Music Therapy for Patients Who Have Undergone Hematopoietic Stem Cell Transplant

Objectives. This study examines the short- and long-term QOL benefits of a music therapy intervention for patients recovering from hematopoietic stem cell transplantation (HSCT). Methods. Ninety allogeneic HSCT patients, after transplant, were randomized to receive ISO-principle (i.e., mood matching) based music therapy (MT; n = 29), unstructured music (UM; n = 30), or usual care (UC; n = 31) for four weeks. The ISO principle posits that patients may shift their mood from one state to another by listening to music that is equal to the individual\u27s initial mood state and subsequently listening to music selections that gradually shift in tempo and mood to match the patient\u27s desired disposition. Participants in MT and UM groups developed two audio CDs to help them feel more relaxed and energized and were instructed to use the CDs to improve their mood as needed. Short-term effects on mood and long-term effects on QOL were examined. Results. MT and UM participants reported improved mood immediately after listening to CDs; the within-group effect was greater for UM participants compared to MT participants. Participant group was not associated with long-term QOL outcomes. Conclusions. Music listening improves mood acutely but was not associated with long-term benefits in this study

The Athena X-ray Integral Field Unit: a consolidated design for the system requirement review of the preliminary definition phase

The Athena X-ray Integral Unit (X-IFU) is the high resolution X-ray spectrometer, studied since 2015 for flying in the mid-30s on the Athena space X-ray Observatory, a versatile observatory designed to address the Hot and Energetic Universe science theme, selected in November 2013 by the Survey Science Committee. Based on a large format array of Transition Edge Sensors (TES), it aims to provide spatially resolved X-ray spectroscopy, with a spectral resolution of 2.5 eV (up to 7 keV) over an hexagonal field of view of 5 arc minutes (equivalent diameter). The X-IFU entered its System Requirement Review (SRR) in June 2022, at about the same time when ESA called for an overall X-IFU redesign (including the X-IFU cryostat and the cooling chain), due to an unanticipated cost overrun of Athena. In this paper, after illustrating the breakthrough capabilities of the X-IFU, we describe the instrument as presented at its SRR, browsing through all the subsystems and associated requirements. We then show the instrument budgets, with a particular emphasis on the anticipated budgets of some of its key performance parameters. Finally we briefly discuss on the ongoing key technology demonstration activities, the calibration and the activities foreseen in the X-IFU Instrument Science Center, and touch on communication and outreach activities, the consortium organisation, and finally on the life cycle assessment of X-IFU aiming at minimising the environmental footprint, associated with the development of the instrument. Thanks to the studies conducted so far on X-IFU, it is expected that along the design-to-cost exercise requested by ESA, the X-IFU will maintain flagship capabilities in spatially resolved high resolution X-ray spectroscopy, enabling most of the original X-IFU related scientific objectives of the Athena mission to be retained. (abridged).Comment: 48 pages, 29 figures, Accepted for publication in Experimental Astronomy with minor editin

Magical movements ('phrul 'khor): Ancient yogic practices in the Bon religion and contemporary medical perspectives

Magical movement is a distinctive Tibetan practice of physical yoga in which breath and concentration of the mind are integrated as crucial components in conjunction with particular body movements. Present in all five spiritual traditions of Tibet---some more prevalent than others---it has been part of their spiritual training since at least the tenth century C.E. Focusing on the magical movement from the ancient Bon tradition's Oral Transmission of Zhang Zhung and its contemporary representatives and lineageholders, this dissertation will include textual translation and analysis as well as ethnographical research reporting how it is used in Bon lay settings and monastic curricula today. In particular I will use a commentary by the famous Bonpo scholar and meditator Shardza Tashi Gyaltsen, who allegedly attained the rainbow body in 1934 (a sign, in the tradition, of the highest contemplative state). He was also part of the non-sectarian ( ris med) Tibetan movement of his time. Although this aspect does not transpire in his Commentary, I feel that Shardza's example is present as an inspiration to the spirit in which I relate to the context of the practice and material contained in his text. Examining the use of the subtle body in magical movement and the understanding of "magic" in that context, I propose that here magic can have the external meaning of magic, the internal meaning of medicine and the most internal or secret meaning of mysticism. Thus, these magical movements provide the yogin or practitioner an opportunity to break through or go beyond the limitations of the body and to bring forth the mystical experiences together with the magical and healing aspects. Finally, tracing the migration of this practice to the West, both in dharma or Buddhist centers and the contemporary Western medical settings, I report some of the benefits of using these mind-body techniques as part of a CIM (Complementary and Integrative Medicine) treatment for people with cancer. This may allow magical movement to participate in a larger dialogue, one that extends the conversation to the fields medical humanity and integrative medicine, among others

Feasibility of a meditation intervention for stroke survivors and informal caregivers: a randomized controlled trial

Abstract Background Depressive symptoms are a significant psychological complication of stroke, impacting both survivors and informal caregivers of survivors. Randomized controlled trials are needed to determine optimal non-pharmacological strategies to prevent or ameliorate depressive symptoms in stroke survivors and their informal caregivers. Methods A prospective, randomized, parallel-group, single-center, feasibility study. Participants were assigned to a 4-week meditation intervention or expressive writing control group. The intervention comprised four facilitator-led group meditation sessions, one session per week and building upon prior session(s). Descriptive statistics were used to examine the proportion of eligible individuals who enrolled, retention and adherence rates, and the proportion of questionnaires completed. Data were collected at baseline, immediately after the 4-week intervention period, and 4 and 8 weeks after the intervention period. Secondary analysis tested for changes in symptoms of depression (Center for Epidemiologic Studies-Depression [CES-D]), anxiety [State-Trait Anxiety Inventory for Adults (STAI)], and pain (Brief Pain Inventory-Short Form) in the intervention group via paired t tests. Linear mixed models were used to compare longitudinal changes in the measures between the groups. Intervention and trial design acceptability were preliminary explored. Results Seventy-one (77%) individuals enrolled and 26 (37%) completed the study (baseline and 8-week post-intervention visits completed). Forty-two (66%) participants completed baseline and immediate post-intervention visits. Mean questionnaire completion rate was 95%. The median meditation group session attendance rate for the intervention group was 75.0%, and the mean attendance rate was 55%. Non-significant reductions in CES-D scores were found. Paired t tests for stroke survivors indicated a significant reduction from baseline through week 8 in BPI-sf severity scores (p = 0.0270). Repeated measures analysis with linear mixed models for informal caregivers indicated a significant reduction in in STAI-Trait scores (F [3,16.2] = 3.28, p = 0.0479) and paired t test showed a significant reduction from baseline to week 4 in STAI-Trait scores (mean = − 9.1250, 95% CI [− 16.8060 to 1.4440], p = 0.0262). No between-group differences were found. Conclusions Future trials will require strategies to optimize retention and adherence before definitive efficacy testing of the meditation intervention. Trial registration: ClinicalTrials.gov Identifier: NCT03239132. Registration date: 03/08/201