Understanding the needs of individuals at risk of perpetrating child sexual abuse: a practitioner perspective

Research estimates that as many as one in twenty children in the UK have been a victim of child sexual abuse. The scale of this problem motivates prevention efforts, however there is an apparent absence of preventative intervention for those individuals who are concerned about their sexual preference for children, including those who have not committed an offence. Due to the sensitive nature of child sexual abuse and stigma surrounding paedophilia, individuals who are concerned about their sexual interests in children are unlikely to willingly participate in research. By investigating the experiences of staff that are employed by an organisation offering an anonymous helpline for people who experience sexual thoughts and behaviours towards children, this research aims to develop understanding of the needs of those individuals, in order to establish how child sexual abuse might be prevented. Semi-structured interviews were conducted with five practitioners from a sexual abuse prevention organisation and thematic analysis revealed three main themes; Moving service users forward, Barriers to intervention and Prevention: Missing pieces. The first theme identifies ways in which practitioners may help service users to identify their problem, associated risk factors and how they might begin to move forward. The second theme addresses certain factors that prevent service users from accessing or engaging with primary interventions. Finally, the third theme discusses the ways in which primary prevention could be built upon, by considering participants experiences that are shaped by their work in the field of primary intervention, and their experience of service users. This is the first time the needs of those who may benefit from primary prevention in the UK have been explored in this way; therefore each theme is discussed in relation to primary prevention of child sexual abuse

Conditions of yield and cyclic plasticity around inclusions

n this paper the stress field in the proximity of a circular (cylindrical) inclusion is considered. The conditions for in-plane plastic flow in the matrix are examined from a classical elasticity solution obtained by Goodier. Elementary cases are considered such as remote loading ranging from pure tensile and pure shear to equibiaxial tension. For proportional loading, it is argued that the upper bound to the shakedown limit is always twice the elastic limit; therefore, within the limits of our assumptions, if the elastic stress concentration for the equivalent stress is greater than two, there is a possibility of cyclic plasticity before bulk yielding, which means that possibly an arbitrarily large plastic strain can cumulate with increasingly high risk of exhaustion of ductility and void nucleation or detachment of the interface Consequently, conditions under which it is possible to reach twice the elastic limit before full-scale yielding are shown in the Dundurs plane representing all possible combinations of elastic parameters. Following these lines, it is shown that there is no possibility of cyclic plasticity under remote shear; there is a limited area of the Dundurs plane for tension, including the hole case; finally, in the equibiaxial limiting case, cyclic plasticity is always possible for any combination of elastic properties

Know and grow: A qualitative evaluation of a parent skills training intervention

Objective: This qualitative study examined the experience of parents of children and adolescents with eating disorders after having participated in a skills-based training intervention. Method: Participants were interviewed and transcripts were analysed using inductive thematic analysis. Results: Parent responses were organised around key themes of (1) effectiveness and acceptability of the intervention; (2) interpersonal experience of the group process; and (3) feedback on intervention content. Overall, the program was seen by parents to be highly relevant with direct application to supporting their child in home and hospital environments. Discussion: This study reports on preliminary evidence that skillsbased training is acceptable to parents and improves parent functioning including parent self-efficacy, and reduces psychological distress, anxiety, and burden. The study also demonstrated that the intervention can be delivered in a tertiary paediatric treatment setting and it may become cost-effective method for supporting parents and other carers. Future research is required on treatment efficacy and patient outcomes

The injured snowman

Total anomalous pulmonary venous return (TAPVR) is a rare congenital cardiac defect that may present with cyanosis, cardiac failure and failure to thrive in infancy. TAPVR type 1 has a typical radiographic appearance of the heart termed the snowman. We present a case of an infant with TAPVR type 1 with injuries in keeping with non-accidental injury (NAI) to highlight that children with chronic diseases are at greater risk of this kind of injury and that radiographic evaluation of the chest in cardiac disease plays a role beyond demonstrating the heart and vasculature of the chest

