The Coconut Tree and the Computer Tiger: Information Technology in Traditional Pacific Societies

This literature review explores the extent to which Information Technology (IT) has affected the cultures of small traditional Pacific societies, with the South Pacific region as the point of focus. The assumption is that the educational systems of Pacific nations are in the developmental stage with the associated sophisticated technological applications. The thesis asks what if any, cultural challenges of adopting information technology have arisen? The review finds that traditional culture and information technology are in competition in the power stakes of human consideration, reflected in South Pacific indigenous academics seeking independence as researchers and acceptance in their own right. The realisation that culture and technology need to function together requires attaining academic freedom in the aftermath of post-colonial restrictions placed on the indigenous sociological and anthropological imagination. The first part examines the history of information technology generally, and the significance of work already done, providing a perspective of how the subject has developed and become established, assisting in the development and acquisition of the appropriate vocabulary. The review explains and describes the occurrence of information technology in the South Pacific, the effect of globalisation and shared knowledge through ethno-methodology, every day culture in action, describing the ways in which people make the sense they do and through the ways they communicate. In the second part the focus is on the detail of the commonsense character of everyday life and the practices by which they make their actions understandable by others. Scrutiny of how people do what they do provides an explanation of what those people do and why they do it in the way they do. Western form of governance is a reality, with nation building based on Western models of development. National independence and sovereignty with a wave of neo-colonialism and aid dependency led to economic globalisation, with resentment against value systems that erode indigenous values, producing a wave of re-indigenisation facilitated by the revolution known as information technology . There is a coherent body of Pacific thought, with a shared philosophy and ethic on the public agenda. In the material covered, elements standing out are the awareness among growing numbers of Pacific academics of the need for a genuine and far-reaching contextualisation, acknowledging the relevance and applicability of indigenous cultural values in contemporary settings. Second is the success of communities whose initiatives have followed familiar traditional ways they know and understand, reaping rewards. The region has development and governance failures in Papua New Guinea, Solomon Islands and Fiji to name a few; the national state of affairs in some countries is not encouraging. Where good development and governance are occurring, it is usually through the direct initiative of local communities using their knowledge base. The information upheaval is creating new opportunities in the lives of people from small traditional societies. Information Technology expands throughout the social structure of the Pacific in direct proportion to personal computer access literally at one's finger tips

An external evaluation of Phat Pak process and structure: Volume 2: Appendices

An evaluation was conducted by the 510 Evaluation Research Group 2007 after receiving a request from the Phat Pak Governance Group (PPGG). The evaluation focused on four areas identified in the Phat Pak service specification plan attached to it’s Ministry of Health contract (Youth participation, Communication Strategies, Decision making Processes and Skills Development)

An external evaluation of Phat Pak process and structure: Volume 1: Evaluation report

An evaluation was conducted by the 510 Evaluation Research Group 2007 after receiving a request from the Phat Pak Governance Group (PPGG). The evaluation focused on four areas identified in the Phat Pak service specification plan attached to it’s Ministry of Health contract (Youth participation, Communication Strategies, Decision making Processes and Skills Development). Our intention of evaluating the Phat Pak Programme has been to, through feedback from a range of participants, gauge the extent that the programme objectives (such as those highlighted in the contract are being met. More specifically, the function of the evaluation has been to help identify specific areas that are working well and those areas that need further development. It is our intention that the evaluation will provide both short and long-term direction with added insight towards increasing participation and enhancing health outcomes for youth and the wider community of the Waikato region

Three-dimensional field-scale coupled Thermo-Hydro-Mechanical modelling: parallel computing implementation

An approach for the simulation of three-dimensional field-scale coupled thermo-hydro-mechanical problems is presented, including the implementation of parallel computation algorithms. The approach is designed to allow three-dimensional large-scale coupled simulations to be undertaken in reduced time. Owing to progress in computer technology, existing parallel implementations have been found to be ineffective, with the time taken for communication dominating any reduction in time gained by splitting computation across processors. After analysis of the behavior of the solver and the architecture of multicore, nodal, parallel computers, modification of the parallel algorithm using a novel hybrid message passing interface/open multiprocessing (MPI/OpenMP) method was implemented and found to yield significant improvements by reducing the amount of communication required. This finding reflects recent enhancements of current high-performance computing architectures. An increase in performance of 500% over existing parallel implementations on current processors was achieved for the solver. An example problem involving the Prototype Repository experiment undertaken by the Swedish Nuclear Fuel and Waste Management Co. [Svensk Kärnbränslehantering AB (SKB)] in Äspö, Sweden, has been presented to demonstrate situations in which parallel computation is invaluable because of the complex, highly coupled nature of the problem

