That should be working. Hopefully. Just let me know guys in the chat room. Just make sure you can hear me Okay, it should be all right, but Have you turned your mic on this time? I think so Think I did soon be able to tell he says when the stream catches up. Hello We're in for some nonsense today. It's a beautiful beautiful sunny day outside like Crystal blue skies. It's unbelievable. That's about 23 degrees something like that. No, mm-hmm And so we've made this room as dark and unpleasant as we can and Decided to play video games and stream onto the internet because that's what normal people do With me today. I've got Commander Rene Good afternoon and the Extraordinarily difficult and quite challenging commander prime-time casual Good afternoon. Who's bright idea? It was for me to try Flight assist off landings in a space station Your original idea was flight assist off and rotational correction as well, wasn't it? That is correct.  No Well, I presume it corrects your rotation Indeed so when you're you know when you're flying into a space station and the whole station's rotating Yep, your ship is keeping is keeping time with that Okay, so I mean and rotating along with it if I'm doing flight assist off but with rotational correction It would still match that rotation. Oh, okay, but I would drift left and right and up and down You know with normal momentum or whatever if we turn off everything including rotational correction I've got to manage the rotation of the space station as well as where my ship's going Excellent. Yes. I don't see what could go wrong. Absolutely fine. Absolutely fine We're gonna try it first of all in a side winder this is the BPS Kanga chunks is what the ship's called What is it called? Yep? Hey Tado? How you doing buddy? I've got liberal in the chat room as well All right lads and Bob and Bob Hello Bob Thank you for joining us guys really appreciate it.  It's got pilot watching this Yeah, someone gets handling in here No We're good. He can watch he can watch it afterwards. Right. So you flying Plot assist off out. No, right now. I am flight assist on Just this will be this will give you this will give you a nice benchmark. All right So this is this is me flying. I'm not great at this guys. I gotta be honest. So this is me flying This is me flying with fly assist on okay good notice the delicious rotational correction going on. Excellent brilliant Okay, you've got Tado judging and Lee laughing. Yeah, thanks. Thanks for that. I'm just murking silent I'm absolutely terrified. Is this another prime time casual? There's another one of these bright ideas.  It's I gotta be honest. It's not going well, right? Tado's rotational correction doesn't make a difference unless your flight system. Oh, okay, so Okay, so there's no help. So what you're saying is I'm not going to get any rotational correction even now probably It's makes it even funnier. I can't even line up with the with the mail slot You know, I would have waited until I had to ship stops completely before I turned FA off Right, I've requested landing permission All right, that's Here we go Us is horrible, how do people do this for why do people do this for fun? This isn't Right, I'm in so that's good Always remember this is the smallest ship you can get this is the smallest least expensive ship You can't do this for fun I have to grudgingly admit it goes better than I thought already you really did you see me going through the mail slot? That was better than you thought Yes, lots your estimations of my abilities are Breathtakingly low on they here comes the ground here comes the ground So at least in the rotation Station Yeah, the rotational correction seems to be working at the moment. I can't believe that this is this is with Okay, Taylor saying you should start in a type nine Yeah, thanks. I don't love your ideas. No, really. I do kind of make sense. No, it makes absolutely no sense The sense last night when I thought type nine for the first time it moves like a pig And it takes about a year to turn a circle. It's gonna take me about that long to like can you see what's going on? I'm trying to distract I'm exhausted at about you Let's call that a landing. I think that went very well So you're gonna go out the station with it off Obviously, we now have to test Taylor's theory that right Rotational correction doesn't make any difference. Okay. Okay rotation. Okay. I turn right I'm turning rotational correction off now because I'm I don't like my life being pleasant So technically speaking now I'm locked onto the pad. I should be match it I will get the road the benefit of rotational correction when I lift off, right? Is that what he's saying? I don't know We'll see Primes in very good land on a pad if you turn off in station the station rotates and you stay still Yes The way prime just goes.  I'm Mr. Burr. I expect you to die. Thank you Hahaha Yes Worth it for that alone Can we just get some recognition in the chat room that I actually landed? I mean, I know it was a bit Bouncier than we'd like can I not get some applause? I thought that went very well. I didn't die That's a lot less death than we were expecting. I think it would be funnier if he died Supportive as ever right, right Okay, oh god. I'm actually nervous how ridiculous is that?  Okay, I've lifted off and the station is going a lot less in the right direction than I would like Oh my god, what are your normal takeoff apps? Thank you for that. Absolutely awful. This is awful Yeah, you have to look at that. Yeah, focus on the on the center part.  Oh really? I hadn't noticed. Oh my god Right here. I'm really fast through the slot. I was a type 9 coming in Possible death Literally have no idea how to get out that The way you can always stop spinning is actually by boosting really. Oh, right. Yeah, is that a trick? The way you can where you can stop spinning is to fire all your lasers might he said This is absolutely horrible Building does it feel like it makes a difference are you kidding me? I can't believe people do this for fun can't tell if they are for just drunk Well, I don't drink so Right there the way I would do it Yes I was just going to say the way I would do it is Wait until I align with the main slot and then just throttle up Yeah, the needle I can catch the right moment the aligning with the main slot was the challenging bit there Oh, that was awful. So what do you think it is asking about the rotational correction, right? So did that make a difference? Yes, that made a difference not not Yeah, no not nearly as bad as I was expecting it to be I have to say but it was don't get me wrong It was horrible absolutely horrible, but taking off is still the easier part Okay, good. So this is gonna be hilarious then right you try to go back in. Yeah You don't think the Germans gonna let me get away with wow Well, that's the end of today's stream everyone. Thank you so much for joining us. Bye Don't look at anything prime time does on the internet loving your work Right You've had a practice the second time How many times you I love it that you're sitting over there smug little little miss I did meet around hollow yesterday because Guess what you're doing next difficult at all Guess what you're doing next You said at the end of it We got we got a video coming out soon with reenie landing on meter and hollow right in a type nine and At the end of that you said you wanted something difficult. You wanted something more challenging ladies and gentlemen. I present to you Like is everybody just be sick if I do this Did I request just try it you're so fine down. Yeah, I'll soon know yeah, okay Listen if you put FA on and leave rotation off, you'll see what it does more clearly. Okay. Yeah, that's good way to test it out I suppose Yeah, um, yeah, okay. Well, I've got that in a minute Why didn't you leave the station just in a straight line? Oh Good that type nine's coming out again, that's good Just trying to sabotage your efforts. I'll just sit here bobbing around.  Honestly, it's not fun So you're constantly having to adjust because you don't stop moving all all the adjusting all the time constantly in in three dimensional axis and then compensating for rotation You know, oh, there we go Try to aim inside the main slot next time Let's get away from Yeah, next time do it in the biggest ship Honestly The good thing is this is Jameson's memorial. So he can just buy any ship you want. Yeah, that's true Yeah, the condo next Okay, just love your sense of humor doing out of condo next.  No I just like to torture English people with it. Yeah other than speedballing, of course, but that's not true. I did some You know Racist but Yeah, that was actually vaguely under control I know yeah You've got no idea the stress this causes. I've got absolutely no idea where my landing pad is absolute Ground Where is it? There might be Buildings coming that might be. Yeah. Yeah. Oh, there is. Is that oh, no, that's no, that's not mine That's mine.  Yeah, just some beeps. Oh, that's a that's someone else's landing pad Good. Oh, what happens if you park with someone else's Is it okay if I'm not so the questions after I'm done. It's okay Quick prime five quick quick. Oh, he's got questions He's got questions. Don't don't get him Did you manage to squeeze the sidenwinder? Yes I'll be taking questions after a bit That's amazing Do it on purpose next time. Yeah Okay, thankfully get shot.  Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. Oh my god. This is Go on the correct landing pad. Absolutely horrible. Oh Quick the landing pass getting away. Yeah. It is. Yeah, it is. It is like you would not believe that the muscles in my legs are tensed up at the moment It's horrible. Everything is clenched. Yeah, everything everything is clen- there's an image for you Everything's clenched at the moment. Right, just reverse bit Thank you. And they people say this game's too difficult. Let's have a quick look at the chat walk Can I please get some love in the chat now because I just I mean that was breath takingly hard There you go. There you go. It was. That was good. Serious Serious or seven here. See it's easy says Tado. Honestly Liberal. Liberal. You get shot if you stay to the start. No, that's it. He's true. He's true though. Well done. Thank you Bob. Thank you. There we go Thank you. Right. I hope you enjoyed that. We'll see you next week. Bye No, no, no, no, no, no. It's still 15 minutes until the next time before we have to I've got I've got anonymous access. I've obviously set some one from something, what's that? I don't know what I've I've got find 400G Aren't rec varies from positive descended obviously. Obviously. Yeah, right let's play that off. okay but it's not a rebuy so we're going to the shipyard now to look at the available ships hauler I'm just gonna get the you're gonna I'm just gonna I'm gonna read out ships and you're just gonna stay silent until I get to like type 9 or anaconda aren't you yep yep imperial eagle anyone Cobra come on taste more come on you're gonna do a scout there you go asps get that that sounds nice actually asps Scout okay I'm going with the asps Scout the BPS you get more votes in the chat for T9s and T10s yeah I'm pretty oh when you T9 did okay last night so I try in the smaller shit first and then go to the T9 or shall I just go straight for the two are you saying go straight for the T9 yep yep I've accidentally sold it oh well bye I have I have good experience with letting the internet vote on what I'm yes yes that's always gone nothing but well for you hasn't it yes do we think I need to do I'm gonna do this with a hundred tons of bio waste as well I think it's correct choice oh the German word quiz yeah that is that is coming yeah that is coming it's coming maybe not in the middle of flight assist off that yeah possibly not in the middle of flight assist off oh actually I shouldn't say that because if you did it in the middle of the flight assist off I'll probably win what's the current score prime the current score is burr leading four to three burr leading let's just let's just ruminate on that for a moment burr winning I'm gonna have to do something about winning what was that Casey Elston 38 is now following thank you very much for that thank you for the follow welcome to the stream hi this I'm your copy on issue not seeing