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The Lived Experience Of Uk Students Transitioning To University With Type 1 Diabetes Mellitus, Emelia C. Steel Dec 2025

The Lived Experience Of Uk Students Transitioning To University With Type 1 Diabetes Mellitus, Emelia C. Steel

The Plymouth Student Scientist

Transitioning from secondary school to university is a high-risk period for managing type 1 diabetes among UK students. Canadian research identified limited systemic support during this period. However, there is a lack of qualitative insight into how students navigate this transition in the UK, where healthcare and education systems differ. This study addressed that gap through semi-structured interviews to understand what makes this transition particularly challenging and what support students would find most helpful. A purposive sample comprised seven participants aged 19–29 from four UK universities. Thematic analysis, guided by Braun and Clarke’s (2022) six-phase framework, identified three superordinate themes: …


Peer Connect: An Embedded Qualitative Study Of The Experiences Of A Peer Well-Being Coaching Intervention For People Living With A Long-Term Health Condition, Rachel Dennett, Julian Elston, Tom P. Thompson, Wendy Clyne, Joanne Hosking, Krystina Bones, Helen Davies-Cox, Agne Straukiene Nov 2025

Peer Connect: An Embedded Qualitative Study Of The Experiences Of A Peer Well-Being Coaching Intervention For People Living With A Long-Term Health Condition, Rachel Dennett, Julian Elston, Tom P. Thompson, Wendy Clyne, Joanne Hosking, Krystina Bones, Helen Davies-Cox, Agne Straukiene

Peninsula Medical School

Introduction Many people with long-term conditions such as pain and arthritis struggle with their health and well-being. To support better self-management, a new peer-delivered coaching intervention (Health Connect Coaching) was set up at a National Health Service integrated care organisation in Southwest England. Based on principles of personalised care and supported goal setting, the one-to-one coaching programme, targeting patients with low activation, delivered coaching sessions in a step-down approach over 6 months. A randomised controlled feasibility trial (fRCT) of Health Connect Coaching was conducted to inform the design of a definitive randomised controlled trial. This article reports the embedded qualitative …


Non-Invasive Ultrasonic Neuromodulation Of The Human Nucleus Accumbens Impacts Reward Sensitivity, Siti N Yaakub, John Eraifej, Nadège Bault, Mathilde Lojkiewiez, Elouan Bellec, Jamie Roberts, Noah S Philip, Amir Puyan Divanbeighi Zand, Alexander L Green, Matthew F S Rushworth, Elsa F Fouragnan Nov 2025

Non-Invasive Ultrasonic Neuromodulation Of The Human Nucleus Accumbens Impacts Reward Sensitivity, Siti N Yaakub, John Eraifej, Nadège Bault, Mathilde Lojkiewiez, Elouan Bellec, Jamie Roberts, Noah S Philip, Amir Puyan Divanbeighi Zand, Alexander L Green, Matthew F S Rushworth, Elsa F Fouragnan

School of Psychology

Precisely neuromodulating deep brain regions could bring transformative advancements in both neuroscience and treatment. We demonstrate that non-invasive transcranial ultrasound stimulation (TUS) can selectively modulate deep brain activity and affect learning and decision making, comparable to deep brain stimulation (DBS). We tested whether TUS could causally influence neural and behavioural responses by targeting the nucleus accumbens (NAcc) using a reinforcement learning task. Twenty-six healthy adults completed a within-subject TUS-fMRI experiment with three conditions: TUS to the NAcc, dorsal anterior cingulate cortex (dACC), or Sham. After TUS, participants performed a probabilistic learning task during fMRI. TUS-NAcc altered BOLD responses to reward …


‘The Truth Was, Most Biodiversity Was Redundant’: Caring About Mass Extinction In Ned Beauman’S Venomous Lumpsucker, David Sergeant Nov 2025

‘The Truth Was, Most Biodiversity Was Redundant’: Caring About Mass Extinction In Ned Beauman’S Venomous Lumpsucker, David Sergeant

School of Law, Humanities and Social Sciences

This essay reads Ned Beauman’s Venomous Lumpsucker as exploring the gap that exists between caring about mass species extinction and taking meaningful action to prevent it. The novel, at first, undermines the conventional reasons for caring; however, one of its protagonists is then revealed as having become willing to die for the issue. Equally, the reason for this change proves strangely hard to locate. This essay argues that the real reason for caring about species extinction in Venomous Lumpsucker is connected to a transcendence of the self that aligns the novel with both science fiction and spiritual traditions; however, this …


Neuropsychiatric Research Databases For People With Intellectual Disabilities And Epilepsy (Refine): A Feasibility Study Protocol, Crispin Musicha, Helen Neilens, Emily Stanyard, Victoria Allgar, Joe Lomax, Ryan Ashford, Helen Hambly, Paigan Aspinall, Emma O’Shaughnessy, Chris Rollinson, Sarah Lennard, Brendan Mclean, Anna Simpson, Pamela Bowman, Heather Angus-Leppan, Lance Watkins, Richard Laugharne, Jon Allard, Rohit Shankar Nov 2025

