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Articles 638131 - 638160 of 5212062

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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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George Morland (1763-1804) And The Representation Of Social Types, Heather Yeomans Jan 2023

George Morland (1763-1804) And The Representation Of Social Types, Heather Yeomans

School of Law, Humanities and Social Sciences Theses

George Morland was an eighteenth century artist, who was very popular not only during his lifetime, but in the following hundred years as well. He then fell out of popularity after changes in fashion and trends following the First World War. His paintings contain scenes of rural communities, families, animals, travellers, seaside communities as well as the slave trade, they cover a wide range of eighteenth century social types. Morland lived a ‘bohemian’ lifestyle which allowed him to get to know the people he depicted, living within the communities. His paintings have been analysed in detail in only a few …

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The Current State Of South-West Rural Representation In Contemporary Theatre., Ryan Wilce Jan 2023

The Current State Of South-West Rural Representation In Contemporary Theatre., Ryan Wilce

School of Law, Humanities and Social Sciences Theses

The following thesis will present the current state of South-West rural representation in contemporary theatre and explore who has the right to tell rural communities stories. Using rural proofing as a base framework will present a new framework for theatre makers to inform and influence their creative representations of South-West rural life. To understand the current state of representation and create the framework to improve this, I will be using formalist, actantial and script analysis of select plays, practitioners and theatre companies representing rural life in their work. Equally, my work as a theatre maker will be analysed as I …

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Spectral Music; Why Create Compositions With Such A Limited Palette?, Iain Mason Jan 2023

Spectral Music; Why Create Compositions With Such A Limited Palette?, Iain Mason

School of Law, Humanities and Social Sciences Theses

Spectral Music: Why create compositions with such a limited palette? The question I am trying to answer is why the composers within the spectral movement of classical music created their compositions with such a limited and challenging palette of sounds. With the extreme wealth of musical knowledge and a rich tapestry of sounds and movements within the classical and contemporary musical world, why was it that the composers in question who I will be investigating; Gerard Grisey, Kaija Saaraiho, and James Tenney chose to write music with a limited palette of sounds? The music to generalise is made up from …

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Speculations On Force And Form: Resisting The Neurotypical In The Neoliberal University, Helen Bowstead Jan 2023

Speculations On Force And Form: Resisting The Neurotypical In The Neoliberal University, Helen Bowstead

School of Law, Humanities and Social Sciences Theses

Can reframing a thesis in terms of what it can do rather than what it is generate a joyful-artful engagement with the PhD process and engender a more response-able relationship with the world? In this tentative exemplification of the speculative potential of force and form, the very act of writing emerges as a powerful antidote to constraints of the neoliberal university. Exploring writing as immanent doing, Erin Manning’s philosophical projects of research-creation, artfulness and thought in motion find expression through the ordinary, the everyday and the mundane. By refusing to engage in the dis-abling constraints prescribed by institutional expectations of …

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Paris Par Arrondissement, Michael Punt Jan 2023

Paris Par Arrondissement, Michael Punt

School of Art, Design and Architecture

A poetic evocation of Paris Par Arrondissement

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My Auschwitz State Of Mind: A Study Of The Nature Of Emergence Of A Text In Relation To Auschwitz, Ivan Alexander Pope Jan 2023

My Auschwitz State Of Mind: A Study Of The Nature Of Emergence Of A Text In Relation To Auschwitz, Ivan Alexander Pope

School of Law, Humanities and Social Sciences Theses

This thesis uses practice-based research to ask how I can write a textual deep map from an investigation of Auschwitz-Birkenau. As a key part of the research, I made repeated visits to the environs of Auschwitz-Birkenau, walking and cycling extensively around the area in a search for contemporary fragments in the landscape, for example buildings, routes, sites, landmarks, place names, signposts and found objects. I used my own collection of guides, documents, textual, cartographic and photographic fragments and other ephemera related to the town and the Auschwitz museum in addition to support from the Auschwitz Museum itself and external archives …

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Engaging Youth At Risk Of Violence In Services: Messages From Research, Nick Axford, John Tredinnick-Rowe, S Rybczynska-Bunt, Lorna Burns, Finlay Green, Tom Thompson Jan 2023

