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2023

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Guiding Principles For Effective Collaborative Implementation Strategies For Multisite Hospital Improvement Initiatives: A Mixed-Method Realist Evaluation Of Collaborative Strategies Used In Four Multisite Initiatives At Public Hospitals In New South Wales, Australia, Janet C. Long, Mitchell N. Sarkies, Emilie Francis-Auton, Natalie Roberts, Rebecca Hardwick, Hoa Mi Nguyen, Jean Frederic Levesque, Diane E. Watson, Johanna Westbrook, Peter D. Hibbert, Frances Rapport, Jeffrey Braithwaite Jan 2023

Guiding Principles For Effective Collaborative Implementation Strategies For Multisite Hospital Improvement Initiatives: A Mixed-Method Realist Evaluation Of Collaborative Strategies Used In Four Multisite Initiatives At Public Hospitals In New South Wales, Australia, Janet C. Long, Mitchell N. Sarkies, Emilie Francis-Auton, Natalie Roberts, Rebecca Hardwick, Hoa Mi Nguyen, Jean Frederic Levesque, Diane E. Watson, Johanna Westbrook, Peter D. Hibbert, Frances Rapport, Jeffrey Braithwaite

Peninsula Medical School

Objective Large-scale, multisite hospital improvement initiatives can advance high-quality care for patients. Implementation support is key to adoption of change in this context. Strategies that foster collaboration within local teams, across sites and between initiative developers and users are important. However not all implementation strategies are successful in all settings, sometimes realising poor or unintended outcomes. Our objective here is to develop guiding principles for effective collaborative implementation strategies for multi-site hospital initiatives. Design Mixed-method realist evaluation. Realist studies aim to examine the underlying theories that explain differing outcomes, identifying mechanisms and contextual factors that may trigger them. Setting We …

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Modern Cemented Furlong Hemiarthroplasty: Are Dislocations Rates Better?, C. U. Menakaya, M. Shah, H. Ingoe, R. Malhotra, A. Mannan, T. Boddice, V. Allgar, S. Gopal, A. Mohsen, N. Muthukumar Jan 2023

Modern Cemented Furlong Hemiarthroplasty: Are Dislocations Rates Better?, C. U. Menakaya, M. Shah, H. Ingoe, R. Malhotra, A. Mannan, T. Boddice, V. Allgar, S. Gopal, A. Mohsen, N. Muthukumar

Peninsula Medical School

Background Dislocation following hip hemiarthroplasty is a major complication with increased mortality and morbidity. Data looking at dislocation following contemporary bipolar stems are lacking in literature. Methods Retrospective review of our prospective national hip fracture database over a two-year period. Group 1 comprised of consecutive patients receiving bipolar Furlong prosthesis (N222) while Group 2 was made up of a historical cohort (uncemented; N254). Clinical and radiological records were reviewed to determine dislocation rates, causes and associative factors of dislocations. Data were analysed using SPSS. Results Following 476 hemiarthroplasties performed during the study period, 12 (2.5%) dislocations were reported (eight in …

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Review Of The Validity Of Dops As An Assessment Tool For The Procedural Skills Of Surgical Trainees, M. Rela, T. Price Jan 2023

Review Of The Validity Of Dops As An Assessment Tool For The Procedural Skills Of Surgical Trainees, M. Rela, T. Price

Peninsula Medical School

Introduction Surgical trainees at all stages are mandated to use workplace-based assessments (WBAs) to gain feedback from their trainers. Direct observation of procedural skills (DOPS) is a tool to assess hands-on surgical skills. This review of the literature seeks to ascertain how valid DOPS are as an assessment tool for the procedural skills of surgical trainees according to the American Psychology Association (APA) validity framework. Methods Relevant literature was identified through a structured search of Medline, CINAHL and Web of Science databases, with further papers included on citation review. Following this, papers meeting the inclusion and exclusion criteria were included …

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Routinely Used Interventions To Improve Attachment In Infants And Young Children: A National Survey And Two Systematic Reviews, Barry Wright, Pasco Fearon, Megan Garside, Eleni Tsappis, Elaine Amoah, Danya Glaser, Victoria Allgar, Helen Minnis, Matthew Woolgar, Rachel Churchill, Dean Mcmillan, Peter Fonagy, Alison O’Sullivan, Michelle Mchale Jan 2023

