Positive change with Ménière’s disease

This is the author's accepted manuscript. The final published article is available from the link below. Copyright © 2009 The British Psychological Society.Objective - The aims of this study were twofold: to determine in what way people with a non-fatal chronic illness experience positive change after the onset of their illness, and to determine whether comparing with other people with Ménière's disease influenced perceiving this change. Design - Using a longitudinal method, questionnaires were administered at baseline and at ten-month follow-up. Method - At both time points 301 people with Ménière's disease completed the Posttraumatic Growth Inventory and at baseline they also completed questionnaires measuring, demographic variables, disease severity, psychological variables (self-esteem, perceived control, and optimism), and social comparison variables. Results - People with Ménière's disease in this study perceived positive change. Greater positive change was perceived on the domain of ‘appreciation of life,’ followed by ‘relating to others,’ ‘personal strength,’ ‘new possibilities,’ and ‘spiritual change’. In addition, more change was perceived at follow-up than at baseline. Social comparison was associated with perceiving change at both time points. Conclusions - People with Ménière's disease do perceive positive change. Perceiving change is an on-going process for people with Ménière's disease, as they perceived more change over time. Social comparison was related to the perception of change, in particular, to the perception of growth in personal strength.Economic and Social Research Council, UK and the Ménière's Society, U

A 200-year 210Pb record from Greenland

A continuous profile of 210Pb activity extending back to 1766 has been developed for a firn/ice core collected at Site D in central Greenland in 1984. Unexpectedly high activities of 210Pb were found at the base of this core (0.032 pCi kg−1 in samples more than 200 years old), calling into question the common assumption that supported 210Pb can be neglected when constructing chronologies in glacial snow and ice. It is problematic to assert that all of the 210Pb measured at depth should be attributed to the supported fraction, given previous estimates of dust loading in Greenland ice cores. However, even if an estimated constant value of 0.032 pCi supported210Pb kg−1 is subtracted from the measured values to estimate excess 210Pb, the 210Pb chronology for Site D yields ages that are significantly younger (mean accumulation rate too high) than an independent depth-age scale based on annual layer counting. It is apparent that the flux of excess and/or supported 210Pb to this site must have decreased over the past 2 centuries, with decreasing trends in both fractions most likely. Previously published 210Pb profiles for cores from Summit and Dye 3, Greenland, show similar trends, which had been interpreted as decreasing fluxes of excess 210Pb only. For all three sites, it is not possible to separate variations in the fluxes of the excess and supported fractions of 210Pb, but variations in the total 210Pb flux will impact 210Pb-based chronologies generally if these variations have not been restricted to the Greenland ice sheet

Uptake of nitrate and sulfate on dust aerosols during TRACE-P

Aerosol data collected near Asia on the DC-8 aircraft platform during TRACE-P has been examined for evidence of uptake of NO3− and SO4= on dust surfaces. Data is compared between a sector where dust was predominant and a sector where dust was less of an influence. Coincident with dust were higher mixing ratios of anthropogenic pollutants. HNO3, SO2, and CO were higher in the dust sector than the nondust sector by factors of 2.7, 6.2, and 1.5, respectively. The colocation of dust and pollution sources allowed for the uptake of NO3−and nss-SO4= on the coarse dust aerosols, increasing the mixing ratios of these particulates by factors of 5.7 and 2.6 on average. There was sufficient nss-SO4= to take up all of the NH4+present, with enough excess nss-SO4= to also react with dust CaCO3. This suggests that the enhanced NO3− was not in fine mode NH4NO3. Particulate NO3− (p-NO3−) constituted 54% of the total NO3− (t-NO3−) on average, reaching a maximum of 72% in the dust sector. In the nondust sector, p-NO3− contributed 37% to t-NO3−, likely due to the abundance of sea salts there. In two other sectors where the influence of dust and sea salt were minimal, p-NO3−accounted for \u3c15% of t-NO3−

The experience of Infertility treatment: The male perspective

Current research surrounding infertility is focused primarily on women alone, thus removing men from the fertility equation. However, alternative research has indicated that although men also experience infertility, there is a paucity of research on men. Therefore, very little is understood about the experiences of infertility from the male perspective. This study adopted a qualitative approach in an attempt to explore the infertility experience from the perspective of men. Fifteen men who had experienced infertility were interviewed to explore their experiences. Interpretative Phenomenological Analysis was used to analyse the data. Five superordinate themes were developed, these included: the influence of society on infertility, feeling unacknowledged, natural conception verses assisted conception, emotional reactions and improving the infertility experience. The findings of this research indicated that men experience infertility as a mentally, physically and socially demanding condition. Comparisons to previous research have been made and future research is proposed

Exploring positive adjustment in people with spinal cord injury.

This study explored adjustment in people with spinal cord injury; data from four focus groups are presented. Thematic analysis revealed four themes, managing goals and expectations, comparison with others, feeling useful and acceptance, showing participants positively engaged in life, positively interpreted social comparison information and set realistic goals and expectations. These positive strategies show support for adjustment theories, such as the Cognitive Adaptation Theory, the Control Process Theory and Response Shift Theory. These results also provide insight into the adjustment process of a person with spinal cord injury and may be useful in tailoring support during rehabilitation

"Autism is me": an investigation of how autistic individuals make sense of autism and stigma

