The purpose of this study was to determine if occupation-based activities improve diabetes self-management and reduce depressive symptoms in an elderly Mexican-American woman with type 2 diabetes mellitus (T2DM). There have been no known studies showing occupational therapy's role in self-care management of T2DM in people with depressive symptoms. The individual in this single-subject research was evaluated using glycosylated haemoglobin blood tests, four self-reported standardized questionnaires, participant reflective logs and clinical observations following an 8-week intervention. The participant improved on all measures, which were sustained 1 month after treatment ended. Clinical implications highlight a new role for occupational therapists providing early intervention in people with diabetes and depression for secondary prevention of complications of uncontrolled diabetes. Research suggestions include multiple single-subject studies showing occupational therapy contributions.
through the display of public civil and ecclesiastical ceremonies during its economic decline. The book provides a thorough analysis of the ways public spectacles of ritual contributed to the formation of a local and imperial identity and were used by colonial officials to leverage power. Ramos argues that "[i]n lateseventeenth-and eighteenth-century Puebla, ritual permeated all aspects of political life. It helped councilmen legitimize church and state, cement corporate and civic identities, stimulate the local economy, develop patronclient relationships, and vie for power" (xviii-xix). Borrowing from anthropologist Clifford Geertz, she further contends that public ceremonies shaped the political culture and identity of Puebla's citizens. However, Spanish colonialism was far from monolithic-Ramos illustrates how both Puebla's civil and ecclesiastical powers struggled to assert supremacy. The book ends with administrative changes brought during the apex of the Bourbon reforms in the 1760s and 1770s. The book's organization is thematic. After setting the historical context of colonial Puebla in the first chapter, the following three chapters center on various types of public ceremonies that range from royal oath ceremonies, funeral rituals, and the viceroy's entrance into Puebla to a variety of Catholic festivities. Ramos demonstrates how civil and ecclesiastical spectacles developed loyalties to the crown and to the Catholic church amidst Puebla's ethnically and socially fragmented society. For example, chapter 4, BOOK REVIEWS AND NOTES
As David Rex Galindo shows in Chapter 5, by 1750 the College of San Fernando, which recruited Serra to New Spain and oversaw the missions of California, was an institution with a rich institutional life and a large contingent of Spanish friars. Rex Galindo’s careful study of the records of the college yields insight into Serra’s place atop the college hierarchy and the ways in which a regimented daily schedule was intended to impart among missionaries the discipline they needed for life in the field.
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