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Articles 1 - 25 of 25
Full-Text Articles in Alternative and Complementary Medicine
Emotional Intelligence Documentary - The Journey, Not The Destination: A Spain Reflection, Elise I. Palacios
Emotional Intelligence Documentary - The Journey, Not The Destination: A Spain Reflection, Elise I. Palacios
Cultivating Emotional Intelligence through the Humanities in Spain
The Journey, Not the Destination follows my study abroad experience in Madrid and Toledo, Spain through a Medical Humanities course. Through art, history, culture, and personal reflection, I explore how travel broadened my understanding of the human experience and shaped my perspective as a future physician. More than a story about a place, this documentary is about growth, empathy, and the lessons we learn along the journey.
Heroes Of Medicine In The Rio Grande Valley: Documentary Interview With Dr. Cynthia Cavazos Gonzalez, Cynthia Cavazos Gonzalez, Raquel Elena Orellana
Heroes Of Medicine In The Rio Grande Valley: Documentary Interview With Dr. Cynthia Cavazos Gonzalez, Cynthia Cavazos Gonzalez, Raquel Elena Orellana
Heroes of Medicine in the Rio Grande Valley
Cynthia Cavazos Gonzalez PhD is an Associate Professor of Clinical Practice at UTRGV in Edinburg, Texas and she is the clinic director of the UTRGV Psychology training clinic. She completed a doctoral degree in Clinical Psychology from California School of Professional Psychology in Fresno, California. Her doctoral degree is in Clinical Psychology with a major specialization in Neuropsychology and minor specialization in Health Psychology. She completed an APA-accredited pre-doctoral internship at UTMB in Galveston with a major emphasis in hospital consultation, outpatient psychotherapy, and psychological and neuropsychological evaluations with diverse populations. She completed an informal neuropsychology post-doctoral residency in Texas …
Exploring Cucurbitacin D'S Protective Mechanism Against Benzo[A]Pyrene-Induced Liver Injury Through Nrf2 Activation, Shabnam Malik, Mohammed Sikander, Anyssa Rodriguiez, Daniel Zubieta, Debanhi Esparaza, Fathi T. Halaweish, Sheema Khan, Murali M. Yallapu, Meena Jaggi, Subhash C. Chauhan
Exploring Cucurbitacin D'S Protective Mechanism Against Benzo[A]Pyrene-Induced Liver Injury Through Nrf2 Activation, Shabnam Malik, Mohammed Sikander, Anyssa Rodriguiez, Daniel Zubieta, Debanhi Esparaza, Fathi T. Halaweish, Sheema Khan, Murali M. Yallapu, Meena Jaggi, Subhash C. Chauhan
Research Symposium
Background: Numerous studies have established a strong association between hepatocellular carcinoma (HCC) and various co-morbidity factors, including smoking. Tobacco smoke is a significant source of benzo[a]pyrene, a highly carcinogenic compound known to cause liver damage. Cucurbitacin, a triterpene with diverse biological activities, exhibits antioxidant, antiinflammatory, and anticancer effects. However, its hepatoprotective properties have not been thoroughly investigated. In this study, we aimed to evaluate the hepatoprotective effects of cucurbitacin D, a novel analog of cucurbitacin, against liver injury induced by benzo[a]pyrene in human HepG2 cells.
