Scalpel slaves or cyborgs? : cosmetic surgery and embodied identity

This thesis explores individuals' experiences of cosmetic surgery in Melbourne. The research conducted with recipients of cosmetic surgery is a complex and ambiguous practice simultaneously encompassing pain and pleasure, agency and constraint, empowerment and conformity. By providing a more nuanced representation of people's experiences of such surgery, the thesis envisions a subjectivity that may better account for individuals' active and lived relationship to their bodies.

Acculturation and its effects on the nutrition and physical activity of African migrant children

Studies the nutritional status, food intake, physical activity and acculturation in African migrant children living in Melbourne. Higher than expected overweight/obesity prevalence, and malnutrition, especially wasting, was observed in the study population. These children had high energy and macronutrient intake; compensated by high physical activity level. There was a strong positive association between acculturation and obesity.

Hope of education : Somali families and social connection

This thesis examines Somali parents' experience of their children's education after settling in Melbourne following the outbreak of civil war in Somalia in 1991. The research found that Somali parents instigate connections with teachers to generate social capital to enhance their children's education.

A nurse-assisted screening and referral program for depression among survivors of colorectal cancer : feasibility study

Objective: To test the feasibility and acceptability of a telephone-based program to screen survivors of colorectal cancer (CRC) for distress, and to refer distressed patients to their treating health service.

Design, setting and participants: A prospective, multicentre study involving 59 patients with CRC recruited from six public and private health services in Melbourne, Victoria, from 15 June 2008 to 22 September 2009. Patients who had completed adjuvant chemotherapy for CRC were contacted (7–10 days after recruitment [outcall one] and again 4 weeks later [outcall two]) by the Cancer Council Victoria’s helpline nurse, and screened for distress with the Distress and Impact Thermometer (DIT); participants were given tailored information and support and those with distress scores of ≥5, and impact scores of ≥4, were referred for follow-up. Telephone interviews were conducted 4 weeks after outcall two. Participating helpline and health service staff were surveyed on the feasibility and acceptability of the service. Main outcome measure: Anxiety and depression, measured by the Hospital Anxiety and Depression Scale (HADS).

Results: Of the 59 patients (87%) who agreed to participate, 63% were men; their mean age was 59 years (SD, 9.5 years). HADS depression decreased significantly from baseline (mean score, 4.93; SD, 4.22) to follow-up (mean score, 3.84; SD, 4.10; Z = −2.375; P= 0.02). However, there was no significant difference in HADS anxiety between baseline (mean score, 5.29; SD, 4.11) and follow-up (mean score, 4.78; SD, 3.65). Outcall one generated two referrals (4% of participants) and outcall two generated four referrals
(8%); five of these six participants took up the referrals. Satisfaction with the program among participants was high; 82% found outcall one “quite or very helpful” and 79% found outcall two “quite or very helpful”. Helpline and health service staff reported a straightforward process that did not adversely affect workloads.

Conclusion: This model of care carries the potential to meet ongoing psychosocial needs of survivors of CRC.

Monitoring the corrosion of concrete reinforcement using control curves

Corrosion testing (half-cell and LPR) was carried out on a number reinforced concrete panels which had been taken from the fascia of a twenty five year old high rise building in Melbourne, Australia. Corrosion, predominantly as a result of carbonation of the concrete, was associated with a limited amount of cracking. A monitoring technique was established in which probe electrodes (reference and counter) were retro-fitted into the concrete. The probe electrode setup was identical for all panels tested. It was found that the corrosion behaviour of all panels tested closely fitted a family of results when the corrosion potential is plotted against the polarisation resistance (Rp). This enabled the development of a so-called 'control curve' relating the corrosion potential to the Rp for all of the panels under investigation. This relationship was also confirmed on laboratory samples, indicating that for a fixed geometry and experimental conditions a relationship between the potential and polarisation resistance of steel can be established for the steel-concrete system. Experimental results will be presented which indicate that for a given monitoring cell geometry, it may be possible to propose criteria for the point at which remediation measures should be considered. The establishment of such a control curve has enabled the development of a powerful monitoring tool for the assessment of a number of proposed corrosion remediation techniques. The actual effect of any corrosion remediation technique becomes clearly apparent via the type and magnitude of deviation of post remediation data from the original (preremediation) control curve.

