Digital Commons Network^™

Realising The Full Potential Of Primary Care: Uniting The ‘Two Faces’ Of Generalism, Joanne Reeve, Richard Byng

Peninsula Medical School

Faced with an unprecedented mismatch between presented health needs and resources available, we must rethink both how we deliver healthcare and what care we deliver. Work has already started on the ‘how’: notably with efforts to strengthen access and integration — improved coordination of the comprehensive care needed to meet a diverse range of needs.2 It is defining ‘what’ to deliver that is proving more challenging. To address emerging problems of over- and under-treatment associated with the undue specialisation of healthcare,3 we need to strengthen delivery of generalist medical care.4 This means that we need to bolster the capacity to …

Effect Of Time And Day Of Admission On Hospital Care Quality For Patients With Chronic Obstructive Pulmonary Disease Exacerbation In England And Wales: Single Cohort Study, Cm Roberts, D Lowe, E Skipper, Mc Steiner, R Jones, C Gelder, Jr Hurst, Ge Lowrey, C Thompson, Ra Stone

Peninsula Medical School

No abstract provided.

Outcomes Of Specialist Discharge Coordination And Intermediate Care Schemes For Patients Who Are Homeless: Analysis Protocol For A Population-Based Historical Cohort, Ruth M. Blackburn, Andrew Hayward, Michelle Cornes, Martin Mckee, Dan Lewer, Martin Whiteford, Dee Menezes, Serena Luchenski, Alistair Story, Spiros Denaxas, Michela Tinelli, Fatima B. Wurie, Richard Byng, Michael C. Clark, James Fuller, Mark Gabbay, Nigel Hewett, Alan Kilmister, Jill Manthorpe, Joanne Neale, Robert W. Aldridge

Peninsula Medical School

IntroductionPeople who are homeless often experience poor hospital discharge arrangements, reflecting ongoing care and housing needs. Specialist integrated homeless health and care provision (SIHHC) schemes have been developed and implemented to facilitate the safe and timely discharge of homeless patients from hospital. Our study aims to investigate the health outcomes of patients who were homeless and seen by a selection of SIHHC services.Methods and analysisOur study will employ a historical population-based cohort in England. We will examine health outcomes among three groups of adults: (1) homeless patients seen by specialist discharge schemes during their hospital admission; (2) homeless patients not …

Examining Primary Prevention Methods And Pharmacological Interventions In Identifying Lower Risk Of Coronary Heart Diease, Melissa Stewart

Undergraduate Theses and Senior Projects

No abstract provided.

Sorghum Grain To Products : An Exploration Of A New Process Plant Opportunity, Trevor Seidel

Undergraduate Theses and Senior Projects

No abstract provided.

Extending Data Curation Service Models For Academic Library And Institutional Repositories, Jon Wheeler

University Libraries & Learning Sciences Faculty and Staff Publications

Many academic libraries have implemented institutional repositories (IR), which offer some potential for publishing and archiving data but can fall short of usability expectations and requirements. As general purpose repositories, IR's may lack the metadata and service capabilities to dynamically represent data and to effectively capitalize on complex, domain oriented metadata schema such as the Ecological Metadata Language (EML) or the ISO 19115-2014 Geographic information metadata standards. For libraries interested in providing data publishing services, one alternative to the domain agnostic nature of IR content and metadata models is to maintain the IR for traditional document types and in addition …

Region Of Smooth Functions For Positive Solutions To An Elliptic Biological Model, Joon Hyuk Kang, Timothy Robertson

Faculty Publications

The non-existence and existence of the positive solution to the generalized elliptic model ∆u+g(u v) = 0 in Ω, ∆v+h(u, v) = 0 in Ω, u=v= 0 on∂Ω, were investigated.

Estimates Of Life Span Of Solutions Of A Cauchy Problem, Joon Hyuk Kang

Faculty Publications

In this paper we get estimates of life span of a Cauchy problem ut(x, t) = ∆ u(x, t) +u(x, t)p, x∈Rn, t >0,u(x,0) =λφ(x), x∈Rn in terms of the positive constant parameterλ whenφ(x)∈Lq is a nonnegative bounded continuous function in Rn but not identically zero, where q is large enough. The technique we used in this paper is the Comparison Principle.

