources Information Center

Haar, Jarrod M.; Brougham, Dave M.

2013-01-01

Despite career satisfaction models being well established, little is understood about the career satisfaction of indigenous employees. Using a sample of 172 Maori employees, the indigenous people of New Zealand, we tested a career satisfaction model with a cultural wellbeing factor over and above established factors of human capital,…

Using a Realist Research Methodology in Policy Analysis

ERIC Educational Resources Information Center

Lourie, Megan; Rata, Elizabeth

2017-01-01

The article describes the usefulness of a realist methodology in linking sociological theory to empirically obtained data through the development of a methodological device. Three layers of analysis were integrated: 1. the findings from a case study about Maori language education in New Zealand; 2. the identification and analysis of contradictions…

Including People with Disabilities: An Indigenous Perspective

ERIC Educational Resources Information Center

Bevan-Brown, Jill

2013-01-01

Being victims of racial prejudice, religious intolerance, poverty, disempowerment and language loss it could be expected that indigenous people would be supportive of the Inclusion Movement with its philosophy of valuing and acceptance of all people. This supposition is examined for Maori, the indigenous people of Aotearoa/New Zealand. In…

Engaging Critically with "Objective" Critical Analysis: A Situated Response to Openshaw and Rata

ERIC Educational Resources Information Center

Andreotti, Vanessa

2009-01-01

Roger Openshaw and Elizabeth Rata conceptualise Kaupapa Maori as a dominant intellectual orthodoxy in New Zealand, which creates a "culturalist ideological conformity" that limits the university's ability to serve as the critical conscience of society. They argue for the primacy of academic objectivity as the criteria for what counts as…

Critical Action Research: The Achievement Group

ERIC Educational Resources Information Center

Carpenter, Vicki M.; Cooper, Chris

2009-01-01

Critical action research is contextualized in a low socioeconomic, multicultural urban school in Auckland, New Zealand. The writers are a university lecturer (mentor) and a school principal (critical action researcher). The research was part of a meta project which aimed to raise the achievement of Maori (indigenous) students. Research processes…

Setting the Record Straight: The Selection, Subordination and Silencing of Maata Patene, Teacher

ERIC Educational Resources Information Center

Stephenson, Maxine

2009-01-01

Maori women teachers in nineteenth-century New Zealand have been little acknowledged in educational histories, and indeed, in some instances their contributions have been explicitly nullified. Those who have taken leadership roles have been no more visible. This article examines the silencing and exclusion from educational history of a young Maori…

A New Zealand Scientific Perspective on 20+ Years of Efforts to Introduce Policies Setting Limits on Emissions: What's the Way Forward?

NASA Astrophysics Data System (ADS)

Baisden, T. W.

2013-12-01

political process, the mechanisms by which science is incorporated in decision-making are likely to require simplicity and accessibility to democratic processes. Science must support both simple rules and verification. It must also allow a shared way forward to be identified across a quorum of the many identities present in society, such that the science communication and projection of outcomes is widely acceptable. New Zealand's constitutional recognition of Maori people, and their indigenous right to participate in decision making has formed a perhaps surprising role in successes to date by ensuring the inclusion of Maori identities. Ultimately, the implementation of these points, through science and other pre-requisites, will be critical in restoring confidence to the process of dealing with climate change and the setting of other limits. A major challenge presented by failure so far to control emissions related to climate change is that we now need to prepare to incorporate not just climate mitigation, but also climate impacts and adaptation and other environmental limits within many singular decisions made by businesses and government.

Facilitating International Fieldwork: The Receptive Services of New Zealand's Geography Community

ERIC Educational Resources Information Center

Fuller, Ian C.

2015-01-01

This study aims to provide preliminary insight into facilitating international fieldwork in New Zealand by researchers and universities who support visiting university groups. Anonymous online surveys sought views of supporting researchers (15 respondents), and supported scholars (8 respondents). The extent to which international fieldwork is…

Imported malaria in Auckland, New Zealand.

PubMed

Camburn, Anna E; Ingram, R Joan H; Holland, David; Read, Kerry; Taylor, Susan

2012-11-09

To describe the current malaria situation in Auckland, New Zealand. We collected data on all cases of malaria diagnosed in Auckland from 1st October 2008 to 30th September 2009. Enhanced surveillance was arranged with all hospital and community haematology laboratories in the region. Laboratories notified us when a diagnosis of malaria was made. After obtaining informed consent the patient was asked about their travel, prophylaxis taken and symptoms. Laboratory results were collected. There were 36 cases of malaria in 34 patients. Consent could not be obtained from two patients so data is from 34 cases in 32 patients. (One patient had P.falciparum then later P.vivax, the other had P.vivax and relapsed.) There were 24 males and 8 females with a median age of 21 years (range 6 months to 75 years). Eleven of the 32 were New Zealand residents. 8 of these 11 had travelled to visit friends or relatives (VFR) while 3 were missionaries. In this group 6 had P.falciparum, 4 P.vivax and one had both. Twenty-one of the 32 were new arrivals to New Zealand: 11 refugees and 10 migrants. Malaria in Auckland is seen in new arrivals and VFR travellers, not in tourist travellers.

Association of environmental tobacco smoke exposure with socioeconomic status in a population of 7725 New Zealanders

PubMed Central

Whitlock, G.; MacMahon, S.; Vander, H; Davis, P.; Jackson, R.; Norton, R.

1998-01-01

OBJECTIVE—To test the hypothesis that environmental tobacco smoke (ETS) exposure is inversely associated with socioeconomic status.
DESIGN—Survey.
SETTING—General community, New Zealand.
PARTICIPANTS—7725 non-smoking adults (volunteer sample of a multi-industry workforce, n = 5564; and a random sample of urban electoral rolls, n = 2161), including 5408 males; mean age 45 years.
MAIN OUTCOME MEASURES—ETS exposure was assessed as self-reported number of hours per week spent near someone who is smoking, and as prevalence of regular exposure to some ETS. Socioeconomic status was assessed as educational level, occupational status, and median neighbourhood household income.
RESULTS—Both measures of ETS exposure were steeply and inversely associated with all three indicators of socioeconomic status (all p<0.0001). Geometric mean ETS exposure ranged from 16 minutes per week among university-educated participants to 59 minutes per week in the second lowest occupational quintile (95% confidence intervals: 14-18 minutes per week and 54-66 minutes per week). The associations with occupational status and educational level were steeper than those with neighbourhood income. The socioeconomic gradients of ETS exposure were steeper among participants aged less than 35 years than among participants aged over 50 years, among men than women, and among Maori than Europeans.
CONCLUSIONS—In this study population, ETS exposure was inversely associated with socioeconomic status. Greater ETS exposure might therefore contribute to the higher risks of disease and death among low socioeconomic groups. These results provide a further rationale for targeting tobacco control measures to people in low socioeconomic groups.


Keywords: environmental tobacco smoke; socioeconomic status; population survey PMID:9825423

Consumer access to clozapine in Australia: how does this compare to New Zealand and the United Kingdom?

PubMed

Knowles, Sally-Anne; Mcmillan, Sara S; Wheeler, Amanda J

2016-01-01

Clozapine is an antipsychotic medication used in treatment resistant schizophrenia. However, clozapine is associated with a significant adverse effect profile and extensive monitoring is required to optimise consumer safety. Traditionally, clozapine can only be prescribed by a psychiatrist and dispensed at a hospital or hospital affiliated pharmacy in Australia. These restrictions could result in significant treatment burden for consumers taking clozapine. To identify (1) the different models of supply that exist for people living in the community taking clozapine in Australia and compare to those in New Zealand and the United Kingdom, and (2) explore how these supply models may impact on consumer burden from the perspective of professionals involved in the supply of clozapine. Key informants were interviewed (n=8) from Australia, New Zealand and the United Kingdom regarding how consumers, who lived in the community, accessed clozapine. Data were analysed and led to the development of four clozapine supply models. These four models were further validated by an online survey of a wider sample (n=30). Data were analysed thematically and via simple descriptive statistics. Clozapine supply varied depending on location. A secondary care model was utilised in the United Kingdom compared to a community based (primary care) model in New Zealand; Australia utilised a mixture of both secondary and primary care. A key theme from all study participants was that community pharmacy should be utilised to dispense clozapine to consumers living in the community, provided adequate training and safeguards are in place. It was noted that the utilisation of community pharmacies could improve access and flexibility, thereby reducing treatment burden for these consumers. There are predominately two models for supply of clozapine to consumers living in the community in Australia, New Zealand and the United Kingdom. One model utilises secondary care facilities and the other community

Great-Grandfather, Please Teach Me My Language!

ERIC Educational Resources Information Center

Ka'ai, Tania M.

2017-01-01

Inspired by Joshua Fishman's lifetime dedication to the revitalisation of minority languages, especially Yiddish, this paper presents my personal story of the loss of the Maori language in my family in New Zealand/Aotearoa and our attempts to reverse this decline over several generations. The paper includes a description of several policy reforms…

Support Needs of Families Living with Children with Autism Spectrum Disorder

ERIC Educational Resources Information Center

Searing, Billie Margaret Jean; Graham, Fiona; Grainger, Rebecca

2015-01-01

This study examined the perceived availability and helpfulness of supports used by caregivers of children with Autism Spectrum Disorder in New Zealand, particularly for caregivers who are Maori, and who live rurally. Caregivers (N = 92) completed the Family Support Scale with comparisons analysed using t tests. Free text comments were invited and…

The Role of Cultural Capital in Creating Equity for Pasifika Learners in Mathematics

ERIC Educational Resources Information Center

Bills, Trevor; Hunter, Roberta

2015-01-01

Despite the Ministry of Education Statement of Intent 2014-2018 that the performance of the education system for priority students--Maori, Pasifika, students with special education needs and students from low socio-economic areas needs to improve rapidly these groups remain a concern in the New Zealand Education System. This article explores what…

Toi Te Kupu, Toi Te Mana, Toi Te Whenua: Culturally Appropriate Early Childhood Education.

ERIC Educational Resources Information Center

Holmes, Tony

This paper discusses the issues of power, self-determination, and culturally appropriate learning as they relate to Australian Aboriginal, Native American, and Maori early childhood programs. It is asserted that many programs for the education of indigenous peoples in Australia, the United States, and New Zealand have failed to serve the needs and…

Sea Songs: Readers Theatre from the South Pacific

ERIC Educational Resources Information Center

Barnes, James

2004-01-01

Allow students to experience the richness of Polynesian culture as well as the challenge of dramatic reading with this Readers Theatre resource. During his years of living and teaching in Oamaru, New Zealand, James Barnes became intimately involved in the Maori culture. Through extensive research of the mythology of Polynesia, Barnes succeeded in…

Sharing prescription medicines: results of a survey of community pharmacy clients in Auckland, New Zealand.

PubMed

Gascoyne, Alexandra; Beyene, Kebede; Stewart, Joanna; Aspden, Trudi; Sheridan, Janie

2014-12-01

The practice of medication sharing, the lending (giving) or borrowing (taking) of prescription medicines, has been reported increasingly in the literature. This study aimed to investigate prescription medication sharing practices among adults in Auckland, New Zealand. Community pharmacies in Auckland. A cross-sectional survey was conducted in ten community pharmacies in Auckland during March, 2012. Clients were invited to complete an anonymous questionnaire to assess their medication sharing practices. Proportion of respondents reporting lending or borrowing; information provided or received. Of all participants (N = 642), 25.5% reported borrowing, and 24.1% reported lending prescribed medicines in the past year. Furthermore, 14.8% of participants reported ever giving a child's prescribed medicine to another child in their care, and 49.8% reported having leftover prescription medicines at home. Of those who borrowed medicines (n = 164), 56.1% received written medication instructions from the lender, and of the lenders (n = 155), 47.1% provided verbal instructions with the lent medicines. The sharing of prescription medicines in Auckland appears to be similar to that reported in other developed countries, and it is now clear that information provision while sharing does not always occur. Approaches to reduce harm resulting from sharing medicines should be explored.

Diabetes self-management education in South Auckland, New Zealand, 2007-2008.

PubMed

Silva, Martha; Clinton, Janet; Appleton, Sarah; Flanagan, Pat

2011-03-01

Self-management education programs seek to help patients realize that they are their own principal caregivers and that health care professionals are consultants who support them in this role. The aim of this study was to evaluate a diabetes self-management education program implemented as part of a district-wide approach in South Auckland, New Zealand, which has some of the highest prevalence rates for diabetes and is one of the most ethnically diverse and deprived regions of New Zealand. Self-management attitudes and behaviors were monitored with the use of questionnaires before and after program implementation. Clinical outcomes such as hemoglobin A1c, body mass index, and blood pressure were also tracked before the program began and 3 months after the program ended. Participant focus groups and facilitator interviews were conducted to explore perceptions of the program. Participants showed improvement in attitudes toward their own ability to manage their diabetes; in diet, physical activity, and foot care; and in hemoglobin A1c levels 3 months after the end of participation. Participants also reduced their sense of isolation when dealing with their diabetes. However, catering to the needs of a multiethnic community is extremely resource-intensive because of the need to provide adequate language and cultural interpretation. Self-management education can work in multiethnic, high-needs communities in New Zealand. Programs must ensure they enable the appropriate mechanisms and have appropriate resources to support the community's needs.

Development in New Zealand. Development Education Paper No. 19.

ERIC Educational Resources Information Center

Scott, Bob

Although recognized as being out-of-date, two characteristics of New Zealand's outlook on the world (a monocultural attitude and isolationism), have played a significant part in forming community opinions and attitudes on national and international development questions. Attitudes toward Third World countries are narrowed by lack of information,…

Learning How to Represent Mathematics on Paper

ERIC Educational Resources Information Center

Meaney, Tamsin; Trinick, Tony; Fairhall, Uenuku

2009-01-01

These authors have been working with a school in New Zealand that teaches mathematics, in the Maori language. In the last two years, the focus has been on improving the quantity and the quality of writing in mathematics. For the authors, "writing" meant using words, diagrams, symbols and graphs, either individually or in combination.…

Evaluating Special Education Services for Learners from Ethnically Diverse Groups: Getting It Right.

ERIC Educational Resources Information Center

Bevan-Brown, Jill

2001-01-01

This article discusses the need for the right person to ask the right questions of the right people in the right place and time to evaluate special education services for ethnically diverse groups. These requirements are discussed in the context of research evaluating services for Maori children in New Zealand. (Contains references.) (Author/CR)

"I Treat All Students as Equal": Further and Higher Education Teachers' Responses to Diversity

ERIC Educational Resources Information Center

Leach, Linda

2011-01-01

Diversity, understood in a multiplicity of ways, has been a focus of attention in education in recent years. As in many other countries, recent post-school education policies in Aotearoa/New Zealand have emphasised previously under-represented ethnic groups, such as Maori and Pasifika. The intention has been to widen participation in further and…

Community exposure to hazardous site remediation in rural New Zealand: an exposed-referent study of serum dioxins and health effects.

PubMed

McBride, David; Lovelock, Kirsten; Shepherd, Daniel; Dirks, Kim; Welch, David; Gray, Andrew

2016-10-01

The New Zealand Ministry of Health responded to community concern about dioxin exposure during on-site remediation of a pesticide-contaminated rural area by commissioning this exposed-referent study of serum dioxins and health in local residents. All 200 residents were eligible, with age and sex matching to demographically comparable referents. Face-to-face interviews included questions on health status, health-related quality of life (HRQOL) and perceptions about community consultation. Thirty serum samples were obtained, eligibility being based on likelihood of exposure and age. Both HRQOL and serum outcomes were analysed by the appropriate regression methods. Of 200 eligible residents, 139 (69.5%) participated, with 139 matched referents. Mapua residents had lower physical and psychological HRQOL scores, but no difference in health status. 2,3,7,8 TCDD was below the limit of detection in the majority of all serum samples, with some congeners being higher in referents. Perceptions of the communication process were equivocal. Both dioxin levels and measures of health did not differ significantly between the exposed community and controls. Implications for public health: The results suggest neither significant dioxin exposure nor community health effects. Oversight by expert panel with health expertise, allied to sound communication, may have helped the community understand the risks. © 2016 Public Health Association of Australia.

"I Learned Quite a Lot of the Maths Stuff Now That I Think of It": Maori Medium Students Reflecting on Their Initial Teacher Education

ERIC Educational Resources Information Center

Hawera, Ngarewa; Taylor, Merilyn

2017-01-01

Research involving preservice or initial teacher education (ITE) indicates that mathematics education is a vital component of study. Little is known however, of indigenous student views of their compulsory mathematics education courses for a teaching degree. This research contributes to that knowledge space as it explores Maori medium ITE…

Sleep Habits, Insomnia, and Daytime Sleepiness in a Large and Healthy Community-Based Sample of New Zealanders

PubMed Central

Wilsmore, Bradley R.; Grunstein, Ronald R.; Fransen, Marlene; Woodward, Mark; Norton, Robyn; Ameratunga, Shanthi

2013-01-01

Study Objectives: To determine the relationship between sleep complaints, primary insomnia, excessive daytime sleepiness, and lifestyle factors in a large community-based sample. Design: Cross-sectional study. Setting: Blood donor sites in New Zealand. Patients or Participants: 22,389 individuals aged 16-84 years volunteering to donate blood. Interventions: N/A. Measurements: A comprehensive self-administered questionnaire including personal demographics and validated questions assessing sleep disorders (snoring, apnea), sleep complaints (sleep quantity, sleep dissatisfaction), insomnia symptoms, excessive daytime sleepiness, mood, and lifestyle factors such as work patterns, smoking, alcohol, and illicit substance use. Additionally, direct measurements of height and weight were obtained. Results: One in three participants report < 7-8 h sleep, 5 or more nights per week, and 60% would like more sleep. Almost half the participants (45%) report suffering the symptoms of insomnia at least once per week, with one in 5 meeting more stringent criteria for primary insomnia. Excessive daytime sleepiness (evident in 9% of this large, predominantly healthy sample) was associated with insomnia (odds ratio [OR] 1.75, 95% confidence interval [CI] 1.50 to 2.05), depression (OR 2.01, CI 1.74 to 2.32), and sleep disordered breathing (OR 1.92, CI 1.59 to 2.32). Long work hours, alcohol dependence, and rotating work shifts also increase the risk of daytime sleepiness. Conclusions: Even in this relatively young, healthy, non-clinical sample, sleep complaints and primary insomnia with subsequent excess daytime sleepiness were common. There were clear associations between many personal and lifestyle factors—such as depression, long work hours, alcohol dependence, and rotating shift work—and sleep problems or excessive daytime sleepiness. Citation: Wilsmore BR; Grunstein RR; Fransen M; Woodward M; Norton R; Ameratunga S. Sleep habits, insomnia, and daytime sleepiness in a large and

An exploratory study of parental knowledge of early childhood oral health care in Southland, New Zealand.

PubMed

Chia, Leonard; Densie, Ian; Morgan, Christian

2015-03-01

The primary objective was to clearly assess the oral health care knowledge of Southland parents. The secondary objective was to identify whether inequalities exist between parents with different ethnicity, education or income. An exploratory study based on a simple online/ paper questionnaire. Participants were recruited through Southland early childcare centres. Researchers contacted 115 centres, 66 agreed to participate and 58 returned questionnaires. Questionnaires were distributed to each centre to be completed by the parents. The questionnaire was able to be completed online or as a paper copy. Centres were supplied with dental brochures, which were distributed after the questionnaires were returned. Questionnaires were collated and the responses analysed. Six hundred and seventy questionnaires were returned, 213 online and 457 paper copies. The typical participant was a mother (93.9%), age 34 years (median), a non-smoker (86.3%), non-Maori (87.1%), with a university degree (33.9%) and an annual household income between $60,001 and $100,000 (36.5%). Twenty of the 47 questions were selected to reflect parental knowledge. Overall, 65.1% of the respondents answered all 20 questions correctly. Differences in knowledge were identified between mothers and other participants (65.4% vs. 59.4%), smokers and non-smokers (61.3% vs. 65.7%), Maori and non-Maori (61.6% vs. 65.6%) and education level (Primary 58.0% vs. Degree 68.7%) (P < 0.05). This study revealed differences in knowledge in early childhood oral health care. Participants who identified as non-mothers (fathers, step-fathers, legal care givers or other), smokers, Maori or low education displayed significantly less knowledge. Further education and oral health care promotion may be needed to improve this disparity.

Natural Hazard Preparedness in an Auckland Community: Child and Community Perceptions

ERIC Educational Resources Information Center

Bolton, Patricia; Dirks, Kim; Neuwelt, Pat

2014-01-01

Community engagement in natural hazard preparedness is crucial to ensure sustainable initiatives. Children are important members of communities, and can actively contribute to community preparedness. This article presents research undertaken with 11- to 12-year-old students from a school in Auckland, New Zealand, and leaders associated with the…

Mobilising culture against domestic violence in migrant and ethnic communities: practitioner perspectives from Aotearoa/New Zealand.

PubMed

Simon-Kumar, Rachel; Kurian, Priya A; Young-Silcock, Faith; Narasimhan, Nirmala

2017-07-01

Studies on domestic violence in ethnic minority communities highlight that social norms, family structures and cultural practices are among the key triggers of violence against women. Not surprisingly, most anti-violence interventions in these communities aim to redeem women from the oppressive features of these cultures. More recently, however, emergent scholarship advocates mobilising, rather than erasing, culture within existing anti-violence strategies. This paper explores the nature of culturally informed interventions used by front-line workers. It presents the findings of a small-scale qualitative study in Aotearoa/New Zealand, where around 13% of the population are currently deemed to be from minority ethnic communities. Interviews and one focus group were conducted with nine practitioners - including social workers, counsellors and the police - in Hamilton, Aotearoa in 2013-2014. Based on thematic analysis, the paper identifies two core strands: (a) the distinctive profile of ethnic violence and (b) the strategies that mobilise culture in anti-violence interventions. Specifically within the former strand, it was found that violence in the ethnic community was distinctive for the following reasons: the heightened sense of stigma surrounding disclosure and the consequent silence by women who suffer from it; the lack of trust in authority; and the fear of conventional safety plans necessitating longer time periods for rapport-building. Among the strategies that mobilise culture, the study found that practitioners used a family approach; engaged men in their interventions, at times reinforcing gendered roles; utilised micro-interventions; and deployed cultural tropes, especially around spirituality, as a strategy. The conclusion points to the gap between interventions that challenge and mobilise cultures. While anecdotally, the latter are perceived to be relevant and effective in anti-violence interventions, there is need for a fuller assessment and better

Community water fluoridation: attitudes and opinions from the New Zealand Oral Health Survey.

PubMed

Whyman, Robin A; Mahoney, Erin K; Børsting, Torunn

2016-04-01

To report the responses of adult participants in the 2009 New Zealand Oral Health Survey (NZOHS) to questions about community water fluoridation (CWF). The study used quantitative data from the NZOHS. All adult participants aged 18 years and over in the nationally representative NZOHS sample were included in the study (n=3475). Univariate analysis and multinominal logistic regression models were used to examine the associations between variables. Overall, 57.7% of respondents thought that there were dental benefits to adding fluoride to drinking water and 31.7% responded that they did not know. More than 45% of respondents did not know whether there were health risks from adding fluoride to drinking water. Overall, 42.0% of respondents were strongly or somewhat in favour of CWF. People in the Māori, Pacific and Asian ethnic groups, from the two most deprived quintiles, with no education after high school and who brushed their teeth less than twice a day expressed significantly greater uncertainty about CWF than other population groups. This study suggests further research is required to gain a greater understanding of health literacy about CWF and the cultural appropriateness of CWF in NZ. © 2015 Public Health Association of Australia.

Interview with Eddie Reisch

ERIC Educational Resources Information Center

Owen, Hazel

2013-01-01

Eddie Reisch is currently working as a policy advisor for Te Reo Maori Operational Policy within the Student Achievement group with the Ministry of Education in New Zealand, where he has implemented and led a range of e-learning initiatives and developments, particularly the Virtual Learning Network (VLN). He is regarded as one of the leading…

Putting Sylvia in Her Place: History, Geographical Theory and the "New" Education

ERIC Educational Resources Information Center

Middleton, Sue

2012-01-01

New Zealander Sylvia Ashton-Warner, a teacher in remote rural Maori schools in the 1940s-1950s, became internationally renowned as a novelist and educational theorist. Earlier commentators portrayed her educational theory as in conflict with those of her time and place, but recent studies conceptualise them as enabled by it. While space/place has…

The Mathematics Enhancement Project: A Theoretical Approach to Research and Development.

ERIC Educational Resources Information Center

Barton, Bill; Autagavaia, Jessie; Poleki, Albert; Alangui, Wilfredo

This is a report of the establishment and first stage of a 5-year project working with senior secondary students in eight schools in a low socio-economic area in Auckland, New Zealand. The students are predominantly from Maori, Pacific Island or new immigrant families. The aim is to enhance the achievement and participation in mathematics of…

Soil properties impacting denitrifier community size, structure, and activity in New Zealand dairy-grazed pasture

NASA Astrophysics Data System (ADS)

Jha, Neha; Saggar, Surinder; Giltrap, Donna; Tillman, Russ; Deslippe, Julie

2017-09-01

Denitrification is an anaerobic respiration process that is the primary contributor of the nitrous oxide (N2O) produced from grassland soils. Our objective was to gain insight into the relationships between denitrifier community size, structure, and activity for a range of pasture soils. We collected 10 dairy pasture soils with contrasting soil textures, drainage classes, management strategies (effluent irrigation or non-irrigation), and geographic locations in New Zealand, and measured their physicochemical characteristics. We measured denitrifier abundance by quantitative polymerase chain reaction (qPCR) and assessed denitrifier diversity and community structure by terminal restriction fragment length polymorphism (T-RFLP) of the nitrite reductase (nirS, nirK) and N2O reductase (nosZ) genes. We quantified denitrifier enzyme activity (DEA) using an acetylene inhibition technique. We investigated whether varied soil conditions lead to different denitrifier communities in soils, and if so, whether they are associated with different denitrification activities and are likely to generate different N2O emissions. Differences in the physicochemical characteristics of the soils were driven mainly by soil mineralogy and the management practices of the farms. We found that nirS and nirK communities were strongly structured along gradients of soil water and phosphorus (P) contents. By contrast, the size and structure of the nosZ community was unrelated to any of the measured soil characteristics. In soils with high water content, the richnesses and abundances of nirS, nirK, and nosZ genes were all significantly positively correlated with DEA. Our data suggest that management strategies to limit N2O emissions through denitrification are likely to be most important for dairy farms on fertile or allophanic soils during wetter periods. Finally, our data suggest that new techniques that would selectively target nirS denitrifiers may be the most effective for limiting N2O

Moral Foundations Predict Religious Orientations in New Zealand

PubMed Central

Bulbulia, Joseph; Osborne, Danny; Sibley, Chris G.

