scholarly journals Guiding Light: The Architecture of Sleep for Dementia

2021 ◽  
Author(s):  
◽  
Scott Kluger

<p>Disruptive sleeping behaviours are a key symptom of dementia that accelerates transition from the home towards full time institutional care. For thousands of families in New Zealand, respite facilities offer a temporary relief from this symptom in an attempt to prolong care at home. However the predominant use of pharmaceutical therapy coupled with unstimulating care environments leads to sleeping behaviours deteriorating upon returning home.  In order to provide an alternative approach to pharmaceutical therapy and research towards treating disruptive sleep behaviour, this thesis addresses pre-existing inter-disciplinary literature, field trips, international precedents and an iterative method of design to investigate: How can the architecture of a respite facility improve sleeping behaviours and instigate meaningful environmental research within dementia care?  Environmental strategies involving light, movement and community were identified as key objectives towards improving sleep behaviour within the design. Introducing a shared courtyard with the public that facilitated continuous movement alongside the circadian rhythms of the sun, allowed a design that would engage with all three objectives in order to improve sleep behaviour of residents with mild symptoms of dementia. As symptoms progress, the adoption of an artificial lighting environment in a purpose built sleep lab allowed a space for scientific enquiry to the nature and treatment of sleep for those with later stages of dementia. The final design integrates both natural and artificial environments into a single respite facility, strengthening its therapeutic potential to prolong home care for the thousands of families affected by dementia in New Zealand.</p>

2021 ◽  
Author(s):  
◽  
Scott Kluger

<p>Disruptive sleeping behaviours are a key symptom of dementia that accelerates transition from the home towards full time institutional care. For thousands of families in New Zealand, respite facilities offer a temporary relief from this symptom in an attempt to prolong care at home. However the predominant use of pharmaceutical therapy coupled with unstimulating care environments leads to sleeping behaviours deteriorating upon returning home.  In order to provide an alternative approach to pharmaceutical therapy and research towards treating disruptive sleep behaviour, this thesis addresses pre-existing inter-disciplinary literature, field trips, international precedents and an iterative method of design to investigate: How can the architecture of a respite facility improve sleeping behaviours and instigate meaningful environmental research within dementia care?  Environmental strategies involving light, movement and community were identified as key objectives towards improving sleep behaviour within the design. Introducing a shared courtyard with the public that facilitated continuous movement alongside the circadian rhythms of the sun, allowed a design that would engage with all three objectives in order to improve sleep behaviour of residents with mild symptoms of dementia. As symptoms progress, the adoption of an artificial lighting environment in a purpose built sleep lab allowed a space for scientific enquiry to the nature and treatment of sleep for those with later stages of dementia. The final design integrates both natural and artificial environments into a single respite facility, strengthening its therapeutic potential to prolong home care for the thousands of families affected by dementia in New Zealand.</p>


Author(s):  
Nadine Ballam ◽  
Anne Sturgess

In February 2018, a full-time provider of gifted education opened in New Zealand with its initial cohort of children. This provider catered for learners from ages 1-15 years who did not ‘fit’ in mainstream education settings. This paper reports on a research project that focused on the effectiveness of the learning approach at this school in its inaugural year. Two sources of data informed this research, including semi-structured interviews with parents and learning and support staff, and an analysis of documents related to the philosophy, curriculum, and learning approach. This paper reports on benefits and limitations of the learning approach identified by the parent participants in the study.


