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The article discusses the continuous observations for the atmospheric carbon dioxide (CO2) in Baring Head, New Zealand. It says that the observations use infrared analyser instruments with calibration procedures, intercomparison efforts, and data-filtering methods to determine the variability in CO2. It mentions that CO2 has been 0.3 ppm which is compatible with the Scripps Institute of Oceanography (SIO) and World Meteorological Organisation (WMO) scales.

A nationally significant collection of mayflies that has been amassed and curated at Canterbury Museum, Christchurch, New Zealand is described. A project to formally catalogue the backlog of this collection was completed in 2018. This collection has been primarily worked on, added to, and curated by Terry Hitchings since the early 1990s, with his son Tim Hitchings assisting this work since the late 2000s. This paper outlines this process involved in cataloguing the collection and preparing the data for publication to online biorepositories. The dataset was published to the Atlas of Living Australia (ALA) and the Global Biodiversity Information Facility (GBIF) in late 2021. This dataset contains just under 49,000 published specimen records with high quality field collection information. It represents nearly all currently described mayfly species in New Zealand. Areas of collecting focus include most of the South Island of New Zealand, with collecting gaps in South Westland and Marlborough. There are large collecting gaps throughout the North Island of New Zealand. An overview of the trends shown in the dataset is provided. Future work is identified and recommended to enhance and improve this dataset to highlight and promote freshwater ecosystems in New Zealand. [ABSTRACT FROM AUTHOR]

This paper draws upon a personal research journey and makes the case for recording this experience using a research journal to The context for this paper is based on a study of family life and leisure, which collected data using more traditional qualitative methods, namely focus groups and interviews with pre-birth and post birth couples and leisure managers in New Zealand. The research design for this study was based on phenomenology, where the experience of the subjects being studied was significant and involved developing an understanding of the lived experiences of pre-birth and post-birth couples, where the way they acted was dependent upon their understanding and meaning of their behavior (Waters, 1994) This paper draws on the researcher's own reflections recorded in a research journal, whilst undertaking this research study over a five year period. The paper discusses the meaning and importance of reflection as a way of evaluating the researcher's own research journey and highlights a number of issues with reference to the validity of such data. The paper concludes by revisiting the key benefits of reflection and affirms the belief that research journals are a useful tool, which enables the researcher to record personal thoughts and observations in a systematic manner. [ABSTRACT FROM AUTHOR]

COVID-19 pandemic significantly impacted research regarding data collection methods during lockdowns and border closures. Consequently, online methods have become the present-day benchmark. This article shares our experiences adapting to COVID-19 while conducting focus groups and online interviews. Guided by the Samoan methodology Teu le va that recognises the special relationships between people from a Samoan context and the Talanoa method of storytelling of the Pacific people, we provide insights concerning the practical and cultural challenges of collecting data during lockdowns that strengthened the continuation and completion of the project. We demonstrate the importance of flexibility in the research design regarding apprehension, health, and research in New Zealand. We highlight the value of a multifaceted approach to recruiting participants, incorporating the services of Pacific leaders, and utilising telephone calls and letter writing for participants without digital access. Furthermore, we reveal an unexpected side-effect of COVID-19 regarding the 'Pacific digital divide.' The paper concludes with several avenues for future research on redesigning data collection methods during COVID-19. [ABSTRACT FROM AUTHOR]

Purpose: Workplace bullying involves a power imbalance, and despite laws in New Zealand which prohibit discrimination on the grounds of gender, women remain under-represented in top-level roles. The aim of the study was to examine whether gender and role (managerial/non-managerial) were related to the bullying experienced by women and men. Design/methodology/approach: An online survey collected data from 991 (41%) men and 1,421 (59%) women. The survey provided a definition of bullying and asked participants whether they had been bullied at work. If they replied yes, then follow-up questions asked for the gender and role of the perpetrator. Findings: Women were more likely than men to self-identify as having been bullied. Male employers, senior managers, middle managers, supervisor and peers bullied men and women about equally, whereas women bullied women far more than they bullied men. The largest group of bullies of women were female peers, who rarely bullied male peers, while male peers bullied both genders about equally. Female clients bullied female staff but almost never male staff; male clients bullied both men and women but the numbers were small. Research limitations/implications: These data relied on self-report, and people may be reluctant to identify themselves as targets or may not recognize that the negative behaviours they have been facing amount to bullying. Qualitative data can help explore these issues from societal, organizational and policy perspectives. Practical implications: While men and women may differ in how often they recognize or admit to having been bullied, the gendered nature of power in the workplace is well established and reinforced in the findings here. It is clear that organizational leaders, both male and female, need to understand gender and power imbalance and act as role models. Currently, the authors' findings show that the behaviour of at least some of those at the top of New Zealand organizations needs to improve. Social implications: The problem of bullying at work will not be easy to solve. The solutions lie, not with "fixing" individuals via training, stress management and well-being programmes but with effective systems, procedures, policies and leadership that recognize the power dynamics at work. Originality/value: Little is known at present about the relationships between gender and bullying behaviour. The paper focusses on who bullies whom in the workplace and finds that men tend to bully both men and women while women tend to bully women. Importantly, the authors' works suggest that instead of structural and organizational measures to manage bullying, greater initiatives to manage bullying need to consider how gender and power dynamics interact at work. [ABSTRACT FROM AUTHOR]

