bluuebunny/crossref_metadata_2025 huggingface dataset:
Enfermedad aterosclerótica intracraneal y pérdida dental severa en adultos mayores.
Authors: Del Brutto Oscar , Mera Robertino , Del Brutto Victor , Pérez Pedro , Recalde Bettsy , Costa Aldo , Sedler Mark
Published: November 2020

Antecedentes: La información sobre la asociación entre pérdida de dientes y enfermedad aterosclerótica intracraneal (EIAC) es limitada. En el presente estudio se evaluó si la pérdida de dientes severa, utilizada como sustituto de enfermedad periodontal inflamatoria crónica, está asociada con EIAC en adultos mayores que viven en pueblos rurales. Métodos: EIAC se identificó mediante la determinación de alto contenido de calcio en los sifones carotideos o mediante la presencia de estenosis de arterias intracraneales. Un examen oral evaluó el grado de pérdida de dientes severa (<10 dientes restantes). Se ajustaron modelos de regresión logística para evaluar la asociación independiente entre la pérdida de dientes y la EIAC, después de ajustar por variables tales como demografía, factores de riesgo cardiovascular y evidencia de MRI de daño cerebrovascular. Resultados: De 581 individuos, 269 (46%) tenían pérdida dental severa y 205 (35%) tenían EIAC. Los análisis univariados demostraron asociación significativa entre las dos variables (p=0.002). La significación persistió cuando edad y sexo se agregaron al modelo (p=0.047), aunque la significancia se redujo cuando se incluyeron todas las variables confusoras. Las covariables con una significación p <0.1 incluyeron edad, índice de masa corporal elevado, glucosa alta en ayunas, presencia de >10 espacios perivasculares en ganglios basales y accidentes cerebrovasculares. Al considerar la edad media y otras covariables de interés, la pérdida dental severa permaneció significativamente asociada con EIAC. Conclusiones: la pérdida dental y la edad están asociadas con EIAC en la población de estudio. Algunos de los efectos de la pérdida dental severa sobre la EIAC son capturados por la edad.
Complicaciones Neurológicas del COVID-19 (SARS-CoV-2), revisión de la Literatura.
Authors: Ortiz-Prado Esteban , Escobar-Espinoza Cristina , Vásconez-González Eduardo , Paz Clara , Espinosa Patricio
Published: November 2020

Tras el diagnóstico de la primera persona infectada con el coronavirus SARS-CoV-2 este ha llegado a expandirse por todo el mundo, ocasionando una pandemia y poniendo en alerta a los sistemas de salud. Actualmente, la evidencia indica que los efectos de este coronavirus en humanos no siempre se limitan al tracto respiratorio, pueden invadir el sistema nervioso central ocasionado dolor de cabeza, convulsiones y alteraciones de conciencia. Por esta razón, se recomienda pensar en una infección con SARS-CoV-2 como un diagnóstico diferencial en pacientes que presentan manifestaciones neurológicas.
Changes in the Dimensions of Life of Filipino Deportees from Malaysia
Authors: A. Abdulkarim Bagian Aleyssa
Published: November 2020

This research examined the life experiences of Filipinos deported from Malaysia. Anchored on the symbolic interaction theory, the study sought to investigate how the interpretation of these experiences defined and shaped their personhood. It documented the life experiences of Filipino deportees before and after deportation from Malaysia to determine the consequences of such forcible repatriation on their health, socio-economic, cultural and psychosocial dimensions of life. The study looked into coping strategies with life changes focusing on deportation as a main turning point and identified this event’s differential treatment considering the variables of age and sex group. The research utilized a exploratory design and presented extensive case studies of 24 Filipino deportees, eight of which are included in this paper synthesized from in-depth interviews of deportees and key informants. Other technique used were non-participant observation and data gathering from records of government offices assisting the repatriates including the Department of Social Welfare and Development Region 9 and the Zamboanga City Philippines Social Welfare and Development Office. The study showed varying consequences of deportation with respect to the deportees’ health, socio-economic, cultural, and psychosocial condition. While all the respondents admitted having been adversely affected by their deportation there is evidence of remarkable resiliency and optimism as gleaned from their narrations. Deportees have varied interpretations of deportation in their lives. For some respondents, the experience meant re-connection and re-union with the family in the place of origin. For others, the experience meant free travel to their homeland. A number of respondents reported deportation was an opportunity to be free from detention, an experience which they described as "hell". Most of the deportees were stigmatized with the new identity, that of a Halau. Deportation was a shameful event to the family and friends but it has to be accepted because it happened and they made it happened. The respondents interpreted experience as evidence they were “meant to be at the lower rung of the ladder of life due to many reasons. Many reported the deportation experience meant they lost loved ones and felt diminished in individual worth and dignity. The recommendations that the study can make have been elucidated in the findings of the study which can be realize through policy formulation, advocacy, education/information, social networking and social services.
Vulnerability Life of LGBT Community in Curup Rejang Lebong Regency of Bengkulu Province
Authors: Osira Yessilia , Risdiyanto Bayu , Iskandar Nugroho
Published: November 2020

