title: Acceptance with joy: Writing as a means of embodying compassion

authors: Kotzé, Elmarie

subjects: outsider witnessing

abstract: This article reports on research using writing workshops conducted with three women who distanced themselves from problematic relationships with their bodies that were induced by eating disorders. The article focuses on the use of writing tasks based on appreciative inquiry and outsider witnessing processes, practised with a group of women in a manner that provided space for the participants to story compassion for their bodies. The article explores the writing tasks that the participants were invited to undertake, and discusses the subsequent interviewing and outsider witnessing process as forms of narrative therapy practice. The article also documents the process of capturing a participant’s voice in a rescued speech poem.

text: Acceptance with joy: Writing as a means of embodying compassion This article reports on research using writing workshops conducted with three women who distanced themselves from problematic relationships with their bodies that were induced by eating disorders. The article focuses on the use of writing tasks based on appreciative inquiry and outsider witnessing processes, practised with a group of women in a manner that provided space for the participants to story compassion for their bodies. The article explores the writing tasks that the participants were invited to undertake, and discusses the subsequent interviewing and outsider witnessing process as forms of narrative therapy practice. The article also documents the process of capturing a participant’s voice in a rescued speech poem.

year: 2014

title: Episodic, seasonal, and long term morphological changes of Coromandel beaches

authors: Wood, Andrew

subjects: storm

abstract: The Coromandel Peninsula was subject to subdivision and development primarily since the 1960's. Much of the development that has occurred now renders protection from the existing beach systems which have typically been altered by development. Coupled with huge populations during summer, the region is of national significance therefore an understanding of coastal impacts is paramount. Analysis of the spatial and temporal variation of beaches along the eastern Coromandel Peninsula from Whangapoua in the north to Whiritoa in the south provided results ranging from single storm events to decadal scale oscillations. Beach similarity was determined by measuring parameters such as beach length, beach connectivity to neighbouring beaches, aspect, and beach slope. The analysis of variability in beach face volumes was undertaken using an extensive beach profile database collected by R. Keith Smith, Ron Ovenden and a monitoring program maintained by Environment Waikato since 1978. The database had a higher-resolution sampling interval from 1996 until present (a maximum sampling frequency of approximately bimonthly).
Results showed that short term beach volume changes were explained by the beach classification devised from the Wright and Short (1984) model and available planform morphology data. Intermediate beaches overall had a greater range of variation, but had a higher frequency of low magnitude of change events. Reflective beaches had a higher frequency of large magnitude of change events and subsequently greater short term volume changes. Beaches adjacent to harbours and two outliers were identified which did not accord to the classification. The classification model maintained its applicability for seasonal scale beach response. Embayed beaches on the Coromandel Peninsula also exhibited beach rotation to varying degrees. Beaches with similar planform morphology showed similar long term beach rotation characteristics. A biennial oscillation related to the El Ni o Southern Oscillation (ENSO) was evident as well as an interdecadal oscillation related to the Interdecadal Pacific Oscillation (IPO) was evident across the Peninsula. In particular, no beaches north of the Kuaotunu Peninsula showed a strong ENSO signal, and the strongest IPO response was on beaches north of the Kuaotunu Peninsula. The IPO appeared to enter a long term negative phase indicating decadal scale persistence of La Ni a events, therefore Coromandel beaches are likely to exhibit erosion dominant trends for the next 20 to 35 years.
Based on these results, 3 sediment transport and behavioural cells were defined, they were: beaches located north of the Kuaotunu Peninsula from Whangapoua to Otama with northerly orientations; Mercury Bay beaches including Opito Bay; and, easterly orientated beaches south of Mercury Bay.

