Digital Commons Network^™

Preventing Child Sexual Abuse: Understanding The Phenomenon Of Adults Who Are Sexually Attracted To Children, Heather Horn

Theses and Dissertations (Comprehensive)

Title: Preventing Child Sexual Abuse: Understanding the Phenomenon of Adults Who Are Sexually Attracted to Children

Purpose: The goal of this research is to understand the phenomenon of adult sexual attraction to children through a prevention lens, from perspectives of those who are sexually attracted to children. Gaining direct experiences from those who live with this problem every day may provide insight into perceptions, beliefs, risks and prevention strategies for this population.

Methods: This study utilizes a mixed methods approach in three phases. With permission from the founders of the website called Virtuous Pedophiles, the members of this peer support …

The Kids Are Airight: Teen Sexting, Child Pornography Charges, And The Criminalization Of Adolescent Sexuality, Blaire Bayliss

University of Colorado Law Review

"Sexting" is a term that refers to the exchange of sexually explicit or sexually suggestive messages or images between individuals using electronic messaging. Teenage sexting is a controversial legal topic because the act of taking nude or semi-nude pictures of a minor technically constitutes child pornography under federal law, even when those pictures were self-portraits taken by the minor in question. This Comment argues that the prosecution of sexting under federal child pornography law constitutes the criminalization of adolescent exploration of sexuality and that states should adopt their own sexting-specific laws to address teenage sexting in a manner that respects …

The Greater Yellowstone Ecosystem Revisited: Law, Science, And The Pursuit Of Ecosystem Management In An Iconic Landscape, Robert B. Keiter

University of Colorado Law Review

Thirty years ago, the Greater Yellowstone Ecosystem (GYE) concept and ecosystem management surfaced as key to preserving this legally fragmented region's public lands and wildlife in the face of mounting development pressures. Yellowstone's grizzly bears were in sharp decline and wolves were absent from the landscape, while bison and elk management issues festered. The GYE's national forest lands were subject to extensive logging, energy leasing, and other commercial activities that cumulatively threatened the region's ecological integrity. In the face of extreme jurisdictional complexity and a strong commitment to agency discretion, a high-profile federal "Vision" effort to improve and better coordinate …

Cercla: It's Time To Prioritize Climate Threats, Lyndsie Dundas

University of Colorado Law Review

Climate change will bring more extreme weather, including increased flooding and wind damage, to all stretches of the United States. These effects of climate change will cause profound consequences for communities living near sites with a legacy of toxic waste. With 1,883 Superfund sites on the National Priorities List and countless other U.S. properties with some degree of contamination, climate change will result in increased risk of exposure for surrounding local populations and environments. Currently, the Hazard Ranking System does not consider effects of climate change when calculating the risk a site poses to the public. Without considering associated climate …

Uber's Efficiencies: A Modest Proposal For Limiting Use Of Antitrust's Per Se Rule, Kathleen Guilfoyle

University of Colorado Law Review

In antitrust law, the per se rule against horizontal price-fixing seems set in stone. Over time, however, antitrust enforcers and courts have declined to use this rule and instead have used the rule of reason. This change stems directly from the recognition that the per se rule's blunt application may end up harming consumers in some contexts. Using Uber as an example of a consumer-friendly, efficiencyenhancing business model, this Comment argues that using the per se rule to analyze horizontal arrangements like Uber's sacrifices consumer welfare. Instead, courts should use the rule of reason and engage in cost-benefit analysis where …

Toward Sustainable Recreation On Colorado's Fourteeners, Rebecca Sokol

University of Colorado Law Review

Colorado's fourteen-thousand-foot mountains, commonly known as fourteeners, are attracting visitors in unprecedented numbers. As people flock to the state's most popular peaks, hikers degrade the environment and create safety problems. This Comment addresses potential approaches to recreation management on fourteeners and argues that traditional use-limit management methods, like visitor quotas, do not align with sustainability objectives. The Forest Service, the primary land management agency for most fourteeners, has a duty to promote sustainable recreation by incorporating environmental, social, and economic factors into its decision-making processes. However, the Forest Service tends to rely on use limits even though these methods would …

Reference Dependent Prices In Bargaining: An Experimental Examination Of Precise First Offers, Erik O. Kimbrough, David Porter, Mark Schneider

ESI Working Papers

Evidence from psychology and marketing suggests that those who make a "precise" first offer in bargaining get a better deal than those who make a "round" first offer. We report on a series of experiments designed to test for and improve our understanding of the "precise first offer" (PFO) effect in bargaining and whether it likely reflects rational optimizing or equilibrium behavior. Our experimental treatments vary whether decisions are incentivized and whether the PFO effect can emerge as an equilibrium of a cheap-talk signaling game. We find evidence of a PFO effect when subjects read a vignette and make unincentivized …