2013-01-01

The interplay between religion, morality, and community-making is a core theme across human experience, yet scholars have only recently begun to quantify these links. Drawing on a sample of 1512 self-identified religious – mainly Christian (86.0%) – New Zealanders, we used structural equation modeling to test hypothesized associations between Religious Orientations (Quest, Intrinsic, Extrinsic Personal, Extrinsic Social) and Moral Foundations (Care/Harm, Fairness/Cheating, Loyalty/Betrayal, Authority/Subversion, Sanctity/Degradation). Our results show, for the first time in a comprehensive model, how different ways of valuing communities are associated with different ways of valuing religion. PMID:24339872

Relationship of different measures of socioeconomic status with cardiovascular disease risk factors and lifestyle in a New Zealand workforce survey.

PubMed

Metcalf, Patricia; Scragg, Robert; Davis, Peter

2007-01-26

To compare cardiovascular disease (CVD) risk factor levels of men and women in a local workforce with measures of socioeconomic (SES) status. Participants were from a cross-sectional health screening survey of a multiracial workforce carried out between May 1988 and April 1990. 5677 Maori, Pacific Island, and Other workers (comprising 4108 men and 1569 women) aged 40 to 78 years participated. SES measures included the New Zealand Socioeconomic Index (NZSEI), combined household income, and level of education. In general, all SES status measures showed higher mean body mass index levels and waist-to-hip ratios, higher odds of cigarette smoking, and lower stature in the lower SES strata compared to the highest SES stratum. Both income and education showed higher 5-year CVD risks and lower leisure time physical activity levels in the lower SES strata compared to the highest. The odds of raised blood pressure were highest in people with no tertiary education compared to those with a university education. Lower income groups had higher fasting and 2-hour glucose levels, higher urinary albumin excretion, and an almost 2-fold odds of diabetes mellitus compared to the highest income group. There was a trend to a more adverse pattern of CVD risk factor levels in the lower SES groups. The strongest associations were related to income and education rather than the NZSEI. Raised blood pressure was associated with education, and prevalence of diabetes mellitus with income. An increased living standard, more resources for primary health care, and health promotion targeting the community level should be beneficial. Effective strategies for reducing the risk level among deprived groups are needed to minimise the adverse social gradient in CVD risk factors.

The importance of proximity to death in modelling community medication expenditures for older people: evidence from New Zealand.

PubMed

Moore, Patrick V; Bennett, Kathleen; Normand, Charles

2014-12-01

Concerns about the long-term sustainability of health care expenditures (HCEs), particularly prescribing expenditures, has become an important policy issue in most developed countries. Previous studies suggest that proximity to death (PTD) has a significant effect on total HCEs, with its exclusion leading to an overestimation of likely growth. There are limited studies of pharmaceutical expenditures in which PTD is taken into account. This study presents an empirical analysis of public medication expenditure on older individuals in New Zealand (NZ). The aim of the study was to examine the individual effects of age and PTD using individual-level data. This study uses individual-level dispensing data from 2008/2009 covering the whole population of medication users aged 70 years or older and resident in NZ. A case-control methodology was used to examine individual cost and medication use for a 12-month period for decedents (cases) and survivors (controls). A random effects two-part model, with a Probit and generalized linear model (GLM) was used to explore the effect of age and PTD on expenditures. The impact of PTD on prescription expenditure is not as dramatic as studies reporting on acute and/or long-term care. The 12-month decedent-to-survivor mean expenditure ratio was 1.95; 2.09 for males and 1.82 for females. The additional cost of dying in terms of prescription drugs decreases with age, with those who die at 90 years of age or older consuming fewer drugs on average and having a lower mean expenditure than those who died in their 70s and 80s. The following variables were found to have a decreasing effect on the mean monthly prescription expenditures: a reduction of 2.2 % for each additional year of age, 4.2 % being in the Maori ethnic group, and 7.8 % for Pacific Islanders. Increases in monthly expenditure were associated with being a decedent 32.1-62.6 % (depending on month), being of Asian origin 16.2 %, or being a male 12.6 %. Given the variance reported

Dietary intakes by different markers of socioeconomic status: results of a New Zealand workforce survey.

PubMed

Metcalf, Patricia; Scragg, Robert; Davis, Peter

2006-08-18

To compare dietary nutrient and food group intakes of men and women in a work force with various measures of socioeconomic status. Daily nutrient intakes were calculated from a self-administered food frequency questionnaire from participants in a cross-sectional health screening survey of a multiracial workforce carried out between May 1988 and April 1990. Participants comprised 5517 Maori, Pacific Island and Other workers (3997 men, 1520 women) aged 40 to 78 years. Socioeconomic measures included the New Zealand Socioeconomic Index (NZSEI), gross household income and level of education. In general, there were trends across socioeconomic status levels with lower NZSEI occupational classes, lower family income, and non-tertiary education groups having lower intakes of dietary fibre, calcium, and alcohol and higher intakes of dietary cholesterol. These were reflected by their lower intakes of fruit, vegetables, milk, cheese and wine, and higher intakes of eggs. However, associations were not consistent across all measures of socioeconomic status. Dietary intakes showed a generally more adverse pattern in the lower socioeconomic strata. NZSEI and education were associated with food group selections, whereas nutrient intakes were associated with income. More money available for food could improve nutrition. Public health programmes to improve nutrition need to be targeted at these groups and be coupled with personal support and structural changes that make "healthy choices the easy choices".

Learner Agency: A Dynamic Element of the New Zealand Key Competencies

ERIC Educational Resources Information Center

Charteris, Jennifer

2013-01-01

Seven years ago The New Zealand Curriculum (NZC) was launched with its emphasis on key competencies as "the capabilities that young people need for growing, working, and participating in their communities" ("Ministry of Education," 2007, p. 38). This raises the question of what dispositions are required for students to…

Tawhiao's Unstated Heteroglossia: Conversations with Bakhtin

ERIC Educational Resources Information Center

Mika, Carl Te Hira; Tiakiwai, Sarah-Jane

2017-01-01

In the face of land confiscations and other forms of imperialism characteristic of the 19th century in Aotearoa/New Zealand, the second Maori King Tawhiao devised a number of sayings that seem at first glance to be entirely mythical. Highly metaphorical and poetic, they appear to refer, as Bakhtin would have it in his discussion of the epic, to a…

Public health strategies for Mäori.

PubMed

Durie, M

2000-06-01

When the New Zealand Department of Public Health was established in 1900, Maöri health status was compromised to the extent that survival itself was threatened. The remarkable turnaround was unexpected and owes much to pioneer Maöri professionals, especially the first Maöri medical practitioner, Dr. Maui Pomare, who graduated in the United States in 1899. As "Medical Officer to the Maöris," and later as Minister of Health, he made major changes through a five-part strategy: recognizing Maöri community leaders as leaders in health, improving access to societal goods and services (especially housing and education), appealing to cultural practices that were linked to good health, wise use of political power, and developing a skilled Maori health workforce to complement community leadership. Although mental health disorders and lifestyle illnesses have largely replaced infectious diseases, malnutrition, and tuberculosis, Pomare's strategy has continuing relevance and warrants serious consideration as a model for health promotion.

Risky drinking among community pharmacy customers in New Zealand and their attitudes towards pharmacist screening and brief interventions.

PubMed

Sheridan, Janie; Stewart, Joanna; Smart, Ros; McCormick, Ross

2012-01-01

To estimate the prevalence of risky drinking among customers in community pharmacies and to explore customer attitudes towards screening and brief intervention (SBI). Cross-sectional, anonymous survey, using random selection of community pharmacies in New Zealand to collect data using self-completion questionnaires and an opportunity to enter a prize draw. Participants were customers/patients attending the community pharmacy on a specific, randomly selected day (Monday to Friday) in one set week. Alcohol Use Disorder Identification Test (AUDIT)-C using a cut-off score of 5 was used to measure risky drinking. Attitudes towards pharmacists engaging in SBI for risky drinkers were measured. 2384 completed customer/patient questionnaires from 43 participating pharmacies. Almost 84% ever drank alcohol and using a score of 5 or more as a cut-off, 30% of the sample would be considered as risky drinkers. Attitudes were generally positive to pharmacists undertaking SBI. Logistic regression with AUDIT-C positive or negative as the dependent variable found those taking medicines for mental health and liver disease being more likely to score negative on the AUDIT-C, and smokers and those purchasing hangover cures were more likely than average to have a positive AUDIT-C screen. This study indicates there is scope for community pharmacists to undertake SBI for risky drinking, and that customers find this to be acceptable. Targeted screening may well be useful, in particular for smokers. Further research is required to explore the effectiveness of SBI for risky drinkers in this setting. © 2011 Australasian Professional Society on Alcohol and other Drugs.

Fifty Years of Learning by Older Adults in Aotearoa New Zealand

ERIC Educational Resources Information Center

Tobias, Robert

2017-01-01

This paper reflects on the history of adult and community education (ACE) in Aotearoa New Zealand with special reference to older people's learning. The paper adopts a critical framework and draws on both primary and secondary sources. Key economic, political, social, demographic and cultural forces are discussed along with the huge growth in…

Going Up? Perceived Career Progress of Female General Staff across New Zealand Universities

ERIC Educational Resources Information Center

Ricketts, Kate; Pringle, Judith K.

2014-01-01

This exploratory study of female general staff across New Zealand universities examined career motivation, subjective discrimination and home and occupational salience. Career development and aspirations and multiple home and community commitments were examined through a self-administered online questionnaire. Skill recognition, a good…

Healthy dietary habits score as an indicator of diet quality in New Zealand adolescents.

PubMed

Wong, Jyh Eiin; Skidmore, Paula M L; Williams, Sheila M; Parnell, Winsome R

2014-06-01

Adoption of optimal dietary habits during adolescence is associated with better health outcomes later in life. However, the associations between a pattern of healthy dietary habits encapsulated in an index and sociodemographic and nutrient intake have not been examined among adolescents. This study aimed to develop a behavior-based diet index and examine its validity in relation to sociodemographic factors, nutrient intakes, and biomarkers in a representative sample of New Zealand (NZ) adolescents aged 15-18 y (n = 694). A 17-item Healthy Dietary Habits Score for Adolescents (HDHS-A) was developed based on dietary habits information from the 2008/2009 NZ Adult Nutrition Survey. Post hoc trend analyses were used to identify the associations between HDHS-A score and nutrient intakes estimated by single 24-h diet recalls and selected nutritional biomarkers. Being female, not of Maori or Pacific ethnicity, and living in the least-deprived socioeconomic quintile were associated with a higher HDHS-A score (all P < 0.001). HDHS-A tertile was associated positively with intake of protein, dietary fiber, polyunsaturated fatty acid, and lactose and negatively with sucrose. Associations in the expected directions were also found with most micronutrients (P < 0.05), urinary sodium (P < 0.001), whole blood (P < 0.05), serum (P < 0.01), and RBC folate (P < 0.05) concentrations. This suggests that the HDHS-A is a valid indicator of diet quality among NZ adolescents. © 2014 American Society for Nutrition.

Four Considerations Regarding the Viability of Small Rural Schools in New Zealand.

ERIC Educational Resources Information Center

Stevens, Ken

1993-01-01

Reviews a New Zealand report titled, "Report of the Economic and Educational Viability of Small Schools Review." Discusses the four aspects of small schools considered in the report: (1) educational viability; (2) economic viability; (3) relationships of small schools with their communities; and (4) conflict between availability and…

Impact of the "Like Minds, Like Mine" anti-stigma and discrimination campaign in New Zealand on anticipated and experienced discrimination.

PubMed

Thornicroft, Calum; Wyllie, Allan; Thornicroft, Graham; Mehta, Nisha

2014-04-01

The "Like Minds, Like Mine" anti-stigma and discrimination programme has been running in New Zealand since 1997. We aimed to investigate the nature and degree of anticipated and experienced discrimination reported by people with mental illness, and their views on whether the campaign was contributing to reductions in stigma and discrimination. Questionnaires were sent to randomly selected people who were representative of those who had recently used mental health services in New Zealand. The measure used was the modified Discrimination and Stigma Scale (DISC-12), adding questions on the effect of "Like Minds, Like Mine", and also assessing overall changes in discrimination in the previous 5 years. A total of 1135 participants completed the questionnaire. This included 225 Ma-ori, 196 Pacific, and 152 Asian persons. Over half of all participants reported improvement in discrimination over the previous 5 years, and 48% thought that the "Like Minds Like Mine" programme had assisted in reducing discrimination "moderately" or "a lot". Nevertheless, a clear majority (89%) reported experiencing at least "a little" unfair treatment in the previous 12 months due to their mental health problems. The primary source of both positive and negative discrimination was the family. Many (57%) participants had concealed or hidden their mental health problems from others, and 33% had stopped themselves from applying for work because they anticipated discrimination. Family, friendship, and social life were the most common areas of discrimination reported by the participants; however, many believed the overall level of discrimination had reduced over the previous 5 years. Overall, these results characterize the nature of stigma and discrimination anticipated and experienced by people with mental health problems and indicate modest but clear and positive recent progress in their reduction.

Safe sleep practices in a New Zealand community and development of a Sudden Unexpected Death in Infancy (SUDI) risk assessment instrument.

PubMed

Galland, Barbara C; Gray, Andrew; Sayers, Rachel M; Heath, Anne-Louise M; Lawrence, Julie; Taylor, Rachael; Taylor, Barry J

2014-10-13

Interventions to prevent sudden unexpected death in infancy (SUDI) have generally been population wide interventions instituted after case-control studies identified specific childcare practices associated with sudden death. While successful overall, in New Zealand (NZ), the rates are still relatively high by international comparison. This study aims to describe childcare practices related to SUDI prevention messages in a New Zealand community, and to develop and explore the utility of a risk assessment instrument based on international guidelines and evidence. Prospective longitudinal study of 209 infants recruited antenatally. Participant characteristics and infant care data were collected by questionnaire at: baseline (third trimester), and monthly from infant age 3 weeks through 23 weeks. Published meta-analyses data were used to estimate individual risk ratios for 6 important SUDI risk factors which, when combined, yielded a "SUDI risk score". Most infants were at low risk for SUDI with 72% at the lowest or slightly elevated risk (combined risk ratio ≤1.5). There was a high prevalence of the safe practices: supine sleeping (86-89% over 3-19 weeks), mother not smoking (90-92% over 3-19 weeks), and not bed sharing at a young age (87% at 3 weeks). Five independent predictors of a high SUDI risk score were: higher parity (P =0.028), younger age (P =0.030), not working or caring for other children antenatally (P =0.031), higher depression scores antenatally (P =0.036), and lower education (P =0.042). Groups within the community identified as priorities for education about safe sleep practices beyond standard care are mothers who are young, have high parity, low educational levels, and have symptoms of depression antenatally. These findings emphasize the importance of addressing maternal depression as a modifiable risk factor in pregnancy.

Developing an indigenous surgical workforce for Australasia.

PubMed

Aramoana, Jaclyn; Alley, Patrick; Koea, Jonathan B

2013-12-01

Progress has been made in Australia and New Zealand to increase the numbers of indigenous students (Aboriginal, Torres Strait Islander and Maori) entering primary medical qualification courses. In New Zealand, up to 20 Maori are graduating annually, with similar numbers possible in Australia, creating a potential opportunity to develop an indigenous surgical workforce. A literature review identified factors utilized by medical schools to attract indigenous students into medical careers and the interventions necessary to ensure successful graduation. A further search identified those factors important in encouraging indigenous medical graduates to enter specialist training programmes and achieve faculty appointments. All medical schools have utilized elements of a 'pipeline approach' encompassing contact with students at secondary school level to encourage aspirational goals and assist with suitable subject selection. Bridging courses can ensure students leaving school have appropriate skill sets before entering medical degree courses. Extensive practical help is available during primary medical qualification study. The elements necessary for primary medical qualification success - dedicated and focused study, developing appropriate skill sets, mentoring, support, and an institutional and collegial commitment to success - are also the elements required for postgraduate achievement. The Royal Australasian College of Surgeons (RACS) is primarily involved in training rather than service provision. The increasing numbers of indigenous medical graduates in both Australia and New Zealand represent an opportunity for the College to contribute to improving indigenous health status by implementing specific measures to increase numbers of indigenous surgeons. © 2013 Royal Australasian College of Surgeons.

[Polymorphisms of the multiple drug resistance gene (MDR1) in Mapuche, Mestizo and Maori populations in Chile].

PubMed

Wielandt, Ana María; Vollrath, Valeska; Chianale, José

2004-09-01

There are significant differences in drug responses among different ethnic groups. The multidrug transporter P-gp, encoded by the MDR1 gene, plays a key role in determining drug bioavailability, and an association between a polymorphism in exon 26 (C3435T) and lower P-gp expression has been found. The co-segregation of this polymorphism with the polymorphism in exon 12 (C1236T) and in exon 21 (G2677T/A) determines several MDR1 haplotypes in humans. To characterize the polymorphisms of exons 26, 21 and 12 of the MDR1 gene in different Chilean populations. Using a polymerase chain reaction and restriction fragment length polymorphism technique, we studied the allelic frequencies and the distribution of MDR1 haplotypes in 3 Chilean populations: Mestizo (n=104), Mapuche (n=96, living in the National Reservation of the Huapi Island, Ranico Lake) and Maori (n=52, living in Eastern Island). The frequency of the normal MDR1*1 haplotype, without mutations, was lower in Mapuches than in Mestizos or Maoris (p<0.005) but similar to that reported in Asian population (p=0.739), probably due to the Asian origin of the Amerindian populations. In addition, the MDR1*l haplotype fequency hin Mestizos was similar to the frequency reported in Caucasians (p=0.49), in agreement with the origin of our population, with a strong influence of Caucasian genes from the Spanish conquerors. The MDR1*2 haplotype distribution, with the three polymoyphisms and probably lower multidrug transporter expression, was similar in the three Chilean populations studied (p>0.0.5), but lower than the frequencies reported in Caucasians or Asians (p<0.05). We found significant differences in the frequencies of genetic polymorphisms of the MDR1 gene in Chilean populations, related to the ethnic origins of our ancestors.

Brain abscess in the computed tomography era: A 10-year experience from Auckland, New Zealand

PubMed Central

Holland, DJ; Cooper, B; Garner, J; Ellis-Pegler, R; Mee, E

1993-01-01

Notes were reviewed for 68 patients with brain abscess diagnosed at Auckland Hospital, Auckland, New Zealand between 1978 and 1988. Mean age was 30 years (range one week to 74 years). There were 48 men and 40% were Maori or Pacific Island Polynesians. Seventy-two per cent of patients had headache, 54% had fever and 72% had lateralizing neurological signs. Thirty-one per cent of abscesses were associated with contiguous infection (otic, sinus, dental). Forty-four per cent were in the frontal lobe. Two abscesses were sterile; 197 bacterial isolates were cultured from the remainder. Fifty-four per cent contained obligate anaerobes, which were the only isolates in 22%. Streptococcus anginosus was the single most common isolate present in 22% of the abscesses. Amoxycillin plus metronidazole provided cover for approximately 95% of the total isolates on the basis of sensitivity testing. Treatment was with surgery and antibiotics in all but three patients, who were cured with antibiotics alone. Sixty per cent had a definitive regimen of penicillin (or ampicillin/amoxycillin) and/or metronidazole, always intravenous initially but subsequently often orally. Median duration of antibiotic treatment was 57 days (range 28 to 206). Seventy-five per cent had initial aspiration, 9% open drainage and 7% were excised initially. Seventy-one per cent had a good functional outcome. Mortality was 8.8%. Factors associated with a poor outcome were trauma as a cause, and delays after admission of more than seven days to diagnosis and/or operation. PMID:22346451

YouthAccess to Alcohol: early findings from a community action project to reduce the supply of alcohol to teens.

PubMed

Clark, Sam

2007-01-01

The Youth Access to Alcohol (YATA) project was implemented in 2002 by the Alcohol Advisory Council of New Zealand (ALAC) in thirty communities in New Zealand, with the aim of reducing the harm experienced by young people as a result of alcohol misuse in New Zealand through reducing the supply of alcohol by adults to young people. The communities include a mix of rural and urban from both Islands in New Zealand. The project uses a community action approach, which has included setting up collaborative partnerships of key agencies, the delivery of key strategies, and multimedia awareness raising campaigns. The communities are encouraged to identify unique issues in their community regarding alcohol abuse and young people and to develop action plans incorporating a range of strategies that include tested strategies as well as innovative ideas. Communities are trained to implement several tools to monitor changes in their community over time. The study's limitations are noted and future needed research is suggested.

Welcoming a monster to the world: Myths, oral tradition, and modern societal response to volcanic disasters

NASA Astrophysics Data System (ADS)

Cashman, Katharine V.; Cronin, Shane J.

2008-10-01

Volcanic eruptions can overwhelm all senses of observers in their violence, spectacle and sheer incredibility. When an eruption is catastrophic or unexpected, neither individuals nor communities can easily assimilate the event into their world view. Psychological studies of disaster aftermaths have shown that trauma can shake the very foundations of a person's faith and trigger a search - supernatural, religious, or scientific - for answers. For this reason, the ability to rapidly comprehend a traumatic event by "accepting" the catastrophe as part the observer's world represents an important component of community resilience to natural hazards. A relationship with the event may be constructed by adapting existing cosmological, ancestral, or scientific frameworks, as well as through creative and artistic expression. In non-literate societies, communal perceptions of an event may be transformed into stories that offer myth-like explanations. As these stories make their way into oral traditions, they often undergo major changes to allow transmission through generations and, in some cases, to serve political or religious purposes. Disaster responses in literate societies are no different, except that they are more easily recorded and therefore are less prone to change over time. Here we explore ways in which the language, imagery and metaphor used to describe volcanic events may link disparate societies (both present and past) in their search for understanding of volcanic catastrophes. Responses to modern eruptions (1980 Mount St Helens, USA, and 1995-present Soufriere Hills, Montserrat) provide a baseline for examining the progression to older historic events that have already developed oral traditions (1886 Tarawera, New Zealand) and finally to oral traditions many hundreds of years old in both the Pacific Northwest US and New Zealand (NZ). We see that repeated volcanism over many generations produces rich webs of cosmology and history surrounding volcanoes. NZ Maori

Primary and Secondary Virtual Learning in New Zealand: Examining Barriers to Achieving Maturity

ERIC Educational Resources Information Center

Barbour, Michael; Davis, Niki; Wenmoth, Derek

2016-01-01

This paper describes the organisational development of virtual learning in networked rural schools in New Zealand, specifically the obstacles that e-learning clusters of rural schools face in their journey to sustainability and maturity through the lens of the Ministry's Learning Communities Online Handbook. Analysis of a nationwide purposeful…

Incidence, trends and demographics of Staphylococcus aureus infections in Auckland, New Zealand, 2001-2011.

PubMed

Williamson, Deborah A; Lim, Alwin; Thomas, Mark G; Baker, Michael G; Roberts, Sally A; Fraser, John D; Ritchie, Stephen R

2013-12-03

New Zealand has a higher incidence of Staphylococcus aureus disease than other developed countries, with significant sociodemographic variation in incidence rates. In contrast to North America, the majority of disease is due to methicillin-susceptible S. aureus (MSSA), although relatively little is known about the comparative demographics of MSSA and methicillin-resistant S. aureus (MRSA) infections in New Zealand. Our objectives were to describe the trends, incidence and patient demographics of all S. aureus infections in patients presenting to our institution between 2001 and 2011, and compare the epidemiology of MSSA and MRSA infections. We identified all patients with S. aureus infections over the study period. A unique S. aureus infection was defined as the first positive S. aureus culture taken from the same patient within a thirty-day period. Standard definitions were used to classify episodes into community- or healthcare-associated S. aureus infection. There were 16,249 S. aureus infections over the study period. The incidence increased significantly over the study period from 360 to 412 per 100,000 population (P < 0.001), largely driven by an increase in community-associated non-invasive MSSA infections. When compared with MSSA infections, patients with non-multiresistant MRSA infections were more likely to be older, have hospital-onset infections and be Māori or Pacific Peoples. Our work provides valuable baseline data on the epidemiology and trends of S. aureus infections in New Zealand. The significant increase in community-associated S. aureus infections is of public health importance. Future studies should investigate the reasons underlying this concerning trend.

