Digital Commons Network^™

Co-Production Of A Mobile Application For Parents Of Acutely Ill Children Under Five: ‘Ipoorly Child Symptom Checker, Sarah Neill, Amy Rathbone, John Downey, Monica Lakhanpaul, Matt Carey

School of Nursing and Midwifery

Acutely ill children under five years of age are frequent and increasing users of urgent and emergency care services despite there being no increase in acuity of presenting illnesses. This raises concerns about parents’ level of knowledge and confidence in assessing the severity of symptoms of acute illness, despite the abundance of digital information available. MethodBuilding on prior work to co-develop the content for a mobile app for parents of acutely ill children, we co-designed the iPoorly child symptom checker app using an experience based co-design methodology with seven parent and seven health professional patient and public involvement representatives. The …

Unmasking Oral Health Stigma: A Qualitative Scoping Review, J Doughty, J Booth, M Smith, K Saini, M Paisi, A Rodriguez, A Levine, C Bedos, V Muirhead, C Martins De Barros, C Freeborn

Peninsula Dental School

INTRODUCTION: Health-related stigma can limit access to care, impair adherence to treatment, and negatively impact mental health and quality-of-life. Oral health stigma, defined as stigma arising from oral conditions that diverge from sociocultural norms, operates through labelling, stereotyping, othering, and exclusion. Oral health stigma can lead to shame, diminished self-confidence, and avoidance of dental care, creating a self-perpetuating cycle of poor oral health and reinforcing internalised and anticipated stigma. While previous research has explored the social implications of oral appearance, little is known about the broader concept of oral health stigma or strategies to mitigate it.

METHODS: This scoping review …

Effects Of Exposure Route And Surface Coating On The Bioaccumulation Of Cdte Quantum Dots In Fish. Considerations For Testing Nanomaterials Following Oecd Test Guideline No. 305, Judit Kalman, Rocío Fernández-Saavedra, Carla Díaz-Tielas, Mona Connolly, Ana I. Cardona-García, Nathaniel Clark, Richard D. Handy, Eric A.J. Bleeker, Isabel Rucandio, José María Navas, María Luisa Fernández-Cruz

School of Biological and Marine Sciences

To identify nanomaterials of potential environmental concern and to support risk assessment for regulatory purposes bioaccumulation testing is required. However, further guidance is needed when applying the fish bioaccumulation OECD test guideline (TG) No. 305 to nanomaterials. Also questions remain surrounding the most appropriate exposure route and if subtle modifications to these materials (e.g. different coatings) will influence bioaccumulation potential. Therefore in this study OECD TG 305 was applied to assess the bioaccumulation potential of CdTe quantum dots (QDs) with additional considerations for testing nanomaterials. CdTe QDs were selected for our studies because of their increasing use, possible release to …

A Review Of Global Tidal Stream Energy Resources, Daniel S. Coles, Thomas A.A. Adcock, Andrew Cornett, Kevin Haas, Chul H. Jo, Hongwei Liu, Jon Miles, Patxi Garcia Novo, Jérôme Thiébot

School of Engineering, Computing and Mathematics

This review identifies 426 candidate sites with potentially suitable characteristics for tidal stream energy development, across 19 countries in Europe, the Americas, Asia and Australasia. The most common site assessment quantifies the theoretical resource, which is the maximum amount of total energy that can be extracted. The aggregated theoretical resource estimate, of 1000 TWh/year, from 262 sites (62% of those identified), across 6 countries, is equivalent to 115 GW of continuous annual power. A more informative, albeit less common assessment, considers technical, environmental and economic constraints on energy extraction. New data from UK assessments is presented that indicates relationships between …

Writing A Phd Thesis In Counterpoint To Its Traditional Map: Writing To And With Theories And Concepts Encountered In The Doing Of Doctoral Studies, Mary Catherine Garland

Professional Services

This article offers insights into challenges encountered in the landscaping of a doctoral thesis written in counterpoint with its traditional map. The inspiration behind the author’s thesis is a sixteen-year-old withdrawn from an English Further Education college on her first day. Consequently, the thesis troubles seemingly rigid orthodox academic structures and writing conventions, which potentially act as a barrier to learning. Animating the (non)methodological approaches of a PhD thesis written for everyone denied the opportunity of fulfilling their academic potential, this paper engages with speculative and experimental approaches to research, asking not ‘what is’, but ‘what if’.

