Thesis (M.N. (Hons))--University of Western Sydney, 2004. / A thesis presented to the University of Western Sydney, College of Social and Health Sciences, School of Nursing, Family and Community Health, in fulfilment of the requirements for the degree of Masters of Nursing (Honours). Includes bibliographical references and appendices.

Thesis (Ed.D.)--University of Western Sydney, 2007. / A thesis presented to the University of Western Sydney, College of Arts, School of Education, in fulfilment of the requirements for the degree of Doctor of Education. Includes bibliographies.

Thesis (Ph.D.)--University of Western Sydney, 2009. / A thesis presented to the University of Western Sydney, College of Business, School of Marketing, in fulfilment of the requirements for the degree of Doctor of Philosophy. Includes bibliographies.

Thesis (D.C.A.)--University of Western Sydney, 2008. / A thesis presented to the University of Western Sydney, College of Arts, in fulfilment of the requirements for the degree of Doctor of Creative Arts. Includes bibliographies.

Nationalism among subject peoples in territories which are or have been at one time colonized by Europeans has generally been associated with political activity and the formation of parties. Slotkin, however has advanced a theory in 1956 which postulates nativistic movements as being the media of nationalism among non-literate peoples, consequently a form of nationalism may be present among a people who possess no formal political power over their affairs. Further, in the light of Slotkin's theory, the absence of formal political activity among subject peoples does not presuppose the absence of nationalism. Slotkin’s theory postulates the existence of a dominance-subordination relation between Europeans and Natives in colonial and other contexts of acculturation where two ethnic groups live in face-to-face contact with each other and where one of these groups is the dominant groupe. The dominance-subordination relation is believed to generate nationalism in the subordinate group, which exercising no effective political power over its affairs, expresses its feelings through nativistic movements which heretofore had been considered as purely "religious'* phenomena. The data required to test the theory are drawn from the three culture areas of Africa, North America and Oceania in each of which nativistic movements have occurred. The findings from the three areas are incorporated into a general theory of movement-based nationalism. The limits of Slotkin’s theory are established within the general theory above. Subject to qualifications concerning scale, Slotkin’s theory was found to be valid as regards the North American culture area and inadequate to cope with the data when extended further. This is due to the fact that the nationalism of North American Indians was based solely on nativistic movements and that of Africans and Oceanians had other bases besides nativism. Steps towards a modification of Slotkin’s theory, as well as the problems attendant to the formulation of an adequate theory of nationalism, are pointed out. / Arts, Faculty of / Anthropology, Department of / Graduate

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Background: The South Western Sydney Area Health Service (SWSAHS) contains many areas of socio-economic disadvantage and ethnic diversity. It has a high incidence of lung cancer, which is the leading cause of cancer deaths. The aims of this study were to document lung cancer patterns of care (POC) for SWSAHS residents, compare POC before and after the opening of an oncology centre in SWSAHS and compare POC with other areas in NSW. Methods: The study population consisted of SWSAHS residents diagnosed with lung cancer in 1993 and 1996. A clinical audit of medical records was performed to extract details on patient demographics, management of lung cancer and outcomes. Collaborating investigators performed identical studies in the Northern Sydney Area Health Service (NSAHS) and the Hunter Area Health Service (HAHS) for lung cancers diagnosed in 1996. Results: The SWSAHS study population comprised 527 patients. Nine percent did not have a pathological diagnosis. Twelve percent did not see a lung cancer specialist. Twenty-eight percent did not receive any treatment throughout the course of their illness. The median survival was 6.7 months and five-year actuarial survival was 8% (95% CI 6%-10%). Increasing age and poorer performance status were associated with a lower likelihood of obtaining a pathological diagnosis, specialist referral and treatment. Socio-economic factors did not influence POC. The establishment of an oncology center resulted in more referrals to medical oncologists and palliative care services. Other aspects of POC and survival were similar. Variability in POC was noted between SWSAHS, NSAHS and HAHS. HAHS residents were almost twice as likely not to have pathological confirmation of diagnosis or treatment. Despite this survival was not significantly different. Conclusions: This study has identified deficiencies in the management of lung cancer. To improve outcomes, referral to specialists and utilisation of treatment, particularly radiotherapy and chemotherapy, needs to be increased. Ageist and nihilistic attitudes need to be overcome. Prospective data collection is necessary to ensure quality of patient care. The formation of national guidelines for the management of lung cancer will play an important role in achieving better outcomes.