Natural vs human-induced changes at the Tauranga Harbour area (New Zealand): a time -series acoustic seabed classification comparison

NASA Astrophysics Data System (ADS)

Capperucci, Ruggero Maria; Bartholomä, Alexander; Renken, Sabrina; De Lange, Willem

2013-04-01

The Tauranga Harbour Bay (New Zealand) is a mesotidal estuary system, enclosed by the Matakana barrier island. It hosts the leading export port in New Zealand and the second largest import port by value. Coastal changes are well documented over the last decades, mainly at the southern entrance of the area, between Matakana Island and Mt. Maunganui. It is an extremely dynamic environment, where natural processes are strongly influenced by human activities. In particular, the understanding of the recent evolution of the system is crucial for policymakers. In fact, the cumulative impact due to the maintenance of the port (mainly dredging activities, shipping, facilities construction, but also increasing tourism) and its already approved expansion clashes with the claim of the local Maori communities, which recently leaded to a court action. A hydroacoustic multiple-device survey (Side-scan Sonar SSS, Multibeam Echo-sounder MBES and Single Beam Echo-sounder) coupled with sediment sampling was carried out in March 2011 over an area of 0.8 km2, southern Matakana Island, along the Western Channel. The area is not directly impacted by dredging activities, resulting in an optimal testing site for assessing indirect effects of human disturbance on coastal dynamics. The main goals were: 1. To test the response of different acoustic systems in such a highly dynamic environment; 2. To study the influence of dredging activities on sediment dynamics and habitat changes, by means of comparing the current data with existing ones, in order to distinguish between natural and human induced changes Results demonstrate a good agreement between acoustic classifications from different systems. They seem to be mainly driven by the sediment distribution, with a distinctive fingerprint given by shells and shell fragments. Nevertheless, the presence of relevant topographic features (i.e. large bedform fields) influences swath-looking systems (SSS and MBES). SSS and MBES classifications tend

Differences in meiofauna communities with sediment depth are greater than habitat effects on the New Zealand continental margin: implications for vulnerability to anthropogenic disturbance

PubMed Central

Leduc, Daniel; Rowden, Ashley A.; Clark, Malcolm R.; Probert, P. Keith; Berkenbusch, Katrin; Neira, Carlos

2016-01-01

Studies of deep-sea benthic communities have largely focused on particular (macro) habitats in isolation, with few studies considering multiple habitats simultaneously in a comparable manner. Compared to mega-epifauna and macrofauna, much less is known about habitat-related variation in meiofaunal community attributes (abundance, diversity and community structure). Here, we investigated meiofaunal community attributes in slope, canyon, seamount, and seep habitats in two regions on the continental slope of New Zealand (Hikurangi Margin and Bay of Plenty) at four water depths (700, 1,000, 1,200 and 1,500 m). We found that patterns were not the same for each community attribute. Significant differences in abundance were consistent across regions, habitats, water and sediment depths, while diversity and community structure only differed between sediment depths. Abundance was higher in canyon and seep habitats compared with other habitats, while between sediment layer, abundance and diversity were higher at the sediment surface. Our findings suggest that meiofaunal community attributes are affected by environmental factors that operate on micro- (cm) to meso- (0.1–10 km), and regional scales (> 100 km). We also found a weak, but significant, correlation between trawling intensity and surface sediment diversity. Overall, our results indicate that variability in meiofaunal communities was greater at small scale than at habitat or regional scale. These findings provide new insights into the factors controlling meiofauna in these deep-sea habitats and their potential vulnerability to anthropogenic activities. PMID:27441114

The Northland fluoridation advocacy programme: an evaluation.

PubMed

Gowda, Sunitha; Thomas, David R

2008-12-01

On 20 July 2006, the Far North District Council resolved to fluoridate Kaitaia and Kaikohe. This was the first such initiative by any Territorial Local Authority (TLA) in New Zealand for 23 years, and resulted from a fluoridation advocacy programme. This paper describes the programme implementation, assesses its consistency with the principles of the Treaty of Waitangi, and critically examines the collaboration between the fluoride advocate and the key stakeholders. Process evaluation identified three main categories of programme implementation: policy advocacy, community action projects, and media advocacy. The collaboration of iwi, Maori health providers and the community suggests that the programme was consistent with the principles (partnership, participation and protection) ofthe Treaty ofWaitangi. Media advocacy played an important role in reflecting and engaging community views on fluoridation, and it influenced decision-making by the Far North District Council. The simultaneous, combined 'top-down and bottom-up' approach was an effective and successful strategy for fluoridation advocacy in the community. Less integrated approaches implemented on their own (such as the 'top down' approach in Whangarei and the 'bottom-up' approach in Dargaville) were not effective.

It is more than sex and clothes: Culturally safe services for older lesbian, gay, bisexual, transgender and intersex people.

PubMed

Crameri, Pauline; Barrett, Catherine; Latham, J R; Whyte, Carolyn

2015-10-01

This paper outlines the development of culturally safe services for older lesbian, gay, bisexual, transgender and intersex people. It draws on a framework for cultural safety, developed in New Zealand which incorporates an understanding of how history, culture and power imbalances influence the relationship between service providers and Maori people. This has been adapted to the needs of older lesbian, gay, bisexual, transgender and intersex Australians. © 2015 AJA Inc.

Incidence and treatment of ESRD among indigenous peoples of Australasia.

PubMed

McDonald, S

2010-11-01

Indigenous people in Australia and New Zealand experience rates of ESKD several times higher than non-indigenous people. This relative rate is highest among people aged 45 - 54 for Aboriginal Australians, and 65 - 74 years for Maori. The majority of this is driven by diabetic nephropathy. Both groups have lesser utilization of transplantation as a renal replacement therapy than non-indigenous comparators, and lesser utilization of home dialysis modalities.

Cardiovascular risk factors levels of Pacific people in a New Zealand multicultural workforce.

PubMed

Schaaf, D; Scragg, R; Metcalf, P

2000-01-28

To compare cardiovascular risk factors among the major Pacific Island communities participating in a New Zealand multicultural workforce survey. There were 650 employed Pacific Island participants (Samoan 357, Cook Islands 177, Tongan 71, Niuean 45), aged 40-65 years, who were interviewed in a work-based, cross-sectional survey. During an oral glucose tolerance test, blood samples were collected for determination of blood glucose and serum lipids. Participants provided information on smoking and leisure time physical activity. Blood pressure, weight and height were measured and body mass index calculated. Ten-year risk of cardiovascular disease was calculated using equations from the Framingham study. Among men, their ten-year risk of a cardiovascular event was similar for the four communities compared (range 11.5% to 13.2%). However, individual risk factors did vary between the ethnic groups with Cook Island men having significantly higher total cholesterol, blood pressure and urinary microalbumin than other Pacific Island ethnic groups, while Tongan men were more likely to smoke and had lower HDL levels than other groups. Among women, Samoan and Cook Island participants had significantly higher ten-year cardiovascular risk scores (5.7%) than Niuean (4.4%) and Tongan (3.7%), due primarily to elevated total cholesterol levels. Cardiovascular risk factor levels vary between Pacific Islands communities in New Zealand. Targeted interventions to specific Pacific communities may be more beneficial than the current homogeneous prevention strategy applied to all communities.

Secular, Singular and Self-Expression? Religious Freedom in Australian and New Zealand Education

ERIC Educational Resources Information Center

Varnham, Sally; Evers, Maxine

2009-01-01

Children today live in a multicultural society. Its ethnic, religious and cultural diversity is reflected in school communities. In Australia, education is provided largely within the secular public systems of each state and territory. In addition, there is a significant denominational, primarily Catholic, school sector. In New Zealand, the state…

Primary Prevention of Sexual Violence in Aotearoa New Zealand.

PubMed

Dickson, Sandra; Willis, Gwenda M

2017-03-01

The extensive and sometimes profoundly damaging effects of sexual violence and large numbers of victims necessitate dedicated attention to primary prevention efforts. Few studies have examined the scope of current prevention activities or their fit with empirical research into effective prevention strategies. The current article presents findings from a survey of primary prevention activities in non-Māori and bicultural communities within Aotearoa New Zealand. Forty-four respondents representing 42 agencies responded to a comprehensive survey that canvased types of sexual violence primary prevention activities undertaken, sexual violence primary prevention programs, and barriers and supports to sexual violence prevention work. Consistent with findings from previous international surveys, the focus of primary prevention work in New Zealand was on sexual violence education and increasing awareness. Findings are discussed in the context of the sexual violence prevention literature and what works in prevention more broadly to help identify promising initiatives as well as gaps in current practices. Recommendations for advancing sexual violence primary prevention research are also provided.

Community capacity building in practice: constructing its meaning and relevance to health promoters.

PubMed

Lovell, Sarah A; Kearns, Robin A; Rosenberg, Mark W

2011-09-01

Community capacity building (CCB) is held up as a benchmark for sustainable health promotion, reflecting the empowering discourse of the Ottawa Charter (WHO 1986). In light of concerns that this language may be that of the presiding bureaucratic elite rather than the realities of those working directly with communities (Laverack & Labonte 2000), we question whether CCB reflects the work of New Zealand health promoters. The aim of this study is to assess what CCB means to health promoters and how relevant it is to their work in New Zealand. Focus groups and interviews were carried out with 64 health promoters between January 2008 and March 2009. The results of this qualitative study indicated that, while the terminology of CCB is poorly established in New Zealand, the overwhelming majority of participants felt that, to be an effective health promoter, they needed the buy-in and support of the communities in which they work. As a result, community-driven approaches have emerged as a core component of good health promotion practice in New Zealand. Yet, the concept of CCB was applied loosely with health promoters adopting language and practices corresponding more with the nuances of community development. The limited use of systematic approaches to building community capacity was accompanied by few successes achieving sustainable health promotion programmes. In prioritising community relationships many health promoters were placed in an ideological bind whereby achieving community ownership over health promotion meant compromising the evidence base of their programmes. Academic discussions of CCB appear to have gained little traction into the realm of health promotion practice in New Zealand highlighting the need for relevant research with a strong grounding in practice. © 2011 Blackwell Publishing Ltd.

Is Adult & Community Education for Active Citizenship Important for Community Engagement by Government?

ERIC Educational Resources Information Center

Tobias, Robert

2009-01-01

This article builds on a previous submission to the New Zealand government's Office for the Community and Voluntary Sector. It reviews the very long history of adult and community education (ACE) for active citizenship. It illustrates some ways in which ACE organizations and groups have contributed to attempts by the state and its agencies to…

Narratives from Aotearoa New Zealand: Building Communities in Early Childhood through the Visual Arts

ERIC Educational Resources Information Center

Fuemana-Foa'i, Lisa; Pohio, Lesley; Terreni, Lisa

2009-01-01

This article reflects the voices of the authors who are three early childhood tertiary educators and who have presented at the Aotearoa New Zealand Association of Arts Educators Conference held in Wellington in July 2007. The authors revealed many common threads that interwove throughout their individual presentations and made visible an emerging…

Through the Lens: Accessing Children's Voices in New Zealand on Well-Being

ERIC Educational Resources Information Center

Kellock, Anne

2011-01-01

This article illustrates the story of a primary school in South Auckland, New Zealand, considering the state of well-being of its pupils. Situated in a deprived area with many people living in poverty, parts of the community caught in inter-gang rivalry, some children consider the school environment to be a safer place to be. Elements of the early…

A survey of publicly funded aged psychiatry services in Australia and New Zealand.

PubMed

O'Connor, Daniel; Melding, Pamela

2006-04-01

To map the size and distribution of publicly funded aged psychiatry (psychogeriatric) services in Australia and New Zealand in 2003. Services were tracked exhaustively through personal, professional and academic contacts, electronic searches and word-of-mouth. Directors or managers of services were asked to complete a brief questionnaire concerning their locality, services, staff profile and patient contacts. Services varied widely with respect to their numbers, size and community outreach. Victoria was the only Australian state to provide specialist, multidisciplinary aged psychiatry teams with community, acute inpatient and residential arms in all its major cities. New South Wales, the state with the largest aged population, performed relatively poorly on most indicators. New Zealand performed relatively well despite its small size and widely dispersed population. Publicly funded aged mental health services are effective and reach frail, multiply disabled old people who cannot access private psychiatrists and are often overlooked by services for younger adults. At the time of our survey, such services were distributed in Australia in a highly inequitable fashion.

Why the tuberculosis incidence rate is not falling in New Zealand.

PubMed

Das, Dilip; Baker, Michael; Venugopal, Kamalesh; McAllister, Susan

2006-10-13

To assess the role of migration from high-incidence countries, HIV/AIDS infection, and prevalence of multi-drug resistant organisms as contributors to tuberculosis (TB) incidence in New Zealand (NZ) relative to ongoing local transmission and reactivation of disease. TB notification data and laboratory data for the period 1995 to 2004 and population data from the 1996 and 2001 Census were used to calculate incidence rates of TB by age and ethnicity, country of birth (distinguishing high and low -incidence countries), and interval between migration and onset of disease. Published reports of multi-drug-resistant TB for the period 1995 to 2004 were reviewed. Anonymous HIV surveillance data held by AIDS Epidemiology Group were matched with coded and anonymised TB surveillance data to measure the extent of HIV/AIDS coinfection in notified TB cases. Migration of people from high-TB incidence countries is the main source of TB in NZ. Of those who develop TB, a quarter does so within a year of migration, and a quarter of this group (mainly refugees) probably enter the country with pre-existing disease. Rates of local TB transmission and reactivation of old disease are declining steadily for NZ-born populations, except for NZ-born Maori and Pacific people under 40. HIV/AIDS and multi-drug-resistant organisms are not significant contributors to TB incidence in NZ and there is no indication that their role is increasing. TB incidence is not decreasing in NZ mainly due to migration of TB infected people from high-incidence countries and subsequent development of active disease in some of them in NZ. This finding emphasises the importance of regional and global TB control initiatives. Refugees and migrants are not acting as an important source of TB for most NZ-born populations. Those caring for them should have a high level of clinical suspicion for TB.

Regional and sediment depth differences in nematode community structure greater than between habitats on the New Zealand margin: Implications for vulnerability to anthropogenic disturbance

NASA Astrophysics Data System (ADS)

Rosli, Norliana; Leduc, Daniel; Rowden, Ashley A.; Probert, P. Keith; Clark, Malcolm R.

2018-01-01

Deep-sea community attributes vary at a range of spatial scales. However, identifying the scale at which environmental factors affect variability in deep-sea communities remains difficult, as few studies have been designed in such a way as to allow meaningful comparisons across more than two spatial scales. In the present study, we investigated nematode diversity, community structure and trophic structure at different spatial scales (sediment depth (cm), habitat (seamount, canyon, continental slope; 1-100 km), and geographic region (100-10000 km)), while accounting for the effects of water depth, in two regions on New Zealand's continental margin. The greatest variability in community attributes was found between sediment depth layers and between regions, which explained 2-4 times more variability than habitats. The effect of habitat was consistently stronger in the Hikurangi Margin than the Bay of Plenty for all community attributes, whereas the opposite pattern was found in the Bay of Plenty where effect of sediment depth was greater in Bay of Plenty. The different patterns at each scale in each region reflect the differences in the environmental variables between regions that control nematode community attributes. Analyses suggest that nematode communities are mostly influenced by sediment characteristics and food availability, but that disturbance (fishing activity and bioturbation) also accounts for some of the observed patterns. The results provide new insight on the relative importance of processes operating at different spatial scales in regulating nematode communities in the deep-sea, and indicate potential differences in vulnerability to anthropogenic disturbance.

Funding community medicines by exception: a descriptive epidemiological study from New Zealand.

PubMed

Rasiah, Dilky; Edwards, Richard; Crampton, Peter

2012-02-24

To assess rates of approval and identify factors associated with successful applications for funding to the New Zealand Community Exceptional Circumstances (CEC) scheme. Descriptive quantitative analysis of data in CEC applications database. The main outcome was initial application approval rate. Analysis included calculation of unadjusted and adjusted associations between potential determinants (for example patient age, gender) and outcomes using logistic regression analysis. All CEC applications with a decision about approval or decline 1 October 2001 to 30 September 2008 were included. Application numbers were high, but had reduced since 2001. A small number of medicines (11) and indications comprised about a third of the applications to the scheme. While some common applications were clearly outside the remit of the scheme, many applications were for patients who fitted the scheme's eligibility criteria. The overall initial application approval rate was 16% and the renewal application approval rate was 88%. Approval rates varied widely by type of medicine, therapeutic group and indication. After adjusting for other potential determinants there were no statistically significant differences in initial approval rates by gender, ethnicity or socioeconomic status of the patient. There were however, significant differences in initial application approval by age of the patient, type of applicant doctor and by geographical location of the applicant doctor. There was no evidence that gender, ethnicity and socioeconomic status of patients were factors associated with successful applications. However, applications for younger patients, those made by specialists, and those made by applying clinicians from the Auckland District Health Board area were more likely to be successful. It is possible that this may to some degree be appropriate, but requires further research.

Ageing in an inconvenient paradise: the immigrant experiences of older Korean people in New Zealand.

PubMed

Park, Hong-Jae; Kim, Chang Gi

2013-09-01

The purpose of this paper is to explore the immigrant experiences of older Korean people and their intergenerational family relationships in the New Zealand context. Data were collected from qualitative interviews with older people, community leaders and professionals in Christchurch and Auckland. Data analysis was conducted using concept mapping techniques in the cross-cultural context where two languages were simultaneously used. The findings of the study show that older Korean people in New Zealand were likely to face multiple challenges due to the combined effects of immigration and ageing in a new country. Some older people experienced difficulties in managing their immigrant lives and intergenerational relationships in the transnational family context in which their family members were dispersed across two or more nations. The immigrant experiences of older migrants might be affected by an 'invisible' source of isolation and exclusion at familial, community, societal and transnational levels. © 2013 The Authors. Australasian Journal on Ageing © 2013 ACOTA.

Seroepidemiologic Effects of Influenza A(H1N1)pdm09 in Australia, New Zealand, and Singapore

PubMed Central

Bandaranayake, Don; Booy, Robert; Chen, Mark I.; Cretikos, Michelle; Dowse, Gary K.; Dwyer, Dominic E.; Greenberg, Michael E.; Huang, Q. Sue; Khandaker, Gulam; Kok, Jen; Laurie, Karen L.; Lee, Vernon J.; McVernon, Jodie; Walter, Scott; Markey, Peter G.

2013-01-01

To estimate population attack rates of influenza A(H1N1)pdm2009 in the Southern Hemisphere during June–August 2009, we conducted several serologic studies. We pooled individual-level data from studies using hemagglutination inhibition assays performed in Australia, New Zealand, and Singapore. We determined seropositive proportions (titer >40) for each study region by age-group and sex in pre- and postpandemic phases, as defined by jurisdictional notification data. After exclusions, the pooled database consisted of, 4,414 prepandemic assays and 7,715 postpandemic assays. In the prepandemic phase, older age groups showed greater seropositive proportions, with age-standardized, community-based proportions ranging from 3.5% in Singapore to 11.9% in New Zealand. In the postpandemic phase, seropositive proportions ranged from 17.5% in Singapore to 30.8% in New Zealand, with highest proportions seen in school-aged children. Pregnancy and residential care were associated with lower postpandemic seropositivity, whereas Aboriginal and Torres Strait Islander Australians and Pacific Peoples of New Zealand had greater postpandemic seropositivity. PMID:23260059

Electronic Medical Consultation: A New Zealand Perspective

PubMed Central

Brebner, Campbell; Jones, Raymond; Marshall, Wendy; Parry, Graham

2001-01-01

Electronic medical consultation is available worldwide through access to the World Wide Web (WWW). This article outlines a research study on the adoption of electronic medical consultation as a means of health delivery. It focuses on the delivery of healthcare specifically for New Zealanders, by New Zealanders. It is acknowledged that the WWW is a global marketplace and that it is therefore difficult to identify New Zealanders' use of such a global market; nevertheless, we attempt to provide a New Zealand perspective on electronic medical consultation. PMID:11720955

Secondary School Students' Understanding of the Socio- Emotional Nature of the New Zealand Key Competencies

ERIC Educational Resources Information Center

Brudevold-Iversen, Tessa; Peterson, Elizabeth R.; Cartwright, Claire

2013-01-01

In its 2007 curriculum, New Zealand introduced Key Competencies (KCs) that are intended to ensure students' future participation in the economy, communities, and also to introduce metacognitive and socio-emotional dimensions to learning. The KCs also have important implications for contributing to students' wellbeing and resilience. However, they…

Older Adult Education in Two Universities: A Comparison in the New Zealand and Scottish Contexts

ERIC Educational Resources Information Center

Findsen, Brian; Mark, Rob

2016-01-01

This article examines the character of older adult education provision in two universities at opposite ends of the globe. The universities of Waikato (New Zealand) and Strathclyde (Scotland) are analysed in terms of specific domains: funding, curriculum and provision, older people's participation and university-community relationships. These two…

Incidence, trends and demographics of Staphylococcus aureus infections in Auckland, New Zealand, 2001–2011

PubMed Central

2013-01-01

Background New Zealand has a higher incidence of Staphylococcus aureus disease than other developed countries, with significant sociodemographic variation in incidence rates. In contrast to North America, the majority of disease is due to methicillin-susceptible S. aureus (MSSA), although relatively little is known about the comparative demographics of MSSA and methicillin-resistant S. aureus (MRSA) infections in New Zealand. Methods Our objectives were to describe the trends, incidence and patient demographics of all S. aureus infections in patients presenting to our institution between 2001 and 2011, and compare the epidemiology of MSSA and MRSA infections. We identified all patients with S. aureus infections over the study period. A unique S. aureus infection was defined as the first positive S. aureus culture taken from the same patient within a thirty-day period. Standard definitions were used to classify episodes into community- or healthcare-associated S. aureus infection. Results There were 16,249 S. aureus infections over the study period. The incidence increased significantly over the study period from 360 to 412 per 100,000 population (P < 0.001), largely driven by an increase in community-associated non-invasive MSSA infections. When compared with MSSA infections, patients with non-multiresistant MRSA infections were more likely to be older, have hospital-onset infections and be Māori or Pacific Peoples. Conclusions Our work provides valuable baseline data on the epidemiology and trends of S. aureus infections in New Zealand. The significant increase in community-associated S. aureus infections is of public health importance. Future studies should investigate the reasons underlying this concerning trend. PMID:24299298

The New Zealand Food Composition Database: A useful tool for assessing New Zealanders' nutrient intake.

PubMed

Sivakumaran, Subathira; Huffman, Lee; Sivakumaran, Sivalingam

2018-01-01

A country-specific food composition databases is useful for assessing nutrient intake reliably in national nutrition surveys, research studies and clinical practice. The New Zealand Food Composition Database (NZFCDB) programme seeks to maintain relevant and up-to-date food records that reflect the composition of foods commonly consumed in New Zealand following Food Agricultural Organisation of the United Nations/International Network of Food Data Systems (FAO/INFOODS) guidelines. Food composition data (FCD) of up to 87 core components for approximately 600 foods have been added to NZFCDB since 2010. These foods include those identified as providing key nutrients in a 2008/09 New Zealand Adult Nutrition Survey. Nutrient data obtained by analysis of composite samples or are calculated from analytical data. Currently >2500 foods in 22 food groups are freely available in various NZFCDB output products on the website: www.foodcomposition.co.nz. NZFCDB is the main source of FCD for estimating nutrient intake in New Zealand nutrition surveys. Copyright © 2016 Elsevier Ltd. All rights reserved.

Palynology and the Ecology of the New Zealand Conifers

NASA Astrophysics Data System (ADS)

McGlone, Matt S.; Richardson, Sarah J.; Burge, Olivia R.; Perry, George L. W.; Wilmshurst, Janet M.

2017-11-01

The New Zealand conifers (20 species of trees and shrubs in the Araucariaceae, Podocarpaceae and Cupressaceae) are often regarded as ancient Gondwanan elements, but mostly originated much later. Often thought of as tall trees of humid, warm forests, they are present throughout in alpine shrublands, tree lines, bogs, swamps, and in dry, frost-prone regions. The tall conifers rarely form purely coniferous forest and mostly occur as an emergent stratum above evergreen angiosperm trees. During Maori settlement in the 13th century, these fire-sensitive trees succumbed rapidly, most of the drier forests being lost. As these were also the more conifer-rich forests, ecological research has been skewed towards conifer dynamics of forests wetter and cooler than the pre-human norm. Conifers are well represented in the pollen record and we here we review their late Quaternary history in the light of what is known about their current ecology with the intention of countering this bias. During glacial episodes, all trees were scarce south of c. 40°S, and extensive conifer-dominant forest was confined to the northern third of the North Island. Drought- and cold-resistant Halocarpus bidwillii and Phyllocladus alpinus formed widespread scrub in the south. During the deglacial, beginning 18,000 years ago, tall conifers underwent explosive spread to dominate the forest biomass throughout. Conifer dominance lessened in favour of angiosperms in the wetter western lowland forests over the Holocene but the dryland eastern forests persisted largely unchanged until settlement. Mid to late Holocene climate change favoured the more rapidly growing Nothofagaceae which replaced the previous conifer-angiosperm low forest or shrubland in tree line ecotones and montane areas. The key to this dynamic conifer history appears to be their bimodal ability to withstand stress, and dominate on poor soils and in cool, dry regions but, in wetter, warmer locations, to slowly grow thorough competing

Minding the P's: Passion in Professionalism in Early Childhood Education in Aotearoa New Zealand

ERIC Educational Resources Information Center

Clark, Beverley

2012-01-01

This article examines small-scale research into what passion might mean to early childhood teachers in the context of Aotearoa New Zealand. The catalyst for this research was twofold: Moyles' work in the United Kingdom on passion, professionalism and paradox, and the author's personal encounters with the distinct views in the teaching community on…

Te Ira Tangata: a Zelen randomised controlled trial of a culturally informed treatment compared to treatment as usual in Māori who present to hospital after self-harm.

PubMed

Hatcher, Simon; Coupe, Nicole; Wikiriwhi, Karen; Durie, Sir Mason; Pillai, Avinesh

2016-06-01

Indigenous people have high rates of suicide and self-harm compared to other population groups. The aim of this trial was to see if a package of interventions delivered in a culturally appropriate way improved outcomes at one year in Maori who presented with intentional self-harm to emergency departments. Participants were Maori who presented with intentional self-harm to emergency departments in New Zealand. The study design was a double consent Zelen randomised controlled trial. The intervention included regular postcards, problem solving therapy, patient support, risk management, improved access to primary care and cultural assessment in addition to usual care. The control group received usual care. The main outcome measure was the self-rated change in scores on the Beck Hopelessness Scale at one year. 182 people were randomized to the intervention group 95 of whom consented to take part in the study. 183 people were randomized to the control group 72 of whom consented to take part in the study. For those who consented comparing the intervention group with the control group there was a statistically significant greater change in hopelessness scores at 3 months (difference -1.7 95 % CI -3.4 to -0.01, p = 0.05) but not at one year (difference -1.6 95 % CI -3.4 to 0.3, p = 0.11). Maori who consented and received the intervention were also significantly less likely to present to hospital for non-self-harm reasons in the year after the index episode (44.2 vs. 61.1 %, p = 0.03). Those participants randomised to the intervention were less likely to re-present with self-harm at 3 months (10.4 vs. 18 %, p = 0.04) but not at 12 months compared to the control group. In Maori who presented to hospital with intentional self-harm a culturally informed intervention had an effect on hopelessness and re-presentation with self-harm in the short term but not at 12 months. There was a significant decrease in hospital presentations for non-self harm over the next

New Zealand geothermal: Wairakei -- 40 years

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

This quarterly bulletin highlights the geothermal developments in New Zealand with the following articles: A brief history of the Wairakei geothermal power project; Geothermal resources in New Zealand -- An overview; Domestic and commercial heating and bathing -- Rotorua area; Kawerau geothermal development: A case study; Timber drying at Kawerau; Geothermal greenhouses at Kawerau; Drying of fibrous crops using geothermal steam and hot water at the Taupo Lucerne Company; Prawn Park -- Taupo, New Zealand; Geothermal orchids; Miranda hot springs; and Geothermal pipeline.