Copyright of Developmental Medicine & Child Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction. The New Zealand population has one of the highest incidences of skin cancer in the world. Hospital waiting lists for surgical excision of keratinocytic skin cancers (basal cell carcinoma and squamous cell carcinoma) are lengthy, and increasingly, excisions are undertaken in primary care. Teledermatology, in response to general practitioners' electronic referrals (e-referrals), can improve clinical communication between general practitioners and dermatologists. Aim. The aim of this study was to evaluate an excision pathway for keratinocytic cancers diagnosed by teledermatology. Methods. A retrospective observational descriptive review of a 3-month cohort of primary care e-referrals was undertaken. Results. Three hundred and fifty eight suspected keratinocytic cancers (KCs) were diagnosed by teledermatology; histology reports confirmed KC in 201 of 267 excisions (75%). The majority (77.2%) were excised by general practitioners an average of 25 days after the dermatologist's recommendation. The rest were excised by plastic surgeons in private (3.4%) or at a public hospital (19.5%) after an average of 40 or 134 days, respectively. Discussion. E-referral pathways are now widely implemented. However, the ideal workflow for skin cancer management is unknown. We have demonstrated in New Zealand that surgery can be undertaken in primary care within a month of a teledermatology diagnosis and excision recommendation. Conclusion. This study reports prompt excision of KCs by general practitioners after an e-referral and a teledermatology response. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Indigenous peoples' rights include the right to self-determine one's identity. For Māori, this includes self-assignment of ethnicity, and traditional identities such as Iwi (tribe). New Zealand's Ministry of Health requires health services to collect ethnicity data using standard protocols. Iwi data are also collected by some health services; however, with no health-specific protocols, little is known about Iwi data collection and quality. The National Hauora Coalition (NHC) Primary Healthcare Organisation (PHO) sought to understand Iwi data collection across its network of primary care providers. AIM: To understand Iwi data collection at the NHC PHO; specifically, is it being routinely collected, how is it being collected and what are the results? METHODS: In 2017, NHC's general practice clinics were invited to submit their enrolment forms, which capture ethnicity and potentially Iwi information, by e-mail to the audit team. Forms were reviewed to determine whether Iwi information was being collected and if so, what question was being used. Iwi numbers were collated from the annual data extract. RESULTS: Thirty-three of a total of 35 clinics (94%) submitted their enrolment forms to the audit team. Nine of the 33 clinics (27%) sought Iwi name/s with a specific question on their enrolment form. Six different 'Iwi' questions were used by the nine clinics. The data extract revealed that the NHC had Iwi data for 13% (2672/20,814) of its Māori enrolments. Ngāpuhi were the largest Iwi group at the NHC. DISCUSSION: This is the first study to describe the quantity and quality of Iwi data collection in NZ primary care. Standard procedures for collecting, recording and using Iwi data are being developed by the NHC PHO. These could inform national protocols to optimise the quality of Iwi data. [ABSTRACT FROM AUTHOR]