Routinely Used Interventions To Improve Attachment In Infants And Young Children: A National Survey And Two Systematic Reviews, Barry Wright, Pasco Fearon, Megan Garside, Eleni Tsappis, Elaine Amoah, Danya Glaser, Victoria Allgar, Helen Minnis, Matthew Woolgar, Rachel Churchill, Dean Mcmillan, Peter Fonagy, Alison O’Sullivan, Michelle Mchale

Peninsula Medical School

Background.Attachment refers to an infant’s innate tendency to seek comfort from their caregiver. Research shows that attachment is important in promoting healthy social and emotional development. Many parenting interventions have been developed to improve attachment outcomes for children. However, numerous interventions used in routine practice have a limited evidence base, meaning that we cannot be sure if they are helpful or harmful.Objectives.This research aimed to conduct a large-scale survey to identify what interventions are being used in UK services to improve child attachment; conduct a systematic review to evaluate the evidence for parenting attachment interventions; and develop recommendations for future …

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Recommendations From Diabetes Uk's 2022 Diabetes And Physical Activity Workshop, Anna Morris, Chris Bright, Matthew Cocks, Neil Gibson, Louise Goff, Colin Greaves, Simon Griffin, Ben Jane, Florence Kinnafick, Paul Robb, Michelle Roberts, David Salman, John Saxton, Adrian Taylor, Daniel West, Thomas Yates, Rob C. Andrews, Jason M.R. Gill Jan 2023

Recommendations From Diabetes Uk's 2022 Diabetes And Physical Activity Workshop, Anna Morris, Chris Bright, Matthew Cocks, Neil Gibson, Louise Goff, Colin Greaves, Simon Griffin, Ben Jane, Florence Kinnafick, Paul Robb, Michelle Roberts, David Salman, John Saxton, Adrian Taylor, Daniel West, Thomas Yates, Rob C. Andrews, Jason M.R. Gill

Peninsula Medical School

Abstract Aims To describe the process and outputs of a workshop convened to identify key priorities for future research in the area of diabetes and physical activity and provide recommendations to researchers and research funders on how best to address them. Methods A 1‐day research workshop was conducted, bringing together researchers, people living with diabetes, healthcare professionals, and members of staff from Diabetes UK to identify and prioritise recommendations for future research into physical activity and diabetes. Results Workshop attendees prioritised four key themes for further research: (i) better understanding of the physiology of exercise in all groups of people: …

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Enhanced Analysis Of Somatosensory Evoked Potentials At 20–30 Milliseconds Can Predict Neurological Outcome After Cardiac Arrest, Nicholas M. Gourd, Colin Bigham, Nicola Broomfield, Lucy Nye, Liana Stapleton, Emma Stead, Andrew Smith, Amy Baker, Jade Chynoweth, Joanne Hosking, Nigel Hudson, Nikitas Nikitas Jan 2023

Enhanced Analysis Of Somatosensory Evoked Potentials At 20–30 Milliseconds Can Predict Neurological Outcome After Cardiac Arrest, Nicholas M. Gourd, Colin Bigham, Nicola Broomfield, Lucy Nye, Liana Stapleton, Emma Stead, Andrew Smith, Amy Baker, Jade Chynoweth, Joanne Hosking, Nigel Hudson, Nikitas Nikitas

Peninsula Medical School

Abstract Objective This study attempted to test the effectiveness of an enhanced analysis of the 20–30 ms complex of somatosensory evoked potentials, in predicting the short-term outcome of comatose survivors of out of hospital cardiac arrest and compare it with the current clinical practice. Methods Single-centre, prospective, observational study. Median nerve SSEP recording performed at 24–36 h post-return of spontaneous circulation. Recording was analysed using amplitude measurements of P25/30 and Peak-To-Trough of 20–30 ms complex and thresholds to decide P25/30 presence. Neurological outcome was dichotomised into favourable and unfavourable. Results 89 participants were analysed. 43.8% had favourable and 56.2% unfavourable …

