1 443 158 CERVICAL ARTERIAL DISSECTION AND TRAUMATIC MYELOPATHY FOLLOWING YOGA: SURGICAL CASE REPORT. INTRODUCTION: CERVICAL SPONDYLOSIS CAN PREDISPOSE PATIENTS TO CENTRAL CANAL STENOSIS. IN THIS SETTING, MYELOPATHY THROUGH FURTHER FLATTENING OF THE CORD FROM EXTRINSIC COMPRESSION CAN BE PRECIPITATED BY RELATIVELY MINOR TRAUMAS. ARTERIAL DISSECTION IS SIMILARLY CONSIDERED A RESULT OF HIGH VELOCITY OR MOMENTUM DURING TRAUMA, COMMONLY ASSOCIATED WITH FRACTURES, CERVICAL HYPERFLEXION, OR DIRECT BLUNT FORCE TO THE NECK. OVERALL, PRECAUTIONS FOR BOTH ARTERIAL DISSECTION AND MYELOPATHY ARE RARELY CONSIDERED IN LOW-VELOCITY, STATIC ACTIVITIES SUCH AS YOGA. CASE PRESENTATION: THE AUTHORS REPORT THE CASE OF A 63-YEAR-OLD MAN WHO SUFFERED CONCURRENT CERVICAL MYELOPATHY FROM MULTILEVEL SPONDYLOPATHY, RIGHT VERTEBRAL ARTERY DISSECTION, AND LEFT CERVICAL CAROTID ARTERY DISSECTION FOLLOWING A YOGA SESSION. SYMPTOMATOLOGY CONSISTED OF ACUTE ONSET NECK PAIN, UPPER EXTREMITY SENSORY PARESTHESIA, WORSENING GAIT AND BALANCE, AND IMPAIRED DEXTERITY FOR SEVERAL WEEKS. CERVICAL MRI WAS OBTAINED GIVEN MYELOPATHIC SYMPTOMS AND REVEALED SPONDYLOSIS WITH COMPRESSION AND T2 SIGNAL CHANGE AT C3-C4. CT ANGIOGRAPHY OF THE NECK REVEALED AFOREMENTIONED DISSECTIONS WITHOUT FLOW LIMITING STENOSIS OR OCCLUSION. A THERAPEUTIC HEPARIN INFUSION WAS STARTED PREOPERATIVELY UNTIL THE PATIENT UNDERWENT C3-C4 ANTERIOR CERVICAL DISCECTOMY AND FUSION. ASPIRIN AND PLAVIX WERE THEN STARTED WITHOUT INCIDENCE AND THE PATIENT HAD SIGNIFICANT BUT GRADUAL IMPROVEMENT IN MYELOPATHIC SYMPTOMS AT 6-WEEK FOLLOW-UP. DISCUSSION: THE STATIC YET INTENSIVE POSES ASSOCIATED WITH YOGA PRESENT A RARE ETIOLOGY FOR ARTERIAL DISSECTION AND MYELOPATHY, BUT PATIENTS WITH PERSISTENT AND PROGRESSIVE SYMPTOMS SHOULD BE SCREENED WITH THE APPROPRIATE IMAGING MODALITY. CERVICAL DECOMPRESSION SHOULD BE EXPEDITED BEFORE INITIATING AN ANTIPLATELET MEDICATION. 2022 2 2447 20 YOGA AND THE BATTLEFIELD OF ETHICS: HIGHLIGHTING AN INFUSION MODEL FOR ETHICS EDUCATION. THIS PAPER ARTICULATES AN INFUSION MODEL OF ETHICS EDUCATION FOR ENGINEERING STUDENTS BY ILLUMINATING THE VALUE OF A RELIGIOUS STUDIES COURSE ON YOGA. THIS MODEL IS DISTINGUISHED FROM FOUR OTHER POSSIBLE APPROACHES THAT HAVE TRADITIONALLY BEEN USED TO PREPARE ENGINEERING STUDENTS TO FACE THE CHALLENGES OF THE WORK PLACE. THE ARTICLE IS NOT CLAIMING THAT THIS APPROACH SHOULD BE USED TO THE EXCLUSION OF THE OTHER APPROACHES, BUT RATHER THAT IT ADDS STRENGTH TO THE OTHER APPROACHES. SPECIFICALLY, THE ARTICLE CLAIMS THAT THE INFUSION MODEL PROVIDES AN OPPORTUNITY FOR STUDENTS TO REFLECT UPON THE FOUNDATIONAL ETHICAL POSITIONS EMANATING FROM THE WORLD'S RELIGIONS AND THEREBY PROVIDES THEM WITH A VISTA FROM WHICH THEY CAN NOT ONLY ASK WHAT PROFESSIONAL ETHICAL CODE APPLIES IN A GIVEN SITUATION, BUT ALSO PONDER THE NATURE OF CHARACTER NEEDED TO FOLLOW THAT ETHICAL CODE. 2006 3 1495 27 INTERVENTION PROTOCOL FOR INVESTIGATING YOGA IMPLEMENTED DURING CHEMOTHERAPY. OBJECTIVE: FATIGUE AND OTHER TREATMENT-RELATED SYMPTOMS ARE CRITICAL THERAPEUTIC TARGETS FOR IMPROVING QUALITY OF LIFE IN PATIENTS WITH COLORECTAL CANCER DURING CHEMOTHERAPY. YOGA IS A PROMISING INTERVENTION FOR IMPROVING THESE THERAPEUTIC TARGETS AND HAS BEEN PRIMARILY INVESTIGATED IN THE GROUP-CLASS FORMAT, WHICH IS LESS FEASIBLE FOR CANCER PATIENTS WITH HIGH SYMPTOM BURDEN TO ATTEND. THUS, WE DEVELOPED A PROTOCOL FOR IMPLEMENTING YOGA INDIVIDUALLY IN THE CLINIC AMONG PATIENTS RECEIVING