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.

Water's edge and the water's edge writing

Thesis consists of a novel and an exegesis with bibliography. There is no title page or abstract provided by the author.

Fragments of a map ; an exegesis concerning the novel, Fragments of a map

The novel explores the journey towards completion for two women and, through its concerns and structure, plays with the notion of research in the creative arts. The exegesis comments upon the concerns of the novel, and the writing and research processes.

(Post)colonial ambivalences : Christina Stead and Janet Frame

This thesis is an evaluative comparison of two significant writers, the Australian Christina Stead, and New Zealander Janet Frame. In a detailed analysis of the novels, the writerly ambivalences of each author are explored. Their writings are revealed to be creative of new possibilities for female (post)colonial agency.

Murray and Marx

Theory from Marx and related thinkers challenges interpretation of Les Murray's poetry. Topics discussed are: dialectics and dreams; death and its place in our lives; and poetry and religion. Using Marx, religious ideas are given meaning for our lives and thus, it is argued, interest and complexity is discovered in Murray's poetry.

Poetry, politics and place : black and white perceptions of landscape in modern Australian poetry 1965-1990

Argues that the most influential landscape poetry deals with landscape as an aesthetic concept, and also with the politics of land ownership. Several "landscape poets". Aboriginal and non-Aboriginal, have given voice to some of the most compelling social currents in society, and their work has an important place in contemporary political debate.

Maternal realms : an exegesis and novel

Combines a novel and exegesis. The fictional autobiography, "The wardrobe drawer", describes a girl's prepubescent experiences in a dysfunctional family. The exegesis explores the process of life writing and renegotiates terms for motherhood and femininity by drawing from feminism, autobiography, queer theory and psychanalytic theory.

Leavings : a novel and exegesis

In the novel, Billie, a painter living on the Hawkesbury River, remembers her life in Italy and England in a search for family and identity. The exegesis investigates the prophetic figure of the Sibyl from a writer's perspective, exploring notions of writing, research, creativity, authority and textual longevity.

Associations of diet quality with health-related quality of life in older Australian men and women

This study investigated associations between diet quality measures and quality of life two years later. Adults 55-65 years participating in the Wellbeing, Eating and Exercise for a Long Life (WELL) study in Victoria, Australia (n = 1150 men and n = 1307 women) completed a postal survey including a 111-item food frequency questionnaire in 2010. Diet quality in 2010 was assessed via the dietary guideline index (DGI), recommended food score (RFS) and Mediterranean diet score (MDS). The RAND 36-item survey assessed health-related quality of life in 2012. Associations were assessed using logistic regression adjusted for covariates. In men, DGI and RFS were associated with better reported energy (OR = 1.79, CI: 1.25, 2.55 and OR = 1.56, CI: 1.11, 2.19 respectively), and DGI was additionally associated with better general health (OR = 1.54, 95% CI: 1.08, 2.20), and overall mental component summary scale (OR = 1.51, CI: 1.07, 2.15) in the fully adjusted model. In women, associations between two indices of diet quality (DGI, RFS) physical function (OR = 1.66, CI: 1.19, 2.31 and OR = 1.70, CI: 1.21, 2.37 respectively) and general health (OR = 1.83, CI: 1.32, 2.54 and OR = 1.54, CI: 1.11, 2.14 respectively) were observed. DGI was also associated with overall physical component summary score (OR = 1.56, CI: 1.12, 2.17). Additional associations between emotional wellbeing and DGI (OR = 1.40, CI: 1.01, 1.93) and RFS (OR = 1.44, CI: 1.04, 1.99), and MDS and energy (OR = 1.53, CI: 1.11, 2.10) were observed in the fully adjusted model, in women only. Older adults with better quality diets report better health-related quality of life, with additional associations with emotional wellbeing observed in women.

The imaging of Samoa in illustrated magazines and serial encyclopedias in the early 20th-century

Drawing on English language sources and material relating to the colonial administrations of Western Samoa (now Samoa) and American Samoa, this examination of photographically illustrated serial encyclopaedias and magazines proposes an alternative historical analysis of the colonial imaging of Samoa, the most extensively covered field in Oceanic photographic studies. Though photographs published between 1890s and World War II were often 'recycled', without acknowledging the fact that they were taken much earlier, and despite claims in the text of illustrated publications of an unchanged, enduring, archaic tradition in Samoa, the amazing variety of photographic content often offered contradictory evidence, depicting a modern, adaptive and progressive Samoa. Contrary to orthodox historical analysis, the images of Samoa in illustrated magazines and encyclopaedias were not limited to a small repetitive gallery of partially clothed women and costumed chiefs; and the ways in which readers understood Samoa from photographs and text raises questions still to be explored.

40 20th Century Spanish Sculptresses

This article presents a compilation of female artists who carried out their sculptural work during the twentieth century. With a brief presentation of each of them I want to implement visibility and the importance of incorporating their works to the collective imagery in order to be added to Spanish contemporary arts history. Some of them have public monuments of great popular recognition but their names have not been mentioned yet. Some others have “minor” works but they were relevant teachers to other artists. A few of them have extensive monographs about their life and their works. While others have almost gone unnoticed, but the proof of their professional career’s existence seems fundamental to us and they must be incorporated to history either through text books, university research works, ideally achieving a supported research project, to provide them the visibility their works and their vital trajectories deserve.