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2019

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Exploring Patients’ And Healthcare Professionals’ Experiences Of Patient-Witnessed Resuscitation: A Qualitative Study Protocol, Martina Fiori, Ruth Endacott, Jos M. Latour Jan 2019

Exploring Patients’ And Healthcare Professionals’ Experiences Of Patient-Witnessed Resuscitation: A Qualitative Study Protocol, Martina Fiori, Ruth Endacott, Jos M. Latour

School of Nursing and Midwifery

No abstract provided.


Family-Centred Care In The Intensive Care Unit: More Than Just Flexible Visiting Hours, Jos M. Latour, Maureen Coombs Jan 2019

Family-Centred Care In The Intensive Care Unit: More Than Just Flexible Visiting Hours, Jos M. Latour, Maureen Coombs

School of Nursing and Midwifery

In this Special Issue of Intensive and Critical Care Nursing we are pleased to present the latest international work related to family-centred care in intensive care settings. Our journal is read in over 90 countries and the 16 articles presented in this Special Issue truly reflect the international scope and engagement in family-centred care initiatives. The contributions in this issue not only originate from across Europe, Asia, Oceania and North America, the papers also address family-centred care issues across adult intensive care, paediatric intensive care and neonatal intensive care settings. As Guest Editors, we have been excited to receive papers …


Effects Of Family-Centered Care Interventions On Preterm Infants And Parents In Neonatal Intensive Care Units: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Xiang Ding, Lihui Zhu, Rong Zhang, L Wang, T-T Wang, Jos M. Latour Jan 2019

Effects Of Family-Centered Care Interventions On Preterm Infants And Parents In Neonatal Intensive Care Units: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Xiang Ding, Lihui Zhu, Rong Zhang, L Wang, T-T Wang, Jos M. Latour

School of Nursing and Midwifery

Objective: To review English and Chinese randomized controlled trials (RCTs) to determine the effects of family-centered care interventions on preterm infants’ and parental outcomes in Neonatal Intensive Care Units and to conduct a meta-analysis. Review method used: Systematic review and meta-analysis. Data sources: MEDLINE, CINAHL, EMBASE, PsycInfo, BNI, AMED and the Chinese databases CNKI and Wanfang were searched in April 2017 and updated in August 2018. Review methods: Only RCTs were included. Participants were preterm infants ≤ 37 weeks gestational age and parents. Interventions were related to family-centered care and outcome measures were infant and parent clinical outcomes. Included studies …


Incidence And Risk Factors Of Postoperative Delirium In Intensive Care Unit Patients: A Study Protocol For The Predict Study, Shining Cai, Minzhi Lv, Jos M. Latour, Ying Lin, Wenyan Pan, Jili Zheng, Lihong Cheng, Jingjing Li, Yuxia Zhang Jan 2019

Incidence And Risk Factors Of Postoperative Delirium In Intensive Care Unit Patients: A Study Protocol For The Predict Study, Shining Cai, Minzhi Lv, Jos M. Latour, Ying Lin, Wenyan Pan, Jili Zheng, Lihong Cheng, Jingjing Li, Yuxia Zhang

School of Nursing and Midwifery

No abstract provided.


Perioperative Oxidative Stress: The Unseen Enemy, Jia L. Stevens, Martin Feelisch, Daniel S. Martin Jan 2019

Perioperative Oxidative Stress: The Unseen Enemy, Jia L. Stevens, Martin Feelisch, Daniel S. Martin

Peninsula Medical School

Reactive oxygen species (ROS) are essential for cellular signaling and physiological function. An imbalance between ROS production and antioxidant protection results in a state of oxidative stress (OS), which is associated with perturbations in reduction/oxidation (redox) regulation, cellular dysfunction, organ failure, and disease. The pathophysiology of OS is closely interlinked with inflammation, mitochondrial dysfunction, and, in the case of surgery, ischemia/reperfusion injury (IRI). Perioperative OS is a complex response that involves patient, surgical, and anesthetic factors. The magnitude of tissue injury inflicted by the surgery affects the degree of OS, and both duration and nature of the anesthetic procedure applied …


Internal And External Determinants Of Export Performance: Insights From Algeria, My Haddoud, W Nowinski, P Jones, R Newbery Jan 2019