Characterization Of Rectifying And Sphere Curves In R^3, Yun Myung Oh, Julie Logan

Faculty Publications

Studies of curves in 3D-space have been developed by many geometers and it is known that any regular curve in 3D space is completely determined by its curvature and torsion, up to position. Many results have been found to characterize various types of space curves in terms of conditions on the ratio of torsion to curvature. Under an extracondition on the constant curvature, Y.L. Seo and Y. M. Oh found the series solution when the ratio of torsion to curvature is a linear function. Furthermore, this solution is known to be a rectifying curve by B. Y. Chen’s work. This …

Sola Scriptura Statuat Lex Orandi: Toward A Transcultural Theology Of Liturgy, David A. Williams

Faculty Publications

The Seventh-day Adventist church is one of the most diverse religious groups. With this diversity comes a preponderance in worship practices. Calling upon the Reformation principle, sola scriptura, the Bible alone should establish the rule for liturgy. How do we apply the Bible as the rule for liturgy, with so many worship preferences and diversity of cultures within the Adventist church? In this paper, I seek to articulate a way forward, developing a transcultural theology of liturgy to be applied in every Adventist culture, allowing room for a rich variety of local cultural contextualizations.

Determining The Courtyard Thermal Efficiency And Its Impact On Urban Fabric: A Contextual Study Of Baghdad, Iraq, O Al-Hafith, Bk Satish, S Bradbury, Wilde P De

School of Art, Design and Architecture

No abstract provided.

Designing New Zealand’S Emissions Trading Scheme, Tor Håkon Jackson Inderberg, Ian Bailey, Nichola Harmer

School of Geography, Earth and Environmental Sciences

No abstract provided.

Our Gift To All Of Us: Ga(Y)Am: Preface, Otlip17 Committee, Frank Loesche, Klara Łucznik, Susan L. Denham, Hannah Drayson, Kathryn B. Francis, Diego S. Maranan, Michael Punt

School of Art, Design and Architecture

No abstract provided.

The Language Of Interaction, Rafael Arrivabene

School of Art, Design and Architecture

Actions, reactions, conditions, and restrictions form the basis of any game. The rules designed to conduct participation and behaviours of players and objects can be understood as a particular language. In an attempt to elucidate an expressive potential that may have been underestimated by game developers and researchers, this paper presents an approximation of game rules to linguistic concepts.

Academic Capitalism In Architecture Schools: A Feminist Critique Of Employability, 24/7 Work And Entrepreneurship, I Troiani

School of Art, Design and Architecture

This chapter examines the current situation that many universities worldwide are facing due to globalisation, which is of transitioning from institutions for education (Foucault’s ‘premodern or medieval university’) toentrepreneurial businesses (the ‘modern university’). The modern university is governed by a neoliberal system of production and consumption of students, staff, knowledge and research for the purpose of improving nation economies. Looking particularly at schools of architecture, it discusses employability, 24-hour work and entrepreneurship in relation to marketisation and economisation. It tracks the inequalities that arise from the neoliberalisation of public universities on teaching content, an administrative-directed work, workloads, wellbeing and gender. …

Playing In The Dark With Online Games For Girls, Rebecca Sinker, Mike Phillips, Victoria De Rijke

School of Art, Design and Architecture

Pregnant Rapunzel Emergency is part of a series of online free games aimed at young girls ( forhergames.com or babygirlgames.com ), where dozens of characters from fairy tales, children’s toys and media feature in recovery settings, such as ‘Barbie flu’. The range of games available to choose from includes not only dressing, varnishing nails or tidying messy rooms, but also rather more troubling options such as extreme makeovers, losing weight, or a plethora of baby showers, cravings, hospital pregnancy checks, births (including caesarean), postnatal ironing, washing and baby care. Taking the online game Pregnant Rapunzel Emergency as an exemplar of …