Neuropsychiatric Research Databases For People With Intellectual Disabilities And Epilepsy (Refine): A Feasibility Study Protocol, Crispin Musicha, Helen Neilens, Emily Stanyard, Victoria Allgar, Joe Lomax, Ryan Ashford, Helen Hambly, Paigan Aspinall, Emma O’Shaughnessy, Chris Rollinson, Sarah Lennard, Brendan Mclean, Anna Simpson, Pamela Bowman, Heather Angus-Leppan, Lance Watkins, Richard Laugharne, Jon Allard, Rohit Shankar

Peninsula Medical School

Introduction This project explores the feasibility of setting up a neuropsychiatric de-identified database (DiD) and a Research Register (RR) to collect, analyse, monitor and systematically report clinical data for people with intellectual disabilities (PwIDs) and epilepsy.Methods and analysis A multicentre project designed to collect de-identified data from clinical records at three adult ID specialist services in England and Wales and to develop an RR of PwID and epilepsy. Patients added to the DiD will be identified from patient clinic lists, clinic letters, in-house databases and electronic systems. Patients to be added to the RR will also be identified through attendance …


Exploring Experiences Of Mental Health Challenges In Under-Represented Young People (Aged 16–24 Years) In England: A Narrative Inquiry Protocol, Rebecca Syed Sheriff, Jason Arday, Rohit Shankar, Roisin Mooney, Louise Chandler, Helen Adams, Lili Z Nagy, Roger Farrell, Daisy Fancourt, Scott Weich, Catherine Henderson, Shaima Hassan, Joe Langley, Kamaldeep Bhui Nov 2025

Exploring Experiences Of Mental Health Challenges In Under-Represented Young People (Aged 16–24 Years) In England: A Narrative Inquiry Protocol, Rebecca Syed Sheriff, Jason Arday, Rohit Shankar, Roisin Mooney, Louise Chandler, Helen Adams, Lili Z Nagy, Roger Farrell, Daisy Fancourt, Scott Weich, Catherine Henderson, Shaima Hassan, Joe Langley, Kamaldeep Bhui

Peninsula Medical School

Introduction Three-quarters of mental health problems start before the age of 25. However, young people are the least likely to receive mental healthcare. Some young people (such as those from ethnic minorities) are even less likely to receive mental healthcare than others. Long-term impacts of mental health problems include poorer physical health, relationships, education and employment. We aim to elicit the views, experiences and needs of diverse young people (aged 16–24 years), to better understand (1) their experiences of under-representation, mental health and coping, (2) mechanisms that shape mental health trajectories and (3) how online arts and culture might be …


Thinning Antarctic Glaciers Expose High-Altitude Nunataks Delivering More Bioavailable Iron To The Southern Ocean, Kate Winter, John Woodward, Stuart A. Dunning, James R. Jordan, Joseph A. Graly, Matthew J. Westoby, Sian F. Henley, Robert Raiswell Nov 2025

Thinning Antarctic Glaciers Expose High-Altitude Nunataks Delivering More Bioavailable Iron To The Southern Ocean, Kate Winter, John Woodward, Stuart A. Dunning, James R. Jordan, Joseph A. Graly, Matthew J. Westoby, Sian F. Henley, Robert Raiswell

School of Geography, Earth and Environmental Sciences

Glacial systems entrain and transfer sediment, rich in essential nutrients, from continental sources to the ocean, where they are released by meltwater. In the Southern Ocean, primary producers are limited by the availability of micronutrients, like iron (Fe), so any increase in continental sediment supply could enhance primary productivity and subsequent drawdown of atmospheric CO2. Here we provide a systematic account of labile Fe concentrations in Antarctic continental sediments. Ferrihydrite and crystalline Fe (oxyhydr)oxides were extracted from 27 Antarctic samples collected from nunataks, lateral moraines and blue ice areas in the Sør Rondane Mountains, East Antarctica. We report …


Using Fluency-Building Approach To Increase The Knowledge And Fluency Of Signing With Preschool Teachers: A Pilot Study, Angel Jia Yiuen Tan, Bryan Wen Xiao Tang, Gray Atherton, Liam Cross, Bethan Mair Williams Nov 2025

Using Fluency-Building Approach To Increase The Knowledge And Fluency Of Signing With Preschool Teachers: A Pilot Study, Angel Jia Yiuen Tan, Bryan Wen Xiao Tang, Gray Atherton, Liam Cross, Bethan Mair Williams