Engaging Youth At Risk Of Violence In Services: Messages From Research, Nick Axford, John Tredinnick-Rowe, S Rybczynska-Bunt, Lorna Burns, Finlay Green, Tom Thompson

Peninsula Medical School

Addressing youth violence is a public health priority given its prevalence, harms and costs to society. Services designed to prevent or reduce youth violence exist. However, their effectiveness depends on youth engaging with them. To our knowledge, there is no overview of the evidence on how to support this process. This article therefore aims to identify key messages from the scientific literature about how services can best engage youth at risk of involvement in violence. We undertook a rapid review of the evidence on youth engagement in services, prioritising English language studies published from 2010- which included youth aged 10–14 …

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Oral Microbes And The Formation Of Cerebral Abscesses: A Single-Centre Retrospective Study, Holly Roy, Raul Bescos, Ewen Mccoll, Umar Rehman, Elizabeth Cray, Louise A. Belfield, King David Nweze, Kevin Tsang, William Singleton, Peter Whitfield, Zoe Brookes Jan 2023

Oral Microbes And The Formation Of Cerebral Abscesses: A Single-Centre Retrospective Study, Holly Roy, Raul Bescos, Ewen Mccoll, Umar Rehman, Elizabeth Cray, Louise A. Belfield, King David Nweze, Kevin Tsang, William Singleton, Peter Whitfield, Zoe Brookes

Peninsula Medical School

Objective: Intracranial abscesses are relatively uncommon, but can result in significant mortality and morbidity. Whilst many potential causes of brain abscesses are recognised, in many cases the origin of infection remains clinically unidentified. Our objective was to investigate the role of bacteria found in the oral cavity in the development of brain abscesses. Methods: A retrospective analysis was performed using data from 87 patients admitted to a single UK neurosurgical unit with brain abscesses over a 16-year period. Using microbiological data obtained from abscess sampling and peripheral cultures, species of bacteria were categorised in patients where no primary source of …

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Presentation, Management, And Outcomes Of Cauda Equina Syndrome Up To One Year After Surgery, Using Clinician And Participant Reporting: A Multi-Centre Prospective Cohort Study, Julie Woodfield, Ingrid Hoeritzauer, Aimun A.B. Jamjoom, Josephine Jung, Simon Lammy, Savva Pronin, Cathal J. Hannan, Anna Watts, Laura Hughes, Richard D.C. Moon, Stacey Darwish, Holly Roy, Phillip C. Copley, Michael T.C. Poon, Paul Thorpe, Nisaharan Srikandarajah, Gordan Grahovac, Andreas K. Demetriades, Niall Eames, Philip J. Sell, Patrick F.X. Statham, Mohamed Abdelsadg, Motaz Ms Abulaila, Usman Ahmed, Qasim Ajmi, Rafid Al-Mahfoudh, Chadi Ali, Meriem Amarouche, Amin Andalib, M Arora, M Arora, Mariam Awan, Mirza A Baig, Antony Bateman, Iwan Bennett, Imran Bhatti, Peter Bodkin, Lalasa Bommireddy, George Bonanos, Anouk Borg, Alexandros Boukas, James Bourne, Rachael Brennan, J Brown, K Brown, Oliver Burton, Christopher Busby, Neil Chiverton, Simon Clark, Phillip C. Copley, S Cudlip, Y Cunningham, R Dardis, Stacey Darwish, B Davies, Andreas K. Demetriades, S Deore, C Derham, M Dherijha, G Dobson, J Duncan, A Durnford, Aze Durst, Ew Dyson, Niall Eames, Ellie Edlmann, A Edwards-Bailey, A Elserius, B Elson, V Fadelalla, Dm Fountain, A Gardner, A Ghosh, Jr Gill, Sa Glasmacher, R Gordon, Gordan Grahovac, R Grenfell, A Habeebullah, N Haliasos, T Hammett, Cathal J. Hannan, Cs Hill, Ingrid Hoeritzauer, D Holmes, K Hossain-Ibrahim, Laura Hughes, M Hussain, S Hussain, R Ibrahim Jan 2023

