Attitudes Toward and Willingness to Use Music Therapy in Southern Mississippi

The purpose of this study was to determine the attitudes toward and willingness to use music therapy in the population without previous medical conditions and to determine if there was a difference in attitudes toward music therapy between genders and age groups. A 19-question, 5-point Likert scale survey assessing the knowledge and attitudes of music therapy was distributed via a faculty, staff, and student email listserv at The University of Southern Mississippi and Facebook. Additionally, two demographic questions were asked. Overall, the participants (n=184) in this study reported positive attitudes toward the use of music therapy. Females and adults ages 45-54 reported the most positive attitudes about music therapy. These findings support the use of music therapy as a complementary treatment option in these groups

Patient Knowledge And Perception Regarding Antibiotic Misuse In Primary Care

The Centers for Disease Control (CDC) and Prevention’s 2019 Antibiotic Resistant Threats Report shows that antibiotic-resistant bacteria and fungi cause more than 2.8 million infections and 35,000 deaths in the United States each year. This equates to at least one infection every 11 seconds and one death resulting from antibiotic resistance every 15 minutes. The CDC states that there were almost twice as many deaths each year from antibiotic resistance compared to statistics reported in 2013 (CDC, 2019a). Proper antibiotic use is the responsibility of the provider and the patient. Patient knowledge should consist of how to prevent antibiotic misuse, certain disease processes that require antibiotics, and the significance of taking antibiotics as prescribed. Therefore, determining if the patient has a thorough knowledge of these particular factors could help prevent one of the major threats faced worldwide today, which is antibiotic resistance. The purpose of this study was to determine if the patient has knowledge of risk factors associated with antibiotic misuse. The researchers conducted a quantitative, descriptive study using a convenience sampling of 500 patients from eight clinics located in Mississippi. This study consisted of a voluntary questionnaire given to patients within these clinics. Prior to conducting the study, consent was obtained from the Institutional Review Board (IRB) at the Mississippi University for Women. For data collection, the researchers used a data collection questionnaire, which included demographics such as age, gender, insurance provider, and education level. After data collection, the data was subjected to analyses using descriptive statistics including knowledge, misuse, and perception regarding antibiotics. The results of this study showed this sample of respondents were quite knowledgeable about antibiotic use and thus are expected to be more likely to use antibiotics appropriately. However, those at greater risk for misuse (those less knowledgeable) are less likely to perceive that their health care provider is knowledgeable regarding antibiotic use

Evidence in the learning organization

<p>Abstract</p> <p>Background</p> <p>Organizational leaders in business and medicine have been experiencing a similar dilemma: how to ensure that their organizational members are adopting work innovations in a timely fashion. Organizational leaders in healthcare have attempted to resolve this dilemma by offering specific solutions, such as evidence-based medicine (EBM), but organizations are still not systematically adopting evidence-based practice innovations as rapidly as expected by policy-makers (the knowing-doing gap problem). Some business leaders have adopted a systems-based perspective, called the learning organization (LO), to address a similar dilemma. Three years ago, the Society of General Internal Medicine's Evidence-based Medicine Task Force began an inquiry to integrate the EBM and LO concepts into one model to address the knowing-doing gap problem.</p> <p>Methods</p> <p>During the model development process, the authors searched several databases for relevant LO frameworks and their related concepts by using a broad search strategy. To identify the key LO frameworks and consolidate them into one model, the authors used consensus-based decision-making and a narrative thematic synthesis guided by several qualitative criteria. The authors subjected the model to external, independent review and improved upon its design with this feedback.</p> <p>Results</p> <p>The authors found seven LO frameworks particularly relevant to evidence-based practice innovations in organizations. The authors describe their interpretations of these frameworks for healthcare organizations, the process they used to integrate the LO frameworks with EBM principles, and the resulting Evidence in the Learning Organization (ELO) model. They also provide a health organization scenario to illustrate ELO concepts in application.</p> <p>Conclusion</p> <p>The authors intend, by sharing the LO frameworks and the ELO model, to help organizations identify their capacities to learn and share knowledge about evidence-based practice innovations. The ELO model will need further validation and improvement through its use in organizational settings and applied health services research.</p

Performance of Let the Bright Seraphim (from Samson, an oratorio) by George Frideric Handel