School of Psychology

Keyword signing, an augmentative communication strategy, is known to promote language acquisition in young children, yet staff in educational settings often receive insufficient training, leading to low retention and usage rates. This pilot study examined the feasibility and impact of a Precision Teaching-based intervention designed to improve preschool teachers’ proficiency and fluency in Makaton signing. Eleven teachers from a mainstream preschool in North Wales, with limited prior training, participated in a six-week intervention involving fluency training with 238 Makaton signs. Pre- and post-intervention assessments measured knowledge acquisition, and post-intervention tests evaluated fluency through retention, endurance, and application. Results demonstrated significant …


Barriers And Facilitators To Engaging With Academia: A Black Dental Student Perspective – Pilot Study., Amitha Ranauta, Favour Onwudiwe, Tanaka Anthony Jeremy Kadiyo, Obioma Mofiyinfoluwa Ukoha, Rachel Adebukola Anuoluwa Ogunleye, Vivienne Banke Onamusi, Nicole Meerah Elango, Oluwasola Helen Asaolu, Antonia Oluwatosin Oluwakemi Ajayi, Modupe Toluwanimi Osunkoya, Kaamilah Shitta-Bey, Amy Maame Aba Amanfu, Cathy Coelho, Alasdair Robertson, Julie Monk, Nikos Donos, Sally Hanks Nov 2025

Barriers And Facilitators To Engaging With Academia: A Black Dental Student Perspective – Pilot Study., Amitha Ranauta, Favour Onwudiwe, Tanaka Anthony Jeremy Kadiyo, Obioma Mofiyinfoluwa Ukoha, Rachel Adebukola Anuoluwa Ogunleye, Vivienne Banke Onamusi, Nicole Meerah Elango, Oluwasola Helen Asaolu, Antonia Oluwatosin Oluwakemi Ajayi, Modupe Toluwanimi Osunkoya, Kaamilah Shitta-Bey, Amy Maame Aba Amanfu, Cathy Coelho, Alasdair Robertson, Julie Monk, Nikos Donos, Sally Hanks

Peninsula Dental School

Introduction This pilot study investigates barriers and facilitators to Black dental students' engagement with academic careers in dentistry, focusing on underrepresentation in academia despite efforts to diversify the workforce. Methods and results Through qualitative analysis of focus group discussions with Black dental students from two UK dental schools, several key themes emerged. Participants highlighted the importance of active patronage in addressing underrepresentation, advocating for proactive support systems beyond mere mentoring. They also emphasised the significance of various forms of capital – economic, cultural, and social – in shaping career trajectories and success in academia. Intersectionality, encompassing experiences of sexism, racism, …


Exploring The Perceived Management Priorities Between Physiotherapy And Osteopathy For Chronic Low Back Pain, Mollie Ford, Alec Rickard Nov 2025

Exploring The Perceived Management Priorities Between Physiotherapy And Osteopathy For Chronic Low Back Pain, Mollie Ford, Alec Rickard

School of Health Professions

Purpose:Physiotherapists and osteopaths are integral to the management of chronic low back pain (CLBP), yet patient confusion often arises due to overlap in their roles and techniques. Whilst existing literature has examined the approaches of each profession separately, limited research explores the perceived roles and management priorities. Thus, the aim of this study was to explore the perceived roles and management priorities of physiotherapists and osteopaths in addressing CLBP.Methods:A qualitative phenomenological design was used. Individual online semi-structured interviews were conducted with five UK-based healthcare professionals; two physiotherapists and three osteopaths. Participants were recruited through volunteer sampling and data was collected …


Sea Swimming During Pregnancy And Matrescence: Embodiment, Experiences And The Environment, Eva Mcgrath, Jill Shawe Nov 2025

Sea Swimming During Pregnancy And Matrescence: Embodiment, Experiences And The Environment, Eva Mcgrath, Jill Shawe

School of Nursing and Midwifery

There is a knowledge gap around pregnant women's experiences of sea swimming both within the social research sphere and wider public health communications. Using creative methods, this cross-disciplinary research focuses upon the embodiment and experiences of 13 pregnant and 5 matrescent women who sea swam during winter in the UK. Findings document the women's perceived health and wellbeing benefits of cold water swimming through pregnancy including a protected space for mothers to create time for themselves. Cold water immersion was reported as easing aches and pains associated with pregnancy. Some women used the controlled breath of entering cold water as …


Spatial And Temporal Variation In Wave Overtopping Across A Coastal Structure Based On One Year Of Field Observations, Jennifer Brown, Gerd Masselink, Margaret Yelland, Christopher Stokes, Timothy Poate, Robin Pascal, David Jones, John Walk, Christopher Cardwell, Barry Martin, Peter Ganderton, Julie Gregory, Ruth Adams, Joseff Saunders Nov 2025

Spatial And Temporal Variation In Wave Overtopping Across A Coastal Structure Based On One Year Of Field Observations, Jennifer Brown, Gerd Masselink, Margaret Yelland, Christopher Stokes, Timothy Poate, Robin Pascal, David Jones, John Walk, Christopher Cardwell, Barry Martin, Peter Ganderton, Julie Gregory, Ruth Adams, Joseff Saunders