Review of the epidemiology of cervical cancer in the Pacific Basin.

PubMed

Lee, H P; Cuello, C; Singh, K

1982-01-01

Cervical cancer, despite its declining incidence in the developed countries, is still an important cancer in the less-developed world. The mortality and incidence trends for some of the countries in the Pacific Basin are presented. Among the high-risk communities and populations are Colombia (Cali), New Zealand (Maoris), El Paso, Texas (Latin Americans), California (blacks), Hawaii (Hawaiians), Singapore (Chinese and Indians), Hong Kong, Philippines (Manila), New Caledonia (Melanesians), Alaska (American Indians), Fiji. The major risk factors are summarized, with age at first coitus as the key factor; some doubts are expressed about the validity of multiple sexual partners and circumcision of male partners as risk factors. The likely role of herpesvirus is still being studied, and the possible increase in incidence of cervical cancer among younger women could be attributed to greater sexual promiscuity in that group. Some suggestions for future research are made.

Increased smoker recognition of a national quitline number following introduction of improved pack warnings: ITC Project New Zealand.

PubMed

Wilson, Nick; Weerasekera, Deepa; Hoek, Janet; Li, Judy; Edwards, Richard

2010-10-01

We examined how recognition of a national quitline number changed after new health warnings were required on tobacco packaging in New Zealand (NZ). The NZ arm of the International Tobacco Control Policy Evaluation Survey (ITC Project) is a cohort study that surveyed smokers in two waves (N = 1,376 and N = 923). Wave 1 respondents were exposed to text-based warnings with a quitline number but no wording to indicate that it was the "Quitline" number. Wave 2 respondents were exposed to pictorial health warnings (PHWs) that included the word "Quitline" beside the number as well as a cessation message featuring the Quitline number and repeating the word "Quitline." The introduction of the new PHWs was associated with a 24 absolute percentage point between-wave increase in Quitline number recognition (from 37% to 61%, p < .001). Recognition increased from a minority of respondents to a majority for all age groups, genders, deprivation levels (using small area and individual measures), financial stress (two measures), and ethnic groups (e.g., the level for Maori in Wave 2: 62%, Pacific peoples: 61%, and European/other: 62%). There was also an equalizing effect on previous differences in Quitline recognition by gender, ethnic group, and for both deprivation measures. This study provides some evidence for the value of clearly identifying quitline numbers on tobacco packaging as part of PHWs. While this finding is consistent with previously published studies, the finding that this intervention appeared to benefit all sociodemographic groups is novel.

Service provision in the wake of a new funding model for community pharmacy.

PubMed

Smith, Alesha J; Scahill, Shane L; Harrison, Jeff; Carroll, Tilley; Medlicott, Natalie J

2018-05-02

Recently, New Zealand has taken a system wide approach providing the biggest reform to New Zealand community pharmacy for 70 years with the aim of providing more clinically orientated patient centred services through a new funding model. The aim of this study was to understand the types of services offered in New Zealand community pharmacies since introduction of the new funding model, what the barriers are to providing these services. A survey of all community pharmacies were undertaken between August, 2014 and February, 2015. Basic descriptive statistics were completed and group comparisons were made using the chi squared test with significance set at p < 0.05. 528 responses were received. Education and advice on prescription and non-prescription medicines were the two top listed services provided. There were no significant differences in service provision between rural and metro based pharmacies. Many pharmacies were considering introducing new patient centred services. Four of the top ten frequently provided services have no public funding attached. Costs and staff availability are the most common barriers to undertake services, more predominantly in patient centred services. This study was the first to provide an evaluation of service provision in response to a new funding model for New Zealand Community Pharmacies. A broad range of services are being undertaken in New Zealand community pharmacies including patient-centred services. A number of barriers to service provision were identified. This study provides a baseline for the current levels of service provision upon which future studies can compare to and evaluate any changes in service provision with differing funding models going forward.

Likelihood of death among hospital inpatients in New Zealand: prevalent cohort study

PubMed Central

Broad, Joanna; Zhang, Xian; Jarlbaek, Lene; Clark, David

2017-01-01

Objectives (1) To establish the likelihood of dying within 12 months for a cohort of hospital inpatients in New Zealand (NZ) on a fixed census date; (2) to identify associations between likelihood of death and key sociodemographic, diagnostic and service-related factors and (3) to compare results with, and extend findings of, a Scottish study undertaken for the same time period and census date. National databases of hospitalisations and death registrations were used, linked by unique health identifier. Participants 6074 patients stayed overnight in NZ hospitals on the census date (10 April 2013), 40.8% of whom were aged ≥65 years; 54.4% were women; 69.1% of patients were NZ European; 15.3% were Maori; 7.6% were Pacific; 6.1% were Asian and 1.9% were ‘other’. Setting All NZ hospitals. Results 14.5% patients (n=878) had died within 12 months: 1.6% by 7 days; 4.5% by 30 days; 8.0% by 3 months and 10.9% by 6 months. In logistic regression models, the strongest predictors of death within 12 months were: age ≥80 years (OR=5.52(95% CI 4.31 to 7.07)); a history of cancer (OR=4.20(3.53 to 4.98)); being Māori (OR=1.62(1.25 to 2.10)) and being admitted to a medical specialty, compared with a surgical specialty (OR=3.16(2.66 to 3.76)). Conclusion While hospitals are an important site of end of life care in NZ, their role is less significant than in Scotland, where 30% of an inpatient cohort recruited using similar methods and undertaken on the same census date had died within 12 months. One reason for this finding may be the extended role of residential long-term care facilities in end of life care provision in NZ. PMID:29217720

Ethics committees in New Zealand.

PubMed

Gillett, Grant; Douglass, Alison

2012-12-01

The ethical review of research in New Zealand after the Cartwright Report of 1988 produced a major change in safeguards for and empowerment of participants in health care research. Several reforms since then have streamlined some processes but also seriously weakened some of the existing safeguards. The latest reforms, against the advice of various ethics bodies and the New Zealand Law Society, further reduced and attenuated the role of ethics committees so that New Zealand has moved from being a world leader in ethical review processes to there being serious doubt whether it is in conformity to international Conventions and codes. The latest round of reforms, seemingly driven by narrow economic aspirations, anecdote and innuendo, have occurred without any clear evidence of dysfunction in the system nor any plans for the resourcing required to improve quality of ethical review or to audit the process. It is of serious concern both to ethicists and medical lawyers in New Zealand that such hasty and poorly researched changes should have been made which threaten the hard-won gains of the Cartwright reforms.

New Zealand Freshwater Management: Changing Policy for a Changing World

NASA Astrophysics Data System (ADS)

Rouse, H. L.; Norton, N.

2014-12-01

Fresh water is essential to New Zealand's economic, environmental, cultural and social well-being. In line with global trends, New Zealand's freshwater resources are under pressure from increased abstraction and changes in land-use which contribute contaminants to our freshwater systems. Recent central government policy reform introduces greater national direction and guidance, to bring about a step-change in freshwater management. An existing national policy for freshwater management introduced in 2011 requires regional authorities to produce freshwater management plans containing clear freshwater objectives (measurable statements about the desired environmental state for water bodies) and associated limits to resource use (such as environmental flows and quantity allocation limits, and loads of contaminants to be discharged). These plans must integrate water quantity and quality management, consider climate change, and incorporate tangata whenua (New Zealand māori) roles and interests. In recent (2014) national policy amendments, the regional authorities are also required to implement national 'bottom-line' standards for certain attributes of the system to be managed; undertake accounting for all water takes and all sources of contaminants; and to develop and implement their plans in a collaborative way with communities. This rapid change in national policy has necessitated a new way of working for authorities tasked with implementation; many obstacles lie in their path. The scientific methods required to help set water quantity limits are well established, but water quality methods are less so. Collaborative processes have well documented benefits but also raise many challenges, particularly for the communication of complex and often uncertain scientific information. This paper provides background on the national policy changes and offers some early lessons learned by the regional authorities implementing collaborative freshwater management in New Zealand.

Community forensic psychiatry: restoring some sanity to forensic psychiatric rehabilitation.

PubMed

Skipworth, J; Humberstone, V

2002-01-01

To review clinical and legal paradigms of community forensic mental health care, with specific focus on New Zealand, and to develop a clinically based set of guiding principles for service development in this area. The general principles of rehabilitating mentally disordered offenders, and assertive community care programmes were reviewed and applied to the law and policy in a New Zealand forensic mental health setting. There is a need to develop comprehensive community treatment programmes for mentally disordered offenders. The limited available research supports assertive community treatment models, with specialist forensic input. Ten clinically based principles of care provision important to forensic mental health assertive community treatment were developed. Deinstitutionalization in forensic psychiatry lags behind the rest of psychiatry, but can only occur with well-supported systems in place to assess and manage risk in the community setting. The development of community-based forensic rehabilitation services in conjunction with general mental health is indicated.

The Enduring Legacy of New Zealand's UNCLOS Investment (Invited)

NASA Astrophysics Data System (ADS)

Wood, R.; Davy, B. W.; Herzer, R. H.; Barnes, P.; Barker, D. H.; Stagpoole, V.; Uruski, C.

2013-12-01

Data collected by surveys for New Zealand's extended continental shelf project have contributed to research into the tectonic history and resource potential of New Zealand. More than 20 scientific papers and a similar number of conference presentations and posters have used the data collected by these surveys. Data collected by these surveys have added significantly to national and international databases. Although the surveys were generally oriented to establish prolongation rather than to cross structural trends, the data have revealed the crustal, basement and sedimentary structure of many parts of the New Zealand region. In the area east of New Zealand, the data provide insight into the Cretaceous evolution of the New Zealand sector of Gondwana. Data collected southwest of New Zealand provided details about the relatively sudden transition from sea floor spreading between New Zealand and Australia in the Tasman Sea to orthogonal spreading in the Emerald Basin and the development of the modern Australian-Pacific plate boundary, including Late Tertiary motion on the Alpine Fault in the South Island, New Zealand. The data have been used to understand the formation of the New Caledonia Basin, the Norfolk Ridge and their associated structures, and they underpin the international collaboration between New Zealand, New Caledonia and Australia to promote resource exploration in the Tasman Sea. Data north of New Zealand have been used to understand the complex tectonic history of back arc spreading and island arc migration in the South Fiji Basin region. Seismic data collected along the axis of the New Caledonia Basin led to extensive hydrocarbon exploration surveys in the deepwater Taranaki region inside New Zealand's EEZ, and to an application for a hydrocarbon exploration licence in New Zealand's extended continental shelf.

Community involvement in planning and management for outdoor recreation in New Zealand protected areas

Treesearch

Steve Sutton; Gordon Cessford

2007-01-01

Managing New Zealand’s protected natural and historic heritage falls largely on the Department of Conservation (DOC), which manages close to a third of the country’s land area and increasing proportions of the coastal/marine setting. Providing public access to this shared heritage through a range of recreation opportunities is a key management outcome for DOC. This...

Risk factors for injury in rugby union football in New Zealand: a cohort study.

PubMed

Chalmers, David J; Samaranayaka, Ari; Gulliver, Pauline; McNoe, Bronwen

2012-02-01

To identify risk factors for injury in amateur club rugby. Prospective cohort design; with follow-up over the 2004 season. Amateur club rugby in New Zealand. Participants Seven hundred and four male rugby players, aged 13 years and over. Assessment of risk factors The study investigated the independent effect on injury incidence of age, ethnicity, rugby experience, height, weight, body mass index, physical activity, cigarette smoking, previous injury, playing while injured, grade, position, training, time of season, warm-up, foul play, weather conditions, ground conditions and protective equipment. Generalised Poisson regression was used to estimate the effect of each factor after adjusting for all other factors. Game injury, defined as 'any event that resulted in an injury requiring medical attention or causing a player to miss at least one scheduled game or team practice'. A total of 704 players, representing 6263 player-games, contributed information on injury and exposure. Evidence was obtained of the effect on injury incidence of increasing age, Pacific Island versus Maori ethnicity (injury rate ratio (IRR)=1.48, 1.03-2.13), ≥40 h strenuous physical activity per week (IRR=1.54, 1.11-2.15), playing while injured (IRR=1.46, 1.20-1.79), very hard ground condition (IRR=1.50, 1.13-2.00), foul-play (IRR=1.87, 1.54-2.27) and use of headgear (IRR=1.23, 1.00-1.50). Opportunities for injury prevention might include promoting injury-prevention measures more vigorously among players of Pacific Island ethnicity, ensuring injured players are fully rehabilitated before returning to play, reducing the effects of ground hardness through ground preparation and stricter enforcement of the laws relating to foul play.

Bilingual Dictionaries in Written Language Examinations: Why New Zealand Needs to Catch up with Australia

ERIC Educational Resources Information Center

McLauchlan, Alastair

2007-01-01

Premature discontinuation rates among second language students in New Zealand are higher than for most other subjects in secondary schools, although this phenomenon has not given rise to a great deal of debate within the NZ language teaching community. In a recent study into premature discontinuation in Christchurch, NZ, the most frequently cited…

Traditional Chinese medicine practitioners in New Zealand: differences associated with being a practitioner in New Zealand compared to China.

PubMed

Patel, Asmita; Toossi, Vahideh

2016-10-28

While New Zealand has experienced an increase in the use of traditional Chinese medicine (TCM) based acupuncture, very little is known about the practitioners who provide this type of treatment modality. Therefore, this study was designed to identify differences associated with being a TCM practitioner in New Zealand compared to China. Ten Auckland-based TCM practitioners were individually interviewed. The interview schedule comprised of questions that were designed to identify any potential differences in practising TCM in New Zealand compared to China. Data were analysed using an inductive thematic approach. The main differences in practising between the two countries were related to the role and authority that a TCM practitioner had. This in turn resulted in differences between the conditions that were treated in these two countries. Differences in patient demography were also identified between the two countries. TCM is used as a form of alternative healthcare treatment in New Zealand for non-Chinese individuals. Acupuncture is the most utilised form of TCM treatment in New Zealand, and is predominantly used for pain management purposes. TCM treatment has been utilised by individuals from a number of different ethnic groups, reflecting the ethnic diversity of the New Zealand population.

Indigenous ancestral sayings contribute to modern conservation partnerships: examples using Phormium tenax.

PubMed

Wehi, Priscilla M

2009-01-01

Traditional ecological knowledge (TEK) is central to indigenous worldviews and practices and is one of the most important contributions that indigenous people can bring to conservation management partnerships. However, researchers and managers may have difficulty accessing such knowledge, particularly where knowledge transmission has been damaged. A new methodological approach analyzes ancestral sayings from Maori oral traditions for ecological information about Phormium tenax, a plant with high cultural value that is a dominant component in many threatened wetland systems, and frequently used in restoration plantings in New Zealand. Maori ancestral sayings record an association with nectar-feeding native parrots that has only rarely been reported, as well as indications of important environmental parameters (rainfall and drought) for this species. These sayings provide evidence of indigenous management that has not been reported from interviews with elders, including evidence of fire use to create Phormium cultivations. TEK in Maori ancestral sayings imply landscape-scale processes in comparison to intensive, small-scale management methods often reported in interviews. TEK in ancestral sayings can be used to generate new scientific hypotheses, negotiate collaborative pathways, and identify ecological management strategies that support biodiversity retention. TEK can inform restoration ecology, historical ecology, and conservation management of species and ecosystems, especially where data from pollen records and archaeological artifacts are incomplete.

Characteristics of and differences between Pasifika women and New Zealand European women diagnosed with breast cancer in New Zealand.

PubMed

Brown, Charis; Lao, Chunhuan; Lawrenson, Ross; Tin Tin, Sandar; Schaaf, Michelle; Kidd, Jacquie; Allan-Moetaua, Anne; Herman, Josephine; Raamsroop, Reena; Campbell, Ian; Elwood, Mark

2017-12-15

Breast cancer in New Zealand-based Pasifika women is a significant issue. Although Pasifika women have a lower incidence of breast cancer compared to New Zealand European women, they have higher breast cancer mortality and lower five-year survival. The aim of this study was to describe the characteristics and tumour biology of Pasifika women and to compare New Zealand European women to identify what factors impact on early (Stage 1 and 2) vs advanced stage (Stage 3 and 4) at diagnosis. Data on all Pasifika and New Zealand European women diagnosed with breast cancer (C50) during the period 1 June 2000 to 31 May 2013 was extracted from the Auckland and Waikato Breast Cancer Registries. Descriptive tables and Chi-square test were used to examine differences in characteristics and tumour biology between Pasifika and New Zealand European women. Logistic regression was used to identify factors that contributed to an increased risk of advanced stage at diagnosis. A significantly higher proportion of Pasifika women had advanced disease at diagnosis compared to New Zealand European women (33.3% and 18.3%, respectively). Cancer biology in Pasifika women was more likely to be: 1) HER2+, 2) ER/PR negative and 3) have a tumour size of ≥50mm. Pasifika women live in higher deprivation areas of 9-10 compared to New Zealand European women (55% vs 14%, respectively) and were less likely to have their cancer identified through screening. Logistic regression showed that if Pasifika women were on the screen-detected pathway they had similar odds (not sig.) of having advanced disease at diagnosis to New Zealand European women. Mode of detection, deprivation, age and some biological factors contributed to the difference in odds ratio between Pasifika and New Zealand European women. For those of screening age, adherence to the screening programme and improvements in access to earlier diagnosis for Pasifika women under the current screening age have the potential to make a substantial

Reduced densities of the invasive wasp, Vespula vulgaris (Hymenoptera: Vespidae), did not alter the invertebrate community composition of Nothofagus forests in New Zealand.

PubMed

Duthie, Catherine; Lester, Philip J

2013-04-01

Invasive common wasps (Vespula vulgaris L.) are predators of invertebrates in Nothofagus forests of New Zealand. We reduced wasp densities by poisoning in three sites over three y. We predicted an increase in the number of invertebrates and a change in the community composition in sites where wasps were poisoned (wasps removed) relative to nearby sites where wasps were not poisoned (wasps maintained). Wasp densities were significantly reduced by an average of 58.9% by poisoning. Despite this reduction in wasp densities, native bush ants (Prolasius advenus Forel) were the only taxa that was significantly influenced by wasp removal. However, contrary to our predictions there were more ants caught in pitfall traps where wasps were maintained. We believe that the higher abundance of these ants is probably because of the scarcity of honeydew in wasp-maintained sites and compensatory foraging by ants in these areas. Otherwise, our results indicated no significant effects of reduced wasp densities on the total number of invertebrates, or the number of invertebrate families, observed in pitfall or Malaise traps. An analysis of community composition (permutational multivariate analysis of variance) also indicated no significant difference between wasp-removed or wasp-maintained communities. The most parsimonious explanation for our results is that although we significantly reduced wasp numbers, we may not have reduced numbers sufficiently or for a sufficiently long period, to see a change or recovery in the community.

Overweight and obesity in 4-5-year-old children in New Zealand: results from the first 4 years (2009-2012) of the B4School Check programme.

PubMed

Rajput, Nitin; Tuohy, Pat; Mishra, Suryaprakash; Smith, Ash; Taylor, Barry

2015-03-01

We describe the prevalence of overweight and obesity in four-year-old children in New Zealand, variations with ethnicity and socio-economic status, and changes over the study duration using body mass index (BMI) measurements collected as part of the B4School Check programme. Demographic and BMI data were extracted for all children measured between 2009 and 2012. Overweight and obesity rates were estimated using International Obesity Task Force (IOTF) 2012 standards and the 85th (overweight) and 95th (obese) percentiles for BMI-for-age of the World Health Organization (WHO) 2006, Centers for Disease Control and Prevention 2000 and UK 1990 reference standards. A total of 168,744 BMI measurements were included in the analysis with a coverage rate of 66.5%. Mean BMI was 16.30 kg/m(2) in girls and 16.44 kg/m(2) in boys. Mean BMI z-score (WHO 2006 standards) was 0.601 in girls and 0.785 in boys. Using WHO 2006 standards, 16.9% of girls and 19.6% of boys were overweight and 13.8% of girls and 18.7% of boys were obese. Using IOTF standards, 18.3% of girls and 16.2% of boys were overweight and 5.7% of girls and 4.7% of boys were found obese. Prevalence of overweight and obesity was higher in Pacific and Maori children and those living in more socio-economically deprived areas than other children. No definite time-trends were observed over the study duration. The study reaffirms the high prevalence of overweight and obesity in pre-school children in New Zealand, and demonstrates the variations in prevalence when using different reference standards. © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Survey of maternal sleep practices in late pregnancy in a multi-ethnic sample in South Auckland, New Zealand.

PubMed

Cronin, Robin S; Chelimo, Carol; Mitchell, Edwin A; Okesene-Gafa, Kara; Thompson, John M D; Taylor, Rennae S; Hutchison, B Lynne; McCowan, Lesley M E

2017-06-17

The Auckland Stillbirth study demonstrated a two-fold increased risk of late stillbirth for women who did not go to sleep on their left side. Two further studies have confirmed an increased risk of late stillbirth with supine sleep position. As sleep position is modifiable, we surveyed self-reported late pregnancy sleep position, knowledge about sleep position, and views about changing going-to-sleep position. Participants in this 2014 survey were pregnant women (n = 377) in their third trimester from South Auckland, New Zealand, a multi-ethnic and predominantly low socio-economic population. An ethnically-representative sample was obtained using random sampling. Multivariable logistic regression was performed to identify factors independently associated with non-left sided going-to-sleep position in late pregnancy. Respondents were 28 to 42 weeks' gestation. Reported going-to-sleep position in the last week was left side (30%), right side (22%), supine (3%), either side (39%) and other (6%). Two thirds (68%) reported they had received advice about sleep position. Non-left sleepers were asked if they would be able to change to their left side if it was better for their baby; 87% reported they would have little or no difficulty changing. Women who reported a non-left going-to-sleep position were more likely to be of Maori (aOR 2.64 95% CI 1.23-5.66) or Pacific (aOR 2.91 95% CI 1.46-5.78) ethnicity; had a lower body mass index (BMI) (aOR 0.93 95% CI 0.89-0.96); and were less likely to sleep on the left-hand side of the bed (aOR 3.29 95% CI 2.03-5.32). Maternal going-to-sleep position in the last week was side-lying in 91% of participants. The majority had received advice to sleep on their side or avoid supine sleep position. Sleeping on the left-hand side of the bed was associated with going-to-sleep on the left side. Most non-left sleepers reported their sleeping position could be modified to the left side suggesting a public health intervention about sleep

An Overview of New Zealand Career Development Services

ERIC Educational Resources Information Center

Furbish, Dale

2012-01-01

Career development services have existed in New Zealand since the early part of the 20th century. In many aspects, the profession has developed in New Zealand parallel to the development of career guidance and counselling in other Western countries but New Zealand also represents a unique context. In acknowledgement of the distinctive…

Management of gout in a South Auckland general practice.

PubMed

Reaves, Esther; Arroll, Bruce

2014-03-01

In New Zealand, the highest prevalence of gout is in Maori and Pacific people. Counties Manukau District Health Board (CMDHB) has the highest Maori and Pacific population of any New Zealand District Health Board. A CMDHB study found that a high proportion of patients with gout were also at increased risk of cardiovascular disease. The primary objective was to examine whether the control of gout had changed over time at one clinic. The secondary objective was to assess the management of cardiovascular risk factors in patients with gout at that clinic. The mean serum uric acid level of patients with gout in the practice had risen in comparison with a similar audit carried out in March 2009. This indicates that the control of gout for patients at the practice has worsened over time. Many patients had not had an annual serum uric acid test. A repeat uric acid level was scheduled for all patients with gout in the practice, with follow-up appointments to be arranged if the result was abnormal. Gout is often suboptimally managed. Serum uric acid levels may only be tested when a patient presents with an acute attack of gout. Consideration should be given to a minimum of annual serum uric acid levels. Appropriate management of modifiable cardiovascular risk factors in this particular cohort is important and should be a particular focus of care.

Exploring the implications of a fixed budget for new medicines: a study of reimbursement of new medicines in Australia and New Zealand.

PubMed

Taylor, Colman; Wonder, Michael

2015-09-01

Spending on medicines under the Pharmaceutical Benefits Scheme (PBS) represents the ninth largest expense to the Federal Government. A recent report by the Commission of Audit to the Federal Government suggested spending on the PBS is unsustainable and a capped budget, similar to New Zealand's PHARMAC model, may be required to contain costs. The objective of the present study was to compare listing outcomes between Australia and New Zealand, thereby exploring the opportunity cost of a capped budget for new medicines. Listing outcomes in Australia and New Zealand were compared through published research and an updated search of listing outcomes from publicly available information. Previous research has demonstrated that New Zealand listed less than half of the new medicines listed in Australia over a 10-year period (2000-09). Our research shows that most of the new medicines not listed in New Zealand during this period remain unlisted today. In the previous 12 months, Australia listed 17 new medicines on the PBS, whereas New Zealand listed only one new medicine that was not already listed in Australia. The discrepancy in the number of new medicines listed in New Zealand compared with Australia raises questions regarding the consequences of implementing a capped budget for new medicines. However, further research is needed to understand the relationship between listing outcomes, access to medicines and health benefits for the community.

International migration and New Zealand labour markets.

