Digital Commons Network^™

Eslicarbazepine Acetate Response In Intellectual Disability Population Versus General Population, Jon Allard, Charlotte Lawthom, William Henley, Brendan Mclean, Sharon Hudson, Phil Tittensor, Sanjeev Rajakulendran, Shan Ellawela, Adrian Pace, Rohit Shankar

Peninsula Medical School

Background: A quarter of people with intellectual disability (ID) have epilepsy, compared to approximately one in a hundred across the general population. Evidence for the safe and effective prescribing of antiepileptic drugs (AEDs) for those with ID is, however, limited. Aims of Study: This study seeks to strengthen the research evidence around Eslicarbazepine Acetate (ESL), a new AED, by comparing response of individuals with ID to those from the general population who do not have ID. Methods: A single data set was created through retrospective data collection from English and Welsh NHS Trusts. The UK-based Epilepsy Database Research Register (Ep-ID) …

Early Detection Of Alzheimer's Disease With Blood Plasma Proteins Using Support Vector Machines, Chima S. Eke, Emmanuel Jammeh, Xinzhong Li, Camille Carroll, Stephen Pearson, Emmanuel Ifeachor

Peninsula Medical School

No abstract provided.

Evaluation Of A Primary Care-Based Collaborative Care Model (Partners2) For People With Diagnoses Of Schizophrenia, Bipolar, Or Other Psychoses: Study Protocol For A Cluster Randomised Controlled Trial, Humera Plappert, Charley Hobson-Merrett, Bliss Gibbons, Elina Baker, Sheridan Bevan, Michael Clark, Siobhan Creanor, Linda Davies, Rebecca Denyer, Julia Frost, Linda Gask, John Gibson, Laura Gill, Ruth Gwernan-Jones, Pollyanna Hardy, Joanne Hosking, Peter Huxley, Alison Jeffrey, Benjamin Jones, Steven Marwaha, Vanessa Pinold, Claire Planner, Tim Rawcliffe, Siobhan Reilly, Debra Richards, Lynsey Williams, Max Birchwood, Richard Byng

Peninsula Medical School

BackgroundCurrent NHS policy encourages an integrated approach to provision of mental and physical care for individuals with long term mental health problems. The ‘PARTNERS2’ complex intervention is designed to support individuals with psychosis in a primary care setting.AimThe trial will evaluate the clinical and cost-effectiveness of the PARTNERS2 intervention.Design & settingThis is a cluster randomised controlled superiority trial comparing collaborative care (PARTNERS2) with usual care, with an internal pilot to assess feasibility. The setting will be primary care within four trial recruitment areas: Birmingham & Solihull, Cornwall, Plymouth, and Somerset. GP practices are randomised 1:1 to either (a) the PARTNERS2 …

A Feasibility Randomised Controlled Trial Of Targeted Oxygen Therapy In Mechanically Ventilated Critically Ill Patients, Daniel S. Martin, Margaret Mcneil, Chris Brew-Graves, Helder Filipe, Ronan O’Driscoll, Jia Liu Stevens, Rachel Burnish, Andrew F. Cumpstey, Norman R. Williams, Michael G. Mythen, Michael P.W. Grocott

Peninsula Medical School

Background Despite oxygen being the commonest drug administered to critically ill patients we do not know which oxygen saturation (SpO2) target results in optimal survival outcomes in those receiving mechanical ventilation. We therefore conducted a feasibility randomised controlled trial in the United Kingdom (UK) to assess whether it would be possible to host a larger national multi-centre trial to evaluate oxygenation targets in mechanically ventilated patients. Methods We set out to recruit 60 participants across two sites into a trial in which they were randomised to receive conservative oxygenation (SpO2 88–92%) or usual care (control – SpO2 ≥96%). The primary …

