Digital Commons Network^™

A Pilot-Study Evaluating The Fidelity Of Chatgpt In Client Simulations, Eric Tod Beeson, Yusen Zhai, Russell Fulmer, Andrew M. Burck, Rakesh Maurya

Journal of Counselor Preparation and Supervision

Generative AI (genAI) is expanding in counselor education. This pilot study evaluated ChatGPT 4o's voice mode for simulating client scenarios during 53-minute mock-intake sessions with master’s-level counseling students. Analyzing eight domains (authenticity, consistency, emotional expression, empathy, cultural dynamics, self-awareness, goal setting, and role play confusion), ChatGPT’s responses showed good to excellent fidelity when compared to a typical client. Limitations such as formulaic and idealized responses raised authenticity concerns. ChatGPT offers a scalable, cost-effective tool for pre-practicum training, with potential to enhance skill development across the curriculum. Educators are encouraged to integrate genAI thoughtfully, prioritizing ethical considerations and iterative prompt refinement.

Utilizing Artificial Intelligence Therapeutic Adjuncts To Support Autistic Adults Between Counseling Sessions, Carlos J. Castaneda Jr, Nicole Noble, Afroze N. Shaikh

Journal of Counselor Preparation and Supervision

The integration of artificial intelligence (AI) into mental health care presents innovative opportunities for therapeutic interventions. This pilot study examined the use of a customized Artificial Intelligence Therapeutic Adjunct (AITA) as a supplementary counseling tool for adults with level one autism spectrum disorder who attended weekly counseling sessions. Using a Single Subject Design to review trends in mental health symptoms and perceptions of the AITA, participants engaged with the AITA over four weeks, completed weekly anxiety and depression assessments, and post-intervention and satisfaction surveys. Thematic Analysis identified common counseling concerns and the AITA’s use of counseling techniques. Although findings suggest …

Understanding Artificial Intelligence And Machine Learning: Foundational Concepts For Counselor Education, Eunae Han, Jihoon Shin

Journal of Counselor Preparation and Supervision

The purpose of this manuscript was to introduce key concepts in artificial intelligence (AI) and machine learning (ML) to counselor educators and counseling researchers. As AI continues to play an increasingly significant role in various fields, counseling professionals need to develop a foundational understanding of AI, including ML. The first section of this manuscript outlined basic concepts in AI and ML, with study examples that utilize specific algorithms in mental health and counseling-related fields. Next, the second section explained the general process of building an ML model, illustrating it with a real-world dataset example for counseling professionals. The manuscript also …

Reimagining The Counseling Profession: Preparing Counselors For Ai And Digital Health Integration, Carl J. Sheperis, Dusti L. Annan-Coultas, Caronne C. C. Rush

Journal of Counselor Preparation and Supervision

Digital health technologies including artificial intelligence (AI) are transforming mental healthcare delivery, creating new opportunities and challenges for counseling practice. This article examines digital health applications in counseling, including telehealth, mobile apps, digital therapeutics, virtual reality, and AI-powered tools. We explore key implications for practice, including enhanced accessibility, impacts on therapeutic relationships, and ethical considerations. The article presents a six-domain competency framework covering privacy and security, technical proficiency, ethical literacy, clinical integration, therapeutic adaptability, and administrative management. A case study illustrates the practical application of hybrid digital care, while a discussion of counselor education highlights the need for curriculum updates. …

Letter From The Editors: Special Issue: Artificial Intelligence In Professional Counseling And Counselor Preparation, Rachel Jacoby, Sandra Logan-Mckibben

Journal of Counselor Preparation and Supervision

No abstract provided.

Effectiveness Of Glucagon-Like Peptide 1 Receptor Agonists In The Treatment Of Heart Failure, Lisa Kristen Schloemann

SIU Journal of Medical Science Scholarly Works

ABSTRACT

Purpose: The purpose of this article is to review the use of glucagon-like peptide 1 receptor agonists (GLP-1 RA) in heart failure (HF) treatment considering the HF phenotype and comorbidities, including type 2 diabetes mellitus (DM) and obesity.

