280 research outputs found

    Music Listening as Therapy

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    Music is a universal phenomenon and is a real, physical thing. It is processed in neural circuits that overlap with language circuits, and it exerts cognitive, emotional, and physiological effects on humans. Many of those effects are therapeutic, such as reduced symptoms of physical and mental ailments. Music is the result of the elements rhythm, melody, harmony, timbre, dynamics, and form. Rhythm is the focus of pop music, and melody is the focus of classical music. The mind perceives and organizes music in learned, consistent ways in order to generate predictions and extract meaning. There are perceptual laws and information processing limitations to this process. Predictions are based in schematic and veridical approaches, which give rise to expectations. Frustrated expectations result in an effective response. Music only has meaning unto itself and the music listener ascribes any extra-musical meaning. This includes any emotional meaning. The unfolding of a song is much like how Gestalt Therapy theory conceptualizes human experience. Mindfulness offers a clear definition of how one can frame and approach experience to support health and well-being. MinMuList (said β€œmin-mew-list”) is an evidenced-based workshop that offers a concise discussion and straightforward methods for implementation of these aspects of music and psychology

    Polar Smectic Films

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    We report on a new experimental procedure for forming and studying polar smectic liquid crystal films. A free standing smectic film is put in contact with a liquid drop, so that the film has one liquid crystal/liquid interface and one liquid crystal/air interface. This polar environment results in changes in the textures observed in the film, including a boojum texture and a previously unobserved spiral texture in which the winding direction of the spiral reverses at a finite radius from its center. Some aspects of these textures are explained by the presence of a Ksb term in the bulk elastic free energy density that favors a combination of splay and bend deformations.Comment: 4 pages, REVTeX, 3 figures, submitted to PR

    Embodied Discourses of Literacy in the Lives of Two Preservice Teachers

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    This study examines the emerging teacher literacy identities of Ian and A.J., two preservice teachers in a graduate teacher education program in the United States. Using a poststructural feminisms theoretical framework, the study illustrates the embodiment of literacy pedagogy discourses in relation to the literacy courses’ discourse of comprehensive literacy and the literacy biographical discourses of Ian and A.J. The results of this study indicate the need to deconstruct how the discourse of comprehensive literacy limits how we, as literacy teacher educators, position, hear and respond to our preservice teachers and suggests the need for differentiation in our teacher education literacy courses

    Expanding global access to radiotherapy

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    Radiotherapy is a critical and inseparable component of comprehensive cancer treatment and care. For many of the most common cancers in low-income and middle-income countries, radiotherapy is essential for effective treatment. In high-income countries, radiotherapy is used in more than half of all cases of cancer to cure localised disease, palliate symptoms, and control disease in incurable cancers. Yet, in planning and building treatment capacity for cancer, radiotherapy is frequently the last resource to be considered. Consequently, worldwide access to radiotherapy is unacceptably low. We present a new body of evidence that quantifies the worldwide coverage of radiotherapy services by country. We show the shortfall in access to radiotherapy by country and globally for 2015-35 based on current and projected need, and show substantial health and economic benefits to investing in radiotherapy. The cost of scaling up radiotherapy in the nominal model in 2015-35 is US26β‹…6billioninlowβˆ’incomecountries,26Β·6 billion in low-income countries, 62Β·6 billion in lower-middle-income countries, and 94β‹…8billioninupperβˆ’middleβˆ’incomecountries,whichamountsto94Β·8 billion in upper-middle-income countries, which amounts to 184Β·0 billion across all low-income and middle-income countries. In the efficiency model the costs were lower: 14β‹…1billioninlowβˆ’income,14Β·1 billion in low-income, 33Β·3 billion in lower-middle-income, and 49β‹…4billioninupperβˆ’middleβˆ’incomecountriesβˆ’atotalof49Β·4 billion in upper-middle-income countries-a total of 96Β·8 billion. Scale-up of radiotherapy capacity in 2015-35 from current levels could lead to saving of 26Β·9 million life-years in low-income and middle-income countries over the lifetime of the patients who received treatment. The economic benefits of investment in radiotherapy are very substantial. Using the nominal cost model could produce a net benefit of 278β‹…1billionin2015βˆ’35(278Β·1 billion in 2015-35 (265Β·2 million in low-income countries, 38β‹…5billioninlowerβˆ’middleβˆ’incomecountries,and38Β·5 billion in lower-middle-income countries, and 239Β·3 billion in upper-middle-income countries). Investment in the efficiency model would produce in the same period an even greater total benefit of 365β‹…4billion(365Β·4 billion (12Β·8 billion in low-income countries, 67β‹…7billioninlowerβˆ’middleβˆ’incomecountries,and67Β·7 billion in lower-middle-income countries, and 284Β·7 billion in upper-middle-income countries). The returns, by the human-capital approach, are projected to be less with the nominal cost model, amounting to 16β‹…9billionin2015βˆ’35(βˆ’16Β·9 billion in 2015-35 (-14Β·9 billion in low-income countries; -18β‹…7billioninlowerβˆ’middleβˆ’incomecountries,and18Β·7 billion in lower-middle-income countries, and 50Β·5 billion in upper-middle-income countries). The returns with the efficiency model were projected to be greater, however, amounting to 104β‹…2billion(βˆ’104Β·2 billion (-2Β·4 billion in low-income countries, 10β‹…7billioninlowerβˆ’middleβˆ’incomecountries,and10Β·7 billion in lower-middle-income countries, and 95Β·9 billion in upper-middle-income countries). Our results provide compelling evidence that investment in radiotherapy not only enables treatment of large numbers of cancer cases to save lives, but also brings positive economic benefits

