Brothers in the Great War

Drawing on a broad range of personal accounts, this is the first detailed study of siblinghood in wartime. The relative youth of the fighting men of the Great War intensified the emotional salience of sibling relationships. Long separations, trauma and bereavement tested sibling ties forged through shared childhoods, family practices, commitments and interests. We must not equate the absence of a verbal language of love with an absence of profound feelings. Quieter familial values of kindness, tolerance and unity, instilled by parents and reinforced by moral instruction, strengthened bonds between brothers and sisters. Examining the nexus of cultural and familial emotional norms, this study reveals the complex acts of mediation undertaken by siblings striving to reconcile conflicting obligations to society, the army and loved ones in families at home. Brothers enlisted and served together. Siblings witnessed departures and homecomings, shared family responsibilities, confided their anxieties and provided mutual support from a distance via letters and parcels. The strength soldier-brothers drew from each other came at an emotional cost to themselves and their comrades. The seismic casualties of the First World War proved a watershed moment in the culture of mourning and bereavement. Grief narratives reveal distinct patterns of mourning following the death of a loved sibling, suggesting a greater complexity to male grief than is often acknowledged. Surviving siblings acted as memory keepers, circumventing the anonymisation of the dead in public commemorations by restoring the particular war stories of their brothers

Brothers in the Great War

Drawing on a broad range of personal accounts, this is the first detailed study of siblinghood in wartime. The relative youth of the fighting men of the Great War intensified the emotional salience of sibling relationships. Long separations, trauma and bereavement tested sibling ties forged through shared childhoods, family practices, commitments and interests. We must not equate the absence of a verbal language of love with an absence of profound feelings. Quieter familial values of kindness, tolerance and unity, instilled by parents and reinforced by moral instruction, strengthened bonds between brothers and sisters. Examining the nexus of cultural and familial emotional norms, this study reveals the complex acts of mediation undertaken by siblings striving to reconcile conflicting obligations to society, the army and loved ones in families at home. Brothers enlisted and served together. Siblings witnessed departures and homecomings, shared family responsibilities, confided their anxieties and provided mutual support from a distance via letters and parcels. The strength soldier-brothers drew from each other came at an emotional cost to themselves and their comrades. The seismic casualties of the First World War proved a watershed moment in the culture of mourning and bereavement. Grief narratives reveal distinct patterns of mourning following the death of a loved sibling, suggesting a greater complexity to male grief than is often acknowledged. Surviving siblings acted as memory keepers, circumventing the anonymisation of the dead in public commemorations by restoring the particular war stories of their brothers

Angiogenic Biomarkers for Risk Stratification in Women with Suspected Preeclampsia

This poster presents the results of a single-center prospective cohort study of 315 pregnant women who presented to George Washington University Hospital Labor and Delivery service with a clinical suspicion of preeclampsia between February 2007 and November 2011. Informed consent was obtained. Baseline demographic information and medical history was collected on each patient including maternal age, ethnicity, body mass index, tobacco and other substance use, gestational age, medical problems and obstetric history. Serum samples were obtained from each enrolled subject within 24 hours of admission, and sFlt1, PlGF and sEng ELISA assays were performed in duplicate by a blinded laboratory technician at the University of Massachusetts

Effects of first exposure to plain cigarette packaging on smoking behaviour and attitudes: A randomised controlled study

Background: Plain packaging requires tobacco products to be sold in packs with a standard shape, method of opening and colour, leaving the brand name in a standard font and location. We ran a randomised controlled trial to investigate the impact of plain packaging on smoking behaviour and attitudes. Methods: In a parallel group randomised trial design, 128 daily smokers smoked cigarettes from their usual UK brand, or a plain Australian brand that was closely matched to their usual UK brand for 24hours. Primary outcomes were number of cigarettes smoked and volume of smoke inhaled per cigarette. Secondary outcomes were self-reported ratings of motivation to quit, cigarette taste, experience of using the pack, experience of smoking, attributes of the pack, perceptions of the health warning, changes in smoking behaviour, and views on plain packaging. Results: There was no evidence that pack type had an effect on either of the primary measures (ps > 0.279). However, smokers using plain cigarette packs rated the experience of using the pack more negatively (-0.52, 95% CI -0.82 to -0.22, p = 0.001), rated the pack attributes more negatively (-1.59, 95% CI -1.80 to -1.39, p < 0.001), and rated the health warning as more impactful (+0.51, 95% CI 0.24 to 0.78, p < 0.001). Conclusions: Plain cigarette packs reduce ratings of the experience of using the cigarette pack, and ratings of the pack attributes, and increase the self-perceived impact of the health warning, but do not change smoking behaviour, at least in the short term

Have e-cigarettes renormalised or displaced youth smoking? Results of a segmented regression analysis of repeated cross-sectional survey data in England, Scotland and Wales

