Digital Commons Network^™

Exercise Referral For Drug Users Aged 40 And Over: Results Of A Pilot Study In The Uk, Caryl M. Beynon, Amy Luxton, Rhiannon Whitaker, N. Tim Cable, Lucy Frith, Adrian H. Taylor, Lu Zou, Peter Angell, Scott Robinson, D Holland, S Holland, Mark Gabbay

Peninsula Medical School

No abstract provided.

Risk Assessment In Mental Health: Introducing A Traffic Light System In A Community Mental Health Team., S. Croucher, Graham R. Williamson

School of Nursing and Midwifery

AIMS: To reports a study in which action research approach was utilised to introduce a new system of risk assessment, based on traffic lights, into a community mental health team. BACKGROUND: Risk management is a serious concern in community mental healthcare where there is less direct, real-time supervision of clients than in other settings, and because inadequate management of risk can have fatal consequences when service users are a risk to themselves and/or others. DESIGN: An action research design was undertaken, using three phases of Look, Think and Act. METHODS: Data were collected between January and March of 2012. In …

"Until The Trial Is Complete You Can't Really Say Whether It Helped You Or Not, Can You?": Exploring Cancer Patients' Perceptions Of Taking Part In A Trial Of Acupressure Wristbands, John G. Hughes, Wanda Russell, Matthew Breckons, Janet Richardson, Mari Lloyd-Williams, Alex Molassiotis

School of Nursing and Midwifery

No abstract provided.

Pregnancy Planning, Smoking Behaviour During Pregnancy, And Neonatal Outcome: Uk Millennium Cohort Study, Anika Flower, Jill Shawe, Judith Stephenson, Pat Doyle

School of Nursing and Midwifery

Abstract Background Pre-pregnancy health and care are important for the health of the future generations. Smoking during pregnancy has been well-researched and there is clear evidence of harm. But there has been little research on the health impact of planning for pregnancy. This study aims to investigate the independent effects of pregnancy planning and smoking during pregnancy on neonatal outcome. Methods This analysis made use of data from the UK Millennium Cohort Study. The study sample consisted of 18,178 singleton babies born in UK between 2000 and 2001. The neonatal outcomes of interest were low birthweight (<2.5 Kg) and pre-term birth (<37 completed weeks gestation). Logistic regression was used to estimate the association between pregnancy planning and/or smoking and neonatal outcome. Adjusted odds ratios were used to calculate population attributable risk fractions (PAFs). Results 43% of mothers did not plan their pregnancy and 34% were smoking just before and/or during pregnancy. Planners were half as likely to be smokers just before pregnancy, and more likely to give up or reduce the amount smoked if smokers. Unplanned pregnancies had 24% increased odds of low birth weight and prematurity compared to planned pregnancies (AORLBW1.24, 95% CI 1.04-1.48; AORPREM1.24, 95% CI 1.05-1.45), independent of smoking status. The odds of low birth weight for babies of mothers who were smoking just before pregnancy was 91% higher than that of mothers who were not (AORLBW1.91, 95% CI 1.56-2.34). Women who quit or reduced the amount smoked during pregnancy lowered the risk of a low birth weight baby by one third (AORLBW0.66, 95% CI 0.51-0.85) compared with women whose smoking level did not change. Smaller effects were found for prematurity. If all women planned their pregnancy and did not smoke before or during pregnancy, 30% of low birthweight and 14% of prematurity could, in theory, be avoided. Conclusions Planning a pregnancy and avoiding smoking during pregnancy has clear, independent, health benefits for babies. Quitting or reducing the amount smoked during pregnancy can reduce the risk of low birthweight.

Plymouth Family Intervention Project Longitudinal Review: 2008-2013, Z James, T Green

School of Law, Humanities and Social Sciences

No abstract provided.

Relative Sensitivity Of Two Marine Bivalves For Detection Of Genotoxic And Cytotoxic Effects: A Field Assessment In The Tamar Estuary, South West England., Lorna J. Dallas, Victoria V. Cheung, Andrew S. Fisher, Awadhesh N. Jha

School of Geography, Earth and Environmental Sciences

The input of anthropogenic contaminants to the aquatic environment is a major concern for scientists, regulators and the public. This is especially relevant in areas such as the Tamar valley in SW England, which has a legacy of contamination from industrial activity in the nineteenth and twentieth centuries. Following on from previous laboratory validation studies, this study aimed to assess the relationship between genotoxic and cytotoxic responses and heavy metal concentrations in two bivalve species sampled from locations along the Tamar estuary. Adult cockles, Cerastoderma edule, and blue mussels, Mytilus edulis, were sampled from five locations in the Tamar and …

Remembering The City: Memory-Images: Part Of The Portfolio Memory City, I Rae

School of Art, Design and Architecture

No abstract provided.