Introduction. Aotearoa New Zealand has a range of community pharmacies; independent, corporate, hybrid, and mail-order, each with differing service delivery models. Corporate and hybrid pharmacies do not charge the NZ$5.00 co-payment on standard prescriptions; however, prescription co-payments were universally removed from 1 July 2023. Aim. This research aims to describe the consumer profiles of Aotearoa New Zealand's different types of community pharmacies prior to the removal of the prescription co-payment. Methods. A nationwide retrospective observational study linked 1-year of dispensing data (1 March 2022-28 February 2023) from the Pharmaceutical Collection to patient enrolment data using a National Health Index (NHI) number to identify the demographic details of people who use the different pharmacy types. People were assigned to a particular type of pharmacy if they collected at least 70% of their prescriptions from there; if they did not meet this threshold, they were defined as mixed users. Results. Independent pharmacies had an older customer base and fewer Asian users compared to other pharmacy types. Hybrid pharmacies served a greater proportion of Pacific peoples and those from areas of high deprivation. Māori made up relatively equal proportions of users across all pharmacy types. Areas without major cities had fewer corporate pharmacies and only four hybrid pharmacies were identified outside of Auckland. Discussion. There appears to be differences in the consumer profiles of the different pharmacy types. These results will serve as a comparison to how removing prescription co-payments shifts patients' behaviour. [ABSTRACT FROM AUTHOR]

Background. To date, there has been no attempt to describe or compare physical therapy as practiced globally, nor any evidence that an international data set exists to support this effort. It is known that research evidence can be used in strategic and tactical ways, especially within the highly politicized context of the policy arena. The International Private Practitioners Association recognized the potential value a global evidence base could have in influencing policy and supporting professional development in a number of countries, yet it lacked a mechanism to achieve these aims. Objectives. The purposes of this study were: (1) to identify and test an international data set, definitions, and means of data collection and (2) to establish views in relation to the value of international collaborations. Design. A mixed, prospective design was used in the study. Method. Phase 1 (2006-2007) involved the development of a data set, definitions, and Web-based and paper-based data collection options involving 98 physical therapists from 68 physical therapy practices in 7 countries. Phase 2 (2008-2009) involved testing of the data set in 34 practices involving 3,195 patient episodes and included physical therapist feedback of experience, local relevance of the data set, and value of international collaborations. Results. Testing confirmed the relevance and reliability of the data set and definitions and a preference for Web-based data collection (74.0%). Physical therapist feedback supported these findings. Most respondents (60.0%-100.0%) reported the value of further international collaborations for their profession nationally or internationally. Limitations. Although a true international collaboration, the limited sample size should be recognized. Conclusions. It is possible to develop an agreed-upon international data set and means of data collection. Testing appears to support its acceptability and relevance for use in practice. Participants highly valued the opportunity to undertake international collaborations that may benefit their profession nationally and internationally. Further testing and use of the data set are advocated before final validation is sought. [ABSTRACT FROM AUTHOR]

Introduction. Traditionally, gender-affirming hormonal therapy (GAHT) is initiated in secondary care, but a primary care based approach has been developed to reduce access barriers. Aim. We aim to describe the demographics, hormone choices, and additional referrals made for young people initiating GAHT in a primary care setting in Aotearoa New Zealand. Methods. Clinical notes were reviewed for all patients who commenced GAHT between 1 July 2020 to the end of 2022 at a tertiary education health service. Data were collected on age, ethnicity, gender, type of hormones prescribed, and any additional referrals. Results. Eighty five patients commenced GAHT during the review period (64% assigned male at birth and starting oestrogen-based GAHT, 36% assigned female at birth and commencing testosterone-based GAHT). Fourty seven percent of patients identified as transgender female, 38% as non-binary, and 15% as transgender male. Spironolactone was the most common choice of testosterone blocker (81%). The choice of oestrogen formulation was fairly equal between patches (54%) and tablets (46%). Eighty percent of those assigned male at birth chose to preserve fertility, 54% requested voice therapy, and 87% of those assigned female at birth requested top surgery. Discussion. There is a need for improved understanding of non-binary gender affirmation needs, in particular those of Māori and Pasifika youth. An informed consent approach in primary care can reduce barriers and distress for transgender youth seeking GAHT. The high unmet need for top surgery for transgender people assigned female at birth requires attention. [ABSTRACT FROM AUTHOR]

