301 research outputs found
The NItty Gritty: INDOT and Title VI
This presentation provides Title VI requirements for Indiana local public agencies. Ken Woodruff opens the session with the history of Title VI and why we care. Erin Hall discusses the specifics of EJ and LEP within Title VI and what they look for. Cathy Gross provides information on networks and resources for LPAs
ADA and Title VI for the Elected Official
This session provides practical steps to assist elected officials in removing barriers to accessibility and evaluating their programs for potential discrimination. Once plans and policies are in place, it can be challenging to get these programs moving, and even more challenging to sustain them over the long term. INDOT, FHWA, and the Indiana Title VI and ADA Coordinatorsā Association will connect attendees to available resources for administering these programs and maintaining compliance with the Title VI and ADA requirements
Canadian Music Therapistsā Perspectives on the Current State of Music Therapy as a Profession in Canada
Although the profession of music therapy has made many advances since the Canadian Association for Music Therapy (CAMT) was established in 1974, it is still a relatively new profession and as such, faces a variety of challenges. However, it is not known how these challenges are perceived by Canadian music therapistsāāall of whom live in diverse urban and rural regions of a geographically large country and work within different provincial/territorial healthcare and education systems. Furthermore, it is not known how these diverse experiences impact upon Canadian music therapistsā current views of the profession. Therefore, the purpose of this study was to examine Canadian music therapistsā perspectives on the current state of music therapy as a profession in Canada. Participants (N = 87) completed an online survey that examined their perceptions of the definition of music therapy, scope of practice, professional certification, government regulation, and professional advocacyāāall in relation to the profession of music therapy in Canada. Results indicated that a majority of respondents believed that both the CAMTās definition of music therapy and the Music Therapy Association of Ontarioās (MTAO) scope of practice statement are representative of the current profession and practice of music therapy in Canada. However, respondentsā perceptions were more varied in the other areas of the survey. Potential implications for the profession as well as areas for further research are discussed.
Keywords: music therapy, Canada, profession, professionalization, surve
Les perspectives des musicothƩrapeutes sur le statut actuel de la musicothƩrapie en tant que profession au Canada.
MeĢme si la musicotheĢrapie en tant que profession a grandement eĢvolueĢ depuis la fondation de lāAssociation de musicotheĢrapie du Canada (AMC) en 1974, elle demeure une profession relativement jeune qui fait face aĢ de nombreux deĢfis. Cependant, nous ne savons pas comment ces deĢfis sont percĢ§us par les musicotheĢrapeutes canadiens qui habitent les diffeĢrentes reĢgions d'un vaste pays, et comment ceux-ci travaillent au sein de divers systeĢmes de santeĢ et dāeĢducation tant provinciaux que reĢgionaux. De plus, nous ne savons pas comment ces expeĢriences varieĢes influencent les perspectives des musicotheĢrapeutes canadiens sur la profession. Le but de cette eĢtude vise aĢ examiner les vues de musicotheĢrapeutes canadiens sur le statut actuel de la musicotheĢrapie en tant que profession au Canada. En automne 2012, les participants (N = 87] ont rempli un sondage en ligne qui reĢveĢle leurs perceptions de la deĢfinition de la musicotheĢrapie de l'AMC, des champs dāapplication, de la certification professionnelle, de la reĢglementation gouvernementale ainsi que des associations professionnelles. Les reĢsultats deĢmontrent quāune majoriteĢ de reĢpondants croit que la deĢfinition de la musicotheĢrapie de l'AMC ainsi que les champs d'application de lāassociation de musicotheĢrapie de l'Ontario (MTAO) sont repreĢsentatifs de la profession actuelle et des champs d'application de la musicotheĢrapie au Canada. Cependant, les perceptions des reĢpondants ont eĢteĢ plus diversifieĢes dans dāautres sections du sondage. Des applications potentielles et des recommandations pour la progression et la continuiteĢ de la recherche sont discuteĢes
Canadian music therapistsā perspectives on the current state of music therapy as a profession in Canada
Although the profession of music therapy has made many advances since the Canadian Association for Music Therapy (CAMT) was established in 1974, it is still a relatively new profession and, as such, faces a variety of challenges. However, it is not known how these challenges are perceived by Canadian music therapists who live in diverse regions of a geographically large country and work within different provincial and regional health care and education systems. Furthermore, it is not known how these diverse experiences impact upon Canadian music therapists' views of the profession. The purpose of this study was to examine Canadian music therapists' perspectives on the current state of music therapy as a profession in Canada. In Fall 2012, participants [N = 87) completed an online survey that examined their perceptions of the CAMT definition of music therapy, scope of practice, professional certification, government regulation, and professional advocacy. Results indicated that a majority of respondents believed that both the CAMTās definition of music therapy and the Music Therapy Association of Ontarioās (MTAO) scope of practice statement are representative of the current profession and practice of music therapy in Canada. However, respondentsā perceptions were more varied in other areas of the survey. Potential implications and recommendations for the profession and for further research are discussed
