Journal Articles
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Item Challenges for Theology in Settler Colonial Contexts(Liverpool University Press, 2025-04) Mawson, MichaelThis article reflects on some challenges for Christian theology in New Zealand and similar settler colonial contexts. In particular, it explores ways in which Christians can begin acknowledging and addressing the entanglements of Christianity with settler colonialism and its violence. The first section briefly outlines the project of settler colonialism, drawing on key insights from settler colonial studies. The second section examines ways in which Christian theology has actively contributed to this project. The third section indicates some typical strategies that Christians employ to avoid acknowledging this situation. Finally, the article suggests how practices of repentance can assist with the work of repair.Item Are urban 'experts' capable of co-production? Expanding spaces of urban citizenship in Vinh, Vietnam(Lehrstuhl Fuer Staedtebau und Entwerfen, 2021) Brugman, JohannaThere is a need to unsettle the power relationships involved in the production of knowledge that decide whose knowledge counts in solving urbanisation‘s challenges. One way of achieving this is to engage in co-productive planning and research processes with disadvantaged communities and to use these processes for marginalised knowledge to be recognised in cities. This paper discusses lessons from a co-productive action-research process with urban and rural poor communities in Vinh, Vietnam, in the light of literature on co-production in urban planning and research. The paper reflects on complexities encountered by professionals when navigating power relationships embedded in co-production and actions used for expanding spaces of citizenship of poor groups in the city. The paper discusses learning between urban practitioners, poor communities, local officials, and national and international partners as a critical strategy to bridge power disparities by building relationships and mutual understanding, and allowing the knowledge of poor communities to influence infrastructure investments.Item Rat biosecurity surveillance and response following eradication on a tropical atoll(JACK H BERRYMAN INST, 2025) Ringler, David; Griffiths, Richard; Murphy, Frank; des Monstiers, Baudouin; Russell, James CBiosecurity is a key element following any eradication operation, employing tools that allow both the identification and elimination of survivors or the early detection of new invaders. Eradication managers must ensure the surveillance strategy is correctly adapted to the spatial context and that the potential causes of a pest’s presence are understood to optimize their operational plans. We used the case of the eradication of black (Rattus rattus) and Pacific rats (Rattus exulans) from Honuea and Onetahi islets (Tetiaroa Atoll, French Polynesia) in 2020 to test an approach that combines rapid eradication assessment modelling and genetic profiling to evaluate the effectiveness of biosecurity and the success of eradication. Although the initial monitoring strategy (that principally relied on the use of trail cameras) was found suboptimal, genotyping of a rat detected post eradication and third-party information confirmed the eradication had been successful but that recolonization occurred from a nearby islet. The addition of other detection tools (traps, chew cards, wax tags, and tracking tunnels), while partially increasing spatial coverage for surveillance, did not change overall estimates of surveillance effectiveness. Only the use of a detection dog (Canis lupus familiaris), given that it could search a much larger area of the island, increased the estimates of surveillance effectiveness to an acceptable level. We provide practical information to enhance surveillance and incursion response efforts following rat eradication.Item Small marine protected areas cannot sustain spill-over of the seasonally moving spiny lobster Jasus edwardsii(Inter-Research Science Center, 2025-01-30) Hanns, Benn J; Kelly, Shane; Shears, Nick TFishing is often concentrated near marine protected area (MPA) boundaries due to expectations of greater catches associated with the ‘spill-over’ of adult individuals. This is known to reduce populations near MPA boundaries, but our understanding of the long-term sustainability of this harvest remains limited. Over the last 25 yr, the spiny lobster Jasus edwardsii has experienced serious declines within north-eastern New Zealand MPAs. Prior to reductions, commercial fishers concentrated effort on offshore boundaries, targeting lobsters undertaking seasonal offshore movements. While this spill-over highlighted the success of these MPAs, it also indicated they were too small to encapsulate seasonal movements. In recent