Analysis of retrieved STRYDE nails

AIMS: The aim of this study was to present the first retrieval analysis findings of PRECICE STRYDE intermedullary nails removed from patients, providing useful information in the post-market surveillance of these recently introduced devices. METHODS: We collected ten nails removed from six patients, together with patient clinical data and plain radiograph imaging. We performed macro- and microscopic analysis of all surfaces and graded the presence of corrosion using validated semiquantitative scoring methods. We determined the elemental composition of surface debris using energy dispersive x-ray spectroscopy (EDS) and used metrology analysis to characterize the surface adjacent to the extendable junctions. RESULTS: All nails were removed at the end of treatment, having achieved their intended lengthening (20 mm to 65 mm) and after regenerate consolidation. All nails had evidence of corrosion localized to the screw holes and the extendable junctions; corrosion was graded as moderate at the junction of one nail and severe at the junctions of five nails. EDS analysis showed surface deposits to be chromium rich. Plain radiographs showed cortical thickening and osteolysis around the junction of six nails, corresponding to the same nails with moderate - severe junction corrosion. CONCLUSION: We found, in fully united bones, evidence of cortical thickening and osteolysis that appeared to be associated with corrosion at the extendable junction; when corrosion was present, cortical thickening was adjacent to this junction. Further work, with greater numbers of retrievals, is required to fully understand this association between corrosion and bony changes, and the influencing surgeon, implant, and patient factors involved. Cite this article: Bone Jt Open 2021;2(8):599-610

Point-loaded discs and blocks applicable to tensile testing of brittle materials

A method of numerically approximating the solutions of plane-stress or plane-strain elasticity problems with boundary conditions consisting of concentrated forces or distributed loads is presented herein. The effect of each concentrated force (commonly termed a point load) that acts on the boundary is represented by a Flamant solution. Usually, the combined effect of these Flamant solutions indicates the presence of distributed loadings or ‘residual stresses’ on some portions of the boundary that are not consistent with the actual boundary conditions. The negatives of these ‘residual stresses’ are used as stress boundary conditions in a singular integral method of numerical analysis that is applicable to plane elasticity problems involving distributed loadings on the boundaries. Since the method presented herein involves only stress boundary conditions, the solutions are valid for both plane stress and plane strain.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline

Building future scenarios using cognitive mapping

A participatory approach for developing future scenarios through cognitive maps as a visual representation of mental models is presented. Applying long-term future visioning techniques in a workshop setting has traditionally been a significant challenge for construction industry practitioners with a predominantly short-term, project-based approach to day-to-day operational responsibilities. Six future scenario cognitive maps are presented to illustrate the process. The maps were digitised from A1-sized papers using Decision Explorer software. Several key characteristics of the resulting cognitive maps and lessons learnt for the organisation of industry-based workshops are discussed. The main benefits are derived from the interaction between participants during the mapping process whereby future issues and their interconnectivities are discussed. Limitations of the findings and further work are presented

Stress Propagation through Frictionless Granular Material

We examine the network of forces to be expected in a static assembly of hard, frictionless spherical beads of random sizes, such as a colloidal glass. Such an assembly is minimally connected: the ratio of constraint equations to contact forces approaches unity for a large assembly. However, the bead positions in a finite subregion of the assembly are underdetermined. Thus to maintain equilibrium, half of the exterior contact forces are determined by the other half. We argue that the transmission of force may be regarded as unidirectional, in contrast to the transmission of force in an elastic material. Specializing to sequentially deposited beads, we show that forces on a given buried bead can be uniquely specified in terms of forces involving more recently added beads. We derive equations for the transmission of stress averaged over scales much larger than a single bead. This derivation requires the Ansatz that statistical fluctuations of the forces are independent of fluctuations of the contact geometry. Under this Ansatz, the $d(d+1)/2$-component stress field can be expressed in terms of a d-component vector field. The procedure may be generalized to non-sequential packings. In two dimensions, the stress propagates according to a wave equation, as postulated in recent work elsewhere. We demonstrate similar wave-like propagation in higher dimensions, assuming that the packing geometry has uniaxial symmetry. In macroscopic granular materials we argue that our approach may be useful even though grains have friction and are not packed sequentially.=17Comment: 15 pages, 4 figures, revised vertion for Phys. Rev.