School of Biological and Marine Sciences

Coastal managers worldwide must prepare for changes in annual wave overtopping events due to climate change and sea-level rise. Research often assesses overtopping discharges by extreme events at a sea wall crest, typically using data from physical models or empirical rules based on scaled experiments. Here, we analyse a unique 1-year field dataset of coastal wave overtopping, from SW England, to determine the number of individual waves, regardless of their size, overtopping two locations across a coastal structure. The coastal conditions causing the most frequent overtopping differ from those driving it landward, complicating hazard communications for multiuse infrastructure. These data …


Humanita-Icus: Humanizing Italian Intensive Care Units. A Survey Study Protocol, Floriana Pinto, Emanuele Buccione, Giuseppe Tinessa, Michele Stellabotte, Jos M. Latour, Francesco Limonti Nov 2025

Humanita-Icus: Humanizing Italian Intensive Care Units. A Survey Study Protocol, Floriana Pinto, Emanuele Buccione, Giuseppe Tinessa, Michele Stellabotte, Jos M. Latour, Francesco Limonti

School of Nursing and Midwifery

Introduction: in recent years, humanizing care in Intensive Care Units (ICSs) has become a focal point of research worldwide. Key determinants for improving ICU experiences include patient-centred factors (sleep, pain, PTSD prevention), family involvement (visitation policies, communication), and healthcare professional well-being (training, emotional support). This study aims to study the organizational and behavioral characteristics related to humanization and comfort in Italian ICUs.Materials and Methods: a national cross-sectional survey, based on a specific framework, will be conducted from December 2024 to June 2025, involving ICUs’ head nurses across Italy.Results: the study will provide a detailed overview of organizational and behavioral practices …


Artificial Light At Night Alters Seaweed Reproductive Phenology, Emma Moyse, Louise Firth, Tim Smyth, Thomas Davies Nov 2025

Artificial Light At Night Alters Seaweed Reproductive Phenology, Emma Moyse, Louise Firth, Tim Smyth, Thomas Davies

School of Biological and Marine Sciences

Artificial light at night (ALAN) is a growing, globally prevalent environmental stressor. It is known to disrupt biological processes across taxa and biomes, including reproductive phenology in terrestrial plants, but its potential to alter reproductive timings in marine macroalgae remains unexplored. We used reflectance spectrometry to quantitatively assess changes in receptacle ripeness of three fucoid macroalgae species at four field sites along an ALAN gradient in Plymouth Sound, UK over a six-month period. At sites with elevated ALAN (measured using Sky Quality Meters, range 16.15–18.76 mag arcsec −2, equivalent to 3.75 × 10 −2–3.38 × 10 −3 cd/m …


Unveiling The Link Between Leadership Brand Authenticity, Role Clarity And Customer Responsiveness In Islamic Banking: A Two-Source Analysis, Muhammad Adnan Waseem, Waqas Muhammad, Irfan Irfan, Nauman Wajid Nov 2025

Unveiling The Link Between Leadership Brand Authenticity, Role Clarity And Customer Responsiveness In Islamic Banking: A Two-Source Analysis, Muhammad Adnan Waseem, Waqas Muhammad, Irfan Irfan, Nauman Wajid

Plymouth Business School

Purpose – This study aims to address the limited understanding of how leadership brand authenticity (LBA) translates into employee and customer outcomes in Islamic banking, a sector where ethical alignment and trust are critical but underexplored in existing literature. Specifically, it explores how LBA influences role clarity and customer responsiveness. It further examines whether role clarity serves as a key mechanism linking authentic leadership to customer-focused outcomes, and whether the bank’s country of origin (COO) shapes this relationship. By addressing both internal organizational alignment and external perceptions, this study offers a comprehensive view of value-driven leadership in Shariah-compliant financial institutions. …


Collaborative Co-Design For Local Blue Food System Transformation:: The Practicalities And Challenges Of The Uk's (Foodsequal) 'Plymouth Fish Finger' Pilot Study, Louise Hunt, Clare Pettinger, Roussa Tsikritzi, Carol Wagstaff Nov 2025

Collaborative Co-Design For Local Blue Food System Transformation:: The Practicalities And Challenges Of The Uk's (Foodsequal) 'Plymouth Fish Finger' Pilot Study, Louise Hunt, Clare Pettinger, Roussa Tsikritzi, Carol Wagstaff

School of Health Professions

Purpose: UK food system transformation is urgently needed but blue foods (fish) have been only minimally part of this discourse. Informed by community action research in a UK southwest coastal city, fish was identified as a food commodity for food system innovation, leading to local collaborative ‘co-design’ of an iconic British food. The ‘Plymouth Fish Finger’ pilot assessed the practicalities and challenges of this social innovation and its provision into the school meal system. Design: Exploratory creative mixed methods mapped the journey of the Fish Finger as a social innovation. Methods drew on ‘co-production’ approaches, involving Community Food Researchers (CFR), …