Emotion Regulation Differences Between Gender And Sexuality Groups: A Systematic Review And Meta-Analysis, Jake Camp, Emma Blundell, Patrick Smith, Katharine Rimes

School of Psychology

Gender and sexual minority (GSM) people are at increased risk of mental health difficulties compared to their cisgender-heterosexual peers. This is likely because of exposure to minority stressors. Emotion regulation difficulties have been proposed as an important mechanism for mental health disparities in GSM populations. This systematic review and meta-analysis examined whether GSM groups differ from cisgender and heterosexual groups in global and specific aspects of emotion regulation (e.g., emotion awareness, strategies, impulse control, cognitive appraisal, and emotion suppression), and whether emotion dysregulation mediated the relationship between GSM identity and mental health outcomes. We identified 40 eligible studies, of which …

The Evolution Of Southern Ocean Net Primary Production In A Changing Climate: Challenges And Opportunities, Alessandro Tagliabue, Thomas Ryan-Keogh, Alex Baker, Thomas S. Bibby, Chris Follett, Maeve C. Lohan, Alberto Naveira-Garabato, Daniel J. Mayor, Angela Milne, C. Mark Moore, Simon Ussher

School of Geography, Earth and Environmental Sciences

Net primary production in the Southern Ocean plays a critical role in governing ecosystem production, the biological carbon pump, and global biogeochemical cycles. Recent work has advanced our understanding of novel factors regulating Southern Ocean net primary production and the regional physiological adaptations employed by Southern Ocean phytoplankton in terms of their photosynthetic strategies and resource acquisition. Here we assess trends in Southern Ocean net primary production from different remote sensing algorithms and bgc-Argo floats to compare them to the latest Earth System Models used to forecast future changes under three different future climate scenarios. Overall, remote sensing and bgc-Argo …

Opinions Of The Uk General Public And Stroke Survivors In Using Artificial Intelligence And ‘Opt-Out’ Models Of Consent In Medical Research: A Qualitative Study, William Heseltine-Carp, Mark Thurston, Michael Allen, Daniel Browning, Megan Courtman, Aishwarya Kasabe, Emmanuel Ifeachor, Stephen Mullin

Peninsula Medical School

Background Artificial intelligence (AI) in healthcare often requires large, confidential clinical datasets. However, a recent UK government survey revealed that 20–40% of the public remain sceptical of its use in health research due to concerns about data security, patient–practitioner communication and commercialisation of data. A greater understanding of public attitudes is therefore needed, particularly in the context of stroke research.In this article, we describe the patient and public involvement work undertaken for the AI-Based-Stroke-Risk-fActor-Classification-and-Treatment (ABSTRACT) project, which aims to train AI models to predict future stroke risk from the electronic health records of 1 18 736 patients.Aims We aimed to …

Breaking Barriers: Understanding Factors Constraining Women’S Career Choices And Progression In The South African Construction Industry, Abimbola Olukemi Windapo, Olugbenga Timo Oladinrin, João Alencastro, Dineo Mbekwa, Christiana Ekpo, Muhammad Qasim Rana, Amanda Filtane

School of Art, Design and Architecture

Purpose – This paper examines the barriers constraining women's career choices and progression within the South African construction industry. Design/methodology/approach – The study employed a mixed-methods research approach, utilizing a questionnaire survey of construction industry workers listed in the Construction Professions Register, the Builders Collective and the Housing Assembly Organization. It also used interviews to validate the quantitative data. The data collected were analysed using descriptive and inferential statistics, including factor analysis. Findings – The study found that 39 of the 46 barriers identified have normalized values greater than 0.5 and, therefore, are classified as critical. From a ranking perspective, …

