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Journal articles on the topic 'Milieu therapy'

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Published: 4 June 2021
Last updated: 29 July 2024

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1

Thomson, I. G. "Milieu Therapy." Psychiatric Bulletin 10, no. 2 (February 1, 1986): 35–36. http://dx.doi.org/10.1192/pb.10.2.35.

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2

Thomson, I. G. "Milieu Therapy." Bulletin of the Royal College of Psychiatrists 10, no. 2 (February 1986): 35–36. http://dx.doi.org/10.1192/s0140078900026699.

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3

Smith, Mark. "‘Milieu-Therapy’ with Children." Social Work Education 29, no. 5 (August 2010): 576–77. http://dx.doi.org/10.1080/02615470903378592.

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4

Delaney, Kathleen R. "Milieu Therapy: A Therapeutic Loophole." Perspectives in Psychiatric Care 33, no. 2 (January 16, 2009): 19–28. http://dx.doi.org/10.1111/j.1744-6163.1997.tb00537.x.

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5

Millard, Hun, Susan Parke, Cynthia Wilson, Zheala Qayyum, Hyun Jung Kim, and Timothy Van Deusen. "Inpatient Milieu Therapy: Considerations for Adolescent and Transitional Age Youth." Adolescent Psychiatry 10, no. 1 (April 24, 2020): 7–16. http://dx.doi.org/10.2174/2210676609666190617150025.

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Background and Goals: The role of milieu therapy on inpatient treatment has become more prominent due to the changing landscape of hospital care, with shorter length of stay, higher patient acuity, and rapid turnover. The modern inpatient unit promotes less individual psychotherapy with the psychiatrist or therapist, and more milieu and group based treatment that emphasizes acute stabilization. Methods: The authors share some of the core domains that provide the basic framework for milieu treatment within an acute care setting when working with adolescents and transitional age youth (TAY), with the aim to share clinical considerations for milieu therapy and offer practical ideas for implementation in clinical practice. Discussion: The therapeutic milieu and collaboration of an interdisciplinary team has a significant impact on hospital treatment. Considerations for milieu therapy implementation in an inpatient unit include developmentally informed concepts related to milieu treatment of adolescents and TAY patients in a hospital setting.
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6

Graham, Diane Robinson, Debra Kennedy, Christine Phibbs, and Debra Stewart. "L'ergothérapie en milieu scolaire." Canadian Journal of Occupational Therapy 57, no. 4 (October 1990): 7–10. http://dx.doi.org/10.1177/000841749005700402.

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7

Van Bilsen, H. P. J. G., and A. J. Van Ernst. "Heroin Addiction and Motivational Milieu Therapy." International Journal of the Addictions 21, no. 6 (January 1986): 707–13. http://dx.doi.org/10.3109/10826088609027388.

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8

MCGLASHAN, THOMAS H. "Principles and Practice of Milieu Therapy." American Journal of Psychiatry 142, no. 3 (March 1985): 379–80. http://dx.doi.org/10.1176/ajp.142.3.379.

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9

Burton, John. "Milieu-therapy With Children: Planned Environmental Therapy in Scandinavia." Children & Society 24, no. 2 (March 2010): 171–72. http://dx.doi.org/10.1111/j.1099-0860.2009.00275.x.

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10

Dahlin, Olov. "Erfarenheter I Miljoterapi (Experiences in Milieu Therapy)." International Journal of Group Psychotherapy 38, no. 2 (April 1988): 267–68. http://dx.doi.org/10.1080/00207284.1988.11491109.

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11

Wied, V. D., and N. B. Lutova. "Specific Effects of G. Ammon’s Milieu Therapy." International Journal of Mental Health 31, no. 2 (June 2002): 18–22. http://dx.doi.org/10.1080/00207411.2002.11449551.

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12

Pryor, Julie. "Creating a Rehabilitative Milieu." Rehabilitation Nursing 25, no. 4 (July 8, 2000): 141–44. http://dx.doi.org/10.1002/j.2048-7940.2000.tb01889.x.

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13

Moon, Jun Woong, Young Joo Kim, Sang In Khwarg, Hum Chung, and Hyeong Gon Yu. "Chorioretinal Ischemia and Angiogenic Milieu Following Photodynamic Therapy." Current Eye Research 35, no. 4 (April 2010): 314–21. http://dx.doi.org/10.3109/02713680903548962.