Physiological Responses During Ascent To High Altitude And The Incidence Of Acute Mountain Sickness, Alexandra B. Cobb, Denny Z.H. Levett, K Mitchell, Wynne Aveling, D Hurlbut, E Gilbert‐Kawai, Philip J. Hennis, Mg Mythen, Michael P.W. Grocott, Ds Martin, V. Ahuja, G Aref‐Adib, R. Burnham, A. Chisholm, K. Clarke, D Coates, M Coates, D. Cook, M. Cox, S. Dhillon, C. Dougall, P. Doyle, P. Duncan, M. Edsell, L. Edwards, L. Evans, P. Gardiner, Michael P.W. Grocott, P. Gunning, J. Harrington, J. Harrington, J. Harvey, C. Holloway, D. Howard, D Hurlbut, C. Imray, C. Ince, Der Kaaij J Van, M. Khosravi, N. Kolfschoten, Denny Z.H. Levett, H Luery, A. Luks, D Martin, R. Mcmorrow, P. Meale, K Mitchell, H. Montgomery, G Morgan, J Morgan, A. Murray, M Mythen, S Newman, V O’Dwyer, J Pate, T Plant, V Pun, P Richards, A Richardson, G Rodway, J Simpson, C Stroud, M Stroud, J Stygal, B Symons, P Szawarski, Tulleken A Van, Tulleken C Van, A Vercueil, L Wandrag, M Wilson, J Windsor, B Basnyat, K. Clarke, T Hornbein, J Milledge, J West, S Abraham, T Adams, W Anseeuw, R Astin, B Basnyat, O Burdall, J Carroll, Alexandra B. Cobb, J Coppel, O Couppis, J Court, A Cumpstey, T Davies, S. Dhillon, N Diamond, C. Dougall, T Geliot, E Gilbert‐Kawai, G Gilbert‐Kawai, E Gnaiger, M Grocott, C Haldane, P Hennis, J Horscroft, D Howard, S Jack, B Jarvis, W Jenner, G Jones, J Van Der Kaaij, J Kenth, A Kotwica, R Kumar Bc, J Lacey, V Laner, D Levett, D Martin, P Meale, K Mitchell, Z Mahomed, J Moonie, A Murray, M Mythen, P Mythen, K O’Brien, I Ruggles‐Brice, K Salmon, A Sheperdigian, T Smedley, B Symons, C Tomlinson, A Vercueil, L Wandrag, S Ward, A Wight, C Wilkinson, S Wythe, M Feelisch, E Gilbert‐Kawai, M Grocott, M Hanson, D Levett, D Martin, K Mitchell, H Montgomery, R Moon, A Murray, M Mythen, M Peters

Peninsula Medical School

No abstract provided.

Secondary Analysis Of Loot Box Data: Are High-Spending “Whales” Wealthy Gamers Or Problem Gamblers?, James Close, Stuart Gordon Spicer, Laura Louise Nicklin, Maria Uther, Joanne Lloyd, H Lloyd

Peninsula Medical School

IntroductionLoot boxes are purchasable randomised reward mechanisms in video games. Due to structural and psychological similarities with gambling, there are fears that loot box purchasing may be associated with problematic gambling. Whilst monthly expenditure is typically modest (i.e. < $20), the distribution is highly skewed, with a small number of high-level spenders, sometimes referred to as “whales”. It is not known what proportion of industry profits are derived from such players, and whether they are typically wealthy individuals and/or problem gamblers.MethodsWe used structured literature searches to identify surveys of gamers with open-access loot box data. The resulting datasets were aggregated, and correlations between loot box expenditure, problem gambling and earnings investigated using Spearman’s rho correlations.ResultsThe combined open-access data comprised 7,767 loot box purchasers (5,933 with self-report earnings). Secondary analysis of this self-report data confirmed that disproportionate revenue appears to be generated from high-level spenders: the top 5% of spenders (> $100/month) represent half of loot box revenue. Previously reported correlations between problem gambling and loot box expenditure were confirmed, with an aggregate correlation of ρ = 0.34, p < .001. In contrast, there was no significant correlation between loot box spend and earnings ρ = 0.02, p = .10.ConclusionOur secondary analysis suggests that games developers (unwittingly or not) are disproportionately profiting from moderate and high-risk gamblers, rather than high earning customers. Such patterns of spending mirror those observed with gambling revenues, and have implications for harm minimisation and ongoing policy debates around loot boxes.

Design Out Waste Framework For Achieving Sustainability In Public Housing Projects In Egypt, Ayman Ahmed Ezzat Othman, Laila Elsawaf

Architectural Engineering

Due to the increasing population worldwide, Public housing projects (PHPs) have witnessed a rapid increase during the previous decades. Simultaneously, this generated a substantial amount of waste that represents roughly 40% of the solid waste produced by the construction industry every year. Being one of the significant phases of the construction process, the choices made during the design process play a crucial role towards increasing the solid waste created during the construction phase, which eventually affected the sustainability of the developed projects. This called for considering innovative strategies that reduce construction waste during the design process. This paper aims to …

Sacred Places: The Interaction Between Space, Time And Faith, Mona Helmy

Architectural Engineering

Sacred places are dedicated places and/or places that are tangibly constructed for a religious or holy purpose, or for a certain belief, such as mosques, churches or temples. Furthermore, sacred places could also be intangible places that are religiously or spiritually interpreted within various spaces, such as mountains, rivers or deserts.