Internal And External Determinants Of Export Performance: Insights From Algeria, My Haddoud, W Nowinski, P Jones, R Newbery

Plymouth Business School

The internationalization of small and medium‐sized enterprises (SMEs) has been the focus of numerous studies. However, while the attention has thus far been on SMEs operating in developed countries, firms evolving in a developing context, including Africa, have been largely neglected. To address this, and drawing on a dual resources‐based and network‐based view, this study simultaneously investigates the importance of internal and external resources for firms’ export performance and regularity in the context of North African SMEs. Using a sample of Algerian exporters, the study reveals the superiority of discrete resources for boosting export performance and export regularity. These findings …


The Internationalization Of Nigerian Firms: Motivations And Location Patterns, C Omokaro–Romanus, Jr Anchor, P Konara Jan 2019

The Internationalization Of Nigerian Firms: Motivations And Location Patterns, C Omokaro–Romanus, Jr Anchor, P Konara

Plymouth Business School

Despite the increased number of studies of the internationalization of emerging-market multinationals (EMNCs), Latin American and Asian firms have dominated the focus of such studies, while the study of the internationalization process of sub-Saharan African firms in the international business literature is quite limited. Therefore, this article examines the motivations and location patterns of the internationalization process of four Nigerian firms through a multiple case study approach. The findings show that the internationalization of the Nigerian firms is a recent phenomenon, but the foreign investment pattern reflects a pan-African investment strategy. However, the findings also reveal that the firm-specific advantages …


Challenging Robot Morality: An Ethical Debate On Humanoid Companions, Dataveillance, And Algorithms, Eugenia Stamboliev Jan 2019

Challenging Robot Morality: An Ethical Debate On Humanoid Companions, Dataveillance, And Algorithms, Eugenia Stamboliev

School of Art, Design and Architecture Theses

In this thesis, I reflect on ethical, moral, and agenthood debates around social and humanoid robots in two ways. I focus on how the technological agency of social robots is understood in ethical canons by shifting from moral concerns in Robot Ethics to data-related ethical concerns in Media and Surveillance Studies. I then move to wider debates on morality, agenthood, and agencies in Machine and Computer Ethics research, so as to highlight that social robots, other robots, machines, and algorithmic structures are often moralised but not understood ethically. In that vein, I distinguish between these two terms to point to …


Sustainable Digital Neighbourhoods: A Case Study Of People, Place And Technology Under The Rural Village Condition, Pamela Varley Jan 2019

Sustainable Digital Neighbourhoods: A Case Study Of People, Place And Technology Under The Rural Village Condition, Pamela Varley

School of Art, Design and Architecture Theses

This research seeks to develop an advanced understanding of the interplay between broadband use, social interaction and the place in which people live. Fieldwork has involved working in an embedded manner within a central case study neighbourhood, a rural Cornish village – St Breward. A wide range of methods has been employed, including social network analysis, survey research, qualitative interviewing and a diary study. Results have painted a picture of how a community is structured, how it operates (both socially and spatially), and how technology infuses with this. The research presented here illustrates the unique nature of social operations within …


Space-Time Experience In The Meta-Environment: A Cybersemiotic Analysis, Claudia Ferreira Jacques De Moraes Cardoso Jan 2019

Space-Time Experience In The Meta-Environment: A Cybersemiotic Analysis, Claudia Ferreira Jacques De Moraes Cardoso

School of Art, Design and Architecture Theses

Space-time Experience in the Meta-environment: A Cybersemiotic Analysis Written from the perspective of a reflective technoetic art practitioner, this thesis investigates Human-Computer Interactions in interactive hybrid environments and their influences on mediated consciousness. It argues that practices established during the advent of computer graphic interfaces have limited the interactive potential of such environments. It examines interactive processes among user, information, and interface; proposes a closer look at representational paradigms of space and time; suggests potentially illuminating parallels with complex adaptive systems; and explores their theoretical and practical co-implications. Influenced by Marcel Duchamp’s conceptual-interactive art experiments, Brazil’s syncretic Tropicalismo movement, and …


Le Passage - Towards The Concept Of A New Knowledge Instrument, Isabella Marzena Beyer Jan 2019