Drug Consumption Rooms (DCRs), where injecting drug users (IDUs) can use pre-obtained drugs in a hygienic and professionally supervised low threshold setting, aim to engage high risk IDUs, reduce public drug use, injecting-related morbidity and mortality, and improve access to drug treatment. This thesis evaluates the service demand, accessibility, utilisation, and coverage of Australia???s first DCR, the Sydney Medically Supervised Injecting Centre (MSIC), located in an area with a history of illegal shooting gallery operation. MSIC impact on injecting practices and injecting related health, and referral to drug treatment were also examined. Methods included cross-sectional IDU surveys, key informant interviews, staff focus groups, analysis of client registration and surveillance data and routinely collected data on needles and syringes - including multiple indirect prevalence estimation, and prospective follow-up of MSIC referrals. Shooting gallery users expressed demand for and willingness to use the MSIC. Injecting episodes previously occurring in shooting galleries appear to have been transferred to the MSIC, although shooting galleries continued to operate at a reduced level. The MSIC service model was accessible, with few refusals of entry, high levels of client satisfaction and limited non-use for reasons relating to the model. MSIC engaged high risk IDUs - regular injectors, sex workers, and those injecting in public places and shooting galleries - who were also more likely to be frequent attendees. MSIC clients were more likely than other IDUs to inject in public places and shooting galleries, be HCV seropositive, have riskier injecting practices and more severe injecting related health problems. MSIC achieved good coverage of the local IDU population (70.7%, range 59.1%-86.7%) and modest coverage of their estimated total injecting episodes during its operating hours (8.8%, range 7.3%-10.8%). MSIC use was associated with improvements in injecting practices and health. Frequent MSIC use was also associated with higher rates of referral to drug treatment than less frequent use. Drug treatment referral uptake was positively associated with a recent history of daily injection and sex work and negatively associated with a lifetime history of psychiatric treatment and/or self harm. This research was confounded by substantial changes in heroin availability during the study period but provides new evidence on DCR coverage, impact on injecting practices and health, and referral to drug treatment. Implications for future research are discussed.

Drawing on in-depth interviews, participant observation and my experiences of working with young homeless people in refuges, in this thesis I develop an analysis which identifies some key spatial practices through which young people negotiate the field of homelessness in inner-city Sydney. The particular contribution of this work is to consider homelessness in terms of a theorised understanding of the broader role of place within homelessness, rather than in terms of the immediacy of cause or solution. While acknowledging the importance of the large body of work which has focused on the structural causes of homelessness and the need for a clear policy-oriented definition of homelessness, I develop an alternative agenda for a focus on young homeless people's struggles to feel 'in place' and 'at home'. These struggles throw into relief the need to understand young people???s homelessness in terms of a search, not just for a place to stay, but for a place to belong. Utilising the rich body of work which explores the important relation of place and subjectivity, I connect young people???s experiences of place within homelessness with the broader social and phenomenological concepts of ???displacement??? and ???implacement???. In particular, I focus on the spatial relations through which young people construct and organise their daily paths and begin to make sense of their often painful and chaotic lives and their fears about the future. I contextualise their fragile experiences of being somewhere in a broader spatial structure of constant movement and grief and feelings of alienation from the wider community. I consider the enduring role of past homes in their continuing struggle to piece together a way of ???being at home??? both in terms of drawing together a network of physical places of safety and in terms of experiencing a sense of acceptance, recognition and rootedness through place. I point to the critical need to include broader understandings of both home and homelessness in addressing the displacement which shapes the experience of homelessness for young people and impacts on the success of immediate measures developed to respond to it.

The goal of this thesis is to examine the editorial position of the Sydney Morning Herald, Australia's oldest continually produced newspaper, as a way of examining the character of colonial liberalism. Analysis will proceed by way of close scrutiny of key issues dealt with by the Sydney Morning Herald, including: state-aid to churches; education policy; free trade; land reform; the antitransportation movement; issues surrounding political representation; and the treatment of Chinese workers. Such analysis includes an appraisal of the views of John Fairfax, proprietor from 1841 to his death in 1877, and the influences, particularly religious nonconformity, which shaped his early journalism in Britain. Another key figure in the thesis is John West, editor 1854-1873, and again his editorial stance will be related to the major political and religious movements in Britain and Australia. Part of this re-evaluation of the character of colonial liberalism in the thesis provides a critical study of the existing historiography and calls into question the widely held view that the Sydney Morning Herald was a force for conservatism. In doing so, the thesis questions some of the major assumptions of the existing historiography and, while doing justice to colonial context, attempts to contextualise colonial politics with the broader framework of mid nineteenth-century Western political thought.