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    Exploring stakeholders’ views on the Change4Life ‘Sugar Smart’ campaign and school food to improve children’s diets: two qualitative studies

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    Ph. D. ThesisThere is a current childhood obesity pandemic and a high prevalence of dental caries amongst children worldwide. This thesis comprises two studies which provide an in-depth qualitative exploration of stakeholders’ views on the impact of the national Change4Life ‘Sugar Smart’ campaign, and the influence of school food on children’s diets in Newcastle upon Tyne. In 2017, twenty-seven telephone interviews were conducted with parents, one-year post ‘Sugar Smart’ campaign. Key findings were: a reported raised awareness of child sugars intake by parents and children; ‘hidden sugars’ were a barrier to reducing sugars intake; and, reported household shopping changes including reduced purchasing of ‘sugary’ drinks and breakfast cereals. The national campaign was helpful in raising awareness of the impacts of Free Sugars, one-year postcampaign. However, a more integrated approach is needed to increase the impact and sustainability of future health marketing campaigns. A number of parents who participated in the ‘Sugar Smart’ campaign evaluation reported a difficulty in reducing their child’s Free Sugars intake when their children were at school. This finding warranted further research, therefore, a second study was designed to explore stakeholder views on school food contribution to the diets of children. Three schools in Newcastle upon Tyne were recruited. Focus groups were conducted with parents and children. Head teachers, canteen staff and employees of Newcastle City Council who are involved in school food provision were interviewed. Identified themes included puddings being a controversial addition to school dinners, a preference for school dinners over packed lunches, and the ability of school dinners to encourage children to try new foods. Communication between stakeholders needs to be improved, and clearer, more consistent messages about the importance of nutritionally balanced school meals are needed. This research highlights that a diverse range of initiatives are needed across different settings to improve children’s diets. A single approach to achieving positive improvement is unlikely to be successful. To ensure the environments which children interact with allow easy and accessible healthy food and drink choices, there is a need for change within legislation and policy, as well as the development of whole school approaches. All stakeholders involved should prioritise the health of children and work together to achieve a positive improvement of children’s diet

    Studying polyoxometalates for application in redox flow batteries

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    PhD ThesisEnergy storage is important to an energy sector in which renewable energy sources become more prevalent and the use of energy from fossil fuels is minimised. As energy from renewable sources is produced intermittently (e.g. from wind and solar photovoltaic systems), energy storage can be used to stabilise these energy sources by storing excess energy produced during times of low demand and releasing it later. Redox Flow Batteries (RFBs), a type of secondary battery, are an energy storage technology that is of interest to both large-scale energy storage and smaller off-grid energy storage systems. RFBs have differences in operation compared to other secondary batteries. For instance, all of the active material of an RFB is dissolved in the electrolytes and no plating or intercalation reactions occur at the electrodes during charge and discharge. Further, the electrolytes are stored in external tanks and transported to the cells of an RFB by using pumps. This decouples the power and energy content of an RFB; power and energy can be adjusted independently by varying the size of the cell stack or the volume of electrolyte. In RFB research, a common endeavour is the investigation of active materials that could target some of the limitations of the most mature RFB, the all-vanadium RFB, which uses vanadium ions as the active species. Polyoxometalates (POMs) are one type of compound that have been studied as RFB active materials. POMs are anionic metal-oxygen clusters containing early transition metals, termed the addenda atoms of the POM, which are often tungsten, molybdenum and vanadium. These elements can exhibit reversible redox reactions when incorporated into a POM. An additional element, such as silicon or phosphorus, is sometimes present in the core of a POM and is termed a heteroatom. In this work, aspects of POMs for application in symmetric and asymmetric RFBs are investigated. Symmetric RFBs use the same active species in the positive and negative halfcell whereas asymmetric RFBs use a different species in each half-cell. [SiV3W9O40] 7- , a mixed-addenda POM containing tungsten and vanadium, is studied as an active species for a symmetric RFB. Selected electrochemical properties of two POMs containing one type of addenda atom but a different heteroatom, [SiW12O40] 4- and [CoW12O40] 6- , are also investigated in relation to their application as the active material in the negative electrolyte of an asymmetric RFB. In symmetric flow cell testing of [SiV3W9O40] 7- , coulombic efficiencies were >98% with 65% of the theoretical capacity of the battery accessed and a capacity fade of 2.7% over 50 cycles observed. Analysis of cycled [SiV3W9O40] 7- electrolytes did not indicate decomposition had occurred, indicating stability of [SiV3W9O40] 7- to the charge/discharge testing conditions in this study. In a study of the kinetics of the electron transfer o