years fishers rarely target this area, and the extent to which lobsters move offshore is unknown. To address this knowledge gap, potting surveys were conducted in 2018-2019 to examine seasonal shifts in population distribution. Seasonal changes in habitat use were evident but mostly constrained to coastal reef habitat, with ~5% caught offshore of reef and only one individual caught beyond offshore boundaries. Comparison with commercial catch data from reserve boundaries during 1994-1997 revealed reduced abundances and changes in the size and sex of lobsters caught offshore. In contrast to 1994-1997, only large males were caught offshore of reef habitat. At low densities, females and small males may maintain greater association with the protective reef structure. The historic offshore boundary spill-over harvest reflected offshore movements at high population densities but likely contributed to population declines, altering the extent to which lobsters move offshore and eventually closing this spill-over pathway.Item Exploring the Role of Technological Representations to Facilitate Mathematics Learning In E-Class(International Journal of Multidisciplinary Research Configuration, 2021-07-01) Threja Malhotra, Ashu; Kaur, Jasneet; Srivastava, Dr AbhishekThis paper explores the role that is played by technological representations used in e-classes during pandemic, in promoting interactions among peers and teacher & students in order to provoke mathematical understandings. The analysis is based upon the theoretical framework as the Johonson Mathematical Representation Model which is an extension of Lesh’s Multimodal model of translations amongst the representations. Findings of the study suggest that Constructive tasks which used dynamic pictorial representations were successful in capturing the interest and curiosity among students and provided ample of opportunities to students to interact and think mathematically.Item The Manifesto for Teaching and Learning in a Time of Generative AI: A Critical Collective Stance to Better Navigate the Future(International Council for Open and Distance Education, 2024) Bozkurt, Aras; Xiao, Junhong; Farrow, Robert; Bai, John YH; Nerantzi, Chrissi; Moore, Stephanie; Dron, Jon; Stracke, Christian M; Singh, Lenandlar; Crompton, Helen; Koutropoulos, Apostolos; Terentev, Evgenii; Pazurek, Angelica; Nichols, Mark; Sidorkin, Alexander M; Costello, Eamon; Watson, Steven; Mulligan, Dónal; Honeychurch, Sarah; Hodges, Charles B; Sharples, Mike; Swindell, Andrew; Frumin, Isak; Tlili, Ahmed; Slagter van Tryon, Patricia J; Bond, Melissa; Bali, Maha; Leng, Jing; Zhang, Kai; Cukurova, Mutlu; Chiu, Thomas KF; Lee, Kyungmee; Hrastinski, Stefan; Garcia, Manuel B; Sharma, Ramesh Chander; Alexander, Bryan; Zawacki-Richter, Olaf; Huijser, Henk; Jandrić, Petar; Zheng, Chanjin; Shea, Peter; Duart, Josep M; Themeli, Chryssa; Vorochkov, Anton; Sani-Bozkurt, Sunagül; Moore, Robert L; Asino, Tutaleni IitaThis manifesto critically examines the unfolding integration of Generative AI (GenAI), chatbots, and algorithms into higher education, using a collective and thoughtful approach to navigate the future of teaching and learning. GenAI, while celebrated for its potential to personalize learning, enhance efficiency, and expand educational accessibility, is far from a neutral tool. Algorithms now shape human interaction, communication, and content creation, raising profound questions about human agency and biases and values embedded in their designs. As GenAI continues to evolve, we face critical challenges in maintaining human oversight, safeguarding equity, and facilitating meaningful, authentic learning experiences. This manifesto emphasizes that GenAI is not ideologically and culturally neutral. Instead, it reflects worldviews that can reinforce existing biases and marginalize diverse voices. Furthermore, as the use of GenAI reshapes education, it risks eroding essential human elements— creativity, critical thinking, and empathy—and could displace meaningful human interactions with algorithmic solutions. This manifesto calls for robust, evidence-based research and conscious decision-making to ensure that GenAI enhances, rather than diminishes, human agency and ethical responsibility in education.Item CVRSF-Net: Image Emotion Recognition by Combining Visual Relationship Features and Scene Features(Institute of Electrical and Electronics Engineers (IEEE), 2025) Luo, Yutong; Zhong, Xinyue; Xie, Jialan; Liu, GuangyuanImage emotional responses of people to various stimuli in images, has attracted substantial attention in recent years with the proliferation of social media. As human emotion is a highly complex and abstract cognitive process, simply extracting local or global features from an image is not sufficient for recognizing the emotion of an image. The psychologist