There are many different perspectives for understanding autism. These perspectives may each convey different levels of stigma for autistic individuals. This qualitative study aimed to understand how autistic individuals make sense of their own autism and experience the stigma attached to autism. The study used critical grounded theory tools. Participants (N = 20) discussed autism as central to their identity, and integral to who they are. While participants thought of autism as value neutral, they expressed how society confers negative meanings onto autism, and thus, them. The findings also indicate that different understandings of autism confer different levels of stigma. Participants expressed constant exposure to stigma and managed this stigma in different ways. Such methods included reframing to more positive understandings of autism, the reclamation of language, and using concealment and disclosure strategically. The implications of these findings are discussed further in the article

"Autism is me": an investigation of how autistic individuals make sense of autism and stigma

There are many different perspectives for understanding autism. These perspectives may each convey different levels of stigma for autistic individuals. This qualitative study aimed to understand how autistic individuals make sense of their own autism and experience the stigma attached to autism. The study used critical grounded theory tools. Participants (N = 20) discussed autism as central to their identity, and integral to who they are. While participants thought of autism as value neutral, they expressed how society confers negative meanings onto autism, and thus, them. The findings also indicate that different understandings of autism confer different levels of stigma. Participants expressed constant exposure to stigma and managed this stigma in different ways. Such methods included reframing to more positive understandings of autism, the reclamation of language, and using concealment and disclosure strategically. The implications of these findings are discussed further in the article

Aerosol chemical composition in Asian continental outflow during the TRACE-P campaign: Comparison with PEM-West B

Aerosol associated soluble ions and the radionuclide tracers 7Be and 210Pb were quantified in 414 filter samples collected in spring 2001 from the DC-8 during the Transport and Chemical Evolution over the Pacific (TRACE-P) campaign. Binning the data into near Asia (flights from Hong Kong and Japan) and remote Pacific (all other flights) revealed large enhancements of NO3−, SO4=, C2O4=, NH4+, K+, Mg2+, and Ca2+ near Asia. The boundary layer and lower troposphere were most strongly influenced by continental outflow, and the largest enhancements were seen in Ca2+ (a dust tracer) and NO3− (reflecting uptake of HNO3 onto the dust). Comparing the TRACE P near Asia bin with earlier results from the same region during PEM-West B (in 1994) shows at least twofold enhancements during TRACE P in most of the ions listed above. Calcium and NO3− were most enhanced in this comparison as well (more than sevenfold higher in the boundary layer and threefold higher in the lower troposphere). Independent estimation of Asian emissions of gaseous precursors of the aerosol-associated ions suggest only small changes between the two missions, and precipitation fields do not suggest any significant difference in the efficiency of the primary sink, precipitation scavenging. It thus appears that with the possible exception of dust, the enhancements of aerosol-associated species during TRACE P cannot be explained by stronger sources or weaker sinks. We argue that the enhancements largely reflect the fact that TRACE P focused on characterizing Asian outflow, and thus the DC-8 was more frequently flown into regions that were influenced by well-organized flow off the continent

Modeling chemistry in and above snow at Summit, Greenland – Part 1: Model description and results

Sun-lit snow is increasingly recognized as a chemical reactor that plays an active role in uptake, transformation, and release of atmospheric trace gases. Snow is known to influence boundary layer air on a local scale, and given the large global surface coverage of snow may also be significant on regional and global scales. We present a new detailed one-dimensional snow chemistry module that has been coupled to the 1-D atmospheric boundary layer model MISTRA. The new 1-D snow module, which is dynamically coupled to the overlaying atmospheric model, includes heat transport in the snowpack, molecular diffusion, and wind pumping of gases in the interstitial air. The model includes gas phase chemical reactions both in the interstitial air and the atmosphere. Heterogeneous and multiphase chemistry on atmospheric aerosol is considered explicitly. The chemical interaction of interstitial air with snow grains is simulated assuming chemistry in a liquid-like layer (LLL) on the grain surface. The coupled model, referred to as MISTRA-SNOW, was used to investigate snow as the source of nitrogen oxides (NOx) and gas phase reactive bromine in the atmospheric boundary layer in the remote snow covered Arctic (over the Greenland ice sheet) as well as to investigate the link between halogen cycling and ozone depletion that has been observed in interstitial air. The model is validated using data taken 10 June–13 June, 2008 as part of the Greenland Summit Halogen-HOx experiment (GSHOX). The model predicts that reactions involving bromide and nitrate impurities in the surface snow can sustain atmospheric NO and BrO mixing ratios measured at Summit, Greenland during this period

Impact of multiscale dynamical processes and mixing on the chemical composition of the upper troposphere and lower stratosphere during the Intercontinental Chemical Transport Experiment–North America

We use high-frequency in situ observations made from the DC8 to examine fine-scale tracer structure and correlations observed in the upper troposphere and lower stratosphere during INTEX-NA. Two flights of the NASA DC-8 are compared and contrasted. Chemical data from the DC-8 flight on 18 July show evidence for interleaving and mixing of polluted and stratospheric air masses in the vicinity of the subtropical jet in the upper troposphere, while on 2 August the DC-8 flew through a polluted upper troposphere and a lowermost stratosphere that showed evidence of an intrusion of polluted air. We compare data from both flights with RAQMS 3-D global meteorological and chemical model fields to establish dynamical context and to diagnose processes regulating the degree of mixing on each day. We also use trajectory mapping of the model fields to show that filamentary structure due to upstream strain deformation contributes to tracer variability observed in the upper troposphere. An Eulerian measure of strain versus rotation in the large-scale flow is found useful in predicting filamentary structure in the vicinity of the jet. Higher-frequency (6–24 km) tracer variability is attributed to buoyancy wave oscillations in the vicinity of the jet, whose turbulent dissipation leads to efficient mixing across tracer gradients