Rural Non-Farm Livelihood Diversification And Poverty Reduction In Nigeria, Paul Agu Igwe

Plymouth Business School Theses

The aim of this research is to provide analysis of the rural non-farm sector in Nigeria by investigating inter-linkages between farm and non-farm activities. By critical analysis using quantitative and qualitative research methods to investigate farm and non-farm sectors, the research attempts to reveal the complex linkages between these activities undertaken by rural households. The analysis employs household surveys aimed at collecting primary data undertaken to investigate various aspects of rural livelihoods including sources of income, employment, diversification and determinants of household income. The research provides analysis of Rural Micro and Small Enterprises (RMSEs) in the non-farm sector. It investigates …

The Construction Of Local Road Safety Issues: When Lay And Professional Discourses Collide, Stephen Ball

Plymouth Business School Theses

Highway Authorities in the United Kingdom have jurisdiction to control, maintain and improve the local highway network, and the Road Traffic Act 1988 places a duty on such authorities to take preventative measures to reduce road casualties. As such, engineers working for the Highway Authority are on the ‘front-line,’ and are required to deal directly with lay concerns relating to road safety. This study investigates the nature and characteristics of how local road safety issues are raised and how engineers respond to such issues in a local authority setting. A grounded theory methodology was applied in the collection and analysis …

"The Duchy Of Cornwall - A Feudal Remnant? An Examination Of The Origin, Evolution And Present Status Of The Duchy Of Cornwall", John Kirkhope

Plymouth Business School Theses

John Kirkhope “The Duchy of Cornwall – A Feudal Remnant?” “An examination of the origin, evolution and present status of the Duchy of Cornwall” ABSTRACT This thesis conducts a legal analysis of the Duchy of Cornwall and how its perceived status has changed over the centuries. The roots of the Duchy date back nearly a thousand years therefore an understanding of the roots of the Duchy and its evolution, focussing on the significant legal issues, over time is necessary to comprehend its present position. The thesis concludes by exploring issues surrounding the contemporary legal status of the Duchy and identifies …

Investigating The Effects Of Corporate Governance Of Banks In Nigeria: A Grounded Theory Approach, Umar Abbas Ibrahim

Plymouth Business School Theses

This thesis investigates the phenomena that underlie corporate governance practices in the Nigerian banking sector (NBS); the purpose is to understand the nature of corporate governance and the factors influencing it. It offers a response to a number of concerns raised about the effectiveness of banks’ corporate governance practices, especially before the consolidation reform and during the 2007-2009 global financial crisis. Culture and leadership are identified as providing the most suitable theoretical framework for this study, and through grounded theory (GT), an empirical study is undertaken to identify the nature of corporate governance practices in banks, the factors that influence …

Election Data Visualisation, Elena Long

Plymouth Business School Theses

Visualisations of election data produced by the mass media, other organisations and even individuals are becoming increasingly available across a wide variety of platforms and in many different forms. As more data become available digitally and as improvements to computer hardware and software are made, these visualisations have become more ambitious in scope and more user-friendly. Research has shown that visualising data is an extremely powerful method of communicating information to specialists and non-specialists alike. This amounts to a democratisation of access to political and electoral data. To some extent political science lags behind the progress that has been made …

An Educational Framework For Managing And Supporting Medication Adherence In Europe, S White, W Clyne, C Mshelia

Peninsula Medical School

Introduction: Decisions about taking medicines ultimately lie with patients, so health professionals need to engage with patients to manage and support medication adherence. Health professionals need appropriate education to do this. We aimed to develop an educational framework for health professionals in Europe for managing and supporting medication adherence. Description of the framework: The resulting educational framework comprises a competency framework, a curriculum, a diagnostic tool for competence assessment and a reading list. Quality assurance: Framework development started from a 2007 competency framework for shared decision-making. A literature review and a Europe-wide consultation were conducted and the ABC research team …

Evaluating The Strategic Impact Of Medical Revalidation. Building An Evaluation Framework., Julian Archer, Samantha Regan De Bere, Nick Lynn, Nicola Brennan

Peninsula Medical School

Executive Summary.1. BackgroundOn 3rd December 2012, the regulation of medical doctors in the UK by the GMC underwent its most radical reform in 150 years with the introduction of revalidation. This initiative presents a unique and exciting opportunity to evaluate the design features of an innovative regulatory system; in order to assure and potentially further develop revalidation as a robust regulatory process.Aims & objectives The aim of this research was to develop a framework for evaluation for consideration by the GMC encompassing suggestions/recommendations which could capture information about the key design features of revalidation over which the GMC has jurisdiction. …