text: Episodic, seasonal, and long term morphological changes of Coromandel beaches The Coromandel Peninsula was subject to subdivision and development primarily since the 1960's. Much of the development that has occurred now renders protection from the existing beach systems which have typically been altered by development. Coupled with huge populations during summer, the region is of national significance therefore an understanding of coastal impacts is paramount. Analysis of the spatial and temporal variation of beaches along the eastern Coromandel Peninsula from Whangapoua in the north to Whiritoa in the south provided results ranging from single storm events to decadal scale oscillations. Beach similarity was determined by measuring parameters such as beach length, beach connectivity to neighbouring beaches, aspect, and beach slope. The analysis of variability in beach face volumes was undertaken using an extensive beach profile database collected by R. Keith Smith, Ron Ovenden and a monitoring program maintained by Environment Waikato since 1978. The database had a higher-resolution sampling interval from 1996 until present (a maximum sampling frequency of approximately bimonthly).
Results showed that short term beach volume changes were explained by the beach classification devised from the Wright and Short (1984) model and available planform morphology data. Intermediate beaches overall had a greater range of variation, but had a higher frequency of low magnitude of change events. Reflective beaches had a higher frequency of large magnitude of change events and subsequently greater short term volume changes. Beaches adjacent to harbours and two outliers were identified which did not accord to the classification. The classification model maintained its applicability for seasonal scale beach response. Embayed beaches on the Coromandel Peninsula also exhibited beach rotation to varying degrees. Beaches with similar planform morphology showed similar long term beach rotation characteristics. A biennial oscillation related to the El Ni o Southern Oscillation (ENSO) was evident as well as an interdecadal oscillation related to the Interdecadal Pacific Oscillation (IPO) was evident across the Peninsula. In particular, no beaches north of the Kuaotunu Peninsula showed a strong ENSO signal, and the strongest IPO response was on beaches north of the Kuaotunu Peninsula. The IPO appeared to enter a long term negative phase indicating decadal scale persistence of La Ni a events, therefore Coromandel beaches are likely to exhibit erosion dominant trends for the next 20 to 35 years.
Based on these results, 3 sediment transport and behavioural cells were defined, they were: beaches located north of the Kuaotunu Peninsula from Whangapoua to Otama with northerly orientations; Mercury Bay beaches including Opito Bay; and, easterly orientated beaches south of Mercury Bay.

year: 2010

title: Characteristics and outcomes of patients with small cell lung cancer - findings from a New Zealand SACT database

authors: Lawrenson, Ross

abstract: Background Small Cell Lung Cancer (SCLC) SCLC generally presents late and is treated with systemic anti-cancer treatment (SACT). Māori are over represented in Lung Cancer statistics but disparities between Māori and non-Māori in patterns of care and survival from SCLC have not been previously reported. 
Methods We used the custom-built SACT database collected by the Oncology Department at Waikato Hospital NZ, which recorded comprehensive lung cancer patient factors and SACT regimens from 2000 to 2021. We reported summary statistics to review the treatment by ethnicity, explored Kaplan Meier all-cause survival of patients, and estimated the unadjusted and adjusted odds ratios of surviving 12 months. 
Results 742 patients with SCLC were included in this study, with 43% identified as Māori. Approximately 75% of patients received SACT, and there was no difference in the uptake of SACT between Māori and non-Māori. The median survival for SCLC was 8.5 months. After adjustment, patients treated with carboplatin plus etoposide (with/without durvalumab) or cisplatin plus etoposide were 1.5 times or 4.9 times respectively more likely to survive 12 months than those without a SACT regimen.
Conclusion There was no significant evidence of disparities in patterns of care and outcomes between Māori and non-Māori with SCLC. Carboplatin/cisplatin in combination with etoposide remained the primary first line SACT regimen for patients with SCLC in this New Zealand cancer treatment centre.

text: Characteristics and outcomes of patients with small cell lung cancer - findings from a New Zealand SACT database Background Small Cell Lung Cancer (SCLC) SCLC generally presents late and is treated with systemic anti-cancer treatment (SACT). Māori are over represented in Lung Cancer statistics but disparities between Māori and non-Māori in patterns of care and survival from SCLC have not been previously reported. 
Methods We used the custom-built SACT database collected by the Oncology Department at Waikato Hospital NZ, which recorded comprehensive lung cancer patient factors and SACT regimens from 2000 to 2021. We reported summary statistics to review the treatment by ethnicity, explored Kaplan Meier all-cause survival of patients, and estimated the unadjusted and adjusted odds ratios of surviving 12 months. 
Results 742 patients with SCLC were included in this study, with 43% identified as Māori. Approximately 75% of patients received SACT, and there was no difference in the uptake of SACT between Māori and non-Māori. The median survival for SCLC was 8.5 months. After adjustment, patients treated with carboplatin plus etoposide (with/without durvalumab) or cisplatin plus etoposide were 1.5 times or 4.9 times respectively more likely to survive 12 months than those without a SACT regimen.
Conclusion There was no significant evidence of disparities in patterns of care and outcomes between Māori and non-Māori with SCLC. Carboplatin/cisplatin in combination with etoposide remained the primary first line SACT regimen for patients with SCLC in this New Zealand cancer treatment centre.

year: 2023-02-10