Self-reported medication side effects in an older cohort living independently in the community - the Melbourne Longitudinal Study on Health Ageing (MELSHA) : cross-sectional analysis of prevalence and risk factors

Background Medication side effects are an important cause of morbidity, mortality and costs in older people. The aim of our study was to examine prevalence and risk factors for self-reported medication side effects in an older cohort living independently in the community.

Methods The Melbourne Longitudinal Study on Healthy Ageing (MELSHA), collected information on those aged 65 years or older living independently in the community and commenced in 1994. Data on medication side effects was collected from the baseline cohort (n = 1000) in face-to-face baseline interviews in 1994 and analysed as cross-sectional data. Risk factors examined were: socio-demographics, health status and medical conditions; medication use and health service factors. Analysis included univariate logistic regression to estimate unadjusted risk and multivariate logistic regression analysis to assess confounding and estimate adjusted risk.

Results Self-reported medication side effects were reported by approximately 6.7% (67/1000) of the entire baseline MELSHA cohort, and by 8.5% (65/761) of those on medication. Identified risk factors were increased education level, co-morbidities and health service factors including recency of visiting the pharmacist, attending younger doctors, and their doctor's awareness of their medications. The greatest increase in risk for medication side effects was associated with liver problems and their doctor's awareness of their medications. Aging and gender were not risk factors.

Conclusion Prevalence of self-reported medication side effects was comparable with that reported in adults attending General Practices in a primary care setting in Australia. The prevalence and identified risk factors provide further insight and opportunity to develop strategies to address the problem of medication side effects in older people living independently in the community setting.

Quantification of physical load in elite junior Australian football players

Results from this thesis provide insights into the physical loads experienced by the elite junior Australian footballer. The information presented can assist in the facilitation of best practice advice for player management and training prescription through the use of training diaries and GPS TMA and HR device technologies.

Stanley Melbourne Bruce in London, 1938-41

This article examines Stanley Melbourne Bruce's role as Australian high commissioner in London during the approach to the Second World War and the European War from 1939 to 1941. It argues that Bruce in this period was an influential high commissioner who strongly influenced Australian foreign policy and exercised some influence, albeit with limitations, on the British government. After 1933, Bruce had transformed the office of Australian high commissioner in London from a largely commercial position into one with real diplomatic influence. In the approach to war, Bruce tended to bolster the policy of appeasement on which the Chamberlain government was already decided and in the Phoney War his cautious arguments contributed to the delay of the Allied intervention in Norway. With the accession of Winston Churchill to the prime ministership in May 1940, Bruce lost some of the influence he had had with Neville Chamberlain and he was on the losing side of the argument inside the British Cabinet about the possibility of a negotiated peace in May–June 1940. Despite the limitations of his personal relationship with Churchill, he was nonetheless an influential voice with other British ministers and senior officials and with the US ambassador in London and key members of the Roosevelt administration. This equipped him to play an effective part in the emerging Anglo-American alliance and issues of post-war international reconstruction.

'Nobody but a bunch of mothers' : grassroots activism and women's leadership in 1970s Melbourne

This group biography draws on oral history interviews to show how crucial women's leadership was to Melbourne's urban protest movement in the 1970s. Inner city resident's action groups were characterised by a high degree of participation by women. For most it was a radicalising experience as they became involved in action for the first time in their lives. Their involvement in local action and politics contributed to the development of more open and participatory governance focused on community building and environmental issues.