Moshe proposed that visual objects are usually embedded in a scene with other related objects during human visual comprehension of images. Therefore, we propose a twobranch emotion-recognition network known as the combined visual relationship feature and scene feature network (CVRSF-Net). In the scene feature-extraction branch, a pretrained CLIP model is adopted to extract the visual features of images, with a feature channel weighting module to extract the scene features. In the visual relationship feature-extraction branch, a visual relationship detection model is used to extract the visual relationships in the images, and a semantic fusion module fuses the scenes and visual relationship features. Furthermore, we spatially weight the visual relationship features using class activation maps. Finally, the implicit relationships between different visual relationship features are obtained using a graph attention network, and a two-branch network loss function is designed to train the model. The experimental results showed that the recognition rates of the proposed network were 79.80%, 69.81%, and 36.72% for the FI-8, Emotion6, and WEBEmo datasets, respectively. The proposed algorithm achieves state-of-the-art results compared to existing methods.Item Hysterosalpingography with Oil-Soluble Contrast Medium Does Not Increase Newborn Hypothyroidism(Hindawi, 2022-01) Mathews, Divya M; Peart, Jane M; Johnson, Neil P; Sim, Robert G; Heather, Natasha L; Webster, Dianne; O'Sullivan, Susannah; Hofman, Paul L; Francomano, DavideObjective
Hysterosalpingography (HSG) with oil-soluble contrast medium (OSCM) improves pregnancy rates in women with idiopathic infertility. However, OSCM has high iodine content and slow clearance resulting in potential iodine excess. If pregnancy occurs, this could impact fetal thyroid gland development and function. We aim to determine the effect of a preconceptional OSCM HSG on the thyroid function of the neonate. Design and Patients. This was a retrospective analysis of newborn TSH data for a cohort of neonates conceived within six months of an OSCM HSG in the Auckland region, New Zealand, from the years 2000 to 2019. Thyroid-stimulating hormone (TSH) levels of these newborns were obtained from newborn screening, which is routinely performed for all children at 48-72 hours of life. The primary outcome was the incidence of permanent or transient congenital hypothyroidism in this cohort.Results
Of 146 babies included, all had normal TSH levels with values ranging from 1 to 7 mIU/L on the whole blood analysis of a capillary heel sample using the Perkin-Elmer AutoDelfia assay. Conception during the first 3 cycles following an OSCM HSG was 76%; however, TSH levels in this group were not higher than those conceived in later cycles.Conclusion
Preconceptional OSCM HSG did not increase the risk of congenital hypothyroidism in the New Zealand scenario.Item The International Sustainability Standards Board’s (ISSB) past, present, and future: critical reflections and a research agenda(Emerald, 2024-05-30) de Villiers, Charl; Dimes, Ruth; La Torre, Matteo; Molinari, MatteoPurpose This paper aims to critically reflect on the formation of the International Sustainability Standards Board (ISSB), its current agenda and likely future direction. The authors consider the relationships between the ISSB and other standard setters, regulators, practitioners and stakeholders, and develop a comprehensive research agenda. Design/methodology/approach The authors review and critically analyse academic and practitioner publications alongside the ISSB’s workplans to identify the themes impacting the future of the ISSB and to develop a research agenda. Findings Three key themes emerge from the authors’ analysis that are likely to influence the future of the ISSB: the jurisdiction and scope of the ISSB – how far its influence is likely to extend, both geographically and conceptually; the ongoing legitimacy challenge the ISSB is facing in terms of setting an agenda for sustainability reporting; and the “capture” of sustainability reporting by influential stakeholders including capital providers. Originality/value The formation of the ISSB is critical to the future of sustainability reporting. The authors provide a comprehensive and topical overview of the past, present and potential future of the ISSB, highlighting the need for further research and providing a research agenda that addresses outstanding questions in the field.Item Integrated reporting: developing an injustice assessment framework and a research agenda(Emerald, 2024-12-13) Beretta, Valentina; Demartini, Maria Chiara; de Villiers, CharlPurposeIntegrated reporting (IR) provides a joint overview of an organisation’s financial and sustainability performance and strategies. While the prior literature often critiques IR’s potential