The effects of clinical hypnosis versus Neurolinguistic Programming (NLP) before External Cephalic Version (ECV) : a prospective off-centre randomised, double-blind, controlled trial

Objective. To examine the effects of clinical hypnosis versus NLP intervention on the success rate of ECV procedures in comparison to a control group. Methods. A prospective off-centre randomised trial of a clinical hypnosis intervention against NLP of women with a singleton breech fetus at or after 370/7 (259 days) weeks of gestation and normal amniotic fluid index. All 80 participants heard a 20-minute recorded intervention via head phones. Main outcome assessed was success rate of ECV. The intervention groups were compared with a control group with standard medical care alone (n=122). Results. A total of 42 women, who received a hypnosis intervention prior to ECV, had a 40.5% (n=17), successful ECV, whereas 38 women, who received NLP, had a 44.7% (n=17) successful ECV (P > 0.05). The control group had similar patient characteristics compared to the intervention groups (P > 0.05). In the control group (n = 122) 27.3% (n = 33) had a statistically significant lower successful ECV procedure than NLP (P = 0.05) and hypnosis and NLP (P = 0.03). Conclusions. These findings suggest that prior clinical hypnosis and NLP have similar success rates of ECV procedures and are both superior to standard medical care alone

2018-2019 Master Class - Alessandro Deljavan (Piano)

https://spiral.lynn.edu/conservatory_masterclasses/1178/thumbnail.jp

Patterns of fossil distributions within their environmental context from the Middle Triassic in South Canyon, Central Nevada, USA

AbstractThe Middle Triassic records the return of diverse marine communities after the severe effects of the end-Permian mass extinction. This diversification leads to the Mesozoic/modern adaptive radiation resulting in substantial changes in marine communities in comparison to their Paleozoic predecessors. This analysis focuses on the faunal abundance, ecological patterns, and environmental interpretation of a Middle Triassic section in Central Nevada. Twelve bulk samples were collected. Visible fossils were identified and tallied from hand samples and thin-sections were used to aid in environmental interpretation. Beginning in the Late Anisian, we observed an ammonoid dominated to flat-clam, epifaunal dominated benthic community within a muddy, quiet, inner shelf depositional environment. Through time, epifaunal bivalves dominate within a middle shelf environment followed by an increase in infaunalization and shell-thickness. During this time the presence of oncoids and the reported finding of corals suggest the middle shelf environment gave way to a higher energy patch reef shelf edge environment. Finally, we observe epifaunal brachiopods communities at the top of our section deposited in a middle shelf environment. In sum, we observe the dominance of modern taxa (i.e., bivalves) with Paleozoic ecologies (i.e., epifaunal), followed by the dominance of modern taxa with Modern ecologies (i.e., infaunal, thick shells) and then a return to Paleozoic taxa (i.e., brachiopods) and Paleozoic ecologies within an overall transgressive environment

Higher quality quit-date goal setting enhances quit attempts among quitline callers

INTRODUCTION At tobacco quitlines, coaching and cessation medications are commonly structured around setting a date for making a quit attempt. However, limited literature evaluating this practice suggests that callers do not routinely set quit-date goals. High quality goal setting may increase the frequency of caller quit attempts. In this study, we examine the quality of quit-date goal setting and its association with in-program quit attempts and the timing of callers' first quit attempt. METHODS Using call recordings, we scored the quality of quit-date goal setting among 90 callers enrolled at Arizona Smokers' Helpline between August and December 2017. The primary exposure was quality of quit-date goal setting assessed using the Lorencatto et al. rating scale. Coding reliability was assessed using Cohen's kappa. Multivariable logistic regression was used to examine the association between quality of goal setting and in-program quit attempts (>24 h tobacco free). RESULTS The mean quality goal setting score was 3.1 (range: -3 to 7). Sixty-nine callers (77%) set a quit date and 39 (43%) made a quit attempt. Compared to callers who experienced low-quality goal setting, the adjusted odds of in-program quitting for high quality goal setting was AOR=3.98 (95% CI: 1.55-10.20) and for making a quit attempt within two weeks OR=6.23 (95% CI: 1.52-25.49). CONCLUSIONS Quit-date goal setting is an important element of quitline services and callers benefit from high quality quit-date goal setting. Quitlines should establish quality improvement measures to ensure that coaches are trained to provide high quality quit-date goal setting opportunities to all callers.Arizona Department of Health Services [ADHS11-007339, ADHS16-106672, ADHS13-026130:5]; NIH-NCI Cancer Center [P30 CA023074]Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]