Paediatrics became a viable medical specialty in Australia and New South Wales between 1945 and 1965. Paediatricians took possession of occupational spaces previously claimed by other medical groups and created their own new spaces. They argued that children were still growing and differed physically and emotionally from adults. Their special needs warranted the formation of a new division in medicine. Paediatricians adopted the new knowledge, technology and therapeutics that became available in the post-war period and demonstrated that they were capable of following the scientific medicine paradigm, the prevailing standard in internal medicine. Access to the children's hospital was essential for paediatricians as a workshop for their professional development, to treat their seriously ill patients, to support their claims for occupational space and for their authority and status as specialists in medicine.. Scientific medicine demanded more of the time of the paediatricians and in RAHC they elected to continue working in an honorary capacity. In another children's hospital, RCH in Melbourne, paediatricians were employed in a version of the full-time system. The different approaches to staffing illustrate the conflicts of interest found in specialty development in Australia and the pervasive influence of medico-political issues. As members of a privileged autonomous profession paediatricians in RAHC owed a duty to the people of NSW, and in their honorary positions, to the hospital. They had responsibilities to their patients, both private and public. They were committed to their own professional development and they had to make a living in private practice. By retaining the honorary system paediatricians in RAHC were obliged to give priority to their interests outside the hospital so that scientific medicine expanded only slowly. In RCH service development and research were enhanced because the conflicts of interest were reduced and paediatricians could devote more of their time to the hospital without compromising their other roles. The development of a new specialty required the acquisition by members of professional power, authority and status. This process was assisted by the formation of a professional association, but paediatricians had difficulty in creating an independent body that they controlled. For professional authority and status paediatricians in RAHC were strongly dependent on maintaining their dominant position in the hierarchy of the hospital. Although children were central to the development of paediatrics, their place at the bottom of the institutional hierarchy meant they were disempowered and unable to influence the development of the specialty. / PhD Doctorate

OBJECTIVES The overall aim of the project were to conduct a survey of the physical and mental health status of prisoners in New South Wales (NSW). A more specific aim, which is addressed in this PhD, was to analyse in detail a number of key health areas which have particular relevance to prisoner populations namely: tuberculosis, viral hepatitis, herpes simplex type 2 virus, childhood sexual abuse (CSA), and drug and alcohol use. METHODS A cross-sectional, random sample of prisoners, stratified by sex, age and Aboriginality was chosen from 27 correctional centres (24 male and 3 female) in NSW in 1996. Screening was conducted by nurses from within the correctional health system. A detailed face-to-face interview was used to collect self-reported information on a range of physical and mental health characteristics, and behavioural issues. The physical health component covered chronic illness, recent symptoms, health services utilisation, medications, and self assessed health status. Mental health issues which were covered included: suicide attempts, self-harm, prior mental illness and psychiatric medication. Standardised screening instruments were used to test for depression, hopelessness and suicidal intent. Behavioural factors sought were drug and alcohol use, gambling, and sexual abuse. Blood samples were taken to screen for a range of infectious diseases and health indicators. These included HIV, syphilis, herpes simplex type-2 virus, rubella, chlamydia, and hepatitis (B, C, and G). A Mantoux skin test was performed to screen for tuberculosis infection. Hearing was assessed using otoacoustic emissions. RESULTS A total of 789 inmates (657 males and 132 females), including 235 Aboriginal people were screened, representing approximately 11% of males and 40% of females in full-time incarceration. For the key areas examined in the chapters we found: Overall health status ???? Overall health status was poor compared with the NSW general population in regard to self-reported chronic illness, recent health complaints, and well-being. Hospitalisation was less frequent in male prisoners than general community males but higher in female prisoners for mental health problems compared with community females. Tuberculosis ???? No previously undetected cases of tuberculosis were found; however, Mantoux positivity was higher in Aboriginal and overseas born prisoners. Viral hepatitis ???? Markers for hepatitis B, hepatitis C, and hepatitis G were significantly more common in the NSW prisoner population than in the general community. Significant disparities were found between prisoners???? self-report of past exposure to hepatitis (B and C) and their serostatus. Thirty five percent of inmates who were hepatitis C antibody positive believed that they were negative, and for hepatitis B, 72% of positives reported they were negative. Multivariate analysis identified Aboriginality, long-term injecting, and injecting while in prison as risk factors for HBV. Risk factors for exposure to HCV were female sex, non-Aboriginality, history of childhood institutionalisation, and injecting-related behaviours. For HGV, female sex, and previous imprisonment were significant risk factors but injecting was not; being aged 25-39 years was associated with a decreased risk for HGV as compared to younger and older inmates. Herpes simplex virus type 2 ???? The prevalence of HSV-2 antibodies in this prisoner population was similar to that observed in NSW STD clinic attendees, and was higher in females than males. Exposure was related to: increasing age and Aboriginality for men, and higher reported number of lifetime sexual partners and the presence of hepatitis C antibodies for women. Few prisoners (1%) reported a previous diagnosis of genital herpes. Childhood sexual abuse ???? The prevalence of self-reported childhood sexual abuse was higher in females than males, and similar to that observed in clinical populations. There was an association between CSA and mental health outcomes, including a history of psychiatric treatment and suicide attempts. Male survivors of CSA were more likely to report self-harm, depression, and involvement in violent relationships. Both men and women with a history of CSA were more likely to report having a sexually transmissible disease (STD). Females exposed to CSA were more likely to report subsequent abusive adult relationships involving physical assault, sexual assault, and verbal abuse. Drug use ???? Overall, 64% of prisoners had used illicit drugs at some time in the past with cannabis (males 56%, females 63%) and heroin (males 29%, females 49%) being the most common. Forty four percent of prisoners had a history of injecting drug use, with injecting prevalence significantly higher in females than males (64% vs. 40%). Half of male and female injectors had done so while in prison. Harmful or hazardous use of alcohol was associated with imprisonment for violent crimes, whereas opiate and methadone use were associated with non-violent crimes. Sixty two percent of property offenders had an injecting history. Alcohol intoxication at the time of offending was associated with imprisonment for homicides and assaults. Males were more likely than females to seek treatment in prison for drug problems. IMPLICATIONS Prisoners in NSW have a number of special health needs which are evidenced in the high levels of infectious diseases (hepatitis B, hepatitis C, hepatitis G, and herpes simplex virus type 2) and exposure to factors (childhood sexual abuse and alcohol and drug use) with a clear relationship to adverse health outcomes. Prisons represent an opportunity for public health interventions to address some of the health problems identified in this study. Potentially valuable programmes include education to prevent the spread of blood borne communicable diseases and STDs, immunisation for vaccine preventable diseases such as hepatitis B, and treatment to alleviate the effects of drug use and childhood sexual abuse. In the case of prison drug use the prison environment itself presents a threat to health in that sterile injecting equipment is not available to prisoners despite evidence that injecting in prison is widespread. The challenge for prison health planners is twofold: to make maximum use of the window of opportunity to improve the health status of this group, and to provide a continuum of care between the community and prison.

