Sustainable rates of sebaceous wax ester secretion were measured on the foreheads of 109 men and 167 women, aged 15-97. Each measurement was made after first depleting the cutaneous sebum reservoir by overnight absorption of lipid into a layer of bentonite clay. Lipid was then absorbed for 3 h into fresh clay in which two 2-cm cloth disks were embedded. The absorbed lipid was extracted from the disks with ether and analyzed for wax esters by thin-layer chromatography. For both men and women there was a wide range of wax ester secretion rates at all ages. Rates were highest in the 15- to 35-year-olds and appeared to decline continuously throughout the adult age range. Values of log(wax esters) were better correlated with age than the untransformed values of wax ester secretion. The equations of best fit of log(wax esters) vs age suggested that sebum secretion declines about 23% per decade in men and 32% per decade in women.
This article reports results of an integrated mind-body-spirit self-empowerment program for breast cancer survivors. Fifty-one women at various stages of breast cancer completed a series of eclectic lessons offered in a support group format. The program followed an integrated and cumulative lesson plan that progressively and systematically introduced multiple strategies for creating a balance among mental, emotional, spiritual, and physical health. The program's goals were to enable participants to experience a reduction in distress, improve perceived quality of life, reach a deeper sense of meaning and purpose in life, and experience a greater sense of perceived wellness. Self-assessments were obtained on four well-documented measures relating to both pre- and postprogram participation. Differences in pre- and postscores showed statistically significant improvement and large estimated effect sizes on all four measures. Participants' written comments provide examples of the scope and benefits of the program.
This article presents the author's personal journey through and beyond breast cancer. The holistic process of transcendence that results in an ongoing sense of reconstructing and integrating one's Self (mind, body, and spirit) is described. Numerous examples are provided of how listening to and trusting one's inner voice is integral to the process of transcendence and reconstruction. Nursing implications are identified along with theoretical perspectives for understanding the author's experiences.
This article examines the differences between wholistic nursing and holistic nursing and proposes that the latter conceptualization is more effective for contemporary nursing care. First, a brief historical overview and critique of the two concepts is given. The nursing theory, Modeling and Role-Modeling, is presented as an example of a theoretical perspective that encompasses the holistic orientation. Case examples of how this theory has been used in clinical practice are offered.
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