Developing a Measure of Living Standards for Elders in New Zealand

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Marine fish carbonates – contribution to sediment production in temperate environments

In the past, oceans have strongly influenced atmospheric CO2 levels through organic and inorganic carbon cycling. The inorganic carbon pump relies on the formation of calcium carbonate which releases CO2 into the surface ocean and traps alkalinity in solid form which sinks to deeper ocean layers and sediments. After sinking, calcium carbonate can either then become trapped in the sediments or dissolve increasing the alkalinity of deeper ocean layers. The net effect is of acidifying surface oceans and encouraging release of CO2 to the atmosphere. The present thesis focuses on marine teleost (bony) fish in temperate areas as previously poorly understood but potentially major producers of calcium carbonate in the ocean. Fish in temperate areas may be contributing to carbonate sediment production and as such the inorganic carbon pump. Prior to this thesis only tropical fish have been investigated as major piscine sediment producers. The present thesis describes the composition and morphology of carbonates produced by many different species of temperate fish providing a basis for the understanding the fate of these carbonates in the environments and their potential contribution to sediment production and the inorganic carbon cycle. Characteristics of carbonates produced by fish in the wild were fairly consistent within a species upon examination of carbonates produced by poor cod (Trisopterus minutus) over the course of a year. However, despite the likely consistent and distinct characteristics of fish carbonates, little evidence of them was found in temperate shallow sediments beneath pens of farmed Atlantic salmon (Salmo salar) where there theoretically should be very high production rates. Reduced salinity, often a feature of temperate areas compared to tropical areas, was found to reduce production rates of carbonate from fish compared to higher salinities. However, salinity reductions below the ocean average of 35 psu (practical salinity units) had less impact on production rates than increases above 35 psu. As such it is argued that production rates in temperate environments should still be relatively high considering high fish biomasses in some temperate regions and could still mean fish in temperate areas are an important source of carbonate production and potential sediment production.Natural Environment Research Counci

Harvest of the Month for Early Childhood Education: Parent Perspectives

The purpose of this research brief is to report on the impact of Harvest of the Month (HOM) for Early Care and Education (ECE) at home to better understand parent perspectives and influences on children’s nutrition behavior. Harvest of the Month (HOM) is a farm to school programming strategy that features a locally grown food in at least one nutrition and agriculture lesson, taste test activity, and a snack or meal recipe each month. This exploratory study used a survey research design to gather parent perspectives during pilot implementation of HOM for ECE during the 2017 – 2018 school year. The survey was delivered electronically. Twenty-one parents from a campus-based preschool program in the northwest United States reported procurement and consumption of HOM foods at home. Findings suggest that a variety of HOM foods are being served and consumed at home. Parents in this study placed more importance on knowing where food comes from rather than serving local foods. Further, parents’ knowledge of farm to ECE, reported food purchasing at farmer’s markets, and participation in community-supported agriculture (CSA) programs were limited, suggesting a need for continued targeted parent education that could have a positive effect of families’ healthy eating

Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life.

Background. Nursing home (NH) residents often experience burdensome and unnecessary care transitions, especially towards the end of life. This paper explores provider perspectives on the role that families play in the decision to transfer NH residents to the emergency department (ED). Methods. Multiple stakeholder focus groups (n = 35 participants) were conducted with NH nurses, NH physicians, nurse practitioners, physician assistants, NH administrators, ED nurses, ED physicians, and a hospitalist. Stakeholders described experiences and challenges with NH resident transfers to the ED. Focus group interviews were recorded and transcribed verbatim. Transcripts and field notes were analyzed using a Grounded Theory approach. Findings. Providers perceive that families often play a significant role in ED transfer decisions as they frequently react to a resident change of condition as a crisis. This sense of crisis is driven by 4 main influences: insecurities with NH care; families being unprepared for end of life; absent/inadequate advance care planning; and lack of communication and agreement within families regarding goals of care. Conclusions. Suboptimal communication and lack of access to appropriate and timely palliative care support and expertise in the NH setting may contribute to frequent ED transfers

Vicarious posttraumatic growth: A systematic literature review

Twenty-eight articles are included in this review, which provides the first comprehensive review of the vicarious posttraumatic growth (VPTG) literature. Five domains are presented. First, assessment methods of VPTG are reviewed; seventeen studies assessed VPTG using a measure designed for use with direct trauma survivors, three used a non-validated measure, and the remaining eight used an open-ended question. Second, the level of similarity between reports of direct and vicarious posttraumatic growth is examined. VPTG was found to be highly similar to direct posttraumatic growth; however, subtle differences between the two were also identified along with manifestations of growth unique to VPTG. Third, a range of psychological, cognitive, behavioural, interpersonal, and external factors that have been implicated to facilitate VPTG are presented. Fourth, research exploring the relationship between VPTG and secondary traumatic stress is examined. Three possible explanations are presented: a positive linear association, no association, and a more complex curvilinear relationship. Finally, limitations to the current body of knowledge and areas for future research are explored

Children: A JCCI Community Inquiry on Creating Early Learning Success - Final Implementation Report

