Digital Commons Network^™

A Comprehensive Review Of Frugal Artificial Intelligence: Challenges, Applications, And The Road To Sustainable Ai, Nancy Girdhar, Aditya Raj, Deepak Sharma, Vinay Singh, Antoine Doucet, Matthias Renz

School of Engineering, Computing and Mathematics

Artificial Intelligence (AI) has demonstrated its transformative impact in creating learning models, processing extensive datasets, and executing intricate calculations rapidly. Nevertheless, achieving optimal performance with AI models demands substantial investment in powerful and expensive high-end hardware. The learning models running on the hardware are complex, requiring massive data and huge training time. However, the race to achieve higher accuracy and computational limitations of AI further poses a threat to the environment and thus provides motivation to develop AI technology that is cost-effective, scalable, and suitable for resource-constrained environments, Frugal Artificial Intelligence, or Frugal AI. The objective of this paper is …

Real-Time Temperature Estimation Of The Machine Drive Sic Modules Consisting Of Parallel Chips Per Switch For Reliability Modelling And Lifetime Prediction, Tamer Kamel, Olamide Olagunju, Temitope Johnson

School of Engineering, Computing and Mathematics

This paper presents a new methodical procedure to monitor in real time the junction temperature of SiC Power MOSFET modules of parallel-connected chips utilized in machine drive systems to develop their reliability modelling and predict their lifetime. The paper implements the on-line measurements of temperature-sensitive electrical parameters (TSEP) approach, particularly the quasi-threshold voltage and the on-state drain to source voltage, to estimate the junction temperature in real time. The proposed procedure firstly applied computational fluid dynamics analysis on the module under study to determine the chip which undergoes the maximum junction temperature during typical operation of the module. Then, a …

My A-T Pack: A Qualitative Study Of The Utility, Acceptability, Design, And Content Of A Family-Designed And Owned Information Pack Relevant To The Lives Of Children And Young People Living With Ataxia Telangiectasia, Lisa Bunn, Joanne Paton

School of Health Professions

BackgroundAtaxia Telangiectasia (A-T) is a rare genetic and progressive condition, primarily affecting the neurological, immunological, and pulmonary systems. In the absence of a cure, people living with A-T require co-ordinated multidisciplinary care to manage their complex needs. This often leads to families working with a range of different professionals and feeling burdened by the amount of information and coordination of care that they manage.With the aim to inform the co-production of a family-owned healthcare pack to promote person-centered care and self-management, this study explored the views of children with A-T and parents of children and young people with A-T about …

Transforming Business Management Placement Students Into Teachers, Carl Evans, Paul Harrington

Plymouth Business School

A period of work placement is widely recognised to be one of the most effective ways to enhance an undergraduate’s employability and work-readiness. However, at present, the value of all the learning gained on the work placement remains with the placement student. The authors of this viewpoint paper propose an approach to widen the benefits of a work placement, by sharing an element of industrial or commercial knowledge gained with fellow undergraduates and with teaching staff, via a delivered teaching presentation. In doing so, brings work experience to a wider group of undergraduates and strengthens the link between education and …

Nemvaleukin Alfa Monotherapy In Patients With Advanced Melanoma And Renal Cell Carcinoma: Results From The Phase 1/2 Non-Randomized Artistry-1 Trial, Emiliano Calvo, Valentina Boni, Olivier Dumas, Sang Joon Shin, Seth D Rosen, Arvind Chaudhry, Philip R Debruyne, Xiaomin He, Ulka N Vaishampayan, David F Mcdermott

School of Nursing and Midwifery

BACKGROUND: Despite improved outcomes with immune checkpoint inhibitors (ICIs) and their combinations in advanced solid tumors, a subset of patients remains unresponsive or progresses, highlighting an unmet need for novel treatments with durable benefit. Nemvaleukin alfa (nemvaleukin, ALKS 4230) demonstrated manageable safety and antitumor activity, alone and in combination with pembrolizumab, across heavily pretreated advanced solid tumors in the ARTISTRY-1 study. We report in-depth antitumor activity, safety, pharmacokinetics, and pharmacodynamics of nemvaleukin monotherapy at the recommended phase 2 dose (RP2D) in advanced melanoma and renal cell carcinoma (RCC) cohorts from ARTISTRY-1.

