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1

Davis, M., L. Hochberg, R. Zetterberg, and V. Pridmore. "Can Cross-Sector Partnerships Increase Breast Cancer Screening in Hard-to-Reach Migrant Populations?" Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 142s. http://dx.doi.org/10.1200/jgo.18.20500.

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Background and context: BreastScreen Victoria (BSV) provides free breast screening to women aged 40+; targeting women aged 50-74. The program reduces breast cancer-related deaths by up to 28%. BSV aims to ensure equitable participation for all women in the target age; however there are large disparities in screening rates for different subpopulations. Emerging migrant women participate in breast screening at lower rates than the general population. These women face complex barriers including cultural factors, low health literacy, and access. BSV identified cross-sector partnerships, with local trusted organizations who engage with emerging migrant women, as an approach to tackle the multidimensional problems in screening inequalities. Aim: Through cross-sector partnerships BSV aims to bring together diverse skills, knowledge and resources for more effective health promotion outcomes, including: 1. Increasing awareness of breast screening in emerging migrant communities, 2. Providing a culturally safe environment for women to access breast screening. Strategy/Tactics: BSV partnered with organizations beyond the traditional health sector. One key partnership is with AMES Australia, who provide settlement services for refugees and migrants. The main approach of this model is two-way capacity building between organizations. BSV built the capacity of AMES to deliver BreastScreen's key messages, and promote screening to eligible women accessing their service. This included training for staff, resource development/sharing, and support. AMES built the capacity of BSV by providing insight into barriers for women they engage, and guidance adapting traditionally clinical environments ensuring cultural safety. To date BSV has undertaken screening initiatives with AMES in 2 Melbourne locations. Outcomes: - Migrant women are introduced to breast screening by a trusted organization - BSV's key messages are delivered in a culturally appropriate manner - Development of sustainable skills, structures and resources in both organizations - Utilization of AMES relationship with their clients to engage women who BSV may not reach -not on the Victorian Electoral Roll - 6 group bookings with specific languages groups - Familiar case worker and in person translator supporting group bookings - Engaging mainly first time screeners who may not have accessed a breast screen - Overcoming cultural, language, and health literacy barriers - Tailored appointments for groups and walk-ins. What was learned: A lack of tailored strategies to engage women in breast screening compounds barriers for migrant women. Cross-sector partnerships increase the efficiency of systems that impact health by making the best use of different but complementary resources. Collaborations, joint resourcing and planned action should be considered ongoing practice, particularly for disengaged populations, to address the many determinants of health that lie outside the reach of the health system.
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Jakubowicz, Andrew, and Mara Moustafine. "Living on the Outside: cultural diversity and the transformation of public space in Melbourne." Cosmopolitan Civil Societies: An Interdisciplinary Journal 2, no. 3 (September 21, 2010): 55–75. http://dx.doi.org/10.5130/ccs.v2i3.1603.

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Melbourne has been described as Australia’s most liveable and most multicultural city. What relation do these descriptions have to each other? How has the public culture of Victoria been influenced by the cultural diversity of the state? The political class in Victoria has tended to be more in favour of multiculturalism as a policy, more resistant to populist racism and more positive about immigration than elsewhere in Australia. How has this orientation been affected by the institutional embedding of ethnic power during the past four decades? The organization of ethnic groups into political lobbies, which have collaborated across ethnic borders, has brought about cultural transformations in the “mainstream”. Often the public experiences these transformations through changing uses of public spaces. This paper offers an historical sociology of this process, and argues for a view of public space as a physical representation of the relative power of social forces. It is based on research for the Making Multicultural Australia (Victoria) project. (http://multiculturalaustralia.edu.au). An online version of the paper inviting user-generated comments can be found at http://mmav1.wordpress.com.
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Edwards, Anne, and Melanie Heenan. "Rape Trials in Victoria: Gender, Socio-cultural Factors and Justice*." Australian & New Zealand Journal of Criminology 27, no. 3 (December 1994): 213–36. http://dx.doi.org/10.1177/000486589402700301.

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The criminal law with respect to rape continues to be a major focus of academic, feminist and community attention. Since the 1970s a number of reforms have been introduced into the statutes and procedures relating to the definition of rape and the conduct of rape cases in the courts. This paper reports on the results of a 1990 Melbourne study, involving first-hand observation and systematic written recording of the entire court proceedings in six rape trials. The intention was to examine the role extra-legal socio-cultural factors play in the presentation and interpretation of accounts given in court and the influence they have on the outcomes. The analysis explores in detail the influence of the following: use of physical force and resistance; alcohol; the victim's social, moral and particularly sexual character, and her relationship with the accused.
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Murphy, Kerry. "Choral Concert Life in the Late Nineteenth-Century ‘Metropolis of the Southern Hemisphere’." Nineteenth-Century Music Review 2, no. 2 (November 2005): xi—xiv. http://dx.doi.org/10.1017/s1479409800002172.

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This issue of the Nineteenth-Century Music Review is devoted to Australia and more specifically to music-making in colonial Melbourne. The colony of Victoria was acknowledged as the cultural heart of Australia during the second half of the nineteenth century. Melbourne hosted two International Exhibitions in the 1880s and welcomed innumerable travelling musicians to its shores, where significant amounts of money could be made. Because of Melbourne's standing and cultural significance at the time and the extensive body of material available for study, the articles in this journal focus on this ‘metropolis of the Southern Hemisphere’. However, the activities discussed here can all be found, to varying degrees, in other parts of Australia as well. Liedertafels, for instance, were very prominent in Adelaide and its surrounding areas (and indeed still exist today), because of the significant German migration there. Philharmonic choirs were also widely established.
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Lake, Marilyn. "The Chinese Empire Encounters the British Empire and Its “Colonial Dependencies”: Melbourne, 1887." Journal of Chinese Overseas 9, no. 2 (2013): 176–92. http://dx.doi.org/10.1163/17932548-12341258.

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AbstractIn 1887 Qing Imperial Commissioners General Wong Yung Ho and U Tsing visited Melbourne as part of an investigative mission to enquire into the treatment of Chinese imperial subjects in Southeast Asia and the Australian colonies. In this article I suggest that the political ramifications of their visit should be understood in the context of the larger imperial and national contestations occurring in the colony of Victoria in the 1880s. White colonial assertions of the rights of self-government — argued in defiance of imperial power both British and Chinese — and Chinese appeals to international law were antagonistic, but mutually constitutive claims. The more Chinese community leaders and the Imperial Commissioners appealed to the primacy of international law, the more strident were white colonial invocations of a newly defined national interest couched in a republican discourse on national sovereignty defined as border protection.
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Phillips, D. I. "A new litter trap for urban drainage systems." Water Science and Technology 39, no. 2 (January 1, 1999): 85–92. http://dx.doi.org/10.2166/wst.1999.0091.

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Litter is generated in shopping areas and is washed or blown into stormwater drainage systems. These convey the litter to open water bodies leading to the accumulation of non-biodegradable litter on the banks and beaches of urban waterways and bay foreshores. The increasing public awareness of the problem prompted the State Government of Victoria to provide funding to develop an innovative patented litter trap known as the In-line Litter Separator (ILLS). The ILLS is retrofitted to the drainage system downstream of shopping areas and removes litter and other pollutants from the passing stormwater. In a two-year development program, ten prototypes were installed and tested in the Melbourne and metropolitan area. The results were so successful that the ILLS is now manufactured in Australia and overseas under license from Swinburne University. This paper presents the performance criteria, the design concepts, the outcomes of laboratory and hydrologic modelling and the analyses of prototype test results that led to the commercial production of the ILLS.
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Kirby, Sarah. "‘The Worst Oratorio Ever!’: Colonialist Condescension in the Critical Reception of George Tolhurst’s Ruth (1864)." Nineteenth-Century Music Review 16, no. 02 (May 4, 2017): 199–227. http://dx.doi.org/10.1017/s1479409817000325.

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The oratorio genre was regarded amongst the most edifying and instructive artforms of the Victorian era, and it was to these lofty ideals that George Tolhurst (1827–1877) aspired when composing his 1864 oratorioRuth. The first work of its kind written in the British colony of Victoria, Australia,Ruthreceived an initially favourable local reception; Tolhurst was urged by the Melbourne press to aim higher and present his work to a wider and more discerning audience. Consequently, he took his work to London where it was roundly criticized, widely mocked and eventually dubbed ‘the worst oratorio ever’. It might be assumed that a work so poorly received in the cultural metropolis of London would be, like so much other Victorian music, immediately forgotten. However, through its notoriously bad reception,Ruth– in what Percy Scholes describes as a ‘succès de ridicule’ – found a cult following that has spanned from the nineteenth century to the present day. This article examines the critical reception ofRuththrough the lens of colonial social relations, arguing that the treatment ofRuthin both London and Melbourne is emblematic of broader trends in the nineteenth-century relationship between parent state and settler colony. It also explores the surprising phenomenon of twentieth- and twenty-first-century consumption ofRuthin Britain, questioning whether the legacies of certain Victorian social and cultural prejudices relating to the artistic products of the colonies have been mitigated. Aesthetic and representational decisions made in recent revivals of Ruth suggest that cultural hierarchies forged during the Victorian era continue to be reinforced in the present day.
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Macgregor, Paul. "Chinese Political Values in Colonial Victoria: Lowe Kong Meng and the Legacy of the July 1880 Election." Journal of Chinese Overseas 9, no. 2 (2013): 135–75. http://dx.doi.org/10.1163/17932548-12341257.

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AbstractLowe Kong Meng (Liu Guangming 劉光眀, 1831-1888),1 pre-eminent merchant and community leader of gold-rush Melbourne, was active in Australian politics, self-regarded as a British subject yet engaged with the Qing dynasty and was likely the first overseas Chinese awarded rank in the Chinese imperial service. Victoria’s mid-1880 election was a watershed: the immediate aftermath was the re-introduction of regulations penalising Chinese, after over 15 years of free immigration and no official discrimination. After the election it was claimed that Lowe Kong Meng persuaded Victoria’s Chinese to vote for the government, but was it in his interests to do so? This article examines the nature of Lowe Kong Meng’s engagement in European and Chinese political activity in the colony, as well as the extent of his leadership in Chinese colonial and diasporic life and explores how much he could have used that leadership to influence electoral outcomes. The article also examines how Lowe Kong Meng and the wider Chinese population of the colony brought changing political agendas to Victoria and developed these agendas through their colonial experiences.
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Haukioja, Heather Seija Marguerite. "Exploring the Nature of Elder Abuse in Ethno-Cultural Minority Groups: A community-based participatory research study." Arbutus Review 7, no. 1 (August 8, 2016): 51. http://dx.doi.org/10.18357/tar71201615681.

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<p class="p1">Elder abuse is a significant public health, social justice, and human rights issue in today’s society. Despite the recognition that elder<span class="s1">1 </span>abuse affects older adults across all racial, ethnic, and cultural groups, very little is known about the experiences of elder abuse among people from diverse ethno-cultural backgrounds in Canada. The primary objective of this study is to explore the nature of elder abuse within the two largest ethno-cultural minority groups in British Columbia (BC), the Chinese and South Asians (i.e., those who were either born in or can trace their ancestry to South Asia, which includes nations such as India, Pakistan, Sri Lanka, Bangladesh, and Nepal). Using a community-based participatory research approach,this study is a collaboration between three academics at the University of Victoria and four front-line workers from the Inter-Cultural Association of Greater Victoria (ICA), a not-for-profit, multicultural services organization for immigrants and refugees. The qualitative findings from this interview-based study reveal that cultural context, immigration status, and ethnicity are significant factors influencing experiences of elder abuse. Further, the findings provide insights into what resources — awareness and prevention — need to be developed in order to address the issue of elder abuse in these communities.</p>
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Powell, Anastasia, Caitlin Overington, and Gemma Hamilton. "Following #JillMeagher: Collective meaning-making in response to crime events via social media." Crime, Media, Culture: An International Journal 14, no. 3 (July 26, 2017): 409–28. http://dx.doi.org/10.1177/1741659017721276.

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In the early morning of Saturday 22 September 2012 an Australian woman, Gillian ‘Jill’ Meagher, was reported missing after spending an evening out with work colleagues in suburban Brunswick (Melbourne, Victoria). Thousands of Australians followed the crime event as it unfolded via the mainstream news and online. On Sunday 23 September, a Facebook group ‘Help Us Find Jill Meagher’ was created, accumulating 90,000 followers in just four days, while the hashtags #jillmeagher and #meagher were two of the highest trending topics on Twitter across Australia. This article focuses on the social media narrative constructions of this crime: from Jill’s initial disappearance, to the identification of her alleged killer and discovery of her body, through to the street march held in her memory on Sunday 30 September 2012. Through a qualitative analysis of a Twitter dataset comprising over 7000 original tweets, the article explores meta-narratives of sexual victimisation, ‘risk’ and ‘safety’, as well as ‘digilantism’ and activism that characterised Australian Twitter users’ responses to this violent crime. In doing so, the article reflects on collective practices of meaning-making in response to public crime events that are enabled in a digital society.
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11

Ruth, Denise, Rosalind Hurworth, and Nabil Sulaiman. "Moving towards meaningful local population health data: The service provider perspective." Australian Journal of Primary Health 11, no. 2 (2005): 113. http://dx.doi.org/10.1071/py05029.

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Increasingly, primary care services are required to use data to assess their local population's health needs and plan services. This paper reports focus group discussions of service providers' perceived current practice, issues and needs related to obtaining and using data for planning services in two local government areas of Melbourne. Six groups were conducted with nominees from two municipal councils, four divisions of general practice, three community health services, three hospital networks and eight community organizations. Two groups were conducted with planners and data providers from the Department of Human Services, Victoria. The 66 participants had a broad range of experience in using data to assess local population health needs. Participants reported that issues limiting the use of data related to: access to data (lack of awareness, contacting the right person, poor communication between data providers and users, resource constraints, lack of central access); gaps in data; quality of data (inconsistent definitions and collection, currency, ties to funding); applicability of data (unfriendly format, problems with aggregated versus small area data, non-matching data sets, lack of contextual information); and support for data use in local population health planning. If local population needs assessment is to lead to better health outcomes, service providers need access to high quality data presented in formats that are applicable to their communities. They also need practicable planning methods, skills training and support in using data for local population needs assessment and service planning.
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12

Basu, Soumya, and Anton N. Isaacs. "Profile of transcultural patients in a regional Child and Adolescent Mental Health Service in Gippsland, Australia: The need for a multidimensional understanding of the complexities." International Journal of Social Psychiatry 65, no. 3 (March 18, 2019): 217–24. http://dx.doi.org/10.1177/0020764019835264.

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Background: Several childhood stressors related to immigration have been documented, and it is important for clinicians to understand and address the various factors that may lead to or act as maintaining factors of mental disorders in children and adolescents. Aims: To describe the cultural profile of transcultural patients presenting to a Child and Adolescent Mental Health Service (CAMHS) in regional Victoria and identify the most common disorders and psychosocial stressors they presented with. Method: Descriptive analysis was applied to 101 case records of patients with a transcultural background who attended the CAMHS of Latrobe Regional Hospital in Gippsland Victoria from 2013 to 2017. The Adverse Childhood Experience questionnaire was retrospectively applied to capture psychosocial stressors such as ‘bullying’, ‘racism’ and ‘family conflict’, sexual abuse, physical violence, parents with mental illness and parental substance use. Results: Almost 60% of patients were male and over 46% Aboriginal. Those from a non-Aboriginal background belonged to 19 different cultural entities, the most common of which was a mixed Asian and European heritage. The most common diagnoses were disruptive mood dysregulation disorder (38.6%), attention-deficit hyperactivity disorder (32.7%) and developmental trauma disorder (26.7%). The most common psychosocial stressors were conflict and death in the family (44.6%), domestic violence (41.6%) and emotional abuse (34.7%). ‘Parent in jail’ and ‘domestic violence’ were associated with having an Aboriginal background ( p < .005). ‘Cultural differences with parent’ was associated with a non-Aboriginal background ( p < .005). Conclusion: This study provides a snapshot of challenges faced by children from different cultural backgrounds while adjusting in a rural area in Australia. A broad-based formulation and cultural awareness by clinicians can enable a better understanding of the complexities, guide management plans and inform public health policies for primary prevention and early intervention.
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Tan, Grace, and Anne Therese Venables. "Impact of a Cross-Institutional Assessment Designed to Shape Future IT Professionals." Issues in Informing Science and Information Technology 12 (2015): 181–91. http://dx.doi.org/10.28945/2180.