CHEMOTHERAPY. METHODS: WE FOLLOWED RECOMMENDED DOMAINS FOR DEVELOPING A YOGA PROTOCOL TO BE USED IN AN EFFICACY TRIAL. THESE RECOMMENDATIONS INCLUDE CONSIDERATION TO THE STYLE, DELIVERY, COMPONENTS OF THE INTERVENTION, DOSE, SPECIFIC CLASS SEQUENCES, FACILITATION OF HOME PRACTICE, MEASUREMENT OF INTERVENTION FIDELITY, SELECTION OF INSTRUCTORS, AND DEALING WITH MODIFICATIONS. THE INTERVENTION PROTOCOL WAS DEVELOPED BY AN INTERDISCIPLINARY TEAM. PROTOCOL: YOGA SKILLS TRAINING (YST) CONSISTS OF FOUR 30-MINUTE IN-PERSON SESSIONS AND WAS IMPLEMENTED WHILE IN THE CHAIR DURING CHEMOTHERAPY INFUSIONS FOR COLORECTAL CANCER WITH RECOMMENDED DAILY HOME PRACTICE FOR EIGHT WEEKS. THERAPEUTIC GOALS OF THE YST ARE TO REDUCE FATIGUE, CIRCADIAN DISRUPTION, AND PSYCHOLOGICAL DISTRESS. ELEMENTS OF THE YST ARE AWARENESS MEDITATION, GENTLE SEATED MOVEMENT, BREATHING PRACTICE, AND RELAXATION MEDITATION. ATTENTION, COMFORT, AND EASE ARE ALSO HIGHLIGHTED. CONCLUSION: THIS DESCRIPTION OF A PROTOCOL FOR INTEGRATING YOGA WITH CONVENTIONAL CANCER TREATMENT WILL INFORM FUTURE STUDY DESIGNS AND CLINICAL PRACTICE. THE DESIGN OF THE YST IS NOVEL BECAUSE IT IMPLEMENTS YOGA-MOST COMMONLY STUDIED WHEN TAUGHT TO GROUPS OUTSIDE OF THE CLINICAL SETTING- INDIVIDUALLY DURING CLINICAL CARE. 2016 4 1396 26 IMPACT OF YOGA IN A CASE OF VOCAL CORD DYSFUNCTION WITH DYSAUTONOMIA. A 23-YEAR-OLD FEMALE WITH A PAST MEDICAL HISTORY OF GASTROESOPHAGEAL REFLUX DISEASE PRESENTED WITH SHORTNESS OF BREATH INDUCED BY EXERCISE AND CERTAIN ODORS. SHE REPORTED THE SYMPTOMS OF AUTONOMIC DYSFUNCTION INCLUDING FATIGUE, CHEST PAIN, LIGHTHEADEDNESS, HEADACHES, NUMBNESS/TINGLING IN THE ARMS AND LEGS, AND EXERCISE INTOLERANCE. VITAL SIGNS WERE SIGNIFICANT FOR ORTHOSTATIC INTOLERANCE. VOLUME FLOW LOOP IN THE PULMONARY FUNCTION TESTS SHOWED A FLATTENING OF THE INSPIRATORY PORTION CHARACTERISTIC OF VOCAL CORD DYSFUNCTION. LARYNGOSCOPY SHOWED DYSKINESIA OF THE LEFT VOCAL CORD, ESPECIALLY AFTER EXERCISE. MULTIFACTORIAL APPROACH WAS USED INCLUDING INCREASED FLUID INTAKE AND BREATHING EXERCISES. AFTER 6 WEEKS OF BREATHING AND ISOMETRIC EXERCISES, THE PATIENT REPORTED IMPROVEMENT IN DYSPNEA AFTER EXERCISE. THIS CASE REPORT DEMONSTRATES THE THERAPEUTIC ROLE OF BREATHING AND ISOMETRIC EXERCISES IN THE MANAGEMENT OF VOCAL CORD AND AUTONOMIC DYSFUNCTION. 2017 5 400 18 BEYOND THE EAST/WEST DICHOTOMY-THE COURSE YOGA: THEORY AND PRACTICE CONVEYS THE BENEFITS OF AN AYURVEDIC LENS FOR GLOBAL HEALTH. THE COURSE YOGA: THEORY AND PRACTICE (YTP) EVOLVED FROM THE REALIZATION THAT GRADUATE AND UNDERGRADUATE ACADEMIC OFFERINGS OF "YOGA COURSES" WERE FILLED BEYOND CAPACITY, WHILE STUDENTS WERE NOT BEING EXPOSED TO THE DEPTH AND BREADTH OF WHAT YOGA HAS TO OFFER AS A HOLISTIC, INTEGRATIVE PRACTICE, NOR HOW IT GREW UP ALONGSIDE AYURVEDA. STUDENTS EXPERIENTIALLY UNDERSTOOD THE CONTRIBUTION THAT YOGA PRACTICE MADE IN THEIR LIVES AND SENSED THE HEALTH BENEFITS IT AFFORDED. YET, THEY WERE HUNGRY FOR AN UNDERSTANDING OF THE LENS THROUGH WHICH YOGA EMERGED. YTP IS AN ELECTIVE COURSE WITHIN AN ACADEMIC MINOR OF STUDY, "INTEGRATIVE APPROACHES TO HEALTH AND WELLNESS" THAT PROVIDES NONWESTERN WAYS OF UNDERSTANDING GLOBAL MEDICINE AND HEALTH. THE FOCUS OF YTP IS TO OFFER COLLEGE STUDENTS AN IN-DEPTH, ACADEMIC STUDY OF YOGA, INCORPORATING BOTH SCIENTIFIC (REDUCTIONIST), AND AN AYURVEDA HEALTH PERSPECTIVE. THIS COURSE IS AN EDUCATIONAL INNOVATION, TRANSLATING THE BENEFITS OF AYURVEDIC AND YOGIC LIFESTYLE TO A WESTERN AUDIENCE. 