title: The role of acromioplasty when repairing rotator cuff tears – no difference in pain or functional outcome at 24 months in a cohort of 2,441 patients

authors: Bond, Elizabeth C.

abstract: AIM: The role acromioplasty with rotator cu repair remains unclear. This study aims to test the null hypothesis—that acromioplasty in conjunction with rotator cuff repair has no effect on improvement in pain or shoulder function at two years follow up.
METHODS: Data was obtained from a collaborative nationwide project between March 2009 and December 2010, and consisted of a total of 2,441 patients undergoing primary repair of superior rotator cuff tears. Multivariate analysis was performed to assess the effect of the inclusion of acromioplasty at the time of rotator cuff repair on visual analogue scale (VAS) pain scores and Flex Shoulder Function (Flex SF) scores at 24-month follow up.
RESULTS: On univariate analysis there was a significantly higher Flex SF score in the acromioplasty group (40.5) compared to the no acromioplasty group (38.7) and a lower mean pain score at 24 months in the acromioplasty group (1.44 vs 1.74). There was a significant difference in tear area and surgical repair technique between the two groups. On multivariate analysis there was no statistically significant difference in Flex SF or VAS pain scores between the two groups.
CONCLUSION: There was no difference in pain or function scores at two years following rotator cuff repair regardless of whether or not acromioplasty was performed. This paper represents the largest study to date comparing acromioplasty to no acromioplasty in the setting of cuff repair. It supports previous literature in showing no significant difference in pain or shoulder function between the two groups.

text: The role of acromioplasty when repairing rotator cuff tears – no difference in pain or functional outcome at 24 months in a cohort of 2,441 patients AIM: The role acromioplasty with rotator cu repair remains unclear. This study aims to test the null hypothesis—that acromioplasty in conjunction with rotator cuff repair has no effect on improvement in pain or shoulder function at two years follow up.
METHODS: Data was obtained from a collaborative nationwide project between March 2009 and December 2010, and consisted of a total of 2,441 patients undergoing primary repair of superior rotator cuff tears. Multivariate analysis was performed to assess the effect of the inclusion of acromioplasty at the time of rotator cuff repair on visual analogue scale (VAS) pain scores and Flex Shoulder Function (Flex SF) scores at 24-month follow up.
RESULTS: On univariate analysis there was a significantly higher Flex SF score in the acromioplasty group (40.5) compared to the no acromioplasty group (38.7) and a lower mean pain score at 24 months in the acromioplasty group (1.44 vs 1.74). There was a significant difference in tear area and surgical repair technique between the two groups. On multivariate analysis there was no statistically significant difference in Flex SF or VAS pain scores between the two groups.
CONCLUSION: There was no difference in pain or function scores at two years following rotator cuff repair regardless of whether or not acromioplasty was performed. This paper represents the largest study to date comparing acromioplasty to no acromioplasty in the setting of cuff repair. It supports previous literature in showing no significant difference in pain or shoulder function between the two groups.

year: 2017

title: New Zealand foreign policy under the Clark government: High tide of liberal internationalism

authors: McCraw, David

subjects: New Zealand

abstract: The foreign policy of the current New Zealand government has strongly reflected the Labour Party’s Liberal Internationalist ideology. Indeed, it is probable that this government has been the most Liberal Internationalist of all New Zealand Labour governments. The government of Prime Minister Helen Clark has placed considerable emphasis on the promotion of human rights internationally; it has strongly supported the role of the United Nations; it has championed nuclear disarmament and restructured the New Zealand armed forces to prioritize peacekeeping; and it has vigorously promoted free trade. Like all New Zealand governments, however, the Clark government’s foreign policy has not always reflected its ideological predisposition, although the exceptions have been relatively few so far.

text: New Zealand foreign policy under the Clark government: High tide of liberal internationalism The foreign policy of the current New Zealand government has strongly reflected the Labour Party’s Liberal Internationalist ideology. Indeed, it is probable that this government has been the most Liberal Internationalist of all New Zealand Labour governments. The government of Prime Minister Helen Clark has placed considerable emphasis on the promotion of human rights internationally; it has strongly supported the role of the United Nations; it has championed nuclear disarmament and restructured the New Zealand armed forces to prioritize peacekeeping; and it has vigorously promoted free trade. Like all New Zealand governments, however, the Clark government’s foreign policy has not always reflected its ideological predisposition, although the exceptions have been relatively few so far.