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IT graduates need a suite of technical competencies and soft skills married with an understanding of the social and business contexts of the systems that they build. To instill in students an awareness of current IT industry practice coupled with the broader impact of their discipline in society, academics from Victoria University and Federation University initiated an across-institutional collaboration. The initiative resulted in a common formative assessment task undertaken by teams of students enrolled in each institution’s professional development units. An initial survey of students was undertaken prior to the assessment task. The survey queried students’ perceptions of a broad range of professional attitudes and skill sets needed by IT professionals when compared to non-skilled workers. Upon the completion of the assessment task, students were surveyed again as to their perceptions of the importance of personal skills, technical competencies, professional and team working skills, workplace knowledge, and cultural awareness for their future professional lives. Comparisons of both surveys’ results revealed that the cohort had a greater appreciation of technical abilities and team-working skills post the assessment task.
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Abdizadeh, Hadis, Jane Southcott, and Maria Gindidis. "Attitudes of Iranian Community Parents in Australia towards their Children’s Language Maintenance." Heritage Language Journal 17, no. 3 (December 31, 2020): 310–31. http://dx.doi.org/10.46538/hlj.17.3.1.

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Issues of language shift (LS) and language maintenance (LM) are inevitable consequences of globalization and increased mobility of human populations. This qualitative case study investigated attitudes of migrant parents from Iran towards Persian community language maintenance (CLM) for their school-age children in Australia. Ten parents residing in Melbourne, Victoria were interviewed in two groups and demographic data were collected. The participants were seven female and three male parents who had at least one school-age child. In this qualitative case study, data were analyzed thematically. Three major themes concerning Persian CLM were identified: parents’ attitudes, strategies adopted for maintenance, and challenges for their children. The parents believed that CLM supported cultural identity, preserved family cohesion, and fostered bilingualism, all of which were considered valuable future skills for their children. Interviewees adopted diverse strategies including the establishment of family language use policies, sending their children to Iranian community language school, frequent contacts with extended family in Iran, and the use of Persian media and literature. The influential role of siblings and peers in their children’s language shift, and a lack of age-appropriate Persian books and visual materials were the main challenges to CLM mentioned by the parents in this research.
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Sanders, Paul, and Marissa Lindquist. "Charles Fulton: the regional reach of modernism in Australia." Cure and Care, no. 62 (2020): 86–93. http://dx.doi.org/10.52200/62.a.agpqon3z.

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Charles Fulton (1905-1987) was an Australian architect who applied influences of European Modernism, particularly the civic architecture of Willem Dudok, into the design for several hospital projects in regional towns across Queensland, at the same time adapting a climatic responsive rationale to the projects. As with many remote contexts that have been overlooked by a European and American centric focus upon Modern architecture, the account of Australian Modernism has not been widely acknowledged outside its borders, despite a local momentum to effectively document and publish its achievements. Compounding this predicament, Queensland has suffered from its own exclusion relative to the southern states of New South Wales (Sydney) and Victoria (Melbourne), which have always been the dominant centers of the national profession, its conferences and publications. This paper seeks to address these schisms through the presentation of the work of Fulton, demonstrating how even in remote areas of Queensland, thousands of kilometers from major cities, the reach of Modern architecture found a place. Mobilized by the national federal body, the Office of Health and Home Affairs, drive to improve health services across the country post WWI, Fulton became a leading architect to modernize health facilities and brought about a cultural shift in the reception of Modern architecture across the regions.
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Pratiwi, Estin Endah. "Analisis wacana kritis pemberdayaan dan permasalahan TKI di Hong Kong dalam Film Minggu Pagi di Victoria Park." Jurnal Pendidikan dan Pemberdayaan Masyarakat 4, no. 1 (March 27, 2017): 24. http://dx.doi.org/10.21831/jppm.v4i1.11106.

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Penelitian ini bertujuan untuk menganalis berbagai tahap pemberdayaan TKI dan untuk mengetahui permasalahan yang dialami para TKI di Hong Kong berdasarkan faktor penyebabnya serta untuk merencanakan program Pendidikan Luar Sekolah terkait dengan film Minggu Pagi di Victoria Park. Penelitian ini menggunakan jenis penelitian kualitatif dengan pendekatan analisis wacana kritis. Hasil penelitian ini yaitu, (1) tahap pemberdayaan TKI yang terdapat dalam film Minggu Pagi di Victoria Park adalah tahap penyadaran dan tahap pengkapasitasan. (2) permasalahan TKI yang ditemukan dalam film Minggu Pagi di Victoria Park berdasarkan faktor penyebabnya yaitu: (a) faktor ekonomi yaitu: terlilit hutang piutang, penahanan dokumen, menjadi PSK, mengalami penganiayaan dan pemerasan, (b) faktor budaya yaitu: gaji tidak dibayar, kesulitan berkomunikasi dengan bahasa setempat faktor, sulit memperoleh pekerjaan jika masuk daftar cekal, (c) faktor psikologis yaitu: TKI gagal berangkat, TKI bunuh diri, percobaan bunuh diri, putus hubungan komunikasi dengan keluarga, menjadi lesbian (3) Rencana pengembangan program PLS untuk para TKI berdasarkan hasil analisis content film, yaitu: (a) bekerja sama dengan Disnakertrans dan BNP2TKI mengadakan sosialisasi kapada para TKI pra penempatan, selama penempatan, purna penempatan, (b) bekerjasama dengan BLK TKI untuk menjadikan film Minggu Pagi di Victoria Park sebagai media pembelajaran untuk calon TKI.Kata Kunci: analisis wacana kritis, pemberdayaan, permasalahan TKI A Critical Discourse Analysis of Empowerment and Indonesian Migrant Worker Issue on “Minggu Pagi di Victoria Park” Movie AbstractThis study aims to identify and analyze the various stages of the empowerment of migrant workers, to identify problems experienced by the Indonesian Workers in Hong Kong based on factors, and to define the project plan of Non-Formal Education related to Minggu pagi di Victoria Park movie. This research has been done with a method of qualitative research with a critical discourse analysis (Critical Discourse Analysis) approach, taking subject of “Minggu Pagi di Victoria Park” movie. The research found, (1) Phase empowerment of workers who are in the film Minggu Pagi di Victoria Park are: stage awareness and capacity building stage. (2) problems of migrant workers were found in the Minggu Pagi di Victoria Park by contributing factors, are: (a) economic factors, namely: indebt, documentation hostage, become commercial sex workers, persecution and extortion, (b) cultural factors, such as: unpaid wages, communication skill problem, difficulties in finding jobs when they enter the block list, (c) psychological factors such as TKI failed to embark, be lesbian, TKI suicide, attempted suicide, lost and limited communication with family, (3) proposing the program for non-formal education to migrant workers based on the research are: (a) to have joint cooperation between Disnakertrans (Ministry of Manpower) and BNP2TKI to hold socialization, advocation, and facilitation to the migrants worker before embarkation, during employment, and after employment, (b) to have working collaboration with BLK TKI to promote Minggu Pagi di Victoria Park movie as learning media which can be easily understood by the Indonesian migrant worker (TKI).Keywords: critical discourse analysis, empowerment, Indonesian migrant workers issue
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North, Sue. "Privileged knowledge, privileged access: early universities in Australia." History of Education Review 45, no. 1 (June 6, 2016): 88–102. http://dx.doi.org/10.1108/her-04-2014-0028.

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Purpose – The purpose of this paper is to show that Australia’s first two universities were connected to class status. It challenges the idea that these universities extended the “educational franchise” at their outset, by interrogating the characteristics of the student population in comparison with the characteristics of the population in the colonies. It looks at the curricula within the university system to show it is always “interested”, never neutral – it may be unique to the social, cultural, political and economic location of each university, but ultimately it benefits those who hold power in these locations. Design/methodology/approach – This research involves empirical analysis of characteristics of university students in Australia in the 1850s, including country of birth, religion, age, previous education and fathers’ occupation, as well as population demographics from the censuses that took place in the colonies of NSW and Victoria at that time. It also involves an analysis of the sociology of knowledge in nineteenth century Australian universities in light of this empirical data. Findings – Socio-political influences on the establishment of the first universities in Australia highlight the power of conferring legitimacy to particular areas of knowledge and to whom this knowledge was made available. Research limitations/implications – The research is limited to using the student data for the first three years of enrolment because in order to make comparisons between the student population and the population of the colonies, the student data needed to be from a time as close to the population census as possible. The Sydney census was in 1851, so student data from the University of Sydney was 1852-1854. The Melbourne census was in 1854, so student data from the University of Melbourne was 1855-1857. Originality/value – Australian historiography suggests that early universities in Australia were open to all, regardless of background. This paper challenges this orthodoxy through empirical findings and theoretical analysis.
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Tracy, Jane M. "People with an intellectual disability in the discourse of chronic and complex conditions: an invisible group?" Australian Health Review 33, no. 3 (2009): 478. http://dx.doi.org/10.1071/ah090478.

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TO THE EDITOR: Goddard et al, authors of ?People with an intellectual disability in the discourse of chronic and complex conditions: an invisible group??1 are to be congratulated for raising discussion about one of the most vulnerable groups in Australia with respect to their receipt of optimal health care. The authors conclude that ?developing interventions and strategies to increase the knowledge of health care workers . . . caring for people with intellectual disabilities will likely improve the health care needs of this population and their families?. In relation to this identified need for health professional education and training in the care of people with intellectual disabilities, we would like to draw the attention of your readers to some work undertaken by the Centre for Developmental Disability Health Victoria (CDDHV) to address this issue. The CDDHV works to improve the health and health care of people with developmental disabilities through a range of educational, research and clinical activities. In recent years there has been an increasing awareness of the need for health professional education in this area. Moreover, as people with disabilities often have chronic and complex health and social issues, focusing on their health care provides a platform for interprofessional education and a springboard for understanding the essential importance and value of interprofessional practice. Recently, the CDDHV has taken a lead role in developing a teaching and learning resource that focuses both on the health care of people with disabilities and on the importance and value of interprofessional practice. This resource promotes and facilitates interprofessional learning, and develops understanding of the health and health care issues experienced by people with disabilities and those who support them. ?Health and disability: partnerships in action? is a new video-based teaching and learning package, produced through an interprofessional collaboration between health professionals from medicine, nursing, occupational therapy, physiotherapy, paramedic practice, health science, social work, speech pathology, dietetics and dentistry. Those living with a disability are the experts on their own experience and so their direct involvement in and contribution to the education of health care professionals is essential. The collaboration between those featured in the video stories and health professionals has led to the development of a powerful resource that facilitates students and practitioners developing insights into the health and health care issues encountered by people with developmental disabilities. We also believe that through improving their understanding of, and health provision to, people with disabilities and those who support them, health professionals will acquire valuable attitudes, knowledge and skills applicable to many other patients in their practice population. Jane M Tracy Education Director Centre for Developmental Disability Health Victoria Melbourne, VIC
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Barnes, R. H., Janet Hoskins, Peter Boomgaard, Ann Kumar, Peter Boomgaard, Lenore Manderson, Matthew Isaac Cohen, et al. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 155, no. 2 (1999): 264–303. http://dx.doi.org/10.1163/22134379-90003877.

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- R.H. Barnes, Janet Hoskins, Biographical objects; How things tell the stories of people’s lives. London: Routledge, 1998, x + 213 pp. - Peter Boomgaard, Ann Kumar, Java and modern Europe; Ambiguous encounters. Richmond, Surrey: Curzon, 1997, vii + 472 pp. - Peter Boomgaard, Lenore Manderson, Sickness and the state; Health and illness in colonial Malaya, 1870-1940. Cambridge: Cambridge University Press, 1996, xix + 315 pp. - Matthew Isaac Cohen, Bambang Widoyo, Gapit; 4 naskah drama berbahasa Jawa: Rol, Leng, Tuk dan Dom. Yogyakarta: Yayasan Benteng Budaya, 1998, xiv + 302 pp. - James T. Collins, Bernd Nothofer, Reconstruction, classification, description; Festschrift in honor of Isidore Dyen. Hamburg: Abera, 1996, xiv + 259 pp. - J.R. Flenley, Kristina R.M. Beuning, Modern pollen rain, vegetation and climate in lowland East Java, Indonesia. Rotterdam: Balkema, 1996, 51 pp. + 49 plates. [Modern Quaternary Research in Southeast Asia 14.] - Gregory Forth, Karl-Heinze Kohl, Der Tod der Riesjungfrau; Mythen, Kulte und Allianzen in einer ostindonesischen Lokalkultur. Stuttgart: Kohlhammer, 1998, 304 pp. [Religionsethnologische Studien des Frobenius-Instituts Frankfurt am Main, Band I.] - J. van Goor, Brook Barrington, Empires, imperialism and Southeast Asia; Essays in honour of Nicholas Tarling. Clayton, Victoria: Monash Asia Institute, 1997, v + 250 pp. [Monash Papers on Southeast Asia 43.] - Mies Grijns, Penny van Esterik, Women of Southeast Asia. DeKalb: Center for Southeast Asian Studies, Northern Illinois University, 1996, xiv + 229 pp. ‘Monographs on Southeast Asia, Occasional Paper 17; Second, revised edition.] - Hans Hagerdal, Alfons van der Kraan, Bali at war; A history of the Dutch-Balinese conflict of 1846-49. Clayton, Victoria: Centre of Southeast Asian Studies, Monash University, 1995, x + 240 pp. [Monash Papers on Southeast Asia 34]. - Volker Heeschen, Jurg Wassmann, Das Ideal des leicht gebeugten Menschen; Eine ethnokognitive Analyse der Yupno in Papua New Guinea. Berlin: Reimer, 1993, xiii + 246 pp. - Nico Kaptein, Masykuri Abdillah, Responses of Indonesian Muslim intellectuals to the concept of democracy (1966-1993). Hamburg: Abera, 1997, iv + 304 pp. - Niels Mulder, Ivan A. Hadar, Bildung in Indonesia; Krise und kontinuitat; Das Beispiel Pesantren. Frankfurt: IKO-Verlag fur Interkulturelle Kommunikation, 1999, 207 pp. - Niels Mulder, Jim Schiller, Imagining Indonesia: Cultural politics and political culture. Athens: Ohio University, 1997, xxiii + 351 pp. [Monographs in International Studies, Southeast Asia Series 97.], Barbara Martin-Schiller (eds.) - J.W. Nibbering, Raymond L. Bryant, The political ecology of forestry in Burma 1824-1994. London: Hurst, 1997, xiii + 257 pp. - Hetty Nooy-Palm, Douglas W. Hollan, Contentment and suffering; Culture and experience in Toraja. New York: Columbia University Press, 1994, xiii + 276 pp., Jane C. Wellenkamp (eds.) - Anton Ploeg, Bill Gammage, The sky travellers; Journeys in New Guinea, 1938-1939. Carlton South, Victoria: Melbourne University Press, 1998. x + 292 pp. - Anton Ploeg, Jurg Wassmann, Pacific answers to Western hegemony; Cultural practices of identity construction. Oxford: Berg, 1998, vii + 449 pp. - John Villiers, Abdul Kohar Rony, Bibliography; The Portugese in Southeast Asia: Malacca, Moluccas, East Timor. Hamburg: Abera Verlag, 1997, 138 pp. [Abera Bibliographies 1.], Ieda Siqueira Wiarda (eds.) - Lourens de Vries, Ulrike Mosel, Saliba. Munchen/Newcastle: Lincom Europa, 1994, 48 pp. [Languages of the World/Materials 31.]
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Oyaro, HO, CO Gor, M. Ocaido, EO Okul, and E. Okuto. "Determinants of acceptability of cricket consumption and adoption for improved food security among riparian communities of the Victoria basin, Kenya." African Journal of Food, Agriculture, Nutrition and Development 22, no. 5 (July 19, 2022): 20383–400. http://dx.doi.org/10.18697/ajfand.110.21650.