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14

Harris, Susan R. "En réponse au milieu de la recherche." Physiotherapy Canada 56, no. 01 (2004): 001. http://dx.doi.org/10.2310/6640.2004.15358.

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15

Pryor, Julie. "Nurses Create a Rehabilitative Milieu." Rehabilitation Nursing 35, no. 3 (May 6, 2010): 123–28. http://dx.doi.org/10.1002/j.2048-7940.2010.tb00287.x.

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16

Gosselin, Claire, and Ealisabeth Dutil. "Stimuler l'autonomie et la polyvalence des étudiants en ergothérapie: Description d'une expérience pédagogique et perception des professeurs." Canadian Journal of Occupational Therapy 62, no. 3 (August 1995): 127–37. http://dx.doi.org/10.1177/000841749506200304.

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Au cours de la dernière décennie, nous avons assisté à des changements de valeurs et de pratique éducative en ergothérapie. La profusion de nouvelles connaissances et l'implication des ergothérapeutes auprès d'une variété croissante de clientèles et de milieux d'interventions, nous amènent à nous questionner sur les approches pédagogiques les plus pertinentes pour développer autant les habiletés d'autonomie et de polyvalence que l'acquisition des connaissances des futurs étudiants. Une formule pédagogique intégrative a été élaborée à cet effet; d'une part en utilisant l'environnement d'apprentissage comme simulation de certaines caractéristiques du milieu de pratique en ergothérapie et d'autre part, en recourant à une variété d'activités d'apprentissage. Cet article décrit cette formule pédagogique ainsi que la perception critique des professeures qui l'ont développée.
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17

Prigatano, George P., Pamela S. Klonoff, Kevin P. OʼBrien, Irwin M. Altman, Kiran Amin, Dennis Chiapello, Janet Shepherd, Marie Cunningham, and Maria Mora. "Productivity after neuropsychologically oriented milieu rehabilitation." Journal of Head Trauma Rehabilitation 9, no. 1 (March 1994): 91–102. http://dx.doi.org/10.1097/00001199-199403000-00011.

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18

Stockwell, Rose, Andrew Powell, Ashok Bhat, and Chris Evans. "Patients' Views of Occupational Therapy in a Therapeutic Milieu." British Journal of Occupational Therapy 50, no. 12 (December 1987): 406–10. http://dx.doi.org/10.1177/030802268705001203.

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This paper looks at patients' views of a range of occupational therapy activities offered on a psychiatric unit. It presents demographic, diagnostic and outcome information related to these views and outlines some of the research difficulties of using a questionnaire.
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19

Benton, Denise W. "THE SIGNIFICANCE OF THE ABSENT MEMBER IN MILIEU THERAPY." Perspectives in Psychiatric Care 18, no. 1 (January 16, 2009): 21–25. http://dx.doi.org/10.1111/j.1744-6163.1980.tb00049.x.

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20

Youngren, Virginia R. "Opportunity's hard knocks: Clinical training in adolescent milieu therapy." Psychotherapy: Theory, Research, Practice, Training 28, no. 2 (1991): 298–303. http://dx.doi.org/10.1037/0033-3204.28.2.298.

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21

Bowers, Wayne A., Kay Evans, and Arnold E. Andersen. "Inpatient treatment of eating disorders: A cognitive therapy milieu." Cognitive and Behavioral Practice 4, no. 2 (December 1997): 291–323. http://dx.doi.org/10.1016/s1077-7229(97)80005-3.

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22

Simon, James A. "Estrogen replacement therapy: effects on the endogenous androgen milieu." Fertility and Sterility 77 (April 2002): 77–82. http://dx.doi.org/10.1016/s0015-0282(02)02986-2.

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23

Cowls, Jocelyn, and Sandra Hale. "It's the Activity that Counts: What Clients Value in Psycho-Educational Groups." Canadian Journal of Occupational Therapy 72, no. 3 (June 2005): 176–82. http://dx.doi.org/10.1177/000841740507200305.

