Digital Commons Network^™

Spaces Of Concern: Parliamentary Discourse On Britain's Overseas Territories., Nichola Harmer

School of Geography, Earth and Environmental Sciences

No abstract provided.

Development And Evaluation Of A Hospital Discharge Information Package To Empower Parents In Caring For A Child With A Fever, De Maat Js Van, Klink D Van, Hartogh-Griffioen A Den, Eva Schmidt-Cnossen, Hester Rippen, Amber Hoek, Sarah Neill, Monica Lakhanpaul, Henriette A. Moll, Rianne Oostenbrink

School of Nursing and Midwifery

ObjectivesFirst, to explore parents’ views on and experiences of managing their febrile child and to assess their behaviour and needs when in search of information about fever; second, to develop and evaluate a hospital discharge information package about fever in children.DesignMixed methods: (A) qualitative study with semistructured interviews and a focus group discussion (FGD) and (B) quantitative survey.SettingEmergency department, non-acute hospital setting and day nursery in Rotterdam, The Netherlands.ParticipantsParents of children <18 years (interviews, n=22) parents of children under 5 years (FGD (n=14), survey (n=38)).InterventionInformation package about fever in children (leaflet and website including videos).Outcome measures quantitative surveyKnowledge of fever and confidence in caring for a febrile child (Likert scale 0–5).ResultsParents found fever mostly alarming, especially high fever. Help-seeking behaviour was based on either specific symptoms or on an undefined intuition. When parents did not feel recognised in their concern or felt criticised, anxiety increased as well as the threshold to seek healthcare for future illnesses. Information was needed, especially for situations when the general practitioner or social network were less easily available. This information should be reliable, consistent, available in multiple formats and include advice on management of fever at home and precise referral to medical services. Parents reported improved knowledge about fever (p<0.05) and mentioned improved confidence in caring for a child with fever at home after consulting the information package.ConclusionParents of children with a fever visiting the hospital are concerned about specific symptoms or based on an undefined intuition. Rather than telling parents that they should manage their child’s illness at home, healthcare professionals should recognise parental intuition and provide clear information on alarming signs and potential diagnoses to empower parents in the management of their febrile child.

The Role Of Felt Or Enacted Criticism In Parents’ Decision Making In Differing Contexts And Communities: Toward A Formal Grounded Theory, Sarah J. Neill, Imelda Coyne

School of Nursing and Midwifery

Felt or enacted criticism was identified as a significant influence on White British parents’ decision making during acute childhood illness in a substantive grounded theory “Containing acute childhood illness within family life.” These parents sought to avoid further criticism, sometimes leading to delayed consultation. Using Glaserian grounded theory principles, we conducted a secondary analysis of data from three studies, to establish the transferability and modifiability of the original theory to other settings and communities in Ireland and England. Felt or enacted criticism was found to operate across the childhood age range, social groups, and settings. Parent’s strategies to avoid criticism …

Bridging The Divide: Social-Ecological Coherence In Marine Protected Area Network Design, Sian E. Rees, Simon J. Pittman, Nicola Foster, Olivia Langmead, Charly Griffiths, Steve Fletcher, David E. Johnson, Martin Attrill

School of Biological and Marine Sciences

© 2018 John Wiley & Sons, Ltd. Marine Protected Areas (MPAs) and networks of MPAs are being implemented globally as a spatial management tool for achieving conservation objectives. There has been considerable progress in reaching the prescribed 10% protected area target for 2020, outlined in the Convention on Biological Diversity Aichi Target 11 and the United Nations Sustainable Development Goal 14. The application of MPA network design principles (e.g. Representative, ecological connectivity), which underpin ecological coherence, is still lacking or insufficient in many regions. Poor ecological coherence hinders the ecological performance of MPA networks, leading to dysfunction in the flow …

Impact Of The Sign Head Injury Guidelines And Nhs 4-Hour Emergency Target On Hospital Admissions For Head Injury In Scotland: An Interrupted Times Series, Carl Marincowitz, Fiona E. Lecky, Eleanor Morris, Victoria Allgar, Trevor A. Sheldon

