Identifying Similar and Different Factors Effecting Long-Term Cardiac Exercise Rehabilitation Behavior Modification Between New Zealand and the United Kingdom

2014 ◽  
Vol 11 (5) ◽  
pp. 1018-1024 ◽  
Author(s):  
Stephanie Dunn ◽  
Sally Lark ◽  
Stephen Fallows

Background:Cardiac Rehabilitation (CR) programs are the most cost-effective measure for reducing morbidity associated with Coronary Vascular Disease (CVD). To be more effective there is a need to understand what influences the maintenance of healthy behaviors. This study identifies similar and different influences in CR of the United Kingdom (UK) and New Zealand (NZ).Methods:A retrospective study. Participants had previously been discharged from CR for 6 to 12+ months within the UK (n = 22) and NZ (n = 21). Participant’s attended a focus group. Discussions were digitally recorded, transcribed then thematically analyzed. The CR programs were observed over 2 months to enable comment on findings relating to ‘theory in practice.’Results:Similar positive patient experiences influencing behavior between groups and countries were; support, education, positive attitude, and motivation. Companionship and exercising alongside people with similar health problems was the major determinant for positive exercise behavior. Barriers to maintaining exercise included; physical disabilities, time constraints, and weather conditions. NZ participants were more affected by external factors (eg, opportunity, access, and time).Conclusion:Both CR programs were successful in facilitating the maintenance of healthy lifestyles. Exercising with other cardiac patients for support in a structured environment was the strongest influence in maintaining healthy lifestyles beyond CR programs.

Itinerario ◽  
2014 ◽  
Vol 38 (3) ◽  
pp. 45-58
Author(s):  
John Connor

On the outbreak of war, men from the Dominions were scattered across the British Empire. As each Dominion began recruiting their expeditionary forces at home, the issue arose whether these expatriates, especially those resident in the United Kingdom, should join the British Army or be able to enlist in their Dominion's force. Canada and New Zealand allowed recruiting for the CEF and NZEF in the UK. Many Anglophone White South Africans joined a “colonial” battalion of the Royal Fusiliers. The Australian Government refused to allow Australians in the UK to join the AIF, despite the repeated requests of the Australian expatriate community. This paper examines the questions of British and sub-Imperial Dominion identities as well as the practical policy considerations raised by this issue. It argues that there is some evidence of nascent Dominion nationalism—the Canadian High Commission in London issued what became known as “a Certificate of Canadian Citizenship” to expatriates— but that Dominion Governments generally based their decisions on this issue based on cost and domestic political considerations.


2016 ◽  
Vol 42 (4) ◽  
pp. 390-410 ◽  
Author(s):  
Richard A. Bernardi ◽  
Taylor L. Delande ◽  
Kimberly A. Zamojcin

Purpose – The purpose of this paper is to examine the trends in accounting-education publications and the influence of journal rankings for authors from Australia, Canada, New Zealand and the UK. Design/methodology/approach – The authors included the publications in ten accounting-education journals for the 20-year period from 1993 to 2012. Findings – The data provide insights into the perceptions of accounting-education journals by authors from four countries. The authors found that, while the use of Accounting Education as a publication outlet for accounting authors from Australia and the UK was relatively stable, the use of Accounting Education as a publication outlet increased (decreased) for the accounting authors from New Zealand (Canada). The authors also found that, while coauthoring by the accounting authors from Australia and the UK increased slightly, coauthoring by the accounting authors from Canada and New Zealand increased during the 20-year period. Research limitations/implications – The data suggests a tendency by the authors from these four countries to publish their accounting-education research in journals that had been ranked as a top accounting journal. Originality/value – This paper is the first paper to consider trends in international accounting-education publications. The data in this research can be used by accounting faculty wishing to assess which journals their colleagues publish in most frequently.


2003 ◽  
Vol 2003 (1) ◽  
pp. 269-272
Author(s):  
David Salt ◽  
Roger Stockham ◽  
Stuart Byers

ABSTRACT Recent changes in legislation within the United Kingdom created pressure for change in the response strategies applicable in the UK offshore environment. To meet the new requirements, innovative technology was required which was capable of speedily delivering a payload of approximately one ton of dispersant. To provide a cost efficient solution, a system was developed capable of being mounted on a non-dedicated aircraft, which can be rapidly adapted to meet the response requirements. This paper describes the design criteria for the system and goes on to detail the development, construction and flight testing programme for the dispersant pods. It then goes on to briefly describe the operational response system which has been established to provide a response for the offshore operators in the United Kingdom Continental Shelf (UKCS). The development represents a significant step forward in providing a low cost, effective solution to changing response requirements using innovative engineering solutions, allowing for potential application in other parts of the world.


1998 ◽  
Vol 88 (5) ◽  
pp. 537-543 ◽  
Author(s):  
D. Nicol ◽  
K.F. Armstrong ◽  
S.D. Wratten ◽  
P.J. Walsh ◽  
N.A. Straw ◽  
...  

