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    Predicting seizure spread andneurosurgical outcomes in epilepsy bycombining neuroimaging, machinelearning, and computer modelling

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    PhD ThesisBackground: Epilepsy is a neurological disorder of abnormal brain network in which seizures originate and spread via patient-specific spatial and temporal pathways. Disrupting these epileptic networks can enable seizure control; therefore, it is crucial to map, quantify, and understand these networks. This thesis aims to quantify the whole-brain structural network abnormalities of patients with focal and generalised epilepsy along with patientspecific network disruptions caused by epilepsy surgery. Method: We developed a novel patient-specific metric to quantify structural network abnormality at every brain region by standardising whole-brain structural networks of patients with healthy structural networks. To quantify local changes in the white-matter structure, we applied quantitative neuroimaging techniques and a computational model for making predictions on mechanisms of epilepsy development. We combined the network-based measures in robust cross-validated machine learning models to predict neurosurgical outcomes and seizure spread. Results: In drug-resistant focal epilepsy patients, structural network abnormality associated with post-surgical seizure recurrence and patient history of focal to bilateral tonic-clonic seizures. Combined with routinely acquired clinical variables, we predicted the patientspecific probability of seizure recurrence after surgery. In patients with idiopathic generalised epilepsy, we found localised abnormalities in major white-matter fascicles. The thalamocortical computer model of spike-wave seizures implicated the role of cortico-reticular connections in mechanism of epileptogenesis. Significance: This thesis highlighted the heterogeneity between patients that may be making them susceptible to a varied response for the same treatment. We offer practical tools to quantify these heterogeneities to complement clinical decision-making for effective patient stratification and tailored treatments

    Sharing Economy Platforms: A study of Social Exchange, Reciprocity and Commitment

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    PhD ThesisA sharing economy is a socio-economic ecosystem enabling collaborative use of resources through online platforms. It is different from other economic forms of relations in that the exchange of resource may be free or for any other form of compensation. Growing transactions through sharing economy platforms reflects a change in individuals’ values and preferences in the consumption of resources. The use of platforms has implications in terms of redefining the behaviour of people and their interactions with each other. Also, it brings a social impact through providing people with access to resources that otherwise would not be affordable and redistributing underused ones. Given the assumed importance of the sharing economy in contributing to collective benefits, it is imperative to examine the drivers motivating the use of sharing economy platforms, the perceived outcomes of use behaviour and users’ commitment to platforms. This will make it possible to understand how to fuel the interest of users and will contribute to the development of the crowd-based economy. The literature on the sharing economy provides a limited view of the drivers which make people participate in sharing economy transactions. It lacks an overarching approach in examining the psychological and social factors that may facilitate or inhibit social exchange through platforms. When it comes to the impacts of the sharing economy on individuals, the literature has a speculative nature, lacking empirical evidence about the users' perspective on the outcomes of relations in terms of their social benefits and wellbeing. In addition, reciprocity in relations between the members of platforms has remained untouched by empirical scrutiny. While the literature has debated the importance of reciprocity norms in sharing economy relations, the determinants and outcomes of perceived reciprocity in the sharing economy have been left unexplored. Given the above, this thesis used a Social Exchange Theory framework for examining the drivers of participation in the sharing economy by exploring the effects of social capital factors and social values. Also, the research aimed to examine the contribution of the sharing economy to the perceived wellbeing of and social inclusion by users. To shed light on the determinants of perceived reciprocity, the thesis adopted the Equity Theory perceptive. That enabled us to examine the effect of social factors (social identity and social comparison), justice perception and individual personality traits on the formation of reciprocity perception. As far as the outcomes of perceived reciprocity are concerned, the research hypothesised the effect of perceived reciprocity on relationship commitment and coping mechanisms that people employ after comparing the outcomes against the contributions that they have made to exchange relations. To enrich the understanding of the potential variance in the relationships between the determinants of perceived reciprocity, perceived reciprocity and behavioural outcomes, the thesis aimed to test the moderating role of situational and personal factors (i.e. the value of exchange, social influence, response efficacy and self-efficacy). The research adopted a cross-sectional research design to collect data. To examine the proposed relationships, two surveys were conducted. The data were collected from the users of sharing economy platforms in the United States, who had access to the surveys through a URL. The questionnaires were designed in such a way as to provide detailed guidelines on completing the survey. It collected the demographic profile of the respondents and measured the constructs of the proposed research model, by preserving the anonymity of respondents. As a result of the first survey, 487 responses were collected. The final sample for the second survey consisted of 398 responses. A structural equation modelling approach was used to test the research model. The findings indicated that the use of the sharing economy was conditioned by the positive effect of egoistic belief, reciprocity norm, social value, and the negative effect of identification. The results made it possible to conclude that participation in the sharing economy is motivated by the need to create an image that would help people perform particular roles in the community. It was important for users that the exchange would be reciprocated either immediately or in future transactions and that the exchange satisfied personal selfish needs. The strong relationships between use behaviour, social inclusion and wellbeing, moderated by age, use frequency and use intensity, were confirmed. The analysis of the effects of the determinants on perceived reciprocity confirmed the importance of social identity, ingroup comparison, procedural justice and predisposition towards outcome maximisation. The effect of perceived reciprocity on relationship commitment and coping mechanisms (i.e. emotion-focused and problem-focused) moderated by individual and situational factors (the value of exchange, social influence, response efficacy and self-efficacy) was also supported. The results of the research contribute to the literature on the sharing economy. This research broadens the understanding of the social and psychological underpinnings of sharing economy practices. The results provide evidence about the role of community-oriented motives, which have long been debated in the literature. The adoption of the overarching social capital framework provided new insight into the nature of collaborative relations, which goes against the common and established representation of the sharing economy. In addition, the thesis provides empirical evidence about the effect of the sharing economy on social inclusion and subjective well-being, which had been speculated about before. The results contribute to the literature by explaining the determinants of perceived reciprocity in the sharing economy context, which have been under-researched previously. The examination of social factors and justice perception reconciles social and rational perspectives, while the effect of reciprocity on relationship commitment through coping behaviour sheds new light on the application of equity theory. From a practice perspective, the results provide insight into the psychological patterns of the sharing economy users, which might help regulate relations and increase collaborations. The strong relationship between use behaviour, social inclusion and subjective well-being equip policy-makers with evidence that can be set against the discussions on potential socio-economic disruptions incurred by the sharing economy. The thesis also offers implications for practice by informing practitioners about ways to ensure the loyalty of the users of sharing economy platforms