Integrating Heritage Assets Into Peatland Restoration: Finding, Assessing And Valuing The Palaeoenvironmental Archive, Heather Davies, Ralph Fyfe Nov 2025

Integrating Heritage Assets Into Peatland Restoration: Finding, Assessing And Valuing The Palaeoenvironmental Archive, Heather Davies, Ralph Fyfe

School of Geography, Earth and Environmental Sciences

Peatland restoration projects aim to improve the delivery of ecosystem services. Cultural heritage and Historic Environment assets are usually identified as co-beneficiaries of restoration but are not commonly well-integrated at the planning or design stages. This paper considers the heritage value of upland peatlands and methods for integrating these values in ecosystem services approaches. Taking Exmoor National Park as a case study, an extensive walkover survey identified 119 small mires and assessed their cultural heritage asset potential. Many were not previously recognised as part of the Historic Environment potential of the upland. A novel valuation system based on proximity of …


Entering A Liminal State When Becoming A Social Prescribing Link Worker And How It Affects Retention: Findings From A Uk Qualitative Study, Stephanie Tierney, Lucy Moore, Debra Westlake, Shoba Dawson, Emma Fuller, Kerryn Husk, David Nunan, Pauline Roberts, Lilly Sabir, Jane R. Smith, Obioha C. Ukoumunne, Kamal R. Mahtani Nov 2025

Entering A Liminal State When Becoming A Social Prescribing Link Worker And How It Affects Retention: Findings From A Uk Qualitative Study, Stephanie Tierney, Lucy Moore, Debra Westlake, Shoba Dawson, Emma Fuller, Kerryn Husk, David Nunan, Pauline Roberts, Lilly Sabir, Jane R. Smith, Obioha C. Ukoumunne, Kamal R. Mahtani

Peninsula Medical School

Aim:To explore factors shaping social prescribing (SP) link workers (LWs) experiences of their job, and how they influence decisions about whether or not to leave it.Background:LWs support healthcare delivery by listening to patients’ non-medical concerns and social or relational difficulties, connecting them to ‘community assets’ (groups, organizations, charities) when relevant to help. LWs try to assist people with often complex emotional and/or social issues. This can affect how they feel in their job.Methods:As part of a mixed methods project on LW retention, a qualitative study was conducted. It involved 20 LWs, purposively selected from respondents to a questionnaire; variation in …


Leading Inclusive Education: The Impact Of A City’S Place-Based Pedagogical Partnership With Higher Education On Secondary School Inclusion, Suanne Gibson, Sonia Blandford, George Munn, Jen Shute Nov 2025

Leading Inclusive Education: The Impact Of A City’S Place-Based Pedagogical Partnership With Higher Education On Secondary School Inclusion, Suanne Gibson, Sonia Blandford, George Munn, Jen Shute

School of Law, Humanities and Social Sciences

The focus of this article is leadership for inclusive education. The work presented explores a three-year (2021–2024) place-based pedagogical partnership (PBPP) with schools and higher education (HE) leading change for inclusion and school improvement across Plymouth city’s secondary school network. National and international governments emphasise the role HE has in partnering with its local communities to achieve equal education access, inclusive pupil progress and student equality. The aims of this project and partnership were firstly to build meaningful relationships across secondary school leadership teams, local council, regional government and two city universities, and secondly to develop sustained practices that had …


How Do People Use Social Media To Maintain Continuing Bonds In Bereavement? A Qualitative Meta-Synthesis, Molly Price, Edith Maria Steffen, Karina Stengaard Kamp Nov 2025

How Do People Use Social Media To Maintain Continuing Bonds In Bereavement? A Qualitative Meta-Synthesis, Molly Price, Edith Maria Steffen, Karina Stengaard Kamp

School of Psychology

Staying connected with a person who has died is a common phenomenon in bereavement, generally referred to as continuing bonds (CB). This can take multitudinous forms, a novelty being the utilisation of social media to strengthen the connection. This qualitative meta-synthesis collated research on digital CB to identify themes to help us develop an overarching understanding of how digital platforms are used to express CB and what impact this may have. A systematic search of four relevant databases (PubMed, PsycInfo, CINAHL and Web of Science) was conducted. Papers were exported to EndNote for screening; ultimately, seven papers were selected for …


Borrowed Competence: Socially Extending The Mind To Extend Digital Practices, Cordelia R. Stewart, Sheau-Fen (Crystal) Yap, Krzysztof Kubacki Nov 2025

Borrowed Competence: Socially Extending The Mind To Extend Digital Practices, Cordelia R. Stewart, Sheau-Fen (Crystal) Yap, Krzysztof Kubacki