Lesbian, Gay, Bisexual, and Transgender, or we known as LGBT is one of community that has vulnerability life. This research indicates that besides interacting and experiencing various disorders in social intersection aspects with family and society, healthy, education and work aspects, actually the LGBT’s community also has adaptation ability even utilizing to increase their well-being. Base on that, should be made social protection efforts through various activities of capacity building and social advocacy for LGBT’s community in facing their vulnerability.
Stress Among Working Women: Counselling Services Using the Lazarus Stress Theory and the Practice of Solution-Focused Therapy
Authors: Rose Nurul Naimah , Mustafa Mohd Yusri
Published: November 2020

This paper aims to understand the stress among working women and helping method that can be used by counseling practitioners through the concept of Lazarus Stress Theory and Solution-focused Therapy application. The Focused issue is the stress among working women. Stress is an issue that often occurs to women working due to factors such as work load, health problems, childcare, social relations, relationships with spouses, time management and self-care. Although there are various methods that can be used to help them reduce the level of stress, it still can not be resolved properly. In fact, it continues to effect women's emotions and their quality of life. The adverse effects of stress can be identified based on four aspects namely physical, emotional, behavior and thinking. Therefore, it is important for counseling practitioners to help women to manage their stress. The application of the concept of Lazarus Stress Theory in counseling sessions is important as a guide to counselors in understanding the factors, effects, and situations that are happening to the client. Based on Lazarus's Theory, stress can be understood through three aspects, namely the stimulus, the respond and the process. After getting a clear understanding of the issue, counselors can apply specific techniques in Solution-Focused Therapy such as scaling techniques and miracle questions to help clients. The combination of understanding theoretical concepts and application of therapeutic techniques enhances counseling services as well as demonstrating professionalism of counselors in carrying out their duties.
The Volunteer's Needs and Preparedness in Assisting Natural Disaster Victims
Authors: Md Akhir Nur Hafizah , Azman Azlinda , Md Akhir Noremy
Published: November 2020

This paper is discusses about volunteers’ needs in order to increase the preparedness in assisting natural disasters victims. Disasters are phenomenon that causes damage in properties and lives that limit individuals or societies’ abilities and well-being. Natural disasters such as landslides, tsunami, flood and typhoon happen almost every year. These natural disasters affect certain countries such as Japan, Indonesia, Thailand and Malaysia. The volunteers are the one who manage the humanitarian aids to the victims. The needs of the volunteers that been identified need to be evaluated in order to help to expedite the disaster relief management process. This is because the important aspects that need to be evaluated are planning, operational management and disaster training. Meanwhile, disaster preparedness represent as systematic planning in response to the disaster situation that needs to be done to those involved in disaster relief i.e volunteers. The concern on this aspect will help volunteer to be more active, positive and confident, in both physically and mentally when providing helps. Therefore, this concept paper will discusses volunteers’ needs in various perspectives and opinions in order to help in increasing the preparedness in assisting natural disasters victims, as well as increase the effectiveness throughout the relief process.
Kaunseling Kelompok Terapi Kognitif dalam Pengurusan Stres dalam kalangan Polis
Authors: Wan Sulaiman Wan Anor , Wan Anor Wan Nurfatini , Fahrudin Adi , A. Malek Mohd Dahlan
Published: November 2020

This article was written to discuss the use of cognitive therapy group counseling method in stress management among police personnel in Malaysia. It also discusses what police stress scenarios, stress factors, stress effects experienced by policemen in their work and lifestyle, and how existing programs have been done to reduce police stress. The results of this paper can give an idea and suggestion to the Royal Malaysian Police (PDRM) in intervention using cognitive counseling group interventions as a method that can be applied to high-stress police personnel in particular and who experience moderate stress.
Pekerjaan Sosial Sebagai Disiplin Ilmu dan Profesi
Authors: Fahrudin Adi
Published: November 2020

Social work is an academic discipline and practice -based profession. As an academic discipline, social work is supported by theories derived from social work itself, social sciences and other relevant sciences. This confirm that social work is an applied social science that is at once a profession. To be considered a profession that social work should be practiced. Therefore, social work not only studied as an academic discipline but must be practiced. Practice without based on academic disciplines not directed and could be fraudulent, academic disciplines without practice is nothing more than discourse.
The Role of Social Worker in the Context of Refugees and Asylum Seekers Rights in Indonesia
Authors: Agus Alamsyah , Lia Intan Slipi , Akbar Muhammad
Published: November 2020

