Digital Commons Network^™

Identifying Research Priorities For Post-Collision Care In The United Kingdom: Protocol For A Road Injury Priority Setting Partnership, Tim Nutbeam, Caroline Leech, Claire E Baker, Elizabeth Box, Lauren R Rodgers, Kerry Dungay, Louise Johnson, Brian Lee, Marilyn Macqueen, Rob Fenwick, Ian Marritt, Ian Dunbar, Ed B.G. Barnard

Peninsula Medical School

Background: Road traffic injury remains a significant global health challenge, causing over 1.2 million deaths and tens of millions of non-fatal injuries each year. In the United Kingdom (UK), more than 1,600 people died and nearly 30,000 sustained serious injuries on the roads in 2024. While improvements in vehicle design, road infrastructure, emergency response, and road user behaviour have contributed to a sustained reduction in road deaths over recent decades, outcomes for those injured remain variable, and post-collision care has received comparatively less research attention. The Road Injury Chain of Survival framework identifies five interdependent stages where timely, coordinated interventions …

Spinal Cord Injury In The Context Of Major Motor Vehicle Collision Trauma: A Retrospective Ecological Analysis Of Global Estimates Across Income Groups, Tim Nutbeam, Jessica Caterson, Colleen J. Saunders, Hendry R. Sawe, Sabariah Faizah Jamaluddin, Ian Roberts, Jason E. Smith, Paulus Ambunda, Willem Stassen

Peninsula Medical School

Introduction: Road traffic injuries (RTIs) are a leading cause of death globally, especially in low- (LICs) and middle-income countries (LMICs). Despite this burden, post-crash care remains underdeveloped. Many clinical principles of post-crash care focus on spinal cord injury (SCI), yet its incidence is poorly understood. The aim of this study was to describe the incidence of death and non-fatal RTI with a specific focus on SCIs using Global Burden of Disease (GBD) 2019 data. Methods: A retrospective ecological analysis was conducted using GBD 2019 data for 204 countries and territories (2012–2019). We examined the MVC-related mortality, SCIs, and major non-fatal …

Emotive Immersion: Eeg-Driven Ai Art In Immersive Visual Spaces (Full Dome), Yuming Chen, Gianni Corino

School of Art, Design and Architecture

This paper proposes a rethinking of the “Future Screen” through the integration of affective computing, generative AI, and immersive spatial display. As an advanced screen paradigm, the full dome environment transcends flat, passive interfaces and enables dynamic, multisensory, and emotionally adaptive media experiences (Von Chamier-Waite, 2013). Building on this potential, the research presents Coids, an interactive dome installation. In this work, real-time emotional states are captured using EEG-based emotion recognition. These inputs dynamically shape AI-generated visuals within a shared immersive setting.Drawing on theories of immersion, presence, AI generated visuals and affect, the study explores how physiological data, even from low-resolution …

The Gamification Of Online Dating: Exploring The Intersection Of Play, Choice, And Romance In Digital Spaces, Emma Taylor

School of Law, Humanities and Social Sciences

The rise of online dating platforms has transformed the way individuals approach romantic relationships, with many users increasingly engaging in these platforms as a form of entertainment in addition to finding meaningful connections. Central to this shift is the growing phenomenon of gamification, the incorporation of game-like elements, into non-game contexts. This article proposes to explore the gamification of online dating, examining how these game mechanics shape user behaviours, influence romantic choices, and impact relationship outcomes. By analysing the ways in which dating platforms integrate game-inspired features, this study will also assess the implications of gamified experiences for the nature …

Digital Resistance Against The Lasting Manipulation Of Capitalism: Ai, Luddite Rebellion, And The Haunted Future Of Cyberpunk, James Sweeting

School of Art, Design and Architecture

This paper examines the complex relationship between artificial intelligence, labour, and resistance amidst contemporary capitalism. Big Tech presents AI as revolutionary innovation, yet this narrative obscures its function in maintaining growth and preventing alternative economic forms from emerging. Through the lens of "enshittification," we observe a strategic shift toward AI deployment despite its beta state of development, threatening workers' livelihoods. This tension echoes historical patterns of technological implementation and resistance, exemplified by the Luddite movement whose meaning elites have successfully corrupted over time. The Luddites, organised under the mythical figurehead Ned Ludd (a Robin Hood-esque figure), recognised technological change as …

Volumetric Video With Skateboarders: Creative Opportunities Of Working With An Emerging Screen Technology Beyond The Studio, Dani Landau, Diego Zamora