2019 6 402 23 BEYOND TURMERIC AND YOGA: ADVANCE CARE PLANNING AND END-OF-LIFE CONSIDERATIONS AMONG ASIAN INDIAN AMERICAN HINDUS. HINDUISM IS THE FOURTH LARGEST RELIGION IN THE UNITED STATES; AN UNDERSTANDING OF HINDU BELIEFS AND PRACTICES WILL HELP HEALTH CARE PROVIDERS DELIVER CULTURALLY SENSITIVE CARE WHILE DISCUSSING ADVANCE CARE PLANNING AND END-OF-LIFE CARE FOR ADULT PATIENTS. FOR MANY WESTERNERS, THE PRACTICE OF YOGA, AYURVEDA, AND VEGETARIANISM IS USED BY PEOPLE STRIVING TO LIVE HEALTHFULLY. HOWEVER, WHAT MIGHT BE UNFAMILIAR TO WESTERNERS IS HOW FOR HINDUS, THESE PRACTICES REFLECT THEIR MILLENNIA-OLD SPIRITUALITY AND RELIGIOSITY. KNOWING THE HINDU BELIEFS OF ATMAN, BRAHMAN, KARMA, AND MOKSHA WILL HELP NURSES CONNECT TO HINDUS' VARIOUS END-OF-LIFE WISHES. IN ADDITION, GETTING FAMILIAR WITH INTERRELATING FACTORS SUCH AS LACK OF KNOWLEDGE ON PALLIATIVE CARE AND ADVANCE CARE PLANNING, FAMILY DYNAMICS, ACCULTURATION, AND PERSONAL PREFERENCES WILL ALLOW NURSES TO PROVIDE CULTURALLY COMPETENT CARE. BY FACILITATING END-OF-LIFE CONVERSATIONS AT AN EARLY STAGE, NURSES CAN PROMOTE CONFIDENCE AND SELF-EFFICACY FOR PATIENTS WHO MAY FEAR THAT THEIR RELIGIOSITY AND PERSONAL PRIORITIES ARE TRIVIALIZED BY ACCULTURATED FAMILY MEMBERS OR DISREGARDED BY THEIR ADOPTED HOMELAND. THIS CLINICAL ARTICLE PROVIDES NURSES WITH INFORMATION ABOUT ASIAN INDIAN AMERICAN HINDUS' BELIEFS AND PRACTICES, CLINICAL IMPLICATIONS FOR ASSESSMENT, AND SUGGESTIONS TO SUPPORT PATIENTS' AND FAMILIES' END-OF-LIFE WISHES. 2022 7 1598 12 MEDITATION, YOGA, AND GUIDED IMAGERY. THE AUTHOR PRESENTS AN INTRODUCTION TO INSIGHT OR MINDFULNESS MEDITATION, YOGA, AND GUIDED IMAGERY FROM THEORETICAL AND PRACTICAL PERSPECTIVES. SHE PROVIDES CLEAR, EASY-TO-FOLLOW STEPS TO BEGIN USING SITTING MEDITATION, WALKING MEDITATION, AND YOGA FOR THE HEALTH CARE PROVIDER AND FOR THE PATIENT. SHE PRESENTS THE MATERIAL FIRST FOR SELF-KNOWLEDGE AND SELF-CARE AND SECONDARILY FOR CONNECTING TO OTHERS IN HEALING RELATIONSHIPS. 2001 8 2304 20 TOWARD AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY INFORMED BY PHILOSOPHICAL AND ETHICAL PERSPECTIVES. CONTEXT * YOGA THERAPY IS AN EMERGING COMPLEMENTARY AND INTEGRATIVE HEALTH PRACTICE FOR WHICH THERE IS INCREASING INTEREST FROM BOTH CLINICAL AND RESEARCH PERSPECTIVES. CURRENTLY MISSING, HOWEVER, IS AN EXPLANATORY FRAMEWORK FOR THE PROFESSION THAT PROVIDES PRACTITIONERS, CLIENTS, AND THE PUBLIC WITH AN UNDERSTANDING OF HOW VARIOUS YOGIC TRADITIONS AND PRINCIPLES CAN BE UNDERSTOOD IN MODERN HEALTH CARE CONTEXTS. OBJECTIVE * THIS STUDY PROPOSES AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY, INFORMED BY PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY. CONCLUSIONS * THESE 4 PHILOSOPHICAL PERSPECTIVES-PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY-PROVIDE A LENS THROUGH WHICH TO UNDERSTAND HOW YOGIC PRACTICES SUPPORT THE INDIVIDUAL'S TRANSFORMATION IN THE EXPERIENCE OF ILLNESS, PAIN, OR DISABILITY. WE PROPOSE THAT THIS TRANSFORMATION OCCURS THROUGH FACILITATING A REHARMONIZATION OF BODY, MIND, AND ENVIRONMENT TOWARD THE EXPERIENCE OF EUDAIMONIC WELL-BEING. 