title: Barriers to obesity health care from GP and client perspectives in New Zealand general practice: A meta-ethnography review

authors: Norman, Kimberley

subjects: Science & Technology

abstract: Obesity is a complex international health concern affecting individual quality of life and contributing to an unsustainable strain on national health systems. General practice is positioned as best suited to deliver weight management health care, yet, obesity rates remain high suggesting barriers are experienced within this space. The aim of this review is to synthesize general practitioner and client perspectives of weight management to identify barriers experienced in New Zealand general practice. Six databases were searched resulting in eight articles being included in this review. This interpretive synthesis was guided by principles of meta-ethnography and grounded theory. Four overarching themes were identified from client and general practitioner perspectives: stigma, communication, inadequate health care (system limitations for general practitioners and lack of tailored advice for clients), and sociocultural influences. These four barriers were found to be interdependent, influencing each other outside the general practice context, highlighting the intersectionality of weight management health-care barriers and further complicating effective weight management within general practice. Clients reported wanting tailored, non-stigmatized, effective weight management health care, yet, general practitioners reported being ill-equipped to provide this due to barriers both within and outside the limits of their practice. General practice requires more systemic support to deliver effective weight management including public health campaigns and indigenous health information to reduce health inequities. An appraisal of general practice being “best suited” to deliver effective weight management health care that is culturally appropriate is urgently required to improve obesity related health outcomes in New Zealand.

text: Barriers to obesity health care from GP and client perspectives in New Zealand general practice: A meta-ethnography review Obesity is a complex international health concern affecting individual quality of life and contributing to an unsustainable strain on national health systems. General practice is positioned as best suited to deliver weight management health care, yet, obesity rates remain high suggesting barriers are experienced within this space. The aim of this review is to synthesize general practitioner and client perspectives of weight management to identify barriers experienced in New Zealand general practice. Six databases were searched resulting in eight articles being included in this review. This interpretive synthesis was guided by principles of meta-ethnography and grounded theory. Four overarching themes were identified from client and general practitioner perspectives: stigma, communication, inadequate health care (system limitations for general practitioners and lack of tailored advice for clients), and sociocultural influences. These four barriers were found to be interdependent, influencing each other outside the general practice context, highlighting the intersectionality of weight management health-care barriers and further complicating effective weight management within general practice. Clients reported wanting tailored, non-stigmatized, effective weight management health care, yet, general practitioners reported being ill-equipped to provide this due to barriers both within and outside the limits of their practice. General practice requires more systemic support to deliver effective weight management including public health campaigns and indigenous health information to reduce health inequities. An appraisal of general practice being “best suited” to deliver effective weight management health care that is culturally appropriate is urgently required to improve obesity related health outcomes in New Zealand.

year: 2022-07-14

title: Late Miocene-Early Pliocene Matemateaonga Formation in eastern Taranaki Peninsula: A new 1:50,000 geological map and stratigraphic framework

authors: Vonk, Adam J.

subjects: Taranaki Basin

abstract: In recent years the Matemateaonga Formation has become an additional exploration play in Taranaki Basin. Exploration interest has been stimulated by the success of Swift Energy Company in the Rimu/Kauri prospect (38719), located near south Taranaki Coast. At this location, sandstone lithofacies, commonly termed “Manutahi Sandstone” in the lower parts of the Matemateaonga Formation have been intersected by the Kauri-A2 and Kauri-A3 wells at depths of ~1100-1200 m and are yielding commercial quantities of oil.
As part of a FRST-funded sedimentary basins research programme, we have geologically mapped in detail Matemateaonga Formation within an 1800 km2 area of the eastern peninsula region (Fig. 1), incorporating license areas 38739, 38718, 38753, 38138, 38139, 38141, 38140, 38716, 38758, 38728 and 38760. Mapping at 1:50,000 scale has revealed an ~1100 m-thick succession of cyclothemic, unconformity bounded shelfal strata of Late Miocene-Early Pliocene (Late Kapitean to Early Opoitian) age (c.5.5-4.7 Ma). This succession formed as a result of the interplay between climatically-driven 6th-order (41 k.y.) eustatic sea-level changes, high rates of basin subsidence and a substantial southerly-derived sediment flux. Individual sequences or groups of sequences are the fundamental mapping entities. The mapping area sits astride the southward-plunging Whangamomona Anticline, which has deformed the Late Neogene succession, producing a regional dip on its western flank of 2 to 4 degrees to the southwest. Northeast-southwest trending normal faults are relatively common and offset Matemateaonga Formation strata with throws of 2-50 m.
This improved knowledge of Matemateaonga Formation stratigraphy enhances the understanding of the distribution and geometry of potential reservoir sandstone units and associated mudstone seal units in the region.

text: Late Miocene-Early Pliocene Matemateaonga Formation in eastern Taranaki Peninsula: A new 1:50,000 geological map and stratigraphic framework In recent years the Matemateaonga Formation has become an additional exploration play in Taranaki Basin. Exploration interest has been stimulated by the success of Swift Energy Company in the Rimu/Kauri prospect (38719), located near south Taranaki Coast. At this location, sandstone lithofacies, commonly termed “Manutahi Sandstone” in the lower parts of the Matemateaonga Formation have been intersected by the Kauri-A2 and Kauri-A3 wells at depths of ~1100-1200 m and are yielding commercial quantities of oil.
As part of a FRST-funded sedimentary basins research programme, we have geologically mapped in detail Matemateaonga Formation within an 1800 km2 area of the eastern peninsula region (Fig. 1), incorporating license areas 38739, 38718, 38753, 38138, 38139, 38141, 38140, 38716, 38758, 38728 and 38760. Mapping at 1:50,000 scale has revealed an ~1100 m-thick succession of cyclothemic, unconformity bounded shelfal strata of Late Miocene-Early Pliocene (Late Kapitean to Early Opoitian) age (c.5.5-4.7 Ma). This succession formed as a result of the interplay between climatically-driven 6th-order (41 k.y.) eustatic sea-level changes, high rates of basin subsidence and a substantial southerly-derived sediment flux. Individual sequences or groups of sequences are the fundamental mapping entities. The mapping area sits astride the southward-plunging Whangamomona Anticline, which has deformed the Late Neogene succession, producing a regional dip on its western flank of 2 to 4 degrees to the southwest. Northeast-southwest trending normal faults are relatively common and offset Matemateaonga Formation strata with throws of 2-50 m.
This improved knowledge of Matemateaonga Formation stratigraphy enhances the understanding of the distribution and geometry of potential reservoir sandstone units and associated mudstone seal units in the region.

year: 2004

title: Language switching in a digital library: Does it make a difference if the default language is set to Maori?

authors: Keegan, Te Taka Adrian Gregory

abstract: In this paper we investigate the effect of default interface language on usage patterns of the Niupepa digital library (a collection of historic Māori language newspapers), by switching the default interface language between Māori and English in alternate weeks.
Transaction analysis of the Niupepa collection logs indicates that changing default language affects the length of user
sessions and the number of actions within sessions, and that the English language interface was used most frequently.

text: Language switching in a digital library: Does it make a difference if the default language is set to Maori? In this paper we investigate the effect of default interface language on usage patterns of the Niupepa digital library (a collection of historic Māori language newspapers), by switching the default interface language between Māori and English in alternate weeks.
Transaction analysis of the Niupepa collection logs indicates that changing default language affects the length of user
sessions and the number of actions within sessions, and that the English language interface was used most frequently.

year: 2004-01-01