Playing-Related Health Problems Among Instrumental Music Students at a University in Malaysia

2016 ◽  
Vol 31 (3) ◽  
pp. 151-159 ◽  
Author(s):  
Karen Lonsdale ◽  
Ong Kuan Boon

Musicians from a wide range of backgrounds experience playing-related health problems including musculoskeletal disorders, hearing loss, and performance anxiety. Few studies have focused specifically on the health concerns of musicians in Malaysia. AIMS: This study aimed to investigate playing-related health problems among student musicians at a university in Malaysia as well as their knowledge and awareness of playing-related health problems. METHODS: Instrumental music students enrolled in undergraduate and post-graduate university music courses (n=98) participated in a self-report online survey which addressed aspects such as educational background, playing experience, knowledge and awareness of musicians’ health issues, history of physical problems, lifestyle factors, and prevention and management strategies. RESULTS: Of the total participants, 28.9% reported that they were currently experiencing playing-related pain in a body part, and 46.4% had experienced playing-related pain at some time. More than half (56.7%) felt that they have not received enough information or advice on playing-related health during their current studies. Musicians who experienced playing-related pain, tension, and discomfort reported the main problem sites to be the fingers and hands, arms, neck, and shoulders. CONCLUSIONS: The study results demonstrate that Malaysian university music students are affected by similar types of playing-related physical problems as their counterparts around the world. A greater awareness and knowledge of injury prevention and management strategies is needed so that these music students can sustain healthy playing careers.

2020 ◽  
Vol 91 (8) ◽  
pp. e16.1-e16
Author(s):  
Matthew Butler ◽  
Mathieu Seynaeve ◽  
Susannah Pick ◽  
James Rucker ◽  
Timothy Nicholson

AimsFunctional neurological disorder (FND) is common and often severe. It is poorly understood, and there have been no international large-scale studies of self- management and illness beliefs in FND. We created a patient questionnaire to assess FND demographics, symptom comorbidity, self-management strategies (particularly in relation to prohibited substances), views on novel treatments, and illness beliefs.MethodsThe questionnaire was shared open access over a three-week period.Participants were recruited internationally through social media and patient groups. RESULTS: In total, 1162 respondents from 16 countries took the survey. Of these, 98% reported a formal diagnosis of FND from a consultant neurologist or other suitably trained clinician. Females constituted 86% of respondents, with an average age of 41.7 years (SD=12.50). Mean symptom duration was 7.69 years (SD=9.37) and average time from diagnosis was 2.24 years (SD=3.35), indicating a diagnostic lag of over 5 years. Symptom comorbidity was very high, with respondents reporting current: seizures (50%), gait disturbance (76%), loss of balance (77%), tremors (61%), muscle jerks/spasms (65%), altered sensations (79%), speech difficulties (65%), memory problems (80%), fatigue (93%), and headache (70%). Current psychiatric comorbidities – depression (43%), anxiety (51%), panic (20%), and PTSD (22%) - were also common. Illness beliefs varied, with respondents agreeing most strongly that FND is a combination of physical and stress/trauma-related factors. Respondents rated FND as having a severe effect on their life, with little control felt over their symptoms. Respondents had received a wide range of medical interventions, and many had tried alternative treatments. Prohibited substances such as cannabis, ketamine, and psychedelics had been used by 15% of respondents, with the majority experiencing no or minimal physical (90%) and psychological (95%) sequelae. Many respondents reported that they would be willing to try medically supervised psychedelic therapy if it was found to be safe and effective.ConclusionsThis large international online survey of FND patients indicated a striking co-occurrence of multiple symptoms. As expected, respondents reported that FND severely impacted on their lives, and many had lived with symptoms, which are not well managed by current medical therapies, for years. There was interest in novel putative treatments, such as medically supervised psychedelic therapies, which indicates a strong need to investigate alternative treatments for this poorly served patient group.


2020 ◽  
Vol 67 (2) ◽  
pp. 33-37
Author(s):  
Angelica Del Rosario ◽  
Kathleen Feng ◽  
Lena Haddad ◽  
Brian Lee ◽  
Ryan Murakami ◽  
...  