    Longitudinal changes following acute brain injuries

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    PhD ThesisAlthough it is known the human brain can recover after a brain lesion, the response mechanisms of recovery are not yet fully understood. Using longitudinal data, our aim was first to characterise the ways in which brain networks change after an acute brain lesion either as a result of trauma/insult or following brain surgery. Secondly, we investigated if those changes are associated with recovery or disease progression. In this thesis, we analyse longitudinal structural changes in mild TBI, and epilepsy patients following temporal lobe resection using graph theory and connectometry. Alterations in brain structure were later related with cognitive recovery or seizure freedom using regression models. In addition, we analysed longitudinal, functional changes following moderate to severe TBI using clustering algorithms. We investigated the network flexibility over functional connectivity patterns/states by calculating the entropy of time spent in these states. Shifts in entropy were compared with longitudinal white matter integrity and blood biomarkers using linear models. In patients who underwent temporal lobe resection, we found alterations in structural connectivity and in the density of anisotropic diffusing water over time. Some of the observed changes were related with seizure freedom. Similarly, we found that a set of alterations in structural connectivity following mild TBI were related with changes in cognitive trajectory. When investigating longitudinal functional changes in moderate to severe TBI patients, we found a set of cognitive functional connectivity patterns. Changes in entropy after TBI were related to alterations in the concentration of plasma tau. Our studies suggest that early alterations in brain structure and function occur following acute brain lesions such as TBI or those as result of temporal lobe resection. While some of these alterations are the result of the injury itself in the network, other alterations may be a result of brain reorganisation and promote patient recovery

    Ghosts on the Tyne : the past as a resource for young working-class men in the post recessionary present

