Spatial variation in cervical cancer screening participation and outcomes among Indigenous and non‐Indigenous Australians in Queensland

Indigenous women continue to experience a disproportionately higher burden of cervical cancer than non‐Indigenous women in Australia. The National Indigenous Cervical Screening Project used probabilistic record linkage to combine population‐based administrative databases and identify Indigenous women on Pap Smear Registers. This study aimed to quantify the spatial variation by local government areas (LGAs) for Indigenous and non‐Indigenous women in Queensland in cervical screening participation rates and related outcomes. Empirical Bayes local geostatistical smoothing was performed to reduce the likelihood of spurious variation between small areas. The cohort included 1,091,260 women (2 per cent Indigenous) aged 20 to 69 with 2,393,708 Pap smears between 2006 and 2011. Indigenous women had smoothed LGA‐specific 5‐year participation rates (interquartile range (IQR) 38.9–53.3 per 100 eligible women) consistently lower than non‐Indigenous women (IQR 80.7–85.3). The non‐overlapping confidence intervals of these rates suggest that the Indigenous differential was significant. Compared with Indigenous women, non‐Indigenous women had consistently lower and more stable prevalence rates of histologically confirmed high grade abnormalities (IQR 8.0–10.1 versus 15.0–21.3 per 1,000 screened women). Although the LGA‐specific rates also suggest that a higher proportion of non‐Indigenous women were followed‐up within two months of an abnormal screening result, the wide confidence intervals for these estimates limit our ability to draw definitive conclusions about spatial patterns for this outcome. These findings highlight the importance of continued monitoring and ongoing efforts to identify drivers of these patterns and develop effective strategies to improve participation and potentially reduce the cervical cancer burden among Indigenous women.     

Walking the Land: Aboriginal Trails,Cultural Landscapes,and Archaeological Studies for Impact Assessment

Aboriginal people have occupied northern Alberta since the end of the last ice age. For most of that time they travelled across the land by foot, producing complex networks of trails, many of which may have great antiquity. Aboriginal people also modified the landscape extensively by the use of controlled burning. Lastly, they are immersed in and “read” the land as places with multiple cultural meanings, which in turn helped shape their cultures and identities. Together, these elements indicate the existence of a series of overlapping cultural landscapes for which the cross-country trails and waterways provide the grid. This article addresses the importance of traditional trails for identifying the cultural landscapes of northeastern Alberta and points to the rapid disappearance today of knowledge about such trails. It considers how archaeological investigations done in Alberta for Impact Assessment purposes fail to consider either trails or cultural landscapes in their surveys or to consult with Aboriginal people. As a result, government Review Panels making recommendations for whether or not an industrial project should be approved are basing their findings on incomplete information about Aboriginal land uses and meanings.     

The origins of the modern emotions: Princess Elisabeth of Bohemia and the embodied mind

In the history of European ideas, Princess Elisabeth is conventionally viewed as little more than a curiosity, a clever but ultimately unimportant exiled princess who became the confidant, critic, and muse of a far more famous man, René Descartes. Contrary to this view, however, this article argues that Elisabeth made a significant contribution to the development of western philosophy in her own right. Drawing on her letters to Descartes, as well the diaries and correspondence of her associates and a range of secondary sources, it demonstrates that an early understanding of the modern emotions akin to that which later found form in the work of the moral sentiment theorists can be found in Elisabeth’s thought. In particular, drawing on her understanding of the embodied mind, Elisabeth of Bohemia began to develop a hybrid understanding of the passions, identified a role for the emotions in the pursuit of virtue, and began to reconceive the relationship between reason and the emotions that had until then dominated seventeenth-century thought.     

Kingship and Catholicism in Posthumous Representations of Charles II, 1685–1714

Examining Charles II's changing posthumous reputation from his rumored deathbed conversion to Catholicism through the political upheaval of the late-seventeenth and early-eighteenth centuries demonstrates the profound effects affairs of state during the reigns of James II, William III, and Anne had on ideas of kingship. From elegists' depictions as the glory of the Stuart monarchy, Charles became James' feared counterpart during debates over the Copies of Two Papers Written by the Late King Charles II, and finally a distinctly human ruler. Published posthumous representations of Charles II suggest increasing willingness to consider kings as fallible men who made contestable decisions.     

Maritime and Underwater Cultural Heritage Initiatives in Tanzania and Mozambique

The aim of this paper is provide an overview of the capacity building programmes in maritime and underwater cultural heritage (MUCH) conducted by the authors in Tanzania and Mozambique. Tanzania and Mozambique have long histories of indigenous cultures, foreign contacts and influences and African adaptations beginning in the late Greco-Roman period, when the coastal populations exploited the peoples and riches of the interior. Today the coastline contains numerous examples of indigenous tangible and intangible heritage and many sites and histories related to the Swahili culture. Some exploratory research and training has been conducted in Tanzania and Mozambique, but the implementation by local residents of their own MUCH programme is still at an early stage. Under a UNESCO agreement framework, Tanzania in particular has started to develop a MUCH programme, which can assist in highlighting their extensive histories, cultural landscapes and cultural identity.     

<Emphasis Type="Italic">Corrales de Indios</Emphasis> (Lithic Structures) in Tandilia,Argentina: A Global Study

In the central-southeastern area of Buenos Aires Province, Argentina, lies a mountainous area of low height in Tandilia that contains important outcrops of quartzite and granite. A large number of buildings are made of massive blocks of rock, some of them with a surface of over 1 ha. In addition to these completely artificial constructions are other structures that are semi-natural, having been made in places with special topographical characteristics and complemented with dry-stone walls. Scanty written documents allow us to attribute some of the constructions to an age before the permanent settlement of the Creole population. In the Tandilia Sierras these structures are commonly known as “corrales de indios” (Indian corrals). This designation involves a double prejudice with regard to function and cultural affiliation. Out of a total of 22 structures, we analyze a group of 4 that were excavated to use to review the written documents.     

The Archaeology of War: A North American Perspective

This article reviews recent archaeological research on warfare in prestate societies of native North America. This survey comprises six regions: Arctic/Subarctic, Northwest Coast, California, Southwest/Great Basin, Great Plains, and Eastern Woodlands. Two lines of evidence, defensive settlement behavior and injuries in human skeletal remains, figure prominently in archaeological reconstructions of violence and warfare in these regions. Burning of sites and settlements also has been important for identifying the consequences of war and investigating more subtle aspects of strategy and directionality. Weaponry and iconography have to date provided important but more limited insights. Although considerable disparities exist between regions in the archaeological evidence for intra- and intergroup violence, all regions show a marked increase after A.D. 1000. These findings suggest that larger forces may have been responsible for escalating violence throughout North America at this time.