School of Art, Design and Architecture

Volumetric video is an emerging moving image technology in which each pixel is recorded witha location in three dimensions. Volumetric videos are normally created in studios using rigs made upof multiple cameras with LiDAR sensors and computers that combine the moving images. We tookthis technology out of the studio to explore variations of this technique in public skateparks. We foundthat as the technology is still in developing stages there are creative constraints: the lidar cameras sense at a limited distance to the subject, the image is of a relatively low resolution, and there are often glitches in theimage. In our …

A Pilot Qualitative Study To Better Understand The Factors Related To Suicides And Inform Public Health Action Across A Predominantly Coastal And Rural Area: Cornwall, Southwest Of England: International Journal Of Environmental Research And Public Health, Paula Chappell, Jane Horrell, Kerryn Husk, Beth Simons, Richard A. Sharpe

Peninsula Medical School

Background: Better understanding factors leading to suicide and prevention opportunities is a global public health priority. This qualitative pilot study tested whether reviewing inquest recordings could generate insights during COVID-19 and inform public health prevention programmes across a predominantly rural and coastal area where there are significant health inequalities. Methods: Fifty-five inquest recordings reached a suicide conclusion between March 2020 and January 2021. Stratified sampling was used to obtain two samples from each month. Template analysis was employed to thematically analyse data from 30 inquests. Results: Risk factors during this period were social isolation, anxiety, difficulty in routine creation and …

‘Pagbangon At Pag-Asa’ (Resurgence And Hope): A Qualitative Study Of The Lived Experiences Of People With Stroke And Household Carers In The Philippines, The Tulay Project Team, Sarah Ann Buckingham, Elda Anota, Maria Mercedes Barba, Vergil Boac, Myrna Estrada, Lorraine Faeldon, Bridie Kent, Fiona Leggat, Roy Francis Navea, Aira Patrice Rueda Ong, Nena Marie Santos, Annah Teves, Paula Melizza Valera, Fiona Jones

School of Nursing and Midwifery

Background: Stroke is a leading cause of disability and mortality in the Philippines, where access to formal rehabilitation services is limited. There is a lack of research on the lived experiences of people with stroke and their household carers across diverse urban and rural settings. Objective: To explore the experiences, challenges and support needs of people with stroke and their household carers throughout the Philippines, and to inform the co-design of a community-based stroke support programme. Methods: A descriptive qualitative design was used. Semi-structured interviews were conducted with 24 people with stroke and 20 household carers across six sites in …

Shaping The Future Of Bioscience Education: Trends, Challenges And Community Insights, Helen R. Watson, David P. Smith, Luciane V. Mello

Peninsula Medical School

No abstract provided.

Reimagining A Nexus Between Seaport And National Development: Sociotechnical Imaginaries Of Ghana’S Port Of Tema, Jonas Aryee, Casper Andersen, Annette Hansen

Plymouth Business School

This article explores the evolving sociotechnical imaginaries (STIs) shaping Ghana’s Port of Tema, revealing how national development goals and global trade imperatives intersect in African port governance. Through analysis of policy documents, media discourse, and interviews, it identifies four overlapping phases in the evolution of these imaginaries: the industrial gateway era, neoliberal globalization, the rise of a transshipment hub, and the most recent phase of indigenous contestation and institutional resilience. Rather than replacing earlier visions, newer imaginaries build upon and hybridize older ones, creating both synergies and tensions. The study demonstrates that STIs at Tema have evolved through processes of …

Heretical Freedoms, Paul Simpson

School of Geography, Earth and Environmental Sciences

This commentary explores Whitehead and Hannah's engagement with Paul Ricœur's conception of freedom. Their account frames freedom as an emergent, embodied experience negotiated between voluntary and involuntary conditions, challenging notions of autonomy and structural determinism. Drawing on Nancy's co-existential ontology and Esposito's ideas of community and immunity, this commentary poses freedom the challenge of the we – of thinking the experience of freedom as a plural opening onto difference rather than an individual possession.

Investigating The Potential Of Time-Varying Free Parameters In Equilibrium Shoreline Change Models Through Data Assimilation, Georgios Azorakos, Bruno Castelle, Déborah Idier, Vincent Marieu, Raimundo Ibaceta, Kristen D. Splinter, Stéphane Bertin, Gerd Masselink, Timothy Scott

School of Biological and Marine Sciences

Equilibrium shoreline change models with calibrated, time-invariant free parameters have demonstrated good skill in hindcasting shoreline evolution at sites dominated by cross-shore sediment transport. However, their performance can be biased by the specific conditions present during the calibration period. In this study, a dual parameter-state ensemble Kalman filter (EnKF) was applied to track non-stationarity in model free parameters at three sites along the west coast of Europe. Introducing time-varying parameters did not substantially improve performance relative to an already well-calibrated stationary model. Model skill improvement occurred mainly during the EnKF correction step, highlighting the potential of real-time data assimilation for …