me at my best I don't know okay I have a hundred tons of bio waste on board just a playa prove like we're okay are we gonna take nine yeah we're like a multi-crew in this yeah you can multi-crew do you want to come in for this it's kind of funny just watching you so I've just checked your an invite okay I can't remember oh no when you got another yeah I'm gonna see do you want to come in prime oh we know I'm fine just watching okay okay here we go I don't even want to take off this is awful I love this ship just so we're clear you still have FAA on what yep stop cheating bear oh I got a what have you got FAA on or off well I haven't turned it on since the last so it should be off right but you switched always see so I've got to do and the station immediately starts moot oh this should be easier because it's slower yeah let's twist yeah and the size of and the size of England it's going backwards now I wasn't expecting that I just hit something I just got told off a loitering this is not what you would call control gosh this shit's big I can't wait to look at the playback in this stream and see what my face was doing through that and just just remember that was from virtually starting right in front of the mail slot and now you're aiming at it from like two or three kilometers away oh my god oh yeah oh that should be fun what sort of show do we got it's not nearly as much as I started with so I'm just gonna put some maybe maybe put more pips into yes yeah yeah well at least you got out oh it's horrible I can't I'm a bit stuck I don't get me wrong I'm impressed by people who can just you know just go do you know what I'm going to play this game Iron Man and I'm going to switch off flight assist and all that and I'm just it's just not fun I can't understand why on earth you would do this don't get me wrong I appreciate the skill I'm really well done good but actually Lee could be coming up with the next challenge actually no you're all right I don't want to know no if you wait until the counter starts and then go oh a time cell ends wait until the counter starts would you do a timed exit what it's a hover for too long in the station and then get a count down for hell quickly you've got a disadvantage oh my god really you're just finding ways to get me killed aren't you that's basically what this is right I don't want to get too lined up because that's going to be part of the so right here we go I am genuinely dreading this I'm sorry go on this this seems lacking explosions yeah it seems to be absolutely overwhelmed with sickos though there's plenty of people just bird torturing is what this is oh that's a good one add three two that sounds enormously close to the mail slot oh god you've got to try this really because it is horrible oh god that's absolutely it looks easier in the t9 does it good just go up up why have they got those spiky things at the front of the toast rack I mean seriously what is that for what is that what are those there for toasting marshmallows or something it's literally that's just reckless and dangerous you can tell I'm not having a good time because I'm getting angry with the station design now why is there even a mail slot while I'm on the subject why isn't it just open or like a funnel that's wider at the end a funnel a funnel would absolutely see that we can just slam intern it'll slide in yeah that would make absolute sense light bulb holders oh come on as opposed to the free floating holographic billboards they can also use yes but it's more fun right whoever it said the t9 was going to be easier lies lies and what those are getting closer to the mail slot are you not really I'm sort of hovering around it at the moment that guy coming out looks nervous see that's the way it's bad enough getting in one of these things on it you know when the when the station's busy anyway right follow Tato's advice keep your pitch level right I'm just so we clear I'm in the burr private group at the moment and some there is another player in the who has just appeared in the station who's that I can't look at the stream to see if anyone's admitting to it but there's another player in the station at the moment I can see can you see who it is oh christ oh come on come on go there you go that's fine right all we all do now is stop stick it in reverse yep stick in in reverse three yeah that's right drops on teff jump some chance yeah always works do you know where you got an end I can see it right the rotational correction thing doesn't I don't know it doesn't feel like it's making a mahusive amount of difference I want some serious love from the chat if I managed to pull this off by the way where you going 32 or 36 32 we're currently in the middle yeah thank you make a decision just slide gently over the pad did a bit of rocking see rocking dunking people say this game's hard I mean those are definitely wobbly dockings yeah wobbly docking come on come on there you go how can it be so hard this is rubbish 23 minutes I've been doing this I've been feeling exhausted I feel like I've been for a run who is it in the station do we know who's in the station I don't know I have no idea I could probably find out is no one in the stream admitting to it okay it's it's been the reason we're laughing ladies and gentlemen is that that's our son your teenage son is currently mocking you from the station thanks for your help Jay you're not getting fed this week yep right I did it well done that's it I've done it I haven't got to do anything else the other way I've done it now you can fly off with flight assist on and go somewhere pretty there we go we'll see we all heard that can I just get on it I just landed it why are you not going that why am I not getting some love for this because it's easy you are you're getting quite a lot Casey Elston has said bravo thank you very much okay prime time's got flip oh flipping seven birds Petrina's has said that was a good touchdown I wouldn't call that good not with the best wheel in the world I would not call that good there will be nice to tato and leopold thank you very much now not with the best wheel in the world would I call that good I'll just play I'll just play off all the bills I've got hang on oh dear is that a cat I can hear yeah I've got any fines I thought I had fines it's addicted okay good I need to kick you out excellent to change ships I didn't come in did you not it was too funny watching this train oh thanks okay now I need to get my I need to get my cobra out because we are going I still got I still got a hundred tons of poo on board get rid of that quickly thank you for the loan of the poo um yeah we're going to uh I've got to take a ship over to kume which is about three or four jumps away I think in my in my cobra because we're going to go and do some filming for uh Alec Turner and the Great Planetary Expedition having a an SRV race a down a down a canyon I believe it is a canyon isn't it yeah that's it yeah they're having an SRV race down a canyon and we're going to go and film it and hopefully it'll be in daylight and quite spectacular to look at when you get that um so the latter half of this stream is just going to be me traveling over there um yeah actually I think you can see SRVs better at night with the headlights on but yeah yeah I suppose well reconceiving quite well because she's you know nose camera way out in front of me but I I struggle to see them at any time at all really but they're so tiny they're really out to check ship concentrate my cobra yes make sure you get the right ship there we go use their ship right I have a impending feeling of dread because I know that when you start flying there's going to be a quiz there is I can feel him sitting waiting everything's prepared anybody that hasn't joined us on these streams before usually the latter part of the stream which is no exception today is primetime casual is going to tormenting English people yes he's going to torment us with quizzes about German words I'm gonna follow Tado's leakers he normally gets it right I'm just gonna cheat you can't no you can't no you can't look at the you can't be looking at your dreadful honestly try Hercules is where we're going okay right I said oh I want to put rotational correction on as well don't I just put everything on the flight assist correction everything oh that's so much better oh I thought flight assist off wow you're good I just got a loitering it's going worse now that I've got flight assist off oh just get out the station might just get out oh that was nice and fast oh see I shouldn't let the cat out the bag Tado's gonna whisper his answers no don't no no no no to prime he's not gonna tell me he's gonna okay oh no thank you dude thank you I think you can do it actually in Seattle no he can't every no they wanted someone in yeah everybody can have a go after everybody can have a go how many jumps you are out on the station hang on I just four jumps we got mate could I have a multi crew invite please uh uh yes although we will need to change groups uh but yes when we get there oh yeah we need to go and open don't we all right go on are you ready yes I'm about to head into a star but don't let that stop you yeah go on it it won't no um again I will copy the the german word and the two options into chat so okay okay people can this go okay the first word is and I admit today is a bit funny day the first word is schnitzelwecken that's gotta be food schnitzelwecken is this a breakfast breakfast in the early morning consisting of cold leftover meat from the previous evening or be a bread roll sandwich with a piece of breaded fried wheel in between schnitzelwecken definitely be schnitzelwecken schnitzelwecken it's a good word definitely I'm trying to see if I can make anything out of schnitzel because I know I've heard that before but I'm not quite sure where from yeah definitely be okay I'm good lots lots of me my gut reaction was a so I'm gonna go oh good everyone's going be brilliant now I've said a there is going a come on let us go your gut reaction was actually right it's the bread roll said no I'm sorry wrong of course oh yes it's food schnitzel yeah your breakfast is traditionally food in the UK I don't know what you lot do for breakfast but we generally eat break fast being the you know the giveaway so am I right yes it's a sandwich with you know schnitzel of course you can also have that for breakfast but do you want to do you want to know where after my gut my gut reaction was are you but do you want to know where my logic went after that I dare to think you're gonna love this no my logic went this is how I justified it to myself schnitzel I knew was food and Wacken sounds a bit like Wacken which is to break something which is breakfast wow Wacken is actually a south German slang for a bread roll oh I don't like this game yeah sir right we're even right come on speaking speaking of schnitzel oh next next next turn word okay schnitzel jagd schnitzel jagd is a obviously a a children's game with the goal of following small hidden clues written on pieces of paper and scattered across town wow or b the act of hunting veal in order to make a proper schnitzel a rural tradition every summer especially in the I go I've just got visions loads of German men running around chasing veal right I think it's gotta be B but he's gonna be I think you're attempting to yeah well I think you're attempting to throw us off the scent here so I'm gonna go with a I'm gonna go with B I'm sticking to miss snitchels you snitch it sounds like a character from EastEnders by the way I'm I I'm going I hey I realized that to really throw a Englishman office of their game you just have to pronounce schnitzel because you can't right it is it is a actually yes because schnitzel is a piece of me is a piece of meat but it's also like a small scrap of paper of course it is language of course it is so schnitzel is either something to eat or a small scrap of paper excellent context is everything isn't it context is everything you someone says to you would you just write that down on a schnitzel one earth would I put that on a sandwich you could you could write with with like ketchup or something so all right there is paper you can actually eat liberal but yeah don't don't don't don't don't okay the final one really this is your chance