Idun
Not a member yet
1923 research outputs found
Sort by
The Improvement of Verbal and Nonverbal Communication in a Teenage Male with Autism Spectrum Disorder in Music Therapy: A Clinical Case Research Study
Get PDFThis study aims to investigate the impact of music therapy on nonverbal and verbal communication behaviors of a 13 year old male diagnosed with autism. A single-case study design was used, collecting both quantitative and qualitative data. Qualitative data included analysis of the clinician/ researcher’s session notes and personal reflections over six months. Video recordings of three sessions in the last two months of the treatment were collected as quantitative data. The client’s nonverbal and verbal behaviors in the recorde sessions were assessed by the clinician/researcher and her supervisor using an assessment tool designed by the researcher. Quantitative results indicated a distinct increase in the client’s nonverbal and verbal behaviors over the course of eight weeks, which was corroborated by the qualitative analysis. Results suggest that music therapy positively impacted the client’s nonverbal and verbal behavior by providing the client with ample opportunities to engage in non-invasive and client directed music experiences and promoted a positive therapeutic relationship with the researcher
Trauma Informed Practice in Music Therapy
Get PDFThe 2019 National Survey on Drug Use and Health reports that 9.5 million Americans aged 18 and older have been diagnosed with more than one mental disorder. Music therapists working in mental health treatment settings are likely to work with individuals who have a complex diagnosis defined here as two or more of the following: depression, eating disorder, generalized anxiety disorder, substance use disorder, eating disorders, and severe mental illness. Additionally, adverse childhood events or post-traumatic stress disorder often complicate the clinical profile. Given this, a trauma-informed approach to music therapy treatment is necessary to improve outcomes and minimize harm. The risks, contraindications, and ethical considerations necessary to effectively treat and care for these clients in music therapy will be reviewed. Methods of identifying, assessing, and treating these complex clinical issues in music therapy are discussed with the goal of helping clinicians understand: 1) where treatment needs to begin to ensure therapeutic goals addressing primary issues prior to addressing secondary issues, and 2) the appropriate use of music therapy methods. The necessity for music therapists to understand the power of the music in the music therapy process is explored, to ensure that clinicians are meeting client needs, not triggering symptomatology, traumatic memories, or experiences. The importance of a clinician knowing their scope of practice, when they are adequately trained and prepared to work with clients with complex disorders, and how to utilize support such as consultation and supervision to support their effective treatment with client(s) is presented
Percutaneous coronary intervention versus coronary artery bypass graft in the treatment of multivessel coronary artery disease on Diabetes Mellitus patients
Get PDFObjectives: This systemic review is conducted to compare between Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Graft (CABG) in the revascularization strategy of patients with diabetes mellitus (DM) and multivessel coronary artery disease (CAD) based on clinical outcomes.
Background: Diabetes mellitus approached epidemic proportions globally and was recognized as a risk factor of aggressive and multivessel CAD [1,2]. The controversy over the optimal revascularization strategy for patients with DM and multivessel CAD has been hotly debated for more than 10 years. Numerous studies and data analysis were conducted to compare between PCI and CABG based on clinical outcomes of DM patients after procedure. Those studies enormously contributed to the improvement in long-term survival rate, major adverse cardiac and cerebrovascular events (MACCE) rate, quality of life, and cost-effectiveness.
Methods: This systemic review utilized PubMed, ScienceDirect, and Google Scholar as search engines. A total of 39 articles were recruited. Among them, 26 articles were analyzed and organized based on timeline, where data about long-term survival rate, the MACCE rate, quality of life, complications after both procedures were extracted and conclusions were made.
Results: In the bare-metal stent era, CABG showed better outcomes compared with PCI for both short- and long-term clinical outcomes. Patients who underwent PCI had significantly higher mortality rate, MACCE rate, and repeated revascularization rate compared with patients who underwent CABG. However, with the advent of drug-eluting stent, PCI became comparable to CABG especially in short-term outcomes. Nonetheless, CABG still surpassed PCI in the long run with smaller mortality, myocardial infarction (MI) rate, and repeated revascularization risk at five-year follow-up. Hence, CABG remains the revascularization strategy of choice for patients with DM and multivessel CAD.