Reducing Bureaucracy In Clinical Research: A Call For Action, J Gribben, E Macintyre, P Sonneveld, J Doorduijn, Et Al

Peninsula Medical School

The increasing administrative burden associated with conducting clinical trials is a threat to patient safety, independent academic clinical research, and access to affordable innovation. While the Clinical Trials Regulation1 —adopted by the European Parliament in 2014 to replace the Clinical Trials Directive2 (from 2001) and finally expected to become applicable in the course of 2020—will go some way in addressing bureaucracy overload, more action is needed. This article discusses the issues resulting from the exponential growth of regulatory and administrative requirements for the conduct of clinical studies and the impact this is having on researchers and patients. It also describes …

Maturo, A. And Moretti, V.Digital Health And The Gamification Of Life, Bingley: Emerald Publishing2017. 176 Pp (Pbk) £60.00 (Ebk) £43.19 Isbn 978‐1‐78754‐366‐9, J Tredinnick‐Rowe

Peninsula Medical School

No abstract provided.

Protocol: A Comparison Of The Effectiveness Of Cognitive Behavioural Interventions Based On Delivery Features For Elevated Symptoms Of Depression In Adolescents, Gretchen J. Bjornstad, Shreya Sonthalia, Benjamin Rouse, Luke Timmons, Laura Whybra, Nick Axford

Peninsula Medical School

No abstract provided.

A Novel Lung Health Programme Addressing Awareness And Behaviour-Change Aiming To Prevent Chronic Respiratory Diseases In Rural Uganda: A Two-Year Train-The-Trainer Programme, R Jones, B Kirenga, S Buteme, S Williams, Gemert F Van

Peninsula Medical School

Chronic lung disease is a huge, growing, but under reported problem in Africa. Following a survey in rural Uganda, which found 16% of the adult population had COPD, we developed a lung health programme aiming to raise awareness in the community of the risk factors for developing chronic lung disease and how to reduce the risks. A two-year train-the-trainer programme was conducted by healthcare workers (HCWs) in Masindi District, Uganda. Strategy and preliminary education materials were co-developed in a series of meetings with stakeholders including clinicians and community members. An initial group of HCWs were trained and further refned the …

Use Of The Patient Health Questionnaire (Phq-9) In Practice: Interactions Between Patients And Physicians, Joseph Ford, Felicity Thomas, Richard Byng, Rose Mccabe

Peninsula Medical School

We analyze the use of nine-item Patient Health Questionnaire (PHQ-9), an instrument that is widely used in diagnosing and determining the severity of depression. Using conversation analysis, we show how the doctor deploys the PHQ-9 in response to the patient’s doubts about whether she is depressed. Rather than relaying the PHQ-9 verbatim, the doctor deviates from the wording so that the response options are selectively offered to upgrade the severity of the patient’s symptoms. This works in favor of a positive diagnosis and is used to justify a treatment recommendation that the patient previously resisted. This contrasted with the rest …

A Large Population-Based Study Of The Mental Health And Wellbeing Of Children And Young People In The North Of England, Barry Wright, Megan Garside, Victoria Allgar, Rachel Hodkinson, Helen Thorpe

Peninsula Medical School

Background: There has been a recent reported rise in prevalence of mental health problems among children in the United Kingdom, alongside increased referrals into specialist services. There is a need for up-to-date information regarding changing trends of young people’s mental health to allow for improved understanding and service planning. Objectives: This article aims to provide an overview of the current mental health and well-being of years 8, 9 and 11 secondary school–aged pupils from two large regions in the North of England. Method: This was a cohort cross-sectional study. Measures including the Strengths and Difficulties questionnaire, the EQ-5D-Y, social media …

Seizure And Sudden Unexpected Death In Epilepsy (Sudep) Characteristics In An Urban Uk Intellectual Disability Service, James J. Sun, Bhathika Perera, William Henley, Samantha Ashby, Rohit Shankar

Peninsula Medical School

Purpose: This study identifies epilepsy-related characteristics and SUDEP risk factors in people with epilepsy (PWE) attending an urban community ID service in the UK where managing epilepsy is not part of the service remit, to understand the care provided to this vulnerable population. Methods: An electronic database search in a north London community ID service (catchment population approx. 290,000) identified relevant ID/epilepsy characteristics in PWE to compare those with mild ID to moderate-profound ID. The SUDEP and Seizure Safety Checklist (“Checklist”), was administered to patients and families/carers. Risk management data was compared to similar data from Cornwall UK where PWE …