A Less Than Ideal Journey: The Introduction Of Commercial Smart Card Ticketing For Local Bus Services In England, Jon Shaw, Iain Docherty, Andrew Seedhouse, Alison Rumbles

School of Geography, Earth and Environmental Sciences

Purpose: In the broader context of the pursuit of a more sustainable transport policy in the United Kingdom, the paper explores issues that emerged during the instigation, development and implementation of national smart ticketing policy for England.Design/methodology/approach: The primary empirical information in this paper was derived from 51 semi-structured interviews with 61 key stakeholders in the process of developing and implementing smart ticketing policy. Participants were identified through a purposive sampling approach designed to engage respondents because of the position they occupy and the quality of information they can provide.Findings: Difficulties emerged in the partnership approach to policy delivery made …

Meta-Analysis Of The Spatial Distribution And Composition Of Plastic Macro-Debris In Indonesia, Max R. Kelly, Muhammad Reza Cordova, Susan Jobling, Richard C. Thompson

School of Biological and Marine Sciences

Plastic pollution is recognised as a global environmental problem with Indonesia identified as a major contributing source. However, a comprehensive understanding of pollution patterns remains hindered by fragmented data and methodological inconsistencies across studies. This study synthesises data from 44 peer-reviewed publications, spanning 68 field locations and 328 individual study sites across 19 provinces, to map the spatial distribution and composition of plastic macro-debris in Indonesia. We identified plastic bags, plastic food packaging, and plastic bottles as the three most prevalent item types, occurring as top three ranked items in 65 %, 63 %, and 40 % of field locations, …

Knowledge Production As Identity Expression: A Third-Space Perspective On Sustainable Careers, Alicja Syska

School of Law, Humanities and Social Sciences

This conceptual paper advances our understanding of sustainable careers by focusing on the knowledge creation activities of third-space practitioners in higher education. Specifically, we apply and extend the Process Model of Sustainable Careers to examine how different forms of knowledge production in three different institutional and national contexts – writing for publication, practice-based expertise, and curriculum development – contribute to career sustainability at the intersection of academic and professional/administrative roles and domains. The critical element of this extension is ‘identity expression’ in the form of knowledge production, which acts as an integrating mechanism that flows through and connects the original …

On-Scene Predictors Of Injury Severity, Deterioration, And Death Following Road Injury: A Systematic Scoping Review Of Information Available To Responders And Its Use In Triage Tools, Jake Gluyas-Harris, George Stephen Russam, Nicholas Aveyard, Tim Nutbeam

Peninsula Medical School

Background: Road injury including motor vehicle collisions (MVCs) remain a leading cause of death and disability worldwide. Early recognition of injury severity at the scene is critical to optimise emergency response, yet existing triage systems under- and over-triage substantial numbers of patients. This scoping review aimed to identify physiological, mechanistic, and contextual indicators available at the scene that predict injury severity, deterioration, or death, and to map these indicators across clinical responders, professional bystanders, and lay responders. Methods: We conducted a systematic scoping review in accordance with PRISMA-ScR guidelines. Nine electronic databases and the Cochrane Library were searched from inception …

Raising Awareness Of Oral Cancer At The Royal Cornwall Hospital, Alison Brown, Guy Lambourn, Ness Avery, Safiya Robinson, Tanya Lommerse, Casper Jonker

Peninsula Dental School

No abstract provided.