This research paper investigates what makes a place sacred, and if a sacred place is relative, or timeless; for example, if a place is considered sacred for all users, or only for a selected group of users. It also explores whether the sensation of the sacredness in places …

A Framework For Achieving Sustainability By Overcoming The Challenges Of The Construction Supply Chain During The Design Process, Ayman Ahmed Ezzat Othman, Nooran Alnassar

Architectural Engineering

This paper aims to develop a framework to achieve sustainability by overcoming the challenges of the construction supply chain (CCSC) during the design process. To achieve this, two approaches, namely theoretical and practical, were used to accomplish four objectives. For the theoretical approach, based on literature review and case studies, the objective used was to identify, classify and validate the challenges that the construction supply chain (CSC) encounter. For the practical approach, a survey questionnaire was employed to quantify the CCSC and investigate the perception of architectural design firms (ADFs) in Egypt towards achieving sustainability by overcoming the CCSC during …

Implementing Smart City Strategies As An Innovative Practice For Covid -19 Pandemic In Egyptian Context, Salma Magdy Mohammed, Dalia Moati, Marwa Adel El Sayed

Architectural Engineering

Pandemics have always shaped cities throughout history, and numerous health challenges have been reflected in architecture and urban design. Today, the globe is dealing with a COVID-19 pandemic, which is maybe the worst in history. Coronavirus (COVID19) sparks a critical debate about how to use smart technology's concepts and insights to urban planning and architecture. As a result of the recent pandemic, this commentary sheds light on considerations and challenges in the area of knowledge in these fields. As a result, it is now more vital than ever for policymakers at the local, regional, and national levels to begin developing …

Black Adventism In North America, Trevor O'Reggio

Faculty Publications

No abstract provided.

Birth Reboot: Grace, Gratefulness, And New Beginnings, Gerald A. Klingbeil

Faculty Publications

No abstract provided.

Open Data From The First And Second Observing Runs Of Advanced Ligo And Advanced Virgo, Ligo Scientific Collaboration, Virgo Collaboration, Tiffany Z. Summerscales

Faculty Publications

Advanced LIGO and Advanced Virgo are monitoring the sky and collecting gravitational-wave strain data with sufficient sensitivity to detect signals routinely. In this paper we describe the data recorded by these instruments during their first and second observing runs. The main data products are gravitational-wave strain time series sampled at 16384 Hz. The datasets that include this strain measurement can be freely accessed through the Gravitational Wave Open Science Center at http://gw-openscience.org, together with data-quality information essential for the analysis of LIGO and Virgo data, documentation, tutorials, and supporting software.

The Prosperity Gospel And The Church In Africa: A Missiological Assessment In The Light Of The Great Commission, Boubakar Sanou

Faculty Publications

No abstract provided.

Grant, Miles (1819-1911), Denis Fortin

Faculty Publications

No abstract provided.

Evans, Derrick T. (1827-?), Denis Fortin

Faculty Publications

No abstract provided.

Baker, William Lemuel Henry (1858-1933), Denis Fortin

Faculty Publications

No abstract provided.

Bourdeau, Augustin Cornelius (1834-1916), Denis Fortin

Faculty Publications

No abstract provided.

Preliminary Report On The 2018 Season Of Excavations At Khirbat As-Safrā, Paul Z. Gregor, Constance E. Gane, Trisha Broy, Jacob A. Moody

Faculty Publications

No abstract provided.

Being Needed, Cared For, And Present: Belonging And Disability In The Seventh-Day Adventist Church In North America, Shannon M. Trecartin, Mikelle Wile, Terrance P. Trecartin, Petr Činčala

Faculty Publications

Many Christian churches seek to be places of belonging, yet present barriers to inclusion. The present research focuses on disability and belonging in members of the Seventh-day Adventist (SDA) Church in North America. Data from the SDA Global Church Survey (2017–2018) were used to measure attendance, perceived care, and sense of being needed. Results: Differences in attendance, leadership, and “feeling cared for” were observed. The findings of this study suggest that the SDA Church has had both successes and room for growth in terms of creating opportunities for belonging among people with disabilities. Implications for other denominations are also discussed.

Design And Catastrophe: 51 Scientists Explore Evidence In Nature, Gordon J. Atkins

Faculty Publications

Review of

L. James Gibson, Ronny Nalin, and Humberto M. Rasi, eds. Design and Catastrophe: 51 Scientists Explore Evidence in Nature (Berrien Springs, Mich.: Andrews University Press, 2021). ISBN: 9781940980305 (Print). 240 pages (Hardback), US$24.99.