Method: To investigate the hepatoprotective effect of cucurbitacin D against benzo[a]pyreneinduced liver damage, proliferation, clonogenicity, …
Evaluating The Potential Of Herbal Extracts As Treatment In Immune Thrombocytopenia: A Review Of Evidence And Limitations, Russell Wiggins, Jihoo Woo, John Cauba, Shizue Mito
Evaluating The Potential Of Herbal Extracts As Treatment In Immune Thrombocytopenia: A Review Of Evidence And Limitations, Russell Wiggins, Jihoo Woo, John Cauba, Shizue Mito
Research Symposium
Immune thrombocytopenia, formerly idiopathic thrombocytopenia purpura (ITP), is an autoimmune disease characterized by the depletion of platelets below 100,000/µl when other causes of thrombocytopenia have been ruled out. It is associated with several infectious pathologies, disease states, and as a known side effect and complication of several drugs and chemotherapies. Standard treatment calls for glucocorticoid mediated immunosuppression, intravenous immunoglobin transfusion, platelet stimulation, platelet transfusion, and splenectomy in instances of chronic and severe disease. While standard treatments are often effective, some cases prove resistant, and more commonly, some patients are unable to tolerate standard treatment protocols or opt out of surgical …
Ormeloxifene-Mediated Attenuation Of Β-Catenin Signaling In Hepatocellular Carcinoma Progression, Mohammed Sikander, Shabnam Malik, Daniel Zubieta, Anyssa Rodriguez, Molly Vela, Sheema Khan, Fathi T. Halaweish, Murali M. Yallapu, Meena Jaggi, Subhash C. Chauhan
Ormeloxifene-Mediated Attenuation Of Β-Catenin Signaling In Hepatocellular Carcinoma Progression, Mohammed Sikander, Shabnam Malik, Daniel Zubieta, Anyssa Rodriguez, Molly Vela, Sheema Khan, Fathi T. Halaweish, Murali M. Yallapu, Meena Jaggi, Subhash C. Chauhan
Research Symposium
Background: Hepatocellular carcinoma (HCC) is the most prevalent form of primary liver cancer, with approximately 41,000 new cases and 29,000 deaths annually in the U.S. The management of HCC poses significant challenges due to severe toxicity and inadequate responses to existing chemotherapeutic agents. Aberrant β-catenin signaling is recognized as a crucial factor influencing the differentiation grades of HCC patients. Therefore, there is an urgent need to identify more effective and non-toxic β-catenin inhibitors for cancer treatment. Notably, ormeloxifene (ORM), a clinically approved selective estrogen receptor modulator with a favorable therapeutic index, has demonstrated remarkable anticancer activity, making it a promising …
A Review Of Key Music Therapy Approaches To Unlocking Recovery From Stroke And Traumatic Brain Injury, Bethany Woolman, Nina Mourao, Joshua K. Elliott, Shizue Mito, Ney Alliey-Rodriguez
A Review Of Key Music Therapy Approaches To Unlocking Recovery From Stroke And Traumatic Brain Injury, Bethany Woolman, Nina Mourao, Joshua K. Elliott, Shizue Mito, Ney Alliey-Rodriguez
Research Symposium
Background: Strokes and traumatic brain injuries are neuronal injuries that can impact the motor, sensory, and cognitive abilities of an affected individual, and may necessitate therapy of multiple forms to regain back total or partial functionality and independence in their daily lives. Music assists in stimulating multiple brain regions, and when incorporated into rehabilitation, it has the potential to impact stroke and traumatic brain injury recovery. This literature review focuses on the efficacy of two novel music therapy approaches, melodic intonation therapy (MIT) and rhythmic auditory stimulation (RAS), on recovery from aphasia and restoration of gait, respectively, to assess whether …
The Use Of Hyperbaric Oxygen Therapy In The Setting Of Acute Limb Ischemia, Josue Fonseca, Andrew B. Callan
The Use Of Hyperbaric Oxygen Therapy In The Setting Of Acute Limb Ischemia, Josue Fonseca, Andrew B. Callan
Research Symposium
Background: Hyperbaric oxygen therapy is a long-used yet understudied intervention for a wide array of conditions. In the case of our patient with acute limb ischemia secondary to cholesterol emboli, the use of hyperbaric oxygen therapy after attempted thrombectomy and thrombolysis was utilized to promote tissue oxygenation and wound healing with the goal of preserving the patient’s limb. What makes this case novel is that an understudied treatment method was used to preserve the patient’s limb after the recommended treatment options been exhausted. This case highlights the need for more studies on the effectiveness of hyperbaric oxygen therapy in the …
Role Of Urolithin A In Cancer Therapy, Aanya S. Chauhan, Vinita Karumuru, Mahi P. Yallapu, Anupam Dhasmana
Role Of Urolithin A In Cancer Therapy, Aanya S. Chauhan, Vinita Karumuru, Mahi P. Yallapu, Anupam Dhasmana
Research Symposium
