As the global Coronavirus disease (COVID-19) pandemic transforms our society, music therapists must adapt service delivery models that ensure client safety. Given the prevalence of COVID-19 in our communities and lack of personal protective equipment in many settings, music therapists are faced with the need to shift delivery models in order to provide safe and relevant services. Telehealth is one solution to these current service delivery challenges. Music therapists possess a depth of practice-based knowledge and understanding of client populations, which enables them to develop virtual services, matching both the clinicians’ and clients’ technical capabilities. Developed during the initial wave of COVID-19 infections in the United States, this article describes the coauthors’ three-tiered scaffold model intended to support the program development and deployment of virtual music therapy (VMT) services. The model describes an approach to developing VMT services that directs the clinician’s goals of care in formats that are accessible, appropriate, and best meet the patient/client’s needs and abilities. The severity and lasting nature of this worldwide health crisis and its disruption of traditional service delivery models require clinicians and researchers to develop the most effective uses of VMT while considering its limits with regard to clinical populations and need areas.

Music therapy is becoming a standard supportive care service in many pediatric hospitals across the United States. However, more detailed information is needed to advance our understanding about current clinical practice and increase availability of pediatric music therapy services. The purpose of this cross-sectional survey study was to collect and summarize data about music therapists working in pediatric medical settings. Specifically, we collected information about (1) therapist demographics, (2) organizational structure, (3) service delivery and clinical practice, and (4) administrative/supervisory responsibilities. Board-certified music therapists working in pediatric medical settings (n = 118) completed a 37-item online questionnaire. We analyzed survey data using descriptive statistics and content analysis. Findings indicated that there is a ratio of approximately one music therapist for every 100 patient beds, that one-third of respondents are the only music therapist in their setting, and that half of the surveyed positions are philanthropically funded. Prioritizing patient referrals based on acuity was common (95.7%, n = 110), with palliative care and pain as the most highly prioritized needs. More than half of respondents reported serving in high acuity areas such as the pediatric intensive care, hematology/oncology, or neonatal intensive care units. We recommend replication of this survey in five years to examine growth and change in service delivery among pediatric music therapists over time, with additional studies to (a) explore how therapist-to-patient ratios influence quality of care, (b) identify factors that contribute to sustainability of programs, and (c) determine how expansion of services support a broader population of patients and families.

<b><i>Introduction:</i></b> Preoperative functional MRI (fMRI) and intraoperative awake cortical mapping are established strategies to identify and preserve critical language structures during neurosurgery. There is growing appreciation for the need to similarly identify and preserve eloquent tissue critical for music production. <b><i>Case Report:</i></b> A 19-year-old female musician, with a 3- to 4-year history of events concerning for musicogenic seizures, was found to have a right posterior temporal tumor, concerning for a low-grade glial neoplasm. Preoperative fMRI assessing passive and active musical tasks localized areas of activation directly adjacent to the tumor margin. Cortical stimulation during various musical tasks did not identify eloquent tissue near the surgical site. A gross total tumor resection was achieved without disruption of singing ability. At 9-month follow-up, the patient continued to have preserved musical ability with full resolution of seizures and without evidence of residual lesion or recurrence. <b><i>Conclusion:</i></b> A novel strategy for performing an awake craniotomy, incorporating preoperative fMRI data for music processing with intraoperative cortical stimulation, interpreted with the assistance of a musician expert and facilitated gross total resection of the patient’s tumor without comprising her musical abilities.

No abstract

In order to study the effects of pentobarbital sodium (Nembutal) anesthesia on the cardiovascular system, mean arterial pressure, cardiac output, stroke volume, total peripheral resistance, plasma and blood volumes, and the circulation time were measured in 20 board-trained unanesthetized dogs and in 20 animals 30 min subsequent to anesthetization with 30 mg/kg Nembutal. The mean arterial pressure, heart rate, cardiac output, and peripheral resistance were all markedly increased ( P < .001) in the anesthetized dogs, while the average blood volume in this group was significantly decreased, presumably due to a decrement in the circulating red cell mass. As might be expected from these results, the circulation time was decreased ( P < .001) in the anesthetized group. These data indicate that pentobarbital sodium exerts a profound influence on the cardiovascular system and serve as a reminder that the ubiquity of Nembutal anesthesia in experimental medicine mandates that the investigator appreciate the altered cardiovascular system with which he is working.

PurposeThe purpose of this paper is to focus on both the sales effects of free wine tastings and the effects on attitudes towards future purchases four weeks after the tastings.Design/methodology/approachStore scanner data for the four weeks before and after each of ten wine tastings are used to measure the effect tastings had on sales. A total of 170 consumers, who attended a free tasting in wine shops across 4 cities, are interviewed as they leave the store and 37 of these consumers respond to a call back survey one month after the free tasting.FindingsScanner data shows a 400 per cent increase in sales of the wines tasted on the day of tasting, and a small but significant effect on sales during the four weeks afterwards. The survey shows that there is no difference in purchasing between those attending a tasting with the intention to purchase and those just stopping by. Both groups purchase at about the same rate. Only about 33 per cent of the attendees purchase; the other two‐thirds are boozing.Research limitations/implicationsFree tastings boost immediate sales just like most price promotions, but the effect on the intention to purchase is stronger for those who made a purchase. The study is conducted in one country among a small number of buyers, which limits its generalisability.Practical implicationsThe results and implications of this research can be used by retailers and wine companies to make more informed decisions about free tastings. From this small study, attracting the maximum number of tasters to increase sales and long‐term purchasing intentions would be recommended.

Background: Diagnosis and treatment of cancer and blood disorders in childhood, adolescence and young adulthood has a significant impact on patients and families. The Psychosocial Standards of Care project, initiated in 2012, resulted in 15 Psychosocial Standards (PSS) that guide the care patients and families receive throughout treatment. As members of the multidisciplinary psychosocial care team, music therapists play an important role in the advancing the PSS. Most surveys have focused on other commonly provided services (e.g., social work, child life), leaving gaps in our understanding about the availability and use of music therapy services to advance PSS. This paper offers an initial description of how music therapy services contribute to the provision of care under these Standards. Methods: We analyze how music therapy services promote PSS through synthesis of a music therapy clinical practice survey, published literature, and scope of practice documents. A brief overview of music therapy services structure, PSS that music therapy services currently address, and two clinical program descriptions are included. Results: Music therapy services address 9 of the 15 PSS and are well integrated within the larger program of psychosocial care. Findings suggest integration of music therapy services can help ensure personalized, comprehensive care and efficient use of often-limited psychosocial care resources. Discussion: Nurses, as members of the psychosocial and medical teams are uniquely positioned to identify patient and family care needs and refer patients for services. Understanding how music therapy services address PSS and most importantly, the needs of patients and families, will optimize their care.

No abstract