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2022

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Testing Market Efficiency Of Mena Equity Returns, Mohamed Samy Saadeldeen Ahmed Shehata Jan 2022

Testing Market Efficiency Of Mena Equity Returns, Mohamed Samy Saadeldeen Ahmed Shehata

Plymouth Business School Theses

This study focuses on the MENA region, which comprises Bahrain, Egypt, Israel, Jordon, Kuwait, Oman, Qatar, Saudi Arabia, United Arab Emirates, Lebanon, Tunisia, and Morocco. Although the MENA countries have overseen many reforms throughout the years after forming financial markets, the efficacies of these markets remain uncertain. To address this lacuna in the literature, this study explores the market efficiencies of the MENA financial markets by comparing and contrasting the impact of reforms on market efficiencies, studying the most effective macroeconomic variables and the impact of economic policy uncertainty, and transparency on stock returns. The study also investigates how Stock …

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Analysing Approaches To Specify Automated Manufacturing Systems, Jonathan Walker Jan 2022

Analysing Approaches To Specify Automated Manufacturing Systems, Jonathan Walker

Plymouth Business School Theses

Automating manufacturing systems can achieve competitive advantage leading to growth in profits through efficiency gains and other advantages including safety of workers and quality of produced products. However, without accurate specification there is no guarantee of realising return on investment. Automated systems are becoming more complex as the need for customisability and variability of products increases and can only be satisfied through flexibility of production processes. To aid companies in specifying automation and mitigate the risks of project failure an approach is needed that guides users choices. The aim of the research was to investigate approaches to specify automated manufacturing …

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How Can Embodied Practices Inform The Development Of Skilled Performance As A Leader?, Peter John Hamill Jan 2022

How Can Embodied Practices Inform The Development Of Skilled Performance As A Leader?, Peter John Hamill

Plymouth Business School Theses

Whilst there has been writing in recent years regarding the practice turn in contemporary theory and its connection to leadership, much of this has remained abstract and lacks empirical inquiry. In addition, whilst practice-based theorists write about the embodied nature of practices, in defining their work, the body then often moves to the background. This study is designed to contribute to understanding the way in which embodied practices develop a shift in skilful performance in the domain of leadership practice within organisations, keeping the physical body in the foreground of the inquiry. This inquiry develops three original contributions through an …

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Literary Tourism: Linking Cultural Capital, Tourist Experiences And Perceptions Of Authenticity, Zoe Roberts Jan 2022

Literary Tourism: Linking Cultural Capital, Tourist Experiences And Perceptions Of Authenticity, Zoe Roberts

Plymouth Business School Theses

This thesis aimed to critically synthesise the relationships between cultural capital and perceptions of authenticity in literary tourism experiences. Whilst authenticity is a central theme in literary tourism research, few studies have explored authenticity and Bourdieusian cultural capital concurrently. Thus, this thesis investigates the two concepts and proposes new theory which elicits an in-depth understanding of individual perceptions of authenticity. The study adopted an interpretivist qualitative approach, using an ethnographic research strategy. Ethnographic fieldwork was conducted in Cornwall, UK. In total, 16 face-to-face semi-structured interviews were conducted with literary tourism stakeholders at selected Cornish locations associated with Winston Graham and …

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Intimacy, Identity And Loyalty: Exploring The Mediation Pathways Towards Donor Loyalty And The Moderating Role Of Donor Identity Esteem, Dejie Kong Jan 2022

Intimacy, Identity And Loyalty: Exploring The Mediation Pathways Towards Donor Loyalty And The Moderating Role Of Donor Identity Esteem, Dejie Kong

Plymouth Business School Theses

As the global economic and political situation is increasingly prominent, donor loyalty is one of the biggest challenges facing the charity sector in many countries today. Research in fundraising has shown that even a small improvement in donor loyalty can have a huge impact on charity income in the long term. Although marketing scholars have examined factors such as trust, commitment and satisfaction—the key to drive donor loyalty — the complex nature of donors’ underlying psychological processes toward donor loyalty remains unclear. This thesis aims to enhance our understanding of donor loyalty by studying the role of intimacy and donor …

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An Empirical Study Of The Effects Of Regulatory Systems On The Collection Of Late Payment Of Commercial Debts Owed To Micro And Small Businesses In The Uk, Ashley Mark Smith Jan 2022

An Empirical Study Of The Effects Of Regulatory Systems On The Collection Of Late Payment Of Commercial Debts Owed To Micro And Small Businesses In The Uk, Ashley Mark Smith

