title: Disease surveillance and patient care in remote regions: an exploratory study of collaboration among healthcare professionals in Amazonia

authors: Luz, Saturnino

subjects: computer supported cooperative work

abstract: The development and deployment of information technology, particularly mobile tools, to support collaboration between different groups of healthcare professionals has been viewed as a promising way to improve disease surveillance and patient care in remote regions. The effects of global climate change combined with rapid changes to land cover and use in Amazonia are believed to be contributing to the spread of vector-borne emerging and neglected diseases. This makes empowering and providing support for local healthcare providers all the more important. We investigate the use of information technology in this context to support professionals whose activities range from diagnosing diseases and monitoring their spread to developing policies to deal with outbreaks. An analysis of stakeholders, their roles and requirements, is presented which encompasses results of fieldwork and of a process of design and prototyping complemented by questionnaires and targeted interviews. Findings are analysed with respect to the tasks of diagnosis, training of local healthcare professionals, and gathering, sharing and visualisation of data for purposes of epidemiological research and disease surveillance. Methodological issues regarding the elicitation of cooperation and collaboration requirements are discussed and implications are drawn with respect to the use of technology in tackling emerging and neglected diseases.

text: Disease surveillance and patient care in remote regions: an exploratory study of collaboration among healthcare professionals in Amazonia The development and deployment of information technology, particularly mobile tools, to support collaboration between different groups of healthcare professionals has been viewed as a promising way to improve disease surveillance and patient care in remote regions. The effects of global climate change combined with rapid changes to land cover and use in Amazonia are believed to be contributing to the spread of vector-borne emerging and neglected diseases. This makes empowering and providing support for local healthcare providers all the more important. We investigate the use of information technology in this context to support professionals whose activities range from diagnosing diseases and monitoring their spread to developing policies to deal with outbreaks. An analysis of stakeholders, their roles and requirements, is presented which encompasses results of fieldwork and of a process of design and prototyping complemented by questionnaires and targeted interviews. Findings are analysed with respect to the tasks of diagnosis, training of local healthcare professionals, and gathering, sharing and visualisation of data for purposes of epidemiological research and disease surveillance. Methodological issues regarding the elicitation of cooperation and collaboration requirements are discussed and implications are drawn with respect to the use of technology in tackling emerging and neglected diseases.

year: 2015

title: Fatiguing verbal working memory to reduce explicit hypothesis testing during skill acquisition: A new implicit motor learning paradigm?

authors: Boaz-Curry, Ko-Tahi-Ra

abstract: How we learn novel motor skills is crucial for motor performance. Motor skills learned through implicit processes have been shown to have higher neural efficiency, lower likelihood of interference from conscious control during motor output, and more stable performance under pressure, stress, fatigue and multitasking situations (Maxwell, Masters & Eves, 2000; Steenbergen, Van Der Kamp, Verneau, Jongbloed-Pereboom & Masters, 2010; Zhu, Yeung, Poolton, Lee, Leung & Masters, 2015). These performance benefits are sought after in both clinical and sporting domains, and make implicit motor learning a viable alternative to explicit forms of learning. However, current implicit motor learning paradigms have encountered limitations that hinder their practical application (Lam, Maxwell & Masters, 2009; Zhu et al., 2015); therefore, new implicit motor learning paradigms need to be created. This thesis investigated whether cognitive fatigue can be used to encourage novices to perform a novel motor task in an implicit manner. We hypothesized that inducing cognitive fatigue in people would suppress verbal working memory activity, thereby minimising hypothesis testing about the task to be performed and causing implicit motor learning. The research was conducted on thirty-three healthy adults (women=19, men=14; mean age= 23.3±5.5) who reported limited golf experience. All participants were randomly allocated to one of two treatment conditions: control (non-fatigued) or experimental (fatigued). We analysed the differences in verbal working memory performance, motor skill performance and hypothesis testing measures between the two groups. Our results showed that participants in the experimental condition reported a significant increase in subjective feelings of fatigue following the intervention; however, this was not reflected by a decrease in working memory activity. The results also illustrated no significant differences in motor performance or hypothesis testing between the two groups. Overall, the cognitive fatigue task was shown to successfully alter self-reported levels of fatigue (VAS-f), although we speculate that the fatigue levels produced by the intervention were not sufficient to suppress working memory activity during performance of a novel motor task.