The plight of refugees and asylum seekers has been a trending issue of critical importance for social workers in Indonesia. At the end of February 2018, the public was overwhelmed by mass media coverage of the large number of refugees living on the streets in front of the Immigration Office in Jakarta. Their existence needs to be noticed by the government in particular and all parties in general. In fact, many of the difficulties experienced by refugees and asylum seekers in Indonesia, but the most felt is due to the issue of legal status and limitations in the language of communication, they can not access public services such as health care, education, work, and others. The plight of them must necessarily be a very important concern for social workers in Indonesia, as it may create new social problem. Social workers work to uphold the dignity of all those refugees and asylum seekers including unaccompanied minors (UAM) and to work with them for successful social functioning. This paper explores available integrative literature, quantitative document analysis, and presents mixed methodology through individual interviews and an exploratory study to analyze social workers’ role to respond the various issues faced by today’s refugees and asylum seekers rights as well as potential way for being supporting document as a policy framework for Indonesian government to ratify the 1951 Refugee Convention.
Peranan dan Tanggungjawab Ibu Bapa dalam Pengasuhan Anak dan Remaja
Authors: Ibrahim Habibie , Mustapha Mazni , Sawai Joki Perdani , Md Nawi Nurul Hudani , Megat Ahmad Puteri Hayati
Published: November 2020

This conceptual paper emphasizes roles and responsibilities of parents towards children particularly teenagers. Currently, Malaysia shows an increasing of teenagers’ involvement in social problems. The increasing of social problem is believed due to lack of roles and responsibilities played by parents especially for dual-career families. Besides that other problem contributed to the increasing of social problems was less communication between parents and children. Therefore, this paper also emphasizes the role of communication in effort to build a good and harmoniousrelationship between parents and teenagers and outlines the roles and responsibilities of parents towards children and families.
Adaptation of Migrant Workers' Child in Cianjur Regency, Indonesia
Authors: Sundayani Yana , Fahrudin Adi , Nunung Nurwati Binahayati R.
Published: November 2020

The study aims to examine empirically in depth the adaptation of children of migrant workers aged 13 to 17 years whose parents, fathers or mothers work abroad as domestic migrant workers. The study used a qualitative approach with data collection techniques to interview and observe informants, as well as conduct study studies from various documentation. Determination of four informants using purposive techniques. This study looks at the adaptation of four sub-aspects namely the pattern used; rules or norms applied; and changes in child behavior of migrant workers. The results of the empirical study are then analyzed so that it is known the ability and flexibility of migrant workers' children in dealing with environmental changes that occur; and known factors that support in adaptation.
Transformational Leadership Directly and Indirectly Effect on Nurse Performance: Organizational Cultural as Intervening Variables
Authors: Hidayah Nur , Fadila Eva Nur
Published: November 2020

A nurse performance greatly determines the quality of health services in a hospital. The purpose of this study was to prove the influence of transformational leadership on nurse performances, both directly and indirectly through organizational culture and work motivation. The research method used was a quantitative approach with cross-sectional design. The number of samples consisted of 86 nurses in a private hospital. Data collection used a questionnaire. Data analysis techniques used Partial Least Square Structural Equation Modeling (PLS-SEM). Research results shew that transformational leadership had a positive and significant effect on nurse performance both directly and indirectly through organizational culture and work motivation). The study results have shown that Transformational Leadership is effect on Organizational Culture. Transformational Leadership is effect on Work Motivation. Transformational Leadership, Organizational Culture, and Work Motivation are effect on Nurses Performance. Organizational culture mediated the effect of the transformational leadership on performance.
Cognitive Behaviour Therapy to Overcome Trauma of A Child Sexual Abuse Victim in Bandung-Indonesia
Authors: Susilowati Ellya , Dewi Krisna
Published: November 2020

Cognitive Behavior Therapy (CBT) is a micro social work intervention technique that can reduce trauma experience by victims of sexual violence, including children. The purpose of this study was to examine and analyze the application of CBT interventions in dealing with the trauma as experienced by a 10-year-old girl, a victim of sexual violence, who gets help from the Child Protection Agency (LPA) in Bandung. This study used experimental approach with Single Subject Design (SSD) with A-B measurement technique to show the impact of the interventions result. Trauma indications that are intervened with the CBT model are the fear of being alone, nightmare, and sadness when hearing the words related to rape or sexual violence. CBT interventions carried out in this study are performed by providing psychoeducation, relaxation, helping the victim to express feelings, teaching coping skills, and in vivo exposure. The results of CBT interventions indicated changes in the reduction in frequency of trauma indications in children who are victims of sexual violence. This proves that CBT interventions can be performed to reduce the trauma experienced by the 10-year-old victim of sexual violence. The recommendation that can be suggested based on the results of this study are; CBT should be carried out with a more complete session and give reinforcement to parents about mentoring traumatic child victims of sexual violence
Collaborative Strategy in Preventing the Vulnerability of Elderly Informal Workers
Authors: Winarni Endah Dwi , Nurlela Ella , S. Diana
Published: November 2020