Author(s):  
Sandhya Devi Coll ◽  
David Treagust

This paper reports on blended learning environment approach to help enhance students’ learning out comes in science during Learning Experiences Outside School (LEOS). This inquiry took the nature of an ethnographic case study (Lincoln & Guba 1985; Merriam, 1988), and sought to establish ways of enhancing students’ LEOS. The context of the inquiry was a private rural religious secondary school in New Zealand. The New Zealand Science Curriculum is based on a constructivist-based view of learning which provides opportunities for a number of possible learning experiences for science, including LEOS, to enrich student experiences, motivate them to learn science, encourage life-long learning, and provide exposure to future careers (Hofstein & Rosenfeld,1996; Tal, 2012). However, to make the most of these learning experiences outside the school, it is important that adequate preparation is done, before, during and after these visits. Sadly, the last two decades of research suggest that activities outside school such as field trips have not necessarily been used as a means to improveschool-basedlearning (Rennie & McClafferty, 1996). This inquiry utilised an integrated online learning model, using Moodle, as a means to increase student collaboration and communication where students become self-directed, negotiate their own goals, express meaningful ideas and display a strong sense of collective ownership (Scanlon, Jones & Waycott, 2005; Willett, 2007). The digital space provided by Moodle allows students significant autonomy which encourages social interactions and this promotes learning and social construction of knowledge (Brown, Collins, & Duguid, 1989; Lewin, 2004).


2017 ◽  
Author(s):  
Eric J Buenz

Natural product libraries are important tools for drug discovery. However, until now, there has not been a system to allow projections of the potential number of hits from creating these libraries. The objective of this study was to develop a stochastic model system that predicts the number of hits from creating a natural product library. A Monte Carlo simulation was developed with data from the peer-reviewed literature. Using types of endemic New Zealand terrestrial flora as examples, the number of antibacterial hits expected from creating natural product libraries were calculated. The model predicts the following bounds for the 90% range of validated antibiotic leads for the categories of the terrestrial endemic flora of New Zealand with a right skewed distribution: [grasses: 1.43-6.50; liverworts: 2.75-12.5; fungi: 45.2-207; mosses: 0.98-4.48; vascular plants: 21.4-97.8]. Furthermore, per full-time equivalent (FTE) person employed on the project, a mean of 1.31 hits (90% range 0.48-2.42) is expected. This model system allows the number of expected hits to be calculated when developing a natural product library for a therapeutic target. There is an opportunity to create a natural product library from New Zealand endemic terrestrial flora. This model is scalable to other geographic areas as well as to other therapeutic targets and screening systems.


2003 ◽  
Vol 3 (1) ◽  
Author(s):  
Robert E. Krout

This article looks at the new postgraduate music therapy programme at Massey University in New Zealand, and at how it has developed as this country's first full-time tertiary course in music therapy. Music therapy in New Zealand has a history going back almost 30 years, and the new programme builds on the fine traditions established over that time. The emphasis and challenge have been to craft a programme that weaves the many skills required to become a competent music therapist with the unique flavour of what music therapy is and can become in the ethnically diverse and rich cultures of Aotearoa - New Zealand. Particular attention and discussion are given regarding the issue of supervised clinical training.


2021 ◽  
Author(s):  
◽  
Paul Callister

<p>Despite a period of dramatic job loss from the mid 1980s to the mid 1990s, long-term employment data do not support the view that paid work has been disappearing from the New Zealand economy. However, the distribution of work for people aged 25-59 has been changing. In particular, between 1986 and 1996 there was a strong decline in full-time employment of prime-aged men, along with a decline in full-time employment amongst young people. In 1986, just over a tenth of prime-aged men were either not in paid work or worked part time. By 1996, this had increased to a quarter. While most of the changes in male employment were driven by shifts in labour demand, a small group of men actively chose to reduce their hours of work or to have breaks from paid work. In the decade 1986 to 1996, formal educational qualifications became a more powerful predictor of a person's employment status. In particular, by the early 1990s, prime-aged men and women without a formal educational qualification faced major disadvantages in the labour market. In contrast, the variable of gender, while still very important, weakened as a predictor of employment status. Employment data also show that there was some shift away from "standard" weekly hours of paid work for prime-aged people between 1986 and 1996. For both men and women, there was some growth in the proportion who worked very short hours as well as an increase in the proportion working 50 or more hours per week. Some of this appears to have taken place by choice, but some due to changing demands by employers. Employment status also has some association with living arrangement for prime-aged men. However, while employed men were far more likely to live in a couple than men not in work at both the beginning and end of the main period studied, this relationship weakened. In 1986, education had little predictive power regarding male living arrangements. However, by 1996, its importance had increased. Assortative mating patterns mean that couples tend to be education-rich or education-poor. However, the concentration of education within particular couples changed little over the decade. There was a shift within prime-aged couples and households to either work-poor or work-rich status between 1986 and 1996. In 1996, just under a fifth of prime-aged households were work-poor. The significant growth in the proportion of work-poor couples and households took place in the period of job loss between 1986 and 1991. While the strong employment growth in the economy in the next five years increased the proportion of work-rich households it only marginally reduced the proportion of work-poor households. In the 1990s, education-poor couples were over-represented amongst prime-aged work-poor couples. Yet, the New Zealand data suggest that a wide range of other factors influence the growth of this family type. This includes health issues and barriers to employment amongst well-qualified immigrants. The reasons behind the growth of work-rich couples are also complex. They include push factors such as well-educated women increasingly wanting to have a long-term attachment to the labour force, through to pull factors of women obtaining work to supplement family income in the face of declining male income. On a geographic area basis, the data does show that in the 1990s there were extremes of work-rich and work-poor residential areas. In addition, using various measures, the proportion of work-poor areas increased between 1986 and 1996. There was also a small, but important, group of area units that remained work-poor for the ten years studied. A significant proportion of long-term work-poor areas were also classified as "deprived". Finally, the rapid rise in educational attainment over the last decade was unevenly spread on a geographic basis. While there remain many communities where there is a wide mixture of education levels amongst the residents, the spatial clustering of similarly qualified (or unqualified) people is important in New Zealand.</p>


