Mindful Bodies: The Use of Guided Meditation with Dance/Movement Therapy in Addiction Treatment

Body-based approaches, such as dance/movement therapy (DMT), in addiction treatment can be anxiety provoking for those seeking sobriety. Strengthening the relationship between therapist and client using compassionate methods, such as guided meditation, prior to DMT sessions has, in the experience of this researcher, helped establish a safe environment in which to experience DMT. Using guided meditation as a method of creating comfort within the body aided in achieving the goal of enhancing one’s awareness of emotions, thoughts and sensations through the use of body-based methods. Increasing self-awareness of emotions and physical sensations is an important step on the road to recovery from addiction (substance dependence/chemical dependency). Meditative practices are increasingly accepted as effective coping tools for improving mindfulness and experiencing non-judgment towards one’s negative thought patterns and/or behaviors. The purpose of this study was to provide insight into the overall conscious experience during a guided meditative state of people diagnosed with substance dependence. Using an Organic Inquiry approach, this study also examined how a dance/movement therapist may choose to guide participants through a meditative state utilizing sensorimotor psychology modes of awareness: thinking, feeling and sensorimotor (which includes inner-body sensing, movement and 5-sense perception). Results suggest that the therapeutic relationship developed through the use of guided meditation increased the participants’ overall sensorimotor awareness, decreased anxiety-producing thoughts, and enhanced self efficacy through improved stress management. By increasing body awareness and focused attention to self, participants demonstrated a greater ability to describe their present moment experience on a body-based level and a sense of relief from symptoms related to recovery from addiction

How to avoid knee tunnel convergence when performing a combined anterior cruciate ligament reconstruction and lateral extraarticular tenodesis utilizing the antero medial window

The anterolateral structures of the knee have been demonstrated to have a significant impact on reducing rotational instability and the forces applied to the anterior cruciate ligament reconstruction (ACL) graft after surgical reconstruction. Combined ACL reconstruction and lateral extraarticular tenodesis are being performed at an increasing number due to its promising outcome in properly indicated patients. However, tunnel convergence in combined ACLR and lateral extraarticular tenodesis can lead to graft damage and possible failure defeating the purpose of this very effective technique. This technical note describes how to avoid knee tunnel convergence when performing a combined ACL reconstruction with lateral extraarticular tenodesis utilizing the “Antero medial window”

HBV Testing and Vaccinations among Asian and Pacific Islander Patients: Understanding the Impact of the San Francisco Hepatitis B Free Campaign on Physician Awareness

Background and Significance: One in 12 Asian and Pacific Islanders (APIs) are infected with hepatitis B (HBV). APIs represent one-third of the population in San Francisco. San Francisco Hep B Free (SFHBF), a citywide collaboration, works to educate physicians and the community on the importance of hepatitis B among APIs through increasing awareness, education and the availability of screening and vaccinations. The purpose of this paper was to qualitatively assess the perceived impact of SFHBF on the awareness and attitudes of physicians regarding screening and vaccination of APIs. Methods: Twenty physicians (n=20) participated in key informant interviews about HBV awareness and involvement with SFHBF. The questions focused on physician attitudes and practice towards HBV screening, vaccination and follow-up care, communication with patients about HBV, and awareness and effectiveness of the SFHBF outreach efforts. Results: Findings highlighted SFHBF’s impact on physicians’ sensitivity and awareness. Overall, physicians were increasing their HBV screening and vaccination rates among their API patients. Physicians noted the need for continual support to prioritize HBV screening and vaccination among their API patients. Conclusion: The findings of this study are important for understanding the impact of public health campaigns on physician attitudes and practices regarding HBV education, screening, and vaccinations among their API patients

Community Profiles: An Evaluation and Planning Tool for Neighborhood Systems and Environmental Change Efforts

Purpose: Latinos in the US experience health disparities in obesity and related disease outcomes. There is national recognition that modifiable risk factors are influenced by the places that people work, live and play. Latinos are more likely to live in areas with limited access to affordable healthy food and recreational facilities. Design: This paper describes the development and use of neighborhood profiles as a tool for (1) assessing neighborhood built environments and (2) planning for neighborhood-based efforts focused on systems and environmental change. Our neighborhood profiles united four diverse data sources: secondary data, observational assessments, neighborhood connector interviews and resident surveys. Subjects: Twelve mostly urban, largely Latino neighborhoods of high economic disparity in Pima County, Arizona were included. Analysis: Secondary data was analyzed to describe sociodemographic characteristics of neighborhoods, while observational assessments were used to quantify and qualify aspects of the built environment. Neighborhood surveys and connector interviews were analyzed using frequency distributions and content analysis. Results: Neighborhoods varied in healthy food availability and physical activity infrastructure. Overall, residents indicated that community gardens and healthy food options in local stores are priorities. Conclusion: Neighborhood profiles demonstrated potential as an evaluation and community-planning tool to assist communities to create healthy environments

