Digital Commons Network^™

Telehealth Training And Education For Allied Health Professionals: A Scoping Review, Krithika Anil, Adam Bird, Kate Bridgman, Shane Erickson, Jenny Freeman, Carol Mckinstry, Christie Robinson, Sally Abey

School of Health Professions

Background: With the growing adoption of telehealth in allied health disciplines, establishing clear training and education standards is crucial. This review aims to map the current training and education that has been delivered to support development of telehealth competencies in allied health professionals. This scoping review extends our previous review with an updated search. Methods: The Population Concept Context framework was used, and the following databases were searched: MEDLINE, CINAHL, PsychInfo, Cochrane, EMBASE, Web of Science, PEDro, United Kingdom Health Forum, WHO, Health Education England, and all U.K. and Australian Allied Health Profession (AHP) professional bodies. Results: Out of 1,05,980 …

Hallyu Marketing In Japan: A Configuration Approach To K-Brand Image, Dunya Chen, Jin-Woong Yoo, Saeyeon Roh

Plymouth Business School

Since cultural community factors shaping the Korean brand (i.e. K-brand) image are rarely discussed, this research identifies the key community elements shaping the K-brand image in Japan where favourable attitudes towards Hallyu (i.e. Korean wave) can occur online. Drawing on the community cluster framework for cultural branding, we employ a configuration approach using Fuzzy-Set Qualitative Comparative Analysis (fsQCA) to uncover the critical cultural community factors and their combinations influencing the K-brand image. Our findings reveal two distinct paths shaping the K-brand image. This paper proposes theoretical and practical insights to strengthen the K-brand image.

Gamifying Anatomy Outreach: An Underexplored Opportunity, Mikaela L. Stiver, Aamna Naveed, John Chilton, Siobhan M. Moyes

Peninsula Medical School

This article explores the underutilized potential of incorporating gamified approaches into anatomy outreach initiatives. While gamification and game-based learning approaches have been widely adopted in formal educational settings, there is a surprising lack of research on their application for community-based public engagement with anatomy. We emphasize the importance of involving community partners from the outset to co-design gamified outreach activities. A collaborative approach tailors the final products to the needs, preferences, and resources of the target audiences. By actively involving end users, co-design fosters a sense of ownership, relevance, and long-term sustainability for the educational resources. This article also presents …

Aging Consumer Engagement With The Mobile Food Planner Apps In Malaysia: Investigating Gender Differences, Rajat Subhra Chatterjee, Irfan Hameed, Sheshadri Chatterjee, Ranjan Chaudhuri, Demetris Vrontis, Pantea Foroudi

Plymouth Business School

This study investigates the factors influencing older consumers’ word of mouth and intention to use meal planner applications, given that 57% of Malaysians aged 60 and above are active Internet users. The current study utilized an extended technology acceptance model and the stimulus organism response framework to examine the cognitive-affective dichotomy of usage influence. The respondents were initially selected through purposive sampling and further screened using filter questions to ensure alignment with the study objectives, resulting in data collected from 392 elderly individuals across various demographic regions of Malaysia. The analysis was conducted using the Statistical Package for Social Sciences …

Visualisation Of Cyber Vulnerabilities In Maritime Human-Autonomy Teaming Technology, Mathew Walter, Avanthika Vineetha Harish, Luke Christison, Kimberly Tam

School of Engineering, Computing and Mathematics

Marine operations are increasingly leveraging AI technologies to improve performance and efficiency. However, there are many factors that affect safety, from the remote operating centre (ROC) to autonomous vessels. This includes both hardware and software that augments or replaces direct human control. Further, the integration of AI for autonomy also introduces new cyber security vulnerabilities arising from adversarial threats and complex interactions between conventional and AI-driven systems. In response, we propose a comprehensive assessment approach that assesses the security of marine technologies by addressing risks to both traditional systems and emerging AI components. In this wider system-of-systems view, the authors …

The Impact Of Oral Cancer: Raising Awareness Through Art, Casper Jonker, Salmah El Badry, Guy Lambourn, Alison Brown, Wendy Smith