المحور الُمحَاسَبيّ (تقييم كفاءة إدارة مخاطر الائتمان في البنوك الإسلاميه الأردنيه), عز الدين نايف عنانزه, محمد داؤد عثمان

Muthanna Journal of Administrative and Economics Sciences

الملخص يعد النشاط الائتماني احد اهم الوظائف الرئيسيه التي تقدمها المصارف وهي من اكثر الانشطه ربحاً و خطورة، ، فلذلك جاءت هذه الدراسه لتسلط الضوء على هذه الوظيفه لدى القطاع المصرفي الاسلامي، وكان ذلك من خلال تسليط الضوء على مراحل ادارة مخاطر الائتمان في المصارف الاسلاميه بالأضافة إلى اختبار مدى كفاءة ادارة مخاطر الائتمان وربطها مع جودة المحافظ الائتمانيه في المصارف الاسلاميه خلال الازمه الماليه العالميه الاخيره.وقد بينت الدراسه نتائج تعكس الكفاءة والنجاح الملحوظ لعينة الدراسة في عمليه ادارة مخاطر الائتمان، مما انعكس ذلك ايجابياً على مؤشر الاداء للعينه، واستطاعت بنوك العينه بناء محافظ ائتمانيه ذات جوده عاليه، مما مكنها …

النظام المحاسبي الموحد المتخصص ومدى انسجامه مع البيئة المصرفية الدولية, اسعد غني جهاد, اسعد منشد محمد

Muthanna Journal of Administrative and Economics Sciences

تعد المصارف قلب اقتصاد البلد النابض فالنشاط المصرفي له مساهمة كبيرة في ديمومة الحركة الاقتصادية وتعزيز مكانته الاقتصادية من خلال ما تقدمه تلك المصارف من خدمات مصرفيه جمة تساهم في تقوية الاستثمارات وجلب استثمارات جديدة لذا فان مشكله البحث تكمن في عدم تحديث النظام المحاسبي الموحد المتخصص للمصارف ومنذ ثلاث عقود مضت ، لذا فحاول الباحثان تقديم بعض المقترحات لتجديد وتحديث هذا النظام المطبق من خلال الوقوف على الاتجاهات الحديثه التي تتبعها المصارف في تقديم خدماتها المصرفية وقد توصل الباحثان الى ان تحقيق المصارف للتوسع والانتشار من خلال تحرير خدماتها المصرفية والمالية يساعدها في المحافظه على مكانتها المصرفية ومن ثم …

أثر كلفة النقل في اختيار موقع جامعة دراسة مقارنة لعدد من البدائل في محافظة ذي قار, أحمد كريم جاسم

Muthanna Journal of Administrative and Economics Sciences

يتناول هذا البحث دراسة أثر تكاليف النقل في إختيار موقع جامعة مقترحة في محافظة ذي قار إذ هناك عدد من البدائل تتمثل في 18 قضاء أوناحية ومن خلال إعتماد طريقة مركز الجاذبية في تحديد المواقع ومن خلال الاعتماد على تكاليف النقل للطلاب بالاسعار المحلية من أقضية ونواحي المحافظة بإتجاه الموقع المختار لعدد طلاب الصفوف المنتهية للمرحلة الاعدادية في جميع المدارس الإعدادية داخل حدود المحافظة، وبالإعتماد على المسافة للطرق المعبدة بين أقضية ونواحي المحافظة المختلفة، واجور النقل بالسيارات ممثلة بالباصات الصغيرة والمتوسطة تم ترتيب البدائل من الأقل كلفة بإتجاه الأكثر كلفة، فكانت الناصرية الأقل كلفة للنقل يليها الغراف ثم الشطرة لتكون …

أعادة تقييم الممتلكات والمصانع والمعدات بالقيمة العادلة في ظل المعيار المحاسبي الدولي 16 بالتطبيق على الشركة العامة للصناعات الصوفية, صفوان قصي عبد الحليم, اسماء عبد الكاظم عبد علي