Conclusion: Although patients who underwent CABG face higher risk of stroke compared to patients who underwent PCI, CABG outweighs PCI with the reduced mortality, MI rate and repeated revascularization rate, especially in long-term follow-up. Supposing the decision process depends on clinical judgment and accessibility to procedure, CABG should be preferable in patients with DM and multivessel CAD
The art of Emotional Intelligence: Decreasing Lateral Violence Among Nurses
Get PDFNurses work in stressful and complex work environments and, unfortunately, can be subjected to lateral violence. Lateral violence is described as repetitive actions and behaviors of verbal and emotional abuse or acts of incivility from one nurse(s) to another on equal levels of the organizational structure; the behaviors are meant to threaten, harm, or intimidate. Nurses will not stay in an environment that is negative, hostile, and demoralizing; lateral violence can decrease nursing retention rates and increase turnover and job dissatisfaction. Nurses leaving the profession contributing to shortages, poor patient outcomes, and safety concerns. Enhancing nurses’ emotional intelligence may assist as a strategy against lateral violence. Emotional intelligence is the ability to recognize, manage, and control one’s emotions and predict and perceive another’s emotions. This project educates 14 ambulatory nurses on a general medical care unit at a Midwest academic tertiary medical center on lateral violence and the skill sets of emotional intelligence. As a transformational nurse manager, guided by Jean Watson’s Theory of Human Caring, including the concept of self-awareness and Caritas consciousness, four educational sessions were designed. These sessions included recognizing lateral violence, cultivating self-awareness, practicing empathy, and listening, and communicating assertively with conflict resolution as a catalyst to address and mitigate lateral violence in this workplace
Observations of Particle Loss due to Injection-Associated Electromagnetic Ion Cyclotron Waves
Get PDFWe report on observations of electromagnetic ion cyclotron (EMIC) waves and their interactions with injected ring current particles and high energy radiation belt electrons. The magnetic field experiment aboard the twin Van Allen Probes spacecraft measured EMIC waves near L = 5.5–6. Particle data from the spacecraft show that the waves were associated with particle injections. The wave activity was also observed by a ground-based magnetometer near the spacecraft geomagnetic footprint over a more extensive temporal range. Phase space density profiles, calculated from directional differential electron flux data from Van Allen Probes, show that there was a significant energy-dependent relativistic electron dropout over a limited L-shell range during and after the EMIC wave activity. In addition, the NOAA spacecraft observed relativistic electron precipitation associated with the EMIC waves near the footprint of the Van Allen Probes spacecraft. The observations suggest EMIC wave-induced relativistic electron loss in the radiation belt
Complementary Alternative Medicine: an Education of Guided Self-care in the Elderly Population for Management of Chronic Conditions
Get PDFThe elderly population, specifically the residents in the Skilled Nursing Facility (SNF) or nursing homes, suffer from chronic conditions, many of which have a psychological and behavioral component. Conventional medicine treats the chronic conditions from one symptom to another through pharmacological interventions, which resulted in polypharmacy. Gathering evidenced-base practice of Complementary Alternative Medicine (CAM) will maximize opportunities for the elderly population to manage chronic conditions. The application of Parse’s Theory of Human Becoming (HBT) with self-guided education of CAM modalities in SNF explores the significant concepts of personal meaning, rhythmical patterns, and transcendence. Grounded on HBT, the self- guided education of self-hand massage using aromatherapy, meditation, and mindfulness coloring art augment holistic health by addressing the physical, mental, emotional, and spiritual dimensions of care in the residents of SNF. The implementation of the project presents how effective the self-guided education of CAM modalities in improving health outcomes through the resident\u27s experience, the involvement of front-line staff, and the Quality Steering Committee feedback. The self-guided education of CAM modalities provides a useful tool of evidenced-base care in the SNF located in urban, MN
Eating for Health
Get PDFAs anxiety and depression have increased exponentially, researchers have discovered a link between nutrition and incidences of anxiety and depression. The communication between the gut and the brain is imperative for mental health. The inflammatory process that is initiated in the intestinal tract can change the chemistry of the brain resulting in anxiety and depression. Newman’s Theory, Health as Expanding Consciousness, helps people to identify patterns in their food choices and change those patterns to choose healthier foods. This scholarly project was implemented to teach youth and adults living in a rural community about the link between food and anxiety and depression. A booth was set up at an Out of the Darkness Walk in a rural Minnesota town of 13,700 people to educate youth and adults about the importance of a healthy diet on anxiety and depression. There were 35 people at the walk, and I was able to talk to 15 people about the important role of a healthy diet on anxiety and depression. Out of the 15 people, 3 people gave feedback about the project. Implications for Advanced Nursing Practice is to look for nutritional decencies in person who have anxiety and depression. Nutrition is a modifiable way to prevent and reduce symptoms of anxiety and depression
Factors that Impact Outcome in Patients Post-Esophagectomy
Get PDFBackground: Esophageal malignancy and severe benign esophageal disorders are now treated by esophagectomy. Although mortality rates after esophagectomy have progressively decreased, many patients continue to suffer from increasing problems despite advances in patient selection, surgical techniques, and postoperative care. The purpose of this research is to determine the perioperative variables that affect morbidity and mortality after esophagectomy.
