A Quality Improvement Project Educating Behavioral Health Clinicians on the Utility of the READMIT Clinical Index to Predict Risk of Psychiatric Re-Hospitalization of Adults

Abstract Background: The need for preventative means to reduce the high percentage of adult psychiatric readmission rates is striking. Increased cost of readmission for psychiatric higher level of care and the decline in the individuals’ ability to live in the community are clear indicators of this crisis. Purpose: The aim of this quality improvement project was to present the current evidence around the READMIT clinical risk index to identify adults who may be at risk for early psychiatric readmission to community based behavioral health clinicians. Methods: The project was designed using a quality improvement (QI) approach with the aim of enhancing nursing knowledge of clinicians through a presentation covering the use of the READMIT clinical risk index. Data collection included the analyzation of scores from a pre presentation and post presentation test; a Likelihood of Use survey and the percentage of clinicians who used the index during a two-month roll out period. Results: Twenty-two behavioral health clinicians participated in the presentation on the READMIT index. The results of the pre and post-test analysis demonstrated the average learning gain was 87.50%, which exceeded the objective of 80%. Additionally, the majority (76.18%) of the behavioral health clinicians responded that they felt the clinical risk index is a valuable assessment tool. However, data retrieval demonstrated that none of the participants had used the READMIT clinical risk index during the roll out period. Conclusion: The participants responded positively about the effectiveness of the risk index as evidenced by the responses on the Likelihood of Use survey. Further steps are needed to encourage the targeted use of the READMIT index in everyday practice. Keywords: education, training, clinicians, community mental health, psychiatric re-hospitalization, intervention, guidelines, patient outcome

Senior Recital: Ryan Gregory, violin

This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Performance. Mr. Gregory studies violin with Helen Kim.https://digitalcommons.kennesaw.edu/musicprograms/1071/thumbnail.jp

Interpreting Emojis: Millennials versus Non-Millennials

The presence of emoticons--and now emojis--within written messages has increased since the advent of electronic communication. We conducted a quasi-experiment to learn whether a “smirk” emoji would be interpreted as indicating seductiveness by digital natives (Millennials) and non-digital natives (non-Millennials). We surveyed participants (N = 283) and asked them how they interpreted a message that contained the “smirk” emoji. Millennials were more likely than non-Millennials to infer seductiveness from this emoji. Our data suggest age-related differences in how various nonverbal cues are interpreted within electronic communication mediums

The Agriculture Mechanics Laboratory – Safety and Capacities

The agricultural mechanics laboratory, that is a part of the agricultural science and technology instructional program in Texas public schools, has over the years become a key component of the instructional program. Four classes, as outlined in the Texas Essential Knowledge and Skills (TEKS) that focus on mechanical skills and include: Principles of Agricultural, Food, and Natural Resources, Agricultural Mechanics and Metal Technologies, Agricultural Facilities Design and Fabrication and Agricultural Power Systems. Most agricultural mechanics laboratories are used 4 to 5 class periods per day sometimes with more than one class at a time meeting in the facility,. The questions that arises is how safe are the labs and are they equipped to handle the classes and number of students in each class. This study was a preliminary study conducted as a part of the AGD 581 Methods of Teaching Agriculture in the Public School. Six graduate students visited 11 high schools and compiled data in the following areas: foot candles of light available, hours of use per day, and safety equipment, etc. The results will be shared with the participants

Resistance in response to Australian immigration detention: lessons learnt after three decades of advocacy

Australian immigration detention was introduced almost four decades ago. Since its introduction it has been condemned domestically and internationally, recognised as uniquely cruel and draconian in its approach toward asylum seekers and refugees. While for the most part, these policies have become increasingly punitive, advocates for change can also count a number of victories. This presentation will briefly discuss the history of advocacy and activism in response to Australian immigration detention and focus on the developments in response to the more recently introduced (and subsequently repealed) “Medevac” legislation; legislation which gave doctors greater power to evacuate unwell refugees from offshore locations to mainland Australia. While this legislation was repealed shortly after it was introduced, over 192 refugees were transferred to Australia. Almost all of those who were transferred had been detained for over seven years and were facing indefinite detention offshore. By March 2021, most of those who were transferred to Australia were given visas and moved to the Australian community. This presentation will outline the actions of lawyers, the healthcare community and the general public in demanding change, from protest to litigation and even civil disobedience, along with what lessons can be learnt from this action

