Expanding instruction of human sexuality in counselor education

Though counselors are expected to be familiar with human sexuality and its impact on clients’ mental health, as well as sensitive to diverse identities and expressions, training in these topics is often overlooked in counselor education. This project advocates for the inclusion of a human sexuality course in the curriculum of graduate counseling programs and provides an overview of the relevant literature. It then offers a sample training curriculum for a three-credit graduate level course in human sexuality aimed at counseling students and provides additional resources for the instructor. Special considerations for the potential instructor and classroom environment are also discussed

Encountering Chile: influence of Chilean exiles on United States popular opinions in the 1970s and 1980s

Due to the character of the original source materials and the nature of batch digitization, quality control issues may be present in this document. Please report any quality issues you encounter to [email protected], referencing the URI of the item.Includes bibliographical references: leaves 92-109.This project seeks to define the effects that exiled Chilean intellectuals had on popular perceptions of Latin America within the United States during the 1970s and 1980s. The diaspora of "creators" following the 1973 coup in Chile had at least two effects on contemporary opinions. First, displaced Chileans came into contact with new audiences, for whom they became authorities on the recent history of their country and region. Second, the causes of their emigration produced a desire to expand their audiences in the United States. These exiles were instrumental in perpetuating the memory of the Allende years and the coup that toppled him, as well as offering interpretations of those events, including criticisms of both Latin American social structures and North American corporate and military action. This study proposes the concept of "historical agency" as a means by which to understand the significance of these exiled Chilean creators, and it implicates them as creators of popular history

A Reminiscence of the Nicaraguan Filibusters.

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“I Don’t See Myself as a Medical Assistant Anymore”: Learning to Become a Health Coach, in our Own Voices

Health coaching may improve the health of patients with chronic conditions, and the model is growing in popularity. However, little is known about the experience of becoming a Health Coach. We explored our experiences as medical assistants moving into new roles as health coaches, a trainer of health coaches, and their supporting team. A focus group was conducted in November 2012 with three health coaches and one health coach trainer. Using participatory methods, our whole team, including the health coaches, took part in data analysis. We found that learning to become a Health Coach required embracing a radically new role and “unlearning” old ways of thinking, which is transformative but also at times uncomfortable. In our new role as health coaches, in contrast to our work as medical assistants, we work to meet patients “where they are at,” and we are more focused on the needs of the patient, rather than the needs of the clinician. Health coaching is emotionally intensive; as health coaches we need robust emotional and instrumental support in our new role. Organizations training Health Coaches should be aware of the dramatic shift in perspective that this new role requires and the support that is needed to help medical assistants as they move into this new role

SEXUAL TRANSMISSION OF HIV

Transmission through sexual contact accounts for 75 to 85 percent of the nearly 28 million infections with the human immunodeficiency virus (HIV) that have occurred so far.1 The probability of infection through sexual contact, although it varies greatly, appears to be lower than that of infection through other routes of exposure (Figure 1). The variability observed among and within routes of HIV exposure depends partly on the viral dose and also on whether the virus is transmitted directly into the blood or onto a mucous membrane. In addition, these differences are influenced by a variety of host factors, including both factors common to all routes of exposure and those unique to sexual transmission. HIV infectivity is the average probability of transmission to another person after that person is exposed to an infected host. Infectivity plus two other parameters — the duration of infectiousness and the average rate at which susceptible people change sexual partners — determines whether the epidemic grows or slows.12 On a population level, all three corners of the classic epidemiologic triangle — host-related factors (susceptibility and infectiousness), environmental factors (the social, cultural, and political milieu), and agent factors (HIV type 1) determine HIV infectivity. Host-related and environmental factors can amplify the epidemic through their dual effect on infectivity and the rate of sexual-partner change. Although the entire triangle is key to understanding infectivity, our article focuses on the epidemiology and biology of the host-related factors that affect the sexual transmission of HIV

Northern Orange Latino community, Orange County, North Carolina : an action-oriented community diagnosis : findings and next steps of action