Letter On “Protection By Exclusion? The (Lack Of) Inclusion Of Adults Who Lack Capacity To Consent To Research In Clinical Trials In The Uk”, Sarah Griffiths, Lorna Manger, Rebecca Chapman, Lauren Weston, Ian Sherriff, Cath Quinn, Paul Clarkson, Caroline Sutcliffe, Karen Davies, Richard Byng

Peninsula Medical School

Dear editors, We read with interest the recent article regarding the lack of inclusion of people who lack capacity in trials: ‘Protection by exclusion? The (lack of) inclusion of adults who lack capacity to consent in clinical trials in the UK’. As the authors so eloquently spotlight, those without capacity in many population groups are those who are likely to be most vulnerable to frailty, comorbidities and isolation. Their exclusion from research significantly limits the specific evidence base for their care. As a research team developing and evaluating a Dementia Support Worker intervention based in primary care, we appreciate the …

Ehealth Technologies And The Know-Do Gap: Exploring The Role Of Knowledge Mobilisation, Sheena Asthana, Rod Sheaff, Ray Jones, Arunangsu Chatterjee

Peninsula Medical School

Background: eHealth technologies are widely believed to contribute to improving health and patients’ experience of care and reducing health system costs. While many studies explore barriers to and facilitators of eHealth innovation, we lack understanding of how this knowledge can be translated into workable, practicable and properly resourced knowledge mobilisation (KM) strategies. Aims and objectives: This paper describes the aims, methods and outputs of a large European Union funded project (eHealth Productivity and Innovation in Cornwall and the Isles of Scilly (EPIC)) to support the development of a sustainable innovation ecosystem in Cornwall and the Isles of Scilly, in order …

Constitutive Activation Of The Egfr–Stat1 Axis Increases Proliferation Of Meningioma Tumor Cells, Sara Ferluga, Daniele Baiz, David A. Hilton, Claire L. Adams, Emanuela Ercolano, Jemma Dunn, Kayleigh Bassiri, Kathreena M. Kurian, Clemens O. Hanemann

Peninsula Medical School

Abstract Background Meningiomas are the most frequent primary brain tumors of the central nervous system. The standard of treatment is surgery and radiotherapy, but effective pharmacological options are not available yet. The well-characterized genetic background stratifies these tumors in several subgroups, thus increasing diversification. We identified epidermal growth factor receptor–signal transducer and activator of transcription 1 (EGFR–STAT1) overexpression and activation as a common identifier of these tumors. Methods We analyzed STAT1 overexpression and phosphorylation in 131 meningiomas of different grades and locations by utilizing several techniques, including Western blots, qPCR, and immunocytochemistry. We also silenced and overexpressed wild-type and mutant …

After The Fire: Post-Pandemic Reflections, Daniel Martin

Peninsula Medical School

Over the space of a few months virtually everything we know has been turned on its head. In Wuhan (China) during the closing months of 2019 a spillover event occurred in which the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was transferred from its animal host population into humans 1, 2. Spread mainly by respiratory droplets, the virus has a basic reproduction number (R0) of between 2-6 in an unprotected population making it more contagious than influenza, but considerably less so than measles. As SARS-CoV-2 rapidly spread across the planet, aided by our love of intercontinental travel, the local market …

Leadership In Dental Practice: A Three Stage Systematic Review And Narrative Synthesis, Sally Hanks, Lucy Spowart, Debby R.E. Cotton

Peninsula Medical School

No abstract provided.

Editorial: ‘Do We Really Need Another Review On The Effects Of Physical Activity On Alcohol And Other Drug Use Disorders?’, Adrian H. Taylor, Tom P. Thompson, Jane Horrell

Peninsula Medical School

No abstract provided.

Home Based Care: A Care Pathway Innovation For Parkinson's Disease, E Edwards, R Partridge, U Ankeny, J Langley, S Whipps, J Whipps, J Rideout, A Evans, S Bentley, M Swabey, H Matthews, N Stevens, R Chivers, T Dominey, K Triscott, C Carroll

Peninsula Medical School

No abstract provided.

A Multi-Centre Trial Of Physical Activity Assisted Reduction Of Smoking (Tars): Baseline Characteristics, And Health Trainer Led Intervention Engagement, A Taylor, A Streeter, T Thompson, S Creanor, W Ingram, P Aveyard, M Ussher, T Harris, R Murray, C Greaves, C Green, J Chynoweth

Peninsula Medical School

No abstract provided.

The Changing Face Of Neurosurgery For The Older Person, Ellie Edlmann, Peter C. Whitfield

Peninsula Medical School

No abstract provided.

