Mental Health Teletherapy: An Essential Mental Health Resource After COVID-19

The purpose of this paper is to present an exceptional summation of knowledge in human services while focusing on the specific aspect of online mental therapy. This thoroughly investigated paper discusses the challenges our society currently faces with mental healthcare amidst COVID-19 and how online therapy is one venue that we have, for a long time, chosen not to utilize in the past, but must now recognize its viability as a solid, therapeutic resource for the mental healthcare industry. This paper seeks to confront the various reasons for opposing online therapy and share evidence of ongoing programs that have embraced online therapy and are thriving in their communities. It also lays the groundwork for how therapists today may incorporate online mental therapy as an essential mental health tool for the benefit their clients in the future. Keywords: mental health, teletherapy, psychotherapy, COVID-19, online, direct access, advancements, stigm

The Mark of a Resold Good

Over the past ten years, the Internet has revolutionized the resale market ― casual resellers have migrated from garage sales, swap meets, and classified ads, to eBay and Craigslist, turning hobbies into lucrative businesses. This has affected the sales of new goods and troubled manufacturers, who seek to curtail the growth of this secondary market. Most of these on-line resales should be protected by the first-sale doctrine, a well-known defense to infringement claims that applies across patent, copyright, and trademark law. Simply stated, once a manufacturer sells a product, it may not interfere with secondary sales of that product. Yet in an effort to stifle independent resellers, manufacturers are increasingly relying on spurious claims of trademark infringement. Specifically, they claim the reseller is causing initial source or sponsorship confusion based on the distribution channel, even though there is no confusion as to the source of the genuine good. Small resellers are faced with either defending themselves in court or ceasing operations. We argue that courts are weakening of the first-sale doctrine’s function of limiting manufacturers’ power to control alternative distribution channels of genuine goods. We assert that, in the context of the Internet secondary market, whether the distributor is affiliated with the manufacturer is irrelevant, as long as the goods are genuine and the reseller disclaims any association with the mark owner. Courts should apply a presumption of no affiliation between the reseller and the manufacturer, and actual deception should be required for any Lanham Act claim. We also propose a legislative strengthening of the trademark first-sale doctrine as applied to on-line sales so that it more closely resembles the doctrine’s application in a brick-and-mortar setting

Group G: Drink Mixer II

We, group G, want to address the needs of the restaurant industry by facilitating it with the products, alcoholic beverages, that often brings in the most income in a night for the business and for its bartenders. Mixing drinks takes specialized attention, energy, and time and can be a stressful task for bartenders to perform when a restaurant is packed with customers. Waits become longer and drink orders back up until the restaurant empties again. Our group strives to create a product that will ensure each customer is served with fast and efficient service, while still providing the special attention to a specific order. Our concept, a drink mixer, will deliver drinks in a timely and correct manner to help bartenders make more drinks at a time and address customers during high traffic times. Our group created a project to develop this drink mixer. We interviewed bartenders and other consumers to get their thoughts and suggestions on an ideal product for their bar. Using these ideas as inspirations, we developed various concepts that could achieve these needs. We rated our designs based on their manufacturability, cost, components, reliability, and more characteristics to ensure our chosen design could be completed in the time and budget constraints we had. Our chosen concept achieved most of our design conditions and we set quantitative performance goals to evaluate our product. The drink mixer would carry various ingredients, shake or stir our beverage, make different drink recipes, and be controlled by pre-set buttons. We performed various design analysis to help create each component in the system. Once we began buying and assembling materials, the product we envisioned proved to be more difficult to make as we progressed over the semester. The process revealed various faults in our design and building process. Overall, we learned as a group about the design process, budgeting, using Arduino and other electrical components, and the build and testing process. This report offers details our project from start to finish of envisioning, designing, and building our drink mixer, while also showing our insight and reflection on the entire process

Evaluation of a Preceptor Education Program for the Adult Burn Center

The nursing shortage in the United States is increasing and directly affects the turnover of staff in the adult burn center of the facility that is the focus of this project. In addition to the institution\u27s traditional leadership education, which includes preceptor and charge nurse modules, a burn-focused supplemental preceptor preparation education program (SPPEP) was developed and delivered to address the expressed needs of the staff preceptors. The purpose of this quality improvement evidence-based project was to develop and deliver a program evaluation tool for the adult burn center leadership to assess the effectiveness of the SPPEP in this specialty area, including whether a supplemental preparation program for adult burn center preceptors would increase their confidence and competency, and lower attrition rates of nurse orientees. A preprogram survey was administered to all participating preceptors identifying perceived gaps in preparation to fulfill the expectations of the preceptor role. Benner\u27s novice-to-expert and Knowles\u27s adult learning theory concepts provided the framework for the SPPEP. The quality improvement program evaluation was based on reported confidence and the perception of competence of the preceptors who participated (N = 11). This research revealed that the SPPEP increased the preceptor\u27s confidence and perceived competence level from 64.12% to 89.28% after the first SPPEP delivery. By systematically preparing the preceptors, the SPPEP can reduce overall orientation expenditure while improving patient outcomes, preceptor confidence, perceived competence, and the satisfaction of registered nurses

Causes, impacts and possible mitigation of non-attendance of appointments within the National Health Service: a literature review

Purpose Missed appointments within the National Health Service (NHS) are a drain on resources, associated with not only considerable time and cost implications, but also sub-optimal health outcomes. This literature review aims to explore non-attendance within the NHS in relation to causes, impacts and possible mitigation of negative effects of missed appointments. Design/methodology/approach MEDLINE, CINAHL Plus and PubMed were searched with a date range of 2016–2021. Databases were searched for peer-reviewed articles published in English addressing non-attendance of adults within the NHS. Studies were excluded if they were theoretical papers, dissertations or research concerning patients aged under 18. A total of 21 articles met the inclusion criteria and were selected for analysis. Findings The results indicate a significant association of non-attendance and poor health outcomes. Patients from a lower socioeconomic status, adults aged over 85 and those with multiple co-morbidities are more likely to miss appointments. The most commonly reported patient-centred reasons for failing to attend were forgetfulness, transportation difficulties, and family commitments. Practice-specific reasons were cited as inefficiencies of the appointment booking system, failure of traditional reminders and inconvenient timings. Interventions included text reminder services, the inclusion of costs within reminders and enhanced patient involvement with the booking process. Originality/value Non-attendance is complex, and to secure maximum attendance, targeted interventions are required by healthcare facilities to ensure patient needs are met. The adaption of scheduling systems and healthcare services can assist in reducing DNA rates

A phylogeny of Antirrhinum reveals parallel evolution of alpine morphology

* Parallel evolution of similar morphologies in closely related lineages provides insight into the repeatability and predictability of evolution. In the genus Antirrhinum (snapdragons), as in other plants, a suite of morphological characters are associated with adaptation to alpine environments. * We tested for parallel trait evolution in Antirrhinum by investigating phylogenetic relationships using restriction-site associated DNA (RAD) sequencing. We then associated phenotypic information to our phylogeny to reconstruct the patterns of morphological evolution and related this to evidence for hybridisation between emergent lineages. * Phylogenetic analyses showed that the alpine character syndrome is present in multiple groups, suggesting that Antirrhinum has repeatedly colonised alpine habitats. Dispersal to novel environments happened in the presence of intraspecific and interspecific gene flow. * We found support for a model of parallel evolution in Antirrhinum. Hybridisation in natural populations, and a complex genetic architecture underlying the alpine morphology syndrome, support an important role of natural selection in maintaining species divergence in the face of gene flow