bluuebunny/crossref_metadata_2025 huggingface dataset:
Contribution to the knowledge of Neanurinae of north-western Iran with description of seven new species (Collembola, Neanuridae)
Authors: Smolis Adrian , Skarżyński Dariusz
Published: November 2020

Seven new species of the subfamily Neanurinae from north-western Iran are described and illustrated in detail.Endonura agnieskaesp. nov.differs from the most similar congener,E. reticulata(Axelson, 1905), in chaetotaxic details and the arrangement of tubercles on the dorsal side of the body.Endonura annaesp. nov.can be easily recognised by its wide labrum, the absence of chaetae C on the head and the presence of a toothed claw.Endonura schwendingerisp. nov.is especially distinctive due to the absence of chaetae A and Ocp on the head and the presence of the male ventral organ.Deutonura brevisetasp. nov.is related and most similar toD. persicaSmolis, Shayanmehr & Yoosefi-Lafooraki, 2018, described recently and known from Mazandran Province in Iran. The new species can be easily distinguished by the following set of features: dark pigmented body, presence of chaetae C and Dl3 on the head, absence of microchaetae on the furca rudimentary, presence of thickened macrochaetae on dorsal side of body and absence of cryptopygy. The main characteristics ofDeutonura sengletisp. nov.include a white body with dark pigmented eyes, the fusion of tubercles Di and De on the first thoracic segment and the presence of the male ventral organ.Deutonura iranicasp. nov.is superficially similar toD. gibbosaPorco, Bedos & Deharveng, 2010, a species known from the Alps and Jura in Europe, but it differs in the body colour and the number of labial chaetae and chaetae (L+So) on the head.Paravietnura rostratasp. nov., the first member of this enigmatic and intriguing genus known from Iran, is characterised by an unusually elongate ogival labrum and extreme reduction of dorsal chaetotaxy. Furthermore, new records of several other species of the subfamily:Cryptonura maximaSmolis, Falahati & Skarżyński, 2012;C. persicaSmolis, Falahati & Skarżyński, 2012;Deutonura persica;Endonura longirostrisSmolis, Shayanmehr, Kuznetsova & Yoosefi-Lafooraki, 2017;E. paracentaureaSmolis, Shayanmehr, Kuznetsova & Yoosefi-Lafooraki, 2017;Neanura deharvengiSmolis, Shayanmehr & Yoosefi-Lafooraki, 2018;N. muscorum(Templeton, 1835) andProtanura papillataCassagnau & Delamare Deboutteville, 1955 are given. The present study is based on the rich material collected by Antoine Senglet and loaned by Peter J. Schwendinger.
Attitudes Toward Suicide: Examining Qualitative Data
Authors: Glodstein Susan L.
Published: November 2020

Advanced practice RNs (APRNs) are in a unique position to address suicide by conducting assessments at each contact with all patients. A study conducted in 2017 examined APRNs' attitudes toward suicide by analyzing quantitative data. After completing the survey, participants were able to comment on their experiences with suicide and provide opinions about the study. The comments yielded qualitative data that contain personal, powerful messages about the participants' experiences. Examining these comments raises awareness about our practice and experiences with suicide. [
Journal of Psychosocial Nursing and Mental Health Services, 59
(3), 35–43.]
Age- and Sex-Based Differences in Exertional Heat Stroke Incidence in a 7-Mile Road Race
Authors: Belval Luke N. , Giersch Gabrielle E.W. , Adams William M. , Hosokawa Yuri , Jardine John F. , Katch Rachel K. , Stearns Rebecca L. , Casa Douglas J.
Published: November 2020

Context

Sex, age, and wet-bulb globe temperature (WBGT) have been proposed risk factors for exertional heat stroke (EHS) despite conflicting laboratory and epidemiologic evidence.

Objective

To examine differences in EHS incidence while accounting for sex, age, and environmental conditions.

Design

Observational study.

Setting

Falmouth Road Race, a warm-weather 7-mi (11.26-km) running road race.

Patients or Other Participants

We reviewed records from patients treated for EHS at medical tents.

Main Outcome Measure(s)

The relative risk (RR) of EHS between sexes and across ages was assessed with males as the reference population. Multivariate linear regression analyses were calculated to determine the relative contribution of sex, age, and WBGT to the incidence of EHS.

Results

Among 343 EHS cases, the female risk of EHS was lower overall (RR = 0.71; 95% confidence interval [CI] = 0.58, 0.89; P = .002) and for age groups 40 to 49 years (RR = 0.43; 95% CI = 0.24, 0.77; P = .005) and 50 to 59 years (RR = 0.31; 95% CI = 0.13, 0.72; P = .005). The incidence of EHS did not differ between sexes in relation to WBGT (P > .05). When sex, age, and WBGT were considered in combination, only age groups <14 years (β = 2.41, P = .008), 15 to 18 years (β = 3.83, P < .001), and 19 to 39 years (β = 2.24, P = .014) significantly accounted for the variance in the incidence of EHS (R2 = .10, P = .006).