The elderly who work in an informal sector tend to bear two layers of vulnerability: both body and mental functions that have been degenerated and the insecurities of the job. Status as an informal worker does have an impact on the uncertain income, also the absence of health benefits, pensions, or workers’ compensation. Even if the state guarantees social protections for the elderly, it still has a formidable challenge when it must to be provided for the elderly informal workers specifically, for example, a contribution-based pension that reaches more to the elderly formal workers. Thus, this study discusses the efforts in preventing the vulnerability of elderly informal workers, especially the elderly farmers who are chosen as a case’s subject in this study. Previous studies in a similar topic often emphasize the role of the state in preventing the vulnerability of elderly informal workers (a vertical scheme). In contrast to those studies, the argument of this study is the collaborative roles between the state and communities that are based on capability approach and social capital is able to prevent the vulnerability of elderly informal workers (vertical and horizontal synergy schemes). This study is written based on a case study research with the qualitative approach on the elderly farmers in Padamukti Village, Sukaresmi Subdistrict, Garut Regency, West Java, Indonesia.
Emotional Coping Through Solution Focused Counselling Therapy: Case Study of Psychological Distressed Women
Authors: Rose Nurul Naimah , Ishak Aida Shakila
Published: November 2020

The aim of this paper was to explore the emotional coping of psychological distressed women who had undergone counselling session based on Solution Focused Therapy Module. Six (6) working women were selected as subjects based on the criteria such as currently working and have had experience symptoms of psychological distress such as anxiety and depression for the past four weeks. The subject’s levels of psychological distress were measured using the Kessler psychological distress scale (K10). In this study, qualitative case study method had been done to get in depth understand of the emotional coping styles among the subjects. The pre and post interviews had been conducted with all the subjects to explore how they cope emotionally with the psychological distress before and after the intervention. Finding of this research explained that subjects had a different style of emotional coping before and after the intervention. The subjects agreed that their type of emotions influenced the level of psychological distress. Before the intervention, subjects experienced negatives emotions that influenced them to have negative styles of emotional coping such as withdrawal, over thinking, problem avoidance and crying. After the intervention subjects experienced positive emotions that made them to be calmer and relax, they also felt better and able to think of the solutions to their problems. Thus, they need to be able to control their emotion prior to reducing the level of psychological distress. Subjects also have different coping mechanism before and after the intervention due to their age differences and maturity level.
Implementation of Social Assistance for Persons with Intellectual Disabilities
Authors: Roslina Dedek , Rahayu Ety
Published: November 2020

Distance Service Program (DSP) is a community based rehabilitation program for persons with intellectual disabilities. This program has been running 11 years and is considered able to improve the wellbeing of persons with intellectual disabilityies and their families. In 2017, DSP implemented in West Bandung regency by rehabilitating 30 persons with intellectual disability. At the end of the program, beneficiaries receive cash aid to be managed as productive economic business capital. This article discusses the process by which the beneficiary families together with community cadres in managing the social assistance. The research method used is qualitative with descriptive research type. 13 selected informants represent program managers, program implementers, and program beneficiaries. The results of the field findings indicate that the beneficiary families of DSP 2017 have used the cash aid in accordance with the plan. Most of them are able to manage productive economic business and supplement family income by involving beneficiaries. The findings also reveal participatory economic empowerment by maximizing the potential of intellectual disabilities. However, there are also some types of endangered businesses consumed, dead fowls exposed to the virus, and businesses that take a long time to earn income for the family.
Modified Melodic Intonation Therapy for Acquired Non-Fluent Aphasia
Authors: Conklyn Dwyer B , Rung Meehan Taylor A
Published: November 2020

For decades Melodic Intonation Therapy (MIT) has shown good potential within the aphasia population, yet has seldom been used as a frontline treatment, rather placed within a myriad of treatment techniques utilized during aphasia therapy.  Debate continues regarding the mechanisms of change from MIT, both therapeutically and neurologically.  Modified Melodic Intonation Therapy (MMIT) has developed through the work of Music Therapists and, as the main focus of treatment for non-fluent aphasia, can be an effective means of language re-acquisition for improved speech production.  Clinical results from 7 clients with chronic non-fluent aphasia who received MMIT are discussed.
Trauma-informed Care in the NICU – Implications for Parents and Staff
Authors: Coughlin McNeil Mary
Published: November 2020

“The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk on water without getting wet. This sort of denial is no small matter”1The concept of trauma and traumatic stress emerged in the field of mental health over forty years ago and is a widespread public health concern.  The paradigm of trauma-informed care acknowledges that trauma and traumatic stress overwhelm an individual’s ability to cope while simultaneously changing their biology with both short term and lifelong implications for health and wellbeing. The Substance Abuse and Mental Health Services Administration (SAMHSA) was the first to implement a trauma-informed care framework which “(1) realizes the widespread impact of trauma; (2) recognizes the signs and symptoms of trauma in clients, families, staff, and others; (3) responds by fully integrating knowledge about trauma into policies, procedures, and practices; and (4) actively seeks to resist re-traumatization.”2
Music therapy in neonatal care: a framework for German speaking countries and Switzerland
Authors: Haslbeck Friederike Barbara , Nöcker-Ribaupierre Monika , Zimmer Marie-Luise , Schrage-Leitner Leslie , Lodde Verena
Published: November 2020