Background: Despite a number of clinicians having been trained in Parent–Child Interaction Therapy (PCIT) in Aotearoa/New Zealand, few are regularly delivering the treatment, with barriers to use including a lack of suitable equipment and lack of professional support. This pragmatic, parallel-arm, randomised, controlled pilot trial includes PCIT-trained clinicians who are not delivering, or only rarely utilising, this effective treatment. The study aims to assess the feasibility, acceptability and cultural responsivity of study methods and intervention components and to collect variance data on the proposed future primary outcome variable, in preparation for a future, larger trial. Methods: The trial will compare a novel 're-implementation' intervention with a refresher training and problem-solving control. Intervention components have been systematically developed to address barriers and facilitators to clinician use of PCIT using implementation theory, and a draft logic model with hypothesised mechanisms of action, derived from a series of preliminary studies. The intervention includes complimentary access to necessary equipment for PCIT implementation (audio-visual equipment, a 'pop-up' time-out space, toys), a mobile senior PCIT co-worker and an optional weekly PCIT consultation group, for a 6-month period. Outcomes will include the feasibility of recruitment and trial procedures; acceptability of the intervention package and data collection methods to clinicians; and clinician adoption of PCIT. Discussion: Relatively little research attention has been directed at interventions to resurrect stalled implementation efforts. Results from this pragmatic pilot RCT will refine and shape knowledge relating to what it might take to embed the ongoing delivery of PCIT in community settings, providing more children and families with access to this effective treatment. Trial registration: ANZCTR, ACTRN12622001022752, registered on July 21, 2022. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Although vasectomy rates in New Zealand have been reported as among the highest worldwide, there is limited information about who is receiving these services and how they are being accessed. This information is needed to develop equitable access to vasectomy services. AIM: To describe the ethnicity and socioeconomic status of men accessing District Health Board-funded and self-funded vasectomies in Counties Manukau. METHODS: A retrospective cohort analysis of provider data linked to ethnicity and area deprivation as an indicator of socioeconomic status. RESULTS: Of 332 vasectomies, 66% were for New Zealand European men. Socioeconomic status was not associated with the number of procedures for New Zealand European men, but of the Maori and Pacific men who underwent vasectomies, most lived in the greatest areas of deprivation; 58% (18/31) and 50% (12/24), respectively. When vasectomies were funded, the number of procedures doubled for men from areas of high deprivation. The number of procedures was low for men of other ethnicities. DISCUSSION: Our findings indicate differential access to vasectomies by ethnicity and socioeconomic status. Funding vasectomies may provide community benefits in terms of improving equity in access and alleviating a financial burden for many families living in areas of high deprivation. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Outreach Immunisation Services (OIS) enable children who have not been immunised on time at general practice to be immunised in the community, thereby improving immunisation coverage and reducing equity gaps. AIM: To identify the most effective service delivery models and make recommendations for more effective and cost-efficient OIS delivery in New Zealand. METHODS: Data collection and thematic analysis through a detailed review of OIS contracts and service specifications, an online survey and in-depth interviews with stakeholders and providers, and an analysis of cost data was conducted. RESULTS: In total, 28 OIS providers completed survey questionnaires, 28 OIS staff were interviewed, and cost effectiveness data were obtained from 11 providers. The surveys and interviews identified key themes around identifying clients with the highest needs, effective engagement strategies, staffing requirements, and service challenges. On average, each OIS referral costs NZ$361 (median NZ$257), and each vaccination event costs NZ$636, ranging from NZ$145 to NZ$2403. Characteristics for two separate models of service delivery were identified based on provider size. CONCLUSION: There is considerable range in costs and style of OIS delivery, and efficiencies can be gained. Models need to fit with locality needs and include adequate resourcing, staff with good local knowledge, close relationships with other key child health services and preferably co-location, sustainable funding, and regular service reviews. OIS are part of an effective integrated service that relies on accurate data, positive relationships and a rapid response when children fail to present for vaccination in a timely fashion. [ABSTRACT FROM AUTHOR]