Will these glasses help? Holocaust videotestimony and the transfer of intangible heritage

An analysis of Erica's videotestimony, presented at the Jewish Holocaust Museum and Research Centre in Melbourne, reveals how audio-visual history can act as a medium for the transfer of cultural heritage, despite claims that the trauma of the Holocaust has destroyed the possibility of any meaningful transmissíon. It is argued that the discussion of personal photographs from before and after the Holocaust forms a key component of the videotestimony and constitutes the primary mechanism for intergenerational transfer of Jewish communal heritage, Transfer is further facilitated by the interviewer whose questioning explicitly encourages Erica to reflect on issues of cultural continuity. Significantly, Erica's answers do not always conform to the interviewer's expectations about Jewish communal and religious identification and this can result in tension between the
two. Here too the photographs play an important role in resolving tension between Erica and the interviewer.

Individual and area-level socioeconomic associations with fast food purchasing

Background It has been suggested that those with lower socioeconomic characteristics would be more likely to seek energy-dense food options such as fast food because of cheaper prices; however, to date the evidence has been inconsistent. This study examines both individual- and area-level socioeconomic characteristics and their independent associations with chain-brand fast food purchasing.

Methods Data from the 2003 Victorian Lifestyle and Neighbourhood Environments Study (VicLANES); a multilevel study of 2547 adults from 49 small-areas in Melbourne, Australia, were used. Multilevel multinomial models adjusted for confounders were used to assess associations between individual socioeconomic position (education, occupation and income) and area socioeconomic characteristics in relation to fast food purchasing from five major fast food chains with outcome categories: never, at least monthly and at least weekly. The study finally assessed whether any potential area-level associations were mediated by fast food access.

Results Increased fast food purchasing was independently associated with lower education, being a blue-collar employee and decreased household income. Results for area-level disadvantage were marginally insignificant after adjustment for individual-level characteristics, although they were suggestive that living in an area with greater levels of disadvantage increased an individual's odds of more frequent fast food purchasing. This effect was further attenuated when measures of fast food restaurant access were included in the models.

Conclusion Independent effects of lower individual-level socioeconomic characteristics and more frequent fast food purchasing for home consumption are demonstrated. Although evidence was suggestive of an independent association with area-level disadvantage this did not reach statistical significance.

Flying the coop : why is the move out of home proving unsustainable?

Changing social trends indicate that more young Australians are electing to live at home longer. Residing in the parental home is the most common mode of living for those aged in their 20s, with recent data indicating more than 30 per cent decisively remain in this arrangement with their parents.

While there are obviously still those who decide to move out, this housing arrangement seems to be proving unsustainable; many young adults are returning home to reside with their parents after time spent on their own in a trend increasingly referred to as the ‘boomerang’ effect.

This paper reviews the available literature on young adults’ living arrangements, identifying those factors implicated both in the leaving home process and the likelihood a young adult will return home after previously moving out. In highlighting how much of this earlier research has relied on the use of statistical methods, the paper aims to justify the need for the proposed study- a contemporary exploration of generation Y Australians’ experiences of home returning.

The study, guided by an ecological theoretical perspective, will utilise a qualitative methodology to investigate the reasons why young adults are experiencing difficulty sustaining their move to independent living. In-depth interviews will be conducted in Melbourne with young adults aged between 20 and 30 years who currently reside in the parental home after living independently for four months or more. It is anticipated the study sample will include both males and females who are currently engaged in, or have previously completed, tertiary study.

These interviews will be analysed and through the emergent themes, will provide a clearer insight into the ‘boomerang’ generation- a group of young adults who will become increasingly more common in light of the current uncertainty surrounding finances, employment and housing markets. The implications of this research will therefore be significant for those concerned with the future housing decisions of Australian society.

Residential auction clearance rates – what do they really mean?

The residential market in Melbourne is often referred to as the ‘auction capital of the world’ with approximately 30-35% of housing transfers undertaken via the auction process, most of which are conducted on the weekend and then reported in the media the following day. The most quoted measurement of auction success is via the clearance rate which simply indicates the proportion of signed contracts of sale within the auction process. At the same time the clearance rate can have a relatively large variance where the residential market can traditionally range from very good (i.e. a high clearance rate) to very poor (i.e. a low clearance rate). The subsequent effect on the market can directly increase or decrease demand, predominantly based only on this single measure of the perceived level of auction clearance rates only.

This paper examines the concept of the auction clearance rates and the heavy reliance on the only one measure of success (i.e. the clearance rates), regardless of other variables. The emphasis is placed on the auction clearance rate as one measure of demand in the housing market but within the context of the definition of market value i.e. willing buyer-willing seller. This is supported by a discussion about other variables including the asking price, the auction process itself, marketing considerations and seasonal adjustments. The findings provide an insight into how to correctly interpret the auction clearance rate in the context of the overall supply-demand interactions. Whilst the auction process is clearly an integral part of the residential transfer process it is essential that the auction clearance rate is used with caution and also in conjunction with other variables.