    The Economic Effects of Childhood Speech and Language Difficulties: A Cross-Cohort Quantitative Life Course Analysis

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    Ph. D. Thesis.Introduction Early vocabulary and speech development predict poorer broader childhood skills, educational attainment, mental health, and employment. However, little is known beyond early adulthood about how language relates to income, non-cognitive skills, or physical health. Aims The thesis aims to utilise historical data to highlight the broad and enduring impact of early communication over the life course. Appropriate, evidence-based recommendations are established for research and clinical practice. Methodology Two datasets were selected, capable of modelling the importance of early communication skills on life chances. The Newcastle Thousand Families Study (1947) incorporates novel health visitor observation data from age two to seven of 881 children, identifying 161 with Speech, Language and Communication Needs. The British Cohort Study (1970) complements this analysis with a national dataset of thousands of children, containing a continuous assessment of receptive vocabulary at age five. Regression, mediation, and counter-factual econometric methods (Oaxaca-Blinder Decomposition and Regression Discontinuity Design) are utilised to maximise the value in the historical data. Findings SLCN is associated with introverted personality traits, and a reduced tendency to enjoy new experiences in later adulthood. Lower earnings and health were observed at age 50 but not age 62. Mediation analysis confirms the existence of a direct relationship between early receptive vocabulary and later earnings across adulthood. No significant mediation effect was observed through education or non-cognitive skills after accounting for this direct effect. However, when comparing income differences between high and low vocabulary groups (no direct effect of vocabulary), higher levels of educational attainment and cognitive skills were found in the high vocabulary group on average, explaining most of the observed group ii differences in income. Returns to these variables are not statistically different between vocabulary groups, implying that vocabulary does not moderate the importance of known drivers of income. In summary, it is disadvantage in early years rather than discrimination in adulthood which explains the income gap. Furthermore, whilst vocabulary scores predict a range of functional outcomes, this is not true over narrow thresholds. Small differences in language scores do not predict outcomes, regardless of the placement of the threshold, suggesting that thresholds are an unreliable method of identifying functional language disorders. Therefore, strictly applied thresholds should be removed from clinical diagnoses, and academic research should reduce its reliance on unsupported distinctions. Conclusion Varying methodological approaches and data enable the illustration of substantial positive associations between early verbal communication skills and a range of previously unmeasured lifelong outcomes.The Economic and Social Research Counci

    The transformative potential of philosophical dialogue: space for children and young people to explore their multi-storied lives

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    DAppEdPsy ThesisThis thesis explores experiences of philosophical dialogic inquiry as a pedagogical approach with children and young people (CYP), for example, the use of Philosophy for Children (P4C). It contains four chapters: a systematic literature review, a critique of ethical and methodological choices, an empirical research project and a reflexive chapter, which considers personal and professional implications of the thesis. Chapter 1: How do children and young people experience the process of philosophical dialogic inquiry and the wider implications of this pedagogical approach? This systematic literature review explores children and young people’s (CYP’s) experiences of philosophical dialogic inquiry, a pedagogical approach that invites CYP to engage in critical thought and discuss a philosophical topic together. A metaethnography was used as a process to search and synthesise qualitative literature. Five papers were selected and reviewed. The key themes identified were features of a dialogic process, experiences of learning as a sociocultural experience and, reconstructed perceptions of the self, others, and learning. The influence of the context on the experiences of CYP was also identified as a critical theme. A line of argument was expressed in a visual form to illustrate the relationship of these themes to one and other. The review highlights the momentary experience of engaging in a dialogic process and wider implications for CYP, such as, engagement in dialogue outside of the school context and shifts in perceptions. Teacher accounts in the synthesised research also illustrated how philosophical dialogic inquiry can challenge adults’ perceptions of CYP and what they are capable of. This may illustrate the potential for transformative change for CYP and adults. Chapter 2: An ethical and methodological critique This chapter explores ethical and methodological considerations during the development of the research project outlined in Chapter Three. The philosophical orientation of the research was social constructionism; therefore, the construction of language and power were critically considered throughout. The research was informed by participatory principles and narrative inquiry. Due to the COVID-19 pandemic, the research was facilitated virtually. Thus, virtual methodologies, and the associated implications of this, were continually reflected upon. iv Relational ethicality guided the process of the research as there was ongoing attunement to interpersonal dynamics. This is arguably an aspect of quality and rigour in qualitative research (Groundwater‐Smith & Mockler, 2007). Chapter 3: A narrative inquiry with autistic young people and teachers in their school: how are the narratives they have constructed about themselves and their experiences woven and explored during philosophical dialogue? The purpose of this empirical research is to understand how stories can be constructed and enacted in P4C. The project was undertaken in a specialist school / sixth form in the North East of England and adopted a qualitative approach. Autistic CYP, and teaching staff participated in the construction of the research approach, analysis, and dissemination decisions. Virtual semi-structured interviews were carried out to explore biographical stories and experiential stories. The interviews were constructed and analysed using Narrative Orientated Inquiry, Collocation Analysis and Critical Narrative Analysis. Findings are discussed with regards to the connections in the rich life stories and experiential stories shared by an individual, this aims to address how narratives can be woven and explored during a P4C process. By developing an understanding of the transformative potential of philosophical dialogue, I hope this will inform holistic understandings of CYP, and creative pedagogical practice. Chapter 4: How did I shape the research and how did the research shape me? Personal and professional implications. This chapter explores personal and professional implications of the research project outlined in Chapter Three. Engaging in participatory processes had implications on how I negotiated a relational dynamic when working alongside CYP and teachers. The use of narrative psychology was therapeutic and transformational, this consolidated narrative ways of ‘being’ as a key aspect of my professional practice. The stories shared in the research also prompted me to rethink pedagogy and how I could construct space for shared reflection on pedagogical approaches, and the underpinning philosophical principles, in education. Unpicking and understanding moments of reflexivity during the research has highlighted my key values as a person, researcher, and Educational Psychologist (EP)