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    PhD ThesisThis thesis explores how young working-class men living in a former shipbuilding community – Walker in the East End of Newcastle-upon-Tyne - think about the interlinked and overlapping eras of industrialism and deindustrialisation. This includes the ways in which they remember industrial work and its loss, the strategies that they use to frame and comment upon this shared past, and how they draw on and invoke this history to help them understand the present and imagine the future. The experiences of thirty participants are explored to understand how their engagement with the shared past impacts upon their everyday lives and lived experiences in the post-industrial city. I argue that the young men who I researched remain connected to the past in multifarious ways and that they invoke and mobilise this history to help them navigate a socio-economic landscape whose contours have been shaped by the ‘Crisis Decades’ of deindustrialisation and our present ‘Age of Austerity’. This thesis makes three significant contributions. The first is demonstrating that the industrial past remains an important aspect of the lives of my participants. This builds on existing research and argues that although some of the young men with whom I worked tended towards thinking about the past in atavistic and reactionary ways, they were just as capable of engaging with it in a critical and nuanced manner. The second contribution explores the myriad of ways in which the participants remain connected with their shared past. These links to the past include familial connections, sensory recollections that are part of their personal biographies and engagements with material cultures of the home. Together this has established ongoing connections with industrial work in a community in which it is difficult to draw a clear division between an industrial past and a post-industrial present. The third contribution reveals how deindustrialisation represents an equally important part of the lived experiences of participants. Of particular interest is that although the closures and redundancies of industrial decline continue to cast a long shadow in Walker, the young men with whom I worked engaged with in creative ways, drawing on the past to imagine themselves as more than passive and victimised cogs in the machinery of capital

    Exploring persistent throat symptoms

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    M.D. ThesisBackground Patients commonly present with a range of persistent throat symptoms. There is still much research to be done to understand how the individual symptoms relate to each other. An improved understanding of any symptom relationships could aid in identifying groups of patients for particular treatments. An opportunity to explore throat symptoms in detail was provided by a clinical trial to assess the effectiveness of stomach acid lowering medication on patients’ throat and voice complaints. The aim was to identify a clinically meaningful classification of patients’ symptoms. Methods Baseline data for all patients entering the Trial of Proton Pump Inhibitors in Throat Symptoms (TOPPITS) was provided by the Newcastle University Clinical Trials Unit. Data included: demographics, three separate symptom questionnaires and a scoring assessment of throat appearances. The relationships between patient demographics, symptom scores and throat appearances were explored with scatter plots and pairwise correlation. Exploratory factor analysis (EFA) of the combined symptom questionnaires was conducted. Cluster analysis of patients using the factors generated by the EFA was then performed. Results Data for 344 patients analysed. The distributions of the questionnaire scores were comparable with published literature. The total scores from the three questionnaires were positively related with each other. No relationship was observed between the throat appearances and any of the three symptom questionnaires in this population. The EFA led to a seven factor model comprising factors of: voice, cough, gastrointestinal symptoms, airway symptoms and dysphagia, throat clearing, life events, and lump in the throat sensation. Cluster analysis failed to identify clinically meaningful groups of patients. Conclusions The TOPPITS baseline data confirmed that patients recruited to the trial reflect the wider population of patients presenting with persistent throat symptoms. No evidence of an association between throat appearances and patient reported symptoms was found in this study. Dimension reduction offered a simplified classification of symptoms, but clusters of patients based on this classification could not be identified. These results imply that individual throat symptoms cannot be used to define patient groups and that the term “persistent throat symptoms” to encompass all symptoms is appropriate to use in clinical practice

    Intrusion detection system for IoT networks for detection of DDoS attacks

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    PhD ThesisIn this thesis, a novel Intrusion Detection System (IDS) based on the hybridization of the Deep Learning (DL) technique and the Multi-objective Optimization method for the detection of Distributed Denial of Service (DDoS) attacks in Internet of Things (IoT) networks is proposed. IoT networks consist of different devices with unique hardware and software configurations communicating over different communication protocols, which produce huge multidimensional data that make IoT networks susceptible to cyber-attacks. The network IDS is a vital tool for protecting networks against threats and malicious attacks. Existing systems face significant challenges due to the continuous emergence of new and more sophisticated cyber threats that are not recognized by them, and therefore advanced IDS is required. This thesis focusses especially on the DDoS attack that is one of the cyber-attacks that has affected many IoT networks in recent times and had resulted in substantial devastating losses. A thorough literature review is conducted on DDoS attacks in the context of IoT networks, IDSs available especially for the IoT networks and the scope and applicability of DL methodology for the detection of cyber-attacks. This thesis includes three main contributions for 1) developing a feature selection algorithm for an IoT network fulfilling six important objectives, 2) designing four DL models for the detection of DDoS attacks and 3) proposing a novel IDS for IoT networks. In the proposed work, for developing advanced IDS, a Jumping Gene adapted NSGA-II multi-objective optimization algorithm for reducing the dimensionality of massive IoT data and Deep Learning model consisting of a Convolutional Neural Network (CNN) combined with Long Short-Term Memory (LSTM) for classification are employed. The experimentation is conducted using a High-Performance Computer (HPC) on the latest CISIDS2017 datasets for DDoS attacks and achieved an accuracy of 99.03 % with a 5-fold reduction in training time. The proposed method is compared with machine learning (ML) algorithms and other state-of-the-art methods, which confirms that the proposed method outperforms other approaches.Government of Indi