Presentation, Management, And Outcomes Of Cauda Equina Syndrome Up To One Year After Surgery, Using Clinician And Participant Reporting: A Multi-Centre Prospective Cohort Study, Julie Woodfield, Ingrid Hoeritzauer, Aimun A.B. Jamjoom, Josephine Jung, Simon Lammy, Savva Pronin, Cathal J. Hannan, Anna Watts, Laura Hughes, Richard D.C. Moon, Stacey Darwish, Holly Roy, Phillip C. Copley, Michael T.C. Poon, Paul Thorpe, Nisaharan Srikandarajah, Gordan Grahovac, Andreas K. Demetriades, Niall Eames, Philip J. Sell, Patrick F.X. Statham, Mohamed Abdelsadg, Motaz Ms Abulaila, Usman Ahmed, Qasim Ajmi, Rafid Al-Mahfoudh, Chadi Ali, Meriem Amarouche, Amin Andalib, M Arora, M Arora, Mariam Awan, Mirza A Baig, Antony Bateman, Iwan Bennett, Imran Bhatti, Peter Bodkin, Lalasa Bommireddy, George Bonanos, Anouk Borg, Alexandros Boukas, James Bourne, Rachael Brennan, J Brown, K Brown, Oliver Burton, Christopher Busby, Neil Chiverton, Simon Clark, Phillip C. Copley, S Cudlip, Y Cunningham, R Dardis, Stacey Darwish, B Davies, Andreas K. Demetriades, S Deore, C Derham, M Dherijha, G Dobson, J Duncan, A Durnford, Aze Durst, Ew Dyson, Niall Eames, Ellie Edlmann, A Edwards-Bailey, A Elserius, B Elson, V Fadelalla, Dm Fountain, A Gardner, A Ghosh, Jr Gill, Sa Glasmacher, R Gordon, Gordan Grahovac, R Grenfell, A Habeebullah, N Haliasos, T Hammett, Cathal J. Hannan, Cs Hill, Ingrid Hoeritzauer, D Holmes, K Hossain-Ibrahim, Laura Hughes, M Hussain, S Hussain, R Ibrahim

Peninsula Medical School

BackgroundCauda equina syndrome (CES) results from nerve root compression in the lumbosacral spine, usually due to a prolapsed intervertebral disc. Evidence for management of CES is limited by its infrequent occurrence and lack of standardised clinical definitions and outcome measures.MethodsThis is a prospective multi-centre observational cohort study of adults with CES in the UK. We assessed presentation, investigation, management, and all Core Outcome Set domains up to one year post-operatively using clinician and participant reporting. Univariable and multivariable associations with the Oswestry Disability Index (ODI) and urinary outcomes were investigated.FindingsIn 621 participants with CES, catheterisation for urinary retention was required …

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Towards Quantum Computing For Audio And Music Expression, Paulo Vitor Itaboraí Jan 2023

Towards Quantum Computing For Audio And Music Expression, Paulo Vitor Itaboraí

School of Law, Humanities and Social Sciences Theses

This research delves into the initial approaches of the use of emerging Quantum Computing technologies in music practice, anchored on preliminary studies on Quantum Representation of Audio (QRA). The approach is interdisciplinary, and attempts to explore the object - QRA - both from a technical scope and an artistic scope. A systematic review unifies diverse QRA techniques, spotlighting the need to bring accessibility to these techniques and terminologies (dense in theoretical physics formalism) for a computer music and/or artistic audiences, in a didactic manner. In this review, some additional techniques initially only discussed for representing images are translated into audio. …

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Domesticity And Female Self-Portraiture In Contemporary Finnish Photography: Elina Brotherus, Aino Kannisto And Iiu Susiraja On The Footsteps Of Cindy Sherman, Jenita Lindfors Jan 2023

Domesticity And Female Self-Portraiture In Contemporary Finnish Photography: Elina Brotherus, Aino Kannisto And Iiu Susiraja On The Footsteps Of Cindy Sherman, Jenita Lindfors

School of Law, Humanities and Social Sciences Theses

Domestic themes, environments and objects can be seen in many female photographers’ works, including self-portraits. While domesticity and the private sphere of home have been associated with femininity, feminists have been working to challenge these stereotypes. In contemporary art it makes domesticity an interesting concept, a sphere in which femininity and feminism collide. Cindy Sherman has observed different stereotypes in society through many of her series, the most remarkable body of work being the Untitled Film Stills (1977-1980). Sherman’s works create a baseline from which to examine female self-portraiture in Finland, focusing on three Finnish female artists: Aino Kannisto, Elina …