to entrench injustice, a systematic approach has not been followed. Therefore, this paper provides a systematic literature review, uncovering IR injustices, informing the development of an IR injustice assessment framework to identify injustices and a research agenda.Design/methodology/approachCombining Flyvbjerg’s phronetic social science and the phases of the IR idea journey to focus on injustice, this paper reviews published IR articles to inform a critique of IR. As a result, we identify specific injustice(s), the actors responsible for them, as well as the victims, as a basis for recommendations for praxis through the development of an IR injustice assessment framework and a research agenda.FindingsWe find that different approaches are needed in each phase of the IR idea journey. In the (re)generation phase, a pluralistic approach to IR is needed from the very beginning of the decision-making process. In the elaboration phase, the motivations and the features of IR are assessed. In the championing phase, IR champions support radical innovation, whereas IR opponents are obstructing its spread. In the production phase, the extent to which IR and integrated thinking are linked to the business model is assessed. Finally, we find that IR’s impact is often limited by the symbolic implementation of its tenets.Practical implicationsThe findings suggest a need for companies to rethink the ways in which IR is implemented and used to analyse the ways in which IR is supported and disseminated within and outside the organisation, to focus on internal processes and to reflect on the expected impact of IR on the company’s stakeholders.Originality/valueThis study represents the first systematic approach to identifying IR-related injustices, involving how IR adoption might create injustices and marginalise certain stakeholder groups, and offering recommendations for praxis. Furthermore, the paper details the role of IR in either mitigating or amplifying these injustices and develops a research agenda.Item Automatic Bi-atrial segmentation and biomarker extraction from late gadolinium-enhanced MRI using deep learning(Elsevier BV, 2025-03) Feng, Fan; Kennelly, James; Xiong, Zhaohan; Nalar, Aaqel; Sharma, Roshan; Petersen, Steffen E; Fedorov, Vadim V; Stiles, Martin K; Zhao, JichaoAtrial fibrillation (AF) is associated with progressive structural remodeling of the atria, including chamber dilation, fibrosis, and variations in atrial wall thickness (AWT). Late gadolinium-enhanced (LGE) magnetic resonance imaging (MRI) has been used to quantify left atrium (LA) fibrosis for guiding adjunctive ablation beyond pulmonary vein isolation, though results have varied. A major limitation is the lack of a robust segmentation method for accurately assessing both atrial anatomy and fibrosis, coupled with the exclusion of the right atrium (RA) in the analysis. This study introduces biAtriaNet, a deep learning pipeline developed to automate segmentation of both LA and RA and to evaluate atrial fibrosis, AWT, and chamber diameter and volume from LGE-MRIs to support targeted AF ablation. biAtriaNet was trained and validated on 2D cine-MRIs from 4860 UK Biobank participants and 3D LGE-MRIs from 60 AF patients from the University of Utah, with independent testing on 11 3D LGE-MRIs at Waikato Hospital, New Zealand. The biAtriaNet consists of two CNNs based on a modified U-Net architecture with residual connections and batch normalization, optimized based on prior global benchmark study. This approach achieved accurate, consistent segmentation and biomarker extraction in UK Biobank and Utah datasets, validated against expert annotations. Additionally, biAtriaNet showed high transferability to independent datasets, achieving Dice scores of 91.1 % for LA and 88.6 % for RA. Chamber volume estimates closely matched ground truth values (LA: 89.8 ± 33.0 ml versus 91.1 ± 41.2 ml; RA: 70.8 ± 16.9 ml versus 72.3 ± 20.5 ml) with > 90 % accuracy in chamber measurements. AWT accuracies were 95.9 % for LA and 94.6 % for RA, while fibrosis estimates showed Kolmogorov-Smirnov correlations of 86.3 % (LA) and 90.6 % (RA) (p < 0.05). By enabling robust bi-atrial segmentation and biomarker extraction from LGE-MRIs, biAtriaNet has the potential to enhance patient-specific AF treatment strategies.Item Core domain set for studies of acute calcium pyrophosphate crystal arthritis: OMERACT delphi survey to establish consensus(Elsevier, 2025-02) Zhang, Yiling; Tedeschi, Sara K; Abhishek, Abhishek; Hensey, Owen; Grossberg, David; Cai, Ken; Shea, Beverley; Singh, Jasvinder A; Christensen, Robin; Serban, Teodora; Cipolletta, Edoardo; Parperis, Konstantinos; Diaz-Torne, Cesar; McCarthy, Geraldine M; Becce, Fabio; Gheita, Tamer A; Sirotti, Silvia; Christiansen, Sara Nysom; Coronel, Luis; Stamp, Lisa K; Abdel-Fattah, Yousra H; Pascart, Tristan; Filippou, Georgios; Hong, Lih En; FitzGerald, John; Dalbeth, NicolaObjective