    Integrating life cycle assessment with genetic selection to reduce the environmental impacts of pig production

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    PhD ThesisSusPig project, funded through the Horizon 2020 ERA-NET scheme and through DEFR

    Validating Next Generation Therapeutics and Targets in Castrate-Resistant Prostate Cancer

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    PhD ThesisAberrant androgen receptor (AR) signalling is a key driver of prostate cancer (PC) manifestation and progression. Therefore, therapeutic intervention has focused on interrupting the AR signalling axis using androgen deprivation strategies and direct receptor antagonists, such as enzalutamide, collectively termed hormone therapy. Despite initial efficacy, hormone therapy ultimately fails due to a cohort of resistance mechanisms which enable reactivation of AR signalling and PC progression to a more aggressive form called castrate resistant prostate cancer (CRPC). Clinically, CRPC presents as a disease with minimal effective treatment options and therefore, new targets and therapeutics are required to improve patient outcome. Of the characterised mechanisms of hormone therapy resistance that enable progression to CRPC point mutations within the ligand binding domain of the AR enhance promiscuity of the receptor to promote binding and activation by alternative ligands, including enzalutamide. Crucially, next generation compounds are currently in development to improve targeting of clinically-relevant mutated forms of the AR. Other resistance mechanisms include androgen bypass in which AR is controlled by other signalling pathways, including kinase cascades such as PI3K-AKT. Consistent with this phenomenon the kinase SGK1 has been linked to AR signalling and has been postulated to be a potential therapeutic target in CRPC. The aims of this study were to: • better understand the mechanism of action and efficacy of the newly developed JNJ-Pan-AR compound, which is a non-clinically-relevant derivative of JNJ-63576253, across a cohort of CRPC relevant cell lines • validate SGK1 as a therapeutic target and understand whether SGK1 regulates AR activity. This study showed the JNJ-Pan-AR has antagonistic activity comparable to enzalutamide in CRPC cell lines expressing wild-type AR, and significantly outperforms enzalutamide in a clinically-relevant ARF877L point 10 mutant-expressing cell line. JNJ-Pan-AR mediates these effects by binding AR and preventing nuclear translocation and enrichment at key cis-regulatory elements of AR-target genes. For the second aim of the project, it was concluded that SGK1 knockdown significantly reduces proliferation of a cohort of CRPC cell lines, and significantly effects a subset of AR target genes. However, these results were not emulated using SGK1 inhibitors previously used in the literature (GSK650394), with publicly available kinase screen data suggesting that these compounds are highly un-selective. Gene set enrichment analysis (GSEA) on RNASeq data suggested that SGK1 drives a cohort of genes with a similarity to neuroendocrine prostate cancer (NEPC) associated pathways MYC and mTOR. In all, the work has helped define the mechanism of action of a novel next generation anti-androgen which will be of value for understanding which patients would benefit from the clinical candidate compound JNJ-63576253. Furthermore, although the evidence suggests that SGK1 is not strongly implicated in AR regulation, its depletion rather than kinase inactivation using a selective inhibitor impacts prostate cell proliferation suggesting a potential scaffolding role of SGK1 in controlling cell fate. Future studies are required to help define this phenomenon