AbstractThe green spruce aphid Elatobium abietinum (Walker) is an introduced pest in the United Kingdom and more recently in New Zealand. In outbreak years this aphid can cause severe defoliation and sometimes death of spruce trees (Picea spp.). As chemical control is not financially viable, other options including host-plant resistance and biological control are currently being investigated. An understanding of the genetic variation of this pest is imperative in fully utilizing these control strategies. To examine this, E. abietinum was collected from Sitka spruce Picea sitchensis from four locations in the UK that were up to 240 km apart. Of these, 40 aphids were analysed via two alternative polymerase chain reaction (PCR) analyses using primer pairs. The first analysis used 10-mer random primers, whilst the second analysis used primers designed to amplify across the intergenic spacer region of rDNA. Combining results from the two analyses allowed the 40 UK aphids to be separated into 28 different genotypes. The genetic variation was also high within each UK site, with 77 to 89% of the aphids sampled being of a different genotype. The two PCR analyses were subsequently used to examine 40 aphids across six sites in New Zealand up to 1200 km apart. No genetic variation was identified. Further analysis of several of these New Zealand aphids with 87 individual 10-mer primers and two polymerase enzymes, still did not detect any genetic variation. The high degree of genotypic diversity in the UK populations was presumably due to a longer period of establishment, multiple introductions and/or sexual reproduction. The contrasting lack of genetic variation in New Zealand populations was probably due to a very limited founder population, continued isolation and lack of sexual reproduction. Reduced genetic diversity can seriously decrease the ability of a population to adapt to control strategies. Therefore the durability of certain control methods may be more readily maintained in such an isolated population in New Zealand.


2019 ◽  
pp. 1-18
Author(s):  
Andrew Mycock ◽  
Ben Wellings

This chapter maps out an agenda for those wishing to research the Anglosphere. It does so by examining the elements of political and ideational continuity between the present-day Anglosphere and its antecedents such as Greater Britain and the English-speaking peoples. It also analyses the dissonance within and amongst members of the Anglosphere and thus assesses the potential for the realisation of the diverse political goals that its proponents claim. In searching for the locations where this idea has been realised, it suggests that Brexit increased the salience of the Anglosphere in the United Kingdom and beyond. The chapter notes the changing scope of definitions of the Anglosphere from proponents and analysts alike. It focuses on the five ‘core’ states of the Anglosphere – the USA, the UK, Canada, Australia and Aotearoa/New Zealand – but is sensitive to overlapping and intersecting relationships, such as the Commonwealth and the Anglo-American ‘special relationship’. By examining the narratives that the idea of the Anglosphere generates this chapter argues that the hierarchies and tensions intersecting it both sustain and constrain this durable yet thin political ideology.


2011 ◽  
Vol 7 (2) ◽  
Author(s):  
Patrick Nolan

Welfare reform is high on the political agenda in both New Zealand and the United Kingdom. In New Zealand an independent welfare working group has released its final report and the prime minister, John Key, signalled that the government would consider its findings. In the United Kingdom the secretary of state for work and pensions, Iain Duncan Smith, has outlined plans to radically reduce the cost and complexity of working-aged benefits and to increase the involvement of the private sector in the delivery of services. This article compares welfare reform in New Zealand and the UK. Such a comparison is of interest given the similar social policy traditions in the two countries and similarities and differences in the approaches taken to their welfare reforms. There are also important lessons – on what to do and on what not to do – that the countries can learn from each other.


2014 ◽  
Vol 10 (4) ◽  
Author(s):  
Tom Hickman

The process of capturing and entrenching fundamental rights remains very much a live one in both New Zealand and the United Kingdom. In both countries there is pressure to move on from the current bill of rights legislation: the UK Human Rights Act 1998 (HRA) and the New Zealand Bill of Rights Act 1990 (NZBORA). While the two jurisdictions are subject to quite different political and cultural pressures, there remains a great deal of scope for exchange of ideas and experiences. 


Author(s):  
E I Hervé Akpo ◽  
Olivier Cristeau ◽  
Manjit Hunjan ◽  
Giacomo Casabona

Abstract Background Despite the burden of varicella, there is no universal varicella vaccination (UVV) programme in the United Kingdom (UK) due to concerns this could increase herpes zoster (HZ) incidence. This study assessed the cost-utility of a first-dose monovalent (V) or quadrivalent (MMRV) followed by a second-dose quadrivalent (MMRV) UVV programmes. GSK and MSD varicella-containing vaccines (VCVs) were considered. Methods A dynamic transmission and cost-effectiveness models were adapted to the UK. Outcomes measured included varicella and HZ incidences, the incremental cost-utility ratio (ICURs) over a lifetime horizon. The payer and societal perspectives were evaluated. Results The impact of V-MMRV and MMRV-MMRV UVV programmes on varicella incidence was comparable between both VCVs at equilibrium. HZ incidence increased by 1.6%-1.7% over seven years after UVV start, regardless of the strategies, then decreased by >95% at equilibrium. ICURs ranged from £5,665 (100 years) to £18,513 (20 years) per quality-adjusted life year (QALY) gained with V-MMRV; and from £9,220 to £27,101 per QALY gained with MMRV-MMRV (payer perspective). MMRV-MMRV was cost-effective in medium- and long-terms with GSK VCV, and only cost-effective at long-term with MSD VCV at £20,000 per QALY gained threshold. Without the exogenous boosting hypothesis, HZ incidence decreased through UVV implementation. ICURs were most sensitive to discount rates and MMRV price. Conclusions A 2-dose UVV was demonstrated to be a cost-effective alternative to no vaccination. With comparable effectiveness as MSD VCV at lower costs, GSK VCV may offer higher value for money.


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