To identify potential domains for the Outcome Measures in Rheumatology (OMERACT) core domain set for studies of an individual flare of acute calcium pyrophosphate (CPP) crystal arthritis.Methods
Patient research partners (PRPs) and other participants (mainly clinicians and researchers) completed three rounds of survey using Delphi methodology. Consensus was defined as ≥ 70 % of both PRP and other participants groups rated the domain as a 'critically important domain to include'. In a subsequent ranking exercise, all participants were asked to rank and comment on up to 10 domains to include as core domains.Results
Fourteen domains reached consensus as critically important in the Delphi survey. In the Pathophysiological Manifestations area, the domains were joint pain, joint tenderness, joint swelling, joint inflammation on imaging tests and duration of acute CPP crystal arthritis flare. In the Life Impact area, the domains were overall function, ability to complete daily tasks, ability to work, health related quality of life, patient global assessment response to treatment, patient and physician global assessments of disease activity, and patient satisfaction with treatment. In the Societal/Resource Use area, use of rescue medications reached consensus. In the ranking exercise, joint pain, joint tenderness, joint swelling, overall function and ability to complete daily tasks ranked highest.Conclusion
Joint pain, joint swelling, joint tenderness, duration of acute CPP crystal arthritis flare, overall function, ability to complete daily tasks, and patient global assessment of disease activity received the strongest support to be included in the OMERACT core domain set for studies of acute CPP crystal arthritis.Item Closely matched comparisons suggest that separable processes mediate contextual size illusions(Elsevier, 2025-04) Yu, Xinran A; Fischer, Livia F; Schwarzkopf, Dietrich SPrevious research suggests the magnitudes of the Ebbinghaus, Delboeuf, Ponzo, and tilt illusions all depend on the cortical distance between the neural representations of target stimuli and the surrounding context. However, several psychophysical studies found no compelling association between these illusions, calling this hypothesis into question. Here we ask if these discrepant reports could arise from methodological differences between these studies. We ran a battery of visual size illusion and basic discrimination tasks with carefully matched geometric properties, using a classic forced-choice design. In our small, homogenous sample, the Ebbinghaus and Delboeuf illusion magnitudes were strongly correlated, consistent with the idea that they reflect the same underlying mechanism when other sources of individual differences are minimised. Ponzo illusion magnitude also correlated with these two illusions, although less strongly in the case of the Ebbinghaus. Interestingly, the classic arrowhead version of the Mueller-Lyer illusion did not correlate with any of the other illusions or even with the objective ability to discriminate line length. This suggests that an altogether separate process underlies this perceptual effect. We further demonstrate that presenting stimuli briefly with central fixation critically affects measurements of the Ebbinghaus illusion. Additionally, we found that measuring illusion magnitude via adjustment is less reliable compared to two-alternative forced-choice procedures. Taken together, our findings suggest that different tasks probe separable processes determining illusion measurements. They further highlight the importance of the experimental design when testing relationships between perceptual effects and their links to neural processing.Item Integrated onshore–offshore paleoseismic records show multiple slip styles on the plate interface, central Hikurangi subduction margin, Aotearoa New Zealand(Elsevier, 2024-11) Pizer, Charlotte O; Howarth, Jamie D; Clark, Kate J; Orpin, Alan R; Tickle, Stephanie E; Strachan, Lorna J; Barnes, Philip; Camp, Sian; Mckeown, Monique; Twort, EmilyRecent subduction earthquakes have shown that weakly-coupled sections of the plate interface fault may be susceptible to a range of different interface slip styles, meaning that seismic hazard is difficult to constrain. On the central Hikurangi subduction margin in Aotearoa New Zealand, plate motion over the last 20 years is thought to have been released aseismically via creep and slow slip events, but geologic evidence indicates seismic slip during large earthquakes may have occurred in the past. Due to patchy preservation and large age uncertainties, correlations of coastal coseismic deformation are unable to distinguish between similarly-timed earthquakes on upper plate faults and widespread synchronous