More Faculty of Arts, Humanities and Business Research

This study extends current understanding of digital competence by exploring alternative skill sets harnessed by digitally disadvantaged groups that enable their practices to continue. By combining practice theory with the socially extended mind framework, we address the research question: What forms of offline competence support the integration of digital practices among a disadvantaged consumer group, and how do these competences influence the cohesion and continuity of their practices? Through an ethnography of a ‘Street Church’ community, we demonstrate how different forms of offline social interaction (i.e., sequential, synchronised, substitutive) and group culture
function as valuable resources for guiding digital practices, …


Global, Regional, And National Burden Of Chronic Kidney Disease In Adults, 1990–2023, And Its Attributable Risk Factors: A Systematic Analysis For The Global Burden Of Disease Study 2023, Patrick B Mark, Lauryn K Stafford, Morgan E Grams, Hasan Aalruz, Samar Abd Elhafeez, Ahmed Abdelrahman Abdelgalil, Rizwan Suliankatchi Abdulkader, Hansani Madushika Abeywickrama, Olugbenga Olusola Abiodun, Dmitry Abramov, Mohammed Mehdi Abrar, Lucas Guimarães Abreu, Bilyaminu Abubakar, Salahdein Aburuz, Isaac Yeboah Addo, Oyelola A Adegboye, Nurudeen A Adegoke, Temitayo Esther Adeyeoluwa, Qorinah Estiningtyas Sakilah Adnani, Bright Opoku Ahinkorah, Sajjad Ahmad, Khabir Ahmad, Ali Ahmadi, Amir Mahmoud Ahmadzade, Ayman Ahmed, Aram Mahmood Ahmed, Nesredin Ahmed, Shahzaib Ahmed, Syed Anees Ahmed, Marjan Ajami Nov 2025

Global, Regional, And National Burden Of Chronic Kidney Disease In Adults, 1990–2023, And Its Attributable Risk Factors: A Systematic Analysis For The Global Burden Of Disease Study 2023, Patrick B Mark, Lauryn K Stafford, Morgan E Grams, Hasan Aalruz, Samar Abd Elhafeez, Ahmed Abdelrahman Abdelgalil, Rizwan Suliankatchi Abdulkader, Hansani Madushika Abeywickrama, Olugbenga Olusola Abiodun, Dmitry Abramov, Mohammed Mehdi Abrar, Lucas Guimarães Abreu, Bilyaminu Abubakar, Salahdein Aburuz, Isaac Yeboah Addo, Oyelola A Adegboye, Nurudeen A Adegoke, Temitayo Esther Adeyeoluwa, Qorinah Estiningtyas Sakilah Adnani, Bright Opoku Ahinkorah, Sajjad Ahmad, Khabir Ahmad, Ali Ahmadi, Amir Mahmoud Ahmadzade, Ayman Ahmed, Aram Mahmood Ahmed, Nesredin Ahmed, Shahzaib Ahmed, Syed Anees Ahmed, Marjan Ajami

Peninsula Medical School

BackgroundChronic kidney disease (CKD) is common and ranks among the leading causes of mortality and morbidity. This analysis aimed to present global CKD estimates using the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023 to inform evidence-based policies for CKD identification and treatment.MethodsThis analysis focused on adults aged 20 years and older over the period 1990 to 2023, from 204 countries and territories. Data sources used were published literature, vital registration systems, kidney failure treatment registries, and household surveys. Estimates of CKD burden, including deaths, incidence, prevalence, and disability-adjusted life-years (DALYs), were produced using a Cause of …


Impact Of Growth Conditions On The Abundance And Diversity Of Cultivable Bacteria Recovered From Pheronema Carpenteri And Investigation Of Their Antimicrobial Potential, Jazmin Conway, Grant G January, Katie J Muddiman, Rosemary Dorrington, Kerry L Howell, Mathew Upton Nov 2025

Impact Of Growth Conditions On The Abundance And Diversity Of Cultivable Bacteria Recovered From Pheronema Carpenteri And Investigation Of Their Antimicrobial Potential, Jazmin Conway, Grant G January, Katie J Muddiman, Rosemary Dorrington, Kerry L Howell, Mathew Upton

School of Biomedical Sciences

The deep sea is a largely unexplored extreme environment supporting a diverse biological community adapted to low temperatures and high pressures. Such environments support microbial life that may be a source of novel antibiotics and other drugs. Whilst this is often the case, many species with bioactive capabilities may be missed with traditional culturing methods. In this study, a total of 16 different concentrations and types of media were employed, to culture 389 bacterial isolates using Dilution to Extinction methods and Actinobacteria Directed Cultivation techniques. This generated 72 (18.6%) isolates with narrow and broad-spectrum activity against ESKAPE pathogens including Escherichia …