Peninsula Dental School

The rise of oral cancer cases in the UK has shown an alarming upward trajectory in recent years. In 2024 alone, a total of 10,825 new cases have been diagnosed. This represents a staggering increase of 38% over the past decade and a 133% increase compared to 20 years ago.1 According to the State of Mouth Cancer Report 2024, roughly 68% of oral cancer cases are diagnosed in men and around 64% of diagnosed oral cancers were found in individuals older than 60 years of age.2 The key risk factors have been identified as alcohol consumption and tobacco use which …

The International Convention On Civil Liability For Bunker Oil Pollution Damage 2001: An Imperfect Convention In An Inadequate Imo Scheme For Compensation For Ship-Source Oil Pollution Damage, Gotthard Gauci

Plymouth Business School

The International Convention on Civil Liability for Bunker Oil Pollution Damage 2001 was hailed as filling in the last missing component piece of the international regime for ship-source oil pollution damage. This article examines this view; it concludes that there is substantial room for improvement in the IMO international compensation regime and that the remedy of restitutio in integrum is far from achieved.

Investigating The Component Structure Of The Health Of The Nation Outcomes Scales For People With Learning Disabilities (Honos-Ld), Rohit Shankar

Peninsula Medical School

Background: Outcome measurement is increasingly recognised as a vital element of high-quality service provision, but practice remains variable in the field of intellectual disabilities. The Health of the National Outcome Scales for people with Learning Disabilities (HoNOS-LD) is a widely used Clinician Reported Outcome Measure in the UK and beyond. Over its 20-year lifespan, its psychometric properties have been frequently investigated. Multiple dimensionality reduction analyses have been published, each proposing a different latent structure. Aim: To analyse a set of HoNOS-LD ratings to test its internal consistency, to identify the optimal number of latent variables, and to propose the items …

Driving Renewable Energy Continuance In Malaysia Through Reinforcement Sensitivity, Technology Infrastructure And Psychological Factors, Rajat Subhra Chatterjee, Siti Norida Wahab, Md. Uzir Hossain Uzir

Plymouth Business School

Purpose: Based on the reinforcement sensitivity theory (RST), this study aims to examine the key factors that influence users’ renewable energy (RE) continuance intention. More importantly, the mediating role of excitement and the moderating role of technology infrastructure (TEC) and anxiety in the renewable energy continuance intention (RECI) is explored. Design/methodology/approach: A survey was conducted among RE users in Malaysia and the results of a questionnaire survey of 397 were analysed using partial least square structural equation modelling. Findings: The study’s findings highlight the significant roles of excitement and anxiety in RE intentions, emphasizing the impact of psychological factors and …

Towards An Inclusive Conference Experience: Evaluation Of The Education And Outreach Symposium At The Microbiology Society Annual Conference 2024, Melissa Lacey, Michael Dillon, Sean Goodman, Victoria Easton, Alison Graham

Peninsula Medical School

The Microbiology Society Education and Outreach Symposium serves as a platform for microbiology educators to share contemporary practices with an international audience. The Symposium is held yearly during the Microbiology Society’s Annual Conference and has become increasingly popular among conference attendees. In an effort to create an inclusive and engaging environment, the 2024 Symposium included contributions from participants at all career stages and from diverse global regions through a variety of presentation formats, including invited talks, offered presentations, flash talks and posters. Cabaret-style seating was used to encourage discussion amongst participants, and digital tools were used for anonymous feedback and …

Integrating Ai With Healthcare Expertise: Introducing The Health Care Professional-In-The-Loop Framework: Part 2, Prashanti Eachempati, Avinash Supe, Sumanth Kumbargere Nagraj, Alex Cresswell-Boyes, Safiya Robinson, Samata Yalamanchili

Peninsula Dental School

We previously highlighted the importance of adaptive training, person-focused communication, and real-time quality assurance as cornerstones of this framework. Here, we examine the varying degrees of AI integration, from limited support roles in routine tasks to advanced collaborations in high-stakes procedures, demonstrating how the HCP-ITL model bridges the gap between innovation and ethical care.

