Sustaining, forming, and letting go of friendships for young people with Inflammatory Bowel Disease (IBD): A qualitative interview-based study

Inflammatory bowel disease (IBD) is an incurable, chronic, gastrointestinal condition that can constrain young people's social relationships. Few studies have specifically explored friendships of people with IBD. This qualitative, participatory study used interviews, photographs, and friendship maps to explore friendships and friendship networks of young people with IBD. An online Young Person's Advisory Group was actively engaged throughout the study. Thirty-one young people participated (n = 16 males, n = 15 female; n = 24 Crohn's disease, n = 6 ulcerative colitis, n = 1 IBD-unclassified; the mean age at study was 18.7 years; range 14-25 years). Findings present a metatheme "The importance and meaning of friendships" and three interwoven subthemes of "Sustaining friendships," "Forming new friendships," and "Letting go of friendships." Friendship was important to the young people with IBD, providing support, but associated with challenges such as disclosure. Such challenges could be mitigated by clearer conversations with clinicians about friendships and more extensive conversations about friendships and long-term conditions in education settings

“I don’t like to make a big thing out of It”: A qualitative interview-based study exploring factors affecting whether young people tell or do not tell their friends about their IBD

Inflammatory Bowel Disease (IBD) describes a group of conditions that includes Crohn’s disease and ulcerative colitis. Unlike some chronic conditions, to a greater or lesser extent, IBD is hidden from or invisible to others which enables concealment of the condition, especially when stigma is associated with the condition. Concealment or nondisclosure allows a means of identity management. Disclosure of a chronic condition is not a single event, and it is dependent on many factors. There is little literature that specifically addresses stigma and/or disclosure in relation to children and young people with IBD. An in-depth qualitative study was undertaken, framed by Interpretive Description and using interviews, friendship maps, and photographs within a participatory framework. Public and patient involvement and engagement (PPIE) was undertaken throughout (inception to dissemination) the study. Young people aged 14-25 years with IBD who had participated in the survey phase of the larger study self-selected to participate in interviews that focused broadly on friendship and feelings of social connectedness. Data were analysed using an iterative, interpretive approach. Preliminary themes were developed and these were explored further, and then tentative theoretical connections about friendship were developed. One superordinate theme focused on disclosure. Thirty-one young people (16 males, 15 females, mean age 18.7 years; 24 Crohn’s, 7 colitis) participated in the interviews (of these, five created friendship maps and six utilised photographs). Three discrete, but interlinked, themes were generated, revealing young people’s experiences of disclosure: to tell or not to tell; controlling the flow: the who, when, what, and how of telling; and reactions and responses to telling: anticipated and actual. Decisions about telling friends about having IBD are challenging for many young people. Having control over disclosure is not always possible, and the potential consequences can feel risky. However, most young people had positive experiences of disclosure and gained support from friends and romantic partners. Most young people downplayed the seriousness of their IBD, revealing some facets of their condition, aiming to sustain their self-identity. Only one young person had been given professional support to disclose. Provision of support and opportunities to discuss whether, when, who, and how to tell friends and what the risks and benefits may be is something that could be woven into an ongoing and wider person-centred dialogue between young people and health professionals within routine clinic visits

Literary studies and the academy

In 1885 the University of Oxford invited applications for the newly created Merton Professorship of English Language and Literature. The holder of the chair was, according to the statutes, to ‘lecture and give instruction on the broad history and criticism of English Language and Literature, and on the works of approved English authors’. This was not in itself a particularly innovatory move, as the study of English vernacular literature had played some part in higher education in Britain for over a century. Oxford University had put English as a subject into its pass degree in 1873, had been participating since 1878 in extension teaching, of which literary study formed a significant part, and had since 1881 been setting special examinations in the subject for its non-graduating women students. What was new was the fact that this ancient university appeared to be on the verge of granting the solid academic legitimacy of an established chair to an institutionally marginal and often contentious intellectual pursuit, acknowledging the study of literary texts in English to be a fit subject not just for women and the educationally disadvantaged but also for university men

The Population, social and spatial structures of a frontier city: Winnipeg 1881

Bibliography: p. 236-242

Selectivity for barramundi (Lates calcarifer) in the Fly River, Papua New Guinea: implications for managing gill-net fisheries on protandrous fishes

Fishery-independent catch data from monofilament gill-nets (3.8–15.2 cm stretched mesh) were used to estimate the selectivity of each mesh size for the protandrous species barramundi, Lates calcarifer, in the Fly River region of Western Province, Papua New Guinea. These results were used with a range of life-history parameters to simulate the effects of fishing with meshes of three sizes common to the local fisheries (8.9, 10.2 and 15.2 cm) on (1) number of sexually mature females surviving to maximum age, (2) their total egg production and (3) number of mature males surviving to fertilize these eggs. Catches in most mesh sizes approximated a normal selection curve, and the mean and standard deviation of each curve were linearly related to mesh size. Juvenile and immature barramundi (<38 cm total length) were fully selected by the common mesh sizes used in the coastal subsistence and artisanal fisheries (7.6–10.2 cm) but these mesh sizes caught few sexually mature females. Population simulations showed that the number of females surviving to maximum age and their total egg production increased as mesh size was reduced. Reducing the mesh size to increase adult female escapement may be a better management strategy than increasing mesh sizes to improve recruitment

Geovisualization of Mercury Contamination in Lake St. Clair Sediments

The Laurentian Great Lakes of North America contain approximately 20% of the earth’s fresh water. Smaller lakes, rivers and channels connect the lakes to the St. Lawrence Seaway, creating an interconnected freshwater and marine ecosystem. The largest delta system in the Great Lakes is located in the northeastern portion of Lake St. Clair. This article focuses on the geovisualization of total mercury pollution from sediment samples that were collected in 1970, 1974 and 2001. To assess contamination patterns, dot maps were created and compared with surfaces that were generated using the kriging spatial interpolation technique. Bathymetry data were utilized in geovisualization procedures to develop three-dimensional representations of the contaminant surfaces. Lake St. Clair generally has higher levels of contamination in deeper parts of the lake, in the dredged shipping route through the lake and in proximity to the main outflow channels through the St. Clair delta. Mercury pollution levels were well above the Probable Effect Level in large portions of the lake in both 1970 and 1974. Lower contaminant concentrations were observed in the 2001 data. Lake-wide spatial distributions are discernable using the kriging technique; however, they are much more apparent when they are geovisualized using bathymetry data

Assessing fine particulate matter concentrations and trends in southern Ontario, Canada, 2003–2012

Fine particulate matter is primarily released by transportation, residential and industrial processes. It can cause cardiopulmonary problems and has been attributed to the development of diabetes. Ontario is Canada’s most populous province and shares its southern border with the United States of America. The 2003 Canada-United States Border Air Quality Strategy outlines an initiative to reduce air pollution, specifically targeting southern Ontario due to its proximity to the U.S. and its historical air pollution levels. Ambient air concentrations of fine particulate matter (PM2.5) in southern Ontario were analyzed in this research. The data were obtained from the Ontario Ministry of the Environment. There are 40 stations across Ontario that monitor concentrations of up to six airborne pollutants on an hourly basis. The purpose of this research was to examine ambient air quality trends from 2003 to 2012 by generating prediction surfaces using the ordinary kriging spatial interpolation technique. Average PM2.5 levels for each year as well as maximum pollutant concentrations for the lowest and the highest year were produced. The results showed that fine particulate matter levels decreased, and the maximum levels per year also declined significantly. This indicates that fine particulate matter was greatly reduced and air quality generally improved in terms of PM2.5 during the analysis period