Peninsula Medical School

ObjectivesHead injury is a common reason for emergency department (ED) attendance. Around 1% of patients have life-threatening injuries, while 80% of patients are discharged. National guidelines (Scottish Intercollegiate Guidelines Network (SIGN)) were introduced in Scotland with the aim of achieving early identification of those with acute intracranial lesions yet safely reducing hospital admissions.This study aims to assess the impact of these guidelines and any effect the national 4-hour ED performance target had on hospital admissions for head injury.SettingAll Scottish hospitals between April 1998 and March 2016.ParticipantsPatients admitted to hospital for head injury or traumatic brain injury (TBI) diagnosed by CT …

The Future Trajectory Of Adverse Outcome Pathways: A Commentary, F Sewell, N Gellatly, M Beaumont, N Burden, R Currie, Haan L De, Th Hutchinson, M Jacobs, C Mahony, I Malcomber, J Mehta, G Whale, I Kimber

School of Geography, Earth and Environmental Sciences

The advent of adverse outcome pathways (AOPs) has provided a new lexicon for description of mechanistic toxicology, and a renewed enthusiasm for exploring modes of action resulting in adverse health and environmental effects. In addition, AOPs have been used successfully as a framework for the design and development of non-animal approaches to toxicity testing. Although the value of AOPs is widely recognised, there remain challenges and opportunities associated with their use in practise. The purpose of this article is to consider specifically how the future trajectory of AOPs may provide a basis for addressing some of those challenges and opportunities.

Intravenous Injection Of Unfunctionalized Carbon-Based Nanomaterials Confirms The Minimal Toxicity Observed In Aqueous And Dietary Exposures In Juvenile Rainbow Trout ( Oncorhynchus Mykiss ), David Boyle, Paul A. Sutton, Richard D. Handy, Theodore B. Henry

School of Geography, Earth and Environmental Sciences

No abstract provided.

A Test Of The Adaptive Network Explanation Of Functional Disorders Using A Machine Learning Analysis Of Symptoms., Christos Melidis, Susan L. Denham, Michael E. Hyland

School of Psychology

The classification and etiology of functional disorders is controversial. Evidence supports both psychological and biological (disease) models that show, respectively, that functional disorders should be classified as one (bodily distress syndrome) and many (e.g., irritable bowel syndrome (IBS), fibromyalgia syndrome (FMS), and chronic fatigue syndrome (CFS)). Two network models (symptom network and adaptive network) can explain the specificity and covariation of symptomatology, but only the adaptive network model can explain the covariation of the somatic symptoms of functional disorders. The adaptive network model is based on the premise that a network of biological mechanisms has emergent properties and can exhibit …

Active Pharmaceutical Ingredients Entering The Aquatic Environment From Wastewater Treatment Works: A Cause For Concern?, Sean Comber, Mike Gardner, Pernilla Sörme, Dean Leverett, Brian Ellor

School of Geography, Earth and Environmental Sciences

No abstract provided.

Dental Public Health In Action: Understanding Oral Health Care Needs And Oral Health-Related Quality Of Life In Vulnerable Adults In Plymouth, R Patel, R. Witton, R. Potterton, W. Smith, I. Kaimi

Peninsula Dental School

No abstract provided.

Personal Wellbeing Networks, Social Capital And Severe Mental Illness: Findings From An Exploratory Study, Daryl Sweet, Richard Byng, Martin Webber, Doyo Gragn Enki, Ian Porter, John Larsen, Peter Huxley, Vanessa Pinfold

Peninsula Medical School

No abstract provided.

Research-Led Curriculum Innovation To Enhance Core Employability Attributes For Environmental Science Graduates, Charlotte Braungardt, Alison Stokes, C Guy, Paul Warwick

School of Geography, Earth and Environmental Sciences

Aims of project: To enhance graduate skills and cultivate professionalism, resilience and global citizenship through innovation of a research-led employability curriculum. Background/context to project: The lack of employability skills among STEM graduates, in particular environmental science, has been highlighted in the 2016 Wakeham Review and was identified as key area for curriculum development by internal reports (e.g. Kneale, 2016). Surveys consistently indicate that ‘soft’ skills, such as communication, team working and a positive ‘can do’ attitude are highly valued by employers (e.g. Archer & Davison, 2008; CBI, 2009; Lowden et al., 2011). At the same time, many undergraduate students experience …