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The dynamics of weather variation have overstretched animal protein from already overburdened environment; malnutrition is likely to be on the rise with human population growth projected at 9.7 billion by 2050. This has seen cricket consumption for household food security increasing in the past decade. Cricket (acheta domesticus) farming can contribute positively to solving malnutrition problems being experienced among the riparian communities in the Kenyan Lake Victoria Basin. Cricket farming presents a livelihood diversification strategy that can help buffer rural households against food insecurity and provide an alternative source of income. However, its adoption as an alternative source of protein for improved household food security has remained low among smallholder farmers. The study investigated determinants of acceptability of cricket consumption and its influence on adoption for farming as an alternative source of food. The study employed a mixed methods research approach to collect quantitative and qualitative data from 120 trained cricket farmers from selected riparian counties including Siaya, Kisumu and Homa Bay in Kenyan Victoria basin. Descriptive statistics and logistic regression model were used to summarize quantitative data while content analysis was used to analyze qualitative data by thematic arrangements and similarities across different investigation areas. Based on data analyzed, the results indicated that cultural beliefs, perception and attitude such as cultural value attached to cricket consumption (p = 0.021), crickets are sweet and tender than poultry (p = 0.037) as well as age with a p<0.028, had statistical significance on acceptability to cricket consumption. On the other hand, regression β coefficient of awareness, access and availability were found to have no association with the adoption of cricket farming. The study recommended that: first, the government formulates a policy on farming edible insects as mini-livestock and improved food security. Secondly, further study is needed to determine possible strategies for changing attitude towards cricket consumption for increased adoption by smallholder farmers. Key words: Food security, malnutrition, cricket, acceptability, consumption, culture, attitude, communities, adoption
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Bail, Jeannie, and Ailsa Craig. "The Alert Collector: Transgender Culture and Resources." Reference & User Services Quarterly 56, no. 4 (June 21, 2017): 249. http://dx.doi.org/10.5860/rusq.56.4.249.

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In recent years, there has been an increasing awareness of transgender culture, issues, and experiences. In popular culture, trans celebrities such as Laverne Cox, Chaz Bono, and Janet Mock have been a part of this shift, often acting as celebrity spokespeople to increase understanding of trans issues. Even with the greater visibility of trans lives in popular culture, ongoing court battles like G.G. v. Gloucester County School Board (a US case centered on trans students’ rights to use communal bathrooms congruent with their gender) demonstrate the need for greater understanding and acceptance.As co-authors, we have had the privilege of working with materials on loan from the Transgender Archives at the University of Victoria (Canada), the largest transgender archive in the world. This experience, which included collecting comments from library patrons who viewed the collection materials, highlighted for us the role that libraries and archives play in laying the groundwork for increased diversity, awareness, and inclusion related to trans lives, culture, and community. It is not only a matter of meeting the information needs of those who are coming out as transgender, but the wider community of family (spouses, children, parents, etc.), friends, and allies. And, alongside the value of providing information with direct practical application, patrons’ comments underscored how the inclusion of trans resources at the library enriches our cultural imaginary, and creates the space for imagining and living what they have sometimes felt to be “impossible lives.”
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Garrison, Mark B. "Ancient Near Eastern Glyptic in the National Gallery of Victoria, Melbourne, Australia. By Parvine H. Merrillees. Studies in Mediterranean Archaeology 129. Jonsered: Paul Åströms Förlag, 2001. Pp. viii + 94 + 28 figs. + 8 pls." Journal of Near Eastern Studies 63, no. 3 (July 2004): 216–17. http://dx.doi.org/10.1086/424777.

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He, Ling, and Melissa Petrakis. "Spiritual Diversity in Personal Recovery from Mental Health Challenges: A Qualitative Study from Chinese-Australian Service Users’ Perspectives." International Journal of Environmental Research and Public Health 20, no. 3 (January 26, 2023): 2210. http://dx.doi.org/10.3390/ijerph20032210.

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Spiritual diversity and the positive role of spirituality in personal recovery have received growing attention in mental health literature. However, the spiritual experiences and views of service users from cultural communities, particularly the Chinese community, are understudied in Australia. This research explores Chinese service users’ spiritual identities and their views and perspectives on the roles of spirituality in their mental health recovery and attempts to provide inspiration for practitioners to engage with service users’ spirituality in non-clinical mental health practice. A qualitative exploratory approach guided this study. Semi-structured interviews were employed with four Chinese participants with spiritual identities, who were recruited through the community Psychosocial Support Service in Victoria. The template analysis method supported the data analysis. The results indicate that spirituality has a positive impact on the mental health recovery of participants, primarily through coping, self-regulatory, and social support mechanisms. The findings also present that Chinese service users’ understanding and approaches to spirituality are shaped by both original and Australian Cultures. These findings suggest that practitioners should provide a creative understanding and cultural awareness when discussing with service users their spiritual identities, perspectives, and spirituality in the wider context. The research fills a gap in the spiritual views and perspectives of service users accessing a non-clinical mental health service from the Chinese community.
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Evert, Helen. "Ethnic Families, their Children with Disabilities and their Child Care Needs." Australasian Journal of Early Childhood 21, no. 3 (September 1996): 20–27. http://dx.doi.org/10.1177/183693919602100306.

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Action on Disability within Ethnic Communities (ADEC) was funded by the Department of Human Services and Health, Children's Services branch, to research the needs of families who are from a non-English speaking background and have a child with a disability. Twenty-two families were interviewed about their awareness and need for child care; whether there were any cultural or linguistic barriers in accessing services, and ways services could be improved. Families interviewed were from the Melbourne metropolitan area and represented a number of diverse religious and ethnic backgrounds. The main issues identified included a general lack of information about child care options. In particular, families had a poor knowledge of family day care and out of school hours care. Carers of school-aged children felt there was a need for out of school hours care, particularly over the holiday period. There was no relationship between parents who required a lot of assistance with the child with a disability and the amount of help received or the use of services according to a Spearman's correlation. Different child care options may need to be promoted more widely within ethnic communities. Some positive aspects of child care that need to be highlighted to the carers are the benefits to the child's social and intellectual development and as a form of respite care.
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Ristevski, Eli, Sharyn Thompson, Sharon Kingaby, Claire Nightingale, and Mahesh Iddawela. "Understanding Aboriginal Peoples’ Cultural and Family Connections Can Help Inform the Development of Culturally Appropriate Cancer Survivorship Models of Care." JCO Global Oncology, no. 6 (September 2020): 124–32. http://dx.doi.org/10.1200/jgo.19.00109.

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PURPOSE To explore the cancer diagnosis, treatment, and survivorship experiences of Aboriginal people in the Gippsland region, Victoria, Australia, and identify factors critical to the development of a culturally appropriate cancer survivorship model of care. PATIENTS AND METHODS Yarning circles were used to capture the stories of 15 people diagnosed with cancer and/or those of family members. Yarning circles were conducted in two locations in the Gippsland region. Sessions were facilitated by an Aboriginal Elder, audio recorded, and transcribed verbatim. Thematic analysis of the data were triangulated among three researchers and incorporated researcher reflexivity. RESULTS Cultural connections and family were critical supports on the cancer journey. Putting the needs of the family first and caring for sick family members were more important than an individual’s own health. There was “no time to grieve” for one’s own cancer diagnosis and look after oneself. Cancer was a private experience; however, the constancy of deaths highlighted the importance of raising family awareness. Health professionals did not always understand the importance of people’s cultural and family supports in their treatment and recovery. There were negatives attitudes in hospitals when family come to visit, seeing family as too large and overstaying visiting times. Health professionals did not seek family assistance with communication of information to family members whose literacy level was low, nor did they include family in treatment decision-making. Access to services depended on family support with transport, finances, and family responsibilities, often resulting in lapses in treatment and follow-up services. CONCLUSION Understanding the importance of Aboriginal peoples’ cultural and family connections can help to inform the development of culturally safe cancer survivorship models of care.
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Lawson, Kate. "INDIAN MUTINY/ENGLISH MUTINY: NATIONAL GOVERNANCE IN CHARLOTTE YONGE'S THE CLEVER WOMAN OF THE FAMILY." Victorian Literature and Culture 42, no. 3 (June 6, 2014): 439–55. http://dx.doi.org/10.1017/s1060150314000084.

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In the opening chapter of Charlotte Mary Yonge's The Clever Woman of the Family, six-year-old Francis Temple, on first having “the pebbly beach, bathing machines and fishing boats” of the English seaside pointed out to him, judges it all to be “ugly and cold.” “I shall go home to Melbourne when I am a man,” he declares (53; ch. 1). This early and unfavourable contrast between England and one of its colonies exemplifies the novel's larger project of judging England and English society through values established in colonial locales, a project that reaches its apogee when Francis and his older brother Conrade judge the conduct of a cruel and duplicitous Englishwoman to be “as bad as the Sepoys” and thus hope that she will be “blown from the mouth of a cannon” (340, 342; ch. 18). While the narrator comments that here the children exhibit “some confusion between mutineers and Englishwomen,” the narrative in its entirety suggests that such “confusion” is founded on a reasonably astute appraisal of colonial history and contemporary English society (342; ch. 18). Published in 1865, with memories of the Indian “Mutiny” of 1857–59 fresh in the public's mind, The Clever Woman of the Family is a critique of contemporary England and English values viewed through a colonial and military lens. More particularly, the novel records the after effects of the “Mutiny” – when sepoys were indeed “blown from the mouth of a cannon” – on early 1860s England, as characters shaped by the “Indian war” and bearing scars both physical and emotional flock home to the small English seaside town of Avonmouth (120; ch. 5). These characters, all associated with the British Army, were involved in some of the key events of the “Mutiny,” such as the siege of Delhi, and include in their number a young wounded war hero, Captain Alick Keith, winner of the Victoria Cross. The novel's older hero is Colonel Colin Keith, also recovering from wounds sustained in India. Under his protection is Lady Fanny Temple, widow of General Sir Stephen Temple, with her seven young children born, severally, in the Cape Colony, India and Australia. Together these characters – shaped by their experiences in the empire and the army – confront and then transform the England to which they return.
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Hameed, Fawad, Javeria Afzal, Ahmad Rafique, M. Khurram Jameel, Khurram Niaz, Humiara Alam, and Muhammad Shoaib. "The Importance of Clinical Data & Prevalence of Breast Tumors in South Punjab, Pakistan." Pakistan Journal of Medical and Health Sciences 16, no. 11 (December 1, 2022): 21–24. http://dx.doi.org/10.53350/pjmhs2022161121.

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Background: In Western countries, middle-aged women are more vulnerable to breast cancer. Globally, almost a million new cases were identified in 1998. One in 12 women in England and Wales will get the disease at some point.1 Even 5,000 years after it was first reported, the etiology of breast cancer is still unclear, and effective preventative measures are even further off. Aim: To characterize the varied ways in which breast cancer has presented itself among patients at Bahawal Victoria Hospital in Bahawalpur. Methods: This investigation employed a descriptive case series research design. This research was conducted at Bahawal Victoria Hospital's Surgery Department in Bahawalpur (Pakistan). From March 13th, 2020 through March 12th, 2021, the study was conducted (12 months). With their assent, 100 women with definite cases of breast cancer were enrolled in the study. Results: Cancer of the breast most commonly affected women between the ages of 31 and 50 (59%). Seventy-six patients arrived from the outlying rural areas of Bahawalpur and the neighboring districts. Only 18 patients had completed high school after 10 years and 5 patients were discovered to be college graduates. The single rate was 12%, with 12 patients. Eighty-one percent of patients reported having a breast lump. 56% of breast cancers involve the left breast, while 43% involve the right. One patient alone had breast cancer that had spread to both of her breasts. Illness duration varied from 1 month to 5 years. Stage III was the most prevalent presentation, with 46 instances, and Stage IV was the least common, with 16 patients. Practical implication Community based effective awareness and prompt screening programme will improve better outcomes in breast cancer management. Conclusion: Breast cancer is very common cancer in the females, and most commonly it presented as a lump in the breast, because of some social aspects, lack of awareness, poverty, no proper screening programs and above all the fear of diagnosis, females try to hide this problem and often it presented at late and more advance stage. Keywords: Breast, Nipple, Cancer, Lump, Surgery, Tumor
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Zernetska, O., and O. Myronchuk. "Historical Memory and Practices of Monumental Commemoration of World War I in Australia (Part 1)." Problems of World History, no. 12 (September 29, 2020): 208–24. http://dx.doi.org/10.46869/2707-6776-2020-12-11.

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The authors’ research attention is focused on the specifics of the Australian memorial practices dedicated to the World War I. The statement is substantiated that in the Australian context memorials and military monuments formed a special post-war and post-traumatic part of the visual memory of the first Australian global military conflict. The features of the Australian memorial concept are clarified, the social function of the monuments and their important role in the psychological overcoming of the trauma and bitter losses experienced are noted. The multifaceted aspects of visualization of the monumental memory of the World War I in Australia are analyzed. Monuments and memorials are an important part of Australia’s visual heritage. It is concluded that each Australian State has developed its own concept of memory, embodied in various types and nature of monuments. The main ones are analyzed in detail: Shrine of Remembrance in Melbourne (1928–1934); Australian War Memorial in Canberra (1941); Sydney Cenotaph (1927-1929) and Anzac Memorial in Sydney (1934); Desert Mounted Corps Memorial in Western Australia (1932); Victoria Memorials: Avenue of Honour and Victory Arch in Ballarat (1917-1919), Australian Ex-Prisoners of War Memorial (2004), Great Ocean Road – the longest nationwide memorial (1919-1932); Hobart War Memorial in the Australian State of Tasmania (1925), as well as Villers-Bretonneux Australian National Memorial in France dedicated to French-Australian cooperation during the World War I (1938). The authors demonstrate an inseparable connection between the commemorative practices of Australia and the politics of national identity, explore the trends in the creation and development of memorial practices. It is noted that the overwhelming majority of memorial sites are based on the clearly expressed function of a place of memory, a place of mourning and commemoration. It was found that the representation of the memorial policy of the memory of Australia in the first post-war years was implemented at the beginning at the local level and was partially influenced by British memorial practices, transforming over time into a nationwide cultural resource.
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Douglass, Caitlin H., Aidan Borthwick, Megan S. C. Lim, Bircan Erbas, Senem Eren, and Peter Higgs. "Social Media and Online Digital Technology Use Among Muslim Young People and Parents: Qualitative Focus Group Study." JMIR Pediatrics and Parenting 5, no. 2 (May 10, 2022): e36858. http://dx.doi.org/10.2196/36858.

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Background Digital technology and social media use are common among young people in Australia and worldwide. Research suggests that young people have both positive and negative experiences online, but we know little about the experiences of Muslim communities. Objective This study aims to explore the positive and negative experiences of digital technology and social media use among young people and parents from Muslim backgrounds in Melbourne, Victoria, Australia. Methods This study involved a partnership between researchers and a not-for-profit organization that work with culturally and linguistically diverse communities. We adopted a participatory and qualitative approach and designed the research in consultation with young people from Muslim backgrounds. Data were collected through in-person and online focus groups with 33 young people aged 16-22 years and 15 parents aged 40-57 years. Data were thematically analyzed. Results We generated 3 themes: (1) maintaining local and global connections, (2) a paradoxical space: identity, belonging and discrimination, and (3) the digital divide between young Muslims and parents. Results highlighted that social media was an important extension of social and cultural connections, particularly during COVID-19, when people were unable to connect through school or places of worship. Young participants perceived social media as a space where they could establish their identity and feel a sense of belonging. However, participants were also at risk of being exposed to discrimination and unrealistic standards of beauty and success. Although parents and young people shared some similar concerns, there was a large digital divide in online experiences. Both groups implemented strategies to reduce social media use, with young people believing that having short technology-free breaks during prayer and quality family time was beneficial for their mental well-being. Conclusions Programs that address technology-related harms must acknowledge the benefits of social media for young Muslims across identity, belonging, representation, and social connection. Further research is required to understand how parents and young people can create environments that foster technology-free breaks to support mental well-being.
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Zernetska, O., and O. Myronchuk. "Historical Memory and Practices of Monumental Commemoration of World War I in Australia (Part 2)." Problems of World History, no. 13 (March 18, 2021): 203–21. http://dx.doi.org/10.46869/2707-6776-2021-13-10.