year: 2005

title: A Relationships Framework for Organisational Responsiveness to Te Tiriti/Treaty of Waitangi in the Work of Groups and Organisations in the Community and the Public Sector of Aotearoa New Zealand

authors: Spelman, Anthony Cyril

subjects: Organisation Development

abstract: This thesis is focussed on the development and implementation of a Relationships Framework based on Te Tiriti/Treaty of Waitangi.  The Framework has been designed to enable working together between Tangata Whenua and Tangata Tiriti in the community and Public Sector in Aotearoa New Zealand.  Its development is explored and its implementation critiqued.  Within that Framework, an original organisation development tool based on a Tiriti/Treaty two-worldview approach is examined in terms of its potential to facilitate change in the operation and management of public life in Aotearoa New Zealand.
My aim is to establish an effective approach for working with worldview difference in the context of Tiriti/Treaty of Waitangi relationships and their implications.  I have a belief that Tangata Whenua are currently excluded from participating in processes that govern public life due to the dominance of Tangata Tiriti worldviews.  Therefore I am committed to making a contribution to a change in this dynamic so that Tangata Whenua views are not only heard but form an integral part of how the infrastructure of our public life is developed and managed. 
The Tiriti/Treaty of Waitangi Relationships Framework [The Framework] presented in the thesis is critiqued in two ways: i) through an examination of the concepts that inform it, and ii) by exploring six examples of its operation and further development in the community and public sector in Aotearoa New Zealand.  The Framework and the Tiriti/Treaty Two-worldview approach used to inform it has worked effectively in a variety of settings.  Through my research I show that organisation development of this type is complex.  It appears that there need be no fixed starting point in the development process within an organisation.  However all key elements of that process must eventually be addressed if effective relationships are to be achieved and the resulting organisational change is to be sustained.  Commitment to organisation development of this type is therefore long-term and requires a commitment to leading and supporting change in behaviour, systems and processes, and structures.

text: A Relationships Framework for Organisational Responsiveness to Te Tiriti/Treaty of Waitangi in the Work of Groups and Organisations in the Community and the Public Sector of Aotearoa New Zealand This thesis is focussed on the development and implementation of a Relationships Framework based on Te Tiriti/Treaty of Waitangi.  The Framework has been designed to enable working together between Tangata Whenua and Tangata Tiriti in the community and Public Sector in Aotearoa New Zealand.  Its development is explored and its implementation critiqued.  Within that Framework, an original organisation development tool based on a Tiriti/Treaty two-worldview approach is examined in terms of its potential to facilitate change in the operation and management of public life in Aotearoa New Zealand.
My aim is to establish an effective approach for working with worldview difference in the context of Tiriti/Treaty of Waitangi relationships and their implications.  I have a belief that Tangata Whenua are currently excluded from participating in processes that govern public life due to the dominance of Tangata Tiriti worldviews.  Therefore I am committed to making a contribution to a change in this dynamic so that Tangata Whenua views are not only heard but form an integral part of how the infrastructure of our public life is developed and managed. 
The Tiriti/Treaty of Waitangi Relationships Framework [The Framework] presented in the thesis is critiqued in two ways: i) through an examination of the concepts that inform it, and ii) by exploring six examples of its operation and further development in the community and public sector in Aotearoa New Zealand.  The Framework and the Tiriti/Treaty Two-worldview approach used to inform it has worked effectively in a variety of settings.  Through my research I show that organisation development of this type is complex.  It appears that there need be no fixed starting point in the development process within an organisation.  However all key elements of that process must eventually be addressed if effective relationships are to be achieved and the resulting organisational change is to be sustained.  Commitment to organisation development of this type is therefore long-term and requires a commitment to leading and supporting change in behaviour, systems and processes, and structures.

year: 2013