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Understanding Coastal Change From Noisy Satellite-Derived Shoreline Datasets: Influence Of Tide And Runup Correction And Spatial Averaging, B Castelle, V Marieu, A Ritz, G Masselink, Tim Scott, C Stokes, A Konstantinou, An Lerma, M Vandenhove, S Bujan Jan 2023

Understanding Coastal Change From Noisy Satellite-Derived Shoreline Datasets: Influence Of Tide And Runup Correction And Spatial Averaging, B Castelle, V Marieu, A Ritz, G Masselink, Tim Scott, C Stokes, A Konstantinou, An Lerma, M Vandenhove, S Bujan

School of Biological and Marine Sciences

Free-of-charge publicly available optical satellite imagery can now be used to provide short-term to multi-decadal shoreline satellite-derived shoreline(SDS) data, with errors typically under 10 m on microtidal beaches. However, SDSaccuracy dramatically worsens at high-energy and/or meso to macrotidal lowgradient beaches, which challenges a robust assessment of shoreline variability and trends. In this contribution we demonstrate that, on such beaches, water level (tide + runup) correction and/or an adapted space-averaging of uncorrected (noisy) SDS dataset can substantially reduce uncertainties and thus allow addressing the timeand space variability of shoreline change and their primary drivers.

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Coastal Typologies To Support Coastal Change Adaptation Management: A Study Of The South West Coast Of England, Ja Kirby, G Masselink, T Poate, T Scott Jan 2023

Coastal Typologies To Support Coastal Change Adaptation Management: A Study Of The South West Coast Of England, Ja Kirby, G Masselink, T Poate, T Scott

School of Biological and Marine Sciences

Sea-level rise, increased coastal erosion and flooding due to climate change is threatening coastal communities across the world. Globally, coastal change management policies include zonation of the coast to restrict development in areas susceptible to coastal change. Defining the extent of the coastal change area can be problematic and is often done using large-scale (>1 km) coastal classifications and estimates of coastal retreat. In this study, we investigate the south west coast of England, using a high-resolution (0.1 km) coastal classification to determine coastal types and their response to sea-level rise. Nine coastal typologies were defined in the study …

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Satellite-Based Shoreline Detection For Macro-Tidal Coasts: Impacts Of Morphological And Hydrodynamic Setting, A Konstantinou, T Scott, G Masselink, C Stokes, D Conley, B Castelle Jan 2023

Satellite-Based Shoreline Detection For Macro-Tidal Coasts: Impacts Of Morphological And Hydrodynamic Setting, A Konstantinou, T Scott, G Masselink, C Stokes, D Conley, B Castelle

School of Biological and Marine Sciences

Earth observation (EO) coupled with novel image analysis techniques have demonstrated the potential of EO for long-term, local, regional, and even global scale investigations of shoreline change. However, satellite-derived shoreline (SDS) data is associated with large uncertainties relating to environmental factors, tidal range, and wave action among other factors. This contribution investigates the impacts of morphological and hydrodynamic setting on the accuracy of SDS in macrotidal, highenergy coasts. Results revealed significant differences in SDS accuracy between the two morphologically contrasting sites in terms of the level of error and the optimal water level correction. We show that SDS accuracy at …

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Recalcitrance: The Foreclosure Of News About Violence In Mexico, Meghan Donnelly Jan 2023

Recalcitrance: The Foreclosure Of News About Violence In Mexico, Meghan Donnelly

Anthropology: Faculty Scholarship

Since President Felipe Calderón declared his so-called “war on organized crime” in December 2006, the dominant discourse about violence in Mexico has created the idea of a battle against or disputes between organized crime groups, and it has framed victims of murders and disappearances as themselves criminals. Recent scholarship highlights the role that journalists and news outlets have played in bolstering this narrative; however, ethnographic fieldwork with Mexican journalists complicates the notion that they and others unknowingly or uncritically reaffirm dominant interpretations about violence. This article introduces the concept of recalcitrance to elucidate how, even when reporters actively work to …

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Tuberculosis In Lemurs And A Fossa At National Zoo, Madagascar, 2022, Marni Lafleur, Et Al. Jan 2023

Tuberculosis In Lemurs And A Fossa At National Zoo, Madagascar, 2022, Marni Lafleur, Et Al.