to you know score the equalizer I've got to equalize again right come on yeah come on we're gonna do it's so quintessential German there's liberals saying oh my god do you eat paper it's all surprised they're a weird bunch um this is the famous and get transparent skis it's a must be me i'm a schimmer be my boy my what wow he's making them up he's just made up what he's just taking random collections of vows and vomiting them at the microphone now isn't it all right well and get it and get transparent skis it's a law designed so an employee can request their employer to disclose the median but not the average salary of a group of other employees in a similar field of work who are of the opposite gender in order to lessen gender pay gap oh my god or be a law that requires employers employers to adhere to a specific form of yearly salary overview to both their employees and the central tax and revenue office in order to enforce minimum wage b absolutely b so i think it's i think it's a but i think he's doing that to put you off the scent all hang on a minute though a lot of incredible form hang on hang on yearly salary both their employees in the central tax and review office in order to enforce minimum wage employees to adhere to a specific I'm going with Lee see oh you see now i'm looking at transparent transparent in the middle and thinking that means that's a but is he because he's done this before he throws something in there thinking oh they'll know they'll know that a dog is a small barky animal so i'll put the word dog in there um so i'm gonna stick with i'm gonna stick with my gut reaction which was b which is just me and bob are going to be absolutely unbearable if this is wrong oh this is nice we have a we're going to be at least going to say b and it is hey i roll how you're doing gormy yep it is a a law the median but not the average and that is actually important median but not average salary and only of other employees of the opposite gender it's so yeah wait where does that leave the score does that mean we're level pegging or does that mean she's in the lure at just five both equal five so we've got to have an equalizer we've got to have a we've got no not this way oh we've not so we're equalized then for now yeah until next week obviously wow thank you i roll yes it generally is yeah i'm glad you're enjoying it yeah it uh yeah tell him that yeah okay so we're level so that's it right we're level pegging for this week okay level pegging your language is not so that literally do you look at that word and go right that's unnecessarily long no oh for goodness sake see in english that's a sentence most londoners don't don't speak in in in sentences of that length to be honest they mostly are yeah but look how much longer it is to explain what it means let's show no is there a website that you look at these really long words in not really no there's not like torturing english people in german dot com or something was that yeah honestly that's just insane absolutely insane i can't believe that's a word can you just say it again for me that's a good word right and just a bit ends i'll just got to look at what it is again hang on so it was so it was a so we've okay is that a is that a recent word relatively speaking because we've just had kind of a whole who are about the gender pay gap in the uk and i'm guessing yeah yeah so is it recent so it's a recently invented word if you see what i mean invented but they they invented the law like a year or two back yes and is it called the inskins bengen bengen bengen law then it is called the n kelton sparenskis i think that's what i said isn't it prime i'm curious now because commander petronas has put that the longest word is 36 letters long that's not even possible that's almost a whole alphabet taylor's heading off see you later chair see you later guy later thanks for stopping by mate yeah lee would just say yeah in england we'd just join all the existing words together just forget to put spaces in yeah and then we'd make yeah 36 loop of shame that's how everybody take a drink lap of victory see here we go here we go i cannot wait to get that that um super cruisers assist first for streams yeah honestly oh right ladies and gentlemen this is hang on where are we time wise okay we still got 20 minutes this is if you've never been here this is uh apasam in the yeah in the chai hercules system and the moon of kume if you've never been here and you're anywhere near the bubble i implore you to come and have a look and i'll try and show you why so the moon of kume goes round apasam quite quickly not not meet around hollow quickly but it does go around quickly but it also orbits enormously close which means you end up with views well you're gonna want the coordinates that i'm gonna try and show you now it does have pretty colors yeah yeah i mean it's quite an interesting moon anyway it's it's it's quite a pretty place generally but the views you get when the sun and the local planet are in the right position are just amazing do you want coordinates so no it's okay i'm just gonna all i'm doing at the moment is trying a bit of a fly right yeah it's just try and show the um there's so many different things isn't there yeah getting down there and still keeping the planet in view is a lot more challenging than it should be i wonder if that's where it is it's uh that's not it is it down there it could be i can't see the coordinates i'm dropping it down that's how i go down there it might be actually we might be oh no it isn't no no no it isn't there's kind of a lot of the blue vein features right okay so we're five all at the moment as far as the quiz is concerned right okay yep i cannot drop the ball next time then can i yep if we leave this stream one day and re is enormously competitive right enormously competitive i'm i'm not talking about i don't i don't have a competitive bone in my body which in her mind means she's winning at being competitive that's how competitive she is yep literally if she goes one point ahead of me my life will be absolutely unbearable like way worse than the fact that i've been winning for the last few weeks way worse just think how much more unbearable your life will be if i lose yeah yeah i think you'll know it'll actually if you're winning it will be worse because if if you're losing then you won't mention it it won't become a subject of conversation over dinner no because you've been let's be honest be very careful now you've been you've been losing most of the series you've been second or first runner up yeah for the second place for the for the yeah for the last one behind the first since we started in fact yeah so so you haven't really brought it up you know over dinner and stuff like that but if if if i have the audacity to lose my god you will be absolutely unbearable you walk around the house game loser loser yeah yeah hey let's let's go to Germany i speak more German than you what oh i see oh god oh yeah yeah well yeah because my life's not nearly as unpleasant as it hang on let me just try and get everyone a nice view as you can see it's quite nice here why didn't you get in one of the valleys and i was gonna try and get a mountain between me and the planet over there hang on i know i can do i just armed all my weapons then for some reason by the way just as i jumped out it's a pretty place yeah so come and have a look at kume if you get the chance it's really nice if you've not been to meter and hollow as well that's that's well worth a visit for reasons that i i won't spoil if you've not seen it but just trust me it's a bit ugly though um yeah not really i think i think kumai is a nice looking oh kumai's beauty yeah come to come to kumai for the beauty go to meter and hollow for the lulls yeah they are a similar size actually i think they probably are actually i do like the cobra it's a lovely ship yeah it's a nice ship right let's find out where we're supposed to go would you like some cord yes please yes i would uh i put it to you in discord didn't i think yeah okay let me just see where i am this will be hilarious okay i'll get up into super cruise have you got them to hand yep do you want them bear with me hold on busy cop it standby so how far along is this um great circle navigation well it must be good halfway through now they must be yeah i do you know what i haven't checked on the map recently but they must be they must be fairly far into it now it's only a sort of month in total wasn't it yeah yeah it's got very um it's got very loose um it's got a very loose schedule to it very loose guideline so they're not saying at such and such a week you need to be here you need to be here you need to be here but um there's kind of a there's a very very rough schedule and and um like literally just like yesterday or the day before alex just announced hey everybody let's meet up at such and such a place and have a race which is kind of roughly in the in the area that everybody should roughly approximately be in very loosely it's it's nothing like distant worlds in that regard anyway okay where am i going okay so 63.2626 uh i always struggle doing this hang on yeah i shouldn't really be doing this on a string how you doing this let me get going north so you can fly around a few times it might be there it looks like i'm good at it yeah i'll for goodness sake so when the new feature comes in will it just hold you going around uh it will put me in orbit quite comfortably i think right we're sorry what was the first one 63 yeah okay i'm kind of at that at the moment so okay and then the next one's minus 32 minus 32 okay zero one five four prime's gonna be looking at the stream now going what are you doing can hear him thinking okay i literally can't tell well on earth i'm supposed to be this is making no sense to me at all 63 to minus what because 63.2626 no forget no forget that just 63 oh minus 32 minus 32 where are you going i've got no idea where i'm going honestly i can see hang on i don't see i normally get it i normally get it at zero right and then because i can never tell what number at the bottom is supposed to be going up or down at any one point so i just play it by yeah okay so obviously you're dropping from super cruise here i got right that's all you can glide around so see they're both changing now that's not fair hang on okay that number's going up so i need to go south and where south south isn't it a shame we can't just hold and take over the control i'm going south i'm going south i'm doing i'm doing is okay south and then hang on let me turn over and then just left or right 90 degrees it doesn't really matter just you know get one coordinate right and then the second that's where i was believe it or not that's actually what i was going for you're getting both wrong what now i love it when he gets audibly upset it's great hang on okay okay i'll put it back on south right i'll go south until that's kind of in the region that i want it to be yeah let's go to 90 degrees okay i'm 90 i'm 90 all right that's not south no you don't want to go south anymore oh okay oh i'm not looking oh i see i'm not looking at me numbers because i'm talking to you i'm not good at multitasking i don't know if that's coming out at all yeah we have to live with this you should see us in the car obviously it's hilarious i was trying to navigate so kindly throttle up a bit because you have quite a waste of what because we'll be here for days otherwise yeah at least i can't tell him what i did when i said no you're not i want to go the other way don't i because left left left left left left left right left left why am i going left how much how much left am i going i'm just doing it to annoy him now how much 70 degrees or 60 even but no you don't mean 270 then no how long have we got we got 10 minutes to find this place be fine absolutely fine perhaps you should follow that person i'm fully in control i know exactly what's going on i've got this prime's fine i've got this but why your left my left do you actually know what you're doing uh i can't i kind of do he's he's just randomly orbiting around the planet until he hits right corner and it's like he's getting he's getting it he's sounding more and more like a doctor who villain isn't he just randomly orbiting around the planet wow well there you go my