Plymouth Business School Theses

Trust is the foundation of trade credit. Failure to pay on time affects the supplier’s business, causing stress and potential bankruptcy. Small businesses employ formal (solicitors, debt collectors, statutory demands) and informal (discounts, extended payment terms, violence) techniques to enforce payment. The Government has enacted measures requiring larger buyers to report their payment practices and has given businesses the right to claim interest, yet businesses are either unaware or do not use these provisions. The research phase of this thesis was conducted in 2018/19 and incorporated an initial survey with 74 respondents followed by a second survey with 250 respondents. …

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Location Strategies Of Multinational Hotel Groups In China: An Application Of Game Theory, Xiazhao Chen Jan 2022

Location Strategies Of Multinational Hotel Groups In China: An Application Of Game Theory, Xiazhao Chen

Plymouth Business School Theses

Location is an important issue for multinational hotel groups (MHGs) as it influences the competitive advantages and even survival of hotel corporations. The first aim of this thesis is critically review existing literature related to MHGs regarding the current situation in China and their decision-making process for hotel location choice. Then, it aims to develop in-depth insights into key factors influencing the location strategies of MHGs in mainland China. In addition, it also attempts to develop regression models to reflect the decision-making process and each role of stakeholders. It has seven specific research objectives, including (1) reviewing literature relating to …

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Responding To Eruptive Transitions During The 2020–2021 Eruption Of La Soufrière Volcano, St. Vincent, E. P. Joseph, M. Camejo-Harry, T. Christopher, R. Contreras-Arratia, S. Edwards, O. Graham, M. Johnson, A. Juman, J. L. Latchman, L. Lynch, V. L. Miller, I. Papadopoulos, K. Pascal, R. Robertson, G. A. Ryan, A. Stinton, R. Grandin, I. Hamling, M. J. Jo, J. Barclay, P. Cole, B. V. Davies, R. S.J. Sparks Jan 2022

Responding To Eruptive Transitions During The 2020–2021 Eruption Of La Soufrière Volcano, St. Vincent, E. P. Joseph, M. Camejo-Harry, T. Christopher, R. Contreras-Arratia, S. Edwards, O. Graham, M. Johnson, A. Juman, J. L. Latchman, L. Lynch, V. L. Miller, I. Papadopoulos, K. Pascal, R. Robertson, G. A. Ryan, A. Stinton, R. Grandin, I. Hamling, M. J. Jo, J. Barclay, P. Cole, B. V. Davies, R. S.J. Sparks

School of Geography, Earth and Environmental Sciences

Abstract: A critical challenge during volcanic emergencies is responding to rapid changes in eruptive behaviour. Actionable advice, essential in times of rising uncertainty, demands the rapid synthesis and communication of multiple datasets with prognoses. The 2020–2021 eruption of La Soufrière volcano exemplifies these challenges: a series of explosions from 9–22 April 2021 was preceded by three months of effusive activity, which commenced with a remarkably low level of detected unrest. Here we show how the development of an evolving conceptual model, and the expression of uncertainties via both elicitation and scenarios associated with this model, were key to anticipating this …

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Income Inequality, Human Capital And Economic Growth In China, Yang Zhou Jan 2022

Income Inequality, Human Capital And Economic Growth In China, Yang Zhou

Plymouth Business School Theses

After initially reviewing the existing literature on the inequality-growth nexus, this thesis then conducts empirical studies to explore the spatial dynamics of China’s regional income inequality and economic growth, investigates the relationship between inequality and growth, and the influences of human and physical capital, to examine the theoretical mechanisms underlying the inequality-growth relationship. The findings from these studies can offer valuable insights for the policy makers in China. Using the latest data, the first study in the thesis explores the pattern and evolution of China’s regional inequality. In addition, the study depicts the spatial dynamics of the inequality, growth and …

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Exploring The Effect Of Branding On Heritage Tourism Management In China, Xia Yin Jan 2022

Exploring The Effect Of Branding On Heritage Tourism Management In China, Xia Yin

Plymouth Business School Theses

China's World Heritage Sites have increasingly been developed to exploit local tourism and alleviate poverty. However, this destination brand may lack a vital destination branding process, which must combine brand components to increase tourist visitation and create loyalty. As a result, the destination image will be negatively affected, which would damage the financial gain needed for heritage conservation. This research contributed to the theory by establishing a novel conceptual framework of destination branding, deploying destination identification, attachment, and satisfaction to predict destination image and loyalty. Based on an objective perspective, this study adopted a positivist philosophy and the approach of …

