609 research outputs found

    Music Therapy’s Impact on Substance Abuse Recovery

    Get PDF
    Music therapy has been a viable means of treatment for various medical conditions such as; treating PTSD, mental illness and even used alongside cognitive behavior therapy practices. Since the 70’s licensed therapists have been utilizing music therapy to combat the effect of addiction caused by substance abuse disorders. Addiction impacts the lives of one in ten Americans and only eleven percent seek help in forms of addiction treatment centers or 12-step-programs. With the combination of music therapy, addiction patients can discover feelings and emotions that have been suppressed through years of substance abuse. Forms of music therapy being examined for the purposes of this paper include; writing lyrics, improvisational percussion, instrumental practice and group practice. By explain a brief overview of Alcoholic Anonymous and interviewing members if the program, the reader will see how the practices have helped anonymous members maintain sobriety for various lengths of time. Popular musicians, such as Eric Clapton and Mike Ness, have also utilized music in their own sobriety to continue to live a life of sobriety and thus allowing them to create music to this day. I also use music therapy practices in my own sobriety and hope to learn more about the music therapy field as I continue to pursue a career in music education. Music as a form of therapy allows patients to tune into their feelings in a new creative way while addressing the reasons behind their addiction

    From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge

    Get PDF
    From boundary object to boundary subject; the role of 1 the patient in coordination across complex systems of 2 care during hospital discharge 3 4 Abstract 5 Advocates for patient involvement argue that seeking the active contribution of 6 patients and families in the coordination of care can help mitigate system 7 complexity, and lead to improvements in quality. However, sociological and 8 organisational research has identified barriers to involving patients in care 9 planning, not least the power of, and boundaries between, multiple professional 10 groups. This study draws on literature from Science and Technology Studies (STS) 11 to explore the patients' role in coordinating care across professional-practice 12 boundaries in complex care systems. Findings are drawn from a two-year 13 ethnographic study (including 69 qualitative interviews) of hospital discharge 14 following hip-fracture care, and describe the changing role of the patient as they 15 move out of hospital into community settings. Findings describe how 'the patient' 16 plays a relatively passive role as boundary object while recovering from surgery 17 within hospital, where inter-professional coordination was prescribed by 18 evidence-based guidelines, leaving little space for patient voice. As discharge 19 planning begins, patient involvement is both encouraged and contested by 20 different professional groups, with varying commitment to include patient 21 subjectivities in care. As patients move into home and community settings, they, 2

    Periodic hyperdamping inclusions in resonant metamaterials for control of broadband vibroacoustic energy

    Get PDF
    The absorption of structural vibrations and noise is often essential to structural integrity and operator safety. These unwanted vibroacoustic energies are typically broadband, which presents a challenge to traditional resonance-based dampers. Additionally, low frequency vibrations and noise are particularly difficult to absorb in situations where lightweight solutions are required. Recent studies have shown that utilizing the elastic stability limit, or buckling point, can lead to a theoretically unbounded increase in damping ratio. Additionally, by embedding distributed masses within acoustic foams, damping is increased far beyond the capabilities of foam alone. By taking advantage of both this near-buckling phenomenon and distributed masses, this research investigates periodically arranged hyperdamping inclusions within foam for lightweight, broadband vibroacoustic damping capabilities. Behavior of hyperdamping metamaterial arrays is numerically and experimentally characterized. Acoustic models suggest that hyperdamping inclusions are more effective at noise absorption when spread apart, which is reflected in an acoustic and a vibration experimental study. An investigation of various arrangements of inclusions shows that having multiple inclusions perpendicular to the wave propagation axis is more effective than having multiple inclusions along the direction of wave propagation, which suggests that a plane of distributed inclusions most effectively increases vibroacoustic energy absorption. Hyperdamping inclusion arrays are demonstrated to be robust, in that hyperdamping architectures which are intentionally “mistuned” away from the elastic stability limit are still highly effective for broadband attenuation of waves. Hyperdamping inclusions are compared to traditional solid elastomer inclusions, and are shown to have comparable or increased energy absorption while weighing less. These findings demonstrate a new idea for a lightweight, broadband damping material system. The broad applications of this system include numerous vehicle systems, where weight is key to performance and high levels of energy dissipation are required.No embargoAcademic Major: Mechanical Engineerin

