University Of Belfast Research Articles

A novel linked dataset to improve understanding about the health of people in Northern Ireland’s prisons

Objective and ApproachWe describe a collaboration between the Queen’s University Belfast, Administrative Data Research Centre (ADRC) in Northern Ireland (NI) and the NI Healthcare in Prisons Service (HIPS) to develop a novel linked database to assess the health of people in prison in NI. Prison health data were extracted by the HIPS using electronic/manual modes for the period 2012-2021 and transferred to the Honest Broker Service, a trusted research environment, for linkage, de- identification and access to data. Data from prison health records were linked via a unique health identifier to a healthcare population spine, prescriptions data (primary care), hospital admissions data (mental health), income deprivation and mortality data. ResultsA novel linked dataset has been developed including 16 variables from prison health records for N=14,898 individuals and N=34,213 custodial episodes (individuals may have ≥1 custodial episode during the study period). The entire NI population (healthcare population spine data) will be included as comparator data. Dataset cleaning has commenced for analyses. The study aims are to (i) examine the health/mental health of people in prison in NI, (ii) examine all-cause/drug-related mortality risk after release from prison and (iii) characterise individuals with the greatest mortality risk. ConclusionsWe discuss the development of a novel linked dataset using prison health records and present results from our research questions about the health of people in prison. ImplicationsThis work may direct future research and may be used to guide health services policy changes and improve outcomes after prison release.

Changing focus: making sustainability a major theme in existing university modules

In this article we report some practical experiences of integrating education for sustainable development into established university teaching modules. The 2021 guidance on Education for Sustainable Development from the UK’s standards bodies QAA and Advance HE is an important and urgent motivation for introducing sustainability into university courses. We take as our context a first-year introductory module in Chemical Products and Process in the School of Chemistry and Chemical Engineering and a second-year module in Software Engineering and Systems Development in the School of Electronics, Electrical Engineering and Computer Science, both at Queen’s University Belfast. We outline some of the challenges of adding new themes to existing courses. We comment on ways of presenting themes of sustainable development alongside existing module content, and we indicate the type of work students produced. We identify approaches that resulted in good outcomes, and outline changes we have made with a view to improved future outcomes.

Bad Bridget—An unexplored aspect of the Irish migration story

AbstractThis paper examines how museums can address and raise awareness of histories of incarceration through a case study—the Bad Bridget exhibition, which opened at the Ulster American Folk Park in Omagh, Northern Ireland, in April 2022. Originating as an academic research project (2015–2019) led by Dr Leanne McCormick (Ulster University) and Dr Elaine Farrell (Queen's University Belfast), it tells the stories of women who left Ireland for North America between 1838 and 1918 and ended up in trouble with the authorities for one reason or another. A unique mix of sights, sounds, and smells, further enhanced by first‐person narration, is used within the exhibition to encourage visitors to emotionally engage with the experiences of these women. For much of the nineteenth century, Irish‐born migrants were the biggest group in American prisons, and there were disproportionate numbers of Irish girls and women in the justice system, court, and prison (Farrell & McCormick, ‘Bad Bridgets’: The criminal and deviant Irish women convicted in America. Irish Times, 2019). Bad Bridget has provided us with a platform to reveal this previously unexplored aspect of the Irish migration story at the museum, contrary to the “American Dream.”

Conversations in geography: Journeying through four decades of history and philosophy of geography in the United Kingdom

This article offers a critical appraisal of institutionalised knowledge production and exchange on the history and philosophy of geography in the United Kingdom. We examine broad epistemic trends over 41 years (1981–2021) through an analysis of annual conference sessions and special events convened by the History and Philosophy of Geography Research Group (HPGRG) of the Royal Geographical Society with the Institute of British Geographers (RGS-IBG). We show how organisational, sociocultural, and epistemic changes were coproduced, as expressed by three significant findings. Organisationally, the group emerged through shared philosophical interests of two early career geographers at Queen's University of Belfast in 1981 and received new impetus through its strategic plan 1995–1997, which inspired long-term research collaborations. Socioculturally, the group's activities contributed to national traditions of geographical thought and praxis in masculinist academic environments, with instances of internationalisation, increasing feminisation, and organisational cooperation. Epistemically, the group's events in the 1980s shaped contextualist, constructivist, and critical approaches, and coproduced new cultural geography, but the emphasis shifted from historically sensitive biographical, institutional, and geopolitical studies of geographical knowledges, via critical, postcolonial, and feminist geographies of knowledge-making practices in the 1990s, to more-than-human and more-than-representational geographies in the early twenty-first century.

Lessons for the UK on implementation and evaluation of breastfeeding support: evidence syntheses and stakeholder engagement.

Breastfeeding impacts positively on multiple health outcomes, but < 50% of UK women breastfeed at 8 weeks. Women with long-term conditions face additional challenges in breastfeeding. To synthesise global and UK evidence to co-create an implementation and evaluation toolkit for cost-effective breastfeeding support in the NHS. Evidence syntheses with stakeholder engagement. Systematic reviews examined effectiveness of breastfeeding support for (1) healthy women and (2) women with long-term conditions using Cochrane Pregnancy and Childbirth Group methods. Mixed-methods systematic reviews synthesised process evaluations of effective breastfeeding support interventions for healthy women and experiences of receiving/providing support for breastfeeding women with long-term conditions. Cross-study synthesis integrated qualitative and quantitative findings. Systematic reviews synthesised evidence on the incremental costs and cost-effectiveness of breastfeeding support following National Institute for Health and Care Excellence guidance. All searches were conducted from May 2021 to October 2022. Stakeholder engagement and toolkit development comprised online discussions, a modified Delphi study, focus groups and four workshops. Participants were 23 stakeholders, 16 parents in the parents' panels, 15 women in the focus groups and 87 stakeholders who attended the workshops. We found considerably more interventions designed for healthy women (review 1) than aimed at women with long-term conditions (reviews 1 and 4); approximately half of the studies were targeted at groups at higher risk of poor breastfeeding outcomes, and the impact of support may be different in these populations. Despite this, studies from review 2 found that women perceived the provision of support as positive, important and needed. Studies from review 5 echoed a range of suggestions from participants regarding potential strategies to improve breastfeeding support, with the most widely reported being the need to acknowledge the role and influence of other sources of support (e.g. partners, family, friends, peers, external professionals, web-based resources) and involving these sources in the provision of breastfeeding support for women with long-term conditions. In reviews 3 and 6, there was uncertainty about the cost-effectiveness of breastfeeding support interventions due to the limited number of studies and lack of good-quality evidence. There was a lack of evidence for the effectiveness and cost-effectiveness of breastfeeding interventions in the UK. There was often insufficient information reported about intervention characteristics. 'Breastfeeding only' support probably reduces the number of women stopping any or exclusive breastfeeding. The evidence for 'breastfeeding plus' interventions is less consistent, but these may reduce the number of women stopping exclusive breastfeeding at 4-6 weeks and at 6 months. We found no evidence of differential intervention effects regarding mode of provision or provider. Cost-effectiveness is uncertain due to the lack of good-quality evidence. Key enablers of successful implementation were responsiveness and tailoring of interventions to both women's and supporters' needs. Breastfeeding support as delivered in the included studies probably has little to no effect on breastfeeding outcomes for women with long-term conditions. The mixed-methods synthesis and stakeholder work identified that existing interventions may not address the complex needs of these women. The main study output is a co-produced toolkit to guide implementation and evaluation of breastfeeding support services in the UK. Evaluation of breastfeeding support for all women, particularly those at risk of poor breastfeeding outcomes (e.g. long-term conditions, deprivation). This could involve tailoring the toolkit to local contexts via implementation and effectiveness studies or using quality improvement studies. This study is registered as PROSPERO CRD42022337239, CRD42021229769 and CRD42022374509. The reviews of economic evidence were not registered; however, the review protocol can be accessed via the repository held by Queen's University Belfast Research Portal (https://pure.qub.ac.uk/). This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR130995) and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 20. See the NIHR Funding and Awards website for further award information.

The wellbeing shelf: A mixed methods study exploring the impact of a resilience web resource for first year nursing and midwifery students

BackgroundNurturing a resilient nursing and midwifery workforce is vital for the National Health Service's sustainability. Higher Education Institutions (HEIs) must support students, given the challenges and attrition rates. Nursing and midwifery education uniquely balances tuition and placements, posing challenges, especially for first-year students, who face stressors including lack of familiarity, knowledge gaps, and emotional exposure. ObjectivesThis study aimed to introduce and evaluate a co-designed web-based intervention called ‘The Wellbeing Shelf’ to enhance resilience among first-year nursing and midwifery students. DesignAn exploratory mixed methods approach was employed, combining quantitative pre- and post-intervention questionnaires and qualitative focus groups. Settings and participantsThe study involved 353 first-year nursing and midwifery students at Queen's University Belfast. Methods‘The Wellbeing Shelf’ was developed through co-design workshops. Quantitative measures included the Connor Davidson Resilience Scale (CD-RISC) and the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Qualitative data were collected through focus group interviews. ResultsQuantitative data showed a decrease in both resilience and wellbeing scores over time. The CD-RISC scores decreased significantly from Time 1 to Time 3. Qualitative findings revealed three themes: “Acquiring” knowledge about wellbeing, “Actioning” self-care strategies, and “Advocating” for self-care among peers and family. ConclusionsThe study introduced ‘The Wellbeing Shelf’ as a resource to enhance resilience among nursing and midwifery students. Whilst the resource offered a variety of activities and fostered a sense of belonging, challenges in resource accessibility and student confidence were identified. The study also highlighted the importance of students advocating for self-care practices. Despite the resource's introduction, resilience and wellbeing scores decreased over time, suggesting a need for further research and potentially a control group. Understanding the initial lower resilience of nursing and midwifery students is crucial for future interventions in this high-demand program.

Tech use: Emerging survey results

In the fourth article in this series, Dr Karen Winter, professor in Children's Social Care at Queen's University Belfast, outlines some of the Toddlers, Tech and Talk project's most recent findings from a survey conducted as the first study phase.

Protocol for the development of a core outcome set and reporting guidelines for locoregional treatment in neoadjuvant systemic breast cancer treatment trials: the PRECEDENT project

IntroductionNeoadjuvant systemic anticancer therapy (neoSACT) is increasingly used in the treatment of early breast cancer. Response to therapy is prognostic and allows locoregional and adjuvant systemic treatments to be tailored...

Writing/Righting the world: Reflections on an engaged history and philosophy of geographical thought

This paper argues for the relevance of the history and philosophy of geography and provides a personal perspective on the origins of the Working Party/Study Group/Research Group by one of its founders. Intellectually, the paper identifies the role of its history and philosophy as the construction and sanctioning of meta-narratives by which meaning is conferred on ‘geography’. Practically, the paper summarises the descriptive, normative and personal justifications for the establishment of the Working Party in 1981 in the context of Queen's University Belfast as a zone of civility exemplifying the politics of hope in a militarised, segregated and sectarian society.

The Hunt for The Wild Bunch: Simultaneous Multiplicity and Alternative Genealogies in World Cinema

This video essay ‘The Hunt for the Wild Bunch: Simultaneous Multiplicity and Alternative Genealogies in World Cinema’ was created for the Centenary Symposium of the Bulletin of Spanish Studies held in Queen’s University Belfast in September 2023. It theorizes, constructs and illustrates a mode of analysis that exploits the potential of video essays in Film Studies. In addition, by way of considerations of alternative genealogies in World Cinema and the work of Carlos Saura and his influence on Sam Peckinpah, it contends that videographic criticism can be a vital, progressive component of contemporary scholarship.

Delivering computing module for the large part-time software development class from pre- to post-pandemic: An online learning experience

IntroductionCovid-19 pandemic brought dramatic changes to higher education settings, particularly for curriculum delivery, moving quickly to online learning. This paper discusses teaching experience covering practices of technology-enhanced learning for the MSc Computing Foundations module (20 CATS) for a large class studying part-time Software Engineering course at the School of Electronics, Electrical Engineering and Computer Science (EEECS), Queen's University Belfast (QUB) during 2019–2022 academic years. We compare on-campus learning with the abrupt shift to online learning during the pandemic and with sustainable online learning a year later. The objective of this study is to answer how part-time software development students perceived their technology-enhanced learning experience from pre- to post-pandemic and to evaluate the impact of the shift to online learning for the part-time class MethodsThis study is based on data collected during 2019/2020, 2020/2021, 2021/2022 academic years. Methodology types employed in this study include online observation with statistics collected from the virtual learning environment (VLE) Canvas, quantitative analysis, individual student surveys on teaching techniques and module content ResultsThis study provided an effective online teaching method for Computer Foundation module, reviewing the impact of different curriculum items and online educational activities starting with content delivery – both synchronous and asynchronous – and moving on to VLE Canvas discussion forums, ungraded formative quizzes, in-term formative assessment in the form of mock exam and, finally, to online summative assessment delivered on VLE Canvas. We investigate positive and negative aspects of technology-enhanced learning from pre- to post-pandemic according to part-time adult students studying the MSc software development program and focus on how this effective learning environment contributes to education practice with a view what developments are worth retaining post-pandemic and what did not work well. Analysis of the data from individual student surveys on teaching techniques and module content for the Computing Foundations module allowed us to conclude that students perceived very positive their technology-enhanced learning experience after shifting to online learning. We also found out that сhanging the module delivery format (from face-to-face to online) did not affect the results of the students’ performance. Conclusion and implicationsAdaptation of the MSc Computing Foundation module to a new model of distance learning has proved to be successful, so we can conclude that this delivery format is appropriate for this target audience. This study explored the effectiveness of the pedagogical approach while also gaining valuable insights into the software development student experience of learning in the VLE. The findings from this study may contribute to developing effective teaching practices in software engineering education and adult learning, and improve the preparation of future software professionals in the IT industry.

Colonization of the Russian-Chinese Frontier and Borderland in Contemporary Studies

The history of the Asia is one of the most topical areas of foreign historiography. Over the last three centuries Asia has undergone enormous and far-reaching changes: colonization, wars, revolutions, occupation, and industrialization. Authors are increasingly turning to the study of various aspects of the economic, political and social history of certain countries, as well as making a broader analysis of regional problems. For Russian historiography, the works on the Russian-Chinese frontier and frontiers are of the greatest interest. The transition to the modern image of border regions is largely attributed to the advent of the period of imperialism. The key argument is that from the mid-nineteenth to the mid-twentieth century, systemic migration factors were favorable for the influx of Chinese and Russian migrants to the border regions. Negative political influences at crucial moments often outweighed these systemic advantages and prevented the formation of stable communities. We note the series of books by Routledge Publishers on the New Asian History, separate monographs already translated into Russian on this topic. The article focuses on two new works — S. Urbanski’s book, which conceptualizes the space of the Russian-Chinese borderland and frontier, and a collective work by the University of Belfast, published in 2023 as a result of an international research project. This article pays particular attention to the so-called imperial period, which laid the foundations for the more rigid politics of the twentieth century. The economics of imperialism in the frontier would play a less significant role than the traditional trade relations, economic systems established in previous eras.

Investigating the prevalence of cognitive impairment and dementia in the Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA): the Harmonised Cognitive Assessment Protocol (HCAP) cross-sectional substudy

IntroductionThe Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA) study is the largest study of ageing in Northern Ireland (NI). The Harmonised Cognitive Assessment Protocol (HCAP) is a...

Global research trends and hotspots of oxidative stress in diabetic retinopathy (2000-2024).

Oxidative stress has been identified as a major contributor to the pathogenesis of DR, and many diagnostic and therapeutic strategies have been developed to target oxidative stress. Our aim was to understand the contribution of the country of origin of the publication, the institution, the authors, and the collaborative relationship between them. We performed a bibliometric analysis to summarize and explore the research hotspots and trends of oxidative stress in the DR. We observe an upward trend in the number of posts on related topics from year to year. Expanding on this, Queens University Belfast is the most influential research institution. Current research hotspots and trends focus on the mechanism of autophagy and NLRP3 inflammasome's role in oxidative stress in DR. We conducted a multi-dimensional analysis of the research status of oxidative stress in diabetic retinopathy through bibliometric analysis, and proposed possible future research trends and hotspots.

APCP CONFERENCE ABSTRACTS: 2023

APCP CONFERENCE ABSTRACTS: 2023

CHALCOLITHIC/EARLY BRONZE AGE AND ADDITIONAL MAGDALENIAN RADIOCARBON DATES FOR EL MIRÓN CAVE (RAMALES DE LA VICTORIA, CANTABRIA, SPAIN). DATE LIST VII

ABSTRACTThere are now 101 radiocarbon dates from the long Paleolithic and post-Paleolithic culture-stratigraphic sequence in El Mirón Cave, Cantabrian Spain. Here we report on two dates on bone from two different humans whose remains were found in disturbed surface sediments in the cave vestibule rear and that confirm the existence of burials in addition to previously reported residential occupations in the vestibule front pertaining to the Chalcolithic and early Bronze Age periods (ca. 5500–3500 cal BP). In another attempt to resolve problems of stratigraphic incoherence of dates from the early Magdalenian periods in the vestibule rear, six new assays on faunal remains from Levels 119, 117, 114, 108, and 106 were run at Queen’s University in Belfast. There continue to be date inversions in the Lower Magdalenian range of levels that may be explained by a combination of intensive anthropic and rodent activity, major rock fall, slope wash and gravity-caused object movements, as well as possible problems in following some thin levels during excavations over a large area and across many years of work in the cave vestibule interior, particularly in the absence of any layers that are culturally sterile or even poor. Nonetheless, the coherent age of the Initial Magdalenian is fully confirmed by a new date from Level 21 in the vestibule front at ca. 22,000–20,500 cal BP), as is the general age range of the Lower Magdalenian (ca. 20,500–18,000 cal BP).

A12Development of a summative assessment method for interprofessional simulation and other interprofessional education (IPE) activities

Collaborative learning is recognized as essential in ensuring the delivery of safe and effective healthcare. It is fundamental to creating the healthcare teams of the future [1,3]. Central to this, is the early exposure of healthcare students to multiple, healthcare professions to begin the process of thinking and practising in a more interprofessional way. Importantly, how the interprofessional experience is assessed is crucial to the success of collaborative learning. This was the background to the development of an interprofessional module within the School of Nursing &amp; Midwifery at Queens’ University Belfast. (1) To collaborate on the development of additional IPE workshops to supplement an established interprofessional simulation model. (2) To develop an assessment component for the interprofessional activities, including interprofessional simulation. (3) To evaluate the process. Drawing upon the expertise associated with the implementation of a highly successful interprofessional simulation programme, an interprofessional education (IPE) group was established with representation across the Faculty. From the outset, there was a need to have a shared understanding of the module and its complexities, and to work together to collectively support the pedagogy, shaping student learning and assessment, and providing the best educational experience [2]. The team collaborated on sourcing and establishing IPE workshops, developing reflective questions, as well as working on designing and integrating an online video within a digital platform, and streaming all students to one interprofessional workshop. An evaluation questionnaire was created using Microsoft Forms. The 17-item questionnaire incorporated three Likert scales, plus two either/or answers and two questions on digital device/browser. The questionnaire had 10 qualitative ‘free response’ questions to allow candidates to elaborate, expand, clarify or illustrate their answers. The collaboration with staff across the Faculty of Medicine Health &amp; Life Sciences resulted in the establishment of four additional IPE workshops to complement an established six. Total number of IPE workshops, Interprofessional opportunities that utilize a reflective video-based assessment contribute positively to the student experience and are a welcome addition to the undergraduate nursing curriculum. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.