Salinisation of the shallow groundwater system has occurred coincident with the development of irrigation in the Coleambally Irrigation Area. Salinisation in irrigation areas has previously been attributed to the evaporative concentration of the water table; however, there are other sources of salt such as the accumulation of rainfall by vegetation and the dry deposition of salt-laden dusts. A significant store of crystalline gypsum, together with high concentrations of Na, Mg and Confidence limit, was found within the previously unsaturated zone of the Upper Shepparton Formation. The salt store was identified both within and outside of the groundwater mound; therefore evaporative concentration of the water table cannot be the source of salt. The transition from regional groundwater quality, as applied as irrigation to the ground surface, to shallow groundwater quality is simply explained by solubilisation of this salt store in the presence of soil CO2. Dating of basal palaeochannel sands indicates that the identified salt store, a profile of only 20 m, was accumulated during the last glacial cycle. Radiocarbon dating indicates that the peak in eluate salinity, at approximately 2 m below ground surface, is between 15,000 and 25,000 years old, coincident with the Last Glacial Maximum. The Last Glacial Maximum was a period of significantly enhanced aridity on the Australian continent. It was also found that the peak in eluate salinity coincided with a bi-modal particle size distribution. The bi-modal signature implies that these sediments were subject to the aeolian accession of dusts. It was found that the contribution of salt from dry deposition of dusts exceeded the contribution from rainfall by at least 1.9 to 11 times during the last glacial cycle. The results of this study imply that salt-laden dusts have, and continue to play an important role in the salinity and sodicity of soils in the Coleambally Irrigation Area and beyond.

Doctor of Philosophy / This thesis traces NSW Aboriginal political activity and demands from 1909 to 1939. In examining the background to the situations of Aboriginal communities in the early 1900's, two factors appear to have been of major importance. One was the degree of compatibility between Aboriginal and rural capitalist land use. The other was the labour requirements of rural industries. There are clear indications of internal colonial economic relations continuing until at least the late 1930's. As European land use intensified regionally, Aborigines attempted to secure their position by demanding tenure over land of significance to them. Initially, the creation of reserves was as much a result of this Aboriginal demand as of white settler desires to segregate Aborigines.

This interpretive study focused on the way in which children make sense of the notion of environment. This study attempted a comprehensive examination of children's perceptions of the notion of environment in an Australian context. There is a concerted effort to create environmental education programs targeted for children yet we have little understanding of how children make sense of the concept of environment. The study examined perspectives from children aged 11 to 13 living in close proximity in New South Wales, Australia. Children's perspectives were gathered through a drawing activity as well as small group interviews. In order to provide a larger conceptual picture of children's perceptions data was also gathered from the surrounding community. Parents, teachers, principals and local media's perspectives on the notion of environment were investigated. The study showed that children perceive the environment as nearly synonymous with nature. They also perceive the environment and nature to be a place without people. Children were very concerned about environmental issues, especially issues in their local areas. Children generally did not attribute individuals with responsibility for the environment. Children's ideas were examined alongside those from the broader community revealing relationships and links between community practices and children's perceptions of the environment. This study addresses a gap in the literature by providing a comprehensive exploration of children's perceptions of the notion of the environment and examining links to the portrayal of environment in the context of the surrounding community. Findings provided a solid basis upon which to augment the design of programs in environmental education.