Anthropology: Faculty Scholarship

We diagnosed Mycobacterium tuberculosis in captive lemurs and a fossa in Antananarivo, Madagascar. We noted clinical signs in the animals and found characteristic lesions during necropsy. The source of infection remains unknown. Our results illustrate the potential for reverse zoonotic infections and intraspecies transmission of tuberculosis in captive wildlife.

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Survey Of Parents Of Children With Intellectual Disabilities And/Or Autism Who Experience Chronic Constipation, James Rooney, Rebecca Hodge, Jade Smith, Kelly Vanstone, Richard Laugharne, Rohit Shankar Jan 2023

Survey Of Parents Of Children With Intellectual Disabilities And/Or Autism Who Experience Chronic Constipation, James Rooney, Rebecca Hodge, Jade Smith, Kelly Vanstone, Richard Laugharne, Rohit Shankar

Peninsula Medical School

Background: Constipation is common in children with intellectual disabilities and/or autism, but poorly researched. This study looks to understand parental knowledge, attitudes and management practices towards constipation in children with intellectual disabilities and/or autism. Methods: A cross-sectional online survey developed with patient facing organisations was circulated to parents of children with intellectual disabilities and/or autism using an exponential and non-discriminatory snowballing method for recruitment. A smaller sample were purposively sampled for their in-depth experiences. Results: Of 68 responses, people were open to discussing constipation and knowledgeable about risk factors. In the qualitative interviews, of 15 parents, they wanted to be …

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Bibliography Of Scholarship From 2023, University Of San Diego Jan 2023

Bibliography Of Scholarship From 2023, University Of San Diego

Annual Bibliography of USD Scholarship

No abstract provided.

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Effects Of Pregnancy And Lactation On Muscle-Tendon Morphology, Nicole Danos, Marjorie Patrick, Jacob Barretto, Francesca Bilotta, Megan Lee Jan 2023

Effects Of Pregnancy And Lactation On Muscle-Tendon Morphology, Nicole Danos, Marjorie Patrick, Jacob Barretto, Francesca Bilotta, Megan Lee

Biology: Faculty Scholarship

Pregnancy and lactation hormones have been shown to mediate anatomical changes to the musculoskeletal system that generates animal movement. In this study, we characterize changes in the medial gastrocnemius muscle, its tendon and aponeuroses that are likely to have an effect on whole animal movement and energy expenditure, using the rat model system, Rattus norvegicus. We quantified muscle architecture (mass, cross-sectional area, and pennation angle), muscle fiber type and diameter, and Young's modulus of stiffness for the medial gastrocnemius aponeuroses as well as its contribution to Achilles tendon in three groups of three-month-old female rats: virgin, primiparous pregnant, and primiparous …

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Mutational Analysis Of Mechanosensitive Ion Channels In The Carnivorous Venus Flytrap Plant, Carl Procko, Wen Mai Wong, Janki Patel, Seyed Ali Reza Mousavi, Tsegaye Dabi, Marc Duque, Lisa Baird, Sreekanth H. Chalasani, Joanne Chory Jan 2023

Mutational Analysis Of Mechanosensitive Ion Channels In The Carnivorous Venus Flytrap Plant, Carl Procko, Wen Mai Wong, Janki Patel, Seyed Ali Reza Mousavi, Tsegaye Dabi, Marc Duque, Lisa Baird, Sreekanth H. Chalasani, Joanne Chory

Biology: Faculty Scholarship

How the Venus flytrap (Dionaea muscipula) evolved the remarkable ability to sense, capture, and digest animal prey for nutrients has long puzzled the scientific community.1 Recent genome and transcriptome sequencing studies have provided clues to the genes thought to play a role in these tasks.2,3,4,5 However, proving a causal link between these and any aspect of the plant’s hunting behavior has been challenging due to the genetic intractability of this non-model organism. Here, we use CRISPR-Cas9 methods to generate targeted modifications in the Venus flytrap genome. The plant detects prey …

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Building Consensus Around The Assessment And Interpretation Of Symbiodiniaceae Diversity, Cawa Tran, Et Al. Jan 2023

Building Consensus Around The Assessment And Interpretation Of Symbiodiniaceae Diversity, Cawa Tran, Et Al.

