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Multiple sclerosis --- rehabilitation --- Multiple sclerosis --- rehabilitation
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Heart failure --- therapy --- Heart failure --- therapy
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Nearly every book on the work of Johann Sebastian Bach mentions Johann Adolph Scheibe's criticism of Bach's music in the sixth volume of Critischer Musikus. Scheibe's ideas have typically been interpreted in two ways: either psychologically, as an expression of professional jealousy; or historically, as a manifestation of the unbridgeable gap between the baroque and the classical periods. Both interpretations are based on the same short passage in Critischer Musikus in which Scheibe mentions Bach, and neither seems to take any account of the larger context. Scheibe's criticism caused a controversy in which such intellectuals as Birnbaum, Mizler and Schröter participated; many of the ideas that are to be found throughout the later volumes of Critischer Musikus and Scheibe's other theoretical writings may serve as landmarks defining Scheibe's position in the controversy; and these same ideas may have been the theoretical and aesthetic background of Scheibe's work as a composer. If Scheibe's criticism is to be interpreted in a fair and adequate way, all these elements must be taken into account. Scheibe's ideas on theory and the aesthetics of music are not easily understood, but there is plain evidence in his writings that his criticism of Bach was more than just jealousy. However, the other common interpretation, considering Scheibe as a classical thinker ahead of his time, turns out also to be untenable. Scheibe's aesthetic and theoretical position seems to be a continuation of baroque ideas rather than a radical break with these concepts. In his aesthetics Scheibe clearly sticks to the rationalist thinking that dominated German baroque music, although he tried to enrich this reason-based tradition by paying more attention to the senses. In his writings on musical theory he defends the contrapuntal mastery that characterises the great composers of baroque music, but on the other hand he tries to broaden this mastery by combining it with other styles, by cherishing melody as a core parameter, by using dissonance and ornamentation soberly and by integrating text and music meticulously in vocal works. These ideas are the musical genes of Scheibe's own compositions and they also seem to live in the works of such composers as Telemann, Hasse and Graun. Even the works that Bach wrote at the time of the controversy and afterwards seem to move in the direction Scheibe defended: he started introducing elements of different styles and he started treating melody as a more central category in his compositions to the extent that these works can be seen as a synthesis in which older characteristics of baroque music are combined with the kind of more modern elements Scheibe had in mind. In this way it becomes clear that Scheibe's criticism does not mark the gap between the baroque and the classical periods, but rather comprises the first attempt to bridge the gap between them.
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Introduction : L’expérience des patients, au cœur des soins centrés sur le patient, permet d’évaluer de manière subjective et objective le parcours du patient. Les mesures d’expériences rapportées par les patients sont une des méthodes préconisées pour mesurer et améliorer les soins. Cette recherche évalue si une modification du type d’informations communiquées aux patients lors de la réalisation de l’examen de scintigraphie myocardique de perfusion au sein du service de Médecine nucléaire de Liège modifie positivement l’expérience de ces derniers. Matériel et méthode : Une étude prospective quasi expérimentale avec groupe contrôle et analyse quantitative par questionnaire a été réalisée pendant 4 mois. Un support écrit a été créé et son impact évalué auprès d’un groupe de patients, par rapport à l’information diffusée habituellement. Des tests statistiques de régression logistique binaire ont été appliqués, et analysés par interprétations des Odds Ratio et intervalles de confiance à 95%. Résultats et conclusions : L’impact de la diffusion de la brochure a été évalué à 3 moments. Tout d’abord, son influence a été mesurée concernant les informations reçues avant l’examen, puis dans l’appréciation des informations globales reçues, après la réalisation de la scintigraphie myocardique de perfusion. Enfin elle fut estimée dans l’expérience positive des patients dans le service de Médecine nucléaire. Son impact était limité dans l’appréciation des informations reçues avant l’examen, en influençant les choix du type d’informations souhaitées par les patients qui l’ont expérimentée, et elle n’avait pas d’effet dans les autres moments mesurés. L’étude a mis en évidence d’autres facteurs d’influence. L’appréciation positive des informations globales reçues dépend de l’importance que les patients accordent au fait d’être informé, associé simultanément avec la qualité des informations reçues à la consultation au cours de laquelle l’examen est prescrit et les explications jugées claires et précises le jour de l’examen. Ces dernières sont le seul facteur ayant un impact sur l’expérience positive des patients. L’étude ayant démontré ses limites à ce niveau, il serait intéressant de poursuivre la recherche vers un questionnement ciblé des patients via des interviews, qui permettrait de mettre en œuvre des solutions appropriées basées sur un partenariat de soins avec les patients. Introduction: At the heart of patient-centered care, patient experience provides a subjective and objective assessment of the patient's journey. Patient-Reported Experience Measures are one of the recommended methods for measuring and improving treatments. This research evaluates whether a change of the type of information provided to patients when performing the myocardial perfusion scintigraphy examination in the Nuclear Medicine Department of Liège positively affects their experience. Material and method: A four months prospective quasi-experimental study with control group and quantitative analysis via a questionnaire survey. A written medium has been created and its impact evaluated with a group of patients, compared to the information usually disseminated. Statistical tests of binary logistic regression were applied and analyzed by interpretations of Odds Ratio and 95% confidence intervals. Results and conclusions: The impact of the distribution of the pamphlet was evaluated at three points. First of all its influence has been measured as regards information received before the examination, then in the evaluation of all the information received, after conducting the myocardial perfusion scintigraphy. Finally it has been estimated in the positive patient experience in the Nuclear Medicine Department. Its impact was limited in the assessment of the information received prior to the examination in influencing the choice of the kind of information desired by the patients who passed through. It had no effect in the other two moments evaluated. The study found other influencing factors. The appraisal of the overall information received depends on the importance to patients of being informed, simultaneously associated with the quality of the information provided during the consultation in which the examination is prescribed, and explanations considered clear and accurate on examination day. The latter are the only factor contributing to the positive patients experience. As the study has shown its limits at this level, it might be interesting to continue the research towards a targeted questioning of patients via interviews, which would make it possible to implement appropriate solutions based on a care partnership with patients.
informative pamphlet --- myocardial perfusion scintigraphy --- patient experience --- quasi-experimental study --- PREM --- Brochure informative --- scintigraphie myocardique de perfusion --- expérience patient --- étude quasi expérimentale --- Sciences de la santé humaine > Santé publique, services médicaux & soins de santé
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