2010 ◽  
Vol 2 (4) ◽  
pp. 273 ◽  
Author(s):  
Sharon Leitch ◽  
Susan Dovey

INTRODUCTION: By the time medical students graduate many wish to work part-time while accommodating other lifestyle interests. AIM: To review flexibility of medical registration requirements for provisional registrants in New Zealand, Australia, the United Kingdom, Ireland and Canada. METHODS: Internet-based review of registration bodies of each country, and each state or province in Australia and Canada, supplemented by emails and phone calls seeking clarification of missing or obscure information. RESULTS: Data from 20 regions were examined. Many similarities were found between study countries in their approaches to the registration of new doctors, although there are some regional differences. Most regions (65%) have a provisional registration period of one year. Extending this period was possible in 91% of regions. Part-time options were possible in 75% of regions. All regions required trainees to work in approved practice settings. DISCUSSION: Only the UK provided comprehensive documentation of their requirements in an accessible format and clearly explaining the options for part-time work. Australia appeared to be more flexible than other countries with respect to part- and full-time work requirements. All countries need to examine their registration requirements to introduce more flexibility wherever possible, as a strategy for addressing workforce shortages. KEYWORDS: Family practice; education, medical, graduate; government regulation


2021 ◽  
Author(s):  
Russell Pine ◽  
James Mbinta ◽  
Lisa Te Morenga ◽  
Theresa Fleming

BACKGROUND Many face-to-face and digital therapeutic supports are designed for adolescents experiencing high levels of psychological distress. However, promoting psychological well-being among adolescents is often neglected despite significant short-term and long-term benefits. OBJECTIVE This research has 3 main objectives: (1) to assess the acceptability of Match Emoji, a casual video game with psychological well-being concepts among 13-15-year-olds in a New Zealand secondary school (2) to identify the feasibility of the research process (3) to explore the preliminary well-being and therapeutic potential of Match Emoji. METHODS Approximately 40 participants aged 13–15-years from a local secondary college in Wellington, New Zealand will be invited to download and play Match Emoji 3-4 times a week for 5-15 minutes over a 2-week period. Participants will complete 4 assessments at baseline, post intervention and 3 weeks later to assess psychological well-being and therapeutic changes. Statistical analysis will be used to synthesize data from interviews and triangulated with assessment changes and game analytics. This synthesis will help to assess the acceptability and feasibility of the Match Emoji. RESULTS The key outputs from the project will include the acceptability, feasibility, and therapeutic potential of Match Emoji. CONCLUSIONS Data from the study is expected to inform future research on Match Emoji including a randomized control trial and further adjustments to the design and development of the game. CLINICALTRIAL This study received ethics approval from the New Zealand Health and Disability Ethics Committee (21/NTA/34) on the 28th of May 2021


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