Conclusions

In this unique investigation of EHS incidence in a road race, we found a 29% decreased EHS risk in females compared with males. However, when sex was considered with age and WBGT, only younger age accounted for an increased incidence of EHS. These results suggest that road race medical organizers should consider participant demographics when organizing the personnel and resources needed to treat patients with EHS. Specifically, organizers of events with greater numbers of young runners (aged 19 to 39 years) and males should prioritize ensuring that medical personnel are adequately prepared to handle patients with EHS.
Establishing the Research Foundations for Successful Client-Server Computing: What Naturalistic Studies Could Contribute
Authors: Logan Patricia , Lutz Charles
Published: November 2020

What is the nature of the process of implementing a new technology? How should the dynamics of implementing a new technology be studied? What research methods are best-suited to the study of complex issues of social and organizational impacts arising from the implementation of a new technology? Client-server computing represents a significant new technology that has not been a focus of research investigations. As companies pursue client-server technology as a replacement for legacy computing systems, there is a need to provide practitioners with grounded research that discover patterns of organizational and social dynamics that influence the successful outcome of a transition to this new technology. This article suggests that naturalistic research studies can formulate realistic business foundations for the successful implementation of client-server computing.
Tecnología digital en la carrera de contador público y auditor de CUNSOL (Centro Universitario de Sololá)
Authors: Celada Cuc José Antonio
Published: November 2020

En el presente artículo se muestran los resultados obtenidos en la investigación realizada en el centro universitario de Sololá de la Universidad de San Carlos de Guatemala respecto el uso de la tecnología digital en la carrera de Contador Público y Auditor que realizan los catedráticos que imparten cursos en cada uno de los ciclos de la carrera. La información se obtuvo a través de la aplicación de un cuestionario que se dirigió a catedráticos y a estudiantes, para los primeros se realizó un censo y para los segundos una muestra en la que se encuestaron al azar en cada uno de los ciclos de estudio de la carrera. Los resultados muestran que los estudiantes conocen los programas y aplicaciones digitales que los catedráticos han desarrollado en sus cursos y que no logran clasificar por su funcionamiento, además de no darle la importancia necesaria a la tecnología en su formación educativa; por parte de  los catedráticos se evidencia que se han actualizado en el uso de herramientas tecnológicas que apoyan la didáctica de sus cursos, pero que no tienen el suficiente tiempo para adecuar todos sus contenidos a dichos programas o aplicaciones, también hace falta seguimiento, capacitación y adiestramiento por parte de las autoridades universitarias locales.
Síndrome de Guillain-Barré Asociado Con SARS-CoV-2
Authors: Botello-Hernandez Edgar , Castillo-González Anna , Fernández-Garza Luis
Published: November 2020

La enfermedad causada por el síndrome respiratorio agudo grave coronavirus 2 (SARS-CoV-2) fue nombrada enfermedad coronavirus 2019 (COVID-19). COVID-19 ha afectado más de 10 millones de personas hasta la fecha, declarada una pandemia por la OMS el 11 de marzo de 2020. El espectro clínico de COVID-19 varía desde pacientes asintomáticos hasta pacientes con falla respiratoria grave, e incluso con alteraciones multiorgánicas y sistémicas. Sin embargo, SARS-CoV-2 puede afectar una amplia variedad de tejidos, manifestándose en un rango extenso de síntomas, incluidas las manifestaciones neurológicas. Esto puede ser explicado debido a su posible potencial neurotrópico y/o mimetismo molecular con reacción inmunológica cruzada. Se ha reportado la alteración de nervios periféricos, llevando a diferentes manifestaciones patológicas. Entre estas, el síndrome de Guillain-Barré (SGB) ha sido reportado en múltiples casos. Hasta donde sabemos, se han descrito 29 casos de SGB asociados a COVID-19. La mayoría de los casos han sido de presentación post-infecciosa y con ausencia de anticuerpos antigangliósidos, además de que en ninguno ha sido detectado el SARS-CoV-2 en el líquido cefalorraquídeo.
Aplicación de Realidad Virtual Para Tratamiento de la Mano Espástica en la Hemiplejía. Revisión Sistemática.
Authors: Castellanos-Ruiz Julialba , Pinzón-Bernal Mónica , Giraldo-Samboní Etni
Published: November 2020

Introducción. La realidad virtual (RV) es una representación de la realidad generada por computador, cuyo uso en pacientes neurológicos es un proceso innovador para la recuperación de la función motora. Objetivo. Determinar el efecto de la realidad virtual sobre la función motora de la mano espástica del adulto con hemiparesia. Materiales y Métodos. Se realizó búsqueda sistemática en bases de datos PubMeD, Science direct, EMBASSE, PeDro, OT Seeker, Cochrane; de ensayos clínicos controlados acorde con los estándares de calidad establecidos por la estrategia CONSORT 2010 y la calidad metodológica de los estudios fue analizada utilizando la escala de PEDro. Resultados. La terapia de realidad virtual mostró efectividad en la función de la mano espástica en actividades selectivas que implican destreza y ejecución de habilidades de la vida diaria y recuperación de la espasticidad. Conclusiones. La terapia de realidad virtual es una alternativa que puede implementarse en personas con secuelas de ECV con un compromiso leve a moderado, genera adherencia y buena capacidad de respuesta. Sin embargo, estos resultados se deben recomendar con precaución, dada que las medidas de resultado no son estadísticamente significativas, pero presentan una tendencia ligeramente a favor de la realidad virtual.
Síndrome de Percherón. Ictus Talámico bilateral.
Authors: Santamaria-Torroba Amparo , Sierra-Santamaria Carla , Lacarta-Chavarrias María
Published: November 2020

