Eating Disorders: Understanding Family Motivations and Barriers to Participation in Community-Based Programs for Overweight Youth: One Program Model Does Not Fit All.

Understanding Family Motivations and Barriers to Participation in Community-Based Programs for Overweight Youth: One Program Model Does Not Fit All.

Filed under: Eating Disorders

J Public Health Manag Pract. 2013 Jan 16;
Grow HM, Hsu C, Liu LL, Briner L, Jessen-Fiddick T, Lozano P, Saelens BE

CONTEXT:: Successful obesity intervention efforts depend on effective recruitment and retention, an ongoing challenge for community-based programs. OBJECTIVE:: We sought to provide insights into the most salient factors affecting family enrollment and retention in community-based programs for overweight youth and their families. We especially sought to understand potentially modifiable program factors affecting participation. DESIGN:: We conducted semistructured, in-depth, face-to-face interviews with parents of overweight children within 1 year of referral to a public health grant-funded community-based healthy lifestyle promotion program. Purposeful sampling was used to select participants across program sites, by level of program completion, and child age and sex. Transcribed interviews were coded independently by 2 staff with a structured codebook and then analyzed by themes through an iterative process using Atlas.ti. The Integrative Model of Behavior served as an orienting theoretical framework. SETTING:: Community-based child obesity intervention program in King County, Washington. PARTICIPANTS:: Twenty-three parents from diverse socioeconomic backgrounds were interviewed, of which 10 completed the program, 9 did not complete, and 4 did not enroll. MAIN OUTCOME MEASURE(S):: Parent-reported factors related to enrollment and retention. RESULTS:: Key parent reasons for program enrollment included: (a) addressing both eating and activity, (b) concern about child’s weight, (c) seeking help outside the family, and (d) structured parent-child time. Parents perceived a lack of child motivation to enroll; some youth initially opposed attending, which was overcome through positive program experience. All families described barriers to attending, and some identified specific strategies or skills they used to overcome barriers. No single program design emerged to address every family’s needs. Instead, using the themes of accessibility and accountability, we present parent- recommended design options. CONCLUSIONS:: To meet different families’ needs, public health and health care agencies offering youth health promotion programs should consider providing program options that vary intensity level and weight loss emphasis.
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[Preventive effects of modified chitosan medical anti-adhesion membrane on postoperative intra-abdominal adhesion].

Filed under: Eating Disorders

Zhonghua Yi Xue Za Zhi. 2012 Nov; 92(44): 3140-2
Liu J, Zhou XL, Zhang P, Zhao ZC

To explore the preventive effects of modified chitosan medical anti-adhesion membrane on postoperative intra-abdominal adhesion.A total of 86 patients with obstructive colorectal carcinoma undergoing emergent colostomy and second-stage anastomosis were randomly divided into 2 groups (n = 43 each). In the research group modified chitosan medical anti-adhesion membrane were put both at the area of operation and under the incision before abdomen closing, but not so in the control group. The recovery procedures were recorded including gut movement, degree and duration of abdominal pain and cases of adhesive ileus. During the reopening of abdominal cavities 3 to 6 months later, intestinal anastomosis was performed. And adhesive severity was graded blindly and the level of hydroxyproline measured within injured posterior peritoneum and adhesive tissue.As compared with the control, postoperative abdominal pain was weaker; the recovery of gut motor function and eating better ((3.3 ± 1.0) vs (4.2 ± 1.1) days, P < 0.05), the incidence of adhesive ileus lower (1(2.3%) vs 4(9.3%), P < 0.05), adhesion significantly lighter and the hydroxyproline level lower ((0.832 ± 0.071) vs (1.375 ± 0.108) µg/mg protein, P < 0.05) in the research group.Modified chitosan medical anti-adhesion membrane has preventive effects on postoperative intra-abdominal adhesion so as to decrease the incidence of adhesive ileus. HubMed – eating


Bilateral ageusia caused by right thalamic infarction.

Filed under: Eating Disorders

Rinsho Shinkeigaku. 2013; 53(1): 24-8
Kogawa S, Yamakawa I, Nakajima A, Yamada S

A 58-year-old man noticed left hemiparesis at 01:00 pm on a particular day in March 2006. Because his symptoms developed gradually, he was referred to the emergency room of our hospital at 05:00 pm and was admitted with the diagnosis of cerebral infarction. While he presented slight left hemiparesis involving the face, impairment of sensation was not apparent. Diffusion-weighted magnetic resonance imaging of the head showed a high-intensity area in the ventromedial area in the right thalamus. The patient was treated with anticoagulant and edaravone, and his symptoms resolved on hospital day 3. When he began eating, he noticed that he was unable to distinguish tastes. On day 5, we performed taste examination using a commercial kit. The taste sensation on both sides of his tongue was severely affected, while the touch sensations in the mouth and olfaction were preserved. His symptoms improved spontaneously and resolved on hospital day 15. This is the second case report of bilateral ageusia caused by right thalamic infarction. Our study indicates the importance of the right thalamus in taste sensation involving both sides of the tongue.
HubMed – eating



THIN – Eating disorders – Part 4 – THIN, directed by Lauren Greenfield and distributed by HBO, is an exploration of The Renfrew Center in Coconut Creek, Florida; a 40-bed residential facility for the treatment of women with eating disorders. The film mostly revolves around four women with anorexia nervosa and/or bulimia and their struggles for recovery.


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