    Professional-parent collaboration in behavioural interventions for children with autism spectrum disorders in Saudi Arabia

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    PhD ThesisProfessional-parent collaboration is a crucial issue for the success of behavioural interventions (BI) for children with autism spectrum disorders (ASD). Many studies have been conducted in western countries related to professional-parent collaboration in education and BI for children with ASD. However, as a new phenomenon in the Saudi literature, professional-parent collaboration is rarely discussed or researched within this specific context. Therefore, this study explores and explains parents’ and professionals’ perspectives on the practice of professional-parent collaboration in the planning, design and implementation of BI for children with ASD in Saudi Arabia (SA) from the perspective of educational professionals and parents. A mixed-methods approach is employed over two phases. In Phase One, an online questionnaire was administered with 353 educational professionals across SA. Phase Two was a series of semi-structured interviews with eight professionals and eight parents from SA’s Eastern Province. The findings from both phases generally suggest that parents and professionals value professional-parent collaboration and professionals expect parents to participate at all stages of BI. However, the findings also suggest that parents and professionals are seldom involved in the collaborative planning and delivery of BI. The findings from the interview phase identify perceived facilitators to professional-parent collaboration, including emotional support for parents and mutual trust between parents and professionals. Additionally, these findings suggest perceived barriers to collaboration. Parent-related barriers include a parental lack of understanding of ASD and parental preference for rapid solutions to their child’s behavioural issues. School-related barriers include poor school arrangements regarding flexible approaches to professional-parent collaboration, overcrowding in classrooms, and the lack of assistant teachers. Professional-related barriers include a lack of motivation for professionals to work collaboratively. Finally, the findings suggest a lack of BI training and collaboration skills for both professionals and parents. The study suggests various practical implications for practice, policy, and future research

    Discrete element method to study biofilm deformation in fluid flow

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    Ph. D. Thesis.Biofilms are the assemblage of one or more types of microorganisms, which are usually found attached and grew on surfaces, embedded in their extracellular polymeric substances (EPS). They could form diverse morphologies to adapt to different environments, especially in a flow system such as water filtration. Hydrodynamic conditions have a significant impact on the deformation and detachment of biofilm, which has been primarily investigated by the experiments. However, relevant modelling research is lacking. Therefore, the individual based model (IbM) is adopted to study the biofilm-fluid interaction in present work. In the first part of this work, the discrete element method was utilized to simulate the biofilm growth, deformation and detachment, where the fluid was mimicked by applying a simple shear force. Due to the fact that the biofilms would also affect the flow pattern in return, the simply one-way approach was then extended to a two-way coupled computational fluid dynamic – discrete element method (CFD-DEM) model. Biofilm deformation and detachment was investigated at varied inlet flow velocity. We have also studied the effect of the EPS content on the deformation and detachment of biofilms. Furthermore, the strain-stress curves during biofilm deformation have been captured by loading and unloading the fluid shear stress. Biofilm streamer (filamentous structure of biofilm) motion under different flow conditions is important for a wide range of industries as well. The flow-induced oscillations and cohesive failure of single and multiple biofilm streamers have been investigated based on the CFD-DEM model. In this section, we have studied the effect of streamer length on the oscillation at varied flow rates. The predicted single biofilm streamer oscillations in various flow rates agreed well with experimental measurements. We have also investigated the effect of the spatial arrangement of streamers on interactions between two oscillating streamers in parallel and tandem arrangements. Besides, cohesive failure of streamers was studied in an accelerating fluid flow, which is important for slowing down biofilm induced cloggingEPSRC, BBSR

    A mixed methods study of the follow up of extremely preterm babies in the North East of England