Background: Total joint arthroplasty (TJA) registries traditionally have focused on implant longevity and rates of revision surgery. Registries would benefit from the addition of standardized patient-reported outcomes (PROs) such as pain relief and improved physical function. However, PROs have not been routinely adopted, and their incorporation into TJA registries presents challenges. Questions/purposes: We review current PRO use by existing national registries, challenges to integrating PROs in national registries, lessons from national registries that have integrated PROs, and suggestions to guide future adoption of PROs. Methods: We conducted a literature search of papers addressing PRO use in national knee and hip arthroplasty registries, resulting in 15 articles. These publications were supplemented by discussions with thought leaders from international registries. Where Are We Now?: Some national TJA registries are collecting PROs and valuable research is emerging. However, challenges exist, such as selecting suitable PROs, selection bias in countries without government-mandated participation for all hospitals, and challenges with missing data. Where Do We Need to Go?: The ideal system will incorporate PROs into TJA registries. In so doing, it will be important to choose suitable PROs and develop innovative methods to collect PROs to ensure complete data and sustainability. How Do We Get There?: New methods are required to meet the challenges related to registry design, logistics of PRO collection, and registry cost and sustainability. Modifications to the traditional hospital- and implant-centric design and new procedures to collect complete data from both patients and clinicians may be necessary. For instance, England and Wales, New Zealand, and Sweden developed methods to collect PROs after TJA directly from patients and a US TJA registry collects PROs as the primary outcome. Finally, to assure long-term sustainability, PRO data must be valuable to multiple stakeholders, including patients, clinicians, researchers, and policy makers. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to compare the relative performance of total knee replacement constructs and discern if there is variability in performance in currently commonly used prostheses in the New Zealand Joint Registry (NZJR) using a noninferiority analysis.Methods: All patients who underwent a primary total knee replacement (TKR) registered in the NZJR between 1st January 1999 to June 2020 were identified. Using a noninferiority analysis, the performance of total knee replacement prostheses were compared with the best performing contemporary construct. Construct all-cause revision rate was estimated using the 1-Kaplan Meier survival function method to estimate net failure. The difference in all-cause revision rates between the contemporary benchmark and all other constructs was tested.Results: In total 110 183 TKR were recorded and 25 constructs (102 717 procedures) had > 500 procedures at risk at 3 years post-primary of which 5 were inferior by at least 20 % relative risk of which, one was inferior by at least 100 % relative risk. 14 constructs were identified with > 500 procedures at risk at 10 years with 5 inferior by at least 20 %, of which 2 were inferior by > 100 % relative risk.Conclusions: We discerned that there is great variability in construct performance and at all time points, greater than 25 % of constructs are inferior to the best performing construct by at least 20 %. These results can help inform patients, clinicians and health care funders when considering TKR surgery. [ABSTRACT FROM AUTHOR]

The evidence-based anti-bullying programme known as KiVa was introduced into New Zealand in 2015 as an attempt to address high bullying rates. A key component of this programme includes a set of 'indicated actions' that are enacted when bullying incidents are reported. This study looked at the implementation of the 'indicated actions' component in a small sample of schools in New Zealand over a specifc time period. Data collection included individual interviews with KiVa team members from each school. They were asked to provide information about the range and frequency of bullying incidents that were identifed using the 'indicated actions' procedures, a description of the KiVa procedures in place in the schools, parents and teacher involvement in the KiVa process, and their perceived effects of the programme. Results revealed large variations across schools in the frequency of bullying incidents reported and acted upon. In addition, verbal name-calling was reported by a majority of the schools as being the most prevalent form of bullying. Although all 12 schools reported (and had documentation to show) that they had followed KiVa procedures as outlined in the manual, the use of the screening form was varied and the majority of the KiVa team members perceived the effects of the programme to be positive. [ABSTRACT FROM AUTHOR]

Background: Interstitial Lung Disease (ILD) is a group of respiratory conditions affecting the lung interstitium often associated with progressive respiratory failure. There is increasing recognition of the need for improved epidemiological data to help determine best practice and improve standardisation of care. The Australasian ILD Registry (AILDR) is a bi-national registry of patients with all ILD subtypes designed to establish a clinically meaningful database reflecting real world practice in Australasia with an objective to improve diagnostic and treatment pathways through research and collaboration.Methods: AILDR is a prospective observational registry recruiting patients attending ILD clinics at centres around Australia and New Zealand. Core and non-core data are stored on a secure server. The pilot phase was launched in 2016 consisting of four sites in Australia. Currently in its second phase a further 16 sites have been recruited, including three in New Zealand.Results: A total of 1061 participants were consented during the pilot phase. Baseline data demonstrated a mean age 68.3 ± 12.5 (SD) years, mean FVC (%predicted) 79.1 ± 20.4 (SD), mean DLCO (%predicted) 58.5 ± 17.9 (SD) and nadir exertional SpO2 (%) 91 ± 6.9 (SD). Idiopathic pulmonary fibrosis (31%) and connective-tissue disease related ILD (21.7%) were the two most common subtypes. Baseline demographics and physiology were not significantly different across the four centres.Conclusion: AILDR is an important clinical and research tool providing a platform for epidemiological data that will prove essential in promoting understanding of a rare cohort of lung disease and provide foundations for our aspiration to standardise investigation and treatment pathways of ILD across Australasia. [ABSTRACT FROM AUTHOR]