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Background. This qualitative pilot research study provides client-centred outcomes by evaluating psycho-educational groups from the clients' perspective. Purpose. This study was designed to determine what clients value in three psycho-educational groups offered in an acute inpatient psychiatric setting. Methods. Interviews lasting 30 to 60 minutes relating to the 8 participants group experiences were recorded and transcribed verbatim. A constant comparative approach was used to analyze data allowing for both expected and emergent themes to be integrated into later interviews. Results. Identified themes were group structure, readiness to attend groups and process information, and group milieu. Participants valued voluntary attendance and supportive milieu of groups. Insertion of relevant activity into groups to promote interaction, learning and information retention was also valued. Practice Implications. Occupational therapists offering mental health groups should consider a number of factors. These include the importance of transitioning clients from activity groups to psycho-educational groups, as well as the value clients place in determining their readiness to attend a group and having a supportive milieu with limits to emotional disclosure.
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24

Klonoff, Pamela S., David G. Lamb, Steven W. Henderson, and Janet Shepherd. "Outcome assessment after milieu-oriented rehabilitation: New considerations." Archives of Physical Medicine and Rehabilitation 79, no. 6 (June 1998): 684–90. http://dx.doi.org/10.1016/s0003-9993(98)90045-4.

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25

Ali. Abd El-hie, Halla, Ghada Mohamed Mourad, and Saida El Sayed HassenIbrahim El-Azzab. "Knowledge and Attitudes of Nurses toward Concept of Milieu Therapy." Egyptian Journal of Health Care 8, no. 4 (December 1, 2017): 89–99. http://dx.doi.org/10.21608/ejhc.2017.47700.

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26

Sanchez, Jose. "The Use of Milieu Therapy in Treating the Antisocial Personality." Residential Treatment For Children & Youth 4, no. 1 (December 17, 1986): 25–38. http://dx.doi.org/10.1300/j007v04n01_05.

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27

MacDonald, Scott. "Client Experiences in Music Therapy in the Psychiatric Inpatient Milieu." Music Therapy Perspectives 33, no. 2 (2015): 108–17. http://dx.doi.org/10.1093/mtp/miv019.

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28

Rasborg, Lars. "Milieu therapy for neglected children: Treatment in a caring relationship." International Forum of Psychoanalysis 24, no. 3 (July 24, 2014): 162–71. http://dx.doi.org/10.1080/0803706x.2014.936504.

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29

Lau, M., and E. Kristensen. "P-1157 - Group milieu in systemic and analytic group therapy." European Psychiatry 27 (January 2012): 1. http://dx.doi.org/10.1016/s0924-9338(12)75324-5.

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30

LeCuyer, Elizabeth A. "Milieu therapy for short stay units: A transformed practice theory." Archives of Psychiatric Nursing 6, no. 2 (April 1992): 108–16. http://dx.doi.org/10.1016/0883-9417(92)90006-5.

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31

Irwin, Martin, Paul M. Kline, and Michael Gordon. "Adapting milieu therapy to short-term psychiatric hospitalization of children." Child Psychiatry & Human Development 21, no. 3 (1991): 193–201. http://dx.doi.org/10.1007/bf00705905.

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32

Gullickson, Terri, and Pamela Ramser. "Review of Cognitive therapy with Inpatients: Developing a Cognitive Milieu." Contemporary Psychology: A Journal of Reviews 39, no. 6 (June 1994): 674. http://dx.doi.org/10.1037/034460.

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33

Oprya, Yevgen, and Mykhailo Pustovoyt. "Milieu therapy as a method for improving the quality of life of the old people." Psychosomatic Medicine and General Practice 6, no. 1 (February 14, 2021): e0601293. http://dx.doi.org/10.26766/pmgp.v6i1.293.

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Relevance Nowadays, both in developing countries and in industrialized countries, there is a process of increasing life expectancy, which together with the problem of low birth rates leads to the phenomenon of “aging population”. Providing care to the elderly is not only a purely medical problem, but the social aspect is equally important. An important component of the lifestyle of an elderly person is recreation - the processes of restoring vitality, relieving mental stress and recovery, carried out in various forms of recreation, nutrition, active or passive leisure. Modern society and the health care system face three most important tasks: continuing an active life with minimal losses from the disorders inherent in old age, combating high morbidity in old age and ensuring a dignified end to the lives of aging people. Although the provision of medical and social assistance to the elderly is organized and provided as needed, ensuring the accessibility and sufficient presence in their lives of the social aspect and its communicative component is not supported in our country at the state level and is not regulated by law Purpose The purpose of the work is to improve the quality of life of the elderly through the organization of the social component of life by arranging their leisure. Results To achieve this goal, it was proposed to use the principles and methods of milieu therapy, which means “treatment by the environment”. Most often, milieu therapy refers to a form of psychotherapy that involves the use of therapeutic communities. Considering the goal, milieu herapy fully covers and meets the goals of rehabilitation of the elderly, and as a social technology allows to create an active living environment that encourages older people to “independent actions”, self-sufficiency, withdrawal from dependent moods and hyperprotection. Milieu therapy allows to activate the living environment of such people in accordance with their needs, interests, psychophysical condition, rehabilitation potential; and to optimize the work of staff in the direction of improving the efficiency of activities that will have a direct impact on quality of life. On the example of other countries, examples of the use of the principles of milieu therapy in the organization of daytime activities in the elderly are provided. Conclusions Providing leisure for the elderly will be able to improve their quality of life, reduce the prevalence of somatic diseases and the risk of developing psychosomatic conditions in them, and thus reduce the burden on health care facilities. And the use of the principles of milieu therapy to solve problems will allow to organize it as effectively as possible.
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34