Changing Attitudes towards Hepatitis B among Asian Americans: From Saving Face to Getting Serious

Background: Asian Americans have the highest prevalence of hepatitis B virus (HBV) in the US. The San Francisco Hep B Free (SFHBF) campaign aimed to increase awareness and access to HBV education and services among Asian Americans in San Francisco. Purpose: We sought to examine attitudes and knowledge among Asian Americans regarding HBV at baseline (2009) and benefits of the SFHBF outreach campaign four years later (2013). Methods: Four focus groups were conducted (n=45) in 2009, followed by in-depth interviews (n=40) in 2013. Results: In 2009, many participants were misinformed about HBV symptoms and transmission. They also reported stigma associated with HBV, which hindered Asian Americans from discussing the disease and seeking services. The 2013 interviews revealed that SFHBF had contributed towards awareness of HBV screenings and vaccinations, and also instilled acute seriousness that HBV could affect them directly. Conclusion: The in-depth interviews conducted in 2013 illustrated that there was less concern about “saving face,” but a shift to a level of seriousness associated with HBV. Future efforts among Asian Americans should continue to focus on self-efficacy regarding HBV prevention, including screening and vaccination

Challenging ecogeographical rules: Phenotypic variation in the Mountain Treeshrew (Tupaia montana) along tropical elevational gradients

Bergmann’s and Allen’s rules were defined to describe macroecological patterns across latitudinal gradients. Bergmann observed a positive association between body size and latitude for endothermic species while Allen described shorter appendages as latitude increases. Almost two centuries later, there is still ongoing discussion about these patterns. Temperature, the common variable in these two rules, varies predictably across both latitude and elevation. Although these rules have been assessed extensively in mammals across latitude, particularly in regions with strong seasonality, studies on tropical montane mammals are scarce. We here test for these patterns and assess the variation of several other locomotory, diet-associated, body condition, and thermoregulatory traits across elevation in the Mountain Treeshrew (Tupaia montana) on tropical mountains in Borneo. Based on morphological measurements from both the field and scientific collections, we found a complex pattern: Bergmann’s rule was not supported in our tropical mountain system, since skull length, body size, and weight decreased from the lowest elevations (<1000 m) to middle elevations (2000–2500 m), and then increased from middle elevations to highest elevations. Allen’s rule was supported for relative tail length, which decreased with elevation, but not for ear and hindfoot length, with the former remaining constant and the latter increasing with elevation. This evidence together with changes in presumed diet-related traits (rostrum length, zygomatic breadth and upper tooth row length) along elevation suggest that selective pressures other than temperature, are playing a more important role shaping the morphological variation across the distribution of the Mountain Tree shrew. Diet, food acquisition, predation pressure, and/or intra- and inter-specific competition, are some of the potential factors driving the phenotypic variation of this study system. The lack of variation in body condition might suggest local adaptation of this species across its elevational range, perhaps due to generalist foraging strategies. Finally, a highly significant temporal effect was detected in several traits but not in others, representing the first phenotypic variation temporal trends described on tree shrews

Toward optimal implementation of cancer prevention and control programs in public health: A study protocol on mis-implementation

Abstract Background Much of the cancer burden in the USA is preventable, through application of existing knowledge. State-level funders and public health practitioners are in ideal positions to affect programs and policies related to cancer control. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Greater attention to mis-implementation should lead to use of effective interventions and more efficient expenditure of resources, which in the long term, will lead to more positive cancer outcomes. Methods This is a three-phase study that takes a comprehensive approach, leading to the elucidation of tactics for addressing mis-implementation. Phase 1: We assess the extent to which mis-implementation is occurring among state cancer control programs in public health. This initial phase will involve a survey of 800 practitioners representing all states. The programs represented will span the full continuum of cancer control, from primary prevention to survivorship. Phase 2: Using data from phase 1 to identify organizations in which mis-implementation is particularly high or low, the team will conduct eight comparative case studies to get a richer understanding of mis-implementation and to understand contextual differences. These case studies will highlight lessons learned about mis-implementation and identify hypothesized drivers. Phase 3: Agent-based modeling will be used to identify dynamic interactions between individual capacity, organizational capacity, use of evidence, funding, and external factors driving mis-implementation. The team will then translate and disseminate findings from phases 1 to 3 to practitioners and practice-related stakeholders to support the reduction of mis-implementation. Discussion This study is innovative and significant because it will (1) be the first to refine and further develop reliable and valid measures of mis-implementation of public health programs; (2) bring together a strong, transdisciplinary team with significant expertise in practice-based research; (3) use agent-based modeling to address cancer control implementation; and (4) use a participatory, evidence-based, stakeholder-driven approach that will identify key leverage points for addressing mis-implementation among state public health programs. This research is expected to provide replicable computational simulation models that can identify leverage points and public health system dynamics to reduce mis-implementation in cancer control and may be of interest to other health areas