Management Of Simultaneous Bilateral Femur Fractures In A Tertiary Care Hospital: A Retrospective Review, Masood Umer, Syed Zohaib Gulzar Naqvi, Raza Askari, Umair Ashraf

Department of Surgery Docs

Abstract: Introduction: Bilateral long bone fractures are rare and usually are associated with increased risk of complications. These fractures are usually associated with poly traumatic injuries or high impact trauma resulting in shock. Commonest etiology is road traffic accident. Closed diaphyseal fractures are best managed by intramedullary nailing; management becomes difficult if there are open fractures and late arrival. In this study we intend to present our experience of managing these patients. Materials and Methods: Medical records of all adult patients (age more than 16 years of age) admitted at Aga Khan University and Hospital with bilateral femur fractures +/- …

Bowled Over By Cricket: Impact Of Tape-Ball Injuries On The Eyes, Salman Naveed Sadiq, Azam Ali, Bushra Usmani, Khabir Ahmed

Department of Surgery Docs

Abstract

PURPOSE:

The aim of this study was to describe the type and severity of tape-ball cricket-related eye injuries seen at a tertiary care hospital.

DESIGN:

A descriptive case series.

METHODS:

This study included all cases of tape-ball cricket-related eye injuries presenting to the Section of Ophthalmology, Aga Khan University Hospital, Karachi, from January 2014 to January 2015.

RESULTS:

A total of 20 patients with tape-ball cricket-related eye injuries were treated during this period. The right eye was involved in most (14/20) of the cases. The commonest presenting symptoms included reduced/blurred vision, ocular pain, redness, and floaters. Sixty percent (12/20) …

Innovative Tidal Notch Detection Using Tls And Fuzzy Logic: Implications For Palaeo-Shorelines From Compressional (Crete) And Extensional (Gulf Of Corinth) Tectonic Settings, S. Schneiderwind, S. J. Boulton, I. Papanikolaou, K. Reicherter

School of Geography, Earth and Environmental Sciences

No abstract provided.

Real Earnings Management Activities, Meeting Earnings Benchmarks And Future Performance: Uk Evidence, Basiem Al-Shattarat

Plymouth Business School Theses

This thesis presents two essays on real earnings management and future performance. The first essay draws on empirical studies that examine the three types of real earnings management activities in the United Kingdom (UK) for firms that are more likely to manipulate their earnings to avoid missing earnings targets. These targets include the zero earnings, and last year’s earnings. Also drawing from empirical studies, the second essay investigates the impact of real earnings management on firms’ future operating performance in the UK. In the first essay, I examine earnings management through real activities manipulation by using a sample of UK …

Semi-Quantitative Reconstruction Of Early To Late Holocene Spring And Summer Sea Ice Conditions In The Northern Barents Sea, Sarah M.P. Berben, Katrine Husum, Alba Navarro-Rodriguez, Simon T. Belt, Steffen Aagaard-Sørensen

School of Geography, Earth and Environmental Sciences

No abstract provided.

Numerical Modeling Of Tidal Notch Sequences On Rocky Coasts Of The Mediterranean Basin, S. Schneiderwind, S. J. Boulton, I. Papanikolaou, M. Kázmér, K. Reicherter

School of Geography, Earth and Environmental Sciences

AbstractTidal notches have had the potential to form at sea level from ~6.5 kyr B.P. in the Mediterranean Basin and preserve a symmetrical shape comparable to a quadric polynomial. Continuous erosion, predominantly by biological agents, affects a limestone cliff face from low‐ to high‐tide level at <1 mm/yr. Statically determined, the roots of a quadric polynomial are defined by the tidal range representing the limits of effective erosion. However, gradual variations of eustatic sea level rise (slow) and coseismic uplift/subsidence (fast) in tectonically active regions contribute to vertical shifts in the erosional base at coastlines. As a consequence, the cliff morphology gets modified through time resulting in widening, deepening, and separation of notches and possible overprinting of older features. In order to investigate successive modifications of coastal cliff morphology, we developed a numerical model that considers the erosion rate, the erosion zone relative to sea level, the regional sea level curve, and tectonic motion. The results show how slow and rapid sea level changes bias the modern cliff face and highlight that the present‐day notch sequence from top descending to sea level is not inevitably of decreasing age. Furthermore, the initiation of notch formation is not necessarily linked to the date of a certain seismic event. Especially in extensional tectonic settings where coseismic uplift is low and coastal morphological marks are not as distinct, knowledge about coastal evolution is beneficial for paleoseismological research.