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The authors’ research attention is focused on the specifics of the Australian memorial practices dedicated to the World War I. The statement is substantiated that in the Australian context memorials and military monuments formed a special post-war and post-traumatic part of the visual memory of the first Australian global military conflict. The features of the Australian memorial concept are clarified, the social function of the monuments and their important role in the psychological overcoming of the trauma and bitter losses experienced are noted. The multifaceted aspects of visualization of the monumental memory of the World War I in Australia are analyzed. Monuments and memorials are an important part of Australia’s visual heritage. It is concluded that each Australian State has developed its own concept of memory, embodied in various types and nature of monuments. The main ones are analyzed in detail: Shrine of Remembrance in Melbourne (1928–1934); Australian War Memorial in Canberra (1941); Sydney Cenotaph (1927-1929) and Anzac Memorial in Sydney (1934); Desert Mounted Corps Memorial in Western Australia (1932); Victoria Memorials: Avenue of Honour and Victory Arch in Ballarat (1917-1919), Australian Ex-Prisoners of War Memorial (2004), Great Ocean Road – the longest nationwide memorial (1919-1932); Hobart War Memorial in the Australian State of Tasmania (1925), as well as Villers-Bretonneux Australian National Memorial in France dedicated to French-Australian cooperation during the World War I (1938). The authors demonstrate an inseparable connection between the commemorative practices of Australia and the politics of national identity, explore the trends in the creation and development of memorial practices. It is noted that the overwhelming majority of memorial sites are based on the clearly expressed function of a place of memory, a place of mourning and commemoration. It was found that the representation of the memorial policy of the memory of Australia in the first post-war years was implemented at the beginning at the local level and was partially influenced by British memorial practices, transforming over time into a nationwide cultural resource.
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Woollacott, Angela. "Imperial Dis/Connections: Recent Work in Australian History - Creating a Nation. By Patricia Grimshaw, Marilyn Lake, Ann McGrath, and Marian Quartly. Ringwood, Victoria: McPhee Gribble, 1994. Pp. 360. $12.50. - Single Mothers and Their Children: Disposal, Punishment and Survival in Australia. By Shurlee Swain with Renate Howe. Cambridge and Melbourne: Cambridge University Press, 1995. Pp. xxii + 264. $59.95. - Knowing Women: Origins of Women's Education in Nineteenth-Century Australia. By Marjorie Theobald. Cambridge and Melbourne: Cambridge University Press, 1996. Pp. ix + 294. $59.95. - Convict Maids: The Forced Migration of Women to Australia. By Deborah Oxley. Cambridge and Melbourne: Cambridge University Press, 1996. Pp. xi + 339. $64.95. - Australia, Britain, and Migration, 1915–1940: A Study of Desperate Hopes. By Michael Roe. Cambridge and Melbourne: Cambridge University Press, 1995. Pp. x + 310. $59.95." Journal of British Studies 38, no. 1 (January 1999): 119–25. http://dx.doi.org/10.1086/386185.

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32

Fisher, M., F. McRae, M. Pitcher, I. Hornung, and J. Spence. "Bridge of Support: A Collaborative Approach to a Peer Support Program." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 169s. http://dx.doi.org/10.1200/jgo.18.74600.

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Background and context: The Bridge of Support Program (BOS) is adapting a successful community based model of peer support to an acute setting, at the Sunshine Hospital Breast Clinic, to meet the cultural and socioeconomic diverse needs of women with breast cancer. This two year project was funded by LUCRF Community Partnership Trust. Aim: To improve the experience of women undergoing treatment of breast cancer at Western Health. To improve access to psych-social, emotional and practical support for women by extending the reach of CounterPart- a state-wide service of women´s Health Victoria, funded by the Victorian Department of Health and Human Services to provide peer support and information to people affected by breast or a gynecologic cancer. Program/Policy process: Peer support volunteers actively guided women to current and credible evidence-based information, support decision making and provide emotional support. Peer support volunteers are rostered once a week at Sunshine Hospital to coincide with breast clinic and include access to the day oncology unit and radiotherapy center. Detailed contact information is recorded and women receive follow-up contact (with consent) from the peer support volunteers at the CounterPart Resource Centre in Melbourne. A CounterPart staff member oversees the project and provides direct support and supervision to the volunteers on site at the hospital. Women can self refer. Outcomes: Between February and December 2016 the BOS program had 159 separate contacts with patients and their families. 82 contacts were with men and women who were new to CounterPart and 77 were follow-up contacts. 90 individuals treated for breast cancer at Western Health accessed the program, which represent 53% of the women seen by the breast service. 48% of the contacts were follow-up contacts with the CounterPart volunteers indicating that once engaged with the service many men and women continue to make contact. 38% of contacts were with women diagnosed with metastatic disease, a group who often have higher levels of unmet or more complex needs. 49% were born in a nonmain English speaking country (compared with the overall state of Victoria average of 19.6%) thus reflecting an accessible service to the non-English speaking community. What was learned: At a time when peer support is being increasingly recognized as a key part of effective supportive care in cancer services, the BOS program offers a model of integrated peer support that is respected, reliable, well supported and safe within the acute setting. This acute-community sector partnership demonstrates how the medical and social models of health care can work together to provide a connected and quality service for men and women diagnosed with breast cancer. An active research approach is enabling the project to be responsive to issues and challenges as they arise including the ongoing recruitment of women as volunteers from the local community to work within the acute setting.
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Grimley, Daniel M. "Music, Landscape, and the Sound of Place." Journal of Musicology 33, no. 1 (January 1, 2016): 11–44. http://dx.doi.org/10.1525/jm.2016.33.1.11.

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One of the most poignant scenes in Ken Russell’s 1968 film Delius: Song of Summer evocatively depicts the ailing composer being carried in a wicker chair to the summit of the mountain behind his Norwegian cabin. From here, Delius can gaze one final time across the broad Gudbrandsdal and watch the sun set behind the distant Norwegian fells. Contemplating the centrality of Norway in Delius’s output, however, raises more pressing questions of musical meaning, representation, and our relationship with the natural environment. It also inspires a more complex awareness of landscape and our sense of place, both historical and imagined, as a mode of reception and an interpretative tool for approaching Delius’s music. This essay focuses on one of Delius’s richest but most critically neglected works, The Song of the High Hills for orchestra and wordless chorus, composed in 1911 but not premiered until 1920. Drawing on archival materials held at the British Library and the Grainger Museum, Melbourne, I examine the music’s compositional genesis and critical reception. Conventionally heard (following Thomas Beecham and Eric Fenby) as an imaginary account of a walking tour in the Norwegian mountains, The Song of the High Hills in fact offers a multilayered response to ideas of landscape and nature. Moving beyond pictorial notions of landscape representation, I draw from recent critical literature in cultural geography to account for the music’s sense of place. Hearing The Song of the High Hills from this perspective promotes a keener understanding of our phenomenological engagement with sound and the natural environment, and underscores the parallels between Delius’s work and contemporary developments in continental philosophy, notably the writing of Henri Bergson.
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Hameed, Fawad, Javeria Afzal, Ahmad Rafique, M. Khurram Jameel, Khurram Niaz, Humiara Alam, and Muhammad Shoaib. "The Importance of Clinical Data & Prevalence of Breast Tumors in South Punjab, Pakistan." Pakistan Journal of Medical and Health Sciences 16, no. 11 (November 30, 2022): 85–88. http://dx.doi.org/10.53350/pjmhs2022161185.

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Background: In Western countries, middle-aged women are more vulnerable to breast cancer. Globally, almost a million new cases were identified in 1998. One in 12 women in England and Wales will get the disease at some point.1 Even 5,000 years after it was first reported, the etiology of breast cancer is still unclear, and effective preventative measures are even further off. Aim: To characterize the varied ways in which breast cancer has presented itself among patients at Bahawal Victoria Hospital in Bahawalpur. Methods: This investigation employed a descriptive case series research design. This research was conducted at Bahawal Victoria Hospital's Surgery Department in Bahawalpur (Pakistan). From March 13th, 2020 through March 12th, 2021, the study was conducted (12 months). With their assent, 100 women with definite cases of breast cancer were enrolled in the study. Results: Cancer of the breast most commonly affected women between the ages of 31 and 50 (59%). Seventy-six patients arrived from the outlying rural areas of Bahawalpur and the neighboring districts. Only 18 patients had completed high school after 10 years and 5 patients were discovered to be college graduates. The single rate was 12%, with 12 patients. Eighty-one percent of patients reported having a breast lump. 56% of breast cancers involve the left breast, while 43% involve the right. One patient alone had breast cancer that had spread to both of her breasts. Illness duration varied from 1 month to 5 years. Stage III was the most prevalent presentation, with 46 instances, and Stage IV was the least common, with 16 patients. The histological hallmark most frequently attested by examination of slides was infiltrating ductal carcinoma, and this was the case in 87% of the cases. Conclusion: Breast cancer is very common cancer in the females, and most commonly it presented as a lump in the breast, because of some social aspects, lack of awareness, poverty, no proper screening programs and above all the fear of diagnosis, females try to hide this problem and often it presented at late and more advance stage. Keywords: Breast, Nipple, Cancer, Lump, Surgery, Tumor
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Francescutti, Pablo. "La narración audiovisual como documento social e histórico: enfoques teóricos y métodos analíticos." Empiria. Revista de metodología de ciencias sociales, no. 42 (January 15, 2019): 137. http://dx.doi.org/10.5944/empiria.42.2019.23255.

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Hace largo tiempo que las narraciones audiovisuales se han tornado un objeto legítimo de las ciencias sociales y humanas. Se las estudia como instituciones, agentes modeladores de la conciencia colectiva, práctica social o industria. En este artículo nos centraremos en su aptitud para radiografiar ciertas regiones de la experiencia socio-cultural.La función documental de filmes y programas televisivos ha inspirado una vasta literatura más o menos sociológica, siendo mucho menor la relativa a los aspectos metodológicos de su análisis. La disparidad refleja la brecha existente entre el creciente interés por desentrañar su significado social y la escasa conciencia de las dificultades que entraña ligar los contenidos y aspectos formales de tales narraciones al contexto social, cultural e histórico. Generalizaciones abusivas, inferencias sin base y reduccionismos derivados de premisas erróneas y herramientas inadecuadas han llevado a Westwell (2007) a calificar este área de “sub-campo en busca de una metodología”.Con la intención de clarificar las carencias metodológicas referidas, en este trabajo se examinan las principales teorizaciones sobre las relaciones entre la imagen en movimiento y la realidad, seguida de una propuesta interpretativa integral de las narrativas audiovisuales, plasmada en un catálogo de las técnicas analíticas más habituales, con un repaso de sus pros y contras. Con fines demostrativos, dedicaremos la última parte a articular esos procedimientos en el diseño de abordaje de un documental televisivo de tema histórico: La Transición, de Elías de Andrés y Victoria Prego.Film and audiovisual narratives has long been recognized as a legitimate subject of the social and human sciences. They are studied as institutions, as shapers of collective conscience, as social practice, as an industrial goods. In this paper we focus upon their documentary value and capacity for mapping different areas of socio-cultural experience.There is a vast body of bibliography about the social content of films and television programs, although the academic literature concerning the methodological issues related to their analysis is significantly smaller. This disparity underlines the gap between the growing interest for unraveling their social meanings and the lack of awareness of the difficulties involved in linking their contents and formal features to the social, cultural and historical context. Unwarranted generalizations, flawed inferences and reductionisms resulting from mistaken assumptions and unsuitable tools have lead Westwell (2007) to describe this field as a “sub-area in search of a methology”.In order to tackle that issue, the main theories about the relationships between the moving image and reality are discussed in the first part of this article. Next, a catalogue of the methodologies most frequently applied to audiovisual narrative is presented, accompanied by an assessment of their pros and cons. For demostration purposes, the last part is dedicated to articulate those methods in a proposal for interpreting a well-known Spanish television documentary about a highly sensitive period in Spain’s history: La Transición, by Elias de Andres and Victoria Prego.
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Sutcliffe, Simon B., Puneet Bains, Fraser Black, Sandra S. Broughton, Stuart Brown, Simon Colgan, Megan E. Doherty, et al. "The Two Worlds of Palliative Care: Bridging the Gap with Nepal." Nepal Journal of Science and Technology 20, no. 2 (December 31, 2021): 125–30. http://dx.doi.org/10.3126/njst.v20i2.45802.

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Despite past geo-political turbulence, Nepal has made significant progress in societal and economic initiatives, particularly in relation to social determinants of health. These improvements, however, belie the suffering of those with life-limiting disease due to pain, stigma, social and financial distress, consequent upon low patient, caregiver and health professional awareness of the need for, and availability of, appropriate care and support. Two Worlds Cancer Collaboration (INCTR-Canada) has been working with partners in Nepal to build capacity for palliative care by: (a) organizational and administrative support – establishing the Nepal Association of Palliative Care (NAPCare), and the creation of the Nepal Strategy for Palliative Care, approved by government in 2017; (b) “twinning” between 2 hospital palliative care units in Nepal and the Nanaimo Hospice and Victoria Hospice, BC, Canada; (c) sustainable growth of palliative care according to WHO foundational measures, implementing facility-based clinical programs, and home-based care aligned with the cultural, social, and economic environment of Nepal; (d) training of health professionals in adult and paediatricpalliative carethrough interactive on-line “distance learning” (Extension of Community Healthcare Outcomes, ECHO);(e) leveraging palliative care training and expertise across the government health system, and (f) local and international support to build a newfacility for Hospice Nepal to provide more support for more patients in a rural ambience on the outskirts of Kathmandu. Palliative care needs to become standard-of-care, providing peace, comfort and dignity for adults and children. Working collaboratively with partners in Nepal, the collective vision is a capable professional Nepali community leading palliative care services for all in need, wherever in need.
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Hedges, S., M. Davidson, S. Forrester, A. Casey, V. Pridmore, A. Cooper, A. Beauchamp, and N. McGrath. "A Breast Screening Shawl to Help Aboriginal Women Feel More Comfortable and Culturally Safe." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 40s. http://dx.doi.org/10.1200/jgo.18.11200.

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Background: It is recommended that Australian women aged 50-74 have a breast screen every two years. Aboriginal women have lower breast screening participation than the general population, and face barriers at a system, service and individual level including: • Cultural: lack of cultural awareness/safety at screening services • Fear: historical apprehension about health services due to the after effects of colonization and intergenerational trauma • Shame: feeling embarrassment/shame at being undressed in front of a stranger • Past experience: having a past unpleasant breast screen, or hearing about someone else' • Knowledge: lack of knowledge about screening • Logistics: not knowing service provider locations or limited access to transport During a 2016 project between BreastScreen Victoria (BSV) and Women's Health West, Aboriginal women discussed the need for a shawl to cover them during screening. This idea is based on a successful New Zealand model. Based on this, the Victorian Aboriginal Health Service (VAHS), Victorian Aboriginal Community Controlled Health Organization (VACCHO) and BSV formed a partnership to trial a breast screening shawl with Aboriginal women. A key principle underpinning the project is that success will reflect the degree to which this is an Aboriginal-led initiative, driven by the needs of Aboriginal women, and steered by community-based Aboriginal health organizations. Project aims: • Assess whether a cultural, strength based screening process increases engagement of Aboriginal women • Determine whether a screening shawl enhances comfort and culturally safety • Encourage breast screening services to develop culturally safe screening practices • Develop a flexible model that can be easily adapted by other Aboriginal health services to reproduce the shawl, in recognition of the diversity of Aboriginal communities Methods: This project adopted the following strategies: • A project steering group was established • The shawl will be trialled via a group booking at one BSV clinic • Before the group booking, BSV clinic staff will attend culturally safety training • On the trial day, women will attend an information session at VAHS about breast screening and receive their shawl, travel to the BSV clinic together for screening, and return to VAHS to discuss their experiences Results: The trial will be fully evaluated in 2018 to determine whether project aims were achieved. Conclusion: Key learnings to date are: • Breast screening interventions for Aboriginal women must be community-led to ensure they are culturally appropriate, safe and acceptable • Aboriginal women face a number of barriers to breast screening at a system, service and individual level • Health services play a critical role in adopting culturally safe screening practices • Developing a flexible model that can be easily adapted by other Aboriginal health services is critical in ensuring the sustainability and acceptability of the shawl.
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Andel, Joan D., H. E. Coomans, Rene Berg, James N. Sneddon, Thomas Crump, H. Beukers, M. Heins, et al. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 147, no. 4 (1991): 516–46. http://dx.doi.org/10.1163/22134379-90003185.