    Computational modelling of the spread of tree disease through forests

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    PhD ThesisThe impact of infectious tree diseases, such as Ash dieback, are wide-ranging: economic losses are estimated to be in the region of billions of pounds, for example with the cost of Ash dieback to the UK estimated to be £15 billion over the next century [1], risking thousands of jobs. Ecological losses can extend beyond the affected tree species to many dependent species, at a time when concern over the precariousness of many species is mounting; the loss of some tree species can also lead to desertification and permanent habitat loss. Palm trees, which are threatened by Bayoud disease, in particular can help to prevent desertification [2]. In order to control outbreaks of infections and mitigate this damage, it is desirable to develop reliable warning signals, which can indicate when a localised outbreak is likely to become an epidemic. Outbreak events can also be predicted or prevented by identifying characteristics, such as planting density or homogeneity, which may make a forest especially vulnerable or resilient. However, the possibility of identifying these through experiment is limited: tree diseases typically spread over long time scales, it is hard to control the relevant parameters, for example, maintaining a particular density of trees without continual human interference, and the areas of land required would be considerable. In this thesis, we will further develop existing mathematical models for disease spreading while making a broad examination of the effect of the parameters involved, in particular, the tree density, the infection rate and effective distance, and the uniformity of the forestscapes. Our approach uses a lattice-based model, which combines a compartmental model of infection with a spatial component. Each lattice point represents either a tree or an empty space. We start with an infection with local interactions, such that an infected tree can only transmit the disease to its nearest neighbours. We consider two types of neighbourhoods: von Neumann and Moore, and quantify the observed dynamics by measuring the spreading velocity of the disease. As the forestscape density increases, we see a transition from local confinement to widespread outbreak at a critical density. The critical density is consistent with the percolation threshold, that is, the point at which the domain is spanned by a single connected cluster. We also further investigate an established framework of early warning signals such as the standard deviation, skewness and kurtosis of the velocity to predict the occurrence of the transition to the outbreak regime. Further measures, such as the mortality, also indicate a critical shift at the same critical density. Previous work has focused on homogeneous forests, but this is not very representative of real forests, which frequently exhibit large scale features, such as man-made structures, or a natural clustering of trees. We develop an algorithm for generating forests with clustering, with a single parameter governing the degree of clustering. We characterise the observed distributions of trees in terms of Besag’s function, which captures how far a distribution is from random at particular length scales. We also extract data on the distribution of trees in real forests, using the Mahalanobis distance, a measure of how close the properties of an individual are to the properties of a set, to classify cells as either containing trees or not, and compare this to our synthetically generated data. Using our synthetically generated clustered forestscapes in our local model, we observe that the dynamics strongly depend on the degree of clustering. We find that an increase in the level of tree aggregation suppresses the infection propagation. The critical density for the transition to the epidemic is consequently shifted to higher values for clustered forestscapes. We then consider how the dynamics of an infection which spreads in a more realistic non local way differ from an infection which only spreads locally. We observe that, in addition to the tree density and the degree of clustering, the dynamics are strongly influenced by the characteristic spreading distance, with some interesting interplay between the parameters. Measuring the spreading velocity, we again see that clustering suppresses the infection, but as the spreading distance increases, this effect is diminished. For the non-local infection, the transition to the epidemic regime is not clear when considering the velocity, but can be seen in the mortality. However, it occurs at much smaller tree densities than for the local infection. Overall, the dynamics of the infection can be remarkably altered by the switch from local to non-local interactions, with several observed effects that are relevant to understanding and predicting the propagation of tree diseases.King Abdulaziz University and the government of Saudi Arabia

    Robust optimisation of dry port network design in the container shipping industry under uncertainty

