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What are the elements of professional learning that lead to an increase of the likelihood of new learning and understandings being embedded into teacher practices? This article details some of the strategies the author has successfully employed to establish a context whereby an innovation would be sustained past the time of the Ministry Gifted and Talented Education contract. A "wedge model" was adopted so that over time, the balance of responsibility and power shifted from her as facilitator, to the staff through a range of collaborative processes.

Background: Addressing health inequities that Māori (Indigenous peoples) communities face in New Zealand is a key aim of researchers and practitioners. However, there is limited understanding of the implementation processes and outcomes of health programmes for addressing these inequities. The aim of this study was twofold: (a) to identify correlates of implementation outcomes and (b) to identify facilitators and barriers to implementation effectiveness. Methods: The study involved a concurrent mixed method approach. Through an online survey, 79 participants with experience in implementing a health programme with a Māori community identified outcomes and processes of the programme. Additionally, nine Māori community providers shared their perceptions and experience of facilitators and barriers to implementation effectiveness through an in-depth interview. The quantitative and qualitative findings were integrated to address the aims of the study. Results: For the first aim, we identified two key outcomes: overall health impacts and sustainability. Three of the variables had significant and positive bivariate correlations with health impacts: cultural alignment, community engagement, and individual skills. The only significant correlate of sustainability was evidence-based. For the second aim, participants described four facilitators (leadership, whanaungatanga [relationships], sharing information, digestible information) and four barriers (system constraints, lack of funding, cultural constraints, lack of engagement) to effective implementation. Conclusion: Overall, leadership, aligning culture, and building on whanaungatanga, while getting financial resources and systems support, are the core elements to supporting implementation efforts in Māori communities. [ABSTRACT FROM AUTHOR]

This article discusses and reflects on some issues that may arise when a child with special needs and their family transition from an early childhood setting into their chosen school. In this instance, the author examines the case of "Aroha", and considers specifics such as the writer's ethical and professional role as an early childhood teacher, valuable strategies for a successful transition, relevant theories, the influences of relationships with significant people who support Aroha in her differing environments, and the concerns teachers and parents have relating to Aroha's diagnosis of attention deficit disorder (ADD).

Introduction: Sex work decriminalisation is widely supported by public health research and sex worker advocates as the best model to protect the health and rights of sex workers. In order to understand the actual implications of sex work decriminalisation on sex workers' health, this article reviews and summarises existing research from two sites where sex work has been decriminalised for several years: the Australian state of New South Wales and New Zealand. Methods: In July 2021, the authors conducted database and directed searches for academic and grey literature reporting on research with diverse sex workers in NSW and New Zealand since, respectively, 1995 and 2003. The searches were updated in July 2022. Fifty-two different papers, including 33 peer-reviewed articles, were identified and reviewed using a scoping methodology. Results: The review describes improvements in the health and well-being, as well as in access to and engagement with health services among diverse sex workers in terms of gender, migration history, cultural backgrounds and type of sex work, in the two jurisdictions. These improvements are linked to the development of peer-based outreach and service provision by and to diverse sex workers in both sites. The review also highlights a number of existing regulatory concerns, including the persisting illegalisation of locational aspects of street-based sex work (NSW) and of non-resident, migrant sex work (New Zealand). Conclusions: The authors conclude that evidence from the two countries supports full sex work decriminalisation as a necessary first step in order to start addressing health and social inequalities among this highly diverse and stigmatised population. Policy Implications: The evidence reviewed presents overwhelming support for the full decriminalisation of all forms of sex work, including street-based and migrant sex work. Peer-based service provision by and to diverse sex workers should be promoted and funded. [ABSTRACT FROM AUTHOR]

The Australia and New Zealand Musculoskeletal (ANZMUSC) Clinical Trials Network was formed to build capacity and infrastructure for high‐quality musculoskeletal clinical trials in our region. The purpose of this paper is to describe the steps taken in its formation to help others interested in establishing similar networks. In particular, we describe the steps taken to form the collaboration and our progress in achieving our vision and mission. Our aim is to focus on trials of highest importance and quality to provide definitive answers to the most pressing questions in our field. [ABSTRACT FROM AUTHOR]

The Skin Cancer College of Australia and New Zealand (SCCANZ) has developed a unique project named SCARD - the Skin Cancer Audit and Research Database. Designed initially as a self-audit tool for primary care skin cancer practitioners, SCARD acts as a tracking tool to enhance practice safety, and it also creates practice performance reports. Pooling of de-identified data enables participating practitioners to confidentially compare their own practice to that of their peers. Additionally, this creates a large database with significant research potential, as SCARD records for every lesion de-identified practitioner and patient data, and extensive details of location, provisional and histological diagnosis, and the procedure(s) performed in its treatment. Preliminary data collected in the database have been presented in this study. An initial pool of data from 177 practitioners contains 77,553 specimens from 41,006 individual patients. The data presented are being analyzed for further studies, and additional data continues to be collected from this ongoing project. SCARD is a useful tool at practice level, and substantial uptake by Australian primary care skin cancer practitioners has provided a unique opportunity for research into skin cancer and its management. SCCANZ, a professional college of predominantly primary care medical practitioners, with a commitment to the management of skin cancer in Australia and New Zealand, has formed a partnership with the School of Medicine at the University of Queensland to ensure that these data are managed and analyzed appropriately. [ABSTRACT FROM AUTHOR]

Investigates the implications of the observed seismic phase conversions for subducting plate structure in North Island, New Zealand. Increase in the amplitude ratio; Variations in subduction depths; Range of velocity discontinuity.