Introduction The passage of Senate Bill 493 (SB 493) granted California pharmacists the ability to order and interpret lab tests without physician approval. Despite this legislation, not all pharmacists are aware of, or exercise, this authority. The goals of this study are to describe 1) pharmacists' willingness, 2) perceived factors influencing pharmacist preparedness, and 3) challenges and barriers to ordering laboratory tests in the community setting. Methods This is a prospective, descriptive survey study that was performed using online survey software from August 31, 2017, to October 4, 2017. An anonymous link was distributed to California pharmacists via California Society of Health-System Pharmacists (CSHP) and California Pharmacists Association (CPhA) email newsletters. Additionally, targeted interviews of pharmacists were conducted by phone to qualitatively assess barriers as well as successful practices. Institutional Review Board (IRB) approval was obtained prior to initiating the study. Results Sixty-six pharmacist respondents completed the online survey. The reported two biggest barriers to ordering lab tests identified by community pharmacists were 1) lack of available time and 2) compensation structure. Despite these barriers, most pharmacists were willing to order and interpret laboratory tests and accept the liability, regardless of a reimbursement guarantee. Conclusions Community pharmacists self-report preparedness to order and interpret laboratory tests. Barriers in carrying out this task include lack of staff, resources, compensation, and reimbursement structure.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fayyaz Ahmad Faize ◽  
Waqar Husain

Purpose COVID-19 generated extensive fear and anxiety across the globe. This study aims to explore the psychological dynamics of students during COVID-19 lockdown, its impact and students’ management strategies. Design/methodology/approach This paper collected data from 891 students in Islamabad (Pakistan) using an online survey consisting of the generalized anxiety disorder scale and items on academic variables. After measuring the anxiety levels, this paper interviewed 20 students diagnosed with severe anxiety. The objective was to seek a deeper understanding of the impact of COVID-19 and students’ management. Findings This paper found students with different anxiety levels. Most students had no anxiety; however, 8.2% of students had severe anxiety. These students reported psychological, social and physical problems during the interview. The students shared their activities and avoidance behavior to manage their anxiety levels. Originality/value The study helped in understanding the psychological dynamics during the pandemic and students’ management strategies. Some students express their inability to cope with their problems. This paper recommends the intervention of clinical practitioners, policymakers and researchers to work for the mental health of such students.


Insects ◽  
2021 ◽  
Vol 12 (11) ◽  
pp. 1038
Author(s):  
Avichai Harush ◽  
Elazar Quinn ◽  
Anatoly Trostanetsky ◽  
Aviv Rapaport ◽  
Moshe Kostyukovsky ◽  
...  

Insect contamination of stored grain is a major concern for the grain industry. Phosphine is currently the standard fumigant used to control insect pests in stored grain. However, some species and populations of insects that infest stored grain exhibit resistance to this fumigant and consumers are concerned about pesticide residues. Therefore, alternative methods of effective pest control are needed to partially or completely replace the use of phosphine. There is growing interest in biological control via parasitoid wasps. However, there is evidence that biological control will succeed only if used alongside other pest-management measures. Integrating biological control with the use of chemical insecticide is challenging and may lead to severe reductions in parasitoid survival and success. The main aim of the current study is to shed light on a greatly overlooked issue: the parasitoid community found in stored grain before and after phosphine treatment. The current study results indicate that there is a high level of parasitoid biodiversity within grain stores. We found common parasitoids at both semi-arid and Mediterranean sites, suggesting that those parasitoids can be active across a wide range of abiotic conditions. This research indicates that the community may recover even though phosphine has an immediate negative effect on a parasitoid community. Nevertheless, the parasitoid wasps seem to reduce the host population insufficiently. In light of the findings presented here, those interested in implementing pest-management strategies that include both phosphine treatment and biological control should consider conservation and augmentation of the naturally occurring parasitoid population. These studies should take into account interactions between and within parasitoid populations and phosphine distribution within the grain storage. To limit the effect of phosphine on the parasitoids, pest-management strategies should also reflect careful consideration of the timing of phosphine treatment and the need for sufficient refuge for the parasitoids.


Author(s):  
Nzeyimana Z ◽  
◽  
Mochama M ◽  
Dzinamarira T ◽  
Safari E ◽  
...  