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Resource Curse, Economic Growth And Development: Panel Data Evidence From Natural Resources-Rich Countries, Marwan Mohamed Alssdek Alssadek Jan 2022

Resource Curse, Economic Growth And Development: Panel Data Evidence From Natural Resources-Rich Countries, Marwan Mohamed Alssdek Alssadek

Plymouth Business School Theses

This thesis examines three plausible explanations for the natural resource curse phenomenon– the Dutch disease, institutional quality, and human capital. The phenomenon implies that countries rich in natural resources tend to have lower economic growth and development compared to countries that have fewer natural resources. The examination of this phenomenon has been organised into three empirical essays in the thesis. The first empirical essay applies the panel data fixed effect with Driscoll and Kraay’s standard errors and cross-sectional augmented distributed lag (CS-ARDL) approaches to examine the Dutch disease problem. Our results show strong evidence that the spending and the resource …

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“Intended Between A Man And A Woman”: Examining The Lgbtq Campus Climate Of A Non-Affirming Free Methodist University, Justin Cospito Jan 2022

“Intended Between A Man And A Woman”: Examining The Lgbtq Campus Climate Of A Non-Affirming Free Methodist University, Justin Cospito

Industrial-Organizational Psychology Dissertations

Objective: The purpose of this is research is to further LGBTQ-related research in the education space by examining the LGBTQ college campus climate of Seattle Pacific University (SPU), a non-affirming religiously affiliated university and Denominational Institution of the Free Methodist Church. SPU has recently come into the national spotlight for its non-affirming stance on LGBTQ issues, specifically its controversial hiring policy banning employees from having sexual intercourse with the same gender. This study hypothesizes that perceptions of the LGBTQ climate at SPU will be related to campus satisfaction for students who identify as sexual minorities as well as sexual majorities. …

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Opicapone In Uk Clinical Practice: Effectiveness, Safety And Cost Analysis In Patients With Parkinson's Disease, Christine Schofield, K. Ray Chaudhuri, Camille Carroll, Jagdish C. Sharma, Nicola Pavese, Jonathan Evans, Thomas Foltynie, Heinz Reichmann, Laura Zurowska, Patrício Soares-Da-Silva, Andrew Lees Jan 2022

Opicapone In Uk Clinical Practice: Effectiveness, Safety And Cost Analysis In Patients With Parkinson's Disease, Christine Schofield, K. Ray Chaudhuri, Camille Carroll, Jagdish C. Sharma, Nicola Pavese, Jonathan Evans, Thomas Foltynie, Heinz Reichmann, Laura Zurowska, Patrício Soares-Da-Silva, Andrew Lees

Peninsula Medical School

Aim: This subanalysis of the OPTIPARK study aimed to confirm the effectiveness and safety of opicapone in patients with Parkinson's disease and motor fluctuations in clinical practice specifically in the UK and to assess the impact of opicapone on treatment costs. Methods: Patients received opicapone added to levodopa for 6 months. Clinical outcomes were assessed at 3 and 6 months and treatment costs at 6 months. Results: Most patients' general condition improved at 3 months, with sustained improvements reported at 6 months. Opicapone improved motor and non-motor symptoms at both timepoints, was generally well tolerated and reduced total treatment costs …

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What Matters Most To Adults With A Tracheostomy In Icu And The Implications For Clinical Practice: A Qualitative Systematic Review And Metasynthesis, Helen Newman, Gemma Clunie, Sarah Wallace, Christina Smith, Daniel Martin, Natalie Pattison Jan 2022

What Matters Most To Adults With A Tracheostomy In Icu And The Implications For Clinical Practice: A Qualitative Systematic Review And Metasynthesis, Helen Newman, Gemma Clunie, Sarah Wallace, Christina Smith, Daniel Martin, Natalie Pattison

Peninsula Medical School

Purpose Tracheostomy is a common surgical procedure in ICU. Whilst often life-saving, it can have important impacts on patients. Much of the literature on tracheostomy focuses on timing and technique of insertion, risk factors and complications. More knowledge of patient experience of tracheostomy in ICU is needed to support person-centred care. Materials and methods Qualitative systematic review and metasynthesis of the literature on adult experience of tracheostomy in ICU. Comprehensive search of four bibliographic databases and grey literature. Title and abstract screening and full text eligibility was completed independently by two reviewers. Metasynthesis was achieved using thematic synthesis, supported by …

