Multidisciplinary Team Approach Effect On Pediatric Severe Asthma

Problem. Children with severe asthma are more likely to be non-adherent with their prescribed medications, often related to barriers. A holistic assessment of these patients has been suggested, but is not typically performed in most pediatric asthma clinics. The purpose of this project was to evaluate the effects of severe pediatric asthma clinic services designed to perform holistic assessments and provide comprehensive care. Methods. An observational, descriptive design was used to evaluate the Severe Asthma Clinic for Kids (SACK) created in 2013 using a retrospective database review. A convenience sample of data collected on all children treated in the clinic from January 2014 through January 2020 was evaluated. Results. A total of 144 SACK patients (N=144) revealed 121 (84%) had more than one visit to the clinic. During their initial visit, 94 (65.28%) reported at least one barrier to care; however, the number of barriers steadily decreased to zero for those experiencing at least six clinic visits. Caregiver’s quality of life scores increased 31% per visit (p=0.0009), asthma control test scores increased 89% per visit (ppp=0.1157), the number of emergency (ED) visits and hospitalizations was essentially zero. Implications for Practice. The SACK clinic for children provided a multidisciplinary approach to the evaluation and management of children with asthma. A multidisciplinary team approach allowed for removal of barriers to care and improved the control of asthma and quality of life for children

The Effectiveness of Traction in a Patient with Recurring Neck Pain: A Case Report

Background and Purpose: According to Hoya et aI, neck pain is a common problem throughout the world, affecting 10.4-21.3% of the population each year. 50-85% of people with a new episode of neck pain will have a recurrence of neck pain 1-5 years later. Mechanical traction is an intervention commonly used to treat neck disorders; however, there is little current research supporting or refuting the effectiveness of the use of mechanical traction for neck pain. The purpose of this case report is to discuss the effectiveness of using mechanical traction in one patient with a recurring incidence of neck, shoulder, and temporomandibular (TMJ) pain. Case Description: A 40 year old female presented to physical therapy with neck, shoulder, and TMJ pain for the past eight months after a whiplash injury. She previously had this same problem two years prior and said it was completely resolved with mechanical traction, only after several unsuccessful attempts with other interventions. The patient was seen for five visits over a 15 day period. She was diagnosed based on findings during the examination and magnetic resonance imaging (MRI) results. Interventions were chosen based on her diagnosis and previous successful treatments with mechanical traction. Discussion: The use of mechanical traction appeared to have decreased the patient\u27s neck, shoulder and TMJ symptoms. Other interventions were utilized including exercise, stretching, and STM. Therefore it is difficult to prove whether or not the use of mechanical traction improved the patient\u27s symptom

Worry in children : proposal and test of a cognitive model.

Although worry is common in children, little is known about its development and maintenance. The current study reviews several areas of the literature to inform a comprehensive cognitive model of clinical worry in children. Parental influences on child anxiety broadly are reviewed, followed by a discussion of empirically supported cognitive models of worry in adult samples. Next, the potential impact of cognitive development on childhood worry is presented. A cognitive model is then proposed, and empirical support for the model is reviewed. Finally, a portion of the model is identified and tested empirically. Specifically, this study tests the hypothesis that cognitive development will predict the cognitive variables of threat interpretation, beliefs about worry, negative problem orientation, and intolerance of uncertainty (IU). It is also hypothesized that the cognitive variables will predict worry and that this association will be moderated by child development, such that the predictive power of the cognitive variables increases with child development. It was also hypothesized that female children will score higher than male children on the four cognitive variables and on measures of worry. Finally, it was predicted that scores on the cognitive variables will discriminate children with clinical levels of worry from those with nonclinical levels of worry. Children were recruited from public and private schools. A total of 80 children between the ages of 8 and 12 years completed the study. Overall, hypotheses were partially supported. Cognitive development, as measured by child age, explained variance in intolerance of uncertainty, negative problem orientation, and negative beliefs about worry. Intolerance of uncertainty, negative problem orientation, and negative beliefs about worry significantly predicted worry, and negative beliefs about worry emerged as the strongest predictor. Threat interpretation and positive beliefs about worry were not correlated with worry. Female children reported higher levels of negative beliefs about worry and negative problem orientation, but not worry. Finally, intolerance of uncertainty, negative beliefs about worry, and negative problem orientation discriminated clinical from nonclinical levels of worry. Exploratory analyses examined potential developmental trends in associations between the cognitive variables and worry. Findings are discussed in terms of theoretical and clinical implications and suggestions for future research are offered