Optimising Adherence To Inpatient Rehabilitation Trial Protocols: A Mixed-Methods Systematic Review, Angie Logan, Jonathan Marsden, Jennifer Freeman, Emma Cork, Bridie Kent Nov 2025

Optimising Adherence To Inpatient Rehabilitation Trial Protocols: A Mixed-Methods Systematic Review, Angie Logan, Jonathan Marsden, Jennifer Freeman, Emma Cork, Bridie Kent

School of Health Professions

Background:The results of rehabilitation clinical trials can be negatively affected by adherence to trial protocols. Adherence is multi-factorial, but studies often look at adherence factors separately. Therefore, a systematic review to appraise and synthesise the evidence is warranted to determine the barriers, facilitators and predictors associated with adherence to inpatient rehabilitation trial protocols, whether and how factors interact with one another, and how adherence to rehabilitation protocols can be optimised.Methods:A mixed-methods systematic review was conducted and reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Databases searched were PubMed (Ovid), EMBASE (Ovid), MEDLINE (Ovid), CINAHL (Ovid), …


Updated Systematic Review Of Current Randomised Controlled Trials In Chronic Subdural Haematoma, On Be Half Of The International Collaborative Research Initiative On Chronic Subdural Haematoma (Icoric) Study Group, R Fakhry, C Yesildal, J Bartek, J Duerinck, T S R Jensen, J Soleman, C Iorio-Morin, C M F Dirven, R Dammers, E Edlmann, D C Holl Nov 2025

Updated Systematic Review Of Current Randomised Controlled Trials In Chronic Subdural Haematoma, On Be Half Of The International Collaborative Research Initiative On Chronic Subdural Haematoma (Icoric) Study Group, R Fakhry, C Yesildal, J Bartek, J Duerinck, T S R Jensen, J Soleman, C Iorio-Morin, C M F Dirven, R Dammers, E Edlmann, D C Holl

Peninsula Medical School

BACKGROUND: Chronic subdural haematoma (CSDH) is a common neurosurgical condition with an increasing incidence due to an aging population. Given the expanding research landscape, assessing the state of recent trials is essential. This systematic review updates a previous review, which included randomised controlled trials (RCTs) up to 2019, by summarizing recently published and ongoing RCTs in CSDH, highlighting key areas of investigation and identifying directions for future research. METHODS: Clinical trial registries - including the Cochrane Controlled Register of Trials, WHO ICTRP, clinicaltrials.gov, and Clinical Trials Information System - were systematically searched for RCTs on CSDH from June 1, 2019, …


A Collaborative Approach To Marine Species Tracking: Insights From The Fish Intel Acoustic Telemetry Network, Alice E. Hall, Tom Stamp, Peter Davies, Mathieu Woillez, Martial Laurans, Marine Gonse, Lydie I.E. Couturier, Olivier Blanpain, Katia Frangoudes, Emmanuelle Quillérou, Eider Graner, Jan Reubens, Carlotta Muñiz, Lucy A. Hawkes, Matthew J. Witt, Thomas W. Horton, Tom Hooper, Ricky Pender, Erwin Quemeneur, Mewen Abjean, Xavier Tetard, Pascal Provost, Silvana Birchenough, Jean Luc Solandt, Colin Trundle, Amy Y. Cartwright, Sian Rees, Ronan Conlon, Shion E.A. Reynell, Ben Ciotti Nov 2025

A Collaborative Approach To Marine Species Tracking: Insights From The Fish Intel Acoustic Telemetry Network, Alice E. Hall, Tom Stamp, Peter Davies, Mathieu Woillez, Martial Laurans, Marine Gonse, Lydie I.E. Couturier, Olivier Blanpain, Katia Frangoudes, Emmanuelle Quillérou, Eider Graner, Jan Reubens, Carlotta Muñiz, Lucy A. Hawkes, Matthew J. Witt, Thomas W. Horton, Tom Hooper, Ricky Pender, Erwin Quemeneur, Mewen Abjean, Xavier Tetard, Pascal Provost, Silvana Birchenough, Jean Luc Solandt, Colin Trundle, Amy Y. Cartwright, Sian Rees, Ronan Conlon, Shion E.A. Reynell, Ben Ciotti

School of Biological and Marine Sciences

Acoustic telemetry offers valuable insights into species' spatial and temporal movement patterns, helping to understand habitat use, behaviour and migration timings. The Fish Intel Network established a collaborative cross-English Channel acoustic telemetry network to track multiple species over small and large spatial scales. This network was designed in close alliance with local fishers to incorporate essential local ecological knowledge of target species and habitats, gathered through interviews and workshops. To date, 254 acoustic receivers have been deployed, and 874 animals have been tagged across the Channel. Six species were tracked for this study: European bass (Dicentrarchus labrax), pollack (Pollachius pollachius), …