Background: Syphilis and Trichomonas are among more than 30 known Sexually Transmitted Infections (STIs). They make part of the four (4) most prevalent treatable STIs globally, together with Chlamydia and gonorrhea. They are associated with lifelong health problems, especially among women and their babies, including but not limited to exacerbation of HIV acquisition risks, preterm labor, birth defects, and deaths. This study was conducted to determine the prevalence and determinants of Syphilis and Trichomonas infections among women attending selected Health Facilities (HFs) in Kigali, Rwanda. Methods: This study was a cross-sectional survey that collected data from 174 women who attended eight (8) HFs in Kigali, Rwanda from October 7 to December 6, 2019, for Outpatient Diagnosis (OPD) services. The HFs were purposefully selected while women participants were recruited using a systematic random sampling strategy. Vaginal swabs were microscopically examined for the presence of Trichomonas vaginalis and Syphilis was diagnosed using FaStep Syphilis Rapid tests to detect IgG and IgM specific to Treponema pallidum. The questionnaire captured information on the socio-demographic characteristics and sexual behaviors of the participants. Fisher exact test, Phi, and logistic regression were the main statistical analysis of the study. Results: This study recruited 174 women; aged between 17 and 49 years old, with a mean age of 29 years. The findings show that 12% (21 out of 174) of the women had either Syphilis (9.8%) or Trichomonas (2.3%), but none had both. Syphilis infections significantly affected women living in slums (40%, p=0.001), with a history of STI before (15.2%, p=0.028), not always using a condom (14.9%, p=0.014), and self-reporting to have had one lifetime sex partner (23.5%, p= 0.002). Living in slums, not always using a condom, and self-report of one lifetime sex partner uniquely increase the risks of getting syphilis up to 6.305, 5.53, and 5.81 times compared to their counterparts who are not, respectively. Trichomonas infection was significantly high (p <0.01) among women in economic category one (18.2%, p=0.029), self-reporting to lack transport (13.6%, p <0.001) and health cover (12.5%, p <0.001) as barriers of not attending a health facility while they are sick. Lacking transport means and health cover uniquely exacerbate the risks of Trichomonas infection up to 36.7 and 22.32 times, respectively. Conclusion: This study concludes that Syphilis and trichomonas infections are still major public health problems among women attending health facilities in Kigali, Rwanda. Therefore, there is still a need to enhance health promotion programs to improve healthcare-seeking behaviors and empower women to negotiate safe sexual activities.


2008 ◽  
Vol 23 (1) ◽  
pp. 3-11
Author(s):  
Gunter Kreutz ◽  
Jane Ginsborg ◽  
Aaron Williamon

The reported health problems of music performance students at two conservatoires in the UK were investigated, with specific attention to musculoskeletal and nonmusculoskeletal problems in relation to the students' instrumental specialty and their health-promoting behaviours. Students from the Royal Northern College of Music (n = 199) and the Royal College of Music (n = 74) were surveyed using server-based inventories over the internet. They provided 246 usable data sets for this study. Results reveal that musculoskeletal pain as well as nonmusculoskeletal problems were common among students, affecting about half of the sample, with similar patterns between groups of instruments. Regression analysis showed that musculoskeletal and nonmusculoskeletal symptoms reliably predicted perceived practice and performance quality, such that fewer symptoms predicted better quality; the strongest predictors were pain along the spine and fatigue. These results suggest that significant proportions of health problems among music performance students emerge from general dispositions, such as posture and fatigue, and thus are not specific to the instrument played. Healthy lifestyles appear not to affect perceived practice and performance quality.


2015 ◽  
Vol 117 (2) ◽  
pp. 664-676 ◽  
Author(s):  
Tony Worsley ◽  
Wei Chun Wang ◽  
Pradeep Wijeratne ◽  
Sinem Ismail ◽  
Stacey Ridley