METHODS: ARTISTRY-1 was a three-part (A, B, and C), …

Management Responses To Staff Speaking Up In The Nhs: A Scoping Review, Melika Ghorbankhani, Aled Jones, Alison James, Ben Hannigan, Dominic Roche

School of Nursing and Midwifery

Staff speaking up about patient safety concerns is crucial to improving care and learning from mistakes. Poor management responses to speaking up can result in missed opportunities to prevent harm and hinder staff learning. This scoping review explored the literature on managers' responses to staff-raised patient safety concerns in the NHS, identifying key factors that influence these responses and suggesting strategies for improvement. Arksey and O'Malley's five-stage framework was used to systematically analyse studies from databases such as MEDLINE, PubMed, EMBASE, APA PsycINFO and CINAHL. The review included 25 studies published between 2005 and 2023. Eleven identified studies were based …

Counteracting Cascades Challenge The Heterogeneity-Stability Relationship, Jordi Sola, Tom P. Fairchild, Matthew J. Perkins, James C. Bull, John N. Griffin

School of Biological and Marine Sciences

Spatial environmental heterogeneity is widely assumed to enhance ecological stability by promoting refugia, biodiversity and asynchrony. Yet, we lack field experiments testing this fundamental relationship and its underlying mechanisms in naturally assembled multitrophic systems. To address this gap, we monitored experimental substrates replicating topographic heterogeneity on a rocky shore over 3 years. Contrary to theory, heterogeneity showed no net effect on community stability due to four counteracting pathways. Heterogeneity increased stability by (i) providing refugia that enhanced population stability and (ii) boosting species richness, which promoted asynchrony. At the same time, it decreased stability by (iii) reducing a dominant non-native …

An Evidence-Based Report On Digital Inclusion In Cornwall: -, Katharine Willis

School of Art, Design and Architecture

This report establishes Cornwall’s first comprehensive baseline on digital inclusion, combining quantitative survey data with qualitative insights to reveal the scale, nature, and geography of digital exclusion across the county. Cornwall faces a dual challenge of ensuring equitable digital skills and addressing infrastructure and affordability barriers. While overall digital use is high, significant groups remain excluded, particularly older adults, low-income households, those without qualifications, and residents in rural or deprived areas. These challenges pose risks not only to individuals’ access to services and opportunities but also to Cornwall’s social and economic resilience.

Impact Of Patient Diaries On Children, Families, And Healthcare Professionals In Paediatric Intensive Care Settings: A Scoping Review, Fiona Lynch, Jos M Latour, Ruth Endacott

School of Nursing and Midwifery

OBJECTIVE: The aim of this scoping review was to understand the current landscape, features, and volume of evidence that address the review question: what is the impact of Paediatric Intensive Care Unit (PICU) patient diaries on children, families, and healthcare professionals (HCPs)? To provide context: descriptions of diary models was also provided.

METHOD: The search strategy was structured using the Population, Concept, and Context model to focus the review question. The inclusion criteria were intentionally broad to include all studies published in English from January 2016 until November 2024. The databases CINAHL, Medline, and EMBASE were used to retrieve articles, …

Implementation Of Link Workers In Primary Care: Synopsis Of Findings From A Realist Evaluation, Stephanie Tierney, Geoff Wong, Debra Westlake, Amadea Turk, Steven Markham, Jordan Gorenberg, Joanne Reeve, Caroline Mitchell, Kerryn Husk, Sabi Redwood, Tony Meacock, Catherine Pope, Beccy Baird, Kamal R. Mahtani

