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Typescript. / Thesis (Ed. D.)--University of Hawaii at Manoa, 1984. / Bibliography: leaves 628-640. / xii, 640 leaves, bound ill. 29 cm

Elevated arsenic concentrations have been reported in a drinking water and irrigation-supply aquifer of Stuarts Point, New South Wales, Australia. Arsenic occurrence in such aquifers is potentially a major issue due to their common use for high yield domestic and irrigation water supplies. Ten multi-level piezometers were installed to depths of approximately 30 m in the sand and clay aquifer. Sediment samples were collected at specific depths during drilling and analysed for chemical and mineralogical composition, grain size characteristics, potential for arsenic release from solid phase and detailed microscopic features. From this data, a full geomorphic reconstruction allowed the determination of source provenance for the aquifer sediments. The model proposed herein provides evidence that the bulk of the aquifer was deposited under intermittent fluvial and estuarine conditions; and that all sediments derive from the regional arsenicmineralised hinterland. More than 200 groundwater samples were collected and analysed for over 50 variables. The heterogeneity of the aquifer sediments causes redox stratification to occur, which in turn governs arsenic mobility in the groundwater. The bulk of the aquifer is composed of fluvial sand deposits undergoing reductive dissolution of iron oxides. Arsenic adsorbed to iron oxide minerals is released during dissolution but re-adsorbs to other iron oxides present in this part of the aquifer. The deeper, more reducing fluvial sand and estuarine clay groundwaters have undergone complete reductive dissolution of iron oxides resulting in the subsequent mobilisation of arsenic into groundwater. Some of this arsenic has been incorporated into iron sulfide mineral precipitates, forming current arsenian pyrite sinks within the aquifer. The extraction of groundwater from the aquifer for irrigation and drinking water supply induces seawater intrusion of arsenic-rich estuarine water, bringing further dissolved arsenic into the aquifer. A greater understanding of the source, sinks and mobilisation of arsenic in this aquifer contributes to our broad understanding of arsenic in the environment; and allows aquifer specific management procedures and research recommendations to be made. Any coastal or unconsolidated aquifer that has sediments derived from mineralised provenances should consider monitoring for arsenic, and other potentially toxic trace elements, in their groundwater systems.

Aims and objectives: To investigate the epidemiology, risk factors, and preventive strategies for serious head and spinal injuries related to rugby league and union football in New South Wales (NSW). Methods: The three main components of this study included. 1. A retrospective analysis of clinical and compensation case file records during the 16-year period, 1984-1999. 2. A review of game rules, weights and heights of players, over the past 100 years. 3. A review of film and video footage of rugby football games spanning most of the 20th century. A method was developed to allow valid comparisons in style of play over a 70-year period. Results: The estimated annual incidence rate of SCI for rugby league players was 1.9 (95%CI 1.3 - 2.8) per 100,000 estimated players per year, and 3.3 (95%CI 2.2 - 4.8) per 100,000 estimated rugby union players per year over the study period 1984 to 1999. There was no significant change in the incidence of rugby league related serious spinal cord injuries (1984-1999), fatalities (1984-1999) or serious head injuries (1984-1999). There was a small but significant decline in rugby union related serious spinal cord injuries (1984-1999, P<0.05). However, the relative risk of spinal cord injury was 1.34 times greater for rugby union compared to rugby league over the entire study period (95%CI 1.01 - 1.67, P<0.05). For rugby football, the evidence suggested that the force of impact between participants was a key causal risk factor for serious injury. Elite rugby league and union players from 1999-2000 teams were significantly heavier (P<0.05) and taller (P<0.05) than players pre 1950. Players in modern elite games post 1989 were more likely to be tackled by multiple opponents (P = 0.000), tackled head on (P<0.05), at chest level (P<0.05) and at greater speeds than their earlier counterparts pre 1958. However, modern players appear to be no more aggressive or perpetrate greater foul play than their predecessors. Conclusions: There was a continued annual occurrence of catastrophically serious injuries leading to permanent brain damage and quadriplegia associated with rugby league and union in NSW. The critical risk factors found to be associated with serious injury in rugby football suggest relatively novel approaches to the development of preventive strategies.