The Selwyn Waihora Project was a research project supporting a collaborative policy-making process to set environmental limits in the Selwyn Waihora catchment in New Zealand's South Island. In this Design Report we reflect on this project based on data collected from a range of project participants approximately two years after project completion. The data collection was guided by the Integration and Implementation Sciences framework (i2S). On the basis of participant responses, and the authors' first-hand experiences working on the project, we present insights for transdisciplinary research. Through the questions asked by the i2S framework insights emerged on: what it means to honour community values; the importance of context but that projects can pay too much attention to it; boundary objects to foster integration across multiple knowledge systems; the value of intra-team narratives for translation; the importance of considering the losers of the research; and sharing the burden of uncertainty. [ABSTRACT FROM AUTHOR]

Beaches around the world continuously adjust to daily and seasonal changes in wave and tide conditions, which are themselves changing over longer time-scales. Different approaches to predict multi-year shoreline evolution have been implemented; however, robust and reliable predictions of shoreline evolution are still problematic even in short-term scenarios (shorter than decadal). Here we show results of a modelling competition, where 19 numerical models (a mix of established shoreline models and machine learning techniques) were tested using data collected for Tairua beach, New Zealand with 18 years of daily averaged alongshore shoreline position and beach rotation (orientation) data obtained from a camera system. In general, traditional shoreline models and machine learning techniques were able to reproduce shoreline changes during the calibration period (1999–2014) for normal conditions but some of the model struggled to predict extreme and fast oscillations. During the forecast period (unseen data, 2014–2017), both approaches showed a decrease in models' capability to predict the shoreline position. This was more evident for some of the machine learning algorithms. A model ensemble performed better than individual models and enables assessment of uncertainties in model architecture. Research-coordinated approaches (e.g., modelling competitions) can fuel advances in predictive capabilities and provide a forum for the discussion about the advantages/disadvantages of available models. [ABSTRACT FROM AUTHOR]

High-resolution microscale modelling of the response of the Waiho River to width reduction by stopbanks reveals that, unless the river is already aggrading in its prior state, width reduction does not on its own cause bed aggradation. This finding conflicts with and corrects findings of earlier work, due to improvements in data acquisition technology, and has prompted a review of the prehistoric and historical behaviour of the Waiho River. The river has aggraded by about 10 m at the State Highway 6 bridge cross-section since records began in 1907, and since 1980 it has aggraded by about 6 m (an average rate of about 0.17 m/year). The reason for this multi-decade aggradation is presently not well understood; other major rivers in the region are not behaving in this way. At the start of the 20th century the Waiho River was incised by about 8 m into its fanhead, but by about 1970-80 aggradation was causing overbank flows during floods, affecting infrastructure, and stopbanks were constructed to confine the river to its previous bed area. The confinement caused aggradation to continue at the previous rate, whereas without stopbanks the river would have aggraded across its entire fanhead (about three times the current bed area) at about one-third the rate, i.e. at about 0.06 m/year. If stopbanks are maintained in their present positions, about 17 m of further aggradation can be anticipated over the next century; if, by contrast, the river is allowed free access to the whole of its natural bed the short-term response would be about 2 m of degradation, followed by 6 m of aggradation after 100 years - that is, a bed-level rise of about 4 m over the next century. During this time, however, a severe aggradation episode, probably due to an earthquake, is likely to alter the river behaviour drastically. The response of the river to climate change over the next century is unclear at present. [ABSTRACT FROM AUTHOR]

The future studies augmentation with data on actors and their interactions is suggested as a means to reduce uncertainty and to account for extreme or unexpected future outcomes due to the involvement of multiple actors and their competing perspectives and options. In the context of New Zealand's health workforce forecasting environment, this research note presents a systematic method to gather and aggregate actor data developed for a recent foresight study. The method identifies the issues encountered and solutions developed when gathering data from time poor respondents representing diverse and sometimes oppositional actors, and for the coding and aggregation of these data for use in LIPSOR's actor analysis tool, MACTOR. Worked examples are provided to demonstrate the method's application with the software. [ABSTRACT FROM AUTHOR]