Le Passage - Towards The Concept Of A New Knowledge Instrument, Isabella Marzena Beyer

School of Art, Design and Architecture Theses

This dissertation is concerned with the analysis and development of the passage concept in immersive dome environments (IDE). The research follows an interdisciplinary approach that draws on practices of scientific and artistic visualisation in the process of knowledge production. The research methodology is informed by my working practice, developing experiences for spherical displays, first inside fulldome planetariums, and currently also inside further 360° media formats such as VR (Virtual Reality), AR (Augmented Reality), and MR (Mixed Reality). The methodology is further underpinned by a media archaeology and interrogated through an ethnographic process of expert conversations and interviews. The media archaeology …


Artistic Modulation Of Consciousness By Bioelectromagnetic Stimulation, Luis Miguel Almeida Ferreira Girao Jan 2019

Artistic Modulation Of Consciousness By Bioelectromagnetic Stimulation, Luis Miguel Almeida Ferreira Girao

School of Art, Design and Architecture Theses

The thesis demonstrates why the application of bioelectromagnetic stimulation as a medium of artistic expression allows for the production of new and unprecedented realisations of integrative art. Furthermore, the modulation of consciousness in human beings relating with such realisations is argued to be the core of a new practice of research resulting from the technological confluence of Philosophy, Art and Science. The Brunelleschi Experiment is examined in order to establish the assumption that one of the fundamental characteristics of Art is to impact consciousness of those interacting with its forms. The aspects of disembodiment of the previously referred experiment, instrumental …


Application Of Musical Computing To Creating A Dynamic Reconfigurable Multilayered Chamber Orchestra Composition, Alexis Kirke Jan 2019

Application Of Musical Computing To Creating A Dynamic Reconfigurable Multilayered Chamber Orchestra Composition, Alexis Kirke

School of Art, Design and Architecture

With increasing virtualization and the recognition that today’s virtual computers are faster than hardware computers of 10 years ago, modes of computation are now limited only by the imagination. Pulsed Melodic Affective Processing (PMAP) is an unconventional computation protocol that makes affective computation more human-friendly by making it audible. Data sounds like the emotion it carries. PMAP has been demonstrated in nonmusical applications, e.g. quantum computer entanglement and stock market trading. This article presents a musical application and demonstration of PMAP: a dynamic reconfigurable score for acoustic orchestral performance, in which the orchestra acts as a PMAP half-adder to add …


Prototyping Relational Things That Talk: A Discursive Design Strategy For Conversational Ai Systems, Birgitte Aga Jan 2019

Prototyping Relational Things That Talk: A Discursive Design Strategy For Conversational Ai Systems, Birgitte Aga

School of Art, Design and Architecture Theses

This practice-based research inquiry explores the implications of conversational Artificial Intelligence (AI) systems, ‘relational things that talk’, on the way people experience the world. It responds directly to the pervasive lack of ethical design frameworks for commercial AI systems, compounded by limited transparency, ubiquitous authority, embedded bias and the absence of diversity in the development process. The effect produced by relational things that talk upon the feelings, thoughts or intentions of the user is here defined as the ‘perlocutionary effect’ of conversational AI systems. This effect is constituted by these systems’ ‘relationality‘ and ‘persuasiveness’, propagated by the system’s embedded bias …


Landscape Of Legislation: A Photographic Investigation Of The Mendip Hills Area Of Outstanding Natural Beauty, David Anthony Wyatt Jan 2019

Landscape Of Legislation: A Photographic Investigation Of The Mendip Hills Area Of Outstanding Natural Beauty, David Anthony Wyatt

School of Art, Design and Architecture Theses

This study used the researcher’s own photographic practice to interrogate the judgements of value explicit in the creation and maintenance of the Mendip Hills ‘area of outstanding natural beauty’ (AONB). The objective was to investigate what photography could say about the aesthetic judgements associated with such a designation. This was examined through identifying four case studies, all geographically located within the AONB, in order to explore the potential and limitations of diverse photographic methods. At each site, maps were created as part of the research thereby allowing site-specific conservation information to lead the practice. These locations were then photographed as …


Assessing Housing Approaches For Iraq: Learning From The World Experience, Omar Al-Hafith, B. K. Satish, Wilde P De Jan 2019

Assessing Housing Approaches For Iraq: Learning From The World Experience, Omar Al-Hafith, B. K. Satish, Wilde P De

School of Art, Design and Architecture

No abstract provided.