PubMed

Farmer, R S

1986-06-01

"This paper seeks to assess the value of the overseas-born members of the labour force in ensuring a flexible labour supply in New Zealand since the beginning of the 1970s. Three main issues are considered: first, the role of the labour market in New Zealand's immigration policy; second, international migration trends and the labour market; and third, the evidence on migration and labour market segmentation in New Zealand." Data used are from official external migration statistics, quinquennial censuses, and recent research. The author notes that "in New Zealand immigration measures are currently being taken that emphasize that immigration continues to add to the flexibility of the labour market while uncontrolled emigration is a major cause of labour market instability." (SUMMARY IN FRE AND SPA) excerpt

The management of Graves' disease in New Zealand 2014.

PubMed

Cox, Stephanie C; Tamatea, Jade Au; Conaglen, John V; Elston, Marianne S

2016-06-10

Treatment options for Graves' disease (GD), namely anti-thyroid drugs (ATD), surgery or radioiodine (RAI), have not changed over the past two decades. There is no 'gold-standard' treatment for GD. To assess whether the management of GD in New Zealand has changed since the previous 1991 New Zealand survey and compare current management with that of contemporary international studies. We conducted an online survey of New Zealand physicians currently practising internal medicine, diabetes and/or endocrinology, using the cases and questions from the original European and 1991 New Zealand studies. The first-line use of RAI was 5.5%, compared to 41% in the 1991 New Zealand survey. This corresponded to an increase in ATD use, while the rates of surgery as a first-line treatment have remained static over time. New Zealand physicians use technetium scanning for diagnosis, whereas ultrasound and radioiodine uptake were the most commonly selected investigations by European and North American physicians, respectively. The pattern of ATD use in pregnancy was similar to international practice. Treatment of GD in New Zealand has shifted away from the use of RAI as first line treatment. There are significant differences in the investigation and treatment of Grave's disease between New Zealand, Europe and North America.

Composition of soil testate amoebae communities: their structure and modifications in the temperate rain forests of New Zealand and Tasmania.

PubMed

Bamforth, Stuart S

2015-01-01

A study of the temperate rain forests of New Zealand and Tasmania showed that their soil testate amoebae communities are composed of five groups of taxa: (1) seven taxa characteristic of wet acidic soils and Sphagnum peatlands (i.e., Amphitemidae, Apodera, Alcodera, Certesella, Cyphoderia, Placocista); (2) a group of 16 species of predatory Nebelids and Heleopera spp., characteristic of Sphagnum and rainforests; (3) a group of 17 species of litter and soil Euglypha, excluding the smallest ones; (4) a diverse population of other morphotypes common in other biomes; and (5) a population of small euryoecious taxa - Cryptodifflugia and Pseudodifflugia spp., Euglypha rotunda, E. laevis, Corythion and Trinema spp. This fifth group, with other r-selected protists (e.g., colpodid ciliates) appears in all habitats. Soil testate communities of other rainforests are composed of the same five groups and are distinguished by the first three assemblages. The fourth and fifth groups, often supplemented with a few Euglypha species, comprise the soil testate amoebae of other biomes. Nebelids and Heleopera, incorporating prey idiosomes into their shells, add an additional link to the role of Euglyphids in the silica cycle. Three Gondwanan Nebelid genera, Apodera, Alcodera, and Certesella were frequently observed, and the discovery of Alcodera cockayni in Tasmania extends its recorded distribution in the Southern Hemisphere. © 2014 The Author(s) Journal of Eukaryotic Microbiology © 2014 International Society of Protistologists.

Risk Assessment of Sexual Offenders for Extended Supervision Orders in New Zealand: Basic Principles and Current Practice

ERIC Educational Resources Information Center

Vess, James

2009-01-01

A growing number of jurisdictions in North America, the United Kingdom, and Australasia have enacted legislation allowing for special sentencing, civil commitment, and community supervision options for high risk sexual offenders. In New Zealand, one example of this concern for public protection is the Parole (Extended Supervision) Amendment Act…

A structured, group-based diabetes self-management education (DSME) programme for people, families and whanau with type 2 diabetes (T2DM) in New Zealand: an observational study.

PubMed

Krebs, J D; Parry-Strong, A; Gamble, E; McBain, L; Bingham, L J; Dutton, E S; Tapu-Ta'ala, S; Howells, J; Metekingi, H; Smith, R B W; Coppell, K J

2013-07-01

Group-based diabetes self-management education (DSME) programmes have been shown to be effective. A programme tailored for the unique social and ethnic environment of New Zealand (NZ) was developed using concepts from internationally developed programmes. To assess the effectiveness of a 6 week New Zealand specific DSME programme. In this observational study people with type 2 diabetes (aged 18-80 years) from diverse cultural backgrounds were recruited from primary care. Seventeen groups of six education sessions were run. Clinical data were collected from primary care at baseline, 3, 6 and 9 months. Participants also completed a self-administered questionnaire on diabetes knowledge, and self-management behaviours. 107 participants, mean age 56.7±11.3 years and mean duration of diabetes 7.5±7 years (NZ European (44%), Maori (24%), Pacific (16%) and Indian (16%)), were enrolled. Confidence in self-managing diabetes, regular examination of feet, physical activity levels and smoking rates all improved. Glycaemic control improved between baseline and 6 months (HbA1C 64.9±20.0 mmol/mol to 59.9±13.9 mmol/mol (p<0.05) (baseline 8.07%±1.80, 6 months 7.62%±1.25)), but was no different to baseline at 9 months. Systolic BP reduced from 131.9±16.4 to 127.4±18.2 mmHg (p<0.05) at 6 months, but increased to baseline levels by 9 months. Diastolic BP, triglycerides and urine microalbumin:creatinine ratio were significantly reduced at 3, 6 and 9 months. A group-based DSME programme designed specifically for the NZ population was effective at improving aspects of diabetes care at 6 months. The attenuation of these improvements after 6 months suggests a refresher course at that time may be beneficial. Copyright © 2013. Published by Elsevier Ltd.

Tau Fifine Fiafia: the binge drinking behaviours of nine New Zealand born Niuean women living in Auckland.

PubMed

Gray, Josephine; Nosa, Vili

2009-02-01

The aim of this paper is to explore the binge drinking behaviours and attitudes of nine New Zealand born Niuean women aged 18 to 45 plus years living in Auckland who are heavy binge drinkers. Taped interviews were conducted individually with nine Niuean participants, utilising a semi-structured interviewing schedule in both Niuean and English languages. This study argues that excessive drinking style of binge drinking commonly practised with the younger generation of Niuean women. The study highlighted the important role of supportive friends and women within a drinking circle compared to the cultural and gender restrictions when drinking with males. NZ born Niuean women outlined there were fewer limitations on alcohol use and behaviour associated with drunkenness; the reason for drinking was to reach a level of intoxication. Alcohol consumption was seen as a way of socialising, having fun, being happy and feeling safe primarily when drinking with other women, even though participants experienced negative behaviour when safety was threatened. The Niuean community needs to address alcohol related issues affecting Niuean women through education awareness within social and cultural gatherings. This study is not a representative study and it cannot be generalised to all New Zealand born Niuean women because the sampling size is too small. The aim of this paper is to look at the binge drinking behaviours of nine New Zealand born Niuean women living in Auckland. A qualitative research methodology offace to face interviews was used to interview NZ born Niuean women and their alcohol consumption. Participants were recruited by using a snow ball methodology. Participants were also approached throughout the community on the telephone and via email/internet about the research. Participants were also from Niuean gatherings such as Niuean cultural workshops, weaving groups, church groups, and sports groups, Niuean websites. A semi-structured interview format was used making it

Sustaining Adventure in New Zealand Outdoor Education: Perspectives from Renowned New Zealand Outdoor Adventurers on the Contested Cultural Understanding of Adventure

ERIC Educational Resources Information Center

Kane, Maurice; Tucker, Hazel

2007-01-01

One of the foundations of New Zealand's representation of itself to the world has been as a premier place of adventure. New Zealanders who have gained world recognition in outdoor leisure pursuits are used to promote this adventurous depiction of New Zealand. They are the focus of and contribute to the discourse which guides the New Zealand…

Evaluation of the national 'Push Play' campaign in New Zealand--creating population awareness of physical activity.

PubMed

Bauman, Adrian; McLean, Grant; Hurdle, Deb; Walker, Sue; Boyd, John; van Aalst, Ingrid; Carr, Harriette

2003-08-08

Physical inactivity is considered to be as detrimental to public health as hypertension or tobacco use, but there is limited evidence on the impact of community-wide interventions in this area. This paper describes the impact of an initiative to increase physical activity at a population level in New Zealand. A media-led, community-wide intervention campaign was initiated by the Hillary Commission (now SPARC, Sport and Recreation New Zealand). The 'Push Play' campaign recommended 30 minutes of daily, moderate-intensity physical activity as fun, part of community life, and easy to achieve for New Zealand adults. In addition, there were community-level and primary care supporting programmes and events. Annual cross-sectional population surveys (1999-2002) monitored the impact of the campaign on message awareness, recognition of the Push Play logo, intention to be active, and recent activity. There were substantial increases in awareness of the Push Play message (30% in 1999 to 57% in 2002, p <0.001), and of the Push Play logo (14% to 52%, p <0.001). There were significant increases in the numbers of adults who intended to be more active (1.8% in 1999 to 9.4% in 2002). No sustained changes in physical activity levels were seen in these Push Play serial evaluation surveys, with 38.6% of the 1999 sample reporting 5+ days activity per week, increasing to 44.5% in 2000, but declining to 38.0% in 2002. The only significant difference in physical activity levels occurred from 1999 to 2000 (difference 5.8%, 95% CI 0.1%-11.6%). In an unrelated, much larger population survey, a 3% increase in physical activity participation was noted among adults between 1997 and 2001. The national Push Play campaign resulted in increases in message recognition and in intention to become more active. If sustained, efforts like this may have a long-term impact on adult activity patterns, leading to improved health outcomes and reduced health costs.

Evaluating Effects of Language Recognition on Language Rights and the Vitality of New Zealand Sign Language

ERIC Educational Resources Information Center

McKee, Rachel Locker; Manning, Victoria

2015-01-01

Status planning through legislation made New Zealand Sign Language (NZSL) an official language in 2006. But this strong symbolic action did not create resources or mechanisms to further the aims of the act. In this article we discuss the extent to which legal recognition and ensuing language-planning activities by state and community have affected…

The role of sociocultural factors in obesity aetiology in Pacific adolescents and their parents: a mixed-methods study in Auckland, New Zealand.

PubMed

Teevale, Tasileta; Thomas, David R; Scragg, Robert; Faeamani, Gavin; Nosa, Vili

2010-11-26

To explore sociocultural factors that may promote or prevent obesity in Pacific communities in New Zealand. Specific objectives were to describe the behaviours, beliefs and values of Pacific adolescents and their parents, related to food consumption and physical activity and to examine the patterns among obese and non-obese Pacific adolescents and their parents. A self-completion questionnaire was administered to 2495 Pacific students who participated in the New Zealand arm of the Obesity Prevention In Communities (OPIC) project, with quantitative comparisons between 782 obese and 814 healthy weight students. Sixty-eight people (33 adolescents and 35 parents) from 30 Pacific households were interviewed in the qualitative phase of the study. Healthy eating and higher levels of physical activity were related to parental presence at home, parental occupational type (non-shift) and better health education and experience. Obese adolescents held the same attitudes, beliefs and values about food and physical activity as their healthy-weight counterparts, but these factors were not protective for obesity-risk. This study indicates that social status and environmental factors related to poverty affect the health-promoting behaviours of Pacific communities in New Zealand. To address obesity in Pacific youth, specific macro-environmental changes are recommended including food pricing control policies to mitigate healthy food costs, revising sustained employment hour policies, making changes to school food and physical activity environments.

The Cost Efficiency New Zealand's Polytechnics

ERIC Educational Resources Information Center

Abbott, Malcolm; Doucouliagos, Hristos

2004-01-01

In New Zealand the most important institutions that are responsible for the delivery of vocational education and training programs are the government owned and operated tertiary education institutions known as polytechnics. The New Zealand polytechnics deliver programs at the certificate, diploma and degree level. During the course of the 1990s,…

California's coast redwood in New Zealand

Treesearch

Tom Gaman

2012-01-01

New Zealanders are making a significant effort to develop their forest industry to benefit from rapid growth exhibited by Sequoia sempervirens on both the North Island and South Island. US and New Zealand forest products companies have established redwood plantations in the past decade, and have found that microclimate, site preparation, soil chemistry, fertilization...

Capitation funding of primary health organisations in New Zealand: are enrolled populations being funded according to need?

PubMed

Langton, Jennifer; Crampton, Peter

2008-04-18

To determine whether the three main funding formulas for Primary Health Organisations achieved a stated aim of the Primary Health Care Strategy to fund enrolled populations according to need. National data were obtained from the Ministry of Health for a 12-month period beginning in April 2004: these included demographic characteristics of the enrolled Primary Health Organisation population, plus rates tables for: First-Contact Services, Services to Improve Access, and Health Promotion. Funding for Access and Interim practices for four-quarters was calculated for each of these three funding streams. Analysis of the demographic characteristics of Access and Interim practices was undertaken. Maori and Pacific peoples made up a greater proportion of the Access population than the Interim, had higher rates of deprivation than the non-Maori/non-Pacific population, and demonstrated a younger age distribution. The first quarter (April 2004-June 2004) showed there was preferential funding for Access PHOs and in particular high-needs groups. In quarter two, this level of preferential funding had diminished, coinciding with the introduction of increased government funding for all Interim enrolees aged 65 and over. The greater funding for Access enrolees was notably eroded with the introduction of Access-level funding for those aged 65+ in Interim PHOs. Since these data were analysed all remaining Interim age groups have shifted to Access-level funding, benefiting non-Maori /non-Pacific in Interim PHOs. The rapid shift to Access-level funding for First Contact Services has seen a continued erosion of the redistributive effect of the original needs-based formulas. A system cannot be considered equitable if some members of society are not realising their health potential, and financing of primary care should remain redistributive until such a time as this objective is attained.

James Henry Marriott: New Zealand's first professional telescope-maker

NASA Astrophysics Data System (ADS)

Orchiston, Wayne; Romick, Carl; Brown, Pendreigh.

2015-11-01

James Henry Marriott was born in London in 1799 and trained as an optician and scientific instrument- maker. In 1842 he emigrated to New Zealand and in January 1843 settled in the newly-established town of Wellington. He was New Zealand's first professional telescope-maker, but we have only been able to locate one telescope made by him while in New Zealand, a brass 1-draw marine telescope with a 44-mm objective, which was manufactured in 1844. In 2004 this marine telescope was purchased in Hawaii by the second author of this paper. In this paper we provide biographical information about Marriott, describe his 1844 marine telescope and speculate on its provenance. We conclude that although he may have been New Zealand's first professional telescope-maker Marriot actually made very few telescopes or other scientific instruments. As such, rather than being recognised as a pioneer of telescope-making in New Zealand he should be remembered as the founder of New Zealand theatre.

Establishing the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry

PubMed Central

Bray, Janet; Smith, Karen; Walker, Tony; Grantham, Hugh; Hein, Cindy; Thorrowgood, Melanie; Smith, Anthony; Smith, Tony; Dicker, Bridget; Swain, Andy; Bailey, Mark; Bosley, Emma; Pemberton, Katherine; Cameron, Peter; Nichol, Graham; Finn, Judith

2016-01-01

Introduction Out-of-hospital cardiac arrest (OHCA) is a global health problem with low survival. Regional variation in survival has heightened interest in combining cardiac arrest registries to understand and improve OHCA outcomes. While individual OHCA registries exist in Australian and New Zealand ambulance services, until recently these registries have not been combined. The aim of this protocol paper is to describe the rationale and methods of the Australian Resuscitation Outcomes Consortium (Aus-ROC) OHCA epidemiological registry (Epistry). Methods and analysis The Aus-ROC Epistry is designed as a population-based cohort study. Data collection started in 2014. Six ambulance services in Australia (Ambulance Victoria, SA Ambulance Service, St John Ambulance Western Australia and Queensland Ambulance Service) and New Zealand (St John New Zealand and Wellington Free Ambulance) currently contribute data. All OHCA attended by ambulance, regardless of aetiology or patient age, are included in the Epistry. The catchment population is approximately 19.3 million persons, representing 63% of the Australian population and 100% of the New Zealand population. Data are collected using Utstein-style definitions. Information incorporated into the Epistry includes demographics, arrest features, ambulance response times, treatment and patient outcomes. The primary outcome is ‘survival to hospital discharge’, with ‘return of spontaneous circulation’ as a key secondary outcome. Ethics and dissemination Ethics approval was independently sought by each of the contributing registries. Overarching ethics for the Epistry was provided by Monash University HREC (Approval No. CF12/3938—2012001888). A population-based OHCA registry capturing the majority of Australia and New Zealand will allow risk-adjusted outcomes to be determined, to enable benchmarking across ambulance providers, facilitate the identification of system-wide strategies associated with survival from OHCA, and

A comparative analysis of cardiovascular disease risk profiles of five Pacific ethnic groups assessed in New Zealand primary care practice: PREDICT CVD-13.

PubMed

Grey, Corina; Wells, Sue; Riddell, Tania; Pylypchuk, Romana; Marshall, Roger; Drury, Paul; Elley, Raina; Ameratunga, Shanthi; Gentles, Dudley; Erick-Peletiy, Stephanie; Bell, Fionna; Kerr, Andrew; Jackson, Rod

2010-11-05

Data on the cardiovascular disease risk profiles of Pacific peoples in New Zealand is usually aggregated and treated as a single entity. Little is known about the comparability or otherwise of cardiovascular disease (CVD) risk between different Pacific groups. To compare CVD risk profiles for the main Pacific ethnic groups assessed in New Zealand primary care practice to determine if it is reasonable to aggregate these data, or if significant differences exist. A web-based clinical decision support system for CVD risk assessment and management (PREDICT) has been implemented in primary care practices in nine PHOs throughout Auckland and Northland since 2002, covering approximately 65% of the population of these regions. Between 2002 and January 2009, baseline CVD risk assessments were carried out on 11,642 patients aged 35-74 years identifying with one or more Pacific ethnic groups (4933 Samoans, 1724 Tongans, 1366 Cook Island Maori, 880 Niueans, 1341 Fijians and 1398 people identified as Other Pacific or Pacific Not Further Defined). Fijians were subsequently excluded from the analyses because of a probable misclassification error that appears to combine Fijian Indians with ethnic Fijians. Prevalences of smoking, diabetes and prior history of CVD, as well as mean total cholesterol/HDL ratio, systolic and diastolic blood pressures, and Framingham 5-year CVD risk were calculated for each Pacific group. Age-adjusted risk ratios and mean differences stratified by gender were calculated using Samoans as the reference group. Cook Island women were almost 60% more likely to smoke than Samoan women. While Tongan men had the highest proportion of smoking (29%) among Pacific men, Tongan women had the lowest smoking proportion (10%) among Pacific women. Tongan women and Niuean men and women had a higher burden of diabetes than other Pacific ethnic groups, which were 20-30% higher than their Samoan counterparts. Niuean men and women had lower blood pressure levels than all

HIV diagnoses in indigenous peoples: comparison of Australia, Canada and New Zealand.

PubMed

Shea, Beverley; Aspin, Clive; Ward, James; Archibald, Chris; Dickson, Nigel; McDonald, Ann; Penehira, Mera; Halverson, Jessica; Masching, Renee; McAllister, Sue; Smith, Linda Tuhiwai; Kaldor, John M; Andersson, Neil

2011-09-01

In industrial countries, a number of factors put indigenous peoples at increased risk of HIV infection. National surveillance data between 1999 and 2008 provided diagnoses for Aboriginal and Torres Strait Islanders (Australia), First Nations, Inuit and Métis (Canada excluding Ontario and Quebec) and Māori (New Zealand). Each country provided similar data for a non-indigenous comparison population. Direct standardisation used the 2001 Canadian Aboriginal male population for comparison of five-year diagnosis rates in 1999-2003 and 2004-2008. Using the general population as denominators, we report diagnosis ratios for presumed heterosexual transmission, men who have sex with men (MSM) and intravenous drug users (IDU). Age standardised HIV diagnosis rates in indigenous peoples in Canada in 2004-2008 (178.1 and 178.4/100 000 for men and women respectively) were higher than in Australia (48.5 and 12.9/100 000) and New Zealand (41.9 and 4.3/100 000). Higher HIV diagnosis rates related to heterosexual contact among Aboriginal peoples, especially women, in Canada confirm a widening epidemic beyond the conventional risk groups. This potential of a generalised epidemic requires urgent attention in Aboriginal communities; available evidence can inform policy and action by all stakeholders. Although less striking in Australia and New Zealand, these findings may be relevant to indigenous peoples in other countries.

Paying for Community Education

ERIC Educational Resources Information Center

Geertshuis, Susan

2011-01-01

Within New Zealand, Adult and Community Education providers are facing radical reductions in government support. Providers are reacting in different ways with many being forced to withdraw from offering non-credit education at affordable rates. This paper explores the likely consequences, in terms of changes in learner profile, of efforts to…

Implementation of the HbA1c IFCC unit --from the laboratory to the consumer: The New Zealand experience.

PubMed

Florkowski, Christopher; Crooke, Michael; Reed, Maxine

2014-05-15

In 2007, an international consensus statement recommended that HbA1c results should be reported world-wide in IFCC units (mmol/mol) and also the more familiar derived percentage units using a master equation. In New Zealand, the HbA1c IFCC units have been successfully implemented and used exclusively since 3rd October 2011 (following a 2 year period of reporting both units) for both patient monitoring and the diagnosis of diabetes, with a diagnostic cut-off of ≥50 mmol/mol. The consultation process in New Zealand dates back to 2003, well before the international recommendations were made. It reflects the close cooperation between the clinical and laboratory communities in New Zealand, particularly through the agency of the New Zealand Society for the Study of Diabetes (NZSSD), a key organisation in New Zealand open to all those involved in the care of people with diabetes and the national advisory body on scientific and clinical diabetes care and standards. There was a phased process of consultation designed to increase familiarity and comfort with the new units and the final step was coupled with the adoption of HbA1c as a diagnostic test with some evidence-based pragmatism around using the rounded cut-off. Genuine clinical engagement is vital in such a process. © 2013.

Marine biodiversity of Aotearoa New Zealand.

PubMed

Gordon, Dennis P; Beaumont, Jennifer; MacDiarmid, Alison; Robertson, Donald A; Ahyong, Shane T

2010-08-02

The marine-biodiversity assessment of New Zealand (Aotearoa as known to Māori) is confined to the 200 nautical-mile boundary of the Exclusive Economic Zone, which, at 4.2 million km(2), is one of the largest in the world. It spans 30 degrees of latitude and includes a high diversity of seafloor relief, including a trench 10 km deep. Much of this region remains unexplored biologically, especially the 50% of the EEZ deeper than 2,000 m. Knowledge of the marine biota is based on more than 200 years of marine exploration in the region. The major oceanographic data repository is the National Institute of Water and Atmospheric Research (NIWA), which is involved in several Census of Marine Life field projects and is the location of the Southwestern Pacific Regional OBIS Node; NIWA is also data manager and custodian for fisheries research data owned by the Ministry of Fisheries. Related data sources cover alien species, environmental measures, and historical information. Museum collections in New Zealand hold more than 800,000 registered lots representing several million specimens. During the past decade, 220 taxonomic specialists (85 marine) from 18 countries have been engaged in a project to review New Zealand's entire biodiversity. The above-mentioned marine information sources, published literature, and reports were scrutinized to give the results summarized here for the first time (current to 2010), including data on endemism and invasive species. There are 17,135 living species in the EEZ. This diversity includes 4,315 known undescribed species in collections. Species diversity for the most intensively studied phylum-level taxa (Porifera, Cnidaria, Mollusca, Brachiopoda, Bryozoa, Kinorhyncha, Echinodermata, Chordata) is more or less equivalent to that in the ERMS (European Register of Marine Species) region, which is 5.5 times larger in area than the New Zealand EEZ. The implication is that, when all other New Zealand phyla are equally well studied, total marine

Marine Biodiversity of Aotearoa New Zealand

PubMed Central

Gordon, Dennis P.; Beaumont, Jennifer; MacDiarmid, Alison; Robertson, Donald A.; Ahyong, Shane T.

2010-01-01

The marine-biodiversity assessment of New Zealand (Aotearoa as known to Māori) is confined to the 200 nautical-mile boundary of the Exclusive Economic Zone, which, at 4.2 million km2, is one of the largest in the world. It spans 30° of latitude and includes a high diversity of seafloor relief, including a trench 10 km deep. Much of this region remains unexplored biologically, especially the 50% of the EEZ deeper than 2,000 m. Knowledge of the marine biota is based on more than 200 years of marine exploration in the region. The major oceanographic data repository is the National Institute of Water and Atmospheric Research (NIWA), which is involved in several Census of Marine Life field projects and is the location of the Southwestern Pacific Regional OBIS Node; NIWA is also data manager and custodian for fisheries research data owned by the Ministry of Fisheries. Related data sources cover alien species, environmental measures, and historical information. Museum collections in New Zealand hold more than 800,000 registered lots representing several million specimens. During the past decade, 220 taxonomic specialists (85 marine) from 18 countries have been engaged in a project to review New Zealand's entire biodiversity. The above-mentioned marine information sources, published literature, and reports were scrutinized to give the results summarized here for the first time (current to 2010), including data on endemism and invasive species. There are 17,135 living species in the EEZ. This diversity includes 4,315 known undescribed species in collections. Species diversity for the most intensively studied phylum-level taxa (Porifera, Cnidaria, Mollusca, Brachiopoda, Bryozoa, Kinorhyncha, Echinodermata, Chordata) is more or less equivalent to that in the ERMS (European Register of Marine Species) region, which is 5.5 times larger in area than the New Zealand EEZ. The implication is that, when all other New Zealand phyla are equally well studied, total marine diversity

Prevalence of diabetes mellitus and impaired glucose tolerance in a New Zealand multiracial workforce.

