title: Changes over time in family members of adults with mild traumatic brain injury

authors: Jones, Kelly

abstract: Objective:
The impact of traumatic brain injury (TBI) extends beyond the person who was injured. Family caregivers of adults with moderate to severe TBI frequently report increased burden, stress and depression. Few studies have examined the well-being of family members in the mild TBI population despite the latter representing up to 95% of all TBIs.

Methods:
Five areas of well-being were examined in 99 family members (including parents, partners, siblings, other relatives, adult children, friends or neighbours) of adults (aged ≥16 years) with mild TBI. At 6- and 12-month post-injury, family members completed the Bakas Caregiver Outcomes Scale, Short Form-36 Health Survey, EQ-5D-3L, Hospital Anxiety and Depression Scale and the Pittsburgh Sleep Quality Index. Outcomes and change over time and associated factors were examined.

Results:
At 6 months, group mean scores for health-related quality of life for mental and physical components and overall health status were similar to the New Zealand (NZ) population. Mean scores for sleep, anxiety and depression were below clinically significant thresholds. From 6 to 12 months, there were significant improvements in Bakas Caregiver Outcomes Scale scores by 2.61 (95% confidence interval: 0.72–4.49), health-related quality of life (mental component) and EQ-5D-3L overall health (P = 0.01). Minimally clinically important differences were observed in overall health, anxiety, health-related quality of life and depression at 12 months. Female family members reported significant improvements in physical health over time, and more positive life changes were reported by those caring for males with TBI.

Conclusions:
The findings suggest diminished burden over time for family members of adults with mild TBI.

text: Changes over time in family members of adults with mild traumatic brain injury Objective:
The impact of traumatic brain injury (TBI) extends beyond the person who was injured. Family caregivers of adults with moderate to severe TBI frequently report increased burden, stress and depression. Few studies have examined the well-being of family members in the mild TBI population despite the latter representing up to 95% of all TBIs.

Methods:
Five areas of well-being were examined in 99 family members (including parents, partners, siblings, other relatives, adult children, friends or neighbours) of adults (aged ≥16 years) with mild TBI. At 6- and 12-month post-injury, family members completed the Bakas Caregiver Outcomes Scale, Short Form-36 Health Survey, EQ-5D-3L, Hospital Anxiety and Depression Scale and the Pittsburgh Sleep Quality Index. Outcomes and change over time and associated factors were examined.

Results:
At 6 months, group mean scores for health-related quality of life for mental and physical components and overall health status were similar to the New Zealand (NZ) population. Mean scores for sleep, anxiety and depression were below clinically significant thresholds. From 6 to 12 months, there were significant improvements in Bakas Caregiver Outcomes Scale scores by 2.61 (95% confidence interval: 0.72–4.49), health-related quality of life (mental component) and EQ-5D-3L overall health (P = 0.01). Minimally clinically important differences were observed in overall health, anxiety, health-related quality of life and depression at 12 months. Female family members reported significant improvements in physical health over time, and more positive life changes were reported by those caring for males with TBI.

Conclusions:
The findings suggest diminished burden over time for family members of adults with mild TBI.