Purposeful Interventions for Older Adults Post-Joint Replacement Surgery: An Evidence-Based Project
The overall focus of each of case scenarios are related to assessment or interventions that are related to Choosing Wisely Campaign items 1, 2, 3, 5, 8, 10. Case scenarios were developed related to each initiative with clientele and conditions across the lifespan in various practice settings. Practice settings included school district, outpatient pediatric, primary care, skilled nursing facility, work rehabilitation, and acute care
Magnitude, impact, and stability of primary headache subtypes: 30 year prospective Swiss cohort study
Objective To determine the prevalence, impact, and stability of different subtypes of headache in a 30 year prospective follow-up study of a general population sample
Transition to forefoot strike reduces load rates more effectively than altered cadence
Background
Excessive vertical impacts at landing are associated with common running injuries. Two primary gait-retraining interventions aimed at reducing impact forces are transition to forefoot strike (FFS) and increasing cadence (CAD). The objective of this study was to compare the short- and long-term effects of 2 gait-retraining interventions aimed at reducing landing impacts.
Methods
A total of 39 healthy recreational runners using a rearfoot strike and a CAD of ā¤170 steps/min were randomized into CAD or FFS groups. All participants performed 4 weeks of strengthening followed by 8 sessions of gait-retraining using auditory feedback. Vertical average load rates (VALR) and vertical instantaneous load rates were calculated from the vertical ground reaction force curve. Both CAD and foot strike angle were measured using 3-dimensional motion analysis and an instrumented treadmill at baseline and at 1 week, 1 month, and 6 months after retraining.
Results
Analysis of variance revealed that the FFS group had significant reductions in VALR (49.7%) and vertical instantaneous load rates (41.7%), and changes were maintained long term. Foot strike angle in the FFS group changed from 14.2Ā° dorsiflexion at baseline to 3.4Ā° plantarflexion, with changes maintained long term. The CAD group exhibited significant reduction only in VALR (16%) and only at 6 months. Both groups had significant and similar increases in CAD at all follow-ups (CAD, +7.2% to 173 steps/min; and FFS, +6.1% to 172 steps/min).
Conclusion
FFS gait-retraining resulted in significantly greater reductions in VALR and similar increases in CAD compared to CAD gait-retraining in the short and long term. CAD gait-retraining resulted in small reductions in VALR at only the 6-month follow-up
Pilot study shows skin-to-skin care with parents improves heart rate variability in preterm infants in the neonatal intensive care unit
BackgroundSkin-to-skin care in the newborn intensive care unit typically lasts for short periods of time and enhances breastfeeding, attachment, and parental self-esteem. Heart rate variability (HRV) increases with gestational age and is a measure of maturation of parasympathetic vs. sympathetic autonomic nervous system activity. HRV measurements may be useful in capturing changes in autonomic regulation in response to skin-to-skin care.ObjectiveTo analyze the effects of skin-to-skin care on HRV in preterm infants receiving respiratory support. We hypothesized that skin-to-skin care would result in a more mature pattern of parasympathetic activity.MethodsIn this prospective crossover study, infants <30 weeks' gestation and 1ā6 weeks postnatal age had HRV recorded for 30ā
min before, during, and after skin-to-skin care sessions. HRV characteristics analyzed included the standard deviation of the normal-to-normal interval (SDNN), the root mean squared of successive differences of normal-to-normal intervals (RMSSD), and the standard deviation of decelerations (SDDec).Results10 infants between 25 5/7ā29 6/7 weeks gestational age and 7ā41 days postnatal age completed 22 sessions while receiving respiratory support (positive pressure ventilation or nasal cannula oxygen). Two measures of HRV (SDNN and RMSSD) were significantly decreased by the end of the skin-to-skin sessions, compared to pre-session values. SDNN decreased from a median of 10.44ā
ms before the session to 6.70ā
ms after being placed back in bed (pā<ā0.05), with RMSSD decreasing from a median of 6.80ā
ms before the session to 4.32ā
ms while being held at the end of 30ā
min (pā<ā0.05).DiscussionSkin-to-skin care with a parent resulted in a more mature autonomic nervous system pattern in preterm infants receiving respiratory support, suggesting physiologic benefit for the infant. No adverse events were seen during any session
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