Reporting of the ACT heroin trials

The aim of this research is to analyse the reports of the proposed heroin maintenance trials in the Australian Capital Territory (A.C.T.), in Melbourne print media during 1997. The proposal for trials of heroin-prescription to long-term users in the A.C.T. was based on extensive scientific research. The rejection of this proposal by Prime Minister Howard raised many questions. This study was designed to help understand what discourses and rhetorical devices were used in the reporting of heroin issues in the media and what part some sections of the media played in the government’s decision. Discourse analysis was conducted of newspaper articles from two major Melbourne newspapers, The Age and the Herald-Sun for the year 1997. All articles relating to heroin and drug-policy from the newspapers were included for analysis. Those in favour of the trials used predominantly health and social discourses. Those opposed used moral discourses supported with stereotypes, metaphors, emotive practices and ‘inaccuracies’. There were considerable differences in discourses presented by The Age and the Herald-Sun. This study demonstrates that opposition to the heroin trials relied on rhetorical strategies and sensationalistic arguments, rather than meaningful debate of scientific and social issues. Researchers should act to identify the stereotypes and metaphors used in the discourses surrounding an issue and act to disarm them.

The life and times of Peter Snodgrass 1817-1867

Peter Snodgrass, an early pioneer and squatter in the Port Phillip District, died on 27 November 1867. A member of a gentrified military family, he reconstructed his life by overlanding from New south Wales to the Goulburn River District where he established a pastoral holding. Despite his early reputation as 'a wild young man' he became a member of Port Phillip District's first Legeslative Council, first Legislative Assembly and first Prahran Council, and was also a foundation member of a number of professional and sporting clubs in Melbourne. A somewhat enigmatic figure in his lifetime, Snodgrass is yet worthy of study for legacies that became an integral part of our cultural heritage.

“… what lies behind a brownstone front”

After entering the nondescript door to her building, ordinary Oliver Reed follows Irena Dubrovna as she ascends the ornate stairs that lead to her front door. He hovers at the foot of the stairs, and rhetorically admits: “I never cease to marvel at what lies behind a brownstone front.” Behind each façade lies something hidden. What lies hidden from Oliver Reed in Cat People (1942) are the dormant stories waiting behind each door. This article is based on my presentation at the 2009 Double Dialogues Conference, Hidden Stories, held in Melbourne, December 2009. In the Conference presentation, the early scenes from Cat People were screened with the film sound interspersed with my commentary. This article uses still frames from the film, descriptions from the original screenplay (in courier font) and the storyboard layout for a DVD commentary.

The Cool Little Kids randomised controlled trial population-level early prevention for anxiety disorders

Background: The World Health Organization predicts that by 2030 internalising problems (e.g. depression and anxiety) will be second only to HIV/AIDS in international burden of disease. Internalising problems affect 1 in 7 school aged children, impacting on peer relations, school engagement, and later mental health, relationships and employment. The development of early childhood prevention for internalising problems is in its infancy. The current study follows two successful ‘efficacy’ trials of a parenting group intervention to reduce internalising disorders in temperamentally inhibited preschool children. Cool Little Kids is a population-level randomised trial to determine the impacts of systematically screening preschoolers for inhibition then offering a parenting group intervention, on child internalising problems and economic costs at school entry.
Methods/Design: This randomised trial will be conducted within the preschool service system, attended by more than 95% of Australian children in the year before starting school. In early 2011, preschool services in four local government areas in Melbourne, Australia, will distribute the screening tool. The ≈16% (n≈500) with temperamental inhibition will enter the trial. Intervention parents will be offered Cool Little Kids, a 6-session group program in the local community, focusing on ways to develop their child’s bravery skills by reducing overprotective parenting interactions. Outcomes one and two years post-baseline will comprise child internalising diagnoses and symptoms, parenting interactions, and parent wellbeing. An economic evaluation (costconsequences framework) will compare incremental differences in costs of the intervention versus control children to incremental differences in outcomes, from a societal perspective. Analyses will use the intention-to-treat principle, using logistic and linear regression models (binary and continuous outcomes respectively) to compare outcomes between the trial arms.
Discussion: This trial addresses gaps for internalising problems identified in the 2004 World Health Organization Prevention of Mental Disorders report. If effective and cost-effective, the intervention could readily be applied at a population level. Governments consider mental health to be a priority, enhancing the likelihood that an effective early prevention program would be adopted in Australia and internationally.