Background: Cancer is a big health problem around the world, causing many deaths even though there have been improvements in treatments. Some of the main challenges in treating cancer include side effects, resistance to treatments, cancer spreading to other parts of the body (metastasis), and the disease coming back (recurrence). Scientists are looking for safer and better ways to treat cancer. One promising option is using natural substances that come from plants, which are less toxic and have a lot of potential for fighting diseases. One of these substances is Urolithin A (UA), a compound made in the body when …
Prevalence Of Alternative Treatments In Patients In The Oncology Area In Northeastern Mexico, Hadassa Y. Martínez-Padrón, Hernán Uziel Vargas-Ruiz, Domingo Vargas-Gonzalez, Araní Casillas-Ramírez, J M. Guerrero-Nava
Prevalence Of Alternative Treatments In Patients In The Oncology Area In Northeastern Mexico, Hadassa Y. Martínez-Padrón, Hernán Uziel Vargas-Ruiz, Domingo Vargas-Gonzalez, Araní Casillas-Ramírez, J M. Guerrero-Nava
Research Symposium
Background: The treatment against cancer depends of the type of cancer and the stadium that is found, the treatment consist in the application of one or various methods, according to the American Institute for Cancer Research, the principals methods used are the following: surgery, radiotherapy, chemotherapy, immunotherapy, driven therapy, hormonal therapy, mother cells transplant, biomarker test, etc. Mexico has more than 4500 medicinal plants, and only 11% of those plants had chemical, pharmacological and biomedical efficacy. For the above, in the country stands out the use of herbalist treatment for different types of cancer, however, the published articles in this …
The Oral-Microbiome-Brain Axis: A Thorough Review On The Relationship Between Periodontitis And Alzheimer’S Disease And A Proposed Innovative Application Of Biomagnetism As A Means Of Alternative Therapy., Taha Al Hassan, Noah Al-Hassan, Maria Quiñones-Peña, Juan Lopez-Alvarenga, Seratna Guadarrama-Beltran
The Oral-Microbiome-Brain Axis: A Thorough Review On The Relationship Between Periodontitis And Alzheimer’S Disease And A Proposed Innovative Application Of Biomagnetism As A Means Of Alternative Therapy., Taha Al Hassan, Noah Al-Hassan, Maria Quiñones-Peña, Juan Lopez-Alvarenga, Seratna Guadarrama-Beltran
MEDI 9331 Scholarly Activities Clinical Years
The relationship between periodontitis and Alzheimer's disease (AD) has garnered significant attention due to the potential influence of chronic oral inflammation on neurodegenerative processes. Our hypothesis is supported by the oral-microbiome-brain axis and highlights the possibility that chronic periodontitis contributes to cognitive decline by promoting systemic inflammation and neuroinflammation, mediated by specific pathogenic microorganisms within the oral microbiome. Our findings reveal a strong association between elevated levels of Porphyromonas gingivalis and Treponema denticola, red complex bacteria, and markers of systemic inflammation, such as C-reactive protein (CRP) and pro-inflammatory cytokines. Additionally studies have demonstrated that beta amyloid plaque in rat …
Thymoquinone Inhibits Prostate Cancer Progression By Modulating Cytochrome P450 (Cyps), Santosh K. Singh, Rajesh Singh
Thymoquinone Inhibits Prostate Cancer Progression By Modulating Cytochrome P450 (Cyps), Santosh K. Singh, Rajesh Singh
Research Symposium
Background: Prostate cancer (PCa) incidence and mortality remain high in African American (AA) than Caucasian American (CA) men. Multiple factors contribute to this critical disease disparity, androgen receptors (AR), and differences among variants of the genes such as Cytochrome P450 (CYP) are involved in androgen biosynthesis and metabolism that may switch to gene regulation for prostate growth. However, inhibitors have been approved for CYP genes, the major pitfall, undesirable side effects, and quality of life in those patients. Therefore, targeting CYPs with a natural compound, Thymoquinone (TQ), a constituent of Nigella sativa (black seed), potentially safe and curative option for …
Targeting Cellular Signaling Pathways In Cancer By Lactobacilli, Varish Ahmad, Aftab Ahmad, Quazi Muhammad Sajid Jamal
Targeting Cellular Signaling Pathways In Cancer By Lactobacilli, Varish Ahmad, Aftab Ahmad, Quazi Muhammad Sajid Jamal
Research Symposium
Purpose: Presenting lactobacilli therapy for cancer treatment targeting cancer signaling Lactobacilli as Probiotic lactic acid bacteria (LAB) are a group of fermentative gram-positive and gram-negative bacteria that produces a large number of intracellular and extracellular metabolites used in the food manufacture industry as well as complementary and alternative medicines against many diseases including cancer.