Background: The longitudinal birth cohort design has yielded a substantial contribution to knowledge of child health and development. The last full review in New Zealand and Australia in 2004 identified 13 studies. Since then, birth cohort designs continue to be an important tool in understanding how intrauterine, infant and childhood development affect long-term health and well-being. This updated review in a defined geographical area was conducted to better understand the factors associated with successful quality and productivity, and greater scientific and policy contribution and scope. Methods: We adopted the preferred reporting items for systematic reviews and meta-analyses (PRISMA) approach, searching PubMed, Scopus, Cinahl, Medline, Science Direct and ProQuest between 1963 and 2013. Experts were consulted regarding further studies. Five inclusion criteria were used: (1) have longitudinally tracked a birth cohort, (2) have collected data on the child and at least one parent or caregiver (3) be based in Australia or New Zealand, (4) be empirical in design, and (5) have been published in English. Results: 10665 records were initially retrieved from which 23 birth cohort studies met the selection criteria. Together these studies recruited 91,196 participants, with 38,600 mothers, 14,206 fathers and 38,390 live births. Seventeen studies were located in Australia and six in New Zealand. Research questions initially focused on the perinatal period, but as studies matured, longer-term effects and outcomes were examined. Conclusions: This review demonstrates the significant yield from this effort both in terms of scientific discovery and social policy impact. Further opportunities have been recognised with cross-study collaboration and pooling of data between established and newer studies and international studies to investigate global health determinants. [ABSTRACT FROM AUTHOR]

Background: Part of the visits to emergency departments (EDs) is related to complaints that may well be treated in primary care.Objectives: (i) To investigate how the likelihood of attending an ED is related to accessibility and continuity of primary care. (ii) To investigate the reasons for patients to visit EDs in different countries.Methods: Data were collected within the EU Seventh Framework project Quality and Costs in Primary Care (QUALICOPC) in 31 European countries, Australia, New Zealand and Canada. The data were collected between 2011 and 2013 and contain survey data from 60991 patients and 7005 GPs, within 7005 general practices.Outcome Measure: whether the patient visited the ED in the previous year (yes/no). Multilevel logistic regression analyses were carried out to analyse the data.Results: Some 29.4% had visited the ED in the past year. Between countries, the percentages varied between 18% and 40%. ED visits show a significant and negative relation with better accessibility of primary care. Patients with a regular doctor who knows them personally were less likely to attend EDs. Only one-third of all patients who visited an ED indicated that the main reason for this was that their complaint could not be treated by a GP.Conclusions: Good accessibility and continuity of primary care may well reduce ED use. In some countries, it may be worthwhile to invest in more continuous relationships between patients and GPs or to eliminate factors that hamper people to use primary care (e.g. for costs or travelling). [ABSTRACT FROM AUTHOR]

The article describes a Bayesian approach to deriving population estimates from multiple administrative data sources. Coverage rates play an important role in the approach: identifying anomalies in coverage rates is a key step in the model-building process, and data sources receive more weight within the model if their coverage rates are more consistent. Random variation in population processes and measurement processes is dealt with naturally within the model, and all outputs come with measures of uncertainty. The model is applied to the problem of estimating regional populations in New Zealand. The New Zealand example illustrates the continuing importance of coverage surveys. [ABSTRACT FROM AUTHOR]

This article outlines a research study into the perceptions of a small sample of New Zealand school leaders about the nature of leading in a high-needs school environment. Reflective data collected from leaders indicated that a broad-based concept of high needs centred on the socially disadvantaged world of families, student-related factors both inside and outside of the school, changing teachers' pedagogy to meet students' diverse learning needs, and specific contexts such as those found in geographically isolated schools. Common leadership skills and dispositions were identified in areas of pedagogical, personal and professional leadership that relate both to this high-needs study, and to generic New Zealand research findings on successful leadership practices in schools. [ABSTRACT FROM AUTHOR]

This descriptive study documented the form-focused instruction interventions used by three ESL teachers in three high schools in Auckland taking a macroscopic perspective rather than the microscopic approach which has tended to inform research to date. Fourteen hours of teacher-led classroom discourse were recorded and coded according to Simard and Jean's (2011) Intervention-on-Form(s)- Observation Scheme. Results showed a high incidence of attention to form with some remarkable similarities to Simard and Jean's study conducted in similar instructional contexts in Canada. Corrective feedback was, for example, the most frequently occurring intervention in each data set, followed by explanation. [ABSTRACT FROM AUTHOR]

