Patterns of coronary heart disease mortality over the 20th century in England and Wales : possible plateaus in the rate of decline

Background
Coronary heart disease (CHD) rates in England and Wales between 1950 and 2005 were high and reasonably steady until the mid 1970s, when they began to fall. Recent work suggests that the rate of change in some groups has begun to decrease and may be starting to plateau or even reverse.

Methods
Data for all deaths between 1931 and 2005 in England and Wales were grouped by year, sex, age at death and contemporaneous ICD code for CHD as cause of death. CHD mortality rates by calendar year and birth cohort were produced for both sexes and rates of change were examined.

Results
The pattern of increased burden of CHD mortality within older age groups has only recently emerged in men, whereas it has been established in women for far longer. CHD mortality rates among younger people showed little variation by birth cohort. For younger women (49 and under), the rate of change in CHD mortality has reversed in the last 20 years, indicating a future plateau and possible reversal of previous improvement in CHD mortality rates. Among younger men the rate of change in CHD mortality has been consistent for the past 15 years indicating that rates in this group have continued to fall steadily.

Conclusion
Although CHD mortality rates continue to drop in older age groups the actual burden of coronary heart disease is increasing due to the ageing of the population. The rate of improvement in CHD mortality appears to be beginning to decline and may even be reversing among younger women.

Twenty first century literature: opportunities, changes and challenges

Reviews international research that is relevant to the teaching of English, language and literacy. This book locates research within theoretical context, drawing on historical perspectives.

Holocaust literature : an exploration of second-generation publication in Australia

Normally we expect the magic of art to intensify, transfigure and elevate actuality. Touch the Holocaust and the flow is reversed (Clendinnen 1998, p. 185). This dissertation explores the relationships between the second-generation Holocaust writer, the Australian publishing industry and the reading public. It contends that a confluence of elements has made the 'genre' of second-generation Holocaust writing publishable in the late 20th century in a way that would not seem obvious from its major themes and the risk-averse publishing strategies increasingly adopted by the multinational conglomerates controlling the Australian industry. The research explores the nature of connections between writing, publishing and reading Holocaust literature, seeking to answer the following questions: What are the driving forces that compel children of Holocaust survivors to write about their parents' lives and their own experiences of growing up in a 'survivor' family? By what mechanisms are such stories published in an Australian industry dominated by international conglomerates focused on mass-market publishing? How do readers receive and make sense of this material?

Weaving textual tapestries: weaving the 'Italian woman-writer' into the social fabric

A tapestry is a fabric in which multicoloured threads are interwoven to produce a pictorial design. The design of a tapestry often seems three-dimensional with layers of interwoven images of people and events from various times past and present. I use the tapastry as a motif or metaphor to describe the bordering and interweaving of my 'multiple lifeworlds' (Cope & Kalantzis 8) as an Italian Australian woman, academic, writer and social activist. Within and between each .of these worlds are points of tension and confluence, questions and emotions that motivate my own research and writing, and motivate my work with young people to articulate their own 'multiple lifeworlds' through writing
and art.

Being a female PE teacher in an all-boys' school

The relationship between physical education (PE) and masculinity has been widely considered.  Since its inception in the Australian school curriculum around the turn of the 20th Century, PE has a history of privileging the so-called masculine desires to be active and compete.  In the contemporary climate where the educational performance of boys has become a considerable source of social anxiety, the literature points to factors such as a lack of male role models, the feminisation of curriculum and the lack of 'boy friendly' pedagogies as key factors.  This backdrop poses some interesting questions about the contributions that female PE teachers make to the development of contemporary masculinity.  Drawing on a narrative research methodology, this research set out to explore the experiences of female PE teachers working on all-boys' schools.

Persuasions

A collection of writings shared at readings in Melbourne or Geelong including the 2000 DLS Writers' Weekend held on the Geelong Campus of Deakin University.