The Impact Of Courtyard Geometry On Its Mean Radiant Temperature, Omar Al-Hafith, B. K. Satish, Pd Wilde Jan 2019

The Impact Of Courtyard Geometry On Its Mean Radiant Temperature, Omar Al-Hafith, B. K. Satish, Pd Wilde

School of Art, Design and Architecture

No abstract provided.


Governance And Economic Development In The Arab Region: A Global Perspective, Islam Abdelbary Jan 2019

Governance And Economic Development In The Arab Region: A Global Perspective, Islam Abdelbary

Plymouth Business School Theses

The Arab region enjoys a strategic geographical location, an abundant natural resource base, a demographic gift of an expanding pool of young and educated labour force, and a dynamic and entrepreneurial population. Despite these, the region has been unable to achieve sustained and inclusive growth. This failure has strongly been attributed to igniting a wave of protests, popularly referred to as the ‘Arab Spring’, which spread throughout most of the region. Hence, the study aimed to identify the economic and especially institutional reasons that led to the Arab uprising by evaluating reform programmes that took place over the past two …


The Delivery Of Mixed Communities In The Regeneration Of Urban Waterfronts: An Investigation Of The Comparative Experience Of Plymouth And Bristol, Daniel Thorning, Christopher Balch, Stephen Essex Jan 2019

The Delivery Of Mixed Communities In The Regeneration Of Urban Waterfronts: An Investigation Of The Comparative Experience Of Plymouth And Bristol, Daniel Thorning, Christopher Balch, Stephen Essex

School of Geography, Earth and Environmental Sciences

The raison d’être of spatial planning is to secure public benefits or goods through the regulation of private development. Under neoliberalism, where economic growth is privileged over community interests, the ability of planning to deliver public goods can be compromised. The aim of this research was to investigate the delivery of mixed communities in the regeneration of waterfront sites in two outwardly comparable, but in detail, rather different port cities, namely Plymouth and Bristol. The range of dwelling types, extent of affordable housing and associated practicalities of delivery were evaluated using planning application data, 2000–2017 and semi-structured interviews with key …


The Holistic Exploration Of The Multifaceted Relationship Between Healthcare Professionals’ Job Satisfaction And Quality Of Care., Moya Lerigo-Sampson Jan 2019

The Holistic Exploration Of The Multifaceted Relationship Between Healthcare Professionals’ Job Satisfaction And Quality Of Care., Moya Lerigo-Sampson

Plymouth Business School Theses

Problem definition: Healthcare is a professional field, which most individuals will encounter at some point in their life, directly or indirectly. In the UK, healthcare organisations are facing significant challenges, including financial pressures, shortages in staffing levels, and changes in the way healthcare is delivered. In addition, patient demand for such healthcare systems has been increasing dramatically year on year, in part, due to societal changes towards unhealthier lifestyles. Consequently, amid such adversities, it is important to understand how these issues are affecting both the providers and receivers of healthcare. Therefore, the current study will explore how healthcare professionals’ job …


Measuring Sustainability In Less Developed Countries: Case Of Tourism In The Gorilla Parks Of The Democratic Republic Of Congo, Vincent-Bouky Kakuru Luhunde Jan 2019

Measuring Sustainability In Less Developed Countries: Case Of Tourism In The Gorilla Parks Of The Democratic Republic Of Congo, Vincent-Bouky Kakuru Luhunde

Plymouth Business School Theses

This research proposes a method and tool for measuring the sustainability of tourism in Less Developed Countries (LDCs), more specifically the gorilla tourism of the D.R. Congo. Since the Brundtland Report several assessment models have been proposed but have all failed to capture the centrality of sustainability, i.e. stakeholders, the very ones who can take action for sustainability to be achieved or not. This research has helped to design a holistic and stakeholder-centred method and tool for measuring sustainability of tourism, the Sustainability Value Model (SVM) using Social Network Analysis (SNA) method. The SVM tool provides a visual assessment of …


Variable Fault Geometry Suggests Detailed Fault Slip-Rate Profiles And Geometries Are Needed For Fault-Based Probabilistic Seismic Hazard Assessment (Psha), Walker J Faure, F. Visini, G. Roberts, C. Galasso, K. Mccaffrey, Z. Mildon Jan 2019

Variable Fault Geometry Suggests Detailed Fault Slip-Rate Profiles And Geometries Are Needed For Fault-Based Probabilistic Seismic Hazard Assessment (Psha), Walker J Faure, F. Visini, G. Roberts, C. Galasso, K. Mccaffrey, Z. Mildon

School of Geography, Earth and Environmental Sciences

No abstract provided.