2018 9 1479 20 INTEGRATING BRAIN SCIENCE INTO HEALTH STUDIES: AN INTERDISCIPLINARY COURSE IN CONTEMPLATIVE NEUROSCIENCE AND YOGA. AS NEUROSCIENCE KNOWLEDGE GROWS IN ITS SCOPE OF SOCIETAL APPLICATIONS SO DOES THE NEED TO EDUCATE A WIDER AUDIENCE ON HOW TO CRITICALLY EVALUATE ITS RESEARCH FINDINGS. EFFORTS AT FINDING TEACHING APPROACHES THAT ARE INTERDISCIPLINARY, ACCESSIBLE AND HIGHLY APPLICABLE TO STUDENT EXPERIENCE ARE THUS ONGOING. THE ARTICLE DESCRIBES AN INTERDISCIPLINARY UNDERGRADUATE HEALTH COURSE THAT COMBINES THE ACADEMIC STUDY OF CONTEMPLATIVE NEUROSCIENCE WITH CONTEMPLATIVE PRACTICE, SPECIFICALLY YOGA. THE CLASS AIMS TO REACH A DIVERSE MIX OF STUDENTS BY TEACHING APPLICABLE, HEALTH-RELEVANT NEUROSCIENCE MATERIAL WHILE DIRECTLY CONNECTING IT TO FIRST-HAND EXPERIENCE. OUTCOMES INDICATE SUCCESS ON THESE GOALS: THE COURSE ATTRACTED A WIDE RANGE OF STUDENTS, INCLUDING NEARLY 50% NON-SCIENCE MAJORS. ON A PRE/POST TEST, STUDENTS SHOWED LARGE INCREASES IN THEIR KNOWLEDGE OF NEUROSCIENCE. STUDENTS' RATINGS OF THE COURSE OVERALL, OF INCREASES IN POSITIVE FEELINGS ABOUT ITS FIELD, AND OF THEIR PROGRESS ON SPECIFIC COURSE OBJECTIVES WERE HIGHLY POSITIVE. FINALLY, STUDENTS IN THEIR WRITTEN WORK APPLIED NEUROSCIENCE COURSE CONTENT TO THEIR PERSONAL AND PROFESSIONAL LIVES. SUCH RESULTS INDICATE THAT THIS APPROACH COULD SERVE AS A MODEL FOR THE INTERDISCIPLINARY, ACCESSIBLE AND APPLIED INTEGRATION OF RELEVANT NEUROSCIENCE MATERIAL INTO THE UNDERGRADUATE HEALTH CURRICULUM. 2017 10 1546 20 LATE ANTERIOR PROSTHETIC HIP DISLOCATION DUE TO YOGA. THE POPULARITY OF YOGA AND THE PREVALENCE OF TOTAL HIP ARTHROPLASTY (THA) HAVE SIMULTANEOUSLY INCREASED IN THE UNITED STATES. ACCORDINGLY, ONE CAN ASSUME THAT THE NUMBER OF THA PATIENTS PRACTICING YOGA HAS INCREASED. CERTAIN YOGA POSES REACH THE EXTREMES OF HIP RANGE OF MOTION, POTENTIALLY LEAVING PATIENTS VULNERABLE TO DISLOCATION. TO DATE, 2 CASES OF LATE POSTERIOR PROSTHETIC HIP DISLOCATIONS DURING YOGA HAVE BEEN REPORTED; HOWEVER, THERE HAVE BEEN NO REPORTS OF ANTERIOR PROSTHETIC HIP DISLOCATIONS. WE PRESENT ONE CASE OF LATE ANTERIOR PROSTHETIC HIP DISLOCATION DURING YOGA IN A PATIENT WHO UNDERWENT THA VIA THE DIRECT ANTERIOR APPROACH. PROSTHETIC HIP DISLOCATION DURING YOGA MAY BE A GROWING CONCERN. WE PROVIDE ADDITIONAL EVIDENCE IN SUPPORT OF RECOMMENDATIONS FOR THA PATIENTS TO SAFELY PRACTICE YOGA. 2021 11 2373 23 WHAT IS OUR "EPISTEMIC RESPONSIBILITY"? REFLECTIONS ON SOCIAL WORK'S ORIENTATION IN YOGA THERAPY RESEARCH. THE PURPOSE OF THIS ARTICLE IS TO EXPLORE HOW THE SOCIAL WORK DISCIPLINE COULD PROVIDE A COMPLEMENTARY LENS THROUGH WHICH YOGA THERAPY CAN BE ANALYZED AND EVALUATED BY ENGAGING IN KNOWLEDGE-CREATION PRACTICES AND PROCEDURES THAT PRIORITIZE THE "EPISTEMIC RESPONSIBILITY" DESCRIBED BY PHILOSOPHER LORRAINE CODE. MORE SPECIFICALLY, BY SEEKING TO STRATEGICALLY INCLUDE OFTEN-SUBJUGATED TYPES OF KNOWLEDGE AND BY FOCUSING ON REDISTRIBUTING EPISTEMIC POWER TO AGENTS THAT TYPICALLY HAVE BEEN EXCLUDED FROM EPISTEMIC PARTICIPATION IN CONTEMPORARY YOGA THERAPY RESEARCH, THE SOCIAL WORK DISCIPLINE, WITH ITS STRONG COMMITMENT TO SOCIAL JUSTICE, HAS THE POTENTIAL TO CONTRIBUTE TO FILLING AN IMPORTANT GAP IN SCIENTIFIC LITERATURE. WE BEGIN BY PRESENTING THE RELEVANCE OF THE SOCIAL WORK PERSPECTIVE IN RELATION TO THE FIELD OF YOGA THERAPY. WE NEXT OFFER A RESERVED CRITICAL ANALYSIS OF THE DOMINANT TECHNICAL KNOWLEDGE BASE THAT CURRENTLY INFORMS YOGA THERAPY PRACTICE. THIS ANALYSIS HIGHLIGHTS THE SOCIAL PARAMETERS THAT MAY BE RENDERED INVISIBLE OR LEFT ASIDE WHEN ADOPTING A POSITIVIST EPISTEMOLOGICAL LENS AND JUSTIFIES HOW THE CONCEPTUAL APPARATUS OF EPISTEMIC RESPONSIBILITY SERVES AS A POTENTIAL PLATFORM FOR RETHINKING SOCIAL WORK'S POSITION AND FUTURE CONTRIBUTIONS TO THE FIELD OF YOGA THERAPY. FINALLY, WE MOBILIZE THE CONCEPT OF CULTURAL APPROPRIATION TO ILLUSTRATE HOW STRIVING FOR EPISTEMIC RESPONSIBILITY PROVIDES AN ENTRY POINT FOR ADDRESSING THE MULTILEVEL, COMPLEX SOCIAL PROCESSES EMBEDDED IN YOGA THERAPY PRACTICE AND RESEARCH WHILE AIMING TO CAPTURE THE MANY VOICES-AND HENCE THE VARIOUS TRUTHS-IMPLICATED IN A DEMOCRATIC, REFLEXIVE, AND INCLUSIVE RESEARCH PROCESS. 