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    M.D Thesis1. Background Neonatal intensive care medicine has improved considerably over time, leading to increased neonatal survival, and improved survival of preterm babies (babies born before 37 weeks gestation). In 2012, the WHO declared their commitment to reducing the mortality and morbidity related to prematurity by several interventions, including updated approaches to community-based follow up care for preterm babies. According to the Office for National Statistics (ONS), 2,490 babies were born in England and Wales in 2018 between 23- and 27- weeks gestation, accounting for approximately 0.3% of all live births. The 2017 National Institute for Health and Care Excellence (NICE) guideline made recommendations for the developmental follow up of children and young people born preterm and acknowledged the conditions linked to preterm delivery. The follow up of preterm babies determines the baby’s outcomes, their parents’ needs, and informs planning of health and social care resources. Previous research on barriers and facilitators to neonatal follow up showed that the birth of a preterm baby is a stressful event, for both mothers and fathers. Parents develop a different pattern of parenting, stemming from the concept of increased vulnerability of the preterm baby. The communication between parents and health professionals is important, and poor communication increases parental stress levels. Studies underlined the relevance of the relationships established between parents and neonatal staff to parents’ experiences. 2. Aim This study used a mixed methods design to assess the neonatal follow up of extremely preterm babies, focusing on attendance rates in relation to morbidities and demographic characteristics, as well as parents’ and health professionals’ perceptions of the neonatal follow up.3. Methods This study involved two phases. Phase one was an analysis of demographic, morbidity, mortality, and 2- year neurodevelopmental outcomes data of a cohort of babies born before 28 weeks gestation in the North East of England, over a 12-month period between July 2015 and June 2016, recorded in the Badger database. Phase two was a qualitative study of parents’ and health professionals’ (HPs) views, perceptions, and experience of the follow up of extremely preterm babies. Parents were recruited to the study during their attendance for their baby’s follow up appointments and were interviewed using a topic guide. Seventeen semistructured interviews were carried out with 23 parents of babies born before 28 weeks completed gestation, between January and December 2018. Thematic analysis based on the Braun and Clarke model was used. Twenty one-to-one, semi-structured interviews were carried out with HPs involved in the follow up care of preterm babies, between October and December 2018. Data were analysed using thematic analysis.4. Results The recruitment rate for phase one was 61% of the eligible babies; 86.2% of the babies included were born after 24 weeks gestation, with a mean gestation age (GA) of 25+3 weeks and a mean birth weight (BW) of 805 grams. More than three quarters of babies were discharged home on oxygen. Of the cases where information was available, half of the babies showed developmental delay, with half of these cases showing moderate to severe delay. There was no formal diagnosis of cerebral palsy recorded in the Badger database. The analysis of the parents’ interviews identified two key themes: ‘Emotions’ and ‘Here and now’. The first theme, ‘Emotions’, included three subthemes: ‘The emotions related to the preterm birth - a rollercoaster’, ‘The post-traumatic stress syndrome’ and ‘The overprotective parent’. Following the birth of their preterm baby, parents experienced mixed and contradictory emotions, compared to a rollercoaster, which may contribute to developing symptoms suggestive of post-traumatic stress syndrome. Parent participants developed an overprotective type of parenting, as previously described in literature. 4. Results The recruitment rate for phase one was 61% of the eligible babies; 86.2% of the babies included were born after 24 weeks gestation, with a mean gestation age (GA) of 25+3 weeks and a mean birth weight (BW) of 805 grams. More than three quarters of babies were discharged home on oxygen. Of the cases where information was available, half of the babies showed developmental delay, with half of these cases showing moderate to severe delay. There was no formal diagnosis of cerebral palsy recorded in the Badger database. The analysis of the parents’ interviews identified two key themes: ‘Emotions’ and ‘Here and now’. The first theme, ‘Emotions’, included three subthemes: ‘The emotions related to the preterm birth - a rollercoaster’, ‘The post-traumatic stress syndrome’ and ‘The overprotective parent’. Following the birth of their preterm baby, parents experienced mixed and contradictory emotions, compared to a rollercoaster, which may contribute to developing symptoms suggestive of post-traumatic stress syndrome. Parent participants developed an overprotective type of parenting, as previously described in literature. The second theme, ‘Here and now’, included four subthemes: ‘The storytelling’, ‘The coping mechanism’, ‘The impact of being born early’ and ‘The value of the follow up’. Future parents expected a normal term pregnancy, followed by a normal birth; the normality was interrupted by the onset of preterm labour. This interruption marked the beginning of a different experience, the quality of which impacted on the bonding and relationship between baby and parents, and the relationships between parents and HPs. Parents reported that follow up offered reassurance. The analysis of the HPs’ interviews identified two key themes: ‘Communication’ and ‘The Child Not Brought’. The first theme, ‘Communication’, included two subthemes: ‘The Journey’ and ‘The multi-disciplinary team post discharge’. The HPs described the experience of the birth and the follow up of a preterm baby as a journey and continuity of care was a marker of quality. HPs understood that the follow up offers reassurance and support to parents. There was a diversity of job roles of HPs involved in the care and follow up of preterm babies, leading to the formation of a multi-disciplinary team (MDT). Communication occurred in every direction between the members of the MDT, in many ways (written/verbal, formal/informal, paper/electronic). The second theme, ‘The Child Not Brought’ included three subthemes: ‘The impact on the baby’, ‘The NHS point of view’ and ‘Why do parents not attend?’. HPs suggested several potential reasons why parents may not bring their child(ren) to the follow up appointments: parents may not understand the role of the follow up, especially if the child is well; parents fear bad news; families may have a busy life, have too many appointments or have just seen another HP; communication breakdown (related to system or human factors); neglect; distance and travel; psychological issues (fear to leave the house, bad memories linked to the hospital environment). 5. Discussion Findings from this research provide important insights into the views and experiences of parents of preterm babies with regards to their baby’s follow up appointments. The birth of a preterm baby is a stressful event; parents develop a different pattern of parenting, stemming from the concept of the increased vulnerability of the preterm baby. HPs described the birth and follow up of an extremely preterm baby as a journey. The continuity of care and good communication contribute to improving this journey. Due to the complexity of the team involved in the follow up of the extremely preterm baby, there were challenges in communication, at different levels. Relatively small changes in practice, such as allowing for normality by encouraging the parents to read to their baby at night-time, and ensuring adequate communication and appropriate reassurance, could improve the parents’ experience, their engagement with follow up appointments, and therefore their baby’s outcomes. NICE recommends follow up of babies born extremely preterm to school age, however there is no established referral pathway into the paediatric services. Parents value continuity of care, which may be challenging if there is no clear transition process between neonates and paediatrics. Ensuring a smooth transition at every level by designing a clear pathway for the neonatal follow up of extremely preterm babies and the transition to paediatric services may improve the follow up process, parents’ engagement with the system and their baby’s outcomes.South Tees Hospitals NHS Foundation Trus