Thesis (MPhil)--Open University.

The growth and distribution of the Latter Day Saint Church between 1840 and 1860 is an aspect of Welsh history and geography which has received little attention. Studies of Mormonism in Wales have tended to focus on the general history of the church, or on spirituality and eschatology, with only little reference to the society in which it developed. This study examines Mormonism in Wales as part of a radical Christian movement which arose among the working class of Britain. This movement developed alongside the radical movement in Britain, and is typified by Christian Chartism. Radical Christianity can be characterized as anti-clerical, anti-creedal, Arminian, and, sometimes chiliastic. It was marked by the view that Christianity and communism were compatible, and that Christianity, rather than being a passive means of coping with social conditions, could provide a powerful ideology with which to bolster secular attempts at reform. As a means of establishing the radical nature of Mormonism and the basis of its appeal to a portion of the Welsh proletariat, Mormonism is examined in its American context. The social climate in which its doctrines originated is discussed, with reference to the characteristics of radical Christianity noted above. These include: doctrines concerning the priesthood; salvation; the United Order, which provided the basis of Mormon communism; and the progression of men to godhood. Finally, Mormonism is examined in relation to Nonconformity, to Welsh society in general, and to a growing radical, national identity among the Welsh. The distribution of Mormon congregations is discussed in relation to denominationalism throughout Wales, with the purpose of explaining a primarily urban-industrial distribution, concentrated in the valleys of Monmouthshire and eastern Glamorgan. The thesis concludes with a review of methods of diffusion, followed by a discussion of reasons for Mormonism's decline in the 1850s and 1860s.

This cross disciplinary socio-legal research study provides a unique contribution to the study of British Muslims, faith based ADR mechanisms and the state. The existence of informal religio-centric dispute resolution forums exemplifies a form of legal pluralism in action. The study investigated the approach to Islamic family law and dispute resolution of a sample of 250 British Muslims aged 18-45, primarily Britishborn, university educated and practicing their faith or understanding their religious obligations. Empirical research was undertaken using both quantitative and qualitative research methods, and conclusions were drawn by assessing the findings using Grounded Theory methodology. Empirical research focussing on younger generations of British Muslims and the transformative processes of the Islamic legal traditions impacting on the application of religious laws are absent. The present study is unique in a number of regards, with a focus on the subject group’s interaction with, and perception of, dispute resolution forums available for resolving Islamic family law disputes. This thesis argues that British Muslims from within the socio-demographic profile of the subject group: 1) believe faith based ADR mechanisms such as Shariah Councils are necessary for providing expertise on Islamic family law issues, however in their present form they are imperfect; 2) believe Shariah Councils are more competent than national courts in dealing with Islamic law issues; 3) have plural approaches to negotiating law, culture and religion; and 4) believe there should not be a separate legal system for Muslims in Britain, as this is separatist and divergent from their identities as ‘British Muslims’ which is an evolving self-identification. Participants displayed numerous perceptions about the manner and form of interaction between British Muslims, faith based ADR mechanisms and the British legal system. Six categories are coined in the research findings exploring these opinions, the most popular being a ‘rights-based evaluation promoting Interlegality’ and ‘necessity for validation of religious beliefs’.

This thesis concerns the relationship between English and European Community administrative law. The main aim is to draw out the nature of this relationship by comparing the development of two principles, the principles of legitimate expectations and proportionality, within English and European Community administrative law. A secondary aim is to assess the challenge presented by European Community law for English law. The emphasis is on the distinct visions of law or legal traditions which have influenced both systems of administrative law rather than specific substantive laws. Chapter 2 identifies the nature of the English and Continental traditions of administrative law and the development of English and European Community administrative law. More specifically, English law is based on the common law approach while Continental and European Community administrative law has a more purposive orientation. Chapter 3 examines the pressures for the adoption of the two principles in English law. These pressures have been both internal, through the role of Lord Diplock, and external, through the influence of European Community law. In Chapters 4, 5, 6 and 7 the principles are examined in depth in both European Community and English administrative law. Comparative observations of the articulation of the principles in European Community law and their development in English law are made in chapters 5 and 7. In this respect the identification of the different traditions of administrative law becomes crucial in assessing the success of the principles as legal transplants in English law. The conclusion draws together these themes in order to identify the relationship between English and European Community law. An assessment is also made of the challenge presented by European Community law and suggestions are made as to what English law ought to do in order to respond effectively.

No description available.