Music therapy in neonatal care reflects a growing area of multi- and inner disciplinary interest in practice and research. But what exactly characterizes best practice in neonatal music therapy? First guidelines already exist but the question remains what implications they have for the German-speaking area considering specific cultural issues. The German speaking Professional Circle of Neonatal Music Therapists aimed to address these questions by developing an overall framework from the three approaches typical of this region 1) recorded mothers voice 2) live vocal and 3) live instrumental music therapy. The group synthesized the members’ practical clinical expertise with the best available evidence, guidelines in neonatal music therapy and German guidelines for individualized developmental neonatal care. The paper presents this framework in a clear and applicable table with overall objectives, (contra-) indications and methods despite the specific approach. The two emerging key elements of this synthesizing process are the central role of the voice and the integration of the whole family in the therapeutic process. The framework should serve as a well founded guide enabling music therapists to offer best cultural adapted practice and to better position themselves as integrity among various related disciplines and opinions.
The Use of Music in the Chronic Pain Experience: An Investigation into the Use of Music and Music therapy by Patients and Staff at a Hospital Outpatient Pain Clinic
Authors: Fitzpatrick Katie , Moss Hilary , Harmon Dominic Colman
Published: November 2020

This study uses mixed methodology research to examine the use of music in the chronic pain experience. One hundred and seven adult patients attending an outpatient pain clinic at a general hospital completed a patient survey. 91% rated music as somewhat important to them, 69% benefit from music listening and 43% changed their use of music due to chronic pain. 56% of respondents had an interest in availing of music therapy as part of their treatment. Three themes found in the qualitative results (music for relaxation, positive response to music and music for coping) corresponded with the highly rated reasons for listening to music in the quantitative survey (enjoyment, relaxation and tension relief). Music listening was more common than active participation in music.Seven staff members completed surveys on their use of music and thoughts on music therapy in this setting. Staff rated music as very beneficial for people with chronic pain and 100% saw a role for music therapy in the treatment of patients with chronic pain. This study is one of few to map how people with chronic pain use music to self-care and to explore the role of music therapy in a hospital out-patient pain department. It offers potential for music therapy to be offered as a non-pharmacological intervention to assist people in developing music-based resources and strategies for managing chronic pain. Further investigation is recommended.
Music-supported systematic treatment strategy for patients with executive dysfunction following traumatic brain injury: Similarities and divergencies in 7 case reports.
Authors: Vik Berit Marie Dykesteen
Published: November 2020

AbstractThis article explores what factors may predict a positive or negative outcome for cognitive enhancement and improved social behaviour after music-supported intervention for patients with cognitive and behavioural deficits following mild traumatic brain injury (mTBI). 7 patients with executive dysfunction following mTBI participated in a music-based intervention. They were in a chronic phase and were either sicklisted or worked part-time. 6 out of 7 participants returned to work post-intervention. Results from neurophysiological tests and fMRI consolidated with enhanced cognitive performance and functional neuroplasticity in orbitofrontal cortex.  However, these result were based on quantitative analysis with mean effect and did not give specific information about similarities and divergencies between the participants which may have an impact on the final outcome. The present article applies a case-study methodology and explores behavioural data obtained from the study, not earlier published. This methodology  allows an in depth analyse of  clinical data, observational data during intervention and data from semi-structured interviews pre-post intervention. Aim of the present article is to develop a systematic treatment strategie of music training to improve cognitive and behavioral domains of functioning in patients with cognitive deficits following mTBI.
Music Therapy and Music Medicine Studies in Oncology: Part I: A Comparison
Authors: Wheeler Barbara L , Lesiuk Teresa L. , Burns Debra S. , Hanser Suzanne B. , Rossetti Andrew , Cassity Michael D.
Published: November 2020

Music medicine studies and music therapy studies in oncology are compared in this research article. The intent is to see whether music therapy research differs from music medicine research and, if so, articulate the differences. The studies referred to in this paper might be most useful in highlighting the strong points of each type of practice. Nine music therapy and eight music medicine quantitative or mixed methods studies were selected as exemplary studies in both areas, using a Delphi process. Studies were then examined and compared regarding number of participants; independent and dependent variables; measures used; findings; number, duration, and frequency of sessions; number of participants; presentation of music; number and length of sessions; whether intervention content and an intervention theory were provided; whether music therapists were included as authors; the types of journals in which articles were published; areas of intervention; and whether CONSORT guidelines were followed. Similarities and differences are discussed, as are implications for research and practice.
From Music to Medicine: Are Pianists at an Advantage When Learning Surgical Skills?
Authors: Comeau Gilles , Chen Kuan-chin Jean , Swirp Mikael , Russell Donald , Chen Yixiao , Gawad Nada , Jabagi Habib , Tran Alexandre , Balaa Fady
Published: November 2020