From September 2004 – April 2005, a six-member graduate student team from the Department of Health Behavior and Health Education at the University of North Carolina at Chapel Hill conducted an Action Oriented Community Diagnosis (AOCD) with the Latino Community (LC) of Northern Orange County (NOC). An AOCD examines the quality of life, community capacity, and strengths and needs of a community. Two preceptors from the Orange County Public Health Department mentored the student team throughout this process. The students interviewed 67 community members and service providers in both individual and group interview settings. Additional information was collected using secondary data sources and participant observations by the student team. The students presented the results at a community forum held in Hillsborough, North Carolina on April 9, 2005. Major topics that were discussed and addressed at the forum include transportation, adult education, linguistically and culturally competent service providers, a central location for information, and dental care. Below, a summary of the themes and the key action steps that were laid out at the community forum are listed (note Appendix F): There is a lack of public transportation in Northern Orange County. 1. Develop bilingual pamphlets about existing public transportation in Northern Orange County and distribute them to churches and social service agencies serving Latinos. 2. The Department of Transportation will hold a forum to inform Latinos of the extended bus routes that are scheduled to take effect in January 2006. 3. A bilingual community member will attend the Department of Transportation (DOT) board meetings. The Latino community needs more dental services that are affordable. 1. Hold dental screening and cleaning for preschoolers. 2. Publicize this and other events through a network of Promotores de Salud (community members who have received training in health education) as well as churches serving Latinos. 3. Latino community members will help the dental clinic to demonstrate the need for more dental services that are affordable. There is a need for a central location in Northern Orange County that provides the Latino community with information about existing social and health services. 1. Establish a planning committee. 2. Speak to libraries, schools, churches, and county commissioners about office space. 3. Coordinate a petition from the community and service providers. There is a need for more service providers in Northern Orange County with linguistic and cultural competency. 1. Invite the following agencies to learn how to recruit bilingual service providers: Orange County Health Department Medical Clinic in Hillsborough. Orange County Health Department Dental Clinic in Hillsborough. Orange County Department of Social Services. Day cares. Schools (parent/teacher conferences). Police. Courts. 2. Plan and hold job fairs. 3. Share resources and bilingual personnel between towns and counties. 4. Increase English as a Second Language (ESL) educational opportunities. 5. Offer free Spanish classes to personnel in agencies serving a large number of Latinos. There is a need for more adult education in Northern Orange County, such as ESL classes and job skills training. 1. Ask about possible locations for ESL classes. 2. Ask the following people and places for information and help: Teachers and schools. Social service agencies. Day cares. County politiciansMaster of Public Healt

Abbreviated dignity therapy for adults with advanced-stage cancer and their family caregivers: Qualitative analysis of a pilot study

Objective Dignity therapy (DT) is designed to address psychological and existential challenges that terminally ill individuals face. DT guides patients in developing a written legacy project in which they record and share important memories and messages with those they will leave behind. DT has been demonstrated to ease existential concerns for adults with advanced-stage cancer; however, lack of institutional resources limits wide implementation of DT in clinical practice. This study explores qualitative outcomes of an abbreviated, less resource-intensive version of DT among participants with advanced-stage cancer and their legacy project recipients. Method Qualitative methods were used to analyze postintervention interviews with 11 participants and their legacy recipients as well as the created legacy projects. Direct content analysis was used to assess feedback from the interviews about benefits, barriers, and recommendations regarding abbreviated DT. The legacy projects were coded for expression of core values. Result Findings suggest that abbreviated DT effectively promotes (1) self-expression, (2) connection with loved ones, (3) sense of purpose, and (4) continuity of self. Participants observed that leading the development of their legacy projects promoted independent reflection, autonomy, and opportunities for family interaction when reviewing and discussing the projects. Consistent with traditional DT, participants expressed “family” as the most common core value in their legacy projects. Expression of “autonomy” was also a notable finding. Significance of results Abbreviated DT reduces resource barriers to conducting traditional DT while promoting similar benefits for participants and recipients, making it a promising adaptation warranting further research. The importance that patients place on family and autonomy should be honored as much as possible by those caring for adults with advanced-stage cancer

MBOAT7-driven lysophosphatidylinositol acylation in adipocytes contributes to systemic glucose homeostasis

We previously demonstrated that antisense oligonucleotide-mediated knockdown of Mboat7, the gene encoding membrane bound O-acyltransferase 7, in the liver and adipose tissue of mice promoted high fat diet-induced hepatic steatosis, hyperinsulinemia, and systemic insulin resistance. Thereafter, other groups showed that hepatocyte-specific genetic deletion of Mboat7 promoted striking fatty liver and NAFLD progression in mice but does not alter insulin sensitivity, suggesting the potential for cell autonomous roles. Here, we show that MBOAT7 function in adipocytes contributes to diet-induced metabolic disturbances including hyperinsulinemia and systemic insulin resistance. We generated Mboat7 floxed mice and created hepatocyte- and adipocyte-specific Mboat7 knockout mice using Cre-recombinase mice under the control of the albumin and adiponectin promoter, respectively. Here, we show that MBOAT7 function in adipocytes contributes to diet-induced metabolic disturbances including hyperinsulinemia and systemic insulin resistance. The expression of Mboat7 in white adipose tissue closely correlates with diet-induced obesity across a panel of ∼100 inbred strains of mice fed a high fat/high sucrose diet. Moreover, we found that adipocyte-specific genetic deletion of Mboat7 is sufficient to promote hyperinsulinemia, systemic insulin resistance, and mild fatty liver. Unlike in the liver, where Mboat7 plays a relatively minor role in maintaining arachidonic acid-containing PI pools, Mboat7 is the major source of arachidonic acid-containing PI pools in adipose tissue. Our data demonstrate that MBOAT7 is a critical regulator of adipose tissue PI homeostasis, and adipocyte MBOAT7-driven PI biosynthesis is closely linked to hyperinsulinemia and insulin resistance in mice