Eating Disorder Training and Attitudes Among Primary Care Residents.

Eating Disorder Training and Attitudes Among Primary Care Residents.

Clin Pediatr (Phila). 2013 Mar 4;
Banas DA, Redfern R, Wanjiku S, Lazebnik R, Rome ES

Background:The ability to diagnose eating disorders (ED) is important and difficult for primary care physicians (PCPs). Previous reports suggest that PCPs feel their training is inadequate.Objective:To explore residents’ interest and comfort diagnosing and treating ED. Methods: An internet survey was sent to primary care residencies. Logistic regression models were fitted to identify factors correlated with residents’ interest and comfort in diagnosing and treating ED.Results:Family Medicine and Internal Medicine residents had higher interest in ED than Pediatric residents, as did female residents and residents exposed to teenagers with unexplained weight loss. Residents in programs with an ED program and faculty interested in ED were more comfortable diagnosing ED. Conclusions: Interest in, and comfort diagnosing and treating ED are associated with specialty type, presence of an ED program, presence of faculty interested in ED, and resident exposure to ED outpatients and teenagers with unexplained weight loss. HubMed – eating


High Intake of Dietary Long-Chain ?-3 Fatty Acids Is Associated With Lower Blood Pressure in Children Born With Low Birth Weight: NHANES 2003-2008.

Hypertension. 2013 Mar 4;
Skilton MR, Raitakari OT, Celermajer DS

Reduced fetal growth is associated with increased systolic blood pressure. Recently, we found an inverse association between serum ?-3 fatty acids and systolic blood pressure in young adults born with impaired fetal growth. We investigated the associations of dietary intake in childhood of the long-chain ?-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid with blood pressure parameters in children born with reduced birth weight. We analyzed data from 3457 children aged 8 to 15 years participating in the continuous National Health and Nutrition Examination Survey 2003-2004, 2005-2006, and 2007-2008. Dietary intake was assessed by two 24-hour dietary recalls, birth weight by questionnaire, and blood pressure was measured. Systolic blood pressure was 1.1 mm Hg higher in those with reduced (<10th centile) compared with normal birth weight (?10th centile), consistent with previous findings, although not statistically significant (P=0.40); however, pulse pressure was significantly higher in these children (3.4 mm Hg). In the 354 participants with reduced birth weight, when compared with children with the lowest tertile of intake, those who had the highest tertile of dietary eicosapentaenoic acid and docosahexaenoic acid intake had significantly lower systolic blood pressure (-4.9 mm Hg [95% confidence interval, -9.7 to -0.1]) and pulse pressure (-7.7 mm Hg [95% confidence interval, -15.0 to -0.4]). High-dietary intakes of eicosapentaenoic acid and docosahexaenoic acid are associated with lower systolic blood pressure and pulse pressure in children born with reduced birth weight. These data are consistent with the hypothesis that long-chain ?-3 fatty acids reduce blood pressure in those with impaired fetal growth. HubMed – eating


The FoodCast research image database (FRIDa).

Front Hum Neurosci. 2013; 7: 51
Foroni F, Pergola G, Argiris G, Rumiati RI

In recent years we have witnessed an increasing interest in food processing and eating behaviors. This is probably due to several reasons. The biological relevance of food choices, the complexity of the food-rich environment in which we presently live (making food-intake regulation difficult), and the increasing health care cost due to illness associated with food (food hazards, food contamination, and aberrant food-intake). Despite the importance of the issues and the relevance of this research, comprehensive and validated databases of stimuli are rather limited, outdated, or not available for non-commercial purposes to independent researchers who aim at developing their own research program. The FoodCast Research Image Database (FRIDa) we present here includes 877 images belonging to eight different categories: natural-food (e.g., strawberry), transformed-food (e.g., french fries), rotten-food (e.g., moldy banana), natural-non-food items (e.g., pinecone), artificial food-related objects (e.g., teacup), artificial objects (e.g., guitar), animals (e.g., camel), and scenes (e.g., airport). FRIDa has been validated on a sample of healthy participants ( = 73) on standard variables (e.g., valence, familiarity, etc.) as well as on other variables specifically related to food items (e.g., perceived calorie content); it also includes data on the visual features of the stimuli (e.g., brightness, high frequency power, etc.). FRIDa is a well-controlled, flexible, validated, and freely available ( tool for researchers in a wide range of academic fields and industry. HubMed – eating


Distracted driving and implications for injury prevention in adults.

J Trauma Nurs. 2013 Jan; 20(1): 31-4
Hoff J, Grell J, Lohrman N, Stehly C, Stoltzfus J, Wainwright G, Hoff WS

Distracted driving, a significant public safety issue, is typically categorized as cell phone use and texting. The increase of distracted driving behavior (DDB) has resulted in an increase in injury and death. The purpose of this study was to identify the frequency and perception of DDB in adults. A 7-question SurveyMonkey questionnaire was distributed to a convenience sample of adults. Standard demographics included age, gender, and highest levels of education. Primary outcome questions were related to frequency of DDB, and overall perceptions specific to distracted driving. Results were compared on the basis of demographics. Chi-square testing and the Kruskal-Wallis analysis of variance were applied, with statistical significance defined as P ? .05. There were 1857 respondents to the survey: 1721 were aged 23-64 years (93%); 1511 were women (81%); 1461 had high school education or greater (79%). A total of 168 respondents (9%) reported being involved in a car accident while distracted. The highest reported frequency of DDB included cell phone use (69%), eating/drinking (67%), and reaching for an object in the care (49%). Younger age (18-34 years) and higher level of education (bachelor’s degree or greater) were statistically associated with these DDB; gender demonstrated no statistical significance. Text messaging was reported by 538 respondents (29%), with a statistically significant association with age (18-34 years), higher education (bachelor’s degree or greater), and gender (males). A total of 1143 respondents (63%) believed that they could drive safely while distracted. This study demonstrates that DDB in adults is not restricted to reading and sending text messages. Moreover, these results indicated that people fail to perceive the dangers inherent in distracted driving. Prevention and outreach education should not be limited to texting and cell phone use but should target all forms of DDB. The age group 18-34 years should be the primary target in the adult population. HubMed – eating



Littlest Pet Shop: Popular (Episode #17: Pretty Face, Ugly Heart – Season Finale Part 2/2) – It’s official: the truth is out, and there’s no way Brooke will be able to flirt her way out of this one. Batting her eyelashes and prancing around in skimpy costumes might have worked for a while, but now her chances with Sage are looking pretty bleak. Will their 3 year relationship be salvageable, or has Sage moved on to… someone new? When new secrets emerge about Brooke, the answer is pretty clear. Nothing stings more than having an ex-BFF betray you… unless you betrayed her in the first place, right Brooke? Meanwhile, Savannah is stuck in the middle, and I don’t mean in the middle of a catfight. Whatever happens, we’re going to end up with more than one broken heart tonight… VERY IMPORTANT WARNING: The Popular series is rated PG. Although these videos are made with Littlest Pet Shop toys, the Popular series is NOT meant for very young children and is geared more towards preteens. This story is set in a high school and thus explores themes that are definitely more mature (but not too mature, don’t worry), the most prevalent being teenage romance and eating disorders. Although the theme of eating disorders is dominant in my story, this does NOT mean that I condone eating disorders in any way. Eating disorders are awful and I would NEVER want to encourage anyone to adopt one. Instead, I wish to educate about them and their dangers, and this will become clearer as the story progresses. Please be aware of this! Also, while teenage romance is explored in this story