Health and healthcare in Australian immigration detention: a comparison between onshore and offshore data

The study compares the impact of Australian onshore and offshore immigration detention centres on detainees' health and healthcare events. It utilises data extracted from the Australian government’s quarterly health reports, from 2014-2017. These reports contain a range of data about the health and wellbeing of detainees, including complaints/presenting symptoms and number of appointments and hospitalisations. To compare onshore and offshore datasets, we calculated the rate of health events per quarter against the estimated quarterly onshore and offshore detention population. We ran a series of two-proportion z-tests for each matched quarter to calculate median z and P values for all quarters. These were used as an indicator as to whether the observed differences between onshore and offshore events were statistically significant. The results suggest that both people onshore and offshore have substantial health needs, however, almost all rates were far higher offshore, with people more likely to raise a health related complaint, access health services and be prescribed medications, often at two to three times the rate of those in onshore detention. This paper adds to a modest body of literature that explains the health of people detained in Australian immigration detention centres. It is the first paper to our knowledge to explore health service utilisation and a range of other variables found in the Australian government’s quarterly health reports. These findings bolster the evidence which suggests that detention, and particularly offshore detention is particularly harmful to health

Electrochromic Radiator Coupon Level Testing and Full Scale Thermal Math Modeling for Use on Altair Lunar Lander

In order to control system and component temperatures, many spacecraft thermal control systems use a radiator coupled with a pumped fluid loop to reject waste heat from the vehicle. Since heat loads and radiation environments can vary considerably according to mission phase, the thermal control system must be able to vary the heat rejection. The ability to "turn down" the heat rejected from the thermal control system is critically important when designing the system. Electrochromic technology as a radiator coating is being investigated to vary the amount of heat rejected by a radiator. Coupon level tests were performed to test the feasibility of this technology. Furthermore, thermal math models were developed to better understand the turndown ratios required by full scale radiator architectures to handle the various operation scenarios encountered during a mission profile for the Altair Lunar Lander. This paper summarizes results from coupon level tests as well as the thermal math models developed to investigate how electrochromics can be used to increase turn down ratios for a radiator. Data from the various design concepts of radiators and their architectures are outlined. Recommendations are made on which electrochromic radiator concept should be carried further for future thermal vacuum testing

Preserving the Science Legacy from the Apollo Missions to the Moon

Six Apollo missions landed on the Moon from 1969-72, returning to Earth 382 kg of lunar rock, soil, and core samples-among the best documented and preserved samples on Earth that have supported a robust research program for 45 years. From mission planning through sample collection, preliminary examination, and subsequent research, strict protocols and procedures are followed for handling and allocating Apollo subsamples. Even today, 100s of samples are allocated for research each year, building on the science foundation laid down by the early Apollo sample studies and combining new data from today's instrumentation, lunar remote sensing missions and lunar meteorites. Today's research includes advances in our understanding of lunar volatiles, lunar formation and evolution, and the origin of evolved lunar lithologies. Much sample information is available to researchers at curator.jsc.nasa.gov. Decades of analyses on lunar samples are published in LPSC proceedings volumes and other peer-reviewed journals, and tabulated in lunar sample compendia entries. However, for much of the 1969-1995 period, the processing documentation, individual and consortia analyses, and unpublished results exist only in analog forms or primitive digital formats that are either inaccessible or at risk of being lost forever because critical data from early investigators remain unpublished. We have initiated several new efforts to rescue some of the early Apollo data, including unpublished analytical data. We are scanning NASA documentation that is related to the Apollo missions and sample processing, and we are collaborating with IEDA to establish a geochemical database called Moon DB. To populate this database, we are working with prominent lunar PIs to organize and transcribe years of both published and unpublished data. Other initiatives include micro-CT scanning of complex lunar samples to document their interior structure (e.g. clasts, vesicles); linking high-resolution scans of Apollo film products to samples; and new procedures for systematic high resolution photography of samples before additional processing, enabling detailed 3D reconstructions of the samples. All of these efforts will provide comprehensive access to Apollo samples and support better curation of the samples for decades to come