When the Children: 1-2-3 Inquiry process began in Fall 2011, there was widespread agreement among professionals and stakeholders in the early childhood development sector that it was time for Jacksonville to become a place where all newborns, infants, and toddlers can thrive. In Duval County, 30 percent of children entering kindergarten could not pass the test that shows they are prepared for school learning, virtually assuring years of difficulty in keeping up with their classmates and peers.The first three years of life provide the most rapid period of brain development, and it is during these early years that a one-time window of opportunity exists for maximizing a child's developmental potential. Healthy brain development requires a consistent nurturing environment that is impacted by many factors (e.g., talking to and playing with the child, good nutrition, active movement, uninterrupted sleep, quality childcare, regular visits to pediatricians, etc.).While this unique three-year window has been known to early childhood professionals for years, the Inquiry discovered that others in the community – including many well-meaning and attentive parents – are not fully aware of all the things they can do to provide their children with the best foundation possible for a lifetime of learning. Expanding awareness of the importance of 0-3 throughout every segment of the community was therefore an objective of the highest priority when the Children: 1-2-3 Implementation Task Force came together for the first time in July 2012.The Task Force included 68 members, some of whom were early childhood professionals, while others were simply concerned citizens interested in improving their community. This Final Implementation Report reflects the countless hours of hard work of these Task Force members throughout the last two-plus years. Their dedication to improving the lives of our youngest children has been extraordinary, and it was both humbling and exciting for me to serve as their chair.The Children: 1-2-3 Inquiry developed nine recommendations that essentially fell into two main categories – creating and maintaining an environment where all newborns, infants, and toddlers thrive; and educating the whole community about the critical first three years of childhood development. It was the role of our Task Force to advocate for implementation of these recommendations to the applicable stakeholders and elected leaders in the community

What factors enable mid-life carers to re-enter the labour market in New Zealand?

Objective.- To assess the characteristics of carers and the caregiving situation associated with return to paid employment among older unemployed carers in New Zealand. Methods.- A baseline sample of 280 unemployed carers was identified from responses by people aged 55-70 to the 2012-2016 biennial waves of the New Zealand Health, Work and Retirement longitudinal survey. Multiple logistic regression analysis was used to assess characteristics uniquely predicting employment status at two-year follow-up. Results.- Sixteen percent were employed at follow-up. Economic living standards, physical health and preference to be in paid employment were positively associated with being employed at follow-up. There were no statistical differences according to age, gender, ethnicity, marital status, education and care characteristics. Conclusion.- Individual preferences were the strongest predictor of return to paid employment. Despite New Zealand employment legislation allowing all employees to request flexible working arrangements, economic and health differences in workforce retention among carers persist

The development of professional practice standards for Australian general practice nurses

Aims The aim of this study was to explore the current role of general practice nurses and the scope of nursing practice to inform the development of national professional practice standards for Australian general practice nurses. Background Increasing numbers of nurses have been employed in Australian general practice to meet the growing demand for primary care services. This has brought significant changes to the nursing role. Competency standards for nurses working in general practice were first developed in Australia in 2005, but limited attention has been placed on articulating the contemporary scope of practice for nurses in this setting. Design Concurrent mixed methods design. Methods Data collection was conducted during 2013-2014 and involved two online surveys of Registered and Enrolled Nurses currently working in general practice, a series of 14 focus groups across Australia and a series of consultations with key experts. Findings Data collection enabled the development of 22 Practice Standards separated into four domains: (i) Professional Practice; (ii) Nursing Care; (iii) General Practice Environment and (iv) Collaborative Practice. To differentiate the variations in enacting these Standards, performance indicators for the Enrolled Nurse, Registered Nurse and Registered Nurse Advanced Practice are provided under each Standard. Conclusion The development of national professional practice standards for nurses working in Australian general practice will support ongoing workforce development. These Standards are also an important means of articulating the role and scope of the nurses\u27 practice for both consumers and other health professionals, as well as being a guide for curriculum development and measurement of performance

A Natural Plasmid Uniquely Encodes Two Biosynthetic Pathways Creating a Potent Anti-MRSA Antibiotic

Background Understanding how complex antibiotics are synthesised by their producer bacteria is essential for creation of new families of bioactive compounds. Thiomarinols, produced by marine bacteria belonging to the genus Pseudoalteromonas, are hybrids of two independently active species: the pseudomonic acid mixture, mupirocin, which is used clinically against MRSA, and the pyrrothine core of holomycin. Methodology/Principal Findings High throughput DNA sequencing of the complete genome of the producer bacterium revealed a novel 97 kb plasmid, pTML1, consisting almost entirely of two distinct gene clusters. Targeted gene knockouts confirmed the role of these clusters in biosynthesis of the two separate components, pseudomonic acid and the pyrrothine, and identified a putative amide synthetase that joins them together. Feeding mupirocin to a mutant unable to make the endogenous pseudomonic acid created a novel hybrid with the pyrrothine via “mutasynthesis” that allows inhibition of mupirocin-resistant isoleucyl-tRNA synthetase, the mupirocin target. A mutant defective in pyrrothine biosynthesis was also able to incorporate alternative amine substrates. Conclusions/Significance Plasmid pTML1 provides a paradigm for combining independent antibiotic biosynthetic pathways or using mutasynthesis to develop a new family of hybrid derivatives that may extend the effective use of mupirocin against MRSA