PubMed

Scragg, R; Baker, J; Metcalf, P; Dryson, E

1991-09-25

A cross sectional survey was carried out among a multiracial workforce of 5677 staff aged 40 to 64 years at worksites in Auckland and Tokoroa to determine the prevalence of diabetes mellitus and impaired glucose tolerance (IGT). The prevalences of diabetes mellitus and IGT were both similar for men and women, but increased with age. The relative risks for diabetes mellitus and for IGT were both inversely associated with gross annual household income, independent of age and ethnicity, being 1.61 (95% Cl = 1.10, 2.37) and 1.80 (95% Cl = 1.21, 2.67) respectively, in the lowest income group (less than $30,000) compared with the highest (greater than $40,000). Compared with Europeans, the relative risk of diabetes mellitus was significantly increased among Maori (3.63; 95% Cl = 2.48, 5.32), Pacific Islanders (2.34; 95% Cl = 1.50, 3.66) and Asians (5.97; 95% Cl = 2.61, 13.65), after controlling for age, income and body mass index. The increased prevalence of diabetes mellitus among Maori and Pacific Islanders, but not in Asians, could be partly attributed to their increased levels of obesity compared with Europeans. However, other factors, in addition to obesity, explain the increased diabetes prevalence in nonEuropean groups.

7 CFR 319.56-32 - Peppers from New Zealand.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 5 2010-01-01 2010-01-01 false Peppers from New Zealand. 319.56-32 Section 319.56-32... SERVICE, DEPARTMENT OF AGRICULTURE FOREIGN QUARANTINE NOTICES Fruits and Vegetables § 319.56-32 Peppers from New Zealand. Peppers (fruit) (Capsicum spp.) from New Zealand may be imported into the United...

Strategic perspective: Nuclear issues in the New Zealand media

DOE Office of Scientific and Technical Information (OSTI.GOV)

Fridriksson, L.N.

New Zealand's anti-nuclear policy drew international attention and threw the nation into a foreign policy crisis with the United States over the trilateral mutual security pact ANZUS. After more than a year of diminished intelligence and military cooperation, New Zealand was expelled from the alliance. This study involved a content analysis of coverage of these events and other nuclear issues in selected newspapers of New Zealand and the United States. Research points to the roles of the media as a critical one in the overall relations among countries. Through their frequent use of official government sources, the media tend tomore » uphold the government line or status quo with regard to foreign affairs. This study sought to identify the nuclear issues covered in the New Zealand and US media, the characteristics of that coverage, the sources of that coverage and how coverage varied during changing US-New Zealand relations. The official frame prevailed in coverage of nuclear issues. In the New Zealand and US newspapers under study, most sources of nuclear issue news were government officials. This research also found that most coverage of nuclear issues in the New Zealand media was related to some aspect of US interests, and that coverage of New Zealand's policy in the US media was covered most often when related to the United States. Nuclear issue coverage was most often not crisis-oriented in New Zealand and US newspapers, but coverage of all nuclear issues increased dramatically during the period of the ANZUS policy crisis. This study found a number of changes in nuclear issue coverage in the New Zealand media after the policy crisis was resolved. Among those changes were a tendency to focus less on economic and trade effects of the anti-nuclear policy, a tendency to focus more on ties with other South Pacific nations, use more sources from those countries, and a tendency to focus less on the moral and ethical position of the country.« less

[Current situation of acupuncture in New Zealand].

PubMed

Li, Xiaoji; Hu, Youping

2017-04-12

The beginning of TCM acupuncture in New Zealand dates back to the middle of 19th century. After self-improvement for more than 100 years, TCM acupuncture has gained a considerable development. From the perspective of history and current situation, the development of acupuncture in New Zealand was elaborated in this article; in addition, the sustainable development of acupuncture was discussed from the perspective of education and training. In New Zealand, the TCM acupuncture and dry needling have played a dominant role in acupuncture treatments, which are practiced by TCM practitioners and physical therapists. The TCM acupuncture is widely applied in department of internal medicine, surgery, gynecology, and pediatrics, etc., while the dry needling is li-mited for traumatology and pain disorder. Therefore, including TCM acupuncture into the public medical and educational system in New Zealand should be an essential policy of Ministry of Health to provide welfare for the people.

Community Connections in Health and Physical Education: A Reflection of Stakeholder Experiences

ERIC Educational Resources Information Center

McGrath, Georgia; Alfrey, Laura; Jeanes, Ruth

2017-01-01

Community development research suggests that positive partnerships and connections between groups can result in stronger, more resilient and productive communities. Despite community connections featuring increasingly at a curriculum level in countries such as Australia and New Zealand, research is only beginning to explore the nuanced processes…

A Critical Pedagogy of Place?: "Te Atiawa" (Maori) and "Pakeha" (Non-Maori) History Teachers' Perspectives on the Teaching of Local, Maori and New Zealand Histories

ERIC Educational Resources Information Center

Manning, Richard F.

2011-01-01

This article describes the objectives and methodology of a doctoral research project (Manning, 2008). It then draws upon the key findings of that project to briefly describe how an envisioned critical pedagogy of place partnership model, involving nominated members of the "Te Atiawa iwi" (tribe) and local history teachers, might enhance…

The New Zealand Curriculum: Emergent Insights and Complex Renderings

ERIC Educational Resources Information Center

Ovens, Alan

2010-01-01

The launch of New Zealand Curriculum (Ministry of Education, 2007) brings into question the future of the reforms introduced in the 1999 curriculum, Health and Physical Education in the New Zealand National Curriculum (Ministry of Education, 1999). The aim of this paper is to critique recent physical education curriculum policy in New Zealand and…

The New Zealand Tsunami Database: historical and modern records

NASA Astrophysics Data System (ADS)

Barberopoulou, A.; Downes, G. L.; Cochran, U. A.; Clark, K.; Scheele, F.

2016-12-01

A database of historical (pre-instrumental) and modern (instrumentally recorded)tsunamis that have impacted or been observed in New Zealand has been compiled andpublished online. New Zealand's tectonic setting, astride an obliquely convergenttectonic boundary on the Pacific Rim, means that it is vulnerable to local, regional andcircum-Pacific tsunamis. Despite New Zealand's comparatively short written historicalrecord of c. 200 years there is a wealth of information about the impact of past tsunamis.The New Zealand Tsunami Database currently has 800+ entries that describe >50 highvaliditytsunamis. Sources of historical information include witness reports recorded indiaries, notes, newspapers, books, and photographs. Information on recent events comesfrom tide gauges and other instrumental recordings such as DART® buoys, and media ofgreater variety, for example, video and online surveys. The New Zealand TsunamiDatabase is an ongoing project with information added as further historical records cometo light. Modern tsunamis are also added to the database once the relevant data for anevent has been collated and edited. This paper briefly overviews the procedures and toolsused in the recording and analysis of New Zealand's historical tsunamis, with emphasison database content.

An overview of New Zealand's trauma system.

PubMed

Paice, Rhondda

2007-01-01

Patterns of trauma and trauma systems in New Zealand are similar to those in Australia. Both countries have geographical considerations, terrain and distance, that can cause delay to definitive care. There are only 7 hospitals in New Zealand that currently manage major trauma patients, and consequently, trauma patients are often hospitalized some distance from their homes. The prehospital services are provided by one major provider throughout the country, with a high level of volunteers providing these services in the rural areas. New Zealand has a national no-fault accident insurance system, the Accident Compensation Corporation, which funds all trauma-related healthcare from the roadside to rehabilitation. This insurance system provides 24-hour no-fault personal injury insurance coverage. The Accident Compensation Corporation provides bulk funding to hospitals for resources to manage the care of trauma patients. Case managers are assigned for major trauma patients. This national system also has a rehabilitation focus. The actual funds are managed by the hospitals, and this allows hospital staff to provide optimum care for trauma patients. New Zealand works closely with Australia in the development of a national trauma registry, research, and education in trauma care for patients in Australasia (the islands of the southern Pacific Ocean, including Australia, New Zealand, and New Guinea).

Variable changes in nematode infection prevalence and intensity after Rabbit Haemorrhagic Disease Virus emerged in wild rabbits in Scotland and New Zealand.

PubMed

Hernandez, Alexander D; Boag, Brian; Neilson, Roy; Forrester, Naomi L

2018-08-01

The myxoma virus (a microparasite) reduced wild rabbit numbers worldwide when introduced in the 1950s, and is known to interact with co-infecting helminths (macroparasites) causing both increases and decreases in macroparasite population size. In the 1990s Rabbit Haemorrhagic Disease Virus (RHDV) infected rabbits and also significantly reduced rabbit numbers in several countries. However, not much is known about RHDV interactions with macroparasites. In this study, we compare prevalence and intensity of infection for three gastrointestinal nematode species ( Trichostrongylus retortaeformis , Graphidium strigosum and Passalurus ambiguus ) before and after RHDV spread across host populations in Scotland and New Zealand. During one common season, autumn, prevalence of T. retortaeformis was higher after RHDV spread in both locations, whereas it was lower for G. strigosum and P. ambiguus after RHDV arrived in New Zealand, but higher in Scotland. Meanwhile, intensity of infection for all species decreased after RHDV arrived in New Zealand, but increased in Scotland. The impact of RHDV on worm infections was generally similar across seasons in Scotland, and also similarities in seasonality between locations suggested effects on infection patterns in one season are likely similar year-round. The variable response by macroparasites to the arrival of a microparasite into Scottish and New Zealand rabbits may be due to differences in the environment they inhabit, in existing parasite community structure, and to some extent, in the relative magnitude of indirect effects. Specifically, our data suggest that bottom-up processes after the introduction of a more virulent strain of RHDV to New Zealand may affect macroparasite co-infections by reducing the availability of their shared common resource, the rabbits. Clearly, interactions between co-infecting micro- and macroparasites vary in host populations with different ecologies, and significantly impact parasite community

Health economics and health policy: experiences from New Zealand.

PubMed

Cumming, Jacqueline

2015-06-01

Health economics has had a significant impact on the New Zealand health system over the past 30 years. In this paper, I set out a framework for thinking about health economics, give some historical background to New Zealand and the New Zealand health system, and discuss examples of how health economics has influenced thinking about the organisation of the health sector and priority setting. I conclude the paper with overall observations about the role of health economics in health policy in New Zealand, also identifying where health economics has not made the contribution it could and where further influence might be beneficial.

Insanity acquittee outcomes in New Zealand.

PubMed

Skipworth, Jeremy; Brinded, Phil; Chaplow, David; Frampton, Chris

2006-01-01

This paper examines clinical and forensic outcomes for defendants found not guilty by reason of insanity in New Zealand, and explores the implications for policy development and clinical rehabilitation in this population. All insanity acquittees disposed of by the courts as special patients after 1976 and released before 2004 are described. Their duration of inpatient care, rates of reconviction and rehospitalization following release are examined. The high resolution rate for violent crime reported to police suggests that reconviction rates are a reasonable proxy for violent reoffending. Factors predicting duration of inpatient care and reoffending are analysed. Severity of Index Offence was the only variable predicting duration of inpatient care of the 135 special patients. Offenders of more serious offences were securely detained for longer periods--averaging 6 years in the case of those charged with murder. Most patients were readmitted over the decade following discharge. Only 6% had violently reoffended 2 years after release into the community. Prior offending, age at release, ethnicity and gender predicted reoffending, but not diagnosis or duration of inpatient admission. Following discharge into the community, insanity acquittees are reconvicted of violent crimes at a very low rate, although readmission to hospital is common. It may be that insanity acquittees are initially detained in hospital longer than is clinically indicated, and that safe forensic community treatment can occur at an earlier stage of recovery without compromising public safety.

Recovery of the New Zealand muricid dogwhelk Haustrum scobina from TBT-induced imposex.

PubMed

Jones, M R L; Ross, P M

2018-01-01

Levels of imposex in the muricid dogwhelk Haustrum scobina (Quoy & Gaimard, 1833) were assessed in two major New Zealand ports between 2015 and 2017, 12+years after the banning of TBT-based antifouling paints. In the 1990s imposex was common adjacent to port facilities and marinas in Waitemata and Tauranga Harbours, and several populations were found to be largely sterile and in decline. By 2015-17 imposex was largely absent from Tauranga Harbour and considerably reduced in Waitemata Harbour. In Waitemata Harbour imposex remained in areas adjacent to hull cleaning facilities and marinas, but at low levels and frequencies. These data highlight the success of the 2003 banning of TBT-based antifouling paints in reducing levels of imposex in New Zealand ports. However, these reductions in antifouling chemicals and subsequent population recoveries may have had unforseen effects within these harbours including changes in community structure and the arrival of non-indigenous species. Copyright © 2017 Elsevier Ltd. All rights reserved.

The New Zealand Earthquakes and the Role of Schools in Engaging Children in Emotional Processing of Disaster Experiences

ERIC Educational Resources Information Center

Mutch, Carol; Gawith, Elizabeth

2014-01-01

The earthquakes that rocked the city of Christchurch and surrounding districts in Canterbury, New Zealand, were to take their toll on families, schools and communities. The places that had once represented safety and security for most children were literally and figuratively turned upside down. Rather than reinforce the trauma and continue to…

Electroconvulsive Therapy Practice in New Zealand.

PubMed

Fisher, Mark Wilkinson; Morrison, John; Jones, Paul Anthony

2017-06-01

The aim of this study was to describe the contemporary practice of electroconvulsive therapy (ECT) in New Zealand. A 53-item questionnaire was sent to all services providing ECT as of December 2015. Electroconvulsive therapy was provided by 16 services covering 15 district health boards funded by the New Zealand government. No private facilities provided ECT. All services providing ECT responded to an online survey questionnaire. Rates of ECT utilization were low relative to similar countries. Survey results indicated ECT was practiced to an overall good standard. Several resource and logistical issues potentially contributing to low ECT utilization were identified. Electroconvulsive therapy in New Zealand is provided using modern equipment and practices. However, overall rates of utilization remain low, perhaps as a result of controversy surrounding ECT and some resourcing issues.

A qualitative investigation into key cultural factors that support abstinence or responsible drinking amongst some Pacific youth living in New Zealand

PubMed Central

2012-01-01

Background Abstinence and responsible drinking are not typically associated with youth drinking culture. Amongst Pacific youth in New Zealand there are high numbers, compared to the general New Zealand population, who choose not to consume alcohol. The Pacific youth population is made up of several ethnic groups; their ethno-cultural values are largely Polynesian and heavily influenced by the socio-economic realities of living in New Zealand. This paper explores factors that support abstinence or responsible drinking amongst Pacific youth living in Auckland. Methods A qualitative study comprised of a series of ethnically-, age-, and gender-matched semi-structured focus group discussions with 69 Pacific youth, aged 15-25 years from a university and selected high-schools. Participants were purposively sampled. Results Key cultural factors that contributed to whether Pacific youth participants were abstinent or responsible drinkers were: significant experiences within Pacific family environments (e.g. young person directly links their decision about alcohol consumption to a positive or negative role model); awareness of the belief that their actions as children of Pacific parents affects the reputation and standing of their Pacific family and community (e.g. church); awareness of traditional Pacific values of respect, reciprocity and cultural taboos (e.g. male–female socialising); commitment to no-alcohol teachings of church or religious faith; having peer support and experiences that force them to consider negative effects of excessive alcohol consumption; and personal awareness that being part of an (excessive) drinking culture may seriously affect health or impede career aspirations. Conclusions The narratives offered by Pacific young people highlighted three key communities of influence: family (immediate and extended, but especially siblings), peers and church. Young people negotiated through these communities of influence their decisions whether to drink

Service delivery under translation: multi-stakeholder accountability in the non-profit community sector in New Zealand.

PubMed

Boon, Bronwyn; Greatbanks, Richard; Munro, Jenny; Gaffney, Michael

2017-03-01

This paper addresses the challenge reported in the research literature of providing adequate accounts of service quality and value to multiple stakeholders. Rather than starting with a particular accountability practice, we examine the accounts of complex service delivery and results from the perspective of five key stakeholder groups. The case study at the empirical centre of this research is a small New Zealand non-profit organisation that provides community-based wraparound casework to young people, and their families, with multiple and complex needs. This paper reports on data collected during 2009-2012 through interviews with five key stakeholders of this service: the young people, the caseworkers, the co-providers, the managers and the funders. Drawing on translation theory, the different points of reference and the consequential shifts in focus, content and meaning within the multiple stakeholder accounts are traced. The findings show that while each stakeholder group brings a unique point of reference to the service delivery, there are degrees of overlap in the focus and content of the accounts. This is particularly evident in the 'relationship' dimension. While overlaps may exist, points of invisibility are also revealed. Accountability tensions can be traced directly to these points of invisibility. As a result of this analysis, it is argued that more explicit attention to the impact of multiple stakeholders at the level of epistemology provides a mechanism for addressing some of the tensions routinely raised. © 2015 John Wiley & Sons Ltd.

Selection of School Counsellors in New Zealand.

ERIC Educational Resources Information Center

Manthei, R. J.

This paper presents the views of the New Zealand Counselling and Guidance Association regarding the need for changes in the system of selecting individuals for training as school counselors in New Zealand. A number of options are offered for improving the mechanics of selection, recommending selection criteria, and suggesting procedures for…

Community Environmental Education as a Model for Effective Environmental Programmes

ERIC Educational Resources Information Center

Blair, Morag

2008-01-01

The benefits of community environmental education outlined in environmental education literature are supported by the findings and implications of a research study undertaken in New Zealand. Evidence from a two-case case study suggests that environmental programmes guided by the key principles and practices of community environmental education,…

Promoting a Minority Language to Majority Language Speakers: Television Advertising about the Maori Language Targeting Non-Maori New Zealanders

ERIC Educational Resources Information Center

de Bres, Julia

2010-01-01

It has been claimed that the success of minority language policy initiatives may only be achievable if at least some degree of 'tolerability' of these initiatives is secured among majority language speakers. There has, however, been little consideration in the language planning literature of what practical approaches might be used to influence the…

Late-life homicide-suicide: a national case series in New Zealand.

PubMed

Cheung, Gary; Hatters Friedman, Susan; Sundram, Frederick

2016-01-01

Homicide-suicide is a rare event, but it has a significant impact on the family and community of the perpetrator and victim(s). The phenomenon of late-life homicide-suicide has not been previously studied in New Zealand, and there is only limited data in the international literature. The aim of this study is to systematically review coroners' records of late-life homicide-suicides in New Zealand. After ethics approval was granted, the Coronial Services of New Zealand was approached to provide records of all closed cases with a suicide verdict (age 65+) over a five-year period (July 2007-December 2012). Of the 225 suicides, 4 cases of homicide-suicide were identified (an estimated incidence of 0.12 per 100,000 per persons year). All four perpetrators were men; three had been farmers. Their ages ranged from 65 to 82. One case occurred in the context of an underlying psychiatric illness (psychotic depression in bipolar disorder). Firearms were used in three cases. Two cases were categorized as spousal/consortial subtype, one case as filicide-suicide, and one case as siblicide-suicide. The prospect of major social upheaval in the form of losing their homes was present in all four cases. The findings of this case series were consistent with the limited existing literature on homicide-suicide. Age-related biopsychosocial issues were highlighted in this case series of late-life homicide-suicide. Additionally, evaluating firearm licences in high-risk groups may represent a prevention strategy. © 2015 The Authors. Psychogeriatrics © 2015 Japanese Psychogeriatric Society.

Working Together for the Student: What I Learned from Two Years on a Primary School Board in New Zealand.

ERIC Educational Resources Information Center

Dyer, Samuel Coad

1998-01-01

A former board member of a New Zealand primary school describes the country's political climate as radical economic libertarian; contract bidding among schools will soon be required. Elementary schools are child-centered and multicultural, operate year-round, involve the board and community, follow a national curriculum, and have overworked,…

A Comparison of the Motivations of Pre-Degree and Degree Education Students for Becoming Teachers in Aotearoa New Zealand

ERIC Educational Resources Information Center

Hogan, Vivienne; Reid, Lynette; Furbish, Dale

2017-01-01

In New Zealand the Ministry of Education is committed to attracting and retaining "high quality individuals" to the teaching profession who represent the diverse cultural and socio-economic communities in the country. One way to achieve this has been through the provision of multiple pathways into initial teacher education (ITE). Such…

Obesity and Intellectual Disability in New Zealand

ERIC Educational Resources Information Center

Stedman, Kurstyn V.; Leland, Louis S., Jr.

2010-01-01

Background: The international literature suggests that obesity is likely to be more pronounced in the population of people with intellectual disability (ID). However, there are no published New Zealand data for this population. Method: We accessed a database containing anonymous data for a New Zealand ID population. Ninety-eight people of 141 had…

Corporal punishment and child maltreatment in New Zealand.

PubMed

Kelly, Patrick

2011-01-01

On 2 May, 2007, the New Zealand Parliament passed a law repealing Section 59 of the Crimes Act. In so doing, New Zealand became the first English-speaking nation in the world to make corporal punishment of a child illegal. The passage of this legislation was surrounded by intense and persistent public debate, and supporters of corporal punishment continue to advocate against the law change to the present day. In Sweden, where the first stage of similar repeal took place in 1957, it may be difficult for many to understand the strength of the public opposition to this change in New Zealand. This article will present a viewpoint on the evolution of the debate in New Zealand, review the wider context of child maltreatment and family violence in New Zealand and summarize a range of attempts to prevent or intervene effectively in the cycle of dysfunction. Child maltreatment and family violence are public health issues of great importance, and a stain on all societies. While corporal punishment may be a significant contributing factor, there is no single 'solution'. Change must occur on multiple levels (political, economic, cultural, familial and professional) before the tide will turn.

Evolution of campylobacter species in New Zealand

USDA-ARS?s Scientific Manuscript database

New Zealand is an isolated archipelago in the South-West Pacific with a unique fauna and flora, a feature partly attributable to it being the last sizable land mass to be colonized by man. In this chapter we test the hypothesis that different periods in the history of New Zealand – from pre-history ...

Asia-Born New Zealand-Educated Business Graduates' Transition to Work

ERIC Educational Resources Information Center

Anderson, Vivienne; McGrath, Terry; Butcher, Andrew

2014-01-01

In 2008 the Asia New Zealand Foundation commissioned a three-year project examining Asia-born New Zealand-educated business graduates' study to work transitions. Data were collected through annual online surveys and in-depth interviews. Graduates were asked to discuss their post-study experiences, reflections on studying in New Zealand, and…

Allopurinol use in a New Zealand population: prevalence and adherence.

PubMed

Horsburgh, Simon; Norris, Pauline; Becket, Gordon; Arroll, Bruce; Crampton, Peter; Cumming, Jacqueline; Keown, Shirley; Herbison, Peter

2014-07-01

Allopurinol is effective for the control of gout and its long-term complications when taken consistently. There is evidence that adherence to allopurinol therapy varies across population groups. This may exacerbate differences in the burden of gout on population groups and needs to be accurately assessed. The aim of this study was to describe the prevalence of allopurinol use in a region of New Zealand using community pharmacy dispensing data and to examine the levels of suboptimal adherence in various population groups. Data from all community pharmacy dispensing databases in a New Zealand region were collected for a year covering 2005/2006 giving a near complete picture of dispensings to area residents. Prevalence of allopurinol use in the region by age, sex, ethnicity and socioeconomic position was calculated. Adherence was assessed using the medication possession ratio (MPR), with a MPR of 0.80 indicative of suboptimal adherence. Multiple logistic regression was used to explore variations in suboptimal adherence across population groups. A total of 953 people received allopurinol in the study year (prevalence 3%). Prevalence was higher in males (6%) than in females (1%) and Māori (5%) than non-Māori (3%). The overall MPR during the study was 0.88, with 161 (22%) of patients using allopurinol having suboptimal adherence. Non-Māori were 54% less likely to have suboptimal allopurinol adherence compared to Māori (95% CI 0.30-0.72, p = 0.001). These findings are consistent with those from other studies nationally and internationally and point to the important role for health professionals in improving patient adherence to an effective gout treatment.

Changes in the age pattern of New Zealand suicide rates.

PubMed

Snowdon, John

2017-01-13

It is timely to examine changes in male and female suicide rates across the age range in New Zealand, comparing them to some of the changes recorded in Australia. Data regarding suicide and population figures in New Zealand and Australia were obtained. The suicide rates of different age-groups in the two countries were calculated and compared. Data concerning 'open verdicts' were also obtained. The age patterns of suicide rates in New Zealand and Australia have changed markedly and similarly. Suicide rates of New Zealand males in their twenties increased threefold between the 1960s and 1990s, with a fall since then. Nevertheless, the 2009-13 youth suicide rates in New Zealand were double the corresponding rates in Australia. Since 1979-88 a decrease in suicide rates of men and women aged 60-79 has been even greater than in Australia. The Māori suicide rate is high in young men but almost zero in old age. The persistently high suicide rate of New Zealand youths (Māori much more than non-Māori) remains of concern. The rate is equally high among indigenous young Australians. There has been a welcome decrease in late-life suicide rates in New Zealand and Australia.

Updating the New Zealand Glacier Inventory

NASA Astrophysics Data System (ADS)

Baumann, S. C.; Anderson, B.; Mackintosh, A.; Lorrey, A.; Chinn, T.; Collier, C.; Rack, W.; Purdie, H.

2017-12-01

The last complete glacier inventory of New Zealand dates from the year 1978 (North Island 1988) and was manually constructed from oblique aerial photographs and geodetic maps (Chinn 2001). The inventory has been partly updated by Gjermundsen et al. (2011) for the year 2002 (40% of total area) and by Sirguey & More (2010) for the year 2009 (32% of total area), both using ASTER satellite imagery. We used Landsat 8 OLI/TIRS satellite data from February/March 2016 to map the total glaciated area. Clean and debris-covered ice were mapped semi-automatically. The band ratio approach was used for clean ice (ratio: red/SWIR). We mapped debris-covered ice using a supervised classification (maximum likelihood). Manual post processing was necessary due to misclassifications (e.g. lakes, clouds) or mapping in shadowed areas. It was also necessary to manually combine the clean and debris-covered parts into single glaciers. Additional input data for the post processing were Sentinel 2 images from the same time period, orthophotos from Land Information New Zealand (resolution: 0.75 m, date: Nov 2014), and the 1978/88 outlines from the GLIMS database (http://www.glims.org/). As the Sentinel 2 data were more heavily cloud covered compared to the Landsat 8 images, they were only used for post processing and not for the classification itself. Initial results show that New Zealand glaciers covered an area of about 1050 km² in 2016, a reduction of 16% since 1978. Approximately 17% of glacier area was covered in surface debris. The glaciers in the central Southern Alps around Mt Cook reduced in area by 24%. Glaciers in the North Island of New Zealand reduced by 71% since 1988, and only 2 km² of ice cover remained in 2016. Chinn, TJH (2001). "Distribution of the glacial water resources of New Zealand." Journal of Hydrology (NZ) 40(2): 139-187 Gjermundsen, EF, Mathieu, R, Kääb, A, Chinn, TJH, Fitzharris, B & Hagen, JO (2011). "Assessment of multispectral glacier mapping methods and

The New Zealand accident compensation scheme.