Professional Knowledges For Early Childhood Education And Care, Vjg Campbell Barr Jan 2019

Professional Knowledges For Early Childhood Education And Care, Vjg Campbell Barr

School of Law, Humanities and Social Sciences

This article proposes reconceptualizing professional knowledge in early childhood education and care (ECEC) as knowledges, incorporating phronesis (practical wisdom), techne (skill), and episteme (pure knowledge). Conceptualizing professional knowledge in the plural broadens perspectives on the professional knowledge base and opens up a discussion of how different forms of knowledge are acquired. Drawing on Bernstein, the author identifies ECEC as requiring horizontal and vertical constructs of knowledge that have different structures and legitimization processes. While phronesis is presented as being a part of ECEC professional knowledges, the discussion explores the difficulties in defining phronesis, because of the variable ways it is …


Evaluating The Acceptability Of Assistive Robots For Early Detection Of Mild Cognitive Impairment, Matteo Luperto, Marta Romeo, Francesca Lunardini, Nicola Basilico, Carlo Abbate, Ray Jones, Angelo Cangelosi, Simona Ferrante, N. Alberto Borghese Jan 2019

Evaluating The Acceptability Of Assistive Robots For Early Detection Of Mild Cognitive Impairment, Matteo Luperto, Marta Romeo, Francesca Lunardini, Nicola Basilico, Carlo Abbate, Ray Jones, Angelo Cangelosi, Simona Ferrante, N. Alberto Borghese

School of Nursing and Midwifery

No abstract provided.


Covariate Shift Estimation Based Adaptive Ensemble Learning For Handling Non-Stationarity In Motor Imagery Related Eeg-Based Brain-Computer Interface, Haider Raza, Dheeraj Rathee, Shang Ming Zhou, Hubert Cecotti, Girijesh Prasad Jan 2019

Covariate Shift Estimation Based Adaptive Ensemble Learning For Handling Non-Stationarity In Motor Imagery Related Eeg-Based Brain-Computer Interface, Haider Raza, Dheeraj Rathee, Shang Ming Zhou, Hubert Cecotti, Girijesh Prasad

School of Nursing and Midwifery

No abstract provided.


Mobile Health Interventions To Promote Physical Activity And Reduce Sedentary Behaviour In The Workplace: A Systematic Review, Sa Buckingham, Aj Williams, K Morrissey, L Price, J Harrison Jan 2019

Mobile Health Interventions To Promote Physical Activity And Reduce Sedentary Behaviour In The Workplace: A Systematic Review, Sa Buckingham, Aj Williams, K Morrissey, L Price, J Harrison

School of Nursing and Midwifery

Objective This systematic review aimed to assess the effectiveness, feasibility and acceptability of mobile health (mHealth) technology (including wearable activity monitors and smartphone applications) for promoting physical activity (PA) and reducing sedentary behaviour (SB) in workplace settings. Methods Systematic searches were conducted in seven electronic databases (MEDLINE, SPORTDiscus, Scopus, EMBASE, PsycINFO, Web of Science and the Cochrane library). Studies were included if mHealth was a major intervention component, PA/SB was a primary outcome, and participants were recruited and/or the intervention was delivered in the workplace. Study quality was assessed using the Effective Public Health Practice Project (EPHPP) tool. Interventions were …


Insulin Resistance During Normal Child Growth And Development Is Associated With A Distinct Blood Metabolic Phenotype (Earlybird 72), Joanne Hosking, Jonathan Pinkney, Alison Jeffery, Ornella Cominetti, Silva L Da, Sebastiano Collino, Martin Kussmann, Jorg Hager, Francois Pierre Martin Jan 2019

Insulin Resistance During Normal Child Growth And Development Is Associated With A Distinct Blood Metabolic Phenotype (Earlybird 72), Joanne Hosking, Jonathan Pinkney, Alison Jeffery, Ornella Cominetti, Silva L Da, Sebastiano Collino, Martin Kussmann, Jorg Hager, Francois Pierre Martin

Peninsula Medical School

No abstract provided.