year: 2019

title: Development of Bloodmeal Protein Thermoplastic Blends

authors: Marsilla, K. I. Ku

abstract: This study investigated the compatibilization of Novatein® Thermoplastic Protein (NTP) blends with other polymers. NTP was blended with three different types of polymers;a petroleum-based polyolefin, (low-linear density polyethylene, LLDPE); a biodegradable synthetic polyester, (polybutylene succinate, PBS) and a bioderived, compostable polyester, (poly (lactic acid), PLA). It was a relatively straightforward process to produce a compatible blend of LLDPE and NTP using a compatibilizer, regardless of the obvious difference in chemical structure between these polymers. Blending NTP with PBS, on the other hand, was much more challenging. It required two compatibilizers, added at different stages of blending to produce a compatible blend. For blends with PLA, a novel copolymer, itaconic anhydride grafted PLA (PLA-g-IA) was produced to be used as a compatibilizer and initial results suggested that PLA-g-IA may be a successful approach. 
Two different methods of compatibilization pathways were explored: the addition of a graft copolymer based on one of the components (in the case of NTP/LLDPE blends) or using compatibilizers that are not chemically the same as either component (in the case of NTP/PBS blends). Polyethylene grafted maleic anhydride (PE-g-MAH) was added to NTP/LLDPE blends and produced a blend with synergistic mechanical properties (the elongation at break exceeded the raw LLDPE properties). The water resistance of NTP was improved after blending with LLDPE, but it may compromise the compostability of the material. For NTP/PBS blends, two compatibilizers with different functional end-groups were used; these were (poly-2-ethyl-2-oxazoline)(PEOX) and (polymeric diphenyl diisocyanate)(pMDI). Using either of the compatibilizers individually in blends containing 50 % NTP resulted in poor mechanical properties. Compatibilization was accomplished with the addition of both two compatibilizers at different stages of blend preparation; PEOX dissolved in water and added during NTP production, while pMDI was added during injection moulding. This approach led to a tensile strength greater than that of pure PBS (24 MPa compared to 22 MPa). Dissolving PEOX in water improved the dispersion of the NTP phase throughout the PBS matrix via hydrogen bonding between water, PEOX and NTP. The addition of pMDI during injection moulding stabilized and strengthened the interactions between PBS and NTP, thereby leading to a superior blend.  
The compatibility between NTP and LLDPE or NTP and PBS were characterized using thermal and morphological properties as well as water resistance. Two Tgs were obtained for all blends, however, the addition of compatibilizers improved the adhesion between phases, evident from broader and lower height of Tg peaks. The morphology provided evidence of a homogenous dispersion of NTP in LLDPE. In NTP/PBS blends, the fracture mechanism changed from brittle to ductile with the addition of PEOX. Both NTP/LLDPE and NTP/PBS blends showed a phase inversion from a particle- dispersed morphology to a co-continuous morphology at compositions greater than 50% NTP. The water resistance also improved with the addition of LLDPE and PBS.   
Reactive extrusion was used to produce a copolymer, itaconic anhydride grafted poly (lactic acid) (PLA-g-IA). Different initiator (dicumyl peroxide) and monomer (IA) concentrations were used to optimize the degree of grafting. 0.75% was the highest degree of grafting and showed minimal chain scission evident from the polymer’s intrinsic viscosity. The reaction kinetics of grafting and the effect of grafting on thermal and mechanical properties were investigated. Grafting increased the crystallization rate of PLA, increased the crystallinity and also raised the thermal decomposition temperature. The mechanical properties of PLA-g-IA blended with PLA were also improved.
Crystallization of PLA and PLA-g-IA were investigated during annealing at different annealing temperatures and durations using differential scanning calorimetry (DSC) and wide angle X-ray scattering (WAXS). The rate of crystallization increased after grafting and affected the formation of PLA crystals by increasing the lattice spacing at the (110) plane, suggesting an expanded helical structure of PLA. The crystallinity of PLA-g-IA was also higher than that of neat PLA.  
Although polymer blending offers an attractive route to modify selected polymer properties, it is not always successful without the addition of compatibilizers. Despite the subtle differences in methods to incorporate compatibilizers, development of NTP blends with different polymers, whether a petroleum based polymer, synthetic biodegradable polyester or bioderived compostable polyester, offers material with improved mechanical properties and thermal stability. Water resistance is also improved, however, biodegradability will likely be compromised if the second polymer is not also biodegradable. These blends offer a potentially wider range of commercial NTP grades.