Biology: Faculty Scholarship

Within microeukaryotes, genetic variation and functional variation sometimes accumulate more quickly than morphological differences. To understand the evolutionary history and ecology of such lineages, it is key to examine diversity at multiple levels of organization. In the dinoflagellate family Symbiodiniaceae, which can form endosymbioses with cnidarians (e.g., corals, octocorals, sea anemones, jellyfish), other marine invertebrates (e.g., sponges, molluscs, flatworms), and protists (e.g., foraminifera), molecular data have been used extensively over the past three decades to describe phenotypes and to make evolutionary and ecological inferences. Despite advances in Symbiodiniaceae genomics, a lack of consensus among researchers with respect to interpreting genetic …

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Changes In The Microbiome Of The Sea Anemone Exaiptasia Diaphana During Bleaching From Short-Term Thermal Elevation, Jamison R. Sydnor, Jamie Lopez, Gordon V. Wolfe, Lisa Ott, Cawa Tran Jan 2023

Changes In The Microbiome Of The Sea Anemone Exaiptasia Diaphana During Bleaching From Short-Term Thermal Elevation, Jamison R. Sydnor, Jamie Lopez, Gordon V. Wolfe, Lisa Ott, Cawa Tran

Biology: Faculty Scholarship

We examined the response of microbial communities in the model sea anemone Exaiptasia diaphana (Aiptasia) to short-term thermal elevation. Through 16S rRNA gene sequencing, we characterized the microbiomes of symbiotic (with algal symbionts) and aposymbiotic (bleached) anemones under ambient (27°C) and heat-stressed (34°C) conditions for 8-10 days, using both replicated endpoint and non-replicated time-course approaches. Consistent with prior studies, we observed a stable abundance of bacteria from the families Alteromonadaceae and Rhodobacteraceae, though with wide variation among individual anemones. We observed that symbiotic state conferred a larger impact on the microbiome than heat stress, implying the microbiome may play a …

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Medical Diagnostic Value Of Digital Pcr (Dpcr): A Systematic Review, Sophia Nazir Jan 2023

Medical Diagnostic Value Of Digital Pcr (Dpcr): A Systematic Review, Sophia Nazir

School of Engineering, Computing and Mathematics

Digital polymerase chain reaction (dPCR) is an emerging technique for the absolute quantification of target nucleic acids. dPCR got attention as a precise quantification tool in preclinical research, particularly when used to detect genetic mutations and result in highly precise measurements. In dPCR, the statistic of Poisson distribution was followed for the random distribution of molecules in different partitions, which is essential for dPCR quantification. Amplified target sequences in different partitions are identified by fluorescence and each partition functions as a separate PCR microreactor. Without the need for calibration, the percentage of PCR-positive partitions is sufficient to estimate the concentration …

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Biosensor For Rapid And Accurate Detection Of Cardiovascular Biomarkers: Progress And Prospects In Biosensors, Sophia Nazir, Rabail Azhar Iqbal Jan 2023

Biosensor For Rapid And Accurate Detection Of Cardiovascular Biomarkers: Progress And Prospects In Biosensors, Sophia Nazir, Rabail Azhar Iqbal

School of Engineering, Computing and Mathematics

The primary cause of death worldwide is cardiovascular disease (CVD), which has a considerable mortality rate. It is essential to identify cardiac biomarkers and heartbeat signals early to lower mortality. Conventional CVD examinations require costly hospital equipment for standard CVD examinations and electrocardiogram (ECG) monitoring, both of which take time and are inconvenient. Recently, interest in developing biosensing technologies for rapid CVD marker screening has increased. As a result of advancements in nanotechnology and bioelectronics, novel biosensor platforms are being created to achieve quick detection, precise quantification, and continuous monitoring during disease progression. Research is being done on chemical, electrochemical, …

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Comprehensive Measurement Of The Prevalence Of Dementia In Low- And Middle-Income Countries: Stride Methodology And Its Application In Indonesia And South Africa, Nicolas Farina, Roxanne Jacobs, Yuda Turana, Fasihah Irfani Fitri, Marguerite Schneider, Imelda Theresia, Sumaiyah Docrat, Tara Puspitarini Sani, Lydia Augustina, Emiliano Albanese, Adelina Comas-Herrera, Toit P Du, Cleusa P. Ferri, Ishtar Govia, Aliaa Ibnidris, Martin Knapp, Sube Banerjee Jan 2023