Method: A PubMed and Google Scholar literature search was conducted with search terms, HF and GLP-1 RA. Seven pertinent articles were retrieved and served as the basis for this clinical review.

Results: The efficacy of GLP-1 RA therapy in patients with heart failure with reduced ejection fractions (HFrEF) is unclear, with one study showing increased adverse cardiac events including tachyarrhythmias, and …

The Impact Of Physician Precepting On Medical Education And Healthcare Delivery: A Qualitative Secondary Analysis, Hannah E. Gutjahr, Steven A. Fasko

SIU Journal of Medical Science Scholarly Works

This qualitative study investigates the impact of physician precepting on medical education and healthcare delivery, prompted by the need for consistency in precepting practices across various institutions and specialties. Physician preceptors, who bridge the gap between theoretical learning and practical application, play a critical role in shaping competent and compassionate healthcare professionals. However, inconsistencies in precepting quality and challenges such as time constraints, inadequate training, and balancing clinical duties with teaching responsibilities necessitate a comprehensive evaluation of precepting's effectiveness.

A systematic literature review was conducted to explore these issues, focusing on secondary data from peer-reviewed journals, case studies, and policy …

Research Synthesis Of Predicting Part 135 Accident Probability In Aviation: How The Bayesian Brain Ignores Declining Safety Standards, Jonathan R. Clarke

Journal of Aviation Technology and Engineering

Technological innovation has had an enormous effect on safety in aviation. However, in Part 135 operations, where technology is not as ubiquitous, the accident rates have plateaued. Human error is constantly misrepresented as being responsible for 70–80 percent of accidents, when it is clearly only one of several contributing factors. In commercial aviation, all accidents should be considered organizational failures, because by definition all defensive layers have been breached. Organizational failure, as it affects safety, should be identifiable and predictable from organizational behavior. Inevitably, in the aftermath of accidents the warning signs of poor behavior are seemingly obvious, yet there …

Contaminated Water And Health Inequities: A Review Of Disparities In Low-Income Populations, Esraa Hussein, Rachel Chung, Chelsea Kim, Jackie Lucas, Erica Kim, Kinsley Wilson, Jasmine Sholy, Rahma Fares, Sharon Ojo, Yashitha Teekaraman, Melane Pira, Bellana Schlosser

General Submissions: Community and Population-based Materials

What are the most reported healthcare disparities associated with exposure to contaminated water in low-income and under-resourced communities?

Objectives: To identify and analyze the most commonly reported healthcare disparities associated with exposure to contaminated water in low-income and under-resourced communities. This research aims to understand how environmental contamination disproportionately impacts healthcare access and outcomes in marginalized populations.

Background: Low-income and under-resourced communities are disproportionately affected by the ongoing global health threat of contaminated water exposure. Pollutants like heavy metals, pathogens, and industrial runoff cause preventable illnesses like skin infections, developmental disorders, and gastrointestinal disorders. Systemic healthcare disparities, such as limited …

Organisational Perspectives Of Support For Nurses Who Identify As Second Victim: A Feasibility Study, Monica Peddle

Sigma Foundation for Nursing Research Grant Reports

The approaches, perceptions and frameworks used by organisations to support second victims is absent from the literature. To enable these professionals to maintain or return to their clinical roles a deeper understanding of the second victim experience and what is required, versus what is available, in terms of support is needed. Exploring second victim support programs from an organisational perspective including the aims of these programs, the elements that are deemed important in support programs, the factors that denote recovery in second victim and the value placed in these support programs is warranted. The research question posed in this study …

In Silico Investigation Of The Anticancer Activity Of Natural Isoquinoline Alkaloids Targeting The Monoamine Oxidase A Enzyme, Reham A. Al-Anssari, Anwar H. Ali, Ola Adel Al-Saad, Shaker A.N. Al-Jadaan