El síndrome de Percherón o infarto talámico bilateral sincrónico es una entidad poco frecuente y de difícil diagnóstico clínico. La compleja estructura del tálamo en núcleos, así como su peculiar irrigación y la variabilidad anatómica individual hace que las lesiones isquémicas puedan presentarse de forma bilateral en ambos tálamos por la obstrucción de una única arteria, caracterizando este cuadro. Presentamos un caso con lesiones isquémicas agudas en ambos tálamos y mesencéfalo anterior, compatible con la obstrucción de la arteria de Percherón.
Infiltración Dural Metastásica.
Authors: Piana-Castillo Domenica , Santibáñez-Vásquez Rocío , Guzmán-Nuquez Eduardo
Published: November 2020

Paciente femenina de 72 años con antecedentes de cáncer mamario hace 11 años e hipertensión arterial. Ex-fumadora, desde hace 10 años. Actualmente con metástasis (M1) ósea, gastrointestinal, pulmonar, y sospecha de invasión en el SNC; en tratamiento quimioterapéutico. Madre también tuvo cáncer de mama. Presenta cuadro clínico de 2 semanas de evolución con lentitud al hablar y escribir, sin dificultad en la evocación de la información que desea comunicar. No refiere cefalea, mareos ni debilidad en extremidades. Al examen físico destaca: disfasia expresiva, ptosis palpebral derecha con limitación en la mirada hacia arriba, pupila 2mm derecha reactiva al estímulo luminoso. No focalidad motora en extremidades, no signos meníngeos.
Potential effect of sodium thiosulfate in calciphylaxis: remission of intractable pain
Authors: Canlin Yang  , Yuqiu Liu  , Haifeng Ni  , Xiaomin Li  , Hong Liu  , Xiaoliang Zhang
Published: November 2020

Abstract

Calciphylaxis, a rare disease mainly seen in patients with chronic kidney disease, is characterised by ischaemic skin damages and excruciating pain. Calciphylaxis has poor prognosis which often results in amputation and high mortality. Although guidelines for the management of calciphylaxis are not available, sodium thiosulfate has showed efficacy in many clinical reports. We report the case of a 64-year-old advanced calciphylaxis male patient who had two amputations due to intolerable pain manifested as deteriorating ulcer. After he was treated with intravenous sodium thiosulfate (STS), his pain was significantly relieved with a healing trend of the big wound. One more amputation for the remission of intractable pain was avoided. The treatment experience indicates that sodium thiosulfate is of great value in quick pain relief and reducing suffering of calciphylaxis patients.

Keywords: Calciphylaxis, Calcific uremic arteriolopathy, Painful skin ulcer, Maintenance haemodialysis, Continuous....
Diagnostic evaluation of heel prick newborn screening of thyroid stimulating hormone on dissociation-enhanced lanthanide fluorescence immunoassay with the establishment of reference value in Pakistani neonates
Authors: Ayesha Raza  , Ambreen Barkat  , Safia Fatima  , Fizza Faizan Farooqui  , Naureen Chaudhri  , Shahzad Haider
Published: November 2020

Abstract

Objective: To develop and validate a method on Dissociation Enhanced Lanthanide Fluorescence Immunoassay for neonatal heel prick blood human thyroid stimulating hormone and the establishment of its reference value in the local population.

Methods: The multi-centre cross-sectional validation study was conducted from September 2016 to September 2018 at Zahra Beau Naqvi Foundation Welfare Trust laboratory, Islamabad, Pakistan, and comprised samples related to newborns aged 1 month or less taken from neonatal units of 39 hospitals based in Punjab, Khyber Pakhtunkhuwa, Gilgit-Baltistan and Azad Jammu and Kashmir. Samples were collected after 24 hours of birth using the heel prick test.  The samples were dried and sent to the laboratory for assessment where Dissociation Enhanced Lanthanide Fluorescent Immunoassay was used to estimate thyroid stimulating hormone levels. Data recorded included age, gender, and birth detail, like gestational age, mode of delivery etc. Data was analysed using SPSS 21. Method validation and reference value were manually calculated.

Results: Of the 14,147 samples received, 8,207(58%) related to boys and 5,940(42%) to girls. Most samples 4903(34.6%) came from Peshawar. The overall mean age of the newborns was 5.6±4.8 days. Thyroid stimulating hormone data was divided into three groups; positive with median value 27.8±36.6 uIU/ml, negative with median 1.42±1.60 uIU/ml, and borderline with median 11.4±4.12uIU/ml. Prevalence of congenital hypothyroidism in high-risk population in the positive group was 39(0.3%), negative 14,012(99.0%) and borderline 96(0.7%). Continuous...
Psychosocial Dimension of Retirement
Authors: Fahrudin Adi , Yusuf Husmiati , Malek Mohd Dahlan HA , Wan Sulaiman Wan Anor
Published: November 2020