Variation In Wood Density Across South American Tropical Forests, Martin J. P. Sullivan, Oliver L. Phillips, David Galbraith, Everton Almeida, Edmar Almeida De Oliveira, Jarcilene Almeida, Esteban Álvarez Dávila, Luciana F. Alves, Ana Andrade, Luiz Aragão, Alejandro Araujo-Murakami, Eric Arets, Luzmila Arroyo, Omar Aurelio Melo Cruz, Fabrício Baccaro, Timothy R. Baker, Sophie Fauset, Olaf Banki, Christopher Baraloto, Jos Barlow, Jorcely Barroso, Erika Berenguer, Lilian Blanc, Cecilia Blundo, Damien Bonal, Frans Bongers, Kauane Maiara Bordin, Roel J. W. Brienen, Igor S. Broggio, Benoit Burban

School of Geography, Earth and Environmental Sciences

Wood density is a critical control on tree biomass, so poor understanding of its spatial variation can lead to large and systematic errors in forest biomass estimates and carbon maps. The need to understand how and why wood density varies is especially critical in tropical America where forests have exceptional species diversity and spatial turnover in composition. As tree identity and forest composition are challenging to estimate remotely, ground surveys are essential to know the wood density of trees, whether measured directly or inferred from their identity. Here, we assemble an extensive dataset of variation in wood density across the …

Global, Regional, And National Prevalence Of Child And Adolescent Overweight And Obesity, 1990–2021, With Forecasts To 2050: A Forecasting Study For The Global Burden Of Disease Study 2021, Gbd 2021 Adolescent Bmi Collaborators, Jessica A Kerr, George C Patton, Karly I Cini, Yohannes Habtegiorgis Abate, Nasir Abbas, Abdallah H A Abd Al Magied, Samar Abd Elhafeez, Sherief Abd-Elsalam, Arash Abdollahi, Meriem Abdoun, Deldar Morad Abdulah, Rizwan Suliankatchi Abdulkader, Auwal Abdullahi, Hansani Madushika Abeywickrama, Alemwork Abie, Olumide Abiodun, Shady Abohashem, Dariush Abtahi, Hasan Abualruz, Bilyaminu Abubakar, Eman Abu-Gharbieh, Hana J Abukhadijah, Niveen Me Abu-Rmeileh, Salahdein Aburuz, Ahmed Abu-Zaid, Lisa C. Adams, Mesafint Molla Adane, Isaac Yeboah Addo

Peninsula Medical School

Background: Despite the well documented consequences of obesity during childhood and adolescence and future risks of excess body mass on non-communicable diseases in adulthood, coordinated global action on excess body mass in early life is still insufficient. Inconsistent measurement and reporting are a barrier to specific targets, resource allocation, and interventions. In this Article we report current estimates of overweight and obesity across childhood and adolescence, progress over time, and forecasts to inform specific actions. Methods: Using established methodology from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021, we modelled overweight and obesity across childhood and adolescence …

Involving Family Caregivers In Developing An Intervention For Assessing Risk Of Dental Pain In Individuals Living With Dementia, Carrie Stewart, Nicole Thomas, Robert Witton, Patricia Schofield, Ewen Mccoll

Peninsula Dental School

Background: Experiences of dental pain among older people living with dementia, particularly those residing in care homes, have been identified as an under-researched area. There is an urgent need for initiatives, co-developed with experts according to their experience, to address key challenges for oral health improvement among older people living with dementia. This paper reports the findings from a participatory activity which informed the development of an intervention. Methods: Informed by discussions with a prominent PPI representative in the field of caring for persons with dementia and a prior multi-disciplinary stakeholder event, a discussion involving ten caregivers of individuals with …

Historical Perspective And Contribution Of Aquaculture To The Amr Global Pandemic, Miriam Reverter, Sarahi Vega-Heredía, Philip Warburton