Drawing on in-depth interviews, participant observation and my experiences of working with young homeless people in refuges, in this thesis I develop an analysis which identifies some key spatial practices through which young people negotiate the field of homelessness in inner-city Sydney. The particular contribution of this work is to consider homelessness in terms of a theorised understanding of the broader role of place within homelessness, rather than in terms of the immediacy of cause or solution. While acknowledging the importance of the large body of work which has focused on the structural causes of homelessness and the need for a clear policy-oriented definition of homelessness, I develop an alternative agenda for a focus on young homeless people's struggles to feel 'in place' and 'at home'. These struggles throw into relief the need to understand young people???s homelessness in terms of a search, not just for a place to stay, but for a place to belong. Utilising the rich body of work which explores the important relation of place and subjectivity, I connect young people???s experiences of place within homelessness with the broader social and phenomenological concepts of ???displacement??? and ???implacement???. In particular, I focus on the spatial relations through which young people construct and organise their daily paths and begin to make sense of their often painful and chaotic lives and their fears about the future. I contextualise their fragile experiences of being somewhere in a broader spatial structure of constant movement and grief and feelings of alienation from the wider community. I consider the enduring role of past homes in their continuing struggle to piece together a way of ???being at home??? both in terms of drawing together a network of physical places of safety and in terms of experiencing a sense of acceptance, recognition and rootedness through place. I point to the critical need to include broader understandings of both home and homelessness in addressing the displacement which shapes the experience of homelessness for young people and impacts on the success of immediate measures developed to respond to it.

Drug Consumption Rooms (DCRs), where injecting drug users (IDUs) can use pre-obtained drugs in a hygienic and professionally supervised low threshold setting, aim to engage high risk IDUs, reduce public drug use, injecting-related morbidity and mortality, and improve access to drug treatment. This thesis evaluates the service demand, accessibility, utilisation, and coverage of Australia???s first DCR, the Sydney Medically Supervised Injecting Centre (MSIC), located in an area with a history of illegal shooting gallery operation. MSIC impact on injecting practices and injecting related health, and referral to drug treatment were also examined. Methods included cross-sectional IDU surveys, key informant interviews, staff focus groups, analysis of client registration and surveillance data and routinely collected data on needles and syringes - including multiple indirect prevalence estimation, and prospective follow-up of MSIC referrals. Shooting gallery users expressed demand for and willingness to use the MSIC. Injecting episodes previously occurring in shooting galleries appear to have been transferred to the MSIC, although shooting galleries continued to operate at a reduced level. The MSIC service model was accessible, with few refusals of entry, high levels of client satisfaction and limited non-use for reasons relating to the model. MSIC engaged high risk IDUs - regular injectors, sex workers, and those injecting in public places and shooting galleries - who were also more likely to be frequent attendees. MSIC clients were more likely than other IDUs to inject in public places and shooting galleries, be HCV seropositive, have riskier injecting practices and more severe injecting related health problems. MSIC achieved good coverage of the local IDU population (70.7%, range 59.1%-86.7%) and modest coverage of their estimated total injecting episodes during its operating hours (8.8%, range 7.3%-10.8%). MSIC use was associated with improvements in injecting practices and health. Frequent MSIC use was also associated with higher rates of referral to drug treatment than less frequent use. Drug treatment referral uptake was positively associated with a recent history of daily injection and sex work and negatively associated with a lifetime history of psychiatric treatment and/or self harm. This research was confounded by substantial changes in heroin availability during the study period but provides new evidence on DCR coverage, impact on injecting practices and health, and referral to drug treatment. Implications for future research are discussed.

The Patonga Claystone, a red bed facies in the Narrabeen Group of the Sydney Basin, is one of the most unfavorable rock units in the basin from a geotechnical point of view. This rock unit is composed of sandstone, siltstone, mudstone and claystone. One of the unfavorable characteristics is the low shear strength, which causes instability of cut slopes; another is its slaking-prone behaviour. Numerous measurements of geotechnical properties, along with extensive mineralogical and geochemical determinations, were carried out to identify cause of this slaking behaviour. Key techniques were the use of quantitative X-ray diffractometry for mineralogical analysis, and the determination of slake durability index and related properties to evaluate the slaking behaviour under both standard and more extended conditions. Standard (two cycle) slake durability test results indicate a range from low to high slake durability index values, with some mudstone samples having very low durability and some sandstones having very high slake durability indices. Jar slake test results indicate that the rock samples break rapidly and/or develop several fractures (Ij = 4) in an as-received state, but degrade to a pile of flakes or mud (Ij = 1) if the samples are oven dried before testing. The results for jar slake testing of oven-dried material are comparable, for individual samples, to those obtained from the more comprehensive slake durability tests. The mineralogy of the samples was evaluated by quantitative X-ray diffraction techniques using the Rietveld-based Siroquant processing system. Comparison to independent chemical data show a generally good level of agreement, suggesting that the mineralogical analysis results are consistent with the chemical composition of the individual rock samples. Good correlations were also obtained between clay mineralogy determined from orientedaggregate XRD analysis of the &lt2 micron fraction and the results from powder diffractometry and Siroquant analysis of the whole-rock samples. Evaluation of the slake durability characteristics and other geotechnical properties in relation to the quantitative mineralogy suggests that quartz and feldspar form a rigid framework in the rocks that resists the disruptive pressures that cause slaking. Expansion of the clay minerals by various processes, including the incorporation of water into the interlayer spaces of illite/smectite as well as changes in pore pressures associated with entry of water into micro-fractures in the clay matrix, are thought to produce the disruptions that cause slaking and degradation. An abundant clay matrix also reduces the strength of the rock materials, probably because of the less rigid nature of the clay minerals relative to the quartz and feldspar particles. As well as the mineralogy, the loss on ignition (LOI) and water absorption percentage were found to provide good indicators of longer-term slaking behaviour. Both properties are also related to the overall clay content. Rock samples with water absorption values of &lt10, 10-15 and &gt15% behave as highly durable, intermediate and less durable materials respectively. Rocks with LOI values of greater than 5% by weight behave as less durable rock materials, at least for the strata encompassed by the present study. The water absorption and LOI values were also used to develop a predictive model of slake durability characteristics for the different rock materials in the Patonga Claystone, providing a relatively simple basis for predicting longer-term stability in a range of geotechnical studies.

Drug Consumption Rooms (DCRs), where injecting drug users (IDUs) can use pre-obtained drugs in a hygienic and professionally supervised low threshold setting, aim to engage high risk IDUs, reduce public drug use, injecting-related morbidity and mortality, and improve access to drug treatment. This thesis evaluates the service demand, accessibility, utilisation, and coverage of Australia???s first DCR, the Sydney Medically Supervised Injecting Centre (MSIC), located in an area with a history of illegal shooting gallery operation. MSIC impact on injecting practices and injecting related health, and referral to drug treatment were also examined. Methods included cross-sectional IDU surveys, key informant interviews, staff focus groups, analysis of client registration and surveillance data and routinely collected data on needles and syringes - including multiple indirect prevalence estimation, and prospective follow-up of MSIC referrals. Shooting gallery users expressed demand for and willingness to use the MSIC. Injecting episodes previously occurring in shooting galleries appear to have been transferred to the MSIC, although shooting galleries continued to operate at a reduced level. The MSIC service model was accessible, with few refusals of entry, high levels of client satisfaction and limited non-use for reasons relating to the model. MSIC engaged high risk IDUs - regular injectors, sex workers, and those injecting in public places and shooting galleries - who were also more likely to be frequent attendees. MSIC clients were more likely than other IDUs to inject in public places and shooting galleries, be HCV seropositive, have riskier injecting practices and more severe injecting related health problems. MSIC achieved good coverage of the local IDU population (70.7%, range 59.1%-86.7%) and modest coverage of their estimated total injecting episodes during its operating hours (8.8%, range 7.3%-10.8%). MSIC use was associated with improvements in injecting practices and health. Frequent MSIC use was also associated with higher rates of referral to drug treatment than less frequent use. Drug treatment referral uptake was positively associated with a recent history of daily injection and sex work and negatively associated with a lifetime history of psychiatric treatment and/or self harm. This research was confounded by substantial changes in heroin availability during the study period but provides new evidence on DCR coverage, impact on injecting practices and health, and referral to drug treatment. Implications for future research are discussed.

The Patonga Claystone, a red bed facies in the Narrabeen Group of the Sydney Basin, is one of the most unfavorable rock units in the basin from a geotechnical point of view. This rock unit is composed of sandstone, siltstone, mudstone and claystone. One of the unfavorable characteristics is the low shear strength, which causes instability of cut slopes; another is its slaking-prone behaviour. Numerous measurements of geotechnical properties, along with extensive mineralogical and geochemical determinations, were carried out to identify cause of this slaking behaviour. Key techniques were the use of quantitative X-ray diffractometry for mineralogical analysis, and the determination of slake durability index and related properties to evaluate the slaking behaviour under both standard and more extended conditions. Standard (two cycle) slake durability test results indicate a range from low to high slake durability index values, with some mudstone samples having very low durability and some sandstones having very high slake durability indices. Jar slake test results indicate that the rock samples break rapidly and/or develop several fractures (Ij = 4) in an as-received state, but degrade to a pile of flakes or mud (Ij = 1) if the samples are oven dried before testing. The results for jar slake testing of oven-dried material are comparable, for individual samples, to those obtained from the more comprehensive slake durability tests. The mineralogy of the samples was evaluated by quantitative X-ray diffraction techniques using the Rietveld-based Siroquant processing system. Comparison to independent chemical data show a generally good level of agreement, suggesting that the mineralogical analysis results are consistent with the chemical composition of the individual rock samples. Good correlations were also obtained between clay mineralogy determined from orientedaggregate XRD analysis of the &lt2 micron fraction and the results from powder diffractometry and Siroquant analysis of the whole-rock samples. Evaluation of the slake durability characteristics and other geotechnical properties in relation to the quantitative mineralogy suggests that quartz and feldspar form a rigid framework in the rocks that resists the disruptive pressures that cause slaking. Expansion of the clay minerals by various processes, including the incorporation of water into the interlayer spaces of illite/smectite as well as changes in pore pressures associated with entry of water into micro-fractures in the clay matrix, are thought to produce the disruptions that cause slaking and degradation. An abundant clay matrix also reduces the strength of the rock materials, probably because of the less rigid nature of the clay minerals relative to the quartz and feldspar particles. As well as the mineralogy, the loss on ignition (LOI) and water absorption percentage were found to provide good indicators of longer-term slaking behaviour. Both properties are also related to the overall clay content. Rock samples with water absorption values of &lt10, 10-15 and &gt15% behave as highly durable, intermediate and less durable materials respectively. Rocks with LOI values of greater than 5% by weight behave as less durable rock materials, at least for the strata encompassed by the present study. The water absorption and LOI values were also used to develop a predictive model of slake durability characteristics for the different rock materials in the Patonga Claystone, providing a relatively simple basis for predicting longer-term stability in a range of geotechnical studies.

Drug Consumption Rooms (DCRs), where injecting drug users (IDUs) can use pre-obtained drugs in a hygienic and professionally supervised low threshold setting, aim to engage high risk IDUs, reduce public drug use, injecting-related morbidity and mortality, and improve access to drug treatment. This thesis evaluates the service demand, accessibility, utilisation, and coverage of Australia???s first DCR, the Sydney Medically Supervised Injecting Centre (MSIC), located in an area with a history of illegal shooting gallery operation. MSIC impact on injecting practices and injecting related health, and referral to drug treatment were also examined. Methods included cross-sectional IDU surveys, key informant interviews, staff focus groups, analysis of client registration and surveillance data and routinely collected data on needles and syringes - including multiple indirect prevalence estimation, and prospective follow-up of MSIC referrals. Shooting gallery users expressed demand for and willingness to use the MSIC. Injecting episodes previously occurring in shooting galleries appear to have been transferred to the MSIC, although shooting galleries continued to operate at a reduced level. The MSIC service model was accessible, with few refusals of entry, high levels of client satisfaction and limited non-use for reasons relating to the model. MSIC engaged high risk IDUs - regular injectors, sex workers, and those injecting in public places and shooting galleries - who were also more likely to be frequent attendees. MSIC clients were more likely than other IDUs to inject in public places and shooting galleries, be HCV seropositive, have riskier injecting practices and more severe injecting related health problems. MSIC achieved good coverage of the local IDU population (70.7%, range 59.1%-86.7%) and modest coverage of their estimated total injecting episodes during its operating hours (8.8%, range 7.3%-10.8%). MSIC use was associated with improvements in injecting practices and health. Frequent MSIC use was also associated with higher rates of referral to drug treatment than less frequent use. Drug treatment referral uptake was positively associated with a recent history of daily injection and sex work and negatively associated with a lifetime history of psychiatric treatment and/or self harm. This research was confounded by substantial changes in heroin availability during the study period but provides new evidence on DCR coverage, impact on injecting practices and health, and referral to drug treatment. Implications for future research are discussed.