    Financial incentives for return of service in underserved areas: a systematic review

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    <p>Abstract</p> <p>Background</p> <p>In many geographic regions, both in developing and in developed countries, the number of health workers is insufficient to achieve population health goals. Financial incentives for return of service are intended to alleviate health worker shortages: A (future) health worker enters into a contract to work for a number of years in an underserved area in exchange for a financial pay-off.</p> <p>Methods</p> <p>We carried out systematic literature searches of PubMed, the Excerpta Medica database, the Cumulative Index to Nursing and Allied Health Literature, and the National Health Services Economic Evaluation Database for studies evaluating outcomes of financial-incentive programs published up to February 2009. To identify articles for review, we combined three search themes (health workers or students, underserved areas, and financial incentives). In the initial search, we identified 10,495 unique articles, 10,302 of which were excluded based on their titles or abstracts. We conducted full-text reviews of the remaining 193 articles and of 26 additional articles identified in reference lists or by colleagues. Forty-three articles were included in the final review. We extracted from these articles information on the financial-incentive programs (name, location, period of operation, objectives, target groups, definition of underserved area, financial incentives and obligation) and information on the individual studies (authors, publication dates, types of study outcomes, study design, sample criteria and sample size, data sources, outcome measures and study findings, conclusions, and methodological limitations). We reviewed program results (descriptions of recruitment, retention, and participant satisfaction), program effects (effectiveness in influencing health workers to provide care, to remain, and to be satisfied with work and personal life in underserved areas), and program impacts (effectiveness in influencing health systems and health outcomes).</p> <p>Results</p> <p>Of the 43 reviewed studies 34 investigated financial-incentive programs in the US. The remaining studies evaluated programs in Japan (five studies), Canada (two), New Zealand (one) and South Africa (one). The programs started between 1930 and 1998. We identified five different types of programs (service-requiring scholarships, educational loans with service requirements, service-option educational loans, loan repayment programs, and direct financial incentives). Financial incentives to serve for one year in an underserved area ranged from year-2000 United States dollars 1,358 to 28,470. All reviewed studies were observational. The random-effects estimate of the pooled proportion of all eligible program participants who had either fulfilled their obligation or were fulfilling it at the time of the study was 71% (95% confidence interval 60–80%). Seven studies compared retention in the <it>same </it>(underserved) area between program participants and non-participants. Six studies found that participants were less likely than non-participants to remain in the same area (five studies reported the difference to be statistically significant, while one study did not report a significance level); one study did not find a significant difference in retention in the same area. Thirteen studies compared provision of care or retention in <it>any </it>underserved area between participants and non-participants. Eleven studies found that participants were more likely to (continue to) practice in any underserved area (nine studies reported the difference to be statistically significant, while two studies did not provide the results of a significance test); two studies found that program participants were significantly less likely than non-participants to remain in any underserved area. Seven studies investigated the satisfaction of participants with their work and personal lives in underserved areas.</p> <p>Conclusion</p> <p>Financial-incentive programs for return of service are one of the few health policy interventions intended to improve the distribution of human resources for health on which substantial evidence exists. However, the majority of studies are from the US, and only one study reports findings from a developing country, limiting generalizability. The existing studies show that financial-incentive programs have placed substantial numbers of health workers in underserved areas and that program participants are more likely than non-participants to work in underserved areas in the long run, even though they are less likely to remain at the site of original placement. As none of the existing studies can fully rule out that the observed differences between participants and non-participants are due to selection effects, the evidence to date does not allow the inference that the programs have caused increases in the supply of health workers to underserved areas.</p
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