title: Ethnic disparities in breast cancer survival in New Zealand: which factors contribute?

authors: Tin Tin, Sandar

subjects: Breast cancer

abstract: Background: New Zealand has major ethnic disparities in breast cancer survival with Maori (indigenous people) and Pacific women (immigrants or descended from immigrants from Pacific Islands) faring much worse than other ethnic groups. This paper identified underlying factors and assessed their relative contribution to this risk differential. 
Methods: This study involved all women who were diagnosed with primary invasive breast cancer in two health regions, covering about 40% of the national population, between January 2000 and June 2014. Maori and Pacific patients were compared with other ethnic groups in terms of demographics, mode of diagnosis, disease factors and treatment factors. Cox regression modelling was performed with stepwise adjustments, and hazards of excess mortality from breast cancer for Maori and Pacific patients were assessed. 
Results: Of the 13,657 patients who were included in this analysis, 1281 (9.4%) were Maori, and 897 (6.6%) were Pacific women. Compared to other ethnic groups, they were younger, more likely to reside in deprived neighbourhoods and to have co-morbidities, and less likely to be diagnosed through screening and with early stage cancer, to be treated in a private care facility, to receive timely cancer treatment, and to receive breast conserving surgery. They had a higher risk of excess mortality from breast cancer (age and year of diagnosis adjusted hazard ratio: 1.76; 95% CI: 1.51-2.04 for Maori and 1.97; 95% CI: 1.67-2.32 for Pacific women), of which 75% and 99% respectively were explained by baseline differences. The most important contributor was late stage at diagnosis. Other contributors included neighbourhood deprivation, mode of diagnosis, type of health care facility where primary cancer treatment was undertaken and type of loco-regional therapy. 
Conclusions: Late diagnosis, deprivation and differential access to and quality of cancer care services were the key contributors to ethnic disparities in breast cancer survival in New Zealand. Our findings underscore the need for a greater equity focus along the breast cancer care pathway, with an emphasis on improving access to early diagnosis for Maori and Pacific women.

text: Ethnic disparities in breast cancer survival in New Zealand: which factors contribute? Background: New Zealand has major ethnic disparities in breast cancer survival with Maori (indigenous people) and Pacific women (immigrants or descended from immigrants from Pacific Islands) faring much worse than other ethnic groups. This paper identified underlying factors and assessed their relative contribution to this risk differential. 
Methods: This study involved all women who were diagnosed with primary invasive breast cancer in two health regions, covering about 40% of the national population, between January 2000 and June 2014. Maori and Pacific patients were compared with other ethnic groups in terms of demographics, mode of diagnosis, disease factors and treatment factors. Cox regression modelling was performed with stepwise adjustments, and hazards of excess mortality from breast cancer for Maori and Pacific patients were assessed. 
Results: Of the 13,657 patients who were included in this analysis, 1281 (9.4%) were Maori, and 897 (6.6%) were Pacific women. Compared to other ethnic groups, they were younger, more likely to reside in deprived neighbourhoods and to have co-morbidities, and less likely to be diagnosed through screening and with early stage cancer, to be treated in a private care facility, to receive timely cancer treatment, and to receive breast conserving surgery. They had a higher risk of excess mortality from breast cancer (age and year of diagnosis adjusted hazard ratio: 1.76; 95% CI: 1.51-2.04 for Maori and 1.97; 95% CI: 1.67-2.32 for Pacific women), of which 75% and 99% respectively were explained by baseline differences. The most important contributor was late stage at diagnosis. Other contributors included neighbourhood deprivation, mode of diagnosis, type of health care facility where primary cancer treatment was undertaken and type of loco-regional therapy. 
Conclusions: Late diagnosis, deprivation and differential access to and quality of cancer care services were the key contributors to ethnic disparities in breast cancer survival in New Zealand. Our findings underscore the need for a greater equity focus along the breast cancer care pathway, with an emphasis on improving access to early diagnosis for Maori and Pacific women.

year: 2018

title: He tangi mai i te puehu: He whakatewhatewha i te mahi whakamāori me te reo ā-tuhi a ngā tūpuna

authors: Apiata, Hāwea

subjects: Māori spirituality

abstract: Kei te pūtahi o tēnei tuhinga whakapae ko te whakatewhatewha i te whakapapa o te whakaaro Māori (Māori intellectual history) mā ēnei pātai e rua: He aha ā te Māori i tuhituhi ai i te tōmuatanga o te rautau rua tekau? Ā, he pēhea tāna wetewete i ngā huatau whakawairua nō waho i te ao Māori? 

Ina koa, ko tā te tuhinga whakapae nei he whakaaranga, he whakaatu hoki i ētahi huarahi e toru hei rangahau i ngā whakapapa o te whakaaro taketake: ko te ketuketu rua mahara (archival research); ko te tātari ariā (conceptual analysis); me te reo e whakamahia ana kia wetewete i te kaupapa. Mā te mahi ketuketu rua mahara e āhei ai ki te wānanga i ngā whakaputanga a Wiremu Takana, he kaituhi, he kaiwhakamāori nō Ngāti Kahungunu. Ka whakaputaina tāna tuhinga tuatahi i te tau 1915. Ā, e rua anō i whakaputaina e ia i te tau whai muri mai i 1916. Ko ēnei tuhinga āna e whakatewhatewha ana i te whakamāoritanga o te rongopai me te āheinga o ngā pūrākau Māori kia whakamārama i ngā whakaakoranga Moromona. Kāore anō kia āta tātaritia, kia āta rangahaua āna pukapuka e tētahi atu o mua. Ko te huarahi rangahau tuarua ko te tātari i te whakamāoritanga o ētahi ariā whakawairua e kitea ana i roto i ngā karaipiture o te Hāhi o Ihu Karaiti o te Hunga Tapu o ngā Rā o Muri nei. E toru ngā ariā kua tīpakongia hei tirotiro, arā, ko heaven, hell me baptism. Ā, hei whakawhānui atu i te titiro ki tēnei kaupapa, ka huritaongia ngā hua o te tuhinga reo Māori, arā, ka matapakina ngā take kia tuhituhi i te mahi rangahau i roto i te reo Māori.