Muthanna Journal of Administrative and Economics Sciences

برز من ينادي باستخدام القيمة العادلة من خلال كل من مجلس معايير المحاسبة الدولية ومجلس معايير المحاسبة المالية (IASB) International Accounting Standard Board Financial Accounting Standard Board (FASB) بإصدار وتعديل العديد من معايير المحاسبة والتي تركز في مضمونها على القيمة العادلة ، فقد بدأت الهيئات المحاسبية الدولية والمحلية بالبحث عن بديل لتغطية الثغرات الناتجة عن تطبيق التكلفة التاريخية، خاصة في الموجودات غير المتداولة، حيث تم التحول إلى مفهوم القيمة العادلة الذي أصبح أساساً ومقياساً هاماً للاعتراف بالقياس وللإفصاح عند المعالجة المحاسبية للعمليات المالية. وظهر ذلك التحول بصورة واضحة في معظم معايير المحاسبة الدولية والتي أطلق عليها بعد ذلك معايير الابلاغ …

أثرالانكشاف التجاري على الناتج المحلي الاجمالي في بلدان اسيوية مختارة للمدة (1980-2011), غسان طارق ظاهر

Muthanna Journal of Administrative and Economics Sciences

شهد الاقتصاد العالمي خلال العقود الثلاث الماضية موجه من التحولات والتغيرات الاقتصادية شملت جميع المجالات خاصة الاقتصادية منها، اذ اتجهت دول كثيرة في ظل التوجه الرأسمالي الى سياسة الانفتاح التجاري والانضمام الى منظمة التجارة العالمية وعقد الاتفاقيات التجارية واقامة كارتلات تجارية، ولقد ادى الانفتاح التجاري الى تحسين انتاجية عناصر الإنتاج في بعض الدول واكسبها تحقيق معدلات مرتفعة من النمو الاقتصادي وحققت اغلب الدول ولاسيما منها دول عينة البحث ماليزيا وكوريا الجنوبية واندونيسيا تنمية مستديمة ومستوى معاشي افضل، اذ ان تجربتها الرائدة والجديرة بالتأمل فيها كثير من العبر التي من الممكن أن تأخذ بها الدول النامية عموما والعراق بوجه خاص كأنموذج …

ملخصات الكتب المحاسبة المتوسطة رؤية معاصرة, سعود جايد مشكور, علي نعيم جاسم, ناظم حسن عبد السيد

Muthanna Journal of Administrative and Economics Sciences

تعرف المحاسبة بأنها لغة الأعمال التي تقوم باستخدام مجموعة من المفاهيم والفروض والمبادئ والطرق في إدخال ومعالجة العديد من الأحداث الاقتصادية التي تحصل في منظمات الأعمال وجعلها على شكل معلومات يمكن إيصالها إلى العديد من الجهات المستفيدة في عمليات اتخاذ القرارات. كذلك تعرف المحاسبة بأنها لغة الأعمال التي تتخصص في القياس والتوصيل وتقديم التقارير وتوفير المعلومات المالية إلى مختلف الأطراف المعنية مثل الإدارات والحكومات والمستثمرين والدائنين لاتخاذ قرارات اقتصادية رشيدة.

A Systematic Review Of Educational Interventions To Change Behaviour Of Prescribers In Hospital Settings, With A Particular Emphasis On New Prescribers., Nicola Brennan, Karen Mattick

Peninsula Medical School

AIMS: Prescribing is a complex task and a high risk area of clinical practice. Poor prescribing occurs across staff grades and settings but new prescribers are attributed much of the blame. New prescribers may not be confident or even competent to prescribe and probably have different support and development needs than their more experienced colleagues. Unfortunately, little is known about what interventions are effective in this group. Previous systematic reviews have not distinguished between different grades of staff, have been narrow in scope and are now out of date. Therefore, to inform the design of educational interventions to change prescribing …

Trust In The Health-Care Provider-Patient Relationship: A Systematic Mapping Review Of The Evidence Base., Nicola Brennan, Rebecca Barnes, Mike Calnan, Oonagh Corrigan, Paul Dieppe, Vikki Entwistle

Peninsula Medical School

PURPOSE: Trust is important for patients and may be used as an indicator and potential 'marker' for how patients evaluate the quality of health care. The review aimed to classify the current evidence base on trust in the patient-provider relationship in order to identify strengths and weaknesses and to point towards areas for future research. DATA SOURCES: Nine electronic databases were searched from 2004 onwards using text and subject heading keywords relating to 'trust' and 'health care' and 'relationships'. STUDY SELECTION: Abstracts were identified for empirical studies carried out in health-care settings that explicitly examined trust or reported trust-related findings …

Delivery And Use Of Individualised Feedback In Large Class Medical Teaching, Sa Burr, E Brodier, S Wilkinson

Peninsula Medical School

No abstract provided.