Peninsula Medical School

Background: Social prescribing link workers formed part of the Additional Roles Reimbursement Scheme introduced into primary care in England from 2019. Link workers assist patients experiencing issues affecting their health and well-being that are 'non-medical' (e.g. lack of social connections, financial difficulties and housing problems). They give patients space to consider these non-medical issues and, when relevant, connect them to support, often within the voluntary-community-social-enterprise sector. We conducted an earlier realist review on the link worker role in primary care. We then carried out a realist evaluation, described in this report, to address the question: When implementing link workers in …

Reflection On The ‘Power Of Us’ Conference: How Mainstream Schools In England Offer Provision To Children With Special Educational Needs (Sen), Grace H A Cooper

Plymouth Interdisciplinary Education Open Journal

The majority of children in England with Special Educational Needs or Disabilities (SEND) are educated within mainstream schools. Due to the broad range of needs of children, it is essential that mainstream schools are provided with adequate funding, preparation and training to ensure that the inclusion of every child is achievable and expected. Furthermore, sometimes schools feel that they cannot offer ample provision to give every child an equitable access to learning and therefore they are directed to SEND schooling – can a mainstream school be considered inclusive if they cannot support all children? This article will consider these arguments …

Power Of Us: Listening To Families, Tara J. Vassallo

Plymouth Interdisciplinary Education Open Journal

This article, originating from the ‘Power of Us!’ conference held in June 2025, reflects on the session titled ‘Listening to families’ which offered an experienced parent panel, providing a forum for discussion. The session had a particular focus on the experiences of families and their children with neurodivergent and other individual educational needs and the families’ pursuit of genuine co-production with their children’s school. The article offers an insight into the session, sharing reflections from the discussions, and calls for action aimed at creating a truly inclusive educational system.

Creativity, Inclusion And Participation, Heather Knight

Plymouth Interdisciplinary Education Open Journal

This paper, originating from the ‘Power of Us!’ conference held in June 2025, reflects on the session titled ‘Creativity, Inclusion and Participation’, which drew upon different theories to explore what is creativity and question why many people believe they are not creative. This raises questions about what happens to creativity and what is the role that education plays in developing or hindering creativity. The paper offers an insight into the session, sharing reflections from the discussions, and exploring the idea that creativity can be seen as a democratic and social process. It argues that everyone can be creative in the …

A Preston Bridge School (Pbs) Approach To Inclusive Multisport Practices Within Sen, Jack Smith

Plymouth Interdisciplinary Education Open Journal

This paper, originating from the ‘Power of Us!’ conference held in June 2025, reflects on the session titled A Preston Bridge School Approach To Inclusive Multisport Practices Within SEN, which captured the current physical provision offer at Preston Bridge, with a particular focus on how the implementation of inclusive practices enable young people with SEN to meet and achieve their EHCP targets through physical education. The paper offers an insight into the session delivered, sharing best practice, staff and student reflections, and calls for action to promote the inclusion of young people with SEN within the context of physical education.

Positive Psychology And Positive Education: A Strengths-Based Approach To Sen, Michelle Y. Tytherleigh

Plymouth Interdisciplinary Education Open Journal

This paper, originating from the ‘Power of Us!’ conference held in June 2025, reflects on the session titled: Positive psychology and positive education: a strengths-based approach to SEN, which looked at how positive psychology and positive education can be applied to better support students, and with a particular focus on those with SENs.The paper offers an insight into the session, sharing reflections from the discussions and research findings, and calls for action to create a truly inclusive educational system.