I te mutunga iho, mā te āta wānanga i ngā whakaputanga reo Māori a te Hāhi o Ihu Karaiti (LDS) e whakawhānuitia ai tō tātou māramatanga ki te hītori o te mahi whakaputa pukapuka i roto i te Hāhi, te mahi punenga a te Māori, te whakareretanga o ngā tuhituhinga reo Māori, me te hītori o te Hāhi o Ihu Karaiti i Aotearoa nei.

text: He tangi mai i te puehu: He whakatewhatewha i te mahi whakamāori me te reo ā-tuhi a ngā tūpuna Kei te pūtahi o tēnei tuhinga whakapae ko te whakatewhatewha i te whakapapa o te whakaaro Māori (Māori intellectual history) mā ēnei pātai e rua: He aha ā te Māori i tuhituhi ai i te tōmuatanga o te rautau rua tekau? Ā, he pēhea tāna wetewete i ngā huatau whakawairua nō waho i te ao Māori? 

Ina koa, ko tā te tuhinga whakapae nei he whakaaranga, he whakaatu hoki i ētahi huarahi e toru hei rangahau i ngā whakapapa o te whakaaro taketake: ko te ketuketu rua mahara (archival research); ko te tātari ariā (conceptual analysis); me te reo e whakamahia ana kia wetewete i te kaupapa. Mā te mahi ketuketu rua mahara e āhei ai ki te wānanga i ngā whakaputanga a Wiremu Takana, he kaituhi, he kaiwhakamāori nō Ngāti Kahungunu. Ka whakaputaina tāna tuhinga tuatahi i te tau 1915. Ā, e rua anō i whakaputaina e ia i te tau whai muri mai i 1916. Ko ēnei tuhinga āna e whakatewhatewha ana i te whakamāoritanga o te rongopai me te āheinga o ngā pūrākau Māori kia whakamārama i ngā whakaakoranga Moromona. Kāore anō kia āta tātaritia, kia āta rangahaua āna pukapuka e tētahi atu o mua. Ko te huarahi rangahau tuarua ko te tātari i te whakamāoritanga o ētahi ariā whakawairua e kitea ana i roto i ngā karaipiture o te Hāhi o Ihu Karaiti o te Hunga Tapu o ngā Rā o Muri nei. E toru ngā ariā kua tīpakongia hei tirotiro, arā, ko heaven, hell me baptism. Ā, hei whakawhānui atu i te titiro ki tēnei kaupapa, ka huritaongia ngā hua o te tuhinga reo Māori, arā, ka matapakina ngā take kia tuhituhi i te mahi rangahau i roto i te reo Māori.

I te mutunga iho, mā te āta wānanga i ngā whakaputanga reo Māori a te Hāhi o Ihu Karaiti (LDS) e whakawhānuitia ai tō tātou māramatanga ki te hītori o te mahi whakaputa pukapuka i roto i te Hāhi, te mahi punenga a te Māori, te whakareretanga o ngā tuhituhinga reo Māori, me te hītori o te Hāhi o Ihu Karaiti i Aotearoa nei.

year: 2021

title: Tools for verifying classical and quantum superintegrability

authors: Kalnins, Ernie G.

subjects: superintegrability

abstract: Recently many new classes of integrable systems in n dimensions occurring in classical and quantum mechanics have been shown to admit a functionally independent set of 2n−1 symmetries polynomial in the canonical momenta, so that they are in fact superintegrable. These newly discovered systems are all separable in some coordinate system and, typically, they depend on one or more parameters in such a way that the system is superintegrable exactly when some of the parameters are rational numbers. Most of the constructions to date are for n=2 but cases where n>2 are multiplying rapidly. In this article we organize a large class of such systems, many new, and emphasize the underlying mechanisms which enable this phenomena to occur and to prove superintegrability. In addition to proofs of classical superintegrability we show that the 2D caged anisotropic oscillator and a Stäckel transformed version on the 2-sheet hyperboloid are quantum superintegrable for all rational relative frequencies, and that a deformed 2D Kepler-Coulomb system is quantum superintegrable for all rational values of a parameter k in the potential.

text: Tools for verifying classical and quantum superintegrability Recently many new classes of integrable systems in n dimensions occurring in classical and quantum mechanics have been shown to admit a functionally independent set of 2n−1 symmetries polynomial in the canonical momenta, so that they are in fact superintegrable. These newly discovered systems are all separable in some coordinate system and, typically, they depend on one or more parameters in such a way that the system is superintegrable exactly when some of the parameters are rational numbers. Most of the constructions to date are for n=2 but cases where n>2 are multiplying rapidly. In this article we organize a large class of such systems, many new, and emphasize the underlying mechanisms which enable this phenomena to occur and to prove superintegrability. In addition to proofs of classical superintegrability we show that the 2D caged anisotropic oscillator and a Stäckel transformed version on the 2-sheet hyperboloid are quantum superintegrable for all rational relative frequencies, and that a deformed 2D Kepler-Coulomb system is quantum superintegrable for all rational values of a parameter k in the potential.

year: 2010