Handel’s oratorio Samson was first performed in London in 1743. Written shortly after his celebrated Messiah, it soon fell out of favor; however, several selected numbers have retained their popularity to this day. The libretto is based on Samson Agonistes, John Milton’s dramatization of the biblical book of Judges. In “Let the Bright Seraphim,” an Israelite woman calls upon heavenly hosts to commemorate Samson’s heroic death and triumph over the Philistines. The piece is an example of the archetypal genre of Baroque vocal music, the da capo aria. Da capo arias are cast in ternary form – a structure in three parts consisting of an opening section (A), a contrasting episode (B), and a return to the opening statement (A’) that typically incorporates added ornamentation to showcase the virtuosic abilities of the singer. Interestingly, the da capo aria’s formal contrasts do not necessarily correlate to textual changes, as is the case in “Let the Bright Seraphim.” This rigidity of the musical form with respect to the text led to increasing criticism and declining popularity of the da capo aria at the end of the 18th century

AngioVac debulking of a tricuspid valve mass following complex lead extraction in a rare case of Austrian syndrome: a case report.

BACKGROUND: The European Society of Cardiology recommends surgical valvular intervention in right-sided infective endocarditis for persistent vegetations \u3e20 mm after recurrent pulmonary emboli, infection with a difficult-to-eradicate organism with \u3e7 days of persistent bacteraemia, or tricuspid regurgitation causing right-sided heart failure. In this case report, we discuss the role of percutaneous aspiration thrombectomy for a large tricuspid valve (TV) mass as an alternative to surgery due to poor surgical candidacy in a patient with Austrian syndrome, following a complex implantable cardioverter defibrillator (ICD) device extraction. CASE SUMMARY: A 70-year-old female presented to the emergency department after being found acutely delirious at home by family. Infectious workup was notable for growth of DISCUSSION: Percutaneous aspiration thrombectomy of right-sided valvular lesions has been introduced as a minimally invasive approach to avoid or delay valvular surgery. When intervention is indicated for TV endocarditis, AngioVac percutaneous thrombectomy may be a reasonable operative approach, particularly in patients who are at high risk for invasive surgery. We report a case of successful AngioVac debulking of a TV thrombus in a patient with Austrian syndrome

Beyond Amitriptyline: A Pediatric and Adolescent Oriented Narrative Review of the Analgesic Properties of Psychotropic Medications for the Treatment of Complex Pain and Headache Disorders

Children and adolescents with recurrent or chronic pain and headache are a complex and heterogenous population. Patients are best served by multi-specialty, multidisciplinary teams to assess and create tailored, individualized pain treatment and rehabilitation plans. Due to the complex nature of pain, generalizing pharmacologic treatment recommendations in children with recurrent or chronic pains is challenging. This is particularly true of complicated patients with co-existing painful and psychiatric conditions. There is an unfortunate dearth of evidence to support many pharmacologic therapies to treat children with chronic pain and headache. This narrative review hopes to supplement the available treatment options for this complex population by reviewing the pediatric and adult literature for analgesic properties of medications that also have psychiatric indication. The medications reviewed belong to medication classes typically described as antidepressants, alpha 2 delta ligands, mood stabilizers, anti-psychotics, anti-sympathetic agents, and stimulants

Unlocking the Power of Experiential Learning: Student Reported Changes Following Combined NICU Instruction

Purpose: This study aimed to assess the impact of in-person observation, in conjunction with didactic lectures, on students\u27 perceived knowledge of speech-language pathology\u27s (SLP) role and the roles of other healthcare professionals within the Neonatal Intensive Care Unit (NICU). Method: Data for this study were initially collected for educational purposes and were later retrospectively analyzed with Institutional Review Board (IRB) approval. Ten participants who met the inclusion criteria underwent a didactic lecture on SLPs in the NICU followed by observing an SLP in action at a local NICU. Participants completed multiple surveys, allowing for a comparison of their perceived knowledge before and after in-person observation. Results: Participants reported increased self-perceived knowledge regarding the involvement of interdisciplinary team members in a NICU setting (Q3, Q11) and heightened self-reported training on the role of SLPs in the NICU post-observation. However, for five questions (Q2, Q4, Q7, Q8, Q10), mean scores increased from pre-lecture to post-lecture, only to decrease from post-lecture to post-observation. Conclusions: This study\u27s findings suggest that students exhibit an improved overall understanding of the composition of NICU interdisciplinary teams and report a heightened sense of training when exposed to a combination of didactic lectures and experiential learning