text: Development of Bloodmeal Protein Thermoplastic Blends This study investigated the compatibilization of Novatein® Thermoplastic Protein (NTP) blends with other polymers. NTP was blended with three different types of polymers;a petroleum-based polyolefin, (low-linear density polyethylene, LLDPE); a biodegradable synthetic polyester, (polybutylene succinate, PBS) and a bioderived, compostable polyester, (poly (lactic acid), PLA). It was a relatively straightforward process to produce a compatible blend of LLDPE and NTP using a compatibilizer, regardless of the obvious difference in chemical structure between these polymers. Blending NTP with PBS, on the other hand, was much more challenging. It required two compatibilizers, added at different stages of blending to produce a compatible blend. For blends with PLA, a novel copolymer, itaconic anhydride grafted PLA (PLA-g-IA) was produced to be used as a compatibilizer and initial results suggested that PLA-g-IA may be a successful approach. 
Two different methods of compatibilization pathways were explored: the addition of a graft copolymer based on one of the components (in the case of NTP/LLDPE blends) or using compatibilizers that are not chemically the same as either component (in the case of NTP/PBS blends). Polyethylene grafted maleic anhydride (PE-g-MAH) was added to NTP/LLDPE blends and produced a blend with synergistic mechanical properties (the elongation at break exceeded the raw LLDPE properties). The water resistance of NTP was improved after blending with LLDPE, but it may compromise the compostability of the material. For NTP/PBS blends, two compatibilizers with different functional end-groups were used; these were (poly-2-ethyl-2-oxazoline)(PEOX) and (polymeric diphenyl diisocyanate)(pMDI). Using either of the compatibilizers individually in blends containing 50 % NTP resulted in poor mechanical properties. Compatibilization was accomplished with the addition of both two compatibilizers at different stages of blend preparation; PEOX dissolved in water and added during NTP production, while pMDI was added during injection moulding. This approach led to a tensile strength greater than that of pure PBS (24 MPa compared to 22 MPa). Dissolving PEOX in water improved the dispersion of the NTP phase throughout the PBS matrix via hydrogen bonding between water, PEOX and NTP. The addition of pMDI during injection moulding stabilized and strengthened the interactions between PBS and NTP, thereby leading to a superior blend.  
The compatibility between NTP and LLDPE or NTP and PBS were characterized using thermal and morphological properties as well as water resistance. Two Tgs were obtained for all blends, however, the addition of compatibilizers improved the adhesion between phases, evident from broader and lower height of Tg peaks. The morphology provided evidence of a homogenous dispersion of NTP in LLDPE. In NTP/PBS blends, the fracture mechanism changed from brittle to ductile with the addition of PEOX. Both NTP/LLDPE and NTP/PBS blends showed a phase inversion from a particle- dispersed morphology to a co-continuous morphology at compositions greater than 50% NTP. The water resistance also improved with the addition of LLDPE and PBS.   
Reactive extrusion was used to produce a copolymer, itaconic anhydride grafted poly (lactic acid) (PLA-g-IA). Different initiator (dicumyl peroxide) and monomer (IA) concentrations were used to optimize the degree of grafting. 0.75% was the highest degree of grafting and showed minimal chain scission evident from the polymer’s intrinsic viscosity. The reaction kinetics of grafting and the effect of grafting on thermal and mechanical properties were investigated. Grafting increased the crystallization rate of PLA, increased the crystallinity and also raised the thermal decomposition temperature. The mechanical properties of PLA-g-IA blended with PLA were also improved.
Crystallization of PLA and PLA-g-IA were investigated during annealing at different annealing temperatures and durations using differential scanning calorimetry (DSC) and wide angle X-ray scattering (WAXS). The rate of crystallization increased after grafting and affected the formation of PLA crystals by increasing the lattice spacing at the (110) plane, suggesting an expanded helical structure of PLA. The crystallinity of PLA-g-IA was also higher than that of neat PLA.  
Although polymer blending offers an attractive route to modify selected polymer properties, it is not always successful without the addition of compatibilizers. Despite the subtle differences in methods to incorporate compatibilizers, development of NTP blends with different polymers, whether a petroleum based polymer, synthetic biodegradable polyester or bioderived compostable polyester, offers material with improved mechanical properties and thermal stability. Water resistance is also improved, however, biodegradability will likely be compromised if the second polymer is not also biodegradable. These blends offer a potentially wider range of commercial NTP grades.

year: 2015

title: Secular schools, spirituality and Maori values

authors: Fraser, Deborah

abstract: New Zealand has had free, state, secular education since 1877, but just what is meant by secularism is changing. Since the 1980s the growth of Maori education initiatives has mushroomed and these place emphasis on Maori values and beliefs, including spirituality. In addition, in 1999 a definition and statement on spirituality appeared in the health and physical education national curriculum document. This statement referred to values, beliefs, meaning and purpose. It also incorporated a Maori model of well‐being which places the spiritual alongside other dimensions of humanity. This article explores the concept of spirituality in secular schooling in New Zealand. Some influences from Maori culture are explored with particular reference to values, ethical decision‐making and spirituality. Interviews with Maori teachers highlight how moral decisions often reflect spiritual beliefs and practices. It is argued that schooling has a moral obligation to reflect indigenous values if understanding, respect and cultural identity are to be promoted and cherished. It is also suggested that spirituality challenges what we have traditionally considered as learning at school.

text: Secular schools, spirituality and Maori values New Zealand has had free, state, secular education since 1877, but just what is meant by secularism is changing. Since the 1980s the growth of Maori education initiatives has mushroomed and these place emphasis on Maori values and beliefs, including spirituality. In addition, in 1999 a definition and statement on spirituality appeared in the health and physical education national curriculum document. This statement referred to values, beliefs, meaning and purpose. It also incorporated a Maori model of well‐being which places the spiritual alongside other dimensions of humanity. This article explores the concept of spirituality in secular schooling in New Zealand. Some influences from Maori culture are explored with particular reference to values, ethical decision‐making and spirituality. Interviews with Maori teachers highlight how moral decisions often reflect spiritual beliefs and practices. It is argued that schooling has a moral obligation to reflect indigenous values if understanding, respect and cultural identity are to be promoted and cherished. It is also suggested that spirituality challenges what we have traditionally considered as learning at school.

year: 2004