Low Levels Of Microplastics (Mp) In Wild Mussels Indicate That Mp Ingestion By Humans Is Minimal Compared To Exposure Via Household Fibres Fallout During A Meal., Ana I. Catarino, Valeria Macchia, William G. Sanderson, Richard C. Thompson, Theodore B. Henry

School of Biological and Marine Sciences

Microplastics (MPs) are the most numerous debris reported in marine environments and assessment of the amounts of MPs that accumulate in wild organisms is necessary for risk assessment. Our objective was to assess MP contamination in mussels collected around the coast of Scotland (UK) to identify characteristics of MPs and to evaluate risk of human exposure to MPs via ingestion of mussels. We deployed caged mussels (Mytilus edulis) in an urbanised estuary (Edinburgh, UK) to assess seasonal changes in plastic pollution, and collected mussels (Mytilus spp and subtidal Modiolus modiolus) from eight sampling stations around Scotland to enumerate MP types …

Molecular Detection Of Equine Trypanosomiasis In The Riyadh Province Of Saudi Arabia., Ad Alanazi, Robert Puschendorf, Bashir Salim, Mohamed S. Alyousif, Io Alanazi, Hajri R. Al-Shehri

School of Biological and Marine Sciences

We conducted a cross-sectional study to detect trypanosome infections of horses and donkeys in the Riyadh Province of Saudi Arabia. DNA was extracted from blood samples collected from 368 horses and 142 donkeys, and subjected to universal first ribosomal internal transcribed spacer region (ITS1)-PCR followed by Trypanosoma evansi species-specific RoTat1.2-PCR. The universal ITS1-PCR revealed T. evansi infection in horses ( n = 12; 3.3%) and donkeys ( n = 4; 2.8%). There was no significant effect of sex or age on the prevalence of trypanosomiasis in horses or donkeys. Application of the RoTat1.2-PCR revealed that the RoTat1.2 VSG gene was …

Improving The Quality Of Cognitive Screening Assessments: Acemobile, An Ipad‐Based Version Of The Addenbrooke's Cognitive Examination‐Iii, Cgj Newman, Ad Bevins, Jp Zajicek, Jr Hodges, Et Al

Peninsula Medical School

Introduction Ensuring reliable administration and reporting of cognitive screening tests are fundamental in establishing good clinical practice and research. This study captured the rate and type of errors in clinical practice, using the Addenbrooke's Cognitive Examination-III (ACE-III), and then the reduction in error rate using a computerized alternative, the ACEmobile app. Methods In study 1, we evaluated ACE-III assessments completed in National Health Service (NHS) clinics (n = 87) for administrator error. In study 2, ACEmobile and ACE-III were then evaluated for their ability to capture accurate measurement. Results In study 1, 78% of clinically administered ACE-IIIs were either scored …

Prospective Subgroup Analyses Of The Randomized Mcl‐002 (Sprint) Study: Lenalidomide Versus Investigator's Choice In Relapsed Or Refractory Mantle Cell Lymphoma, L Arcaini, T Lamy, J Walewski, D Belada, Et Al

Peninsula Medical School

In the mantle cell lymphoma (MCL)-002 study, lenalidomide demonstrated significantly improved median progression-free survival (PFS) compared with investigator's choice (IC) in patients with relapsed/refractory MCL. Here we present the long-term follow-up data and results of preplanned subgroup exploratory analyses from MCL-002 to evaluate the potential impact of demographic factors, baseline clinical characteristics and prior therapies on PFS. In MCL-002, patients with relapsed/refractory MCL were randomized 2:1 to receive lenalidomide (25 mg/day orally on days 1–21; 28-day cycles) or single-agent IC therapy (rituximab, gemcitabine, fludarabine, chlorambucil or cytarabine). The intent-to-treat population comprised 254 patients (lenalidomide, n = 170; IC, n = …