Husbandry And Management Interventions For The Conservation And Welfare Of Captive Animals – A Systematic Evidence Map, Anaelle Lemasson Lemasson

School of Biological and Marine Sciences

Zoos and aquariums are poised to play increasingly important roles in mitigating the global biodiversity crisis. However, the ultimate success of ex-situ conservation depends on animal welfare and effective husbandry and management practices. As such, an empirical understanding of ‘what works’ in zoo management is crucial for guiding success and embedding cost-effective practices. Here, we present the first systematic evidence map for husbandry and management interventions used in zoos and aquariums. We identified and extracted 1,070 articles spread across 45 journals, and examined patterns within taxonomic, spatial, temporal, and thematic categories. Studies originated from 516 institutions in 69 countries, and …

Protective Multi-Stressor Interactions In The Anthropocene: Key Considerations For Investigating Cross-Tolerance In A Conservation Context, Essie M Rodgers, Simone Baldanzi, Michael Collins, W Wesley Dowd, Lauric Feugere, Giovanna Mottola, Fanny Vermandele, Daniel F Gomez Isaza

School of Biological and Marine Sciences

In the Anthropocene, species are increasingly faced with multiple stressors that are more severe and less predictable than before. While multiple stressors often interact to affect organisms negatively, sometimes these interactions can be beneficial, enhancing resilience through cross-protection. Cross-protection interactions occur when exposure to one stressor, such as elevated temperature, enhances an organism’s tolerance to a different stressor, like hypoxia, through shared protective mechanisms or signaling pathways. Understanding the potential for cross-protection to combat rapid and diverse environmental change is crucial for conservation, as it potentially alters the predicted consequences of such change. Here, we outline 10 key considerations for …

Early Childhood Education – A Unique And Quasi-Hidden Curriculum, Verity Campbell-Barr

School of Law, Humanities and Social Sciences

This paper considers the complexities and debates surrounding the concept of curriculum in Early Childhood Education (ECE). The paper highlights the tension between traditional, structured curriculum models found in schooling and the more flexible, child-centred and play-based approaches advocated in ECE. Starting from the premise that curriculum theory in ECE is underdeveloped, the discussion draws on Bernstein’s Pedagogic Device to provide a theoretical framework with which to analyse how knowledge is produced and recontextualised in ECE in both the official (state) and pedagogic field. Central to the recontextualisation are theories of child development and how they provide an underlying course …

Description Of The Combined Evidence-Based, Theory-Based And Person-Based Approaches Used To Develop A Behavioural Intervention Package To Support Non-Allergist Healthcare Workers To Remove Incorrect Penicillin Allergy Records From Medical And Surgical Adult Inpatients In A Uk Hospital, Neil Powell, Mathew Upton, Bridie Kent, Jonathan Sandoe, Sarah Tonkin-Crine

School of Biomedical Sciences

Objectives To develop a behavioural intervention package to support non-allergist healthcare workers (HCWs) to remove incorrect penA records from medical and surgical adult inpatients. This paper describes the development of the penicillin allergy de-labelling (PADL) intervention and the implementation intervention that will support non-allergist-delivered PADL. Design We combined evidence-based, theory-based and person-based approaches. Qualitative research with healthcare professionals and patients explored barriers and enablers to implementation of the proposed PADL pathway. Key intervention design objectives and the key features of the implementation intervention required to achieve each objective were then developed and captured as guiding principles. We produced a logic …

Assessing The Effects Of Antibiotic Selectivity And Temperature On The Antimicrobial Activity Of Isolates Derived From The Deep-Sea Sponge Pheronema Capenteri, Lex L. Hilario

The Plymouth Student Scientist

The rapid increase of antibiotic resistance necessitates the discovery of novel antibiotic compounds capable to tackle these resistant bacteria. Deep-sea sponges accommodate a diverse and dense microbiome filled with an array of bacterial communities that have the potential to produce novel antimicrobials. Some discovered novel strains have already shown their capability in producing secondary metabolites that are effective against clinically relevant strains. This study aims to evaluate the impacts of different culture conditions; antibiotic selectivity and temperature, on the antimicrobial activity of isolates recovered from three different Pheronema carpenteri deep-sea sponges. Using culture-dependant methods, a total of 59 bacterial isolates …

Comparing P62 And Lc3 As Autophagy Biomarkers: Insights Into Cellular Homeostasis, Riya Roychan