2020 12 1294 20 GUIDELINES FOR DEVELOPING YOGA INTERVENTIONS FOR RANDOMIZED TRIALS. LITTLE GUIDANCE IS AVAILABLE TO ASSIST RESEARCHERS IN DEVELOPING TREATMENT PROTOCOLS FOR RESEARCH ON YOGA FOR HEALTH CONCERNS. BECAUSE YOGA IS A COMPLEX MULTIFACTORIAL MIND-BODY DISCIPLINE HISTORICALLY DEVELOPED FOR NONMEDICAL PURPOSES, NUMEROUS DECISIONS MUST BE MADE IN ORDER TO THOUGHTFULLY DEVELOP SUCH PROTOCOLS. IN THIS PAPER, A SYSTEMATIC APPROACH IS PROPOSED TO ASSIST RESEARCHERS IN SELECTING AN INTERVENTION THAT IS APPROPRIATE FOR THE CONDITION UNDER CONSIDERATION AND EXPLICITLY DEVELOPED. RESEARCHERS NEED TO CONSIDER THE TYPE OR "STYLE" OF YOGA, THE COMPONENTS TO INCLUDE (E.G., BREATHING EXERCISES, POSTURES) AS WELL AS THE SPECIFIC PROTOCOL FOR EACH COMPONENT, THE DOSE TO BE DELIVERED (FREQUENCY, DURATION OF PRACTICE, AND THE TOTAL DURATION OF PRACTICE), AND ISSUES RELATED TO SELECTION OF INSTRUCTORS AND MONITORING THE FIDELITY TO THE INTERVENTION. EACH OF THESE DOMAINS AND THE KEY ISSUES FOR THE DEVELOPMENT OF PROTOCOLS IS DISCUSSED. FINALLY, SOME AREAS FOR FURTHER RESEARCH RELATED TO PROTOCOL DEVELOPMENT ARE RECOMMENDED. 2012 13 421 25 BRIDGING BODY AND MIND: CONSIDERATIONS FOR TRAUMA-INFORMED YOGA. INDIVIDUALS WHO SUFFER FROM TRAUMA-RELATED SYMPTOMS ARE A UNIQUE POPULATION THAT COULD BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA-OR HAVE THEIR SYMPTOMS REACTIVATED BY IT, DEPENDING ON THE TYPE OF YOGA. TRAUMA-INFORMED YOGA (TIY), THAT IS, YOGA ADAPTED TO THE UNIQUE NEEDS OF INDIVIDUALS WORKING TO OVERCOME TRAUMA, MAY AMELIORATE SYMPTOMS BY CREATING A SAFE, TAILORED PRACTICE FOR STUDENTS TO LEARN HOW TO RESPOND, RATHER THAN REACT, TO SYMPTOMS AND CIRCUMSTANCES. YOGA NOT THUS ADAPTED, ON THE OTHER HAND, MAY INCREASE REACTIVITY AND ACTIVATE SYMPTOMS SUCH AS HYPERAROUSAL OR DISSOCIATION. THIS ARTICLE REPORTS ON EXPERT INPUT ABOUT ADAPTING YOGA FOR INDIVIDUALS WITH TRAUMA, WITH SPECIAL CONSIDERATIONS FOR MILITARY POPULATIONS. ELEVEN EXPERTS, RECRUITED BASED ON LITERATURE REVIEW AND REFERRALS, WERE INTERVIEWED IN PERSON OR VIA TELEPHONE AND ASKED SEVEN QUESTIONS ABOUT TRAUMA-INFORMED YOGA. VERBATIM TRANSCRIPTS WERE SUBJECTED TO OPEN-CODING THEMATIC ANALYSIS AND A PRIORI THEMES. FINDINGS REVEALED THAT TIY NEEDS TO EMPHASIZE BENEFICIAL PRACTICES (E.G., DIAPHRAGMATIC BREATH AND RESTORATIVE POSTURES), CONSIDER CONTRAINDICATIONS (E.G., AVOIDING SEQUENCES THAT OVERLY ENGAGE THE SYMPATHETIC NERVOUS SYSTEM), ADAPT TO LIMITATIONS AND CHALLENGES FOR TEACHING IN UNCONVENTIONAL SETTINGS (E.G., PRISONS, VA HOSPITALS), AND PROVIDE SPECIALIZED TRAINING AND PREPARATION (E.G., SPECIALIZED TIY CERTIFICATIONS, SELF-CARE OF INSTRUCTORS/THERAPISTS, ADAPTIONS FOR STUDENT NEEDS). TIY FOR VETERANS MUST ADDITIONALLY CONSIDER GENDER- AND CULTURE-RELATED BARRIERS, DIFFERING RELATIONSHIPS TO PAIN AND INJURY, AND MEDICATION AS A BARRIER TO PRACTICE. 