Ch. 05 - Transforming Music Education Re-Visited: The Significance of Internationalization and Mentoring

This chapter returns to Jorgensen’s 2003 publication Transforming Music Education. Kertz-Welzel revisits significant aspects of transformation in music education which Jorgensen suggests, and which are still important today. The author also emphasizes additional dimensions that are critical in the 21st century, such as internationalization and mentoring. Through the formation of the International Society for the Philosophy of Music Education, philosophy of music education was significantly transformed. Internationalization in a respective field is always connected to the engagement of individual researchers who shape it and attract others to become part of it. Therefore, mentoring young scholars is an important aspect of successful internationalization

Luxury, Aesthetics And Politics: The Social Lives Of Medieval Romance

This dissertation project traces a cultural reception of the romance genre in England and France in the late fourteenth century. In compiling lengthy descriptions of courtly trappings, medieval romances serve as vehicles for idealized aristocratic self-presentation and thereby become complicit in associating material luxury with aristocratic power. I argue that while the changes in material technologies of medieval textual production break down the exclusivity of romance by opening the texts to wider reading publics, the positive representations of luxury in verbal ornament and visual programs of narrative art objects continue the perpetuation of aristocratic privilege. Chapter One examines the Shield of Gawain in Sir Gawain and the Green Knight and the Trojan image-texts in Chaucer’s House of Fame as imitatio of Virgilian ekphrases, theorizing medieval understanding of a Greek poetic device. Chapter Two analyzes the Tryst beneath the Tree episode from Tristan and Isolde as it is rendered on fourteenth-century Parisian ivory caskets, situating the composition within the larger visual program that teaches aristocratic women about heterosexual desire through a negotiation of sight and touch. Chapter Three reads Pearl as a romance-adjacent text and a material object, identifying an emotional community within which the positive vocabulary of aristocratic luxury is deployed as a vehicle for communicating intricate feelings of loss, and where salvation becomes the ultimate aesthetic experience. The dissertation culminates with Chapter Four, which examines Chaucer’s Troilus and Criseyde and the Breton lay Emar� as texts that thematize a romance encounter and invite the associative reading of romance. By attending to the surface pleasures of romance within these seemingly disparate texts, this dissertation locates the genre’s unique aesthetic—a preoccupation with surfaces, conventions, and the boundaries of the perceptible and the experiential. As such, this project intervenes in the growing field of medieval aesthetics. As a feature of both its internal worlds and its physical media, luxury gives us a sense of how romance mediates the aesthetic encounter, while constructing aristocratic ideals and celebrating earthly pleasures

In Search of a Better World? Reconsidering Sociology and Music Education as Utopian Fields

Music education research has in recent years been interested in defining music education’s societal mission. Concepts such as praxial music education, artistic citizenship, or an activist approach tried to determine that music education’s foremost task would be to transform societies. This seemed urgent in view of global crises. But is music education’s foremost mission really social change? To a certain degree, this is a sociological question. To answer it, a look back to the beginnings of sociology as a field of research is a promising way to go. When sociology emerged as a specific field of investigation, it was not clear if its task would be only analyzing how societies work or proposing necessary changes. The tension between the present and the future, between reality and “utopia” was significant for an emerging field. But the close connection to utopia got lost over time. Sociologist Ruth Levitas revives the approach of understanding sociology as a utopian field and develops the concept of the imaginary reconstitution of society. Furthermore, scholars in utopian studies or political science emphasize the usefulness of utopia in critical relation to transforming societies. Understanding sociology as a utopian field could provide innovative ideas for music education

Consumer choice in a sequence of spot and futures markets

Issued as Annual technical report, and Final report, Project no. G-37-602Final report has title: Consumer choice in a sequence of spot and futures market

Optional stopping and decision making in discrete parameter stochastic processes

Issued as Progress report, and Final report, Project no. G-37-61