Retirement is a unique phenomenon experienced by an individual who works very formal. One marker of retirement is lost in many aspects, including income, activities, identit themselves and friends as a source of support. For individuals who do not have the preparation, retirement is a burden that can give psychosocial implications not only to him but also to the family and society. Therefore it is necessary that there is a program that can help workers prepare yourself both before and after retirement.
The Influence of Perfectionism Personality Towards Dyadic Coping within Marriage
Authors: Binti Abdul Razak Siti Nurraihan Firdaus , Mohd Hoesni Suzana , Ismail Rozmi , Zakaria Ezarina
Published: November 2020

Divorce and the collapse of marital institutions are global issues which draws attention from many parties. As a result of the existence of quality family being a catalyst in the development of society, emphasis should be made to aspects of coping among married couples, especially during handling arising stress. Results show that research relating to dyadic coping within marriage has gradually gained attention from researchers. Many previous research indicate that personality has been a contributing factor in determining the actions taken by an individual. However, previous research has focused more on the five big traits compared to other types of personality such as perfectionism. Previous research has proved the existence of relationship between perfectionism personality with other aspects of life especially mental health and marital satisfaction. On the other hand, how much perfectionism personality influence dyadic coping within marriage still remains a question. Hence, this conceptual paper will discuss on the potential of perfectionism personality influence dyadic coping based on previous research. Eventually, implication and the importance of this study will also be discussed in the effort to encourage married couples to apply effective coping while retaining a harmonious marriage.
Implication of Mentoring and Coaching to the Self Empowerment of Economical Joint Effort Group
Authors: Permata Sri Putri
Published: November 2020

Poverty is still a prime issue in Indonesia. One of strategy which had been conducted by the government to handle poverty, by a social ministry of Republic of Indonesia is the group based empowerment for the poorest called KUBE FM (economic joint effort group). In order to endorse the development of KUBE FM, therefore, accompanied with mentoring by village mentor as well as sub- district mentor and supervision by district social services and provincial social services. The purpose of this research is to describe and analyze the implication of mentoring and coaching which had been conducted to the self-empowerment of KUBE FM. This research used a qualitative approach to a case study, located in North Bengkulu Regency of Bengkulu Province. Location of this research determined purposively which consist of 2 villages with developed KUBE FM and 2 villages with less developed KUBE FM. The result of this research indicates that there was difference on mentoring of KUBE FM. On developed KUBE FM, there was positive implication such as increasing solidarity and awareness of the importance of education, increasing business and motivation, group function run smoothly, more harmonious relationship, increasing participation and group solidity as well. On less developed KUBE FM there were not positive implication such as decreasing solidarity and awareness of the importance of education, decreasing business and motivation, group function could not run smoothly, less harmonious relationship, decreasing participation as well as group solidity. The conclusion of this research, there was the interaction between the process of mentoring and coaching to the self- empowerment of KUBE FM.
Fulfillment of Children's Rights During in the Prison
Authors: R. Irmayani Nyi
Published: November 2020

The fulfillment of children's rights in the family and community affects children's growth and development. However, children can be trapped in actions that harm others or contrary to existing norms. The child under these conditions will face the law and must follow the legal process. During the child undergoes the legal process is detained along with the adult prisoners but in separate cell. This study aims to determine the physical and psychological conditions, the fulfillment of children's rights, and facilitating to the child while in prison. Qualitative research method with case study approach will answer the purpose. The results showed that children who are waiting for the trial process between the ages of 13 to 17 years are placed in one cell as many as 5 children with the condition of the cells of concern. While in the prison less fulfills the rights of children such as health, education, protection or health care. Assistance to such children is only done by the correctional social work of the Correctional Institution.
The Challenge of Social Workers in Handling Cases of Child Sexual Abuse
Authors: Kurniasari Alit
Published: November 2020

This article discusses the Social Workers who work in the field of Child Protection, especially those who handle cases of child victims of sexual violence. In many cases, both victims and perpetrators need serious handling in order not to cause further problems. Social workers role are very important in restoring the trauma of children as victims, and addressing children's issues as behaviors including intervening with their families and the environment. During the practice of his profession, it can cause emotional reactions to the child's behavior, such as shock, trust and distrust because the child's sexual experience exceeds his or her age. In addition it can experience burnout, which can affect the practice of his profession. The condition can not be seen as the inability to run the profession, but rather as a challenge for the Social Worker, to improve his professional skills. This paper attempts to provide an alternative solution to minimize the emotional reactions in dealing with cases of Child Sexual Abuse, through a victim-centered approach with the best interests of the child, as a way of resolving conflict in intervention.
Implementation and Effectiveness of Drug Abuse Program (SAJADAH) Among Students at Secondary Schools in the Kota Kinabalu, Sabah
Authors: Wan Sulaiman Wan Anor , Wan Anor Wan Nur Fatini , Wan Othman Wan Nazilah , Fahrudin Adi
Published: November 2020

