Use of Clinical Mental Health Counseling Student and Client Recording in Practicum: An Overview of CACREP Training Programs in the SACES Region

SACES CACREP accredited clinical mental health counseling practicum training handbooks were explored to discover the designated use of video recording and review during practicum. Results from an artifact review indicated a lack of standardization across programs. Implications for future research and clinical counseling programs practicum experiences are presented

Speed-Testing in Audio Engineering Education: An Imperative Assessment Tool

Multiple choice tests, fill-in the blanks, and essay question assessments do have their place in academia, but for students preparing for careers as studio engineers, live engineers, and producers, other assessments that test readiness for troubleshooting “real-world” problems in audio technology are needed. Being able to quickly solve signal flow issues is crucial whether it is for a high paying client in the studio or a rock band during a live show for 10,000 fans. It is well-documented that experiential learning is key in audio education, but I argue that it is not just the ability to complete hands-on tasks correctly but being able to do it as efficiently and at the fastest speed possible. Because learning how to handle pressure in the fast paced live and studio audio worlds is crucial for success, this paper focuses on the “need for speed” in audio education training. I will present selective interviews from new employees in the live audio field, employers in the live audio field, and studio owners who support speed-testing as an invaluable and necessary—if often neglected— assessment tool for career preparation. This paper will also address speed-testing online and future studies that may utilize virtual reality testing

Year-2 Progress Report on Numerical Methods for BGK-Type Kinetic Equations

In this second progress report we expand upon our previous report and preliminary work. Specifically, we review some work on the numerical solution of single- and multi-species BGK-type kinetic equations of particle transport. Such equations model the motion of fluid particles via a density field when the kinetic theory of rarefied gases must be used in place of the continuum limit Navier-Stokes and Euler equations. The BGK-type equations describe the fluid in terms of phase space variables, and, in three space dimensions, require 6 independent phase-space variables (3 for space and 3 for velocity) for each species for accurate simulation. This requires sophisticated numerical algorithms and efficient code to realize predictions over desired space and time scales. In particular, stable numerical methods must be designed to handle potential discontinuities (shocks) and rarefaction waves in the solutions coming from conservative advection terms and, in addition, numerical stiffness owing to diffusive particle collision terms. Furthermore, the particle interaction terms are non-local in nature, adding yet another layer of complexity, and the interaction length scales of the non-local terms may be orders of magnitude different, when multiple particle species are involved. In this report, we outline strategies for generating efficient and stable numerical algorithms and code, including the use of (i) stable high-order finite volume methods, (ii) fully implicit and implicit-explicit (IMEX) time integration techniques, (iii) adaptive time-phase-space multi-level methods, (iv) discrete velocity methods, and (v) moment equation methods. The preliminary codes, which will be demonstrated herein, are built in the commercial software package MATLAB for quick and easy prototyping, but will later be translated into production software using modern open languages

A Case Study Assessing the Integration of Nuclear Safety and Security in Facilities using a Monte Carlo Simulation aided Analytical Hierarchy Process

Nuclear safety and security are essential in all operations using nuclear and radioactive materials. Even though both elements are important, the evolution of these programs has not developed at the same rate. As such, their integration has been met with challenges. This study analyzed the potential for synergy across different criteria and settings when integrating nuclear safety and security. The criteria included eight points where overlap could be identified between nuclear safety and security. Three work settings—industrial, medical, and research—were evaluated. Responses were collected from nine individuals who worked with nuclear materials in various capacities and different nuclear work settings. The individuals rated the eight criteria and three work settings based on the analytical hierarchy process. These results were then used in a Monte Carlo simulation that applied a beta-program evaluation review technique distribution to determine points with the greatest potential for synergy. The culture criterion was rated as having the greatest potential for synergy, thereby indicating that the integration of nuclear safety and nuclear security would provide the greatest benefit with this criterion. The analytical hierarchy process assisted with the Monte Carlo simulation and determined that the industrial setting ranked the highest in synergy potential—also indicating this setting would see the greatest benefit in integrating nuclear safety and security

Are we practicing what we preach? Towards greater transborder inclusivity in Information Science systematic reviews

Abstract. Inclusiveness has been investigated in different ways by Information Science (InfoSci) researchers, often as a line of social justice inquiry. Systematic reviews (SRs), which bridge the gap between research and practice, are a key example of research impacted by inclusiveness. “Transborder” inclusiveness—the ability of researchers from different institutions, regions, and countries to ac-cess information, and the inclusion of information from researchers in regions and countries where English is not an official language in major collections of InfoSci research—influences how researchers perform SRs. Although this topic has been identified in other disciplines involved in Evidence Based Practice (EBP) such as nursing, it has received less attention in InfoSci. We address this need through a reflective case study of an SR in InfoSci which brings this trans-border issue of inclusiveness into focus, demonstrating problems of access and the value of international collaboration and asking an overarching question: how can we make writing SRs in InfoSci research more inclusive