Comprehensive Measurement Of The Prevalence Of Dementia In Low- And Middle-Income Countries: Stride Methodology And Its Application In Indonesia And South Africa, Nicolas Farina, Roxanne Jacobs, Yuda Turana, Fasihah Irfani Fitri, Marguerite Schneider, Imelda Theresia, Sumaiyah Docrat, Tara Puspitarini Sani, Lydia Augustina, Emiliano Albanese, Adelina Comas-Herrera, Toit P Du, Cleusa P. Ferri, Ishtar Govia, Aliaa Ibnidris, Martin Knapp, Sube Banerjee

Peninsula Medical School

Background A core element of the Strengthening Responses to Dementia in Developing Countries (STRiDE) programme was to generate novel data on the prevalence, cost and impact of dementia in low- and middle-income countries, to build better health policy. Indonesia and South Africa are two middle-income countries in need of such data. Aims To present the STRiDE methodology and generate estimates of dementia prevalence in Indonesia and South Africa. Method We conducted community-based, single-phase, cross-sectional studies in Indonesia and South Africa, randomly sampling participants aged 65 years or older in each country. Dementia prevalence rates for each country were generated by …

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How To … Define Clinical Education Research Terminology: A Glossary, Gabrielle M. Finn, Ben Charmer, Oliver E. Burton, Aqua Asif, Matthew H.V. Byrne, Nicola Brennan, Megan E.L. Brown Jan 2023

How To … Define Clinical Education Research Terminology: A Glossary, Gabrielle M. Finn, Ben Charmer, Oliver E. Burton, Aqua Asif, Matthew H.V. Byrne, Nicola Brennan, Megan E.L. Brown

Peninsula Medical School

Clinical education research (ClinEdR) utilises diverse terminology, which can lead to confusion. A common language is essential for enhancing impact. An expert panel drawn from various workstreams within the National Institute for Health and Care Research (NIHR) Incubator for Clinical Education Research was tasked with reviewing an initial list of terms for the development of a glossary of terms in the field of ClinEdR. The glossary was populated with terms, definitions and foundational papers by the authors and peer-reviewed for accuracy. The glossary of terms developed for ClinEdR should enable researchers to use a common language, promoting consistency and improving …

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Challenges Of Evidence-Informed Offshore Decommissioning: An Environmental Perspective, Anaëlle J. Lemasson, Paul J. Somerfield, Michaela Schratzberger, Antony M. Knights Jan 2023

Challenges Of Evidence-Informed Offshore Decommissioning: An Environmental Perspective, Anaëlle J. Lemasson, Paul J. Somerfield, Michaela Schratzberger, Antony M. Knights

School of Biological and Marine Sciences

Many offshore artificial structures are at or nearing their ends of life, and society faces the considerable challenge that is decommissioning. Current scientific evidence of the ecological and environmental consequences of decommissioning is insufficient to reliably and accurately inform decision-making and policy development. Thus, we must strengthen the scientific basis for evidence-informed decommissioning.

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Remediation Technique For Cadmium Contaminated Groundwater: A Systematic Review, Nadia M.T. Jebril, R. Boden, C. Braungardt Jan 2023

Remediation Technique For Cadmium Contaminated Groundwater: A Systematic Review, Nadia M.T. Jebril, R. Boden, C. Braungardt

School of Biological and Marine Sciences

Heavy metal pollution in soil has seriously affected the living environment of human beings Among all heavy metal pollution, cadmium (Cd) is one of the most difficult to migrate pollutants in soil. Therefore, this systematic review includes the remediation techniques of Cd-contaminated groundwater that using. Different remediation techniques, including pump and treat, permeable reactive barrier, adsorption, biosorption, electrochemical, precipitation, ion exchange and bioremediation are reviewed. The advantages and disadvantages of some remediation technologies for cadmium from groundwater are outlined in order to assist the selection of a suitable technology for a groundwater remediation project. Bioremediation is a common remediation strategy …