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- Joan D. van Andel, H.E. Coomans, Building up the the future from the past; Studies on the architecture and historic monuments in the Dutch Caribbean, Zutphen: De Walburg Pers, 1990, 268 pp., M.A. Newton, M. Coomans-Eustatia (eds.) - Rene van den Berg, James N. Sneddon, Studies in Sulawesi linguistics, Part I, 1989. NUSA, Linguistic studies of Indonesian and other languages in Indonesia, volume 31. Jakarta: Badan Penyelenggara Seri Nusa, Universitas Katolik Indonesia Atma Jaya. - Thomas Crump, H. Beukers, Red-hair medicine: Dutch-Japanese medical relations. Amsterdam/Atlanta, GA: Rodopi, Publications for the Netherlands Association of Japanese studies No. 5, 1991., A.M. Luyendijk-Elshout, M.E. van Opstall (eds.) - M. Heins, Kees P. Epskamp, Theatre in search of social change; The relative significance of different theatrical approaches. Den Haag: CESO Paperback no. 7, 1989. - Rudy De Iongh, Rainer Carle, Opera Batak; Das Wandertheater der Toba-Batak in Nord Sumatra. Schauspiele zur Währung kultureller Identität im nationalen Indonesischen Kontext. Veröffentlichungen des Seminars fur Indonesische und Südseesprachen der Universität Hamburg, Band 15/1 & 15/2 (2 Volumes), Berlin: Dietrich Reimer Verlag, 1990. - P.E. de Josselin de Jong, Birgit Rottger-Rossler, Rang und Ansehen bei den Makassar von Gowa (Süd-Sulawesi, Indonesien), Kölner Ethnologische Studien, Band 15. Dietrich Reimar Verlag, Berlin, 1989. 332 pp. text, notes, glossary, literature. - John Kleinen, Vo Nhan Tri, Vietnam’s economic policy since 1975. Singapore: ASEAN Economic research unit, Institute of Southeast Asian studies, 1990. xii + 295 pp. - H.M.J. Maier, David Banks, From class to culture; Social conscience in Malay novels since independence, Yale, 1987. - Th. C. van der Meij, Robyn Maxwell, Textiles of Southeast Asia; Tradition, trade and transformation. Melbourne/Oxford/Auckland/New York: Australian National Gallery/Oxford University Press. - A.E. Mills, Elinor Ochs, Culture and language development, Studies in the social and cultural foundations of language No. 6, Cambridge University Press, 227 + 10 pp. - Denis Monnerie, Frederick H. Damon, Death rituals and life in the societies of the Kula Ring, Dekalb: Northern Illinois University Press, 1989. 280 pp., maps, figs., bibliogr., Roy Wagner (eds.) - Denis Monnerie, Frederick H. Damon, From Muyuw to the Trobriands; Transformations along the northern side of the Kula ring, Tucson: The University of Arizona Press, 1990. xvi + 285 pp., maps, figs., illus., apps., bibliogr., index. - David S. Moyer, Jeremy Boissevain, Dutch dilemmas; Anthropologists look at the Netherlands, Assen/Maastricht: Van Gorcum, 1989, v + 186 pp., Jojada Verrips (eds.) - Gert Oostindie, B.H. Slicher van Bath, Indianen en Spanjaarden; Een ontmoeting tussen twee werelden, Latijns Amerika 1500-1800. Amsterdam: Bert Bakker, 1989. 301 pp. - Parakitri, C.A.M. de Jong, Kompas 1965-1985; Een algemene krant met een katholieke achtergrond binnen het religieus pluralisme van Indonesie, Kampen: Kok, 1990. - C.A. van Peursen, J. van Baal, Mysterie als openbaring. Utrecht: ISOR, 1990. - Harry A. Poeze, R.A. Longmire, Soviet relations with South-East Asia; An historical survey. London-New York: Kegan Paul International, 1989, x + 176 pp. - Harry A. Poeze, Ann Swift, The road to Madiun; The Indonesian communist uprising of 1948. Ithaca, N.Y.: Cornell Modern Indonesia Project (Monograph series 69), 1989, xii + 116 pp. - Alex van Stipriaan, Cornelis Ch. Goslinga, The Dutch in the Caribbean and in Surinam 1791/5 - 1942, Assen/Maastricht: Van Gorcum, 1990. xii + 812 pp. - A. Teeuw, Keith Foulcher, Social commitment in literature and the arts: The Indonesian ‘Institute of People’s culture’ 1950-1965, Clayton, Victoria: Southeast Asian studies, Monash University (Centre of Southeast Asian studies), 1986, vii + 234 pp. - Elly Touwen-Bouwsma, T. Friend, The blue-eyed enemy; Japan against the West in Java and Luzon, 1942-1945. New Jersey: Princeton University press, 1988, 325 pp.
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Young, Jamie, Bhasker Amatya, Mary P. Galea, and Fary Khan. "Chronic pain in multiple sclerosis: A10-year longitudinal study." Scandinavian Journal of Pain 16, no. 1 (July 1, 2017): 198–203. http://dx.doi.org/10.1016/j.sjpain.2017.04.070.

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AbstractBackground and purposePain is a common symptom associated with multiple sclerosis (MS), and has lasting effects on an individual’s functional capacity and quality of life. A wide range of prevalence rates of pain (between 23% and 90%)have been reported in MS and this is mainly due to the methodological differences amongst the studies such as variability in patient sources, method of sampling and the definition of pain used. Chronic pain in MS, defined as pain lasting for greater than 3–6 months, can have a significant impact on their biopsychosocial health, including negative impact on activities of daily living, relationships and social participation. The long-term course of MS-related pain and its impact in an Australian cohort over a 7-year period has been investigated earlier. The aim of this longitudinal study was to describe the impact of chronic pain, pain-related disability and carer burden in persons with MS over a 10-year period. The aim of this longitudinal study was to describe the impact of chronic pain, pain-related disability and carer burden in persons with MS over a 10-year period.MethodsThis was a prospective longitudinal study conducted at the Rehabilitation Department of Royal Melbourne Hospital (RMH), a tertiary referral hospital in Victoria and Australia. The source of participants was from the RMH MS database and contains detailed MS patient information including demographic data, diagnosis details (using McDonald’s criteria), pain characteristics. Structured face-face interviews and validated measures were used, which include the visual analogue scale (VAS); chronic pain grade (CPG); the assessment of quality of life (AQoL) and the carer strain index (CSI). The mean age of the participants (n = 70) was 55.3 years and majority (70%) were female.ResultsThe mean age of the participants (n = 70) was 55.3 years and majority (70%) were female. The findings show that over time (10 years), participants report having greater bilateral bodily pain and greater description of pain as ‘worse as it could be’. Pain types were similar to 7-years follow-up but remained higher than baseline. There was a significant deterioration in quality of life in those with more severe CPG over time. Almost half of the participants 31 (44%) required care either from a private carer, institution or from a family member. Although fear of taking medications and side effects were common barriers to treatment for pain, there was an increase in the use of pharmacological treatment over time and an increase in the use of healthcare services, mainly neurologists and general practitioners.ConclusionsThe pain measures reported by the participants were similar to those at the 7-year follow-up except there was a greater representation of bilateral pain locations (limb, trunk and facial pain) compared to baseline and 7-year follow-up. At 10-year follow-up, more participants used medications compared tc 7-year follow-up and there was an increase in the use of health professionals at the 10-year follow-up At the 10-year follow up QoL of the participants deteriorated significantly and more participants had progressed to higher CPGIII and CPGIV. This study demonstrates that chronic pain is a significant issue over time in MS, with clinical and health implications, impact on quality of life, disability and healthcare utilization.ImplicationsGreater awareness of chronic pain in pwMS, cognitive classifications and an interdisciplinary approach is required to improve long-term patient outcomes and well-being.Crown Copyright © 2017 Published by Elsevier B.V. on behalf of Scandinavian Association for the Study of Pain. All rights reserved.
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Owoko, Stephen Owende, Eddy Okoth Odari, and Daniel Mokaya. "Determinants of Contraceptives Uptake among Adolescents’ Girls Aged 14-19 Years in Homa Bay County." East African Journal of Health and Science 4, no. 1 (October 14, 2021): 1–15. http://dx.doi.org/10.37284/eajhs.4.1.436.

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Introduction. Adolescents are individuals aged between 10-19 years. This phase is characterised by rapid growth, sexual maturation, and sexual exploration. These behaviours expose sexually active adolescent girls to a greater risk of unintended pregnancies, unsafe abortion, and sexually transmitted infections. This study aimed to assess the determinants of contraceptives uptake among adolescent girls in Homa Bay County in Kenya with specific objectives assessing the level of awareness, uptake as well as evaluating the factors affecting the sexual & reproductive health service provision to adolescent girls in the region. Result: A cross-sectional survey was done targeting 385 girls and 32 health facilities. The response rate was 100%, with the level of knowledge on contraceptives at 97.6%. The main sources of knowledge on contraceptives were from teachers in schools (30%), peers (17.2%) and media. 70% of the respondents were in a heterosexual relationship of which 58.6% preferred male condom use as their contraceptive method of choice, while the use of pills was the least at 0.6%. The majority (57.9%) of the girls did not practice safer sex exposing them to a higher risk of Sexually transmitted infections and unintended pregnancies. Discussions: The level of contraceptive uptake significantly varied from one sub-county to the other (p < 0.005), with the sub-counties in the Islands of Lake Victoria such as Suba sub-counties having up to 80% lesser chance of their girls using any form of contraceptives (OR = 0.2; CI: 0.2–0.8). Major barriers were the fear of side effects (51.8%) and self-stigmatisation (13.4 %). Health facilities were the main source of contraceptives (77.1%); however, the study noted a lack of youth-friendly services that would favour increased access. Further, there was a complete lack of knowledge on adolescent sexual and reproductive health policies and procedures among the girls (39.6%). Conclusion: Misinformation, cultural perception on the use of contraceptives among adolescents, and lack of youth-friendly services in health facilities are key drivers to the underutilisation of contraceptives by adolescent girls in Homabay county. Adolescents from the island stand a higher risk of non-utilisation of contraceptives compared to their mainland counterparts. Recommendations: There is a need for strengthened youth-friendly comprehensive sexual health education and services in all health facilities with more emphasis on risk reduction interventions and sensitisation of young girls on the available policies. Mechanisms should be availed, specifically to reach the “hard to reach” adolescent populations in the islands.
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Baker, Lynne M., Francis Borg, Jade Ireland, and Sally Wall. "How's School? Helping Your Teenager Get the Most Out of High School By Erin Shale (2005). Crows Nest: Allen & Unwin. - A Safe Place for Caleb: An Interactive Book for Kids, Teens, and Adults With Issues of Attachment, Grief and Loss, or Early Trauma By K.A. Chara and P.J. CharaJr (2005). London: Jessica Kingsley Publishers. - Bullying in Schools: How Successful Can Interventions Be? Edited by Peter K. Smith, Debra Pepler and Ken Rigby (2004) Port Melbourne, Victoria: ACER. 334pp, paperback, ISBN 0521528038 - Lost for Words: Loss and Bereavement Awareness Training By J. Holland, R. Dance, N. MacManus and C. Stitt (2005). London: Jessica Kingsley Publishers. $76." Australian Journal of Guidance and Counselling 16, no. 1 (July 1, 2006): 133–38. http://dx.doi.org/10.1375/ajgc.16.1.133.

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Mead, Amy. "Bold Walks in the Inner North: Melbourne Women’s Memoir after Jill Meagher." M/C Journal 20, no. 6 (December 31, 2017). http://dx.doi.org/10.5204/mcj.1321.