AUIQ Complementary Biological System

Monoamine oxidase A (MAO-A) has recently been identified as a candidate for cancer therapy due to its roles in tumor development and growth. Conventional approaches for the discovery of MAO-A inhibitors are both costly and time-consuming. The objective of this work was to apply in silico methods to predict natural isoquinoline alkaloids capable of acting as potent MAO-A inhibitors, and to establish this class of compounds as potential sources of a cost-effective anticancer therapy. Twenty-one natural isoquinoline alkaloids were subjected to a multistep computer-aided drug discovery protocol. The compounds were initially screened for pharmacokinetic (ADME), toxicity, and drug-likeliness properties by …

Computed Tomography Features For Differentiating Mast Cell Tumors And Soft Tissue Sarcomas In Subcutaneous Masses In Dogs, Seri Hong, Daji Noh, Kija Lee, Hojung Choi, Youngwon Lee, Sooyoung Choi

The Thai Journal of Veterinary Medicine

This study aimed to investigate the computed tomography (CT) features of mast cell tumors (MCTs) and soft tissue sarcomas (STSs) in subcutaneous masses of dogs and to identify distinguishing characteristics between these two tumor types. This retrospective, multicenter study included 22 dogs with subcutaneous masses diagnosed as MCTs (n = 11) or STSs (n = 11) via fine needle aspiration or excisional biopsy. The CT features were evaluated based on four categories: location, morphological characteristics (including shape, margin, capsulation, size, and long axis to short axis (L/S) ratio of the lesion), internal parenchymal characteristics (including cavitation, vascularization, mineralization, homogeneity and …

Improving Arabic Coffee Production Through Disease Detection Based Ai Frameworks, A.S. Balobaid, R. Alarabi, S.M. Abd Elazim

Yanbu Journal of Engineering and Science

Coffee is the second most traded commodity globally after oil and represents a major source of income in many countries. Kingdom of Saudi Arabia has a great interest in growing and expanding of coffee in line with the Saudi Green Initiative as implementation of Vision 2030 AD. This expansion is accompanied by a greater spread of insect pests and the emergence of diseases affecting coffee. Recently, machine learning technologies have been beneficial in the agricultural era in detection and classification of fruit and tree diseases. The study initially focuses on kind of disease that appears in the leafy area of …

A Case Of Adrenal Insufficiency Presenting With Seizures, Complicated By Developmental Cerebral Venous Anomaly And Takotsubo Cardiomyopathy: A Case Report, Katrina Villegas, Brittany Eason, Karolina Janiec, Alaa Musallam, Ahmed Hammouda, Samia Ammar Aldwaik, Radhika Tailor

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Adrenal insufficiency is a potentially life-threatening condition that often presents with nonspecific symptoms. While fatigue, hypotension, and electrolyte disturbances are common features, seizures and stress-induced cardiomyopathy are rare initial manifestations. This case is reported for its atypical presentation and to highlight the diagnostic challenge it posed in the absence of classic biochemical findings.

CASE PRESENTATION: We report a case of a 68-year-old Hispanic woman with diabetes, hypertension, dyslipidemia, and hypopituitarism secondary to Sheehan syndrome, who presented with new-onset seizures after abruptly discontinuing chronic steroid therapy. Her symptoms included progressive weakness and behavioral changes over several weeks. Initial evaluation revealed …

Effects Of Fasd On An Individual’S Life Trajectory, Peyton M. Enders

Master of Arts in Human Services

The consumption of alcohol has been in society for thousands of years. However, the discovery of the impacts of alcohol consumption while pregnant is something that is continuously being learned about. Controversy on the effects of alcohol while pregnant and the level of consumption throughout the last century alone has caused individuals to misunderstand the level of danger that it has on a child. Fetal Alcohol Spectrum Disorder is a multi-layer disorder that causes not only physical deformities but also a change in mental health and cognitive levels of an individual. Throughout any stage of pregnancy a consumption of alcohol …

