Bridging the Gap: Adapting Mindfulness-based Stress Reduction for Latino Populations

Latinos comprise a sizeable and growing population in the U.S. that experiences unmet health needs and health inequities, and could benefit from increased participation in health-promoting interventions, including Mindfulness-based Stress Reduction (MBSR). This study examined an adapted version of MBSR (MBSR-A) designed to increase the retention and effectiveness of this intervention for Latino populations. Thirty Latino individuals, primarily from the South Valley community of Albuquerque, enrolled in the course. The retention rate in the current study was 86% compared to the 60-66% retention attained in previous MBSR studies with Latinos. Analyses revealed pre to post improvements in a variety of health-related, potential mediator, and mindfulness variables. Anxiety, depression, resilience, and perceived stress demonstrated the strongest and most frequent associations with improvements in potential mediator and mindfulness variables. Of the potential mediator measures, decentering, self-regulation, reflection, and rumination demonstrated the strongest relationships with improvements in mindfulness and health outcomes over the course of the intervention. Qualitative findings revealed that the most common barrier to Latino retention in MBSR was related to time constraints, while derived emotional/ psychological benefits were the most frequently cited motivators for completing the MBSR program. In addition, ethnic identity emerged as a protective factor for retention of Latinos in MBSR. The results of the current study support the preliminary use of MBSR-A in increasing engagement, retention, mindfulness, and health-related outcomes among Latino individuals. Implications of these findings for future research and clinical work with this population are discussed

Ethnicity and health in cervical cancer survivors : understanding vulnerability and resilience

Health disparities among U.S. Hispanic populations continue to be a significant and costly public health concern. Both vulnerability and resilience factors may play a crucial role in understanding the extent of health disparities in a disease and may lead to better ways for reducing the disparities. The purpose of this study was to examine potential vulnerability and resilience factors that may explain differences in health and functioning between Hispanic (n = 52) and Non-Hispanic White (NHW; n = 135) cervical cancer survivors. New Mexico Tumor Registry participants diagnosed with cervical cancer completed general physical and mental health questionnaires including a measure of depression. Measures of vulnerability, including low income and education, and measures of resiliency, including coping, optimism, social support and spirituality, were also completed. No differences were found between Hispanic and NHW women on the physical health, mental health or depression measures. Hispanic women scored higher in spirituality and coping and lower in education than the NHW women. Income, optimism, and social support were all related to better physical and mental health and less depressive symptoms in the whole sample. Future studies should continue to examine population specific vulnerability and resilience factors in cervical cancer in efforts to better understand health disparities and guide prevention and treatment

Gestión estratégica. Aplicación a las PYMES industriales

En este artículo se presentan el diseño y los resultados de la aplicación de un modelo para la evaluación y mejora de la gestión estratégica; esta investigación forma parte de un proyecto más amplio dirigido al diseño de un modelo de sistema inteligente para la evaluación y mejora de la gestión empresarial, que soporte la toma de decisión en las Pymes industriales. Para la determinación de las variables, elementos y evidencias, se hizo una revisión minuciosa de la bibliografía existente sobre gestión estratégica; para hallar las relaciones entre las variables se conformó un equipo de expertos, el cual a través de la matriz de análisis estructural, determinó los valores de motricidad y dependencia de las variables en estudio. Una vez diseñado el sistema de evaluación, se aplicó el instrumento a un grupo de diecinueve (19) Pymes industriales, ubicadas en Ciudad Guayana, Estado Bolívar, Venezuela, las cuales obtuvieron una calificación de 39 puntos en promedio, sobre una base de medición de 100, lo que evidencia que estas empresas no diseñan, implementan y evalúan estrategias, lo cual les impide llevar a cabo una gestión según un plan estratégico y no a merced de los vaivenes del mercado en el cual se desenvuelven

Sistemas de Gestión de la Calidad ISO 9000 en Ciudad Guayana

El objetivo de esta investigación consistió en determinar las razones por las cuales un número apreciable de empresas de Ciudad Guayana no han implementado un sistema de gestión según la norma ISO 9001:2000

Las periferias, ¿ territorios de incertidumbre ? El caso de Pachacútec, Lima-Callao, Perú

International audienc

Gestión de seguridad y salud en el trabajo: aplicación a las pymes industriales

En este artículo se presentan el diseño y los resultados de la aplicación de un modelo para la evaluación y mejora de la gestión de la seguridad y salud en el trabajo; esta investigación forma parte de un proyecto más amplio dirigido al diseño de un modelo de sistema inteligente para la evaluación y mejora de la gestión empresarial, que soporte la toma de decisión en las Pymes industriales