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    PhD ThesisThe concept of dry port has attracted the attention of many researchers in the field of containerised transport industry over the past few decades. Previous research on dry port container network design has dealt with decision-making at different levels in an isolated manner. The purpose of this research is to develop a decision-making tool based on mathematical programming models to integrate strategic level decisions with operational level decisions. In this context, the strategic level decision making comprises the number and location of dry ports, the allocation of customers demand, and the provision of arcs between dry ports and customers within the network. On the other hand, the operational level decision making consists of containers flow, the selection of transportation modes, empty container repositioning, and empty containers inventory control. The containers flow decision involves the forward and backward flow of both laden and empty containers. Several mathematical models are developed for the optimal design of dry port networks while integrating all these decisions. One of the key aspects that has been incorporated in this study is the inherent uncertainty of container demands from end customers. Besides, a dynamic setting has to be adopted to consider the inevitable periodic fluctuation of demands. In order to incorporate the abovementioned decision-making integration with uncertain demands, several models are developed based on twostage stochastic programming approach. In the developed models, the strategic decisions are made in the first stage while the second-stage deals with operational decisions. The models are then solved through a robust sample average approximation approach, which is improved with the Benders Decomposition method. Moreover, several acceleration algorithms including multi-cut framework, knapsack inequalities, and Pareto-optimal cut scheme are applied to enhance the solution computational time. The proposed models are applied to a hypothetical case of dry port container network design in North Carolina, USA. Extensive numerical experiments are conducted to validate the dry port network design models. A large number of problem instances are employed in the numerical experiments to certify the capability of models. The quality of generated solutions is examined via a statistical validation procedure. The results reveal that the proposed approach can produce a reliable dry port container network under uncertain environment. Moreover, the experimental results underline the sensitivity of the configuration of the network to the inventory holding costs iii and the value of coefficients relating to model robustness and solution robustness. In addition, a number of managerial insights are provided that may be widely used in container shipping industry: that the optimal number of dry ports is inversely proportional to the empty container holding costs; that multiple sourcing is preferable when there are high levels of uncertainty; that rail tends to be better for transporting laden containers directly from seaports to customers with road being used for empty container repositioning; service level and fill rate improve when the design targets more robust solutions; and inventory turnover increases with high levels of holding cost; and inventory turnover decreases with increasing robustness

    Analysis of active watch data after stroke

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    PhD ThesisDue to the rapid development of modern technology and the low cost of wearable devices, a very large amount of accelerometer data has been recorded and used in many different areas, particularly in medical research. However, the analysis of accelerometer data is very challenging due to its complex structure, i.e., the large noise-signal ratio, the very large amount of data and the heterogeneity in different data sets. In this thesis, we use wavelet in a functional data analysis (FDA) framework to analyse the data and apply this method to evaluate upper limb function after stroke, a difficult task in medical research. In addition to the commonly used features (Preece et al., 2009; Sekine et al., 1998) based on the wavelet energy preserving condition for accelerometer data under the discrete wavelet transform (DWT), we propose two new types of scalar features. They extract different types of information from the accelerometer data and use to predict upper limb function for stroke patients. To further investigate the ‘details’ based on wavelet-domain, under a Bayesian hierarchical model (NIG-MT), the wavelet coefficients with small values can be eliminated properly and efficiently with negligible loss from the total information. We will use the slide window approach and multivariate functional principal component analysis (fPCA) based on the small DWT tree structure. This further reduces the size of the data set and extracts the useful information from the pattern of small DWT tree structures in wavelet-domains. Classification and regression models are developed based on the small DWT tree structure. The models have been applied to distinguish between the different activities in the designed data and refine the new features in free-living data to assess the patients’ upper limb function respectively

    Local communities as infrastructure for place-based mobile learning

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    Ph. D. Thesis.The last decade has seen a significant reconfiguration of the UK’s public services through policies of austerity. Severe funding cuts have beenmade tomany local councils, resulting in various services—such as the upkeep of local parks, and educational activities within them—to be cut from some authorities’ funding altogether, with their upkeep instead relying upon volunteerism or charges. Coinciding with an increase in the use of mobile technologies in schools, stakeholder groups are frequently also turning to them in an effort to promote the places they care for: attempting to engage with new audiences and promote the value of place to younger generations. This thesis explores the design space for mobile learning platforms which harness places and communities as resources for both formal and informal learning, and how such technologies can be used by stakeholders to share their knowledge and further their own agendas. This design space is then further explored through the design, development and evaluation of OurPlace—a mobile learning platform consisting of Android and iOS applications and a supplementary website. Through multiple engagements, OurPlace was shown to support community members, teachers and learners in creating, sharing and engaging with place-based mobile learning activities through seamless learning experiences. To further investigate how such mobile learning technologies and local resources could be effectively used within formal education, this work also proposes a framework for ‘project-basedmobile learning’, applying and evaluating this framework using OurPlace in three different schools and a summer school of Travelling Showchildren, working within the unique constraints of each. Through a design-based research approach, this project combines findings of longitudinal observational studies with volunteer community groups and a mix of long and short-term case studies with schools to contribute: implications for designing digital platforms which harness places’ existing social infrastructures as resources for civic learning; OurPlace, a platformdesigned to harness these resources; and the introduction and demonstration of a generalisable framework for structuring the use of such mobile learning technologies within project-based learning, along with recommendations for its re-configuration in response to contextual constraints

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