    Unplatformed Design: Reconceptualising Social Media Technologies as Tools for Coordinated Action, Participation and Engagement

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    Ph. D. Thesis.Social media technologies are becoming more and more enmeshed in our personal, professional and civic lives. Increasingly, we are just as likely to use social media to book a doctor’s appointment as we are to make plans with friends. This ever-widening context of use is a testament to the versatility and flexibility of these types of technology, and points to their potential for shaping, structuring and supporting new ways of participation, engagement and interaction. The aim of this thesis is to explore this idea through designing with, investigating and reconceptualising social media technologies. With respect to existing literature around the appropriation of technologies and the materiality of information, I argue that social media can be conceptualised as a ‘design material’ from which other forms of participation can be created. To support this, I undertake the design, deployment and evaluation of a large-scale social media-based participatory engagement, ‘WhatFutures’. From insights generated in this design process, and with an accompanying analysis of other empirical examples of appropriation of social media for participation, I then propose the model for ‘unplatformed design’. This conceptual model details the material qualities of social media technologies in respect to how they can be appropriated in the coordination of participation. Lastly, I put this model into practice in two design-led case studies: in the design and deployment of a peer support system for people undergoing extreme weight loss as part of managing diabetes; and in the formulation of design considerations for a social media-based language learning system. There are multiple outcomes from this is conceptual, empirical and design-led inquiry. I fully detail the final designs and corresponding design processes of two full large-scale, social media-based engagements. I present and interpret a variety of design decisions around the appropriation of social media for coordinating participation. Crucially, I introduce the novel model of unplatformed design, identifying four material qualities of social media technologies, and how they may be configured or augmented towards coordinating participation. This model fundamentally reimagines the role and possibilities of social media technologies within design, it looks past existing perceptions and ingrained usage patterns, and proposes a more constructive and participatory orientation of social media to our lives

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