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Each year, The Economist magazine’s “Economist Intelligence Unit” ranks cities based on “healthcare, education, stability, culture, environment and infrastructure”, giving the highest-ranking locale the title of most ‘liveable’ (Wright). For the past six years, The Economist has named Melbourne “the world’s most liveable city” (Carmody et al.). A curious portmanteau, the concept of liveability is problematic: what may feel stable and safe to some members of the community may marginalise others due to several factors such as gender, disability, ethnicity or class.The subjective nature of this term is referred to in the Australian Government’s 2013 State of Cities report, in the chapter titled ‘Liveability’:In the same way that the Cronulla riots are the poster story for cultural conflict, the attack on Jillian Meagher in Melbourne’s Brunswick has resonated strongly with Australians in many capital cities. It seemed to be emblematic of their concern about violent crime. Some women in our research reported responding to this fear by arming themselves. (274)Twenty-nine-year-old Jill Meagher’s abduction, rape, and murder in the inner northern suburb of Brunswick in 2012 disturbs the perception of Melbourne’s liveability. As news of the crime disseminated, it revived dormant cultural narratives that reinforce a gendered public/private binary, suggesting women are more vulnerable to attack than men in public spaces and consequently hindering their mobility. I investigate here how texts written by women writers based in Melbourne’s inner north can latently serve as counter narratives to this discourse, demonstrating how urban public space can be benign, even joyful, rather than foreboding for women. Cultural narratives that promote the vulnerability of women oppress urban freedoms; this paper will use these narratives solely as a catalyst to explore literary texts by women that enact contrary narratives that map a city not by vicarious trauma, but instead by the rich complexity of women’s lives in their twenties and thirties.I examine two memoirs set primarily in Melbourne’s inner north: Michele Lee’s Banana Girl (2013) and Lorelai Vashti’s Dress, Memory: A memoir of my twenties in dresses (2014). In these texts, the inner north serves as ‘true north’, a magnetic destination for this stage of life, an opening into an experiential, exciting adult world, rather than a place haunted. Indeed, while Lee and Vashti occupy the same geographical space that Meagher did, these texts do not speak to the crime.The connection is made by me, as I am interested in the affective shift that follows a signal crime such as the Meagher case, and how we can employ literary texts to gauge a psychic landscape, refuting the discourse of fear that is circulated by the media following the event. I wish to look at Melbourne’s inner north as a female literary milieu, a site of boldness despite the public breaking that was Meagher’s murder: a site of female self-determination rather than community trauma.I borrow the terms “boldness”, “bold walk” and “breaking” from Finnish geographer Hille Koskela (and note the thematic resonances in scholarship from a city as far north as Helsinki). Her paper “Bold Walks and Breakings: Women’s spatial confidence versus fear of violence” challenges the idea that “fearfulness is an essentially female quality”, rather advocating for “boldness”, seeking to “emphasise the emancipatory content of … [women’s] stories” (302). Koskela uses the term “breaking” in her research (primarily focussed on experiences of Helsinki women) to describe “situations … that had transformed … attitudes towards their environment”, referring to the “spatial consequences” that were the result of violent crimes, or threats thereof. While Melbourne women obviously did not experience the Meagher case personally, it nevertheless resulted in what Koskela has dubbed elsewhere as “increased feelings of vulnerability” (“Gendered Exclusions” 111).After the Meagher case, media reportage suggested that Melbourne had been irreversibly changed, made vulnerable, and a site of trauma. As a signal crime, the attack and murder was vicariously experienced and mediated. Like many crimes committed against women in public space, Meagher’s death was transformed into a cautionary tale, and this storying was more pronounced due to the way the case played out episodically in the media, particularly online, allowing the public to follow the case as it unfolded. The coverage was visually hyperintensive, and particular attention was paid to Sydney Road, where Meagher had last been seen and where she had met her assailant, Adrian Bayley, who was subsequently convicted of her murder.Articles from media outlets were frequently accompanied by cartographic images that superimposed details of the case onto images of the local area—the mind map and the physical locality both marred by the crime. Yet Koskela writes, “the map of everyday experiences is in sharp contrast to the maps of the media. If a picture of a place is made by one’s own experiences it is more likely to be perceived as a safe ordinary place” (“Bold Walks” 309). How might this picture—this map—be made through genre? I am interested in how memoir might facilitate space for narratives that contest those from the media. Here I prefer the word memoir rather than use the term life-writing due to the former’s etymological adherence to memory. In Vashti and Lee’s texts, memory is closely linked to place and space, and for each of them, Melbourne is a destination, a city that they have come to alone from elsewhere. Lee came to the city after growing up in Canberra, and Vashti from Brisbane. In Dress, Memory, Vashti writes that the move to Melbourne “… makes you feel like a pioneer, one of those dusty and determined characters out of an American history novel trudging west to seek a land of gold and dreams” (83).Deeply engaging with Melbourne, the text eschews the ‘taken for granted’ backdrop idea of the city that scholar Jane Darke observes in fiction. She writes thatmodern women novelists virtually take the city as backdrop for granted as a place where a central female figure can be or becomes self-determining, with like-minded female friends as indispensable support and undependable men in walk-on roles. (97)Instead, Vashti uses memoir to self-consciously examine her relationship with her city, elaborating on the notion of moving from elsewhere as an act of self-determination, building the self through geographical relocation:You’re told you can find treasure – the secret bars hidden down the alleyways, the tiny shops filled with precious curios, the art openings overflowing onto the street. But the true gold that paves Melbourne’s footpaths is the promise that you can be a writer, an artist, a musician, a performer there. People who move there want to be discovered, they want to make a mark. (84)The paths are important here, as Vashti embeds herself on the street, walking through the text, generating an affective cartography as her life is played out in what is depicted as a benign, yet vibrant, urban space. She writes of “walking, following the grid of the city, taking in its grey blocks” (100), engendering a sense of what geographer Yi-Fu Tuan calls ‘topophilia’: “the affective bond between people and place or setting” (4). There is a deep bond between Vashti and Melbourne that is evident in her work that is demonstrated in her discussion of public space. Like her, friends from Brisbane trickle down South, and she lives with them in a series of share houses in the inner North—first Fitzroy, then Carlton, then North Melbourne, where she lives with two female friends and together they “roamed the streets during the day in a pack” (129).Vashti’s boldness not only lies in her willingness to take bodily to the streets, without fear, but also in her fastidious attention to her physical appearance. Her memoir is framed sartorially: chronologically arranged, from age twenty to thirty, each chapter featuring equally detailed reports of the events of that year as well as the corresponding outfits worn. A dress, transformative, is spotlighted in each of these chapters, and the author is photographed in each of these ‘feature’ dresses in a glossy section in the middle of the book. Koskela writes that, “if women dress up to be part of the urban spectacle, like 19th-century flâneurs, and also to mediate their confidence, they oppose their erasure and reclaim urban space”. For Koskela, the appearance of the body in public is an act of boldness:dressing can be seen as a means of reproducing power relations; in Foucaultian terms, it is a way of being one’s own overseer, and regulating even the most intimate spheres … on the other hand, interpreted in another way, dressing up can be seen as a form of resistance against the male gaze, as an opposition to the visual mastery over women, achieved by not being invisible or absent, but by dressing up proudly. (“Bold Walks” 309)Koskela’s affirmation that clothing can enact urban boldness contradicts reportage on the Meagher case that suggested otherwise. Some news outlets focussed on the high heels Meagher was wearing the night she was raped and murdered, as if to imply that she may have been able to elude her fate had she donned flats. The Age quotes witnesses who saw her on Sydney Road the night she was killed; one says she was “a little unsteady on her feet but not too bad”, another that she “seemed to be struggling to walk up the hill in her high heels” (Russell). But Vashti is well aware of the spatial confidence that the right clothing provides. In the chapter “Twenty-three”, she writes of being housebound by heartbreak, that “just leaving the house seemed like an epic undertaking”, so she “picked a dress a dress that would make me feel good … the woman in me emerged when I slid it on. In it, I instantly had shape, form. A purpose” (99). She and her friends don vocational costumes to outplay the competitive inner Melbourne rental market, eventually netting their North Melbourne terrace house by dressing like “young professionals”: “dressed up in smart op-shop blouses and pencil skirts to walk to the real estate office” (129).Michele Lee’s text Banana Girl also delves into the relationship between personal aesthetics and urban space, describing Melbourne as “a town of costumes, after all” (117), but her own style as “indifferently hip to the outside world without being slavish about it” (6). Lee’s world is East Brunswick for much of the book, and she establishes this connection early, introducing herself in the first chapter, as one of the “subversive and ironic people living in the hipster boroughs of the inner North of Melbourne” (6). She describes the women in her local area – “Brunswick Girls”, she dubs them: “no one wears visible make up, or if they do it’s not lathered on in visible layers; the haircuts are feminine without being too stylish, the clothing too; there’s an overall practical appearance” (89).Lee displays more of a knowingness than Vashti regarding the inner North’s reputation as the more progressive and creative side of the Yarra, confirmed by the Sydney Morning Herald:The ‘northside’ comprises North Melbourne, Carlton, Fitzroy, Collingwood, Abbotsford, Thornbury, Brunswick and Coburg. Bell Street is the boundary for northsiders. It stands for artists, warehouse parties, bicycles, underground music, lightless terrace houses, postmodernity and ‘awareness’. (Craig)As evidenced in late scholar John Maclaren’s book Melbourne: City of Words, the area has long enjoyed this reputation: “After the war, these neighbourhoods were colonized by migrants from Europe, and in the 1960s by the artists, musicians, writers, actors, junkies and layabouts whose stories Helen Garner was to tell” (146). As a young playwright, Lee sees herself reflected in this milieu, writing that she’s “an imaginative person, I’m university educated, I vote the way you’d expect me to vote and I’m a member of the CPSU. On principle I remain a union member” (7), toeing that line of “awareness” pithily mentioned by the SMH.Like Vashti, there are constant references to Lee’s exact geographical location in Melbourne. She ‘drops pins’ throughout, cultivating a connection to place that blurs home and the street, fostering a sense of belonging beyond one’s birthplace, belonging to a place chosen rather than raised in. She plants herself in this local geography. Returning to the first chapter, she includes “jogger by the Merri Creek” in her introduction (7), and later jokingly likens a friendship with an ex as “no longer on stage at the Telstra Dome but still on tour” (15), employing Melbourne landmarks as explanatory shorthand. She refers to places by name: one could physically tour inner North and CBD hotspots based on Lee’s text, as it is littered with mentions of bars, restaurants, galleries and theatre venues. She frequents the Alderman in East Brunswick and Troika in the city, as well as a bar that Jill Meagher spent time in on the night she went missing – the Brunswick Green.While offering the text a topographical authenticity, this can sometimes prove distracting: rather than simply stating that she goes to the library, she writes that she visits “the City of Melbourne library” (128), and rather than just going to a pizza parlour, they visit “Bimbo’s” (129) or “Pizza Meine Liebe” (101). Yet when Lee visits family in Canberra, or Laos on an arts grant, business names are forsaken. One could argue that the cultural capital offered by namedropping trendy Melburnian bars, restaurants and nightclubs translates awkwardly on the page, and risks dating the text considerably, but elevates the spatiality of Lee’s work. And these landmarks are important within the text, as Lee’s world is divided spatially. She refers to “Theatre Land” when discussing her work in the arts, and her share house not as ‘home’ but consistently as “Albert Street”. She partitions her life into these zones: zones of emotion, zones of intellect/career, zones of family/heritage – the text offers close insight into Lee’s personal cartography, with her traversing the map “stubbornly on foot, still resisting becoming part of Melbourne’s bike culture” (88).While not always walking alone – often accompanied by an ex-boyfriend she nicknames “Husband” – Lee is independently-minded, stating, “I operate solo, I pay my own way” (34), meeting up with various romantic and sexual interests through the text for daytime trysts in empty office buildings or late nights out in the CBD. She is adventurous, yet reminds that she was not always so. She recalls a time when she was still residing in Canberra and visited a boyfriend who was living in Melbourne and felt intimidated by the “alien city”, standing in stark contrast to the familiarity she demonstrates otherwise.Lee and Vashti’s texts both chronicle women who freely occupy public space, comfortable in their surroundings, not engaging on the page with cultural narratives and media reportage that suggest they would be safer off the streets. Both demonstrate what Koskela calls the “pleasure to be able to take possession of space” (“Bold Walks” 308) – yet it could be argued that the writer’s possession of space is so routine, so unremarkable that it transcends pleasure: it is comfortable. They walk the streets alone and catch public transport alone without incident. They contravene advice such as that given by Victorian Police Homicide Squad chief Mick Hughes’s comments that women shouldn’t be “alone in parks” following the fatal stabbing of teenager Masa Vukotic in a Doncaster park in 2015.Like Meagher’s death, Vukotic’s murder was also mobilised by the media – and one could argue, by authorities – to contain women, to further a narrative that reinforces the public/private gender binary. However, as Koskela reminds, the fact that some women are bold and confident shows that women are not only passively experiencing space but actively take part in producing it. They reclaim space for themselves, not only through single occasions such as ‘take back the night’ marches, but through everyday practices and routinized uses of space. (“Bold Walks” 316)These memoirs act as resistance, actively producing space through representation: to assert the right to the city, one must be bold, and reclaim space that is so often overlaid with stories of violence against women. As Koskela emphasises, this is only done through use of the space, “a way of de-mystifying it. If one does not use the space, … ‘the mental map’ of the place is filled with indirect descriptions, the image of it is constructed through media and the stories heard” (“Bold Walks” 308). Memoir can take back this image through stories told, demonstrating the personal connection to public space. Koskela writes that, “walking on the street can be seen as a political act: women ‘write themselves onto the street’” (“Urban Space in Plural” 263). ReferencesAustralian Government. Department of Infrastructure and Transport. State of Australian Cities 2013. Canberra: Commonwealth of Australia, 2013. 17 Jan. 2017 <http://infrastructure.gov.au/infrastructure/pab/soac/files/2013_00_infra1782_mcu_soac_full_web_fa.pdf>.Carmody, Broede, and Aisha Dow. “Top of the World: Melbourne Crowned World's Most Liveable City, Again.” The Age, 18 Aug. 2016. 17 Jan. 2017 <http://theage.com.au/victoria/top-of-the-world-melbourne-crowned-worlds-most-liveable-city-again-20160817-gqv893.html>.Craig, Natalie. “A City Divided.” Sydney Morning Herald, 5 Feb. 2012. 17 Jan. 2017 <http://www.smh.com.au/entertainment/about-town/a-city-divided-20120202-1quub.html>.Darke, Jane. “The Man-Shaped City.” Changing Places: Women's Lives in the City. Eds. Chris Booth, Jane Darke, and Susan Yeadle. London: Paul Chapman Publishing, 1996. 88-99.Koskela, Hille. “'Bold Walk and Breakings’: Women's Spatial Confidence versus Fear of Violence.” Gender, Place and Culture 4.3 (1997): 301-20.———. “‘Gendered Exclusions’: Women's Fear of Violence and Changing Relations to Space.” Geografiska Annaler, Series B, Human Geography, 81.2 (1999). 111–124.———. “Urban Space in Plural: Elastic, Tamed, Suppressed.” A Companion to Feminist Geography. Eds. Lise Nelson and Joni Seager. Blackwell, 2005. 257-270.Lee, Michele. Banana Girl. Melbourne: Transit Lounge, 2013.MacLaren, John. Melbourne: City of Words. Arcadia, 2013.Russell, Mark. ‘Happy, Witty Jill Was the Glue That Held It All Together.’ The Age, 19 June 2013. 30 Jan. 2017 <http://www.theage.com.au/victoria/happy-witty-jill-was-the-glue-that-held-it-all-together-20130618-2ohox.html>Tuan, Yi-Fu. Topophilia: A Study of Environmental Perception, Attitudes and Values. Englewood Cliffs: Prentice-Hall Inc, 1974.Wright, Patrick, “Melbourne Ranked World’s Most Liveable City for Sixth Consecutive Year by EIU.” ABC News, 18 Aug. 2016. 17 Jan. 2017 <http://www.abc.net.au/news/2016-08-18/melbourne-ranked-worlds-most-liveable-city-for-sixth-year/7761642>.
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"Reading and writing." Language Teaching 37, no. 2 (April 2004): 127–31. http://dx.doi.org/10.1017/s0261444804232220.

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04–198Chandler-Olcott, Kelly and Mahar, Donna (Syracuse U., USA; Email: kpchandl@syr.edu). ‘Tech-savviness’ meets multiliteracies: exploring adolescent girls' technology-mediated literacy practices. Reading Research Quarterly (Newark, USA), 38, 3 (2003), 356–85.04–199Chung, Teresa Mihwa & Nation, Paul (Victoria U., New Zealand; Email: Paul.Nation@vuw.ac.nz). Identifying technical vocabulary. System (Oxford, UK), 32, 2 (2004), 251–63.04–200Ellis, Rod and Yuan, Fangyuan (U. of Auckland, New Zealand; Email: r.ellis@auckland.ac.nz). The effects of planning on fluency, complexity, and accuracy in L2 narrative writing. Studies in Second Language Acquisition (New York, USA) 26, 1 (2004), 59–84.04–201Gascoigne, Carolyn (U. of Nebraska-Omaha, USA). Examining the effect of feedback in beginning L2 composition. Foreign Language Annals (New York, USA), 37, 1 (2004) 71–76.04–202Hamston, J. and Love, K. Reading relationships: Parents, boys, and reading as cultural practice. Australian Journal of Language and Literacy (Adelaide, Australia), 26, 3 (2003), 44–57.04–203Hobbs, Renee and Frost, Richard (Babson College, USA). Measuring the acquisition of media-literacy skills. Reading Research Quarterly (Newark, USA), 38, 3 (2003), 330–55.04–204Huang, Jingzi (Monmouth University, USA; Email: jhuang@Monmouth.edu). Socialising ESL students into the discourse of school science through academic writing. Language and Education (Clevedon, UK), 18, 2 (2004), 97–123.04–205Johnston, Brenda (U. of Southampton, UK; Email: bhm@soton.ac.uk). Teaching and researching critical academic writing: scrutiny of an action research process. Educational Action Research (Oxford, UK), 11, 3 (2003), 365–87.04–206Kamler, B. (Deakin University, Australia). Relocating the writer's voice – from voice to story and beyond. English in Australia (Norwood, Australia), 138 (2003), 34–40.04–207Kim, Hae-Ri (Kyungil U., South Korea; Email: hrkimasu@hanmail.net). Dialogue journal writing through a literature-based approach in an EFL setting. English Teaching (Anseonggun, South Korea), 58, 4 (2003), 293–318.04–208Kim, Myonghee (Indiana University, USA; Email: mahn@indiana.edu). Literature discussions in adult L2 learning. Language and Education (Clevedon, UK), 18, 2 (2004), 145–66.04–209Lee, Icy (Hong Kong Baptist U., Hong Kong; Email: icylee@hkbu.edu.hk). L2 writing teachers' perspectives, practices and problems regarding error feedback. Assessing Writing (New York, USA), 8, 3 (2003), 216–37.04–210Lindgren, Eva (Email: eva.lindgren@engelska.umu.se) and Sullivan, Kirk P. H. Stimulated recall as a trigger for increasing noticing and language awareness in the L2 writing classroom: a case study of two young female writers. Language Awareness (Clevedon, UK), 12, 3&4 (2003), 172–86.04–211Luke, A. (U. of Queensland, Australia/National Institute of Education, Singapore). Making literacy policy and practice with a difference. Australian Journal of Language and Literacy. (Adelaide, Australia), 26, 3 (2003), 58–82.04–212Mission, R. (U. of Melbourne, Australia). Imagining the self: the individual imagination in the English classroom. English in Australia (Norwood, Australia) 138 (2003), 24–33.04–213Morris, Darrell, Bloodgood, Janet W., Lomax, Richard G. and Perney, Jan (Appalachian State U., USA). Developmental steps in learning to read: a longitudinal study in kindergarten and first grade. Reading Research Quarterly (Newark, USA), 38, 3 (2003), 302–28.04–214Ryu, Hoyeol (Hankyong National University, Korea; Email: hoyeol@hnu.hankyong.ac.kr). Process approach to writing in the post-process era: A case study of two college students' writing processes. English Teaching (Anseonggun, Korea), 58, 3 (2003), 123–42.04–215Shen, Helen H. (University of Iowa, USA; Email: Helen-shen@uiowa.edu). Level of cognitive processing: effects on character learning among non-native learners of Chinese as a foreign language. Language and Education (Clevedon, UK), 18, 2 (2004), 167–82.04–216Shi, Ling (U. of British Columbia, Canada). Textual borrowing in second-language writing. Written Communication (Thousand Oaks, California, USA), 21, 2 (2004), 171–200.04–217Spence, Lucy K. (Arizona State University, USA). Stepping out of the conversation: giving students a space to co-construct writing. Bilingual Research Journal (Arizona, USA), 27, 3 (2003), 523–32.
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Ruseckaite, Rasa, Sue Evans, Jeremy Millar, Sara Holton, Danielle Mazza, Jane Fisher, and Maggie Kirkman. "GPs’ Insights into Prostate Cancer Diagnosis and Care in Regional Victoria, Australia." Qualitative Report, December 22, 2016. http://dx.doi.org/10.46743/2160-3715/2016.2540.