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A Pragmatic, Multicentre, Double-Blind, Placebo-Controlled Randomised Trial To Assess The Safety, Clinical And Cost-Effectiveness Of Mirtazapine And Carbamazepine In People With Alzheimer’S Disease And Agitated Behaviours: The Hta-Symbad Trial, Sube Banerjee, Nicolas Farina, Catherine Henderson, Juliet High, Susan Stirling, Lee Shepstone, Julia Fountain, Clive Ballard, Peter Bentham, Alistair Burns, Chris Fox, Paul Francis, Robert Howard, Martin Knapp, Iracema Leroi, Gill Livingston, Ramin Nilforooshan, Shirley Nurock, John O’Brien, Annabel Price, Alan J. Thomas, Ann Marie Swart, Tanya Telling, Naji Tabet Jan 2023

A Pragmatic, Multicentre, Double-Blind, Placebo-Controlled Randomised Trial To Assess The Safety, Clinical And Cost-Effectiveness Of Mirtazapine And Carbamazepine In People With Alzheimer’S Disease And Agitated Behaviours: The Hta-Symbad Trial, Sube Banerjee, Nicolas Farina, Catherine Henderson, Juliet High, Susan Stirling, Lee Shepstone, Julia Fountain, Clive Ballard, Peter Bentham, Alistair Burns, Chris Fox, Paul Francis, Robert Howard, Martin Knapp, Iracema Leroi, Gill Livingston, Ramin Nilforooshan, Shirley Nurock, John O’Brien, Annabel Price, Alan J. Thomas, Ann Marie Swart, Tanya Telling, Naji Tabet

Peninsula Medical School

No abstract provided.

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The Relationships Between Supervisor-Subordinate Guanxi, Perceived Supervisor Autonomy Support, Autonomous Motivation, And Employee Job Satisfaction: Evidence From International Hotel Chains In China, Jinhua Zhang, Rong Huang, Qian Chen, Guoqing Zhao Jan 2023

The Relationships Between Supervisor-Subordinate Guanxi, Perceived Supervisor Autonomy Support, Autonomous Motivation, And Employee Job Satisfaction: Evidence From International Hotel Chains In China, Jinhua Zhang, Rong Huang, Qian Chen, Guoqing Zhao

Plymouth Business School

This research aims to assess the structural relationships between supervisor-subordinate guanxi, perceived supervisor autonomy support, autonomous motivation, and employee job satisfaction at international hotel chains’ operations in China. The theoretical model was developed and tested by an online questionnaire method. This study administered an online survey to employees working at international hotel chains in China, and a total of 328 valid responses were used for data analysis which was completed through SPSS Statistics 24.0 and SmartPLS 3.3.3. The results reveal that: there is a significant relationship between autonomous motivation and employee job satisfaction; perceived supervisor autonomy support exerts a significant …

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Analysis Of Factors Affecting Cross-Boundary Knowledge Mobilization In Agri-Food Supply Chains: An Integrated Approach, Guoqing Zhao, Huilan Chen, Shaofeng Liu, Denis Dennehy, Paul Jones, Carmen Lopez Jan 2023

Analysis Of Factors Affecting Cross-Boundary Knowledge Mobilization In Agri-Food Supply Chains: An Integrated Approach, Guoqing Zhao, Huilan Chen, Shaofeng Liu, Denis Dennehy, Paul Jones, Carmen Lopez

Plymouth Business School

Agri-food supply chains (AFSCs) link produce from farm-to-fork. Over 80% of businesses operating in AFSCs are small and medium-sized enterprises (SMEs) that lack the necessary resources to make knowledge accessible and usable to other stakeholders. To enhance AFSCs’ performance, we adopt an integrated approach to analyze factors affecting knowledge mobilization (KMob) across boundaries. Thematic analysis of data collected from interviews reveals 11 KMob factors. We apply total interpretive structural modeling (TISM) to identify influential relationships among these factors, and fuzzy cross-impact matrix multiplication applied to classification (MICMAC) to distinguish each factor’s role in the system. Our results complement previous studies …

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River Water Quality In Agricultural Areas • R (Sahota) V Herefordshire Council And Another [2022] Ewca Civ 1640, B Coupland, J Sellick, J Lowther Jan 2023

