Supporting Well-being at a Community Day Care Centre for Adults with Other Abilities Using Music Therapy

<p>This qualitative research investigates the music therapy approaches taken in order to support well-being at a day centre for adults with disabilities. Music therapy at the day centre involved individual and group sessions, engaging in music with the wider community, developing trust and supporting each other. The research centred on secondary analysis of music therapy practice text, collected during a five-month period at the day centre. Literature about music / music therapy being able to support well-being in community settings, especially in relation to the practice of community music therapy, was reviewed. The research question 'How did I support well-being at a community day centre for adults with other abilities using music therapy?' was established. Secondary analysis was the methodology used for this study, involving no disruption to regular practice as a student therapist and being low-risk for music therapy participants. A thematic analysis of texts was undertaken and this was developed from; research text, supervision text and a reflective journal of my practice. Analysis involved coding and sorting text and developing meaningful themes. The findings of the analysis demonstrated three core themes which involved supporting well-being: encouraging a sense of fun, promoting a sense of purpose and developing togetherness.</p>

Supporting Well-being at a Community Day Care Centre for Adults with Other Abilities Using Music Therapy

<p>This qualitative research investigates the music therapy approaches taken in order to support well-being at a day centre for adults with disabilities. Music therapy at the day centre involved individual and group sessions, engaging in music with the wider community, developing trust and supporting each other. The research centred on secondary analysis of music therapy practice text, collected during a five-month period at the day centre. Literature about music / music therapy being able to support well-being in community settings, especially in relation to the practice of community music therapy, was reviewed. The research question 'How did I support well-being at a community day centre for adults with other abilities using music therapy?' was established. Secondary analysis was the methodology used for this study, involving no disruption to regular practice as a student therapist and being low-risk for music therapy participants. A thematic analysis of texts was undertaken and this was developed from; research text, supervision text and a reflective journal of my practice. Analysis involved coding and sorting text and developing meaningful themes. The findings of the analysis demonstrated three core themes which involved supporting well-being: encouraging a sense of fun, promoting a sense of purpose and developing togetherness.</p>

Longitudinal Cognitive and Physical Training Effectiveness in MCI, Based on the Experience of the Alzheimer’s Hellas Day Care Centre

This study assesses the effectiveness of a multicomponent Longitudinal Cognitive Training (CT) program plus physical exercise (PE) for people with Mild Cognitive Impairment (MCI). 155 people with MCI, completed a 3 years (3Y) CT+PE, whilst 133 were control. Neuropsychological assessment was performed at baseline and 3 years later, whilst CT+PE had additional annual assessments. According to the results, the 3Y CT+PE outperformed control in cognitive abilities ( p < 0.002), and Activities of Daily Living (ADL) ( p < 0.001), stabilized their functional performances between 1st and 2nd year, but worsened in working and verbal memory between 2nd and 3 rd year ( p < 0.002). Control deteriorated in cognitive functions ( p < 0.001) and ADL ( p < 0.001) after 3 years, whilst 1.33% of the experimental and 13.53% of the control group progressed to dementia ( p < 0.001). Longitudinal CT+PE improves cognitive performance and ADL in MCI and delay the progression to dementia.

Following Majority Rule versus Deferring to Elders: Educational Background Shapes Group Decision Preference in Burmese Children

Previous studies showed that most children believe majority rule is the right decision rule, and prefer it to authority rule when making group decisions among peers. Yet, these were conducted mostly in Western or similar populations. Here, we conducted experiments with fifty-one Burmese children (4 to 11 years old) at three types of educational institutions: international schools, a monastery school and a day-care centre for street children. In the experiment, children were asked whether they prefer majority or authority rule in a hypothetical story. The result showed the educational institution influences the proportion choosing majority rule, suggesting that preference for majority rule may not be a universal pattern and decision preference may be shaped by cultural factors.

Life threatening abscess in the visceral space with penicillin and metronidazole resistant Prevotella Denticola following use of a laryngeal mask airway: case report

Background Laryngeal mask airways (LMA) are commonly used for airway management. Complications with this device are rare. However, when they do occur, there is a high risk for respiratory problems, necessitating early diagnosis and treatment. We present the first case of a life-threatening abscess spreading in the visceral space caused by a penicillin and metronidazole resistant Prevotella Denticola after the use of an LMA. Case presentation A female patient was admitted to our day care centre for bunion surgery. A single use LMA size 3 (Solus®, intersurgical, Wokingham, Berkshire, United Kingdom) was successfully inserted. After surgery, the patient complained of a sore throat and amoxicillin was prescribed by the general practitioner. Three days after surgery the patient was admitted to the Intensive Care Unit (ICU) for obstructive breathing, due to an abscess in the visceral space. Retropharyngeal and certainly parapharyngeal abscesses in adults are already rare. This case however, is unique because it is the first case of abscess spreading into the visceral space after the use of an LMA. Amoxicillin/clavulanate and vancomycin were started. The abscess was incised 5 days later and microbiology showed 3 positive cultures of the anaerobe Prevotella denticola, resistant for penicillin and metronidazole, but sensitive for amoxicillin/clavulanate. The patient fully recovered. Conclusion LMA’s are easy to use and are established, safe tools to support ventilation of the airway. In this case, the authors hypothesise a small wound in the lateral pharyngeal wall probably created an opening into the visceral space causing infection with Prevotella denticola, supporting the idea that the pharyngeal mucosal space must be part of the visceral space. Additionally, early recognition and treatment of an LMA induced abscess is necessary to prevent evolution of complications leading to airway obstruction.