School of Biological and Marine Sciences

The global rise in the emergence and spread of pathogens (bacteria, viruses, fungi and parasites) that have developed or acquired new resistance mechanisms to drugs, commonly referred as antimicrobial resistance (AMR) is alarming. The emergence and spread of AMR, which is mostly attributed to the use (often overuse and misuse) of antimicrobial substances such as antibiotics, is not a new phenomenon. In fact, AMR was discovered several decades ago. However, exponential increases in global antimicrobial use have led to a rise in the emergence and spread of AMR, which is nowadays considered as one of the top ten global public …

Faraday Waves And Period Tripling In A Horizontal Circular Tank, Stuart Colville, Y. M. Scolan, Francesco Gambioli, Deborah Greaves, Edward Ransley, Yeaw Chu Lee

School of Engineering, Computing and Mathematics

Understanding wave kinematics is crucial for analysing the thermodynamic effects ofsloshing, which can lead to pressure drops in non-isothermal cryogenic fuel tanks. Inthe research reported here, Faraday waves in a horizontal circular tank (partially filledwith water) under vertical excitation are investigated. The tank geometry is referred toas a horizontal circular tank throughout, with its circular face oriented perpendicularto the horizontal plane. Firstly, this paper addresses the eigenvalue problem throughlinear potential flow theory, in order to provide theoretical evidence of Faraday wavesin horizontal circular tanks, the impact the density ratio has on the eigenvalues is thenconsidered. Secondly, an experimental investigation testing …

Exploring The Challenges Experienced By Patients And Families Using Palliative And End-Of-Life Care Services: A Qualitative Focus Group Study, Gina Kallis, Gary Hodge, Hannah Wheat, Tomasina Oh, Susie Pearce

School of Nursing and Midwifery

ObjectivesIn the UK, access to dignified and compassionate palliative care is increasingly being reported as inadequate. This is a particular issue in South-West England, where there is an ageing population, historical lack of research, and particular challenges due to its rural and coastal location. The aim of this study was to provide a holistic view of patient and family experiences of care toward the end-of-life in this location and to collaboratively identify the challenges they face.MethodsSix qualitative focus groups were held with people who were toward the end of their life, family/carers, and people who were bereaved. Participants were recruited …

The Effect Of The Patient Health Engagement Model–Based Care Strategy On Improving Patient–Ventilator Synchrony In Patients With Respiratory Failure: A Quasi-Experimental Study, Xiaohua Xu, Yuxia Zhang, Ying Lin, Ruiyan Liu, Zhiyun Shen, Jos M. Latour

School of Nursing and Midwifery

Background: Non-invasive positive pressure ventilation (NPPV) is a crucial method for treating acute and chronic respiratory failure. The effectiveness of NPPV treatment heavily depends on the active participation of patients. However, research on strategies to enhance patient engagement during NPPV therapy is still lacking. Aim: To evaluate the effect of nursing interventions based on the Patient Health Engagement (PHE) model in enhancing patient–ventilator synchrony and improving outcomes of NPPV in patients with respiratory failure. Study Design: This quasi-experimental study employed a pre-post design with non-equivalent control group. Convenience sampling was used to select patients with respiratory failure receiving NPPV at …

A Practical Guide To Transcranial Ultrasonic Stimulation From The Ifcn-Endorsed Itrusst Consortium, Keith R. Murphy, Tulika Nandi, Benjamin Kop, Takahiro Osada, Maximilian Lueckel, W. Apoutou N'Djin, Kevin A. Caulfield, Anton Fomenko, Hartwig R. Siebner, Yoshikazu Ugawa, Lennart Verhagen, Sven Bestmann, Eleanor Martin, Kim Butts Pauly, Elsa Fouragnan, Til Ole Bergmann

School of Psychology

Low-intensity Transcranial Ultrasonic Stimulation (TUS) is a non-invasive brain stimulation technique enabling cortical and deep brain targeting with unprecedented spatial accuracy. Given the high rate of adoption by new users with varying levels of expertise and interdisciplinary backgrounds, practical guidelines are needed to ensure state-of-the-art TUS application and reproducible outcomes. Therefore, the International Transcranial Ultrasonic Stimulation Safety and Standards (ITRUSST) consortium has formed a subcommittee, endorsed by the International Federation of Clinical Neurophysiology (IFCN), to develop recommendations for best practices in human TUS applications. The practical guide presented here provides a brief introduction into ultrasound physics and sonication parameters. It …