The Plymouth Student Scientist

Autophagy is a fundamental cellular process that maintains homeostasis by the degradation of damaged organelles and proteins. It plays crucial roles in cellular remodelling, development, and disease progression. These roles apply to the study of neurodegenerative diseases which is heavily linked to the toxicity produced by unwarranted accumulation of cellular material. A key player in autophagy is LC3, which translocate to autophagosomal membranes during the process. Detecting fluorescently labelled LC3-II through immunofluorescence provides a valuable method for assessing autophagy levels in samples. In a similar premise p62, also known as sequestosome-1 (SQSTM-1), is an adaptor between LC3 and ubiquitinated substrates, …

But Who Is It For? Introducing A Framework For Critical Reflection On Design And Delivery Of Ethical Participatory Research, Hannah Gardiner, Clare Pettinger, Louise Hunt, Mary Hickson

School of Health Professions

Delivering ethical collaborative research is challenging, requiring disruption of assumptions, academic norms, and ways of working–including long-standing power dynamics. This article proposes a framework to support critical reflection on participatory practice; an adaptation of the wheel of consent. The adapted ‘ILBR’ framework explores the balance of who Initiates (makes requests/offers), does Labour (the action), gets Benefits, and takes on Risks (ILBR) in the conduct of research. This aims to support reflexive design and delivery of ethical participation, including a shift towards consent becoming an ongoing multi-way negotiation of agreements. Particularly it aims to support ‘interpersonal reflexivity’, and navigation of the …

Comparative Designs Reveal Preferences For Human-Generated Rather Than Ai-Generated Art, Oliver Jacobs, Farid Pazhoohi, Grayson Mullen, Alan Kingstone

School of Psychology

The evaluation of AI-generated art has seen increased interest after widespread access to AI-generated art (e.g., DALL-E or Stable Diffusion). While previous studies have suggested that there are preferences for human-generated art, the research remains far from robust with numerous contradictory findings. One potential reason for this discrepancy is differing experimental designs employing comparative or non-comparative methods. To shed light on this problem, two experiments were conducted: one using a Likert scale (N = 250) and another using a 2-alternative forced choice design (N = 102). Our conflicting results between the two designs suggest that traditional Likert-based art appraisals in …

Infants' Visual Preference For Expansive And Contractive Body Postures: An Eye-Tracking Study, Maryam Rostami-Aghoui, Caroline Floccia, Farid Pazhoohi

School of Psychology

Nonverbal communication is pivotal in early social and emotional development, with body postures serving as crucial cues. While extensive research has explored infants' recognition of emotions from facial expressions, a significant gap remains in understanding their visual inclinations towards body postures. Despite some studies on adults, there has been a lack of investigation into how infants respond to deliberate displays, particularly using eye-tracking methods. This research addresses this gap by examining whether infants exhibit a preference for expansive postures over contractive ones. A sample of 18 infants aged 12–24 months participated in the study, with their gaze patterns measured across …

Story Forge: A Card-Based Framework For Ai-Assisted Interactive Storytelling, Yaojiong Yu, Gianni Corino, Mike Phillips

School of Art, Design and Architecture

The application of artificial intelligence has significantly advanced interactive storytelling. However, current research has predominantly concentrated on the content generation capabilities of AI, primarily following a one-way ‘input-direct generation’ model. This has led to limited practicality in AI story writing, mainly due to the absence of investigations into user-driven creative processes. Consequently, users often perceive AI-generated suggestions as unhelpful and unsatisfactory. This study introduces a novel creative tool named Story Forge, which incorporates a card-based interactive narrative approach. By utilizing interactive story element cards, the tool facilitates the integration of narrative components with artificial intelligence-generated content to establish an interactive …

Unpacking Entrepreneurial Ecosystem Elements: Insights Into Drivers Of Entrepreneurial Activity, Mohamed Yacine Haddoud, Samah Souleh, Omaima Munawar Albadry, Saeyeon Roh, Adah Kole Emmanuel Onjewu