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Artificial Intelligence Incorporated Into Audio Analysis Of Electronic Music, Ned Fellenor Jan 2023

Artificial Intelligence Incorporated Into Audio Analysis Of Electronic Music, Ned Fellenor

School of Law, Humanities and Social Sciences Theses

In recent decades the live music performance and DJ industry has undergone a transition from analog to digital music being the norm. Audio analysis and mixing software is now a necessity for modern DJs and their preferred equipment. However, it still stands that DJs must thoroughly learn their tracks and decide which transition well together in order to produce a smooth mix. This project looks at how machine learning-based systems can aid DJs in this process; it raises questions about the use of artificial intelligence within a heavily subjective form of live performance, and its potential effectiveness in this field. …

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A Chronicle Of Place: Three Novellas And A Critical Dissertation On Compositional Process With A Contextual Analysis Of Annie Proulx's 'Barkskins' And Michael Cunningham's 'The Hours', Helen Chamberlain Jan 2023

A Chronicle Of Place: Three Novellas And A Critical Dissertation On Compositional Process With A Contextual Analysis Of Annie Proulx's 'Barkskins' And Michael Cunningham's 'The Hours', Helen Chamberlain

School of Law, Humanities and Social Sciences Theses

This thesis is presented in two parts: a work of fiction in the form of three interconnected novellas exploring settler colonialism of Native north-east America (New England), with a critical dissertation as supplement. The research encompasses four main areas: archival; contextual; experiential and the primary field of practice research. Of particular importance to the research was field work conducted in the U.S., which included meetings with Wampanoag educators and artists, and interviews and archival research at the Plimoth Patuxet Museum. The research has been informed by the work of several writers, both historical and contemporary. Primary and secondary historical sources …

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Alterity In Central And Eastern European Illustrations For The Lord Of The Rings 1981-1993, Joel Merriner Jan 2023

Alterity In Central And Eastern European Illustrations For The Lord Of The Rings 1981-1993, Joel Merriner

School of Law, Humanities and Social Sciences Theses

The 2001-2003 cinematic release of Peter Jackson’s movie adaptation of J.R.R. Tolkien’s The Lord of the Rings heralded a period of widespread pictorial homogenisation in Tolkien visual culture. Propelled by the conceptual design of veteran “Western” Tolkien artists Alan Lee and John Howe, Jackson’s vision of Middle-earth became the hegemonic model by which other depictions are measured. Consequently, the potential for undertaking a scholarly examination of an alternative, specifically non-Western Tolkien vision (with all the implications for visual difference and/or commonality this might involve), has been largely ignored. This dissertation, however, seeks to foster a deeper understanding of the possibility …

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‘My Blood Is In It’: A Phenomenological Study Of International Doctoral Students’ Embodied Experience Of A University Campus, Anne Bentley Jan 2023

‘My Blood Is In It’: A Phenomenological Study Of International Doctoral Students’ Embodied Experience Of A University Campus, Anne Bentley

School of Law, Humanities and Social Sciences Theses

Reflecting its Cartesian underpinnings, academic scholarship privileges discourse over embodiment, resulting in a lack of research about international doctoral students' bodily experience of Higher Education. International students represent a significant income stream for UK universities and offer the opportunity for the meeting of different cultures, minds and bodies. Using phenomenological theory and taking embodiment as its starting point, this thesis explores the implicit dimensions of international doctoral students' everyday experience of campus. Walking interviews, photo-elicitation and semi-structured interviews with eight international doctoral students yielded embodied, visual and discursive methods. Merleau-Ponty, Ahmed and Arendt were used to theorise the interrelated embodied, …

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The Importance Of Multimodal Play And Storytelling In Medtech For Children: A Case Study Of Co-Designing A Mixed Realities Play Kit To Prepare 4 To 10-Year-Olds For An Mri Scan, D Yamada-Rice, S Love, J Thompson, S Thompson, H Mcquillian Jan 2023

The Importance Of Multimodal Play And Storytelling In Medtech For Children: A Case Study Of Co-Designing A Mixed Realities Play Kit To Prepare 4 To 10-Year-Olds For An Mri Scan, D Yamada-Rice, S Love, J Thompson, S Thompson, H Mcquillian