The Meaning Of Travel: An Exploration Within The ‘Baby-Boomer’ Generation, Regan Hicks, Alison Warren

School of Health Professions

This qualitative research explored the underresearched area of subjective meaning(s) of travel for U.K. baby-boomers, from an occupational perspective. Using a descriptive phenomenology, a convenience sample of eight baby-boomers was recruited using social media. Participants took part in semistructured interviews, and narratives were analysed using thematic analysis. Four themes were generated: (a) travel is important to me, (b) travel changes through time, (c) travel facilitators and barriers and (d) travel as a shared experience. Participants perceived travel as a meaningful and health-promoting occupation that represented freedom, choice, independence, connection and achievement. Greater comfort was sought with age while financial constraints …

Assessing The Association Between Covid-19 Vaccination And Thrombotic Thrombocytopenia Syndrome (Attest Study): Analyses Of English Data, 2020-2022, Jose Ordonez-Mena, Xinchun Gu, Mark Joy, Xuejuan Fan, Bernardo Meza-Torres, William Hinton, Rashmi Wimalaratna, Gavin Jamie, Anna Forbes, Debasish Kar, Rachel Byford, Sneha N. Anand, Filipa Ferreira, Lisa Mather, Andrew Lee, F. D. Richard Hobbs, Deborah Layton, Simon De Lusignan

Peninsula Medical School

ObjectiveCOVID-19 vaccine surveillance detected thrombotic thrombocytopenia syndrome (TTS), a rare combination of thrombosis and thrombocytopenia, after COVID-19 vaccination. We evaluated TTS risk within 28 days of AZD1222 and BNT162b2 exposure.MethodsMatched case-control (MCCS) and self-controlled case series (SCCS) studies used Oxford-Royal College of General Practitioners Research and Surveillance Centre data linked to immunisation, hospitalisation and death data. English patient records extracted from 2/12/2020 to 31/10/2022 were used to identify TTS cases and age, sex, and practice matched controls. Conditional logistic regression and conditional Poisson regression were used for MCCS and SCCS analyses, respectively.ResultsOf 666 TTS events identified, >90% happened without AZD1222/BNT162b2 …

There’S No Magic Pill: A Multimethods Qualitative Study Exploring Routine Fatigue Care In People With Multiple Sclerosis, Emma O’Connor, Sophie Fawson, Tom Sanders, Tracy Finch, Nicole Dodsworth, Harriet Waine, Olivia Tamburro, Jennifer A. Freeman, Pam Bostock, Wendy Hendrie, Rona Moss-Morris

School of Health Professions

BACKGROUND: Fatigue is a common and debilitating symptom for people with multiple sclerosis (MS). Evidence suggests that behavioral treatments, particularly cognitive behavioral therapy and some exercise therapies, are effective in reducing MS fatigue. However, few people are offered these treatments in routine care, and little is known about the reasons for this research-to-practice gap. The aim of this study was to explore how routine care is currently delivered for MS fatigue. METHODS: Health care professionals (n = 28) took part in 6 focus groups and 6 one-to-one interviews exploring experiences with assessing, managing, and treating fatigue. How health care professionals …

Grayscale Image Encryption Using Generalized Lucas Matrices And Hillcipher, Putri Zalia Megat Johar, Faridah Yunos, Ji-Jian Chin, Muhammad Asyraf Asbullah

School of Engineering, Computing and Mathematics

Secure and effective methods of image encryption are increasingly important in protecting sensitivedigital content from being attacked by today's increasingly knowledgeable and aggressive adversaries.This is no exception to attacks carried out on the secret content generated by grayscale images.Stemming from this problem, this research introduces a new approach to encrypt grayscale images usinga combination of the Generalized Lucas Matrix and Hill Cipher (GLMHC) with a self-invertibleencryption key. This type of encryption key eliminates the need to find the inversion key during thedecryption process and reduces the computational burden. Encrypted image quality is measured usingentropy, Mean Two-Dimensional Error (MSE), Signal to …

Artem-Is For Erp: Agreed Reporting Template For Eeg Methodology-International Standard For Event-Related Potential Experiments, Giorgio Ganis

School of Psychology

The choices we make during the recording, preprocessing and analysis of event-related potentials (ERP) data can affect study outcomes. As such, it is critical that they are transparently reported to allow for reproducibility. Yet, systematic reviews of reporting practices in the field have shown that journal articles often do not meet this goal and that existing reporting guidelines have not resulted in a sufficient improvement in reporting transparency. An easier workflow for transparently documenting pipelines used in regular journal articles is needed. The ARTEM-IS (Agreed Reporting Template for EEG Methodology—International Standard) initiative is working towards addressing this issue by building …