Access to Justice for People with Disability in Nigeria: Therapeutic Day Care Centre (TDCC) as a Case Study

Access to justice through the court system for non-disabled persons is trampled upon every day in Nigeria. One can then imagine the plight of the disabled persons most of whom live in abject poverty and constant discrimination from their respective families, religious congregation, educational sectors, Judicial practices and the ineffectiveness of the government policies, which clearly plummeted people’s confidence in the social justice system as well as the entire political structure. Against this backdrop, this study presents the findings of the analyses of these discriminations and Injustices; stemming from basic amenities to prevailing cultural vices, religious practices and lack of commitment on the part of the government. To attend and implement the needs of the disabled persons, which are hindrances to access to justice for the disabled persons in Nigeria. Thus this writer used Therapeutic Day Care Centre (TDCC) as a case study by interviewing the people that work with them as well as primary and secondary data. The conclusion points to the needs of these ‘special’ groups or disabled persons that were explicitly listed herein to be strictly adhered and for the Nigeria Bar Association (NBA) to take a proactive stand to redress the lawful inadequacies so as to enhance their access to justice. Keywords: Alternative Dispute Resolution; Multi-door courthouse; Litigation; Access to Justice; Disabled Person; Therapeutic; Human rights.

In vitro determination of potentially bioavailable fluoride in diet and toothpaste after ingestion

Aim: To propose a new method to determine in vitro potentially bioavailable fluoride (F) in diet and toothpaste after ingestion. Methods: Diet samples (D) were obtained from 15 portions of a meal served to children in a day care centre. To simulate the ingestion of toothpaste during brushing after meals, a specific amount of toothpaste was added to the diet samples (D + T). F was determined in D and D + T after incubation in a solution that simulated “gastric juice” (0.01 M hydrochloric acid) at 37oC for 30, 60 and 120 min. Microdiffusion facilitated by HMDS was used to determine the total F concentrations in samples D and D + T. The analyses were performed using an ion specific electrode. Results: For D samples, incubation in “gastric juice” for 30, 60 and 120 min resulted in F concentrations (μg F/mL) of 0.75 ± 0.06c, 0.77 ± 0.07c and 0.91 ± 0.09b, corresponding to 75.3, 77.3 and 90.7% of the total F (1.02 ± 0.12a), respectively (p = 0.0001; ANOVA + Tukey). For D + T samples, these values of F concentrations (μg F/mL) were 2.55 ± 0.46b, 2.83 ± 0.44ab and 3.15 ± 0.37a, corresponding to 86.9, 94.8 and 106.7% of the total F (2.99 ± 0.34a), respectively (p = 0.0023; ANOVA + Tukey). Conclusion: Then, it can be concluded that the proposed method of “gastric juice” is a promising protocol for determining potentially bioavailable fluoride in the diet and toothpaste after ingestion. However, additional studies are desirable.

Australian Rotavirus Surveillance Program: Annual Report, 2020

This report from the Australian Rotavirus Surveillance Network describes the circulating rotavirus genotypes identified in children and adults during the period 1 January – 31 December 2020. During this period, 229 faecal specimens were referred for rotavirus G- and P- genotype analysis, including 189 samples that were confirmed as rotavirus positive. Of these, 98/189 were wildtype rotavirus strains and 86/189 were identified as vaccine-like. A further five samples could not be determined as wildtype or vaccine-like due to poor sequence reads. Genotype analysis of the 98 wildtype rotavirus samples from both children and adults demonstrated that G3P[8] was the dominant genotype identified for the third consecutive year, identified in 27.6% of samples, followed by G2P[4] in 20.4% of samples. Forty-six percent of rotavirus positive samples received were identified as vaccine-like, highlighting the need to add caution in interpreting rotavirus positive results in children aged 0–8 months. This surveillance period was significantly impacted by the coronavirus disease 2019 ( COVID-19 ) pandemic. The reduction in rotavirus notifications reflected reduced healthcare-seeking behaviour and a decrease in community spread, with ‘community lockdowns’, school and day-care centre closure and improved compliance with hand hygiene. Fewer stool samples were collected throughout Australia during this period. There was a reluctance to store samples at collaborating laboratories and uncertainties regarding the safety and feasibility of the transport of samples to the central laboratory during the closure of state and territory borders. Systems have now been adapted to manage and send biological samples safely and confidently. Ongoing rotavirus surveillance is crucial to identify changes in genotypic patterns and to provide diagnostic laboratories quality assurance by reporting incidences of wildtype, vaccine-like, or false positive rotavirus results.