Methods: A thorough search of Google Scholar, UpToDate, and the Lindell Library was conducted to find previously published papers describing the different outcomes related to esophagectomy. This research consulted a total of 30 reviews and two publications. The esophagus’s architecture, perioperative evaluations, surgical methods, and anastomoses that reduce morbidity and mortality after esophagectomy were all investigated.
Discussion: Patient selection was risk stratified using ERAS criteria and the Charlson score. A recent study has shown that minimally invasive access is linked with better results than more intrusive approaches. According to further research, hospital duration of stay and surgery volume are related in an inverse manner. In the postoperative period, the ERAS protocol had a significant impact on postoperative care.
Conclusion: In recent decades, surgical and medical advances have improved the post-esophageal resection results, although overall morbidity and death rates remain high. Perioperative factors that influence postoperative outcomes have been discovered and are the subject of this review. Centralization of preoperative and postoperative care, less invasive esophagectomy techniques, and surgical care in high-volume facilities should enhance post-esophagectomy outcomes
A Literature Review: What mental health challenges are experienced by first-generation Latino immigrant and refugee families entering the U.S.?
Get PDFIt is believed that people leave their homeland and come to America for better opportunities, freedom, safety, or second chances at life. As of 2021, Latino’s account for Americas largest minority population however measures to support their communities medically and socially have fallen short. The downfalls of misunderstanding the traumas experienced in their homelands, accounting for premigration, during migration, and postmigration stressors, and systemic issues that fall short in providing culturally sensitive care creates room for mental health challenges to accumulate. Cases of traumas experienced in homelands, cultural implications, the controversies, and difficulties of being held in detention centers, challenges with cultural assimilation, social determinants of health (SDOH), anxiety and depression prevalence, plus alcohol and recreation drug use prevalence with be evaluated and discussed in this literary review. An interview of a member of the Latino community will also be conducted to gain firsthand insight to areas of focus in this paper. The findings discussed in this research paper are compiled and extracted from peer systematic literature reviews, peer-reviewed articles, multiyear longitudinal studies, multiple logistic regression analysis, and meta-analyses published between 2003 - 2021. This research paper examines the strengths and limitations of the reviewed articles. Research from these different disciplines will be presented to highlight the mental health challenges of first- generation Latino immigrants and refugees and urge for further support to limit and mitigate these challenges
Outcomes of Elective Abdominal Aortic Aneurysm Management: Open Surgical versus Endovascular Repair
Get PDFIntroduction: Abdominal aortic aneurysm (AAA) is a disease with high mortality and morbidity. Evidence-based screening guidelines and elective repair options are crucial to mitigate the risk of rupture. Two primary techniques exist in the treatment of AAA. The open surgical repair method was standard of care until introduction of endovascular aneurysm repair in the 1990s. Endovascular aneurysm repair has become the mainstay of treatment of abdominal aortic aneurysms due to its minimally invasive approach and improved perioperative outcomes. Long-term overall survival outcomes are similar between the two approaches.
Methods: A systematic search of PubMed was conducted to review relevant articles comparing outcomes between open surgical repair versus endovascular aneurysm repair in the treatment of unruptured AAA.
Background: Patient-centered outcomes drove this research to better understand short-term and long-term findings between the two techniques. This literature review compares and contrasts the differing types of repair and outlines mortality rates, infection, hemorrhage, colonic ischemia, reintervention, secondary rupture, postoperative surveillance, and risk of future malignancy.
Conclusion: Evidence from the literature continues to support the use of endovascular aneurysm repair in the management of unruptured abdominal aortic aneurysm. Endovascular repair remains superior to open repair in perioperative outcomes and short-term mortality. Open surgical repair is still considered definitive treatment for AAA and is associated with less future interventions and risk of secondary rupture