    Resource Rents, Democracy & the Eight Policy Lessons

    Get PDF
    We examine if resource revenues are likely to be managed more effectively with strong (or lack of) institutions and if so to contribute to economic development in resource abundant countries. We estimate a general model using evidence for the resource booms of the 1970-2012 period, resource rents, natural capital, socio-economic indicators and for institutions. Our results show 1) Countries with ample natural capital and subsoil wealth levels are associated to a healthier democracy which potentially mitigates the resource curse (RC); 2) High resource rents are negatively associated to weak institutional quality deepening the curse; 3) Long run economic growth is positively associated to natural capital but negatively associated for those countries that receive high resource rents. We recommend stronger transparency for revenue allocation, for sales of oil production, for the allocation of licences, and for revenue collection. One limitation is the lack of information: (energy) laws inducing economic growth. This paper contributes to explaining the long run impact of democratic change on managing resource revenue. Our three key conclusions are:1) Resource abundance across the world produces a strong income effect; 2) Institution quality emerges as the key mechanism from which the RC effect emanates; and 3)The RC effect does not appear in all countries at all times as some researchers argue.  Examinamos si las rentas de recursos naturales son probablemente mejor administradas bajo instituciones fuertes (o falta de estas), y de serlo así si eso contribuye al desarrollo económico de países con abundantes recursos naturales. Estimamos un modelo usando evidencia de booms (1970-2012) de recursos, rentas de recursos, capital natural, indicadores socio-económicos y de instituciones. Nuestros resultados son tres que 1) países con capital natural y riqueza del subsuelo están asociados a una sana democracia lo que mitiga la maldición de los recursos naturales (MRN); 2) altos niveles de renta están negativamente asociados a la baja calidad de instituciones lo que profundiza la maldición; 3) el crecimiento económico a largo plazo está asociado a el capital natural pero tal crecimiento esta negativamente asociado en países que registran altos percepciones de rentas. Recomendamos transparencia en: la distribución de rentas, las ventas de petróleo, distribución de licencias y la recaudación de rentas. Una limitación es la falta de información: leyes (sector energético) que produzcan el crecimiento. Explicamos el impacto de largo plazo de el cambio democrático sobre la gestión de la rentas. Nuestras tres conclusiones claves son: 1) La abundancia de recursos naturales en todo el mundo produce un fuerte efecto sobre los ingresos; 2) La calidad institucional emerge como un mecanismo clave del que emana el efecto MRN; y 3) El efecto MRN no aparece en todos los países en todo momento como argumentan algunos investigadores

    Becoming active in the micro-politics of healthcare re-organisation:The identity work and political activation of doctors, nurses and managers

    Get PDF
    The changing organisation and governance of healthcare work represents a persistent focus of micro-politics. Whilst there is a developed literature describing the micro-politics struggles that occur amongst health occupations, there is little understanding about how actors become politically aware and active. Framed by research on political activation and the concept of identity work, the paper reports on a narrative interview study with 65 people, specifically doctors, nurses and managers, working in the English healthcare system. The narratives show that healthcare workers become increasingly aware of and engaged in micro-political activities through incremental stages based on their accumulating experiences. These stages are opportunities for identity work as actors make sense of their experiences of micro-politics, their occupational affiliations and their evolving sense of self. This identity work is shaped by actors changing views about the morality of playing politics, the emotional implications of their engagement, and the deepening political commitments. The study shows that political socialisation and activation can vary between occupations and rather than assuming political affiliations are given or acquired the papers highlights the reflective agency of healthcare actors

    Bjerknes-like Compensation in the Wintertime North Pacific

    Get PDF
    Observational and model evidence has been mounting that mesoscale eddies play an important role in air–sea interaction in the vicinity of western boundary currents and can affect the jet stream storm track. What is less clear is the interplay between oceanic and atmospheric meridional heat transport in the vicinity of western boundary currents. It is first shown that variability in the North Pacific, particularly in the Kuroshio Extension region, simulated by a high-resolution fully coupled version of the Community Earth System Model matches observations with similar mechanisms and phase relationships involved in the variability. The Pacific decadal oscillation (PDO) is correlated with sea surface height anomalies generated in the central Pacific that propagate west preceding Kuroshio Extension variability with a ~3–4-yr lag. It is then shown that there is a near compensation of O(0.1) PW (PW ≡ 10^(15) W) between wintertime atmospheric and oceanic meridional heat transport on decadal time scales in the North Pacific. This compensation has characteristics of Bjerknes compensation and is tied to the mesoscale eddy activity in the Kuroshio Extension region
    corecore