Understanding excess body weight: New Zealand Health Survey

Explores the increase in obesity over a 36 year period to 2013 and investigates the impact of obesity on different birth cohorts. Summary Obesity is New Zealand’s leading modifiable risk factor for health loss. A number of diseases, including type 2 diabetes, ischaemic heart disease, ischaemic stroke and some cancers, are associated with excess body weight. Health loss can lead to premature death; life expectancy for the extremely obese is shortened by 8 to10 years. There has been a dramatic increase in the global prevalence of obesity. In 2012 New Zealand adults ranked third highest out of 15 OECD countries for measures of obesity; in 2010 New Zealand children (aged 5–17 years) ranked third highest out of 40 countries for overweight (including obesity). This publication explores the increase in obesity over a 36 year period to 2013 and investigates the impact of obesity on different birth cohorts. It reviews the current status of adult and child obesity in New Zealand, looking at the population groups that are affected most. The report also looks at the prevalence of extreme obesity, where health impacts on individuals are likely to be most pronounced

The forgotten exotic tapeworms : a review of uncommon zoonotic cyclophyllidea

As training in helminthology has declined in the medical microbiology curriculum, many rare species of zoonotic cestodes have fallen into obscurity. Even among specialist practitioners, knowledge of human intestinal cestode infections is often limited to three genera, Taenia, Hymenolepis and Dibothriocephalus. However, five genera of uncommonly encountered zoonotic Cyclophyllidea (Bertiella, Dipylidium, Raillietina, Inermicapsifer and Mesocestoides) may also cause patent intestinal infections in humans worldwide. Due to the limited availability of summarized and taxonomically accurate data, such cases may present a diagnostic dilemma to clinicians and laboratories alike. In this review, historical literature on these cestodes is synthesized and knowledge gaps are highlighted. Clinically relevant taxonomy, nomenclature, life cycles, morphology of human-infecting species are discussed and clarified, along with the clinical presentation, diagnostic features and molecular advances, where available. Due to the limited awareness of these agents and identifying features, it is difficult to assess the true incidence of these 'forgotten' cestodiases as clinical misidentifications are likely to occur. Also, the taxonomic status of many of the human-infecting species of these tapeworms is unclear, hampering accurate species identification. Further studies combining molecular data and morphological observations are necessary to resolve these long-standing taxonomic issues and to elucidate other unknown aspects of transmission and ecology. Copyright © The Author(s), US Government, 2020

The Role of Serotonin in MDMA Self-administration in Rats

Rationale: The profile of acquisition for MDMA self-administration differs from that of amphetamine and cocaine self-administration in that fewer rats meet an acquisition criterion and the latency to acquisition is longer. These characteristics of MDMA self-administration may be because it preferentially stimulates serotonin (5HT) release whereas self-administration has generally been attributed to enhanced dopamine (DA) neurotransmission. Because 5HTergic agonists are not self-administered and increased synaptic 5HT decreased self-administration of other drugs, MDMA self-administration may be initially inhibited by the pronounced 5HT response. Accordingly, the acquisition of MDMA self-administration might proceed as a result of deficits in 5HT neurotransmission and a corresponding disinhibition of DA neurotransmission. Objective: The primary objective was to determine the role of 5HT in the acquisition and maintenance of MDMA self-administration. Methods: MDMA-induced increases of extracellular 5HT and DA and their primary metabolites were measured in the DA terminal regions of the nucleus accumbens (NAc) using in vivo microdialysis, prior to the commencement of MDMA self-administration. The relationship between MDMA-induced increases of neurotransmitter levels and the acquisition of MDMA self-administration was assessed. A subsequent study depleted brain 5HT by administering the neurotoxin, 5,7 – DHT, or vehicle into the lateral ventricle of the left hemisphere, prior to the commencement of MDMA self-administration. The proportion of subjects that acquired MDMA self-administration and the latency to acquire MDMA self-administration was compared for the two groups. In order to determine effects of MDMA self-administration on 5HT and DA responses, behaviours that reflect 5HT and/or DA neurotransmission were measured 5 or 14 days after self-administration of 165 mg/kg MDMA, or 14 days after vehicle self-administration. These time periods were chosen because they reflect a period of 5HT deficits (5 days) and recovery (14 days). Finally, the effect of abstinence on MDMA self-administration was measured. Results: The MDMA-induced increase of extracellular 5HT was significantly lower for the group that subsequently acquired MDMA self-administration but the MDMA-induced increase in DA was not different from the group that failed to acquire self-administration. 5, 7-DHT administration significantly decreased tissue levels of 5HT, but not DA. MDMA self-administration was facilitated by the lesion; 100% of the lesion group acquired MDMA self-administration, whereas only 50% of the control group acquired self-administration. Five days following the last MDMA self-administration session, DAergic behaviours were enhanced and 5HTergic behaviours were reduced relative to the control group. These differences in 5HTergic mediated behaviours were not apparent 14 days after self-administration but the DAergic behaviours remained elevated. The pattern of self-administration did not differ as a function of the length of the abstinence period. Conclusions: The variability in acquisition of MDMA self-administration was related to the magnitude of the 5HT response evoked by initial exposure to MDMA. These findings suggested that predisposing differences in the 5HT response might explain differences in the variability in acquisition of MDMA self-administration. The negative impact of 5HT on the acquisition of MDMA self-administration was clearly demonstrated following a 5, 7-DHT lesion. Thus, 5HT limits the development of MDMA self-administration. With repeated exposure to self-administered MDMA, behavioural responses indicative of 5HT activation were reduced whereas behavioural indices of DA activation were increased. The maintenance of MDMA self-administration was comparable regardless of whether there was a forced abstinence period or not. These data are consistent with the hypotheses that 5HT is inhibitory to the acquisition, but not the maintenance, of MDMA self-administration. Rather, the maintenance of self-administration might reflect sensitised DA responses that became apparent following repeated exposure