Bouchard, Anne, Sylvie Tétreault, and Renée Bourbonnais. "Une recension des écrits sur l'intégration au travail des jeunes adultes présentant une déficience." Canadian Journal of Occupational Therapy 63, no. 3 (August 1996): 183–91. http://dx.doi.org/10.1177/000841749606300305.

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Le travail joue un rôle primordial dans la vie de tous les individus. Pourtant, les jeunes adultes atteints d'une déficience sont confrontés â plusieurs situations de handicap lorsqu'ils quittent le milieu scolaire pour accéder au milieu du travail. Dans la région de Québec, un certain nombre d'entre eux se retrouvent devant aucune possibilité, et ce, dès l'âge de vingt et un ans. Le présent article vise â recenser les principaux écrits portant sur l'intégration au travail des personnes présentant une déficience. Les thèmes suivants sont abordés: l'importance du travail dans la population en géénéral et chez les individus vivant avec une déficience, les facteurs influençant l'intégration au travail, les différents programmes favorisant l'accès au marché du travail et le rôle de l'ergothérapeute face au travail. À la fin du texte, différentes pistes de recherche dans ce domaine sont proposées.
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35

Perron, A., D. Holmes, and C. Hamonet. "Capture, mortification et dépersonnalisation : la pratique infirmière en milieu correctionnel." Journal de Réadaptation Médicale : Pratique et Formation en Médecine Physique et de Réadaptation 24, no. 4 (December 2004): 124–31. http://dx.doi.org/10.1016/s0242-648x(04)99407-8.

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36

Jolly, Anne, and Greg Decamps. "Les agressions sexuelles en milieu sportif : une enquête exploratoire." Science & Motricité, no. 57 (2006): 105–21. http://dx.doi.org/10.3917/sm.057.0105.

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37

Yunani, Yunani, Widiyaningsih Widiyaningsih, Muhamad Jamaludin, Amrih Widiati, Julvainda Eka Pria Utama, and Wilda Fauzia. "PELATIHAN KADER KESEHATAN UNTUK INISIASI RuTen (RUMAH TENSI) BERBASIS TERAPI MILIEU." Jurnal KESPERA 1, no. 1 (October 22, 2021): 8. http://dx.doi.org/10.34310/jkspr.v1i1.423.