Plymouth Business School

Thriving entrepreneurial ecosystems (EEs) are instrumental in new enterprise creation and growth, as they provide vital support for entrepreneurial activity. However, as this support may be context-specific, the existing literature has yet to capture the contextual factors that shape the contributions of EEs. To address this inertia, a fuzzy analytical hierarchy process (FAHP) is employed, which examines the influence of ecosystem factors on new venture development in two key MENA countries, namely Algeria and Saudi Arabia. The findings indicate that physical, commercial, and legal infrastructure are important factors for EEs in both countries. Nevertheless, there are intriguing differences in the …

Advancing Ai Literacy In Medical Education: A Medical Ai Competency Framework Development, Chang Cai, Jamie Duell, Daisy Minghui Chen, Weng Kin Ho, Bernett Teck Kwong Lee, Fang Li, Siyuan Liu, Olivia Ng, Vidya Sudarshan, Shang-Ming Zhou, Gaoxia Zhu, Xiuyi Fan

School of Nursing and Midwifery

The integration of Artificial Intelligence (AI) into healthcare underscores the need for medical professionals to develop AI competencies. While the UNESCO AI competency framework provides general guidelines, it is broad and lacks the specificity required for medical education. This study proposed and validated an AI competency framework tailored for medical professionals, integrating UNESCO’s AI framework with Miller’s pyramid model. The preliminary framework was refined based on expert feedback from six hospital administrators, eight medical professionals, and ten university instructors. This study presents an AI competency framework for medical professionals, laying the groundwork for future curricula development. It offers insights and …

Trusted Professional Multi-Agency Transitions For Young People Facing Multiple Disadvantage – Learning From Co-Production By A Third Sector Partner In The Plymouth Alliance, Uk, Gemma Doyle, Sean Mitchell, Sue Hawley, Katy Krysiak, Felix Gradinger

Peninsula Medical School

Introduction: This case study provides practice-based reflections on challenges and potential solutions for young people with multiple disadvantages across housing, substance misuse, mental health, criminal justice, and domestic abuse systems, informed by 4 local principles: trauma informed, learning based, an alliance commissioning ethos, and workforce development.Description: To improve the current experiences of 17–25-year-olds in service transition iterative insights drew from networking staff across sectors, clinical audit and following live cases, and appreciative enquiries with young people. This was conducted by a practitioner researcher in a local Young Person’s charity and was supported by peer researchers with lived experience and embedded …

“It Felt Like Solving A Mystery Together”: Exploring Virtual Reality Card-Based Interaction And Story Co-Creation Collaborative System Design, Yaojiong Yu, Mike Phillips, Gianni Corino

School of Art, Design and Architecture

Virtual reality interaction design and story co-creation design for multiple users is an interdisciplinary research field that merges human–computer interaction, creative design, and virtual reality technologies. Story co-creation design enables multiple users to collectively generate and share narratives, allowing them to contribute to the storyline, modify plot trajectories, and craft characters, thereby facilitating a dynamic storytelling experience. Through advanced virtual reality interaction design, collaboration and social engagement can be further enriched to encourage active participation. This study investigates the facilitation of narrative creation and enhancement of storytelling skills in virtual reality by leveraging existing research on story co-creation design and …

Big Ugly Lumps? (Counter)Terrorism And The Everyday Atmospheres Of Hostile Vehicle Mitigation, Carrie Benjamin, Sam Berlin, Sara Fregonese, Paul Simpson

School of Geography, Earth and Environmental Sciences

Adopting an atmospheric lens on the everyday and open-ended crisis of contemporary terror threats in cities in Western Europe, this article unpicks the contemporary logics, desires, and effects of the State in matters of urban counterterrorism by exploring the felt qualities and dispositions of the public around Hostile Vehicle Mitigation (HVM) measures in Birmingham (UK). It argues that the atmospheres around counterterrorism that security officials and business representatives aim to produce, which seeks to reassure the public rather than cause alarm, has led to ambivalent acceptance of HVM by city centre users. The paper shifts away from discursive and socio-technical …