Building A Culture Of Trust: An Imperative For Effective School Leadership, Rodney A. Palmer

Faculty Publications

No abstract provided.

Seventh-Day Adventists And Abolitionist Petitions, Kevin M. Burton

Faculty Publications

No abstract provided.

Church Schools As Centers Of Influence In The Community: K-12 Education As Evangelism, Scott R. Ward

Faculty Publications

No abstract provided.

¡Con Ganas Todo Se Puede! Journeys Of First-Generation Latina Nontraditional Community College Student-Mothers / ¡Con Ganas Todo Se Puede! Viajes De Madres Latinas No Tradicional Que Son Estudiantes Primera-Generacion En Colegio Comunitario, Myra Gardea-Hernández

University of the Pacific Theses and Dissertations

Nontraditional college student enrollment in the United States is rapidly growing and is predicted to continue to increase. Similarly, female students are currently the majority student population on college campuses. Although numerous studies document college student experiences, few focus on first-generation Latinas who are student-mothers at community colleges. The purpose of this study was to explore the educational experiences of first-generation Latina nontraditional student-mothers enrolled at a community college in California to identify the ways in which grit (ganas) and mindsets influenced their success. This inquiry followed Moustakas’s (1994) transcendental phenomenology research process. Individual interviews of five Latinas were analyzed …

A Comparison Of Traditional Aggregated Data To A Comprehensive Second-By-Second Data Depiction In Functional Analysis Graphs, Erin Mackelvie

University of the Pacific Theses and Dissertations

Functional analyses (FAs) are an important component of treatment and the data gathered from FAs are often graphed in an aggregate or summary format, such as mean rate per session. Given the prevalence of undifferentiated analyses, it may be that this common method of data depiction is incomplete. In this paper, we compare the traditional aggregate method to a comprehensive second-by-second demonstration of the data including all appropriate and inappropriate responses emitted, as well as programmed and accidental antecedent and consequent variables, which may help further clarify the results of a functional analysis. We compared the functional analysis results of …

Crossfit, Instagram, And The Mediating Effects Of Social Comparison On Self-Esteem, Michael A. Contreras

University of the Pacific Theses and Dissertations

Over the last 15 years there has been a dynamic shift within the fitness industry, particularly for women. For decades, women were expected to participate in aerobic-based workouts and maintain a thin figure. This thin ideal has been harmful to women and contributed to low levels of self-esteem. CrossFit diverges from aerobics by encouraging strength training and teaching women that workouts can be functional, and beauty does not only lie in one’s aesthetics. The emergence and growth of CrossFit is shifting fitness-related gender norms and expectations, and possibly contributing to higher levels of self-esteem in women. This shift has become …

Evaluation Of A Division I Mid-Major University’S Student-Athlete Mental Health Program, Heather M. Swanson

University of the Pacific Theses and Dissertations

The following executive summary provides high level findings of a student-athlete mental health program (SAMHP) at a National Collegiate Athletic Association Division I mid-major university. Various elements of the SAMHP were evaluated to create a well-rounded understanding of the program to determine sustainability, goals, and stakeholder expectations. Findings from this study provided insight on stakeholder needs, program successes, and implications for program improvements.

Determining Optimal Resistance Loads During Exercise In Male And Female College Students, Alexia Amo

University of the Pacific Theses and Dissertations

Exercise is a crucial component in obtaining proper health and fitness objectives in young adulthood. Determination of an optimal resistance load for men and women may aid in physiological function and reduce the likelihood of injury. We tested 32 physically active men (n=14) and women (n=18) between ages 18-25 on Proteus Motion, USA. Proteus applies continuous three-dimensional magnetic resistance loads during exercise. Testing consisted of 2 repetitions of horizontal and vertical push and pull exercises comparing performance of the dominant and non-dominant arm. Each exercise was performed with a resistance of 7lb, 14lb, 21lb, and 28lb for a total of …

Integrated Threat Theory: Immigration Perspectives And Teachers’ Attitudes, Doe Adelfa Suzanne Hain-Jamall

University of the Pacific Theses and Dissertations

Using integrated threat theory as a theoretical framework, this multiple case study analyzed the effects of threat and the perception of threat from immigrants on the attitudes of teachers toward their elementary school students. The study was conducted with teachers at five northern California schools. All of the teachers were experienced and well-trained, teaching in low-income neighborhoods with large immigrant populations.

In support of integrated threat theory’s premise, results indicated that where threat was present or perceived, teachers’ words and reported teaching behavior indicated prejudicial attitudes toward students. The lack of threat corresponded to a lack of bias.

It was …