bottom number's basically in the right region now so if i know you are this bad thank you for that so if i now go okay that one's going down now so that needs to go up hang on why i know i'm doing i know i'm doing do yep yeah okay any moment now this is prime's gonna start whimpering in a minute why thanks for the host mighty raider hello mate he hosted you because you're so bad are you sure you want to host this kind of stuff mighty raider why are you why would you do that can you give me the second number again rea it's just minus 32 okay none of them matter i could look out oh look at that i'm off i'm out of orbit now wow i could do a whole second navigation in the time it's fast isn't it you might be sorry mighty because burr is appallingly bad at flying planetary navigation see i'll need to be going a bit more over there don't i know well i think that's going very well that's all right now from that okay good yeah planet assist yeah can we have a module just especially for burr there is actually i did i do you know what i have actually got a mod that i that i've brought out taken thank you very much what on earth would you host this why would you have this thanks for the host yeah yeah bro there is a module planet assist it's called a compass right it does look quite complicated it is very complicated i've kind of been the right no i'm not i might hang on the top number is approaching the right can you give me the top number again boat 63 thank you here you go it's imprinted on his bro 63 right you're almost there it's going out you utter boon okay that's close enough and the bottom number was what minus 32 minus 32 okay that number's going up now that's so annoying so if i go it's going down now right it's all right back that way is it right is it right primes that way yes no it's left sorry they're left yeah you're all right other left no it's okay i took that to me left yeah that's how but okay so if i do 270 so i'm looking for a i'm kind of hoping that i was going to see this massive valley and go yeah it's going to be down there no are you getting is he getting nearer prime prime's getting nearer something i think nervous breakdown why can't i find it he might have lost the will to live i know i have oh dear wow is it really that hard is it too late to ask alec to change the location is it worth winging up with someone yeah that'll help yeah no you sure well if you know anybody on the planet we can wing up with i'm all ears yes it would help yeah it would this right i might try find someone um but we'll need to change groups oh i'm so lost now how they got gone prime you're you're about to cry openly you want to build a world can't you get the coordinates right and then just point down uh believe it or not really that is exactly what i've been trying to do yes wow yes getting the court you've got to have a go at this and you'll see you'll see why is i'm suffering so much why prime is suffering so much even i don't think i could do this badly oh okay right we're doing that next thing brilliant we're going to give you a set of planetary coordinates and you're going to navigate to them i hate doing this the problem is i'm doing i'm doing this on a stream as well right which is like a million times worse than when you're just sitting here quietly on your own going oh i know where i'm going yeah i'll just yeah i think might already might have got this right the sun will implode for its final step yeah the planet will be gone by the time i get down there it will have eroded what was the first number again was it 30 oh my god should we call the fuel reds i can't yeah i see i can't remember i can't remember numbers 63 thank you i cannot remember numbers it's an affliction okay so there is a blue thing in front of me i'm gonna say that's it see that okay yeah head for the blue thing i'm sure that's fine that's gotta be it surely hang on the top okay the top number's going up the bottom number's going down that is it's that just shouting numbers it's got to be that thank you lee that's marvelous your help is noted that's gotta be it isn't it there's a blue canyon i would have thought if your coordinates are even remotely near that's probably about the right place it is now because i'm dropping from all-wheel cruise so that's where we're going okay that's a reason another place is there for hang on so yeah absolutely them in the wrong place is he about right prime that is absolutely it because the numbers are heading in the right direction it looks promising it is it is good just glide until you get to the right place every time i tell you what the flight assist off landings were a piece of cake compared to this nonsense well you were frighteningly professional there so terrified yeah don't let that get out in the field here we go let's play more than up for it with your planetary landing it's gotta be there isn't it well it's gotta be that that's gotta be it it's called blue vein valley or something like that isn't it if that isn't blue vein valley then someone that needs to look at their room getting awfully close someone needs to look at their naming conventions that looks about right there we go that looks good well done there you go see i'm gonna land it on a cliff top over there hopefully hopefully not yeah you can you know what you can do with your f a off don't you yeah you can actually f a off i'll give you f a off do you remember when we first came to this place and we went wow this is amazing i've got a feeling this might be the place that we came to and when this is amazing i think it might be you took loads of screenshots and alex ended up choosing them choosing it as the place to have you did actually look at that it is stunning if you can look past my incompetence just for a second stream look at that i'll get you an outside view when i know i'm not in danger of smacking into the ground best landing scene on a stream ever i'm calling it there well then let's have a look outside there you go the camera will only let me get about a foot and a half away from the ship but it's still no lovely planets you tether do we have a sun or a thing we haven't got i don't think we've got a planet anywhere near unfortunately we do have a star but no there's no planet unfortunately but yeah still a hell of a place even when you haven't got a planet rise going on and it orbits quite quickly as well so if there isn't a planet rise then there will be one in the in relatively short order fairly soon i'm gonna call it there for that i think well i think that was all right wasn't it did fine and what are you going on about are you still breathing prime i'm very are you okay yeah no yes yes i have to you that's that's my revenge for him making me do flight assist office stuff in a station which by the way is never going to happen ever again while i breath in my body that was absolutely horrible but actually i want to try it now i'll do you i think we might do that then we'll have to do that on stream your go we'll call it burrs revenge or something yeah when you get back up distant worlds prime do you have some useful links for me i do have i do have useful links or my my youtube's where i have some weekly videos about my journey on distant worlds too yeah go and go and look those up because they're if you're not on distant worlds too or even if you are they're still amazing they're really amazing they're very calming and lovely honestly and it just shows you all the beautiful stuff and talks about it the other thing that's worth making note was if that he will be coming home quite soon um ish i think that's fair to say isn't it and we are going to go out and meet him so at some point there might well be something on that channel about that happening we might have to livestream that actually because that would just be a beautiful thing also um the more people we can get to do that the better so if they jump into the burpit discord um we can perhaps get a gang going down yeah wouldn't that be amazing i got a convoy bring you guys back home yeah that would be incredible be fantastic that would just be really good um and also have you got uh tyvin's logs there as well on ebsm if you prefer reading and looking at screenshots our fellow burpit member lord tyvin writes more or less weekly summaries and screenshots from history yeah they're really well written as well aren't they they're lovely really it's got quite takes you to a nice place yeah he's got quite a poetic way about him isn't he's got a lovely way of writing so do give those a look thank you so much for joining us i despite all the pain that i inflicted on prime and all the pain i inflicted on myself and my poor wife i did actually quite enjoy that so i hope it was entertaining for you as well we'll be doing this again i want to say probably next week but we'll see how it goes because we got quite a week ahead of us so yeah maybe not flight assist off though yeah maybe not flight assist off next week but we hope to catch up with you very soon thank you so much for joining us i genuinely mean that swing by the discord and say hi they're a lovely bunch we'll see you very soon see you next time


Hey, what's good everyone is be over here again for another trailer reaction This one is Deadpool 2 the final trailer from the studio that doesn't know properly when to release their films I'm talking about 20th century Fox. I'm joking because I've always been complaining that I'm mad they moved up their Deadpool release in May 18th instead of June 1st. But anyway, I like the first trailer for Deadpool The second one or the last one that was released before this it wasn't bad.  My name is Shatterstar No, I'm lucky Luck isn't a superpower It's certainly not very cinematic Yes, it is.  I just saw the ad you're in This is crazy. Oh, man.  Okay.   What's up, bro?    I'll get to it. But but man, that looks so damn funny Okay, I gotta fix this I keep going different life.  You know, hey, I don't I don't have any I just saw the air, you know, and then he had that mutt that thick-ass mustache So, you know, you can't trust them.  I am now I'm already looking forward to the movie I am so looking forward just to seeing this guy In the movie. I forgot his name other than that the trend the trailer look freaking fantastic Terry Crews and their punching people that was so funny when Deadpool was going like this cuz I'm just like Deadpool I mean, okay, I love the first Deadpool movie, right? But one of it's just like a small it's in my top ten best superhero Comfortable movies about time when I was watching the movie. I was kind of sending myself, okay I understand everything but the film could have did a better job of to where Deadpool got all his martial arts Skills and swordplay and things like that.   He's not immortal. He can die. There's a way you can kill him. I forgot but that was so cool It was funny as hell when When he was flying with his legs open and he teabagged Cable Josh Brolin, I like the Thanos joke at the very beginning. I like the DC dark joke towards the middle Zazzy beats. What's up Domino my girl loving that natural flow hair. I liked everything It did they should the action in this movie just seems crazy. We got Zazzy beats jumping off the Something and she was shooting down and fell into the car.  I don't know who's that other guy And he was like my name is shadow star. I don't I don't I never heard you bruh Look something up real quick like TJ Miller in this thing, of course, you know Blonde out shadow star. I don't know who's but yeah dope. Okay. Yeah, shadow star. But guys, thank you so much For tuning in that is just my opinion for this trailer the Deadpool the final trailer What did you think? Did you like it? Did you hate it?  Do you agree with me or do you disagree with me? Let me know down in the comment section below. Let's get this conversation going to keep you flowing If you liked this video go ahead and give me the thumbs up and if you don't this fine But you can still subscribe to my channel You'll also go to my website check me out that bookmarking and also look me up on social media Facebook Instagram and Twitter all the good stuff. It's right there the bottom of the screen and I made it very easy By providing a link to all the good stuff down in the description box below. God. I'm so sorry I really want to talk for at least five more minutes, but I am I Gotta go I may make a part two for this or something like that You know, it just depends. Hopefully I see this early. I don't know when the press screening will be but Because I'm gonna be in Oklahoma for a week For my job, and I hope they don't have the screening in but guys Thank you again for tuning in to my opinion slash review for the Deadpool 2 final trailer And before you go, don't forget that my name is Brinkey.  Peace