Description: Some LAB has been found to have inhibitory activity against colon liver cancer, cancer, colorectal cancer, breast cancer, and lung cancer in vivo or in vitro. These fermentative bacteria induced the autophagy cell death either by GRP78 and Beclin-1 or by induction of Bak …
Stress-Induced Changes In Carf Expression Determine Growth Arrest, Apoptosis, Or Malignant Transformation In Cultured Human Cells: Molecular Evidence And Its Application, Mallika Khurana, Rajkumar Singh Kalra, Anupama Chaudhary, Amr Omar, Xiaoshuai Li, Sunil C. Kaul, Renu Wadhwa
Stress-Induced Changes In Carf Expression Determine Growth Arrest, Apoptosis, Or Malignant Transformation In Cultured Human Cells: Molecular Evidence And Its Application, Mallika Khurana, Rajkumar Singh Kalra, Anupama Chaudhary, Amr Omar, Xiaoshuai Li, Sunil C. Kaul, Renu Wadhwa
Research Symposium
Background: CARF (Collaborator of ARF)/CDKN2AIP is an essential protein, first cloned as a binding partner of ARF. It was subsequently shown to interact with p53, HDM2 proteins and regulate growth arrest and apoptosis by its multimodal mechanism of action. Over-expression of CARF caused senescence like growth arrest of cells, its knock-down triggered apoptosis. Intriguingly, malignantly transformed cells showed high level of CARF expression. Based on these findings, we hypothesized that level of CARF expression may be a key determinant of cell proliferation fates; where an increase in its levels causes growth arrest/senescence, but beyond a threshold it activates carcinogenesis.
Methods: …
Piperine Encourages Apoptosis In Human Cervical Adenocarcinoma Cells Through Ros Generation, Dna Fragmentation, Caspase-3 Activation And Cell Cycle Arrest, Asif Jafri, Juhi Rais, Sudhir Kumar, Md Arshad
Piperine Encourages Apoptosis In Human Cervical Adenocarcinoma Cells Through Ros Generation, Dna Fragmentation, Caspase-3 Activation And Cell Cycle Arrest, Asif Jafri, Juhi Rais, Sudhir Kumar, Md Arshad
Research Symposium
Background: Cancer is one of the most common destructive diseases and the second leading cause of death in humans. Among cancer, cervical cancer is the second most common malignancy among women globally. Thus, there is a continuous need to search for chemotherapeutic chemicals or naturally occurring drugs to resolve this global health problem. Piperine (1-piperoylpeperdine) is present in the fruits of black pepper (Piper nigrum Linn.) and long pepper (Piper longum Linn.). It possesses several pharmacological properties and in the present study we have evaluated its anti-cancer potential on human cervical adenocarcinoma (HeLa) cells.
Methods: The anti-proliferative effect …
Development And Evaluation Of A Nanofiber Membrane In Vitro As A Therapeutic Alternative For The Post Treatment In Breast Cancer Cell In A Murine Model, Bruno A. Valades-Aguilar, Diana Ginette Zarate-Triviño, José Raúl Rángel-López, Moises Armides Franco-Molina, Jorge Luis Menchaca-Arredondo, María Cristina Rodríguez-Padilla
Development And Evaluation Of A Nanofiber Membrane In Vitro As A Therapeutic Alternative For The Post Treatment In Breast Cancer Cell In A Murine Model, Bruno A. Valades-Aguilar, Diana Ginette Zarate-Triviño, José Raúl Rángel-López, Moises Armides Franco-Molina, Jorge Luis Menchaca-Arredondo, María Cristina Rodríguez-Padilla
Research Symposium
Worldwide female breast cancer is the most commonly diagnosed cancer, with an estimated 2.3 million new cases in 2020, reason for the need of targeted therapies that can maximize treatment success and minimize toxicity. Nanoparticles of gold (AuNps) exhibit cytotoxic properties against certain types of cancer cell lines. Nanofibers have been use in the drug delivery systems due to its degradability and high surface area. We proposed a membrane with nanometric fibers using polivinilic alcohol (PVA) and chitosan (Qts) loaded with AuNps and Doxorubicin (Doxo) with the purpose of diminish tumor regression.