2018 14 1991 22 SPINE FUSIONS, YOGA INSTRUCTORS, AND HIP FRACTURES: THE ROLE OF DUAL MOBILITY IN PRIMARY TOTAL HIP ARTHROPLASTY. BACKGROUND: DESPITE THE INCREASED USE OF DUAL MOBILITY (DM) IN PRIMARY TOTAL HIP ARTHROPLASTY (THA), DEBATE EXISTS REGARDING THE INDICATIONS FOR ITS USE. NO SPECIFIC ALGORITHM EXISTS TO GUIDE THIS DECISION-MAKING PROCESS. THEREFORE, THE PURPOSE OF THIS ARTICLE IS TO SUMMARIZE THE CURRENTLY AVAILABLE LITERATURE REGARDING THE USE OF DM IN PRIMARY THA AND PROVIDE EVIDENCE-BASED GUIDELINES BASED ON SPECIFIC PATIENT POPULATIONS AND RISK FACTORS FOR INSTABILITY. METHODS: WE REVIEWED THE CURRENT LITERATURE FOR STUDIES EVALUATING RISK FACTORS FOR DISLOCATION IN PRIMARY THA, AS WELL AS THE CLINICAL USE AND RESULTS OF DM IN PRIMARY THA. BASED ON THE STRENGTH OF THE LITERATURE, WE DISCUSS THE USE OF DM IN SPECIFIC PATIENT POPULATIONS. WE PROVIDE A DECISION-MAKING ALGORITHM TO DETERMINE WHETHER A PATIENT MAY BE INDICATED FOR DM IN PRIMARY THA. RESULTS: SURGEONS SHOULD CONSIDER PREOPERATIVE PATIENT DEMOGRAPHICS, RISK FACTORS FOR INSTABILITY (EG, SIGNIFICANT HIP-SPINE ISSUES), TYPE OF PROCEDURE TO BE PERFORMED (EG, CONVERSION ARTHROPLASTY), AND INDICATIONS FOR SURGERY (EG, THA FOR FEMORAL NECK FRACTURE). BASED ON THIS ALGORITHMIC ASSESSMENT, DM MAY BE WARRANTED IN THE PRIMARY THA SETTING IF A PATIENT'S COMBINED RISK REACHES AN ESTABLISHED THRESHOLD BASED ON THE LITERATURE. CONCLUSION: THIS EVIDENCE-BASED ALGORITHM MAY HELP GUIDE CURRENT PRACTICE IN THE USE OF DM IN PRIMARY THA. WE ADVOCATE THE CONTINUED JUDICIOUS USE OF DM IN HIP ARTHROPLASTY. LONGER TERM STUDIES ARE NEEDED IN ORDER TO EVALUATE THE DURABILITY OF DM, AS WELL AS ANY COMPLICATIONS RELATED TO THE DM ARTICULATION. 2021 15 2042 19 THE 'WORLD OF YOGA': THE PRODUCTION AND REPRODUCTION OF THERAPEUTIC LANDSCAPES. YOGA IS BECOMING MORE AND MORE FASHIONABLE ALL AROUND THE WORLD. THIS ACTIVITY, PARTLY CONSIDERED AS THERAPEUTIC, REVEALS CONTEMPORARY WAYS OF PRODUCING GLOBAL PRACTICES. VIA A QUESTIONNAIRE COMPLETED BY INDIVIDUALS AT YOGA CENTRES IN INDIA AND FRANCE, THE PAPER ANALYSES THIS PHENOMENON USING THE CONCEPT OF THERAPEUTIC LANDSCAPES. FURTHERMORE, IT EXAMINES HOW THESE THERAPEUTIC LANDSCAPES ARE INFLUENCED BY GLOBALISATION. BRINGING TOGETHER THE CONCEPTS OF THERAPEUTIC LANDSCAPES, GLOBALISATION AND THE PRACTICE OF YOGA, THE PAPER ANALYSES THE PRODUCTION AND REPRODUCTION OF YOGIC THERAPEUTIC LANDSCAPES IN THE WORLD'S SPACE. CONSTITUTED OF NATURAL PHYSICAL ELEMENTS AND BUILT STRUCTURES, THESE THERAPEUTIC LANDSCAPES ARE ALSO STRONGLY LINKED TO EMOTIONAL QUALITIES AND INTIMATE FEELINGS EVOKED BY THE PLACE AND RELATED TO HEALTH AND WELL-BEING. THE PAPER ALSO UNDERLINES THAT THE EMERGENCE OF INTERNATIONALLY RECOGNISED THERAPEUTIC LANDSCAPES DEMANDS A CULTURAL AND SOCIAL GEOGRAPHICAL APPROACH THAT COULD HELP TO EXAMINE THE REPERCUSSIONS OF LOCAL AND GLOBAL PHENOMENA ON THERAPEUTIC LANDSCAPES. INDEED, VERY OFTEN, YOGIS, ALL AROUND THE WORLD, REFER TO IDEAL PLACES WHERE THEY RARELY GO. CONSEQUENTLY, THEY CREATE AN IMAGINED THERAPEUTIC ENVIRONMENT THAT THE PAPER DESCRIBES. 2007 16 1671 20 NEW ENERGY GEOGRAPHIES: A CASE STUDY OF YOGA, MEDITATION AND HEALTHFULNESS. BEGINNING WITH A ROUTINE DAY IN THE LIFE OF A PRACTITIONER OF YOGA AND MEDITATION AND EMPHASISING THE IMPORTANCE OF NURTURING, MAINTAINING AND PREVENTING THE DISSIPATION OF DIVERSE 'ENERGIES', THIS PAPER EXPLORES THE POSSIBILITIES FOR GEOGRAPHICAL HEALTH STUDIES WHICH TAKE SERIOUSLY 'NEW ENERGY GEOGRAPHIES'. IT IS EXPLAINED HOW THIS ACCOUNT IS DERIVED FROM IN-DEPTH FIELDWORK TRACING HOW PRACTITIONERS OF YOGA AND MEDITATION FIND TIMES AND SPACES FOR THESE PRACTICES, OFTEN IN THE FACE OF BUSY URBAN LIFESTYLES. ATTENTION IS PAID TO THE 'ENERGY TALK' FEATURING HEAVILY IN HOW PRACTITIONERS DESCRIBE