text: Fatiguing verbal working memory to reduce explicit hypothesis testing during skill acquisition: A new implicit motor learning paradigm? How we learn novel motor skills is crucial for motor performance. Motor skills learned through implicit processes have been shown to have higher neural efficiency, lower likelihood of interference from conscious control during motor output, and more stable performance under pressure, stress, fatigue and multitasking situations (Maxwell, Masters & Eves, 2000; Steenbergen, Van Der Kamp, Verneau, Jongbloed-Pereboom & Masters, 2010; Zhu, Yeung, Poolton, Lee, Leung & Masters, 2015). These performance benefits are sought after in both clinical and sporting domains, and make implicit motor learning a viable alternative to explicit forms of learning. However, current implicit motor learning paradigms have encountered limitations that hinder their practical application (Lam, Maxwell & Masters, 2009; Zhu et al., 2015); therefore, new implicit motor learning paradigms need to be created. This thesis investigated whether cognitive fatigue can be used to encourage novices to perform a novel motor task in an implicit manner. We hypothesized that inducing cognitive fatigue in people would suppress verbal working memory activity, thereby minimising hypothesis testing about the task to be performed and causing implicit motor learning. The research was conducted on thirty-three healthy adults (women=19, men=14; mean age= 23.3±5.5) who reported limited golf experience. All participants were randomly allocated to one of two treatment conditions: control (non-fatigued) or experimental (fatigued). We analysed the differences in verbal working memory performance, motor skill performance and hypothesis testing measures between the two groups. Our results showed that participants in the experimental condition reported a significant increase in subjective feelings of fatigue following the intervention; however, this was not reflected by a decrease in working memory activity. The results also illustrated no significant differences in motor performance or hypothesis testing between the two groups. Overall, the cognitive fatigue task was shown to successfully alter self-reported levels of fatigue (VAS-f), although we speculate that the fatigue levels produced by the intervention were not sufficient to suppress working memory activity during performance of a novel motor task.

year: 2018

title: Māori women’s perspectives of leadership and wellbeing

authors: Ruru, Stacey Mariu

subjects: Māori women leadership

abstract: This research sought to understand how Māori women leaders maintain their wellbeing within their leadership roles. Semi-structured interviews acknowledging kaupapa Māori theory (Māori philosophy, framework) principles were used to gather the leadership journeys of five Māori women leaders from academic and business backgrounds across the North Island, New Zealand. Kaupapa Māori principles such as kānohi kitea (greeting, meeting face to face), ako Māori (learning, teaching, reciprocity, cultural pedagogy) and manāki ki te tangata (caring, hosting people) provided a methodological framework to follow during interviews with Māori women leaders. From the interviews, thematic analysis was undertaken and patterns, similarities and differences were uncovered that led to the identification of eight main themes: Humility, collective work, the influence of others, overcoming boundaries, balance between te taha hinengaro (mental or psychological wellbeing) and te taha tinana (physical wellbeing), fostering pathways, quieting the mind, and whānau (family) connections. Secondary analysis further developed and explored the themes using indigenous whakataukī Māori (Māori proverbs), which became the overarching theme and connected the eight themes to the five whakataukī. The study found that balance between te taha hinengaro (the psychological, mental wellbeing dimension) and te taha tinana (the physical dimension) from Te Whare Tapa Whā (the four corners of a house) and Te Wheke (the octopus) Māori wellbeing models supported Māori women leaders’ waiora (health, wellbeing). Central to the success of these Māori women leaders was being connected to whānau and friends, and being influenced by tāmariki (children), tauira (students) and employees. These social connections made Māori women leaders strong and resilient to change and challenges. Māori leadership practices and values such as hūmarie (humility), mana wahine (Māori women’s leadership style), manākitanga (caring) and aroha (compassion, love) contributed to leadership drivers that enhanced Māori women within their leadership roles. Finally, recommendations include enhancing practices such as those that encourage mana (influence, power, and identity), mātauranga Māori (Māori knowledge) and ako Māori for future generations to follow.

text: Māori women’s perspectives of leadership and wellbeing This research sought to understand how Māori women leaders maintain their wellbeing within their leadership roles. Semi-structured interviews acknowledging kaupapa Māori theory (Māori philosophy, framework) principles were used to gather the leadership journeys of five Māori women leaders from academic and business backgrounds across the North Island, New Zealand. Kaupapa Māori principles such as kānohi kitea (greeting, meeting face to face), ako Māori (learning, teaching, reciprocity, cultural pedagogy) and manāki ki te tangata (caring, hosting people) provided a methodological framework to follow during interviews with Māori women leaders. From the interviews, thematic analysis was undertaken and patterns, similarities and differences were uncovered that led to the identification of eight main themes: Humility, collective work, the influence of others, overcoming boundaries, balance between te taha hinengaro (mental or psychological wellbeing) and te taha tinana (physical wellbeing), fostering pathways, quieting the mind, and whānau (family) connections. Secondary analysis further developed and explored the themes using indigenous whakataukī Māori (Māori proverbs), which became the overarching theme and connected the eight themes to the five whakataukī. The study found that balance between te taha hinengaro (the psychological, mental wellbeing dimension) and te taha tinana (the physical dimension) from Te Whare Tapa Whā (the four corners of a house) and Te Wheke (the octopus) Māori wellbeing models supported Māori women leaders’ waiora (health, wellbeing). Central to the success of these Māori women leaders was being connected to whānau and friends, and being influenced by tāmariki (children), tauira (students) and employees. These social connections made Māori women leaders strong and resilient to change and challenges. Māori leadership practices and values such as hūmarie (humility), mana wahine (Māori women’s leadership style), manākitanga (caring) and aroha (compassion, love) contributed to leadership drivers that enhanced Māori women within their leadership roles. Finally, recommendations include enhancing practices such as those that encourage mana (influence, power, and identity), mātauranga Māori (Māori knowledge) and ako Māori for future generations to follow.

year: 2016