Nearshore Wind Estimation From Buoy Wave Spectra Via Physics-Guided Machine Learning: A Framework For Offshore Wind Applications, Jiaxin Chen, Martyn Hann, Robert Rawlinson-Smith, Munira Raji, Deborah Greaves

School of Engineering, Computing and Mathematics

Reliable real-time wind estimation in nearshore zones is critical for offshore wind energy development, especially in regions lacking direct meteorological observations. This study presents a physics-guided machine learning framework for estimating 10-m surface wind speed and direction from wave buoy spectra. The model incorporates frequency- and wavenumber-based energy parameters, directional Fourier coefficients, directional fetch, and normalised wave number–depth indicators to account for local wind–wave dynamics.Trained on six long-term buoy–mast station pairs along the UK southwest coast, the model outperforms two established empirical methods, reducing wind speed and direction RMSE by over 50%. Sensitivity analyses confirm the value of directional and …

Willing To Drive Green? Exploring Behavioral And Policy Influences On Electric Vehicle Ownership, Rajat Subhra Chatterjee, Irfan Hameed, Yamna Khan, Bibi Zainab, Kamran Khan

Plymouth Business School

PurposeThis study aims to empirically investigate the factors influencing Malaysian consumers’ purchase intentions (PI) for electric vehicles (EVs). The present study extends and modifies the theory of planned behavior (TPB) with additional variables [environmental concern (EC) and perceived incentive policy (PIP)] to examine the effect on consumers’ PI regarding EVs.Design/methodology/approachThe study used purposive sampling technique, and the target population consisted of Malaysian EV owners. A total of 600 questionnaires were distributed, yielding 413 responses. A final 390 responses were retained for analysis. Partial least squares structural equation modeling (PLS-SEM) has been used to analyze data using SmartPLS 4.0. In addition, …

Identifying Opportunities For Learning Following A Serious Incident, Laura Herring

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Exploring The Impact Of The Nursing Associate Role On Urinary Tract Infections Within An Acute Elderly Mental Health Setting, Ann Mcdonnell

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

A Nursing Associate Peer-To-Peer Collaboration: Sub-Editing The South West Clinical School Journal’S Special Edition, Peter Watt

South West Clinical School Journal

No abstract provided.

Enhancing Patient Centred Care And Safety By Optimising Team Collaboration And Increasing The Nursing Workforce Capacity, Kayley Pooley

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

We Need Proper Case Reports And Data To Interpret Reports Of Peri-Operative Deaths In Venezuelan Children, J Robert Sneyd

More Faculty of Health Research

A report describing several perioperative deaths amongst Venezuelan childrenraises substantial clinical concern and demands scientific scrutiny. Rozo L, FrancoOH, Bonilla AJ. Mitochondrial genetic susceptibility to anesthetic neurotoxicityin Venezuelan pediatric patients: A Call for vigilance and further research.https://doi.org/10.29328/journal.ascr.1001091. Archives of Surgery and Clinical Research.2025;9(2):042-4. According to the authors, the affected children experienced severe brain injuries or death following routine surgeries under general anaesthesia with sevoflurane, leading to the hypothesis that an inherited mitochondrial DNA variant may underlie a lethal drug–genome interaction. Whilst any paediatric peri-operative death warrants urgentinvestigation, the extraordinary nature of this claim requires equally compelling evidence. At present, the …

Using Evidenced-Based Practice To Remove Hyperkeratosis To Improve Wound Healing In Venous Leg Ulcer Patients: A Case Study, Briony Flello

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

Exploring The Impact Of The Nursing Associate Role On Urinary Tract Infections Within An Acute Elderly Mental Health Setting, Ann Mcdonnell

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION