Digital Commons Network^™

Optimising Feedback For Early Career Professionals: A Scoping Review And New Framework, Karen Mattick, Nicola Brennan, Simon Briscoe, Chrysanthi Papoutsi, Mark Pearson

Peninsula Medical School

No abstract provided.

Patient And Public Involvement In Medical Performance Processes: A Systematic Review, Mirza Lalani, Rebecca Baines, Marie Bryce, Martin Marshall, Sol Mead, Stephen Barasi, Julian Archer, De Bere S Regan

Peninsula Medical School

No abstract provided.

Neurological Effects Of Glucocerebrosidase Gene Mutations, S. Mullin, D. Hughes, A. Mehta, A. H.V. Schapira

Peninsula Medical School

No abstract provided.

Gender Incongruence In Children, Adolescents And Adults, Susan Bewley, Damian Clifford, Margaret Mccartney, Richard Byng

Peninsula Medical School

More individuals are requesting medical assistance for gender uncertainty or dysphoria and provision of adult NHS gender identity services (GIS) is changing. Despite minimal medical input to polarised debates, several issues are potentially concerning: reports of poor care; rapid rises in referrals of children and young people to GIS; public conflation of biological sex with socially influenced gender roles; and extensive uncertainty in the evidence base to guide practice. Medical practice should happen within robust human rights frameworks where individual patients always have their concerns heard. Generalists, with expertise in whole-person care, handling uncertainty and complexity, have a key role …

From Mental Disorder To Shared Understanding: A Non-Categorical Approach To Support Individuals With Distress In Primary Care, Richard Byng, Nora Groos, Christopher Dowrick

Peninsula Medical School

This article argues that, rather than aiming for a psychiatric diagnosis, generalist professionals such as those working in primary care, as well as in other hospital and community settings, should use a non-diagnostic framework when encountering distress. The conceptual and empirical limitations of the psychiatric diagnostic system and evidence that psychological phenomena are dimensional suggest the need for an alternative approach; one that might also address problems of overdiagnosis and overmedication.1 There are three key problems with the current Diagnostic Statistical Manual (DSM) and International Classification of Diseases (ICD) systems of psychiatric classification. The process can be stigmatising; diagnoses are …

Predictors And Trajectory Of Performance Status In Patients With Advanced Cancer: A Secondary Data Analysis Of The International European Palliative Care Cancer Symptom Study, Jw Boland, Victoria Allgar, Eg Boland, Stein Kaasa, Marianne J. Hjermstad, Miriam J. Johnson

Peninsula Medical School

Background: Performance status, a predictor of cancer survival, and ability to maintain independent living deteriorate in advanced disease. Understanding predictors of performance status trajectory could help identify those at risk of functional deterioration, target support for independent living and reduce service costs. The relationship between symptoms, analgesics and performance status is poorly delineated. Aim: The aim of this study is to determine whether demographics, analgesics, disease characteristics, quality-of-life domains and C-reactive protein predict the trajectory of Karnofsky Performance Status (KPS) in patients with advanced cancer. Design: The study design is the secondary data analysis of the international prospective, longitudinal European …

Non-Invasive Coronary Ct Angiography-Derived Fractional Flow Reserve: A Benchmark Study Comparing The Diagnostic Performance Of Four Different Computational Methodologies, Jason Matthew Carson, Sanjay Pant, Carl Roobottom, Robin Alcock, Blanco P Javier, Bulant C Alberto, Yuri Vassilevski, Sergey Simakov, Timur Gamilov, Roman Pryamonosov, Fuyou Liang, Xinyang Ge, Yue Liu, Perumal Nithiarasu

Peninsula Medical School

Non-invasive coronary computed tomography (CT) angiography-derived fractional flow reserve (cFFR) is an emergent approach to determine the functional relevance of obstructive coronary lesions. Its feasibility and diagnostic performance has been reported in several studies. It is unclear if differences in sensitivity and specificity between these studies are due to study design, population, or "computational methodology." We evaluate the diagnostic performance of four different computational workflows for the prediction of cFFR using a limited data set of 10 patients, three based on reduced-order modelling and one based on a 3D rigid-wall model. The results for three of these methodologies yield similar …

Perioperative Oxidative Stress: The Unseen Enemy, Jia L. Stevens, Martin Feelisch, Daniel S. Martin

Peninsula Medical School

Reactive oxygen species (ROS) are essential for cellular signaling and physiological function. An imbalance between ROS production and antioxidant protection results in a state of oxidative stress (OS), which is associated with perturbations in reduction/oxidation (redox) regulation, cellular dysfunction, organ failure, and disease. The pathophysiology of OS is closely interlinked with inflammation, mitochondrial dysfunction, and, in the case of surgery, ischemia/reperfusion injury (IRI). Perioperative OS is a complex response that involves patient, surgical, and anesthetic factors. The magnitude of tissue injury inflicted by the surgery affects the degree of OS, and both duration and nature of the anesthetic procedure applied …

Insulin Resistance During Normal Child Growth And Development Is Associated With A Distinct Blood Metabolic Phenotype (Earlybird 72), Joanne Hosking, Jonathan Pinkney, Alison Jeffery, Ornella Cominetti, Silva L Da, Sebastiano Collino, Martin Kussmann, Jorg Hager, Francois Pierre Martin

Peninsula Medical School

No abstract provided.

Where There's A Will, There's A Way: Implementing Motivational Strategies To Combat Decision Fatigue, David Huang

CMC Senior Theses

Recent research suggests we have a limited supply of willpower, termed the “ego”, which becomes depleted by undergoing cognitively demanding tasks. Any acts of volition, including decision-making, self-control, and taking responsibility, reduce this supply of “ego” (Baumeister, 1998), which impedes our ability to further perform these tasks. Decision fatigue, a specific form of ego depletion, is prevalent everywhere from judicial court cases (Danzinger, Levav, & Avnaim-Pesso, 2010) to our daily lives. There is now significant mainstream media exposure and literature on decision fatigue and the activities to which it applies. However, it remains contested how to best handle its negative …

Healthy Skepticism: The Relationship Between Funding Source And Conclusion In Nutrition-Related Scientific Articles On Saturated Fat, Lili Muskal

CMC Senior Theses

Recently published scientific articles have led to mixed nutritional advice on dietary saturated fatty acids. Lesser et. al (2007) identified that mixed conclusions in scientific articles on sweetened beverages might be attributed industry funding, as articles funded by the beverage industry are four to eight times more likely to report conclusions in favor of the sponsor’s products. This thesis applies Lesser’s methods to determine whether industry funding influences the inconsistent conclusions on saturated fatty acids. This thesis analyzes 100 articles on foods high in dietary saturated fatty acids. While studies with food industry funding are more likely to produce favorable …

The Use Of Personality Testing In Personnel Selection, Riya Kumar

CMC Senior Theses

Research has shown that more than 45% of American companies are opting to integrate personality tests in their recruitment processes. Given this surge in personality testing, this thesis examines whether personality testing is a valid predictor of job-fit and performance in the context of personnel selection. A large proportion of this paper is focused upon the Big-Five factor model, its limitations, and derivative tests of the model. The impact of technology upon personality testing is also discussed as an emerging field. By tracing and examining the history of personality testing to current day, I have found that personality tests are …

The Growth Of Socially Responsible Investing Practices In U.S. Equity Markets And Abnormal Sin Stock Returns, Jack Lori

CMC Senior Theses

In my Senior Thesis, I explore the growth of socially responsible investing (SRI) practices in U.S. equity markets and abnormal sin stocks returns. I analyze the historical performance of socially responsible ETFs and portfolios of current sin stocks—alcohol, tobacco, gaming, and aerospace & defense stocks. I propose that as socially responsible investing practices continue to grow in U.S. equity markets, more industries will eventually be deemed sinful—such as sugary beverages, fast food/sugary food, biotech & pharmaceuticals, and tech/social media. I examine two sinful industries—alcohol and tobacco—by comparing the performance of these sinful portfolios before and after their industries were widely …

How Organizations And Their Brands Leverage Marketing Partnerships To Enhance Their Success: The Guidelines To Navigating Both Reaffirming And Repositioning Strategic Partnerships, Remi A. Edwards

CMC Senior Theses

Understanding the different factors, influencers, and outcomes that form a successful brand partnership allow for marketers to make informed decisions that benefit their company. This paper provides a comprehensive review of the literature regarding partnership marketing and issues a set of guidelines for marketers to strategically market their brand by way of collaboration. With two distinct strategic frameworks, reaffirming partnerships and repositioning partnerships, this paper seeks illustrate the efficacy of brand collaboration and how to achieve success based on varying brand goals.

Fostering Transformational Leadership In Asian Americans: How To Reach The C-Suite, Khadija Ganijee

CMC Senior Theses

This paper investigates what has caused a lack of Asian American leadership in the corporate space and how transformational leadership can be the solution for these people by using their culture to their advantage. This was accomplished through a comprehensive review of transformational leadership and the personality traits associated with it, as well as psychological research on Asian American issues in the workplace and the role of Asian American culture. Stereotyping and discrimination play a role in the workplace, but usually, what a person can do to combat these issues is not explicated. This thesis aims to fill in that …

The Digitalization Of Development: Understanding The Role Of Technology And Innovation In Development Through A Case Study Of Kenya And M-Pesa, Kara Schachter

CMC Senior Theses

This thesis analyzes the connection of mobile phone technology to increased economic development in Kenya. Drawing on previous research, I first examine the state of development by analyzing social, political, and economic factors in Kenya in 2007/2008. I then examine the role of technology on these development factors in Kenya by focusing on the rapid rise of mobile money platform M-Pesa and the rise of decentralized banking. This thesis finds that M-Pesa’s success stems from the failure of public trust in traditional institutions, collaboration between the public, private, and nonprofit sector, initial lack of regulation to promote innovation, and heavy …

The Changing Nature Of Work, Leadership, And Organizational Culture In Future Ready Organizations, Saloni Dhir

CMC Senior Theses

Abstract

The relationship between individual and organizational performance is a key challenge for leaders in modern organizations, especially with the current disruption in technology and innovation. This thesis is a literature review and compilation of the relevant empirical evidence on various processes of industrial groups and organizational characteristics such as the changing nature of work, leadership, and company culture in detail. I investigate the complex challenges that millennials and organizations are facing in the current VUCA work environment as well as their potential responses to these changes. I map out the evolution of the concept of work and compare changes …

What's Going Wrong In Nevada? A Comparative Analysis Of California And Nevada Gun Control Laws As They Relate To Gun Violence, Danielle Chami

CMC Senior Theses

The recent mass shooting on October 1, 2017 in Las Vegas, Nevada has been marked in history as the worst mass shooting in the United States to this point. The details of the shooting beg the question, is it coincidence that it happened in Nevada, a state with some of the least restrictive gun control laws? Mass shootings have become an unfortunate part of reality in the United States, but these are fairly uncommon occurrences. While they are horrific and deserve attention, daily gun violence cannot be forgotten. In the face of such a multitude of gun violence, what can …

The Effectiveness Of Collaboration Within Supply Chain Management: A Case Study Of Adidas Group, Daniel Carr

CMC Senior Theses

For a multi-national company like Adidas, supply chain management is one of the most crucial aspects of business operations. Products cannot be sold unless Adidas’s supply chain is well-managed and efficient, and public perception of a brand/company is critical to success.

This case study analyzes the effectiveness of Adidas's distinct “collaborative approach” to supply chain management, which is characterized by not only monitoring and auditing suppliers, but also training them to make Adidas’s standards their own and approaching suppliers with the intention of building long-term relationships where the suppliers can become self-sufficient.

This study reviews the structure of Adidas's supply …

The Psychology Surrounding Legal Standards Of Competency And Representation For Children In U.S. Immigration Court, Natasha Reyes

CMC Senior Theses

In recent years, immigration detentions have spiked. Further, the Zero Tolerance Policy enacted by President Trump has separated thousands of children from their families. Because many children are without their parents, and immigration court is civil in nature, thousands of children are placed in deportation hearings without representation each year. Child psychological research is at odds with the current deportation practices as psychological research deems children unable to understand the complexities of the court system or the impacts of deportation proceedings. A minimum competency to stand trial must be enacted to protect young children’s due process rights, regardless of citizenship. …

The 2011 Nfl Collective Bargaining Agreement: Intentions Vs. Incentives, Andrew Friedlander

CMC Senior Theses

This thesis examines the impacts of four major negotiating elements in the 2011 NFL Collective Bargaining Agreement. This first entails considering the financial impacts of the Collective Bargaining Agreement through adjustments to the salary cap and changes in the rookie pay scale in conjunction with the increase of the veteran minimum salary. Veteran players sought to improve their earnings potential through the creation of the rookie pay scale and increases in the veteran minimum salary, but research has shown that these policies may not have actually accomplished the goal. Next, I inspect the changes in preseason training rules, which were …

Considering Parental Alienation When Assessing Best Interest Of The Child, Juno Adler

CMC Senior Theses

As the divorce rate in the United States remains steady at 50%, the last few decades have shown an increase in child custody disputes. Within these litigations, interparental conflict can reach high levels and incite behaviors that wreak havoc on the children who are caught in the middle. When considering custody arrangements, judges and other evaluators use the Best Interest of the Child Standard (BICS), a jurisdictionally-specific framework that examines several factors that contribute to a child’s health and well-being. Parents who allow their resentments to get the better of them sometimes engage in behavior that encourages their child to …

The Homecoming Of The Negro Spirit: Black Spiritual Intelligence As A Structural Form Of Intelligence, Quincy Brown

CMC Senior Theses

In Is Spirituality an Intelligence? Motivation, Cognition, and the concern of Psychology of Ultimate Concern, Robert Emmons develops a case for spirituality as a form of intelligence. His thesis claims that spiritual intelligence is a “set of capacities and abilities that enable people to solve problems and attain goals in their everyday lives”: “the capacity for transcendence; the ability to enter into heightened spiritual states of consciousness; the ability to invest everyday activities, events, and relationships with a sense of the sacred; the ability to utilize spiritual resources to solve problems in living; and the capacity to engage …

The Ghost Of Modernity: Normative Power Of Modernity As Propaganda, Seoyoon Choi

CMC Senior Theses

This thesis explores how domestic factions and authoritarian regimes in Japan and Korea in the period from the 1850s to 1970s appropriated the concept of “modernity” to gain normative superiority over their competitors. The appropriating entity revised the concept of modernity to suit its own worldview. Across the case studies, the propaganda of modernity created a hierarchy that privileged those who are “more modern,” encouraged martial masculinity, and attached itself to existing domestic norms, such as ethno- nationalism. Under authoritarian regimes, modernity helped justify the mobilization of capital, manpower, and other critical resources in the name of nation-building or defense. …

Developing A Model For Effective Community Development Agreements In The Extractive Industries, John Nikolaou

CMC Senior Theses

Natural resource development has tremendous potential to create inclusive economic growth in countries well-endowed with oil, mineral, and agricultural resources. At the same time, natural resource development can cause negative environmental externalities, and, in several cases, extractives companies can engage in labor abuse.

The intersection of the government’s and the corporation’s interest can lie in Corporate Social Responsibility Projects.This thesis will analyze an alternative model of CSR: community development agreements (CDAs). CDAs are voluntary, or sometimes government mandated, agreements between the project developer and the project affected community that define company commitments to issues such as environmental impact mitigation, benefit …

Leveraging Trade Agreements To Reduce Greenhouse Gas Emissions In Accordance With The Paris Agreement, Sam Becker

CMC Senior Theses

Climate change is the most obvious and pressing impairment of the biological, physical, and chemical systems. To help mitigate this unprecedented problem, I present heads of state, policymakers, and members of civil society with a set of new provisions that they can include in their trade agreements to drive emissions reduction from countries inside and outside of their trade agreements, maintain their ability to compete in an increasingly globalized world, and comply with international trading rules. Ultimately, I seek to demonstrate the untapped potential for leveraging trade agreements to reduce emissions in the midst of an international system that lacks …

Alleviating Poverty In Sub-Saharan Africa, Owen Dubeck

CMC Senior Theses

While most of the world has been able to dramatically reduce extreme poverty rates, Sub-Saharan Africa has failed to do so and is the only region in the world with more people living in extreme poverty than thirty years ago. This thesis will develop a policy framework for alleviating poverty by drawing from countries that are performing surprisingly well and poorly in the region. The thesis concludes with an analysis of whether education, health, or agricultural sectors should be receiving more or less funding based on expected rates of return and the feasibility of policy successes.

A Comparative Analysis To Understand The Subnational Motivations For Renewable Energy Development In India, William Cullen

CMC Senior Theses

Providing energy security and diversifying the energy production in India align with the country’s rising power ambitions and policy goals to industrialize. Renewable energy provides a useful tool for the state to meet these policy goals without producing more air pollution and additional environmental degradation. The Central Government has international ambitions of with becoming a rising responsible power; these aspirations have created new resources, incentives, and policy ideas for the subnational states in India. The purpose of this thesis is to map out the motivations, interests, and incentives of subnational elites in devising policies to promote renewable energy development in …

How Has The Growth Of E-Commerce Sales Affected Retail Real Estate?, Jacob Mcgowan

CMC Senior Theses

Abstract

This research paper tracks the growth of e-commerce retail sales from 2000 through 2018 to see if the emergence of e-commerce has affected the retail real estate market in any way. With many stores now offering online shopping and many large retailers contemplating lowering their presence in brick and mortar stores, this question is relevant now more than ever. In order to test for the correlation between e-commerce retail sales growth and the retail real estate market, a collection of retail real estate factors are investigated. This paper tests retail real estate factors at the United States country level …

Mississippi Semester: New Social Justice Approach To Teaching Empirical Reasoning In Context, Premilla Nadasen, Fatima Koli, Alisa B. Rod, David Weiman

Numeracy

Under the direction of Professor Premilla Nadasen at Barnard College, the course “Mississippi Semester,” brings together a small group of undergraduate students in a collaborative action-driven project with Mississippi Low-Income Child-Care Initiative, an advocacy organization of women on welfare and child-care providers, based in Biloxi, MS. Students worked closely with members of Mississippi Low-Income Child-Care Initiative to develop an Economic Security Index for women in Mississippi which the organization will use to educate their constituency and to further their advocacy work.. We have partnered with the Barnard Empirical Reasoning Center to utilize census data and GIS to digitally map the …