Poo Manager: Co-Designing A Serious Computer Game To Improve Constipation Management Awareness In Carers Of People With Intellectual Disabilities, Rohit Shankar Nov 2025

Poo Manager: Co-Designing A Serious Computer Game To Improve Constipation Management Awareness In Carers Of People With Intellectual Disabilities, Rohit Shankar

Peninsula Medical School

Approximately 2% of the population are people with intellectual disability (PwID). PwID are prone to multimorbidity, polypharmacy and premature mortality. Constipation is a prevalent and life-threatening issue for PwID fostered by iatrogenic harm, ignorance and stigma in family, and health and care settings. Despite its clinical significance, educational tools targeting caregivers’ knowledge of constipation prevention and management in PwID are scarce. Serious games (SGs) offer a novel and engaging platform to educate carers and reduce health stigma. Poo manager was collaboratively designed by a team of clinicians, academics, game developers and people with lived experience. The game involves navigating a …


Comorbidities And Emotions - Unpacking The Sentiments Of Pediatric Patients With Multiple Long-Term Conditions Through Social Media Feedback: A Large Language Model-Driven Study, Temidayo Oluwalade, Hossein Ahmadi, Lin Huo, Richard Sharpe, Shang-Ming Zhou Nov 2025

Comorbidities And Emotions - Unpacking The Sentiments Of Pediatric Patients With Multiple Long-Term Conditions Through Social Media Feedback: A Large Language Model-Driven Study, Temidayo Oluwalade, Hossein Ahmadi, Lin Huo, Richard Sharpe, Shang-Ming Zhou

School of Nursing and Midwifery

ObjectivesThe emotional and psychological challenges faced by children with multiple long-term conditions (MLTCs) remain underexplored. This study aimed to analyze sentiments and emotions expressed by this vulnerable population and their caregivers on social media, assess the effects of comorbidities and the COVID-19 pandemic on emotional well-being.MethodsNarratives from the Care Opinion platform (2008–2023) were analyzed by a model called CoEmoBERT, developed using the large language model, distilroberta-base transformer model. The CoEmoBERT-based sentiment analysis categorized emotions into “Positive”, “Negative”, and “Neutral,” with further refinements into specific emotions such as “Sad,” “Fear”, “Satisfied” etc. through pretraining and transferring process. Comorbidity associations with emotions …


Levetiracetam In Epilepsy And Autism Spectrum Disorder: Analysis Of Safety, Tolerability, And Efficacy, Jon Allard, William Henley, Brendan Mclean, Lance Watkins, Mary Parrett, Sanjeev Rajakulendran, Melissa Maguire, Shan Ellawela, Phil Tittensor, Juliet Bransgrove, Arjune Sen, Rajiv Mohanraj, Many Bagary, Sunil Ram, Sarah Pashley, Rohit Shankar Nov 2025

Levetiracetam In Epilepsy And Autism Spectrum Disorder: Analysis Of Safety, Tolerability, And Efficacy, Jon Allard, William Henley, Brendan Mclean, Lance Watkins, Mary Parrett, Sanjeev Rajakulendran, Melissa Maguire, Shan Ellawela, Phil Tittensor, Juliet Bransgrove, Arjune Sen, Rajiv Mohanraj, Many Bagary, Sunil Ram, Sarah Pashley, Rohit Shankar

Peninsula Medical School

Purpose: One in five people with autism spectrum disorder have epilepsy and take Anti-Seizure Medications (ASM). However, the impact of ASM on people with autism is under researched. This study evaluates the efficacy and tolerability of Levetiracetam (LEV) for autistic people and epilepsy. Method: Data was derived from the English Epilepsy Research Database Register which compares ASM responses in those with neurodevelopmental disorders to those without. Age range was 18–50 years as there were no autistic research participants with autism prescribed LEV over 50. Twelve-month ASM data, including withdrawal rate, seizure frequency and adverse effects were compared. Fisher's exact test …


The Root Cause Of Perceived Appraisal Politics Using Evidence From The South Korean Public Sector, Jinwoong Yoo, Saeyeon Roh, Mohamed Haddoud, Smita Tripathi Nov 2025

The Root Cause Of Perceived Appraisal Politics Using Evidence From The South Korean Public Sector, Jinwoong Yoo, Saeyeon Roh, Mohamed Haddoud, Smita Tripathi

Plymouth Business School

The purpose of this study is to investigate the root causes of Perceived Appraisal Politics (PAP) within the public sector in South Korea. Scholars in the field of Human Resource Management (HRM) have identified the determinants of PAP in an effort to mitigate it. However, the complex interactions among those determinants and root causes have been overlooked. Therefore, we adopt a novel methodology in this study that combines Interpretive Structural Modelling (ISM) and fuzzy-Decision-Making Trial and Evaluation Laboratory (f-DEMATEL). The findings indicate that the root causes of PAP include the presence of cliques, ambiguity of appraisal policies and goal ambiguity …