Sudden Unexpected Death In Epilepsy (Sudep): Development Of A Safety Checklist, Rohit Shankar, David Cox, Virupakshi Jalihal, Scott Brown, Jane Hanna, Brendan Mclean

Peninsula Medical School

Purpose The incidence of sudden death appears to be 20 times higher in patients with epilepsy compared with the general population. Epilepsy-related death, particularly sudden unexpected death in epilepsy (SUDEP), is still underestimated by healthcare professionals and this may reflect the mistaken belief that epilepsy is a benign condition. The risk of death associated with epilepsy appeared rarely to have been discussed with patients or their families. It appears the decision to discuss SUDEP and also to peg SUDEP risk is arbitrary and clinical. Unfortunately there is no structured evidenced mechanism at present to represent person centered risk of SUDEP …

Simulation And Assessment Of Dental Extraction Proficiency Type Of Project : Self Administered Postal Questionnaire, D. R. Moles, Nigel Honey, Tom Gale

Peninsula Medical School

This study aimed to determine the confidence of recently qualified Foundation Dentists (FDs) in elements of the dental extraction process and to compare this with the assessment of their Foundation Trainers. Also the study aimed to investigate the foundation dentists’ views of their undergraduate training relating to exodontia and any aspects of which they found lacking or alternatively any experiences which they found particularly useful. The dental extraction needs of the UK population are changing with the development of an elderly dentate generation (McHarg and Kay 2009). The 2009 Adult Dental Health Survey observed that a very significant proportion of …

Cannabis Use And Its Socio-Demographic Correlates Among In-School Adolescents In Zambia, Seter Siziya, Adamson S. Muula, Chola Besa, Olesegun Babaniyi, Peter Songolo, Njinga Kankiza, Emmanuel Rudatsikira

Faculty Publications

Background

Cannabis dependence in adolescents predicts increased risks of using other illicit drugs, poor academic performance and reporting psychotic symptoms. The prevalence of cannabis use was estimated two decades ago in Zambia among secondary school students. There are no recent estimates of the extent of the problem; further, correlates for its use have not been documented in Zambia. The objective of study was to estimate the current prevalence of cannabis use and its socio-demographic correlates among in-school adolescents.

Methods

We conducted secondary analysis of data that was obtained from the 2004 Zambia Global School-Based Health Survey. Logistic regression analysis was …

Self - Inflicted Serious Injuries Among Adolescents In Zambia, Adamson S. Muula, Seter Siziya, Emmanuel Rudatsikira

Faculty Publications

Injuries are a growing cause of morbidity and mortality in the world. Data from Southern Africa are limited, possibly because of limited research prioritization of the issue and pre-occupation with communicable diseases. This study was conducted to estimate the prevalence of, and assess factors associated with, self-inflicted serious injuries among in-school adolescents in Zambia. We used data collected from the 2004 Zambia Global School-Based Health Survey to estimate prevalence of self-inflicted serious injury within the past 12 months. Logistic regression analysis was conducted to assess the association between selected predictor variables and reported history of having seriously injured oneself. Out …

Pcps Cpa Firm 2013 Top Issues Diagnostic Report, American Institute Of Accountants. Private Companies Practice Section

Association Sections, Divisions, Boards, Teams

No abstract provided.

Macrophage Subset Sensitivity To Endotoxin Tolerisation By Porphyromonas Gingivalis., Andrew D. Foey, St John Crean

School of Biomedical Sciences

Macrophages (MΦs) determine oral mucosal responses; mediating tolerance to commensal microbes and food whilst maintaining the capacity to activate immune defences to pathogens. MΦ responses are determined by both differentiation and activation stimuli, giving rise to two distinct subsets; pro-inflammatory M1- and anti-inflammatory/regulatory M2- MΦs. M2-like subsets predominate tolerance induction whereas M1 MΦs predominate in inflammatory pathologies, mediating destructive inflammatory mechanisms, such as those in chronic P.gingivalis (PG) periodontal infection. MΦ responses can be suppressed to benefit either the host or the pathogen. Chronic stimulation by bacterial pathogen associated molecular patterns (PAMPs), such as LPS, is well established to induce …

Novel Polyomaviruses Of Nonhuman Primates: Genetic And Serological Predictors For The Existence Of Multiple Unknown Polyomaviruses Within The Human Population, Nelly Scuda, Nadege Freda Madinda, Chantal Akoua-Koffi, Edgard Valerie Adjogoua, Diana Wevers, Jörg Hofmann, Kenneth N. Cameron, Saj Leendertz, Emmanuel Couacy-Hymann, Martha Robbins, Christophe Boesch, Michael A. Jarvis, Ugo Moens, Lawrence Mugisha, Sébastien Calvignac-Spencer, Fh Leendertz, Bernhard Ehlers

School of Biomedical Sciences

No abstract provided.