So I'd like to welcome everybody to today's presentation on using research to enhance your practice a lot of times when we think about research We think about those journals that just sit on the shelves in the library that we had to use when we did our Master's thesis or our doc work or whatever it was But we don't ever really go back to them again And it's such a shame because there's a lot of really awesome information there that we could glean Useful tools from or tidbits from that could help us better serve our clients So that's really what we're talking about today, and I would encourage you as we go through to think about Things that you variables you might want to measure in your client population Not only treatment success, you know going through the entire course without dropping out But also maybe types of symptom remission or even looking at special populations if you work with Clients that have chronic pain as well as depression and then you work with clients who don't have chronic pain, but do have depression looking at the differences between those two groups and what types of Treatments may be differently effective between those two or between those two groups So we'll talk about those as we go through We're going to briefly review statistical terms and concepts like I was saying before class started We are not going to get that deep down into the weeds We're going to stick with the really practical stuff because when you read an article when you go down to the results section they tell you if it was significant or not and in peer-reviewed journals and you know Reputable publications like I'm going to show you today. You can generally Take it at face value if they say there was a significant effect there was but we're going to talk about well But what does that mean even if it was significant for this group of people? Does that mean it applies to my clients? We'll explore the reasons to use research and places to review research So reasons to use it. Let's just start with you know, why am I here today? Identify new treatments that can benefit your clients. We read about things but by the time the media and you know Journalists have gotten to this stuff and they've put it out on the internet or they've gotten it to the mass media It's kind of old news. It's probably been in the journals for six months or a year So we might be able to get more on the cutting edge Especially if we have clients who are not making the progress that we would hope we might want to go in and see You know, what does the research say about treating clients that have concurrent depression and fibromyalgia for example? So we can look at new treatments that are coming out We can evaluate the veracity of claims about treatment effectiveness and one example I have here I don't want to stay connected right now This article talks about new medications for the treatment of depression and you know It's a really well-written article, but just saying you come across any old article on the internet Not necessarily one on a site that you know does their own internal peer review You want to make sure That when you go to the end of the article there is a list of References for further reading and they represent clinical journals I mean there can be some just general books or articles in there But you want to make sure that there has been some peer-reviewed research to back up those claims if we're thinking about using it with Clients so in this particular case there are several The journal of primary psychiatry Nature medicine, you know yada yada, so then you can go and read those articles yourself This one says full text, which means the full text is freely available So this one also and I'm going to show you how to do more research if you wanted to Look at that so It's important to evaluate the veracity of claims because a lot of times things come out and they say you know For example if you take This particular supplement it will cure your depression or it will Significantly improve your anxiety. Well, it might be true But how do we know and who did the test and was it was the research done in A way that promoted reliability and validity We want we can use research to ensure Existing treatment approaches are effective with your client population and when we talk about meta analyses We'll talk about how there's you know That's one little hiccup with a meta analysis because they combine a bunch of studies And it's very difficult to get a homogenous population in a meta analysis So if you've got a relatively homogenous population you work with primarily Upper income Caucasian females with depression and fibromyalgia. I mean that's a really specific population there Then we want to make sure that the research that you're looking at Applies to them a lot of research to general research is done on college students And you know if you're not working with college students, then that's not going to help There's also a lot of research that's done and you'll see in some of these searches that we do Overseas in Iran And you know other places Iran comes up a lot and they do a lot of research So what is the applicability of that research to our client population if we're talking about medication? Versus psychosocial treatments. There may be some differences, too So you want to be an informed consumer and you can use research methods to enhance the effectiveness and efficiency of your practice so for example, you may have Be working with clients with depression and there are multiple different methods for addressing depression and you decide Okay, let's look at letting you know our control group will let you know this group of patients experience the interventions that we normally use but then we're going to use a manualized practice not necessarily an evidence-based practice because we already talked about how those can be really expensive to learn and get signed off on but manualized Practices and we're going to use that it's a 12 week manualized intervention And you can look at it and compare these two groups the ones who went through the manualized program versus the ones who just worked with a Therapist and see if there's a difference in how long it takes for improvement the types of improvement the client satisfaction Yada yada, so there's a lot of different things that you can look at to improve Effectiveness and efficiency another way that you can use research and it's a lot easier to do When I worked as a manager, I had 18 clinicians working under me and they all had their strengths and so looking at Which clients did better with which particular? therapists I would be able to match clients to a therapist a little bit easier now some of it is just knowing like I had one Male therapist who worked with trauma So if I had clients with trauma, I would assign them to him unless you know There were some other issues that I thought would do better with a female Therapist that also worked with trauma, but they had very different approaches So using research looking at client satisfaction surveys. I identified some trends and that helped me with my initial patient placement and Did they always stay was I always spot on no You know sometimes we had to transfer because it was not a good fit But most of the time their treatment effectiveness and and their happiness with treatment was was pretty good So these are ways you can use research to help if you are in the public sector And you're getting state or federal funding to your agency your agency already does research They have to keep track of outcome measures successful completions Who is How many crisis center admissions? Sent six months in one year after they leave treatment, etc. There's a lot of data points That the funders want to collect so your agency may already be doing a fair amount of research But it like I said if you are working in a small practice, it doesn't mean you can't do research yourself and find ways To an enhance and improve your practice. So if you're seeing Attrition in one particular group, you know, you can look at that and go okay Let's look at what's going on here and try to figure out what is unique about that group that Correlates with the dropout rate. So brief review of terms validity Does the are you measuring what you say you're measuring? So if we're looking at effectiveness of a clinician For example in treating depression, how are we measuring that? What are what measures are we using to look at the improvement of the depression? Are we looking at the back depression inventory? What instruments are we using to measure that and are they valid and reliable for? Measuring depression Reliability means Is it you know over time does this thing still measure depression reliably? Can we count on it to? Continuously measure depression One thing we talk about is test retest reliability So if somebody has takes a test today and then you know They don't have any other interventions and they take the same test again a week from now They should score about the same if they've had no interventions in the meantime So we want to make sure that that's true and you can also do internal consistency and I'm getting down in the weeds here You don't care that much about it so you want to make sure that you're measuring what you think you're measuring and you want to make sure that You can do it repeatedly. So after this study is over you could do the same study again with the next group of people and Produce similar results You want to look at your population and this is a huge one for you to pay attention to Who are you working with a lot of research will tell you that if they looked at the age the The age the gender and the ethnicity of the participants to help you figure out does this fit my population For example We're going to get to this Article again in a minute This one looks at the efficacy and safety of SSRIs SNRIs and placebo in common psychiatric disorders a meta-analysis of children and adolescents Okay. Well, so we want to know what was the age range of the children and adolescents because adolescents technically can go up to 24 and And what was the youngest child that they were looking at if you're working with? you know six to ten year olds is this going to apply and You know in my heart, I would hope that six to ten year olds are not on antidepressants, but I know that's not necessarily the case so we want to look at Does the article and does the information pertain to your specific group of people and if not is it generalizable? You want to look at the sample size and Case studies are valuable for providing insight But if you really want to know the effectiveness of a treatment, you really want to look for a sample size that's greater than 30 So and and that's for one variable for every variable. Ideally you would have another 30 more So if they're studying multiple variables, the sample size should be significant When I had when I did my dissertation I had five variables I was looking at and my sample size was a hundred and eighty so you really want to make sure that your sample size is robust enough to Capture what you're looking at and it's going to help a lot with your reliability because if you have five people if One of those people has an off day. It's going to skew your data if you have 30 people and one person has an off day They're going to look like an outlier, but it's probably not going to skew your data as significantly I Know we carry I mean carrying a case load of 30 is you know all that unheard of please tell me because it's Almost not ethical. I can't think of that would be six clients a day. That's a lot and I know that in community mental health sometimes The push is to bill 30 hours a week but if you're billing if you're looking at the clients you're treating right now Your sample size may be a little bit smaller just because you don't