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The aim of this research was to ascertain General Practitioners’ (GPs) perceptions and experiences of prostate cancer (PCa) diagnosis, treatment, and care in metropolitan Melbourne and in a regional area of Victoria, Australia, associated with poorer PCa outcomes. Semi-structured qualitative interviews were conducted with GPs (N= 10) practising in the selected region and in metropolitan Melbourne, Australia. GPs thought that most men wanted PSA testing and were willing to undergo rectal examination. Some GPs were troubled by inconsistent screening guidelines from different professional bodies. They identified a need for resources to support them in educating patients about PCa. GPs thought it might be more difficult for young female GPs to care for patients in relation to PCa screening; differences were evident between younger female GPs and older male GPs in the approach they adopted in interviews. Regional GPs often referred patients to services in larger centres because no local specialists were available. GPs also found it hard to explain differences in PCa outcomes in regional and metropolitan areas. Potential age and gender differences in GPs in relation to prostate care warrant further examination. Although GPs were able to offer only limited insights into the poorer outcomes in regional areas, they identified ways in which they could be assisted to provide best-practice care. Multidisciplinary care, resources for patients, and consistent guidelines for the detection and treatment of PCa should contribute to better care in all areas.
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May, Peter, Stephen Livesley, and Ian Shears. "Managing and Monitoring Tree Health and Soil Water Status During Extreme Drought in Melbourne, Victoria." Arboriculture & Urban Forestry 39, no. 3 (May 1, 2013). http://dx.doi.org/10.48044/jauf.2013.019.

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Drought can lead to mortality in urban tree populations. The City of Melbourne, Victoria, Australia, manages a large population of trees that provide important ecosystem services and cultural heritage values. Between 1997 and 2009 Melbourne was affected by a serious drought resulting in significant tree health decline. Elms and planes in particular, were badly affected. This paper presents data from a survey of tree health status, and of studies of retrofitted buried drip line irrigation. A study of soil wetting in autumn of 2009 found that the use of drip irrigation had, in most cases, little or no effect on soil moisture levels and a modeled study of tree water use showed that water delivered by drip irrigation provided only a fraction of the water required by a mature tree. By contrast, drip irrigation in late winter was able to recharge soil moisture levels. Mechanisms responsible for the decline in tree health seen during the drought are discussed. While the drought has temporarily been alleviated, climate change scenarios for southern Australia suggest that increased rainfall variability and drought events will be more common. The experiences gained during the recent drought event provide useful information for urban tree managers planning for the future.
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Georgoulas, Renee, and Jane Southcott. "The “Bitter Sweetness” of Hybridity: Being a Bicultural Greek Australian Musician." Qualitative Report, June 5, 2017. http://dx.doi.org/10.46743/2160-3715/2017.2789.

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“Calista” is a bilingual, bicultural Greek-Australian musician in Melbourne, Victoria who explores and enacts her bicultural identity by musicking (making music). This single case study explores the formation and development of hybridized identity which is a complex lifelong process that may generate tensions for an individual that changes across the lifespan. There are strengths and challenges for those traversing different cultures. This study focuses on a bicultural identity formed by personal, musical and cultural contexts. Calista enacts her bimusicality in different musical genres and in different modes of musical engagement. Data were collected by semi-structured interview and by reference to published materials. Data were analysed using Interpretative Phenomenological Analysis. The findings are reported under three themes that reflect different stages in Calista’s life: Becoming a Greek-Australian musician; Mature musicking; and Teaching and community work.
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Brien, Donna Lee. "Climate Change and the Contemporary Evolution of Foodways." M/C Journal 12, no. 4 (September 5, 2009). http://dx.doi.org/10.5204/mcj.177.