Resilience of biota in wetlands of intermediate salinity

 This thesis investigated the impacts of increased salinity on plants and animals found in selected wetlands of northwestern Victoria. Results showed that communities are resilient and can re-establish after periods of exposure to high salinity. These findings will inform environmental managers about ways to help maintain high biodiversity in saline wetland

A Comparison of Repeated MDMA- and AMPH-Produced Centre and Periphery Activity and the Underlying Neuroadaptations

The recreational use of 3,4-methylenedioxymethamphetamine (MDMA or 'ecstasy') is increasing in New Zealand. MDMA is a ring-substituted derivative of AMPH and, similar to AMPH, produces hyperactivity upon administration. However, the behavioural profile of hyperlocomotion produced by MDMA differs from that produced by AMPH, suggesting that different neural mechanisms underlie the behavioural response. The repeated administration of both MDMA and AMPH induces sensitised hyperactive responses that have recently been found to be different. In the present study, MDMA- and AMPH-induced centre and periphery hyperactivity were compared to investigate the neuroadaptations produced by repeated exposure to the two drugs. Rats were pre-treated with saline, MDMA, or AMPH and the acute response to MDMA, AMPH, or the D1 agonist, SKF-81297 was measured to determine whether cross-sensitisation was produced. Repeated administration of MDMA and AMPH produced similar behavioural profiles. However, cross-sensitisation between the two drugs was uni-directional, suggesting that the two produce different neuroadaptations. Repeated AMPH, but not MDMA, produced a sensitised response to the hyperlocomotor effects of SKF-81297, suggesting that D1 receptor mechanisms are one example of different neuroadaptations

A Spirit of Place

This presentation considers: Partnership roles between art schools and the heritage sector. The potential of artists in supporting communities, more broadly, to develop deeper understanding of shared heritage, their visibility within it, therefore themselves and their role in democratising (access to) heritage. How artists understand the role of communities in their practice, exploring place from different creative perspectives. Drawing upon empirical data, the presentation reflects upon:Creative processes that consider inclusion and access, to directly engage students with ‘audience’, ‘place’ and ‘environment’.The application of reverse processes to facilitate and enable creative responses that develop fresh understanding, skills, and self-knowledge.Rising Stars is a partnership between Northumbria University and the National Trust at Seaton Delaval Hall and forms part of The Curtain Rises project. The partnership is an opportunity for the National Trust to work collaboratively with students and give them valuable experience working across a range of areas in the heritage sector. Working with Northumbria University enables the National Trust to develop its community offer. Using the Rising Stars: Participation and Engagement case study as an example of a wider partnership encouraging openness growth and creativity, this describes the journey of Level 4 BA Fine Art students and how partnership working can be adapted to address curriculum requirements, frame delivery, and support students to develop as socially engaged practitioners and to better understand context. The Rising Stars Participation and Engagement brief has supported and recontextualised ways to engage with place, heritage, and environment, by offering innovative, practice-led approaches that inspire audience with different ways to access heritage & culture as participants. Using a ‘Live Brief’ as a tool to enhance research skills, promote collaboration and develop transferable ‘soft skills’, this gives positive examples of students creating connections and collaborations that support employability, activate creativity and expediate ownership of learning. Following a brief presentation, we wish to stimulate debate to further explore the role of heritage and cultural sector and academic institutions in developing approaches to art education that not only develop artistic practice, soft skills but also the confidence and capability to work with communities to support democratising heritage and culture. How can art schools / universities strengthen and promote cultural engagement and participation? How do site-specific and collaborative ways of working change perceptions and develop innovation? How can partnerships between art schools and heritage and cultural sector create space for students to understand the role of uncertainty and flexibility in developing their creative process and soft skills? How can partnerships between heritage and cultural sector and art schools explore the role of art in communities in understanding and accessing heritage and in turn provide artists in education with the experience and skills to do this

