title: Understanding weight management experiences from patient perspectives: Qualitative exploration in general practice

authors: Norman, Kimberley

subjects: Barriers

abstract: BACKGROUND: Obesity is a complex health issue affecting the quality of life of individuals and contributing to an unsustainable strain on healthcare professionals and national health systems. National policy guidelines indicate that general practice is best suited to deliver obesity healthcare, however, obesity rates continue to rise worldwide indicating interventions are ineffective in this space. The aim of this study was to explore the weight management experiences from patient perspectives. 
METHODS: This qualitative study used semi-structured interviews with 16 rural Waikato general practice patients. Interviews were analysed using reflexive thematic analysis. 
RESULTS: Four themes were identified: Inconsistent Information, Significance of Holistic Factors, Obesity Centre Need, and Education. Participants expressed frustration at contradictory health messages, commercial company and 'expert' definition distrust, and that 'holistic' aspects to health significant to the weight management journey were unable to be addressed in general practice. 
CONCLUSION: Whilst primary care is positioned as suitable for delivering obesity healthcare, this study found that participants do not perceive general practice to be equipped to deliver this care. Instead, participants argued for a specialist obesity centre capable of meeting all their obesity healthcare needs. Further, wider issues including on-line commodification of health and neo-liberal capitalism - factors that exploit people with a stigmatised health issue - can cause further harm to the participant. A radical modernisation of education, information, and resources from regulated, qualified and 'trusted' healthcare professionals who can provide safe, non-stigmatising supportive services is recommended to meet the unique and changing food climate, reduce obesity rates and improve health outcomes.

text: Understanding weight management experiences from patient perspectives: Qualitative exploration in general practice BACKGROUND: Obesity is a complex health issue affecting the quality of life of individuals and contributing to an unsustainable strain on healthcare professionals and national health systems. National policy guidelines indicate that general practice is best suited to deliver obesity healthcare, however, obesity rates continue to rise worldwide indicating interventions are ineffective in this space. The aim of this study was to explore the weight management experiences from patient perspectives. 
METHODS: This qualitative study used semi-structured interviews with 16 rural Waikato general practice patients. Interviews were analysed using reflexive thematic analysis. 
RESULTS: Four themes were identified: Inconsistent Information, Significance of Holistic Factors, Obesity Centre Need, and Education. Participants expressed frustration at contradictory health messages, commercial company and 'expert' definition distrust, and that 'holistic' aspects to health significant to the weight management journey were unable to be addressed in general practice. 
CONCLUSION: Whilst primary care is positioned as suitable for delivering obesity healthcare, this study found that participants do not perceive general practice to be equipped to deliver this care. Instead, participants argued for a specialist obesity centre capable of meeting all their obesity healthcare needs. Further, wider issues including on-line commodification of health and neo-liberal capitalism - factors that exploit people with a stigmatised health issue - can cause further harm to the participant. A radical modernisation of education, information, and resources from regulated, qualified and 'trusted' healthcare professionals who can provide safe, non-stigmatising supportive services is recommended to meet the unique and changing food climate, reduce obesity rates and improve health outcomes.

year: 2023-02-13

title: Fifteenth century earth science

authors: Stokes, Evelyn

abstract: The earth science content of two late medieval encyclopedias, the Mirrour of the World and Higden's Polychronicon, both printed by William Caxton in the 1480's, is examined in relation to fifteenth century ideas about the physical nature of the earth and the universe. Such topics as the four elements, the earth and the spheres, location of Hell and Paradise, the arrangement of , continents and oceans, the unity of waters, earthquakes and volcanoes, erosion, fossils and mountain building, climatic zones and weather phenomena are summarized and reference made to the Biblical and Classical Greek sources of these ideas.

text: Fifteenth century earth science The earth science content of two late medieval encyclopedias, the Mirrour of the World and Higden's Polychronicon, both printed by William Caxton in the 1480's, is examined in relation to fifteenth century ideas about the physical nature of the earth and the universe. Such topics as the four elements, the earth and the spheres, location of Hell and Paradise, the arrangement of , continents and oceans, the unity of waters, earthquakes and volcanoes, erosion, fossils and mountain building, climatic zones and weather phenomena are summarized and reference made to the Biblical and Classical Greek sources of these ideas.

year: 1967

title: When your maunga is a mountain but your moana is not a sea; Insights from the perception of synonymy of te reo Māori loanwords and New Zealand English lexical equivalents

authors: Pohl, Alexander

abstract: Languages and their speakers are in ongoing contact with one another, which inevitably leads to a flow of words being borrowed from one language into another (Haspelmath 2009; Winford 2010). One perspective that has comparatively seen less attention in language contact research concerns how loanword relate to existing lexical alternatives. In recent years, language contact research has thus seen a paradigm shift towards an onomasiological perspective (see Anderson et al. 2017; Crombez et al. 2022; Zenner et al. 2023). Within this shift, most studies looking at lexical variation between loanwords and their near synonyms equivalents employ corpus linguistics methods (e.g. Onysko & WinterFroemel 2011; Soares da Silva 2013). 