The Impact Of Patient-Generated Health Data From Mobile Health Technologies On Health Care Management And Clinical Decision-Making: Narrative Scoping Review, Ava Keeling, John Downey, Matthew Halkes, Yinghui Wei

School of Nursing and Midwifery

Background: Long-term health conditions and multimorbidity are increasing globally, placing an unsustainable pressure on health care systems. Mobile health (mHealth) technologies enable the collection of patient-generated health data outside clinical settings, offering the potential to support personalized care and inform clinical decision-making. However, the ways in which mHealth patient data are being used in clinical practice remain unclear. Objective: This study aimed to map and synthesize the existing literature on how patient-generated mHealth data are reportedly being used and influencing clinical decision-making for adults with long-term conditions in an outpatient care setting. Methods: A narrative scoping review was conducted on …

Leveraging Transcranial Ultrasound Stimulation To Enhance Self-Regulation In Emotion And Sleep, Suraya Dunsford, Mica Komarnyckyj, Elsa Fouragnan

School of Psychology

This Perspective article discusses the emerging potential of transcranial ultrasound stimulation (TUS) as a non-invasive neuromodulatory technique for enhancing self-regulatory processes, particularly emotion and sleep regulation, in healthy individuals. Offering high spatial precision and the ability to target both cortical and deep brain regions, TUS uses focused ultrasound waves to induce acute and delayed effects on brain activity. We propose that combining TUS with neurofeedback methods and/or specific cognitive training exercises may capitalise on these neuroplastic effects, thereby augmenting and prolonging their impact to support lasting improvements in self-regulation. We focus on the domains of sleep and emotion regulation, where …

Bystander Interventions And Their Impact On Road Injury Outcomes: A Scoping Review, Nicholas Aveyard, George Stephen Russam, Jake Gluyas-Harris, Tim Nutbeam

Peninsula Medical School

Background: Road injury remains a leading global cause of death and disability, particularly in low- and middle-income countries (LMICs) where emergency medical services (EMS) are often limited or incur prolonged response times. In many trauma cases, bystanders are the first to respond and may play a critical role in patient outcomes. While the importance of bystander cardiopulmonary resuscitation (CPR) in cardiac arrest is well-established, the evidence regarding bystander interventions in trauma care, particularly following road injury, is less well defined. This scoping review systematically examined the prevalence, nature, and impact of bystander interventions following trauma, with particular emphasis on road …

Directional Reflection: Realising Its 'Practical Potential' At The University Level, Simon P. Brownhill

Plymouth Interdisciplinary Education Open Journal

Reflection is ‘a foundational concept’ in higher education, yet its successful implementation often demands purposeful intervention and thoughtful scaffolding (Harvey et al., 2025, p.1). This Brief Communication explores the potential of Directional Reflection (Brownhill, 2025), a visual strategy that uses arrows to prompt students towards specific types of thinking. Recent dissemination activities of said strategy acknowledge the pressing need to balance the theory with the practice, identifying practical ways that Directional Reflection could be embraced by lecturers and students at the university level. Thus, this brief communication proposes an assortment of pedagogical ideas to nurture silent in-session communication, offer cohort …

'Coming Here, It’S Just Weird': 'Making The Familiar Strange' Through Exploring Experiences Of Sexism And Feminisms, Emilia A I Little

Plymouth Interdisciplinary Education Open Journal

This paper explores personal experiences with gender and how these experiences changed whilst attending university as an undergraduate student. The paper uses gender and feminist theory to guide a critical and auto-ethnographic exploration of personal experiences of a young woman within a patriarchal system. The paper uses journal excerpts to recount past and current experiences through feminist lenses. Through exploring gender theory, binary and performativity, personal experiences are validated and explained. The force of patriarchal oppression and privilege were illuminated as personal conceptions of gender were disrupted. The paper argues for much-needed feminist education in schools, centring around: avoiding the …

Two Years Of Iqts: Its Current State, And Implications For English Itt By Distance Learning, Oliver C S Au Yeung

Plymouth Interdisciplinary Education Open Journal

International qualified teacher status (iQTS), a new programme which enables candidates to qualify while teaching overseas, marks one of the latest major developments in England’s teacher training system. This study endeavours to survey its current state and make an assessment of the nature of its training. The literature review situates the programme in the historical trajectory of English initial teacher training (ITT) and, in turn, the higher education and socio-economic contexts. As an analytic framework, Furlong’s fourfold categorisation of teachers’ knowledge is used to represent competing approaches to teacher training. It is argued that the liberal approach, emphasising a broad, …

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 …

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 …

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 …

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, …

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 …

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 …