Irish consumers attitudes and behaviors to transitioning to more sustainable dietary

Abstract Background The evidence on the environmental, socio-cultural and economic impacts of current diets highlights the need for countries to develop food based dietary guidelines incorporating sustainability. This study assessed consumers current beliefs, attitudes, and behaviours to transitioning to more sustainable dietary practices. Methods An online quantitative survey was developed. An all-Island sample in Ireland, representative of national age and gender distribution was recruited by Qualtrics XM market research company. Ethical approval for the study was granted by the Social Research Ethics Committee of UCC and reaffirmed by Queens University Belfast. Data were analysed using STATA SE Version 17.0. Results Affordability, accessibility, nutrition, and health were the most important characteristics of sustainable diets reported by participants that influence food purchases. Almost half of respondents were not interested in eating less animal-based food (45%) and more plant-based foods (51%). However, 22% reported to have started reducing red and processed meat consumption ‘some of the time'. The most popular sustainable dietary behaviours that people were already engaged with are: eating more home-cooked meals (59%), reducing food waste through prevention (41%), and eating less discretionary foods (55%). Conclusions Facilitating dietary change is a critical component of the transition towards more sustainable diets. A multi-pronged strategy is needed to transition to food environments that empower people to choose healthier and more sustainable options. This includes downstream actions at the individual level, including awareness and education campaigns, but more importantly upstream where strong leadership through public policies taking a whole of population approach is imperative. Key messages • Much work has to be done to reconnect human and ecological health, building awareness and knowledge of sustainable diets, and to make the more sustainable choice the easier, and acceptable choice. • Affordability, accessibility and nutrition and health are important characteristics of sustainable diets influencing food purchases. These need to be considered in the development of key messages.

First person – Parisa Naeli

ABSTRACT First Person is a series of interviews with the first authors of a selection of papers published in Journal of Cell Science, helping researchers promote themselves alongside their papers. Parisa Naeli is first author on ‘ The SARS-CoV-2 protein NSP2 enhances microRNA-mediated translational repression’, published in JCS. Parisa is a postdoctoral researcher in the lab of Seyed Mehdi Jafarnejad at Queen's University Belfast, UK, investigating mRNA translation and decay, RNA biology, and RNA-binding proteins.

Laboratory Tests Assessment of a Mechanical Sensor-less MPPT Control Strategy for Tidal Turbines

The purpose of this study is to demonstrate through towing tank experiments the effectiveness of a novel sensor-less Maximum Power Point Tracking (MPPT) control for Tidal Stream Turbines (TST) under fluctuations of the onset flow. Ocean energies will play a crucial role in the renewable energy sector over the next decades. Instream turbines for tidal currents are a rapidly maturing technology to exploit a highly predictable energy source. However, short-term fluctuations on the inflow velocity caused by waves or turbulence determine fatigue loads that affect system reliability. Power control strategies to maximize the energy yield can be also used to mitigate the effects of transient loading on drivetrain components. Aim of this paper is to present a straightforward and robust MPPT control method based on the linear relationship between the current and voltage squared of the generator's DC outputs. The method requires pre-determined turbine characteristics to establish the control reference that is effective across operating conditions. The proposed MPPT model was derived mathematically through linearization and simplifications of the turbine power conversion system and validated by model tests carried out in the wave-towing tank facility of CNR-INM in Rome, Italy, using the 1.5 m diameter Tidal Turbine Testing (TTT) device developed at the Queen’s University Belfast (QUB). In the study, a conventional TSR control method was also considered in order to perform a comparative analysis of system response to inflow speed fluctuations with time scales comparable to turbine revolution periods. TSR control was tested using two control references: TSR = 5 (design point) and TSR = 6 (over-speed zone) to verify the operation of the turbine under different loading conditions. The tests were conducted in two scenarios: calm water (steady state) and unsteady inflow with a regular (sinusoidal or monochromatic) waveform, with amplitude chosen to simulate an extreme wave case. The power output was measured from the turbine during regular wave conditions and compared to results from steady flow to assess the impact of wave-induced velocity on turbine performance (Fig. 1). Test results showed that by using the proposed MPPT control strategy, the algorithms converged to the maximum power coefficient (Fig. 2), which validates the proposed methodology. Results also demonstrated the capability of the proposed MPPT to significantly reduce mechanical loads fluctuations as compared to the TSR control. In the full-length paper, the proposed MPPT control strategy is outlined, the test methodology, set-up and conditions are described, and main results are presented and discussed.