PVA-Qts membrane was develop with electrospinning, the injection, …
Identification Of Tectorigenin As A Natural Pro-Hypoxia Compound: Implications In Modulation Of Cellular Differentiation And Senescence, Mallika Khurana, Renu Wadhwa, Sunil Kaul
Identification Of Tectorigenin As A Natural Pro-Hypoxia Compound: Implications In Modulation Of Cellular Differentiation And Senescence, Mallika Khurana, Renu Wadhwa, Sunil Kaul
Research Symposium
Background: Hypoxia, a suboptimal level of oxygen, evokes stress response in cells and activated hypoxia signaling has been largely established as a pro-metastasis and pro-angiogenic factor for tumor cells. On the other hand, age-related neurodegenerative disorders are characterized by hypoxic environment, accumulation of molecular garbage and induction of premature senescence. Several recent studies have reported anti-stress impact of the intermittent induction of hypoxia signaling in these cells.
Methods: Screening of a phytochemical library using Hypoxia Responsive Element (HRE) driven luciferase as a reporter was carried out to identify hypoxia-modulating phytochemicals. Activation of HIF-1a (master regulator of hypoxia signaling) was validated …
Pharmacological Aspects Of Resveratrol, Raisa Ramirez, Debasish Bandyopadhyay
Pharmacological Aspects Of Resveratrol, Raisa Ramirez, Debasish Bandyopadhyay
School of Integrative Biological & Chemical Sciences (Formerly Dept. of Chemistry)
Resveratrol [(E)-5-(4-hydroxystyryl) benzene-1,3-diol], also known as 3,4′,5-trihydroxystilbene also known as resveratrol is classified as a phytoalexin in plants such as nuts, cocoa, berries and grapes for self-defense against injury and pathogenic attacks by bacteria and fungi. Research on this compound did not gain popularity until the 1990s when a published paper implied the relationship between resveratrol and the decrease in cardiovascular complications due to the consumption of grape fermented wine in French populations. This observation sparked research on resveratrol even though its concentration in wine is relatively low, leading to the realization that resveratrol has potential for benefits in other …
Vitamin D: Controversy Cancer And Beyond, Cristian J. Rosales, Debasish Bandyopadhyay
Vitamin D: Controversy Cancer And Beyond, Cristian J. Rosales, Debasish Bandyopadhyay
School of Integrative Biological & Chemical Sciences (Formerly Dept. of Chemistry)
Vitamins are an essential part to wellbeing. This was not something always known however, as the Germ theory was the accepted thesis of the 18th century. It was found that certain accessory factors helped mitigate and even cure these diseases such as beriberi, scurvy, and rickets. Accessory factors, later coined vitamins by Casimir Funk, are an essential constituent of the human diet. Vitamin D is technically not a vitamin but functions as a steroid hormone whose most well-known purpose is calcification of the human skeleton. This helps prevent osteomalacia in adults and rickets, a serious problem in children due to …
Lunatics And Idiots: Treatment Of The Mentally Ill And Mentally Disabled Population In The Rio Grande Valley, 1860-1962, Emily Gray
Theses and Dissertations
This thesis analyzes the conditions the mentally ill and mentally disabled population in the Rio Grande Valley faced during the era of the asylum in the United States, from 1860 until 1962. The treatment options for the citizens of the Rio Grande Valley are compared with the treatment of the mentally ill in the nation as a whole, as well as in the state of Texas. The Rio Grande Valley has been geographically distant from large population centers, and the state of Texas neglected to place any state-funded health care centers in the region until the 1960's. The Rio Grande …
Glutathione: A Small Molecule With Big Sense, Cristina E. Raya, Debasish Bandyopadhyay
Glutathione: A Small Molecule With Big Sense, Cristina E. Raya, Debasish Bandyopadhyay
School of Integrative Biological & Chemical Sciences (Formerly Dept. of Chemistry)
Glutathione, a peptide found in microbes, plants and animals including human plays a key role in maintaining healthy cells. The peptide exists in both reduced and oxidized forms. Synthesis of GSH occurs in the cytosol of cells, and the extent of glutathione synthesis relies on various factors, such as amino acid availability, protein activity etc. Once synthesized, glutathione exists in both forms: oxidized (GSSG) and reduced (GSH). Oxidized glutathione characterized by its disulfide linkage. On the other hand, presence of a thiol group characterizes the reduced glutathione. This thiol makes the tripeptide an essential component of health; it makes glutathione …
Fish Oil With Higher Dha Content And Voluntary Exercise Decreases Postmenopausal Bone Loss, Jameela Banu, Gabriel Fernandes
Fish Oil With Higher Dha Content And Voluntary Exercise Decreases Postmenopausal Bone Loss, Jameela Banu, Gabriel Fernandes
School of Integrative Biological & Chemical Sciences (Formerly Dept. of Biology)
There is increasing evidence suggesting that fish oil (FO) decreases bone resorption by reducing osteoclastogenesis and regular exercise (EX) increases bone mass. EX is associated with increasing bone formation. Therefore, the combined effects of FO intake and EX may have additive effects by both increasing bone formation and decreasing bone resorption. To demonstrate this, we studied the effects of FO and EX on the bone of mice after an ovariectomyinduced bone loss.