To Protect And Survive: Acknowledging Adverse Childhood Experiences In Law Enforcement, Melanie Appleman

Master of Arts in Human Services

This literature review explores the influence Adverse Childhood Experiences (ACEs) can have on choosing a helping profession as well as their effect on law enforcement personnel and their ability to cope with occupational trauma. Law enforcement officers are routinely exposed to high-stress, high-risk environments which can exacerbate underlying trauma stemming from early life experiences. Officers with a history of ACEs may be more vulnerable to emotional dysregulation, hyper-vigilance, burnout, and substance abuse which can influence their decision making, relationships, and professional conduct potentially resulting in negative outcomes. Key themes include the identification of risk factors, the development of screening tools, …

Issue 470: August 21-September 4, 2025, The Local Voice

The Local Voice

No abstract provided.

The Indiana Statesman, August 21, 2025, Indiana State University

Student Newspaper

Welcome Freshmen! Convocation embraces freshman class; Letter from the President; Party at the Fountain concludes Sycamore Sunday

Staff Education On Using The Epworth Sleepiness Scale In Primary Care, Amanda Robyn Jones

Walden Dissertations and Doctoral Studies

Sleep disorders are prevalent in primary care settings and often remain underdiagnosed due to inconsistent assessment practices. This doctoral project was conducted to develop, implement, and evaluate whether an educational intervention for registered nurses would enhance their knowledge on using the Epworth Sleepiness Scale (ESS) for sleep assessment in primary care. Guided by adult learning theories and the analysis, design, development, implementation, and evaluation instructional design model, the aim of the project was to address the practice gap related to inadequate sleep evaluations, ultimately improving patient outcomes and promoting holistic care. Evidence was collected through pre and post intervention assessments, …

Finance Committee Meeting - Open Session Book 08/21/2025, Uc Law Sf

2025 Board of Directors Agenda and Materials

No abstract provided.

Educational Policy Committee Meeting – Open Session Book 08/21/2025, Uc Law Sf

2025 Board of Directors Agenda and Materials

No abstract provided.

From The River To The Sea: Environmental Ecocide In Palestine, Isabela Pizarro

Student Theses 2015-Present

This paper investigates the environmental and ecological toll of Israel’s current occupation and genocide of Palestine through ecological, historical, philosophical, and legal lenses. Chapter 1 explores the ecological impacts that Israel’s prolonged military operations have had on Gaza and the West Bank since October 7, 2023. Chapter 2 provides a comprehensive examination of the ideological motivations and historical context for Israel’s colonization of Palestine. The chapter also provides a pre-colonial history of Palestine’s indigenous agriculture and land management practices, highlighting its self-sufficiency and sustainability prior to the occupation. Chapter 3 explores different environmental philosophies between indigenous Palestinians and the State …

The Minutes Of The Marshall University Staff Council Meeting, August 2025, Marshall University Staff Council

Staff Council Minutes

No abstract provided.

Kayann Atkinson V. Attorney General United States Of America

2025 Decisions

Agency

Nevada Medical Residencies, 2025, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet highlights medical residency data for the 2021, 2022, 2023, 2024, and 2025 graduating classes of the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR) School of Medicine. This fact sheet presents data on residency program matches at the Kirk Kerkorian School of Medicine at UNLV and the UNR School of Medicine, shows where Nevada medical school graduates pursue their residencies, and updates findings from a 2024 fact sheet exploring 2021, 2022, 2023, and 2024 graduating class data.