THE BENEFITS THAT THEY PERCEIVE THEMSELVES TO DERIVE FROM THESE PRACTICES, AND TO CLAIMS MADE ABOUT 'ENERGIES' GENERATED DURING THE TIME-SPACES OF THESE PRACTICES WHICH SEEMINGLY FLOW, USUALLY WITH POSITIVE EFFECTS, INTO OTHER DOMAINS OF THEIR LIVES. THE PAPER THEN DISCUSSES THE IMPLICATIONS OF THIS ENERGY TALK IN THE CONTEXT OF: (A) CRITICALLY REVIEWING CONVENTIONAL APPROACHES TO STUDYING 'ENERGY GEOGRAPHIES'; (B) IDENTIFYING AN ALERTNESS TO THE LIKES OF 'AFFECTIVE ENERGIES' SURFACING IN RECENT THEORETICALLY-ATTUNED WORKS OF HUMAN GEOGRAPHY (AND COGNATE DISCIPLINES); AND (C) EXPLORING DIFFERING UNDERSTANDINGS OF ENERGY/ENERGIES EXTANT IN GEOGRAPHICAL STUDIES OF HEALTH AND IN STEP WITH THE EMPIRICAL RESEARCH MATERIALS PRESENTED ABOUT YOGA, MEDITATION AND HEALTHFULNESS. WHILE ORIENTATED TOWARDS EXPLICITLY GEOGRAPHICAL INQUIRIES, THE PAPER IS INTENDED AS A STATEMENT OF INTEREST TO THE WIDER MEDICAL HUMANITIES. 2015 17 2807 18 YOGA THERAPY RESEARCH: A WHOLE-SYSTEMS PERSPECTIVE ON COMPARATIVE EFFECTIVENESS AND PATIENT-CENTERED OUTCOMES. FOR THE YOGA RESEARCH COMMUNITY TO CAPITALIZE ON ITS CURRENT MOMENTUM, IT IS CRITICAL TO CONSIDER CERTAIN DEVELOPMENTS IN RESEARCH THEORY AND INNOVATIVE METHODOLOGIES. THE CONCEPT OF MODEL VALIDITY MUST BE INCORPORATED IN YOGA THERAPY RESEARCH SO THAT EXPLANATORY CONSTRUCTS EMPLOYED AND OUTCOME MEASURES CHOSEN REFLECT THE PRINCIPLES OF TRADITIONAL YOGIC SCIENCE. FOCUSING ON EFFECTIVENESS RESEARCH WILL ENSURE MAXIMUM GENERALIZABILITY OF STUDY RESULTS AND REFLECT REAL-WORLD THERAPY DELIVERY SETTINGS, THEREBY INCREASING THE RELEVANCE OF OUTCOMES. WHOLE SYSTEMS OF HEALING REQUIRE RESEARCH METHODOLOGIES THAT ADDRESS COMPLEX RELATIONSHIPS BETWEEN MULTI-TARGET THERAPIES WITH MULTIPLE POTENTIAL TREATMENT RESULTS. COMPLEX, DYNAMIC SYSTEMS THEORY PROVIDES THE THEORETICAL AND METHODOLOGICAL INNOVATIONS NECESSARY TO DESIGN STUDIES, CHOOSE OUTCOMES, AND ANALYZE DATA IN A WAY THAT CAN ACCOUNT FOR CHARTING COMPLEX, CYCLICAL, THERAPEUTIC TRAJECTORIES ACROSS TIME. EMPHASIZING PATIENT-CENTERED OUTCOMES IS ALIGNED WITH THE PATENT-ORIENTED AND TAILORED NATURED OF YOGA THERAPY DELIVERY. INCREASING THE QUALITY AND QUANTITY OF COMPARATIVE EFFECTIVENESS RESEARCH TO ANALYZE THE HARMS AND BENEFITS OF CONTRASTING THERAPIES CAN PROVIDE AN INFRASTRUCTURE FOR DESIGNING STUDIES THAT CAN HAVE SIGNIFICANT PRACTICAL IMPACT. THE CREATION OF PRACTICE-BASED RESEARCH NETWORKS WITHIN THE YOGA RESEARCH COMMUNITY WILL INCENTIVIZE LINKS BETWEEN MAINSTREAM CLINICAL RESEARCHERS AND YOGA THERAPY DELIVERY SETTINGS, ULTIMATELY DEVELOPING COLLABORATIVE NETWORKS. YOGA THERAPY CENTERS CAN FACILITATE PATIENT RECRUITMENT FOR STUDIES AND INFORM STANDARDS FOR YOGA RESEARCHERS. COLLABORATIVE EFFORTS BETWEEN THE YOGA AND AYURVEDIC RESEARCH COMMUNITIES WILL STREAMLINE EFFORTS, SOLIDIFY EXPERTISE, CROSS-POLLINATE THEORETICAL AND METHODOLOGICAL INNOVATION, AND CONSOLIDATE EFFORTS TO SECURE RESEARCH FUNDING AND INCREASE PUBLICATION AND DISSEMINATION OF STUDY FINDINGS. 