PubMed

Barter, R W

1977-05-01

Reference is made to legislation concerned with the introduction of the New Zealand Accident Compensation Scheme in 1974. The author's experience of the Scheme is based on an exchange visit in 1975. The basic principles are community responsibility and universal entitlement to compensation. Earnings-related benefits are paid to the injured person, and flat-rate payments to non-earners. The Scheme is administered by a three-man Commission with wide responsibilities for accident prevention, rehabilitation services, administration of funds, records, public relations, and an independent Appeals Authority. There have been far reaching consequences on medical practice. The Commission construe the phrase 'Personal Injury by Accident' as damage to the human system which is not designed by the person injured: the implications of such a definition are briefly discussed. The administrative costs of any similar Scheme in the United Kingdom would be enormous and it is doubtful whether the benefits would justify the cost.

Cross-cultural understandings of festival food-related activities for older women in Chiang Mai, Thailand, Eastern Kentucky, USA and Auckland, New Zealand.

PubMed

Wright-St Clair, Valerie A; Pierce, Doris; Bunrayong, Wannipa; Rattakorn, Phuanjai; Vittayakorn, Soisuda; Shordike, Anne; Hocking, Clare

2013-06-01

This cross-country, cross-cultural study explored the meaning of older women's food-related activities for the annual festivals of Songkran (Thai New Year) in Chiang Mai, Thailand; and Christmas in Richmond, Kentucky, USA; and Auckland, New Zealand. A derived etic method was used. The community-dwelling participants were 33 Thai women, aged 60 and older, and 16 New Zealand and 23 eastern Kentucky women, aged 65 and older. This article focuses on the final cross-cultural analysis of the data. Emic, or within-country, findings are presented, followed by the derived etic, or cross-cultural, interpretations for two themes of meaning; older women's 'protecting what matters' and 'leading the way'. Applying derived etic methods helped reveal how, despite the highly different food-related practices, preparing and sharing celebratory foods at Songkran or Christmas held related meanings for older women in Thailand, Kentucky USA, and New Zealand.

Pacemaker Use in New Zealand - Data From the New Zealand Implanted Cardiac Device Registry (ANZACS-QI 15).

PubMed

Larsen, P D; Kerr, A J; Hood, M; Harding, S A; Hooks, D; Heaven, D; Lever, N A; Sinclair, S; Boddington, D; Tang, E W; Swampillai, J; Stiles, M K

2017-03-01

The New Zealand Cardiac Implanted Device Registry (Device) has recently been developed under the auspices of the New Zealand Branch of the Cardiac Society of Australia and New Zealand. This study describes the initial Device registry cohort of patients receiving a new pacemaker, their indications for pacing and their perioperative complications. The Device Registry was used to audit patients receiving a first pacemaker between 1 st January 2014 and 1 st June 2015. We examined 1611 patients undergoing first pacemaker implantation. Patients were predominantly male (59%), and had a median age of 70 years. The most common symptom for pacemaker implantation was syncope (39%), followed by dizziness (30%) and dyspnoea (12%). The most common aetiology for a pacemaker was a conduction tissue disorder (35%), followed by sinus node dysfunction (22%). Atrioventricular (AV) block was the most common ECG abnormality, present in 44%. Dual chamber pacemakers were most common (62%), followed by single chamber ventricular pacemakers (34%), and cardiac resynchronisation therapy - pacemakers (CRT-P) (2%). Complications within 24hours of the implant procedure were reported in 64 patients (3.9%), none of which were fatal. The most common complication was the need for reoperation to manipulate a lead, occurring in 23 patients (1.4%). This is the first description of data entered into the Device registry. Patients receiving a pacemaker were younger than in European registries, and there was a low use of CRT-P devices compared to international rates. Complications rates were low and compare favourably to available international data. Copyright © 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

The scientific value and potential of New Zealand swamp kauri

NASA Astrophysics Data System (ADS)

Lorrey, Andrew M.; Boswijk, Gretel; Hogg, Alan; Palmer, Jonathan G.; Turney, Christian S. M.; Fowler, Anthony M.; Ogden, John; Woolley, John-Mark

2018-03-01

New Zealand swamp kauri (Agathis australis) are relic trees that have been buried and preserved in anoxic bog environments of northern New Zealand for centuries through to hundreds of millennia. Kauri are massive in proportion to other native New Zealand trees and they can attain ages greater than 1000 years. The export market for swamp (subfossil) kauri has recently been driven by demand for a high-value workable timber, but there are concerns about the sustainability of the remaining resource, a situation exacerbated in recent years by the rapid extraction of wood. Economic exploitation of swamp kauri presents several unique opportunities for Quaternary science, however the scientific value of this wood is not well understood by the wider research community and public. Here, we summarise the history of scientific research on swamp kauri, and explore the considerable potential of this unique resource. Swamp kauri tree-ring chronologies are temporally unique, and secondary analyses (such as radiocarbon and isotopic analyses) have value for improving our understanding of Earth's recent geologic history and pre-instrumental climate history. Swamp kauri deposits that span the last interglacial-glacial cycle show potential to yield "ultra-long" multi-millennia tree-ring chronologies, and composite records spanning large parts of MIS3 (and most of the Holocene) may be possible. High-precision radiocarbon dating of swamp kauri chronologies can improve the resolution of the global radiocarbon calibration curve, while testing age modelling and chronologic alignment of other independent long-term high-resolution proxy records. Swamp kauri also has the potential to facilitate absolute dating and verification of cosmogenic events found in long Northern Hemisphere tree-ring chronologies. Future efforts to conserve these identified values requires scientists to work closely with swamp kauri industry operators, resource consent authorities, and export regulators to mitigate

Tsunami Forecasting and Monitoring in New Zealand

NASA Astrophysics Data System (ADS)

Power, William; Gale, Nora

2011-06-01

New Zealand is exposed to tsunami threats from several sources that vary significantly in their potential impact and travel time. One route for reducing the risk from these tsunami sources is to provide advance warning based on forecasting and monitoring of events in progress. In this paper the National Tsunami Warning System framework, including the responsibilities of key organisations and the procedures that they follow in the event of a tsunami threatening New Zealand, are summarised. A method for forecasting threat-levels based on tsunami models is presented, similar in many respects to that developed for Australia by Allen and Greenslade (Nat Hazards 46:35-52, 2008), and a simple system for easy access to the threat-level forecasts using a clickable pdf file is presented. Once a tsunami enters or initiates within New Zealand waters, its progress and evolution can be monitored in real-time using a newly established network of online tsunami gauge sensors placed at strategic locations around the New Zealand coasts and offshore islands. Information from these gauges can be used to validate and revise forecasts, and assist in making the all-clear decision.

Few older people in New Zealand who commit suicide receive specialist psychogeriatric services.

PubMed

Cheung, Gary; Casey, Jane

2014-08-01

Suicide in older people is a growing public health concern in many parts of the world. The literature on this issue is lacking in New Zealand. The aim of this study is to ascertain whether this group is accessing specialist psychogeriatric services. A retrospective case series study of completed suicides in older people (≥65 years) during a three-year period from January 2010 to December 2012 was performed. An online survey detailing demographic and clinical information was completed by psychiatrists in 15 of the 20 District Health Boards in New Zealand. Only about 15% of older people who committed suicide were accessing specialist psychogeriatric services and the group with the highest suicide rate (men≥85 years) did not feature in specialist services. Depression (61%) was the most common diagnosis and nearly half (35%) had had contact with specialist services within three days prior to the suicide. Over half (52%) had a history of past suicide attempt(s). Older people who complete suicide are infrequently accessing specialist services. In those that do, there are questions to be answered regarding suicide prediction and prevention for this high-risk group of vulnerable individuals. More research is required targeting those not accessing specialist services, in particular the high risk group of older men. The role of general practitioner, community care, the assessment and management of depression and whether there is any access issue to specialist psychogeriatric services require elucidation. © The Royal Australian and New Zealand College of Psychiatrists 2014.

The First Shared Online Curriculum Resources for Veterinary Undergraduate Learning and Teaching in Animal Welfare and Ethics in Australia and New Zealand.

PubMed

Johnson, Jane; Collins, Teresa; Degeling, Christopher; Fawcett, Anne; Fisher, Andrew D; Freire, Rafael; Hazel, Susan J; Hood, Jennifer; Lloyd, Janice; Phillips, Clive J C; Stafford, Kevin; Tzioumis, Vicky; McGreevy, Paul D

2015-05-29

The need for undergraduate teaching of Animal Welfare and Ethics (AWE) in Australian and New Zealand veterinary courses reflects increasing community concerns and expectations about AWE; global pressures regarding food security and sustainability; the demands of veterinary accreditation; and fears that, unless students encounter AWE as part of their formal education, as veterinarians they will be relatively unaware of the discipline of animal welfare science. To address this need we are developing online resources to ensure Australian and New Zealand veterinary graduates have the knowledge, and the research, communication and critical reasoning skills, to fulfill the AWE role demanded of them by contemporary society. To prioritize development of these resources we assembled leaders in the field of AWE education from the eight veterinary schools in Australia and New Zealand and used modified deliberative polling. This paper describes the role of the poll in developing the first shared online curriculum resource for veterinary undergraduate learning and teaching in AWE in Australia and New Zealand. The learning and teaching strategies that ranked highest in the exercise were: scenario-based learning; a quality of animal life assessment tool; the so-called 'Human Continuum' discussion platform; and a negotiated curriculum.

Predator-Free New Zealand: Conservation Country.

PubMed

Russell, James C; Innes, John G; Brown, Philip H; Byrom, Andrea E

2015-05-01

Eradications of invasive species from over 1000 small islands around the world have created conservation arks, but to truly address the threat of invasive species to islands, eradications must be scaled by orders of magnitude. New Zealand has eradicated invasive predators from 10% of its offshore island area and now proposes a vision to eliminate them from the entire country. We review current knowledge of invasive predator ecology and control technologies in New Zealand and the biological research, technological advances, social capacity and enabling policy required. We discuss the economic costs and benefits and conclude with a 50-year strategy for a predator-free New Zealand that is shown to be ecologically obtainable, socially desirable, and economically viable. The proposal includes invasive predator eradication from the two largest offshore islands, mammal-free mainland peninsulas, very large ecosanctuaries, plus thousands of small projects that will together merge eradication and control concepts on landscape scales.

Predator-Free New Zealand: Conservation Country

PubMed Central

Russell, James C.; Innes, John G.; Brown, Philip H.; Byrom, Andrea E.

2015-01-01

Eradications of invasive species from over 1000 small islands around the world have created conservation arks, but to truly address the threat of invasive species to islands, eradications must be scaled by orders of magnitude. New Zealand has eradicated invasive predators from 10% of its offshore island area and now proposes a vision to eliminate them from the entire country. We review current knowledge of invasive predator ecology and control technologies in New Zealand and the biological research, technological advances, social capacity and enabling policy required. We discuss the economic costs and benefits and conclude with a 50-year strategy for a predator-free New Zealand that is shown to be ecologically obtainable, socially desirable, and economically viable. The proposal includes invasive predator eradication from the two largest offshore islands, mammal-free mainland peninsulas, very large ecosanctuaries, plus thousands of small projects that will together merge eradication and control concepts on landscape scales. PMID:26955079

Services Available to Visually Impaired Persons in New Zealand.

ERIC Educational Resources Information Center

LaGrow, S.; And Others

1990-01-01

The Royal New Zealand Foundation for the Blind is primarily responsible for services to visually impaired people in New Zealand. The article describes its history, structure, services, and plans for the future. (Author/JDD)

Information Services in New Zealand and the Pacific.

ERIC Educational Resources Information Center

Ronnie, Mary A.

This paper examines information services and resource sharing within New Zealand with a view to future participation in a Pacific resource sharing network. Activities of the National Library, the New Zealand Library Resources Committee, and the Information Services Committee are reviewed over a 40-year period, illustrating library cooperative…

General practice and the New Zealand health reforms – lessons for Australia?

PubMed Central

McAvoy, Brian R; Coster, Gregor D

2005-01-01

New Zealand's health sector has undergone three significant restructures within 10 years. The most recent has involved a Primary Health Care Strategy, launched in 2001. Primary Health Organisations (PHOs), administered by 21 District Health Boards, are the local structures for implementing the Primary Health Care Strategy. Ninety-three percent of the New Zealand population is now enrolled within 79 PHOs, which pose a challenge to the well-established Independent Practitioner Associations (IPAs). Although there was initial widespread support for the philosophy underlying the Primary Health Care Strategy, there are concerns amongst general practitioners (GPs) and their professional organisations relating to its implementation. These centre around 6 main issues: 1. Loss of autonomy 2. Inadequate management funding and support 3. Inconsistency and variations in contracting processes 4. Lack of publicity and advice around enrolment issues 5. Workforce and workload issues 6. Financial risks On the other hand, many GPs are feeling positive regarding the opportunities for PHOs, particularly for being involved in the provision of a wider range of community health services. Australia has much to learn from New Zealand's latest health sector and primary health care reforms. The key lessons concern: • the need for a national primary health care strategy • active engagement of general practitioners and their professional organisations • recognition of implementation costs • the need for infrastructural support, including information technology and quality systems • robust management and governance arrangements • issues related to critical mass and population/distance trade offs in service delivery models PMID:16262908

Epidemiology of inpatient gout in Australia and New Zealand: temporal trends, comorbidities and gout flare site.

PubMed

Robinson, Philip C; Kempe, Sarina; Tebbutt, Ian; Roberts, Lynden

2017-06-01

To assess the epidemiology of inpatient gout in Australia and New Zealand during the years 2009-2014. Using the Health Roundtable Limited (HRT) dataset, all patients with a coded ICD10 primary or secondary discharge diagnosis of gout from a HRT participating Australian or New Zealand hospital between the years 2009 and 2014 were identified. The number of inpatient gout admissions, length of stay, body site of gout flare, temporal trends and comorbidities were assessed. During 2009-2014, the number of gout admissions increased significantly in Australia and New Zealand. The rate of inpatient gout admissions relative to the population and total HRT admissions rose in Australia and stayed static in New Zealand. Lower limb presentations were the commonest anatomical site of gout in admitted patients. Length of stay over the course of the study decreased both in patients admitted for gout and in those in the entire HRT dataset. Patients admitted for gout have longer length of stay compared to patients admitted for other reasons. Cardiovascular disease, infection and stroke were the commonest conditions that were complicated by an episode of inpatient gout. There was no influence of month or season on the pattern of gout admissions. The number of gout admissions rose in Australia numerically and as a proportion of the total population and total admissions. Gout is an increasing problem affecting individuals and the community as a whole in Australia. © 2016 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.

Assessment and modelling of general practice and community setting capacity for medical trainees in northern New Zealand.

PubMed

Goodyear-Smith, Felicity; Al-Murrani, Abbas

2017-09-22

To estimate the capacity of general practice to accommodate undergraduate and postgraduate medical trainees, and model efficient ways to utilise identified capacity and increase capacity. We conducted an online survey, with phone follow-up to non-responders, of all general practices in the northern half of New Zealand. The main outcome measures were current placements and future intentions for taking medical trainees; factors influencing decisions and possible incentives to take trainees. Sixty percent of existing practices take no medical trainees. On average, practices take trainees for 50% of available cycles per year. Postgraduate trainees displace undergraduate student placements due to space limitations. Only 1.9% practices demonstrate current capacity for full vertical training by taking all three types of trainee (undergraduate, PGY, registrar). Modelling on current use means 69 additional practices will be needed to be recruited by 2020. A number of strategies are presented aimed at increasing short-term undergraduate teaching practice capacity in New Zealand, but also relevant to Australia and elsewhere. In the long-term, establishment of the proposed School of Rural Health would enable integrated vertical teaching and address the GP training capacity issues.

The New Zealand Model for Prevention of Cyberviolence.

ERIC Educational Resources Information Center

Butterfield, Liz

2003-01-01

Describes the national initiative of the New Zealand Internet Safety Group to prevent cyberviolence through education. The effort includes distribution of an Internet Safety Kit to each school in the country, research on Internet use in New Zealand, and a national symposium on the social impact of the Internet. (SLD)

Anti-Nuclear Attitudes in New Zealand and Australia,

DTIC Science & Technology

1985-12-01

Wellington, 5 March 1985. 5. John Henderson, Keith Jackson , Richard Kennawav, eds. Beyond New Zealand; The Foreign Policy of a Small State. (Auckland...the city of San Francisco this first day of September, 1951. For Australia: PERCY C. SPENDER For New Zealand: C.A. BERENDSEN For the United States of

Primary health care nurses and heart failure education: a survey.

PubMed

Gilmour, Jean; Strong, Alison; Chan, Helen; Hanna, Sue; Huntington, Annette

2014-09-01

Heart failure education contributes to effective self-management. New Zealand primary health care nurses' contributions to heart failure educational activities have not been researched. To identify primary health care nurses' heart failure educational activities in terms of duration and frequency, topics covered, resources used and strategies for Maori and other ethnic groups. A cross-sectional survey of a random sample of 961 primary health care nurses using a postal questionnaire. Of 630 respondents (65.5%), 369 worked with patients with heart failure and 339 provided heart failure education. One-third of respondents providing education (33.3%; n=113) delivered sessions from 16 to 60 minutes. The main educational topics covered were on the physical aspects of heart failure; prognosis, spiritual/existential and psychosocial topics were least often addressed. One-quarter of the group providing education did not use educational resources (n=86). The majority of respondents reported they would find more education about heart failure useful or very useful (80.2%; n=292), along with nurse practitioner support (64.7%; n=229). Maori-centred services and resources and involving whanau/family in education were the most frequently mentioned Maori-specific education strategies. A consistent approach to heart failure education is important to address knowledge gaps in a timely manner. This study affirms the contribution made by primary health care nurses in chronic illness education and highlights the need for further development and investment in ongoing heart failure nursing education and specialist nursing support.

Development of Very Long Baseline Interferometry (VLBI) techniques in New Zealand: Array simulation, image synthesis and analysis

NASA Astrophysics Data System (ADS)

Weston, S. D.

2008-04-01

This thesis presents the design and development of a process to model Very Long Base Line Interferometry (VLBI) aperture synthesis antenna arrays. In line with the Auckland University of Technology (AUT) Institute for Radiophysics and Space Research (IRSR) aims to develop the knowledge, skills and experience within New Zealand, extensive use of existing radio astronomical software has been incorporated into the process namely AIPS (Astronomical Imaging Processing System), MIRIAD (a radio interferometry data reduction package) and DIFMAP (a program for synthesis imaging of visibility data from interferometer arrays of radio telescopes). This process has been used to model various antenna array configurations for two proposed New Zealand sites for antenna in a VLBI array configuration with existing Australian facilities and a passable antenna at Scott Base in Antarctica; and the results are presented in an attempt to demonstrate the improvement to be gained by joint trans-Tasman VLBI observation. It is hoped these results and process will assist the planning and placement of proposed New Zealand radio telescopes for cooperation with groups such as the Australian Long Baseline Array (LBA), others in the Pacific Rim and possibly globally; also potential future involvement of New Zealand with the SKA. The developed process has also been used to model a phased building schedule for the SKA in Australia and the addition of two antennas in New Zealand. This has been presented to the wider astronomical community via the Royal Astronomical Society of New Zealand Journal, and is summarized in this thesis with some additional material. A new measure of quality ("figure of merit") for comparing the original model image and final CLEAN images by utilizing normalized 2-D cross correlation is evaluated as an alternative to the existing subjective visual operator image comparison undertaken to date by other groups. This new unit of measure is then used ! in the presentation of the

International Students in New Zealand: Needs and Responses

ERIC Educational Resources Information Center

Butcher, Andrew; McGrath, Terry

2004-01-01

This paper considers the pastoral care needs of international students in New Zealand. Using the relatively new Code of Practice for the Pastoral Care of International Students as its departure point, this paper critically evaluates the assertion that there is a crisis in New Zealand's export education industry. It does this through considering…

Blue whale vocalizations recorded around New Zealand: 1964-2013.

PubMed

Miller, Brian S; Collins, Kym; Barlow, Jay; Calderan, Susannah; Leaper, Russell; McDonald, Mark; Ensor, Paul; Olson, Paula A; Olavarria, Carlos; Double, Michael C

2014-03-01

Previous underwater recordings made in New Zealand have identified a complex sequence of low frequency sounds that have been attributed to blue whales based on similarity to blue whale songs in other areas. Recordings of sounds with these characteristics were made opportunistically during the Southern Ocean Research Partnership's recent Antarctic Blue Whale Voyage. Detections of these sounds occurred all around the South Island of New Zealand during the voyage transits from Nelson, New Zealand to the Antarctic and return. By following acoustic bearings from directional sonobuoys, blue whales were visually detected and confirmed as the source of these sounds. These recordings, together with the historical recordings made northeast of New Zealand, indicate song types that persist over several decades and are indicative of the year-round presence of a population of blue whales that inhabits the waters around New Zealand. Measurements of the four-part vocalizations reveal that blue whale song in this region has changed slowly, but consistently over the past 50 years. The most intense units of these calls were detected as far south as 53°S, which represents a considerable range extension compared to the limited prior data on the spatial distribution of this population.

New Zealand Southern Alps

NASA Image and Video Library

2001-06-20

This anaglyph from the MISR instrument aboard NASA Terra spacecraft shows the rugged Southern Alps extending some 650 kilometers along the western side of New Zealand South Island. 3D glasses are necessary to view this image.

Transitions in Smoking Across a Pregnancy: New Information from the Growing Up in New Zealand Longitudinal Study.

PubMed

Schilling, Chris; Hedges, Mary R; Carr, Polly Atatoa; Morton, Susan

2018-05-01

Introduction Maternal smoking remains a modifiable cause of adverse maternal and child health outcomes. This study investigated smoking transitions across pregnancy. Methods Data from the contemporary child cohort study Growing Up in New Zealand (n = 6822) were used to analyse smoking status across three points across a pregnancy: pre-pregnancy, during pregnancy and after pregnancy. Odds-ratios (OR) were calculated for maternal, socio-economic and pregnancy-related factors associated with each transition using multivariate logistic regression. Results The prevalence of smoking pre-pregnancy was 20.3%. The cessation rate during pregnancy was 48.5%, while the postpartum relapse rate was 36.0%. Heavy smokers were less likely to quit during pregnancy (OR 0.13, 95% CI 0.08-0.20), and more likely to relapse at 9 months (OR 2.63, CI 1.60-4.32), relative to light smokers. Women in households with another smoker were less likely to quit during pregnancy (OR 0.35, CI 0.25-0.48), and more likely to relapse postpartum (OR 2.00, CI 1.14-3.51), relative to women in a smoke-free household. Women without high school qualifications were less likely to quit during pregnancy than women with bachelor degrees (OR 0.21, CI 0.11-0.41) but no more likely to relapse. Maori women were less likely to quit during pregnancy than European women (OR 0.35, CI 0.25-0.49) but no more likely to relapse. Conclusion Heavy smokers and those with another smoker in the household are at high risk of smoking during pregnancy or relapsing after pregnancy. Decreasing smoking across a pregnancy therefore requires a focus on cessation in all households with heavy smokers of child-bearing age. The association between smoking and ethnicity may be confounded as it not consistent across the pregnancy.

A Closer Look at Completion in Higher Education in New Zealand

ERIC Educational Resources Information Center

Scott, David J.

2009-01-01

New Zealand has one of the lowest reported higher education qualification completion rates in the OECD, significantly below Australia. Why do so many New Zealand students not complete their qualification? This paper looks behind some of the numbers in an attempt to understand better and assess New Zealand's performance compared with Australia and…

Sarcoptes scabiei on hedgehogs in New Zealand.

PubMed

Kriechbaum, Caroline; Pomroy, William; Gedye, Kristene

2018-03-01

European hedgehogs (Erinaceus europaeus) were introduced into New Zealand from Britain during the period from 1869 to the early 1900s. The only mite found on New Zealand hedgehogs in early studies was Caparinia tripilis, with Sarcoptes scabiei first being reported in 1996. The aim of this study was to investigate the prevalence of Sarcoptes infestation on hedgehogs in New Zealand, the number of mites found and the degree of mange observed. Dead hedgehogs were collected from veterinary clinics, rescue centres, members of the public and from road-kill. Twenty-one (55.3%) of the animals examined had visible skin lesions. Both Caparinia and Sarcoptes mites were identified on microscopic examination with Sarcoptes the most common, being found on over 70% of animals examined (n = 38). The numbers of mites recovered after brushing the head and body ranged from 1 to 5659 (median = 341 mites) with only six animals (22.2%) having fewer than 10 Sarcoptes mites found. Caparinia mites were seen on fewer animals and generally in very low numbers. These findings indicate a change in the mite populations on hedgehogs in New Zealand and that infected animals develop the debilitating hyperkeratotic form of sarcoptic mange without an accompanying hypersensitivity response limiting numbers of mites. Analysis of the cox 1 gene of Sarcoptes from two hedgehogs showed close alignment to sequences derived from a pig with one and from a dog with the second. More work needs to be undertaken to identify the source(s) of the Sarcoptes found on hedgehogs in New Zealand and whether other mammalian hosts may be infected from contact with hedgehogs.

Recovery Competencies for New Zealand Mental Health Workers.