normally carry a case load of 30 people that are Meet this criteria and and that's okay I mean you're not trying to get published in a referee journal You're trying to understand your own practice and what works with clients and what may contribute to attrition Blind and double-blind studies now when we do counseling It's not not possible to do a double-blind study a blind study is when the client or the Participant doesn't know whether they're getting the placebo or the treatment the double-blind study means that the person doing the Treatment and the person receiving the treatment neither one of them knows which one is placebo or the control group and which one is the treatment You can't do counseling without knowing what you're doing. I hope so you're not going to ever do a double-blind study But in a blind study for example, like I said before you may have 15 clients with depression that go through your normal course of treatment You just you meet with them you do their assessment you use rogerian or cognitive behavioral or whatever approach you use and you know Proceed as you have always done and ethical fine. They're getting treatment. You're not withholding anything great this other group of 15 people gets the manualized program that's 12 weeks and You know, you're not telling them well, you're getting a different treatment than this person over here because it's none of their business But they don't know necessarily that they're getting something significantly different Blind and double-blind studies become more important when we're talking about medication if the researcher knows which medication is Real and which is the sugar pill which is the placebo then they can inadvertently communicate to the recipient that you know, this is this is just a sugar pill or this is the actual treatment and it should be working and You know, a lot of times researchers don't do that intentionally it comes through their Nonverbals because for example, they may really believe in the medication and if they think they're giving the medication and it's not showing the results They expect they may show more distress on their face So you really want to look for double-blind studies when you're looking for effectiveness of medication the ABA design This is no treatment. This is what we're looking at. This is treatment the B and this is no treatment So if we don't do anything, we just keep going as we're going right now How is John doing? What is the progression? What is what are his depression symptoms? Maybe the treatment is to also add Going to support group meetings. So he goes to support group meetings for 12 weeks and you see if there's a significant difference in the rate of improvement of symptoms and Then you remove the treatment again if you really want to see if it was effective and see if his progress slows down You could do that most of the time if his progress is improved We're not going to take anything away, but and there are some inherent Issues with that when we're talking about mental health because ideally somebody's progressing And we want to see them continue to progress and once they've gotten past the initial Benefits then progress slows towards the end as they're solidifying their their treatment goals So we want to take that into account too ABA design is less Important in terms of research that you might do to enhance your own practice What you do want to look at is always making sure that you've got a control group and a treatment group Regression analysis are things that you can run and I will show you two online tools that you can use To identify the strength of the relationship between two or more variables so if you want to look at the strength of the relationship between How likely is it that if a person is? depressed and presented with and And had and presented with cognitive behavioral treatment How likely is it that they will improve you can look at if they are depressed and have fibromyalgia Which treatments are effective with them? So there are a lot of different things you can look at with the regression analyses, but basically it's a way of predicting What elements need to come together and align to create this condition right here? regression analyses can be fun because then you that's great for prevention tools because you can look and that's how they determine risk and protective factors You can look back and go well when people had four out of these five characteristics. They typically developed Major depressive disorder at some point in their life and you can say okay Well, if that's true, then let's look at intervening with the in those variable areas Meta-analyses. Oh, I already had it pulled up come back down here Meta-analyses are basically when researchers get together and they take studies that have already been done on a particular topic and this one We're still on the efficacy and safety of SSRIs yada-yada with children and adolescents so the researchers found as much research as they could on this topic and then They looked and they had a study selection. They wanted to make sure that it was randomized double-blind and placebo controlled So we've already kind of talked about that in order to make sure that The participants Had the same work kind of all starting on the same footing and the people that were taking Either SSRIs or SNRIs in youth Diagnosed with depressive disorder anxiety disorder obsessive compulsive disorder or PTSD Any other trials or any trials using other antidepressants Or tricyclic antidepressants or MAOIs those were excluded. So all we're looking at is the SSRIs and SNRIs in this age group So that gives you an idea, but what did you notice was missing? We don't have a Grouping so to speak and you'll find more information down later in the article about the different participants but it's a pretty wide range of Ages and we also don't have information about Gender is not they're not sorted out by gender and they're not sorted out by Race or ethnicity. So those are other issues that may confound it. So we're getting a broad idea for Children and adolescents in general if you wanted to know more and your particular population was working with Hispanic Americans then you'd want to tailor Your search a little bit to look at that, but this will give you a general idea Because we know that SSRIs and SNRIs have gotten a really bad Reputation and they actually have a black box warning on them for not using with children and adolescents because it can cause suicidality So that's one of the things that these researchers were looking at Now as a general consumer, you know, you're not planning on writing a dissertation on it You are just trying to figure out what's going to help your clients maybe one of your clients is 14 years old and was just put on an SSRI So you want to know a little bit more about, you know, what was the doctor thinking? Well, you may come across this article and go hmm. Well, let me let me look at it and see if you know These drugs actually can be effective Conclusion and relevance, you know, you want to look at the beginning To see who were the Subjects does this apply? Okay, so we've determined it does you're working with an adolescent or child Then you can just scroll down to conclusions and relevance SSRIs and SNRIs are more effective than placebo How however the effect is small and disorder specific Yielding larger effect. So it was you know, you see more improvement with Clients that have anxiety disorders than other conditions The response to the placebo is large, especially in those with depressive disorder So those with the depressive disorder, even if they were given the placebo also showed a Large improvement And serious adverse events were significantly more common in both groups than with placebo So that kind of gives you a summary now when you scroll down to the bottom If you haven't been in the research in a while, I won't go to each article this much It talks about limitations and then the conclusion section is much more detailed the what we were just looking at was the abstract of The conclusions if you want to get a little bit more down into the weeds you can come down here Like I said, if it's a peer-reviewed journal if it's showing up on PubMed or one of these sites that I'm going to show you You can probably take at face value if the researcher says yeah, it was a big effect or no There was no effect Or it was not a significant effect. So anyway enough with that study meta-analyses are also good for getting broad understandings of different issues like depression in The Asian American population or depression in people with fibromyalgia And then you can get further down into specificity in the weeds as you go The effect size and we're going to talk about this in terms of Well looking at research and looking at evidence-based practices But basically the short version is the effect size the higher the effect size the higher the correlation That's you know, I kind of distilled it down from what I originally was going to present to y'all Oops So in we've looked at the National registry of evidence-based and promising practices. We're going to look at The practices that are out there on bullying and we see that a lot of programs have ineffective outcomes But there's this one cool kids child and adolescent anxiety management program Has good results with anxiety disorders internalizing problems and may be helpful With these yellow check marks. So if you're working with kids that have anxiety issues, this might be a good choice But how strong is the effect size? What are we looking at? Is it worth your time to get your agency invested in it? Well, they used a confidence interval of 95 percent which again the short version is they can say with 95 percent certainty These results are accurate and The average effect size was point five five, which is you know better than average That's a significant effect size Generally, and I have it down here. Whoops. I took it out already an effect size of less than Point two is a very small effect size, but a point five five is significant So that would be a good one for that particular symptom Where do we find this research? Well pub med is one of the first places to start So the pub med you get here and you can do your initial search Let's look at the research out there on depression and bulimia. Well, that gives us a lot of stuff and What I like to do is I go through and I look at Freeful text whoops not full text but freeful text Because I don't have access to a University really close where I could go look at full text articles online So freeful text articles That are no more than five years old that are based on humans, otherwise we'll get a lot of rat studies and So that narrows it down, but that's still not necessarily giving me everything that I want so I might go to advanced and I find the most effective is To look in the title and abstract If you use the entire article, it's really easy for certain words like depression to come up So if you use title and abstract and you use the and modifier Let's just look at depression bulimia and ssri So we find a comparative analysis of effectiveness tolerance and cost of second generation antidepressants. This one's in france, but For what I was looking for It may give me what I'm looking at And it's talking about prosac in terms of its use and a couple of the other ssri's so Let's go with generalizability Well, it's in these are these are people in france, but how different Are is the biological makeup of people in france versus people in the u.s Um So we can probably use this as a launch pad to go back and search Maybe fluoxetine Because we know that fluoxetine is used with people with depression. So you're going to come up with a lot of that but what about using it in um patients that have Bulimia And it gives you what articles it has This isn't giving you I'm using something that's really narrow. We can look at And you can narrow down by english as well. So you don't come up with articles that are written in french This one talks about physical activity and exercise and chronic pain adults so What kind of alternative in interventions might your clients with chronic pain be able to use Determinance of quality of life and patients with fibromyalgia So this is looking at using a modeling approach to identify