The article presents a study on the membership growth of the Royal Australian and New Zealand College of Radiologists (RANZCR) from 1959 to 2009. The increase in the RANZCR from 1959 to 2009 of the number of fellows, educational affiliates and women has been quantified and tabled in the study. It was found that there has been a threefold increase in Australia and New Zealand of diagnostic radiologists and radiation oncologists in active practice.

Pediatric lung transplantations (LTx) are usually performed in specialised pediatric transplantation centres. In Australia and New Zealand, pediatric LTx is performed exclusively at an adult high-volume LTx centre using a unique nationally funded programme model. The post-operative care occurs in an adult ICU which does not usually manage pediatric patients. The aim of this project is to describe the characteristics and outcomes of pediatric LTx recipients admitted to the adult ICU of a nationally funded centre (NFC). This is a retrospective single centre study of all patients under 18 years of age undergoing lung or combined heart-lung transplantation at the NFC between January 2007- May 2022. The transplant programme involves multidisciplinary evaluation of potential recipients, surgery in the adult theatre and post-operative recovery in the adult ICU. Pediatric expertise is provided by a local specialised pediatric ICU. During the study period, 57 pediatric LTx were performed- males 19 (33%), median (range) age 14.1 (5.4-18.5) years and median (range) weight 36 (15-68.5) kg at transplantation. The majority were performed for cystic fibrosis (24, 42%), followed by pulmonary hypertension (17, 29%). Pre-transplant, 23 (40%) patients were mechanically ventilated, 7 (12%) were supported on extracorporeal membrane oxygenation (ECMO) and 32 (56%) patients had pre-existing infections. Pre-operative median (IQR) APACHE 3 score was 56.5 (49.8-68.3). 52 (91%) procedures were bilateral sequential LTx, of which 7 (14%) were lobar or cut-down procedures. 24 (42%) were performed on cardiopulmonary bypass. 15 (26%) patients received organs from donors who died after cardiac death, and 32 (56%) from adult donors. Post-surgery on ICU, the median (IQR) duration of invasive mechanical ventilation was 59.5 (20-152.3) hours with 40 patients (70%) receiving a thoracic epidural for analgesia. 13 (23%) required post-operative ECMO for a median (IQR) duration of 7 (4-10) days of ECMO support. Median (IQR) ICU length of stay (LOS) was 9.6 (5.0-18.7) days with 54 patients (96%) surviving to hospital discharge and a median (IQR) hospital LOS of 25.0 (18.4-34.0) days. 1-year survival was 86% (47 patients). Pediatric LTx can be performed safely in an adult LTx centre with the post-operative care occurring in the adult ICU with expert pediatric input. [ABSTRACT FROM AUTHOR]

Background and Aims: High quality clinical research that addresses important questions requires significant resources. In resource-constrained environments, projects will therefore need to be prioritized. The Australia and New Zealand Musculoskeletal (ANZMUSC) Clinical Trials Network aimed to develop a stakeholder-based, transparent, easily implementable tool that provides a score for the 'importance' of a research question which could be used to rank research projects in order of importance., Methods: Using a mixed-methods, multi-stage approach that included a Delphi survey, consensus workshop, inter-rater reliability testing, validity testing and calibration using a discrete-choice methodology, the Research Question Importance Tool (ANZMUSC-RQIT) was developed. The tool incorporated broad stakeholder opinion, including consumers, at each stage and is designed for scoring by committee consensus., Results: The ANZMUSC-RQIT tool consists of 5 dimensions (compared to 6 dimensions for an earlier version of RQIT): (1) extent of stakeholder consensus, (2) social burden of health condition, (3) patient burden of health condition, (4) anticipated effectiveness of proposed intervention, and (5) extent to which health equity is addressed by the research. Each dimension is assessed by defining ordered levels of a relevant attribute and by assigning a score to each level. The scores for the dimensions are then summed to obtain an overall ANZMUSC-RQIT score, which represents the importance of the research question. The result is a score on an interval scale with an arbitrary unit, ranging from 0 (minimal importance) to 1000. The ANZMUSC-RQIT dimensions can be reliably ordered by committee consensus (ICC 0.73-0.93) and the overall score is positively associated with citation count (standardised regression coefficient 0.33, p<0.001) and journal impact factor group (OR 6.78, 95% CI 3.17 to 14.50 for 3rd tertile compared to 1st tertile of ANZMUSC-RQIT scores) for 200 published musculoskeletal clinical trials., Conclusion: We propose that the ANZMUSC-RQIT is a useful tool for prioritising the importance of a research question., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Taylor et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)