Assessing The Psychosocial Factors Associated With Adherence To Exercise Referral Schemes: A Systematic Review, Michael Eynon, Jessica Foad, John Downey, Yasmin Bowmer, Hayley Mills Jan 2019

Assessing The Psychosocial Factors Associated With Adherence To Exercise Referral Schemes: A Systematic Review, Michael Eynon, Jessica Foad, John Downey, Yasmin Bowmer, Hayley Mills

School of Nursing and Midwifery

This paper aimed to systematically review the evidence base to uncover the key psychosocial factors that underpin adherence to an exercise referral scheme (ERS). Databases PsycINFO, MEDLINE, SPORTDiscus, Web of Science, PubMed, PsycARTICLES, Open Grey, and PsycEXTRA were systematically searched. A parallel results-based convergent synthesis was performed by identifying key themes from quantitative and qualitative studies separately. After applying inclusion and exclusion criteria, the review included 24 eligible studies. Key findings showed intrinsic motivation, psychological need satisfaction, social support, and self-efficacy to be the prominent psychosocial factors associated with ERS adherence. In addition, lower expectations for change when entering the …


Naxdmutations Cause A Novel Neurodegenerative Disorder Exacerbated By Febrile Illnesses, Bergen Nj Van, Y Guo, J Rankin, N Paczia, J Becker-Kettern, Ls Kremer, A Pyle, J Conrotte, Cj Ellaway, P Procopis, K Prelog, T Homfray, J Baptista, E Baple, M Wakeling, S Massey, Dp Kay, A Shukla, Km Girisha, Les Lewis, Sd Santra, R Power, P Daubeney, J Montoya, E Ruiz-Pesini, R Kovacs-Nagy, M Pritsch, U Ahting, Dr Thorburn, H Prokisch, R Taylor, J Christodoulou, C Linster, S Ellard, H Hakonarson Jan 2019

Naxdmutations Cause A Novel Neurodegenerative Disorder Exacerbated By Febrile Illnesses, Bergen Nj Van, Y Guo, J Rankin, N Paczia, J Becker-Kettern, Ls Kremer, A Pyle, J Conrotte, Cj Ellaway, P Procopis, K Prelog, T Homfray, J Baptista, E Baple, M Wakeling, S Massey, Dp Kay, A Shukla, Km Girisha, Les Lewis, Sd Santra, R Power, P Daubeney, J Montoya, E Ruiz-Pesini, R Kovacs-Nagy, M Pritsch, U Ahting, Dr Thorburn, H Prokisch, R Taylor, J Christodoulou, C Linster, S Ellard, H Hakonarson

Peninsula Medical School

Physical stress, including high temperatures, may damage the central metabolic nicotinamide nucleotide cofactors [NAD(P)H], generating toxic derivatives [NAD(P)HX]. The highly conserved enzyme NAD(P)HX dehydratase (NAXD) is essential for intracellular repair of NAD(P)HX. Here we present a series of infants and children who suffered episodes of febrile illness-induced neurodegeneration or cardiac failure and early death. Whole-exome or whole-genome sequencing identified recessive NAXD variants in each case. Variants were predicted to be potentially deleterious through in silico analysis. Reverse-transcription PCR confirmed altered splicing in one case. Subject fibroblasts showed highly elevated concentrations of the damaged cofactors SNADHX, R-NADHX and cyclic NADHX. NADHX …


Optimising Feedback For Early Career Professionals: A Scoping Review And New Framework, Karen Mattick, Nicola Brennan, Simon Briscoe, Chrysanthi Papoutsi, Mark Pearson Jan 2019

Optimising Feedback For Early Career Professionals: A Scoping Review And New Framework, Karen Mattick, Nicola Brennan, Simon Briscoe, Chrysanthi Papoutsi, Mark Pearson

Peninsula Medical School

No abstract provided.