Background: The acquisition of procedural competence is of vital importance in the training of physicians. It has been observed that medical students with extensive musical backgrounds often learn surgical techniques more rapidly than other students, raising the question of motor skill transfer from one area to another. Objective: It is the aim of this project to explore whether musicians can learn and perform surgical skills more rapidly than non-musicians. This study explores the claims that musicians’ proficiency in playing their instrument can translate into benefits when learning complex and refined motor skills in another domain. Even basic surgical skills, such as suturing, become difficult in cognitively demanding environments such as the operating room, containing a barrage of multisensory stimuli where the surgeon must triage and respond to clinically salient information. Method: Participants with piano expertise and participants with no formal music training learned how to do a surgical knot and sutures. They had two practice sessions and were tested after each session. The two test parameters measured were time to complete the task and an OSATS (Objective Structures Assessment of Technical Skills) score. Results for each group (musicians and non-musicians) were analysed and compared. Results: Musician participants performed the surgical tasks faster and received higher scores than the controls; for knot tying, the difference between the two groups was statistically significant. Gender and proficiency using chopsticks also exhibited some influence on test times and scores. Conclusion: Musical training in piano appeared to be of benefit in the initial stage of learning new simple surgical skills. This indicates that at least some aspects of a musicians’ skillset (such as fine motor control, bimanual dexterity and good hand-eye coordination) might be transferrable to an ostensibly disparate domain, and may be important for incorporation in surgical training where the skill of suturing can impact both surgical outcomes, patient safety, and patient satisfaction.
The effects of live singing on the biophysiological functions of preterm infants hospitalized in a Neonatal Intensive Care Unit in Greece: A pilot study
Authors: Stamou Lelouda , Evaggelou Faiy , Stamou Vasileios , Diamanti Elisavet , Loewy Joanne V.
Published: November 2020

The aim of the study was to investigate the effects of live singing on the biophysiological functions, weight gain, head circumference, body length, and duration of hospitalization of preterm infants hospitalized in a neonatal intensive care unit (NICU) in Greece. Forty-one preterm infants 25-33 + 6 days of PCA took part in the study. 14 infants were assigned to the Mother Singing group (MS) in which mothers sang to their infants for 15 minutes every day during the fourteen-day intervention, 13 to the Music Therapist Singing group (MTS) in which a music therapist sang to the infants for 15 minutes every day during the fourteen-day intervention, and 14 in the control group (CG) which did not receive any additional intervention. Infants of both MS and MTS presented statistically significant improvements in heart rate and blood oxygen saturation, compared to CG. No significant differences between groups were found in weight, head circumference, body length, and duration of hospitalization. The use of live singing by mothers or music therapists appears to elicit positive effects on vital biophysiological functions of premature infants. Further investigation of the role of live singing in NICU is warranted.
Combining Music and Imagery in the Context of Medical Music Therapy
Authors: Short Alison
Published: November 2020

We live in a world filled with sounds and images. A storm comes close, we hear the thunder, we see the lightning, we feel the change in the atmosphere. Or we meet with friends – we hear their voices, we watch their facial expressions, and we interact and relate to them based on our own personal experiences of what we see and hear. We go to a concert, we hear the words and the music, and we use our mind to conjure up images that relate to not only the music but also who we are and how we feel as we live in our world...
The Oxford Handbook of Music Psychology by Hallam, S., Cross, I., & Thaut, M.
Authors: Tan Patsy , Wang Feng Ng
Published: November 2020

The Oxford Handbook of Music Psychology provides a comprehensive overview of the latest developments in this fast-growing area of research. With contributions from experts in the field, the coverage offered has both range and depth. The fifty-two articles are divided into eleven sections covering both experimental and theoretical perspectives. Ten sections each present articles that focus on specific areas of music psychology: the origins and functions of music; music perception; responses to music; music and the brain; musical development; learning musical skills; musical performance; composition and improvisation; the role of music in our everyday lives; and music therapy and conceptual frameworks. In each section, authors critically review the literature, highlight current issues, and explore possibilities for the future. The final section examines how in recent years the study of music psychology has broadened to include a range of other scientific disciplines. It considers the way that the research has developed in relation to technological advances, fostering links across the field and providing an overview of the areas where the field needs further development in the future.
Protocol for a Neurophenomenological Investigation of a Guided Imagery and Music Experience (Part II)
Authors: Hunt Andrea McGraw
Published: November 2020

Abstract This is Part II of a two-part article that includes a step-by-step description of the methodology undertaken in my study [1], as well as a discussion regarding the clinical implications of the data collection process. This application of neurophenomenology integrated individual experiential reports with EEG data to obtain a description of responses to a modified music and imagery (GIM) session based upon the Bonny Method of Guided Imagery and Music. This article details the methodological challenges in addressing such questions, and ways in which I sought to work around and with them. The process of analyzing both the subjective and neuronal data revealed interesting questions both about the nature of the GIM experience, as well as about the limitations of integrating these very different sets of data, including: To what degree can participants fully convey their experiences to a researcher, and by extension, to a GIM therapist? How do participants recall their imagery experiences after the session, and what does this mean for practitioners during the session? To what degree can neuronal activity be attributed to specific imagery or perceptual experiences? What does a productive session look like from a neurophenomenological perspective? Pursuing these questions can lead to greater understanding of the mechanism of GIM’s effectiveness.  Keywords: Bonny Method, Guided Imagery and Music, neurophenomenology,                    EEG, Neuroimaging.
The Chalice of Repose Project’s Music-Thanatology History and Praxis
Authors: Schroeder-Sheker Therese
Published: November 2020