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Evidence-Based Clinical Practice Guidelines On The Management Of Pain In Older People – A Summary Report, Patricia Schofield, Margaret Dunham, Denis Martin, Gary Bellamy, Sally Anne Francis, Dave Sookhoo, Antonio Bonacaro, Eshtar Hamid, Rebecca Chandler, Aza Abdulla, Mike Cumberbatch, Roger Knaggs Jan 2022

Evidence-Based Clinical Practice Guidelines On The Management Of Pain In Older People – A Summary Report, Patricia Schofield, Margaret Dunham, Denis Martin, Gary Bellamy, Sally Anne Francis, Dave Sookhoo, Antonio Bonacaro, Eshtar Hamid, Rebecca Chandler, Aza Abdulla, Mike Cumberbatch, Roger Knaggs

School of Nursing and Midwifery

Objective: The objective of this study is to develop an update of the evidence-based guidelines for the management of pain in older people. Design: Review of evidence since 2010 using a systematic and consensus approach is performed. Results: Recognition of the type of pain and routine assessment of pain should inform the use of specific environmental, behavioural and pharmacological interventions. Individualised care plans and analgesic protocols for specific clinical situations, patients and health care settings can be developed from these guidelines. Conclusion: Management of pain must be considered as an important component of the health care provided to all people, …

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Mothers’ Understanding Of Brain Development In Early Childhood: A Qualitative Study In Brazil, Marina Sayuri Yakuwa, Letícia Pancieri, Sarah Neill, Mello Df De Jan 2022

Mothers’ Understanding Of Brain Development In Early Childhood: A Qualitative Study In Brazil, Marina Sayuri Yakuwa, Letícia Pancieri, Sarah Neill, Mello Df De

School of Nursing and Midwifery

To analyze mothers’ understanding of child brain development and their stimulus practices with children in the first months of life. Qualitative research, with 18 Brazilian mothers, over 18 years of age, used semi-structured interviews to identify their perspectives on important healthcare outcomes, based on reflexive thematic analysis. Mother’s accounts displayed little understanding of child brain development, focusing on the development of neuropsychomotor skills. There was relative uncertainty about the daily care practices that would provide appropriate child stimuli, through which to provide promotion and protection of child development. Maternal knowledge about child brain development indicates a need to strengthen parenting …

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Brief Opportunistic Interventions By General Practitioners To Promote Smoking Cessation: A Conversation Analytic Study, H. Wheat, R. K. Barnes, P. Aveyard, F. Stevenson, R. Begh Jan 2022

Brief Opportunistic Interventions By General Practitioners To Promote Smoking Cessation: A Conversation Analytic Study, H. Wheat, R. K. Barnes, P. Aveyard, F. Stevenson, R. Begh

Peninsula Medical School

No abstract provided.

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The Feasibility And Acceptability Of Digital Technology For Health And Wellbeing In Social Housing Residents In Cornwall: A Qualitative Scoping Study, Sa Buckingham, T Walker, K Morrissey Jan 2022

The Feasibility And Acceptability Of Digital Technology For Health And Wellbeing In Social Housing Residents In Cornwall: A Qualitative Scoping Study, Sa Buckingham, T Walker, K Morrissey

School of Nursing and Midwifery

Objective The aim of this study was to explore the feasibility and acceptability of digital technology for improving health and wellbeing in social housing residents living in a deprived area in Cornwall, England. Methods Qualitative scoping study with focus groups and telephone interviews (23 participants in total). Focus groups and interviews were audio-recorded, transcribed verbatim and analysed thematically. Results Levels of use and experience with digital technology were diverse in this group, ranging from ‘willing and unable’ to ‘expert’ on a self-perceived scale. Overall, participants had positive perceptions of technology and were keen to try new technologies. Five categories of …

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Exploring The Effect Of Implementing Affordable Socially Assistive Pet Robots In Eight Care Homes Before And During The Covid-19 Pandemic: A Stratified Cluster Randomised Controlled Trial And Mixed-Method Study., Hannah Bradwell, Katie Edwards, Rhona Winnington, Serge Thill, Victoria Allgar, Ray Jones Jan 2022

Exploring The Effect Of Implementing Affordable Socially Assistive Pet Robots In Eight Care Homes Before And During The Covid-19 Pandemic: A Stratified Cluster Randomised Controlled Trial And Mixed-Method Study., Hannah Bradwell, Katie Edwards, Rhona Winnington, Serge Thill, Victoria Allgar, Ray Jones