Coupled Changes Between The H-Print Biomarker And Delta N-15 Indicates A Variable Sea Ice Carbon Contribution To The Diet Of Cumberland Sound Beluga Whales, T. A. Brown, E. Chrystal, S. H. Ferguson, D. J. Yurkowski, C. Watt, N. E. Hussey, T. C. Kelley, S. T. Belt

School of Geography, Earth and Environmental Sciences

No abstract provided.

An Analysis Of Variable Dissolution Rates Of Sacrificial Zinc Anodes: A Case Study Of The Hamble Estuary, Uk, Aldous B. Rees, Anthony Gallagher, Sean Comber, Laurence A. Wright

School of Geography, Earth and Environmental Sciences

No abstract provided.

Affirmative Action Policy And Labour Market Structure: Evidence From Saudi Arabia, Abdullah Alothman

Plymouth Business School Theses

Few public and social policy subjects have attracted as much attention as Affirmative Action Policy (AAP) in social sciences. AAP’s main aim is to eliminate or prevent past discrimination against disadvantaged groups and to enhance their position in society. Its role has become controversial around the world. In Saudi Arabia, despite changes and improvements in laws and strategies, over past decades, to tackle the age-old issue of native unemployment, the problem is still deeply ingrained in society. This research has investigated the role, effectiveness and consequences of AAP on Saudi labour market structure. The research has employed a pragmatic methodology …

The Conceptualisation Of Sustainability By Tomorrow's Managers., Christine Parkin Hughes

Plymouth Business School Theses

Abstract: The conceptualisation of sustainability by tomorrow’s managers by Christine Parkin Hughes. Sustainability is an emerging field, a knowledge frontier. However, the conceptualisation of what sustainability is, and what it means in theory and practice remains unsettled. Scant attention has been paid to how future managers make sense of sustainability, representing a significant gap in the literature. The overarching aim of this thesis is to explore how the polysemous phenomenon of sustainability is conceptualised by the next generation of managers. It explores how they made sense of sustainability; the drivers behind their sensemaking; whether there is a skew within their …

Resolving Discrepancies Between Field And Modelled Relative Sea-Level Data: Lessons From Western Ireland, Robin Edwards, W. Roland Gehrels, Anthony Brooks, Ralph Fyfe, Katie Pullen, Joseph Kuchar, Kieran Craven

School of Geography, Earth and Environmental Sciences

No abstract provided.

Holocene Cyclic Records Of Ice-Rafted Debris And Sea Ice Variations On The East Greenland And Northwest Iceland Margins, D. A. Darby, J. T. Andrews, S. T. Belt, A. E. Jennings, P. Cabedo-Sanz

School of Geography, Earth and Environmental Sciences

No abstract provided.

Logistics And Supply Chain Cooperative And Collaborative Spirit Indices In South Korea, Chang Soo Kim

Plymouth Business School Theses

Logistics and supply chain cooperative and collaborative spirit indices in South Korea This study proposes criteria to diagnose, to analyse and to evaluate the extent of cooperation and collaboration between supply chain members within extensive inter-firm relationships in supply chains. A case study context examines cooperative and collaborative relationships between shipping companies and shippers as suppliers, manufacturers, distributers, retailers, exporters and importers. The components of cooperation and collaboration are analysed through literature reviews, interviews with industrial experts, content analysis, two-rounds of Q-sorting, and pilot testing. Cooperation is a subset of collaboration comprised of transparency, fairness, and mutuality, and cooperation and …

A Framework For Transition To Specialty Practice Programmes, Julia Morphet, Virginia Plummer, Bridie Kent, Julie Considine

School of Nursing and Midwifery

No abstract provided.