Twelve months old C57BL/6 female mice were either sham operated or ovariectomized, divided into different dietary and EX group and maintained for 3 months before sacrifice.
The distal …
Decisions, Decisions: Factors That Influence A Patient's Medical Tourism Choices, Louis K. Falk, Thomas J. Prinsen
Decisions, Decisions: Factors That Influence A Patient's Medical Tourism Choices, Louis K. Falk, Thomas J. Prinsen
Communication Faculty Publications
In the digital age, the amount of information and sources concerning Medical Tourism is overwhelming. Knowledge is power in an era of healthcare uncertainty. As health care options have grown in global proportions, it has become more difficult for potential patients to locate the material necessary to make informed decisions or to even know which factors to consider during their information search. Individual financial circumstances vary greatly. This paper suggests how medical tourism makes financial sense for many patients and payers. Proximity and culture play roles in that medical tourists may prefer locations that are not too far from home. …
Development Of A Dna Barcoding Reference Library For Identification Of Medicinal Plant Materials Used In The Rio Grande Valley Of Texas: A Representative Case Study Using Arnica (Asteraceae), Hector G. Aguilar De Alba
Development Of A Dna Barcoding Reference Library For Identification Of Medicinal Plant Materials Used In The Rio Grande Valley Of Texas: A Representative Case Study Using Arnica (Asteraceae), Hector G. Aguilar De Alba
Theses and Dissertations - UTB/UTPA
DNA barcoding is a technique that uses a short DNA fragment to identify a specimen to the species level. This technique is essential in situations where a lack of distinguishing morphological characteristics makes identification impossible. In the Río Grande Valley a variety of herbal supplements are cheap, readily available and sold as “Arnica” with no information to identify the contents. The appearance of dried and shredded material suggests that a variety of plant species are involved, belonging to the family Asteraceae. Arnica montana, also part of Asteraceae, is found in Europe and has anti-inflammatory properties used to externally treat bruises …
Curanderismo And Healing Rituals: An Ethnographic And Historical Study Of The Casma Valley In Northern Peru, Maria Esmeralda Perez
Curanderismo And Healing Rituals: An Ethnographic And Historical Study Of The Casma Valley In Northern Peru, Maria Esmeralda Perez
Theses and Dissertations - UTB/UTPA
While curanderismo and shamanism form an important cultural aspect throughout Peru, the healing rituals in the Casma Valley are mostly unknown. This paper attempts to define the historical background of curanderismo in the Casma Valley by describing the traditional healing rituals throughout the Atlantic World. Recounting, not only the history of curanderismo, religion, witchcraft, and sorcery in Latin America, but also the history of these beliefs in Europe and Africa as well. One of the main goals of this paper is to provide sufficient proof of the ties and connections that curanderismo in the Casma Valley in Northern Peru share, …
Folk Healing In The Tradition Of The Fidencista Movement, Katherine Brittain
Folk Healing In The Tradition Of The Fidencista Movement, Katherine Brittain
Theses and Dissertations - UTB/UTPA
The Fidencista Movement is a religion in process . Like in many other medico-religions whose primary ministry is healing, women hold the highest positions of authority. The shamanic channeling of the spirit of the folk saint, Niño Fidencio , plies Fidencistas' belief in the spirit world and ameliorates physical and emotional healing. Fidencistas are concentrated in the Texas/Mexico borderland region where they are facing a passing of traditionalism, the social matrix in which folk healing thrives. However, the signature of the Movement, the penitential trek up the Vía de Dolores in Espinazo, is a cohering bi-annual ritual that fortifies devotion …