Response orientation modulates pitch-space relationships: the ROMPR effect.

Congruency between auditory and visuospatial stimuli has been previously shown to affect responses to multisensory stimulus pairs, and congruency between stimuli and response devices may play a role in response speed and accuracy. Across two experiments, we tested whether the accuracy and speed of pitch judgments were affected by a congruent or incongruent paired visual stimulus, and whether the relationship was modulated by response orientation. In Experiment 1, participants using a vertically (transversely) oriented keyboard demonstrated a large crossmodal vertical effect, but a minimal crossmodal horizontal effect. In contrast, Experiment 2 used a horizontally oriented keyboard, while also examining whether musical training impacts pitch judgments. As in the first experiment, we found an effect of response mapping on pitch judgments; these results suggest that vertical visual stimuli are processed automatically, while the effects of horizontal visual stimuli are decisional and require a compatible response orientation. Based on these findings, we propose an effect we call the ROMPR effect: response orientation modulates pitch-space relationships. Unexpectedly, non-musicians demonstrated significant ROMPR effects while trained musicians did not. We suggest that non-musicians are more likely to use visual information when making spatial location judgments of pitch: unlike musicians, they have not been trained to rely exclusively on auditory information during pitch processing. We also discuss alternative explanations of the data: namely, that there is a need to disambiguate audiovisual congruency from visual-response congruency with modulations of experimental design.

Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study.

BACKGROUND: Enteral feeding is an essential part of the management of infants with gastroschisis. We hypothesized that exclusive breast milk is associated with improved neonatal outcomes. METHODS: We conducted a retrospective review of infants with uncomplicated gastroschisis through the Canadian Pediatric Surgery Network (CAPSNet) and Canadian Neonatal Network (CNN). The primary outcome was time to full enteral feeds. RESULTS: We identified 411 infants with gastroschisis treated at CAPSNet centres from 2014 to 2022. 144 patients were excluded due to gestational age <32 weeks, birth weight <1500 g, other congenital anomalies, or complicated gastroschisis. Of the remaining 267 participants, 78% (n = 209) received exclusive breast milk diet in the first 28 days of life, whereas 22% (n = 58) received supplemental or exclusive formula. Infants who received exclusive breast milk experienced higher time to reach full enteral feeding (median 24 vs 22 days, p = 0.047) but were more likely to have undergone delayed abdominal closure (32% vs 17%, p = 0.03). After adjustment, there were no significant differences between groups in time to reach full enteral feeds, duration of parenteral nutrition, or length of stay. Infants who received supplemental or exclusive formula had a similar risk of necrotizing enterocolitis (4% vs 3%) but were less likely to transition to exclusive breast milk at discharge (73% vs 11%, p < 0.001). CONCLUSION: Early use of exclusive breast milk in infants with uncomplicated gastroschisis is associated with similar outcomes compared to supplemental or exclusive formula. Patients who received supplemental or exclusive formula were unlikely to transition to exclusive breastfeeding by discharge. LEVEL OF EVIDENCE: Level IIb (Individual Cohort Study).

Perceived Quality of Online Music Therapy Sessions by Older Adults Aging at Home.

Online delivery is new to the field of music therapy (MT). This research investigated older adults' perceived quality of MT online by certified music therapists. In this feasibility study, applying both process and outcome assessments, nine older adults volunteered to participate. Zoom was used, and a virtual music therapy (VMT) kit was developed as a resource. Surveys and observed technical difficulties revealed that perceived quality varied slightly by level of technical difficulty experienced; however, overall mean perceived quality was 7.2 out of 9. Post-study interviews revealed three main themes: (a) individual experiences with VMT, (b) individuals' suggestions for further development of VMT sessions, and (c) individuals' personal outcomes from VMT sessions. Participants reported overall positive experiences with VMT. Despite a slight decline in perceived quality when more technical difficulties were present, each participant reported a desire for more sessions, and they would recommend it to others.