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Hipertensi sebagai salah satu komorbid penyakit Covid 19 memerlukan penanganan yang serius. Pemantauan tekanan darah secara teratur adalah hal yang sangat penting dalam penanganan hipertensi. Masa pandemi membawa dampak yang luas bagi kesehatan, salahsatunya kecemasan atau kekuatiran bagi penderita hipertensi untuk melakukan kunjungan ke tempat layanan kesehatan. Masalah yang harus di tangani adalah terbatasnya jumlah posyandu lansia dan kader kesehatan untuk memberikan pelayanan pada kegiatan posyandu, selain itu pengetahuan masyarakat penderita hipertensi yang masih kurang serta belum tersedianya tempat untuk pemeriksaan/pemantauan tekanan darah terdekat dari masyarakat. Metode Pengadian Kesehatan ini dilakukan dengan pelatihan kader kesehatan tentang hipertensi dan prosedur melakukan pemantauan tekanan darah serta pembekalan tentang pendirian RuTen (Rumah Tensi). Target luaran dari kegiatan ini adalah penyusunan modul pelatihan dan buku saku sehat Tensiku serta terbentuknya RuTen. Pengadian Kepada Masyarakat ini dapat meningkatkan pengetahuan kader tentang hipertensi dan memberikan gambaran tentang Rumah Tensi berbasis terapi MILIEU yaitu menerapkan terapi lingkungan yang meliputi pembuatan KAMAR Tensi dengan KA : Konseling aktif penderita hipertensi kepada petugas kesehatan/kader kesehatan, M : Monitor tekanan darah, AR : Alarmhandphone kader untuk mengingatkan jadwal kegiatan RuTen kepada penderita hipertensi, ruang terapi kreasi seni, ruang terapi bantuan hewan dan terapi merawat tanaman. Kata Kunci: rumah tensi; hipertensi; kader; terapi milieu TRAINING OF HEALTH CAREERS FOR THE INITIATION OF RUTEN (RUMAH TENSI) BASED ON MILIEU THERAPY Abstract Hypertension as a comorbid of Covid 19 requires serious handling. Regular blood pressure monitoring is very important in the management of hypertension. The pandemic period has a wide impact on health, one of which is anxiety or worry for people with hypertension to make visits to health services. The problem that must be addressed is the limited number of Integrated Healthcare Centre for the elderly and health cadres to provide services and activities, in addition to the lack of knowledge of the people suffering from hypertension and the unavailability of places for examination / monitoring of the closest blood pressure from the community. This Health Service was carried out by training health workers (health cadres) on hypertension and procedures for monitoring blood pressure and providing provision for the establishment of a RuTen (Rumah Tensi). The output target of this activity was the preparation of training modules and a healthy pocket book for Tensiku and the formation of RuTen. This service to the community can increase health workers knowledge about hypertension and provide an overview of MILIEU therapy-based RuTen, namely implementing environmental therapy which includes making Tension ROOM with AC: Active counseling of hypertension sufferers to health workers, M: Monitor blood pressure, AR: Alarmhandphone to remind RuTen activity schedule for hypertension sufferers, art creation therapy room, animal aid therapy room and plant care therapy. Keywords: rumah tensi; hypertension; kader; milieu therapy
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38

Petree, Michael S., and Devon Nanton. "A Modern Application of Transactional Analysis in an Adventure Therapy Milieu." Journal of Therapeutic Schools and Programs 1, no. 7 (2015): 37–47. http://dx.doi.org/10.19157/jtsp.issue.07.01.04.

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39

Alsaker, Sissel, and Lena Ulfseth. "Narrative imagination in milieu therapy: Staff members’ stories of relational change." Journal of Occupational Science 24, no. 4 (September 14, 2017): 535–45. http://dx.doi.org/10.1080/14427591.2017.1375968.

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40

Smith, Yvonne, and Matthew C. Spitzmueller. "Worker Perspectives on Contemporary Milieu Therapy: A Cross-Site Ethnographic Study." Social Work Research 40, no. 2 (March 25, 2016): 105–16. http://dx.doi.org/10.1093/swr/svw003.

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41

Gaylin, Ned L. "Client-Centered Family Therapy: Individual and Ecosystemic Issues." PERSON 1, no. 1 (May 1, 1997): 82–85. http://dx.doi.org/10.24989/person.v1i1.2672.

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Conducted within the context of the family, client-centered family therapy incorporates but also transcends dimensions of classic individual client-centered psychotherapy. When client-centered therapy is conducted within the family context its impact and efficaciousness is profoundly enhanced. Rogers' "necessary and sufficient conditions" for psychotherapeutic change are directly transferable to the context of client centered family therapy but require conceptual augmentation which create subtle but portentous new dimensions in the milieu of family therapy.
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42

Wilkinson, Simon R. "Another day older and deeper in therapy: Can the Dynamic-Maturational Model offer a way out?" Clinical Child Psychology and Psychiatry 15, no. 3 (July 2010): 423–32. http://dx.doi.org/10.1177/1359104510368208.