Abstract The palliative medical modality of music-thanatology as developed by the author and pioneered at the Chalice of Repose Project is an evidence-based practice-vocation-profession, and maintains a singular focus and orientation: the physical and spiritual care of the dying with prescriptive music.  Music-thanatology palliative care is delivered in every psychosocial setting and serves every patient constituency, pediatric to geriatric.  The music-thanatology delivery of prescriptive music occurs live, at the bedside; is responsive to the patient’s unique, dynamic medical and interior conditions, and features quiet reception rather than clinician-patient interaction. This historical report provides a condensed overview of forty-four years of music-thanatology development, history and clinical practice. This includes a description of the historical and current curricula, excerpts from clinical field notes and an example of a spiritual practice that can sensitively orient musician-clinicians toward the existential patient experience. The bibliographical resources cited reflect the methodologies of a variety of scholarly disciplines in the biomedical and nursing arts and sciences and a full range of the humanities, all of which are integrated into music-thanatology education, formation and praxis. Recent population studies [1] report that there are currently over 46 million Americans aged 65 and older, and this number is expected to double by 2060. Life expectancy has generally increased and with it the need for excellent end-of-life palliative care programs. A full array of dedicated and competent practitioners skilled in a variety of end-of-life arts and sciences has never been so greatly needed in the USA. When interventional modalities have been exhausted, music-thanatology offers effective pain relief and meaningful, effective, cost-effective supportive care options during the final days and hours of life.  Keywords: Music-thanatology, palliative care, prescriptive music, narrative medicine, spirituality, transitus, monastic medicine, contemplative practice, letting go.
Non-pharmacological approaches to dementia: An overview of foundations & considerations
Authors: Carozza Linda , Serrone Lisa-Marie , Sugatan Lara
Published: November 2020

Dementia is a syndrome characterized by the progressive degeneration of one's cognitive function. The syndrome inflicts one in every nine individuals 65 and older; and 200,000 individuals under the age of 65. Currently, no cure exists; thus, finding the highest quality treatment to reduce the symptoms of the disease must become priority. Maintaining or increasing one’s quality of life is the utmost goal of any therapy for individuals with dementia. Currently, non-pharmacological approaches for suppressing concomitant symptoms of the disease have become highly debated and researched for their usefulness and for their ability to achieve this goal. Several therapeutic methods that can be considered non-pharmacological - music therapy, narrative telling , poetry, art therapy, technological interventions, and exercise and dance movement programs. A literature review was completed in order to determine the role of theseapproaches on dementia. Findings indicate that there is a small effect on cognition during these therapies presently, but there is still insufficient research in the area to conclude a sufficient difference. Non-pharmacological treatments yield potential quality of life benefits while additionally being cost-effective compared to medical interventions. Due its prevalence, further research on this topic is warranted and necessary.
EQUIPE EDITORIAL
Authors: Conceição Marcio  Magera
Published: November 2020

EQUIPE EDITORIAL
Depression and Sleep Quality in Outpatients attending Penjaringan Primary Health Care, North Jakarta: A Cross-sectional Study
Authors: Handoko Felicia , Hasan Surilena , Gustiawan Erfen , Widjaja Nelly Tina
Published: November 2020

Introduction: Depression is the most common mental disorder. Depression of outpatients in primary health care is frequently unrecognized. It might affect sleep quality, which is associated with worse quality of life, poor medication adherence, higher morbidity, and mortality. The study aimed to determine the association between depression and sleep quality of outpatients in Penjaringan Primary Health Care, Jakarta. Method: This research was observational analytic using a cross-sectional approach involving 434 outpatients in Penjaringan Primary Health Care, Jakarta. The study was conducted from August until September 2019. Instruments used in this research were the demographic questionnaire, the Zung Self-Rating Depression (SDS) questionnaire, and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analytics were bivariate. Results: There were 19.1% of respondents had depression, including 12.2% mild depression, 5.8% moderate depression, and 1.2% severe depression. There were 53.5% of respondents had poor sleep quality. There was a significant relationship (p<0.001, OR=7.814) between depression and sleep quality in outpatients. The results also showed that depression scores were moderately correlated with sleep disturbances (r=0.434). Conclusion: This study showed a high prevalence of depression and poor sleep quality among outpatients. Depression was associated with a 7.8 times higher risk of having poor sleep quality and also correlated with the components of sleep quality especially sleep disturbance.
Hubungan antara Kelas Fungsional Gagal Jantung Kronik dengan Tingkat Keparahan Anemia pada Pasien di Rumah Sakit Atma Jaya
Authors: Nathaniel Bryan , Luse Luse , Chriestya Febie , Maslim Yunita
Published: November 2020

