NZ's tiptoe relations with US & China

Overview: The Prime Minister, John Key’s recent trip to New York was focused on lobbying permanent ambassadors at the United Nations to support New Zealand\u27s bid for a non-permanent seat on the Security Council in 2015. New Zealand has been selling itself as a sensible and moderate nation that prides itself on taking an independent view. But the main reason for John Key\u27s visit to the United States was to spend time with the President, Barack Obama, reinforcing Wellington\u27s warming relationship with Washington. America\u27s so-called "rebalance" towards the Asia-Pacific region, a policy thought to be prompted by the rising presence of China in the region. But could that also put NZ in a difficult position as it tries to balance its important relationships with both the US and China? Radio New Zealand Political reporter, Chris Bramwell, travelled with Mr Key to the US and explores how difficult that balancing act might be

Integrating patient reported outcome measures (PROMs) into routine nurse-led primary care for patients with multimorbidity : a feasibility and acceptability study

Background: The use of Patient Reported Outcome Measures (PROMS) in clinical practice has the potential to promote patient-centred care and improve patients’ quality of life. Individualized PROMs may be particularly helpful in identifying, prioritizing and monitoring health problems of patients with multimorbidity. We aimed to develop an intervention centred around PROMs feedback as part of Primary Care annual reviews for patients with multimorbidity and evaluate its feasibility and acceptability. Methods: We developed a nurse-oriented intervention including (a) training of nurses on PROMs; (b) administration to patients with multimorbidity of individualized and standardized PROMS; and (c) feedback to both patients and nurses of PROMs scores and interpretation guidance. We then tailored the intervention to patients with two or more highly prevalent conditions (asthma, COPD, diabetes, heart failure, depression, and hip/knee osteoarthritis) and designed a non-controlled feasibility and acceptability evaluation in a convenience sample of primary care practices (5). PROMs were administered and scores fed back immediately ahead of scheduled annual reviews with nurses. Patients and nurses rated the acceptability of the intervention using with a brief survey including optional free comments. Thematic analysis of qualitative interviews with a sample of participating patients (10) and nurses (4) and of survey free comments was conducted for further in-depth evaluation of acceptability. Feasibility was estimated based on rates of participation and completion. Results: Out of 68 recruited patients (mean age 70; 47% female), 68 completed the PROMs (100%), received feedback (100%) and confirmed nurse awareness of their scores (100%). Most patients (83%) “agreed”/”strongly agreed” that the PROMs feedback had been useful, a view supported by nurses in 89% of reviews. Thematic analysis of rich qualitative data on PROMS administration, feedback and role in annual reviews indicated that both patients and nurses perceived the intervention as acceptable and promising, emphasizing its comprehensiveness and patient-centredness. Conclusions: We have developed and tested an intervention focusing on routine PROM assessment of patients with multimorbidity in Primary Care. Preliminary findings support its feasibility and a high degree of acceptability from both patients and nurses. The next step is to conduct a full-scale trial for evaluating the effectiveness of the proposed intervention

Integrating Patient Reported Outcome Measures (PROMs) into routine nurse-led primary care for patients with multimorbidity: a feasibility and acceptability study

10.1186/s12955-021-01748-219

Spin-Glass States Generated in a van der Waals Magnet by Alkali-Ion Intercalation.

Publication status: PublishedTuning magnetic properties in layered van der Waals (vdW) materials has captured significant attention due to the efficient control of ground states by heterostructuring and external stimuli. Electron doping by electrostatic gating, interfacial charge transfer, and intercalation is particularly effective in manipulating the exchange and spin-orbit properties, resulting in a control of Curie temperature (TC) and magnetic anisotropy. Here, an uncharted role of intercalation is discovered to generate magnetic frustration. As a model study, Na atoms are intercalated into the vdW gaps of pristine Cr2Ge2Te6 (CGT) where generated magnetic frustration leads to emerging spin-glass states coexisting with a ferromagnetic order. A series of dynamic magnetic susceptibility measurements/analysis confirms the formation of magnetic clusters representing slow dynamics with a distribution of relaxation times. The intercalation also modifies other macroscopic physical parameters including the significant enhancement of TC from 66 to 240 K and the switching of magnetic easy-hard axis direction. This study identifies intercalation as a unique route to generate emerging frustrated spin states in simple vdW crystals

Sport and economic regeneration in cities

Investment in sporting infrastructure in cities over the past 20 years was not primarily aimed at getting the local community involved in sport, but was instead aimed at attracting tourists,encouraging inward investment and changing the image of the city. The first example of this new strategy was seen in Sheffield with the investment of £147 million in sporting facilities to host the World Student Games of 1991. More recently, Manchester spent over £200 million on sporting venues in order to host the 2002 Commonwealth Games, with a further £470 million expenditure on other non-sport infrastructure investment in Sportcity in east Manchester. In the British context, most of the cities following this strategy of using sport for economic regeneration have been industrial cities, not normally known as major tourist destinations. The drivers of such policies were the need for a new image and new employment opportunities caused by the loss of their conventional industrial base. This article analyses the justification for such investments in sport in cities and assesses the evidence for the success of such strategies