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Patients referred to adolescent psychiatric units have often been in contact with services for many years. When assessing for admission we consider why the previous approaches might have failed and how milieu therapy might be more effective as the priority treatment. We propose that the information provided by an adolescent’s Transition to Adulthood Attachment Interview (TAAI) and the parents’ Adult Attachment Interviews (AAI) leads to an especially productive case formulation. The Dynamic-Maturational Model of attachment and adaptation (DMM) uniquely provides a detailed understanding of an extended range of Type A and Type C strategies with modifiers that are useful for planning the milieu therapy, individual and family work. In addition, this case presentation illustrates the usefulness of understanding the phenomenon of “intruded negative affect”.
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43

Ad-Dab'bagh, Yasser, Brian Greenfield, Jennifer Milne-Smith, and Hyman Freedman. "Inpatient Treatment of Severe Disruptive Behaviour Disorders with Risperidone and Milieu Therapy." Canadian Journal of Psychiatry 45, no. 4 (May 2000): 376–82. http://dx.doi.org/10.1177/070674370004500407.

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Objectives: To evaluate the therapeutic impact of adding risperidone to milieu therapy of latency-aged inpatients with severe disruptive disorders. Methods: The charts of 90 latency-aged patients consecutively admitted to a psychiatry ward were reviewed retrospectively. Fifteen of these patients received 0 risperidone treatment, were nonpsychotic, and did not suffer from pervasive developmental disorder (12 male, 3 female; mean age 9.99 years, SD 1.76). Their scores on the Children's Global Assessment Scale (CGAS) were compared at admission, before risperidone treatment, and at discharge. Results: All subjects were diagnosed with a disruptive behavioural disorder. Ten (66.67%) had additional learning difficulties, and 13 (86.7%) had pathological personality traits. The characteristics of the sample suggested borderline pathology or multiple complex developmental disorder. Following a mean of 38 days after admission (SD 22.3), the patients received risperidone for a mean of 46 days (SD 28.2) before being discharged. The mean maintenance dose of risperidone was 1.27 mg daily (SD 0.36). Mean CGAS scores increased from admission (21.9, SD 7.0) to before risperidone treatment (26.8, SD 7.6, P < 0.0001) and to discharge (50.3, SD 5.3, P < 0.0001). Only 2 patients had documented side effects. Conclusions: Low-dose risperidone used adjunctively to milieu therapy led to statistically and clinically significant additional improvement in the functioning of hospitalized latency-aged children with severe behavioural disorders. Low-dose risperidone is a safe and effective adjunct to milieu therapy for treating this population in inpatient settings. Prospective randomized controlled trials are needed to confirm these findings.
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44

Duhau, Émeline, and Priscille Freyssinges. "Spécificités de la Restauration Fonctionnelle du Rachis (RFR) en milieu militaire." Kinésithérapie, la Revue 21, no. 233 (May 2021): 23–30. http://dx.doi.org/10.1016/j.kine.2021.01.062.

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45

Wang, Xiaojie, Mark Meloche, C. Bruce Verchere, Dawei Ou, Alice Mui, and Garth L. Warnock. "Improving Islet Engraftment by Gene Therapy." Journal of Transplantation 2011 (2011): 1–7. http://dx.doi.org/10.1155/2011/594851.

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Islet cell transplantation is currently the only feasible long-term treatment option for patients with type 1 diabetes. However, the majority of transplanted islets experience damage and apoptosis during the isolation process, a blood-mediated inflammatory microenvironment in the portal vein upon islet infusion, hypoxia induced by the low oxygenated milieu, and poor-revascularization-mediated lack of nutrients, and impaired hormone modulation in the local transplanted site. Strategies using genetic modification methods through overexpression or silencing of those proteins involved in promoting new formation of blood vessels or inhibition of apoptosis may overcome these hurdles and improve islet engraftment outcomes.
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46

Kamel, Mohamed Hassan, Wenqing Yin, Chris Zavaro, Jean M. Francis, and Vipul C. Chitalia. "Hyperthrombotic Milieu in COVID-19 Patients." Cells 9, no. 11 (October 31, 2020): 2392. http://dx.doi.org/10.3390/cells9112392.

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COVID-19 infection has protean systemic manifestations. Experience from previous coronavirus outbreaks, including the current SARS-CoV-2, has shown an augmented risk of thrombosis of both macrovasculature and microvasculature. The former involves both arterial and venous beds manifesting as stroke, acute coronary syndrome and venous thromboembolic events. The microvascular thrombosis is an underappreciated complication of SARS-CoV-2 infection with profound implications on the development of multisystem organ failure. The telltale signs of perpetual on-going coagulation and fibrinolytic cascades underscore the presence of diffuse endothelial damage in the patients with COVID-19. These parameters serve as strong predictors of mortality. While summarizing the alterations of various components of thrombosis in patients with COVID-19, this review points to the emerging evidence that implicates the prominent role of the extrinsic coagulation cascade in COVID-19-related coagulopathy. These mechanisms are triggered by widespread endothelial cell damage (endotheliopathy), the dominant driver of macro- and micro-vascular thrombosis in these patients. We also summarize other mediators of thrombosis, clinically relevant nuances such as the occurrence of thromboembolic events despite thromboprophylaxis (breakthrough thrombosis), current understanding of systemic anticoagulation therapy and its risk–benefit ratio. We conclude by emphasizing a need to probe COVID-19-specific mechanisms of thrombosis to develop better risk markers and safer therapeutic targets.
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47