2015 18 474 20 CLAIMING PEACEFUL EMBODIMENT THROUGH YOGA IN THE AFTERMATH OF TRAUMA. THE PURPOSE OF THIS STUDY WAS TO DESCRIBE THE EXPERIENCES OF PRACTICING YOGA AND ITS ROLE WITHIN PROCESSES OF HEALING FOR ADULT WOMEN WITH COMPLEX TRAUMA HISTORIES. USING A HERMENEUTIC PHENOMENOLOGICAL METHOD, DATA WERE ANALYZED FROM INTERVIEWS WITH 39 WOMEN. RESULTS SHOWED THAT THE CORE MEANING OF PARTICIPANTS' EXPERIENCE OF HEALING THROUGH YOGA IS CLAIMING PEACEFUL EMBODIMENT. THIS IS AN ONGOING PROCESS OCCURRING ON A CONTINUUM WHEREBY WOMEN EXPERIENCED IMPROVED CONNECTIONS WITH AND SENSE OF OWNERSHIP AND CONTROL OVER THEIR BODIES, EMOTIONS AND THOUGHTS, AND A GREATER SENSE OF WELL-BEING, CALMNESS, AND WHOLENESS IN THEIR BODIES AND MINDS. A NUMBER OF INTERCONNECTED ESSENTIAL THEMES RELATED TO THIS CORE MEANING WERE ALSO IDENTIFIED, ILLUMINATING PROCESSES THAT SUPPORTED CLAIMING PEACEFUL EMBODIMENT AND CAPABILITIES THAT WERE ENABLED BY BEING MORE PEACEFULLY EMBODIED. ADDITIONAL THEMES WERE IDENTIFIED HIGHLIGHTING FACTORS THAT FACILITATED OR IMPEDED PARTICIPANTS' ENGAGEMENT WITH YOGA AND THEIR EXPERIENCES OF HEALING THROUGH YOGA. 2015 19 2211 24 THE HEALTH IMAGINARY OF POSTURAL YOGA. THIS PAPER EXPLORES THE CAPACITY OF YOGA NARRATIVES AND PRACTICES TO CONTRIBUTE TO AND RELATE IDEAS ABOUT HEALTH. IT ADDS THEORETICALLY TO EXISTING LITERATURE ON YOGA BY INTRODUCING THE CONCEPT OF THE 'HEALTH IMAGINARY' AS AN ANALYTIC LENS FOR CONSIDERING YOGA DISCOURSES IN LATE MODERN TIMES, WHERE PERSONAL HEALTH CARE AND SPIRITUAL AMBITIONS ARE ONCE AGAIN BECOMING BLURRED. WITH THIS PERSPECTIVE, THE PAPER PROVIDES A THOROUGH ANALYSIS OF HOW YOGA POSTURES (ASANAS) ARE CONCEIVED TO WORK THERAPEUTICALLY, IN YOGA'S RECENT HISTORY AND IN PRESENT-DAY YOGA THERAPY. TAKING CASE STUDIES FROM INDIA AND GERMANY, IT IS SHOWN EMPIRICALLY HOW THE APPLICATION OF ASANAS IS RATIONALIZED DIFFERENTLY IN SPECIFIC GEOGRAPHICAL AND THERAPEUTIC ENVIRONMENTS - PARTICULARLY REGARDING THE PRESUMED THEORY OF THE BODY. THUS, THE CONCEPT OF THE HEALTH IMAGINARY NOT ONLY PROVIDES ANALYTIC SPACE TO EXPLORE THE IMPLICIT LOGICS AND GOALS OF HEALING IN DIFFERENT CONTEXTS, BUT ALSO OFFERS CLUES ABOUT THE DISTINCT SOCIAL, CULTURAL/RELIGIOUS, AND LOCAL INFLUENCES THAT DRAW PEOPLE INTO YOGA AND CONTRIBUTE TO ITS SELECTIVE APPROPRIATION ACROSS THE GLOBE. 2021 20 2032 22 TAILORING TRAUMA-SENSITIVE YOGA FOR HIGH-RISK POPULATIONS IN PUBLIC-SECTOR SETTINGS. LOW-INCOME, RACIAL-MINORITY, HIGH-RISK POPULATIONS HAVE LIMITED ACCESS TO EVIDENCE-BASED TREATMENTS FOR POSTTRAUMATIC STRESS DISORDER (PTSD), AND THEIR ACCEPTANCE OF COMPLEMENTARY INTERVENTIONS IS UNKNOWN. TRAUMA CENTER TRAUMA-SENSITIVE YOGA (TC-TSY), WHICH HAS DEMONSTRATED EFFICACY IN COMMUNITY SAMPLES, HAS NOT YET BEEN WIDELY USED WITH ETHNIC MINORITY LOW-INCOME INDIVIDUALS. THIS ARTICLE PRESENTS A CULTURALLY TAILORED VERSION OF A TC-TSY INTERVENTION DELIVERED AS A DROP-IN SERVICE IN A PUBLIC HOSPITAL-BASED CLINIC TO PATIENTS WITH HISTORIES OF INTERPERSONAL VIOLENCE AND SUICIDE ATTEMPTS. TC-TSY WAS ITERATIVELY TAILORED TO MEET THE UNIQUE CLINICAL NEEDS OF INDIVIDUALS WITHIN THIS SETTING. GROUP FACILITATOR OBSERVATIONS ARE SUMMARIZED; THEY DESCRIBE A SUCCESSFUL INITIAL IMPLEMENTATION AND CULTURALLY INFORMED ADAPTATION OF THE GROUP INTERVENTION. THE FACILITATORS' OBSERVATIONS ILLUSTRATED THAT GROUP MEMBERS ACCEPTED THE INTEGRATION OF THIS STRUCTURED, GENTLE YOGA PRACTICE INTO OUTPATIENT BEHAVIORAL HEALTH PROGRAMMING AND IDENTIFIED SITE-SPECIFIC MODIFICATIONS TO INFORM FORMAL STUDY. THE PROCESS BY WHICH TC-TSY WAS ADAPTED AND IMPLEMENTED FOR BLACK INDIVIDUALS WITH A HISTORY OF INTERPERSONAL TRAUMA AT RISK FOR SUICIDAL BEHAVIOR CAN SERVE AS A GUIDE FOR TAILORING OTHER COMPLEMENTARY, INTEGRATIVE INTERVENTIONS TO MEET THE NEEDS OF UNIQUE CLINICAL SETTINGS. THIS PROCESS IS OFFERED AS A FOUNDATION FOR FUTURE SYSTEMATIC TESTING OF THIS COMPLEMENTARY, INTEGRATED, CULTURALLY ADAPTED TRAUMA THERAPY IN HIGH-RISK CLINICAL POPULATIONS. 2021