School of Art, Design and Architecture

This article examines the research and development of a mixed realities play-kit to prepare children for an MRI scan to be undertaken without the need for a General Anaesthetic. The kit uses three different types of play; augmented, virtual reality and physical to help children become familiar with the look of an MRI scanner, the noises it makes, the role of the radiographer, what to expect when they go to hospital and to practise staying still. We reflect on the initial multimodal research methods that were used to bring children into the first stages of the design and development process. …

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Factors Associated With The Quality Of Life Of Nursing Home Residents During The Covid-19 Pandemic: A Cross-Sectional Study, Matthias Hoben, Emily Dymchuk, Kyle Corbett, Rashmi Devkota, Shovana Shrestha, Jenny Lam, Sube Banerjee, Stephanie A. Chamberlain, Greta G. Cummings, Malcolm B. Doupe, Yinfei Duan, Janice Keefe, Hannah M. O'Rourke, Seyedehtanaz Saeidzadeh, Yuting Song, Carole A. Estabrooks Jan 2023

Factors Associated With The Quality Of Life Of Nursing Home Residents During The Covid-19 Pandemic: A Cross-Sectional Study, Matthias Hoben, Emily Dymchuk, Kyle Corbett, Rashmi Devkota, Shovana Shrestha, Jenny Lam, Sube Banerjee, Stephanie A. Chamberlain, Greta G. Cummings, Malcolm B. Doupe, Yinfei Duan, Janice Keefe, Hannah M. O'Rourke, Seyedehtanaz Saeidzadeh, Yuting Song, Carole A. Estabrooks

More Faculty of Health Research

Objectives: Quality of life (QoL) of nursing home (NH) residents is critical, yet understudied, particularly during the COVID-19 pandemic. Our objective was to examine whether COVID-19 outbreaks, lack of access to geriatric professionals, and care aide burnout were associated with NH residents' QoL. Design: Cross-sectional study (July to December 2021). Setting and Participants: We purposefully selected 9 NHs in Alberta, Canada, based on their COVID-19 exposure (no or minor/short outbreaks vs repeated or extensive outbreaks). We included data for 689 residents from 18 care units. Methods: We used the DEMQOL-CH to assess resident QoL through video-based care aide interviews. Independent …

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Dietary Counselling Of Children With Food Allergy, Julia Eisenblaetter Jan 2023

Dietary Counselling Of Children With Food Allergy, Julia Eisenblaetter

School of Health Professions Theses

Background: The management of food allergy is challenging for children and their families. Several international guidelines recommend involving dietitians in the management; however, their tasks remain uncertain, and the effectiveness of dietary counselling has rarely been investigated. Therefore, the aim of this project was to evaluate the effectiveness of dietary counselling in children with food allergy regarding food allergy related quality of life (QoL), number of allergic reactions, and growth as indicator of nutritional status and diet diversity. Methods: The project was guided by the Complex Intervention Model by the Medical Research Council. To reach the overall aim there needed …

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A Novel Interactive Training Device To Improve Walking Ability And Quality Of Life For Children With Cerebral Palsy Trial: Accept Study An Exploration Of Balance, Its Measurement And Usual Physiotherapy Care In Children With Cerebral Palsy, To Inform A Mixed Methods Feasibility Rct., Rachel Rapson Jan 2023

A Novel Interactive Training Device To Improve Walking Ability And Quality Of Life For Children With Cerebral Palsy Trial: Accept Study An Exploration Of Balance, Its Measurement And Usual Physiotherapy Care In Children With Cerebral Palsy, To Inform A Mixed Methods Feasibility Rct., Rachel Rapson

School of Health Professions Theses

Cerebral palsy (CP) is a common disability with its onset in childhood, resulting from a non-progressive lesion to the brain. Motor impairments associated with CP are spasticity, weakness and reduced selective movement; these interfere with various aspects of balance. Children undertake physiotherapy to maintain or improve their mobility but find it hard to train at the correct frequency, intensity and in functional positions. A novel interactive trainer, the Happy Rehab™ (Innovaid, Denmark), was designed to address this. Its efficacy as an intervention to improve walking and balance is unknown. To evaluate this requires a Randomised Controlled Trial (RCT). The usual …