This study is conducted to determine the extent to which the drug abuse programs are implemented (SEJADAH) by teachers and counselors are affected students in schools at the Kota Kinabalu, Sabah. The subjects have 150 students from form 1 to 5, and 96 regular teachers and counselor. A set of questionnaires which is divided into three sections, part A contains student biographical information, section B contains items about the effects of the program on students and section C contains items about program implementation by teachers and school staff. Descriptive analysis was used to analyze the data and found that 124 students considered the program drug abuse (SAJADAH) has a good effected on them. For the implementation stage, total of 58 teachers feel that the program is very effective.
Analysis of SocialCultural Factors Influence to the Children in Conflict with Law: A Case Study in 3 Regencies and Municipality of Bengkulu Province, Indonesia
Authors: Permata Sri Putri , Herlina Muria
Published: November 2020

This research aimed to analyze sociocultural factors among children in conflict with law in the villages of 3 regencies and 1 municipality in Bengkulu Province. Data were collected through observation, in depth interview as well as documentation study. 15 peoples was selected as informants which consist of 6 formal and informal leaders, 6 children in conflict with law, 2 parents, and a social worker. This research finding showed that in the villages most villagers were farmers who spent almost all day for work. This impacted in decreasing time to interact with their children and surrounding neighbors. On the other side, social control were growing weaken. It was indicated by degradation of sociocultural as well as religious values in community. Social status was valued from one’s belonging. Normative customary sanctions were not implemented strictly anymore. Both formal and informal leaders practiced bad behavior. Impact of technology such as uncontrolled use of smart phone had negative impact to the juvenile. This research concluded that there were some changes in sociocultural values which interacted in case of children in conflict with law. From this finding, the efforts to strengthen family functions were needed besides optimizing the roles of law, customary and religious institution as well.
Developing Healthy Environment for Young Mothers in Suburb Indonesia
Authors: Machdum Sari Viciawati , Ramzy Fardhan Zaka , Agus Anna Amalyah , Annisah Annisah
Published: November 2020

This article explores community services approach that intends to change the behavior of young mothers at home in serving food for their families. Research results showed that there were challenges in this suburb area., especially for young mother who can get many facilities to get their daily meals. Unfortunately, the facilities could give negative impacts on them in gaining proper nutrition. The obstacles came from many aspects of society. Thereupon, social intervention for them needs to be handled carefully so that the beneficiaries could get sustainable change. Others have argued that participation is crucial elements in community intervention. This research showed that participation its self is the hard aspect in the suburb especially at the region that has rapid development but lack of social investments. People used to get many projects from different organizations. The helping projects often did not consider sustainability matters. This condition reshapes the people. They become the object of social programs. Maintaining intensive programs based on some practices: collaboration planning and implementation could increase the trust of the beneficiaries. Based on our study on ten young women and other fourteen participants in a suburb of Indonesia, trust is primary material in changing people’s behavior. Especially educating people to live in healthy lifestyle as a vital aspect of developing a healthy environment.
Music and Medicine in Spain: History and New Developments of a Growing Discipline
Authors: Escudé Nuria , Acanfora Fabrizio
Published: November 2020

The strong link between music and medicine has been documented in Spain since the 17th century, showing that the therapeutic effects of music have been known for centuries. The development of music therapy as a scientific, independent discipline on the Iberian Peninsula begins in the 1960s due to the pioneering work of Serafina Poch. Since then, the interest in music and medicine both by specialists and public has constantly increased. Nowadays, music therapy is taught in public universities and private institutions, and a growing number of health care and educational centers is implementing music therapy projects each year, producing also an increase in the research on the subject. A sore point, which we hope can be resolved soon, is that music therapy in Spain has not yet been recognized with an official title and as an independent profession, leading to fragmentation of the field and leaving the door open to professional intrusion.  Keywords: music therapy, music medicine, Spain.
Listening to Music Improves Language Skills in Children Prenatally Exposed to Cocaine
Authors: Porges Stephen W. , Bono Katherine E. , Ullery Mary Anne , Bazhenova Olga , Castillo Andreina , Bal Elgiz , Scott Keith
Published: November 2020

The effectiveness of listening to music, as an intervention to improve language skills, was tested with young children prenatally exposed to cocaine. In addition to the prenatal exposure to cocaine, these children often share family experiences such as substance abuse, poverty, and mental illness that are prevalent in chronically stressed families in which abuse and trauma are likely to occur. In the current study 62 children, between the ages of 17 and 30 months, who were receiving a center-based intervention program, participated in a 16-week music-based trial. The trial consisted of listening to music 5 days a week for 16 weeks.  During the first week music listening sessions were 50-minutes and during the subsequent 15 weeks the daily listening sessions were 10 minutes. Participants were randomly assigned to three groups: a filtered music group that listened to vocal music filtered to emphasize frequencies within the bandwidth of spontaneous human speech, an unfiltered music group that listened to the same vocal music in its original unaltered form, and a control group that only received the standard early intervention services provided by the preschool. Outcomes were evaluated with assessments for expressive and receptive language skills. Results document that children, who listened to either the filtered or unaltered music, showed greater gains on language skills than the control group.  The findings suggest that providing scheduled times to listen to vocal music similar to a mother singing a lullaby would provide a simple cost-effective language intervention.  Keywords: language skills; music therapy; prenatal cocaine exposure;  children;                     Polyvagal Theory.
Shame and its Soundscapes
Authors: Tao Zoe
Published: November 2020