rupture on the plate interface. To develop a more spatially and temporally continuous archive of paleoearthquakes, we present a 10,000-year record of submarine turbidites. Using high-resolution radiocarbon dating and age-depth modelling to generate precise core chronologies, we correlate unique episodes of synchronous turbidite triggering within four discrete submarine distributary systems that collectively span ca. 175 km of the central margin. Agreement with the timing of coseismic deformation onshore indicates that turbidites were likely triggered by ground shaking, and that both proxies can be combined to better examine individual earthquake ruptures. For the last 5000-year period, our onshore-offshore correlations show that paleoearthquakes vary in size, location and the combination of source faults involved. Our findings support that seismic slip on the plate interface occurred during some events which may also be part of larger multi-section subduction earthquakes. Based on this, we infer conditional stability on the weakly-coupled central Hikurangi margin that allows the plate interface to host both interseismic slow slip and seismic slip in large earthquakes. Combining the merits of onshore-offshore proxies to investigate variability in paleoearthquake patterns at other subduction margins should be prioritised to help reveal the full scope of interface slip behaviour and associated hazard.Item Gas hydrates on New Zealand's Chatham Rise: An indicator of Gondwanan thermogenic gas expulsion?(Elsevier, 2025-03) Macnaughtan, Michael T; Pecher, Ingo A; Strachan, Lorna JHigh amplitude bottom simulating reflections (BSRs) interpreted in seismic reflection data are common proxy indicators for gas hydrates, while the spatial relationship of BSRs with fault systems can provide an indication for the source of gas bound within hydrates. The spatial correlation of fault zones with strong BSRs and thick free gas zones (FGZs) has sometimes been recognised as a common feature of thermogenic hydrate systems. We investigate the seismic stratigraphy and reflectivity of New Zealand's Chatham Rise northwestern slope (CRNWS), which is a remnant section of the ancient East Gondwana subduction margin's accretionary wedge. Seismic interpretation indicates the presence of a partially subducted, Cretaceous-aged sedimentary unit beneath the inactive, ∼6 km-thick East Gondwana accretionary wedge. Heat flow estimation and calculation of temperature profiles suggests that the ∼1–2 km-thick downgoing Mesozoic sedimentary sequence (MES) is situated within a thermal window conducive to thermogenic methane generation. As the downgoing MES may contain source rocks similar to the Glenburn Formation, a well-known thermogenic source, which is proposed to span the neighbouring Pegasus and East Coast Basins, we propose the presence of a sub-Gondwanan wedge thermogenic gas zone. Overlying the proposed Gondwanan thermogenic zone by ∼6–8 km, seismically-distinct shallow BSRs and hydrate-related features are interpreted spanning ∼1400 km2 of the CRNWS. BSRs often terminate against and are associated with deeply-rooted CRNWS faults, which penetrate the Gondwana wedge. These BSRs mark previously-undefined hydrate accumulations situated ∼50–100 km SW from the active Hikurangi subduction margin. We interpret the presence of thermogenic methane within the CRNWS hydrate zone, supplied from the ∼8–10 km deep downgoing MES by Gondwanan thrust faults, and BSR-proximal fault asperities. The close association of BSRs with a shallow, unit-bound polygonal fault complex may be further distributing free gas, up-dip across the CRNWS, resulting in concentrated hydrate accumulations and thick (∼100–150 m) FGZs.Item The current state of empathy, compassion and person-centred communication training in healthcare: An umbrella review(Elsevier, 2024-02) Byrne, Monika; Campos, Carlos; Daly, Svetlana; Lok, Benjamin; Miles, AnnaObjectives
This umbrella review consolidates evidence available on empathy training, its effectiveness and design mechanisms that contribute to effectiveness.Methods
We conducted an umbrella review (review of reviews) of empathy, compassion and person-centred communication training in healthcare published between 2018 and 2022. One reviewer screened titles, abstracts and full-text articles, with a second reviewer at full-text stage. Quality appraisal was done in duplicate. Data extraction was piloted by two reviewers and conducted by one reviewer with a quality check of all extracted data. All reviewers provided input into synthesis of results and analysis.Results
Twenty-five reviews were included. We provide an overview of the definitions of empathy, compassion and person-centred communication, outcome measures used, a synthesis of findings on the mechanisms and effectiveness of training and a summary of review recommendations.Conclusions
