title: Waitangi Soda Springs alum dosing – Bioavailability of aluminium 2011-2020

authors: Ling, Nicholas

abstract: Continuous alum dosing of the Waitangi Soda Springs at Lake Rotoehu commenced in 2011 to reduce inflows of dissolved reactive phosphorus to Lake Rotoehu. Analyses of bioaccumulation in the tissues of kōura and goldfish from Lake Rotoehu were undertaken on animals collected annually since 2013 to determine the bioavailability and bioaccumulation of aluminium. Lake Rotoehu kōura and goldfish collected in 2013 showed slightly elevated aluminium concentrations in the gills indicating enhanced exposure to aluminium but little evidence for significant bioaccumulation in tissues. Concentrations in goldfish liver and gills were highest in 2016, but not significantly different to goldfish collected from Lake Rotorua in 2013 and flesh concentrations were low. Analyses of animals collected in 2020 confirm these earlier findings with no evidence of enhanced bioaccumulation of aluminium in Lake Rotoehu biota.

text: Waitangi Soda Springs alum dosing – Bioavailability of aluminium 2011-2020 Continuous alum dosing of the Waitangi Soda Springs at Lake Rotoehu commenced in 2011 to reduce inflows of dissolved reactive phosphorus to Lake Rotoehu. Analyses of bioaccumulation in the tissues of kōura and goldfish from Lake Rotoehu were undertaken on animals collected annually since 2013 to determine the bioavailability and bioaccumulation of aluminium. Lake Rotoehu kōura and goldfish collected in 2013 showed slightly elevated aluminium concentrations in the gills indicating enhanced exposure to aluminium but little evidence for significant bioaccumulation in tissues. Concentrations in goldfish liver and gills were highest in 2016, but not significantly different to goldfish collected from Lake Rotorua in 2013 and flesh concentrations were low. Analyses of animals collected in 2020 confirm these earlier findings with no evidence of enhanced bioaccumulation of aluminium in Lake Rotoehu biota.

year: 2021

title: Addiction Phenomenology In Substance Use  And Non-Substance Use Disorders

authors: McLachlan, Andre David

subjects: Addiction

abstract: There is growing research evidence and public concern over the burgeoning of disorders which share common features with substance addictions. In order to investigate the presence and role of addiction features in disorders outside of substance addictions, symptoms of addiction were explored within three addiction groups: alcohol dependence (AD), an established addiction (n = 24); pathological gambling (PG) a disorder with growing empirical support as an addiction (n = 20); and compulsive shopping (CS), a proposed 'novel' addiction(n = 20).
Participants were recruited from either the general population, or from the Auckland Salvation Army Bridge residential alcohol and drug treatment programme; Salvation Army Oasis Gambling Service; Pacific Peoples Addiction Service Incorporated; or Te Kahui Hauora O Ngati Koata Trust. Participants completed a battery of self-report measures comprising a demographics questionnaire; Addictive Disorder Questionnaire (ADQ); anxiety and depression subscales of the Symptom Checklist 90 Revised (SCL-90R); Barratt Impulsivity Scale II-r; and substance specific adaptations of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS).
Three general categories of addiction symptoms: physiological, salience and dyscontrol, were identified as broad aspects of addiction, common across all three groups. Measurable aspects of addiction, including impulsivity, obsessions, anxiety and depression were found to be endorsed similarly across the three addictions, irrespective of the severity of their addiction. Compulsions were found to be higher in the AD group. Higher anxiety was found to be correlated with higher addiction in the behavioural addictions (CS and PG), whereas depression and anxiety were associated with higher addiction severity in the AD group.
The results provide support for broadening addiction diagnostic definitions, to be more encompassing of the psychological and physiological experiences of each symptom; and developing different diagnostic categories for non-substance addictions that reflect the severity of the addiction. Results also provide evidence for developmental phases of addiction, from an early 'hedonistic' impulsive phase, to a compulsive phase, in which increased dyscontrol, mood and anxiety, marks the severity of the addiction.