What things are most important to helping patients with fibromyalgia Feel like they're living a high quality of life So you can go and read that if you happen to have a client that is struggling with fibromyalgia And you know, they're seeing you because they're depression or something So it gives you an idea and it gives you a way to start looking and yeah, you've got to go through Some articles that seem totally unrelated However, you will find a fair amount of things that Do seem to do seem to fit and you just got to play with it a little bit You'll find your groove and which filters that you like to use That make it most useful for you Now directory of open source journals Whoops here it is. I already got it open This is another great site and so let's look for I just want to look for journals and we're going to talk about depression and full tech language English So these are journals that you can read for free and Access reviewed articles so clinical neuropsychiatry for example Let's look at depression research and treatment that sounds like more like what most people would be interested in um So this one is published in Egypt So some of the generalizability may be not so good, but it gives you a place to start The language in is in full text and this one start Exercise for adolescents with depressive disorders a feasibility study. So how feasible is it that it's going to work? And if you want to look at that You can read the entire Read the entire article So it gives you a place to get Good information, you know how they say that, you know, not everything on the internet is true And and that is very very true and there are a lot of claims that go out by, you know, well-meaning people i'm sure About how to address depression how to do this how to do that Well, let's go back to the horse's mouth so to speak and look at where's the evidence Where's the research before people start chasing Something and a client comes to me and they say I've heard that if I start taking this supplement That it's going to significantly cure my depression and I don't have to take my antidepressants anymore My first response is talk to your doctor. Don't change your meds on your own But then my second thought Is to take that information Because I probably don't know Diddly squat about that supplement and I go to these Sites and I start researching it to see is there any evidence for that And I will occasionally print out articles or abstracts or a bibliographic list that has clickable links for my clients and Point them in the direction of research that's easy to understand. I'm not going to give them something that is a You know super super difficult to understand journal article Because that would just be frustrating another even easier way Is google scholar and I closed that one. I think nope here it is Now google scholar you have to know to google google scholar in order to get into this database I don't know why they don't make it easily accessible from the main google homepage But google scholar is basically your Card catalog if you will of a lot of research that's already been done. So where we've already been looking This is an easy way to start. So we'll look at so looking at articles that match depression treatment and adolescence It tells you who wrote it what journal it was published in and where you can find it Now not all of these are going to be Freeful text, but it gives you a place to start So here's another one looking at prozac for acute treatment of depression in children and adolescents Cognitive behavioral treatment for depressed adolescents the effect of psychotherapy for depression and children a meta analysis The meta analysis might be cool because it can probably give you some ideas about what different types of psychotherapeutic interventions Have been used and that was actually done by the NIH. So it's probably freely available Nope, that's going to come up with under psych net Most of these you can access if you can get to a university They will have Subscriptions to these different databases. So if you can get into a university library You can access some of these. Let's see Let me look one more time. Oh, there we go came up this time And the full article is right here. We're obviously not going to read all the way through it, but it would give you More information about the interventions That were used this one says cognitive treatments fared no better than non-cognitive approaches. So that's Interesting in terms of working with children and adolescents and if you work with children that probably makes sense to you Um predictors and moderators have acute outcome in the treatment of adolescents with depression So that gives you another idea of different variables You want to look for if you've got adolescents coming in for What variables are most important to address in order to enhance? their success rate And yes, I spend way too much time reading these people ask me what I read for fun. I'm like journal articles Okay, so moving on those are three places that you can find legitimate peer reviewed articles that you can You know say with certainty that these studies were done relatively well and Some conclusions can be drawn and and not go well You know, I'm not sure if it's quack science or not but So those are three places that you can look a lot of the stuff is free already paid for by your tax dollars So make use of it Don't be afraid of the fact that it's a journal article. Like I said If you want to read all of the stuff about the selection and the methods and the statistical results you can However, for most of our purposes knowing the population Knowing kind of what they did and then jumping down to the conclusions Is all we really need in order to make an educated opinion About whether it's effective for us. So, you know, you don't have to worry about our squads and alphas and You know chi squads and all those other things that show up in the results section that make your eyes go kind of crissy crossy All right, so maybe you're wanting to do some research in your practice and you're wanting to measure depression Let's just stick really easy There are two places well three places, I'll show you but two main places you can go to find Validated instruments the boroughs mental measurements your book and tests in print and they're both on the same website, which makes it really nice Now this is another one you've got to go to a library in order to access but boroughs Um Has tests all the tests in there including descriptive information to professional review reviews and reviewer references So they have to meet a certain quality to be in the mental measurements your book and they have to have had um professional reviews done and and you know Be really squared away instruments. The other one Is tests in print And it's also done by a borough center for testing Test in print is a comprehensive bibliography to all known commercially available tests Currently in print in english in the united states. So if you wanted to find what assessment instruments are out there for Persistent depressive disorder i'm going to get that one of these days and not want to call it dysthymia anymore But what tests are out there that will look at persistent depressive disorder if any then you could go to tests in print And you know, they're going to be books in your library that they actually have the old-fashioned paper type things um, but you can also get into the database from a University library or you can buy them, but you can see they're really expensive. So unless you're doing a lot of testing It's probably not worth it um Another place that you can find some tests And i'm going to skip ahead Is uh SAMHSA the substance abuse and mental health services administration um, a lot of their taps and uh treatment improvement protocols You want to go all the way down to the improvement protocols not the cap keys. That's the cliff notes version and scroll down to um I know Tip 42 has some in them And if you're working with people with co-occurring disorders and you're looking for good assessment instruments, for example You could come to this treatment improvement protocol And they have screening and assessment instruments in the appendices in the back Or they tell you about the ones that are most useful and how to access them Can be downloaded from project cork website This one you can you need to go to psych cork. It tells you what the fee for use is um Project cork. Whoops core server not found now Every once in a while that will happen Anyhow you can find a lot of questionnaires and inventories In the back of these books as well and sometimes if you really want to You know kind of cut corners You can go and find the original publication of the Validation data on the instrument And you'll it will give you a copy of the instrument and the scoring key and everything um So if you can't find it anywhere else that is one place that you might be able to Go it takes a little bit of digging to find it, but you can do that so That's for instruments.  Maybe you Have seven different tools you use right now and you want to condense them all down into one Well in order to do that you need to measure that against other tools to make sure that Your instrument is valid. So You would want still want to have some Validated instruments to test against Um Sampsa is another good place to find research. We're already there um I already told you about the tips or the treatment improvement protocols And basically Sampsa has already done all the research and they put it into books for us and let's go back to Sampsa store for just a second and look at that You go to series And then you go down to treatment improvement protocols So you can find Basically meta analyses that have been put into layman's terms on group therapy services for primary care clinicians case management Treatment for people with physical and cognitive disabilities and even if you don't typically work with people who have substance use disorders A lot of the tips and information they give in here for working with persons with um Physical and cognitive disabilities is really helpful. They also have a program tip 57 Talks about how to provide trauma-informed care in behavioral health services So this is one that oh, I love this particular treatment improvement protocol But it's just there for the taking so we need to know where these Resources are that we can go and go. Oh my gosh. That is just such an awesome resource to have Sampsa also provides toolkits. Sorry jumped off of that one too fast So if you want to implement a program like an opioid overdose prevention program They have a toolkit for you and it's all set up It helps you know what you need to do Facts for community members essential steps for first responders information for prescribers safety advice for patients and family members and recovering from opioid abuse it is golly golly um The full tool you can download the full toolkit document which in this case is 28 pages It's not huge But it gives you all the guess what tools to implement this program And there they have a bunch of toolkits. You just need to Um Search through it a sort of community treatment problem gambling Um promoting mental health and preventing suicide So there's a lot of stuff here. You see why I get so excited about these different repositories Uh family psycho education evidence-based practices toolkit. Woohoo. It's an ebp and it's free So that's really cool Another one that you may not Probably or not familiar with because this is based out of canada the registered nurses association of ontario Has a bunch of best practice or clinical guidelines that are really helpful. Obviously we're not doing um medical work, but they do have Resources in here for helping patient nurses Face with patients assessment and management pain is a good one. I've read that one If you've got clients with diabetes, this is a good place to go Care transitions crisis intervention both of those are excellent um resources if you've got a client maybe who is um Going into residential treatment for a while or having to transition to a long-term care facility Delirium dementia and depression in older adults assessment and care. This is going to apply To us, um, there's going to be some information about medication in there But there's