The increase of chronic disease in the United States has created a strong demand for health education specialists (HESs) who are trained to facilitate behavioral, environmental and policy changes through program implementation and evaluation. However, it is difficult for colleges and universities to prepare future health educators to be competent…

Lay Health Advisor (LHA) programs hold tremendous promise for reducing health disparities and addressing social determinants of health in medically underserved communities, including African American populations. Very little is understood about the capacity of LHAs in these roles and the broader contributions they make to their communities. This…

2D [superscript 1]H NOESY NMR spectroscopy is routinely used to give information on the closeness of hydrogen atoms through space. This work is based on a 2D [superscript 1]H NOESY NMR spectrum of a 12 base-pair DNA duplex. This 6-h laboratory workshop aims to provide advanced-level chemistry students with a basic, yet solid, understanding of how…

It is rare to find the emotional component of self-directed learning discussed explicitly in the literature. This lack is particularly glaring given the interest sparked by recent brain research concerning the importance of emotion in all types of learning as well as by the dramatic increase in self-directed learning in the emotionally charged…

Recently there have been several news items about possible cancer clusters in the Australian media. The term "cancer cluster" is used when an unusually large number of people in one geographic area, often a workplace, are diagnosed with cancer in a short space of time. In this paper the authors explore this important health issue using…

This article offers a stress theory-based conceptual framework for understanding proactive options for care-getting for patients living with cancer that is also relevant to patients living with other chronic or life-threatening illnesses. Barriers and facilitators to active efforts for obtaining responsive care from both informal and formal…

As a result of advancements in medical expertise and technology, children and adolescents diagnosed with cancer now have opportunities to participate in many typical activities, including school. To some extent, school reintegration reflects positive adjustment to their illness. Nevertheless, children and adolescents with cancer may experience…

A model for multilevel ordinal response data is described that allows for nonproportional odds for a subset of explanatory variables. The model, the multilevel thresholds of change model, focuses on modeling the K-1 thresholds that delineate membership in the "K" ordered stages. The model is illustrated with data from a cancer prevention study.…

The era of technical and scientific progress ushered in with the twentieth century brought new medical knowledge such as the Halstead 'radical' mastectomy, which promised a cure for breast cancer. These advances in medical knowledge were premised on an epidemiological model of disease, which shaped the treatment and public understanding of breast…

A four-week experiential group for women at the British Columbia Cancer Agency offers the creative tools of art, meditation, and journal writing to help focus the inner work of healing in the presence of others. Using comments from the participants, a brief history, framework, and overview are outlined. (Contains 24 references.) (GCP)

Cancer treatment outcomes have improved over the past 20 years, but treatment decision making in this context remains complex. There are often a number of reasonable treatment alternatives, including no treatment in some circumstances. Patients and doctors often have to weigh up uncertain benefits against uncertain costs. Shared decision making…