text: Addiction Phenomenology In Substance Use  And Non-Substance Use Disorders There is growing research evidence and public concern over the burgeoning of disorders which share common features with substance addictions. In order to investigate the presence and role of addiction features in disorders outside of substance addictions, symptoms of addiction were explored within three addiction groups: alcohol dependence (AD), an established addiction (n = 24); pathological gambling (PG) a disorder with growing empirical support as an addiction (n = 20); and compulsive shopping (CS), a proposed 'novel' addiction(n = 20).
Participants were recruited from either the general population, or from the Auckland Salvation Army Bridge residential alcohol and drug treatment programme; Salvation Army Oasis Gambling Service; Pacific Peoples Addiction Service Incorporated; or Te Kahui Hauora O Ngati Koata Trust. Participants completed a battery of self-report measures comprising a demographics questionnaire; Addictive Disorder Questionnaire (ADQ); anxiety and depression subscales of the Symptom Checklist 90 Revised (SCL-90R); Barratt Impulsivity Scale II-r; and substance specific adaptations of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS).
Three general categories of addiction symptoms: physiological, salience and dyscontrol, were identified as broad aspects of addiction, common across all three groups. Measurable aspects of addiction, including impulsivity, obsessions, anxiety and depression were found to be endorsed similarly across the three addictions, irrespective of the severity of their addiction. Compulsions were found to be higher in the AD group. Higher anxiety was found to be correlated with higher addiction in the behavioural addictions (CS and PG), whereas depression and anxiety were associated with higher addiction severity in the AD group.
The results provide support for broadening addiction diagnostic definitions, to be more encompassing of the psychological and physiological experiences of each symptom; and developing different diagnostic categories for non-substance addictions that reflect the severity of the addiction. Results also provide evidence for developmental phases of addiction, from an early 'hedonistic' impulsive phase, to a compulsive phase, in which increased dyscontrol, mood and anxiety, marks the severity of the addiction.

year: 2008

title: "Sometimes choices are not made, because we have 'a' choice, they're made because they are 'the' choice": Barriers to weight management for clients in rural general practice

authors: Norman, Kimberley

subjects: Obesity

abstract: BACKGROUND: Obesity is an international health issue which currently affects over 34% of New Zealand adults and leads to further physical and psychosocial health complications. People living in rural communities experience health inequities and have a high-risk of becoming obese. The aim of this study was to explore and identify barriers to effective weight management in rural Waikato general practice. 
METHODS: Using semi-structured interviews, 16 rural Waikato participants shared their experiences with barriers to weight management. Interviews were transcribed and analysed using thematic analysis. 
RESULTS: Four themes were identified: resource constraints, rural locality barriers, rural sociocultural norms barriers, and participants' understanding the solutions needed to overcome their specific barriers to effective weight management. For these participants, finding a feasible weight management strategy was a challenging first step in their weight management journey. A programme that would 'work' meant one that was economically viable for low-income persons, accessible, even if living rurally with less resources, and did not cause harm or jeopardise their social connections within family or community. 
CONCLUSION: Overall, participants noted a lack of weight management strategy 'choice' because of income, isolation or accessibility of their rural location and/or the sociocultural norms of the community they lived in restricted options available to them. Future weight management initiatives may be better devised from within communities themselves and will need to be cognisant of the barriers specific to rural communities. Rural perspectives have much to offer in any such reconsideration of weight management initiatives.

text: "Sometimes choices are not made, because we have 'a' choice, they're made because they are 'the' choice": Barriers to weight management for clients in rural general practice BACKGROUND: Obesity is an international health issue which currently affects over 34% of New Zealand adults and leads to further physical and psychosocial health complications. People living in rural communities experience health inequities and have a high-risk of becoming obese. The aim of this study was to explore and identify barriers to effective weight management in rural Waikato general practice. 
METHODS: Using semi-structured interviews, 16 rural Waikato participants shared their experiences with barriers to weight management. Interviews were transcribed and analysed using thematic analysis. 
RESULTS: Four themes were identified: resource constraints, rural locality barriers, rural sociocultural norms barriers, and participants' understanding the solutions needed to overcome their specific barriers to effective weight management. For these participants, finding a feasible weight management strategy was a challenging first step in their weight management journey. A programme that would 'work' meant one that was economically viable for low-income persons, accessible, even if living rurally with less resources, and did not cause harm or jeopardise their social connections within family or community. 
CONCLUSION: Overall, participants noted a lack of weight management strategy 'choice' because of income, isolation or accessibility of their rural location and/or the sociocultural norms of the community they lived in restricted options available to them. Future weight management initiatives may be better devised from within communities themselves and will need to be cognisant of the barriers specific to rural communities. Rural perspectives have much to offer in any such reconsideration of weight management initiatives.

year: 2022-10-25