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Investigating Letter Identification For Visual Acuity Measurements In The Paracentral Visual Field, Hatem Barhoom Jan 2023

Investigating Letter Identification For Visual Acuity Measurements In The Paracentral Visual Field, Hatem Barhoom

School of Health Professions Theses

Sloan letters are commonly used optotypes in clinical practice, but they exhibit different relative legibility, which may be attributed to response bias, sensitivity differences, and letter similarity. In this thesis, we employed Luce’s choice model and developed a new noisy template model to investigate the role of response bias, sensitivity differences, and letter similarity in letter identification of Sloan letters at central and paracentral locations. Results show that the best model was the one that accounted for the effects of bias, sensitivity, and similarity, with bias contributing more than sensitivity and similarity. However, when estimating the letter acuity from the …

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Efficacy And Acceptability Of Mobilisation And Stretches Of The Foot And Ankle In People With Diabetic Peripheral Neuropathy, Vasileios Lepesis Jan 2023

Efficacy And Acceptability Of Mobilisation And Stretches Of The Foot And Ankle In People With Diabetic Peripheral Neuropathy, Vasileios Lepesis

School of Health Professions Theses

People with diabetic peripheral neuropathy and limited joint mobility syndrome (LJMS) can experience increased forefoot peak plantar pressures (PPPs). Elevated PPPs are a risk factor for diabetic neuropathic foot ulceration. Diabetic peripheral neuropathy can also affect balance and increase the risk of falling. This thesis investigated the efficacy and acceptability of foot and ankle mobilisations combined with home stretches in people living at risk of neuropathic diabetic foot ulceration and falling. A systematic review and meta-analysis examined the effects of foot and ankle physical therapy modalities for the management of foot and ankle joint mobility, PPPs, and balance. The review …

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Oral Microbes And The Formation Of Cerebral Abscesses: A Single-Centre Retrospective Study, Raul Bescos, Holly Roy, Ewen Mccoll, Umar Rehman, Elizabeth Cray, Louise A. Belfield, King David Nweze, Kevin Tsang, William Singleton, Peter Whitfield, Zoe Brookes Jan 2023

Oral Microbes And The Formation Of Cerebral Abscesses: A Single-Centre Retrospective Study, Raul Bescos, Holly Roy, Ewen Mccoll, Umar Rehman, Elizabeth Cray, Louise A. Belfield, King David Nweze, Kevin Tsang, William Singleton, Peter Whitfield, Zoe Brookes

Peninsula Medical School

Objective: Intracranial abscesses are relatively uncommon, but can result in significant mortality and morbidity. Whilst many potential causes of brain abscesses are recognised, in many cases the origin of infection remains clinically unidentified. Our objective was to investigate the role of bacteria found in the oral cavity in the development of brain abscesses. Methods: A retrospective analysis was performed using data from 87 patients admitted to a single UK neurosurgical unit with brain abscesses over a 16-year period. Using microbiological data obtained from abscess sampling and peripheral cultures, species of bacteria were categorised in patients where no primary source of …

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Core Outcomes For Refractory Childhood Epilepsy Treated With Ketogenic Diet Therapy: The Core-Kdt Study, Jen Carroll Jan 2023

Core Outcomes For Refractory Childhood Epilepsy Treated With Ketogenic Diet Therapy: The Core-Kdt Study, Jen Carroll

School of Health Professions Theses

Background: Ketogenic diet therapy can result in seizure and non-seizure related benefits for children with drug resistant epilepsy. However, clinical trials report a wide range of outcomes which makes evidence synthesis difficult and they do not adequately reflect parent views on important outcomes for their child. To address this, we established the first international parent, health professional and researcher consensus to develop a core outcome set - a minimum standardised set of outcomes that should be measured and reported. (COMET registration #1116). Methods: Ethical approval was granted (London-Surrey REC19/LO/1680). A scoping review and interviews with parents identified a comprehensive list …

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Harnessing The Potential Of Fibrous Polyester Composites Meant For Bioactive Medical Devices, Graciela Morales, Heriberto Rodríguez-Tobías, Victoria Padilla-Gainza, Karen Lozano, Daniel Grande Jan 2023

Harnessing The Potential Of Fibrous Polyester Composites Meant For Bioactive Medical Devices, Graciela Morales, Heriberto Rodríguez-Tobías, Victoria Padilla-Gainza, Karen Lozano, Daniel Grande