In this essay, I engage with issues of shame and social marginalization through “assisted” musical artworks, which combine an individual’s words with my musical accompaniment. Despite being a first-year medical student without clinical or therapeutic credentials, I generate interpretations of how collaborative, improvisatory, and informal artworks I have created as a music volunteer may assist in recognition and affirmation of one’s humanity. I present and discuss one experience in hospice care and its accompanying artwork which reflected the beauty and humanity of an individual I became close to. Additionally, I discuss more broadly how artistic creation may grant agency for people in marginalized social positions to express adverse affective and social states in their own voice. I believe that musical artworks such as these can serve to retain elements of an individual’s life and psychosocial profile that may not be directly medical in nature, but matter greatly transforming how one appraises, expresses, and resists fixed positions of shame and social stigma.
Music, Maestro, Please: Thalamic multisensory integration in music perception, processing and production
Authors: Jaschke Artur
Published: November 2020

Music activates a wide array of brain areas involved in different functions such as   perception, processing and execution of music. Understanding musical processes in the brain has multiple implications in the neuro- and health sciences.  Challenging the brain with a multisensory stimulus such as music activates responses beyond the auditory cortex of the temporal lobe. Other areas that are involved include the frontal lobes, parietal lobes, areas of the limbic system such as the amygdala, hippocampus and thalamus, the cerebellum and the brainstem. Nonetheless, there has been no attempt to summarize all involved brain areas in music into one overall encompassing map. This may well be, as there has been no thorough theory introduced, which would allow an initial point of departure in creating such a mapTherefore, a thorough systematic review has been conducted to identify all mentioned neural connections involved in the perception, processing and execution of music.  Communication between the thalamic nuclei is the initial step in multisensory integration, which lies at the base of the neural networks as proposed in this paper. Against this background, this manuscript introduces the to our knowledge first map of all brain regions involved in the perception, processing and execution of music.Consequently, placing thalamic multisensory integration at the core of this atlas allowed us to create a preliminary theory to explain the complexity of music induced brain activation.
Rounds Corner : Doctor Dabbling in Music Medicine
Authors: Vatanasapt Patravoot
Published: November 2020

For the medical doctors, bringing music into medical profession is a blessing.  The biography of a head and neck surgeon who grew up with music and found ways to bring his passion on music to his medical profession.  His experience on music medicine took him a step further to integrate music into the medical education, where he found a crucial gap for using an analogy of music experience. It is all about improving the professional practice while satisfying all parties.
Validity and Interrater Reliability of the SOAR Tool during Ambulation in Individuals with Parkinson Disease
Authors: Barta Kristen Prejean , Da Silva Carolyn P , Tseng Shih-Chiao , Roddey Toni
Published: November 2020

Parkinson disease (PD) leads to neurological impairments yet the auditory system remains intact. Rhythmic Auditory Stimulation (RAS) and Patterned Sensory Enhancement (PSE) have been shown to impact gait in PD. Music therapists (MT) can individualize auditory protocols but for a physical therapist (PT) to incorporate PSE into treatment, a new tool is needed. The Synchronized Optimization Auditory Rehabilitation (SOAR) tool is a new software created to simulate PSE techniques and allow for customization depending on the individual’s reaction to the cue. The purposes were to evaluate the validity of the SOAR tool with RAS and the interrater reliability between disciplines’ application of the SOAR tool. Day one - MT measured gait parameters during no cue, RAS, and SOAR tool. Day two - PT measured gait parameters while using the SOAR tool. A moderate to high correlation between RAS and the SOAR tool on gait was found. The interrater reliability between the MT and PT was high. These finding suggest the SOAR tool is an additional auditory cue delivery tool that PTs could use in the treatment of individuals with PD when auditory cues are deemed appropriate and a MT is not an available member of the interdisciplinary rehabilitation team.
Uncommon music making: The functional roles of music in design for healthcare
Authors: Özcan Elif , Frankel Lois , Stewart Jesse
Published: November 2020

In this paper, we discuss some uncommon settings and roles for music, demonstrating how music can aid in the design and implementation of socially responsible healthcare products that are encouraging, inclusive, and sensitive to critical contexts. We review three music-inspired design cases (CareTunes: Musical Alarms for Critical Care, Music and Senior Exercise, and We Are All Musicians and the Adaptive Use Musical Instrument) in which the authors took part. The literature review and the analysis of the case studies provide us with the following insights: music enhances sensory experiences, facilitates physical engagement with the world, music can guide medical professionals in critical contexts, and music creates social cohesion. All of these projects demonstrate the importance of involving participants (users or performers) in the process to address their life experiences.  Thus, the use of music in design applications is experienced as a positive influence that can facilitate wellbeing for community members, persons with disabilities, medical patients, and healthcare professionals in the workplace.
Music Therapy for Chronic Fatigue Following Epstein-Barr Virus Infection in Adolescents
Authors: Trondalen Gro , Mangersnes Julie , Bonde Lars Ole , Malik Sadaf , Asprusten Tarjei Tørre , Rødevand Linn , Pedersen Maria , Wyller Vegard Bruun Bratholm
Published: November 2020