Pendahuluan: Diperkirakan ada 40 juta orang menderita gagal jantung (GJ) di dunia, di Indonesia ditemukan pada 13% populasi. Angka kejadian anemia pada GJ ditemukan berkisar antara 17-50%. Anemia diketahui dapat meningkatkan risiko mortalitas dan prognosis pada pasien GJ dan pengertian lebih akan mekanismenya akan meningkatkan efektivitas pengobatan.Metode: Penelitian ini bersifat observasional analitik dengan desain potong lintang. Data diambil dari rekam medis medis pasien GJ yang masuk dari tahun 2016-2018 dan dikelompokan berdasarkan New York Heart Association Functional Class (NYHA-FC) dan keparahan anemia (WHO anemia cut-off point). Hasil: Terdapat 81 pasien gagal jantung dengan anemia dianalisa dan terdiri atas 34,57% NYHA II, 24,69% NYHA III, dan 40,7% NYHA IV. Sebanyak 50,6% pasien masuk anemia ringan dan 49,4% anemia sedang. Tidak ditemukan anemia berat. Hasil analisis multivariat menunjukan kelas fungsional gagal jantung kronik tidak memiliki hubungan bermakna dengan tingkat keparahan anemia (p = 0,179).Kesimpulan: Kelas fungsional GJ kronik tidak memiliki hubungan dengan tingkat keparahan anemia. Pasien gagal jantung tanpa komplikasi gagal ginjal jarang ditemukan anemia berat.
Faktor Risiko Kegagalan Antibiotika Empirik pada Pneumonia Anak (Studi Retrospektif)
Authors: Setyoningrum Retno Asih , Rahmawati Dewi
Published: November 2020

Pendahuluan: Pneumonia disebabkan oleh berbagai macam mikroorganisme. Terapi awal pneumonia anak adalah pemberian antiobiotika empirik. Pengamatan respon terapi antibiotika sangat diperlukan karena tidak semua anak menunjukkan respon yang baik terhadap terapi awal. Tujuannya yaitu menganalisis faktor risiko yang berhubungan dengan kegagalan respon terapi antibiotika empirik pada pneumonia anak.Metode: Penelitian dilakukan secara analitik observasional dengan pendekatan penelitian retrospektif dari 1 Januari 2014 – 31 Desember 2016 di Ruang Rawat Inap Anak RSUD Dr. Soetomo. Subjek adalah anak usia 2-59 bulan dengan terapi antibiotika empirik ampisilin dan gentamisin. Respon terapi dinilai 2-3 hari masa perawatan.Hasil: Didapatkan 297 anak dengan pneumonia berusia 2-59 bulan, 42 (14%) subjek gagal terapi antibiotika empirik. Dari sembilan variabel yang diteliti, analisis multivariat regresi logistik didapatkan gambaran efusi pleura (PR 7.25; p <0,001), atelektasis (PR 4,56; p 0,008), dan trombositosis (PR 3.32; p 0,008) secara statistik bermakna mempengaruhi respons terapi antibiotika empirik pada pneumonia anak. Kesimpulan: Gambaran efusi pleura, atelektasis dan trombositosis merupakan faktor risiko kegagalan respon terapi antibiotika empirik pada pneumonia anak di RSUD Dr. Soetomo.
A COVID-19 Ringan Pada Tenaga Medis: Evaluasi Temuan Klinis dan Risiko Transmisi
Authors: Mahrani  , Hana Khairina Putri Faisal  , Paramita Khairan  , Iﬀa Mutmainah  , Fitriana Nur Rahmawati  , Sarah Shafa Marwadhani  , Gadistya Novitri Adinda  , Sari Uti , Pukovisa Prawirohardjo
Published: November 2020

Tujuan: Sejak Desember 2019, COVID-19 telah menjadi masalah global yang menyebabkan ratusan ribu kasus kematian di seluruh dunia. Tantangan utama penanganan wabah baru ini adalah keterbatasan data terkait variasi temuan klinis dan epidemiologisnya. Laporan kasus ini bertujuan untuk memperkaya pengetahuan mengenai COVID-19 dengan mengevaluasi kasus COVID-19 ringan pada tenaga kesehatan di Indonesia.Metode: Dilaporkan seorang dokter laki-laki berusia 31 tahun yang dirawat karena pneumonia ringan, dengan hasil swab test SARS-CoV-2 positif.Hasil: Pada kasus ini, estimasi periode inkubasi adalah 2 hari. Pasien menunjukkan gejala penyakit saluran nafas atas ringan tanpa adanya gejala pneumonia yang signifikan, namun terdapat pneumonia ringan yang dikonfirmasi dengan adanya demam dan infiltrat paru pada pemeriksaan radiologis. Meskipun gejala yang ditunjukkan ringan, pasien mengalami reaksi sistemik yang kompleks, tergambar dari adanya trombositopenia dan peningkatan enzim transaminase. Pasien adalah seorang tenaga medis yang diduga terpapar SARS-CoV-2 saat menangani PDP COVID-19 tanpa alat pelindung diri (APD) yang memadai.Kesimpulan: Pada pasien dengan gejala COVID-19 ringan, reaksi sistemik yang kompleks serta gangguan pada organ pernapasan mungkin telah terjadi. Penggunaan APD yang adekuat pada tenaga kesehatan sangat penting untuk mencegah penularan virus dari pasien.