Thermoregulation in Colorectal Patients: Heating CO2 Insufflation Gas

BACKGROUND: 600,000 colorectal surgeries are performed annually in the United States, with 26-90% experiencing some form of unintended hypothermia. Consequences of hypothermia include surgical site infections (SSIs), delayed wound healing, cardiac dysrhythmias, and increased hospital length of stay. Utilization of the laparoscopic approach to intra-abdominal colorectal surgery uses un-warmed CO2 gas. Multiple studies demonstrate the addition of heated CO2, for insufflation, reduces intraoperative hypothermia. LOCAL PROBLEM: This project was implemented at a facility in Tennessee. On average, 250 laparoscopic colorectal cases are performed at this facility annually. Participants were adult colorectal surgical patients, 18 years of age or older, with a colon anastomosis. The use of a heated CO2 circuit was not standardized at this facility. The project aimed to maintain normothermia in 90% of colorectal surgical cases within 3 months of implementation of the heated & humidified CO2 insufflation circuit. METHODS: This project utilized the Evidence-Based Practice Improvement model. PDSA (plan-study-do-act) cycles were used to facilitate the implementation of heated CO2 circuits. The implementation phase lasted 3 months. Core temperatures were collected within 30 minutes before anesthesia end time to 15 minutes after anesthesia end time. INTERVENTIONS: Participating surgeons utilized heated CO2 circuits over three months. RESULTS: There was a 17% increase in temperature compliance (normothermia) from 2021 to 2023. Temperature compliance was 82.9% in 2021 and 100% in 2023. Of the 33 participants in this project, for 2023, perioperative temperature compliance reached 100%, regardless of CO2 circuit type. A comparison of heated vs unheated CO2 circuits demonstrated an intraoperative temperature difference of 0.01 oC between both circuits. CONCLUSIONS: Temperature regulation remains an integral component of anesthetic management. Even though our AIM of 90% normothermia compliance was achieved, it is unclear to what extent the heated CO2 circuit played in obtaining that goal

A Study of the Effect of Machine Parameters on Defects Produced in EOS Additive Manufacturing Builds

5Additive Manufacturing (AM) is defined in the American Society for Testing and Materials (ASTM) standard F2792 as “a process of joining materials to make objects from 3D model data, usually layer upon layer, as opposed to subtractive manufacturing methodologies. It provides an advanced method for building complex geometries and parts for high performance with a significant cost savings. 55It’s advantages include the reduced need for tools and molds commonly used in manufacturing, a large reduction in wasted material, much shorter manufacturing cycles for the building of hardware, and its uniquely inherent ability to produce much more complex shapes. Polymers, metals, ceramics, and composites can all be built using some method of AM. The use of standardized vendor parameters for additive manufacturing builds has resulted in numerous defects in the as-built parts. This study looked at HR-1 products built on an EOS M290 DMLS 3D printer. The builds were monitored using an EOS in-situ monitoring system to identify when “problems” began to occur and it compares the “problems” with the results of post build computed tomography inspections. It also looked at the defects produced and evaluated them versus the additive manufacturing process parameters

Assessing the Landscape of Relationship Help and a Pilot Adaptation of Relationship Checkups for Christian Churches

The health and stability of adult romantic relationships and the health of a society are deeply intertwined. This two-part dissertation aims to highlight the potential to bridge the gap between effective interventions and couples who need them most. The first section reviews the literature concerning relationship health, relationship help-seeking, and relationship assistance. A few important findings are revealed. Effective relationship help exists. People often do not seek help for their relationship. When people do seek help for their relationship, the methods they seek have varying degrees of effectiveness. People prominently seek religiously mediated help for their relationship. These findings led the researcher to assess the potential to intervene with an evidence-based intervention adapted for religious contexts. The second section attempts to assess a pilot adaptation of the Relationship Checkup for Christian Churches. This pilot study found that church leaders highly desired an effective model for brief intervention in couples’ relationships and found the Relationship Checkup to be an important tool. They were able to deliver the intervention as thoroughly in some areas as trained clinicians and perceived the intervention to be effective for couples. The study also pointed to the need for more refinement in the training in and supervision of the adapted protocol to increase effectiveness of providers who are not clinically trained. Together, these sections paint a picture of the need and potential for collaboration between clinicians and religious leaders to address the major societal issue of relationship health

The Need for Point-of-Care Testing of All Illicit Substances

An estimated 107,477 overdose deaths occurred in the United States within the last year, with about 4,000 of those deaths being Tennesseans. Over 80 percent of these deaths are attributable to opioids such as fentanyl, for which there does not exist tests approved by the Food and Drug Administration (FDA) for point-of-care testing (POCT). POCT is intended to be used near or at the site of the patient and is performed outside of a physical clinical laboratory, usually at the bedside. A classic example of this is a bedside glucose test in the hospital. Tests for fentanyl and other illicit substances already exist but are limited to forensic use only. Without a point-of-care approved test, providers cannot legally use them to diagnose patients with a possible overdose and must rely on inference and guesswork. A Clinical Laboratory Improvement Amendments (CLIA) waiver would allow these tests to be used in healthcare settings. Meeting the requirements for a CLIA waiver would be fairly easy, given the opioid crisis has already been declared a national public health emergency. With polysubstance overdose as the new norm, the problem extends beyond fentanyl to other substances that also lack a point-of-care test, such as xylazine. A blanket CLIA waiver for all illicit substances that have a forensic use equivalent would significantly increase the diagnostic capacity of acute care providers treating individuals suffering from possible drug overdoses