Current Status Of Deepwater Oil Spill Modelling In The Faroe-Shetland Channel, Northeast Atlantic, And Future Challenges, Alejandro Gallego, Murray R O'Hara, Barbara Berx, William R. Turrell, C. J. Beegle-Krause, Mark Inall, Toby Sherwin, John Siddorn, Sarah Wakelin, Vasyl Vlasenko, Lars R. Hole, Knut Frode Dagestad, John Rees, Lucy Short, Petter Rønningen, Charlotte E. Main, Sebastien Legrand, Tony Gutierrez, Ursula Witte, Nicole Mulanaphy

School of Biological and Marine Sciences

© 2017 As oil reserves in established basins become depleted, exploration and production moves towards relatively unexploited areas, such as deep waters off the continental shelf. The Faroe-Shetland Channel (FSC, NE Atlantic) and adjacent areas have been subject to increased focus by the oil industry. In addition to extreme depths, metocean conditions in this region characterise an environment with high waves and strong winds, strong currents, complex circulation patterns, sharp density gradients, and large small- and mesoscale variability. These conditions pose operational challenges to oil spill response and question the suitability of current oil spill modelling frameworks (oil spill models …

Surf Zone Hazards And Injuries On Beaches In Sw France, Bruno Castelle, Rob Brander, Eric Tellier, Bruno Simonnet, Tim Scott, Jak Mccarroll, Jean Michel Campagne, Thibault Cavailhes, Pierre Lechevrel

School of Biological and Marine Sciences

No abstract provided.

Exploring Public Views On Marine Litter In Europe: Perceived Causes, Consequences And Pathways To Change, Bonny L. Hartley, Sabine Pahl, Joana Veiga, Thomais Vlachogianni, Lia Vasconcelos, Thomas Maes, Tom Doyle, Ryan D'Arcy Metcalfe, Ayaka Amaha Öztürk, Mara Di Berardo, Richard C. Thompson

School of Biological and Marine Sciences

Marine litter is a global challenge and society plays an important role via lifestyles and behaviour, including policy support. We analysed public perceptions of marine litter and contributing factors, using data from 1133 respondents across 16 European countries. People reported high levels of concern about marine litter, and the vast majority (95%) reported seeing litter when visiting the coast. The problem was attributed to product and packaging design and behaviour rather than lack of facilities or accidental loss of items. Retailers, industry and government were perceived as most responsible, but also least motivated and competent to reduce marine litter, whereas …

Turning The Tide On Trash: Empowering European Educators And School Students To Tackle Marine Litter, Bonny L. Hartley, Sabine Pahl, Matthew Holland, Iro Alampei, Joana M. Veiga, Richard C. Thompson

School of Biological and Marine Sciences

Marine litter is a global environmental problem, and working with educators and school students has much potential to facilitate greater public understanding of the solutions and to enable action. This research examined two new educational activities designed to empower European educators and school students to engage with the topic of marine litter, particularly focusing on behavior and on known determinants of behavior rather than knowledge alone. In Study 1, 120 educators participated in an online training course on marine litter, and completed a pre- and post-course questionnaire to assess change. After participating in the course, educators felt significantly more skillful …

Indications Of Future Performance Of Native And Non-Native Adult Oysters Under Acidification And Warming, Anaëlle J. Lemasson, Jason M. Hall-Spencer, Stephen Fletcher, Samuel Provstgaard-Morys, Antony M. Knights

School of Biological and Marine Sciences

Globally, non-native species (NNS) have been introduced and now often entirely replace native species in captive aquaculture; in part, a result of a perceived greater resilience of NSS to climate change and disease. Here, the effects of ocean acidification and warming on metabolic rate, feeding rate, and somatic growth was assessed using two co-occurring species of oysters – the introduced Pacific oyster Magallana gigas (formerly Crassostrea gigas), and native flat oyster Ostrea edulis. Biological responses to increased temperature and pCO₂ combinations were tested, the effects differing between species. Metabolic rates and energetic demands of both species were increased by …

Inequity Of Care Provision And Outcome Disparity In Autoimmune Hepatitis In The United Kingdom, Jk Dyson, Lin Lee Wong, Theophile Bigirumurame, Gideon M. Hirschfield, Stuart Kendrick, Ye H. Oo, Ansgar W. Lohse, Ma Heneghan, David E.J. Jones, Matthew Cramp

Peninsula Medical School

No abstract provided.