Reflections on a crisis: political disenchantment, moral desolation, and political integrity

Declining levels of political trust and voter turnout, the shift towards populist politics marked by appeals to ‘the people’ and a rejection of ‘politics-as-usual’, are just some of the commonly cited manifestations of our culture of political disaffection. Democratic politics, it is argued, is in crisis. Whilst considerable energy has been expended on the task of lamenting the status of our politics and pondering over recommendations to tackle this perceived crisis, amid this raft of complaints and solutions lurks confusion. This paper seeks to explore the neglected question of what the precise nature of the crisis with which we are confronted involves, and, in so doing, to go some way towards untangling our confusion. Taking my cue from Machiavelli and his value-pluralist heirs, I argue that there is a rift between a morally admirable and a virtuous political life. Failure to appreciate this possibility causes narrations of crisis to misconstrue the moral messiness of politics in ways that lead us to misunderstand how we should respond to disenchantment. Specifically, I suggest that: (i) we think that there is a moral crisis in politics because we have an unsatisfactorily idealistic understanding of political integrity in the first place; and (ii) it is a mistake to imagine that the moral purification of politics is possible or desirable. Put simply, our crisis is not moral per se but primarily philosophical in nature: it relates to the very concepts we employ—the qualities of character and context we presuppose whilst pondering over political integrity

Multiple novel prostate cancer susceptibility signals identified by fine-mapping of known risk loci among Europeans

Genome-wide association studies (GWAS) have identified numerous common prostate cancer (PrCa) susceptibility loci. We have fine-mapped 64 GWAS regions known at the conclusion of the iCOGS study using large-scale genotyping and imputation in 25 723 PrCa cases and 26 274 controls of European ancestry. We detected evidence for multiple independent signals at 16 regions, 12 of which contained additional newly identified significant associations. A single signal comprising a spectrum of correlated variation was observed at 39 regions; 35 of which are now described by a novel more significantly associated lead SNP, while the originally reported variant remained as the lead SNP only in 4 regions. We also confirmed two association signals in Europeans that had been previously reported only in East-Asian GWAS. Based on statistical evidence and linkage disequilibrium (LD) structure, we have curated and narrowed down the list of the most likely candidate causal variants for each region. Functional annotation using data from ENCODE filtered for PrCa cell lines and eQTL analysis demonstrated significant enrichment for overlap with bio-features within this set. By incorporating the novel risk variants identified here alongside the refined data for existing association signals, we estimate that these loci now explain ∼38.9% of the familial relative risk of PrCa, an 8.9% improvement over the previously reported GWAS tag SNPs. This suggests that a significant fraction of the heritability of PrCa may have been hidden during the discovery phase of GWAS, in particular due to the presence of multiple independent signals within the same regio

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Social Constructionist Supervision or Supervision as Social Construction? Some Dilemmas

In teaching and supervising postmodern approaches to therapy we face a number of dilemmas. Supervisees and supervisors may be confronted with ethical issues which challenge their consistent application of postmodern therapies. These challenges have the potential to limit discursive options by drawing us into either defending or abandoning particular therapeutic and supervisory models. This paper identifies several ideas which help us move more fluidly between discourses in order to maintain a collaborative supervisory space with room for multiple perspectives regardless of the supervisee’s clinical model. These ideas include aligning with the concept of supervision as social construction; meta-positioning in order to deconstruct all aspects of our work; remaining aware of the inherent power imbalances in the construct of supervision; and exploring ethical ideas through multiple lenses

Counselling Deaf Clients: Politics, Practice and Process

The Deaf community in Australia comprises a small but diverse group of people with a rich, distinctive culture, unified by a common language and history. In recent times, there has been an increasing awareness among ‘hearing’ counsellors of the importance of understanding deafness and Deaf culture in order to more appropriately meet the needs of this client group. This paper will address political, practice, and research issues relevant to the improvement of counselling services provided by hearing therapists for clients from the Deaf community. Firstly, in regard to politics, the paper will highlight some of the tensions between medical and cultural models of deafness and how these frameworks can impact upon the understanding of deafness. Secondly, it will be proposed that constructionist counselling approaches, and narrative therapy in particular, may provide a more culturally and linguistically relevant approach for practice with both clients and interpreters. Lastly, some of the dilemmas of counselling research specific to this client group will be discussed, together with the author’s own work in these areas. The paper will benefit therapists working in cross-cultural settings, or working with interpreters, and those interested in the dilemmas of counselling research