Promoting Spiritual Healing by Stress Reduction Through Meditation for Employees at a Veterans Hospital: A CDC Framework-Based Program Evaluation.

Background: Employees in the Veterans Affairs (VA) hospital experience psychological stress from caring for vulnerable veteran populations. Evidence suggests that mindfulness meditation decreases stress in health care employees and military personnel. The purpose of this worksite program was to explore the acceptability of a mindfulness meditation program among VA workers. Methods: Chaplain residents developed the "Promoting Spiritual Healing by Stress Reduction Through Meditation" (Spiritual Meditation) program for employees in a VA hospital. To evaluate acceptability, a 13-multiple-choice-item survey with an open-ended question was administered after the intervention. Descriptive statistics and qualitative content analysis were performed. Findings: In 29 participants, 70% to 100% agreed with positive statements for the personal learning experience, program components, teacher quality, time to practice, and place to practice. Two categories emerged from qualitative responses: "positive practical experience of Spiritual Meditation" and "perceived values from Spiritual Meditation." Conclusion/Application to Practice: Occupational health nurses are uniquely positioned to lead and collaborate with chaplains to deliver Spiritual Meditation in their workplace setting.

Intravital fluorescence microscopy and phototocicity: effects on leukocytes.

The purpose of this investigation was to clarify whether the light exposure of fluorescently marked leukocytes and/or plasma influences the leukocyte behavior (rolling and firm adhesion). Anaesthetized Balb/c mice were laparotomized to expose the mesentery of the terminal ileum. Animals were randomly assigned to 5 experimental groups. One group was studied in trans-illumination mode, the other four groups received iv-bolus injections of either FITC-dextran (FITC-dx) 150 kD, rhodamine 6 G (rh6G), a combination of FITC-dx and rh6G, or acridine orange, respectively, and were then studied in epi-illumination mode. In each animal, eight vessels (6 venules, 2 arterioles) were exposed five times for 60 sec. to continuous light of the appropriate excitation wavelength with a 20-min. interval between exposures. The vessel diameters and leukocyte-endothelial cell interactions were quantified using intravital fluorescence microscopy. The diameters of arterioles and postcapillary venules remained unchanged in all groups studied. Rolling and adherent leukocytes were observed in postcapillary venules only and there were no significant differences between all groups. Under these conditions, the exposure of fluorescently labeled leukocytes and/or plasma to standard light levels for up to 300 seconds has no significant impact on leukocyte-endothelial cell interactions in mesenteric postcapillary venules.

Orthogonal polarization spectral imaging (OPS): a novel method to measure the microcirculation in term and preterm infants transcutaneously.

Little is known about the microvascular perfusion of the skin postnatally. Skin microvascular parameters can be assessed noninvasively with orthogonal polarization spectral imaging (OPS), a technique where, through the use of special optics, a virtual light source is created at a depth of 1 mm within the tissue. The light is absorbed by the Hb, yielding an image of the illuminated Hb-carrying structures in negative contrast. In nine term (weight 2100-4470 g) and 28 preterm infants (weight 550-2070 g; gestational age 24-33 wk) red blood cell velocity and vessel diameter and density were determined off-line with the Cap-Image program in vessels video-recorded by OPS near the axilla on d 1 and 5 of life. Blood pressure, heart rate, hematocrit, and body and incubator temperature were noted. Vessel diameter ranged from 6 to 24 microm, vessel density from 219 to 340 cm/cm(2) with no change between d 1 or 5 and no difference between term and preterm infants. Red blood cell velocity increased in preterm infants from d 1 [median 528 microm/s, 95% confidence interval (CI) 486-564 microm/s] to d 5 (median 570 microm/s; 95% CI 548-662 microm/s; p = 0.001) and correlated with the decrease in median hematocrit from 44% (CI 40%-60%) to 39% (CI 37%-43%) with r(2) = -0.37 with a 95% CI -0.59 to -0.11, p = 0.006. Hematocrit correlates with red blood cell velocity in the microvessels of the skin. The new technology can be used to assess quantitative changes in the microvessels and thus allows noninvasive assessment of tissue perfusion in term and preterm infants.