Dyslipidaemia in rural Australia : prevalence, awareness, and adherence to treatment guidelines in the Greater Green Triangle risk factor study

Objectives: To determine population lipid profiles, awareness of hyperlipidaemia and adherence to Australian lipid management guidelines.
Design and setting: Population survey in rural south-eastern Australia, 2004–2006.
Participants: Stratified random sample from the electoral roll. Data from 1274 participants (40%) aged 25–74 years were analysed.
Main outcome measures: Population mean total, low-density lipoprotein and high-density lipoprotein cholesterol (TC, LDL-C and HDL-C) and triglyceride (TG) concentrations, prevalence of dyslipidaemia, and treatment according to 2001 and 2005 Australian guideline target levels.
Results: Population-adjusted mean TC, TG, LDL-C and HDL-C concentrations were 5.38 mmol/L (95% CI, 5.30–5.45), 1.50 mmol/L (95% CI, 1.43–1.56), 3.23 mmol/L (95% CI, 3.16–3.30) and 1.46 mmol/L (95% CI, 1.44–1.49), respectively. Prevalence of hypercholesterolaemia (TC > 5.5 mmol/L or on treatment) was 48%. Lipid-lowering medication use was reported by 12%. Seventy-seven of 183 participants with established cardiovascular disease (CVD) or diabetes were untreated, and of the 106 treated, 59% reached the target LDL-C. Of those without CVD or diabetes already treated, 38% reached target LDL-C, and 397 participants at high absolute risk did not receive primary prevention. Ninety-five per cent of treated individuals with CVD or diabetes and 86% of others treated had cholesterol measured in the previous year. Sixty-nine per cent of individuals at low risk aged over 45 years had their cholesterol measured within the previous 5 years.
Conclusions: A comprehensive national strategy for lowering mean population cholesterol is required, as is better implementation of absolute risk management guidelines — particularly in rural populations.

A semiotic view of Dewey's times and Habermas's lifeworlds

John Dewey (1859-1952) explained how life was ‘corporatised’ at the time of rampant, laissez faire capitalism in early 20th century America. This paper refers Dewey’s observations to Habermas’s notions of the colonisation of the lifeworld. The semiotic and pragmatist approaches of Charles Saunders Peirce are then enlisted to look further into these lifeworld changes. The
paper suggests modifications to Habermas’s schema to bring it more in line with Dewey’s empirical account. It puts together a theoretically and empirically informed picture of the contemporary disruption to ways of living and the accompanying social and political instability. The paper then goes on to suggest how that instability appears to have been quelled by communicative means. These stages of: (1) stability; (2) disruption/instability; and (3) the regaining of stability are compared to Habermas’s notions of: (1) an original lifeworld; (2) colonisation of that lifeworld by the consequences of purposive rational activity; then (3) communicative action which ‘rebuilds’— that is which replaces or modifies or reforms or repairs—the disrupted lifeworld in order to create a new lifeworld. ‘Colonisation’ could be said to have provoked social instability. Notions of building a new ‘lifeworld’—a new cultural and psychic reference—could be said to correspond with attempts to resume social and political stability. The implication is that whatever the degree of purposive rationalism there is always a need for a return to some level of shared values and
understandings which imply communicative rationality. This ‘return’ or ‘counter-colonisation’ can be thought of as operating via a ‘lifeworld negotiation’ which might best be understood with reference to a Peircean based pragmatism-semiotic theory of human subjectivity. This paper
has been criticised for discussing “arguments” which: “would justify those who accommodated themselves to Nazism.” What this paper in fact tries to do is to use the concepts of the above three philosophers to try to account for the ways people think. This paper is not about justifying what philosophies people should hold. It is presumed that most readers are sensible and ethical and can make their own minds up in that respect. Rather it attempts to draw from Dewey, Habermas and Peirce to offer a characterisation of what philosophies might be argued to be held and to offer an explanation about how these modes of thinking might be said to have come into existence.
This paper rejects the notion that ones ‘will’ and thus the way one is able to think, is totally free and beyond the formative influences of the social-cultural context—including the influences of public relations and other persuasive discourse industries.

Chronic disease risk factors in rural Australia : results from the Greater Green Triangle risk factor surveys

The aim of this article was to assess the level and prevalence of major chronic disease risk factors among rural adults. Two cross-sectional surveys were carried out in 2004 and 2005 in the southeast of South Australia and the southwest of Victoria. Altogether 891 randomly selected persons aged 25 to 74 years participated in the studies. Surveys included a self-administered questionnaire, physical measurements, and a venous blood specimen for lipid analyses. Two thirds of participants had cholesterol levels ≥5.0 mmol/L. The prevalence of high diastolic blood pressure (≥90 mm Hg) was 22% for men and 10% for women in southeast of South Australia, and less than 10% for both sexes in southwest of Victoria. Two thirds of participants were overweight or obese (body mass index ≥25 kg/m2). About 15% of men and slightly less women were daily smokers. The abnormal risk factor levels underline the need for targeted prevention activities in the Greater Green Triangle region. Continuing surveillance of levels and patterns of risk factors is fundamentally important for planning and evaluating preventive activities.

Greater Green Triangle Risk Factor Study

Very limited data exist for chronic diseases and their risk factors and behaviours in the Greater Green Triangle (GGT) region, or anywhere in rural Australia. To identify health problems and to target interventions and monitor their impact it is necessary to have objective data on chronic disease risk factors. Three cross-sectional surveys were carried out in 2004, 2005 and 2006 in the GGT region in the south east of Australia. In 2004 the survey area was the Limestone Coast in South Australia, 2005 the Corangamite Shire in the south west of Victoria, and in 2006 the Wimmera district in central western Victoria. The data comprises physical measurements and results of blood samples that were taken from patients by specially trained survey nurses. It also comprises data extracted from follow up survey questionnaires that were sent to each patient who returned them through the mail.

Greater Green Triangle diabetes prevention project database

Data includes anthropometric and laboratory (lipid profile, glucose) measurements, and self-reported questionnaires including demographics, self-efficacy, social support, psychological well being (HADS, K10, SF-36 v2), diet (three-day food diaries, food frequency questionnaire), physical activity (seven-day diary, Active Australia Survey), smoking, and alcohol consumption. Most data is measured at baseline, 3 months, 12 months, and 30 months. Some blood samples are still stored at -80 degrees Celsius.

Locating the semiotic power of multimodality

This article reports research that attempts to characterize what is powerful about digital multimodal texts. Building from recent theoretical work on understanding the workings and implications of multimodal communication, the authors call for a continuing empirical investigation into the roles that digital multimodal texts play in real-world contexts, and they offer one example of how such investigations might be approached. Drawing on data from the practice of multimedia digital storytelling, specifically a piece titled “Lyfe-N-Rhyme,” created by Oakland, California, artist Randy Young (accessible at http://www.oaklanddusty.org/videos.php), the authors detail the method and results of a fine-grained multimodal analysis, revealing semiotic relationships between and among different, copresent modes. It is in these relationships, the authors argue, that the expressive power of multimodality resides.