British Obesity And Metabolic Surgery Society Guidelines On Perioperative And Postoperative Biochemical Monitoring And Micronutrient Replacement For Patients Undergoing Bariatric Surgery—2020 Update, Mary O'Kane, Helen M. Parretti, Jonathan Pinkney, Richard Welbourn, Carly A. Hughes, Jessica Mok, Nerissa Walker, Denise Thomas, Jennifer Devin, Karen D. Coulman, Gail Pinnock, Rachel L. Batterham, Kamal K. Mahawar, Manisha Sharma, Alex I. Blakemore, Iris Mcmillan, Julian H. Barth

Peninsula Medical School

No abstract provided.

The Role Of Topography, Soil, And Remotely Sensed Vegetation Condition Towards Predicting Crop Yield, Trenton E. Franz, Sayli Pokal, Justin P. Gibson, Yuzhen Zhou, Hamed Gholizadeh, Fatima Amor Tenorio, Daran Rudnick, Derek M. Heeren, Matthew F. Mccabe, Matteo Ziliani, Zhenong Jin, Kaiyu Guan, Ming Pan, John Gates, Brian Wardlow

School of Natural Resources: Faculty Publications

Foreknowledge of the spatiotemporal drivers of crop yield would provide a valuable source of information to optimize on-farm inputs and maximize profitability. In recent years, an abundance of spatial data providing information on soils, topography, and vegetation condition have become available from both proximal and remote sensing platforms. Given the wide range of data costs (between USD $0−50/ha), it is important to understand where often limited financial resources should be directed to optimize field production. Two key questions arise. First, will these data actually aid in better fine-resolution yield prediction to help optimize crop management and farm economics? Second, what …

The European Union Military: A Debate On The Need For A Common Defense Mechanism, Gonzalo Secaira

CMC Senior Theses

In a region affected by death and destruction brought on by two devastating world wars, the European Union has held peace and economic stability as its primary objective. Since its creation, the EU has expanded both in size and scope, becoming on the largest economic global actors in the world. In recent years, the EU has looked towards expanding its competencies to include common security and defense policies. Efforts on behalf of the EU to further integrate EU members have faced mixed reactions and opposition. One of these policies, the funding, and implementation of a European Union military has been …

The Impact Of Demonetization On Digitization And Transaction Technologies In India, Gauri Taneja

CMC Senior Theses

On 8^th November, 2016, Prime Minister of India, Narendra Modi announced the demonetization of all ₹500 (approx. USD 7) and ₹1,000 (approx. USD 14) denominations of banknotes of the Mahatma Gandhi Series issued by the Reserve Bank of India. Overnight, 86% of the currency in circulation was cancelled in an economy where 80% of transactions are cash based. The goal behind this scheme was two-fold – to reduce corruption and black money in the Indian Economy, as well as to increase financial inclusion and create a more digitalized economy. In this paper, I look at the impact …

What Is The Effect Of Social Capital On Community Resiliency Against Social Decay?, James Dail

CMC Senior Theses

This thesis builds off of the work of Robert Putnam and Charles Murray by using a fixed effects regression model and a first difference regression model to see if there is a relationship between the number of community institutions within a county and that county’s resiliency against social decay. Historically, it has been difficult to determine if there is a causal relationship in either direction between these variables because they are endogenous. That is, the underlying factors that determine whether a county will have low levels of social capital also determine whether the same county will have high levels of …

Antifungal Defense Molecules From Bacterial Symbionts Of North American Trachymyrmex Ants, Georgia Scherer

CMC Senior Theses

Defensive symbioses, in which microbes provide molecular defenses for an animal host, hold great potential as untapped sources of therapeutically useful antibiotics. Fungus-growing ants use antifungal defenses from bacterial symbionts to suppress pathogenic fungi in their nests. Preliminary chemical investigations of symbiotic bacteria from this large family of ants have uncovered novel antifungal molecules with therapeutic potential, such as dentigerumycin and selvamicin.

In this study, the bacterial symbionts of North American Trachymyrmex fungus-growing ants are investigated for antifungal molecules. Plate-based bioassays using ecologically-relevant fungal pathogens confirmed that these bacteria have antifungal activity. In order to purify and identify the antifungal …

Air Pollution’S Effect On The Labor Force At The State Level, Benjamin Culberson

CMC Senior Theses

The health effects of air pollution are well established, ranging from increased rates of cancer to cardiovascular disease. Furthermore, a growing body of literature shows that air pollution has a tangible, negative impact on the labor force. However, in their efforts to avoid the endogeneity of air pollution and labor production, the current literature focuses on specific industries at a local level. The objective of this thesis is to expand this research to a state level by using naturally occurring weather events called air stagnations as a proxy for air pollution. These air stagnations correlate with increased levels of air …