Testing The Proteus Effect In Autistic And Neurotypical Participants, Chris Fullwood, Liam Cross, Gray Atherton, Darren Chadwick

School of Psychology

This study examined the Proteus effect in autistic and neurotypical participants via the video game, The Sims. Thirty-two participants (16 autistic, 16 neurotypical) participated in a free-play session of The Sims, playing as either an attractive or unattractive avatar. In line with predictions, participants who had played as the attractive avatar negotiated for a significantly larger share of a fictional pot of money during a post-play economic game. Further, participants who had used the attractive avatar engaged in significantly more exercise activities in-game and flirted more often with nonplayable characters. While there was some evidence to suggest that autistic people …

The Evolution And Continued Monitoring Of Seagrass Meadows In Higher Town Bay, Isles Of Scilly, United Kingdom, Alex Mallinson

The Plymouth Student Scientist

The pressures of modern society have been proven to have widespread negative effects on worldwide seagrass meadows, thus necessitating an increased need for the accurate and long-term monitoring of sites of special interest. These monitoring programs have typically relied on the in-situ measurement of individual seagrass plants. However, technological advancements have increased the prevalence of new surveying techniques, including satellite imagery, aerial photography and bathymetric measurement. With the advent of machine learning, the processing of these methods has increased in efficiency and become more objective in nature, transforming the way surveys are being undertaken. This study focuses on the unique …

Should Oral Examination Be Reimagined In The Era Of Ai?, Prashanti Eachempati, Ramnarayan Komattil, Arathi Arakala

Peninsula Dental School

As artificial intelligence (AI) continues to reshape education, concerns about the authenticity of student work have escalated, particularly in relation to written assignments influenced by AI-powered tools. This article explores the role of the oral examination as a valuable method for assessing true student understanding and considers its potential for broader use across various educational levels. We propose that oral exams could be effectively integrated into undergraduate courses, providing a means to verify student comprehension in an era of AI-generated content. By adopting oral assessments, educators can enhance academic integrity while fostering essential skills such as critical thinking and effective …

The Feasibility Of Ambulatory Heart Rate Variability Monitoring In Non‐Suicidal Self‐Injury, Rohit Shankar

Peninsula Medical School

The polyvagal theory proposes that the autonomic nervous system influences affective systems and top-down emotional regulation.Vagal tone, as indexed by heart rate variability (HRV), is a measure of emotion regulation capacity. It is possible that non-suicidalself-injury (NSSI) occurs at times of low vagal tone and that NSSI may increase it. Little is known about the feasibility of collectingambulatory HRV data in the context of NSSI. This prospective observational study examined the feasibility of ambulatory HRVmonitoring during NSSI. Ten participants wore a chest-based heart rate monitor and used a diary app for 1 week. Baselinecharacteristics were collected. Heart rate monitoring duration, …

En-Crip-Ing Time: How To Care For&With A Sexci Chronic Job, George Simms, Mariana Marangoni

School of Art, Design and Architecture

This article seduces the rigid logics of computational imaginaries with crip intimacies, by performing cron jobs as chronic jobs and transforming system maintenance into acts of crip care beyond chrononormativity. Presented as a code repository, it offers a crip critical approach to computational time with a chaotic mix of crip time and cyberfeminist net-art.

