![]() Picnic in the Dark is a carefully laid feast of confession and melodic rumination. Daylight isn’t required for this picnic, as open ears are all that’s needed to absorb all the nuance and emotion each composition contains. Whatever it is, Zeiguer has locked on her style and tugs the listener along for a gorgeous, darkly glittering ride under the stars. Perhaps it’s the mantra-like lyrics (like “ calling in the angels” or “ tell me when it’s over” from “Carmen”) or the consistent tone of backing instrumentals, never intrusive, lending a gentle layer. Yet they don’t diminish the impact of the surrounding compositions. Tracks like “Evergreen” and “Sunset Boulevard” are standout because of their solid rhythm combined with effortless vocals. She listens and hears the music moving and moves with it, not just controlling it but letting it speak for itself. It is because Zeiguer is not only a great songwriter but a great listener. There’s a smoothness that belies a tempo change or a lessening of reverb and carries the listener along as easy as adjusting from a couch to a nearby bed. Even when there’s a shift between songs (as with “Burning Candles” to “Avalanche”), it’s done expertly. ![]() A bit like Mitski colliding-gently-with the Cocteau Twins, Picnic in the Dark is mesmerizing. But the dreams aren’t wild and loose, floating off, lingering long enough to leave a distinct impression. There’s something on the horizon, shining through. The tone of the song is dusky, echoey, but the phrase “the light is you” brightens the space, revealing not only a realization occurring to the singer, but to the listener, who finds that this track is not only about looking back at the past, but toward the future. pro re nata, as needed Pro proline (or its radicals) PROM passive range of motion premature rupture of membranes psi pounds per square inch PSV pressure-supported ventilation PT physical therapy prothrombin time Pt platinum PTA plasma thromboplastin antecedent phosphotungstic acid prior to admission PTAH phosphotungstic. Zeiguer sings in a soft soprano against a background of undulating guitar (as if the sound’s warped) and a steady drumbeat, and the music matches the lyrics skillfully. Her lyrics in “Child” concern family and heredity-what’s carried forward. With her ethereal sound, Zeiguer wanders her murky way through 12 tracks that move along superbly-urgent but never rushed. The very image of having a picnic in the dark suggests waiting for the things that go bump in the night, to talk to them and perhaps defeat or understand them. Nursing home Older people Polypharmacy Pro re nata (as needed) drug use.Brooklyn-based Filipino-Argentinian singer/songwriter Renata Zeiguer confronts memories, shadows, and the future in her second full album, Picnic in the Dark. ![]() Moreover, the high prevalence of PRN medication and the association with length of stay highlights the importance of an accurate documentation. Physicians should regularly reconsider the need of each PRN drug on the medication schedule. The high prevalence of PRN medication should be taken into account when considering polypharmacy and inappropriate drug prescribing or using screening tools like the STOPP/START (screening tool of older persons' potentially inappropriate prescriptions/screening tool to alert doctors to right) criteria in nursing homes. Most commonly used PRN drug was acetaminophen, which was prescribed to 289 (33.9 %) residents. In a multivariable analysis, length of stay above the median of 2.1 years (OR 2.4 95 % CI 1.8, 3.2) and polypharmacy with five or more long-term drugs (OR 2.1 95 % CI 1.5, 2.9) were associated with a higher number of PRN prescriptions. Residents with five and more PRN prescriptions were on average since 4.8 ± 4.3 years in the nursing home. ![]() On average, residents with no PRN prescriptions stayed since 2.4 ± 2.9 years in the nursing home. On average, each resident was prescribed 2.5 ± 2.3 PRN drugs. Nearly three quarters (74.9 %) of all residents were treated with at least one PRN medication. Descriptive statistics and multivariable regression models were used to analyse and present the collected data. The multicentre cross-sectional study included a heterogeneous sample of 21 nursing homes in Northwestern Germany comprising 852 residents. Therefore, we examined characteristics of PRN drug use and potential predictors in nursing homes. Despite the known risks and the widespread administration, there is a paucity of current research examining the use of PRN drugs in nursing homes. Injudicious pro re nata (PRN) or as needed prescribing can lead to polypharmacy, potentially harmful drug interactions and total drug doses exceeding the maximum recommended.
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