Exploring weight loss services in primary care and staff views on using a web-based programme

Although primary care staff felt they should deliver weight loss services, low levels of faith in the efficacy of current treatments resulted in provision of under-resourced and 'ad hoc' services. Integration of a web-based weight loss programme that promotes service evaluation and provides a cost-effective option for supporting patients may encourage practices to invest more in weight management service

Randomised controlled feasibility trial of a web-based weight management intervention with nurse support for obese patients in primary care

<b>Background</b><p></p> There is a need for cost-effective weight management interventions that primary care can deliver to reduce the morbidity caused by obesity. Automated web-based interventions might provide a solution, but evidence suggests that they may be ineffective without additional human support. The main aim of this study was to carry out a feasibility trial of a web-based weight management intervention in primary care, comparing different levels of nurse support, to determine the optimal combination of web-based and personal support to be tested in a full trial.<p></p> <b>Methods</b><p></p> This was an individually randomised four arm parallel non-blinded trial, recruiting obese patients in primary care. Following online registration, patients were randomly allocated by the automated intervention to either usual care, the web-based intervention only, or the web-based intervention with either basic nurse support (3 sessions in 3 months) or regular nurse support (7 sessions in 6 months). The main outcome measure (intended as the primary outcome for the main trial) was weight loss in kg at 12 months. As this was a feasibility trial no statistical analyses were carried out, but we present means, confidence intervals and effect sizes for weight loss in each group, uptake and retention, and completion of intervention components and outcome measures.<p></p> <b>Results</b><p></p> All randomised patients were included in the weight loss analyses (using Last Observation Carried Forward). At 12 months mean weight loss was: usual care group (n = 43) 2.44 kg; web-based only group (n = 45) 2.30 kg; basic nurse support group (n = 44) 4.31 kg; regular nurse support group (n = 47) 2.50 kg. Intervention effect sizes compared with usual care were: d = 0.01 web-based; d = 0.34 basic nurse support; d = 0.02 regular nurse support. Two practices deviated from protocol by providing considerable weight management support to their usual care patients.<p></p> <b>Conclusions</b><p></p> This study demonstrated the feasibility of delivering a web-based weight management intervention supported by practice nurses in primary care, and suggests that the combination of the web-based intervention with basic nurse support could provide an effective solution to weight management support in a primary care context

Geography, environment, and colonization history interact with morph type to shape genomic variation in an Arctic fish

Funding Information: Thanks go to our editor and three anonymous reviewers whose suggestions greatly improved this study. We thank S. Avery, J. Callahan, S. Duffy, S. Hann, L. Pike, R. Solomon, A. Walsh, for assistance with sample collection and fieldwork. We are grateful to X. Dallaire and J.S. Moore for providing samples from Ungava, Bay (HAB) and to L. Bernatchez for his valuable comments on an earlier version of this manuscript. Thanks to Parks Canada for allowing us access to the Torngat Mountains National Park and the Nunatsiavut government for allowing us to collect samples from their lands. Thanks to A. Belay at Mount Sinai Hospital for her help with sequencing, A. Mesmer for help with genotyping, and S. Lehnert for insightful data analysis suggestions. We also thank the Institute for Biodiversity, Ecosystem Science, and Sustainability of the Department of Environment and Conservation of the Government of Labrador and Newfoundland for funding for this project; NSERC for the Strategic Grant STPGP 430198 and Discovery Grant awarded to DER, for the CGS‐D awarded to SJS; the Killam Trust for the Level 2 Izaak awarded to SJS; and the Government of Nova Scotia for the Graduate Scholarship awarded to SJS. Publisher Copyright: © 2023 The Authors. Molecular Ecology published by John Wiley & Sons Ltd.Peer reviewedPublisher PD