Quantifying "Medical Renal Disease": A Pediatric Pilot Study Using Ultrasound Radiomics For Differentiating Acute Kidney Injury And Chronic Kidney Disease, Laura De Leon-Benedetti, Laith Sultan, Hansel Otero, Tatiana Morales-Tisnés, Joya Sims, Kate Fitzpatrick, Julie Fitzgerald, Susan Furth, Benjamin Laskin, Bernarda Viteri

SKMC Student Presentations and Publications

Background: Differentiating acute kidney injury (AKI) from chronic kidney disease (CKD) in children remains a critical unmet need due to the limitations of current clinical and biochemical markers. Conventional ultrasound lacks the sensitivity to discern subtle parenchymal alterations. This study explores the application of ultrasound radiomics—a novel, non-invasive, and quantitative image analysis method—for distinguishing AKI from CKD in pediatric patients. Methods: In this retrospective cross-sectional pilot study, kidney ultrasound images were obtained from 31 pediatric subjects: 8 with oliguric AKI, 14 with CKD, and 9 healthy controls. Renal parenchyma was manually segmented, and 124 advanced texture features were extracted using …

Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood

Walden Dissertations and Doctoral Studies

The problem of interest is the current workforce crisis among the Radiologist Specialty in hospitals in Southern California. There has been a significant decline in the number of Radiologists in the workforce compared to the caseload of imaging studies. The purpose of this integrative review was to evaluate empirical and non-empirical literature for operational solutions to improve recruitment and retention of radiology providers. Literature published between 1999-2024 were evaluated for appropriateness using the Johns Hopkins evidence appraisal tools. The literature involved strategies and identified operational areas of opportunity for improvement with radiologist staffing. Identifying ways to improve job satisfaction, retention …

Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker

Walden Dissertations and Doctoral Studies

Black adults in the United States are nearly twice as likely to receive a diagnosis of type 2 diabetes mellitus (T2DM) and are more susceptible to severe diabetes-related complications. Health literacy and patient-provider communication (PPC) are extremely important for self-management in patients of all ethnicities however, 58% of non-Hispanic Blacks have basic or below-basic health literacy skills compared to 28% of non-Hispanic Whites. The purpose of this descriptive correlational study, with was guided by the interaction model of client behavior, was to determine (a) if there is relationship between PPC during the healthcare encounter to health literacy among Black adults …

Walkable Communities Lowered Mental Health Stressors During Covid-19 Pandemic, Robbin Ray

Media Relations

No abstract provided.

Understanding And Predicting Flossing Behavior In A Rural Appalachian Community Using The Multi-Theory Model, Rahib K. Islam, Manoj Sharma, Amanda H. Wilkerson, Bradford Layman, Clyde Dunn, Shamima A. Somi, Ratnesh Sharma, Karen Gruszynski, Syed S. Quadri, Vinayak K. Nahar, Robert E. Davis

School of Medicine Faculty Publications

Effective flossing is essential for preventing periodontal disease. However, in a rural Appalachian community, adherence to flossing routines remains low, contributing to significant oral health disparities. The purpose of this study was to conceptualize intention of initiation and sustenance of flossing behaviors using the multi-theory model (MTM) of health behavior change. A cross-sectional survey was administered to individuals recruited from a shopping mall in rural Appalachia. The MTM constructs were measured and data were analyzed using multiple linear regression models. Of the 228 participants, 55% did not floss daily. Behavioral confidence (β = 0.571, p < 0.001) was a significant predictor for the intention of initiation of flossing among non-daily flossers, while emotional transformation (β = 0.377, p = 0.836) significantly explained sustenance among non-daily flossers. For daily flossers, changes in the physical environment (β = 0.432, p = 0.003) significantly predicted the intention of initiation of flossing, whereas emotional transformation (β = 0.344, p = 0.008) and practice for change (β = 0.594, p < 0.001) significantly predicted sustenance of flossing behavior. The MTM appears to be a robust framework for understanding and predicting flossing behaviors in rural Appalachian populations. Interventions designed to enhance behavioral confidence, physical environment changes, emotional transformation, and practice for change could improve flossing adherence. Further research should explore these constructs to develop targeted public health strategies.