For policy and practice, we advise the inclusion of empathic communication into the curriculum; longitudinal and sequenced learning; debriefing, targeted feedback, enabling self-reflection, deliberate practice, experiential learning; improving motivation by teaching the benefits of empathy and teaching sustainable empathy. Future research should involve patients in training and research and study the effect of targeting interventions at healthcare practitioners and patients.Item Differences between the sexes in concussion knowledge and attitudes in community football (soccer) players in New Zealand(Elsevier, 2025-02) Hardaker, Natalie J; Hume, Patria A; Collins, Juno Barnett; King, Doug A; Sims, Stacy T; Selfe, JamesTo evaluate self-reported concussion knowledge and attitudes in community football players in New Zealand, comparisons were made between the sexes and those with and without history of concussion. Cross-sectional cohort study. The Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS) was used for data collection and analysis. Players were recruited through the New Zealand Football registered player database. Seventy-four players had data eligible for inclusion (55 % female). Thirty-four players (45 %) had previously diagnosed concussion (56 % female). Mean Concussion Knowledge Index (CKI) scores were significantly (p = 0.002) higher for male (20.8 ± 1.4) than female (19 ± 3.7) players. There were no significant sex differences in mean Concussion Attitude Index (CAI) scores (female 63.7 ± 11.4, male 65.6 ± 6.0; p = 0.427). Surprisingly, 32 % female and 39 % male players indicated that they would play on with symptoms of concussion. Comparison within female players showed a significantly higher CKI (20.3 ± 1.7 versus 18.8 ± 2.6; p = 0.025) and higher CAI (66.5 ± 4.9 versus 64.1 ± 5.9; p = 0.151) in players with a history of concussion. There were no within male player trends for CKI or CAI. Male players had a notably higher concussion knowledge (CKI) than female players. Females with a previously diagnosed concussion also had a notably higher CKI than female players with no concussion history. Therefore, healthcare professionals could play a key education role when managing players with concussion. Given over a third of players indicated that they would play on with symptoms of concussion, education should focus on short- and long-term impacts of concussion and potential consequences of concussion.Item Acute Exposure to Clozapine and Sodium Valproate Impairs Oxidative Phosphorylation in Human Cardiac Mitochondria(Elsevier, 2025-06) Groenewald, Amanda; Burns, Kathryn E; Tingle, Malcolm D; Ward, Marie-Louise; Power, Amelia SThe only antipsychotic that is approved and recommended for the treatment of otherwise treatment-resistant schizophrenia is clozapine (CLZ). Unfortunately, CLZ can cause serious cardiotoxicities such as myocarditis and cardiomyopathy. The co-administration of sodium valproate (VPA) during initiation is a well-established risk factor for the development of CLZ-induced myocarditis. However, the mechanisms behind these cardiac adverse effects and the role of VPA co-administration are not understood. Preliminary evidence for the development of cardiac mitochondrial dysfunction has previously been reported in both rodent models and immortalised cell lines. This investigation aimed to determine the functional effects of CLZ and VPA on human cardiac mitochondria to improve the current understanding of how cardiotoxicity develops. Small samples of human atrial tissue from consenting patients undergoing a coronary artery bypass grafting procedure were freshly collected and utilised to investigate the acute effects of each drug on mitochondrial O2 consumption using high-resolution respirometry. Both drugs significantly decreased mitochondrial O2 consumption by a magnitude of 32 % following CLZ exposure, 25 % following VPA exposure, and 25 % following combined CLZ+VPA exposure during complex I- and II-linked oxidative phosphorylation. These results demonstrate acute bioenergetic dysfunction with exposure to both drugs, alone and in combination. We propose that cardiac mitochondria become a key focus in future research seeking to improve the risk-predictive, diagnostic, and treatment guidelines surrounding CLZ-induced cardiotoxicity.Item Biodiversity Monitoring in Remote Marine Environments: Advancing Environmental DNA/RNA Sampling Workflows(Elsevier, 2025-04) Scriver, Michelle; Zaiko, Anastasija; Pochon, Xavier; Stanton, Jo-Ann L; Belonovich, Olga; Jeunen, Gert-Jan; Thomas, Austen C; Gemmell, Neil J; von Ammon, UllaItem How much do local health systems matter? Variations in amenable mortality across health districts in Aotearoa New Zealand(Elsevier, 2024-12) Silwal, Pushkar; Exeter, Daniel; Tenbensel, Tim; Lee, Arier