title: Clinician knowledge of driving restrictions following a stroke event.

authors: Stratton, Laura

subjects: Attention

abstract: AIM: To investigate the knowledge and practice of health professionals when advising persons on driving restrictions after a transient ischaemic attack (TIA) or stroke in a tertiary hospital in New Zealand. 
METHODS: Health professionals working in the area of stroke care across the acute and rehabilitation services in a large tertiary hospital were invited to complete an electronic survey around knowledge of driving restrictions based on the New Zealand Transport Agency (NZTA) guidelines. Knowledge was assessed for both private and commercial vehicle use. The other information gathered included participant profession, level of seniority and experience working in stroke care, previous education around medical-related driving restrictions and how and what driving recommendations were discussed with patients. Knowledge of driving restrictions was established by the number and percentage of correct responses for each condition (single TIA, multiple TIA and stroke with full recovery) relating to the recommended restrictions in both private and commercial vehicle use. 
RESULTS: Forty-nine participants' surveys were analysed with representation from across all the health professions (24.5% [12/49] doctors, 38.8% [19/49] nurses and 36.7% [18/49] allied health). Only 38.8% reported having had received training around post-stroke driving restrictions. Knowledge around driving restrictions was highest for a single episode TIA for private vehicle use (73.5% [36/49]). For all other categories, fewer than 50% of participants answered correctly, with knowledge of commercial vehicle restrictions being the least accurate. 
CONCLUSIONS: Many health professionals have discussions with people about driving restrictions following a TIA or stroke. However, there appears to be limited knowledge of all the restrictions for each condition as they relate to either private or commercial vehicle use. Insufficient training and education for clinicians might explain this gap.

text: Clinician knowledge of driving restrictions following a stroke event. AIM: To investigate the knowledge and practice of health professionals when advising persons on driving restrictions after a transient ischaemic attack (TIA) or stroke in a tertiary hospital in New Zealand. 
METHODS: Health professionals working in the area of stroke care across the acute and rehabilitation services in a large tertiary hospital were invited to complete an electronic survey around knowledge of driving restrictions based on the New Zealand Transport Agency (NZTA) guidelines. Knowledge was assessed for both private and commercial vehicle use. The other information gathered included participant profession, level of seniority and experience working in stroke care, previous education around medical-related driving restrictions and how and what driving recommendations were discussed with patients. Knowledge of driving restrictions was established by the number and percentage of correct responses for each condition (single TIA, multiple TIA and stroke with full recovery) relating to the recommended restrictions in both private and commercial vehicle use. 
RESULTS: Forty-nine participants' surveys were analysed with representation from across all the health professions (24.5% [12/49] doctors, 38.8% [19/49] nurses and 36.7% [18/49] allied health). Only 38.8% reported having had received training around post-stroke driving restrictions. Knowledge around driving restrictions was highest for a single episode TIA for private vehicle use (73.5% [36/49]). For all other categories, fewer than 50% of participants answered correctly, with knowledge of commercial vehicle restrictions being the least accurate. 
CONCLUSIONS: Many health professionals have discussions with people about driving restrictions following a TIA or stroke. However, there appears to be limited knowledge of all the restrictions for each condition as they relate to either private or commercial vehicle use. Insufficient training and education for clinicians might explain this gap.

year: 2021

title: Value propositions as communication practice: Taking a wider view

authors: Ballantyne, David

subjects: reciprocal value proposition

abstract: The aim of this article is to examine the concept and functioning of value propositions, seen through a service-dominant logic (S-D) lens. The variety of perspectives used to understand value propositions are examined, from unidirectional communication of value to reciprocal promises of value. The concept of reciprocal value propositions is examined in the light of S-D logic's fundamental premises. Examples are included to show how reciprocal value propositions can be used to initiate and guide resource integration activities between initiators and participants across a range of stakeholders of the firm. Some ‘taken for granted’ assumptions about market exchange are examined which act as a constraint on innovation in developing reciprocal value propositions, and more generally, stand in the way of innovative marketing practice. We also argue that reciprocal value propositions reveal opportunities for focal firm engagement with suppliers, customers, and other beneficiaries beyond sale/purchase transactions, as part of a platform for communicative interaction. In summary, we position reciprocal value propositions as a communication practice that brings exchange activities, relationship development, and knowledge renewal closer together.

text: Value propositions as communication practice: Taking a wider view The aim of this article is to examine the concept and functioning of value propositions, seen through a service-dominant logic (S-D) lens. The variety of perspectives used to understand value propositions are examined, from unidirectional communication of value to reciprocal promises of value. The concept of reciprocal value propositions is examined in the light of S-D logic's fundamental premises. Examples are included to show how reciprocal value propositions can be used to initiate and guide resource integration activities between initiators and participants across a range of stakeholders of the firm. Some ‘taken for granted’ assumptions about market exchange are examined which act as a constraint on innovation in developing reciprocal value propositions, and more generally, stand in the way of innovative marketing practice. We also argue that reciprocal value propositions reveal opportunities for focal firm engagement with suppliers, customers, and other beneficiaries beyond sale/purchase transactions, as part of a platform for communicative interaction. In summary, we position reciprocal value propositions as a communication practice that brings exchange activities, relationship development, and knowledge renewal closer together.

year: 2010

title: Radiocarbon dates on desiccated moa (Dinornithiformes) flesh from Inland Otago, New Zealand

authors: Anderson, Atholl

subjects: New Zealand

abstract: Remains of soft tissues from extinct moa (Dinornithiformes), mainly desiccated sinew, muscle, skin, and feathers have been recovered rather seldom but their distribution is distinctive. Of 22 records of such finds accumulated between 1864 and 1987, 15 came from inland Otago (Anderson 1989: 67–68, Table 5.2), west of Dunedin in the southern South Island. Most were found in the late nineteenth century (13 records) in rockshelters, clefts or alluvial sediments and were regarded at the time as evidence of the survival of moa up to about AD 1800 (Hutton and Coughtrey 1874a). Improbable as this latter point is, it has not been tested by radiocarbon dating until now. Our particular impetus to do so, however, arises in another way. It is from research, again largely within inland Otago, on Maori artefacts which have also been made from various other kinds of soft tissues (flax, grasses, dog skin, bird skin, feathers etc.). A series of accelerator mass spectrometry (AMS) radiocarbon dates on these (Anderson et al., n.d.) shows that they are exclusively late, post-AD 1650, which begs the question of why the age range does not extend across the full prehistoric period, beginning about AD 1300.

text: Radiocarbon dates on desiccated moa (Dinornithiformes) flesh from Inland Otago, New Zealand Remains of soft tissues from extinct moa (Dinornithiformes), mainly desiccated sinew, muscle, skin, and feathers have been recovered rather seldom but their distribution is distinctive. Of 22 records of such finds accumulated between 1864 and 1987, 15 came from inland Otago (Anderson 1989: 67–68, Table 5.2), west of Dunedin in the southern South Island. Most were found in the late nineteenth century (13 records) in rockshelters, clefts or alluvial sediments and were regarded at the time as evidence of the survival of moa up to about AD 1800 (Hutton and Coughtrey 1874a). Improbable as this latter point is, it has not been tested by radiocarbon dating until now. Our particular impetus to do so, however, arises in another way. It is from research, again largely within inland Otago, on Maori artefacts which have also been made from various other kinds of soft tissues (flax, grasses, dog skin, bird skin, feathers etc.). A series of accelerator mass spectrometry (AMS) radiocarbon dates on these (Anderson et al., n.d.) shows that they are exclusively late, post-AD 1650, which begs the question of why the age range does not extend across the full prehistoric period, beginning about AD 1300.

year: 2010