River Water Quality In Agricultural Areas • R (Sahota) V Herefordshire Council And Another [2022] Ewca Civ 1640, B Coupland, J Sellick, J Lowther

School of Law, Humanities and Social Sciences

Introduction. The issue at the heart of this judicial review relates to the maintenance of water quality in agricultural areas and where there is documented stress placed on river systems though nutrient run-off. Often this is caused through manure spreading and/or the use of chemical fertilisers. The case concerned a proposal for relatively small agricultural development, the consequences of which would be additional manure generation and land spread in the River Wye catchment. The river is noted as under pressure from such inputs and a challenge was brought against a decision of the respondent local authority to permit the proposed …

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Telerehabilitation For People With Physical Disabilities And Movement Impairment: Development And Evaluation Of An Online Toolkit For Practitioners And Patients, Sarah Buckingham, Krithika Anil, Sara Demain, Hilary Gunn, Ray B. Jones, Bridie Kent, Angela Logan, Jonathan Marsden, E. Diane Playford, Jenny Freeman Jan 2023

Telerehabilitation For People With Physical Disabilities And Movement Impairment: Development And Evaluation Of An Online Toolkit For Practitioners And Patients, Sarah Buckingham, Krithika Anil, Sara Demain, Hilary Gunn, Ray B. Jones, Bridie Kent, Angela Logan, Jonathan Marsden, E. Diane Playford, Jenny Freeman

School of Nursing and Midwifery

PurposeTelerehabilitation has increasingly been used since the COVID-19 pandemic but with limited guidance available on undertaking physical assessments using remote methods. We aimed to provide such guidance by developing a Telerehab Toolkit, an online information and training resource for practitioners, patients, and carers on telerehabilitation for people with physical disabilities and movement impairment.Materials and methodsDevelopment and evaluation of the toolkit were informed by the Knowledge to Action framework and took place iteratively in two phases—knowledge creation and action. Information was collated from various sources including literature review, online survey, service evaluation, and focus group discussions. The toolkit has been evaluated …

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Preconception Care For People With Health Conditions: What Approaches Work, For Whom, And In What Circumstances? A Realist Review, Heather Hopper, Kerryn Husk, Kate Maslin, Bridie Kent, Amanda Wanner, Jill Shawe Jan 2023

Preconception Care For People With Health Conditions: What Approaches Work, For Whom, And In What Circumstances? A Realist Review, Heather Hopper, Kerryn Husk, Kate Maslin, Bridie Kent, Amanda Wanner, Jill Shawe

School of Nursing and Midwifery

Preconception care for people with chronic health conditions is recommended in view of the implications for them and their offspring during pregnancy and beyond. This realist review of published and grey literature explored factors that explain why people seek or receive appropriate preconception counseling and why they engage in recommended health behavior change prior to pregnancy. Fifty-two studies contributed to phase one synthesis, and 38 studies provided explanations in phase two. Ten program theories were developed, explored, and refined through iterative discussion and coding. Causal explanations of the ways in which components of preconception care contribute to effective access to …

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Ideal Models Of Good Inpatient Care For Adults With Intellectual Disability: Lessons From England, Lisa Burrows, Georgia Page, Elena Plugaru, Bridie Kent, Mahesh Odiyoor, Sujeet Jaydeokar, Jonathan Williams, Kevin Elliot, Richard Laugharne, Rohit Shankar Jan 2023

Ideal Models Of Good Inpatient Care For Adults With Intellectual Disability: Lessons From England, Lisa Burrows, Georgia Page, Elena Plugaru, Bridie Kent, Mahesh Odiyoor, Sujeet Jaydeokar, Jonathan Williams, Kevin Elliot, Richard Laugharne, Rohit Shankar

School of Nursing and Midwifery

Background: In recent years, a significant proportion of inpatient facilities for people with intellectual disabilities and/or autism has been de-commissioned in England, This has resulted in individuals with intellectual disabilities being sent to distant hospitals far away from their families and carers leading to challenges in follow-up, community care and interventions. The impact of de-institutionalisation, has often caused patient trauma, family distress and subsequent discharge difficulties. Not every individual with intellectual disabilities and/or autism requires inpatient care but inpatient care when needed has to be local, adequate and appropriate. Aims: To evaluate current evidence of utility of inpatient models for …

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