Iegenes: A Machine Learning Method For Selecting Differentially Expressed Genes In Cancer Studies, Xiao-Lei Xia, Shang-Ming Zhou, Yunguang Liu, Na Lin, Ian Overton

School of Nursing and Midwifery

Gene selection is crucial for cancer classification using microarray data. In the interests of improvingcancer classification accuracy, in this paper, we developed a new wrapper method called ieGENES for geneselection. First we proposed a parsimonious kernel machine regularization (PKMR) model by usingridge regularization in kernel machine driven classification to tackle multi-collinearity for the sake of stableestimates in high-dimensional settings. Then the ieGENES algorithm was developed to optimally identifyrelevant genes while iteratively eliminating redundant ones based on leave-one-out cross-validation accuracy.In particular, we developed a new methodology to optimally update model parameters upon gene removal.The ieGENES algorithm was evaluated on six cancer …

Microplastics And Nanoplastics In Tea: Sources, Characteristics And Potential Impacts, Neamatollah Jaafarzadeh Haghighi Fard, Faezeh Jahedi, Andrew Turner

School of Geography, Earth and Environmental Sciences

Recent scientific studies have raised concerns about the presence and potential impacts of microplastics and nanoplastics (MNPs) in tea-based drinks. This review critically examines publications relating to MNPs in tea, with focus on the type of sample involved, methods and techniques employed to isolate and identify MNPs, and the main qualitative and quantitative findings. Sources of MNPs in tea include production water, plastic packaging and contaminated tea leaves but the most important source is teabags when steeped in boiling water. Here, more than 10⁹ MNPs have been reported to be released per plastic teabag. However, significant quantities of MNPs …

For A Decolonial Approach To Game Design Methods Beyond Representation, Rafael Arrivabene

School of Art, Design and Architecture

This article draws attention to game design methods in decolonialist studies. As the importance of systematization in game design starts to become apparent, there is an opportunity to challenge the normalization of values, tropes, and power fantasies that have shaped the industry over the years. The article discusses the ways in which colonialist values permeate recurrent elements of game design, contrasting it with characteristics found in pre-colonial games and how they can be related to indigenous perspectives, which usually do not fit capitalist premises.

Fungi And Fungi-Like Entities, Claudia Pogoreutz, Miriam Reverter, Nathalia Delgadillo-Ordonez, Anna Roik

School of Biological and Marine Sciences

Coral microbiology research has long focused on the composition and functional roles of prokaryotic organisms, but microeukaryotic communities, including the enigmatic fungi remain a poorly understood “black box” within coral and other holobionts. Here, we summarise what is known and hypothesised about the diversity, functional traits and potential, and chemodiversity of coral- and reef-associated fungi and fungi-like organisms (FLOs). Finally, we briefly outline the challenges associated with the characterization of marine fungi and provide a perspective for future studies to elucidate the biology, chemical ecology, and organismal interactions of marine fungi and FLOs within coral reef holobionts and their potentially …

From Privacy Litigation To Privacy Restoration: How To Manage The Questions Of How, When, And Whether. Case Note: Tr V. Land Hessen (Case C-768/21), Camilla Della Giustina

Plymouth Business School

The highest judicial body has recently hit the headlines. In TR v. Land Hessen, the Court of Justice of the EuropeanUnion (CJEU) has clarified the obligations incumbent on a supervisory authority pursuant to the General Data Protection Regulation (GDPR). The CJEU highlights that supervisory authorities are not obliged to exercise ‘corrective’ powers if not necessary to remedy the breach. It clarifies that under the GDPR, supervisory authorities have discretion in addressing the shortcomings of a supervised entity but must ensure compliance with a higher level of data protection.

A Qualitative Exploration Of Stressors In Anaesthesia Training In The Uk And Mechanisms To Improve Resident Wellbeing, Thomas Gale, Sophie Winter, Harriet Daykin, John Tredinnick-Rowe, Lyndsey Withers, Marie Bryce

Peninsula Medical School

INTRODUCTION: High levels of stress and burnout have been identified among resident anaesthetists in UK training programmes. Factors involving clinical roles, workplace culture and training are known stressors, but in-depth research investigating how to improve wellbeing is limited.

METHODS: We used a qualitative design in two phases with participants from across the UK. Phase 1 involved semi-structured interviews of resident anaesthetists in the 2nd-5th years of training, and educational stakeholders. Phase 2 involved additional participants in two focus groups, one each for residents and stakeholders. Interviews and focus groups were conducted online, audio-recorded and transcribed for thematic analysis using a …