Management of a Patient with an Axillary Nerve Entrapment

HISTORY: A 27-year-old male reports to physical therapy evaluation with R shoulder pain following an injury during Jiu-jitsu 4 weeks prior. He experienced immediate onset of pain following a submission attempt where his arm was forcefully externally rotated. At time of evaluation, he experienced pain with pressing and pulling exercises in R shoulder that would sometimes radiate down to posteriolateral arm. PHYSICAL EXAMINATION: Initial examination of the R arm revealed hypomobility throughout thoracic and lower cervical spine, tight posterior shoulder capsule with anterior humeral head migration, and limited shoulder ROM secondary to pain. Neural testing resulted in + radial nerve tension, which was reduced with head-tilt, indicating proximal facilitation. His rotator cuff strength was strong and pain-free. He had extreme tenderness to palpation and reproduction of arm symptoms over axillary nerve in quadrangular space. DIFFERENTIAL DIAGNOSIS: Labral tear Rotator cuff tear/impingement Radiculopathy Neural tension Axillary nerve entrapment TESTS AND RESULTS: R shoulder AP and lateral radiographic views Bony structure and alignment intact FINAL WORKING DIAGNOSIS: R axillary nerve entrapment with C5-6 facilitation resulting in “double crush” TREATMENT AND OUTCOMES: Thoracic and cervical manipulation Posterior shoulder capsule mobilizations Cross-friction to teres minor and major Radial nerve sliders Progressive scapular strengthening Open-chain to closed-chain Mid-range to end-range Able to return to Jiu-jitsu and regular workout routine at 6 weeks. ROLE OF PRIMARY AUTHOR: Diagnosis and treatment of patient of interest

Femoral Neck Stress Fracture in a Female Triathlete: Clinical Presentation and Management

CASE HISTORY: A 31-year-old female triathlete developed R+ hip pain during a training run in preparation for a full Ironman. The athlete experienced an immediate onset of R+ anterior hip pain as she began to increase pace while running intervals. She stopped immediately and was unable to run or walk without R+ hip pain. The patient was referred to physical therapy. PHYSICAL EXAM: Initial examination in the outpatient physical therapy clinic revealed hip AROM within normal limits and PROM of the R+ limited in both flexion and internal rotation. Resisted strength testing revealed weakness and pain of R+ hip flexors. No neurological signs or symptoms with screening of the lumbar spine. Flexibility testing revealed significantly tight quadriceps and hamstrings bilaterally. Positive anterior hip impingement test bilaterally. Single leg stance revealed compensated trendelenburg sign bilaterally. Gait analysis revealed shortened stride length and decreased stance time on R+. First follow up examination revealed decreased anterior hip pain with posterior hip capsule mobilizations and decreased pain while running in anti-gravity treadmill with increased cadence. Second follow up examination revealed increased R+ hip pain with weight bearing activities and decreased R+ AROM and PROM secondary to pain. Decreased R+ pain reported with distraction and walking in anti-gravity treadmill. DIFFERENTIAL DIAGNOSES: 1. Hip Flexor Strain 2. Femoro-acetabular Impingement 3. Hip Labral Tear 4. Femoral Stress Fracture TESTS & RESULTS: Pelvis anterior-posterior and R+ Hip neutral and flexion anterior-posterior radiographs: Femoral heads and necks intact; Femoro-acetabular joint space preserved bilaterally; Bony pelvis intact and unremarkable; Hip MR without contrast; Minimally displaced anterosuperior labral tear present; Edema in R+ femoral neck region; Non-displaced fracture involving the medial margin of the femoral neck on R+ FINAL DIAGNOSIS: R+ femoral neck medial aspect non-displaced stress fracture with adjacent stress edema. DISCUSSION: Femoral neck stress fractures are often misdiagnosed as signs and symptoms can mimic those of more commonly seen disorders. Early consideration in the differential diagnosis of hip pain is required to avoid potential loss of training time and further injury. OUTCOME OF THE CASE: NWB for 6 weeks; Cleared to start WBAT at 6 week MD follow-up; referred to physical therapy after MRI at 3 months. RETURN TO ACTIVITY AND FURTHER FOLLOW-UP: Rehabilitation included hip mobility, LE strengthening, and plyometric progression. Ran 2 miles independently with minimal to no pain at 3.5 months and discharged with return to running program

Forjando lo mexicano: el pensamiento liberal en Mora, Barreda, Vasconcelos, y Monsiváis

This dissertation analyzes the impact of European liberalism on the process of nation-building in Mexico. In particular, it studies the role of liberalism in the shaping of Mexican thought concerning national identity. It accomplishes this by examining the essayistic production of four major Mexican intellectuals: José María Luis Mora (1794-1850), Gabino Barreda (1818-1881), José Vasconcelos (1882-1959), and Carlos Monsiváis (1938-2010). This dissertation aims to explore how a program deeply rooted in European culture and thought such as liberalism shaped these intellectuals’ interpretations of Mexican culture. The dissertation will also highlight how their work coincided with their pursuit of a governmental system based on liberal principles, along with the urgent need to build a sense of national identity. The first chapter delineates a historical and conceptual framework by borrowing key ideas and definitions of liberal doctrine. Likewise, the chapter traces and contextualizes Mora’s contributions to liberal thought in Mexico during the early stages of Mexico’s independence. The second chapter centers on two periods in Mexican history: the Porfiriato (1876-1910) and the aftermath of the Mexican Revolution (1911-1921). It focuses on Porfirian views of liberal education, and on the role of the post-revolutionary state in guaranteeing social and economic progress after decades of civil and military unrest. For this purpose, the chapter studies Gabino Barreda's positivist approach to education and Jose Vasconcelos’ views on the role of the state in shaping a national post-revolutionary culture based on the figure of the mestizo: a multiracial, multicultural, national symbol. The third chapter analyzes Carlos Monsiváis' retrospective reading of liberalism in the context of the downfall of the PRI. It shows why Monsiváis rescues the legacy of Jacobin liberalism in an era of globalized neoliberalism. This chapter shows in which ways Monsiváis engages with liberalism to address the question of “lo mexicano.” The conclusion of this dissertation revisits the main ideas deployed in the three chapters and assesses the limits of liberalism to articulate the problem of national identity during the nineteenth and twentieth centuries