This project presents a large-scale experimental approach from a case-study involving Māori loanwords borrowed into New Zealand English (NZE). Māori loanwords are ubiquitous, salient and probably still increasing within the NZE lexicon (Macalister 2007; Trye et al. 2019). Regarding onomasiology, Māori loanwords have been glossed and explained in different ways, and to date, there has been to our knowledge almost no research focused specifically on the relationship between loanwords and their near synonyms. 

Here, we report on a Qualtrics experiment devised to probe the perceived relationship between 60 Māori loanwords (spanning established semantic categories: flora and fauna, material culture, and social culture) and their NZE equivalents, as ascertained from published sources. The synonymy judgments were elicited for pairs (e.g. whānau – family), using an analogue slider (ranging from 0 = non-synonymous to 100 = fully synonymous; see Figure 1). Because synonymy judgements are subjective, we also included ten fillers, to help us calibrate and interpret participant judgements. The 60 words were divided into two-word lists in order avoid fatigue, resulting in a within participant design. The target demographic for our population of interest consisted of young adults (18-24 years). 

Following cleaning and exclusions (e.g. participants who ignored filler items), the final dataset contained 260 participants. Inspecting the dataset showed a skew towards female participants, and for this reason, we focus our statistical analysis on this core sample, while keeping an eye on the full dataset containing all participants. Preliminary findings suggest that young adults think Māori loanwords are (highly) synonymous with NZE lexical alternatives. These findings will be further scrutinised with regression techniques and qualitative analyses of the comments provided in an open answer section of the questionnaire.

text: When your maunga is a mountain but your moana is not a sea; Insights from the perception of synonymy of te reo Māori loanwords and New Zealand English lexical equivalents Languages and their speakers are in ongoing contact with one another, which inevitably leads to a flow of words being borrowed from one language into another (Haspelmath 2009; Winford 2010). One perspective that has comparatively seen less attention in language contact research concerns how loanword relate to existing lexical alternatives. In recent years, language contact research has thus seen a paradigm shift towards an onomasiological perspective (see Anderson et al. 2017; Crombez et al. 2022; Zenner et al. 2023). Within this shift, most studies looking at lexical variation between loanwords and their near synonyms equivalents employ corpus linguistics methods (e.g. Onysko & WinterFroemel 2011; Soares da Silva 2013). 

This project presents a large-scale experimental approach from a case-study involving Māori loanwords borrowed into New Zealand English (NZE). Māori loanwords are ubiquitous, salient and probably still increasing within the NZE lexicon (Macalister 2007; Trye et al. 2019). Regarding onomasiology, Māori loanwords have been glossed and explained in different ways, and to date, there has been to our knowledge almost no research focused specifically on the relationship between loanwords and their near synonyms. 

Here, we report on a Qualtrics experiment devised to probe the perceived relationship between 60 Māori loanwords (spanning established semantic categories: flora and fauna, material culture, and social culture) and their NZE equivalents, as ascertained from published sources. The synonymy judgments were elicited for pairs (e.g. whānau – family), using an analogue slider (ranging from 0 = non-synonymous to 100 = fully synonymous; see Figure 1). Because synonymy judgements are subjective, we also included ten fillers, to help us calibrate and interpret participant judgements. The 60 words were divided into two-word lists in order avoid fatigue, resulting in a within participant design. The target demographic for our population of interest consisted of young adults (18-24 years). 

Following cleaning and exclusions (e.g. participants who ignored filler items), the final dataset contained 260 participants. Inspecting the dataset showed a skew towards female participants, and for this reason, we focus our statistical analysis on this core sample, while keeping an eye on the full dataset containing all participants. Preliminary findings suggest that young adults think Māori loanwords are (highly) synonymous with NZE lexical alternatives. These findings will be further scrutinised with regression techniques and qualitative analyses of the comments provided in an open answer section of the questionnaire.

year: 2024