also a lot of counseling that nurses do. So there's obviously Like 15 pages here that you could go through and find different research-based practices The apa The american psychiatric association also has practice guidelines And they're for free You just scroll down here and you say What are we looking at and psychiatric guidelines quick reference guide? You can look at their guideline for acute stress and PTSD now since it's put out by the american psychiatric association guess what it's going to be a lot heavier on What pharmacological interventions and kind of hospital-based interventions work best? But it's good for us to know that way when we have a client come in who has PTSD And they're on x and so medications and yada yada. We understand the rationale behind it and The final way to find good guidelines Whatever browser you want to use you don't have to use google for this one But just google the term um So whatever you're looking for depression alcoholism fibromyalgia, whatever disorder you're targeting And the phrase best practices And you will come up with evidence-based practices Highlights and overviews of best practice from the british medical journal um british medical journal psychiatry online So this is a quick way to find what best practices are out there for treating a particular disorder Conducting your own research Like i said earlier you want to sample size of at least 30 if possible not necessarily always possible Make sure to define your variables. So if you're looking at comparing the effectiveness of group versus individual counseling You want to make sure that all things are being equal what if they're in group counseling How many hours a week are they being seen versus how many hours an individual? and So if you're comparing three hours of group per week to three hours of individual per week, which is more effective Or are you comparing and it's you know possible to do three hours of group versus one hour of individual which one You know, do you get more bang for your buck for? You can compare self-help books versus counseling You can compare clients that you give a self-help manual and they work through it as homework versus clients that just do counseling in office and the occasional Out of a homework assignment that you give them You can look at clients coming through your program who are on medication versus those are that are not on medication and what their outcomes seem to be Now you're going to have to define you're going to Ask yourself. Is it the medication? when it comes when the information comes out maybe The clients that were On medication showed a much greater improvement. So then you want to go back and say Was it the medication or was there also something else that was going on with this population? Always look for confounds always look for that other variable that wasn't controlled for that made all the difference And like I said earlier, you can use research to match client profiles with particular therapists So you know that therapists A tends to do better with this particular type of client maybe adolescence Because some people bond really well Some people really do well with clients with borderline personality disorder for example more power to them Eliminate confounds like concurrent diagnosis So if you're looking at group versus individual treatment for depression You want to make sure that the people that you're measuring everybody that you're looking at the only diagnosis They have is depression because if you've got some depression and anxiety and depression and PTSD and Other things in there. It's going to muddy your results a little bit Um other confounds could be age and culture, you know, you can't compare adolescents to adults as in terms of what's effective because what's going to be effective is probably different And that can also be Looking at the geriatric population versus People in their 30s and 40s different things are probably Going to be effective with the different age groups Culture and we're going to talk a lot about culture in the coming weeks A lot of cultures don't do well Because it's not culturally sensitive in group therapy Group therapy group therapy. They can do fine in psycho educational groups, for example But they're not going to be as productive in intensive group therapy So you want to eliminate any confounds that might skew your results Design your own study. Who are your participants?   So half of them that are randomly assigned to this particular approach And half of them are randomly assigned to the other What instruments are you going to use to measure it? What is the age and attention of participants? So sometimes, you know, you got to Pick things up a little bit because you can't expect a 14 year old to focus on a hundred question questionnaire It needs to be much shorter How will you maintain participation and get people to go through the entire course of treatment so you can get good data Consider having all study designs reviewed by an independent reviewer or review board This is for ethics and legality just to make sure there's nothing that you're overlooking that could be harmful to the client And ensure patients provide informed consent to participate. So if you're introducing a treatment To a group, um, you may want to consider having them Sign an informed consent if you are collecting data on them It is ethical to have them signed an informed consent, even if it's just for your own use Ideally if you're going to, um, Have something come out of that data you want to make sure that everybody signs the informed consent You can measure variables by using objective tests the instruments that I showed you Or and or your analyses if you're talking about drug testing You can you use likert scales for client self-report, but with a likert scale you want to focus on symptom goals ideally so days without crying or Time that you are happy or You know, whatever you want to use anchors on your like likert scales and avoid odd numbers to get the best results So for example, um If you ask a person, you know, how did you feel today and one is either lousy one is lousy Um It could be rarely, you know, how often are you crying now? Rarely. Well, how often is rarely 20% or less. Okay. So are you crying 20% of the time or less? Another way you could define it would be One day a week So one day a week. I'm having a really bad day. So I'm not having having them that often Or less than three hours a day So obviously don't give them all of these But try to find some sort of anchor so clients know I always hate when I see a likert scale and it says sometimes often Never or very often. I'm like How do you define give me a percentage? I like percentages that makes me happy But that will get you much more reliable results if you provide some sort of an anchor So patients understand that you know How how depressed were you to how long were you depressed today 20% of the day 50% of the day Up to 80% of the day or more than 80% of the day And that'll kind of give them a little bit of wiggle room And these numbers one day a week or less than three hours per day Correspond to that percentage because some people are going well. What's 20% of a day? Yeah So then conduct the research gather the data and analyze the data and stat pages dot info and quantitative skills dot com slash cisa Are two places that you can go to do rudimentary statistical analyses for free online So if you get really into that stuff These are the places that you want to start Before you invest in something like the statistical package for the social sciences or spss, which A lot of us used when we were in grad school It does beautiful graphs if you like doing graphs and all that kind of stuff spss is the way to go but Again, that's another huge investment not only to learn how to operate the software but cost of the software You can also create your own instruments But you want to test for internal reliability, you know, sometimes you take a test and you're like you just asked me this basic same question four times Well, that's testing for internal reliability to make sure that These different questions that are getting at this concept. We get the same answer for them So we want to make sure that the questions are testing what they're doing Um test retest reliability if you give it to somebody on friday, then you give it to them on monday it tests the same and You know, obviously clients are going to have to agree to that because they may look at it and go. I just did this friday And concurrent validity and that's when you take a standardized test that has already been proven And you take your test that hasn't been proven yet and you give them both to your client jimbab And you say take both of these so you're you've got an instrument that you created to measure depression and the beck depression inventory, for example Give them both to the client. He completes both of them Theoretically both of them should come up with the same result And if they don't then there's no concurrent validity if they do Then you've got concurrent validity and you can be pretty certain that your Your instrument also measures depression So research can be used to identify new treatments that can benefit your clients evaluate the veracity of claims about treatment effectiveness Ensure existing treatment approaches are effective with your client population And you can use research methods to enhance the effectiveness and efficiency of your practice There are multiple sources to help you identify effective instruments and best practices We went through those you can go click on the links and poke around And you can also conduct your own research to monitor program and intervention effectiveness um So again, some of the ways that you might look at using it for increasing Efficiency in your practice would be for example looking at if I pulled these Eight topics that I generally go over with everybody an individual out and I had them do it in a psycho educational group Or by watching a psycho educational video and completing the worksheet Versus going over it in individual Is it as effective? if so Then they can do that when they're at home and bring it back into individual and you can spend more time doing counseling and potentially Shorten the counseling time so you can see more clients. So Alrighty That is all I have for you today. Thank you guys for sticking with me. Are there any questions and your Brain is probably going. Oh, yeah, I remember why I didn't like stats in high school or in college. Um Alrighty everybody. I don't know what populations and issues you particularly serve in your practice I encourage you to go poke around in some of those things and see what resources what gems you can uncover that can Help you and potentially help your clients Have a great day and I'll see y'all tomorrow. We're going to be talking about communicating with persons with cognitive disabilities


This study investigated two different approaches to treating liver echinococcus, puncturing and draining the cystic cavity under ultrasound control, or opening and processing the cystic cavity using laparoscopic techniques. The results showed that minimally invasive techniques such as laparoscopy resulted in less trauma and fewer complications than traditional open surgery. Additionally, these techniques allowed for faster recovery times and reduced the need for further surgeries. This article was authored by Zasizota, K.M. Kurbanov and V.S. Rizov.


I'm moving on to entertainment. A tiger park in Thailand's Phuket is preparing to open its doors to overseas tourists on July 1st as part of the country's reopening plan. The Phuket Sandbox Initiative will allow free movements of the on the island for tourists fully vaccinated against COVID-19 with no self-isolation on arrival. The park has more than 50 tigers and cheetahs used to welcome almost a thousand visitors a day before the pandemic struck. Thailand lost about $50 billion in tourism revenue last year when foreign arrivals plowed 83% to $6.7 million from a record $39.9 million in 2019. Phuket was particularly hard hit by job losses and business closures. Hello, hope you enjoyed the news. Please do subscribe to our YouTube channel and don't forget to hit the notification button so you get notified about fresh news updates.