School of Nursing and Midwifery

Abstract Background Robot pets may assist towards challenges of supporting an aging population with growing dementia prevalence. Prior work focused on impacts of robot seal Paro on older adult wellbeing, but recent studies suggest good acceptability and implementation feasibility of more affordable devices (Joy for All (JfA) cats and dogs), yet effectiveness research was limited. Methods We conducted an eight-month, stratified, cluster randomised controlled trial, in eight care homes in Cornwall, UK. Over four months, four care homes each received two JfA devices (one cat and dog), and four homes received care as usual (intervention and control group). Psychometrics were …

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Insights Into Nervous System Repair From The Fruit Fly, David Coupe, Torsten Bossing Jan 2022

Insights Into Nervous System Repair From The Fruit Fly, David Coupe, Torsten Bossing

Peninsula Medical School

Abstract Millions of people experience injury to the central nervous system (CNS) each year, many of whom are left permanently disabled, providing a challenging hurdle for the field of regenerative medicine. Repair of damage in the CNS occurs through a concerted effort of phagocytosis of debris, cell proliferation and differentiation to produce new neurons and glia, distal axon/dendrite degeneration, proximal axon/dendrite regeneration and axon re-enwrapment. In humans, regeneration is observed within the peripheral nervous system, while in the CNS injured axons exhibit limited ability to regenerate. This has also been described for the fruit fly Drosophila. Powerful genetic tools available …

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“What Works” Registries Of Interventions To Improve Child And Youth Psychosocial Outcomes: A Critical Appraisal, Nick Axford, Louise Morpeth, Gretchen Bjornstad, Tim Hobbs, Vashti Berry Jan 2022

“What Works” Registries Of Interventions To Improve Child And Youth Psychosocial Outcomes: A Critical Appraisal, Nick Axford, Louise Morpeth, Gretchen Bjornstad, Tim Hobbs, Vashti Berry

Peninsula Medical School

The last decade or more has seen a proliferation of online registries of evidence-based interventions designed to improve child and youth psychosocial outcomes. The purpose of these resources is typically to help decision-makers make sense of the evidence and thereby inform their decision-making about investment in interventions. Most registries are underpinned by standards of evidence, which are used to guide the rating of programs by a panel of experts. While supporters extol the influence of these initiatives in terms of making commissioners more discriminating about what they invest in, detractors contend that they stifle innovation and embody an unduly narrow …

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Self-Management Intervention To Reduce Pulmonary Exacerbations By Supporting Treatment Adherence In Adults With Cystic Fibrosis: A Randomised Controlled Trial, Cfhealthhub Study Team, Martin J. Wildman, Alicia O’Cathain, Chin Maguire, Madelynne A. Arden, Marlene Hutchings, Judy Bradley, Stephen J. Walters, Pauline Whelan, John Ainsworth, Iain Buchan, Laura Mandefield, Laura Sutton, Paul Tappenden, Rachel A. Elliott, Zhe Hui Hoo, Sarah J. Drabble, Daniel Beever, H. Cantrill, J. Nicholl, S. Michie, S. Waterhouse, L. Robinson, A. Scott, S. Antrobus, E. Lumley, A. N. Biz, D. Hind, C. Orchard Jan 2022

Self-Management Intervention To Reduce Pulmonary Exacerbations By Supporting Treatment Adherence In Adults With Cystic Fibrosis: A Randomised Controlled Trial, Cfhealthhub Study Team, Martin J. Wildman, Alicia O’Cathain, Chin Maguire, Madelynne A. Arden, Marlene Hutchings, Judy Bradley, Stephen J. Walters, Pauline Whelan, John Ainsworth, Iain Buchan, Laura Mandefield, Laura Sutton, Paul Tappenden, Rachel A. Elliott, Zhe Hui Hoo, Sarah J. Drabble, Daniel Beever, H. Cantrill, J. Nicholl, S. Michie, S. Waterhouse, L. Robinson, A. Scott, S. Antrobus, E. Lumley, A. N. Biz, D. Hind, C. Orchard

Peninsula Medical School

Introduction Recurrent pulmonary exacerbations lead to progressive lung damage in cystic fibrosis (CF). Inhaled medications (mucoactive agents and antibiotics) help prevent exacerbations, but objectively measured adherence is low. We investigated whether a multi-component (complex) self-management intervention to support adherence would reduce exacerbation rates over 12 months. Methods Between October 2017 and May 2018, adults with CF (aged ≥16 years; 19 UK centres) were randomised to the intervention (data-logging nebulisers, a digital platform and behavioural change sessions with trained clinical interventionists) or usual care (data-logging nebulisers). Outcomes included pulmonary exacerbations (primary outcome), objectively measured adherence, body mass index (BMI), lung function …