ERIC Educational Resources Information Center

O'Hagan, Mary

This book contains a detailed report of the recovery principles set out in the Mental Health Commission's Blueprint for Mental Health Services in New Zealand. The competencies, endorsed by the New Zealand government, describe what mental health workers need to know about using the recovery approach in their work with people with mental illness.…

The socio-cultural value of New Zealand wilderness

Treesearch

Kerry Wray

2011-01-01

New Zealand's wilderness resource has become iconic on both a national and international scale, and provides an important source of cultural identity for many Kiwis (a colloquial term for a New Zealander). Now, in the early 21st Century, however, social changes such as urbanization, globalization, increasing consumerism, and growing international tourism may be...

GIS in New Zealand Schools: Issues and Prospects

ERIC Educational Resources Information Center

Chalmers, Lex

2006-01-01

There are undoubtedly many parallels between Australia and New Zealand in the history of geographic information system (GIS) in schools. These parallels occur in the social, institutional, professional development, and curricula areas, and each of these topics is considered in this article. In New Zealand at least, there is still a lot that needs…

Climatic Implications of Macro- and Microfossil Assemblages from Late Pleistocene Deposits in Northern New Zealand

NASA Astrophysics Data System (ADS)

Ogden, John; Newnham, Rewi M.; Palmer, Jonathan G.; Serra, Richard G.; Mitchell, Neil D.

1993-01-01

Twenty-two plant species were identified from leaves, fruits, or flowers, and 41 taxa from pollen, present in a macrofossil (leaf) layer in a peat swamp formed on Pleistocene dunes on the Aupouri Peninsula in northern New Zealand. Eight genera of gymnosperms are represented. With the exception of Lagarostrobos colensoi, all tree species abundant as macrofossils are also common as pollen. Macrofossils enabled the on-site flora to be compared with the regional flora, represented by the pollen rain. Studies on leaf decomposition rates indicate bias toward sclerophyllous species in the macrofossils. Identification to species level and treering data from preserved kauri logs allow quantitative comparisons with similar extant communities. Current climatic conditions at those analogue sites are cooler (2° to 3°C), cloudier (11%), and much wetter (85%) than those currently prevailing on the Aupouri Peninsula. Dendrochronological results also suggest that the far north of New Zealand had a cooler, cloudier, and wetter climate at the time the fossil leaf assemblage was formed. Radiocarbon dates from possibly contaminated samples suggest that a diverse mixed gymnosperm/angiosperm forest, dominated by kauri ( Agathis australis), was present about (or sometime before) 41,00034,000 yr B.P., when the leaf layer was formed. Similar temperature reductions have been postulated for this period in New Zealand by other authors.

Social impact of the 2004 Manawatu floods and the 'hollowing out' of rural New Zealand.

PubMed

Smith, Willie; Davies-Colley, Christian; Mackay, Alec; Bankoff, Greg

2011-07-01

The Manawatu floods of 2004 have had significant, long-lasting social consequences. This paper draws on findings from a series of detailed surveys of 39 farm households directly affected by the floods and 17 individuals directly involved in managing the flood recovery programme. The nature of the impact on rural families highlights how the 'hollowing out' of rural New Zealand has changed the capacity of rural communities to respond to natural hazards and increased their sense of isolation. In addition, the floods exposed the vulnerability of rural communities. This is shown to have implications for policies designed to build resilience and improve responses to adverse events, including the need to support local, community initiatives on self-reliance and mutual support. Approaches to manage better long-term flood risks should be designed within a context of ongoing rural decline that has compromised the health of both individuals and communities. © 2011 The Author(s). Disasters © Overseas Development Institute, 2011.

Taking the Step to Skill New Zealand. A Guide for Employers.

ERIC Educational Resources Information Center

New Zealand Qualifications Authority, Wellington.

Skill New Zealand is a strategy to raise the skill levels of all New Zealanders, an industry-led approach to skills development that will increase the quantity, quality, and diversity of training in that country. The booklet contains four sections. The first section explains what Skill New Zealand is and why employers should become involved it.…

Should anti-tobacco media messages be culturally targeted for Indigenous populations? A systematic review and narrative synthesis.

PubMed

Gould, Gillian Sandra; McEwen, Andy; Watters, Tracey; Clough, Alan R; van der Zwan, Rick

2013-07-01

To summarise published empirical research on culturally targeted anti-tobacco media messages for Indigenous or First Nations people and examine the evidence for the effectiveness of targeted and non-targeted campaigns. Studies were sought describing mass media and new media interventions for tobacco control or smoking cessation in Indigenous or First Nations populations. Studies of any design were included reporting outcomes of media-based interventions including: cognitions, awareness, recall, intention to quit and quit rates. Then, 2 reviewers independently applied inclusion criteria, which were met by 21 (5.8%) of the studies found. One author extracted data with crosschecking by a second. Both independently assessed papers using Scottish Intercollegiate Guidelines Network (SIGN; quantitative studies) and Daly et al (qualitative studies). A total of 21 studies were found (4 level 1 randomised controlled trials (RCTs), 11 level 2 studies and 6 qualitative studies) and combined with narrative synthesis. Eight evaluated anti-tobacco TV or radio campaigns; two assessed US websites; three New Zealand studies examined mobile phone interventions; five evaluated print media; three evaluated a CD-ROM, a video and an edutainment intervention. Although Indigenous people had good recall of generic anti-tobacco messages, culturally targeted messages were preferred. New Zealand Maori may be less responsive to holistic targeted campaigns, despite their additional benefits, compared to generic fear campaigns. Culturally targeted internet or mobile phone messages appear to be as effective in American Indians and Maori as generic messages in the general population. There is little research comparing the effect of culturally targeted versus generic messages with similar message content in Indigenous people.

Overview and key to the New Zealand Cynipoidea (Hymenoptera).

PubMed

Ward, D F

2014-10-30

An overview of Cynipoidea (Hymenoptera) in New Zealand is presented with information on families, genera, and when available, species. Notes on their distribution, biology, and a taxonomic key are provided. The New Zealand cynipoid fauna is very poorly known, with only 11 described species, and five genus-only taxa. The fauna is dominated by introduced species; two species have been deliberately introduced as biological control agents, and at least 12 taxa are definitely or probably adventives. Many of these species are widespread and collected from modified and non-native habitats. New generic records of Figitidae for New Zealand include: Xyalaspis (Anacharitinae), Ganaspis, (Eucoilinae), and Thoreauella (Emargininae), all of which are considered adventives. There are no native species of gall forming wasps (Cynipidae) in New Zealand, and only two native species of Figitidae are present: Anacharis zealandica Ashmead, 1900 and Kleidotoma subantarcticana Yoshimoto, 1964. 

First detection of Wolbachia in the New Zealand biota.

PubMed

Bridgeman, Benjamin; Morgan-Richards, Mary; Wheeler, David; Trewick, Steven A

2018-01-01

Wolbachia is one of the most widespread intracellular bacteria on earth, estimated to infect between 40 and 66% of arthropod species in most ecosystems that have been surveyed. Their significance rests not only in their vast distribution, but also in their ability to modify the reproductive biology of their hosts, which can ultimately affect genetic diversity and speciation of infected populations. Wolbachia has yet to be formally identified in the fauna of New Zealand which has high levels of endemic biodiversity and this represents a gap in our understanding of the global biology of Wolbachia. Using High Throughput Sequencing (HTS) of host DNA in conjunction with traditional molecular techniques we identified six endemic Orthoptera species that were positive for Wolbachia infection. In addition, short-sequence amplification with Wolbachia specific primers applied to New Zealand and introduced invertebrates detected a further 153 individuals positive for Wolbachia. From these short-range DNA amplification products sequence data was obtained for the ftsZ gene region from 86 individuals representing 10 host species. Phylogenetic analysis using the sequences obtained in this study reveals that there are two distinct Wolbachia bacteria lineages in New Zealand hosts belonging to recognised Wolbachia supergroups (A and B). These represent the first described instances of Wolbachia in the New Zealand native fauna, including detection in putative parasitoids of infected Orthoptera suggesting a possible transmission path. Our detection of Wolbachia infections of New Zealand species provides the opportunity to study local transmission of Wolbachia and explore their role in the evolution of New Zealand invertebrates.

Comparison of cancer survival in New Zealand and Australia, 2006-2010.

PubMed

Aye, Phyu S; Elwood, J Mark; Stevanovic, Vladimir

2014-12-19

Previous studies have shown substantially higher mortality rates from cancer in New Zealand compared to Australia, but these studies have not included data on patient survival. This study compares the survival of cancer patients diagnosed in 2006-10 in the whole populations of New Zealand and Australia. Identical period survival methods were used to calculate relative survival ratios for all cancers combined, and for 18 cancers each accounting for more than 50 deaths per year in New Zealand, from 1 to 10 years from diagnosis. Cancer survival was lower in New Zealand, with 5-year relative survival being 4.2% lower in women, and 3.8% lower in men for all cancers combined. Of 18 cancers, 14 showed lower survival in New Zealand; the exceptions, with similar survival in each country, being melanoma, myeloma, mesothelioma, and cervical cancer. For most cancers, the differences in survival were maximum at 1 year after diagnosis, becoming smaller later; however, for breast cancer, the survival difference increased with time after diagnosis. The lower survival in New Zealand, and the higher mortality rates shown earlier, suggest that further improvements in recognition, diagnosis, and treatment of cancer in New Zealand should be possible. As the survival differences are seen soon after diagnosis, issues of early management in primary care and time intervals to diagnosis and treatment may be particularly important.

Parents, Participation, Partnership: Problematising New Zealand Early Childhood Education

ERIC Educational Resources Information Center

Chan, Angel; Ritchie, Jenny

2016-01-01

This article interrogates notions of teacher "partnership with parents" within early childhood care and education settings in the context of Aotearoa (New Zealand). "Te Whariki," the New Zealand early childhood curriculum, clearly positions children's learning and development as being fostered when their families' cultures and…

The providers' profile of the disability support workforce in New Zealand.

PubMed

Jorgensen, Diane; Parsons, Matthew; Reid, Michelle Gundersen; Weidenbohm, Kate; Parsons, John; Jacobs, Stephen

2009-07-01

To understand one of the predominant groups supporting people with disabilities and illness, this study examined the profile of New Zealand paid caregivers, including their training needs. Paid caregivers, also known as healthcare assistants, caregivers and home health aides, work across several long-term care settings, such as residential homes, continuing-care hospitals and also private homes. Their roles include assisting with personal care and household management. New Zealand, similar to other countries, is facing a health workforce shortage. A three-phased design was used: phase I, a survey of all home-based and residential care providers (N = 942, response rate = 45%); phase II, a targeted survey of training needs (n = 107, response = 100%); phase III, four focus groups and 14 interviews with 36 providers, exploring themes arising from phases I and II. Findings on 17,910 paid caregivers revealed a workforce predominantly female (94%), aged between 40 and 50, with 6% over the age of 60. Mean hourly pay NZ$10.90 (minimum wage NZ$10.00 approx. UK3.00 at time of study) and 24 hours per week. The national paid caregiver turnover was 29% residential care and 39% community. Most providers recognised the importance of training, but felt their paid caregivers were not adequately trained. Training was poorly attended; reasons cited were funding, family, secondary employment, staff turnover, low pay and few incentives. The paid caregiver profile described reflects trends also observed in other countries. There is a clear policy direction in New Zealand and other countries to support people with a disability at home, and yet the workforce which is facilitating this vision is itself highly vulnerable. Paid caregivers have minimum pay, are female, work part-time and although it is recognised that training is important for them, they do not attend, so consequently remain untrained.

Association of 25-hydroxyvitamin D3)levels in adult New Zealanders with ethnicity, skin color and self-reported skin sensitivity to sun exposure.

PubMed

Nessvi, Sofia; Johansson, Lisa; Jopson, Jan; Stewart, Alistair; Reeder, Anthony; McKenzie, Richard; Scragg, Robert K

2011-01-01

The study aim was to determine the contribution of ethnicity, objectively measured skin color and skin reaction-to-sun exposure to variations in 25-hydroxyvitamin D(3) [25(OH)D(3) ]. A multiethnic sample (European, Maori, Pacific and Asian) of 503 adult volunteers aged 18-85 years, recruited from Auckland and Dunedin in New Zealand, answered a questionnaire on sun exposure and self-defined ethnicity. Skin color was measured using a spectrophotometer and the Individual Typology Angle (ITA) calculated. A blood sample was collected 4 weeks later to measure 25(OH)D(3). 25(OH)D(3) was associated with ethnicity, but not self-reported skin reaction-to-sun exposure. Amongst the ethnic groups, Asians had the lowest mean 25(OH)D level (37.0 nmol L(-1)) and Europeans with lighter colored skin had the highest (57.9 nmol L(-1)). An association also was seen between 25(OH)D(3) and skin color, with an increase of 2-3 nmol L(-1) per 10° increase in ITA value, indicating higher 25(OH)D(3) with lighter skin color; but much of this association disappeared after adjusting for ethnicity. In contrast, ethnicity remained associated with 25(OH)D(3) after adjusting for ITA skin color and skin reaction-to-sun exposure. These results indicate that self-defined ethnicity was a major determinant of variations in serum 25(OH)D(3), while objective measures of skin color explained relatively little additional variation. © 2011 The Authors. Photochemistry and Photobiology © 2011 The American Society of Photobiology.

Maintaining the balance: New Zealand secondary school nurses' perceptions of skin infections in young people--a grounded theory.

PubMed

Lambe, Catherine I; Hoare, Karen J

2016-01-01

The objective of this study was to explore the perceptions of New Zealand secondary school nurses regarding skin infections in young people aged 14-18 years. A constructivist grounded theory method was adopted. Ten non-structured interviews were conducted with secondary school nurses working in Auckland, New Zealand, between January and July 2013. Interviews were audiotaped, transcribed and analysed using all tenets of grounded theory that included writing memos, theoretical sampling and the constant comparative method. Analysis revealed the core category Maintaining the balance, which is presented as a grounded theory model. It represents the constant state of balancing the school nurse undergoes in trying to counter the risk to the student. The nurse attempts to tip the balance in favour of action, by reducing barriers to healthcare, providing youth-friendly, affordable and accessible healthcare, and following up until resolution is achieved. The nurse is aware that failing to monitor until resolution can again tip the fulcrum back to inaction, placing the young person at risk again. It is concluded that nurses are knowledgeable about the risks present in the communities they serve and are innovative in the methods they employ to ensure satisfactory outcomes for young people experiencing skin infections. School nursing is an evolving model for delivering primary healthcare to young people in New Zealand. The grounded theory model 'Maintaining the balance' describes a model of care where nursing services are delivered where young people spend time, and the nurse is immersed in the community. This model of care may be transferable to other healthcare situations. © 2015 John Wiley & Sons Ltd.

Children admitted to hospital following unintentional injury: perspectives of health service providers in Aotearoa/New Zealand

PubMed Central

2010-01-01

Background Unintentional injuries are the leading cause of death and hospitalisation among New Zealand children, with indigenous Māori and ethnic minority Pacific children significantly over represented in these statistics. International research has shown that many children hospitalised for injury, as well as their families experience high levels of stress, and ethnic disparities in the quality of trauma care are not uncommon. The research on which this paper is based sought to identify key issues and concerns for New Zealand's multi-ethnic community following hospitalisation for childhood injury in order to inform efforts to improve the quality of trauma services. This paper reports on service providers' perspectives complementing previously published research on the experiences of families of injured children. Methods A qualitative research design involving eleven in-depth individual interviews and three focus groups was used to elicit the views of 21 purposefully selected service provider key informants from a range of professional backgrounds involved in the care and support of injured children and their families in Auckland, New Zealand. Interviews were transcribed and data were analysed using thematic analysis. Results Key issues identified by service providers included limited ability to meet the needs of children with mild injuries, particularly their emotional needs; lack of psychological support for families; some issues related to Māori and Pacific family support services; lack of accessible and comprehensive information for children and families; poor staff continuity and coordination; and poor coordination of hospital and community services, including inadequacies in follow-up plans. There was considerable agreement between these issues and those identified by the participant families. Conclusions The identified issues and barriers indicate the need for interventions for service improvement at systemic, provider and patient levels. Of particular

Children admitted to hospital following unintentional injury: perspectives of health service providers in Aotearoa/New Zealand.

PubMed

Ameratunga, Shanthi; Abel, Sally; Tin Tin, Sandar; Asiasiga, Lanuola; Milne, Sharon; Crengle, Sue

2010-12-07

Unintentional injuries are the leading cause of death and hospitalisation among New Zealand children, with indigenous Māori and ethnic minority Pacific children significantly over represented in these statistics. International research has shown that many children hospitalised for injury, as well as their families experience high levels of stress, and ethnic disparities in the quality of trauma care are not uncommon. The research on which this paper is based sought to identify key issues and concerns for New Zealand's multi-ethnic community following hospitalisation for childhood injury in order to inform efforts to improve the quality of trauma services. This paper reports on service providers' perspectives complementing previously published research on the experiences of families of injured children. A qualitative research design involving eleven in-depth individual interviews and three focus groups was used to elicit the views of 21 purposefully selected service provider key informants from a range of professional backgrounds involved in the care and support of injured children and their families in Auckland, New Zealand. Interviews were transcribed and data were analysed using thematic analysis. Key issues identified by service providers included limited ability to meet the needs of children with mild injuries, particularly their emotional needs; lack of psychological support for families; some issues related to Māori and Pacific family support services; lack of accessible and comprehensive information for children and families; poor staff continuity and coordination; and poor coordination of hospital and community services, including inadequacies in follow-up plans. There was considerable agreement between these issues and those identified by the participant families. The identified issues and barriers indicate the need for interventions for service improvement at systemic, provider and patient levels. Of particular relevance are strategies that enable

New Zealand patients' understanding of brand substitution and opinions on copayment options for choice of medicine brand.

PubMed

Lessing, Charon; Ashton, Toni; Davis, Peter

2016-06-01

Objective The aim of the present study was to better understand the views and experiences of New Zealand patients on switching between brands of prescription medicines and on alternative funding options for the provision of medicines, including an increase in copayments. Methods A self-administered questionnaire was offered to selected patients through participating community pharmacies. Pharmacies were stratified according to level of deprivation of the community served before random selection and invitation for involvement in the study. Patient understanding of and rationale for brand substitution was assessed. Preference for different copayment options was elicited, together with demographic and other explanatory information. Results In all, 194 patient-completed questionnaires were returned. Some gaps in patient knowledge and understanding of brand changes were evident. Most respondents indicated a preference for the existing subsidy arrangements with little desire expressed for alternatives. Around half were willing to contribute towards paying for a choice of brand other than the subsidised brand; however, the maximum contribution nominated was disproportionately lower than real cost differences between originator brand and generics. Conclusion The findings of the present study suggest that although most patients have experienced brand changes without any problems occurring, a lack of knowledge about substitution does persist. There may be some additional gain in ensuring New Zealanders are aware of the full cost of their medicines at the point of dispensing to reinforce the benefits of the Pharmaceutical Management Agency (PHARMAC) purchasing model. What is known about the topic? Generic reference pricing is used as a mechanism to make savings to pharmaceutical budgets; however, reticence to the use of generic medicines persists. What does this paper add? Most New Zealand patients experience brand changes without any problems occurring; however, a lack of

International Briefing 17: Training and Development in New Zealand

ERIC Educational Resources Information Center

Pio, Edwina

2007-01-01

New Zealand is one of the world's most geographically isolated and least crowded countries. New Zealand organizations are increasingly becoming aware of the importance of training and development as the country becomes more technologically sophisticated, multiethnic and older. The country needs higher productivity, business investment and skills…

Characterization of rumen ciliate community composition in domestic sheep, deer, and cattle, feeding on varying diets, by means of PCR-DGGE and clone libraries.

PubMed

Kittelmann, Sandra; Janssen, Peter H

2011-03-01

The structure and variability of ciliate protozoal communities in the rumens of domestic New Zealand ruminants feeding on different diets was investigated. The relative abundance of ciliates compared with bacteria was similar across all samples. However, molecular fingerprinting of communities showed ruminant-specific differences in species composition. Community compositions of cattle were significantly influenced by diet. In contrast, diet effects in deer and sheep were weaker than the animal-to-animal variation. Cloning and sequencing of almost-full-length 18S rRNA genes from representative samples revealed that New Zealand ruminants were colonized by at least nine genera of ciliates and allowed the assignment of samples to two distinct community types. Cattle contained A-type communities, with most sequences closely related to those of the genera Polyplastron and Ostracodinium. Deer and sheep (with one exception) harboured B-type communities, with the majority of sequences belonging to the genera Epidinium and Eudiplodinium. It has been suggested that species composition of ciliate communities may impact methane formation in ruminants, with the B-type producing more methane. Therefore, manipulation of ciliate communities may be a means of mitigating methane emissions from grazing sheep and deer in New Zealand. © 2011 Federation of European Microbiological Societies. Published by Blackwell Publishing Ltd. All rights reserved.

Media, racism and public health psychology.

PubMed

Nairn, Raymond; Pega, Frank; McCreanor, Tim; Rankine, Jenny; Barnes, Angela

2006-03-01

International literature has established that racism contributes to ill-health of migrants, ethnic minorities and indigenous peoples. Racism generally negates wellbeing, adversely affecting physical and psychological health. Numerous studies have shown that media contribute marginalizing particular ethnic and cultural groups depicting them primarily as problems for and threats to the dominant. This articles frames media representations of, and their effect on, the indigenous Maori of Aotearoa, New Zealand within the ongoing processes of colonization. We argue that reflects the media contribution to maintenance and naturalisation of colonial relationships and seek to include critical media scholarship in a critical public health psychology.

Climatology of meteorological ``bombs'' in the New Zealand region

NASA Astrophysics Data System (ADS)

Leslie, L. M.; Leplastrier, M.; Buckley, B. W.; Qi, L.

2005-06-01

The purpose of this paper is to present a recently developed climatology of explosively developing south eastern Tasman Sea extra-tropical cyclones, or meteorological “bombs”, using a latitude dependent definition for meteorological bombs based on that of Simmonds and Keay (2000a, b), and Lim and Simmonds (2002). These highly transient systems, which have a damaging impact upon New Zealand, are frequently accompanied by destructive winds, flood rains, and coastal storm surges. Two cases are selected from the climatology and briefly described here. The first case study is the major flood and storm force wind event of June 20 to 21, 2002 that affected the Coromandel Peninsula region of the North Island of New Zealand. The second case was a “supercyclone” bomb that developed well to the southwest of New Zealand region during May 29 to 31, 2004, but which could easily have formed in the New Zealand region with catastrophic consequences. It was well-captured by the new high resolution Quikscat scatterometer instrument.

Epidemiology, disease burden and outcomes of cirrhosis in a large secondary care hospital in South Auckland, New Zealand.

PubMed

Hsiang, J C; Bai, W W; Raos, Z; Stableforth, W; Upton, A; Selvaratnam, S; Gane, E J; Gerred, S J

2015-02-01

Liver cirrhosis is an important cause of morbidity and mortality; however, little is known about its impact in New Zealand. We aim to determine the disease burden, epidemiology and outcomes of cirrhotic patients. This is a retrospective study of cirrhosis patients under secondary public hospital care in a geographically defined region, between the years 2000 and 2011. Cirrhosis complications and mortality was recorded. Poisson log-linear regression analysis was performed for incidence rate ratio (IRR) and Cox regression analysis was used to analyse time-related events. Seven hundred and forty-six cirrhotic patients were analysed; most were European/Other (39.9%), Pacific islanders (21.6%), Southeast Asian/Chinese (17.8%) and Maori (12.3%). 68.4% were male. The common primary aetiologies for cirrhosis were chronic hepatitis B (CHB) cirrhosis (37.3%), alcoholic liver disease (ALD) cirrhosis (24.1%), chronic hepatitis C (CHC) cirrhosis (22.3%) and non-alcoholic fatty liver disease (NAFLD) cirrhosis (16.4%). The hepatocellular carcinoma (HCC) mortality rates were highest in NAFLD and CHB cirrhosis groups (3.0 and 3.1 per 100 patient-year respectively), compared with ALD and CHC groups (2.2 and 1.4 per 100 patient-year, all P < 0.05 respectively). Patients with ALD and NAFLD cirrhosis had the highest all-cause and non-HCC mortality rate compared with viral hepatitis cirrhosis groups. The IRR for HCC incidence, liver-related mortality and HCC mortality were 1.087, 1.098 and 1.114, respectively (all P < 0.001), suggesting increasing incidence and disease burden over the study period. The number of cirrhotic patients in secondary care is increasing steadily. Cirrhosis complications and mortality rates are also rising, particularly the incidence and mortality of HCC. © 2014 Royal Australasian College of Physicians.

Health information technology adoption in New Zealand optometric practices.

PubMed

Heidarian, Ahmadali; Mason, David

2013-11-01

Health information technology (HIT) has the potential to fundamentally change the practice of optometry and the relationship between optometrists and patients and to improve clinical outcomes. This paper aims to provide data on how health information technology is currently being used in New Zealand optometric practices. Also this paper aims to explore the potential benefits and barriers to the future adoption of health information technology in New Zealand. One hundred and six New Zealand optometrists were surveyed about their current use of health information technology and about potential benefits and barriers. In addition, 12 semi-structured interviews were carried out with leaders of health information technology in New Zealand optometry. The areas of interest were the current and intended use of HIT, the potential benefits of and barriers to using HIT in optometric offices and the level of investment in health information technology. Nearly all optometrists (98.7 per cent) in New Zealand use computers in their practices and 93.4 per cent of them use a computer in their consulting room. The most commonly used clinical assessment technology in optometric practices in New Zealand was automated perimeter (97.1 per cent), followed by a digital fundus/retinal camera (82.6 per cent) and automated lensometer (62.9 per cent). The pachymeter is the technology that most respondents intended to purchase in the next one to five years (42.6 per cent), followed by a scanning laser ophthalmoscope (36.8 per cent) and corneal topographer (32.9 per cent). The main benefits of using health information technology in optometric practices were improving patient perceptions of ‘state of the art’ practice and providing patients with information and digital images to explain the results of assessment. Barriers to the adoption of HIT included the need for frequent technology upgrades, cost, lack of time for implementation, and training. New Zealand optometrists are using HIT

An Evaluation of Characteristics of Environmental Education Practice in New Zealand Schools

ERIC Educational Resources Information Center

Eames, Chris; Cowie, Bronwen; Bolstad, Rachel