Facilities Forum, Georgia Southern University

Auxiliary Services (2013-2021)

• Welcome Kathryn Harrison
• Congratulations Bryan Rountree, Director, Building Operations
• Congratulations Matthew Shingler, Director, Facilities Planning, Design, and Construction
• Topping out IAB
• Facilities Services Promotes Sustainability
• GSU Receives Award for Climate Leadership
• Eagles Help Beautify Their Campus
• EHS Participates in Benefits Fair
• DFS Employees at Work
• Lighting of Sweetheart Circle

Facilities Forum, Georgia Southern University

Auxiliary Services (2013-2021)

• Green Ribbon School Award Winner
• Warm Welcomes - New DFS Team Members
• Staff Spotlight
• Eagle Expansions
• "True Blue" Custodial Staff Members
• Holiday Helper Tree
• DFS Fall Potluck Picnic

A Preliminary Evaluation Of The Ability Of Keratotic Tissue To Act As A Prognostic Indicator Of Hip Fracture Risk, J. Renwick Beattie, Diane Feskanich, M. Clare Caraher, Mark R. Towler

Chemical and Biochemical Engineering Faculty Research & Creative Works

Studies have shown that Raman spectroscopic analysis of fingernail clippings can help differentiate between post-menopausal women who have and who have not suffered a fracture. However, all studies to date have been retrospective in nature, comparing the proteins in nails sourced from women, post-fracture. The objective of this study was to investigate the potential of a prospective test for hip fracture based on spectroscopic analysis of nail tissue. Archived toenail samples from post-menopausal women aged 50 to 63 years in the Nurses' Health Study were obtained and analysed by Raman spectroscopy. Nails were matched case-controls sourced from 161 women; 82 …

Identifying Enablers And Barriers To Individually Tailored Prescribing: A Survey Of Healthcare Professionals In The Uk, Joanne Reeve, Nicky Britten, Richard Byng, Jo Fleming, Janet Heaton, Janet Krska

Peninsula Medical School

No abstract provided.

Factors Influencing Treatment Escalation From Long-Acting Muscarinic Antagonist Monotherapy To Triple Therapy In Patients With Copd: A Retrospective Thin-Database Analysis, Jr Hurst, M Dilleen, K Morris, S Hills, B Emir, R Jones

Peninsula Medical School

No abstract provided.

Trends Of Testing For And Diagnosis Of Α 1 -Antitrypsin Deficiency In The Uk: More Testing Is Needed, Jb Soriano, Sj Lucas, R Jones, M Miravitlles, V Carter, I Small, D Price, R Mahadeva

Peninsula Medical School

α1-antitrypsin deficiency (AATD) significantly increases the risk of developing chronic obstructive pulmonary disease (COPD), and testing of all COPD patients for AATD is recommended by the World Health Organization, European Respiratory Society and Global Initiative for Chronic Obstructive Lung Disease (GOLD). We aimed to determine trends for testing and diagnosing AATD from 1990 to 2014. This study analysed all patients diagnosed with COPD from about 550 UK Optimum Patient Care Research Database general practices, including a subgroup of those diagnosed before the age of 60 years. We identified 107 024 COPD individuals, of whom 29 596 (27.6%) were diagnosed before …

Patient-Reported Outcomes With Initiation Of Fluticasone Furoate/Vilanterol Versus Continuing Usual Care In The Asthma Salford Lung Study, H Svedsater, R Jones, N Bosanquet, L Jacques, J Lay-Flurrie, Da Leather, J Vestbo, S Collier, A Woodcock

Peninsula Medical School

No abstract provided.

The Evolution Of Communication Pedagogy, Jerry D. Feezel

Journal of Communication Pedagogy

This article is an overview of the major developments in the field of communication in education. From the history of the national association over 100 plus years, specific attention is paid to changes leading to the advent of this publication. Changes in nomenclature, conferences, publications, research, and educational trends are discussed. The essay is intended to provide a view of history as setting for inauguration of the Journal of Communication Pedagogy. It also is intended to invite and stimulate other scholars’ reflections on the nature and evolution of the field.