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Introduction Eating is one of the most quintessential activities of human life. Because of this primacy, eating is, as food anthropologist Sidney Mintz has observed, “not merely a biological activity, but a vibrantly cultural activity as well” (48). This article posits that the current awareness of climate change in the Western world is animating such cultural activity as the Slow Food movement and is, as a result, stimulating what could be seen as an evolutionary change in popular foodways. Moreover, this paper suggests that, in line with modelling provided by the Slow Food example, an increased awareness of the connections of climate change to the social injustices of food production might better drive social change in such areas. This discussion begins by proposing that contemporary foodways—defined as “not only what is eaten by a particular group of people but also the variety of customs, beliefs and practices surrounding the production, preparation and presentation of food” (Davey 182)—are changing in the West in relation to current concerns about climate change. Such modification has a long history. Since long before the inception of modern Homo sapiens, natural climate change has been a crucial element driving hominidae evolution, both biologically and culturally in terms of social organisation and behaviours. Macroevolutionary theory suggests evolution can dramatically accelerate in response to rapid shifts in an organism’s environment, followed by slow to long periods of stasis once a new level of sustainability has been achieved (Gould and Eldredge). There is evidence that ancient climate change has also dramatically affected the rate and course of cultural evolution. Recent work suggests that the end of the last ice age drove the cultural innovation of animal and plant domestication in the Middle East (Zeder), not only due to warmer temperatures and increased rainfall, but also to a higher level of atmospheric carbon dioxide which made agriculture increasingly viable (McCorriston and Hole, cited in Zeder). Megadroughts during the Paleolithic might well have been stimulating factors behind the migration of hominid populations out of Africa and across Asia (Scholz et al). Thus, it is hardly surprising that modern anthropogenically induced global warming—in all its’ climate altering manifestations—may be driving a new wave of cultural change and even evolution in the West as we seek a sustainable homeostatic equilibrium with the environment of the future. In 1962, Rachel Carson’s Silent Spring exposed some of the threats that modern industrial agriculture poses to environmental sustainability. This prompted a public debate from which the modern environmental movement arose and, with it, an expanding awareness and attendant anxiety about the safety and nutritional quality of contemporary foods, especially those that are grown with chemical pesticides and fertilizers and/or are highly processed. This environmental consciousness led to some modification in eating habits, manifest by some embracing wholefood and vegetarian dietary regimes (or elements of them). Most recently, a widespread awareness of climate change has forced rapid change in contemporary Western foodways, while in other climate related areas of socio-political and economic significance such as energy production and usage, there is little evidence of real acceleration of change. Ongoing research into the effects of this expanding environmental consciousness continues in various disciplinary contexts such as geography (Eshel and Martin) and health (McMichael et al). In food studies, Vileisis has proposed that the 1970s environmental movement’s challenge to the polluting practices of industrial agri-food production, concurrent with the women’s movement (asserting women’s right to know about everything, including food production), has led to both cooks and eaters becoming increasingly knowledgeable about the links between agricultural production and consumer and environmental health, as well as the various social justice issues involved. As a direct result of such awareness, alternatives to the industrialised, global food system are now emerging (Kloppenberg et al.). The Slow Food (R)evolution The tenets of the Slow Food movement, now some two decades old, are today synergetic with the growing consternation about climate change. In 1983, Carlo Petrini formed the Italian non-profit food and wine association Arcigola and, in 1986, founded Slow Food as a response to the opening of a McDonalds in Rome. From these humble beginnings, which were then unashamedly positing a return to the food systems of the past, Slow Food has grown into a global organisation that has much more future focused objectives animating its challenges to the socio-cultural and environmental costs of industrial food. Slow Food does have some elements that could be classed as reactionary and, therefore, the opposite of evolutionary. In response to the increasing homogenisation of culinary habits around the world, for instance, Slow Food’s Foundation for Biodiversity has established the Ark of Taste, which expands upon the idea of a seed bank to preserve not only varieties of food but also local and artisanal culinary traditions. In this, the Ark aims to save foods and food products “threatened by industrial standardization, hygiene laws, the regulations of large-scale distribution and environmental damage” (SFFB). Slow Food International’s overarching goals and activities, however, extend far beyond the preservation of past foodways, extending to the sponsoring of events and activities that are attempting to create new cuisine narratives for contemporary consumers who have an appetite for such innovation. Such events as the Salone del Gusto (Salon of Taste) and Terra Madre (Mother Earth) held in Turin every two years, for example, while celebrating culinary traditions, also focus on contemporary artisanal foods and sustainable food production processes that incorporate the most current of agricultural knowledge and new technologies into this production. Attendees at these events are also driven by both an interest in tradition, and their own very current concerns with health, personal satisfaction and environmental sustainability, to change their consumer behavior through an expanded self-awareness of the consequences of their individual lifestyle choices. Such events have, in turn, inspired such events in other locations, moving Slow Food from local to global relevance, and affecting the intellectual evolution of foodway cultures far beyond its headquarters in Bra in Northern Italy. This includes in the developing world, where millions of farmers continue to follow many traditional agricultural practices by necessity. Slow Food Movement’s forward-looking values are codified in the International Commission on the Future of Food and Agriculture 2006 publication, Manifesto on the Future of Food. This calls for changes to the World Trade Organisation’s rules that promote the globalisation of agri-food production as a direct response to the “climate change [which] threatens to undermine the entire natural basis of ecologically benign agriculture and food preparation, bringing the likelihood of catastrophic outcomes in the near future” (ICFFA 8). It does not call, however, for a complete return to past methods. To further such foodway awareness and evolution, Petrini founded the University of Gastronomic Sciences at Slow Food’s headquarters in 2004. The university offers programs that are analogous with the Slow Food’s overall aim of forging sustainable partnerships between the best of old and new practice: to, in the organisation’s own words, “maintain an organic relationship between gastronomy and agricultural science” (UNISG). In 2004, Slow Food had over sixty thousand members in forty-five countries (Paxson 15), with major events now held each year in many of these countries and membership continuing to grow apace. One of the frequently cited successes of the Slow Food movement is in relation to the tomato. Until recently, supermarkets stocked only a few mass-produced hybrids. These cultivars were bred for their disease resistance, ease of handling, tolerance to artificial ripening techniques, and display consistency, rather than any culinary values such as taste, aroma, texture or variety. In contrast, the vine ripened, ‘farmer’s market’ tomato has become the symbol of an “eco-gastronomically” sustainable, local and humanistic system of food production (Jordan) which melds the best of the past practice with the most up-to-date knowledge regarding such farming matters as water conservation. Although the term ‘heirloom’ is widely used in relation to these tomatoes, there is a distinctively contemporary edge to the way they are produced and consumed (Jordan), and they are, along with other organic and local produce, increasingly available in even the largest supermarket chains. Instead of a wholesale embrace of the past, it is the connection to, and the maintenance of that connection with, the processes of production and, hence, to the environment as a whole, which is the animating premise of the Slow Food movement. ‘Slow’ thus creates a gestalt in which individuals integrate their lifestyles with all levels of the food production cycle and, hence to the environment and, importantly, the inherently related social justice issues. ‘Slow’ approaches emphasise how the accelerated pace of contemporary life has weakened these connections, while offering a path to the restoration of a sense of connectivity to the full cycle of life and its relation to place, nature and climate. In this, the Slow path demands that every consumer takes responsibility for all components of his/her existence—a responsibility that includes becoming cognisant of the full story behind each of the products that are consumed in that life. The Slow movement is not, however, a regime of abstention or self-denial. Instead, the changes in lifestyle necessary to support responsible sustainability, and the sensual and aesthetic pleasure inherent in such a lifestyle, exist in a mutually reinforcing relationship (Pietrykowski 2004). This positive feedback loop enhances the potential for promoting real and long-term evolution in social and cultural behaviour. Indeed, the Slow zeitgeist now informs many areas of contemporary culture, with Slow Travel, Homes, Design, Management, Leadership and Education, and even Slow Email, Exercise, Shopping and Sex attracting adherents. Mainstreaming Concern with Ethical Food Production The role of the media in “forming our consciousness—what we think, how we think, and what we think about” (Cunningham and Turner 12)—is self-evident. It is, therefore, revealing in relation to the above outlined changes that even the most functional cookbooks and cookery magazines (those dedicated to practical information such as recipes and instructional technique) in Western countries such as the USA, UK and Australian are increasingly reflecting and promoting an awareness of ethical food production as part of this cultural change in food habits. While such texts have largely been considered as useful but socio-politically relatively banal publications, they are beginning to be recognised as a valid source of historical and cultural information (Nussel). Cookbooks and cookery magazines commonly include discussion of a surprising range of issues around food production and consumption including sustainable and ethical agricultural methods, biodiversity, genetic modification and food miles. In this context, they indicate how rapidly the recent evolution of foodways has been absorbed into mainstream practice. Much of such food related media content is, at the same time, closely identified with celebrity mass marketing and embodied in the television chef with his or her range of branded products including their syndicated articles and cookbooks. This commercial symbiosis makes each such cuisine-related article in a food or women’s magazine or cookbook, in essence, an advertorial for a celebrity chef and their named products. Yet, at the same time, a number of these mass media food celebrities are raising public discussion that is leading to consequent action around important issues linked to climate change, social justice and the environment. An example is Jamie Oliver’s efforts to influence public behaviour and government policy, a number of which have gained considerable traction. Oliver’s 2004 exposure of the poor quality of school lunches in Britain (see Jamie’s School Dinners), for instance, caused public outrage and pressured the British government to commit considerable extra funding to these programs. A recent study by Essex University has, moreover, found that the academic performance of 11-year-old pupils eating Oliver’s meals improved, while absenteeism fell by 15 per cent (Khan). Oliver’s exposé of the conditions of battery raised hens in 2007 and 2008 (see Fowl Dinners) resulted in increased sales of free-range poultry, decreased sales of factory-farmed chickens across the UK, and complaints that free-range chicken sales were limited by supply. Oliver encouraged viewers to lobby their local councils, and as a result, a number banned battery hen eggs from schools, care homes, town halls and workplace cafeterias (see, for example, LDP). The popular penetration of these ideas needs to be understood in a historical context where industrialised poultry farming has been an issue in Britain since at least 1848 when it was one of the contributing factors to the establishment of the RSPCA (Freeman). A century after Upton Sinclair’s The Jungle (published in 1906) exposed the realities of the slaughterhouse, and several decades since Peter Singer’s landmark Animal Liberation (1975) and Tom Regan’s The Case for Animal Rights (1983) posited the immorality of the mistreatment of animals in food production, it could be suggested that Al Gore’s film An Inconvenient Truth (released in 2006) added considerably to the recent concern regarding the ethics of industrial agriculture. Consciousness-raising bestselling books such as Jim Mason and Peter Singer’s The Ethics of What We Eat and Michael Pollan’s The Omnivore’s Dilemma (both published in 2006), do indeed ‘close the loop’ in this way in their discussions, by concluding that intensive food production methods used since the 1950s are not only inhumane and damage public health, but are also damaging an environment under pressure from climate change. In comparison, the use of forced labour and human trafficking in food production has attracted far less mainstream media, celebrity or public attention. It could be posited that this is, in part, because no direct relationship to the environment and climate change and, therefore, direct link to our own existence in the West, has been popularised. Kevin Bales, who has been described as a modern abolitionist, estimates that there are currently more than 27 million people living in conditions of slavery and exploitation against their wills—twice as many as during the 350-year long trans-Atlantic slave trade. Bales also chillingly reveals that, worldwide, the number of slaves is increasing, with contemporary individuals so inexpensive to purchase in relation to the value of their production that they are disposable once the slaveholder has used them. Alongside sex slavery, many other prevalent examples of contemporary slavery are concerned with food production (Weissbrodt et al; Miers). Bales and Soodalter, for example, describe how across Asia and Africa, adults and children are enslaved to catch and process fish and shellfish for both human consumption and cat food. Other campaigners have similarly exposed how the cocoa in chocolate is largely produced by child slave labour on the Ivory Coast (Chalke; Off), and how considerable amounts of exported sugar, cereals and other crops are slave-produced in certain countries. In 2003, some 32 per cent of US shoppers identified themselves as LOHAS “lifestyles of health and sustainability” consumers, who were, they said, willing to spend more for products that reflected not only ecological, but also social justice responsibility (McLaughlin). Research also confirms that “the pursuit of social objectives … can in fact furnish an organization with the competitive resources to develop effective marketing strategies”, with Doherty and Meehan showing how “social and ethical credibility” are now viable bases of differentiation and competitive positioning in mainstream consumer markets (311, 303). In line with this recognition, Fair Trade Certified goods are now available in British, European, US and, to a lesser extent, Australian supermarkets, and a number of global chains including Dunkin’ Donuts, McDonalds, Starbucks and Virgin airlines utilise Fair Trade coffee and teas in all, or parts of, their operations. Fair Trade Certification indicates that farmers receive a higher than commodity price for their products, workers have the right to organise, men and women receive equal wages, and no child labour is utilised in the production process (McLaughlin). Yet, despite some Western consumers reporting such issues having an impact upon their purchasing decisions, social justice has not become a significant issue of concern for most. The popular cookery publications discussed above devote little space to Fair Trade product marketing, much of which is confined to supermarket-produced adverzines promoting the Fair Trade products they stock, and international celebrity chefs have yet to focus attention on this issue. In Australia, discussion of contemporary slavery in the press is sparse, having surfaced in 2000-2001, prompted by UNICEF campaigns against child labour, and in 2007 and 2008 with the visit of a series of high profile anti-slavery campaigners (including Bales) to the region. The public awareness of food produced by forced labour and the troubling issue of human enslavement in general is still far below the level that climate change and ecological issues have achieved thus far in driving foodway evolution. This may change, however, if a ‘Slow’-inflected connection can be made between Western lifestyles and the plight of peoples hidden from our daily existence, but contributing daily to them. Concluding Remarks At this time of accelerating techno-cultural evolution, due in part to the pressures of climate change, it is the creative potential that human conscious awareness brings to bear on these challenges that is most valuable. Today, as in the caves at Lascaux, humanity is evolving new images and narratives to provide rational solutions to emergent challenges. As an example of this, new foodways and ways of thinking about them are beginning to evolve in response to the perceived problems of climate change. The current conscious transformation of food habits by some in the West might be, therefore, in James Lovelock’s terms, a moment of “revolutionary punctuation” (178), whereby rapid cultural adaption is being induced by the growing public awareness of impending crisis. It remains to be seen whether other urgent human problems can be similarly and creatively embraced, and whether this trend can spread to offer global solutions to them. References An Inconvenient Truth. Dir. Davis Guggenheim. Lawrence Bender Productions, 2006. Bales, Kevin. Disposable People: New Slavery in the Global Economy. Berkeley: University of California Press, 2004 (first published 1999). Bales, Kevin, and Ron Soodalter. The Slave Next Door: Human Trafficking and Slavery in America Today. Berkeley: University of California Press, 2009. Carson, Rachel. Silent Spring. Boston: Houghton Mifflin, 1962. Chalke, Steve. “Unfinished Business: The Sinister Story behind Chocolate.” The Age 18 Sep. 2007: 11. Cunningham, Stuart, and Graeme Turner. The Media and Communications in Australia Today. Crows Nest: Allen & Unwin, 2002. Davey, Gwenda Beed. “Foodways.” The Oxford Companion to Australian Folklore. Ed. Gwenda Beed Davey, and Graham Seal. Melbourne: Oxford University Press, 1993. 182–85. Doherty, Bob, and John Meehan. “Competing on Social Resources: The Case of the Day Chocolate Company in the UK Confectionery Sector.” Journal of Strategic Marketing 14.4 (2006): 299–313. Eshel, Gidon, and Pamela A. Martin. “Diet, Energy, and Global Warming.” Earth Interactions 10, paper 9 (2006): 1–17. Fowl Dinners. Exec. Prod. Nick Curwin and Zoe Collins. Dragonfly Film and Television Productions and Fresh One Productions, 2008. Freeman, Sarah. Mutton and Oysters: The Victorians and Their Food. London: Gollancz, 1989. Gould, S. J., and N. Eldredge. “Punctuated Equilibrium Comes of Age.” Nature 366 (1993): 223–27. (ICFFA) International Commission on the Future of Food and Agriculture. Manifesto on the Future of Food. Florence, Italy: Agenzia Regionale per lo Sviluppo e l’Innovazione nel Settore Agricolo Forestale and Regione Toscana, 2006. Jamie’s School Dinners. Dir. Guy Gilbert. Fresh One Productions, 2005. Jordan, Jennifer A. “The Heirloom Tomato as Cultural Object: Investigating Taste and Space.” Sociologia Ruralis 47.1 (2007): 20-41. Khan, Urmee. “Jamie Oliver’s School Dinners Improve Exam Results, Report Finds.” Telegraph 1 Feb. 2009. 24 Aug. 2009 < http://www.telegraph.co.uk/education/educationnews/4423132/Jamie-Olivers-school-dinners-improve-exam-results-report-finds.html >. Kloppenberg, Jack, Jr, Sharon Lezberg, Kathryn de Master, G. W. Stevenson, and John Henrickson. ‘Tasting Food, Tasting Sustainability: Defining the Attributes of an Alternative Food System with Competent, Ordinary People.” Human Organisation 59.2 (Jul. 2000): 177–86. (LDP) Liverpool Daily Post. “Battery Farm Eggs Banned from Schools and Care Homes.” Liverpool Daily Post 12 Jan. 2008. 24 Aug. 2009 < http://www.liverpooldailypost.co.uk/liverpool-news/regional-news/2008/01/12/battery-farm-eggs-banned-from-schools-and-care-homes-64375-20342259 >. Lovelock, James. The Ages of Gaia: A Biography of Our Living Earth. New York: Bantam, 1990 (first published 1988). Mason, Jim, and Peter Singer. The Ethics of What We Eat. Melbourne: Text Publishing, 2006. McLaughlin, Katy. “Is Your Grocery List Politically Correct? Food World’s New Buzzword Is ‘Sustainable’ Products.” The Wall Street Journal 17 Feb. 2004. 29 Aug. 2009 < http://www.globalexchange.org/campaigns/fairtrade/coffee/1732.html >. McMichael, Anthony J, John W Powles, Colin D Butler, and Ricardo Uauy. “Food, Livestock Production, Energy, Climate Change, and Health.” The Lancet 370 (6 Oct. 2007): 1253–63. Miers, Suzanne. “Contemporary Slavery”. A Historical Guide to World Slavery. Ed. Seymour Drescher, and Stanley L. Engerman. New York: Oxford University Press, 1998. Mintz, Sidney W. Tasting Food, Tasting Freedom: Excursions into Eating, Culture, and the Past. Boston: Beacon Press, 1994. Nussel, Jill. “Heating Up the Sources: Using Community Cookbooks in Historical Inquiry.” History Compass 4/5 (2006): 956–61. Off, Carol. Bitter Chocolate: Investigating the Dark Side of the World's Most Seductive Sweet. St Lucia: U of Queensland P, 2008. Paxson, Heather. “Slow Food in a Fat Society: Satisfying Ethical Appetites.” Gastronomica: The Journal of Food and Culture 5.1 (2005): 14–18. Pietrykowski, Bruce. “You Are What You Eat: The Social Economy of the Slow Food Movement.” Review of Social Economy 62:3 (2004): 307–21. Pollan, Michael. The Omnivore’s Dilemma: A Natural History of Four Meals. New York: The Penguin Press, 2006. Regan, Tom. The Case for Animal Rights. Berkeley: University of California Press, 1983. Scholz, Christopher A., Thomas C. Johnson, Andrew S. Cohen, John W. King, John A. Peck, Jonathan T. Overpeck, Michael R. Talbot, Erik T. Brown, Leonard Kalindekafe, Philip Y. O. Amoako, Robert P. Lyons, Timothy M. Shanahan, Isla S. Castañeda, Clifford W. Heil, Steven L. Forman, Lanny R. McHargue, Kristina R. Beuning, Jeanette Gomez, and James Pierson. “East African Megadroughts between 135 and 75 Thousand Years Ago and Bearing on Early-modern Human Origins.” PNAS: Proceedings of the National Academy of the Sciences of the United States of America 104.42 (16 Oct. 2007): 16416–21. Sinclair, Upton. The Jungle. New York: Doubleday, Jabber & Company, 1906. Singer, Peter. Animal Liberation. New York: HarperCollins, 1975. (SFFB) Slow Food Foundation for Biodiversity. “Ark of Taste.” 2009. 24 Aug. 2009 < http://www.fondazioneslowfood.it/eng/arca/lista.lasso >. (UNISG) University of Gastronomic Sciences. “Who We Are.” 2009. 24 Aug. 2009 < http://www.unisg.it/eng/chisiamo.php >. Vileisis, Ann. Kitchen Literacy: How We Lost Knowledge of Where Food Comes From and Why We Need to Get It Back. Washington: Island Press/Shearwater Books, 2008. Weissbrodt, David, and Anti-Slavery International. Abolishing Slavery and its Contemporary Forms. New York and Geneva: Office of the United Nations High Commissioner for Human Rights, United Nations, 2002. Zeder, Melinda A. “The Neolithic Macro-(R)evolution: Macroevolutionary Theory and the Study of Culture Change.” Journal of Archaeological Research 17 (2009): 1–63.
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48

Southcott, Jane, Karen Marangio, Donna Rady, and Maria Gindidis. "“Taking the most delicate care”: Beginnings of a Mentoring Relationship between Teachers and Coaches in an Australian School." Qualitative Report, July 21, 2020. http://dx.doi.org/10.46743/2160-3715/2020.4546.

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We explore the beginnings of professional coaching/mentoring relationships between teachers and university mentors in an Australian school. Often overlooked, initial steps are crucial, holding the seeds of eventual success or failure. Our mentoring program was undertaken in a large, independent, co-educational school in suburban Melbourne, Victoria. In our constructivist study, underpinned by our desire to explore on the lived experiences of others, we report on the understandings of three of the mentors/researchers and the teachers that they worked with. We gathered data from teacher-written statements and mentor journals. Using thematic analysis, we developed our findings, performing epoché as we hold both insider and outsider mentor/researcher perspectives. We present our findings under two broad headings: The prior understandings held by all and addresses positions, assertions and anticipations; and First meetings, finding accords, noticing resistances, and recognizing difficulties. We found that the apparent simplicity of first steps masked great complexity. No one entered the first meeting as an “empty vessel.” Some relationships were more problematic than others. Our goals as transformational educator/mentors were to foster deep collaborative, professional relationships with our mentees but were hampered by inherent differences of understanding with the school who sought transactional coaches. Clarity in intent from the outset is crucial to program success.
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49

Wilken, Rowan. "Peter Carey's Laptop." Cultural Studies Review 20, no. 1 (March 19, 2014). http://dx.doi.org/10.5130/csr.v20i1.3835.

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In 2001, the State Library of Victoria in Melbourne built on its holdings of Australian literary manuscripts by acquiring all the papers, drafts and other items associated with Peter Carey’s Booker Prize-winning novel, True History of the Kelly Gang. The centrepiece of this acquisition, and the focus of this article, is Carey’s Apple Mac Classic laptop computer. The argument that is developed in this article is that Carey’s laptop is a technological artefact that operates, especially at the time of its acquisition, as an important talisman in three interrelated senses. First, it was viewed by library staff as a key means of gaining access to the ‘true history’ of Carey’s own creative drive or creative unconscious. Second, its public display alongside other textual objects (mostly books) served to reinforce a reconstructed corporate image that endeavoured to reposition the library as a vital contemporary cultural site and key player in Melbourne’s institutional gallery scene. Third, it was a crucial symbolic acquisition insofar as it spoke to certain desires within library management at that time, and which responded to similar moves at major libraries elsewhere around the world, to embrace collection digitisation as the path forward.
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50

Nan Tie, E., H. Fernando, Z. Nehme, D. Dinh, E. Andrew, A. Brennan, S. Zaman, et al. "Sex differences in pre-hospital analgesia and outcomes in patients presenting with acute coronary syndromes." European Heart Journal 42, Supplement_1 (October 1, 2021). http://dx.doi.org/10.1093/eurheartj/ehab724.2778.

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Abstract Background Opioid analgesia remains the mainstay of pain management in acute coronary syndromes (ACS). Significant sex differences persist in ACS presentation, management and outcomes, but the impact of sex-differences on pre-hospital pain management of ACS with opioids is unknown. There is increasing awareness of the importance of pre-hospital factors in ACS, as well as emerging concerns with opioid use impairing the gastrointestinal absorption of oral P2Y12 inhibitors. Purpose This study examined if sex-differences in pre-hospital pain scores, opioid administration and clinical outcomes exist in ACS patients. Methods Patients presenting with ACS via ambulance (2014–2018) that underwent percutaneous coronary intervention (PCI) were prospectively collected via the Victorian Cardiac Outcomes Registry (VCOR), the Melbourne Interventional Group (MIG), and linked to the Ambulance Victoria database. The primary outcome was 30-day major adverse cardiac events (MACE). Secondary outcomes were descriptive analyses of pre-hospital pain score, intravenous morphine equivalent analgesic dosing, plus predictors of MACE and Thrombolysis In Myocardial Infarction (TIMI) 0–1 flow pre-PCI using logistic regression. Results 10,547 patients were included (female: 2,775 [26.3%]). Opioids were administered to 1,585 (57%) females and 5,068 (65%) males (p&lt;0.001). Adjusted 30-day MACE was similar between opioid groups in both sexes (female: OR 1.21, CI 0.82–1.79, p=0.34; male: OR 0.89, 0.68–1.16, p=0.40). Median pain score at presentation was 6 (IQR 4,8) for both sexes. Median opioid dose was 2.5 mg (IQR 0,10) in females and 5 mg (IQR 0,10) in males (p&lt;0.001), with similar pain relief achieved. Adjusted rates of TIMI 0–1 pre-PCI were higher in patients administered opioids (female: OR 2.83, CI 2.14–3.56, p&lt;0.001; male: OR 2.95, CI 2.49–3.49, p&lt;0.001). Conclusions Female patients undergoing PCI received less opioid analgesia, but no sex-differences in pre-hospital pain scores were seen. Opioid administration was associated with impaired antegrade flow in the culprit artery in both sexes, but not short-term MACE. Randomised trials evaluating the clinical implications of opioid administration in ACS with sex subgroup analyses are needed to guide clinical practice. Funding Acknowledgement Type of funding sources: Public Institution(s). Main funding source(s): Melbourne Interventional GroupVictorian Cardiac Outcomes Registry
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