Objectives: To examine whether during a period of limited e-cigarette regulation and rapid growth in their use, smoking began to become renormalised among young people. Design: Interrupted time-series analysis of repeated cross-sectional time-series data. Setting: Great Britain Participants: 248 324 young people aged approximately 13 and 15 years, from three national surveys during the years 1998–2015. Intervention Unregulated growth of e-cigarette use (following the year 2010, until 2015). Outcome measures: Primary outcomes were prevalence of self-reported ever smoking and regular smoking. Secondary outcomes were attitudes towards smoking. Tertiary outcomes were ever use of cannabis and alcohol. Results: In final models, no significant change was detected in the pre-existing trend for ever smoking (OR 1.01, CI 0.99 to 1.03). There was a marginally significant slowing in the rate of decline for regular smoking (OR 1.04, CI 1.00 to 1.08), accompanied by a larger slowing in the rate of decline of cannabis use (OR 1.21, CI 1.18 to 1.25) and alcohol use (OR 1.17, CI 1.14 to 1.19). In all models and subgroup analyses for smoking attitudes, an increased rate of decline was observed after 2010 (OR 0.88, CI 0.86 to 0.90). Models were robust to sensitivity analyses. Conclusions: There was a marginal slowing in the decline in regular smoking during the period following 2010, when e-cigarettes were emerging but relatively unregulated. However, these patterns were not unique to tobacco use and the decline in the acceptability of smoking behaviour among youth accelerated during this time. These analyses provide little evidence that renormalisation of youth smoking was occurring during a period of rapid growth and limited regulation of e-cigarettes from 2011 to 2015

The Grizzly, April 7, 1997

Airband Sets Its New Fundraising Record • Ursinus Students Participate in Model U.N. • Women\u27s Health Discussed in Merck Lecture • Changes for Summer Classes • Letters: Letter of Thanks; Faculty Member Remembered • Opinion: Seminar on Post-Abortion Trauma • Pfahler Observatory Open House for Hale-Bopp Viewing • Something for Everyone in proTheatre Production of The Two Noble Kinsmen • Another Look at the Ursinus Gymnastics Team • The Dangers of Halogen Lamps • Men\u27s Tennis Wins • Courtney Named an All-American • Trecroce Named Player of the Week • Women\u27s Tennis Action • Women\u27s Lacrosse Falls to Middlebury • Softball Drops 3 in a Row • Dickinson Rallies to Take Two From the Bearshttps://digitalcommons.ursinus.edu/grizzlynews/1401/thumbnail.jp

Implementation of e-cigarette regulation through the EU Tobacco Products Directive (2016) in Wales, Scotland and England from the perspectives of stakeholders involved in policy introduction and enforcement

Introduction: From May 2016, the European Union introduced the Tobacco Products Directive (TPD) regulations, which included restrictions to advertising and new safety and labelling standards for e-cigarette products. This represented the first supra national policy regulating e-cigarette sales and marketing. This study explores perceptions of TPD and its implementation in Wales, Scotland and England, from perspectives of stakeholders involved in tobacco and e-cigarette policy and implementation in each nation. Methods: Semi-structured qualitative interviews were completed with 12 stakeholders from government and third sector organisations in the UK involved in tobacco control policy-making processes, and Trading Standards Officers from 13 UK local authorities. Data were analysed thematically and a sub-sample double-coded. Results: Stakeholders held varying views of e-cigarettes, recognising potential benefits and harms of both the products and the new policy actions. Nevertheless, most perceived TPD to be a positive step in introducing regulation for e-cigarettes. Compliance was perceived as high across nations, although stakeholders highlighted product adaptations to circumvent restrictions, and absence of controls on non-nicotine products. Budgetary and staffing limitations also meant that capacity to communicate new measures, and enforce change, was limited. This led to a gap occupied by industry representatives, who played a substantial role in preparing retailers for adoption of new measures. Conclusion: TPD policy rollout was largely perceived positively and as having been effectively implemented. However, contribution of industry to communication of new measures and absence of resourcing for effective communication perhaps introduced widespread innovations within regulations. While largely viewed positively, some refinements to device regulations were proposed

Young people’s use of e-cigarettes in Wales, England and Scotland before and after introduction of EU Tobacco Products Directive regulations: a mixed-method natural experimental evaluation

Background: Young people's experimentation with e-cigarettes has increased in recent years, although regular use remains limited. EU Tobacco Products Directive (TPD) regulations introduced packet warnings, advertising restrictions, and regulated nicotine strength from 2016, in part due to concerns regarding use by young people. This paper examines e-cigarette use trajectories before and after TPD. Methods: E-cigarette use data were obtained from School Health Research Network/Health Behaviour in School-aged Children surveys in Wales and Smoking Drinking and Drug Use surveys in England. Data from Wales were analysed using segmented logistic regression, with before and after regression analyses of English data. Semi-structured group interviews included young people aged 14-16 years in Wales, England and Scotland in 2017 and 2018. Results: In Wales, ever use of e-cigarettes increased over time, but under a range of assumptions, growth did not appear to continue post-TPD. A small and non-significant change in trend was observed post-implementation (OR=0.96; 95%CI=0.91 to 1.01), which increased in size and significance after adjusting for ever smoking (OR=0.93; 95%CI=0.88 to 0.98). There was little increase in regular e-cigarette use from 2015 to 2017 in Wales. However, ever and regular use increased from 2014 to 2016 in England. Young people in all nations described limited interactions with components of TPD, while describing e-cigarette use as a ‘fad’, which had begun to run its course. Conclusions: This study provides preliminary evidence that young people's e-cigarette experimentation may be plateauing in UK nations. The extent to which this arises from regulatory changes, or due to a fad having begun to lose its appeal among young people in the UK countries, remains unclear. These trends contrast to those observed in North America, where newer products whose EU market entry and marketing have been impacted by TPD, have gained traction among young people. Long-term monitoring of e-cigarette use trends and perceptions among young people remain vital