Rossetti, Andrew. "Environmental Music Therapy (EMT): Music’s Contribution to Changing Hospital Atmospheres and Perceptions of Environments." Music and Medicine 12, no. 2 (April 24, 2020): 130. http://dx.doi.org/10.47513/mmd.v12i2.742.

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AbstractThere are a myriad of sensory elements that contribute to the hospital sensory experience.Environmental Music Therapy is a human-centered, trauma informed strategy that encompasses a process using the metaphoric and associative properties of live music that seeks to modulate patients’ and staff’s perception of the hospital milieu as hostile. While there have been a few studies that have measured EMT’s actual impact quantifiably [1-5], this is the first article to outline the steps and provide orientation, theoretical grounding, and training guidelines for its actual implementation. It is hoped that EMT can be instituted in hospital ICUs as a viable, accessible practice for music therapists whereby its institution will address the sound environment, and perhaps most particularly in those ICUs that are extremely noisy or eerily quiet. Keywords: Environmental Music Therapy, soundscape, soundtrack, ICU, milieu perception
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48

Linda Yani, Athi, and Arifa Retnowuni. "Millieu Therapy Metode Kreasi Seni Modifikasi Lingkungan Terhadap Tingkat Harga Diri Remaja." ARTERI : Jurnal Ilmu Kesehatan 1, no. 4 (September 30, 2020): 299–305. http://dx.doi.org/10.37148/arteri.v1i4.104.

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Adolescence is a transition period between childhood and adulthood. Massive changes from childhood to adulthood are common at ages 13 to 20 years. Previous research discusses the difficulties of social interaction with peers, social relationships with groups, and difficulty communicating with a social new environment. Some students expressed stress with the number of Islamic boarding school rules, controlled and far from parents. At the same time, 32% of people agreed that they were not confident, sad, anxious, afraid of intimidation, and decreased learning enthusiasm. People who looked down on trust would have an external and internal impact. The external consequence is difficulty reaching academic achievement and social relations. The internal consequence is difficulty reaching internal self-concept, unclear, complicated, uncertain self goals, and pessimistic in the future challenge. This study aimed to know the level of self-esteem of students after being given milieu therapy with environmental modification art creation. The study design uses pre-experimental with pre-post test design of one group. The sampling technique was purposive sampling. Samples were taken as many as 24 respondents and divided into 4 groups of 6 people in each group. The intervention was given for 3 weeks. In this study, measuring instruments used a questionnaire using Rosenberg and data analysis using the Wilcoxon test signed a ranking test. The statistical analysis showed the results of p = 0.030 <α. There was a milieu effect of therapeutic methods of environmental modification art creation on students' level of self-esteem living in the dormitory. Milieu therapy can increase awareness and self-confidence between peers with the approval of self-confidence and commitments agreed between friends.
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49

Desai, Fethia Méziou. "Voluntary Work in Rural India." British Journal of Occupational Therapy 52, no. 5 (May 1989): 185–87. http://dx.doi.org/10.1177/030802268905200509.

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The article describes the experience of the author in treating 18 children with disabilities in Ognaj, a village in the Gujarat State of India, over a 3-month period. It illustrates the rural milieu in which the treatment was given, and the respective attitudes of the parents, local medical officer, school teachers and an unusual village Sarpanch (the municipal head).
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50

Jellad, A., M. A. Bouaziz, S. Salah, H. Migaou, and Z. B. Salah. "Épidémiologie de l’épaule douloureuse en milieu de médecine physique et réadaptation ambulatoire." Journal de Réadaptation Médicale : Pratique et Formation en Médecine Physique et de Réadaptation 31, no. 2 (June 2011): 59–64. http://dx.doi.org/10.1016/j.jrm.2011.03.006.

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