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A Review Of The Pharmacotherapeutic Considerations For Managing Epilepsy In People With Autism, Lance V. Watkins, Maire O’Dwyer, Rohit Shankar Jan 2022

A Review Of The Pharmacotherapeutic Considerations For Managing Epilepsy In People With Autism, Lance V. Watkins, Maire O’Dwyer, Rohit Shankar

Peninsula Medical School

Introduction: Autism, like other neurodevelopmental disorders (NDDs), has a strong association with epilepsy. There are known common genetic pathways in both autism and epilepsy. There are also specific genetic syndromes associated with both complex epilepsy and the autism phenotype. Areas covered: This review explores the evidence for common genetic etiologies and pathophysiological pathways in relation to both epilepsy and autism. Autism with comorbid epilepsy are associated with a high prevalence of medical and psychiatric comorbidities. This paper discusses how this influences assessment, treatment, and outcomes. The evidence for the treatment of specific seizure types in the context of NDDs is …

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Covid-19 Pandemic Impact On Psychotropic Prescribing For Adults With Intellectual Disability: An Observational Study In English Specialist Community Services, D Naqvi, B Perera, S Mitchell, R Sheehan, R Shankar Jan 2022

Covid-19 Pandemic Impact On Psychotropic Prescribing For Adults With Intellectual Disability: An Observational Study In English Specialist Community Services, D Naqvi, B Perera, S Mitchell, R Sheehan, R Shankar

Peninsula Medical School

Background Coronavirus disease 2019 (COVID-19) has had a disproportionate impact on people with intellectual disability (PwID). PwID are at higher risk of mental illness and receive psychotropic prescribing ‘off licence' also, to manage distress behaviour. The lockdown and reduction of multidisciplinary face-to-face appointments had an impact on care delivery, the recourse possibly being psychotropic prescribing. It is imperative to comprehend the influence the pandemic had on psychotropic prescribing patterns to enable future planning. Aims The aim was to understand the impact of the pandemic by comparing psychotropic prescribing patterns during the England lockdown with the prescribing patterns before lockdown in …

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Neural Network Detection Of Pacemakers For Mri Safety, Mark Daniel Vernon Thurston, Daniel H. Kim, Huub K. Wit Jan 2022

Neural Network Detection Of Pacemakers For Mri Safety, Mark Daniel Vernon Thurston, Daniel H. Kim, Huub K. Wit

Peninsula Medical School

Flagging the presence of cardiac devices such as pacemakers before an MRI scan is essential to allow appropriate safety checks. We assess the accuracy with which a machine learning model can classify the presence or absence of a pacemaker on pre-existing chest radiographs. A total of 7973 chest radiographs were collected, 3996 with pacemakers visible and 3977 without. Images were identified from information available on the radiology information system (RIS) and correlated with report text. Manual review of images by two board certified radiologists was performed to ensure correct labeling. The data set was divided into training, validation, and a …

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Tackling Increased Risks In Older Adults With Intellectual Disability And Epilepsy: Data From A National Multicentre Cohort Study, L. V. Watkins, W. Henley, J. J. Sun, B. Perera, H. Angus-Leppan, I. Sawhney, K. Purandare, M. Eyeoyibo, M. Scheepers, G. Lines, R. Winterhalder, R. Shankar Jan 2022

Tackling Increased Risks In Older Adults With Intellectual Disability And Epilepsy: Data From A National Multicentre Cohort Study, L. V. Watkins, W. Henley, J. J. Sun, B. Perera, H. Angus-Leppan, I. Sawhney, K. Purandare, M. Eyeoyibo, M. Scheepers, G. Lines, R. Winterhalder, R. Shankar

Peninsula Medical School

Purpose People with intellectual disabilities (ID) suffer multimorbidity, polypharmacy and excess mortality at a younger age than general population. Those with ID and epilepsy are at higher risk of worse clinical outcomes than their peers without epilepsy. In the ID population the health profile of those aged ≥40 years can be compared to those aged over 65 in the general population. To date there is limited data available to identify clinical characteristics and risk factors in older adults (≥40 years) with ID and epilepsy. Methods The Epilepsy in ID National Audit (Epi-IDNA) identified 904 patients with ID and epilepsy from …

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