AbstractThis research study, which was a part of arandomized controlled trial, explored music therapy as a part of an individually tailored mental training programfor Chronic Fatigue(CF) following Epstein-Barr virus (EBV) infection in adolescents. This article presents the qualitative data stemming from the interviews, which focused on music therapy. The interviews were performed after completion of the program. The mental training program consisted of 10 sessions distributed between a family session (1), individual sessions with music therapy (4), and individual cognitive behavioral therapy (6). Music therapy included music listening, improvisation, song writing, instrument training, in addition to suggested homework. The analysis was informed through the procedure of Interpretative Phenomenological Analysis (IPA). Results indicated three main themes: i) personal capacity to act through music, ii) subjective understanding of the link between body and mind, and iii) inhabiting the music space. We suggest future music therapy program to be resource- and user oriented, improvisational, and offer training on an instrument. A vital component should be active music listening, comprising verbal communication, relaxation techniques and joint verbal reflection, to foster mentalization. The therapist and the client select music together, while playlists are negotiated, and invited homework included.
An Eclectic Approach to Working with a Dyad of a Patient with TBI and His Caregiver
Authors: Wu Yue , Kagin Roberta
Published: November 2020

AbstractPURPOSE The purpose of this case study is to describe the impact of music therapy on a dyad relationship between the client and the caregiver. It provides suggestions for methods to work with a client who is severely profoundly brain injured, requiring feeding, bathing, and positioning, five years post-accident.METHODS A dyad approach was used, which explored the practice of songwriting with a dyad of client and his mother.  RESULTS A song was created during the period of this study and was shared with the caregiver. The song provided support for not losing hope for both the client and his caregiver. An interview was conducted with the caregiver one-year post session. The caregiver commented that music therapy “gives her a breath of fresh air and makes it so much easier.”CONCLUSIONS As a dyad, the relationship between client and caregiver is crucial to the rehabilitation process. Therefore, the authors suggest treatment practitioners to adopt the family-centered approach to further improve the quality of care.Key Words:Dyad, family-centered care, quality improvement, traumatic brain injury, music therapy
Music combined with Transcranial Magnetic Stimulation for the treatment of depression
Authors: Mania Irakli , Kaur Jagdeep
Published: November 2020

Depression can be disabling, and standard treatments are often ineffective. rTMS is a safe and effective brain stimulation modality. rTMS is often used in combination with other evidence-based strategies to improve treatment outcomes.We are introducing a novel combination approach of rTMS with music. Our goal is to present proof of concept and provide a theoretical framework on why this combination may be superior. We reviewed existing literature on music’s benefits in treating depression as well as evidence base on music’s effects on the brain. We have delivered the combination treatment of music and rTMS to 9 adult patients with severe treatment-resistant MDD. Hamilton Depression Rating Scale (HAM-D) was used to measure the response. Response and remission rates were 89% and 56%, respectively. The mean change in the total HAM-D score was -15.3 (SD=3.6). Music’s powerful effects on the brain make it an invaluable tool for using in combination with rTMS. In addition to being augmentative to the rTMS course, music can also provide a “priming effect,” whereby underlying brain activity is altered in a way that it improves beneficial effects of stimulation. This combination method is safe, convenient, and easy to set up and deliver.
Exploring Therapeutic Songwriting for Filipino Children with Leukemia
Authors: Marin Marisa V.
Published: November 2020

This study explored the use of songwriting as a therapeutic tool for Filipino children with leukemia to alleviate pain and to accept death. Using a clinical-descriptive phenomenological approach, four children with leukemia were purposively selected to have individual therapy sessions. Findings show that music making, specifically songwriting, can be a therapeutic intervention for children in pain and in preparation for their death. Furthermore, common themes of the songs are discussed and the role of a therapist is mentioned.
Introduction to the Special Issue: Music and Imagery
Authors: Loewy Joanne V. , Spintge Ralph
Published: November 2020

How does music elicit imagery? How does imagery influence our understanding of music, particularly in its strength and potential to alter our medical perceptions beyond the sounds inherent but relegated to audio experiences? Ancient scholars such as Aristotle and Hippocrates used imagery to enhance healing...
Music Therapy Training Programmes in Europe: Theme and Variations. (2016). Edited by Thomas Stegemann, Elena Fitzthum, and Tonius Timmermann
Authors: Clements-Cortes Amy
Published: November 2020

Paperback: 192 pages | Publisher: Verlag Publications, Germany | Language: English | ISBN-9783954901791 This book provides an overview of all 119 European music therapy training programmes as well as a detailed portrait of 10 selected music therapy training courses from various countries, reflecting different music therapy backgrounds, approaches, phases of institutional developments, etc. It gives insights into the theoretical background, admission procedures, and the structure and content of each training programme, focusing especially on clinical training and internships, musical training, experiential learning and music therapy self-experience, as well as the evaluation procedures concerning the quality of teaching.   Keywords: education, training, music therapy, Europe, evaluation.
Music and Medicine: Ancient Traditions in World History
Authors: Spintge Ralph , Loewy Joanne V
Published: November 2020

We are living in volatile times, globally, whereby nearly every aspect of life, political or non-political shows non-linear behavior...
LAS LENGUAS ORIGINARIAS DEL PERÚ. UN ANÁLISIS DE SU ESTADO DESDE LA MULTICULTURALIDAD
Authors: Bruno Seminario Ángela Martina , Córdova Chuquihuanga Ana Kelly , Santos Arriol Juan Carlos
Published: November 2020