The use of nitrification inhibitors has become increasingly common on dairy farms in NZ since 2004, ostensibly to reduce nitrogen (N) loss from nitrate leaching and nitrous oxide emissions. A potential benefit of this reduction in N loss, however, is an increase in dry matter (DM) production. Pasture response data were collated from a national series of farm trials conducted in 132 paddocks on 37 farms in the North Island (NI) and South Island (SI) of New Zealand where paddocks were randomly split into two halves with one half treated with the nitrification inhibitor eco-nTM. Measurements conforming to a strict protocol were made using pasture plate meters. There was a highly significant overall DM response to inhibitor use of 19% across all trials (14% NI, 21% SI) although full-year responses were more variable between NI regions (4–27%) than SI regions (12–31%). Generally, DM responses were greater than those demonstrated by previous small-scale experimental trials and this may indicate the influence of a farm–system effect. Several reasons are speculated for this effect but further research is required to identify the factors involved. [ABSTRACT FROM PUBLISHER]

Collection of 3D data in archaeology is a long-standing practice. Traditionally, the focus of these data has been visualization as opposed to analysis. Three-dimensional data are often recorded during archaeological excavations, with the provenience of deposits, features, and artefacts documented by a variety of methods. Simple analysis of 3D data includes calculating the volumes of bound entities, such as deposits and features, and determining the spatial relationships of artifacts within these. The construction of these volumes presents challenges that originate in computer-aided design (CAD) but have implications for how data are used in archaeological analysis. We evaluate 3D construction processes using data from Waitetoke, Ahuahu Great Mercury Island, Aotearoa, New Zealand. Point clouds created with data collected by total station, photogrammetry, and terrestrial LiDAR using simultaneous localization and mapping (SLAM) are compared, as well as different methods for generating surface area and volumes with triangulated meshes and convex hulls. The differences between methods are evaluated and assessed in relation to analyzing artifact densities within deposits. While each method of 3D data acquisition and modeling has advantages in terms of accuracy and precision, other factors such as data collection and processing times must be considered when deciding on the most suitable. [ABSTRACT FROM AUTHOR]

Background: Membranoproliferative glomerulonephritis (MPGN) is an uncommon cause of end stage kidney disease (ESKD) and the clinical outcomes of patients with MPGN who commence kidney replacement therapy have not been comprehensively studied.Methods: All adult patients with ESKD due to glomerulonephritis commencing kidney replacement therapy in Australia and New Zealand from January 1, 1996 to December 31, 2016 were reviewed. Patients with ESKD due to MPGN were compared to patients with other forms of glomerulonephritis. Patient survival on dialysis and following kidney transplantation, kidney recovery on dialysis, time to transplantation, allograft survival, death-censored allograft survival and disease recurrence post-transplant were compared between the two groups using Kaplan Meier survival curves and Cox proportional hazards regression.Results: Of 56,481 patients included, 456 (0.8%) had MPGN and 12,660 (22.4%) had another form of glomerulonephritis. Five-year patient survival on dialysis and following kidney transplantation were similar between patients with ESKD from MPGN and other forms of glomerulonephritis (Dialysis: 59% vs. 62% p = 0.61; Transplant: 93% vs. 93%, p = 0.49). Compared to patients with other forms of glomerulonephritis, patients with MPGN had significantly poorer 5-year allograft survival (70% vs. 81% respectively, p = 0.02) and death censored allograft survival (74% vs. 87%, respectively; p < 0.01). The risk of disease recurrence was significantly higher in patients with MPGN compared to patients with other glomerulonephritidites (18% vs. 5%; p < 0.01). In patients with MPGN who had allograft loss, patients with MPGN recurrence had a significantly shorter time to allograft loss compared to patients with MPGN who had allograft loss due to any other cause (median time to allograft loss 3.2 years vs. 4.4 years, p < 0.01).Conclusions: Compared with other forms of glomerulonephritis, patients with MPGN experienced comparable rates of survival on dialysis and following kidney transplantation, but significantly higher rates of allograft loss due to disease recurrence. [ABSTRACT FROM AUTHOR]