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.     

Metrical discrimination between mandibular first and second molars in domestic cattle

The difficulty of distinguishing between loose first and second mandibular molars of domestic cattle (BOS taurus) from archaeological sites is well known. This paper proposes cervical length as a discriminatory measurement. The possibility that cervical measurements of first and second mandibular molars may be sexually dimorphic is also explored.     

A case of multiple metastasis in Late Holocene hunter‐gatherers from the Argentine Pampean region

Chenque I site is a prehistoric cemetery located in Lihué Calel National Park (La Pampa province) in the Western Pampean region of Argentina. Hunter‐gatherer societies made use of this site during the Final Late Holocene for at least 700 years (1030–370 BP). Currently 41 burial structures have been excavated, and more than 150 individuals have been recovered. There is great variability in mortuary patterns at the site (simple, multiple, primary, secondary burials, and also a variant not previously observed in the region). The life‐ways of this population have been investigated through the evaluation of several biological and cultural factors. Several pathological conditions have also been identified in this cemetery. Burial no. 12 contains a skeleton of an adult male that shows multiple pathological lesions, compatible with a neoplastic disease. These lesions have been analysed using several methodological strategies: macroscopic, radiological and microscopic. This is the first time that this kind of disease has been identified from a prehistoric burial in Argentina. In this paper the location and characteristics of the lesions are evaluated, and the different neoplastic diseases that could have produced them are discussed. Since the people buried in this cemetery belonged to highly mobile societies, a key issue is to infer the consequences that this disease would have had on the dynamics of the group in which this person lived, because of the gradual deterioration of his health and physical strength. Copyright © 2007 John Wiley & Sons, Ltd.     

Reproductive cancer: female autonomy and border crossing in medical discourse and fiction

Using three contemporary Irish novels: Down By the River and The Light of Evening by Edna O'Brien and My Dream of You by Nuala O'Faolain as well as Irish Medical Journal, I suggest that representations of female cancers are images of female pathology that reify and question disease as limitation of autonomy. Tracing the image of reproductive cancers through parts of the Irish cultural artifacts displays how both the fiction and Irish medical discourse attend disproportionately to female reproductive cancers. The texts construct female bodies as sites of pathology through textual representations of reproductive cancer and build upon Irish metaphors of landscape as female, which conceptualize women's (immobile, permeable) bodies as the site of invasion. Thus, fiction and health genres construct (and restrict) gender autonomy through two versions of border control: movement across body borders and movement across spatial, especially geopolitical, borders.     

A Correction and Comment on ‘Sacrifice of the Social Outcasts’

C. L. Kieffer incorrectly identified a fused pair of cervical vertebrae in an article published online in May of 2015. This is a correction of the misidentification and a comment on the implications for the author's larger point that the individuals involved may have been physically handicapped and therefore selected by the ancient Maya as victims of human sacrifice. Copyright © 2015 John Wiley & Sons, Ltd.     

Why Citizens Do and Do Not Attend Public Meetings about Local Cancer Cluster Investigations

Why do citizens choose to attend or not to attend community public meetings about possible cancer clusters? To answer this question, we examine self‐report data collected during a series of mail surveys conducted in six communities experiencing current health investigations into suspect levels of cancer or cancer clusters. We analyze the data using quantitative content analysis while also providing qualitative summaries and categorizations of survey participants' reasons for attending or not attending a specific public meeting in their community. In addition, we use survey data related to respondents' past participation and sociodemographic characteristics. The results found that rational reasons (e.g., to get information) dominated citizens' justifications for attending the public meetings, whereas socioeconomic and mobilization factors (e.g., did not hear about meeting, too busy) were most commonly cited as reasons for not attending. Less common but still present were relational considerations, such as believing the people in charge were fair. Taken together, the findings suggest that the majority of citizens who attended the public meetings could be categorized as the curious, the fearful, and the available. In comparison, the majority of citizens who did not attend could be described as the uninformed, the indifferent, the occupied, and the disaffected.     

Metastatic carcinoma: palaeopathology and differential diagnosis

A 62 year‐old contemporary white female diagnosed with metastatic carcinoma of the breast was examined after skeletonisation. She never received chemical, hormonal or radiation therapy. Because of the confirmed clinical diagnosis, lack of medicinal intervention, and quality of bone preservation, this specimen provides a comparative standard for metastatic carcinoma and differential diagnosis of idiopathic dry bone pathology. We detail gross and radiographic bone response to this disease and differentially diagnose the skeleton against Langerhans cell histiocytosis and multiple myeloma, conditions capable of modifying bone in characteristic patterns that may mimic metastatic carcinoma. Copyright © 2006 John Wiley & Sons, Ltd.     

Living through,living with and living on from breast cancer in the UK: creative cathartic methodologies,cancerous spaces and a politics of compassion

This paper contributes to a growing literature exploring the embodied emotions involved in death studies. It does so through a creative cathartic autobiographical account of living through and on from breast cancer. In presenting this ‘storifying experience’, this UK-based paper has three key aims: first, it attempts to counter the disjuncture between the fleshy and emotional cancer journey I have travelled through and the sometimes abstract, disembodied accounts of cancer circulating in some geographical texts; second, it reveals some geographical insights that are uncovered through the use of creative cathartic methodologies which unsettle commonly held discourses about dying and surviving; and third, it poses some troubling questions for geographers working in this field with respect to the methodologies, politics and emotions of such research. In the paper, I argue that employing a creative cathartic methodology gestures towards ‘an opening into learning’ that provokes emotional enquiries about what it means to be taught by the experience of (traumatised) others. In particular, I advocate for a politicised compassion that both cares for those who are living through, with or living on from life-threatening illnesses and also cares about the complex conditions that shape their experiences, both within and beyond the academy.