La realidad plurilingüe y multicultural del Perú lleva a plantear la necesidad de realizar un análisis acerca del peligro de extinción que amenaza las lenguas originarias de la región Amazonía y de la zona andina del país. Las lenguas originarias son todas aquellas lenguas que se empleaban con anterioridad a la difusión del idioma español y que se preservan y emplean en el ámbito del territorio nacional. Esta investigación tiene como objetivo analizar las lenguas originarias en peligro de extinción de la Amazonía y de la zona Andina. Para cumplir con el fin trazado se utilizó el paradigma positivista, con un enfoque cuantitativo y diseño documental de tipo descriptivo. Se empleó como técnica de recolección de datos el fichaje y como instrumento la ficha de contenido o mixta. Como técnica de análisis de los resultados se empleó el análisis de contenido. Entre las conclusiones se denota el papel cultural y social de las lenguas originarias. Por lo que su preservación es una tarea vital que debe desarrollar el estado peruano por medio de las instituciones que posean competencia en la materia como es el caso del ministerio de educación.
EDITORIAL
Authors: Conceição Marcio  Magera , Costa Ricardo , Berbel Edson Roberto
Published: November 2020

EDITORIAL
Pemanfaatan Diskusi Berdasarkan Kasus Sebagai Ujian Formatif Dalam Program Pendidikan Dokter Spesialis Patologi Anatomik Fakultas Kedokteran Universitas Indonesia
Authors: Meilania Saraswati  , Marcellus Simadibrata  , Rita Mustika
Published: November 2020

Latar belakang: Program Pendidikan Dokter Spesialis Patologi Anatomik Fakultas Kedokteran Universitas Indonesia (PPDS PA FKUI) menggunakan kurikulum berdasarkan kompetensi/outcome (competency-/outcome-based curriculum). Namun, PPDS PA FKUI selama ini belum pernah melaksanakan ujian formatif berdasarkan kerja (workplace-based assessement) yang terstruktur dan tercatat, misal, ujian Diskusi berdasarkan Kasus (DbK).Metode: Penelitian ini bersifat kualitatif untuk mengekplorasi secara mendalam pemanfaatan ujian formatif Diskusi berdasarkan Kasus dalam proses pendidikan di PPDS Patologi Anatomik FKUI. Dilakukan wawancara dan focused group discussion terhadap pengelola program, staf pengajar dan peserta PPDS PA FKUI. Staf pengajar diminta melakukan intervensi berupa ujian formatif DbK terhadap PPDS PA FKUI sebanyak tiga kali menggunakan borang yang telah diterjemahkan dan divalidasi. Setelah intervensi, kembali dilakukan wawancara dan focused group discussion terhadap staf pengajar dan peserta PPDS PA FKUI.Hasil: Staf Pengajar dan peserta PPDS PA FKUI menunjukkan respons positif terhadap pelaksanaan ujian formatif DbK. Ujian formatif DbK dianggap memungkinkan proses diskusi mendalam antara staf pengajar dan peserta PPDS PA terkait proses penegakkan diagnosis dari suatu kasus. Staf pengajar dapat memantau kemajuan proses pembelajaran serta memberikan umpan balik yang spesifik terhadap peserta PPDS. Peserta PPDS dapat memelajari suatu kasus dengan lebih komprehensif serta memeroleh umpan balik yang spefisik.Kesimpulan: Ujian DbK bermanfaat dalam proses pencapaian kompetensi dalam pendidikan yang menggunakan pendekatan kurikulum berdasarkan kompetensi atau luaran.
Pneumonia Corona Virus Infection Disease-19 (COVID-19)
Authors: Fathiyah Isbaniah  , Agus Dwi Susanto
Published: November 2020

Sejak awal tahun 2020 terjadi peningkatan jumlah kasus infeksi virus COVID-19, yang sebelumnya dikenal dengan nama 2019-nCov. Diketahui hingga bulan Februari 2020 sudah terkonfirmasi lebih dari 70.000 kasus positif infeksi COVID-19. COVID-19 diketahui merupakan virus dari keluarga coronaviridae, yang juga merupakan keluarga dari virus SARS-CoV dan MERS-CoV yang pernah menyebabkan wabah pada tahun 2002 dan 2012 silam. Patogenesis COVID-19 belum diketahui secara pasti, namun diduga mirip dengan patogenesis SARS-CoV dan MERS-CoV. Rerata mortalitas COVID-19 adalah 2.3%, lebih rendah dibandingkan dengan mortalitas SARS-CoV dan MERS-CoV. Outbreak COVID-19 juga diduga dimulai dari sebuah pasar penjualan makanan laut lokal pada musim dingin, lingkungan yang hampir sama pada saat outbreak virus SARS. Pada artikel ilmiah ini akan dibahas secara mendalam mengenai definisi operasional yang dapat dipakai dalam manajemen pasien dengan dugaan infeksi COVID-19. Akan dibahas pula manifestasi klinis dan tata laksana pada pasien dengan dugaan dan konfirmasi infeksi COVID-19.