Mechanical Engineering Faculty Publications

Fibrous-based composite polyester mats have gained importance in the biomedical area due to their morphological characteristics and mechanical performance. These materials can be modified by incorporating different inorganic micro- or nano-particles, thus leading to promising potential applications as medical devices with antimicrobial and/or bioactive properties. In this regard, this chapter reports a compilation of different studies related to the development of sub-micron fibers based on two important polyesters for biomedical use, namely poly(3-hydroxybutyrate) and poly(lactic acid). Studies focus on fibers developed through hydrodynamic techniques, namely electrospinning, electrospraying, and centrifugal spinning. The incorporation of zinc oxide or hydroxyapatite on the polyester-based …

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Transition Theory And The Emotional Journey To Medical Educator Identity: A Qualitative Interview Study, J Browne, T Collett Jan 2023

Transition Theory And The Emotional Journey To Medical Educator Identity: A Qualitative Interview Study, J Browne, T Collett

Peninsula Medical School

Background. Medical academia is in crisis, with fewer people entering and growing concern at numbers leaving. While faculty development is often seen as part of the solution, there are significant issues with faculty not engaging with and resisting development opportunities. Lack of motivation may be linked to what might be called a ‘weak’ educator identity. We studied medical educators' experiences of career development to gain further insights into: how professional identity may develop; individuals' accompanying emotional responses to perceived identity change; and consideration of the accompanying temporal dimensions. Drawing on new materialist sociology, we explore medical educator identity formation in …

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Bottle With A Message: The Role Of Story Writing As An Engagement Tool To Explore Children's Perceptions Of Marine Plastic Litter, Estelle Praet, Jostein Baeza-Álvarez, Veer D De, Geraldine Holtmann-Ahumada, Jen S. Jones, Sarah Langford, Jessica Michel Dearte, John Schofield, Martin Thiel, Kayleigh J. Wyles Jan 2023

Bottle With A Message: The Role Of Story Writing As An Engagement Tool To Explore Children's Perceptions Of Marine Plastic Litter, Estelle Praet, Jostein Baeza-Álvarez, Veer D De, Geraldine Holtmann-Ahumada, Jen S. Jones, Sarah Langford, Jessica Michel Dearte, John Schofield, Martin Thiel, Kayleigh J. Wyles

School of Psychology

As human behaviors play a crucial role in addressing the global threat of plastic pollution, it is vital to understand perceptions about marine plastic litter (MPL) and to develop interventions encouraging pro-environmental behaviors (PEBs). This study evaluates story writing as a window to explore perceptions and as an engagement activity to boost PEBs. During the COVID-19 lockdowns, schoolchildren from the East Pacific coast participated in this activity, each creating a story and answering a pre-post survey. Qualitative and quantitative analysis of 81 stories and 79 surveys show awareness of sources and impacts. Participants identified land and local pollution as significant …

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Decoding Brain Basis Of Laughter And Crying In Natural Scenes, Lauri Nummenmaa, Tuulia Malèn, Sanaz Nazari-Farsani, Kerttu Seppälä, Lihua Sun, Severi Santavirta, Henry K. Karlsson, Matthew Hudson, Jussi Hirvonen, Mikko Sams, Sophie Scott, Vesa Putkinen Jan 2023

Decoding Brain Basis Of Laughter And Crying In Natural Scenes, Lauri Nummenmaa, Tuulia Malèn, Sanaz Nazari-Farsani, Kerttu Seppälä, Lihua Sun, Severi Santavirta, Henry K. Karlsson, Matthew Hudson, Jussi Hirvonen, Mikko Sams, Sophie Scott, Vesa Putkinen

School of Psychology

Laughter and crying are universal signals of prosociality and distress, respectively. Here we investigated the functional brain basis of perceiving laughter and crying using naturalistic functional magnetic resonance imaging (fMRI) approach. We measured haemodynamic brain activity evoked by laughter and crying in three experiments with 100 subjects in each. The subjects i) viewed a 20-minute medley of short video clips, and ii) 30 min of a full-length feature film, and iii) listened to 13.5 min of a radio play that all contained bursts of laughter and crying. Intensity of laughing and crying in the videos and radio play was annotated …

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