Purpose – There is increasing interest in the domestic preparation of food and with the postulated health benefits of “cooking from scratch”. The purpose of this paper is to examine the demographic and food preparation associations of this term in order to examine its operational value. Design/methodology/approach – A national online survey was conducted during 2012 in Australia among 1,023 domestic food providers, half of whom were men. Questions were asked about cooking from scratch, demographic characteristics, food preparation practices and interest in learning about cooking. Findings – Three quarters of the sample reported they often or always “cooked from scratch” (CFS). More women than men always CFS; fewer 18-29 year olds did so often or always but more of the over 50s always did so; fewer single people CFS than cohabiting people. No statistically significant ethnic, educational background or household income differences were found. High levels of cooking from scratch were associated with interest in learning more about cooking, greater use of most cooking techniques (except microwaves), meat and legume preparation techniques, and the use of broader ranges of herbs, spice, liquids/ sauces, other ingredients and cooking utensils. Research limitations/implications – In future work a numerical description of the frequency of cooking from scratch should be considered along with a wider range of response options. The data were derived from an online panel from which men were oversampled. Caution is required in comparisons between men and women respondents. The cross-sectional nature of the sample prevents any causal attributions from being drawn from the observed relationships. Further replication of the findings, especially the lack of association with educational background should be conducted. Originality/value – This is the first study to examine the associations of demographic characteristics and cooking practices with cooking from scratch. The findings suggest that cooking from scratch is common among Australian family food providers and signifies interest in learning about cooking and involvement in a wide range of cooking techniques.


2014 ◽  
Vol 68 (3) ◽  
pp. 183-205 ◽  
Author(s):  
Joanne Cacciatore ◽  
Jeffrey R. Lacasse ◽  
Cynthia A. Lietz ◽  
Jane McPherson

This study examined health/mental health status, family functioning, and resiliency among a sample of bereaved parents ( N = 503). Participants were recruited from an online support community to complete an online survey instrument (response rate = 51.75%). The questionnaire contained an array of self-report instruments, such as the Hopkins Symptoms Checklist-25 (HSCL-25), the Impact of Event Scale-Revised (IES-R), and the Family Assessment Device (FAD), as well as open-ended questions. Many respondents scored over the clinical cut-off for the HSCL-25 (51.3%, n = 258) and IES-R (42.3%, n = 213). IES-R scores were negatively correlated with years-since loss ( r = −0.24, p < .05). In narrative responses, participants described a wide range of deeply impactful mental and physical health problems. The results indicate significant clinical distress in this sample of bereaved parents, with many reporting enduring psychological, familial, and health consequences following the death of a child.


2020 ◽  
Vol 66 (1) ◽  
pp. 37-63
Author(s):  
Sungkyu Lee ◽  
Chonghee Seo ◽  
Hyeyeon Sung ◽  
Yejin Park

The purpose of the study was to examine the factors associated with posttraumaitc growth of helping professionals in suicide prevention. Study sample consisted of 319 helping professionals who are social workers, doctors, nurses, and psychologists with at least 3 years of working experience in mental health settings. Data were collected through a self-report online survey and a multiple regression model was conducted to examine the factors associated with posttraumatic growth. Study results demonstrate that age was likely to increase a level of postraumatic growth, and social workers and nurses were more likely to have a higher level of posttraumatic growth when compared to doctors. In addition, a higher level of deliberate rumination and social support tended to increase a level of posttraumatic growth among helping professionals in suicide prevention. Study findings suggest that the development of psychological support system is essential for facilitating deliberate rumination and a variety of support systems should be given to helping professionals in suicide prevention. Furthermore, policymakers should develop standardized protocols and educational programs to enhance posttraumatic growth of helping professionals by incorporating unique characteristics of each agency.


2002 ◽  
Vol 17 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Claudia Spahn ◽  
Bernhard Richter ◽  
Ina Zschocke

The goal of the present study was to survey music students regarding their health attitudes, their use of body-oriented training as a measure of preventive behavior, and their playing-related symptoms and consultation for these symptoms with health professionals. In the framework of a cross-sectional study, the music students at the Freiburg Conservatory were investigated by means of questionnaires. One hundred ninety-seven students participated and were evaluated. It was shown that more students believe that health can be actively influenced by one’s own behavior than have a fatalistic, passive attitude toward their health. One third of the music students use body-oriented training--increasingly during their studies. The close connection of this phenomenon with the presence of playing-related problems, and the fact that only a very small number of music students indicating no physical problems use a body-oriented training method, suggests that body-oriented training was not practiced for preventive reasons, but was motivated by a need for therapy. Two thirds of the music students stated that they had suffered at least once from playing-related problems; half of the music students felt psychologically affected by such difficulties. Half of the musicians had sought professional help due to playing-related health problems. All in all, it must be concluded that there is minimal consciousness regarding questions of health problems, so that few music students have taken preventive measures up to the present time. Therefore, preventive courses should be offered in order to inculcate health consciousness that would enhance the music students’ motivation for proactive health-promoting behavior.


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